The listing, Operation mania (medical mayhem in the E.R) has ended.
Just because a game is labeled as casual doesn't mean it has to be mellow. Operation Mania is the kind of game where your enemy is time, as you're required to quickly move patients from waiting room, check-in desk, beds, X-ray machines and operating tables to get them out the door and earn you money. It's debatable whether the game is trying to make some kind of social commentary on the medical system in the United States where patients are only viewed in dollar amounts, but that's certainly the case in this game. If you take too long to fill a patient's needs, they die. But don't worry, if enough pass into the afterlife on your watch you get a trophy. Just like in real life, right?