I run a clinic in the United States

Chapter 123 Visiting Professor
The tumor is good-looking, but it is a "scourge" with a beautiful skin after all. It should be removed or it must be removed!

Zhou Qiao explained to Murphy while operating.

"Whether it is exploration or resection, it is important to minimize the stretching of the brain tissue. Many patients experience temporary or permanent cranial nerve palsy after surgery, which is usually related to repeated stretching or attraction of the nerve during the operation!"

Murphy nodded, understanding.

She was engrossed in watching, and her beautiful eyes were full of Zhou Qiao's operations with ease.

As mentioned earlier, Zhang Mengjing’s intracranial tumor surrounded her trigeminal nerve, facial nerve, auditory nerve, and glossopharyngeal nerve, as well as the brainstem, oculomotor nerve, trochlear nerve, abducens nerve, vagus nerve, basilar artery, and its branch cerebellum. Important structures such as the superior artery and the posterior cerebral artery.

Literally, it is very clear and clear, but in the actual field of view, the nerves and blood vessels are not labeled, and they are all very small and almost the same size. Most people's eyes are confused, how can they easily tell which is which?

But Zhou Qiao can.

While operating, he taught Murphy, telling her which one corresponds to which one, and how to distinguish.

A virtual three-dimensional holographic image suddenly appeared in front of Murphy's eyes, which was condensed from her imagination. It was equivalent to the "contemplation method" in Xianxia novels, or 3D modeling in computer science, and Murphy's brain was different from the computer. Pretty much the same.

People with ordinary qualifications may not be able to visualize advanced talismans or divine images for several years, but Murphy can achieve it overnight!

As Zhou Qiao explained, Murphy's three-dimensional visualization picture continued to improve, and annotation boxes appeared one by one, gradually becoming denser. Murphy was like a sponge, "greedily" supplementing his practical knowledge .

What I learned in school before, whether it is textbook theoretical knowledge or specimen anatomy, how can there be live people who are vivid, profound, and impressive?
This can be said to be a once-in-a-lifetime opportunity, and it has greatly improved Murphy!
Electrocoagulation of blood vessels on the surface of the tumor body...

Carefully separate the tumor border along the tumor capsule…

Not only did Murphy benefit a lot, but even the doctors and experts at the University of California Medical Center in the monitoring room were also deeply touched. Many of them fell into deep thought and understood many things that they had never understood at ordinary times.

I didn’t understand it before, but when I saw Zhou Qiao demonstrate it again, I couldn’t help but feel like I suddenly understood it!
"It turns out the method is like this..."

"It's not written in this book, and the teacher didn't teach it..."

"Can you still do this with sharp free petrosal veins? It's so exciting!"

The monitoring room gradually became quiet, and everyone watched attentively. Before, there were people coming in and out to go to the toilet, get coffee, etc., but now there are no more.

No pee in the whole process!
Well, this is also a "stress" reaction.When you concentrate and are attracted by something you are interested in, adrenaline will be secreted rapidly, and many distracting thoughts and small actions will be forgotten.

In the operating room, Zhou Qiao has gently used the electric knife and CUSA to remove the main part of the tumor, and opened a bone window to allow the tumor to pass through, just like a "tailor-made" one.

The sample that was taken out was placed in a stainless steel plate. Apart from the faint smell of blood, it was actually really pretty.

However, the operation did not end here, because the tumor wall and capsule still remained inside.

At the bottom of the tumor, where it connects to the brainstem, the capsule is thicker than other places and is closely adhered to the brainstem surface. There are also residual tumor cyst walls and capsule tissue on some nerves and important blood vessels. These things are It is the most difficult thing to scrape off without damaging the nerves and important blood vessels, and without damaging the brainstem!

Non-injury includes, try not to pull and attract repeatedly.

Things in the brain are very delicate, delicate, and fragile. If something goes wrong, there will be sequelae of this or that after surgery, big or small, more or less!

Zhou Qiao has a perfect level skill, so she naturally requires everything to be perfect!

The operation reached the most critical step, Zhou Qiao began to separate the brainstem of the tumor along the tumor capsule...

Under normal circumstances, many doctors want to end at this time!For them, the previous step of removing the main body of the tumor is the key step!
Different levels have different understandings of key steps!
In the monitoring room, a senior doctor from the Department of Neurosurgery couldn't help but speak, complaining: "Why bother touching it at this time?"

"That's right." Another doctor echoed and said, "This kind of cholesteatoma is an epidermoid tumor, and it grows extremely slowly. According to our experience, even if there is a little tumor wall left, the postoperative recurrence time is very fast." There is absolutely no need to take this risk.”

Some doctors disagreed: "You mean, let it stay in it, at worst, do it again after a few years? This way you can earn more money for the operation, right?"

"How can you say that?" The doctor became angry and shouted loudly, "I am also thinking about the patient's health. The treatment is good intentions, but the risk is too great, and a little residue will greatly reduce the sequelae and complications. The function of the adjacent and adhered cranial nerves is preserved. If you are a patient, do you hope to have another surgery with a low risk factor in a few years, or live in the pain of facial paralysis, deafness, inability to eat, and even blindness? among?"

More and more doctors joined the debate, and the two groups of doctors almost threw things at each other and quarreled.

In the end, Dr. Alonna McLoughlin couldn't stand it anymore. She drank coffee and said calmly: "Which method to choose depends on the level of the surgeon."

As soon as these words came out, the audience was silent.

It means that if you have a high level of self-esteem, of course you can try it, like Dr. Zhou did!If you're not good at it, you'd better be more conservative!It’s just that the patient is in a worse situation. A few years later, the disease relapses again, and it is inevitable to experience pain again!
Of course, if the level is not good, and you insist on stripping it off, it will be even worse!
You need to know how to operate it specifically!

The doctor who had been clamoring to be conservative before was so embarrassed that he kept silent!

And those who clamored for perfection were dumb!Because they think to themselves, the level is still not up to the standard. If the level was high enough, how could such controversial issues arise?
Like Dr. Zhou in the operating room, he just did the operation without thinking!

Dr. Crawford laughed: "Alona, ​​you are still too outspoken, which dampens their enthusiasm, haha!"

Alona smiled and said nothing, thinking that these brats usually have their eyes set on the top, but now they have seen a master who is better than them, right?Are you dumbfounded?
As for the doctor Zhou in the operating room, she doesn't know whether he will leave sequelae to the patient, but just looking at the technique and handling of details, they are all impeccable!
In fact, Dr. Alona thought to herself that even if she came in person, she might not be as good as Dr. Zhou in many aspects!

Dr. Alona couldn't help but wonder secretly, what kind of freak is this? !How did you grow up?Is China's medical technology so advanced?

An irresistible thought suddenly came to her mind, she said to herself, if I talk about this surgery, Dr. Zhou Qiao is ranked first in the world, I don't know if there will be some people who will not accept it?
But I stopped laughing immediately. We still have to see the effect, the postoperative effect!
"Dr. Alona, ​​what are you laughing at?" Dr. Crawford couldn't help asking.

Dr. Alona couldn't help but express her thoughts.

Dr. Crawford pondered for a long time, and then said quietly: "Although I am not an expert in neurosurgery, in terms of tumor surgery alone, Dr. Zhou Qiao's operations are indeed at the ceiling level!"

Alona's eyes lit up, and she shouted, "David, do you agree?"

"Hehe," Dr. Crawford said with a slight smile, "Actually, I noticed Dr. Zhou Qiao more than two months ago."

"Oh? Really?" Alona was interested.

Dr. Crawford said: "About two months ago, I received a patient with pancreatic cancer. The condition was naturally very serious. I found many experts and conducted multidisciplinary consultations, and then guess what? "

"Ah~" Alonna thought about it, and said, "I've heard people talk about this before. I only knew it was a young doctor. I thought it was a graduate from some prestigious school, and it might be behind the scenes. Is this Doctor Zhou?"

"Yes, yes." Dr. Crawford sighed softly, "I also suspected that he was cheating before, for example, he consulted his professors in China to formulate a treatment plan, but today I saw this operation, Suddenly I felt that he might not be shaking people!"

"Indeed. I have never seen such a medical genius in my decades of medical career. Such talents should come to our School of Medicine at the University of California, San Francisco!"

"How about I suggest to the dean and give him a visiting professor first?"

"Agree!" The two looked at each other and smiled.

The surrounding doctors looked at each other in dismay, and this got a visiting professor?
Although the matter is not yet a foregone conclusion, but with the status of Dr. Crawford and Dr. Alona, ​​the dean will most likely agree.The dean promised that the top management of the school would basically not have any opinions.

……

In the operating room, Zhou Qiao didn't think too much at all, and didn't know the good news. He focused on performing the operation and teaching Murphy seriously.

(End of this chapter)