I run a clinic in the United States

Chapter 165 Caution and Shock
Stephanie will naturally not refuse. What if she refuses and Zhou Qiaoyi gets angry and rejects her?
None of the tasks are completed.

Although Uncle Justin's behavior was despicable, Stephanie thought carefully about it and realized that his uncle had been really impeccable with herself and her mother over the years!
You must repay yourself!
Come over to be a spy, what position do you choose, let's get in first and then talk about it!
It’s not like I plan to work here for the rest of my life!

Stephanie thought to herself, as soon as I get the secret medicine or formula, I will run away immediately!
If she had a choice, she would certainly choose surgery, especially aesthetic surgery. If she didn't participate, how would she get in touch with the secret medicine?
I heard that Murphy can often participate in surgeries, why can't she?
However, she didn't want to make matters worse.

After you come in and everyone is familiar with it, you can mention it in another way.If Zhou Qiao doesn't agree, he can continue to be a psychiatrist.

Zhou Qiao beamed with joy, then communicated with Stephanie and introduced the psychological counseling service of Iris Clinic.

In fact, it is very simple. Basically, some young people suffer from psychological anxiety, emotional or mental disorders due to factors such as high work pressure, obesity, love, unsatisfactory marriage life, etc.

Of course, there are also a small number of elderly people.

As for Stephanie's advantages, they are also very strong.

Because psychiatrists in the United States are usually divided into two types, one is therapist, most of whom are graduates of social studies or general non-medical psychology. They do not have a medical school degree and can only perform talk therapy without the right to prescribe.Strictly speaking, not really a psychiatrist.

Stephanie is a psychiatrist, which is more accurately translated as a psychiatrist. Not only does she have a doctorate in medical psychology, but she has also obtained a psychiatrist license. She can prescribe medicine, know hypnosis, and is proficient in various mental or psychological fields. healing skills.

A psychiatrist like Stephanie, who graduated from a serious medical school, naturally charges higher fees than the former.

Zhou Qiao's pricing for her is 300-600 dollars per hour, which fluctuates within this range depending on the patient's condition.

Of course, if it is particularly serious and requires electroconvulsive, hypnotic, transcranial magnetic stimulation or other special treatment methods, additional charges will apply.

In addition, Stephanie has another advantage, that is, she has experience as a part-time preacher in the church.

What is a church?A place where believers confess or pray.

Some people, who have emotional or psychological problems, may not come to a psychiatrist, but prefer church.

Stephanie also had the experience of helping believers resolve their knots in church.

It is equivalent to having had work experience before.Maybe some theological treatments can be used.

Zhou Qiao is very satisfied with Stephanie!

After the communication, Zhou Qiao pointed to the electroshock therapy device in the corner of her consulting room, and said, "I'll arrange an empty consulting room for you later, and this electroshock therapy device will be moved to your side, so it will be convenient for future treatment." Some!"

Looking at the electroconvulsive therapy device, Stephanie's delicate body trembled suddenly.

Zhou Qiao quickly asked: "What's wrong? Are you okay?"

Stephanie recalled the scene when her mother was tied to the treatment table by doctors and nurses in the mental hospital and received electric shock treatment. She quickly shook her head and said, "I'm fine. Doctor Zhou, I don't want this instrument anymore." I try my best not to use electric shock."

Seeing Zhou Qiao looking at her in surprise, Stephanie's thoughts changed, and she suddenly smiled, and walked out of that fearful mood, her enthusiasm was like a spring breeze:

"Dr. Zhou, I think so. I am better at psychological counseling, hypnosis, music, painting, calligraphy and other therapies. I personally don't like electric shock. I think it is too rough! If there is really a need, I will bring the patient here. Do you think it’s okay to operate here?”

Zhou Qiao nodded and said, "Yes!" In fact, he didn't want to use electric shocks unless it was absolutely necessary.

Electroconvulsive therapy actually has many side effects.But sometimes it doesn’t work.

Then Zhou Qiao took Elena with him to help Stephanie clean up the consulting room.

He chose the one on the north side because all the ones on the south side were occupied.Fortunately, it is fully furnished with computers, tables, chairs, cabinets, etc. It is a consulting room left by a doctor who ran away in the past.

Iris Clinic only has five consulting rooms in total, and the remaining one is relatively small.

"I'll come, I'll come, I'll come! If you have anything to do, go and get busy!" Stephanie looked very beautiful, but she was not pretentious at all. She took off her coat, rolled up her sleeves, picked up the rag, and started wipe the table.

When he leaned over, his collar inadvertently opened towards Zhou Qiao, and the scenery inside was breathtaking.

"Qiao, there is a patient, come here for consultation." At this time, Murphy appeared at the door, glanced at Stephanie coldly, and then called to Zhou Qiao.

"Okay." Zhou Qiao went out.

Stephanie asked Elena: "That tall and beautiful girl just now is Murphy, right?"

Elena was surprised: "You also know?"

Stephanie smiled slightly and said, "Who made your clinic famous? When I was in the hotel, I heard it from the front desk lady."

"What kind of green plants do you like? I'll buy a pot to put on your table another day." Elena said.

"Thank you, as long as you picked it, I like it! You are such a beautiful chick, the green plants you picked must be very good!" Stephanie started to follow the sycophant route, and she planned to give rainbow farts to everyone here, Only in this way can we integrate into the group more quickly.

It has to be said that most people like to hear nice words, and Elena is no exception. Stephanie immediately made her laugh and said, "I'll take a look at it then, and I'll definitely pick one that suits your temperament!"

"By the way, where do you live now?"

"Well, I'm not a local. I'm currently living in a hotel. I plan to wait until my job is stable before I rent a house!"

"Then I can give you some reference advice when you rent a house."

"That's great, you are such a beautiful girl with super breasts!"

After cleaning up the clinic, because it was the first day and it was already afternoon, Zhou Qiao did not assign patients to Stephanie, but just let her get familiar with the environment first.

So, Stephanie went out and bought seven cups of milk tea, and everyone in the clinic, including herself, got one cup each!
She understands human psychology and the workplace. With just such a "small favor", coupled with her beautiful appearance, humorous language, extensive knowledge, and bright smile, she quickly became close to the people in the clinic. distance.

Except Murphy.

"Thank you, I don't drink milk tea." Murphy said coldly.He was rejected outright!
Stephanie: "..." She sneered inwardly, okay, considering that you have autism, I won't care about you.

Before coming, Uncle Justin told her about the main characters and general personalities of the Iris Clinic.

She sneered in her heart, but her face was like a warm spring breeze, and said, "How about I treat you to another delicious drink tomorrow? What would you like to drink?"

Murphy simply ignored her.Stephanie almost choked.

Stephanie walked out awkwardly, thinking to herself, why are you pulling?

Do you think you are great?My school is better than yours, I have one more doctorate in medicine than you, and I also have a master's degree in theology. If it weren't for completing the task and repaying Uncle Justin, I wouldn't bother to curry favor with you!

She felt wronged.

It’s so difficult to not only do despicable things, but also to flatter everyone you meet!

Not long after she left, Murphy got up and came to Zhou Qiao's general clinic.

"Feifei, is it about the intussusception patient? Don't worry, I believe in your skills." Zhou Qiao looked at Murphy standing at the door, his eyes full of doting and said.

Not long ago, Murphy called Zhou Qiao for consultation because Rachel brought over a patient with abdominal pain, a 15-year-old girl brought here by her mother.

After examination, the condition was somewhat complicated. It was not appendicitis, nor acute or chronic enteritis. The CT report showed that intussusception was considered and the possibility of neoplastic lesions could not be ruled out.

Colonoscopy is required for further confirmation.

It’s just that it’s too late today, so after the consultation, Zhou Qiao asked the patient to go back and try to eat easily digestible liquid food for dinner today, start fasting after dinner, and wait until early tomorrow morning to arrange bowel cleansing and other preparations, and then go to the community hospital in the afternoon Have a colonoscopy.

Colonoscopy depends on the patient's different conditions, and some even require preparation three days in advance.

If confirmed, there is a high probability that surgery will be required!
However, even if there is a tumor lesion, if it has not spread, radical surgery can achieve very good results!
Zhou Qiao thought Murphy was worried about this, after all, it involved tumor surgery.

Murphy shook his head, looked back and saw no one, so he closed the door, and then...

He walked over quickly and jumped on Zhou Qiao.

Zhou Qiao: "..."

After a while, Zhou Qiao joked: "You have become bolder, it's just a good thing!"

Murphy suddenly said: "I always feel that something is wrong with Stephanie. She...she must have come in with some ulterior motive! You shouldn't hire her!"

Zhou Qiao: "..." Is Murphy's intuition so powerful?
Immediately, he patiently explained to Murphy that Stephanie also had many advantages, and finally said: "Don't think too much, don't think everyone is so bad. In fact, Stephanie is just too enthusiastic."

Murphy curled his lips and thought, is he really jealous?

She observed meticulously, and really didn't like Zhou Qiao's glances at Stephanie's breasts from time to time, but Elena and Ava also had... that kind of relationship with Zhou Qiao, why didn't she get jealous of them?
Murphy couldn't figure it out, but just as Ava was calling outside and another injured patient came, Murphy hurried out!
……

Early the next morning, Stephanie came to work and brought souvenirs to everyone. They were not expensive, but very exquisite, and everyone had a share.

Murphy: "..." She suspected that Stephanie had bad intentions, but there was no evidence.

She declined the gift again!

Stephanie didn't take it seriously and walked out with a smile.

Murphy thought to himself: "So she won't be angry?" He became more and more suspicious.

She thought for a while, and if Zhou Qiao couldn't explain it, she could secretly talk to Elena.

Unexpectedly, even Elena was "bought" by the other party's "small favors", and comforted her: "Murphy, don't think too much, some people are like this, they are naturally enthusiastic and sociable, they shouldn't Too much malice.”

Elena felt that Stephanie's figure was too hot and felt the pressure, but it was not to the extent that she targeted Stephanie because of this.

What's more, the only bit of "pressure" was reduced a lot because of Stephanie's excessive enthusiasm.

Murphy: "..." Forget it, she concentrated on preparing for the colonoscopy.

The bowel cleansing laxatives prescribed to the little girl are still relatively expensive. The improved version her grandfather drank before has an ordinary "sea water" taste and is cheap, but not many people like to drink it.

Some people feel nauseous and vomiting after a few sips, and can't do it anymore.

Mothers of little girls are also willing to choose the more expensive one.

It is worth mentioning that the little girl and her mother are both Chinese.

They chose this place, firstly, because they live in nearby Chinatown, and secondly, because Zhou Qiao's reputation is already very famous in San Francisco, especially among the Chinese circles.

This is due to the publicity of Zhang Jianjun, boss Tang Yunxuan and President Zhang of the Wushu Association.

Of course, the identity of the man behind Luo Ya also plays an important role!

Although her daughter's condition is serious and the operation is huge, can it still be compared to Zhang Mengjing's head surgery?
Zhang Mengjing has now fully recovered and is already looking for a school to study again. She plans to study nursing.

The little girl’s mother also knows Zhang Jianjun’s family, and even visited Zhang Mengjing when she was hospitalized.

……

The colonoscopy process went smoothly, but the results were a bit unacceptable!

The little girl’s mother was struck by lightning!

After a long while, she trembled and called her husband, asking him to come over immediately!

The little girl's father is also Chinese. After coming over, Zhou Qiao once again explained the condition to the family in detail.

"This is a colon tumor with intussusception. There is a mass of about 4.5cm in the middle of the transverse colon, which causes intussusception and secondary intestinal obstruction. Although the tumor is large, the good news is that it has not spread and can be cured by surgery. There is great hope.”

The little girl's father pondered for a moment and said: "Dr. Zhou, I heard that cancer usually has a family history, but in my family, including her mother's side, for three generations, I have never heard of any relative having the disease. This is a disease. My daughter is young, goes to school, has a regular schedule, has no bad eating habits, and doesn’t smoke or drink. How could she get this disease?"

Zhou Qiao thought for a while and explained to him: "There are many causes of cancer. A situation like Xiao Chenxi's is most likely caused by a genetic mutation."

"Gene mutation?"

"Yes, genetic variation means that either parent may have an allelic defect, but it does not show up. Instead, it is dominant in the next generation."

The little girl's parents thought about it carefully and felt that what Zhou Qiao said was quite reasonable. They didn't understand it anyway, and now was not the time to investigate the cause of the disease. The key was surgery.

Zhou Qiao said: "If you are willing, I can arrange pre-operative preparations immediately."

"As for the surgery, it will be performed by our clinic's talented doctor Murphy. She is a 19-year-old MD who graduated from a prestigious school. I will also assist on the side to ensure that the surgery goes smoothly. It's like Murphy and I are doing it together!" "Let's discuss it carefully." The two took the child out.After all, this matter is very important to their family, so it is not easy to make a decision.

They also called some people and finally decided to have the surgery at Zhou Qiao.

There is nothing to say about Zhou Qiao's level. Since his debut, he has never failed in any major or minor surgery, and so has Murphy!
This is well-known!They asked!

After signing the consent form for the surgery, they felt very uneasy and worried about their daughter's fate!I don’t know if this is the right choice? !

Although he is a famous doctor, he is always worried about his daughter.

Stephanie was shocked when she heard about it!

Zhou Qiao actually let 19-year-old Murphy do the surgery, and the others didn't have any objections. Oh my god!
No, I must go and see!I don't believe it. How can Murphy be so powerful?Can you perform such a difficult surgery?
I went to a better school than she did, and I have one more MD than her. Why? !

You know, at Johns Hopkins Hospital, only senior experts over 40 years old can perform such major surgeries!
Not to mention being the surgeon, she has not even had the chance to participate in surgeries of the same level of difficulty.

Stephanie ran over and told Zhou Qiao. After two "small favors", everyone became familiar with each other. She also roughly figured out Zhou Qiao's temperament and knew that Zhou Qiao was not that difficult to get along with.

Zhou Qiao pondered for a moment and then said: "Since you want to go, that's fine. But arrange the work at hand."

"Yeah, no problem. I will communicate with the patients who made an appointment in advance to ensure that they can leave for a few hours on the day of the operation." Stephanie said excitedly.

Zhou Qiao nodded and asked Ava to make an appointment with the operating room and anesthesia team, and asked Elena to count the instruments.

This time, he didn't give Murphy a shot in the arm, but taught her step by step how to do it.Instead, they just discussed the surgical plan with Murphy.

Because before, Murphy attained enlightenment in a dream and underwent many partial resections of the small intestine.

Since all of them were performed by removing part of the intestines, all of them were clear and clear. With the astonishing talent of Mo's medical genius, other intestinal surgeries had already reached the master level.

Zhou Qiao clicked on her skill tree. Although she only upgraded five skills to master level last time, including her original three, there were only eight. But today, hey, there are already thirteen master-level skills. Got it!

Although most of them are at the master level, it is enough to perform this surgery on a little girl!
With Murphy's current level, even at the University of California Medical Center, he can be called an expert!Zhou Qiao secretly thought that Murphy should have a salary increase!

However, he often gives bonuses in private. It doesn't matter whether the salary is increased or not. It's the same thing if he gives more bonuses.

……

Two days later in the afternoon, Zhou Qiao led a group of people, chief surgeon Murphy, second assistant Stephanie, traveling nurse Ava, equipment nurse Elena, and the patient's family of three, to the community hospital.

After Stephanie learned the specific operation time from Ava, she immediately communicated with the clients who had previously made appointments. With her communication skills, it was naturally and easily handled.

This is a laparoscopic radical tumor resection.It is a level [-] operation and very difficult.

Stephanie has been suspicious all the time, will she really let Murphy do it?Isn't this a joke with the patient's life?
Maybe, they were teasing themselves, or maybe Murphy was the surgeon in name, but in fact it was Zhou Qiao's operation?

As for the required equipment and consumables, Elena had already come over in advance to take stock.

There are various instrument dressings, laparoscopic instruments and disposable items, such as rectal instrument packs, rectal accessories packs, surgical gown packs, etc.

此外还有气腹针、300镜头、12mmTrocar 1个、10mmTrocar 2个、5mmTrocar 3个、分离钳4把、腹腔镜肠钳3把、持针器、钛夹钳、电钩、吸引器、手术剪刀、转换器、气腹管、光纤电凝线、147号丝线、5ml注射器、敷贴、保护套等等。

The instruments and equipment include cold light sources, camera systems, monitors, electrosurgical units, ultrasonic scalpels, carbon dioxide pneumoperitoneum, irrigators, central suction...

Ava also debugged it in advance.

Nancy at the anesthesia team appointment.

Nancy has been divorced. After vacation, she met a new boyfriend. She has come out of her depression. Now she is happy every day. She is living a second life!
Under general anesthesia with endotracheal intubation, in lithotomy position, the buttocks are elevated about 20°-30°.

Anesthesia is completed and routine time out is completed.

Routine disinfection and draping, indwelling catheterization, Murphy and Ava connected the light source line, camera and other pipelines together.

Afterwards, Ava played songs and started the wall-mounted sound system as she habitually did.

The opening song she chose this time is "Pianpian"!One of Daolang's masterpieces!High praise on the Internet!

But it is indeed very pleasant to listen to, it is endlessly memorable, and the lingering lingering sound is endless.

Stephanie had participated in an operation at Johns Hopkins Hospital, but all she listened to were English songs or European and American pure music. Where had she heard this unique style of Chinese songs?

She was instantly attracted!

Then, in her surprised eyes, it was really Murphy who performed the surgery!
I saw that Murphy did not pause at all, and operated smoothly:

A pneumoperitoneum is established by means of a Veress needle puncture, and a 10mm Trocar is placed at the umbilicus, a 5mm Trocar is placed at the outer edge of the left and right clavicle at the level of the umbilical cord, and a 5mm Trocar is placed at the inner and lower side of McBurney's point in the right lower abdomen...

Immediately afterwards, a 5mm Trocar was placed on the pubic bone in the midline of the abdomen...

Murphy found that the proximal colon of the patient's tumor was inserted into the distal colon, and the tumor happened to be hidden in the colon!
In addition, what is a little disgusting is that there is a large amount of feces in the patient's proximal intestine.

However, Murphy has a very high level of professionalism and did not frown at all.

Removal of about 26 cm of diseased intestines with tumors, dissection of relevant regional lymph nodes...

……

The entire operation lasted an hour and 10 minutes, and Stephanie was also shocked for an hour and 10 minutes!
During the operation, Stephanie couldn't help but ask some questions, and Zhou Qiao didn't hide his secrets and explained them to her carefully.

Including some details, such as how to observe the flow of pneumoperitoneum during the operation, if it is too large or too small, it will affect the operation of the operation.

How to adjust the light source to ensure the perfect operation of the equipment involves the clarity and smoothness of the surgical field of view, which is very important and a detail that cannot be ignored.

and many more!

These experiences are very precious, and generally people who don’t have particularly close relationships won’t teach them.

Stephanie: "..." Thinking that she was here to be a spy, she couldn't help but feel a little ashamed.

The system pops up a golden virtual panel: "Stephanie's favorability +1, Stephanie's current favorability is 1!"

Zhou Qiao was stunned and almost thought he had seen it wrong!
Let me go, the favorability is only 1?This is too low a starting point!
Is it because of a hostile relationship?It seems there is a long way to go!
He glanced at Stephanie, and Stephanie felt guilty for a while, thinking that she had exposed herself somewhere!
This operation left a very deep and shocking impression on Stephanie!

Because Murphy's level is really much higher than hers!
The level of Murphy's performance was comparable to that of a master-level operation. Even the senior experts at Johns Hopkins Hospital were no more than that.

Stephanie had mixed feelings in her heart:

"I went to a better school than her, got more degrees than her, and went to a better hospital after graduation. But how could she be so good?"

After the operation, on the way back, Stephanie couldn't help but asked Elena quietly, and Elena said it was all taught by Zhou Qiao.

Stephanie: "Why is Zhou Qiao so powerful?"

Before, she only thought that Iris Clinic might be good at medical beauty. Unexpectedly, she actually felt that it was good at all aspects!

Especially, Zhou Qiao seems to be one year younger than her.

Elena said: "Maybe it's innate, right? You have to believe that there will always be geniuses in the world. Qiao often said to us, there is a sky outside the sky, there are people outside the world, and there are green mountains and buildings outside the mountains!"

Stephanie: "What do you mean?"

Elena explained to her in detail, and then Stephanie completely lost her pride!

System: "Stephanie's favorability +1, Stephanie's current favorability is 2!"

Zhou Qiao: "..." he thought to himself, the price is rising quite fast, it seems there is no hope!

Challenges are more exciting!

……

The second thing that impressed Stephanie about this surgery was that it was so rare for a 15-year-old girl to suffer from bowel cancer. She had never seen it before!

What does this mean?
It shows that bowel cancer is increasingly affecting younger people!

In fact, compared with middle-aged and elderly patients, the incidence rate of young bowel cancer patients is increasing year by year!
The onset of bowel cancer is easily overlooked. Since this disease generally has no clinical symptoms, it is easily diagnosed as "hemorrhoids" by patients or their family members.

If you take the wrong medicine and lose time, the consequences will be disastrous.

Any malignant tumor in the middle or late stage is quite dangerous.

……

Because medical beauty appointments have been scheduled for a month later, Zhou Qiao has surgeries almost every day these days.

However, the scars of patients are relatively small and can be treated with local anesthesia. They do not need to go to a community hospital and can be treated directly in the operating room of Iris Clinic.

Every time, Zhou Qiao was alone.

Stephanie thought that there was indeed a secret recipe, and even Murphy was not allowed in to see it.

She wanted to go in and take a look, but was afraid that Zhou Qiao wouldn't allow it.

After thinking about it again and again, I ran to tell Zhou Qiao that I wanted to learn more and gain some experience!
Her long-term goal is to perform surgery and become a surgeon.

After she said it, she felt anxious, fearing that Zhou Qiao would not agree or find out her intentions.

Unexpectedly, Zhou Qiao just smiled and agreed.

"Is it that simple?" Stephanie couldn't believe it.

After entering, she was amazed by Zhou Qiao's cosmetic suturing techniques, which were simply miraculous. She considered herself a medical genius and had practiced various suturing techniques in school and at Johns Hopkins Hospital. , I feel that my hands are dexterous. Although I only use props, such as pig hearts, I am already as good as a senior resident doctor. I didn’t expect that Zhou Qiao’s skills are several blocks ahead of her!

He is indeed someone even Uncle Justin wants to deal with!
As for the secret medicine, she didn't see anything strange about it.

It seemed to be just an ordinary hydrogel dressing with half a roll left, which Zhou Qiao placed casually in the operating room.

Stephanie's heart skipped a beat!

Seeing Zhou Qiao wanting to clean, Stephanie quickly volunteered and said, "I'll do it, I'll do it. If you're busy, boss, go out and do other things. Leave this place to me!"

Zhou Qiao nodded and Shi Shiran walked out.

Seeing Zhou Qiao disappear, Stephanie moved to the drawer where the secret potion hydrogel was kept while doing her hygiene!

She had already observed the terrain and studied the monitoring of the operating room of Iris Clinic.

She blocked the drawer with her body to avoid being recorded by the surveillance camera, and then quickly and gently hid the roll of Zhou Qiao's remaining hydrogel in the palm of her hand.

I continued to work hard on hygiene and finally walked out calmly.

Zhou Qiao only performs this kind of medical beauty surgery once a day, not because he can't arrange it in time, but because he is under too much pressure to accumulate points!

It is necessary to save several hundred points to give to Veronica next month, but also to use them for current medical aesthetic patients.

Although Veronica's surgery was divided into six phases, each phase required 500-700 points. However, these ordinary medical aesthetic patients with relatively small scars only need 8-32 points per person depending on the scar area.

"Fortunately, there is little sister Murphy, otherwise, I really can't get it."

And Murphy is very powerful, one person is as good as Elena and Ava together.

As for Zhou Qiao himself, after his physical strength and x-ability increased, he could handle the three of them without the Qiangshen Capsule.

If Qiangshen Capsules are added, they may not be able to bear it.

While Zhou Qiao was accumulating his balance, he was also very considerate of her!
　Thanks to "Zhehuzhi" for the reward.

　　What is worrying is that the child suffered bleeding from the postoperative wound and was hospitalized again. Although it was a minor surgery, he did not expect it to be so troublesome.And it was specially performed by an expert.The wound is fine after adenoidectomy, but the blood vessels on the tonsils are relatively thick. If there is severe bleeding, another operation under general anesthesia will be needed.Because the blade needs to be inserted into the throat to burn it, children cannot operate it without general anesthesia.

　　
　
(End of this chapter)