I run a clinic in the United States

Chapter 182 This is the strength of top experts!

Zhou Qiao got goosebumps all over his body, waved his hand and said: "You don't need to beg, I will do my best to save you!"

There is really nothing that can be done against this man and woman.

Zhou Qiao thought for a while, looked at the medical staff, and asked, "Which of you knows genetic testing?"

Although he can do it himself, there are more important things to do next.Of course, if no one knows how to test it, then it doesn’t matter, just stop testing it.

Testing genes and identifying pathogenic bacteria is actually not that important.

It's just to verify his diagnosis and give people more credibility.

Unexpectedly, he is the boss. In this place, he has the final say in medical matters, so he operates on patients and formulates treatment plans according to his own ideas.

Anyway, in the end, as long as the person is cured.

The crowd was silent for a moment. Zhou Qiao originally thought that no one would know it. He was about to say "unexpected", but who knew that Chen Zhining suddenly stood up!

Chen Zhining said very seriously: "Dr. Zhou, I can do it!"

"Oh?" Zhou Qiao's eyes lit up!
Chen Zhining added a little guiltily: "I participated in similar projects before when I was studying, but I haven't done it for many years, but I can give it a try!"

So, Zhou Qiao nodded and handed over this task to him.

Chen Zhining cheered up, took good care of himself, took the patient's blood sample, and walked to another medical laboratory in the base.

This laboratory, next to Zhou Qiao's medical laboratory, has a different function.

In order to prevent cross-contamination, a dedicated negative pressure biological safety cabinet is also equipped.

The laboratory in the medical area of ​​the base is well equipped and can at least meet most of the needs. A genetic test should not be a big problem.

Moreover, Chen Zhining can also go online and seek help from his former university tutors.There was a professor in his previous school who specialized in this.

After that, preparations for the operation began in full swing.

About three hours later, under the protection of powerful antibiotics (mainly ceftriaxone plus quinolone antibiotics, which specifically target Vibrio vulnificus and have broad-spectrum antibacterial properties), Zhou Qiao began to perform emergency tension relief incision on the patient. , and negative pressure closed drainage surgery.

Although the patient's wound was large and the surgical removal was very difficult. It would have taken several surgeries to complete it if the doctor had changed. However, Zhou Qiao had perfect debridement skills and could get it done in one go!
Zhou Qiao would naturally not choose amputation. In a place like Africa, amputation of a patient's limb is no different from a direct death sentence.Perhaps, patients are more willing to choose death!

Also, what does amputation mean?Can it show Zhou Qiao's skills?
Amputation is very simple and crude. If the patient’s lesions are small, you can give it a try!
But at such a large size, amputation would be meaningless.

Zhou Qiao believes that through smooth drainage, the speed of deadly bacteria and toxins entering the blood can be reduced as much as possible, and supplemented by subsequent antibiotic treatment, the patient's survival probability can be increased.

Other doctors, such as Sampson, have opinions.

Sampson believed that Zhou Qiao's surgery could not completely cut off the infection!Because bacteria and toxins have entered the bloodstream, and the wound has spread so quickly, even if it is placed in the top hospitals in the United States and a group of experts take over, the chance of saving the patient is very low.

In those top journals, life was saved through amputation, but Zhou Qiao insisted on trying. Can this be successful?

However, the previous vaccine and special medicine had already cast a shadow on him!

So Sampson learned the lesson this time. Even though he was very dissatisfied and felt strongly against it, he still didn't say a word.

Because he noticed that after offending Zhou Qiao last time, Black Scorpion, Margaret and others were not very friendly towards him. The other three doctors, especially Chen Zhining, kept leaning towards Zhou Qiao again.

Because Chen Zhining and Zhou Qiao are both Chinese, there is a faint tendency to ride on his head!

Sampson didn't dare to offend anyone again. If he offended again, not to mention that the position of the base's chief doctor was not guaranteed, whether he could continue to work here in the future was still a matter of course!

Return to the United States?Find a hospital or clinic and live an ordinary life?
Haha, he knows too many secrets!

For the sake of his future, Sampson silently suppressed the idea of ​​speaking out to object!

Baisa told him privately that everything should be based on Dr. Zhou's opinion. He felt that it was time for him to lower his arrogant head!
Sampson is actually a very smart person. If he is not smart, he would not be able to get a doctorate in medicine. He can still serve as the chief doctor at the East African base. Before, he was under too much psychological pressure, coupled with the death of his girlfriend and relatives, and he cried in grief. He had an emotional breakdown.

In the past few days, Zhou Qiao has cured disease X, the pressure has disappeared, the base has a peaceful atmosphere, and his girlfriend comforts him every night, Sampson's "IQ is online" again!

……

"Oh~, I'm really not used to not having Elena and Ava!"

Zhou Qiao was fully armed and entered the operating room. Although he brought a doctor as an assistant and three black female nurses, he still felt that the atmosphere was not right.It’s not the smell of my Iris Clinic!
Apart from anything else, no one is playing songs!
There is no audio equipment installed in the operating room here.The three black female nurses are also tone-deaf and are not good at singing.

The conditions are limited, so we can only make do with it.

Because this kind of bacteria is so powerful, and the patient's huge wounds and the blood all over the body are almost "contaminated" by this kind of bacteria, if the doctor accidentally pricks his finger during the operation, he may face the risk of death. Risk of self-amputation.

And if, during surgery, the patient's blood and tissue fluid accidentally splash into the eyes during the operation, the doctor's eyeball may be removed immediately.If it's any later, it will be too late.

It doesn't really matter if Zhou Qiao has the system by his side, but doesn't that cost points?The account balance is limited and there is no replenishment now, so it cannot afford to be wasted!

The other thing is that he wants to set an example for others involved in the operation!

Therefore, under his leadership and instructions, everyone in the surgical team was fully armed. Everyone wore three layers of gloves, two layers of surgical gowns and a visor.

At the same time, the protection and isolation levels of the operating room and intensive care unit were immediately raised to the highest level.

Hatam, Black Scorpion and others who had been in contact with the patient before were also required to quarantine, undergo examinations and receive antibiotics!

Fortunately, their blood results came back and they were not infected.I have to say that Hatam, this woman, is very lucky and has a somewhat lucky aura.

Zhou Qiao's attacks were always successful.

In the end, the operation was a complete success.

After Zhou Qiao's emergency surgery to expand the skin and fascia of the necrotic skin, and two days of powerful anti-infective treatment, the patient's condition and inflammation indicators were finally quickly controlled.

Sampson: "..."

He was very lucky that he really learned the lesson this time, and he did so right!Not openly questioning Dr. Zhou before the surgery was simply the most correct choice in my life!Otherwise, you will be slapped in the face again!
Of course, it might be that the "rebellious" attribute was too strong, and he couldn't help but feel suspicious deep in his heart.

Sampson thought to himself, isn't this too smooth?Is this really a Vibrio vulnificus infection?Could it be that Dr. Zhou’s prediction was wrong?

However, not long after, Chen Zhining’s genetic test results came out!
The well-founded test report and iron-clad facts proved that Zhou Qiao's prediction was correct. This was really a "human-eating bacteria" - Vibrio vulnificus infection!
Sampson: "..."

Another doctor who was also doubtful said: "..."

Hatam cried with joy, hugged the black scorpion, climbed on him like an octopus, and was unwilling to let go for a long time!
That's right, Black Scorpion finally let go of his dignity and openly carried Hatam back to his tent.Hatam has been living with him these days!Although the old father was hospitalized, the two still played together every night.

Mainly, that kind of thing makes people feel good and relieves anxiety and stress!

Hatam was worried about his old father and had insomnia. After being tortured by Black Scorpion and becoming extremely tired, his sleep became much better!
Since ancient times, yin cannot grow without yang, and yang cannot grow without yin. The harmony of yin and yang has always been a very good way to maintain health, but it cannot be excessive!

However, not long after Hatam was happy, about five days later, his old father's originally stable condition suddenly took a turn for the worse!

Zhou Qiao is preparing the third batch of vaccines and specific drugs for Disease X in the laboratory, because the previous ones are almost used up.

Then, he heard the emergency call for help from the nurse in the intensive care unit, which came from an embedded microphone on the wall of the laboratory: "Doctor Zhou, Doctor Zhou, the patient's peripheral oxygenation suddenly dropped to 42%, and he has fallen into a coma. Become unconscious!"

"Don't worry, I'll be right away!" Zhou Qiao replied.

At the same time, other medical staff also received the news.

Hatam, on the other hand, stayed outside the custody room during the day, looking at his old father inside through the glass.At this time, she was as anxious as an ant and immediately called Black Scorpion to ask Black Scorpion to come over quickly.

Soon, doctors such as Zhou Qiao, Chen Zhining, and Sampson came to visit in a hurry.

"Dr. Zhou, there should be a problem with the lungs." Chen Zhining arrived first and said while changing clothes.Zhou Qiao nodded and said: "After entering, perform tracheal intubation immediately!"

They put on protective clothing and entered the isolation room.Naturally, Chen Zhining would not let Zhou Qiao do this kind of "minor surgery" himself, and immediately snatched the job!

He wants to show off in front of Zhou Qiao!
Chen Zhining, a doctor of medicine and a senior attending physician, would naturally have no problem with endotracheal intubation. The only thing he needed to pay attention to was to protect himself.

After endotracheal intubation and high-flow oxygen ventilation, the patient's blood oxygen saturation immediately went up. However, after it reached 95%, it never went up again, and occasionally dropped to 94% or 93%, even if the oxygen was turned up. The same goes for traffic!
"Check another CT!" Zhou Qiao said.

The medical staff took action, and soon the CT results came out. The patient's lungs showed large exudates and atelectasis.

Chen Zhining took a breath: "Did Vibrio vulnificus enter the lungs through the blood so quickly?"

The other doctors were also shocked, and then looked at Black Scorpion and Hatam with some sympathy.

Because, if this is the case, the hope of treatment will be even slimmer. Further amputation is far from solving the problem. You can't amputate the lungs as well, right?

In other words, the kind that can give up treatment.

At the same time, the patient's bilateral buttocks, waist and private parts all developed edema, the skin changed like orange peel, the high fever started again, and the inflammation indicators rebounded!

Zhou Qiao pondered. He had already exchanged points for the master-level Vibrio vulnificus treatment technique. Before Luo Ya arrived, the points could not be added. He had to use them sparingly and did not want to consume the few balances. Go exchange for new special effects medicine!
The most important thing is that based on his master-level medical skills and comprehensive analysis, he feels that the possibility of lung infection with Vibrio vulnificus is unlikely.It may be other germs. As long as the species can be confirmed, and the appropriate treatment plan can be adjusted according to the bacterial population, and the treatment continues, it may not be hopeless.

So Zhou Qiao once again made a prediction: "The patient's lungs may be Vibrio vulnificus, but there is a greater probability that they are other pathogenic bacteria!"

In a place like Africa, there are too many pathogenic bacteria!
Zhou Qiao suggested that Chen Zhining collect samples again and do a new metagenomic test.

Chen Zhining nodded, took precautions, and acted immediately, suctioning sputum with a bronchoscope, collecting lung samples, and then went into the laboratory where he had done gene sequencing before to conduct metagenomic testing again.

Metagenomic testing is a science that applies modern genomics technology to directly study organic communities of microorganisms in their natural state without isolating a single strain in the laboratory.

This technology does not rely on the isolation and culture of microorganisms, thus reducing the bottleneck problems caused by this.

Simply put, the entire genome in the sample is extracted, regardless of individual. After obtaining all the data, it is then used to comprehensively identify the microbial community structure and gene function composition through some identification, statistical analysis and other means.

Chen Zhining only needs to do the previous "extraction" work, and for the subsequent database analysis, he can package and send the "massive data" to professors at the previous university, and ask them to help analyze the report in the United States to draw conclusions!
Therefore, Chen Zhining’s data is still very credible!After all, he didn’t do it alone!

This time, the genetic test results found that Hatam’s old father’s lungs were infected with more than ten types of pan-drug-resistant super bacteria, including Acinetobacter baumannii, Pseudomonas aeruginosa, and Klebsiella pneumoniae. , any one of which can kill in a short time if not handled properly.

I really don’t know how this old black man is still alive!I have to say that its vitality is powerful!
It is also possible that the fact that he has been crawling around in the wild since he was a child and exposed to various viruses and pathogenic bacteria has caused his immunity to be far higher than that of ordinary people!

In fact, this is really possible.

For example, children who have played in mud since childhood have stronger immunity than children who grew up in "greenhouses" in big cities!Children who play in the mud in rural areas have a variety of complex flora on their bodies since childhood. Those who survive can be said to have been "selected", and their immunity is naturally not comparable to that of children in a greenhouse.

Hatam's old father was able to live to more than 60 years old in such a harsh environment in Africa. Naturally, he had to go through many hardships. However, this time, he encountered the big devil among germs-Vibrio vulnificus!Only then was he laid down!
Fortunately, this time, the metagenomic results showed that although there were many very virulent bacteria, the more virulent Vibrio vulnificus did not appear in his lungs.

These germs have always been in his lungs, but they have always been suppressed by his immunity. However, this time, the old black man was beaten down by Vibrio vulnificus, his immunity almost collapsed, and those latent germs slowly multiplied. After these few days, they counterattacked and started to rebel!
Chen Zhining reported the test results to Zhou Qiao. Zhou Qiao sneered and immediately output:
Levofloxacin, cefoperazone sodium, sulbactam sodium, vancomycin, seven or eight kinds of antibiotics, complete lower limb CTA, nutritional support, mechanical ventilation, anticoagulation, organ support...

Zhou Qiao’s treatment plan was at the pinnacle of his master’s level, and he carried out a series of fierce symptomatic operations. The germs were irresistible and were defeated step by step. Finally, about ten hours later, the patient’s condition improved significantly, his lung condition gradually stabilized, and the tracheal intubation was removed. .

The condition is under control again!The crisis has been resolved again!
After hearing this, Hatam cried with joy, hugging the black scorpion and cheering!She decided to reward Black Scorpion again in the evening.

Although the patient's condition has stabilized, almost all the skin on the patient's left leg was debrided during the previous surgery, so Zhou Qiao once again demonstrated the "Cicada Wing Skin" and "Seedling Transplanting Method" on the spot. However, this time, Zhou Qiao Joe didn't use magical energy.

Firstly, the account balance is insufficient, and secondly, there is an old black man who has been wandering around in the African wilderness all year round. Although he has the reputation of a black scorpion, Zhou Qiao feels that conventional means are more than enough to deal with it.

Scar or not, it doesn't matter.It doesn't matter if the healing time is longer.

Anyway, the expenses for hospitalization here will be paid by Black Scorpion.

Although Black Scorpion is the commander here, the base will also calculate the cost!Even if it's a black scorpion, you still have to pay!

This time, Black Scorpion is bleeding blood!

After Hatam found out, he felt sorry for the money and was naturally moved beyond measure. He could only work hard at night to repay Black Scorpion!I will never leave you for the rest of my life!

Many people in the base also secretly laughed at Black Scorpion, feeling that the commander was really taken advantage of. However, Zhou Qiao, Margaret and others felt that as long as Black Scorpion was happy, it didn't matter if he spent some unjust money.

When people live in this world, don’t they just want to feel comfortable?

The father-in-law's condition was stable and recovery was just around the corner. Black Scorpion put his arms around Hatam and came to thank Zhou Qiao.

Zhou Qiao receives "thank you gifts" from different tribes almost every day, and Black Scorpion is no exception. As the commander of the base, the gift he received was too light. Wouldn't it be a loss of face?
Therefore, he took out his collection, a large bright yellow diamond weighing three carats, and gave it to Zhou Qiao to express his gratitude!
He originally wanted to give this diamond to his future wife, but now that he and Hatam are back together, after discussing with Hatam, they jointly decided that it should be given to Zhou Qiao!

Zhou Qiao was disrespectful and accepted.

He played with the diamond on his fingertips and liked it very much. This diamond was extremely dazzling, clear and pure. If it was made into a necklace or diamond ring, it would be a good gift to Murphy.

"It's just that I can't be fair to one another. What should I do with Elena and Ava? What can I bring them?"

If you want to give something casually, Zhou Qiao can come up with a lot of things, but if it needs to be special and thoughtful, then you have to put more thought into it.

As for Luo Ya, helping her solve the X disease in the East African base this time should be the best gift, so there is no need to prepare anything special.

Zhou Qiao returned to his room and began to sort out the gifts he had received recently.After solving the disease

Jacqui and Luciana lived next door to him.

But Jacqui and Luciana would still spread out the camp bed in his room at night in order to protect his safety.

Zhou Qiao looked around and found nothing suitable.

While she was feeling worried, Margaret called: "Dr. Zhou, someone has come to give you a thank-you gift again. This time it's a little special."

"Special?" Zhou Qiao perked up and became energetic immediately!
No one doesn’t like receiving gifts, especially thoughtful ones from patients!
Zhou Qiao came outside the base and saw several black people from a distance, including three black girls, each carefully holding a wooden box.Margaret and others stayed by their side.

Not far away, many people were watching, pointing and talking.

Seeing Zhou Qiao coming out, Margaret immediately waved and shouted: "Dr. Zhou, this way!"

Zhou Qiao walked over quickly.

When those black people saw Zhou Qiao, one of them was particularly excited. He was a black man with a loud voice but a yellowish complexion. He bowed slightly and said loudly and respectfully: "Dr. Zhou, thank you for your life-saving grace. I On behalf of our entire Xiyou Village, I kowtow to you!"

What he said was broken Chinese!

Zhou Qiao was stunned, and then he saw three black girls carefully putting three wooden boxes aside, and then, together with other black people, they all knelt down!
A total of nine people knelt down at the same time. The scene was quite interesting!
Margaret couldn't help but exclaimed: "Wow~"

Not far away, the crowd of onlookers also made an uproar.

Zhou Qiao quickly shouted: "You don't have to do this!" This was the first time he enjoyed someone else's kneeling ceremony!

In modern society, this kind of etiquette is too heavy!

However, he always felt that the kneeling postures of these people looked a bit familiar. Well, yes, they had a bit of ancient Chinese flavor, similar to those in movies and TV series, and were slightly different from the kneeling postures of other East Africans.

"Yes, yes, there are more than 300 of us in Xiyou Village. If we didn't have Dr. Zhou's special medicine, we would have lost our jobs this time!" The black man in the lead always said something "astonishing".

"Who are you?" Zhou Qiao asked in surprise.

You actually know about the "incense inheritance"?
"We are descendants of the generals who stayed behind when the great Zheng He sailed to the Western Seas more than 600 years ago! At that time, our ancestors were seriously ill and could no longer follow the fleet, so they had to stay locally to recuperate, so we have our Journey to the West Village."

"Dr. Zhou, these three treasures can be said to be the 'family heirlooms' of our Xiyou Village. If it were anyone else, we would never give them away! But Dr. Zhou, you are Chinese and you saved the lives of all our villagers. We have no idea. I specially brought the family heirloom here, hoping that Dr. Zhou won’t dislike it and will definitely accept it!” Although the young man in the lead did not speak standard Chinese, his words were extremely sincere.

Chen Zhining rushed over after hearing the news. When he saw this scene, he was very sad and thought to himself, I have been here for so many years and I have never seen you come to visit me.I am Chinese too!

(End of this chapter)