I run a clinic in the United States

Chapter 213 Everyone is dying, I would rather die on the operating table (please vote for me)

Grandma Huang is in a wheelchair and is relatively weak, so most of the previous introductions to her condition were narrated by Grandma Huang’s son.Grandma Huang only added a few words weakly from time to time.

After Zhou Qiao understood it clearly, he admitted Grandma Huang to the hospital on the spot and arranged her in a ward on the second floor, where she was given infusions, oxygen, and some preoperative preparations.Grandma Huang's son stayed to accompany her.

As for Zhang Jianjun, he chatted with Zhou Qiao to express his gratitude.

Zhou Qiao: "Brother Zhang is so polite, I should thank you!"

"No, no, no, I should thank you. If it weren't for your letter of recommendation, Mengjing might not have received the admission notice so quickly." Zhang Jianjun was very happy. He had solved his daughter's academic problems and felt a big lump in his heart. The stone fell to the ground.

Zhou Qiao said: "That is also Mengjing's own efforts."

"If Mengjing can't find a job in the future, give her a chance and let her come to your place." Zhang Jianjun said.

Zhou Qiao laughed and said, "No problem."

Zhang Jianjun left with satisfaction.He inquired and found out that the salary at Iris Clinic was very high, much higher than some surrounding clinics.Especially the boss Zhou Qiao, who is kind to others and not so mean.

Although my daughter is a nurse, the salary level of doctors and nurses is at the upper end of the spectrum in the United States, and has always been one of the highest-paying industries.

There are many senior nurses whose salaries are much higher than those of primary doctors.

He did not expect that after his daughter had surgery at Zhou Qiao's place, she suddenly became sensible and studious, and actually wanted to study nursing.As an old father, how could he not support it?No, all the work has been contacted in advance.I pity the hearts of parents in the world.

Then, he wondered whether he should choose an auspicious day to hold a banquet for his daughter to enter college.This is an old tradition of the Chinese people.When the time comes, um, Dr. Zhou must be invited.

Zhou Qiao saw Zhang Jianjun off. Just as he turned around, he saw Murphy coming down from the second floor and said to him, "That grandma Huang's condition is a bit difficult."

Zhou Qiao asked: "What's wrong?"

Murphy frowned and said, "She can't lie down flat. In this case, CT examination cannot be done at all."

In the ward on the second floor, Grandma Huang could not lie down, so she rolled up half of the bed and leaned against the head of the bed.

Zhou Qiao nodded and said: "It is indeed a difficult problem." He thought to himself, no wonder the other party's family doctor recommended conservative treatment before. In addition to his age and the risks of surgery, there are other factors.

Because if CT cannot be done, ultrasound can only be used for preoperative evaluation.Then there are even more uncertainties.The risk will be even greater!
The clarity of ultrasound cannot be compared with CT.

The principles, properties, and fault thickness of the two are very different.Of course, each has its own advantages, but for Grandma Huang’s disease, CT is obviously more suitable.

"It's okay, B-ultrasound is enough." Zhou Qiao said calmly.

Murphy was immediately stunned: "Ah..."

Although she is "accomplished in visualization" and can do virtual 3D modeling, it still has to be based on inspection data.The more data there is, the closer the modeling is to reality.

If it is a common minor illness, she can try to model it by combining other similar cases or anatomical data of the human body to make it closer to reality. But for a major heart disease, she does not know the specific lesions, and the difference is ridiculous. Thousands of miles.

After a while, Stephanie also came down and reported the same situation to Zhou Qiao.

Zhou Qiao still said calmly: "Ultrasound is enough."

Stephanie was also as stunned as Murphy.

But seeing that Murphy had no expression and seemed to have known it for a long time, she curled her lips and pretended that it was not a big problem.

In fact, both of them were worried and didn't know how Zhou Qiao would deal with it.

You can't do a CT scan, so you really don't know how to do it?Direct surgery?Isn't that nonsense?Moreover, patients have so many basic diseases, and it can happen if they are not careful.

However, they felt that Zhou Qiao would not be blind.

Zhou Qiao's character is impeccable except for being more carefree, having more postures in bed, and being more perverted. It is absolutely impossible to make fun of the patient's life safety.

The reason why Stephanie thought Zhou Qiao was perverted, well, was purely her dream experience.One-sided feelings.

The feeling was so real that it could be mistaken for real.

Specifically, who knows?Maybe, that's what she expected Zhou Qiao to be like.

As for Murphy, he has experienced it firsthand.I have to say that Zhou Qiao is particularly good at that.

Although Zhou Qiao is confident, he still needs to inform the patient's family of the risks.

This is also a process that every critically ill patient and their family members must go through, no matter where they go, as long as it is a regular medical institution.

Grandma Huang's son turned pale as he listened to the dangers listed in the risk notice!

However, he understood.Because it is not recommended to perform surgery on his mother anywhere else.It is said that he is older, has higher risks, and so on. From another perspective, it means that his mother should go home and wait for death.

If you are in China, doctors usually say this: "Eat whatever you want."

Only Zhou Qiao is willing to give it a try, and it’s free!
Without surgery, to put it bluntly, his mother didn't know if he could make it through this week.This is still an optimistic estimate.He even secretly began to prepare for the funeral.

The only solution for now is to treat the dead horse as a living horse doctor.Grandma Huang's son sighed, a son can only fulfill his filial piety to this extent.

Grandma Huang's son signed readily.

He was facing death on both sides, so he might as well die on the operating table, and he would not feel guilty in the future.My sister will not blame herself for not rescuing her mother!
He asked his mother, and her mother meant the same thing.The old man still has a strong desire to survive and doesn't want to leave.

As for what Zhou Qiao had mentioned to them before, that the video needed to be recorded during the operation, which might be used as material to participate in the surgery competition, neither he nor his mother had any objections.

It's not just a video recording, it's more important.Besides, the patient’s personal information is not leaked.During surgery, except for the surgical entrance, other areas are covered with sterile drape.

That piece of cloth comes in blue, green, and other colors, and is also called "dung towel" or "sterile cloth."

Because the most taboo thing in surgical operations is wound infection, all tools, including things that come into contact with the patient, must be sterilized and disinfected to ensure the smooth progress of the operation. Sterile cloth plays such a role.

During surgery, this clean cloth only has a hole where the doctor needs to operate.

In addition, it also has other functions, such as being good for patients and preventing awake patients from panicking and becoming emotionally unstable when they see their wounds.It helps the doctor's attention not to be distracted and to be more focused. After all, only the part to be performed is revealed.This prevents the surgery from taking too long and causing the doctor to feel tired and make mistakes. "Drowsy driving" has similar situations in any industry.

Due to the emergency of her condition (the night she was admitted to the hospital, Grandma Huang was dying. She could still speak a few words during the day, but at night she was a little confused), so the next morning, the group went to the University of California, San Francisco. Medical center.

Ava has already made an appointment in the cardiac catheterization operating room here.

The level of this surgery is relatively high, and the conditions of community hospitals are somewhat unable to keep up.Or is the University of California Medical Center more advanced?

But the operation didn't start until [-] p.m.

They came early because there was still a lot of preparation work.

Zhou Qiao wants to communicate with the anesthesia team, intensive care team, etc. here, and everyone will have a small meeting to catch up.We also need to visit the dean, department director, head nurse and others here.

At Zhou Qiao's level, interpersonal communication is very important.Zhou Qiao also intends to improve his abilities in this area.

Ava and Elena, as well as Murphy and Stephanie, checked the list of items together.

Originally, Murphy and Stephanie didn't need to do these things during normal surgeries, but isn't this a learning stage?

Naturally, every detail must be understood from beginning to end.

物品准备有许多许多，种类繁杂，包括但不限于：一次性体外除颤电极片、超硬导丝、直头导丝、交换导丝、球囊扩张导管、PIG造影导管、AL1-AL2造影导管JR35~4造影导管、4~9F穿刺鞘、12~20F大鞘，指引导管、指引导丝、延长导管、冠脉球囊、冠脉支架，5FMPA1(100cm)圈套器、压力传感器、外周动脉支架、外周球囊、人造血管、血管缝合器等等。

Emergency medicines include epinephrine, norepinephrine, phenylephrine, etc.; instruments and equipment include temporary pacemakers, defibrillators, negative pressure aspirators, intra-aortic balloon counterpulsation pumps, extracorporeal circulation machines, and anesthesia machines. wait.

If the surgery goes well, there are many medications and equipment that may not be needed.But such a major operation is impossible without an emergency plan.

Zhou Qiao has prepared more than ten emergency plans for various unexpected situations.It's best not to use it at all.

At the same time, Ava also has the arduous task of shooting videos.Although there is surveillance in the operating room, some surveillance footage cannot meet the needs of the competition, such as some close-up high-definition footage.

After filming, editing, adding music, narration, etc. need to be done later.If it were a live broadcast of the finals, of course it would be impossible to do this, but the video of the qualifiers could be edited and beautified appropriately.

Cases are rare and you may not encounter them in the future. If there is one, record it first.Since Murphy and Stephanie's skills were still lacking and the patient's condition was complicated, Zhou Qiao was the surgeon this time.

On the day of surgery, skin preparation is performed. The skin preparation area includes the chest area and the vocal cords. The skin preparation range goes up to the neck, to the mid-axillary line on the left and right sides, and down to the middle and upper 1/3 of the thigh.

……

Doctors at the Department of Cardiac and Vascular Surgery at the University of California, San Francisco Medical Center were shocked. They came to record a video so quickly?This, this, we haven’t even started yet!

Many contestants are still playing that e-sports simulation game.After all, there is still a month and a half left until the start of the competition.The deadline for video submission is still about two months away.

Except for a few outstanding players, many contestants want to spend more time honing their surgical skills, and then start recording videos when they are more confident.

Anyway, doctors in big hospitals have no shortage of cases.

Unlike Iris Clinic, because I have never done minimally invasive cardiac surgery before, in this field, without a reputation, it is difficult to find decent patients.

"No way. Is this really the first time for Dr. Zhou to perform this kind of surgery? He hastily prepared. He is quite confident about participating in the competition!"

"No matter what, it's good to go over and take a look, learn from experience, or get to know your competitors!"

"I don't believe it, Dr. Zhou is really an all-rounder!"

Everyone was talking a lot, and then, when it was almost time for the operation, these people came over in advance, and more than ten people gathered in the monitoring room to watch.

Zhou Qiao didn't mind this.Although many of them are contestants.

What does this mean?This is absolute confidence!

Just like Zhou Qiao replied to others on the personal homepage of the e-sports training game before, I can completely crush you!
Of course, no one knows that the arrogant killer is Zhou Qiao.

That killer king was in the limelight at first, but then disappeared, and everyone gradually forgot about it.No one associated him with Zhou Qiao.

Zhou Qiao in reality is gentle and elegant, which is completely different from his style in the game.

……

At the same time, at the San Francisco International Airport, a flight from Canada landed slowly. Grandma Huang's daughter, dragging her sick body, walked out of the plane with her family.Her husband supported her, and her son and daughter followed behind. The family looked solemn.

"My dear, don't worry too much. Mom will definitely recover." Grandma Huang's daughter's husband comforted her.

Grandma Huang's daughter had a sad face, frowned, and was about to cry.She didn't know if she could see her mother for the last time!
I guess the surgery has already begun!Maybe he died on the operating table.She didn't dare call her brother for fear of hearing bad news.

Let’s talk about everything after we get there.

A few days ago, her eldest brother called and told her that he was preparing for a funeral and asked her to come over to attend the funeral. Later, he also said that he had found a clinic that offered free surgeries without charge.Want to give it a try.

Grandma Huang's daughter asked about the name of the clinic, and her heart felt as uncomfortable as a centipede bite!
So a small clinic that I have never heard of, and it is free, and it acts like it has no patients and is begging patients for treatment, how reliable can it be?

And I heard that I am going to participate in some competition.

Last night, my brother called again and said that he was already in the clinic and would have surgery today.So there was a scene where she dragged her sick body, was discharged from the hospital early, and rushed over with her family.

This is really a funeral!
Recalling what my brother said on the phone last night, Grandma Huang's daughter became extremely angry!

Originally she was in poor health and was in the hospital, but when she heard her brother's words, she jumped out of the hospital bed on the spot, startling the nurses next to her.

"What? You want to participate in the competition? Brother, why are you so stupid? They use you to practice!" Grandma Huang's daughter shouted loudly at that time.

While shouting, tears could not help but roll down: "Our mother is so mean, letting people practice her skills, is it in vain? If anything happens, I, I... I'm not done with you!" She was so angry that she almost got worse.

The eldest brother on the other end of the phone was still quibbling: "Dr. Zhou is quite famous."

Grandma Huang's daughter angrily cursed: "You're not famous. I checked and found out that he's a medical cosmetologist, and he's very young. He's still a young boy! You want a young doctor who does medical cosmetology to perform heart surgery on your mother?" , what are you thinking? Are you out of your mind? Do you want our mother to leave early? "

However, she was beyond reach.Over there, my brother and mother were very stubborn. My brother said that my mother was dying and was unconscious, so she just wanted to give it a try!
(End of this chapter)