I run a clinic in the United States

Chapter 219 Excrescence (please vote for me)
Iris Clinic, just like celebrating the holidays, also put up banners and dressed up to be as lively as Christmas.

The cork oak tree in front of the door has many shiny decorations hanging on its branches.

After Ling Qingqing heard about it, she also brought her classmates over to cheer and sent flowers and gifts.

Elena and Ava, handing out donuts to everyone.

This dessert is very popular in the United States.Usually there are more fried ones, but Elena and Ava are afraid of getting fat, and many of their neighbors have high blood sugar, so they carefully prepared high-fiber and low-calorie baked donuts, instead of using white sugar. , but sugar substitute, mogroside.

It is a sweetener derived from Luo Han Guo. It is super sweet. Its sweetness is 300 times that of sucrose. In addition, it also has the effects of clearing away heat, moistening the lungs, relieving coughs, and laxatives. It can prevent and treat obesity, constipation, diabetes, etc. effect.

However, it does not have energy and will not be absorbed by the human body, so it will not gain weight or cause blood sugar to spike.

It has no calories and can satisfy Americans' taste for sweetness, so it is quite popular. Of course, the price is naturally much more expensive than cane sugar!
The most important point is that mogroside is extracted from pure natural plants and is not chemically synthesized saccharin.

But it is not without its disadvantages, that is, these sugar substitutes will be excreted in the urine, causing the urine to be sweet.

Of course, this is not diabetes because it contains sugar substitutes.

Diabetes was actually discovered very early. As early as the 5th to 6th century AD, doctors discovered that some people's urine was very sticky, which often attracted ants to feed on it. Finally, someone tasted it and determined that it was The urine of these patients is sweet.

Therefore, why we know that the urine of diabetics is sweet is because someone has actually tasted it.

The human body will not absorb sugar substitutes. However, these substances are also difficult to be processed by chemical reactions. As urine is excreted, they will enter rivers, lakes and seas through various channels, such as the outlet of sewage treatment plants, thus polluting The environment, even ends up being eaten by us again.

It's disgusting, but if you think about it carefully, isn't that how nature is?Vegetables in rural areas, many of which are fertilized with human excrement, are still delicious.

……

Many people at the UCLA Medical Center regret it because such an outstanding talent as Murphy came to them for an interview last year!
At that time, even though Professor Eric Parsont interceded, everyone ruthlessly reached a consensus and rejected her!

Professor Jean-Eric Passant was embarrassed at the time.

Now that everyone thinks about this, they can't help but stamp their feet, slap their thighs, and exclaim again and again. This loss is really too great!

Who would have expected that the little girl who was silent, cold, and not good at communicating would suddenly win the runner-up spot in the California Division!
If Zhou Qiao wasn't so awesome, Murphy would be No.1!

He is 19 years old and has just worked for a year. He has defeated countless young experts who are in their 40s and [-]s and have worked for many years!
There were also many people from the Los Angeles University Medical Center participating in the competition. Although six people were among the top [-], unfortunately, they were all left behind!

Before participating in the competition, these people considered themselves to be the backbone of California's medical community in the future. Now they are so overwhelmed by three young people under the age of 25 at the Iris Clinic that they can't even lift their heads. They have become a national joke and they dare not compete with other people. Communicate with colleagues across the state.

How can we continue to talk when people bring up this matter as soon as we open our mouth?

However, when they thought about it, they couldn't help but sneer, you guys from Massachusetts, Maryland, and Washington State, do you really think you are so powerful?When you wait for the finals, you will know how "ferocious" Zhou Qiao and Murphy are!

They didn't even bother to brag about Zhou Qiao and Murphy, because even if they did, people wouldn't believe them and would just think they were trying to cover up their incompetence.

Faced with the cynicism of their colleagues in other states, many doctors in California are depressed!

……

The prize money given by the California Division is very generous, No. 1 is worth 2 U.S. dollars, No. 5 is worth [-] U.S. dollars, and No. [-] is worth [-] U.S. dollars. Of course, Zhou Qiao will not take the bonuses from Murphy and Stephanie.

He spent some of his own $[-] to decorate the clinic and make donuts, but it was only a few dollars, so there was still a lot left.He thought for a moment and allocated another $[-] for team building.

Everyone ate and drank, and also called Ariel from the laundry and a few black girls to join them. This time, Rachel, Vivica, Murphy, and Park Xiuzhu all brought their families.

Yoona has started school, and many people in school ask her about Iris Clinic’s victory.The teacher also said on the spot in class that everyone should follow Zhou Qiao and Murphy as examples.

Yoona felt more dignified, even though her mother was just a nurse.But Zhou Qiao and Oppa have a very close relationship with her, and he even performed surgery on her.

Stephanie was a little unhappy because she couldn't take care of her mother, and she was the only one with the worst grades.She secretly vowed that in the coming days, she would work harder, perform the surgery carefully, carefully review every step, and sum up her experience. She must get a decent ranking in the finals.

After Stephanie formed the team, she went to visit her mother.

After her mother moved to the San Francisco Mental Hospital, her condition stopped getting worse, but it didn't get better either.Even Stephanie's mood was a little unstable.

So, Stephanie secretly sent a message to Zhou Qiao, asking him to take some time to give her a dream diagnosis and treatment.

Zhou Qiao asked her to take a normal lunch break in the clinic at noon, so after lunch, Stephanie couldn't wait to return to her clinic, took out the cute little pink bear pillow she just bought, and lay on it to take a nap.

It's better for Elena and Ava. They take a nap and go directly to the bedroom on the third floor to sleep. They have no choice but to have a transcendent status. They are half the masters here and cannot be compared to others.

……

In the majestic Mediterranean Sea, with rolling waves, the beautiful Cleopatra VII took 5000 remaining soldiers on a large ship to escape from Alexandria, the capital in front of her.

She was defeated and had to leave Egypt in disgrace.Otherwise, her half-brother would kill her mercilessly, chop off her pretty flower-like head, and throw her into the Nile River to feed the crocodiles!
"Alexandria, I will come back sooner or later!" Cleopatra VII stood at the stern of the ship, her hair messy in the sea breeze. She looked at her homeland that was gradually moving away, feeling unwilling and depressed.

"Queen, where are we going next?" the maid came over and asked.

Defeat is like losing a dog. The world is so big that there is nowhere to go.

Cleopatra VII sighed softly, thought for a while, and pointed to the east: "Go to Syria, Damascus!" She planned to wander there, accumulate strength, and strive for an early counterattack to regain the throne that originally belonged to her.

In fact, the throne of Egypt was not hers alone.After the death of her father and mother, the former king and queen of Egypt, she was ordered to rule Egypt together with her half-brother (later Ptolemy XIII).

However, the two had never got along. The beautiful Cleopatra VII had always looked down on the stupid and rude Ptolemy XIII, let alone marrying this fool!

Egypt was caught in a dispute between the "male faction" and the "queen faction". The two sides fought openly and secretly, intrigued each other, and finally met in arms.Unfortunately, the beautiful Cleopatra VII was not good at fighting and was eventually driven out of Egypt.

She originally wanted to capture Damascus, but failed, and finally found a place on the Syrian border.

On this day, she was taking a big boat to relax along the Mediterranean coast. Suddenly, she saw a meandering army passing by the shore. The military appearance was neat and majestic, especially the leading commander, who was tall and long, wearing a white robe and matching Riding on a white horse with a silver saddle, it is like a god descending to earth.

The man noticed the big ship in the sea and couldn't help but glance at her. Their eyes met in the air, and the beautiful Cleopatra VII couldn't help but feel like a deer, and her heart was shaking.

"What a handsome man!" She had never seen such a graceful commander, majestic and a bit chic.

He couldn't help but summon his subordinates: "Who is that person on the shore?"

After his subordinates made inquiries, they came back and reported: "It is Gaius Julius Caesar, the consul of the Great Roman Empire."

"Oh? Is that King Caesar who unified Gaul at a young age, conquered 3000 miles of territory, and turned Gaul into a province? What is he doing in Egypt?"

"It is said to be to mediate the dispute for the throne between you and your brother."

"That's it..." The beautiful Cleopatra VII suddenly turned her eyes, showing a look of surprise. She looked at the army stretching along the coastline and felt that her opportunity had come!
That night, she took off all her clothes and soaked herself in delicious goat's milk. After bathing, she only wrapped herself in a thick clean blanket and let her maid carry her. Under the escort of a small team of cavalry, Arriving at the camp of Gaius Julius Caesar.

"You all stand down." King Caesar waved his hand.After everyone went out, the beautiful Cleopatra took off the blanket on her body and jumped up vigorously. She had a proud figure, tender skin, and a faint milky fragrance. She stood in front of Caesar. in front of me!
Zhou Qiao's incarnation as Caesar was amazed.

"Is this the flower snake on the Nile? It is indeed breathtakingly beautiful!"

Zhou Qiao was attracted by the beauty of Cleopatra VII and couldn't extricate himself.

Beautiful night.

……

With the support of Gaius Julius Caesar, Cleopatra VII finally ascended the throne of Egypt successfully.Her half-brother was thrown into the Nile River and was killed by a crocodile.

Three years later, Caesar became the dictator of the Great Roman Empire. Cleopatra VII held her two-year-old son in her arms and came to Rome in a grand way to reunite with her lover.

In the consulting room, Stephanie woke up with a smile on her face.After having this beautiful dream, the Wandering Witch's second consciousness fell into deep sleep again, and the negative emotions in her heart disappeared.

"Is this another past life between me and Joe? It's just that the Slutty Witch is an evil consciousness and cannot represent my true heart."

"I don't like the incarnation of Cleopatra VII either. It's beautiful, but it's just too dissolute."

Because after Caesar's death, Cleopatra VII seduced many men, who became the famous Cleopatra in later generations.

Stephanie prefers the holy side of herself. She feels that she is very single-minded.

She decided that from now on the Slutty Witch would only appear in her dreams, not in reality.

……

Iris Clinic.

Zhou Qiao was surprised and pleasantly surprised because a clinic in the same city referred him to a heart disease patient.

This was not possible before.Dr. Ernesto of that clinic is still a relatively well-known general practitioner in San Francisco.

If a referral is required, the other party usually refers the patient to a large hospital such as the University of California, San Francisco Medical Center, or other more experienced cardiology hospitals or clinics, not to him.

The cardiothoracic surgery department at Iris Clinic has just passed the review not long ago.

Dr. Ernesto referred the patient and made a special call to talk about the patient's condition. Of course, this was not the main thing. The main thing was that he congratulated Zhou Qiao for winning the award and said he would come another day. Visit him and eat him a donut.

Zhou Qiao smiled and said: "Welcome, welcome." Although the donuts were already glowing, if the other party came, there would naturally be other delicacies to entertain him.

I have to say that after winning the award, Iris Clinic’s influence in San Francisco and even the entire California has become even greater!

After the patient came over, Zhou Qiao admitted him to the hospital, and then called Stephanie to have a consultation with her to discuss the condition.

The patient's name is Sumson Teixeira, a 72-year-old uncle. His wife has passed away long ago. His children also have their own families, and they usually live alone.This time, his little daughter accompanied him.

Uncle Sumson's daughter told the story that her father was in good health when he was young. In his 50s, he often went surfing and even fished for sharks. However, at the beginning of last year, he suddenly suffered from chest tightness and shortness of breath. He breathed heavily when going up and downstairs. Even when I go to bed at night, I feel my heart pounding when I lie down, making it impossible to live a normal life.

After seeing my family doctor, he diagnosed me with heart disease and referred me to a community hospital near my home.

At the community hospital, he was diagnosed with "cardiac mitral regurgitation", and a cardiothoracic surgeon performed a mitral valve replacement surgery on him.

This surgery is also included in one of the procedures in this competition. To put it simply, it is to "change a valve" in the heart and replace the artificial valve.

Hospitals in the United States are actually not hierarchical, that is, hospitals have equal status.In China, community hospitals are generally one level lower than tertiary hospitals, but many community hospitals in the United States are equivalent to domestic tertiary hospitals.

There are even some community hospitals that are relatively well-known.For example, the famous Long Beach Community Hospital and La Palma Community Hospital in California.These two hospitals also sent doctors to participate in the surgery competition this time and achieved good rankings.

There is a young doctor at Long Beach Community Hospital who is also among the top [-] in California.La Palma Community Hospital has two doctors among the top [-].

This is because community hospitals in the United States only have the word "community" in their names. They have different concepts from community hospitals in China, and their positioning in their respective medical systems is also different.

For example, the community hospital where Zhou Qiao is affiliated has only a total of more than 150 beds, covering the surrounding communities, but it has hardware and software conditions that can basically meet most surgical needs.

Hospitals in the United States are centered around doctors. Many people in China go to a certain hospital to see a doctor, but many people in the United States go to a doctor to see a doctor. Doctors bring the source of disease to the hospital, so hospitals serve doctors. Rather than managing doctors.

In large hospitals in the United States, patients usually receive many different bills after being hospitalized for surgery. Some are from the hospital, some are from the surgeon, some are from the psychiatrist, and some are from the rehabilitation trainer... because, doctors It is a split-account model with the hospital.

Even the doctors at the University of California, San Francisco Medical Center have a split-bill model with the hospital, but they are different from Zhou Qiao. They usually work there and only spend a small amount of time in their own private clinics.

Zhou Qiao spends most of his time in his clinic.Everyone's focus is different.

If Zhou Qiao is willing, he can also apply for a position at the University of California Medical Center.

Then Iris Clinic is different from other clinics because it is a Chinese clinic.Zhou Qiao's style has inherited the style of some domestic contractors, who like to take care of everything, or the middlemen make the difference. Patients who visit Iris Clinic will only receive a bill from the clinic.The rest of the expenses are paid monthly by clinics and testing institutions, community hospitals, and medical centers.

Patients who seek treatment here will also find this model more convenient, and in addition, the cost will be correspondingly cheaper.

Zhou Qiao also did not engage in that kind of "sneaky" behavior. For example, he did not talk about money at all when he went to the doctor, and the service was attentive. However, after a few days, he was discharged from the hospital and sent a shocking bill to others.

Zhou Qiao always takes the initiative to communicate with patients or family members to estimate the approximate price so that the other party has an idea.If he didn't agree, he wouldn't treat it.

Sometimes, he even asked the other party to communicate with the insurance company with the treatment plan and quotation. Only when the insurance company had no problem did they come for formal treatment.

This kind of magnanimous behavior actually endears patients and their families to him.

It is worth mentioning that after Iris Clinic became famous, some clinics in San Francisco have begun to imitate Zhou Qiao’s model.

After Uncle Sumson replaced the artificial valve, his heart function improved a lot, he no longer panted when walking, and he could sleep peacefully at night.

However, just two weeks ago, he suddenly started to have a high fever and shivers all over his body. The fever persisted for several days.

Dr. Ernesto gave him infusions and anti-infection treatments, but they still had no effect.

It's the kind of fever that goes away and goes away, and the fever comes back and goes away again, over and over again.The patient then also suffered from severe chest tightness and asthma.

After comprehensively considering the medical history, Dr. Ernesto arranged a cardiac color ultrasound examination. The results showed that Uncle Sumson had a growth of nearly 9mm on his artificial valve!

This was beyond Dr. Ernesto's ability. He thought that Zhou Qiao had just won the championship and could be said to be a top expert in minimally invasive cardiac surgery, so he referred Uncle Sumson.

Although this competition is a young doctor competition, there are many well-known experts in their 40s. Zhou Qiao can defeat them and win the first place. It is no exaggeration to say that his strength is a top expert.

In addition, Zhou Qiao is so young and has a bright future, and Dr. Ernesto also wants to take this opportunity to make friends with him.

　Do you have a monthly pass?
　　
　
(End of this chapter)