I run a clinic in the United States

Chapter 220 Going to Boston

Uncle Sumson's youngest daughter was suspicious: "Dr. Zhou, how could there be a growth in a perfectly good person? Could it be that the surgery was not done well at the time? A medical accident?"

She said to herself, if it was a medical accident, then I would file a claim.

There are many lawyers in the United States who would be happy to take on this kind of business.

Zhou Qiao shook his head and said: "There are many possibilities. But the most likely cause is bacterial infective endocarditis. For example, some external factors, tooth extraction, tooth cleaning or wound rupture, etc., can cause bacteria to enter the blood, and then It may cause heart valve infection. Stephanie, arrange a bacterial culture and high-throughput genetic testing to find out what species of bacteria are causing the infection."

"It seems like she hasn't been injured or had her teeth pulled out..." Uncle Sumson's little daughter said in disbelief.

Zhou Qiao looked at Uncle Sumson.

The uncle was at a loss for a while, but soon, a gleam of light flashed in his eyes.

Stephanie was used to watching people's words and expressions, so she immediately asked in surprise: "Are you really hurt?"

The uncle's little daughter was also stunned, raised her eyebrows, and looked at her father.

Uncle Sumson shrugged slightly and said very weakly: "I trimmed my nails before, and I accidentally cut a little bit of flesh, which caused the skin to bleed. It was just a small injury. I didn't pay attention to it at the time, and I didn't expect it to happen. There will be such serious consequences.”

"Does this, does this...really matter?" Uncle Sumson's youngest daughter was unsure.

Zhou Qiao said seriously: "It's possible. However, it still needs to be confirmed through inspection. Let's wait until the inspection results come out."

So, Stephanie arranged relevant examinations for Uncle Sumson.

When the results came out, sure enough, it was Staphylococcus aureus infection, and this bacterial infection is usually caused by surface infection.

Uncle Sumson: "..."

Uncle Sumson’s little daughter: “…”

Now, I have to believe it!

Zhou Qiao explained to them: "Heart replacement artificial valve is actually a foreign body implant. For our human body, this kind of foreign thing will cause some rejection reactions. If coupled with the invasion of foreign bacteria, it will be even more serious." Can cause heart valve infection."

Stephanie nodded slightly, admiring Zhou Qiao even more in her heart, because she had not thought of this when she first received this patient.She also felt that it was because the surgery was not done well at that time!
In fact, not only artificial valves in cardiac surgery, but also artificial joints in other departments, such as orthopedics, etc., need to pay attention to controlling infection after surgery, otherwise once the infection is serious, it may be fatal.

After finding the cause and prescribing the right medicine, Uncle Sumson's body temperature was controlled and returned to normal.

Zhou Qiao let the patient go and let Stephanie take charge.She arranged another cardiac color ultrasound examination for Uncle Sumson. Although it had been done before, so many days had passed and she needed to know the patient's latest physical condition.

The result was not good. During the examination, Stephanie discovered that the place where the artificial valve that Uncle Sumson had implanted and the heart were sutured had torn, forming a leak and accompanied by an abscess.

"Shit!" Uncle Sumson's little daughter couldn't help but curse after hearing about it.Why is it still getting worse?
This kind of surgery really has endless consequences.If I had known earlier, I wouldn’t have done it in the first place!
However, if he didn't do it at the beginning, his father would not be able to live a normal life.

Stephanie comforted them: "Don't panic, just leave it to our Iris Clinic."

Uncle Sumson and his daughter also heard from the previous family doctor that Iris Clinic was the champion of the California division of this surgery competition. Even the beautiful doctor in front of them was the fifth-ranked expert!

To be honest, it’s hard for them to believe it just by looking at the appearance.But Dr. Ernesto's words are worthy of belief.Moreover, winning awards can be found online. Not only can you check the rankings, but you can also see the photos of the award-winning contestants.

Even privately, some casinos used this game to open their odds.

"Doctor Stephanie, what will be the next treatment?" Uncle Sumson's youngest daughter asked.

Stephanie said: "My uncle's condition is now more serious. Antibiotics alone cannot solve the problem. The only way is to perform mitral valve replacement surgery."

"Mitral valve replacement surgery?"

"Yes, Uncle Sumson's disease is paravalvular leakage accompanied by paravalvular abscess formation. Once paravalvular leakage is formed, it must be treated in time, otherwise the leak will become bigger and bigger like a 'burst', and then It is life-threatening, and the valve must be replaced and the hole must be repaired. I am very good at this operation, if you trust me, I can arrange the operation immediately!" Stephanie smiled slightly and said confidently.

"Then I'll discuss it with my dad."

"Okay, you can call me at any time if you agree." Stephanie walked out and gave up the space to the father and daughter.

Soon, Uncle Sumson’s little daughter came out and expressed her willingness to undergo the operation.

A series of processes, such as explaining the surgical plan and risks, signing the surgical consent form, arranging preoperative examinations, Ava calling the University of California Medical Center, making an appointment in the operating room, going over in advance to check the item list, etc., and then the operation was official. here we go!

Stephanie was the surgeon, Zhou Qiao assisted, but Murphy did not come.Elena equipment nurse, Ava traveling nurse.

Although Stephanie was in charge, Ava still played Chinese songs. There was no other way. Who let Zhou Qiao be the boss?
Even Stephanie agreed to play Chinese songs. Firstly, they sounded good, and those who couldn't understand were superior. Secondly, she also focused on Zhou Qiao.

The first song at the beginning is "Ci Jiu Men Memories" by Waiting for What Jun.

"There are so many actors in the autumn, but there is a poor place with deep love, all the clothes are old, and the stories of the underworld are endless..."

Although no one except Zhou Qiao could understand the meaning of the lyrics, the melody was very beautiful and intoxicating.

With soothing music, Stephanie entered the chest from the right side. During the operation, it was found that vegetations formed around the patient's artificial mitral valve and there was perforation around the valve, which was consistent with the previous examination results.

Therefore, the original artificial valve was carefully removed, the vegetation was completely removed, flushed and disinfected, and a new artificial valve was replaced.

Internal drainage was used to control bleeding during the entire process, and ECMO was applied during the operation to support extracorporeal breathing and circulation.

It sounds simple, but in fact it is quite complicated to perform, and the operation took an extremely long time, taking more than six hours. By the time the operation was completed, it was already dark!
Fortunately, the operation went smoothly.

The patient is temporarily placed in the intensive care unit of the University of California Medical Center and will be transferred to the general ward after it is determined to be OK.

Moreover, the surgery video has also been recorded, because Stephanie feels that this surgery is more difficult than the one she participated in last time. If it is used in the finals, the ranking may be improved.

Of course, recording the video was done with the consent of the patient and family members in advance. Stephanie has excellent communication skills, so this little thing is not a big deal.

If the other party doesn't agree, the worst case scenario is that we won't record it.

And the result is that the other party agreed.

In order to thank the other party for their cooperation, Stephanie, after seeking Zhou Qiao's opinion, discounted the other party's surgery fee and gave him a [-]% discount.

"I'm really tired." After the operation, everyone complained that it was hard, and the first thing they did was to run to the toilet.

Wearing diapers?That is impossible.

Compared with this, they prefer to abstain from water before surgery.That's right, the doctor will also follow the instructions to avoid food and water in moderation to prevent the surgery from being half embarrassing.

"I'll treat you to a supper!" Zhou Qiao said.

Late night snacks, called "nighttime snacks" in English, are small snacks at night.

As soon as these words came out, Elena giggled, and Ava laughed too.

Zhou Qiao: "..."

Stephanie: "..." Zhou Qiao said humbly: "Ignore them. Come on, there is a coffee shop nearby that hasn't closed yet. It's still too late to go there."

Elena shouted from behind in a sinister tone: "We often have late-night snacks at night."

Zhou Qiao couldn't help but turn around and glare at her.

Stephanie beside her curled her lips quietly and said to herself: "You really think I'm stupid, I don't know that about you. Huh, I've eaten it in my dream too."

……

Uncle Sumson's prognosis was very good and he was transferred to the general ward three days later.Recovery and discharge are just around the corner!
In the next week, Stephanie underwent eight minimally invasive cardiac surgeries. It must be said that she had to thank Luo Ya, Zhang Jianjun and others for their recommendations on the cause of the disease.

Luo Ya, in particular, mobilized employees within the organization and contributed [-]% of the patients.

Now, basically everything has been done, except for three patients left, who are being kept in the ward on the second floor of Iris Clinic. Kim Ji-jin and Park Soo-joo take careful care of them every day.For example, ECG monitoring, oxygen inhalation, and infusion are all routine operations.

The conditions of these three people are particularly complex, but not very critical (death is imminent). Zhou Qiao plans to keep them until the surgery is broadcast live.

Since it is a live broadcast, it definitely cannot be done now. It needs to be done on the date specified by the organizing committee.

As for the live broadcast of surgery, not everyone has the opportunity.But Zhou Qiao is confident that all three of them can enter the final round of the finals.

Although only the top 1000 candidates from each state participated in the National Minimally Invasive Cardiac Surgery Finals held in Massachusetts, there were fully fifty states and the District of Columbia in the United States, with more than [-] participants!

If everyone broadcast live, there would be more than 1000 stations, and the veteran experts on the judging panel would probably vomit.

Therefore, this finals is also divided into three rounds. The first round is simulated competition, the second round is surgery video, and the third round is live surgery.

Only the top twenty winners of the first two rounds will have the opportunity to participate in the final live broadcast of the surgery to determine the final winner!

As for the live broadcast, everyone returns to their own medical institution and is conducted at their respective "home court". This will help the contestants perform normally and avoid failure due to "uncomfortable" venue.

In addition, patients with heart disease are not suitable for traveling long distances and must stay in local hospitals to rest.It would be impossible to transport all the patients to Boston for the game.In that case, patients and their families will probably be reluctant.

If anything happens during the trip, we would be irresponsible to the patients and their families.

These three patients and their families at Iris Clinic were quite surprised and looking forward to hearing that they were going to participate in the National Finals.

There are two reasons: First, since it is a national surgery competition, doctors will definitely try their best. There is no need to worry about the quality of the surgery or the surgeon's lack of dedication.Second, because of the competition, not only are medical expenses free, but there are also additional subsidies.

One of these three patients was Chinese and was introduced by Zhang Jianjun.With such a good thing, I naturally signed the agreement happily.

To reach the finals of the National Surgery Competition, there is no doubt about the doctor's level.It can be said that they are the top group in the United States.

The other two patients are family members of Luoya's employees. Originally, their medical expenses were fully reimbursed. However, now that Iris Clinic is providing additional subsidies, how can they not be happy?

On a special day, the surgery is done under the watchful eyes of top experts, that's all. It's not unacceptable to get an extra amount of money.

Anyway, the face is covered during the operation, and there will be no close-up of the face.

Among them was a graceful female patient who used to wear cool clothes or even not wear anything at all. She went to the beach to sunbathe without caring about being watched.

When it was almost time to watch the game, Zhou Qiao took Murphy and Stephanie to Boston by flight and landed at the General Edward Lawrence Logan International Airport.

They arrived two days in advance and stayed at the Four Seasons Hotel One Dalton Street. This hotel is located in the Back Bay District, close to the subway station, and the transportation is very convenient. They booked three king-size suites for more than 2000 US dollars a night. .

It's equivalent to RMB [-], which is quite luxurious.Even in Boston, it is one of the top luxury hotels.

When booking a room, Murphy pulled Zhou Qiao and whispered: "Book me a cheap room. Well, just the one with a special price, more than 800 US dollars."

But I was a little reluctant to give it up, because three equally expensive rooms would be too wasteful.Anyway, she and Zhou Qiao would "squeeze" into a room at night.

Stephanie looked over in surprise and said, "Then I should live cheaper." She said to herself that Murphy is so sensible, I can't be ignorant.

Zhou Qiao shook his head and said with a smile: "Since everyone is going to compete, they must live in a better place. Poor accommodation, poor rest, and a bad mood will affect your performance! You can still afford this small amount of money. Previously, the California Division The bonus given has not been spent yet!”

There's nothing wrong with earning bonuses and spending them.Boss Zhou is so generous and generous!

So in the end, Zhou Qiao made the decision and booked three deluxe rooms.

Zhou Qiao and the others came here early because they wanted to have some fun in Boston and get used to the soil and water here in advance.

After all, Boston and San Francisco are too far apart, one is to the east and the other is to the west. When you first come here, you may feel acclimated.

Boston is also a famous city in the United States. It is surrounded by water on three sides and faces the Atlantic Ocean in the east. It is a very excellent seaport city.

In Boston's North Harbor, there is the USS Constitution Museum.

The sailing cruiser "Constitution" displayed inside is the oldest warship in service in the world. It has 54 guns. It was launched in Boston on October 1797, 10. It has a displacement of 21 tons, a length of 2200 feet, a width of 175 feet, and a draft of 43.5 tons. 22.5 feet, also known as "Old Ironsides" (Old Ironsides), it is actually a wooden shell. It has participated in many naval battles, all with brilliant results, and has never been defeated.

This ship had sailed out of the port for a cruise a few years ago. At that time, many people took pictures and watched.

Zhou Qiao and the others took a sailboat and rafted on the clear Charles River, admiring the picturesque scenery on both sides. They planned to go out to sea along the Charles River and wander around the waters around Boston.

The calm river was dotted with white sails, and Zhou Qiao and the others were just ordinary tourists among them.The Charles River meanders through Boston and flows eastward into the Atlantic Ocean.

On the river, the waves are sparkling, and plump wild ducks are playing from time to time.

Seeing Zhou Qiao staring at those wild ducks, Stephanie couldn't help but curiously asked: "These wild ducks are gray and not beautiful. Are they so attractive?"

My heart said, let’s leave two beauties like me and Murphy alone and go see Wild Duck?

Zhou Qiao swallowed a mouthful of saliva and said, "You don't understand. In China, this is not a wild duck. It can have many names."

"Oh? What are the names?" Stephanie asked curiously.

Zhou Qiao was familiar with the treasures and said: "There are BJ roast duck, Nanjing salted duck, osmanthus duck, sauce duck, lemon duck, beer duck, taro crispy duck, braised braised duck, ginkgo duck pot, winter melon braised duck, bamboo shoots braised Duck, steamed duck with longan and red dates, fairy duck, Sixi duck, braised duck with green onion, caged duck with lotus flavor, Cantonese braised stuffed duck, Bazhen braised duck, pickled fresh pickled duck with pickled vegetables, eight-treasure glutinous rice duck..."

Murphy was lying leisurely on the deck chair on the sailboat, holding a cup of coffee in his hand, sipping and admiring the scenery on both sides of the strait. When he heard Zhou Qiao's quick words, he couldn't help but spit out a sip of coffee!
"How did you practice your English?" Murphy asked in surprise as he sat upright and wiped his face with a tissue.

Zhou Qiao: "I'm just going to practice speaking. Did you know? There is a kind of speaking in China that is called the name of a dish!" After he came to the United States, although basic communication in English was no longer a problem, in fact, he didn't have a day. I gave up studying English and basically took some time out every day to practice specifically.Or read English literature, or read English newspapers, or practice some complex sentence structures.

On the contrary, the daily conversations with the twins, Murphy and the others were the most basic and not worth mentioning.

Zhou Qiao thought that the names of dishes in China are quite fashionable, especially in the cross talk circle, so he also learned how to use them and made a list of many dish names. No, the "critical moment" came in handy!
Stephanie was petrified and her whole body was in bad shape!Messy in the sea breeze!
After a while, she came back to her senses and stammered: "Although that duck is ugly, it doesn't need so many complicated and various ways to die, right?"

Zhou Qiao said with a smile: "What I'm talking about is just a tip of the iceberg. In China, there are many different cooking methods, but I haven't studied them deliberately. I will take you back to China to taste the delicacies from various places!"

Murphy said: "Forget about your domestic food, Boston has a lot of delicious food, let's go eat it all first!"

Following Zhou Qiao for a long time, little Murphy has also become a standard foodie.Basically, the first thing you do when you go to any city is eat, eat, eat!

(End of this chapter)