I run a clinic in the United States

Chapter 233: Two consecutive series, focusing on "fast"!
Zhou Qiao, Murphy, and Stephanie are all experts in cardiac surgery. Even Stephanie, the weakest, has reached the master-level intermediate or high level in the six techniques. With diligence, the three of them looked at each other and understood the key difficulty.

Judging from the previous examination data, Mr. Huang's coronary heart disease is very serious. If a stent is inserted, the long-term effect will definitely not be as good as that of coronary artery bypass surgery, and it will not be able to solve the lung problem at the same time.

Lung surgery first?
That's not OK.The heart will be constrained.

Mr. Huang's heart condition at the moment was very poor and he could not withstand the impact of the surgery.If he only undergoes lung tumor surgery, Mr. Huang will die on the operating table.

Can we do both at the same time?

Haha, it’s difficult to do one, let alone two at the same time?

The risks and technical requirements are even higher!Ordinary experts really don’t dare to accept it.

"It can be done, but the risk is relatively high." Zhou Qiao pondered and said, "Let's discuss it and come up with a safer plan. Mr. Huang, why don't you settle down and wait for our plan to come out before we come back?" Explain to you in detail."

"Okay." Mr. Huang and his wife nodded anxiously, and then Zhou Qiao called Park Xiuzhu and asked her to take people to the ward on the second floor for ECG monitoring, oxygen inhalation and other operations.

"How was it? What do you think?" After Mr. Huang, Zhang Jianjun and others left, Zhou Qiao looked at the two beautiful girls.

"Traditional coronary artery bypass surgery is definitely not possible, but it should be possible to try it with the Prometheus-3000 robot." Murphy said.

Stephanie blinked: "You mean doing two at the same time?"

Murphy nodded slightly.

Zhou Qiao said: "Doing both at the same time is the only solution, but there is one requirement, which is to be fast! If it is a little slower, the patient may be at risk of death, so the robot must be used."

"Jo, what do you mean..." Stephanie asked.

Murphy looked at her in surprise and said to himself, why are you called "Qiao~" and so affectionate?

Zhou Qiao coughed dryly and said, "What I want is for you two to come and do a minimally invasive heart surgery first, and then do a lung tumor resection."

"Then I can only choose minimally invasive cardiac surgery." Stephanie said a little aggrievedly.Because she has not had tumor surgery yet.And that Murphy seems to have had many types of surgeries.

In the field of surgery, Murphy is indeed better than her, I have to admit.

Murphy's mouth curved slightly and he said: "As long as she is fast enough, I am confident that the tumor surgery can be successfully completed!"

"How fast is it?" Stephanie said a little unconvinced.

Murphy said: "At least no more than 10 minutes."

"No problem!" Stephanie made an OK gesture to Zhou Qiao.I thought to myself, how could I let Murphy, a little Bichi, look down on him?
"Since you are all confident, let's simulate the specific steps. I think the two surgeries can use the same incision, which can save time..." Immediately, the three of them said one word to each other and perfected it. Surgical plan.

Faced with this case, Zhou Qiao did not use the system again because he already had enough knowledge in cardiac surgery. How could he ask for help from the system every time?He himself is a peerless master in the field of cardiac surgery, especially in the minimally invasive field.Tumor resection is no less generous.

What's more, Murphy and Stephanie also helped check for leaks and fill in the gaps.

In recent times, in order to complete the review task assigned by Academician Domitri, they have consulted, read and digested a large amount of literature. Although it is not directly related to tumor surgery, it contains many cutting-edge technologies in cancer, which are useful for various types of tumors. The underlying pathology has a deeper understanding.

This is equivalent to having a high position. I didn't realize it before, but when I was consulting on this lung tumor, I suddenly felt that I had many different insights and looked at the problem from a different perspective than before.

Even Stephanie is not very skilled in the specific steps of tumor removal, but her understanding of the principles has reached a master level.In many places, Zhou Qiao and Murphy don't need to elaborate, but Stephanie can explain them in detail.

……

Ward on the second floor.

Old man Huang stayed and was equipped with ECG monitoring, oxygen inhalation and other equipment, while his wife took care of him.However, both of them looked worried.

After Park Xiuzhu and Jin Jizhen went out, they couldn't help but look at Zhang Jianjun.

Zhang Jianjun comforted him: "It's easy to get what you want. I'm not bragging. If Dr. Zhou can't do anything here, then it's probably similar elsewhere. Even if you go to the Cleveland Clinic or the Mayo Clinic, it's probably the same."

Old Man Huang nodded. It's not that they haven't considered the Mayo Clinic and the Cleveland Clinic. However, those two medical centers are too far away. Given Old Man Huang's current situation, it is not convenient to travel and travel.

Because traveling long distances is very hard.Some people with underlying diseases may just travel and come back.

Another point is that their medical insurance was bought in San Francisco, and the coverage and reimbursement ratio are also stipulated by the insurance company.

Moreover, it costs money to go to other places for medical treatment, food, drink, housing and transportation.I have to take long leave to take care of my children.I am being treated locally, so I can come over for a visit after get off work.

When hospitalized out of town, hotel accommodation alone is a huge expense.You can't sleep on the street every day, right?
Moreover, the public security in the United States means that most people do not dare to sleep outside.

After all, it is actually a question of money.After all, Mr. Huang's family is just an ordinary family, and they don't have so much time and money to spend.

Mr. Huang's son said he would accompany him, but Mr. Huang refused.Because he was afraid of delaying his son's work.

Anyway, this time I just came here to take a look, but it may not be possible to cure it.Once it's confirmed that the surgery is needed, it won't be too late for my sons and daughters to come over.The old couple can make trouble on their own, so they try not to trouble their children.

Is it important to go to work? For ordinary people, of course it is.A day less work means a day less money earned.Even if you have insurance, for such a serious illness, the out-of-pocket expense is still a large amount.

What's more, the medical insurance provided by their family is below the average level.

Zhang Jianjun comforted him for a few words and then went back to work.He brought people there, but actually he had nothing else to do.The final decision on whether to treat the disease or not, whether to treat it here or not, still rests with Mr. Huang and his wife.

He just gave me an introduction, nothing more.If he didn't have a good relationship with Zhou Qiao, he wouldn't even come here in person.

Zhang Jianjun said hello to Ava and left.He knew Zhou Qiao and the others were busy, so he didn't bother them.

As soon as Zhang Jianjun left, the ward suddenly became deserted, and Mr. Huang and his wife stared at each other.

After a long time, Old Man Huang sighed softly and said, "Xiumei, if Dr. Zhou can't do anything this time, then I won't treat you. In the future, you can save some worry and don't have to be burdened by me."

"What are you talking about? You are leaving, what will I do alone?" Mr. Huang's wife burst into tears on the spot.Because the two have been together for a lifetime, it is difficult for her to imagine her life alone in the future.

Although she has children, they all have their own families and lives, and they don't seem to need her very much.

For a time, a desolate and sad atmosphere filled the ward.

When the two of them were immersed in the atmosphere and couldn't extricate themselves, the door of the ward was pushed open. Zhou Qiao, Murphy, Stephanie, Elena, and Ava, five young, handsome (beautiful) and energetic doctors and nurses... The staff came in with a smile.

The man is handsome, the woman is beautiful, they are all confident and carefree.

It has to be said that this kind of aura is very subtle. As soon as Zhou Qiao and the others came in, a fresh vitality emerged. Invisibly, the dull twilight atmosphere in the ward was washed away completely, making Old Man Huang and his wife feel uncomfortable. Feel refreshed.

"Uncle Huang, let me tell you about the surgical plan. We still have a certain degree of confidence in this operation." Because the other party was Chinese, Zhou Qiao communicated with them in Chinese.

As for Murphy, Stephanie and others, it doesn't matter whether they understand or not.All they have to do is smile from the sidelines.

This is what Stephanie proposed. Not only doctors must have confidence, but patients and their families must also have confidence. Everyone goes in together, and others don’t need to do anything. It can serve as a beautiful background with a confident smile, and patients can confidence greatly increased.

The patient is confident, cheerful and has a strong desire to survive, which is of great help to the treatment itself.

Stephanie is very knowledgeable about psychology, as evidenced by the previous change in the atmosphere in the ward.

The lion fights the rabbit with all his strength. Since Zhou Qiao and the others choose to take action, they will use every available point.

After Zhou Qiao explained the surgical plan and informed him of the corresponding risks, Huang and his wife signed the surgical consent form with longing.

They automatically ignored the risks of surgery, because such a major surgery is impossible without risks.They have also been to the hospital many times and are very familiar with these risks.

Zhou Qiao's plan is very detailed and easy to understand. It sounds very feasible.Afterwards, Ava followed the doctor's advice and arranged for preoperative examination.If there are some things that can be done at the clinic, just call for door-to-door service. If you really can't do it, just drive the person there and push them with a wheelchair to minimize the time spent running around outside.

Because Mr. Huang’s physical condition does not allow it.

In the evening, Mr. Huang's children came to visit.The clinic became lively.

The Chinese clinic makes them feel more friendly.In addition, Zhou Qiao, as a Chinese, won the championship of the National Surgery Competition in one fell swoop, which is very exciting.Gradually, it spread among the Chinese circles.There are many Chinese public accounts reprinting his deeds.

Zhou Qiao's fame and reputation further expanded.

The next afternoon, Zhou Qiao led these people to the University of California, San Francisco Medical Center.

State-of-the-art operating room, Prometheus-3000 surgical robot.

Ava played a song, and the first song was "A Beautiful Lady Accompanies a Lonely Lamp," which is quite a cheerful song.Just looking at the title of the song, it is about a beautiful woman accompanied by a lonely light, which is quite lonely and desolate.

But if you add another sentence, "A talented man should not be greedy for a cup", the artistic conception will be completely different.

It means that on the wedding night, the beautiful woman has only a solitary lamp to accompany her in the bridal chamber. The talented man must not drink too much at the banquet and go back early. A moment of spring night is worth a thousand pieces of gold.

Zhou Qiao did not participate in the battle. He left the experience opportunity to the two girls, just as planned.

He just sat on the edge.

Stephanie took the lead and operated the Prometheus-3000 surgical robot. She used the robotic arm to very lightly and methodically remove Huang's left internal mammary artery, and then performed a surgery on his left intercostal space. A small 5cm incision…

In this operation, no extracorporeal circulation was used, and the coronary artery bypass mode was used with the heart beating continuously.

There are two types of coronary artery bypass surgery: cardiac arrest and non-beating.

Arrest surgery is to use extracorporeal circulation equipment, that is, an artificial heart-lung machine, to replace the human heart and lung functions. After the patient's heart stops beating, bypass surgery can be performed.

Because the human body's coronary arteries are relatively thin, only 1.5-2 mm, the operation difficulty after stopping the heart is easy, the anastomosis of blood vessels is fine, the patency rate is high, and the long-term effect is better.

However, extracorporeal circulation has many disadvantages when the heart is stopped. It will affect the organs of the whole body and be accompanied by many complications and sequelae, such as water, electrolyte and acid-base balance disorders, renal function damage, blood cell destruction, respiratory function damage, Brain damage and more.

These are not the most serious. The most worrying thing about using this mode is that after stopping the jump, it will be impossible to jump when it restarts.That was really confusing, and my mentality almost collapsed.

When performing this surgery, no doctor has absolute certainty and confidence that he will be able to successfully jump again.

The patient's heartbeat could not be restored, and there was only one outcome: death on the operating table.

So later, many non-stop beating technologies were invented. If extracorporeal circulation is not needed, try not to use it.Without it, patients will recover faster, bleed less, stay in the intensive care unit shorter, and spend less money after surgery.At the same time, it will not cause any messy damage and side effects to the kidneys, brain, heart and other organs.

Although the non-stop technology still involves surgical damage and may cause some inflammatory reactions, it is much smaller than the stop-and-go mode.Stop-and-beat mode can cause myocardial damage and other serious side effects, no matter how perfect the protection measures are, it is impossible to avoid it.

Of course, non-stop jumping requires higher technical requirements.

Because in a non-stop beating state, the blood vessels will beat with the beating of the heart, which will affect the anastomosis.At the same time the heart produces blood flow.In order to avoid the impact of blood flow on the anastomosis, the blood is temporarily diverted during the operation to keep the anastomosis in a relatively blood-free state for the operation.

Stephanie is very skilled, and with the help of advanced surgical robots, she did it in just 10 minutes instead of 13 minutes.

Immediately afterwards, Murphy took over.

She did not make a new incision, but borrowed Stephanie's previous incision and used a robotic arm to complete the radical lung cancer surgery on the left upper lung. It only took 10 minutes. The whole process was completed in one go, like dancing on the tip of a needle. Delightful for the eyes.

Zhou Qiao couldn't help but give a thumbs up. These two girls are really treasure girls.Being able to have two of them at the same time is simply a blessing he gained in his previous life.

In fact, although the operation was mainly "fast" and the total time did not even exceed an hour, it took a lot of effort. After the two girls came off the stage, they both looked exhausted.

To use an analogy, a [-]-meter sprint, although it takes very little time, is definitely no less physically demanding than a marathon.

When the two girls were undergoing the operation, they were highly concentrated and nervous. It seemed very simple and the operation ended perfectly, but in fact they used all their strength.

This is one of the reasons for arranging a relay between two people.Relying on Murphy alone would consume twice as much physical and mental energy, and Zhou Qiao was reluctant to use it like this.

What if a girl gets used up?Medical seeds are rare in the world, and they are definitely the kind that one would choose among millions.Zhou Qiao regards it as a treasure.

Of course, the speed of the surgery is also due to the advanced equipment.

Prometheus-3000 surgical robot, the robotic arm automatically filters out jitter, can flexibly rotate for several consecutive 360 ​​degrees, has ultra-clear vision, and has no dead ends. The total blood loss of the two surgeries is less than 100 ml, and the operation is precise. , faster, far better than human hands.

Let’s just talk about ordinary knotting. Zhou Qiao is perfect at tying knots. His fingers are unparalleled in dexterity. It is estimated that it takes 0.1 seconds to tie a square knot, but it may take 0.01 seconds for a surgical robot. No matter how dexterous a human hand is, how can it compare to a machine?
Two surgeries were performed at the same time, and it was completed so quickly. Mr. Huang's family was shocked.Isn’t it said that slow work produces careful work?Will the quality of this surgery be bad?

But what happened next made them completely reassured.

Mr. Huang recovered quickly after the operation. He only stayed in the intensive care unit for one night. He was transferred to the general ward the next morning and got out of bed the next afternoon.

He was transferred back to Iris Clinic at noon on the third day. On the fifth day after the operation, after Zhou Qiao took his sister for a ward check, he discharged Mr. Huang from the hospital!

Just so fast!
Mr. Huang's heart is recovering smoothly and his heart function is stable. He no longer has to sit down and rest after walking 500 meters. Now, although it has only been a few days since the operation, he can already walk slowly for more than 1000 meters without feeling any discomfort. .

If he didn't need to rest after the operation, he would even dare to go further.Zhou Qiao asked him to take his time and not to rush.Just walk 1000 meters every day to get some exercise.

The purpose of the activity is mainly to prevent embolism.

Life lies in movement, even if you are resting, you still need to properly circulate Qi and blood.Some Tai Chi movements are soothing and effortless, and are very suitable for the elderly to recuperate their bodies.

Zhou Qiao suggested that Mr. Huang should practice more in the future, but his posture should not be too low and his knees should be protected.

As for lung cancer, the postoperative pathology is indeed a malignant tumor, but because it is in the early stage, it is not a big problem after precise resection, and it can be reviewed regularly in the future.

Zhou Qiao was thinking about applying for a surgical oncology qualification for the clinic.Because he has done a lot of tumor surgeries here, and in addition, he can also promote the reputation of Academician Domitri.

Academician Domitri is a leading figure in the field of oncology. As serious disciples of Academician Domitri, the three of us cannot be justified in not taking advantage of him.

Although Zhou Qiao can usually handle it by himself or with the help of the system, the name of Academician Domitri is very important as it can attract more patients and reassure them.

After all, "shaking people" is a big advantage in the medical world.

For example, some patients may think that Zhou Qiao is young. Although he is the champion, he is the champion of young doctors and may not be as good as some older senior experts. However, Zhou Qiao relies on academicians to treat diseases here at Iris Clinic. Even if the doctor can't figure it out, he can still bring in the academician!

Let me go, can you enjoy such good resources when you go to other clinics?

Zhou Qiao may not sway people, but he must let people know that he can sway people, and he is also an academician of the National Academy of Sciences and a famous Nobel Prize winner.

So, after seeking the consent of Academician Domitri, Zhou Qiao asked Elena and Ava to design a new promotional poster and hang it in the lobby on the first floor of the clinic.

Academician Domitri naturally has no objection to Zhou Qiao's "tiger skin". As his direct disciple, he can't enjoy this convenience?

If you have an academician background, you can apply for surgical oncology qualifications. Haha, the approval will be passed in seconds.

Zhou Qiao submitted the information on the first day and received it the next day. During this period, he also had many big bosses sign on.It took nearly two weeks to apply for cardiothoracic surgery.

As far as Americans are concerned, this efficiency is already very high.

The various approval processes in the United States are not much less complex than those in China.

　Can I get some monthly passes to cheer me up?Thank you

　　
　
(End of this chapter)