I run a clinic in the United States

Chapter 259 Each one is more difficult than the last ([-])

At Iris Clinic, everything is in order.

As the weather gets warmer, the branches and leaves of the cork oak tree in front of the door are fluttering, and there are two or three more little squirrels playing on it.

After the seventh day of the Lunar New Year is over, the New Year is also over.This is not only true at home, but also abroad.

After all, in today’s fast-paced world, even New Year’s Eve is not a legal holiday, and it is impossible to take the holiday off until the Lantern Festival.What's more, in the United States, Chinese New Year is not mainstream.

Zhou Qiao sat in front of her aunt's soul for a long time, offered incense to her, replaced her with fresh tributes, and then talked about many things about her hometown.Including getting my sister-in-law's son to work at a French nuclear power plant.

Anyway, we kept chatting away, and I didn’t know if my aunt could hear me underground.

It's not belief in ghosts and gods, nor is it feudal superstition. It's just a thought, the yearning of the living people for their deceased relatives.

Zhou Qiao had a feeling that this system must be related to his aunt, and everything he had now was given to him by her aunt.

Without the gift from his aunt, he would probably be living in a rural hospital and living a peaceful life.

After Elena and Ava returned, the renovation work on the new house started again.When they left before, they didn't trust anyone to take care of it, so they stopped.It is estimated that it will take more than a month to complete. After the installation is completed, it will need to be ventilated to disperse formaldehyde, and then furniture and appliances will be purchased. At least it will not be possible to move in until after summer.

Unlike Murphy's place, Murphy did not touch the hard decoration, but replaced and arranged various soft furnishings, furniture and accessories.

Mainly because Murphy has a cold temperament, doesn't like things that are too troublesome, and doesn't like dealing with strangers.

As for the house that Elena and Ava bought, the hard decoration style was too inconsistent with their aesthetics, and many places were damaged, so they had to be overhauled.Elena is another person who likes to toss.

Anyway, Zhou Qiao basically didn't need to worry about these things. He only had to pay for it and let them do whatever they wanted.

After Zhou Qiao came back, Murphy still sat in the general practice clinic, Stephanie sat in the psychological consultation clinic, the new Dr. Yenard sat in the surgical clinic, and Rachel and Vivica sat in the internal medicine clinic.

As for oncology surgery and cardiothoracic surgery, although there are clinics arranged and signs are hung, they are actually empty. The relevant patients are triaged to Murphy or Stephanie by the triage nurse Jin Jizhen.

Zhou Qiao set up a special office on the second floor. He took this opportunity to completely let go of his daily medical work, and only participated in consultations on difficult diseases, surgeries, etc.

As for the daily management and financial work, it was completely handed over to the "boss lady" Elena.

According to Chinese tradition, when work starts after the New Year, firecrackers are set off and red envelopes are given out.

It is impossible to set off cannons. In the United States, if you set off cannons, you would scare people to death and think you are doing something. Even in China, many big cities have banned cannons.

But you can get a red envelope.Although the employees of Iris Clinic are still working during the Chinese New Year period and do not have a holiday.

Isn’t this the boss coming back after the New Year?What is needed is a sense of ceremony.

Therefore, it was hosted and organized by Elena. On the morning of the eighth day of the Lunar New Year, it took up 5 minutes of everyone's working time. Zhou Qiao gave a simple speech to boost morale, and then distributed a big red envelope to everyone.

It is worth mentioning that Zhou Qiao gave Park Soo-joo one more, saying that he wanted her to take it back to Yoona.

Park Soo-joo: "The boss is so generous!" Looking back on my former Korean boss, I was so stingy!

When I took it apart, I found it was a full five hundred dollars.

Zhou Qiao also called Ariel over and gave her seven red envelopes to take back and distribute.Because there are eight people in the laundry, including Ariel.

The one for Ariel is naturally a big one.

"Thank you, boss!" Ariel also smiled happily.Who doesn’t like finding bosses who make money out of their hair?

"You're welcome, you have worked hard these days!" Zhou Qiao asked Stephanie to find out that during his absence, Ariel and the others were particularly concerned about the safety of the clinic.

When the doctor from the cardiac surgery department at the community hospital heard that Zhou Qiao was back, he invited Zhou Qiao for consultation.

Zhou Qiao took his right-hand man, Murphy and Stephanie, and went there together.

Although many doctors in the community hospital are aware of their "combination", they are all amazed and envious every time they see it.

A Chinese doctor and two stunning beauties, all three of whom were young and beautiful, actually ranked among the top three in heart surgeries in the United States.

The point is, one man and two women, how come they look so seductive?There is no sense of violation at all.

Moreover, these three people are their neighbors.

Previously, this community hospital also sent contestants to participate in the surgery competition. However, it failed to even enter the top [-] in California.

After a brief exchange of greetings with the cardiac surgery team at the community hospital, the group sat down in the conference room, and Brendan Morrow, the senior attending physician at the community hospital, began to introduce the patient's condition.

Dr. Brendan Morrow is 40 years old this year. He was also one of the community hospital contestants before, but his results were very embarrassing, ranking 98th in California.

Even so, it's actually quite okay, after all, there are so many well-known hospitals in California.

The patient's name is Mira. She is a 13-year-old girl with a very cheerful personality. She can be seen on the school gymnastics team, rugby team, and various celebration parties. Just one afternoon a week ago, the little girl The girl was sweating on the school stadium, and suddenly she stopped.

Then, I felt chest tightness and pain, and soon I fainted and fell to the ground.

The school immediately sent her to the community hospital, where everyone gave her emergency first aid.

The results of coronary angiography showed that Mila's left main trunk was severely stenotic and the proximal segment of the anterior descending artery was occluded. This is a typical acute coronary syndrome!

If not treated in time, life may be in danger at any time.

Therefore, the cardiac surgery team headed by Dr. Brendan performed pacemaker implantation and aortic balloon counter-wave implantation on Mira, and then gave her symptomatic treatment. Only then did Mira's condition improve.

Zhou Qiao frowned and said: "This disease actually occurs more often in the elderly and men. It is quite rare in a little girl. The most important thing is that pacemaker implantation and aortic balloon reverse pulse implantation cannot completely solve her problem." The problem."

Dr. Brendan nodded with admiration and said, "Indeed. After we completed the operation, although the operation went smoothly, Mira's condition was only temporarily stable and she is still living in the ICU. If she does not receive further treatment, ,I am afraid……"

Dr. Brendan's assistant Mesha said: "We have discussed many times and are not sure about further treatment. We originally wanted to refer Mira to the University of California Medical Center, but when I heard that Dr. Zhou was back, I wanted to hear about it. Your opinion!"

Stephanie curled her lips and thought to herself, if Zhou Qiao doesn't come back, why don't you call us?
Although Murphy's face was expressionless, he was actually a little embarrassed. He thought to himself, it seems that the community hospital still only recognizes Zhou Qiao. Although my level of cardiac surgery is actually very small, the gap between me and Zhou Qiao is very small.

After all, Murphy had performed thousands of various cardiac surgeries in the "Medical Dimension Training Ground", that wasteland world.But outsiders don't know.

Although they were both slightly unhappy, after all, Zhou Qiao was their man, and it was his duty to be above them. The two women didn't have much objection, so they immediately calmed down and continued to listen to the introduction of the condition.

Zhou Qiao pondered for a moment and then said: "Mila's condition is actually not suitable for stent treatment. Bypass surgery is the best choice. In addition, in order to obtain the best long-term effect, we should avoid the risk of grafting blood vessels when the child grows up. For lesions and obstructions, I recommend arterial grafting.”

"Dr. Zhou, are you saying that the internal thoracic arteries on both sides of the child are used as grafts?" Dr. Brendan took a breath. It's not that he has never thought about this surgery, but, damn, this is The gold standard of bypass surgery is quite difficult. He gave up as soon as the idea came to him.

At this time, seeing Zhou Qiao downplaying this difficult surgery as easily as drinking coffee, I couldn't help but admire him even more.I said in my heart, Dr. Zhou is Dr. Zhou, and he deserves to be the national champion!

"Dr. Zhou, if you come to do the surgery, can you do it in our hospital?" Dr. Brendan made a ruthless request and said very sincerely, "I know that the University of California Medical Center has Prometheus- 3000 surgical robot, although the hardware conditions here are not as good as those at the University of California Medical Center, it should be able to meet the requirements for this surgery. If you do it here, we can also observe it on-site, and there is a close-up Opportunities to learn.”

Seeing Zhou Qiao's silence, Dr. Brendan added more pressure: "We will apply for a certain amount of funds from the hospital as remuneration for teaching this surgery."

"As for the patient, he is naturally referred to the Iris Clinic."

This is not a flying knife, but a referral, and all profits go to Iris Clinic.The other party paid extra and only asked Zhou Qiao to perform the surgery at the community hospital.

Because they went to the University of California Medical Center, where would they have the opportunity to observe and learn?
Zhou Qiao laughed and said: "I have no problem." Stephanie said in a joking tone: "You have to apply for more remuneration, the more the merrier."

There are some things that Zhou Qiao is too embarrassed to mention, so she has to keep a close eye on them.After saying that, he glanced at Murphy proudly and said to himself, Xiao Feier, do you understand?This is my advantage over you.You kept silent. It is up to me to fight for the benefits of the clinic.

"Haha, no problem, no problem, I will apply to the dean and follow the highest standards." Seeing Zhou Qiao and the others agreed, Dr. Brendan was immediately elated.

Why not use the hospital's funds to improve the medical skills of yourself and your team?When community hospitals make annual budgets, they have such special funds.

Soon, preparations for the operation began in full swing.

Zhou Qiao called Elena and Ava over to participate in the preparations for the operating room.He, Murphy, Stephanie, and Dr. Brendan were also called over to discuss the surgical plan.

Dr. Brendan was very happy. He originally thought it would be great to get an opportunity to observe and learn up close in the operating room, but he did not expect to be able to participate in the discussion of the surgical plan.

"Our goal is to be perfect. After the operation is successful, the patient can basically have a lifetime of worry-free life, and the quality of life in the future can be best guaranteed." Zhou Qiao started clearly.

Then, Dr. Brendan felt an indescribable pressure. Before he got involved, he was a little "scared" and thought that the requirements of Iris Clinic were really high.

General hospitals and doctors are the conscience of the industry if they can help patients solve their current predicaments and manage them for ten or eight years. They may even wish that patients would relapse in a few years and come back to the hospital to "contribute" again.

Once the doctor takes action this week, he will take care of the family for life.

Tsk tsk, this tone, this pattern...

Doctor Brendan was stunned. Compared with these three freaks, the gap between himself and these three freaks was really huge, not only in terms of level, but also in mentality and structure.

"Murphy, tell me what you think?" Zhou Qiao looked at Murphy with encouraging eyes.

Murphy should be second only to him among everyone present, but his autism has not fully recovered, and it is difficult to fully recover, and he does not like to express himself when there are many people.

Zhou Qiao wants to give her more opportunities to practice.

In fact, Murphy doesn't care about her condition. It doesn't matter whether it can be cured or not. Now, with Zhou Qiao accompanying her, her financial conditions are not bad. She does her own thing every day at Iris Clinic and concentrates on studying medical skills. I don't have to worry about all kinds of people and things, and I am very happy.

She has pursuits in medical skills, but in terms of career, her mentality has become flat.Anyway, she would go wherever Zhou Qiao went. With Zhou Qiao, she would have food to eat and no worries about food and clothing.

Seeing Zhou Qiao's encouragement, Murphy's blue eyes flashed, and his pretty face showed endless brilliance: "The patient is a little girl, and her blood vessels are thinner than those of adults. If total artery bypass grafting is performed, it means that it will be within 1 mm. There are 8 to 10 stitches on a blood vessel with a larger diameter. Compared with adult surgery, it is undoubtedly more difficult!"

"In addition, the patient's preoperative coronary angiography showed that his left anterior descending artery had completely disappeared from the image, and no shadow could be seen at all. This indicates that the blood vessel is likely to be completely occluded. As a result, this blood vessel cannot be bypassed. The risks and effects of surgery will be greatly reduced."

"I suggest that further examinations such as coronary CTA be performed. There may be a trace of passage at the distal end of this blood vessel, and we still have a chance."

Stephanie nodded: "I agree." Although she and Murphy secretly competed, what Murphy said was really good.

As she said before, compared with Murphy, she has advantages in other aspects, so why should she fight with Murphy in the heart field?That's not what she was smart to do.

Dr. Brendan thought thoughtfully. He had not arranged coronary CTA before because coronary CTA is a non-invasive examination. Although it has high accuracy, it cannot replace coronary angiography in terms of clarity.

What Murphy now means is that although coronary CTA is slightly inferior, it has a wider range, can perform three-dimensional imaging of the entire coronary arteries, and can also have a clear understanding of peripheral blood vessels.

Now, they just want to find the far end passage.

If we can find a remote access route, we can have a more optimized solution, although the risk is high.But as Zhou Qiao said, all they have to do is pursue perfection!

"I agree!" Doctor Brendan replied immediately after thinking about this.

Zhou Qiao naturally would not object. Soon, with everyone's unanimous consent, the patient was arranged for further examination.

The inspection results gave everyone a surprise.

As Murphy expected, there was still a glimmer of "opportunity" at the far end.

As a result, the surgical plan was perfected, and soon the operation officially began!

With Zhou Qiao's permission, Dr. Brendan brought three doctors from his team into the operating room to act as assistants.

In fact, they probably only wanted to watch it.When Zhou Qiao takes action, he rarely needs an assistant. Even if he does, Murphy and Stephanie are good choices.

The anesthesia team is Nancy and her nurse anesthetists.

In order to complete the operation as quickly as possible, Zhou Qiao and Murphy performed the surgery together.

After the anesthesia and multiple checks were completed, Ava sang.

The first song is called "Give Me".

"Give me a love, why did you leave in a hurry? Give me a happy life, why am I still struggling to let go..."

In the beautiful Chinese style melody, the operation began.

Zhou Qiao and Murphy wanted to do a "double version". They did not have a priority, but operated at the same time, and they had to build bridges on the patient's left anterior descending artery and circumflex artery respectively.

Zhou Qiao is in charge of the difficult branch, the left anterior descending branch, which is almost completely occluded. It is extremely risky and requires extremely high skills. It can be said to be a tightrope walk on a cliff.

Sure enough, as shown in the preoperative examination, the distal end of the left anterior descending artery was indeed not completely occluded, and there was still a pathway, so there was a chance.

Both of them are quick hands, and with Stephanie assisting them, they quickly "unblocked" the two important "oil supply" lines of the heart in less than 10 minutes, allowing the heart to become the "engine." "Regained a steady stream of energy and resumed normal work.

"Excellent!" "Excellent!"

"awesome!"

Dr. Brendan and his team members were beyond surprised and gave a thumbs up.They were suffering from a very difficult condition, such as a sad face, a life-or-death situation, inability to sleep at night, and hair pulling during the day. Zhou Qiao's team solved it in half an hour's operation!
"Isn't this too outrageous? Are you the Lord's favored one?"

"What about the huge risks mentioned before the operation? Where did they go? Why didn't I see any risks? The operation was completed smoothly and easily?"

They felt that after watching Zhou Qiao and Murphy's surgeries, they could do it themselves!
It's really so simple, it's that simple.

Wouldn't it just be like this, like that, and like that again, and it's done?You’ll know it at a glance!

But in fact, they knew in their hearts that it was impossible.

This is definitely the kind of "you know it once you see it, but you lose it once you learn it" kind of thing.

The master's paintings, with just a few strokes, are lifelike and come alive on the paper.When I went to paint by myself, I drew the gourd in the same way, but... a few thick ink, it was ugly.

Whoever tries will know.

After the bypass was completed, Dr. Brendan and his team finally had a chance to do it. They measured and found that the blood flow reached the best expected effect, which showed that the quality of the anastomosis was quite good.

They expected such an operation to take at least three hours, but what about the reality?Less than half an hour!It's like a miracle. If you hadn't witnessed it with your own eyes, you really wouldn't believe it.

After the operation, the two graft vessels were re-evaluated and found to be completely unobstructed. There is no doubt that the operation was successful.

(End of this chapter)