I run a clinic in the United States

Chapter 260 One is more difficult than the other ([-])

Mira stayed in the ICU on the first day after the operation, but was transferred to the general ward the next day.

Previously, Dr. Brendan and the others had been unable to be transferred to a general ward despite being treated for so long.It can be said that when Zhou Qiao and the others took action, the effect was different.

On the third day, Mira was able to get out of bed and move around, and on the fourth day, she ate delicious food.

After Zhou Qiao came to check the room, he told the little girl very optimistically: "In less than ten days, you can be discharged from the hospital and go home and continue going to school."

Mira was almost jumping with joy.

"Of course, you will need regular follow-up visits in the future. At that time, you can come directly to Iris Clinic, either Dr. Murphy or Dr. Stephanie. Of course, you can also see me." Zhou Qiao said with a slight smile.

However, he is no longer attending the clinic and may go out at any time, so the other party may not be able to find him.

Mira's teacher brought her classmates to visit. They were very happy to see that Mira was recovering well. They all looked forward to Mira's early return to school.

"Dr. Zhou, Dr. Murphy, Dr. Stephanie, as Mila's mother, I can't express the gratitude in my heart. I'm so grateful!" Mila's mother saw that her daughter was getting better and better day by day. , couldn't help crying and hugged Zhou Qiao and the others tightly.

……

Dr. Brendan was very efficient and applied for [-] U.S. dollars from the hospital. However, the director of the community hospital, Ogmundu House, apparently had other ideas. He personally invited Zhou Qiao to eat in the hospital restaurant. A working meal.

Although it is said to be a working meal, it is obviously specially prepared by the chef and is quite sumptuous, including steak, king crab, salmon, vegetable salad, clam mushroom soup, freshly squeezed juice, strawberry cheese, hazelnut cheesecake, Avocado toast, etc. Because Zhou Qiao is a doctor and it is not convenient to drink alcohol on working days, no alcoholic drinks are arranged.

Dean House and Zhou Qiao "reminisced about the past", to be precise, they talked about the time when Aunt Zhou Qiao founded the clinic and affiliated the clinic to the community hospital, and the two sides carried out friendly cooperation, which is equivalent to "connecting with each other".

"Your aunt was already very powerful back then. I thought she was a hero among girls. I didn't expect that at such a young age, you would be even more powerful than your aunt."

"Dean House, you are too generous."

The two sides exchanged a few words, and the whole chat took place over a delicious lunch, which was very pleasant.

Afterwards, Dean House made an invitation for cooperation, saying that he wanted Zhou Qiao to teach no less than six and no more than ten surgeries in the community hospital within the next month.

The reward is one hundred thousand dollars.

This community hospital lists relevant expenditure items when it prepares its budget for each fiscal year.We do invite some celebrities here every year.

But this year, Dean House focused his attention on Zhou Qiao, his next door neighbor.

The two sides are so close, and Zhou Qiao is from California, no, he should be said to be a famous person in the United States now.With Nobel Prize winner Academician Domitri as his backer, it can be said that he has a bright future in the future.

How could you not extend an invitation to such a good partner for cooperation and exchange?

Establishing a good relationship in advance will also be beneficial to the future development of the hospital.

Originally, Dean House thought that Zhou Qiao had just returned to the United States and might be a little busy, so he thought about it for a while. Unexpectedly, Dr. Brendan from the cardiac surgery department submitted an application, so he simply put it on the agenda.

These six to ten patients are provided by the community hospital and will be referred to the Iris Clinic. In other words, all the money earned from the patients goes to the Iris Clinic. Zhou Qiao just performs the surgery in the operating room of the community hospital as before. During the operation, medical staff from the community hospital or the monitoring room are allowed to observe.

Afterwards, surgical reviews, explanations, and experience sharing are also required.Because during the operation, work may be required, and it is not convenient for the medical staff to answer questions.

The surgery is so stressful. Everyone who comes to observe and learn doesn’t dare to ask.If the operation is disrupted, who will bear the responsibility?
Therefore, during the post-operative sharing meeting, everyone can ask questions and communicate as much as they want.

It’s almost over 1 US dollars per unit.

This is similar to the price of lectures given by the University of California School of Medicine.Zhou Qiao thought it was acceptable.After all, if you get ten seriously ill patients for nothing, the profit earned from the patients alone will be very considerable!
It only takes one or two hours to give a PPT lecture and get more than 1 US dollars. This money is quite easy to make.

When the time comes for the review sharing meeting, Zhou Qiao will not only go there by himself, but also bring people from the team, including Elena and Ava, because there may be some nurses who want to ask questions.

Elena and Ava are both master-level nurses, and they are more than enough to guide nurses in community hospitals.

In addition, while answering questions and communicating, Zhou Qiao's team can also have a good summary themselves, and may have different gains.

Just doing surgery without summarizing or thinking will not lead to significant improvement.

As for the questions asked by medical staff in community hospitals, because there are many people, everyone looks at the problem from a different perspective and will gain different results.

This is actually a process that benefits both parties.

Therefore, Zhou Qiao, as the owner of the clinic, agreed.

Soon, the second surgery came.

The patient's condition is very complex. He is a patient with renal tumor combined with hypertrophic obstructive cardiomyopathy.

If it was not complicated, the community hospital would not ask Zhou Qiao to take action.

Since the condition involves the heart and kidneys, not only Dr. Brendan from the cardiac surgery department will be here this time, but also some medical staff from the urology department will also be involved.

The patient was a white uncle in his 50s. He came to the urology department of a community hospital because of physical discomfort. As a result, he found a tumor on his left kidney.

Enhanced kidney CT and renogram examination showed that the possibility of malignant tumor was very high and surgical treatment was required as soon as possible.

Kidney cancer has no obvious clinical symptoms in its early stages, but because it is a common malignant tumor of the urinary system, surgery is the preferred treatment method and the only method that can achieve radical cure.

The white uncle only came to see a doctor after he discovered hematuria and abdominal pain.This means that kidney cancer has actually become more advanced and treatment is more complicated.

However, misfortunes never come singly.

After the white uncle was hospitalized, he was diagnosed with severe hypertrophic obstructive cardiomyopathy.

In addition, the white uncle also had a history of surgery. About eight years ago, he had undergone resection of a cavernous hemangioma in his skull. Because of this surgery, he now has multiple cavities and ischemic lesions in his skull.

Surgery is extremely risky!

Dean House said that if Zhou Qiao couldn't do it, he didn't need to do it and just refer him to the University of California Medical Center.

But Zhou Qiao waved his hand, very confident.

Not only does he have to do it, he also has to solve the patient's two illnesses at once!
What he wants to do is to perform cardiac ventricular dredging + renal tumor radical surgery at the same time.

Iris Clinic has done this kind of two-series surgery before, but that time, it was the heart and lungs, and this time, it was the heart and kidneys.

Although the diseases are different, the surgical concepts are the same.

It has to be done at the same time.

But the norm is not like this. The norm is to separate and stage.For example, do one first, then do another one half a year or a year later.In this way, the requirements for doctors are lower, and patients can take a break in the process.

But there is a contradiction. If the patient has a heart problem, the heart disease usually needs to be solved first before other surgeries are performed.Otherwise, the heart will not be able to tolerate it and life will be in danger or even sudden death.Died directly on the operating table.

Heart surgery first?

It is not suitable to undergo other surgeries within six months to one year after heart surgery, and the patient’s kidney tumor is malignant. Can this kind of cancer wait half a year or one year?

In the event of metastasis or local progression, the window period is missed and there is no chance of further surgery.

This is a dilemma.

Only elementary school students do multiple-choice questions, but adults don’t?No, no, no, to perform two surgeries at the same time, most experts are not that high-level.

Two consecutive surgeries are easy to say, but the risks are very high if you actually do it!If things go wrong, various accidents and complications may occur during and after the operation, and you will be unable to resist death even if you pull out all your hair.

Zhou Qiao’s team can.

They've done it before and there's a precedent for success.

Of course, the difficulty this time is a little more difficult than the last heart + lungs.

At least, the last time Stephanie was done, Murphy used Stephanie's incision.Because the heart and lungs are relatively close together.

This time, the heart and kidneys are a little far apart.It is impossible to share the same incision, and accordingly, the operation time will be longer.

Zhou Qiao took Murphy and Stephanie to analyze the patient's condition together with doctors from the cardiac surgery department, urology department, neurosurgeons and anesthesia team at the community hospital, and discussed it in detail. Finally, they formulated this plan. A two-link surgical plan.

The doctors attending the meeting were shocked!

If this operation can be successful, it will definitely be the first time since the establishment of a community hospital. …

After completing all the preoperative preparations, the operation officially began!

The anesthesia team is the senior Nancy and her anesthesia nurses, who are also old partners of Zhou Qiao and the others.

Nancy was looking more and more radiant, and it was clear that life was good these days.While chatting before the operation, her ex-husband came over to pester her for nothing, begging to get back together, but she ruthlessly rejected him!

She is doing well now, and her life is so smooth. She only remarried because her brain was in trouble.

The risks of anesthesia are very high, so Nancy was very careful when leading the team during the operation.

Because, for this anesthesia, according to the requirements repeatedly emphasized by Zhou Qiao during the consultation, one thing is very important, that is: "We must control the heart rate not to be too fast, reduce mitral regurgitation, maintain systemic circulation resistance, and avoid aggravating the left ventricular outflow tract. Circulation instability caused by obstruction ensures the safety of the operation.”

Nancy lived up to expectations, carefully and successfully completed the anesthesia induction.

Anesthesia is completed.

Multi-party verification completed.

Ava sang as usual.No surgery without songs.Of course, this is a joke. If conditions did not allow it in other places, we would still save people.

After all, songs are dispensable, and treating illnesses and saving talents is the top priority.But aren’t there conditions now?

Previously at Zhuhai County People's Hospital, the myxoma that danced on the heart was usually moving and "dancing". This was determined by the characteristics of the disease itself.

However, if it clicks in conjunction with the music, it is purely a coincidence.In other words, unless you take the initiative to match the music.

A beautiful melody sounded, a drum-beat version of "Divination".

"The wind blows the sand, the butterflies fall in love with the flowers, a story that has passed through the ages, like the love of the moon in the water that fascinates the flowers in the mirror; bamboo fences, wooden pipa, arched bridges under the moon, who is playing and singing, thinking about the distant worries..."

This is a song that has a very artistic conception of the Han and Tang Dynasties, with a little bit of Buddhist elements added, without losing the sense of modernity.

In the clear melody, Murphy took action and Stephanie assisted, successfully performing cardiac outflow tract dredging on the patient.

Hypertrophic obstructive cardiomyopathy (HOCM) is characterized by dynamic left ventricular outflow tract obstruction caused by asymmetric hypertrophy of the ventricular septum. It often causes recurrent exertional dyspnea, precordial pain, syncope, etc.The quality of life is poor, especially among young and middle-aged patients, and the rate of sudden cardiac death is extremely high.

Immediately afterwards, while the patient was still under anesthesia, he was repositioned into a renal surgery position, and Zhou Qiao personally performed a laparoscopic left radical nephrectomy on the patient.

The community hospital is not equipped with surgical robots, but Zhou Qiao, Murphy and Stephanie do not have to rely on surgical robots.

The three of them have very dexterous hands and can perform many difficult movements without using robots.

The operation went very smoothly. On the second day after the operation, the white man successfully removed the tracheal intubation.Recovery and discharge are just around the corner.

Zhou Qiao's post-operative experience sharing meeting was arranged on the third day after the patient's condition stabilized.

In a large lecture hall of the community hospital, many medical staff took the time to come and listen, a total of 40 to [-] people.

Zhou Qiao and his team of beauties, sitting on the podium, felt like teachers.

In the audience, there were many medical staff who were older and even had gray hair and beards. They were all very open-minded and listened with interest, raising their hands to ask questions from time to time.

The community hospital arranged it very carefully. It was just a brief sharing session expected to last no more than two hours, and a tea break was also arranged.

There are many cut fruit plates, delicious cakes, coffee, juice, cookies, etc., and the atmosphere is very full.

Basically, after Zhou Qiao talks for an hour, there will be an intermission, and everyone will eat, drink, and chat together, and then the next hour will be an exchange of experiences.

During the exchange, Dean House also took the time to take a look and was quite satisfied with the performance of Zhou Qiao and the others. Behind the lecture hall, he smiled slightly and gave a thumbs up to Zhou Qiao who was talking eloquently on the stage.

Zhou Qiao waved at him as a greeting.

There were also people specifically responsible for taking photos, and then, the experience sharing meeting was published on the community hospital’s internal forum and on Dean House’s own personal Twitter.

The cost of this kind of exchange meeting is allocated from special funds, and some reports also need to be written.

For example, during the annual summary, Dean House will specifically talk about this area of ​​work.This is also a political achievement.

美国的财年与中国不同，通常是每年的10月1日至次年的9月30日。而英国那边，则是从每年的4月1日至次年的3月31日。

Of course, the United States is a federal system, and each state determines its own fiscal year, and there are some other dates.Many enterprises are inconsistent with the government and are quite confused.

……

I have to say, "Divination" is really good to listen to.

Elena, Ava, Murphy, and Stephanie are now tired of dancing subject three and have started to practice a new dance, which is the Chinese Han and Tang classical dance "Divination" that has exploded on the Internet.

The divination tunes are harmonized with the big drums, which are majestic and yet elegant in rhythm.

The four girls are beautiful and beautiful, and their figures are soft and graceful. This dance is simply pleasing to the eye, so beautiful that it makes people live longer.

Zhou Qiao saw that they danced well, so he went to Chinatown to buy a red drum, had it delivered, and placed it in the corner of the lobby on the first floor, which is also a feature of Chinese clinics.

If you don't knock it, just put it on display, it is a very good piece of art.Many restaurants and hotels also like to display this kind of thing.

Naturally, you can't knock during working hours.What if the patient has a heart disease and the sound of the drum scares others?
At noon, Rachel and Vivica are older and need a lunch break, so it is not convenient to knock.

But after hours, when there are no patients, it is OK.

After work that day, Elena, Ava, Murphy, and Stephanie started rehearsing this dance in the lobby on the first floor of the clinic.

Zhou Qiao was in high spirits, holding a drumstick in each hand and playing music for them from the side.

As soon as the divination sounds, the Han and Tang Dynasties appear.

I have to say that the four exotic fairies dance really well.

Ariel heard the drums and brought several black girls over to watch.

After Park Xiuzhu heard about it, she also drove over with Kim Ji Jin and Yoona.How could such a grand event be without them?
Cathy brought little Danielle over to join in the fun.

There were many other neighbors, many of whom came over with their mobile phones to take videos.

Iris Clinic, after get off work, is full of singing and dancing, which is a bit like the Chinese Spring Festival.

Later, Park Soo-joo, Kim Hee-jin and Yoona also joined in and danced behind.Little Yoona is very talented in dancing and dances gracefully.

Park Xiuzhu said that she had heard this song in Korea before, but she did not expect that after it was introduced to China, the lyrics would be so beautiful, and the right drum beats were added, making it a step up from the original song.

After all, the original song is just a sad love ditty, but with the addition of drum beats, it becomes more majestic and has an artistic conception of the Han and Tang Dynasties.

As for Ariel and the black girls, they were also jealous, but Ariel looked down at her figure, shook her head with a wry smile, and let it go.You can beat her to death, but you can suffocate her to death by dancing this elegant dance.

Later, during the intermission, little Danielle climbed onto the big drum and danced and played with Yoona on the drum.

Cathy said that if she were 30 years younger, she would dance with her, but now she can't dance and can only clap her hands below.Clap to the beat.

In fact, rehearsing this dance was not a whim, nor did I have anything to do. Instead, there was a street parade during the Lantern Festival in Chinatown, and Iris Clinic was also invited.

Because, in the eyes of the big shots in Chinatown, Dr. Zhou of Iris Clinic is also a very important big shot in the Chinese circle. How can it be justified if Zhou Qiao is not invited to such a grand event?

Zhou Qiao thought that the four beauties in his clinic had a unique charm in dancing this traditional Han and Tang dance, so he signed up.

Of course, there are still four sets of clothing missing. It will be the weekend and it will not be a problem for Elena and the others to go to the Hanfu store in Chinatown to carefully select or customize them.

At that time, a large float will be used to drag a large drum with a diameter of several meters, and it will move slowly. Four beauties will dance on the drum, which will definitely attract the attention of the street!While exporting culture, it also promotes the clinic.

As for the driver, Ariel was just right.

When Ariel heard that she was asked to drive, she was so excited that she rubbed her hands together.No one doesn't like to join in the fun, after all, life is already so boring.

　Hey guys, do you have a monthly pass?

　　
　
(End of this chapter)