I run a clinic in the United States

Chapter 261 Each one is more difficult than the last ([-])

It’s business as usual at Iris Clinic.The patients and their families who come for treatment are very interested in the Chinese red drum in the corner of the lobby on the first floor, and they inevitably go over to touch and knock it.

Then every day after get off work, especially during the "golden" walking time after dinner, many people gather in the lobby and in front of the Iris Clinic.

Those who didn’t know what they were doing thought they were doing it, but when the beautiful sound of drums came from far away, everyone suddenly realized.

"The Iris Clinic has started rehearsing that beautiful dance again. Let's go and watch."

……

It was a sunny day, and the slightly salty sea breeze blew away the cold. After staying in San Francisco for a long time, Zhou Qiao had already become accustomed to the air here.

He took Murphy and Stephanie to the large conference room of the community hospital again to participate in the consultation of a patient with a more difficult condition.

This time the condition was introduced by Sinoway Grosso, a senior attending physician in neurosurgery.Also present at the meeting were old acquaintances from the past, Dr. Brendan from the cardiac surgery department, Nancy from the anesthesiology department, and others.In addition, doctors from many departments such as cardiology and endocrinology participated.

The patient's name is Bim Usman, a native of Ecuador, a small country in South America.His daughter Narcissa came to the United States to study through her own efforts, and later stayed in the United States to work.

For South American countries, no, for the entire America (South America, North America), the United States undoubtedly exists as a holy land.Many people are trying to immigrate or smuggle themselves to the United States.

After this patient's daughter got married and started a business in the United States, she brought her only relative, her old father, over. After all, the environment in the United States is much better than that in Ecuador.Ecuador is very, very backward and one of the poorer countries in South America. It has almost no industry and lagging agricultural development.

As for his mother, she had already passed away due to illness.

Bim Usman is of Indo-European mixed race. He speaks Spanish fluently, but his English is much worse.The official language of Ecuador is Spanish because it was a former Spanish colony.

When Uncle Beam was in Ecuador, he did not have the habit of regular physical examinations. When he came to the United States, he resisted going to the hospital.Although, he actually felt that his health was very bad. Even in the dead of night, when he was tossing and turning, he thought about his funeral.

In order to save money for his daughter, he often patted his chest and said that he was in great health.

My daughter believed it.

Then, the day before yesterday, the accident happened.The toilet at home was clogged. Uncle Bhim didn't want to hire anyone to do it because he couldn't bear to spend money, so he did it himself.

He was thinking in his mind, even if my health is not good and I can't do heavy work, wouldn't I be able to do a small job like cleaning the toilet?
If I can't do this well, wouldn't I be completely useless?
My daughter may not dislike me, but my daughter’s husband has always had a bad attitude. Isn’t that even worse?
In order to prove that he was still useful, Uncle Bim rolled up his sleeves and started working.

However, after working for less than half an hour, he felt flustered and short of breath, unable to bear it. He gritted his teeth and wanted to hold on because the toilet was about to be unclogged.

As a result, in the next moment, his vision suddenly went dark and he fell to the ground.

I don't know how long it took, but Uncle Bim woke up. He was very lucky that he didn't collapse. However, he was unable to get up. He felt chest tightness, palpitations, dizziness, and numbness in his hands and feet, so he lay down next to the toilet to rest.

Not long after, the daughter came back and was shocked when she saw this situation. She quickly called her husband, and then the couple sent Uncle Beam to this community hospital together.

The treating doctor admitted him to the cardiology ward and arranged further examinations.

Echocardiography showed that Uncle Beem's heart had misaligned front and rear mitral valve leaflets, moderate to severe regurgitation, and mild tricuspid regurgitation.

This disease, if not operated on as soon as possible, can lead to heart failure and be life-threatening.

However, it didn't stop there. The doctor in charge of his condition keenly noticed during the ward rounds that Uncle Bhim's forehead, corners of his eyes, and jaw were more prominent, and his facial bones were angular. His facial features were a bit strange, and his fingers and toes were round. Fat and stout.

"Is this too much growth hormone? Could it be that there are other serious hidden diseases?" The doctor had a relatively solid foundation and immediately contacted doctors from the Department of Endocrinology and Neurosurgery for consultation.

After relevant endocrine and imaging examinations, the doctor's idea was confirmed. In addition to heart disease, Uncle Bim also had a "time bomb" in his brain - a pituitary tumor.

Dr. Brendan from the Department of Cardiac Surgery was also invited for consultation.

Because if surgery is required, this is a very difficult and complex condition.

After Dr. Brendan participated in the discussion of the condition, he suggested in a loud voice: "What are you still hesitating about? Invite Dr. Zhou from Iris Clinic to come over. It happens that we are in the period of cooperation and exchange. Isn't this condition properly prepared for him?"

Everyone laughed when they heard this, yes, Dr. Zhou is here again!

So, after reporting to the dean and obtaining his approval, Zhou Qiao received the invitation.

Why do we need the dean’s consent?Because this needs to be allocated from special funds.

In terms of process, the final approval and signature of the dean is required.

Spending money, good steel should be used on the blade. Dean House means that if it is not a particularly difficult case, don't look for Zhou Qiao.Six chances are precious.

Zhou Qiao helped analyze the condition, peeling off the cocoons and making progress step by step. Finally, based on a series of physical signs and examinations, he deduced the true nature of Uncle Beem's condition.

The initiator of the disease is naturally a pituitary tumor (subtype somatotroph adenoma) in the body.

Over the years, Uncle Beem has felt that his hands and feet have become thicker and thicker, and his appearance has become more and more "ugly". He often feels headaches, fatigue and other uncomfortable symptoms. However, he just thinks it is because he is too tired and does rough work. It’s because, and as you get older, you will become more and more uglier. Do you think you will become more handsome as you grow older?
That is absolutely impossible!
I never expected that there was something growing in my brain.

The pituitary tumor, which had grown wantonly in his body for many years, caused Uncle Beem's hormone disorders, changed his facial features, and caused acromegaly.

At the same time, it is precisely because of his hormone disorder that the heart enlarges like a balloon, eventually causing the front and rear leaflets of the mitral valve to misalign.

Dr. Brendan sighed with emotion: "Isn't this the same multiple-choice question as before? I guess only Dr. Zhou can do both!"

Murphy and Stephanie looked at each other, but other thoughts came to their minds.

"You want both? Why do you seem to be talking about us?"

Zhou Qiao never takes multiple-choice questions, only elementary school students take multiple-choice questions. Whether it's surgery or women, he always wants both!No, I want four or five!

If it were other experts, they would indeed be in a dilemma when faced with Uncle Beem's condition.

Which brain tumor surgery or heart surgery should be done first?

If the brain pituitary tumor is operated on first, the ejection fraction of the patient's heart is very low, and the blood ejected from the heart is very little, which is not enough for the body's organs. Therefore, the patient's operation risk is very high, and it is easy to cause arrhythmia during the operation and lead to tragedy.

If a mechanical heart valve replacement surgery is performed first, the patient should generally rest for half a year after the surgery before undergoing pituitary tumor surgery; however, the growth hormone secreted by the pituitary tumor within half a year will again have a serious impact on the replaced heart valve, leading to heart problems for the patient. relapse.

Previously, Zhou Qiao led the team to do "heart + lung" and "heart + kidney tumors". Now, he is doing a more difficult "heart + head pituitary tumor", which is naturally a challenge.

Everyone has great confidence in him.

Zhou Qiao also smiled slightly and began to reorganize everyone's condition and formulate a suitable surgical plan.

Soon, preparations began for another difficult "two consecutive" surgeries!More difficult than the previous one!After all, what is involved this time is the human heart and brain!
The heart and brain are undoubtedly the two most important organs of the human body.No third performance exceeds them in importance!

To perform major surgery on these two important organs at the same time is frightening, let alone Zhou Qiao doing both at the same time!

The doctors at the community hospital became eagerly awaiting and faintly excited.

"A moment to witness a miracle, no, here comes another opportunity to learn!"

"This time, I must carefully observe Dr. Zhou's technique. In the past few times, I didn't react at all, and Dr. Zhou completed the operation."

"Me too. I want to prepare a few more questions when observing the surgery, and then ask Dr. Zhou carefully for advice during the postoperative experience analysis meeting!"

"You think, Dr. Zhou is so young, how come he has such great medical skills? Is China's medical education really so outrageous?"

"I feel that it still has something to do with personal talent. Talent is an insurmountable gap, and acquired hard work is not worth mentioning in the face of true talent!"

Under the spotlight, Zhou Qiao's team started their performance again, a more difficult "two-serial surgery stunt show".

After the anesthesia was administered and all the checks were completed, the fun began with the lingering music of "Playing with Silk". "The orchid fingers are twisted, the red dust is like water, the three-foot red platform is like a song, everything is like singing..."

This time, Zhou Qiao played a little big, and it was a "three-person version". Murphy and Stephanie performed minimally invasive heart valve replacement surgery on the patient, while Zhou Qiao used neuroendoscopy to remove the pituitary tumor. , also a minimally invasive surgery.

Two minimally invasive surgeries were performed on the same patient at the same time!

No one will believe it!
Even Dean House was shocked when he heard about it and rushed to the monitoring room next to the operating room to watch.Seeing that the operation was in order and nothing unusual seemed to happen, I couldn't help but breathe a sigh of relief.At the same time, I admired and marveled at Zhou Qiao's skills even more.I am worthy of being the champion of the United States. I dare to think and do it, and I can still do it well.

The risks and extreme difficulty involved in "operating" on the brain and heart at the same time are really unimaginable.

It is estimated that only the patient's family members were at a loss and did not realize what was going on in the operating room at this moment.

The previous surgical consent form, risk notification, and surgical plan were all roughly explained to the patient and family members, but they did not understand them at all. The patient’s daughter may have some understanding, but was completely unaware of the technical difficulties and risks involved. , it should be said that every other line is like a mountain.She really doesn't understand.

As for this risk, that risk, and a lot of risks that the doctor said, isn't that nonsense?No matter which hospital you go to, there are more than ten risks for this kind of surgery. To write down anything less is disrespectful to your profession.

For outsiders, there are definitely risks. The doctor said this simply because he wanted to inform him in advance and avoid responsibility, so as to avoid unnecessary disputes caused by accidents during the operation.

Uncle Bhim’s daughter understands this very well.It's just normal hospital procedures.

Therefore, Uncle Beem's daughter and her husband were waiting outside. Although they were impatient and anxious, they really did not realize that in the operating room, a super difficult surgical show was going on, and they were beating the God of Death to retreat. !

"Can such an operation be successful? I don't believe it!" An older doctor in the neurosurgery department did not believe in evil. He felt that Zhou Qiao was too reckless. Maybe he was young and successful. After several successes before, he became more and more adventurous?
This is simply not taking the patient's life seriously.If you show off your skills, you can't show off at the expense of the patient's life safety.

People can live for three to five years, but if you do this, they may die immediately.

"Dr. Leoli, there's nothing you can do if you don't believe me. The operation has been completed and the patient's vital signs are stable!" A doctor whispered to him.

"What?" Doctor Leoli turned pale with horror, rubbed his eyes fiercely, and looked at the monitor screen. Just for a short moment when he was angry, the surgery was over?
Isn't this meant to fool people?It was said that it was done, but in fact it was not done at all?There is no news like this.

However, the subsequent post-operative examination and monitoring, as well as the patient's recovery status, all told him that the operation was indeed carried out and was quite successful.

Even the removed pituitary tumor samples were sent for pathology. After the operation, the tumor was obviously no longer detected in the scans of the patient's brain. Is this still called not done?
Dr. Leorio had to raise two thumbs in admiration.He has been practicing medicine all his life, and this is really the first time he has seen this kind of "playing method". He always feels that Zhou Qiao's thinking is very out of the ordinary, and he is not of the same era as him!
If Dr. Leoli were to do it himself, he would do it in two steps. The first step is to ask a cardiac surgeon to carefully perform the heart surgery on the patient. Then, the second step is to take half a year or a year, depending on the patient's condition. , he came again to carefully perform pituitary tumor surgery.

If during this buffer period, the patient's condition deteriorates and the patient is not eligible for surgery and cannot undergo a second surgery, then I'm sorry, there is nothing I can do, and I have tried my best.

Of course, it is more likely that Dr. Leoli will not take the call at all and will directly refer the patient to the University of California Medical Center, leaving other more powerful experts to deal with the headache.

Uncle Beem recovered very well and was transferred to the general ward two days later. When his daughter came to see him, he happily said to her: "Thank you to the Chinese doctor for me. Thank you very much."

Because Uncle Beem himself has the most say in whether the effect of the operation is good or not. Although it has only been two days since the operation and his body is still very weak, the previous state of "nothing" and being ready at any time has disappeared and been replaced. It's a general feeling of "gaining new life".

This feeling was strange, but he really felt it.

He felt that although he still needed to rest in bed, there was a vitality in his body that would make his condition better and better.Life is full of hope.

There is no need to have the same thought every day like before: where should I be buried if I die?
Five days later, Uncle Beem was able to walk freely in the corridor. The levels of growth hormone and insulin-like growth factor-1 in his body returned to normal, indicating that the pituitary tumor was biochemically cured.

Of course, with this kind of disease, even if you are discharged from the hospital, you will definitely need to be followed up regularly and reexamined on time.

In addition, Zhou Qiao told him during his ward rounds that he must pay attention to avoid infection.If you have fever or other symptoms, you should come to the hospital for examination in time, or go directly to Iris Clinic.

There have been many such cases in the past. After heart valve replacement, bacteria can easily invade the valve and form vegetations.

……

The annual Lantern Festival has finally arrived.

Zhou Qiao gave Iris Clinic a day off.

Chinatown was decorated with lights and colorful decorations, and they were going to participate in a parade organized by the Chinese.

The costumes have already been picked out, the dances have been practiced, and they are just waiting to appear on stage.

Elena, Ava, Murphy, and Stephanie were all very excited. This was their first time to participate in such an event.

Park Soo-joo, Kim Hee-jin, Yoona, Cathy holding little Danielle, Rachel, Vivica, Dr. Yenard and others also came to Chinatown to join in the fun.

Ariel and the black girls are here too.Ariel is the driver and the niggas cheer her on.

In fact, not only them, but also many foreigners, such as the Westings, the Clarks, the Taylor family, and many others they knew and did not know, flocked to Chinatown to watch this grand parade.

Many people were holding up their mobile phones to take pictures.

Celebrating the festival is all about having this kind of atmosphere.The feeling of empty streets.

Reporters from various media also came to collect information, report or broadcast live.

Previously, Zhou Qiao originally planned to have four people dancing on a big drum, but he could not find a drum that big. Moreover, even if it is five meters in diameter, it would be a bit crowded for four people to dance. If it accidentally falls, it will be more than worth the gain.

Because dancing involves displacement.

And the diameter of five meters is too much beyond the width of the car.

Therefore, for the sake of safety, Zhou Qiao rented four large drums, each about two meters in diameter, equivalent to four large round beds, and used a carefully decorated semi-trailer float to place them on the flat plate at the back. Got these four big drums.

Stephanie is the shortest, wearing a red dress at the front, followed by Murphy, wearing a lake green dress.

Then there are Elena and Ava, both in pink, with clouds and sleeves, blond hair and blue eyes, like Princess Barbie.

Although Elena and Ava are slightly shorter than Murphy, they are twins and must be together to have the most impact, so they are at the end.

Zhou Qiao also took a position behind Ava, beating a red cowhide war drum about 1.2 meters in diameter.

The one he cosplays is Emperor Wu of the Han Dynasty. He wears a crown that reaches the sky, is dressed in gorgeous clothes, has a crown and a belt, and is very noble.

The four girls were as graceful as a giant, and Zhou Qiao's drum beat was just right, attracting countless people to exclaim and watch and take photos.It can be said to be the most beautiful combination of floats in the parade.

Ariel's car drove very steadily, neither fast nor slow, almost at a constant speed.In this way, the four girls can maintain a good balance and not fall over.

Of course, they all have soft bodies, are agile and strong, and they have practiced so well that even a slight bump will not affect their dancing.

Especially Elena, Ava and Murphy, they even know some very difficult stunts, such as "Kicking the Purple Golden Crown", "Horse Treading the Swallow", "Swirl Swallow", "Candlestick Bellman"...

But Stephanie is worse.She was once depressed, and Zhou Qiao could only comfort her, saying that she would be fine if she practiced more.

I'm thinking in my mind, I haven't added any points to your physical attributes, so you are naturally inferior to them. It doesn't matter. I will work harder and it will reach 100 times soon. Then I can also give you flexibility, physical strength, and agility. , smooth and tender skin, etc. are added.

Of course, Stephanie is also training very hard, and she dances very well.

Zhou Qiao himself has also made great progress. He used to be almost a music idiot because he had no time and interest, but now in order to cooperate with the four beauties, he has really worked hard on the song "Divination", and his drumming can be called a master's level. !

In addition, playing drums is actually a physical job, and most people can't bear it after playing for a long time. However, after Zhou Qiao has undergone several transformations, he is strong and strong, which is no problem.

There are many big guys in Chinatown who, like Zhou Qiao, have personally joined the team. For example, in the dragon dance team in front, the person playing the dragon head is a big boss from Hongmen.

The lion dancer in the back was also a big boss who had dined with Zhou Qiao and the others before, and seemed to be from the Huaqing Gang.

When big guys participate in this kind of activity, the main purpose is to have a sense of ritual and experience life.

(End of this chapter)