I run a clinic in the United States

Chapter 271 I can’t do this...

After the operation, Zhou Qiao returned to the chairman's office and hugged Luo Ya on the sofa in the office, huddled together and took a nap.

Of course I didn’t do much because I was too tired.It’s not just about staying up late, it’s about high-intensity work.

This is not about sitting around with nothing to do, staying up late watching TV shows and playing on your phone, but working hard.

Many of the medical staff at Sequoia Hospital didn't sleep a wink either.However, Dean Joachim Langley had to arrange for some people to go back to rest first, and wait until [-] o'clock in the evening to change shifts with the current people.

Hard work is hard work.

But since Luo Ya promised to give everyone high overtime pay and bonuses, there were still only a few people who complained.

Loya and the others didn't sleep long, because around two o'clock in the afternoon, Texas Governor Stark came with people to visit, and Loya had to lead the crowd to welcome them.

As Loya's boyfriend, Zhou Qiao naturally had to follow him, along with Jacqui, Luciana, Dean Joachim Langre and others.

"Dear Ms. Loya, I met your rescue team on the way here. They performed very well. You did a great job!" Upon meeting, Governor Stark gave a thumbs up. Praise for Loya.

Luo Ya looked tired and had serious dark circles under her eyes. She was not pretending to do so, but she had really stayed up all night.

"Governor Stark, this is really unexpected. I happened to be on vacation in Crystal Mills County. It is my duty to participate in the rescue. However, the heavy casualties are very sad. If you can, I actually don’t want this hospital to open so early.”

"No one wants to think about it. I have received a report. It should be that a forklift operator violated regulations and hit a barrel of flammable materials, which caused a fire and explosion, causing a chain reaction. It seems that the safety training of all factories in Texas has It all needs to be strengthened!”

Luo Ya nodded and said: "Although I don't have a chemical plant under my name, there are some pharmaceutical companies and metal smelting companies. I will cooperate with the publicity and conduct high-intensity safety training."

"You are very good." Governor Stark gave a thumbs up again, and then his eyes moved to Zhou Qiao.

"If I guess correctly, this is Dr. Zhou Qiaozhou, a famous doctor in California who has a close relationship with the old guy Hulk, right? Oh, I'm sorry, I used the wrong word. It should be said to be a famous doctor in the United States. After all, Dr. Zhou is also The champion of the National Surgery Competition!”

Governor Stark looked at Zhou Qiao, his eyes full of praise and appreciation.

Zhou Qiao stepped forward, shook hands with Governor Stark, and said modestly: "I don't dare to be a famous doctor. It's an honor to meet you, Governor Stark!"

"Nice to meet you too, Dr. Zhou!"

The two looked at each other and smiled, feeling as if they had met each other too late.

Afterwards, the group, led by Luo Ya, visited the interior of the hospital.Many reporters who followed Governor Stark also began to take photos, conduct interviews, and collect news materials.

After arriving at the hospital, President Joachim Langre was in high spirits and began to introduce the treatment situation to the governor, the treatment measures for some critically ill patients, the operation situation, recovery expectations, etc.

Seeing so many injured people, but none of the patients sent over died. They were all treated in an orderly manner and handled properly. Governor Stark couldn't help but give a thumbs up again.

The reporters took pictures indiscriminately.

"Actually, many of the patients here were operated by Dr. Zhou himself. Without Dr. Zhou, I'm afraid the zero-death record would have been broken." President Joachim Langre was naturally not ignorant, and began to ask the governor Bragging about Zhou Qiao's achievements in front of him.

In fact, this is indeed the case. If nothing else, it is very difficult to deal with the patient whose head was penetrated by the steel bar.

Dean Joachim Langley explained this case in detail. He was very eloquent and his words were thrilling. However, with Zhou Qiao's superb skills, there was no danger.

Zhou Qiao is indispensable.

Luo Ya smiled and nodded.Zhou Qiao can be in the limelight, so she is naturally happy from the bottom of her heart.

Governor Stark nodded. Indeed, Sequoia Hospital has performed very well with Zhou Qiao here.

Before coming, he also went to another hospital in Crystal Mills. In that hospital, the number of injured patients treated was actually less than that of Sequoia Hospital, but seven or eight cases had died.

One of them was also penetrated by the steel fragments produced by the explosion, but it was not his head, but almost half of his upper body. He was still alive when he was sent to the hospital. Unfortunately, he could not be rescued during emergency surgery.

If that person was sent to Sequoia Hospital and Zhou Qiao was there, it might have been a different ending.

But everyone's fate is different. Governor Stark could only sigh and continue his inspection.

No one wants this kind of disaster.

Because the work here was too busy, and everyone at Sequoia Hospital looked extremely tired, about an hour later, Governor Stark left here after giving an encouraging speech.

Before leaving, the governor invited Luo Ya and Zhou Qiao to attend his granddaughter's birthday party next month.

Luo Ya said she would definitely go.After all, this kind of birthday party seems to be held for children, but in fact it is a gathering of celebrities and it is also a social opportunity for adults.Wanting to live in Texas, Loya attended such gatherings countless times.

As soon as Governor Stark left, Loya was about to take Zhou Qiao back to the wine estate to rest. As a result, another department director came to the door. The other person was from the Department of Orthopedics. After reporting in a low voice to Dean Joachim Langley, The two of them came to Luo Ya and Zhou Qiao hand in hand.

"What's wrong?" Luo Ya was speechless.

Dean Joachim Langley said with great shame: "We need Dr. Zhou's help again."

Loya: "..."

Zhou Qiao: "..."

Luo Ya feels sorry for Zhou Qiao and wonders, will she let my man rest?He also needs to have enough energy to prepare for my pregnancy!

However, as soon as I thought about it, if it were not a life-and-death crisis and the patient's safety was at stake, it would be impossible for President Joachim Langrei, a sycophant, to shamelessly come to visit him again.

So he looked at Zhou Qiao.

Zhou Qiao said: "I have to listen to the condition first, right?"

The director of the department and Dean Joachim Langley showed joy at the same time, and then the director of orthopedics briefly explained what had happened.

The patient was somewhat older, over 70 years old, and was a senior engineer employed by a chemical plant.In the United States, gray-haired engineers can be found everywhere.

In this explosion, the old engineer suffered many injuries. The most serious one was a severe pelvic fracture.

Ordinary elderly people are likely to break their pelvis when they fall, not to mention such safety accidents.

According to the old man's account, he realized something was wrong at that time and had already fled outside. Unfortunately, he was old and had inconvenient legs and feet. A huge wave of air came from behind, and he flew out on the spot.

Then, the old arms and legs fell unconscious on the spot.When I woke up, I was already lying in the hospital.

He suffered anterior and posterior pelvic ring fractures, combined with femur fractures, massive pelvic bleeding, and high swelling in both groin areas.

As for other injuries, such as broken arms, ankles, etc., as well as other relatively minor external and internal injuries, they are relatively less serious than this.

Because of the old engineer's age, the orthopedic surgeons used traditional conservative therapy, which included massive blood transfusions and fluid rehydration to correct hypovolemic shock.Unfortunately, the effect is mediocre, and if it is delayed any longer, it may cause acid-base balance disorders and acute failure of the heart, kidneys and other organs.

Surgical internal iliac artery ligation should have a certain effect, but this operation requires opening the abdominal cavity, which is too invasive, high-risk, and has many complications.

Of course, the most important thing is that if the patient is too old, he may not be able to bear it.

Maybe he won't die on the operating table, but after the operation, he may not live long.If you use conservative treatment to save your life, even if you are disabled, have difficulty moving, and sit in a wheelchair for the rest of your life, it is still better than losing your life after "drastic measures".

Then, after the orthopedic surgeon reported to the director, the orthopedic director thought that if minimally invasive interventional therapy could be used, it might be miraculous.

It's a pity that Sequoia Hospital has just been established, and the hardware conditions are basically there. However, many specialties have not yet recruited people, and there are only empty shelves. Although some people have people, the number is not enough, and the strength is not enough. powerful.

For example, in the interventional department, there is only one doctor, who is 36 years old and not particularly experienced. He complained that he was not competent for such a serious condition.

Dean Joachim Langre and the department director did not actually know Zhou Qiao's level of pelvic hemostasis, although interventional procedures were also performed in the minimally invasive cardiac field.

But modern medicine is all-encompassing, and there are so many subdivisions of specialties. There is also a saying that "the professions are as separated as mountains". Most doctors can proficient in one or two procedures in a certain specialty, which is enough for a lifetime.

For someone like Zhou Qiao, who is proficient in so many things, it is already amazing.

However, with such a "god" here, it would be unreasonable not to give it a try.You can't just watch a patient die, right?
Although President Joachim Langley has the "small shortcoming" of flattering others, he also has the kindness of a doctor.

Luo Ya attaches great importance to character when selecting people.

Even Luo Ya looked at Zhou Qiao curiously, because she didn't understand at all and didn't know what intervention was. What if Zhou Qiao didn't know how to do it?
It doesn't matter if you don't know. Just go to Houston or invite famous people over there.

Zhou Qiao pondered for a moment and then said: "I can't do this surgery..."

As soon as these words came out, Dean Joachim Langley and the department director couldn't help but look disappointed. They thought to themselves that they had worshiped too blindly before. Well, Dr. Zhou is young after all. He is so accomplished in the fields of beauty, cardiology, neurosurgery, and oncology, surpassing many senior experts and professors, which is actually quite remarkable.

How can you really use "Almighty God" to ask Dr. Zhou?That’s unrealistic, isn’t it?
There are many types of interventional treatments.According to the system to which the disease is treated, it can be subdivided into neurointervention, cardiovascular intervention, oncology intervention, obstetrics and gynecology intervention, skeletal muscle intervention, etc.

According to another classification method, it can be divided into vascular intervention and non-vascular intervention.

Coronary angiography, thrombolysis and stent implantation commonly used for angina pectoris and acute myocardial infarction are vascular interventional treatments, while percutaneous biopsy, radiofrequency ablation, argon-helium knife, radioactive seed implantation, etc. for liver cancer, lung cancer and other tumors are It is a non-vascular interventional technology.

If Dr. Zhou has shortcomings, that's totally normal.

It’s shocking that it has no shortcomings!

Dean Joachim Langley and the department director even came up with a strange idea, thinking that there was finally a project that Dr. Zhou didn't know how to do.

Unexpectedly, Zhou Qiao didn't finish his words.

Dr. Zhou changed the topic and continued: "I... am preparing for pregnancy. It is not convenient for surgery that involves radiation. However, I can provide remote guidance. Well, it should be considered a 'short distance'. It is within a dozen meters." In the room outside. Don’t you have an interventional doctor? I will guide and he will operate, there is no problem at all.”

"Ah~"

Dean Joachim Langrei and the department director reacted instantly. Are they starting teaching mode immediately?That was such an honor.Blessings of the hospital.

Just, preparing for pregnancy?What the hell?

Is it...

They all looked at Queen Loya and thought to themselves, is the boss planning to have a baby?Aren't you married yet?
However, given the boss's style of conduct, it is not impossible to get pregnant before marriage. There may be other reasons for not getting married.

Luo Ya was embarrassed for a while. Of course, she had been in the officialdom for so long and had been in a high position for a long time, so she had developed a thick skin. This embarrassing emotion disappeared in an instant, and then she glared at him fiercely, meaning Yes, what are you thinking about?
Dean Joachim Langley and the department director were immediately frightened, and quickly turned around and ran away. As they ran, they shouted: "Doctor Zhou, I will ask the nurse to invite you later, let's go and prepare first." Operation."

Zhou Qiao waved to them and shouted: "Don't be nervous, I am very good at this kind of surgery."

Zhou Qiao said it would work, and Dean Joachim Langley and the department director were finally relieved.Because Dr. Zhou has a golden reputation and cannot express his position easily.

Loya: "..."

After the others left, the violent queen couldn't help but show off a bit of a daughterly attitude, and looked at Zhou Qiao with a bit of resentment.

Zhou Qiao said apologetically: "I didn't want to tell anyone so soon, but you don't know, that kind of interventional surgery has a lot of radiation, and I'm not sure whether you are pregnant, so why don't you give me a few more shots? In case it affects you The quality of the baby will be bad!”

"I know, great doctor!" Luo Ya smiled and patted his face, "Then go and do your work and protect yourself."

"Well, it shouldn't take long. After this operation is completed, we can go back to the winery and have a good rest."

Luo Ya blinked, remembering the fierce fight in the restaurant last night, she couldn't help but feel unfinished.Thinking about it, in addition to the restaurant, there are many interesting places in the manor. This time I want to try and experience them all with Zhou Qiao.

Of course, there are also many tourist attractions around Crystal Mills County, and you can visit them one by one with Zhou Qiao.

Especially since she and Zhou Qiao have perfected their riding skills, it would be nice to find a mare with a broad back and reminisce about the "horse yoga" in the past. When doing double yoga, it would be nice to let the horse gallop into the wind.

After all, it’s exciting outdoors, not interesting indoors.

……

Sequoia Hospital, DSA hybrid operating room, begins preparations.

DSA is the abbreviation of "Digital Subtraction Angiography". This hybrid operating room, also called a hybrid operating room, integrates a general surgical operating room and an interventional operating room. It does not affect the inherent functions of the operating room and can pass through The high-definition images it provides are designed to combine complex surgeries that originally needed to be completed in different operating rooms and stages in one operating room to achieve a multi-functional operating room that integrates open and interventional surgery with one-stop diagnosis and treatment.

Angiography examination can be performed at the same time as the operation, so that the effect of the operation can be observed very intuitively and the blind area of ​​the operation can be reduced.

Performing operations in this kind of operating room avoids the need for surgeons to switch to open surgery when performing endovascular interventional treatment and find that they cannot complete the operation. The patient needs to be transferred to the ordinary operating room in the interventional operating room.

Turning around can easily cause accidents, waste time, and endanger the patient's life.

This is a composite one-stop surgical concept.

Although Sequoia Hospital is not large in scale, its hardware facilities are close to the standards of a large comprehensive hospital.

Luo Ya is rich, and the surgical concepts, equipment and facilities in the United States are relatively advanced and mature.

Interventional therapy is to use puncture needles, catheters and other interventional equipment to introduce specific instruments into the diseased parts of the human body through natural orifices or tiny wounds under the guidance and monitoring of imaging equipment such as DSA, CT, ultrasound and magnetic resonance. , a general term for a series of techniques for minimally invasive treatment.

When Zhou Qiao performs interventional surgery, he should not do too much.

It is nothing more than "blocking" and "sparing". Although it is a very delicate job, Dr. Zhou is extremely talented in this area.

(End of this chapter)