I run a clinic in the United States

Chapter 272 No Contrast No Harm

Zhou Qiao briefly explained the surgical plan and route to the surgeon, as well as some precautions, and then guided the operation to begin.

time does not wait.

This is a very rare opportunity, but it is a pity that everyone is too busy, otherwise many medical staff would come to observe and learn.

Even Dean Joachim Langley sighed, such a good opportunity was wasted.

However, for the doctor who was wearing a lead coat in the operating room, this kind of one-on-one guidance had never been seen before since he started working.

In school, teachers can teach patiently, but in the workplace, experts really have no such obligation.

Occasionally tutoring doesn't mean that they will teach you what you want to learn.

In other words, if you want to ask something, they will answer you or something.

Zhou Qiao cooperated and communicated with the community hospital, and the community hospital also gave him a reward of more than 1 US dollars.

In the United States, being a doctor is just a profession.

"Dr. Zhou, femoral artery puncture doesn't seem to work." In the operating room, the doctor encountered difficulties and asked for help.

More than ten meters away, in another room, Zhou Qiao looked at the big screen in front of him and said after a brief pause: "Change the right axillary artery approach."

Keep your words short and no nonsense.

If he does it by himself, he can continue to try the femoral artery, but time is tight, so he won't worry about it.

Sure enough, the doctor inside changed the approach and succeeded immediately.Then, follow Zhou Qiao's instructions and proceed step by step.

The catheter used by the other party was a RUC catheter.

This kind of catheter has fixed loop-forming fulcrums and a specific shape, which has more advantages than the Cobra catheter. Especially when the patient's blood vessels are severely tortuous, the Cobra catheter is slightly difficult to form a loop.

At first, the doctor was going to use a Cobra catheter, but after Zhou Qiao pointed it out, he changed it.

In fact, there are specialized interventional robots on the market for interventional surgeries, but they are more expensive. Sequoia Hospital has not yet begun to make a profit and has a limited budget, so Luo Ya did not purchase them.

If a surgical robot is used and equipped with an ultra-long-range wireless control module, let alone more than ten meters away, Zhou Qiao can perform remote surgery himself even in San Francisco.

As for now, we can only make use of existing conditions.

In fact, the conditions of this operating room are quite good and can meet the needs of most surgeries.

Under Zhou Qiao's guidance, the doctor carefully performed angiography of the abdominal aorta and pelvic arteries to pinpoint the bleeding arteries.

Then use gelatin sponge embolization agent to reduce the perfusion pressure of the blood flow in the bleeding area by embolizing the main bleeding artery and its branches (that is, "blocking"). It can also avoid ischemia and necrosis of local tissue caused by embolization of peripheral blood vessels, which is beneficial to the wound. heal.

Gelfoam is a medium-effective embolization agent that is usually absorbed by the body in about two weeks, which facilitates recanalization of the embolized artery, restores the normal anatomy of the pelvic blood vessels, and avoids long-term complications after embolization.

Of course, it is easy to say but quite difficult to do, and it requires a very high level of intervention from doctors.

This doctor may have limited qualifications. Sometimes, Zhou Qiao said it several times, but the other party couldn't understand it, which made Zhou Qiao furious.

Unlike Murphy and Stephanie, who can really understand something, master it in a while, and can draw inferences from one example, introduce new ideas, and teach them, Zhou Qiao is very relaxed.

But when Zhou Qiao changed his mind, Murphy and Stephanie were both one among a million people and were rare medical seeds. Why should he use the standard of genius to demand others?

With this thought, Zhou Qiao calmed down and gave instructions slowly and patiently.

When doing it, not only was the doctor cautious, but Zhou Qiao was also frightened sometimes. If the situation went wrong, he would have to rush in to save the scene immediately.

In the end, the operation was completed without any danger.The patient's bleeding naturally stopped, and the effect was immediate.

The doctor came out in high spirits and felt that he had benefited a lot. He quickly thanked Zhou Qiao.In addition, he felt that his performance should be pretty good, so he looked at the famous Dr. Zhou expectantly, hoping to get Teacher Zhou's praise.

However, Zhou Qiao just gave a word of encouragement, and the doctor couldn't help but be disappointed.

The nurses nearby covered their mouths and snickered.

As everyone knows, Zhou Qiao is used to seeing talented apprentices like Murphy and Stephanie, and he thinks that you are the only one like you. Fortunately, I have strong psychological adjustment ability, otherwise I would get angry.

In fact, this doctor is quite good. Doctors in the United States basically all have a doctorate degree. It is impossible for someone who is too stupid to get this degree. But compared with Murphy and Stephanie, he is nothing to mention. .

Murphy, a 19-year-old doctor of medicine, and Stephanie, a 24-year-old doctor of medicine and master of divinity, are both from prestigious schools, and they are indeed not comparable to ordinary people.

If they come from a relatively good family and concentrate on research, it is a high probability that they will become a doctoral supervisor before the age of 30 and an academician before the age of 40.But living in the world does not necessarily require achieving success or leaving a name in history. It is enough for them to feel happy every day and live a fulfilling life.

What's more, Murphy and Stephanie are now well-known young experts in San Francisco, California, and the entire United States, second only to Zhou Qiao.This achievement is okay.

In fact, for Stephanie, her interest in theology was no less important than medicine.In her spare time, she often took her mother to church services to relax.

Sometimes, she would also communicate with local pastors or priests, and Stephanie's theological attainments and profound knowledge amazed those clergy.

After learning that Stephanie was a doctor, these clergy felt very sorry and felt that if Stephanie fell into the arms of the Lord, her future would be limitless.

With the development of the times and the rise of women's rights, many Protestants do not mind women occupying high positions.

And Murphy, although she works brilliantly at the Iris Clinic, what she likes most is to quietly hold a book and enjoy her own world.

These two girls are not very ambitious, but rather happy-go-lucky.

After guiding the operation, Zhou Qiao and Luo Ya returned to the winery.

I have to say that guiding others to perform surgery is much more tiring than doing it myself.In the past, Zhou Qiao usually didn't drink water during surgeries. This time, he drank several cups of coffee while guiding others during surgeries.

Talk about thirsty.

After Zhou Qiao and Luo Ya went back, they slept until the moonlight dimmed before getting up.Day and night were completely reversed.

Needless to say, at night, it's a mess.The two didn't know they were pregnant with identical quadruplets, but they still worked hard to sow seeds and worked conscientiously.

The two even discussed the name of the baby together on the bed, what to call the boy and what to call the girl, and thought of many alternatives.Of course, since he is a descendant of Zhou Qiao, his surname has "Zhou" attached to it. Anyway, you can add several surnames to your English name.Chinese surnames, going back further, are all aristocratic.

For example, the surname Zhou can be traced back to the ancient Huangdi era, and its ancestor was Hou Ji.Hou Ji's mother was Jiang Xi and his father was Emperor Ku.In the early years of the Western Zhou Dynasty, the ancestors of the Zhou surname regarded Hou Ji as the ancestor of the Zhou clan. Hou Ji's descendant Gu Gongdanfu (the King Tai of Zhou) was forced by Di and led his people to migrate from Tai to Zhouyuan, Qishan, Shaanxi, and it was called Zhouyuan from then on. For the Zhou clan.At the time of King Wen Jichang, he took the country as his surname.

So nowadays Chinese people generally don’t talk about bloodline. Whose family has not had rich ancestors?

"Zhou" is also written in English as "Chou", "Chow", "Chau", "Choo", etc., but those are the translations of Hokkien or Cantonese. Zhou Qiao is not from those two places, so he prefers Use Mandarin pinyin.

The next day, Luo Ya took Zhou Qiao to take wedding photos.Although Luo Ya does not plan to marry Zhou Qiao, it is still acceptable to take photos as a souvenir.

Her family fortune is so big, even though it is all pre-marital property, there is no guarantee that anything will change after she gets married.She has to think about her son.For a strong woman like her, marriage is a burden.

She doesn't need to be with a man day and night, having a career is enough.As for the children, they are used to inherit the family business.It is a very important part of your career.

Otherwise, what if we create a huge empire?After a hundred years, it will all belong to others.Therefore, successors are important.

From this point of view, Luo Ya is actually very traditional.

Academician Domitri, for example, didn't think like this when he was young. He thought it didn't matter whether he had children or not. But when he got old, he regretted it and couldn't have children anymore.He can only think of young handsome men like Zhou Qiao.

Houston is a big city, just over 100 kilometers away from Loya's wine estate, and it takes about an hour to drive there.

Many well-known attractions, such as Rice University, Space Center, Miller Open Air Theater, Hermann Park, and the San Gicinto Ancient Battlefield... have left their presence.

Especially the ancient battlefield, Luo Ya particularly likes it.

This battlefield is in the eastern suburbs of Houston, at the entrance to the Port of Houston Channel off Highway 8.

In April 1836, Mexican General Santa Anna pursued the rebels led by Sam Houston, but was unexpectedly attacked by Sam Houston.After only ten minutes, Santa Anna's army surrendered.

Although this battle was not major, it established Texas' independence.Yes, Texas used to belong to Mexico and was part of the Spanish colony before 1821.

Not long after the Republic of Texas became independent, in 1845, the United States promised that if the Republic of Texas was willing to join the United States, the United States would recognize the Rio Grande River as its border.

So in this year, the Republic of Texas joined the United States and became the 28th state of the United States.

Now Mexico wants to join the United States, but there is no chance.

Next to the San Gicinto Ancient Battlefield, the USS Texas is also docked. It is the only existing warship that participated in the First and Second World Wars.

Zhou Qiao and Luo Ya boarded the warship and took many wedding photos on the warship.

In fact, with Luo Ya's financial resources and status, she can go anywhere in the world to take wedding photos.Just don't have that much time.

But within two days of their play, Sequoia Hospital called again for help.

In one case, which was relatively urgent, Zhou Qiao directly connected to the car with his mobile phone and provided video guidance.

Using a 5G connection, the clarity and timeliness are acceptable, and it is smooth and without delay.

Of course, if you compare 5G and wired, wired is naturally faster and more stable. However, 5G is only used in certain situations.For example, Zhou Qiao can only use his mobile phone in the car now.

Compared with wired transmission, wireless transmission has a wider range of application scenarios.

For another example, a hospital on a supply ship of a certain aircraft carrier battle group is sailing on rough seas and is in urgent need of expert guidance from the mainland, and there is no wired connection.

Or in the future, surgeries on the space station or on the moon base will require guidance from experts on Earth, and wireless transmission will also have to be used.

The moon base may be a bit far away, but now on the space station, if an injury requires surgery, under the current conditions, only experts can provide guidance on the ground.

The current level of aerospace is still relatively backward. Up and down are relatively "rough" methods, which require extremely high physical fitness of astronauts. Those who go up may have medical training, but they are not necessarily high-level, or they may not be skilled in a certain field. Not proficient.

This requires wireless transmission methods and remote guidance.

This urgent patient had suffered severe injuries to his neck and had undergone two surgeries at Sequoia Hospital. However, his condition was not under control and his condition was very dangerous.

As Luo Ya drove to the hospital with Zhou Qiao, she took a sneak peek and saw the patient in the video. His head was as big as a bucket, his neck was wrapped in heavy gauze, his face was swollen and bruised, and his facial features were deformed. Then the doctor Explaining the condition.

After Zhou Qiao understood the situation, he asked them to start the third emergency operation immediately.

Still in the DSA hybrid operating room, Zhou Qiao asked them to prepare.

There is one group for vascular interventional surgery and one group for open neck surgery.

The emergency department, interventional department, critical care medicine department, general surgery department, anesthesiology department... all sent medical staff.

Firstly, the condition is urgent and requires more manpower; secondly, having Dr. Zhou provide remote guidance is also an opportunity for learning.

During the operation, the doctors discovered that the patient's neck wounds were eroding and bleeding, bleeding was gushing from deep parts, and important blood vessels could not be identified at all, making it impossible to use conventional hemostasis methods.

Suddenly, the atmosphere in the operating room was tense and solemn.

"Dr. Zhou, what should I do?" the surgeon asked for help.

Zhou Qiao shouted: "Don't panic, follow my instructions step by step, first perform balloon compression to stop bleeding..."

While racing, Luo Ya watched the man in the passenger seat chatting and strategizing. She couldn't help but reveal endless love in the corner of her eyes. She thought to herself that Joe was so awesome and she liked his calm demeanor.

Under Zhou Qiao's guidance, the surgeon found the patient's ruptured large blood vessel, sutured it to stop the bleeding, and then removed the necrotic and infected tissue and performed debridement.

"Be careful not to injure other nerves and blood vessels in the neck." Zhou Qiao kept reminding him as he stared at the surgery screen.

Because the human neck is a "traffic artery" with many nerves and blood vessels connecting the brain to the body. Any mistakes will lead to serious sequelae.

With the success of this "remote" guided surgery, many medical staff in the operating room could not help but heave a sigh of relief.

The patient was saved.

When the operation was over, Zhou Qiao and the others were not far from the hospital.Dean Joachim Langre said that there are still several complicated situations that require guidance from Dr. Zhou, no, Teacher Zhou or Professor Zhou.

(End of this chapter)