I run a clinic in the United States

Chapter 275 Weird blurred vision

Although the chemical plant explosion was a man-made disaster, everything has two sides.

Sequoia Hospital has accumulated valuable and rich treatment experience during this rescue. A start-up hospital has been operating at an astonishing speed and is on the right track.

In addition, this accident also reminded everyone that we need to pay close attention to production safety.

Luoya's companies have not fallen behind in this regard and have carried out vigorous safety training, the most important of which is "work stoppage authorization."

Any employee or relevant contractor of Loya Group, as long as they find any illegal operation or behavior that they feel is dangerous within the scope of Loya Group, they can immediately stop the behavior, prevent the behavior and report it to the EHS department. Come and take over at once, conduct a risk assessment, and then proceed only after all safety measures are in place.

EHS is the abbreviation of Environment, Health and Safety. It is the integration of two systems: Environmental Management System (EMS) and Occupational Health and Safety Management System (OHSMS).

This system is quite popular here in the United States. As a super multinational conglomerate, Loya Group naturally wants to introduce it.Luo Ya now no longer relies on fighting and killing.

Of course, several mercenary corps are still active internationally, but they are only secret forces and have not moved to the bright side.

With Zhou Qiao, a top-notch doctor here, giving guidance without any secret, the level of many medical staff at Sequoia Hospital has been greatly improved.

For example, the doctor in the interventional department has grown at an astonishing rate. Now he can handle many serious diseases, such as interventional surgeries for cerebral thrombosis, on his own.

For the wounded, there were some lucky ones.

There was a fat aunt who did not deliberately go for a colonoscopy during her usual physical examination. She would occasionally find blood in her stool, but she just thought it was hemorrhoids and never took it to heart.

Nine out of ten people have hemorrhoids. Hemorrhoids are also very common in the United States.

Moreover, Americans do not associate spicy food with hemorrhoids. Even if the hemorrhoids are exposed and the pain is excruciating, they still do not have taboos and can eat spicy food as much as they want.

This fat aunt likes to eat spicy food, which is very satisfying.

Doctors in the United States also say that you can eat whatever you want, and there is no evidence that eating spicy food will cause hemorrhoids.

However, whoever eats it knows the feeling of eating spicy food when hemorrhoids attack.

For most Chinese people, there is no evidence?Okay, then I won’t eat it.I want to eat you.

This fat aunt thought it was hemorrhoids. Who would have thought that she was seriously injured in the chemical plant explosion and her intestines were ruptured. As a result, colon cancer was discovered "in advance" during the examination.

This kind of cancer is easy to cause because the early symptoms are not obvious and many people are not used to having colonoscopy. Once obvious symptoms appear, colon cancer will have already reached the mid-to-late stage by the time it is diagnosed.

I have to say that this aunt is lucky.

Since Sequoia Hospital was a newly established hospital, many secondary departments were short of manpower and insufficiently qualified. Therefore, it was inevitable to ask Zhou Qiao to teach this surgery.

Zhou Qiao showed off his skills by performing a single-port laparoscopic colon cancer resection.

"Single-port laparoscopic surgery" is developed on the basis of traditional laparoscopic surgery. As the name suggests, there is only a small incision in the abdomen, usually through the umbilicus.

The colorectum is arranged in a ring around the umbilicus. Surgical instruments inserted from the umbilicus can smoothly reach various parts of the colorectum, making it convenient for surgical operations.

Since the umbilicus is a natural scar, it has a better concealment effect on the incision, so basically no scar will be left after the operation.

The fat aunt is already in her early [-]s, but she still loves beauty. She heard that a single hole can be done through the umbilicus, so she naturally preferred this technique.

Of course, in clinical practice, some patients choose to make surgical incisions at the site of the stoma because of the need for an ostomy.

The number of surgical incisions is small, which not only looks good, but also reduces tissue trauma and relieves postoperative pain, which are many advantages.

But single-port laparoscopy is not that easy to do, and there are many technical difficulties.

If you don't have a "master" to teach you and just rely on your own exploration, you may need many surgeries before you can develop a complete set of experience.

Because the single port has changed the traditional laparoscopic operation mode, during surgery, challenges such as how to restore the surgical operating triangle, avoid instrument collision interference, and break the chopstick effect will become challenges.

After several single-port laparoscopic surgeries, many doctors feel that there are many obstacles and are not as ideal as they imagined, so they give up.In fact, it’s because I don’t have the know-how.

Surgery is a highly demanding technical job.

Zhou Qiao's ceiling-level existence made this colon cancer surgery a breeze, and the fat aunt was discharged from the hospital successfully 7 days after the operation.Because it is discovered early, there is no need for radiotherapy or chemotherapy in the later stages. In the future, only regular check-ups are required.

The fat aunt had a colleague who was also injured in the chemical plant explosion and was later taken to Sequoia Hospital by ambulance.The other injuries were almost healed, but the eye area was getting worse.

"Doctor, was my eye injured by the explosion? What should I do if I become blind in the future?" The patient was worried.

Because since he was hospitalized, his vision has been getting worse day by day. Not only is his vision getting blurry, but sometimes he even has double vision and double vision.

Then, not long after, there was a black obstruction in front of my eyes.

The doctor arranged for him an MRI and a carotid artery B-ultrasound examination. The final diagnosis was that there was plaque in the left carotid artery, which caused insufficient blood supply to the brain, leading to vision loss.

Therefore, plaque-stabilizing drugs were given for symptomatic treatment.

Unfortunately, this drug is not symptomatic, because the patient basically shows no improvement after taking the drug.Vision is getting worse day by day.Even the patient's family members are anxious.

There was no other way, so the doctor in charge had no choice but to apply to the director and ask Dr. Zhou, a top celebrity, to come over for guidance.The doctor actually didn't have much hope. How could Dr. Zhou know everything?

After Zhou Qiao understood the condition, he thought about it for a few seconds and then suggested a comprehensive vascular ultrasound examination of the head and neck.

The doctor was suspicious: "..."

Then the real cause was found.

That is, the patient's carotid artery lumen is somewhat special and different from ordinary people.

The lumen of the carotid artery of ordinary people contains normal flowing blood that supplies brain tissue metabolism. However, in the lumen of this patient's carotid artery, in addition to the flowing blood, there is also an extra film-like sheet.

This film-like piece is connected to the artery wall and bulges into the lumen, making the carotid artery look a bit like the webbing of a duck's paw.

Due to the sudden addition of such an obstacle to the blood flow, the flow direction and velocity of the surrounding blood will naturally change.

This web of carotid arteries swings back and forth and floats erratically, helping part of the blood to form a vortex, and then part of the blood accumulates here to form a thrombus.

If the thrombus is unstable, it will fall off, and then swim into the patient's retinal blood vessels, which are even thinner. The thrombus will block there, causing the patient's vision to be blurred.

As for the previous "left carotid artery plaque", it was naturally a "misdiagnosis".

Zhou Qiao told the doctor in charge that the symptoms and treatment methods of the two diseases are actually very different. If carotid webs like this are not treated promptly and symptomatically, blood clots will continue to accumulate and fall off. To a certain extent, it can even block cerebral arteries, causing ischemic stroke.

Stroke is not a "little problem" like blurred vision, but a risk of death at any time.

The patients and their families were frightened and frightened. They said to themselves that they were lucky to have this handsome Chinese doctor. Otherwise, they might have died in a few days...

In fact, this is also a lucky person. Because of the explosion in the chemical plant, Zhou Qiao accidentally discovered the "carotid artery web" and resolved the crisis in time. Otherwise, it would be a time bomb if it continued to be "hidden" in the body.

Subsequently, Zhou Qiao instructed the doctor in charge to give the patient anti-platelet treatment with aspirin.

If medicine doesn't work, then have interventional surgery.

A stent can be inserted to isolate the carotid artery web from the blood to prevent blood from gathering and causing thrombosis.

Or simply peel it off.

Fortunately, Zhou Qiao took action and the effect was immediate.

After just two days, the patient's blurred vision improved significantly.

The doctor in charge was also impressed. Dr. Zhou took action and easily solved the problem with just the cheap medicine.He is worthy of being a top-notch, truly famous general practitioner.

He had tried various expensive medicines before, but it didn't work.

In fact, this kind of carotid webbing is a relatively "rare disease" because there are few cases. No, to accurately describe it, it should be a "rare disease." About one or two people in a thousand people in the population may have this disease.

Due to the small number of cases, it is difficult for ordinary doctors to take this aspect into consideration.Clinically, it needs to be distinguished from other diseases such as carotid plaque, arteriosclerotic disease, and aortic dissection caused by hypertension.

As for the examination method, the only way is to first conduct a detailed ultrasound assessment of the blood vessels of the head and neck. If the tendency is carotid webbing, then combine it with angiography or CTA for confirmation.

When Zhou Qiao shared his experience, he also drew inferences from one example and reminded everyone that if a patient with a stroke whose cause cannot be found clinically is found, the possibility of carotid artery webbing can also be considered.

During these days, Zhou Qiao spent most of his time in Crystal Mills County. He was either busy at Sequoia Hospital or traveling with Luo Ya.

Basically, we have visited all the unique scenic spots and cities that are relatively close to each other within a radius of [-] kilometers.I am basically familiar with the customs and customs of Texas.

They even took the time to go to the town of Ellot and visit Loya's grandmother and uncle's family.

The town is now in good order under the care of Cousin Loya.However, this town has no mineral deposits, limited natural resources, and little development potential.

The only thing worth mentioning is that it's located right on the highway and not too far from Houston.

The downside is that there are frequent hurricanes.There is nothing we can do about this. The U.S. coastline is extremely long, and hurricanes in coastal areas are inevitable.

Typical hurricane season is from June to November each year, with peak periods in August and September.The areas that hurricanes may hit are all along the Atlantic coast, with Florida, South Carolina, North Carolina, Louisiana, and Texas most commonly hit.

Luo Ya is actually quite busy at ordinary times, but most of her work can be "worked from home."As a "big boss" with countless subordinates, she only needs to remotely control and strategize.

Except for some occasions where appearances are necessary, for example, going to Governor Stark's manor with Zhou Qiao to attend the birthday party of the other party's granddaughter.

The manor is located in Austin, the capital of Texas, about 200 kilometers away from Houston.Austin is located in central Texas. It was founded in 1835 and has a population of approximately 90 million. It is the fourth largest city in Texas and the 4th largest city in the United States.

Texas has no state property tax, but the property tax in Austin is as high as 2.17%, which is twice the national average of 1.1%.House prices and rents are also quite high.

At Governor Stark's granddaughter's birthday party, because of his status as Loya's boyfriend and Zhou Qiao himself being one of the top young doctors in the United States, many celebrities came over to chat and make friends with him.

Zhou Qiaoyan smiles brightly, behaves gracefully and elegantly, and talks humorously. His temperament has long been developed, and he is no longer the poor boy he used to be.

(End of this chapter)