I run a clinic in the United States

Chapter 339 The first payment

Faced with so many banners, why can Zhou Qiao remain unfazed?

Because he has already become famous and has seen many scenes much bigger than this.

I've already had enough to eat and drink, so a little snack like this is just an appetizer.

If it had been the time when he had just graduated, he would have been unable to stand it and would have burst into laughter.

Just like a patient or family member wants to introduce him to a girlfriend, now his eyes have already reached the sky, and ordinary girls can't see him.

Even if Zhou Qiao likes her and joins the harem group, how can she compete with other girls just because of her beauty?

In this second round of treatment, there are not as many severe patients as before. Although there are still many numbers released, most of them do not need surgery, and only 12 people need surgery.

It is worth mentioning that this time I met a ninety-three-year-old grandmother who had a heart valve problem. Originally, the family, including the grandmother, had been hesitant. Is it necessary to have surgery at such an old age?

The old lady didn't want to travel to other places. She was so exhausted just by riding in the car that she would faint. She might have taken several trips back and forth, but the illness was not cured and she drove away.

However, this time Zhuhai County is making a fuss. It is said that the County People's Hospital has a famous doctor who came back from the United States. He is the pride of our Zhuhai County. Although he is young, his medical skills are top-notch. He does 38 surgeries a day. Difficult heart surgery is as simple as eating and drinking. If you do it on the same day and leave on the same day, the effect of the surgery will be great.

Many patients have come forward to tell us how they were before doing it and how relaxed and comfortable they were after doing it. The heart has been "repaired" and their diet and daily life are different.

I don’t know how many people came to send banners, and the circle of friends was all maxed out.

Moreover, people have many titles. Even in the United States, they are at the top of the pyramid. The people they associate with are professors, principals, deans, academicians, and governors of famous schools.

Therefore, with the persuasion of her family, the old woman was finally persuaded to come for treatment.

During the consultation, Zhou Qiao "chatted" with the old lady and her family, learned about her medical history, and learned that the old lady's symptoms appeared about three years ago.

At that time, the old lady often suffered from chest tightness, shortness of breath, and dizziness. She originally thought it was because of her age. After all, she turned 90 three years ago.

Not everyone can be like Mr. Jigong, who can still make movies and TV series at the age of ninety, laugh heartily, pronounce clearly, and still maintain such strong line skills.

Last year, accompanied by her family, the old woman came to the County People's Hospital for a check-up and found that she had severe aortic stenosis and reduced heart function.

In addition, there are respiratory insufficiency and diabetes.

At that time, Director Zhang was the one who treated the patient personally. Because the situation was so special, the doctors below could only ask for Director Zhang.

Director Zhang told the family that surgery is extremely risky. If they go to a large hospital out of town, surgery may be possible, but if they go to the county people's hospital, they can only receive conservative treatment.

In the end, the old man and his family chose conservative treatment.

After all, I turned ninety-two last year.

The old man feels that he has lived a sufficient life, and his family is mentally prepared to deal with funeral arrangements at any time. As for the old man's cemetery, it was purchased together more than 20 years ago when his wife passed away, so there is no need to worry so much.

The two people's cemeteries were connected together. If they didn't buy it at that time, someone else would buy it. The old man wanted to be buried with his wife, so he took action in advance.

In the past year, the old man's condition has worsened. He becomes panicked and short of breath at the slightest movement, which cannot be relieved by taking medicine. Once when he went to the toilet, he fainted in the bathroom.

It happened that Zhou Qiao, the expert who "sensed the whole county", appeared, so the old man came.

It is also a fate.

Zhou Qiao told her about how he participated in a minimally invasive cardiac surgery competition in the United States and had performed surgeries on many elderly people. All of them were doing well after the surgery.

"In your case, I can't say how long you can live, but at least after surgery, your quality of life can be greatly improved. Moreover, the surgery I performed is minimally invasive, which is especially suitable for elderly patients like you."

Zhou Qiao drew pictures and explained the surgical plan in detail. He said it in an understatement. In fact, he was really able to do it in an understatement.

After some explanation, the old man and his family chose to have surgery here.

It’s scheduled for tomorrow, the first one!

Although other patients came earlier than her, after everyone heard about it, they were willing to let the old man have the surgery first.

At such an old age, being polite and giving priority to the elderly is a etiquette engraved in the bones of most Chinese people.

Zhou Qiao chose TAVR surgery for the elderly, which is transcatheter aortic valve replacement.

During the operation, a minimally invasive method was used to make an incision of about 1cm in the right groin. The femoral artery at the base of the right thigh was used as the main approach. The new artificial valve was compressed into a thin tube and transported to the heart along the blood vessel. At the aortic valve.

The artificial valve used is based on nickel-titanium and cobalt-chromium alloy as the skeleton, and adopts biological valve leaflets in a self-expanding mode.

This kind of valve has memory elasticity. When it reaches the location of the lesion, it can expand and return to its original shape by pushing out the tube.

Although this kind of valve is generally used for 10-15 years, the valve may decline by then, leading to valve regurgitation or stenosis. However, this process is gradual and will not occur quickly and cause danger to the patient. The patient can undergo ultrasound examination Or seek medical attention due to symptoms and discover valve failure. The patient can then undergo TAVR again, with another TAVR valve inserted into the failed TAVR valve.

For this 93-year-old man, there is a high probability that he will not need a second surgery.

If there is, no matter where Zhou Qiao is at that time, as long as he knows the news, he will definitely fly back and use his perfect surgical skills to add another one to the old man.

Because the old man's condition was more serious and he was very old, the surgery was performed under general anesthesia and under the guidance of X-ray and echocardiographic images. The surgery also took slightly longer than others.

The time to discharge is also correspondingly longer, requiring more days of observation.

However, the quality of Zhou Qiao's surgery was really excellent. Sixteen hours after the operation, the old man got out of bed and moved around. He smiled and told his family that he felt "much more energetic."

Because the old man is old and has other diseases besides heart disease, which require comprehensive medication. Now there are ample beds in the county hospital. Zhou Qiao suggested that the old man stay a few more days to recuperate in the hospital and not be in such a hurry to be discharged.

Firstly, it’s cheaper to be hospitalized here, and secondly, my home is close, so my family can come over and take care of me at any time.

As for the Chinese New Year coming soon, it doesn't matter. We can take him back on New Year's Eve. My family and the elderly also choose this method, saying that staying in the hospital is more secure.

Originally, the old man was mentally prepared and would take out his shrouds and shoes to dry and touch them from time to time. However, after this operation, his thoughts faded away. When Zhou Qiao came to check the ward, the old man said personally that he felt that he could still do it again. Live seven or eight years.

Zhou Qiao naturally also wished the old man good health and longevity.

The old man’s family is also happy because he can take care of himself and has a pension.

As for the remaining eleven surgical patients, they were basically all done and discharged on the same day. Zhou Qiao collected seven more banners.

……

Zhuhai County People's Hospital, Emergency Department.

The doctor called Director Wang.

"Director Wang, there is a patient with a very serious condition. There is no department in our hospital that can handle it. Should we transfer him to another hospital? Or should we ask Dr. Zhou to come over and take a look?"

"I'll go over and find out about the condition first." Director Wang hung up the phone and went to the emergency room.

When he saw it, he immediately took a breath of cold air.

"Director Wang, what should I do?"

"What else should we do? Call Dr. Zhou quickly!"

Although today is the 29th of the twelfth lunar month and tomorrow is New Year's Eve, Dr. Zhou is also resting at home. However, Dr. Zhou said that if anything happens, you can call him at any time.

Zhou Qiao's medical skills are obvious to everyone, and Director Wang really admires him. It's not just in the heart field, he can be considered a generalist. So Director Wang immediately called Zhou Qiao and told him the situation.

"Director Wang, let me make a video call for you. I'll take a look at the patient's condition first." Zhou Qiao thought for a while and said. Because just listening to the description on the phone is not intuitive enough.

Then, the video connection is enabled.

Zhou Qiao took a quick glance, took a breath, and said, "I'll be there right away!"

"Okay, okay, Dr. Zhou, thank you!" Director Wang was very grateful.

"fine."

Zhou Qiao hung up the phone and looked at his mother: "Mom, I'm going to the hospital."

Her mother, Zeng Xiuye, said, "Then go quickly and be careful on the road."

His father, Zhou Xiaode, heard the commotion and came out to see him off: "Be safe and take care."

The old couple are quite supportive.

During this period of time, they were very proud of themselves and were flattered by the surrounding neighbors.

Zhou Qiao's previous achievements in the United States were, after all, too far apart and not so intuitive. Zhou Qiao is also very low-key and does not publicize too much.

However, this time I came back to conduct medical cooperation and exchanges at the County People's Hospital. Because of several outstanding performances, the whole Zhuhai County was screened, and my relatives, friends and neighbors naturally knew about it.

And it happened very close to us, and it had a huge impact on everyone.

Some people used to look down on the Zhou family, thinking that Zhou Qiao could only become a junior doctor after graduation, and they didn't know how many years it would take before he could become an attending physician.

Now it's good, he has become a top expert in county hospitals.

Moreover, she is still an Internet celebrity, and I don’t know how much money she makes from live broadcasting.

Even the County People's Hospital, just a few days after returning, is said to have given out more than one million yuan.

In fact, the exact number is 1.2 million.

Originally, the remuneration given by the County People's Hospital was 500,000 yuan, but didn't Zhou Qiao's performance far exceed expectations? After a series of procedures, Dean Zheng finally paid Zhou Qiao his first payment before the year.

This is just the first one, there will be more to follow.

The reason why Dean Zheng couldn't wait to make a settlement was because Zhou Qiao's contribution was too great, and he was afraid that Zhou Qiao would be unhappy and run away.

Moreover, this 1.2 million is well deserved compared to the profit brought by Zhou Qiao. What's more, there are also teaching contributions.

Only one-third of the time for cooperation and exchange has passed, and subsequent rewards will be settled later. Give me a sum first so that Dr. Zhou can feel at ease.

People who are celebrating the New Year can have a happy New Year with money.

In fact, Zhou Qiao is not short of this money.

But since there is, I won’t refuse. Relying on ability, relying on technology, well, and working overtime in exchange for peace of mind.

It is worth mentioning that Zhou Qiao took the 1.2 million and felt that the money he earned in his hometown was sweeter.

After all, he is helping the folks in his hometown, and it can be regarded as giving back to the place where he was born and raised.

Zhou Qiao did not plan to bring this money to the United States, but gave it directly to his parents as a pension for the two elders.

"Last year it was one million, and this year it will be more. I estimate that I can get at least three million."

The old parents are so jealous that they brag about it to everyone they meet.

Of course, it's not to brag proactively, but when people ask, wave your hands very humbly, and then can't help but reveal a little information.

Some people didn't believe it, so the old father reluctantly showed the bank transfer text message.

When I went, my relatives, friends and neighbors were simply shocked! So much for just one week.

Moreover, there is nothing unbelievable. Various social circles have flooded the screen, and TV stations have interviewed and reported on it.

During this period of time, matchmakers crossed the threshold, but Zhou Qiao's parents declined all of them after receiving Zhou Qiao's advice.

……

Zhou Qiao arrived at the County People's Hospital and checked the patient's condition up close with his own eyes. He was shocked and looked more serious than in the video.

The patient was sixty-eight years old, curled up in the hospital bed like a hedgehog.

Lying on his side, several ruptured and bleeding pressure sores on his body were clearly visible through his clothes and diapers.

Long-term malnutrition caused all his bony markers to become raised.

It can be said that he is skinny.

After taking off his clothes and dressings, Zhou Qiao saw that his sacrococcygeal area, bilateral ischial tuberosities, greater trochanter, heels and other places were covered with large and small black pressure sores. Even the perianal area, shoulders and Uncommon areas like the back of the shoulder blades are also covered with black unstageable pressure ulcers.

To make matters worse, the pressure ulcer on the patient's left back had ruptured and was actively bleeding.

The reason why the patient curled up into a ball was because the limbs and trunk muscles were in a state of spasm after brain damage.

Zhou Qiao asked for medical history while applying pressure bandage to stop the bleeding.

According to the patient's family members, the patient had suffered from high blood pressure for nearly nine years. A few years ago, he suffered a cerebral hemorrhage and two cerebral infarctions, which knocked him down and lost his ability to take care of himself.

My family is in a rural area and was originally a well-off family. However, due to the patient's illness, my family's financial resources were depleted and life became difficult.

Over the years, my wife has been responsible for taking care of her, and her education level is not high. Her daily care is to feed her, wipe her body, and clean her toilet.

Later, when the pressure sore became serious, I used iodine and cephalosporin powder to treat it externally, but to no avail, and the condition became more and more serious.

This is also normal because not everyone understands medicine and nursing.

Being bedridden for a long time without professional care will definitely cause problems. Economic conditions restrict patients from enjoying better treatment.

Seeing that the patient was dying, today, the day before New Year's Eve, his family sent him to the emergency department of the County People's Hospital.

The mentality of the patient's family members is nothing more than doing their best and obeying fate.

There is also another reason: I don’t want the patient to die at home during the Chinese New Year.

At least, he was sent here for rescue, so he wouldn't feel so guilty.

But as a doctor, Zhou Qiao had to save him since he encountered her.

(End of this chapter)