I run a clinic in the United States

Chapter 343: Various departments scramble to be the first

On the seventh day of the Lunar New Year, Zhou Qiao continued to sit in the clinic of a famous foreign aid doctor at the County People's Hospital.

He had the surgery the day before yesterday and had a day off yesterday.

This was his third consultation, but there were far fewer patients than the previous two times. Even among those who came, their conditions were relatively mild, and only one patient required heart surgery.

This is also normal. After all, Zhuhai County is a small county, and there are so many heart disease patients who need surgery. And a large number of people have already had this kind of surgery in big hospitals in big cities.

"Doctor, I have had chest tightness, palpitations, and out of breath several times, but after many tests, I couldn't find the cause." A woman in her thirties, accompanied by her husband, came to see her. Zhou Qiao sees a doctor.

"This is my previous inspection report, please take a look." The couple looked at Zhou Qiao with expectant eyes.

Everyone is saying that this top-notch doctor who came back from the United States, although he is young and handsome, has top-notch medical skills. I don’t know if this is true.

"Let me take a look." Zhou Qiao took it and turned it over. He had indeed done a lot of inspections.

The top ones are related reports such as electrocardiogram, cardiac color ultrasound, myocardial enzyme spectrum, plate test, dynamic electrocardiogram, etc. The results are all good.

I guess the heart condition was not detected, so I went for a brain examination, including electroencephalogram, cranial MRI, etc., and the results were still good.

Zhou Qiao turned to the back and saw a series of test reports such as lung CT, lung function, thyroid function, adrenaline B-ultrasound, etc. It could be said that he had checked almost his entire body, but still found no obvious abnormalities.

"Doctor, what is probably going on with my situation?" the woman said very worriedly.

"Can you talk about the specific symptoms or feelings you usually have when you get sick?" Zhou Qiao closed the report and asked.

The woman thought for a while and then said: "First she felt panic and chest tightness, and then... she was sweating all over, exhausted, and had no energy to walk. Then she felt out of breath and felt like she was suffocating."

"How long does this situation usually last? Does it happen all the time, or does it happen intermittently?" Zhou Qiao asked.

The woman said: "It's intermittent. For example, after the attack, I would lie down with my eyes closed for a while, and after ten minutes of relaxation, the situation would get better. However, when the attack occurred, I really felt like I was about to die. It was so scary! "

When he spoke, he looked scared. After all, there is great terror between life and death. Every time I feel that I am on the verge of death, no one can bear it.

"Don't panic." Zhou Qiao quickly comforted. After thinking for a while, he took out his laptop, found several evaluation forms from the computer, and printed them out using the printer in the clinic.

"Come on, come on, just take these questionnaires and answer them truthfully." Zhou Qiao handed over the pen and paper and asked the other party to fill it out outside, and then come in after filling it out. He treats the next patient.

"Mental condition assessment form?" The woman got the form, walked outside with her husband, found a seat in the corridor, sat down and took a closer look, and was shocked.

What's happening?

The woman and her husband looked at each other.

"Am I mentally ill? The doctor was a bit insulting this week! I'm fine, how could I be mentally ill?" the woman whispered.

The husband consoled him: "Since the doctor asked me to fill it out, there must be a reason for it. And there are many types of mental illness, so you should write it down first and see what the doctor says."

The woman tried to fill in a few questions, but couldn't help but wonder: "Dr. Zhou is a famous cardiologist. Can he even diagnose mental illnesses? Isn't it unreliable?"

At this time, a nurse passed by. When he heard this, he couldn't help but interjected: "Dr. Zhou is not only a cardiologist, Dr. Zhou is good at all kinds of diseases."

"Ah?" The woman and her husband were surprised.

Then, they felt comfortable and started filling out the questionnaire.

About twenty minutes later, the two of them took the evaluation form again and came in to see Zhou Qiao for a follow-up consultation.

Zhou Qiao looked at the answer chosen by the other party, and after a little analysis, he had an idea.

"Your situation is actually a typical panic attack, which is an acute anxiety disorder. Did you encounter any situation in the past year? For example, was there a lot of work pressure?" Zhou Qiao asked.

The woman thought for a while and said, "Yes. I actually run a self-employed business, and the business in the store has not been very good in the past year. As you know, the domestic real economy has declined in recent years. I opened a store to sell clothes, and I felt that the business It’s very difficult to do, and sometimes I can’t sleep all night long.”

"That's it." Zhou Qiao nodded and said, "Your condition is actually caused by long-term psychological stress and accumulation of negative emotions. I will give you some psychological counseling and then prescribe some medicine. If your condition worsens, If there is an acute attack, it can be relieved by taking medicine.”

Not only Stephanie is good at psychological counseling, Zhou Qiao, as an all-around famous doctor, is naturally also extremely good at it.

However, the other party has physical symptoms due to psychological and mental stress, which cannot be solved by psychological counseling alone, and must be combined with drug treatment.

Immediately, Zhou Qiao asked others to go out and provide psychological counseling to the woman alone in the consulting room. The main thing is that in the process of opening up and talking, a woman will tell a lot of private things, and it is not good for others to hear her.

Even her husband may not be suitable. Because everyone has some kind of secret.

Her husband was still a little reluctant, but as soon as the woman raised her eyes, he immediately went out obediently. It was obvious that he was also a man who cared about his wife (he was strict with his wife).

Half an hour later, the woman felt refreshed and cheerful. She had always had a bitter look on her face before, but now she had a smile on her face: "Dr. Zhou, thank you. After your guidance, I feel much better. But how long do I need to take those medicines? ? You shouldn’t have to eat it for the rest of your life, right?”

If you have to eat it for the rest of your life, a woman would find it really unacceptable. Didn't life suddenly become dark?

Zhou Qiao laughed: "According to my estimation, your symptoms will not return in two weeks at most. I will prescribe medicine for you, only for two weeks."

The woman said: "Can you open it a little more? What if it doesn't work for two weeks? Then I won't have to come."

Moreover, what the woman is worried about is whether Zhou Qiao will be there or not by then. After all, if someone comes from the United States, they might leave at some point.

Zhou Qiao smiled and said: "If you think about it this way, what if it will be cured in a week? Then there are still a lot of medicines! Taking too much medicine is not good."

Seeing that the woman was a little worried, Zhou Qiao knew what she meant and said, "Don't worry, I will still be there in two weeks."

The woman and her husband happily left to pay the bill and get the medicine.

In fact, many people have broad-based anxiety disorders. According to relevant international data, approximately 3.74 million people worldwide suffer from anxiety disorders.

It can be seen that this is a very common disease in modern society.

It is a general term for a large class of diseases, which usually refers to persistent, intense and excessive worries and fears in daily situations, which have affected normal work and life and are difficult to control.

Common anxiety disorders include generalized anxiety disorder, panic disorder (acute attack of anxiety disorder), social phobia, agoraphobia, etc., and this woman, according to Zhou Qiao’s diagnosis, suffered from generalized anxiety disorder with panic. obstacle.

Generalized anxiety disorder refers to excessive worries about various things that are inconsistent with objective facts every day. It often has mental manifestations such as nervousness, uneasiness, and anxiety, as well as palpitations, chest tightness, sweating, muscle tightness, pain, frequent urination, and urgent urination. Manifestations of physical anxiety such as gastrointestinal dysfunction last for more than 6 months and have a great impact on social functions such as work, study, and life.

Panic disorder is a sudden, recurring, and unpredictable experience of panic, often accompanied by a strong sense of near-death or loss of control, or fear of unfortunate consequences. It can also include repeated and significant heart palpitations, sweating, difficulty breathing, or excessive breathing. Autonomic symptoms such as shortness of breath, tachycardia, and arrhythmia are an acute anxiety disorder. They often occur without specific occasions and stimulation factors. They can occur suddenly in any situation such as walking, walking, eating, working, etc. At first, it is easy to be confused with other diseases. Patients may easily think that it is a problem with the heart, brain, respiratory tract, etc. However, after a round of searches, no organic disease is often found.

Seeing that Zhou Qiao was actually good at treating diseases in the mental health department, the medical staff at the County People's Hospital were so impressed that they fell into admiration.

"Dr. Zhou, are you done here?" Director Sun of the Gastrointestinal Surgery Department ran over and said enthusiastically.

Zhou Qiao glanced at his watch. It was still early before get off work. He nodded and said, "I'm done. What, is there anything wrong with Director Sun?"

Director Sun said with a smile on his face: "Dr. Zhou, would you like to visit the Gastrointestinal Surgery Department?"

Director Zheng previously said that he would arrange for Dr. Zhou to visit every department, but he never had time because various things kept pushing back.

The department directors were supposed to introduce the department's situation at the first meeting, but it was interrupted because of the sudden emergency patient. I didn’t mention it later. At that time, Director Sun felt that it had nothing to do with his gastrointestinal surgery, and he thought of just perfunctory. Little did he know that Dr. Zhou was just cheating and was good at all fields. Therefore, Director Sun thought about it and decided to take action first. Qiang, please invite Zhou Qiao, the giant Buddha, to sit in your department.

He invited Zhou Qiao to go to the gastrointestinal surgery department. Naturally, it was not just a visit, but he wanted Zhou Qiao to guide the work. Opportunities are all obtained by taking the initiative!

Zhou Qiao said: "Okay, no problem."

Director Sun was immediately excited and led the way.

Unexpectedly, after walking a few steps, he was bumped into by Director Zhang from the cardiac surgery department who came after hearing the news.

"Hey, little grandson, Dr. Zhou is a foreign aid invited by our cardiac surgery department. Why are you here to rob someone?" Director Zhang was unhappy.

Director Sun said: "Who said it is exclusive to cardiac surgery? The dean also said before that Dr. Zhou should be transferred to various departments. Am I not following the dean's order?"

It means that if you want to make trouble, go to the dean to make trouble.

Director Zhang said: "That's not possible. Dr. Zhou is here to treat patients today. The patients registered are all heart disease patients. You can't delay Dr. Zhou's work."

Director Sun said: "We've all seen the patients, where are there any more patients?"

The two sides couldn't argue, and both were blushing and thick-necked.

Zhou Qiao didn't know whether to laugh or cry, so he had to say: "How about I get off work and evacuate first. It's the Chinese New Year, and some relatives have to leave."

Director Zhang: "..."

Director Sun: "..."

They had no choice but to leave. They didn't dare to stop Zhou Qiao, so they had no choice but to send him off respectfully.

Zhou Qiao doesn't have to clock in. Once the work is done, he can leave whenever he wants. Not to mention them, Dean Zheng didn’t even dare to stop him.

As soon as Zhou Qiao left, the two people stared at each other, dissatisfied with each other.

"You can't even try to steal someone from my cardiac surgery department," Director Zhang shouted.

"Tch, Dr. Zhou is an expert invited by the hospital. I still don't believe it. I'll go to the dean to apply!" Director Sun turned around and left.

Then, he really went to complain to Dean Zheng.

"Dean, Lao Zhang is too overbearing. I just want to invite Dr. Zhou to visit the gastrointestinal surgery department. Lao Zhang is like killing him."

"Dr. Zhou came to our hospital for cooperation and exchange, and he didn't say that he must be in the cardiac surgery department. Our gastrointestinal surgery department also needs the guidance of foreign experts like Dr. Zhou. The palms and backs of the hands are full of flesh. Dean, don't you think so? "

She talked a lot, looking like a wronged little daughter-in-law.

Dean Zheng had no choice but to comfort him: "It was true that I only wanted Dr. Zhou to help with the cardiac surgery department before. Last year, Lao Zhang mentioned it to me many times, so I tried my best to invite Dr. Zhou. You didn't mention it before."

Director Sun looked regretful: "I never knew Dr. Zhou was so powerful and good at the surgeries in our department."

Dean Zheng said: "Then after a while, the cardiac surgery is almost done, then go to your department. Dr. Zhou will stay in China for more than half a month, there is always a chance. However, it depends on Dr. Zhou himself. Meaning and arrangement. After all, it was not mentioned in the previous cooperation and exchange projects."

"That's right, we definitely respect Dr. Zhou's opinion. But Dean, you also need to communicate more with Dr. Zhou and ask him to give us more guidance. By the way, Dean, when will you invite Dr. Zhou to dinner? ? I’ve been saying to invite you before, but we didn’t get together.”

Dean Zheng said: "What, you want to go?"

"Yes, yes, more communication at the dinner table is good for cooperation and exchanges." Director Sun said enthusiastically. He thought to himself that if he was familiar with Dr. Zhou, when Lao Zhang came over today to make trouble, Dr. Zhou would dissuade him and follow him to the gastrointestinal surgery department.

It's a pity that Dr. Zhou wanted a bowl of water, so he just stepped out of the way.

……

On the eighth day of the Lunar New Year, Dean Zheng held a banquet in a high-end restaurant in Zhuhai County to entertain Zhou Qiao grandly.

The wedding reception that was supposed to take place years ago was delayed due to work, various emergencies, and surgeries. I just had this meal today.

Almost all the middle and high-level people in the hospital came. Everyone served Zhou Qiao with tea instead of wine.

Then Dean Zheng promptly proposed that Zhou Qiao should be given guidance in other departments. Zhou Qiao said boldly that it was no problem, and then talked about his plan. It mainly targets some weaknesses of the County People's Hospital.

I believe that after Zhou Qiao’s guidance, it will be a piece of cake to hit the third-tier league this year.

All are happy.

Another reason is that Zhou Qiao received a second amount of money, also about one million, which was transferred directly to his parents as a pension for his two elders as usual.

Dean Zheng is still very heroic, and since he is so sincere, Zhou Qiao naturally wants to reciprocate his kindness. And this is a hometown hospital, so there is a bit of sentimentality in it.

……

For the previous patient with severe pressure ulcers, as the negative pressure was removed in the past few days, all the skin grafts have survived and all the pressure ulcers have completely healed. During Zhou Qiao's ward rounds, he made adjustments to the subsequent treatment plan. I believe that after another After a period of prone positioning and dressing change treatment, the patient can enter the next stage and perform hyperbaric oxygen therapy to improve brain function and promote awakening.

This patient had 13 severe pressure ulcers all over his body, which could be repaired. It involved a very complex systemic comprehensive treatment, involving general surgery, gastrointestinal surgery, dermatology, nutritional support team, nursing team, hyperbaric oxygen, and rehabilitation. It can be said that through this patient and under the guidance of Zhou Qiao, so many teams in the hospital have benefited a lot from the overall comprehensive strength, especially the systematic treatment of pressure ulcers. There is a qualitative improvement!

It can be regarded as one of the achievements of this cooperation and exchange project, and it deserves a special mention.

Of course, the one that has improved the most is the cardiac surgery department. After Zhou Qiao's guidance, six doctors in the cardiac surgery department have mastered several mainstream minimally invasive cardiac surgeries.

However, mastery is one thing. After Zhou Qiao is gone, it is unknown whether any patients will choose to have minimally invasive cardiac surgery here.

However, it is still quite helpful for first aid in some emergency situations.

……

"Dr. Zhou, I have a relative who is a girl. She has a huge tumor on the head of her pancreas. She has been to many major hospitals but they said it cannot be cured with surgery. Could you please help and see if it can be done?"

A forty-year-old attending physician in the Department of Respiratory Medicine brought his relatives to visit Zhou Qiao and ask him to see a doctor.

Zhou Qiao saw that the other party was followed by a middle-aged couple and a girl of about seventeen or eighteen years old. His face was haggard, and he looked like a patient.

In fact, they just followed the advice of the attending physician and came here with the attitude of giving it a try.

After all, although Zhou Qiao knew everything, but so many major hospitals said there was nothing they could do about the girl's tumor, Dr. Zhou might not have hope here either.

The attending physician said that if he asked, he wouldn't lose much. When seeking medical advice, of course you need to consult more.

So the family came.

(End of this chapter)