I run a clinic in the United States

Chapter 344 The imperfect representative of the male god!

Chapter 344 The perfect representative of the male god!

"Do you have the inspection report you did before?" Zhou Qiao asked.

"Yes, yes," the girl's father said quickly. Then, he took out the thick report and impact film from the bag he was carrying and showed it to Zhou Qiao.

The couple were both anxious and uneasy, and at the same time they also had hope that Zhou Qiao could solve the problem.

The reason why I feel uneasy is that the young man in front of me is really too young. He doesn't seem to be much older than his daughter.

Zhou Qiao asked about the girl's medical history while reading the report. You and I started to talk about the girl's parents.

There were some parts that were not explained clearly enough, and the girl would supplement them on the side.

Zhou Qiao asked for details from time to time, and soon he had a clearer understanding of the girl's medical history and medical history.

At first, the girl felt a lump in her abdomen while taking a bath. She ran to tell her mother about it, but because she didn't feel any pain, neither she nor her family paid attention to it.

It wasn't until, after a long period of time, the lump persisted and started to hurt that her parents became anxious and took her to the County People's Hospital for treatment.

The examination results showed that the girl had a huge tumor of about 15 centimeters in the head of her pancreas.

This time, the girl and her family were really frightened.

Like a bolt from the blue.

Because it was so sudden. He was young and had never had any serious illness before. Why did he develop a pancreatic tumor?

No one in the family has cancer?

Moreover, in their impression, aren’t the people who generally suffer from this disease usually considered to be older people?

The girl’s mother blames herself for why she didn’t pay attention to it before. But it has happened, and there is no point in regretting it.

Later, after puncture and biopsy, pathology revealed solid pseudo-R capitate tumor of the pancreas.

The girl was in high school and had to take a leave of absence in order to recover from her illness.

Compared to health, studies definitely come second. It’s already this time, what else do you have to worry about about your studies?

Originally, the County People's Hospital planned to perform surgical resection, but after careful study, it was found that it would be too difficult.

The tumor was too large, intertwined, connected by many blood vessels, and involved other organs. It was far beyond the capabilities of the hospital and was not easy to cut.

Therefore, after consultation with other departments, the director of surgical oncology recommended that the patient go to a large provincial hospital for treatment.

I have been to the provincial capital and some major hospitals in the capital city. However, the experts who consulted said that it was too late, there was no way to perform radical surgery, and the risk was too high.

I have been seeking medical treatment many times, but I have not been able to spend the Chinese New Year at home this year. The family is shrouded in endless clouds of sorrow, miserable and miserable.

Because this is their only daughter.

If my daughter is gone, is it still too late to have a second child? Besides, who is willing to give up the apple of his eye that he has raised for so many years unless absolutely necessary?

I don’t know how much energy, hard work, and emotion have been invested in it. How can I just let go of the large size?

Then, Zhou Qiao arrived.

The attending physician at the County People's Hospital remembered that relative, so he called them to come and see Zhou Qiao.

"The difficulty is indeed very high." Zhou Qiao nodded. Seeing everyone looking at him expectantly, Zhou Qiao stopped being impatient and said, "Leave it to me, I'm still a little sure."

The girl's parents were immediately excited, but while they were happy, they couldn't believe it.

After going to so many major hospitals, no one dared to accept the surgery. Why did this young man in front of me treat him so lightly? It doesn’t seem like you pay much attention to it? Or, don't realize how difficult it is?

It was the attending physician who brought them here who knew Zhou Qiao. He breathed a sigh of relief and said to the family: "Don't worry, since Dr. Zhou said he is sure, he must be sure. And he is quite sure. kind."

girl:"……"

Girl’s parents: “…”

"Believe me, believe Dr. Zhou!" The attending physician comforted, and then said to Zhou Qiao, "Then I will take them to go through the hospitalization procedures. Arrange them in the Department of Oncology Surgery?"

"No problem, I will hold a multidisciplinary consultation later to discuss the surgical plan." Zhou Qiao said.

"Thank you Dr. Zhou."

"You're welcome, it's my job."

Zhou Qiao said a few humble words and went about other things amidst the gratitude of the attending doctor and the girl's family.

"Don't worry, stay in the hospital with peace of mind and wait for Dr. Zhou's surgery." The attending physician was actually very excited inside. He only regretted that he was not a surgeon and could not learn anything from him.

These days, he listened to the gossip from his colleagues in the Department of Surgery, which blew Zhou Qiao to the sky. However, Dr. Zhou’s record is here.

Moreover, Dr. Zhou usually leaves room for words.

He said today that he has a certain degree of confidence, so he is probably the boss!

Let me go, for such a difficult operation, I have to be the boss! That's really...

The excitement is indescribable.

The attending physician was excited all the way, and then took the girl's family to go through the hospitalization procedures. Because he was a relative of his family, he followed the whole process.

After the procedure was completed, the attending physician called his parents again and reported the situation.

After the girl was admitted to the hospital, relevant examinations were completed at Zhou Qiao's request.

Although many examinations had been done before, after such a long time, Zhou Qiao needed to know the latest progress of the tumor in the girl's body.

Moreover, the film the other party brought was just a printed film, which could not be seen clearer on a computer.

On the computer, you can set various parameters and adjust them up or down at will, and even rotate the angle.

In addition, since surgery is about to take place, some preoperative examinations must also be arranged.

Not long after, Zhou Qiao came to the oncology surgery department in person.

The medical staff in the surgical oncology department were immediately excited. It was finally our turn to improve the surgical oncology department.

Almost every department in the County People's Hospital is looking forward to improving their ranks under Zhou Qiao's leadership.

Zhou Qiao held a multidisciplinary consultation meeting, not only oncology surgery, but also hepatobiliary and pancreatic surgery, interventional department, critical care medicine department, radiology department, anesthesiology department, blood transfusion department, operating room, medical office and other departments.

Naturally, he does not want to discuss with these people, but just like before, he will use this major medical case to "teach everyone a lesson"!

Explain the condition and surgical plan, why this is done, what key points need special attention, how everyone needs to cooperate, and how to take medication after surgery...

It's very detailed.

Saying multidisciplinary consultation is just to make it sound nicer.

You can't say: "Come on, let me give you a lecture." You have to be humble. Zhou Qiao has always been gentle and elegant.

The girl's parents felt even more relieved when they saw that the hospital took it so seriously, and that everyone actually followed Zhou Qiao's lead, and that so many department directors listened to Zhou Qiao's words.

Because, if Dr. Zhou didn't have any real skills, how could he be able to command so many people at the County People's Hospital at such a young age?

The girl's latest enhanced CT report showed that the huge cystic mass in the head of her pancreas had grown to a huge size of 15.8*9.7cm, and there was actually another pencil growing in the head of the pancreas in the girl's narrow abdominal cavity. Box-sized tumors.

The tumor invades the portal vein and superior mesenteric vein to a very low level, and the surrounding organs such as the right lobe of the liver, gallbladder, duodenum, ascending colon, and right kidney are compressed and displaced, and tumor thrombosis forms in the main trunk and branches of the portal vein...

It can be said that the girl's tumor was so large that it occupied "half the sky" of the abdominal cavity, invaded the bifurcation of the superior mesenteric vein, and formed a tumor thrombus in the blood vessel.

Oh my God! shocking!

Everyone was stunned.

No wonder so many major hospitals dare not accept it.

Some doctors remember that the girl’s condition wasn’t so serious the first time she came.

However, the County People's Hospital couldn't handle it the first time I came here, and it's naturally even more uncertain now. Fortunately, Dr. Zhou is here!

Zhou Qiao’s voice was magnetic and resonant: “We not only need to complete the removal of the huge tumor, but also identify all the compressed and invaded blood vessels, protect the blood vessels, reconstruct the important and invaded blood vessels, and also deal with other blood vessels. , to ensure the patency of large blood vessels, this is a considerable project, the operation is extremely difficult, and if you are not careful during the operation, you may fall into a passive situation."

"So, this time I can only do the surgery myself."

This time, Zhou Qiao had no way to break down the operation and let other doctors take turns.

Everyone also understands this. Even if Zhou Qiao wants them to play, no one will dare to play.

"Another point that everyone should pay attention to is that the patient's tumor is huge and invades the portal vein to the branches of the superior mesenteric vein. The current imaging cannot distinguish whether the superior mesenteric vein is occluded or compressed. The tumor presses on the first porta hepatis. It is considered that there is an emboli in the portal vein. Most of the visceral blood vessels are in close contact with tumors and are severely compressed, so we must be prepared for both."

"The first is to prepare artificial blood vessels, which may require removal of a large number of tumor-bearing blood vessels and simultaneous large-scale artificial blood vessel reconstruction."

"The second is to use the patient's own blood vessels for vascular reconstruction as much as possible. How to take the blood vessels and where to take them is another difficult and delicate task."

"In addition, for such a major operation, we need to make plans for various emergencies. Now everyone can express their opinions and tell us what unexpected situations may be encountered during the operation?"

Zhou Qiao started by talking about a few things.

The purpose of discussing this is to minimize the risks of surgery, and also to help improve the knowledge of the medical staff present.

This amounts to a brainstorming session.

Zhou Qiao encouraged them that it didn't matter if they were wrong. After discussing many things, everyone suddenly becomes enlightened. What was not understood before may suddenly become clear.

With the encouragement of Zhou Qiao, the people below continued to express their own opinions, and Zhou Qiao supplemented or improved them.

The meeting lasted for more than three hours, almost all afternoon.

In fact, this is not a conference, but the equivalent of a high-quality interactive training.

No one is deserting or playing with their cell phones.

Zhou Qiao was not so attentive when he was training community hospitals abroad. It can only be said that Zhou Qiao really cares about the hospital in his hometown.

He sincerely hopes that the hospital in his hometown will get better and better.

In the year he graduated from college, he dreamed of entering the County People's Hospital, but in reality it was impossible. How could I have expected that now I am here to be a foreign aid expert! He can dominate the situation and command the whole hospital.

When everything is ready, the surgery begins!

Zhou Qiao personally performed the surgery on the girl, performing pancreaticoduodenectomy, superior mesenteric vein reconstruction, splenic vein-superior mesenteric vein reconstruction...

The surgical assistants, as well as those observing on site and in the monitoring room, were the same as before, there were forty or fifty people.

Moreover, the surgery will be recorded and used as a future lesson plan for the County People's Hospital.

Zhou Qiao was calm and unhurried, using extremely exquisite surgical skills and precise anatomy to carefully separate the tumor from the blood vessels, and finally removed it smoothly.

Moreover, what impressed everyone was that the amount of bleeding was extremely small.

During the operation, it was discovered that the patient's superior mesenteric vein had indeed been partially occluded and had reached below the branches. If it had been done later, the chance of surgery would have been lost.

I have to say that Zhou Qiao’s return home for cooperation and exchange saved countless lives and changed the future destiny of countless families.

After the tumor is removed, each blood vessel is repaired and reconstructed.

Considering the girl's young age, only seventeen years old, in order to have a better quality of life after the operation, Zhou Qiao freed the liver and mesentery one by one, reduced the tension, anastomosed the girl's own superior mesenteric vein and reestablished the splenic vein return. The original anatomy is restored and possible postoperative ascites, varicose veins, left portal hypertension, etc. are avoided.

Finally, three digestive tract anastomoses were accurately completed.

Since he had the task of teaching, Zhou Qiao was not in a special hurry. He spent six hours explaining and performing the surgery.

When the operation was successfully completed, the applause lasted for a long time, and everyone looked at Zhou Qiao with endless admiration.

Some of the little nurses had blurry eyes and were so fascinated.

A young nurse secretly joked that it would be great if she could have sex with Dr. Zhou!

Handsome, young, in great shape, energetic, highly skilled, and extremely rich, he is simply the perfect representative of a male god!

Why do you say energetic?

After a full six hours of surgery, many people were exhausted and their legs were sore from standing, but Dr. Zhou was still energetic and energetic. This alone will defeat 99% of the players!

After it was over, Zhou Qiao invited the participants to play skewers as usual. Everyone was excited.

"It's great to do surgery with Dr. Zhou. Not only can you learn the techniques, but you can also have free barbecue. It's really great!"

“If only our leaders were so good!”

The group of people happily headed towards the barbecue restaurant from last time.

The owner of the barbecue restaurant was so happy that big business was coming again.

Dr. Zhou is so generous that he spends nearly 10,000 yuan here every time.

In fact, if the standard is not high, based on fifty people, it is only two hundred per person. When Zhou Qiao treats guests abroad, sometimes the price per person is one thousand US dollars!

When Dean Zheng heard the news, he ran over again and had a meal of skewers.

Some doctors may be older and especially like to eat roasted kidneys.

Zhou Qiao doesn't like it and thinks it tastes wrong. He still likes grilled oysters.

(End of this chapter)

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