I run a clinic in the United States

Chapter 376 "Hope" Hospital

Zhou Qiao and Luo Ya went to inspect the East African base, and things were becoming more and more formal here. No longer hiding in a cave like before.

Of course, the base in the cave is still in operation, but about thirty kilometers away from the cave base, another very good place was chosen. The terrain is neither high nor low, flat and open, with convenient transportation around. A new city has been built, and it has begun. Specific scale.

It’s called the City of Hope.

Luo Ya privately introduced that she intends to develop this place into a new capital in the future.

All the people from the medical department of the original base were also relocated. Led by Chen Zhining, a brand new hospital, "Hope Hospital", was built in the west of the city. However, there was a shortage of manpower, and the hospital was quite "sloppy", compared to Texas The Baiyan Hospital is not as good as that.

Zhou Qiao helps in the hospital, setting up some norms and systems, and at the same time, helping them establish a remote medical assistance system. If you have any difficulties in the future, you can ask Iris Clinic for help. Or seek assistance from Sequoia Hospital, White Rock Hospital, etc. They are all brother hospitals, regardless of each other.

For hospitals with a shortage of high-level talents, various surgical robots are actually the most convenient way to establish a remote medical assistance system. Therefore, Zhou Qiao suggested to Luo Ya to purchase several such equipment.

If it were Chen Zhining, Luo Ya might not pay attention. There are just over 200 medical staff, but they still want to buy a surgical robot? Baiyan Hospital didn’t even buy it.

Now Sequoia Hospital has purchased three Prometheus-3 surgical robots. Loya thought for a moment and purchased three more for Baiyan Hospital. As for East Africa, because the hospital is smaller, she only purchased one. tower.

Although the cost of surgical robots is expensive, some middle and high-level people in the group are very wealthy, and there are also some wealthy families in the local area.

Jaundice is very normal and occurs in most babies. It usually "resolves" and returns to normal after a few weeks.

The hospital at the East Africa base is currently mainly used by employees within the Loya Group and their relatives, and also accepts some local indigenous residents.

In addition to setting some standards and establishing a remote medical assistance system, Zhou Qiao also helps train medical staff to make them more professional.

During the lecture, everyone listened carefully and took good notes.

Chen Zhining was very satisfied and was grateful to Zhou Qiao: "If it weren't for Dr. Zhou's suggestion, I probably wouldn't be able to use such a good surgical robot in another ten years."

Although the skin of the affected child is dark, if the whites of the eyes turn yellow and the urine is yellow, it is probably jaundice. Moreover, the transcutaneous measurement of bilirubin will be inaccurate because black people have dark skin, but the measurement of bilirubin in the blood is more accurate.

It can be said that no matter what the disease is, no matter how complicated it is, or how confusing it is, when it comes to Zhou Qiao, it is easy to clear the clouds and reveal the sun. The medical staff in this hospital have long known how powerful Boss Zhou is and have become accustomed to it. They only admire him secretly in their hearts instead of shouting in surprise.

This symptom belongs to "congenital biliary atresia" and may occur in one case in every 8000 to 1 births every year.

No one expected that after a few years, this hospital would develop into the top hospital in East Africa and become a holy place visited by many people on the African continent.

However, Ayesha's baby was not so lucky. Unfortunately, he developed symptoms such as yellowing all over and clay-colored stools.

It is impossible to perform surgery blindly without diagnosis or understanding the situation.

About a hundred kilometers away from the base, there is a small town. There is a "rich family" in the town. It can't be said that it is particularly rich. It can only be said that it belongs to the "upper class" family in the local area.

Both Murphy and Stephanie will use surgical robots connected to a remote 5G system, which they can control directly from San Francisco. Of course, this is based on prior remote video consultation.

Zhou Qiao also helped solve some cases that they couldn't solve.

Twenty-eight-year-old mother Ayesha gave birth to a baby. Not long after the baby was born, "jaundice" appeared.

Chiba Nanako has good qualifications, and she can also be trained to learn to operate surgical robots.

In other words, there is almost a one in 10,000 chance of being tricked!
Among black people, the proportion of jaundice is actually lower. This may be genetically determined. But not nothing. And the people here are not too dark, they are a bit yellowish.

"This remote assistance system is also very good, and it can be said to have solved our urgent need."

It's not that she's stingy, it's that her stall is too big now and her working capital is temporarily stretched. In addition, for such a small hospital, one is enough.

There is no need to wait for the future, people are coming now.

For children with this kind of "congenital biliary atresia", there is no other way but to perform the "Kasai operation", which is to perform an anastomosis of the liver and intestines to temporarily relieve the bile stasis problem.

Ayesha and her husband took their baby to the Capital Federal National Hospital and performed the "Kasai surgery."

Unfortunately, after treatment, the baby did not successfully "retreat" from jaundice, and his bilirubin remained high at 168 μmol/L.

Ayesha felt the sky was dark every day, and she blamed herself for not giving her baby a healthy body.

Looking at the baby's bright eyes, Ayesha didn't want to give up. Together with her husband, she took the baby to many hospitals in the capital to seek medical treatment. But in places like Africa, especially Suesokeng, where there are any famous doctors, they are naturally doctors. indefinite.

The critical moment has arrived. The story of Zhou Qiao throwing a knife at General Baye's wife in the capital has spread almost throughout Suesokeng, no, even Africa, and many other countries have reported related news.

Ayesha was very excited when she saw the news. Although they didn't have much money, after discussing it with her husband, the family still carried the baby and came to Hope Hospital.

The whereabouts of Zhou Qiao and Luo Ya after leaving Yavidebe were actually kept secret and not known to ordinary people.

However, in the town where Ayesha lived, three young people were selected to enter the base. One of them was a distant relative of Ayesha's family. When he was working as a cleaner at Hope Hospital and returned home on vacation, he heard that Ayesha The Sha family wanted to seek medical treatment from Dr. Zhou, but had no way, so after thinking about it, they asked the hospital's superiors for instructions.

Because, although he is just a cleaner, he has also signed many confidentiality clauses. After a series of trainings, he is very aware of confidentiality and does not know whether he should disclose it or not.

There is a rule in the group training that if you don’t know how to make a decision, the best way is to ask your immediate supervisor for instructions immediately.

Finally, the news came to Zhou Qiao after being reported layer by layer.

After Zhou Qiao pondered, he agreed to help the other party take a look.

Only then did the cleaner dare to share the news about Zhou Qiao with Ayesha. Ayesha's family was so excited that they rushed over overnight.

Following Zhou Qiao's previous instructions, Ayesha's family was admitted to the hospital.

Living in the "Hope" Hospital, Ayesha's family has not seen Zhou Qiao yet, but many medical staff have come to see them, helping the children with examinations, care, etc. They are full of "hope", just like this hospital The name is ordinary, and it seems that you have seen the "dawn" just by living here.

Early the next morning, Zhou Qiao came over to see the baby.

Although Ayesha's family knew that Zhou Qiao was young and handsome, they were still shocked when they saw him in person. In Ayesha's words, she has never seen such a good-looking man in her entire life.

Of course, she also has self-awareness. This is the kind of male god she looks up to and can only watch from a distance.

She only hoped that this handsome man could save her baby's health. The baby has had "Kashi surgery" before. In fact, this kind of Kasai surgery is difficult to fundamentally solve the problem. Most children will develop liver cirrhosis after surgery, and severe cases may even develop symptoms such as liver failure.

When Ayesha's child was admitted to Hope Hospital, she already had symptoms of liver failure. At this time, only a liver transplant could save her life.

"Liver transplant?" Ayesha and her husband were surprised.

However, they also know that the method Dr. Zhou mentioned may be the best radical cure.

However, this fee is very expensive, right?

Zhou Qiao observed their words and understood their difficulties. Although this family was a wealthy family in the local area, they had already spent a lot of money on treating their baby, and they might not be able to afford a liver transplant.

Considering that the other party's distant cousin was a cleaner in the hospital and could barely be considered an "employee family member," Zhou Qiao made the decision and gave the other party a 50% discount on the price.

Zhou Qiao can still make the decision.

Ayesha's family burst into tears of gratitude. This was equivalent to saving them at least 190 million birr, which is almost equivalent to 25 yuan, while the original fee was about 380 million birr.

Even with a 50% discount, their family would be "bankrupt", but for the sake of their baby, Ayesha and her husband felt that this was a rare opportunity and it was still worth a try.

Fortunately, the preoperative evaluation found that mother Ayesha's liver was suitable for liver donation surgery. However, Ayesha's blood type was different from that of the baby. Ayesha had type B blood, and her child had type O blood. It is a cross-blood type transplant.

Fortunately, the anti-A and anti-B antibody titers are less than 2, and no special treatment is required for plasma exchange. Cross-blood type liver transplantation can be safely performed with only close monitoring and gamma globulin infusion.

Zhou Qiao conducted a detailed examination and evaluation of Ayesha and the child, and formulated a thorough surgical plan.

But, all good things come hard.

"The baby's weight is too light, and it is not suitable for surgery at this time." Zhou Qiao explained to Ayesha's family that usually, children's organ transplant operations often use 10 kilograms as the dividing line. Surgery and postoperative management of recipients under 10 kilograms are very difficult. Increase.

The child's weight at this time was less than five kilograms.

Even if the operation is reluctantly performed, the baby's recovery after surgery will be more difficult and there will be more complications.

The child's life will not be in immediate danger, so Zhou Qiao has a better plan.

"What should we do?" Ayesha's family is very anxious. Do they still have to wait?
If the doctor leaves one week, it is one thing whether he will come again in the future. Now maybe someone just has good intentions, but if it continues to be delayed, it's uncertain.

After all, things are uncertain and they want to perform surgery as soon as possible.

Zhou Qiao comforted him: "Don't be anxious, don't be anxious, just recuperate for another week or two. I will help him formulate a nutritional plan and gain some weight. The prognosis will be better."

"Prognosis" is a medical term with a long history of more than 2,000 years, originating from Hippocrates.

Simply put, it is to predict the later efficacy, disease progression, outcome, etc.

Many times, the quality of a doctor depends on whether his "prognosis" is good and whether his "prediction" is accurate.

A good "prognosis" means a really high level.

Otherwise, if you perform an operation very well and seem to be super talented, but a few days after the operation, the patient becomes sick, or recovers poorly and suffers from various complications, then can you say that your level is high?

The purpose of treating illnesses and saving lives is to restore health, not how smooth the surgical procedure is.

After Zhou Qiao's comfort, Ayesha's family settled down with peace of mind. Zhou Qiao formulated a detailed nutrition plan for the child, adjusted milk powder and parenteral nutrition, and worked hard to gain weight for the child.

Chen Zhining led a group of key doctors to participate in the case. With such a good opportunity, of course he had to learn from Zhou Qiao. Moreover, when the big boss Zhou Qiao is seeing a doctor, how could he not have a younger brother following him?
From a hospital perspective alone, Zhou Qiao is the well-deserved big boss. In the medical field, Luo Ya respected Zhou Qiao.

In terms of academics, Zhou Qiao is the "big boss"!
Therefore, after Zhou Qiao gave Chen Zhining the nutrition plan and nursing plan, he and Luo Ya went to "go sightseeing".

Of course, he also called every once in a while to inquire about the condition of the children.

Zhou Qiao and Luo Ya went to the beach and boarded the newly purchased frigate. We visited a frigate and went on a cruise in the Red Sea.

It must be said that this kind of frigate is very majestic and powerful. Not to mention pirates, even powerful local forces will retreat when they see it from a distance.

With rich nutrition, the child's weight grew quickly. Two weeks later, the child's weight increased to 6.3 kilograms. Zhou Qiao decided that the operation could be performed!

Yes, it is usually 10 kilograms, but at Zhou Qiao's level, 6.3 kilograms is relatively "safe", and the prognosis will not cause much trouble.

Before the operation, Zhou Qiao once again performed a three-dimensional reconstruction of Ayesha's liver, mainly to understand the shape of the hepatic artery, portal vein, hepatic vein, and biliary tract.

Because living donor liver transplantation must not only ensure the safety of the donor, but also ensure that the removed liver just "fits" the baby, neither too big nor too small.

The baby is growing, and after this period of time passes, the specific size of the liver to be harvested also needs to be slightly adjusted.

Zhou Qiao strives for excellence in his work.

Usually, there is a ratio between the liver harvested from the liver and the body weight of the recipient, GRWR. If the ratio is too high, the liver cannot be closed after surgery, causing "big liver syndrome", leading to serious complications such as vascular embolism; if the ratio is too high, Small liver syndrome can lead to small liver syndrome, that is, the harvested liver cannot meet the needs of the recipient, causing liver failure.

On the day of the operation, with the cooperation of Chen Zhining and other key medical staff, Zhou Qiao led the team and performed precise operations to successfully remove about 230 grams of the left lateral lobe of the liver from the patient's mother Ayesha, and then perfused the donor liver. Wash, trim and transplant into the child's body.

It is worth mentioning that the child is too small, and his hepatic artery, portal vein, and bile duct are very thin in diameter. When reconstructing each pipeline, the technical requirements are extremely high and the operation is extremely difficult. Zhou Qiao guided the anesthesia team to deal with it carefully. Monitor the patient's normal blood pressure at all times and replenish blood loss in a timely manner.

In the end, after more than five hours of hard work, the operation ended successfully.

In other well-known hospitals, such an operation would take at least ten hours. This is despite the relatively poor conditions of the hospital, which affected Zhou Qiao's performance.

About two weeks after the operation, the child's liver function was normal and there were no serious complications.

Ayesha's family is filled with gratitude.

At this time, Zhou Qiao had left East Africa and returned to his hometown in Zhuhai County.

(End of this chapter)