I run a clinic in the United States

Chapter 59 You play me together?

The "Time Out" procedure is one of the important links in the surgical verification system, which refers to the steps of group verification before the operation begins.

This word was originally a sports term, and its original meaning is "to pause for a moment", but in surgical verification it means:

No clinical activities are allowed during this period. The team members involved in the operation will check the patient information together. This is the last check before the operation.

The same is true now in China, many hospitals will take this step!

Speaking of this, we have to start from the previous "wrong knife".

In the past, there were often shocking news in the news that someone had performed a surgery on the wrong side of the body, on the wrong site, or even performed surgery on two patients interchangeably.

Once such a serious medical accident occurs, Wang Feng will grab the headlines in minutes!

Zhou Qiao is the surgeon and is methodical.

Five cannulas were inserted, an 5cm incision was made under the right rib, and the non-dominant hand (left hand) was inserted into the abdominal cavity through the hand assist device.

During the entire operation, this "left hand" must be placed in the abdominal cavity and maintain normal pneumoperitoneum pressure.

Dissection, resection, and reconstruction are performed with the dominant hand (right hand).

If Zhou Qiao exchanged for the perfect level, the left and right hands may be equally dexterous, but the master level is slightly inferior, and the right hand still has the advantage.

Of course, for left-handed masters, that's a different story.

Zhou Qiao used his left hand to gently pull and touch the area of ​​the tumor to assess the status of the tumor.In addition, if necessary, finger pressure can be used to control bleeding and help with internal suturing.

The Kocher operation begins, the peritoneum outside the duodenum is cut with endoscopic scissors, and the posterior region of the duodenum is separated with the left hand...

Small blood vessel electrocoagulation to stop bleeding...

In the avascular zone between the pancreas and inferior vena cava, blunt dissection is performed with the fingers…

Free the colonic hepatic area and turn it downwards with your left hand, opening the avascular peritoneal reflux covering the third part of the duodenum and ascending to the large blood vessels at the root of the mesentery...

The second, third, and fourth segments of the duodenum have been freed, exposing the inferior vena cava...

……

Mrs. Clark lay quietly on the operating table, not breathing.Because she was under general anesthesia and assisted by endotracheal intubation, her lungs were immobile.

This is the advantage of endotracheal intubation.

Otherwise, the patient's lungs will rise and fall when breathing, which will easily affect the surgical operation!
Now that anesthesia technology has developed, there are basically no side effects. Not to mention major surgeries, many minor surgeries that used to use local anesthesia can now use general anesthesia.

The patient's experience will be better.

In the case of local anesthesia, if you are in a different position, imagine that you are a patient and you clearly feel that some part of your body is being cut...it is scary to think about it.The nerves are unbearable for the faint of heart!

Mr. Clark is also very nervous outside. He is not timid, but he is worried about his wife.A couple who has been married for so many years is facing such a high-risk surgery. No one can guarantee that they will come out alive!
The more he thought about it, the more anxious he became, drinking cup after cup of free coffee.

After just a short while, he drank another seven or eight cups. It is estimated that after the whole operation, he will not stop drinking until thirty or fifty cups!

If you were to go to Starbucks, you would have spent several hundred dollars!In China, it is more than 1000 soft sister coins!

The staff at the community hospital were speechless. How can you drink so well?But his wife was undergoing a major "life-and-death" operation in the operating room, so it was hard to say much.

Jessica hurriedly hurriedly and slowly came over.

She was so busy that she took a taxi here as soon as she got off the plane!I asked my father when I took a taxi and found out it was at a community hospital.

"Daddy, where is mom? How is mom?" When Jessica saw her father, Mr. Clark, she immediately came forward to hug him and asked anxiously.

Mr. Clark kissed his daughter on the cheek and said, "The operation has already begun!"

"Daddy, aren't you worried?" Jessica was about to cry!

"Silly boy, don't cry! I'm very worried, but it's useless to worry. Now I can only see Dr. Zhou! I hope Dr. Zhou can play his best and save your mother's life." Mr. Clark patted his daughter back, comforted.

Then, he held her hand and asked her to sit on the sofa in the waiting area.

But Jessica couldn't sit still and stood up again.

Mr. Clark said: "Jessica, if you are worried, you can go watch the surveillance with the members of the California Medical Board!"

Jessica was shocked!
"Ah? Can you still watch the surveillance? What the hell is the California Medical Commission? Why are they here? Is it because they know that mother's operation arrangements are not in compliance?"

Mr. Clark spread his hands and said: "That's not true. It's the previous owner of the Red-billed Gull Clinic, maybe because of the loss of business. As far as I know, many customers who were originally there have transferred to the Iris Clinic. So. , the owner of that clinic reported Dr. Zhou, saying that he practiced medicine illegally."

The Clarks were old customers of the Red-billed Gull Clinic before, so they knew Keynes!

In the afternoon, when Mr. Clark saw Keynes following the members of the California Medical Board, he immediately understood!
It turns out that the bad guy Ava was talking about is Kainz!

"Then what's the result?" Jessica's heart was in turmoil. Why did she start practicing medicine illegally?I originally thought I was just not famous or had never had cancer surgery.

"Results, hehe," Mr. Clark said with a bit of excitement, maybe because he drank too much coffee.

He shrugged, gave a thumbs up and said in praise: "Dr. Zhou is really amazing. He has obtained the license of attending doctor at such a young age!"

"It can't be fake, right?" Jessica didn't believe it.She is an elite at Harvard University. Although she is not a doctor, she also knows that an MD is different.The other party is absolutely impossible to be the attending doctor!

Mr. Clark said: "The officials of the Medical Council have already verified it. There is nothing to say about the iron facts."

"Then, didn't it just happen to be that your mother was having surgery in the afternoon? So the experts from the Medical Committee wanted to see Dr. Zhou's skills with their own eyes!"

"Then I'll go too! Where are they?" Jessica couldn't wait.

"It's in the monitoring room next to the operating room, room 306, but I won't go there." Mr. Clark pointed.

Jessica asked: "Why?"

Why don't you go to see my mother's important surgery and drink coffee here?
Mr. Clark said very seriously: "I can't bear to see your mother suffering!" In fact, he couldn't bear to see the bloody surgical scene of disembowelment.

"I'm leaving!"

Jessica immediately walked to the monitoring room.

She came over and knocked on the door gently, and a voice came from inside: "Please come in!"

Jessica pushed open a crack and stuck her head in. She saw five people inside staring at the screen intently, none of them looking at her.

Jessica couldn't help but interrupt again: "Excuse me, can I watch it with you?"

"Of course!" The person inside replied without hesitation.

However, when Jessica walked in, the other party realized that a stranger had broken in, and quickly turned to look at Jessica: "Excuse me, are you...?"

Jessica raised her eyebrows: "I am the patient's daughter, Jessica Clark, I just came back from New York, and I am very concerned about her progress!"

The other party nodded: "Of course, you are welcome, young lady!"

Then, they ignored her again, and the group watched with concentration and relish.

Jessica moved a chair and sat on the edge to watch. However, the scene was very bloody. There were several monitor screens, some facing the surgery scene and some facing the screen in the operating room, showing the surgical field of view. , can clearly see the surgeon's operations, and some are facing some monitoring equipment, with many numbers on it, as well as electrocardiograms and so on.

Jessica didn't understand much, and she didn't know how the operation was going to be, but just looking at the doctor's operation inside, she felt that this must be a master.

Because of the master-level operation level, no matter which industry you are in, you will feel as if you are doing everything with ease and with ease.Even laymen can know how powerful it is.

If a layman can't see it, then the level is not high enough!

Suddenly, a staff member of the Medical Committee exclaimed: "Wow~"

Jessica was startled and immediately asked: "What's wrong? What happened?"

The staff member couldn't help but admired: "Tsk, tsk, this level, textbook level, can be used to teach students!"

The other person agreed, shrugged and smiled: "Yeah, back then, I practiced this operation hard. After practicing for a long time, I felt that I was already very proficient, but compared with this Doctor Zhou, it seems to be a little bit worse."

Jessica was suddenly a little suspicious: "You..."

She looked at these attentive staff members and couldn't help but secretly thought, could these people be the entrustees invited by Dr. Zhou?
Are you guys working together to play me?
She works for a large international company. Although she is based in New York, she often collaborates with colleagues in the Asia-Pacific region, especially Greater China, and understands the Chinese people very well.

Some Chinese people have very deep tricks. It is said that asking for help is a routine operation in China, ranging from concerts and movie promotion road shows to the opening of milk tea shops...everywhere.

She never expected that she could ask for help for an operation?

These people work too hard!
As the thought came together, she couldn't help it anymore. After thinking about it, she said to the staff member she had talked to before: "Hello, can I see your ID?"

The other party turned around in surprise: "Why?"

"I feel like you are not here to supervise! Please forgive me for being so blunt!" Jessica thought for a while, took out her business card and handed it over, "I am a Ph.D. in materials science and engineering from Harvard University. Currently working for a large multinational company!”

She introduced herself and gave her business card, hoping to attract some attention and see what identities these scammers had fabricated.The more information you know, the more flaws you can see.

The Medical Committee comes to supervise and evaluate the doctors below. How can it do this?Don't find fault, just praise constantly?Liar!Will I, the elite of Harvard University, be deceived?

She heard from colleagues in China that there are many fraudsters in China, and the police department requires everyone to download an anti-fraud APP. She doesn’t know what that APP looks like, but she has a feeling that she has fallen into the trap of a fraudster. Among the routines!
The staff member was stunned for a moment, and seemed to have read her thoughts. He took out his ID, then handed Jessica a business card and introduced himself: "I am Richard from Cedars-Sinai Medical Center. Bush, M.D., serves as a member of the Medical Board of California task force."

Cedars-Sinai Medical Center is also a very highly ranked hospital, among the top ten hospitals in the United States, and has performed well in many areas.

Several other people also quickly handed over their IDs and business cards.

"I am Julietta Scott, MD, of John Muir-Walnut Creek Medical Center." This is also ranked among the top ten hospitals in the United States. It is quite famous.

"I am David Thomas, Licensure Officer for the Medical Board of California."

"This is Robert De Niro of the San Francisco office of the Medical Board."

Dr. Richard from Cedars-Sinai Medical Center pointed to the two people on the monitoring screen and introduced: "The two people inside who are 'standing back' are the leader of our task force, Eric. Professor Parsent, from UCLA, is also a member of the Medical Board of California and was personally nominated by the governor!”

"The lady next to him is Dr. Sam from the Stanford University Health Care Center and the deputy leader of our task force!"

"Madam, you can doubt our identity, but there is no reason to doubt our professionalism!"

Jessica looked at the documents and was immediately embarrassed. From her point of view, these documents could not be faked, they were all real!
She was stunned for a moment, then pointed to a bald man next to her who had not been introduced, to resolve the embarrassment, and said: "I wonder who this is..."

Thomas was familiar with him and quickly introduced: "This is Kainz, the owner of the Red-billed Gull Clinic in San Francisco. Well, he is the reporter."

Keynes: "..."

Jessica: "..."

She remembered that everyone was praising them just now, but it seemed that the bald old man was the only one who didn't agree with him and had a weird look on his face. He felt as if he was constipated.No wonder!It turns out that he is the whistleblower Daddy said!Badass!

　Two chapters completed today.

　　I don’t think it’s a good write-up, because there’s actually nothing to write about about the surgery itself, it’s just about the inside and outside of the field.Maybe it’s because I’m slow in updating. If I release all these chapters at once, everyone won’t feel like I haven’t written anything!
　　In addition, I don’t know if it’s Yang, wind-heat or cold. My nose is sore and I have a headache. I used a lot of paper towels while typing... Don’t think wrongly, it’s really just wiping my nose...

　　
　
(End of this chapter)