I run a clinic in the United States

Chapter 61 God and the God of Medicine’s Favorite

Professor Eric Parsons is getting old, and he thinks that his hands are not as dexterous as Joe Zhou's.

Looking at Zhou Qiao's operation, it was silky smooth without stagnation, and there was obviously no surgical assistant. It felt as if there were two invisible and very understanding surgical assistants assisting him!
If we use Chinese to describe it, it would be called "if there is divine help"!
Sometimes, even when the equipment nurse Elena wants to help, he tells her not to move!
It's not that Zhou Qiao doesn't trust Elena, but that he thinks that he can handle it all by himself!Elena is just a nurse after all, not a doctor.

The advantage of single-person operation is that one person can do whatever he wants. If there is an assistant to cooperate, the assistant may not be able to cooperate properly. Sometimes he has to speak in words, and the other party may not be able to understand what he said. correct!

If you encounter a clumsy assistant and the chief surgeon has a hot temper, you will definitely want to curse!
It’s too troublesome, so Zhou Qiao is alone!

Why one hand?Because his left hand has been in the patient's abdominal cavity through the hand-assisting device and has not come out!On the outside, only the right hand!

In fact, if conditions permit, with one or two skilled medical assistants, Zhou Qiao can use laparoscopy instead of inserting his left hand into the patient's abdominal cavity. The 5cm hole is simply not as convenient as opening a 8cm hand-aid hole separately.

In this way, because the tactile sense of the left hand can be used to detect tumors and assist in surgery, the time is shorter and the efficiency is higher.

In order to make a complete cure and ensure the effect of resection, an incision of 8 cm is also acceptable. Traditional surgery usually requires an incision of 20-25 cm!
The 8 cm incision is based on the size of Zhou Qiao's left hand. If the surgeon's left hand is thinner, the incision can be smaller.

In many cases, you can't completely follow the parameters taught by the book or the predecessors, but learn to be flexible.

Of course, the premise of being flexible is not only to know what it is, but also to know why it is.

Professor Parsons was shocked, not to mention Dr. Sam next to him.

Dr. Sam's eyes flickered from time to time, looking at Professor Parsons, and wanted to exchange some opinions with the professor, but seeing the professor watching carefully, silent and calm, she couldn't speak.

Dr. Sam said in his heart that Professor Parsons is amazing, well-informed, and as stable as the Alps. Unlike me, seeing such an exquisite technology, I can't help scratching my head and scratching my head, and I can't stand up!

As everyone knows, Professor Parsons' heart is also in a state of turmoil.

……

The operation is still going on in an orderly manner. This is a very large and difficult operation, and it will not end so soon!

During the operation, Zhou Qiao found that the anatomical layers around the patient's portal vein and superior mesenteric vein disappeared, and the fibrous tissue around the common hepatic artery was significantly thickened. The mass was closely related to the side wall of the portal vein and the beginning of the gastroduodenal artery.

Considering the possibility of venous invasion, in terms of surgical strategy, Zhou Qiao first completed the anterior approach to SMA first, the uncinate mesentery to be disconnected first, and the Heidelberg triangle lymph node dissection;
Then, under venous pre-occlusion, the pancreatic head mass was separated from the portal vein, and the specimen and regional lymph nodes were completely resected;
Finally, digestive tract reconstruction is completed.

As for the specimen, it is placed in a non-permeable nylon bag and taken out from the hand cuff.

If there is an assistant, the next finishing work may be handed over to the assistant to practice, but Zhou Qiao doesn't have one, so he does the whole process by himself.

The advantage is that there is one less labor and higher profits.

At the level of a master, it is quite difficult for one person to control the five-hole laparoscope with one hand. Even Zhou Qiao is sweating profusely, with beads of sweat on his forehead.

It might be easier if he exchanged it for a perfect level one.

The main reason is that he thinks it is unnecessary and thinks he can handle it!In fact, it can be done, but it's so fucking tired. To do such an operation is like running a marathon for [-] to [-] kilometers!
Go back and have a good rest, let Elena or Ava help you squeeze your shoulders and beat your back.

Ava came over to help him wipe it from time to time, but fortunately, the operation finally came to a successful conclusion!The patient was transferred to the anesthesia recovery room by Nancy and the nurse.

Subsequent cleaning of the operating room will be performed by dedicated community hospital nurses.

Zhou Qiao breathed a sigh of relief, and led Elena and Ava out!
Professor Eric Pasent and Dr. Sam followed closely behind. They looked at each other and chuckled sadly.

Dr. Sam finally couldn't help but said: "Professor, this Dr. Zhou is really a surgical genius!" She felt ashamed.

Professor Eric Parsons nodded lightly, and said: "This investigation, let's stop here."

Seeing that the operation was over, Jessica left the monitoring room, went outside, and stood at the exit of the operating room with her father!
Although Jessica has watched most of the operation, she still wants to hear Zhou Qiao's evaluation of the operation in person!
"Dr. Zhou, is everything going well? How is my wife?" Mr. Clark asked first when he saw Zhou Qiao coming out.

Zhou Qiao smiled slightly and said, "Fortunately, I can proudly tell you that the operation was a success! However, chemotherapy will continue for a period of time to consolidate!"

Follow-up chemotherapy is the right thing to do, and it was written in the treatment plan earlier, so Mr. Clark nodded, he opened his mouth, his body trembled a little, and after a long while, he choked out a sentence: "Thank you very much!"

After confirming the news that the operation was successful, he was very emotional, had thousands of words to say, and had mixed feelings. He didn't know how to express it for a moment!
"Mrs. Clark is in the recovery room, and it is estimated that she will come out in one to two hours. Please stay calm and wait a little longer." Zhou Qiao said comfortingly.

"Yeah, thank you." Mr. Clark stepped forward and hugged Zhou Qiao gently.

"Doctor Zhou, thank you very much. I apologize for having doubted and doubted your medical skills before!" Jessica was in a great mood and said with a slight smile.

"Are you?" Zhou Qiao didn't know her.

Jessica hurriedly said, "I am Mrs. Clark's daughter!"

"Oh, hello, hello, nice to meet you!" Zhou Qiao said.

He secretly said in his heart, the foreigner is really sincere, you questioned me before, and I didn't know, so you don't have to say it.

Actually, Jessica didn't need to say it, it's just that she felt guilty in her heart, and she wouldn't leave any knots when she said it.

"Thank you, Doctor Zhou." Jessica also stepped forward to hug Zhou Qiao, and kissed him lightly on the cheek.

Elena: "..."

Ava: "..."

But, it’s hard to say anything.After all, this is American etiquette.

Ava thought to herself, I also want to find a chance to kiss Zhou Qiao a few times, why can't I kiss someone else?

……

After Professor Eric Parsons came out, he turned on his mobile phone, and there was a series of missed call reminders. David Thomas quickly pulled him aside, and quietly told the news that many bigwigs had intervened.

Professor Parsons smiled wryly, but immediately said: "The case was about to be closed. Dr. Zhou deserves his name!"

David Thomas: "..." He originally thought he wanted to persuade him, but he didn't expect Professor Parsont to be so easy to talk to?Are you also afraid of those big guys?
Previously, Pasent was in the operating room and remained calm on the surface, so David Thomas didn't know Professor Pasent's attitude.

Professor Parsons seemed to see what David Thomas was thinking, so he smiled slightly and said solemnly: "It's not because of these calls that I announced the closure of the case, but because Zhou Qiao is really impeccable!"

He thought to himself, why is such an outstanding medical talent actually a Chinese?Medical education received in China?Why not Native American?Is China's medical education so advanced?
But he immediately shook his head, it shouldn’t be possible!

He has also been to China.Even in China, geniuses like Zhou Qiao, favored by God and the God of Medicine, should be rare, and you would not encounter one in 100 years!
(End of this chapter)