I run a clinic in the United States

Chapter 70 Medical Zhang Wuji
Zhou Qiao smiled slightly and said, "Of course it's no problem, it's a great honor!"

He was thinking about how to keep Murphy, but he didn't expect the Bingshan girl to "turn herself into a trap". He was too happy, so how could she refuse?
"Really?" Murphy's eyes lit up, and when he looked over, there was a bit of disbelief in his green eyes.This is the first clinic to accept her.

Prior to this, more than [-] hospitals or clinics had rejected her application.

Even if Professor Parsons helped her through the back door, she was screwed by her poor social skills!
Zhou Qiao said: "Of course it is true. There is an operation in the afternoon. If you are interested, you can come along with me!"

"That's great!" Murphy couldn't help but stood up excitedly.

In her mind, the towering iceberg, which is thousands of miles away, has a faint tendency to melt a corner.

And Zhou Qiao also trembled slightly, quite agitated. Firstly, he finally left the medical seed behind. Secondly, a message popped up again on the golden virtual panel of the system in his mind:
[Murphy's favorability +2, current favorability is 56! 】

……

At 03:30 in the afternoon, the anesthesiologist Andre arrived, and the operating room was already prepared. A group of people filed into the operating room.

While changing clothes and brushing hands, Elena couldn't help but be a little surprised to see Murphy following in.

Murphy also had a good impression of this little nurse, and said softly, "I will practice here from now on!"

"Ah?" Elena was startled, and immediately said, "Welcome to the Iris Clinic!"

"Thank you."

"Then where do you live?"

"My grandfather and grandmother lived about five kilometers from here, and I could commute to get off work every day by bus."

Murphy rarely talked more, but when Ava asked her, Murphy shut up again.

Ava: "..." Am I not as good as my sister?Why are you still ignoring people?

Elena smiled: "Let Zhou Qiao invite you to dinner tonight to welcome our new colleagues."

Ava curled her lips: "It's not peaceful at night now, where can I go to eat?"

Elena smiled and said, "Go to the supermarket to buy vegetables, and then make them yourself. Well, scrambled eggs with tomato and spicy millet, I must try it this time! If Joe disagrees, I will blame him!"

Everyone laughed, even the cold Murphy had a curved mouth.She is also very curious, is that scrambled egg with tomato and spicy millet really so delicious?

Then, after entering the operating room, there is not much chatter.Ava silently turned on the stereo and tuned out her favorite tune.

This time, I changed to a Chinese song, "Sunshine and Cheerful Boy". Anyway, the one who doesn't understand is Gao Dashang!

She had asked Zhou Qiao and Elena what they liked to hear before, but both Zhou Qiao and Elena said it was up to her, so she switched by herself.

Murphy looked at Elena, then at Ava, suddenly he couldn't tell which one was which.

Zhou Qiao was terrified when she heard such a shocking song. How could anyone listen to such a magical melody with emotional lyrics during surgery?

But Ava likes it, so he let her!

So, in the cheerful rhythm of the sunny and cheerful boy, the operation began!

At present, most of the bronchoscopes commonly used in clinical practice are flexible bronchoscopes, which are divided into fiberoptic bronchoscopes and electronic bronchoscopes.The Iris Clinic has an old-fashioned fiberoptic bronchoscope, but it is well maintained and can still be used.

Atropine was injected intramuscularly half an hour before the operation.

According to the age of little Danielle and the size of the jellybean (possible foreign body) described by Cathy, Zhou Qiao selected two suitable foreign body forceps. If one fails, there is another spare.

And took Murphy to try clip training. When preparing for the operation, Ava adjusted it before. Now Zhou Qiao is just looking for the feel.

Mark the rear end of the forceps handle at the same length as the bronchoscope, so as to know the depth of foreign body forceps entering the bronchus at any time.

Under the guidance of a side-opening laryngoscope, insert a 3.5mm×200mm bronchoscope through the glottis, and tilt the tip of the mirror to the left and the handle to the right to reduce damage to the vocal cords.

"The bronchoscope should always be kept in the middle position in the trachea. The front, back, left, and right walls can be seen, and should be kept at an equal distance from each wall. This can avoid missing or crossing foreign objects. When entering the left bronchus, the tip of the scope port The bevel should be turned to the right and the pipe handle to the left to expand the field of vision…”

Since it is an intern doctor, Zhou Qiao explained some precautions while operating.

At this moment, Murphy could not take his eyes off. Above the body of little Danielle, a three-dimensional holographic image composed of glottis, airway, lungs and other organs in the body emerged out of thin air. This is the condensed power of Murphy's powerful imagination. , and various comment boxes.

Those notes were added as Zhou Qiao explained.

Only Murphy could see this [-]D holographic image, and no one else, including Zhou Qiao, could see it.Because this is what she imagined and made up.

Some genius children can build memory palaces in their minds, so Murphy built something similar.

According to the previous CT report, Zhou Qiao followed suit and found the foreign body very quickly.

"Murphy, at this time, you should first determine the location of the foreign body in the bronchus and its relationship with the surrounding mucosa, so as to determine the direction of the opening of the foreign body forceps. The distance between the tip of the scope and the foreign body should be about 5mm, as long as the jaws can be opened. For the best fit, adjust the position of the bronchoscope at any time so that the bronchoscope and the foreign object are in a straight line."

Zhou Qiao said while doing it, clamped the bronchoscope with the index finger and middle finger of the left hand, and then pressed the upper incisor with the thumb and middle finger, and firmly fixed the mirror body on the upper incisor!

"The purpose of this operation is to fix the position of the foreign body and the tip opening of the bronchoscope to facilitate the grasping of the foreign body."

The smaller the bronchoscope, the more difficult it is to operate.

With a small bronchoscope with a diameter of only 3.5mm, it is really difficult to see the foreign body after inserting the foreign body forceps. It all depends on the preoperative estimation and the surgeon's feeling.

This is determined by the airway of little Danielle, and a thicker one cannot be used.

To put it simply, a bronchoscope is equivalent to a hollow tube in which you can see the leopard, but the 3.5mm bronchoscope is basically "blocked" when the foreign body forceps are inserted, so it is difficult to see the surgical field anymore!
Zhou Qiao felt it carefully, when the foreign body forceps reached the opening of the tip of the bronchoscope, he opened the jaws and slowly sent it down...

Finally, with his superb skills, he "caught" out a foreign object stuck in the child's trachea with ease!

It really is a fudge!Very Q bomb, the kind that is not easy to digest.

Zhou Qiao didn't expect that Cathy, at such an old age and with such good teeth, could eat such gummy candies.

At the same time, little Danielle's breathing gradually returned to normal.

The operation is complete and the crisis is over!
In the background music, the sunny and cheerful boy is still playing in a loop. The magical tune is no longer attractive, but pleasant to the ear!
A prompt pops up from the golden virtual panel of the system in Zhou Qiao’s mind:
[Murphy observed the host's bronchoscopic foreign body removal and has reached a professional level. If there are similar cases next time, he can let Murphy practice it! 】

I'll go, Zhou Qiao was shocked, seeing it once, is it a professional level?Is this the Zhang Wuji of the medical world?
He felt that he really found a treasure, trained Murphy, and threw it all to her if there was a minor operation in the future!

Even if it's a major surgery, you don't have to do the whole process alone. You can leave some unimportant parts to Murphy for relay.

[Because of the excellent performance of the host's surgical skills, Murphy has benefited a lot, and the admiration in his heart is like a torrent of water. The favorability is +2 again, and Murphy's current favorability is 58! 】

(End of this chapter)