The "Time Out" procedure, one of the important aspects of the surgical review system, refers to the steps of group checking before the operation begins.

The word was originally used as a sports parlance and originally meant "to pause for a moment", but in the case of surgical checks, it means:

During this time period, no clinical activities are allowed to be carried out, and the team members involved in the operation come together to check the patient's information, which is the last check before the operation.

Now it is the same in China, many hospitals will have this step!

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

In the past, there were often shocking news in the news that so-and-so surgery made the wrong left and right sides of the body, got the wrong surgical site, and even reversed the surgery of two patients.

Once such a serious medical accident occurs, grab Wang Feng's headlines in minutes!

Zhou Qiao is in charge of the knife and is methodical.

Five cannulas are inserted, an 8 cm incorporation is made under the right rib, and the non-dominant hand (left hand) is inserted into the abdominal cavity through the hand aid.

Throughout the procedure, this "left hand" is placed in the abdominal cavity and normal pneumoperitoneum pressure is maintained.

Separation, excision, and reconstruction are performed with the dominant hand (right hand).

If Zhou Qiao is exchanging for the perfect level, he may be equally dexterous with his left and right hands, but the number of master levels is slightly inferior, and his right hand is more advantageous.

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

Zhou Qiao's left hand gently pulled and touched the scope of the tumor to assess the state of the tumor. In addition, finger pressure can be used to control bleeding if necessary, as well as to help with internal sutures.

The Kocher maneuver begins by cutting the lateral peritoneum of the duodenum with endoscopic separation scissors and separating the posterior duodenal area with the left hand......

Small vessel electrocoagulation to stop bleeding......

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

Detach the liver area of the colon and turn it down with your left hand to open the peritoneal flexion covering the third part of the duodenum without blood vessels, and ascend to the large vessel 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.

That's the advantage of endotracheal intubation.

Otherwise, the patient's lungs will rise and fall when breathing, which can easily affect the operation of the operation!

Now that anesthesia technology is developed, there are basically no side effects, not to mention this kind of major surgery, many minor surgeries, which used to be local anesthesia, can now be used under general anesthesia.

The patient will feel better about the experience.

In the case of local anesthesia, translocation, let's say you are a patient and you feel that a part of your body is being cut...... It's scary to think about. The nervousness of the timid is unbearable!

Mr. Clark was also nervous outside, not because he was timid, but because he was worried about his wife. After so many years of married couples, facing such a high-risk operation, no one can pack a ticket and will definitely come out alive!

The more he thought about it, the more anxious he became, and he drank free coffee cup after cup.

After a while, he refilled seven or eight cups, and it is estimated that after the whole operation, he will not stop without drinking thirty or fifty cups!

In Starbucks, it costs hundreds of dollars! In China, it is also more than 1,000 soft sister coins!

The staff at the community hospital were speechless, how can you drink so much? But the wife of the family is undergoing a "life and death-level" major surgery in the operating room, so it is not easy to say much.

Jessica hurried and finally arrived.

She was in the dust, and as soon as she got off the plane, she immediately took a taxi! When I took a taxi, I asked my father and knew that it was in the community hospital.

"Daddy, where's Mommy? How's Mom? When Jessica saw her father, Mr. Clark, she immediately came up to hug him and asked anxiously.

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

"Daddy, aren't you worried?" Jessica is crying!

"Silly boy, don't cry! I'm worried, but it's useless to worry, now I can only see Dr. Zhou! Hope Dr. Chow gives his best and saves your mother's life. Mr. Clark patted his daughter on the back and comforted.

Then, take her by the hand and let her sit on the couch in the waiting area.

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

Mr. Clark said, "Jessica, if you're worried, you can go and watch the surveillance with the members of the California Medical Board!" ”

Jessica was stunned!

"Huh? Can you still watch the surveillance? What the hell is the California Medical Council? Why are they here? Is it because you know that your mother's surgery schedule is not compliant? ”

Mr. Clark spread his hands and said, "Not really. I was the owner of the former Red-headed Gull Clinic, probably 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 was practicing medicine illegally. ”

Mr. and Mrs. Clark used to be regular customers of the Red-headed Gull Clinic, so they knew Cainz!

In the afternoon, Mr. Clark saw Cainz with the members of the California Medical Council, and immediately understood!

It turns out that the bad guy Ava is talking about is Kainz!

"And the result?" Jessica's heart is upside down, why is she still practicing medicine illegally? Originally, I thought it was just that I was not famous, or that I had not had cancer surgery.

"As a result, hehe," said Mr. Clark, with a little excitement, perhaps because he had too much coffee.

He shrugged his shoulders and gave a thumbs up: "Dr. Zhou is really amazing, at a young age, he actually got the attending doctor's license!" ”

"It can't be fake, right?" Jessica didn't believe it. She is an elite at Harvard University, and although she is not a doctor, she also knows that the difference between MDs and doctors. There is no way that the other party is the attending doctor!

Mr. Clark said, "The officers of the Medical Council have verified the hard facts, and there is nothing to say. ”

"And then, didn't it coincide with your mother's surgery in the afternoon? Therefore, the experts of the medical committee wanted to see with their own eyes the level of Dr. Zhou! ”

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

"It's the monitoring room next to the operating room, room 306, but I'm not going." Mr. Clark pointed in directions.

Jessica asked, "Why?" ”

Mom such an important operation, you don't go to see it, drink coffee here?

Mr. Clark said very solemnly, "I can't bear to see your mother suffering!" In fact, he couldn't see the bloody surgical scene of disembowelment.

"Then I'm leaving!"

Jessica immediately walked to the monitoring room.

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

Jessica pushed a crack open and poked her head in, where she saw five people staring intently at the screen, none of them looking at her.

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

"Absolutely!" The person inside did not look back, and replied without hesitation.

It's just that when Jessica walked in, the other party realized that a stranger had broken in, and quickly turned to look at Jessica: "May I ask ...... you?" ”

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

The other party nodded: "Of course you can, you're very welcome, young lady!" ”

Then, ignoring her again, the group watched attentively and with relish.

Jessica moved a chair and sat on the side to watch, but the scene was very bloody, and there were several screens on the monitor, some facing the surgical scene, some facing the screen in the operating room, showing the surgical vision, and the operation of the surgeon could be seen clearly, and some were facing some monitoring equipment, many numbers on it, as well as electrocardiograms, etc.

Jessica didn't understand it very well, and she didn't know what the operation was like, 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 in which industry, there is a feeling of lifting weights and moving smoothly. The layman can also know how powerful it is.

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

Suddenly, a staff member of the medical committee exclaimed, "Wow~"

Jessica was excited and immediately asked, "What's wrong?" What happened? ”

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

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

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

She looked at these attentive staff, and couldn't help but secretly say in her heart, could these people be the trust invited by Dr. Zhou?

You guys want to play me together?

She works for large international companies, although she is based in New York, she often collaborates with colleagues in the Asia-Pacific region, especially in Greater China, and knows the Chinese very well.

Some Chinese and routines are very deep, and it is said that it is a routine operation in China, ranging from concerts and movie promotion roadshows to the opening of bubble tea shops...... Everywhere.

She never thought that she would be able to ask for an operation?

These people are also too hard!

With the thought of it, she couldn't hold back any longer, thought about it, and said to the staff member who had talked to him before: "Hello, can I take a look at your documents?" ”

The other party looked back in surprise: "Why?" ”

"I don't think you're here to monitor! Please forgive me for being so blunt! Jessica thought for a moment, took out her business card and handed it over, "I'm a Ph.D. in materials science and engineering from Harvard University, and I'm currently working for a large multinational company!" ”

She introduced herself and gave her business card, wanting to throw bricks and jade to see what identities these scammers had fabricated. The more information you know, the more flaws you can see.

The medical committee, come to supervise and evaluate the doctors below, how can they operate like this? Don't find fault, praise vigorously? What about liars! My Harvard elite, will be deceived?

She heard from her colleagues in China that there are many fraudsters in China, and the police station requires everyone to download the anti-fraud APP, she doesn't know what the APP looks like, but she has a feeling that she is now falling into the routine of fraudsters!

The staff member was stunned for a moment, and seemed to see her thoughts, so he took out his ID, then handed Jessica a business card, and introduced himself: "I'm Richard Bush of Cedarsineh Medical Center, MD, and a member of the California Medical Board task force. ”

Cedars-Sinai Medical Center, which is also a very highly-ranked hospital, is among the top 10 hospitals in the United States, excelling in several areas.

Several other people also hurriedly handed out their documents and business cards.

"I'm Julietta Scott of John Muir-Walnut Creek Medical Center, MD." This is also a well-known existence that can be ranked among the top 10 hospitals in the United States.

"I'm the California Medical Board officer in charge of licensure administration, David Thomas."

"I'm Robert De Niro of the Medical Board's San Francisco office."

Dr. Richard of Cedarsineh Medical Center pointed to the two people on the monitoring screen and introduced: "The two 'sidelines' in it are the leader of our task force, Professor Eric Pasont, from the University of California, Los Angeles, who is also a member of the California Medical Council, and was personally nominated by the governor!" ”

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

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

Jessica looked at the documents and was immediately embarrassed, in her eyes, these documents could not be faked, they were all true!

She was stunned, pointed to a bald one on the side who had not been introduced, resolved the embarrassment, and said, "I don't know if this is ......"

Thomas was familiar with him, and hurriedly introduced: "This is Kainz, the owner of the San Francisco Red-headed Gull Clinic, well, the whistleblower is him." ”

Cainz: "......"

Jessica: "......"

She thought about it, everyone was praising it just now, and it seemed that this bald old man didn't agree, and he still had a weird face, feeling like he was constipated. No wonder! It turns out that he is the whistleblower in Daddy's mouth! Bad apple!