The public service announcement co-produced by Zhou Qiao and Talia was released. The response has been pretty good.

Talia called to congratulate, saying that although Zhou Qiao was acting for the first time, she didn't expect her acting skills to be so good. Judging from the finished film, I can't see the feeling of a newcomer at all.

Actually, regarding DP, California is liberal. Not only California, but many states in the United States are legal.

However, the most fundamental reason is that it can't be banned, not that it doesn't want to be banned, at least, Governor Hulk wants to make a difference.

Governor Hulk has signed a new decree re-declaring Big M illegal in California. The California government will crack down on illegal planting, trafficking, and consumption of large M from July 1, that is, seizure, confiscation, criminal prosecution, trial, etc.

The state legal document that legalized Big M in California before was not signed by Governor Hulk, but a good thing done by his previous governor, and he is now coming to overturn it, which is completely defensible. It's not even about slapping yourself in the face.

Zhou Qiao naturally strongly supported Governor Hulk's behavior, and praised Governor Hulk's decree on Twitter. After all, he will live in California for a long time in the future, and no one wants his place of residence to be flooded with D products.

……

Iris Clinic. Operating room on the second floor.

Zhou Qiao is in the center, on the left and right sides, one tall and one short, one fat and one thin, fragrant, two stunning beauties.

Murphy is 180 centimeters tall, while Stephanie is only 161 centimeters, but Yan is thin and fat, and each has its own charm.

In particular, Stephanie's towering breasts made Murphy peek at him from time to time.

And Murphy's height also made Stephanie envious.

They didn't wear makeup, they didn't wear perfume, and they had a natural body odor. The scent of a young girl's youthful flesh and hormones.

"Hmph, my chest can't compare to you, can't I compare to you in surgery? I must be ahead of you in this contest! Murphy swore in his heart.

And Stephanie glanced at Murphy, and said in her heart: "What's the use of being so tall and thin, one at the airport, although I am slightly shorter, but I have proud peaks!" Haha, I'll just stand up on purpose and be angry with you. This surgery competition, you think I'm going to lose? Hehe, I'm going to show you that it's not that the sooner you get your Ph.D., the better it is! ”

Zhou Qiao is carefully kneading a clay dummy.

They bought a lot of clay that they could reuse over and over again to make life-size organs of all kinds, and eventually form a body on which to perform surgery, which was a very good training tool.

When the dummy was made, Zhou Qiao began to demonstrate the surgical process.

Explain in detail while demonstrating.

His move, showing the demeanor of a top expert, profound knowledge and superb skills, shocked both Murphy and Stephanie, even if they had long known that Zhou Qiao was powerful.

It seems that there is nothing that Zhou Qiao is not good at.

They are also medical geniuses, it's hard to imagine how Zhou Qiao was refined!

In fact, tertiary and higher surgeries are now performed at community hospitals or at the UCSF Medical Center. In this operating room at the Iris Clinic, only minor surgeries are performed.

When there was no surgery, it became a practice ground for Murphy and Stephanie.

Zhou Qiao taught them six types of minimally invasive heart surgery.

There are three types of small incisions: small incision or thoracoscopic heart surgery through the right chest, small incision or thoracoscopic heart surgery through the left chest, and small incision heart surgery in the upper sternum.

and three types of interventional cardiac procedures: mitral valve clipping (MitraClip), Watchman left atrial appendage closure, and transcatheter aortic valve replacement (TAVR or TAVI).

Minimally invasive cardiac surgery is naturally all-encompassing, and there are by no means only these six types.

However, these six techniques are the six rounds of competition stipulated in this competition.

Formula competitions naturally have strict rules, and it is not for participants to play freely and perform indiscriminately. Otherwise, it will not be judged at all.

This competition includes six types of surgery and three forms.

The six techniques refer to the items that are being contested, that is, the six that Zhou Qiao is teaching Murphy and Stephanie.

The three forms are the way of competition, which are simulated confrontation, surgical video, and live broadcast.

Speaking of simulated confrontation, I have to say that the medical circle in the United States is quite good at playing, in addition to advanced simulation training equipment, they have also developed it into a game-like model.

In this competition, a national minimally invasive cardiac surgery simulation confrontation server was specially set up, which is a bit similar to e-sports games, and the whole process is operated on a computer.

After the contestant registers and passes the review, he will receive a "game account" and the corresponding password, and after registration and before the end of the competition, he can log in to this server at will for simulation training.

You can play alone, or you can choose to fight against other players, PK.

The server will automatically score the players based on their performance and then give the ranking of the players.

However, this is just a game for the players to train, not a real competition.

When it came to the official competition, it was not computer operation, but another set of advanced surgical simulation equipment, equipped with fully simulated silicone physical dolls, in the competition scene, real confrontation.

That kind of physical doll, the cost is very expensive, the full name is called "special prop puppet for the heart minimally invasive surgery competition", the leather is soft, the feel is good, it is said to be a real model, 1:1 restoration, including those blood vessels that pass through the interventional surgery, are made in equal proportions. Quite high-tech.

It can be seen that the organizing committee of the competition attaches great importance to this competition, which can be said to be a bloody investment.

It is rumored that this competition will be held once every four years, and it will be held on a par with the Olympic Games.

This set of surgical simulation equipment can also be connected to the server, has a computer display screen, and has its own scoring system. In addition to the various operation essentials, the scoring criteria also includes the time of surgery.

In other words, the same quality of surgery, the fastest wins. Different time periods are completed, and there are different bonus points. is a super complex calculation formula, and the specific Zhou Qiao is not clear.

All he knew was that the UCLA Medical Center had received a full fifty sets of such equipment. The final of the qualifiers in the California region was held at the Los Angeles campus.

Each set is worth $200,000.

In addition to competition, it can also be used for training for doctors in normal times. It's not a one-time thing.

The second format of the competition: the surgery video. To put it simply, it's a real person surgery, recording a video. Patients find their own and record their own videos. Submit at the specified time, and the experts of the jury will review and determine the ranking.

The surgical video requires a brief introduction to the case, such as clinical diagnosis, imaging examination report, and specific surgical process (including surgical approach, key steps, etc.).

The scoring criteria roughly include the following aspects: reasonable selection of surgical methods, clear surgical ideas, clear anatomical levels, proficient and standardized operation, clear surgical field, surgical difficulty, reasonable instrument use, reasonable video editing, including necessary steps, and duration to meet the requirements, etc., each of which has different scores, and the judges will score separately, and after removing the highest score and the lowest score, the contestants will get a comprehensive score.

Live streaming is even more difficult.

It is worth mentioning that the previous state qualifiers are not broadcast live, and only when the final national finals and the top 30 compete will be broadcast live.

During the live broadcast, in addition to the operation, the chief surgeon also had to answer some questions from the judges, and there was no shortage of tricky problems.

The patients in this live broadcast are also found by the contestants themselves. If you can't find it, you can abandon the race.

In fact, the players who can enter the top 30 in the United States are basically backed by big hospitals, and it is impossible to find such a case. For example, at Johns Hopkins Hospital, every month so many patients who undergo minimally invasive heart surgery can choose one with their eyes closed.

Like some small clinics, it is really difficult to find live patients. Unless you pay a lot of money to recruit.

Of course, the whole competition is to protect the privacy of patients, whether it is the video of the operation or the live broadcast, no personal information of patients shall be disclosed. In addition, the patient must be informed that the surgery is for the competition and that the patient or family member needs to sign off.

As for the specific costs and remuneration, the contestants or the hospital will negotiate it yourself.

Three forms, just the way of the game.

The six types of techniques are the basic skills. It is also the content that Zhou Qiao focuses on training for Murphy and Stephanie.

The small incision and thoracoscopy in front are okay, but when it is the turn of interventional surgery, due to the limited conditions in the operating room of the iris clinic, it cannot be carried out, so Zhou Qiao simply simulated and explained some steps and precautions.

Compared with traditional thoracotomy, these surgeries have obvious advantages such as less trauma, shorter operation time, and faster postoperative recovery.

Interventional surgery, in theory, is perfect and sounds very simple, but in practice, it is very difficult to operate. Some doctors who are not skilled in the field accidentally puncture the blood vessels, resulting in the leakage of contrast media, causing medical accidents, and even threatening the lives of patients.

In fact, the principle of any surgery is quite simple to say. But it is easier said than done, and there are too many thresholds from theory to practice.

I have to say that Murphy and Stephanie have a solid medical foundation and extremely high medical understanding, and Zhou Qiao's perfect-level surgical skills that he redeemed by himself only took half a day to teach them, purely on paper, and then the system prompted that all the six techniques of the two of them had reached the primary level of specialization.

There are two of them, and the two of them have also reached the intermediate level of specialization.

It's just against the sky!

Stephanie glanced at Zhou Qiao, and she had a strange taste in her heart, because she recalled the dream treatment, one of the "past lives" was Heloise and Abelard.

Xindao, Heloise and Abelard are students and teachers, and now they are learning surgical skills with Zhou Qiao, aren't they also students and teachers?

This slightly unethical relationship makes her heart beat faster!

Many universities in the United States, such as Princeton, strictly prohibit teacher-student relationships. Although such regulations are contrary to the U.S. Constitution and the norms of individual freedom, they are becoming more and more stringent in colleges and universities.

In the sixth season of "Friends", Ross goes on a date with his female student while teaching at the university, and his colleague tells him that your job is ruined.

Yang Guo and his aunt assumed that in the current United States, the teacher-student relationship in the school would still be scolded by thousands of people, and even expelled.

Fortunately, although Zhou Qiao taught Murphy and Stephanie knowledge and skills, there was no nominal teacher-student relationship, they were bosses and employees.

"You've received your accounts, you can log in to that server and play when you're fine."

"What about you, Joe?"

"I've already logged in!"

"Huh? Why didn't I find you? ”

"Silly girl, who will use their real name."

"And what's your name?"

Zhou Qiao told them his name in this competition training "game" - killerking.

Murphy and Stephanie hurriedly checked on the Internet, I'll go, this is a pretty powerful player! Although the landing time has only been one day, it has already taken the lead, and the score is unbeatable, and it is the top of the list!

"So you're the number one master!"

Murphy and Stephanie were surprised.

Stephanie, in particular, thought that although she would be able to sign up for the competition, she was prepared in a hurry, unlike Johns Hopkins Hospital, which started training months in advance. Even if he participated, it was estimated that it would be difficult to get the ranking, but he never expected that Zhou Qiao would take the lead without making a sound.

Although, just the ranking of simulation training. But it's still encouraging.

Stephanie and Murphy were each in their own consultation rooms, facing the computer, carefully checking Zhou Qiao's personal homepage.

I found that many people left messages in it. One of them has a very high number of likes: "This is an operation, you are a killer king?" Who would dare to let you have surgery! ”

Zhou Qiao posted a smiling expression below and replied: "I'm crushing you, not crushing patients!" ”

Everyone despised and scolded below.

Since they are all screen names, no one knows who they are.

Although Murphy and Stephanie have landed, they have not yet started to fight, and the score is still 0.

Zhou Qiao asked, one is called Heloise, and the other is called Angel Kiss.

So, I added friends with them.

In order to play this e-sports confrontation, Zhou Qiao even repurchased a computer with better performance for everyone.

(End of chapter)