Grandma Huang was in a wheelchair and her body was relatively weak, so most of the previous introductions to her condition were told by Grandma Huang's son. Grandma Huang only occasionally weakly added a few words.

After Zhou Qiao understood clearly, he admitted Grandma Huang to the hospital on the spot, and arranged a ward on the second floor for infusion, oxygen inhalation, and some preoperative preparations. Grandma Huang's son stayed behind to accompany him.

As for Zhang Jianjun, he chatted with Zhou Qiao for a few words to express his gratitude.

Zhou Qiao: "Brother Zhang is so polite, I should thank you!" ”

"No, no, no, I should thank you. If it weren't for your letter of recommendation, Mengjing might not have received the admission notice so quickly. Zhang Jianjun was very happy, and after solving his daughter's academic problems, he felt that a big stone in his heart had landed.

Zhou Qiao said: "That is also Mengjing's own efforts. ”

"In the future, if Mengjing can't find a job, give her a chance and let her come to you." Zhang Jianjun said.

Zhou Qiao laughed and said, "No problem." ”

Zhang Jianjun left satisfied. He inquired, and the salary at the Iris Clinic was very high, much higher than some of the surrounding clinics. Especially Zhou Qiao, the boss, treats people generously and is not so mean.

Although her daughter is a nurse, the income of doctors and nurses is in the upper echelon of the salary level in the United States, and it has always been one of the highest-paid industries.

There are many senior nurses who are paid much higher than primary doctors.

He didn't expect that after his daughter had surgery on Zhou Qiao's side, she suddenly became sensible and studious, and she actually wanted to learn nursing. As an old father, how can he not support it? No, I connected all the work in advance. Pity the hearts of parents all over the world.

Then, he pondered whether to choose an auspicious day for the zodiac and hold a banquet for his daughter's advancement. This is an old tradition of the Chinese people. When the time comes, well, Dr. Zhou must be invited.

Zhou Qiao sent Zhang Jianjun away, and as soon as he turned around, he saw Murphy coming down from the second floor and said to him: "That Grandma Huang's condition is a little tricky." ”

Zhou Qiao asked, "What's wrong?" ”

Murphy frowned and said, "She can't lie flat, in this case, she can't do a CT scan at all." ”

In the ward on the second floor, Grandma Huang couldn't lie down, so she shook the half of the bed and leaned on the head of the bed.

Zhou Qiao nodded and said, "It's really a problem. "Xindao, no wonder the other party's family doctor recommended conservative treatment, in addition to the age, the risk of surgery, and this layer of factors.

If CT is not possible, ultrasound is the only way to perform a preoperative evaluation. Then there is even more uncertainty. The stakes will be even greater!

The clarity of ultrasound cannot be compared with CT.

There are great differences in the principle, nature, and thickness of the faults between the two. Of course, each has its own advantages, but for Grandma Huang's disease, CT is obviously more suitable.

"It's okay, B-ultrasound is enough." Zhou Qiao said lightly.

Murphy was immediately stunned: "Ah......"

Although she "looks at the idea of what she can do" and does virtual 3D modeling, she still has to base it on the inspection data. The more data you have, the closer the modeling is to the real thing.

If it is an ordinary minor disease, she can also try to model it in combination with other similar cases or anatomical data of the human body to make it close to reality, but this major disease of the heart, I don't know the specific lesion situation, and the difference is a thousand miles.

After a while, Stephanie also came down and reported the same situation to Zhou Qiao.

Zhou Qiao still said lightly: "Ultrasound is fine." ”

Stephanie was as stunned as Murphy.

But seeing that Murphy didn't have any expression, as if she had known it for a long time, she pursed her lips and pretended that it wasn't a big problem.

In fact, both of them were uneasy in their hearts, and they didn't know what Zhou Qiao would do.

If you can't do CT, you really don't want to do it? Direct surgery? Isn't that blindness? Moreover, the patient still has so many messy underlying diseases, and if you are not careful, you will really get sick.

However, they felt that Zhou Qiao would not be blind.

Zhou Qiao's character, except for being more attentive, having more posture in bed, and being more perverted, is impeccable, and it is absolutely impossible to joke about the safety of patients' lives.

The reason why Stephanie thinks that Zhou Qiao is perverted in that way, well, is purely her dream feelings. One-sided feelings.

The feeling was too real to be true.

Who knows, exactly? Perhaps, that's what she expects Zhou Qiao to look like.

As for Murphy, he experienced it firsthand. I have to say that Zhou Qiao is very good at playing in that regard.

Although Zhou Qiao is confident, he still has to inform the patient's family about the risks.

This is also the process that every critically ill patient and family member has to go through, as long as it is a regular medical institution, no matter where they go.

Listening to the risks on the risk notice, Grandma Huang's son's face turned white!

However, he expressed understanding. Because, it is not recommended to have surgery on his mother anywhere else. Saying that he is old, the risk is high, or what, if you understand it from another angle, the implication is that let his mother go home and wait for death.

If you're in China, doctors usually say, "Eat whatever you want." ”

Only Zhou Qiao is willing to give it a try, and it's free!

Without surgery, to put it mildly, his mother doesn't know if she will survive this week. This is still an optimistic estimate. He even secretly began to prepare for the funeral.

The only way to do this is to use a dead horse as a live horse doctor. Grandma Huang's son sighed lightly, and the son can only be filial to this one.

Grandma Huang's son signed happily.

It is better to die on the operating table, and I will not feel guilty in the future. My sister won't complain that she didn't rescue her mother!

He asked his mother, and that's what he meant. The old man's desire to survive is still quite strong, and he doesn't want to leave.

As for what Zhou Qiao mentioned to them before, he needs to record a video during the operation, and he may have to use it as material for participating in the surgery competition, he and his mother have no opinion.

Isn't it just a matter of recording a video, a little bit of a big deal? In addition, it does not disclose the patient's personal information. When performing surgery, except for the surgical entrance, the rest of the place is covered with a sterile sheet.

That piece of cloth, there are blue, green, and other colors, which are also called "hole towels" and "sterile cloth".

Because in surgery, the most taboo is wound infection, so all tools, including things that the patient touches, must be sterilized and disinfected to ensure the smooth progress of the operation, and the sterile cloth plays such a role.

At the time of surgery, this piece of clean cloth has a hole only where the doctor needs to operate.

In addition, there are other effects, such as being good for the patient, preventing the awake patient from panicking and emotionally unstable when he sees his wound. It helps the doctor to be less distracted and more concentrated, after all, only the part to be carried out is revealed. Prevent the surgeon from getting tired and making mistakes if the surgery takes too long.

"Drowsy driving", there is a similar situation in any industry.

Due to the urgency of the condition (on the night of admission, Grandma Huang was a little dying, and she could still speak a few words during the day, but at night, she was a little confused), so the next morning, the group went to the University of California, San Francisco Medical Center.

Ava had already booked a cardiac catheterization operating room here.

The level of this operation is relatively high, and the conditions of community hospitals are a bit unable to keep up. Or the University of California Medical Center is more advanced.

But the surgery didn't start until two o'clock in the afternoon.

They came early because there was still a lot of work to be done.

Zhou Qiao wants to connect with the anesthesia team and intensive care team here, and everyone will have a small meeting and meet together. I would also like to visit the dean, department head, head nurse and others here.

At Zhou Qiao's level, interpersonal communication is very important. Zhou Qiao also intends to improve his ability in this area.

Ava and Elena, along with Murphy and Stephanie, check the list of items together.

Originally, Murphy and Stephanie didn't need to do these things for ordinary surgery, but isn't this the learning stage?

Naturally, from beginning to end, every detail must be understood.

There are many kinds of items to prepare, including but not limited to: disposable external defibrillation electrodes, super-rigid guidewires, straight guidewires, exchange guidewires, balloon dilation catheters, PIG contrast catheters, AL1-AL2 contrast catheters JR35~4 contrast catheters, 4~9F puncture sheaths, 12~20F large sheaths, finger guide catheters, finger guide wires, extension catheters, coronary balloons, coronary stents, 5FMPA1 (100cm) snares, pressure sensors, peripheral arterial stents, peripheral balloons, artificial blood vessels, vascular staplers, and more.

First-aid drugs include epinephrine, norepinephrine, phenylephrine, etc.; Instruments and equipment include temporary pacemakers, defibrillators, negative pressure suction devices, intra-aortic balloon counterpulsation pumps, extracorporeal bypass machines, anesthesia machines, etc.

If the surgery goes well, there are many medications and equipment that are not needed. But such a major operation is impossible without an emergency plan.

Zhou Qiao prepared more than ten emergency plans for various unexpected situations. It's best not to use it at all.

At the same time, Ava also has a difficult task, which is to be in charge of shooting videos. Although there is surveillance in the operating room, some surveillance images cannot meet the needs of the competition, such as some close-up high-definition shots.

After shooting, there are also post-production editing, music, commentary, and so on. If it is a live broadcast of the finals, of course, it is impossible to do this, but the video of the qualifiers can be appropriately edited and beautified.

Cases are rare, and they may not be able to be encountered in the future, so if there is one, one will be recorded first. Because Murphy and Stephanie are still lacking in technology, and the patient's condition is complicated, this time it was Zhou Qiao who was in charge of the surgery.

On the day of surgery, the skin preparation area includes the anterior chest area and the vocal part, and the skin preparation range extends to the neck, the left and right sides reach the midaxillary line, and the lower 1/3 of the thigh.

……

UCSF Medical Center, Department of Cardiac and Vascular Surgery, the doctors were stunned, so soon to record the video? This, this, we're not even getting started!

Many of the contestants are still playing that e-sports simulation game. After all, there is still a month and a half before the start of the competition. And the deadline for video submission is about two months away.

Except for a few excellent players, many players want to spend more time and hone their surgical skills, and only start recording videos when they have a fuller grasp.

Anyway, there is no shortage of cases among the doctors in big hospitals.

Unlike the Iris Clinic, which has not had minimally invasive heart surgery before, it is difficult to find a decent patient without a reputation in this field.

"No, is it really the first time that Dr. Zhou has done this kind of surgery? Prepared in a hurry, he is quite confident in participating in the competition! ”

"Anyway, it's better to go and have a look, learn from the experience, or get to know the competition!"

"I don't believe it, Dr. Zhou is really an all-rounder!"

Everyone talked about it, and then, when it was almost time for the operation, these people came over in advance, and more than ten people gathered in the monitoring room to watch.

Zhou Qiao didn't mind this. Although many of them are contestants.

What does this mean? That's absolute confidence!

Just like Zhou Qiao's previous reply to others on the personal homepage of the e-sports training game, I can completely crush you!

Of course, everyone doesn't know that the arrogant killerking is Zhou Qiao.

That killerking was in the limelight at the beginning, and then disappeared, and everyone gradually forgot about it. No one linked him to Zhou Qiao.

Zhou Qiao in reality is gentle and elegant, and the style in the game is completely different.

……

At the same time, at San Francisco International Airport, a flight from Canada slowly landed, and Grandma Huang's daughter, dragging her sick body, walked out of the plane with her family. Her husband supported her, and her son and daughter followed behind, and the family looked heavy.

"Don't worry too much, honey, mom will definitely recover." Grandma Huang's daughter's husband comforted.

Grandma Huang's daughter was full of sadness, frowning, and was about to cry. She didn't know if she could see her mother for the last time!

I guess the surgery has already begun! Perhaps, he died on the operating table. She didn't dare to call her brother for fear of hearing bad news.

Everything, wait until you get there.

A few days ago, the eldest brother called, saying that he was going to prepare for the funeral and asked her to rush over to the funeral, and later said that he had found a clinic that would not charge money and would have free surgery. I want to give it a try.

Grandma Huang's daughter asked the name of the clinic clearly, and her heart was as uncomfortable as a centipede bite!

So a small clinic that I have never heard of, and it is free, can it be reliable as if there are no patients and begging patients to treat diseases?

And I heard that there are still competitions to participate in.

Last night, my brother called again and said that he was already in the clinic and was going to have surgery today. So there was a scene where she dragged her sick body, was discharged from the hospital early, and rushed over with her family.

This is really a funeral!

Recalling what my brother said on the phone last night, Grandma Huang's daughter was angry!

Originally, she was in poor health and was hospitalized, but when she heard her brother's words, she jumped off the hospital bed on the spot, startling the nurses on the side.

"What? Still going to a competition? I said, brother, why are you so stupid? People are taking you to practice! Grandma Huang's daughter shouted loudly at the time.

While shouting, tears couldn't help but roll down: "Our mother is so cheap, and she also lets people practice her hands, tossing in vain?" In case there's a good one, I, I'...... I'm not done with you! "I was so angry that I almost got sicker.

The eldest brother was still quibbling on the other end of the phone: "Dr. Zhou is quite famous." ”

Grandma Huang's daughter scolded angrily: "There is a famous fart, I have checked it, it is a medical beauty, and he is very young, and he is still a hairy young man!" What do you think about a young doctor who does aesthetic medicine, and you ask him to perform heart surgery on his mother? Got water in your brain? Do you want our mom to leave early? ”

However, she was beyond her reach. Over there, my brother and mother were very stubborn, and my brother said that my mother was no longer good and confused, and she wanted to give it a go!

(End of chapter)