Since the last time Elena and Ava demonstrated their skill in subject three, Murphy and Stephanie have joined the bandwagon.

Then Park so-joo and Kim Hee-jin also came to try it, but the two of them couldn't compare with those four girls, so Xiao Yuna could challenge it.

Especially Murphy, Elena, and Ava, whose slender and white jade fingers can be bent in reverse, extremely dexterous and silky, with a pair of flower hands, no one can match.

Even Stephanie is slightly inferior.

In fact, this is because Zhou Qiao added points to the physical attributes of Murphy, Elena and Ava, and their finger dexterity is different from ordinary people. Stephanie has less than 100 times and is currently unable to improve her physical attributes.

But Stephanie also danced really well. In particular, the proud peaks tremble lightly with the rhythm of the body, which is confusing.

The soundtrack is also quite good, but the rhythm is too fast, and Zhou Qiao, as a Chinese, can't actually hear what the specific lyrics are every time.

It wasn't until I looked it up on the Internet that I knew that the lyrics were beautifully written.

"The sword raises the grievances of the rivers and lakes, and the sleeves cover the bright moon; The leaves of the west wind fall and the flowers are gone, and the pillow sword is difficult to sleep; You are a passerby of mountains and rivers, but you always sigh and part; Sideburns like frost, a cup of strong ......"

I have to say that watching the four girls dance subject three together, all of them are "hand essences", and they are all graceful, sweet and white, that kind of feeling, it is simply longevity.

With the victory of the heart surgery competition and the emergence of the tumor signboard with the background of academicians, the business of the clinic is getting better and better, and Zhou Qiao has to continue to put the recruitment on the agenda.

Especially people like Murphy and Stephanie should be freed from their ordinary work and let them do more difficult things.

Even if they don't need surgery, they can also be asked to sort out the previous course data, summarize the rules, and write some research papers on applied medicine. Simply having surgery without thinking about it will hinder your future growth.

If you can dive into thinking carefully and researching, you may be able to do 3-5 difficult surgeries, which is worth burying your head in more than 100 surgeries!

Moreover, Academician Domitri's resources are there, and if you want to submit your favorite head journal, you will basically not be rejected.

Those top 100 or top 50 journals are often extremely picky because of the large number of manuscripts they receive every year, and there are so many well-known medical schools and hospitals in the world that the competition is actually very large.

Zhou Qiao: They are private clinics, and there is no need for job titles or promotions, but if the clinic wants to become bigger and stronger, it will compete with top medical institutions such as Cleveland Clinic and Mayo Clinic in the future, or even far surpass them, in the process of growth, it needs some background in this area.

In addition, if Zhou Qiao wants to reach the top of medicine and enjoy the supreme glory of global medical champions, he also needs to have accumulation in this area.

Academician Domitrie's research institute is basically engaged in basic medical research, which belongs to the category of elucidating the essential laws of life or disease, and incidentally develops some new drugs, while the iris clinic is mainly based on surgery and case analysis and summary, which belongs to the type of clinical research. The two sides are actually complementary.

Basic medical research is exactly what Zhou Qiao lacks.

Academician Domitri was also engaged in a lot of clinical work in his early years, did many difficult surgeries, and had high clinical attainments, and later turned to basic academic research when he was older, and finally won the Nobel Prize.

In terms of writing papers, whether it is applied medicine or basic research, Academician Dominory can give Zhou Qiao good guidance. Of course, the most important thing is the resources that Academician Domitri has.

These resources, connections, are impossible for the system to conjure.

Unfortunately, good doctors are more difficult to find, especially in the United States, where the entry threshold for doctors is too high and the number is limited. So Zhou Qiao interviewed a few, but none of them were suitable, so he could only wait.

Uncle Huang came for a follow-up visit accompanied by his wife, and his recovery was good, and then he also brought a distant elder in the family. is also surnamed Huang, but it should be called Grandma Huang.

Because, this grandmother, who is eighty-five years old, is a distant cousin of Uncle Huang.

In fact, their family came to the United States many years ago, and they have branched out here and contributed to the Chinese nation all over the world. This grandmother has lived in San Francisco for more than sixty years.

Grandma Huang heard that this nephew was easily cured of heart disease and lung tumor at the Iris Clinic, and heard that he was the national champion of surgery in the United States, and he also had the background of the Nobel Prize of academicians, so she moved to see a doctor.

accompanied Grandma Huang over, as well as one of her granddaughters, a mixed-race child in her thirties, and the charm still exists.

"My grandmother was found to have a pulmonary nodule during a physical examination two years ago, because the nodule is not big and there is nothing particularly uncomfortable, so she maintains a semi-annual reexamination. But when I went for a follow-up examination last week, I found that my grandmother's lung nodules were much larger than before, almost 2 centimeters, and the doctor said that it might be malignant, but because she still has some underlying diseases, and she has had a kidney resection before, and now only one kidney is working, the operation is more difficult and the risk is relatively high, we have not found a suitable doctor, I don't know if Dr. Zhou is sure of you? ”

Zhou Qiao smiled and said: "I don't know if you've watched my competition, when I competed before, I had heart surgery for an old man in his nineties, and that old man also had various underlying diseases." ”

As soon as these words came out, the mixed-race granddaughter in her thirties smiled and said, "That's great." Dr. Zhou, then you have to worry too much. ”

"It's fine. Let the elderly be admitted to the hospital first, I will help her arrange a preoperative examination, and then our team will evaluate and come up with a safe surgical plan, which should not be a big problem. ”

"The team? Was there an academician involved in the evaluation? The mixed-race granddaughter, who is in her thirties, asked, with her eyes lit up.

Zhou Qiao said in his heart, how is it possible, such a trivial matter, I will trouble Academician Dominory? But he still smiled and said, "Of course." When the time comes, I will make a video link and ask the academician to refer to the condition. ”

Since the patient needs it, he will say something to reassure the patient's family, anyway, if there is a connection to the academician or a phone call to the other party, it is impossible for the other party to see it, right?

Immediately, Zhou Qiao admitted Grandma Huang to the hospital, asked Ava to arrange a preoperative examination, and as soon as the report came out, he summoned Murphy and Stephanie for a consultation to discuss the condition together.

This grandmother's condition is indeed very tricky.

It's not tricky, and people won't hesitate, and finally came to the iris clinic with an academician background.

First of all, surgery is a big blow to the elderly.

It can be said that the older you get, the higher the risk. If you are over 70 years old, it is more difficult to have surgery, let alone 80 or 90 years old.

Trauma during surgery, bleeding, wound recovery at a later stage, etc., are all problems.

Because the elderly cannot be compared with the young, the young people have strong immunity and strong recovery ability. Eighty or ninety-year-old people, who are in their last years, often have surgery and a toss, and their vitality is seriously damaged, and they may not have lived for a long time without conservative treatment.

Since Zhou Qiao has taken over, in line with the concept of being responsible for patients, he must do his best work.

This eighty-three-year-old grandmother not only had a nephrectomy more than ten years ago, and now only has one kidney left, but she also has different degrees of hypertension, diabetes and coronary heart disease and other underlying diseases.

The preoperative examination showed that her creatinine was more than 300, which had reached the critical line of hemodialysis.

Stephanie sighed lightly and said, "Fortunately, there is Prometheus-3000 now, otherwise it would be more difficult." ”

Because, for this type of patient, the most important thing for surgery is how to cause less damage to her body, less fluctuations in her internal environment, and low inflammatory response, and using a surgical robot is the best choice.

Murphy pursed his lips and said, "Even without a surgical robot, Zhou Qiao can achieve small fluctuations." ”

Stephanie: "......" is on the same page with me, isn't it?

She thought about it for a while, and then fought for Zhou Qiao: "Qiao, I am confident in this operation, or let me be the main operation." ”

She has not had tumor surgery before, but this lung nodule is not too big, she has recently studied some cases, and also privately pulled Zhou Qiao, asked him for experience in surgery, and also did several simulated surgeries, she thinks that she has made great progress, only real people practice.

Zhou Qiao nodded and said with a smile: "No problem." ”

He has seen it with the system, and Stephanie is currently at the peak of specialization in tumor surgery, with the assistance of robots, and can barely reach the master-level beginner, plus he is guiding and sitting on the side, and he will not make mistakes.

Stephanie rolled her eyes at Murphy proudly, and said in her heart, let you and me, I will grab the opportunity for surgery first, haha.

Murphy pursed his lips slightly, snorting softly.

Stephanie is proud of the peaks and is not to be outdone.

Seeing that the smell of gunpowder between the two daughters was very strong, Zhou Qiao hurriedly changed the topic and said, "Now let's discuss the details, how to anesthetize during surgery?" How to ensure the cardiopulmonary safety of the grandmother during the operation? Then there may be problems such as infection, renal insufficiency, etc., which also need to be carefully considered. ”

Strategically despised and tactically valued. Although Zhou Qiao behaved lightly, especially in front of patients and their families. However, when it is time to have surgery, the three of them are actually more serious and stable.

Murphy and Stephanie also temporarily "ceasefire", and everyone began to discuss it in earnest.

However, as she spoke, these two girls began to "roll" up again, you say a word, I say a word, each of them is very competitive, and they want to overpower each other.

But this kind of thing is actually a good thing, and the consultation and discussion is that there need to be different voices, so that the plan can be improved from all angles and angles.

Zhou Qiaoxin said that these are really his two treasure girls, and with them, he can save a lot of worry and effort. It can also save some points, so that every difficult case has to be exchanged with points.

Now, his points are growing rapidly because he spends less and replenishes more.

But there is still a big gap from the huge value of 100,000 upgrades. As for the other way to upgrade, collecting ten medical seeds, it is also a long way to go, after all, there are only two medical seeds now, and the remaining eight do not know where they are.

Medical seeds are hard to find in the world, and I don't know if there are ten of them on the earth.

But this kind of thing is not urgent, Zhou Qiao feels that the most important thing is to live every day, run a good career, and enjoy a high-quality life after work.

Although the level of the three of them is very high, it took a full hour to discuss the surgical plan, they kept improving, and repeatedly scrutinized every detail of the operation, and finally, formulated the most suitable plan for this old lady Huang.

It includes seven or eight response plans for intraoperative and postoperative emergency situations.

If you have enough plans, you will not panic when you encounter "accidents", and you can choose the most correct response at the first time.

At the University of California, San Francisco Medical Center, the Prometheus-3000 surgical robot has started work again.

Stephanie was the chief surgeon, and under the guidance of Zhou Qiao, the operation went smoothly.

The three heads and five arms, precise and stable, can freely control and choose the angle, while removing the tumor, to protect the patient's organ function to a greater extent, reduce the amount of trauma and bleeding caused by surgery, and shorten the postoperative recovery period.

In addition, Prometheus-3000, with a full 6-dimensional rotation, coupled with a 20x high-definition field of view, can clearly see every nerve and blood vessel, and also shows a super advantage when dissecting lymph nodes.

After the operation, the elderly person will be hospitalized at the University of California Medical Center, because the elderly are too old to move around. Moreover, the University of California Medical Center is well-equipped, and in case of an accident, it can also be rescued in time.

On the first day after surgery, Stephanie basically stayed here to guard. After she was transferred to the general disease, Stephanie changed to come twice a day. After all, this is the patient she is responsible for.

On the fifth day, the old man was doing well, and when Stephanie went to do the rounds, her family asked, "Can you be discharged from the hospital?" ”

Because before, Uncle Huang, the distant nephew of the old man, was discharged from the hospital on the fifth day because of his serious condition.

They think that their grandmother should be similar. Although he is older, he only has a lung nodule cut, unlike Uncle Huang, who has heart surgery and a lung tumor.

Moreover, the old man's condition is very good now, how expensive it is to live here, every day is money.

Stephanie called Zhou Qiao and reported the situation.

Zhou Qiao groaned, in view of the strong willingness of the old man and his family to be discharged, after comprehensive consideration, he agreed to be discharged, but told Stephanie to explain to the other party, if there is anything uncomfortable, come to the iris clinic for re-examination at any time.

Stephanie naturally gave a thousand instructions, ten thousand instructions, and then also talked about some other precautions.

The old man's children also nodded their heads again and again, but they didn't pay much attention to it and couldn't remember it. Because every time I go to the hospital, when I am discharged, the doctor will explain this. The number of times I listen to it, it seems that it is just like that, not much important.

Perhaps, because he was afraid of something, on the ninth day, the grandmother's family, a large group of people, took the old man to the iris clinic in a hurry.

The mixed-race granddaughter was also among them, and as soon as she entered the hall, she shouted at Ava: "Is Dr. Zhou here, is Dr. Zhou here, hurry up and let him take a look, my grandma has a problem!" ”

She was worried, her grandmother was brought by her for surgery, but now there is such a problem, and the family blames her.

She is not angry is fake, and said in her heart, that Doctor Zhou, looks very handsome, why is he so unreliable, in vain I trust you so much, and hand over my grandmother to you, but it turned out to be like this.

Without waiting for Ava to look for it, Zhou Qiao, Murphy, and Stephanie came out of the consultation room separately to see what the situation was.

Stephanie's face turned white, and she said in her heart, I finally took charge of the surgery alone, why did I make these things? She was afraid that she would be looked down upon by Zhou Qiao and Murphy.

"Don't worry, don't worry, the old man is old, and there will inevitably be some follow-up problems after surgery, let's check it out and know the situation." Zhou Qiao hurriedly comforted Grandma Huang's family, and then pushed Grandma into the consultation room for a detailed examination.

Rachel didn't have any patients for the time being, so she came to watch.

"My grandmother has chest tightness and shortness of breath, and her legs are very swollen." Grandma Huang's mixed-race granddaughter said. She saw that Zhou Qiao and the others had a good attitude, and the inspection seemed to be very professional, so she was a little relieved.

In fact, at such an age, it is normal to have some follow-up situations. She can actually understand it, but she was too anxious before.

After Zhou Qiao's examination, he said: "In the case of the elderly, it is likely that the nutritional status is poor, which leads to an increase in intrapleural effusion, which affects respiratory function. It's okay, it's not a big problem, I'll arrange a blood routine and chest ultrasound examination for her first, and see the results. ”

Stephanie was also a little relieved, because this situation was one of the postoperative accidents in the previous surgical plan, and everyone discussed at that time what to do in case of such a situation, and they all made a plan.

I thought the probability of happening was relatively small, but who knows, it still came.

The other party's nutritional status is poor, not because the family didn't give her good food, but because the old man is old and does not absorb well. As mentioned earlier, older people are not as good as younger people. In addition to the immune system, the gastrointestinal aspect is also dying.

It is not easy for people in their last years to live.

When the test results came out, sure enough, as Zhou Qiao's previous prediction, the blood test results showed that the old man's albumin was low, and then the pleural effusion increased.

"Dr. Zhou, I'm sorry, we were too reckless before." The mixed-race granddaughter apologized to Zhou Qiao.

Zhou Qiao waved his hand and said with a smile: "It's okay." We can understandably worry about the health of our patients. ”

Immediately, the elderly were arranged to be hospitalized in the community hospital, because the conditions of the community hospital are more perfect, and the elderly are old and have emergencies, which is convenient for rescue. In addition, it is also closer, only a few hundred meters away from the clinic, which is equivalent to the distance from the outpatient to the inpatient building of a large hospital in China, and will not delay the work.

And the University of California Medical Center, after all, is too far away, and the cost is higher there.

Of course, there is another reason why it is not appropriate to be humane to outsiders. It is...... The patient is old, if there are really three long and two short, it is not good to die in the clinic, after all, the third floor is the living area of Elena and Ava.

Zhou Qiao pondered whether to simply cancel the clinic's wards and operating rooms, and transform the second floor into consultation rooms and conference rooms.

After that, if we continue to recruit doctors and nurses, the consultation rooms on the first floor will be a little insufficient.

Or go outside and buy a house for Elena and Ava and write their names. The third floor of the clinic is usually on the lunch break, or when I work overtime, I don't want to go back and sleep by the way.

It was still handed over to Stephanie to be responsible, and the chest drainage tube was carried out for the elderly, and the nutritional support for the grandmother was strengthened, and after treatment, the grandmother's lower limb edema and chest tightness and shortness of breath were significantly improved.

Due to the previous incident, this time, Zhou Qiao did not let the old man be discharged from the hospital in a hurry, but continued to let him be hospitalized for observation.

His family was also frightened, so he naturally agreed. Then it's slightly cheaper in community hospitals.

The follow-up recovery of the old man was really poor, and after a few days, due to the lack of a kidney, another situation in the previous plan followed, and the renal insufficiency was acutely exacerbated, and the blood creatinine continued to rise.

Fortunately, a response plan had already been formulated before, and at this time, the medication was adjusted according to the previous plan.

Out of the protection of the elderly's kidneys, Zhou Qiao and his family did not use nephrotoxic pain and antipyretics, but used relatively safe but weak drugs to continuously monitor kidney function.

Eventually, the grandmother's upward trend in blood creatinine was alleviated and maintained at an acceptable level, and her urine output was basically normal.

However, the disaster was not a one-way street, and soon, there was a problem with his ECG monitoring, and the bedside ECG found paroxysmal atrial flutter and atrial tachycardia.

At the same time, the elderly experienced severe chest tightness and shortness of breath, and the examination found that the Pro-BNP index was abnormally high, which is a symptom of heart failure.

It was a terrible thing for the grandmother's family, and Thanksgiving had to be spent in the hospital. That mixed-race granddaughter is very filial and has been guarding the hospital.

Thanks to the 1500 coin tip of "Coke Chicken Wings". Thanks to "Western Winds" for giving Elena and Ava's little chicken legs.

Thank you to the book friends who subscribed and voted for the monthly pass.

(End of chapter)