Iris clinic, everything is in order.

As the weather warmed up, the cork oak trees in front of the door spread their foliage, and there were two or three more baby squirrels playing on them.

After the seventh day of the Lunar New Year, the year will also be over. This is true not only at home, but even more so abroad.

After all, today's fast-paced world, even Chinese New Year's Eve is not a statutory holiday, and it is impossible to rest until the Lantern Festival. What's more, in the United States, the Chinese New Year is not mainstream.

Zhou Qiao sat in front of her aunt's spirit for a long time, gave her aunt incense, replaced fresh tributes, and then said a lot of things about her hometown. Including getting my sister-in-law's son to work at a French nuclear power plant.

Anyway, there is a small talk without a pair, and I don't know if my aunt can hear it underground.

It's not belief in ghosts and gods, it's not feudal superstition, it's just a thought, the thoughts of the living for their deceased relatives.

Zhou Qiao has a feeling that this system must be related to his aunt, and everything he has now is given by his aunt.

Without his aunt's gift, he is now estimated to be nested in the township hospital and live a flat life.

When Elena and Ava returned, the renovation of the new house started again. Before they left, they didn't worry about entrusting it to others, so they paused. It is expected that it will take more than a month to complete, and after the installation, it will be ventilated, formaldehyde will be dispersed, and then furniture and appliances will be bought, etc., at least after the summer before moving in.

Unlike Murphy's side, Murphy did not move the hard decoration, but replaced and arranged all kinds of soft decoration, furniture and accessories.

Mainly because Murphy has a cold temperament, doesn't like things that are too troublesome, and doesn't like to deal with strangers.

And the house that Elena and Ava bought, the hard decoration style is too inconsistent with their aesthetics, and many places have been damaged, so they have to be moved. Elena is another person who likes to toss.

Anyway, Zhou Qiao basically didn't need to worry about these things, he only had to pay for it, and let the two of them toss.

When Zhou Qiao returned, Murphy was still in the general practice room, Stephanie was in the psychological counseling room, the new doctor Jenard was in the surgical room, and Rachel and Vivica were in the internal medicine room.

As for oncology surgery and cardiothoracic surgery, although consultation rooms were arranged and signs were hung up, they were actually empty, and the relevant patients were triaged to Murphy or Stephanie by the triage nurse Kim Hee Jin.

Zhou Qiao got a special office on the second floor, and he took this opportunity to completely let go of the daily consultation work, and only participated in the consultation of difficult diseases, surgeries and so on.

As for the day-to-day management and financial work, it was completely handed over to the "boss lady" Elena.

According to Chinese tradition, after the New Year, guns and red envelopes should be fired.

It's impossible to set off artillery, and if you fire guns in the United States, you don't scare people to death, and you think you're doing it, even in China, many big cities are now banning guns.

But the red envelope can come one. Despite the fact that the staff of the Iris Clinic are still working during the Chinese New Year and do not have holidays.

Isn't this the boss coming back after the New Year? What you want is a sense of ritual.

Therefore, hosted and operated by Elena, on the morning of the eighth day of the Lunar New Year, which took up five minutes of everyone's work time, Zhou Qiao made a simple speech to boost morale, and then, everyone distributed a big red envelope.

It is worth mentioning that Zhou Qiaoduo gave Park Xiuzhu one, saying that she asked her to take it back to Yun'er.

Park so-joo: "The boss is atmospheric! "Thinking back to the previous Korean boss, I just got home!

Take it apart and look at it, it's a full five hundred dollars.

Zhou Qiao also called Aliel and gave her seven red envelopes for her to take back and send them. Because over at the laundry, now with the addition of Ariel, that's eight people.

For Ariel, naturally, it is a single big one.

"Thank you boss!" Ariel also smiled. Who doesn't like a boss who is looking for all kinds of money by hair?

"You're welcome, you've worked hard these days!" Zhou Qiao asked Stephanie to understand that during his absence, Ariel and the others were particularly concerned about the safety of the clinic.

When the doctor in the cardiac surgery department of the community hospital heard that Zhou Qiao was back, he invited Zhou Qiao to come for a consultation.

Zhou Qiao brought his right-hand men, Murphy and Stephanie, and went over together.

Although many doctors in the community hospital know about their "combination", every time they see them, they are all amazed and admiring.

A Chinese doctor, with two stunning beauties, all three of whom are young and beautiful, actually won the top three heart surgeries in the United States.

The key is, a man and two women, how can they be so eye-catching? There is no sense of disobedience.

Moreover, these three are still their neighbors.

Previously, in the surgery competition, this community hospital also sent contestants to participate, but unfortunately, even the top 50 in California failed to enter.

After a brief exchange of pleasantries with the team from the cardiac surgery department at the community hospital, the group sat down in the conference room, and Brendan Moreau, a senior attending physician at the community hospital, began to introduce the patient's condition.

Dr. Brendan Morrow, 40, was one of the former community hospital contestants, but was ashamed to finish 98th in California.

Even so, it's actually quite good, after all, there are so many well-known hospitals in California.

The patient's name is Mira, a 13-year-old girl with a very cheerful personality, who has been seen in the school gymnastics team, the rugby team, and various celebration parties.

Then, chest tightness, chest pain, and soon, fainted to the ground.

The school immediately sent her to the community hospital, and everyone gave her emergency treatment.

The results of coronary angiography showed that Mira's left main was severely stenotic and the anterior descending artery was occluded in the proximal segment, which is a typical acute coronary syndrome!

If you don't get timely treatment, your life can be in danger at any time.

As a result, the cardiac surgery team led by Dr. Brendan performed pacemaker implantation and aortic balloon reverse implantation surgery on Mira, and then treated her symptomatically, and Mira's condition was relieved.

Zhou Qiao frowned and said: "This disease actually occurs more in the elderly and men, and it is quite rare in a little girl." The most critical thing is that pacemaker implantation and aortic balloon reverse implantation surgery could not completely solve her problem. ”

Dr. Brendan nodded appreciatively and said, "Indeed. After the surgery, although the operation went well, Mira's condition was only temporarily stabilized and she is still in the ICU, and if we don't get further treatment, I am afraid that it will ......."

Dr. Brendan's assistant Mesha said: "We discussed many times, but we were not sure about further treatment, and we originally wanted to refer Mira to the University of California Medical Center, but when I heard that Dr. Zhou was back, I wanted to hear your opinion!" ”

Stephanie pursed her lips and said in her heart, if Zhou Qiao doesn't come back, you won't call us again?

Although Murphy's face was expressionless, he was actually slightly embarrassed in his heart, and said in his heart, it seems that the community hospital still only recognizes Zhou Qiao, although my level in heart surgery, in fact, the gap between me and Zhou Qiao is very small.

After all, Murphy was in the "Medical Dimensional Training Ground", that wasteland world, but he had done thousands of various heart surgeries. But outsiders don't know.

Although they were a little unhappy in their hearts, after all, Zhou Qiao was their man, and it was a proper duty to override them, and the second daughter didn't have much opinion, so she immediately calmed down and continued to listen to the introduction of her condition.

Zhou Qiao groaned slightly, and said: "Mira's situation is actually not suitable for stent treatment, and bypass surgery is the best choice." In addition, in order to obtain the best long-term results and avoid lesions and blockages of grafts when the child grows up, I recommend using an arterial bridge. ”

"Dr. Zhou, are you saying that the internal thoracic arteries on both sides of the child are used as grafts?" Dr. Brendan gasped, he hadn't thought about this procedure, but, specially, this was the gold standard of bypass surgery, and the difficulty of the operation was quite high, and as soon as the idea came to him, he gave up.

At this time, seeing Zhou Qiao downplaying it, talking about this kind of difficult surgery, it was as common as drinking coffee, and I couldn't help but admire it more and more. The heart said that Dr. Zhou is Dr. Zhou, and he deserves to be the champion of the United States!

"Doctor Zhou, if you are the chief surgeon, can you do it in our hospital?" Dr. Brendan made a reluctant request and said very sincerely, "I know that the University of California Medical Center has a Prometheus-3000 surgical robot, and although the hardware conditions on our side are not as good as those of the University of California Medical Center, this operation should be able to meet the requirements." If you do it with us, we can also observe it on the spot and have a chance to learn up close. ”

Seeing that Zhou Qiao was silent, Dr. Brendan added again: "We will apply for a certain amount of funding from the hospital as a reward for this surgical teaching." ”

"As for the patient, it is natural to refer to the Iris Clinic."

It's not a knife, it's a referral, and the profits go to the Iris Clinic. The other party paid extra money and only asked Zhou Qiao to carry out the operation in the community hospital.

Because they went to the University of California Medical Center, where did they have the opportunity to observe and learn?

Zhou Qiao laughed and said, "I'm fine." ”

Stephanie joked, "You can apply for more pay, the more the merrier." ”

There are some things that Zhou Qiao is embarrassed to mention, and she has to check more on the side. After speaking, he glanced at Murphy proudly, and said in his heart, Xiao Fei'er, you know, right? That's my advantage over you. You are silent, this kind of thing to fight for the interests of the clinic, you have to come to me.

"Haha, no problem, no problem, I will apply to the dean, according to the highest specifications." Seeing Zhou Qiao and them agree, Dr. Brendan immediately frowned.

Why not use the hospital's funds to improve the medical skills of yourself and your team? When community hospitals make their annual budgets, they have their own special funds for this kind of funding.

Soon, preparations for the operation began in full swing.

Zhou Qiao called Elena and Ava over to participate in the preparation of the operating room. He called Murphy, Stephanie, and Dr. Brendan over to discuss the surgical plan.

Dr. Brendan was very happy, originally thought that it would be good to get a chance to go into the operating room to observe and learn up close, but he did not expect to be able to participate in the discussion of the surgical plan.

"Our goal is to be perfect. After the successful surgery, the patient can basically have no worries for life, and the quality of life in the future can be guaranteed in the best way. Zhou Qiao opened with a clear meaning.

Then, Dr. Brendan felt an indescribable pressure, and before he could get involved, he was a little "frightened" at first, and said that this iris clinic is really demanding.

Ordinary hospitals and doctors can help patients solve the current predicament, and can manage for ten or eight years, which is the conscience of the industry.

As soon as the doctor makes a move this week, he will have to manage the family for life.

Tsk, this tone, this pattern......

Dr. Brendan was shocked that the gap between himself and these three freaks was really too big, not only in terms of level, but also in terms of mentality and pattern.

"Murphy, what do you think?" Zhou Qiao looked at Murphy with encouraging eyes.

Murphy should be second only to him in the level of the people present, but autism has not fully recovered, and it is difficult to fully recover, and he does not like to express it when there are many people.

Zhou Qiao wants to give her more opportunities to practice.

In fact, Murphy doesn't care about her condition, it doesn't matter if she is cured or not, now, with Zhou Qiao with her, the economic conditions are okay, she does her own thing every day in the iris clinic, concentrates on medical research, and doesn't care about miscellaneous people and things, and she is very happy.

She has a pursuit in medicine, but in terms of career, her mentality has been flattened. Anyway, wherever Zhou Qiao goes, she will go, and follow Zhou Qiao to have food to eat, and she will have no worries about food and clothing.

Seeing Zhou Qiao's encouragement, Murphy's blue eyes flashed, and her pretty face showed endless brilliance: "The patient is a little girl, her blood vessels are thinner than adults, if a total artery bypass is implemented, it means 8 to 10 stitches on a blood vessel with a diameter of a little more than 1 mm, compared with adult surgery, the difficulty is undoubtedly more difficult!" ”

"In addition, the patient's preoperative coronary angiography showed that his left anterior descending artery had completely disappeared from the image, and there was no shadow at all, which indicated that the blood vessel was likely to be completely occluded, so that the blood vessel could not be bypassed, and the risk and effect of the operation would be greatly reduced."

"I suggest that we do further coronary CTA and other examinations, there may be a trace of access to the distal end of this blood vessel, and we still have a chance."

Stephanie nodded, "I agree." Although she and Murphy secretly competed, what Murphy said was really good.

As she said before, compared to Murphy, she has other advantages, so why bother with Murphy in the heart field? That's not what she did smartly.

Dr. Brendan was thoughtful, he had not previously ordered coronary CTA, because coronary CTA is a non-invasive examination, although it has high accuracy, but in terms of clarity, it cannot replace coronary angiography.

Now what Murphy means is that although coronary CTA is slightly inferior, it has a wider scope, and can be used to image the entire coronary artery in 3D, and it can also have a clear view of the peripheral blood vessels.

Now, they're looking for a way to the distance.

If a distal pathway can be found, there can be a more optimized solution, although it is very risky. But as Zhou Qiao said, all they have to do is pursue perfection!

"I agree!" Dr. Brendan replied as soon as he thought of this.

Zhou Qiao naturally did not object, and soon, after everyone's unanimous consent, the patient was arranged for further examination.

The results of the examination were a pleasant surprise to everyone.

As Murphy expected, there was a glimmer of "opportunity" at the far end.

So, the surgical plan was perfected, and soon, the operation officially began!

With Zhou Qiao's permission, Dr. Brendan brought the three doctors of the team into the operating room together to act as assistants.

In fact, they only have to watch it. Zhou Qiao rarely needs assistants, and even if he does, Murphy and Stephanie are good choices.

The anesthesia team is Nancy and her nurse anesthetist.

In order to complete the operation as soon as possible, Zhou Qiao and Murphy operated together.

After the anesthesia is completed, the multi-party check is completed, and Ava plays the song.

The first piece is titled "Give Me".

"Give me a love, why did you leave in a hurry, give me a joy, why did I have a long time to let go......"

In the beautiful melody of Chinese style, the operation begins.

Zhou Qiao and Murphy want to play the "double version", they do not have a primary and secondary, but the main surgeon at the same time, to build a bridge on the patient's left anterior descending artery and circumflex branch respectively.

Zhou Qiao is in charge of the difficult one, the left front descending branch, the one that is almost completely occluded, the risk is super large, and the requirements for skills are extremely high, it can be said that it is a cliff tightrope.

Sure enough, as in the preoperative examination, the distal end of the left anterior descending artery is indeed not completely occluded, and there is still a pathway, which is a chance.

The two of them are both fast-handed, and with Stephanie on their side, it took less than 30 minutes to "dredge" the two important "oil supply" lines of the heart, so that the "engine" of the heart can regain a steady stream of energy and resume normal work.

"Excellent!" "Excellent!"

"Great!"

Dr. Brendan and his team members were so surprised that they gave a thumbs up. The ultra-difficult condition of their rare sad faces, whether they want to die or live, can't sleep at night, and pulls their hair during the day, Zhou Qiao's team solved it in half an hour!

"That's too rebellious, isn't it? Is it a Lord's Servant? ”

"What about the super big risk before the operation? Where did it go? Why didn't I see any risks, it went smoothly and easily, and the surgery was done? ”

They feel that after watching Zhou Qiao and Murphy's surgery, they will too!

It's so simple, it's that simple.

Isn't it just that, that, and that, and it's done? One look at it!

But in fact, they knew in their hearts that it was impossible.

This is definitely the kind of "just look at it, and then you will lose it as soon as you learn it".

The master's paintings, with a few brushstrokes, are lifelike and leap on the paper. Wait until you go to paint yourself, and draw the gourd in the same way, however...... A few clouds of thick ink, ugly.

Whoever tries knows it.

After the bypass was completed, Dr. Brendan and his team finally had a chance to get their hands dirty, and they measured the blood flow that was best expected, indicating that the quality of the anastomosis was quite good.

Such an operation, they expected at least three hours, but what about reality? Less than half an hour! It's a miracle, if you don't witness it with your own eyes, you really can't believe it.

The two grafts were re-evaluated after the operation, and they were also completely patency, and the success of the operation was beyond doubt.

(End of chapter)