Iris Clinic, business as usual. It's just that the patients and their families who came to see the patients were very interested in the Chinese red drum in the corner of the hall on the first floor, and they inevitably went to touch and knock on it.

Then every day after work, especially during the "golden" walk after dinner, many people gather in the lobby and in front of the Iris Clinic.

I don't know what I'm doing, but when the beautiful drum sound comes from here, everyone is stunned.

"The Iris Clinic is starting to rehearse that wonderful dance again, let's go and watch it."

……

During the sunny day, the slightly salty sea breeze is not cold, and after staying in San Francisco for a long time, Zhou Qiao has long been accustomed to the air here.

He took Murphy and Stephanie to the community hospital again, a large conference room, to participate in the consultation of a patient with a difficult condition.

In this introduction, Sinovi Grosso, a senior attending physician in the Department of Neurosurgery, introduced his condition. Also present at the meeting were old acquaintances from the past, Dr. Brendan from the Department of Cardiac Surgery, Nancy from the Department of Anesthesiology and others. In addition, doctors from many departments such as cardiology and endocrinology participated.

The patient's name is Beam Usman, a native of Ecuador, a small South American country. His daughter, Narcissa, came to the United States to study through her own efforts, and later stayed in the United States to work.

For the countries of South America, no, for the whole of America (South America, North America), there is no doubt that the United States is a holy place. Many, many people are trying to immigrate or smuggle into the United States.

After the patient's daughter started a family in the United States, she took her only relative, her old father, over, after all, the environment in the United States is much better than that in Ecuador. Ecuador is very, very backward and one of the poorer countries in South America, with almost no industry and lagging agriculture.

As for his mother, she had already died of illness.

Bhim Usman is of mixed Indo-European descent, speaks Spanish very well, but his English is much worse. The official language of Ecuador is Spanish, as it was formerly a Spanish colony.

When Uncle Beam was in Ecuador, he did not have the habit of regular physical examinations, and when he came to the United States, he was also very resistant to going to the hospital. Although, he actually felt that his health was very bad, and even, in the dead of night, when he couldn't sleep, he thought about his future.

In order to save money for his daughter, he often patted his chest and said that he was in great health.

And the daughter believed it.

Then, just the day before yesterday, the unexpected happened. The toilet at home was blocked, and Uncle Beam didn't want to hire someone to do it, because he was reluctant to spend money, so he started it himself.

He pondered in his heart, even if I am not in good health and can't do heavy work, can't I do some small work to open the toilet?

If I can't do any of this, won't it be completely useless?

My daughter may not dislike me, but my daughter's husband has always had a bad attitude, so isn't it even worse?

In order to prove that he was still useful, Uncle Beam rolled up his sleeves and got to work.

However, after less than half an hour of being busy, he was flustered and short of breath, unable to bear it, gritted his teeth, and wanted to hold on, because the toilet was about to be unblocked.

As a result, in the next moment, his eyes suddenly went black and he fell to the ground.

I don't know how long it took, Uncle Beam woke up slowly, he was very glad that he didn't get off there, but he couldn't get up at all, he felt tightness in his chest, palpitations, dizziness, numbness in his hands and feet, so he lay down by the toilet to rest.

Not long after, the daughter came back and was shocked to see this situation, so she quickly called her husband, and then the couple sent Uncle Beam to this community hospital.

The attending doctor admits him to a cardiology ward and then orders for further tests.

The echocardiography showed that the anterior and posterior leaflets of the mitral valve of Uncle Bim's heart were misaligned, with moderate to severe regurgitation and mild tricuspid regurgitation.

This disease, if not operated on as soon as possible, can lead to heart failure, which can be life-threatening.

However, it didn't stop there, the doctor in charge of his condition keenly noticed during the ward rounds that Uncle Bhim's forehead, eye corners, and jaw were more prominent, and his facial bones were angular, his facial features were a little strange, and his fingers and toes were round and thick.

"Is this too much growth hormone? Could it be that there are other serious hidden diseases? The doctor's foundation was quite solid, and he immediately contacted the doctors of endocrinology and neurosurgery for consultation.

After relevant endocrine and imaging examinations, the doctor's idea was confirmed, and in addition to heart disease, Uncle Beam also had a "time bomb" in his brain - a pituitary tumor.

Dr. Brendan from the Department of Cardiac Surgery was also invited to consult.

Because if it is operated, it is a super difficult and super complicated condition.

After Dr. Brendan participated in the discussion of the condition, Lang Sheng advised: "What are you waiting for? Ask Dr. Chow from the Iris Clinic to come over. It just so happened that during our cooperation and exchange, wasn't this illness properly prepared for him? ”

When everyone heard this, they also laughed, yes, Dr. Zhou is alive again!

So, after reporting to the dean and obtaining the dean's consent, Zhou Qiao received an invitation.

Why ask for the Dean's consent? Because, this is to be allocated from special funds.

In the process, the final approval and signature of the dean is required.

Spent money, good steel should be used on the blade, Dean House meant, not a particularly difficult case, don't look for Zhou Qiao. Six chances are precious.

Zhou Qiao helped analyze the condition, peeled off the cocoon, progressed layer by layer, and finally deduced the original appearance of Uncle Bhim's condition with a series of signs and examinations.

The cause of the disease is naturally a pituitary tumor in the body (subtype growth hormone cell adenoma).

Over the years, Uncle Beam has felt that his hands and feet are getting thicker and thicker, and his appearance is getting more and more "ugly", and he often feels uncomfortable symptoms such as headache and fatigue, but he just thinks that he is too tired and does rough work, and as he gets older, he will become uglier and uglier.

That's impossible!

Unexpectedly, it turned out to be something in my head.

This pituitary tumor, which has grown indiscriminately in his body for many years, has caused a hormonal disorder in Uncle Bhim, altering the features of his face and causing acromegaly.

At the same time, it is precisely because of his hormone disorder that the heart enlarges like a balloon, and eventually the misalignment of the anterior and posterior leaflets of the mitral valve.

Dr. Brendan sighed: "Isn't this the same as before, another multiple-choice question?" It is estimated that only Dr. Zhou can do both! ”

Murphy and Stephanie glanced at each other, but something else came to their minds.

"Both? How does it seem to be talking about us? ”

Zhou Qiao never does multiple-choice questions, primary school students only do multiple-choice questions, whether it is surgery or a woman, he has always wanted both! No, four or five!

If it were other experts, they would indeed be in a dilemma when faced with Uncle Bhim's condition.

Should I have brain tumor surgery or heart surgery first?

If the pituitary tumor surgery is done first, because the ejection fraction of the patient's heart is very low, the blood ejected from the heart is very small, which is not enough for the organs of the whole body, so the risk of surgery is very high, and it is easy to cause arrhythmia and tragedy during the operation.

If mechanical heart valve replacement surgery is performed first, patients should rest for half a year after surgery before undergoing pituitary tumor surgery; However, within six months, the growth hormone secreted by the pituitary tumor will cause a new serious impact on the replaced heart valve, leading to the recurrence of the patient's heart problems.

Previously, Zhou Qiao led the team to do "heart + lung" and "heart + kidney tumor", and now, it is natural to challenge a more difficult "heart + pituitary tumor".

Everyone has a lot of faith in him.

Zhou Qiao also smiled slightly, and began to reorganize the condition for everyone and formulate a suitable surgical plan.

Soon, preparations began for another difficult "double serial" operation! It's harder than the previous one! After all, it's the human heart and brain that we're involved in this time!

The heart and brain, without a doubt, are the two most important organs of the human body. No third one is more important than them!

Operated on these two important organs at the same time, and performed major surgery, just one of them made people tremble, not to mention, Zhou Qiao did both at the same time!

Doctors at the community hospital became eagerly excited and excited.

"The moment to witness the miracle, no, the opportunity to learn has come again!"

"This time, I must take a good look at Dr. Zhou's technique, the first few times, I didn't react at all, and Dr. Zhou completed the operation."

"Me too, I have to prepare a few more questions when observing the operation, and then carefully ask Dr. Zhou for advice at the postoperative experience analysis meeting!"

"You say, Dr. Zhou is so young, how can he have such great medical skills? Could it be that China's medical education is really so rebellious? ”

"I feel like it's all about individual talent. Talent is an insurmountable gap, and the acquired effort is not worth mentioning in the face of real talent! ”

In the midst of all the attention, Zhou Qiao's team started their performance again, the more difficult "two-in-one surgery stunt show".

After the anesthesia was completed, the multi-party check was completed, and in the lingering music of "Pulling the Silk Thread", the show began.

"Orchid fingers twist, red dust like water, three-foot red platform, everything into the song and blowing ......"

This time, Zhou Qiao played a little big, belonging to the "three-person version", Murphy and Stephanie performed minimally invasive heart valve replacement surgery for the patient together, while Zhou Qiao used neuroendoscopy to remove the pituitary tumor for the patient, which was also minimally invasive.

Two minimally invasive surgeries, on the same patient, at the same time!

No one believes it!

Even Dean House was stunned when he heard about it, and hurriedly came to the monitoring room next to the operating room to watch. I couldn't help but breathe a sigh of relief when I saw that the operation was orderly and there seemed to be nothing abnormal. At the same time, he admired and marveled at Zhou Qiao's skills even more. The heart says that it deserves to be the champion of the United States, that is, dare to think and do, and can do well.

The risks and difficulties involved in "going under the knife" on the brain and heart at the same time are really unimaginable.

It is estimated that only the patient's family members are at a loss and do not realize what is going on in the operating room at this moment.

The previous surgical consent form, risk notification and surgical plan were also roughly explained to the patient and his family, but they didn't understand it at all, and the patient's daughter may have understood a little, but she was completely unaware of the technical difficulties and risks. She really doesn't understand.

As for the risks that the doctor said, that risk, a whole bunch of risks, isn't this nonsense? No matter which hospital you go to, doing this kind of surgery is a risk of more than ten points, and it is disrespectful to your profession to write a little less.

For outsiders, there are definitely risks, and the doctor said this because he wanted to inform him in advance and clear himself of responsibility, so as not to have an accident during the operation and cause some unnecessary disputes.

Uncle Bym's daughter understands this. The normal process of the hospital.

So, Uncle Bhim's daughter and her husband were waiting outside, although anxious and anxious, they really didn't realize that in the operating room, a super difficult surgical show was going on, and the Grim Reaper was beaten to death!

"Can such an operation be successful? I don't believe it! "There is an elderly doctor in the neurosurgery department who doesn't believe in evil, and thinks that Zhou Qiao is too reckless, maybe he is young and ambitious, and he has succeeded a few times before, and he is more and more adventurous?

It's simply not taking the patient's life seriously. You show off your skills, and you can't show off the patient's life safety.

People could have lived for three or five years, but if you do this, you may be immediately gagged.

"Doctor Leoli, I can't help it if I don't believe it, the operation has been completed, and the patient's vital signs are stable!" A doctor whispered to him.

"What?" Dr. Leoli was shocked, rubbed his eyes vigorously, and looked at the surveillance screen, just a short moment after he was angry, the operation was over?

Isn't this fooling? Said it was done, but it wasn't done at all? It's not uncommon for news like this.

However, the subsequent post-operative examination and monitoring, as well as the patient's recovery, all told him that the operation really took place and was quite successful.

Even the cut pituitary tumor sample is there, and it is sent for pathology, and the tumor is obviously not scanned in the patient's brain after surgery.

Dr. Leoli had to give two thumbs up in admiration. He has practiced medicine all his life, and it is really the first time he has seen this kind of "play", and he always feels that Zhou Qiao's thinking is very out-of-the-box, and he is not from the same era!

If Dr. Leoli comes by himself, he will take two steps, the first step is to ask the cardiac surgeon to carefully perform the heart surgery on the patient, and then, the second step, after six months or a year, depending on the patient's condition, he will carefully perform the pituitary tumor surgery.

If, during this buffer period, the patient's condition deteriorates and the patient is not eligible for surgery and cannot perform a second operation, then sorry, there is nothing I can do, I have done my best.

Of course, it is more likely that Dr. Leoli will not answer at all, and will refer the patient directly to the University of California Medical Center, so that other more powerful specialists will have a headache.

Uncle Beam recovered very well and was transferred to the general ward two days later, and when his daughter came to see him, he happily said to her, "Thank you to the Chinese doctor for helping me." Really appreciated. ”

Although it was only two days after the operation, and his body was still very weak, the previous state of "not working" at any time and being ready to die at any time disappeared, and was replaced by a general feeling of "getting a new life".

It was an amazing feeling, but he really felt it.

He felt that although he still needed to recuperate in bed, there was a surge of vitality in his body, and this vitality would make him feel better and better. Life is full of hope.

You don't have to think every day like before, where will you be buried in case you die?

Five days later, Uncle Beam was able to walk the corridor with growth hormone and IGF-1 levels back to normal, and the pituitary tumor was biochemically cured.

Of course, even if this disease is discharged, it must be followed up regularly and rechecked on time in the later stage.

In addition, Zhou Qiao told him during his ward rounds that he must pay attention to avoid infection. If you have a fever or other conditions, you should come to the hospital for examination in time, or go directly to the iris clinic.

In the past, there have been many cases where bacteria can easily invade the valve and form vegetations after heart valve replacement.

……

The annual Lantern Festival has finally arrived.

Zhou Qiao gave the Iris Clinic a day off.

Chinatown is lit up with lights, and they are going to participate in a street parade organized by the Chinese.

The costumes have already been chosen, and the dance has been practiced, just waiting to appear.

Elena, Ava, Murphy, and Stephanie were all excited, this was the first time they had participated in such an event.

Park so-joo, Kim Hee-jin and Yoon-a, Cathy with little Danielle, Rachel, Vivika, Dr. Jenard and others also came to Chinatown to join in the fun.

Ariel and the Black Girls are here too. Ariel is the driver, and the black girls cheer her on.

In fact, not only them, but many foreigners, such as the Westins, the Clarks, the Taylor family, and many people who knew and didn't know each other, flocked to Chinatown to watch this grand street parade.

Quite a few people held up their mobile phones to take pictures.

The festival is to have this kind of atmosphere. The feeling of being empty.

There are also reporters from various media who come to collect materials, report or broadcast live.

Before, Zhou Qiao originally planned to stand on a big drum for four people to dance, but he didn't find such a big drum, and even if it was five meters in diameter, it was slightly crowded for four people to dance, and if he accidentally fell, the gain outweighed the loss.

Because dancing is displaced.

And five meters in diameter, which is too much beyond the width of the car.

Therefore, for the sake of safety, Zhou Qiao rented four big drums, each with a diameter of about two meters, equivalent to four large round beds, and used a well-decorated semi-trailer float to put these four big drums on the flat plate behind.

Stephanie was the shortest, dressed in red at the front, followed by Murphy, in a lake-green dress.

Then there are the pink Elena and Ava, with cloud shirts and water sleeves, blonde hair and blue eyes, like Princess Barbie.

Although Elena and Ava are slightly lower in height than Murphy, they are twins and must be together to be the most impactful, so at the end.

Zhou Qiao also made a position, behind Ava, hitting a cowhide red war drum with a diameter of about one meter two.

He COS is Emperor Wu of the Han Dynasty, wearing a crown of heaven, a gorgeous costume, a crown and a belt, and he is extravagant.

The four daughters are like a shock, and Zhou Qiao's drum beat is also just right, which attracts countless people to exclaim and take pictures. It can be said that it is the most beautiful combination of floats in the street parade.

Ariel's car drove steadily, slowly, and at an almost constant speed. In this way, the four girls can maintain a good balance and will not fall on their heels.

Of course, they are all soft, agile and vigorous, and they have practiced, even if there is a slight bump, it will not affect the dancing posture.

Elena, Ava and Murphy, in particular, even have some very difficult stunts, such as "Reverse Kick Purple Gold Crown", "Horse Stepping Feiyan", "Spinner Feiyan", "Candlestick Bellman......

But Stephanie was a bit worse. She was depressed for a while, and Zhou Qiao could only comfort her, and she would practice more.

I thought to myself, I haven't added a little bit to your physical attributes, you are naturally inferior to them, it doesn't matter, I'll work harder, and it will soon be 100 times, and then I can also add points to your flexibility, physical strength, agility, smooth skin, etc.

Of course, Stephanie is also training hard, and she is dancing very well.

Zhou Qiao himself has also made great progress, he used to be almost a musical idiot, because he had no time and interest, but now in order to cooperate with the four beauties, he has really put a lot of hard work into the song "Divination", and he can play the drums at the master level!

In addition, playing drums is actually a physical job, and it is unbearable for ordinary people to play for a long time, but Zhou Qiao has undergone several transformations and is strong and strong.

There are many bigwigs in Chinatown who have joined the team in person, just like Zhou Qiao, such as a dragon dance team in front, and the one who plays the dragon head is a bigwig from Hongmen.

There is also a big man who has eaten with Zhou Qiao and them before, and it seems that he is a member of the Huaqing Gang.

The bigwigs participate in this kind of activity, and the main thing is a sense of ritual and experience life.

(End of chapter)