The sun was shining, and the chemical plant was in ruins, except for some places, where there were occasional remnants of curling black smoke.

The search and rescue efforts have been completed, and the casualty data has not yet been fully counted, but the scale of the rubble alone can already be considered one of the largest accidents in Texas in recent years.

To this end, all levels in Texas, especially various chemical plants, are conducting safety training and drills.

Sequoia Tree Hospital.

After Zhou Qiao and Luo Ya arrived, Luo Ya couldn't help much in medical skills, so she went to the chairman's office to rest, and Zhou Qiao was invited to participate in the consultation.

Now this patient is also a victim of a chemical plant.

The injury was not particularly serious before, and I was in the hospital for a few days, and after treatment, I was able to get out of bed and walk slowly.

This is a middle-aged woman, chubby, with a lot of freckles on her face, a long-term history of chronic asthma, on the day of the explosion because of too much smoke, irritated, asthma had an attack, fortunately the emergency personnel took medicine in time to help her alleviate the condition.

However, after lunch today, she got out of bed and leaned against the wall and walked slowly, because the doctor told her to get out of bed and move more, and if she lay down for a long time, she would have a venous embolism or something, but she suddenly felt severe chest tightness and shortness of breath, and she couldn't even stand steadily.

Seeing that something was wrong, the nurse hurriedly called the doctor in a loud voice.

Soon, doctors arrived.

By the time the patient was lifted to bed, his heartbeat had already begun to become sluggish, only 2 to 30 beats per minute. The doctor immediately rushed to do CPR for her, and the nurse called the others at the same time.

Mobile AED (Automated External Defibrillator) Arrival, Electric Shock, Emergency Defibrillation......

But it didn't work, the other party's heartbeat still stopped!

The medical staff did not give up and continued to resuscitate.

At the same time, other medical staff came to help, pushing the bed and heading to the emergency room.

In this process, the doctor in charge of the rescue has been squatting on the hospital bed, rushing all the way to the rescue, and when the heart beats again, he has already been in the rescue room for more than 20 minutes.

In other words, the rescue time was almost half an hour.

Quite not easy.

Due to the patient's cardiac arrest, the brain was in a state of low oxygen and low blood supply for a long time, resulting in severe swelling of the brain and the risk of brain death, so during the rescue, the emergency team evaluated the patient's organ function and used "hypothermia therapy" to relieve the swelling of the brain, reduce his intracranial pressure, and protect the brain tissue.

To put it simply, this therapy is similar to the principle of putting food in the refrigerator in our daily life, low temperature can reduce the metabolic rate of the brain, reduce the oxygen consumption of brain tissue, and thus slow down the progression of cerebral edema.

The specific operation is very simple, which is to place a cooling blanket on the patient's back and chest, so that her body temperature is about 35°C.

Unfortunately, cooling did not fully control the increase in intracranial pressure. The patient still had dilated pupils!

What does dilated pupil mean? Everyone knows it, and that's it: death!

There was only a difference of about two hours between pupil dilation and death.

More than two hours, it basically leads to brain death.

"How long have your pupils been dilated?" Hearing this, Zhou Qiao immediately asked.

"It's been almost an hour." A doctor replied.

"Immediate surgery." Zhou Qiao Huoran got up.

"Dr. Zhou, what kind of surgery do you have?" The doctor asked.

Zhou Qiao walked briskly towards the operating room and said, "Bone flap decompression!" ”

Doctors: "......"

After being stunned for a moment, he immediately followed.

Preparations for the surgery began in full swing.

In the emergency room, the doctor who was still paying close attention to the patient's condition received a call and couldn't help but show surprise.

"Okay, okay, director, I'll go and communicate with the patient's family right away." The doctor hung up the phone and headed for the emergency room.

In this case, if a family member is present, of course, the family member must sign it.

……

At this moment, in the hall outside the rescue room, in the corner, the patient's three family members, the old father, the old mother and the husband, stood silently in the corner, all with uncontrollable grief on their faces.

The old father put his arm around the old mother, kept whispering comforting and patting her on the shoulders and back. The old mother's eyes were already swollen from crying, and her body kept trembling.

The patient's husband looked up to the sky and choked speechlessly.

All three have given up hope.

The pupils have been dilated for so long, what else can I do? They had to accept this fact, although, they were reluctant in every way.

The patient's old father pondered that his daughter was unfortunate and that the incident was too sudden, and the cemetery had not been bought before. Nowadays, he can only give his own cemetery to his daughter first, although his own cemetery is not particularly high-end, but it is better in a good geographical location and beautiful scenery.

It's better than rushing to buy it.

As a father, you can't let your daughter "live" badly after she dies.

The young man did not have the habit of buying a cemetery in advance, but he was in his seventies, but he had already picked a cemetery with a good location for himself three years ago.

"Lord, why do you punish me so much, that my precious daughter has gone ahead of me. Oh my God, it's cruel! The old father also wiped away a handful of tears.

The patient's husband's phone rang, and he picked it up and said like a puppet, "Yes, I ordered it." But...... You'll be back to me later. I'm in a pretty messy mood right now, thank you. ”

It was a call from a salesman from a funeral company. Just twenty minutes ago, he browsed the services provided by the funeral platform on the Internet, that is, he took a casual look, and saw that there were a few packages that were very good, so he added them to the shopping cart.

Although he couldn't accept the death of his beloved wife, the facts were in front of him, and he had to think about the future. He wants his beloved wife to go in style.

The funeral industry in the United States is actually very developed, with more than 85% of it being privately owned.

There are vendors who sell funeral supplies, there are planning companies that arrange funerals, and service providers who do everything, all in all, almost completely market-oriented.

Marketization means becoming bigger and stronger, going public, and becoming a multinational group.

That's right, the funeral industry in the United States is also a super bull stock in the stock market.

For example, one of them is very bullish, from 1971 to 1998, it created a nearly 70-fold increase. Moreover, it not only has operations in dozens of states in the United States and Canada, but has even expanded to countries such as Europe and Australia.

After 20 years of rapid development, the company encountered a bottleneck, the pre-income model gradually became normalized, and no longer created so much cash flow surplus, after the stock market crash in 2000, the company's stock price fell by nearly 80%.

But after several years of downturn, the company once again began to grow rapidly, and its stock price rose all the way, and in the following ten years, the stock price rose as much as 20 times.

And that's not all, it's worth mentioning that in recent years, the company has ushered in historic opportunities for growth.

As we all know, in 2020 and 2021, for some reason, the number of deaths in the United States surged, and the company's revenue in 2020 alone was as high as $3.5 billion!

A few families are happy and a few are sad.

Since it is an industry, of course, there is more than one listed company. There are also several super-bullish listed companies.

As for the small companies that have not been listed, there are countless of them.

With the development of the times, funeral companies in the United States have already developed into a combination of online and offline stores, and have done business on the Internet.

If there is a demand, customers can place an order at any time with their mobile phone, and the online store has a series of operation and purchase processes, so that customers can easily browse, choose and purchase their favorite funeral plan and products online.

These purchased products and services are customized by the funeral service providers who have settled on the platform according to the existing products, and the platform will provide protection.

In addition to traditional funerals, there are many novel ways to choose from these funeral platforms, such as turning into soil, planting flowers and trees.

Not simply buried under a tree, but in a greenhouse garden with a whole set of modern equipment and detection data.

Something like this: After the funeral, the deceased are picked up and placed in a high-tech decomposition chamber in the greenhouse garden, covered with alfalfa, wood chips and straw.

The temperature and moisture in the decomposition chamber are strictly monitored and controlled, and each decomposition chamber has its own activated carbon filtered air outlet.

Because of the filtration and odor removal, there is no unpleasant smell inside and outside the cabin, but the fragrance of the earth is emitted.

It is reported that this process, which is caused by the fermentation and decomposition of body tissues by microorganisms inherent in the human body, is similar to a series of changes that occur after traditional burials, but this process is "accelerated" by creating a special environment.

The process of decomposing a corpse in nature that would have taken months or even years to complete is now only a month.

Two weeks after entering the decomposition chamber, a third-party organization will conduct testing to ensure that there are no pathogens and heavy metal residues, and sort out non-degradable substances such as silica gel prostheses that may exist in the original remains.

Subsequently, after being transferred from the decomposition chamber to the curing chamber for two weeks, the deceased was completely transformed into about 0.8 cubic meters of qualified fertile soil.

The family of the deceased can come and take the soil.

After receiving it back, you can use the soil incarnated by your loved ones to plant flowers and trees in your yard as a memorial, or you can donate it to environmental organizations for the greening of nature reserves.

Since it is made from a corpse, it is quite fertile and the vegetation will be lush. If there is a flower, it will bloom quite brightly.

Of course, this "high-end" service is not cheap, and the operation of breaking it down into "soil" alone is quoted at about $7,000.

In addition, an appointment is required in advance, and a professional organization will evaluate the deceased to ensure that the deceased did not carry the Ebola virus during his or her lifetime, and that he or she had not received radiotherapy one month before his death.

When the patient's husband was browsing on the Internet, he took a fancy to this service and planned to order it "at a cost" to use the soil that his wife had turned into to plant a pot of tulips.

This is her wife's favorite flower during her lifetime.

When the three of them were grieving and unable to extricate themselves, the doctor came out of the emergency room and asked in a loud voice, "May I ask who is the relative of Ashara Niyazi?" ”

"I am, I am." The patient's husband hurriedly stepped forward and replied.

The doctor said: "That's right, Ashhara still has hope of rescue, and now our top doctor Zhou is here, and he wants to give her another emergency operation, if you agree, come and sign it." Time is of the essence, and I only have five minutes at most for you to consider. ”

The three members of the patient's family were stunned.

"What? And there is hope for rescue? Oh my God, yes, of course! ”

"Hurry up, hurry, I'll sign! What else is there to think about! ”

The three of them were ecstatic, and the patient's mother stopped crying, wiping her tears, stamping her feet excitedly, hugging her husband and saying, "Honey, did you hear that?" There is still hope for our daughter to be saved! ”

If they can, they certainly want the patient to live. However, previously, the pupils were dilated for more than an hour.

"Doctor, what are the chances of survival?" The patient's husband glanced at the surgical consent form, ignored the details, and immediately brushed it and signed his name.

The doctor said, "This ...... I don't know. However, since it was Dr. Zhou who made the move, it must be ...... Presumably ......"

He felt that he still couldn't talk nonsense, what if he couldn't be rescued? So, there was silence in the back.

The originally happy expressions of the three family members of the patients were once again gloomy.

Yes, it's just a hope of rescue, and the doctor is not very sure. Don't you dare to speak without seeing a doctor?

There's little hope.

However, as soon as you change your mind, as long as you go to the rescue, it is better than waiting for death!

At this time, the patient has been pushed out by the medical staff and headed to the operating room.

The three members of the patient's family immediately followed.

"Baby, you have to hold on!" The patient's old mother wiped her tears and forcibly cheered herself up.

"Honey, you're going to get through this." The patient's husband makes a cross on his chest.

Since it was an emergency operation, saving people was like fighting a fire, so after only ten minutes, everything was ready and the operation began.

This kind of surgery is naturally extremely risky.

Isn't this nonsense? The patient's pupils have been dilated for more than an hour, can it not be high? Die on the operating table in minutes!

Generally speaking, in this case, few doctors are willing to work hard and give up more. It's all like this, what surgery do you still have?

But Zhou Qiao wanted to challenge it, and he was fast!

Thus, the moment of witnessing the miracle began.

The so-called "decompression of bone flap" refers to a decompression surgery that removes the bone flap and incises the dura mater through a craniotomy of the skin and bone flap.

Surgery on the brain is naturally neurosurgery.

Although this kind of "bilateral decompression flap" has not been done before, there is a system, and the perfect surgical skills exchanged for it can be called the ceiling of the earth's medical community.

One thing to note about this surgery is that the effectiveness of decompression is closely related to the size of the decompression window.

In order to effectively reduce intracranial pressure, minimize venous canton and bone window margin, and tangential damage in the brain, then the area of the decompression bone window must be large, generally more than 10X9 cm.

In addition, the dura mater should not be sutured or reduced with cavity suture at the same time as the bone flap is removed.

Zhou Qiao's shot is naturally a boutique.

In just twenty minutes, the surgery was done!

The effect was immediate, and the patient's intracranial hypertension improved immediately after the operation, and then the pupil gradually returned to normal.

Alive, alive!

Texas is not big, and Zhou Qiao once again created a myth.

The medical staff were so impressed that they gave a thumbs up and praised them.

Outside the operating room, the patient's husband, mother and father are anxious like ants on a hot pot.

When the door of the operating room opened, the three of them suddenly dared not face the reality, for fear of hearing the words that they did not dare to hear.

Zhou Qiao congratulated them in fluent English: "The operation was a success. The patient's condition is not bad. ”

"Huh? Is it alive? The patient's husband cried out uncertainly.

The patient's father and mother also looked at each other with burning eyes, hoping for confirmation.

Zhou Qiao had no choice but to continue to say loudly: "The operation went well. However, your daughter or wife will still have to stay in the intensive care unit until she is weaned off the ventilator, regains spontaneous breathing, and opens her eyes, and then she will be transferred to the rehabilitation department for brain and muscle rehabilitation. ”

"Oh my God, it's incredible, it's a miracle!"

"Thank you, dear surgeon! You saved our daughter's life! ”

"Thank you so much, you're amazing!"

The three of them danced and spoke incoherently, and they were so happy that they almost jumped up.

"I can't believe it!"

At this moment, the patient's husband's mobile phone rang, and as soon as he answered, it was the salesman of the funeral company who called just now.

"I'm sorry, I don't need to. Ha ha! Good bye! No, never again! The patient's husband laughed very neatly and hung up the phone.

Now that his wife has had a successful operation and is back to life, he naturally doesn't need these damn funeral businesses.

He immediately called his son and daughter at school to share the good news.

Because of the suddenness of the incident, he didn't even have time to inform his children. Before, his son and daughter had come to visit his mother, but at that time his mother was in very good condition.

After this operation, Zhou Qiao instructed the doctor in the interventional department to perform several interventional surgeries, and worked until the moon rose, and then went back to the wine estate with Luo Ya to rest.

(End of chapter)