Although the explosion of a chemical plant is a man-made disaster, there are two sides to everything.

Sequoia Tree Hospital has accumulated very valuable and rich treatment experience in this rescue, and a start-up hospital has been operating at a very astonishing speed and is on the right track.

In addition, this accident has also given everyone a wake-up call, and we need to pay close attention to safe production.

Luoya's company is not lagging behind in this regard, and has carried out vigorous safety training, the most important of which is "shutdown authorization".

Any employee of Luoya Group or relevant contractors, as long as they find illegal operations or dangerous behaviors within the scope of Luoya Group, they can immediately stop, stop the behavior and report it, and the EHS department will take over as soon as possible to conduct a risk assessment until all safety measures are in place.

EHS is the abbreviation of Environment, Health, and Safety, and is the integration of the Environmental Management System (EMS) and the Occupational Health and Safety Management System (OHSMS).

This system is quite popular in the United States, and Luoya Group, as a super multinational consortium, naturally has to introduce it. Luo Ya is no longer living by fighting and killing now.

Of course, several mercenary corps are still active internationally, but they are only secret forces and have not been moved to the surface.

With Zhou Qiao, a top-notch famous doctor, giving unconcealed guidance, the level of many medical staff in Sequoia Tree Hospital has been greatly improved.

For example, the doctor in the interventional department has grown at a very amazing rate, and now many serious diseases, such as cerebral thrombosis interventional surgery, can be taken care of on their own.

For the wounded, there are some lucky ones.

There is a fat aunt who usually does not deliberately go for colonoscopy during the physical examination, and usually finds occasional blood in the stool, but only thinks it is hemorrhoids, and has not taken it to heart.

Hemorrhoids are also very common in the United States.

And Americans will not associate spicy eating with hemorrhoids, even if the hemorrhoids are exposed and the pain is too bad, but they still do not taboo it, and they can eat spicy as much as they want.

This fat aunt likes spicy food and enjoys it.

Doctors in the United States also say that you can eat whatever you want, and there is no evidence that eating spicy food can cause hemorrhoids.

However, when hemorrhoids attack, eat spicy, that feeling, whoever eats knows it.

For most Chinese, there is no evidence? Well, then I don't eat. I will eat you.

This fat aunt thought it was hemorrhoids, who would have thought that this chemical plant explosion, she was seriously injured, and then her intestines were broken, and as a result, in the process of doing the examination, colon cancer was found "in advance".

This kind of cancer, because the early symptoms are not obvious, and many people do not have the habit of colonoscopy, it is easy to lead, once there are obvious symptoms, when colon cancer is diagnosed, it has reached the middle and advanced stages.

I have to say that this aunt is lucky.

Due to the start-up of Sequoia Tree Hospital, many secondary departments are short of manpower and insufficient level, so it is inevitable to ask Zhou Qiao to teach him for this operation.

Zhou Qiao showed his skills and performed a single-port laparoscopic colon cancer resection.

"Single-port laparoscopic surgery" is developed on the basis of traditional laparoscopic surgery, which as the name suggests, is in the abdomen, where there is only a small incision, usually from the umbilicus.

The colorectum is arranged in a circular shape around the umbilicus, and surgical instruments can be inserted from the umbilicus to reach all parts of the colorectum smoothly, facilitating the operation.

Since the umbilicus is a natural scar, it has a good concealment effect on the incision, so there is basically no scar left after surgery.

The fat aunt is in her early forties, but she still loves beauty, and she heard that she can do a single hole, or enter from the umbilicus, so she naturally prefers this procedure.

Of course, there are also some people who choose to make surgical incisions at the ostomy site because of the need for a fistula.

The small number of surgical incisions is not only aesthetically pleasing, but also reduces tissue trauma and reduces postoperative pain, among many advantages.

But single-port laparoscopy is not so easy to do, and there are many technical difficulties in it.

If you don't have a "master" to teach you, you may need many surgeries to sum up a complete set of experience if you just rely on your own exploration.

Because the single port has changed the operation mode of traditional laparoscopy, it will become a challenge to restore the surgical operation triangle, avoid instrument collision interference, and solve the chopstick effect during surgery.

After several single-port laparoscopic surgeries, many doctors feel that there are many obstacles, and they are not as ideal as they imagined, so they give up. In fact, it's because they didn't get the hang of it.

Doing surgery is a very demanding and technical job.

With the existence of Zhou Qiao's ceiling level, this colon cancer surgery was easy, and the fat aunt was successfully discharged from the hospital 7 days after surgery. Due to the early detection, there is no need to do chemoradiotherapy in the later stage, and only regular re-examination is required in the future.

Fat Aunt has a colleague who was also injured in the chemical plant explosion and was later taken to Sequoia Tree Hospital by ambulance. The other injuries were almost better, but the eye area was getting worse.

"Doctor, did I get my eye hurt by the explosion? What should I do if I am blind in the future? The patient was worried.

Because, since he was hospitalized, he felt that his eyesight was getting worse day by day, not only did his vision become more and more blurry, but sometimes, he even had double vision and double vision in front of his eyes.

Then, not long after, there was a black obstruction in front of me.

The doctor arranged an MRI and carotid ultrasound examination, and finally diagnosed the presence of plaque in the left carotid artery, resulting in insufficient blood supply to the brain, which caused vision loss.

As a result, drugs to stabilize the plaque were given for symptomatic treatment.

Unfortunately, this drug is not symptomatic, because the patient basically does not improve after taking the drug. Eyesight is getting worse day by day. Even the patient's family is in a hurry.

There was no way, so the doctor in charge had to apply to the director and ask the top famous doctor Zhou to come over for guidance.

The doctor didn't really have much hope, so how could Dr. Zhou do anything?

After Zhou Qiao understood the condition, he pondered for a few seconds and suggested a comprehensive head and neck integrated vascular ultrasound.

The doctor was suspicious: "......"

Then, the real cause was found.

That is, the lumen of the carotid artery of the patient is somewhat peculiar and different from the average person.

The carotid lumen of an ordinary person is filled with the normal flow of blood that supplies brain tissue metabolism, but in this patient's carotid artery lumen, in addition to the flowing blood, there is also an extra film-like sheet.

This film-like sheet connects to the wall of the artery and protrudes into the lumen, giving the carotid artery a bit like the webbed of a duck's paw.

As a result of the sudden increase in the blood flow, the direction and velocity of the surrounding blood will naturally change.

This carotid web, swinging back and forth, flutters, pushes part of the blood to form a vortex, and then part of the blood accumulates here, forming a blood clot.

If the blood clot is unstable, it will fall off and then swim into the patient's retinal blood vessels, which are thinner, and the blood clot will be blocked there, causing the patient's vision to blur.

As for the previous "left carotid plaque", it naturally belongs to "misdiagnosis".

Zhou Qiao told the doctor in charge that the symptoms and treatment methods of these two diseases are actually very different, like this kind of carotid artery web, if the cause is not treated in time, the blood clot will continue to accumulate and fall off, and to a certain extent, it can even block the cerebral artery, thus causing ischemic stroke.

Stroke is not a "small problem" such as blurred vision, but a risk of death at any time.

The patients and their families were frightened, and said that they were fortunate to have this handsome Chinese doctor, otherwise, they might not have ...... in a few days

In fact, this is also a lucky person, because of the explosion of the chemical plant, Zhou Qiao accidentally discovered the "carotid web", and resolved the crisis in time, otherwise, it would be a time bomb to continue to "hide" in the body.

Subsequently, Zhou Qiao instructed the doctor in charge to give the patient antiplatelet therapy with aspirin.

If the medication doesn't work, then go to an interventional procedure.

A stent can be placed to isolate the carotid webbing from the blood and prevent blood from pooling and causing blood clots.

Or simply strip it off.

Fortunately, Zhou Qiao made a move, and the effect was immediate.

After only two days, the patient's blurred vision improved significantly.

The doctor in charge also admired it, and Dr. Zhou took a shot, and it was easy to get it with just the kind of cheap medicine he used. It is worthy of being a top-notch, a real general practitioner.

And he used all kinds of expensive drugs before, tossing and turning, but it didn't work.

In fact, this kind of carotid webbing is a "rare disease" because of the few cases, no, to be more accurate, it should be a "rare disease", about a thousand people in the population, there may be one or two people with this disease.

Due to the small number of cases, it is difficult for ordinary doctors to consider this aspect. Clinically, it needs to be distinguished from other diseases such as carotid plaque, arteriosclerotic disease, and aortic dissection caused by hypertension.

As for the examination method, the only way to do this is to do a detailed ultrasound evaluation of the head and neck and then confirm it with angiography or CTA if the carotid artery is predisposed.

When sharing his experience, Zhou Qiao also drew inferences from one case and reminded everyone that if stroke patients who cannot find the cause can be found clinically, the possibility of carotid webbing can also be considered.

During these days, Zhou Qiao spent most of his time in Christe Mills County, either busy at Sequoia Tree Hospital or accompanying Luo Ya on a tour of the mountains and rivers every day.

Basically, it is relatively close, and there are characteristic scenic spots and cities within 300 kilometers. I am basically familiar with the customs of Texas.

They even took the time to go to the small town of Ellot to visit Loya's grandmother and uncle's family.

The town was now well organized under the care of Cousin Loya. However, this town has no mineral deposits and limited natural resources, so there is little potential for development.

The only thing worth mentioning is that it's located off the highway and then not particularly far from Houston.

The downside is that there are often hurricanes. This is also something that cannot be helped, the coastline of the United States is extremely long, and hurricanes are inevitable in coastal areas.

Hurricane season is usually from June to November, with peaks in August and September. Hurricanes can hit the entire Atlantic coast, most often in Florida, South Carolina, North Carolina, Louisiana and Texas.

Luo Ya is actually quite busy in her daily life, but most of her work can be "working from home". As a "big boss", she has countless subordinates, and she only needs to control it remotely and strategize.

Except for some occasions when you have to show up, for example, with Zhou Qiao, you go to Governor Stark's manor together to attend the birthday party of each other's granddaughter.

The estate is located in Austin, the capital of Texas, about 200 kilometers from Houston. Founded in 1835 and with a population of about 8.9 million, Austin is the 4th largest city in Texas and the 15th largest city in the United States.

There is no state property tax in Texas, but the city of Austin has a whopping 2.17 percent property tax, double the national average of 1.1 percent. Housing prices and rents are also quite high.

At the birthday party of Governor Stark's granddaughter, because of the identity of Luo Ya's boyfriend, Zhou Qiao himself is a top young doctor in the United States, so many celebrities came to talk to him and make friends.

Zhou Qiaoyan smiled and smiled, his demeanor was down-to-earth and generous, his conversation was witty and humorous, and his temperament had long been trained, and he was no longer the poor boy he used to be.

(End of chapter)