Chapter 339: The First Payment
In the face of so many pennants, why can Zhou Qiao be "pampered and not surprised"?
Because, he has already achieved fame now, and he has seen many scenes much bigger than this.
I have long been "full of food and drink", such a "small snack" is also appetizing.
If he had just graduated, he would definitely not be able to stand it, and the corners of his mouth would be smiling.
Just like a patient or family member wants to introduce him to a girlfriend, now that he has long since gone to the sky, where can ordinary girls see it.
Even if Zhou Qiao can see it and join the harem group, how can he compete with other girls just by virtue of his appearance?
In this second round of patients, there are not as many severe patients as before, although there are still many numbers released, but most of them do not need surgery, and only 12 people have surgery needs.
It is worth mentioning that this time I met a ninety-three-year-old grandmother who had a heart valve problem, and the family, including the grandmother, had been hesitating, thinking that at such an old age, was it necessary to have surgery?
The grandmother is also reluctant to go to other places, tossing and turning, just riding in the car is fainted to death, maybe take a few trips back and forth, the disease is not cured, and people drive to the west.
However, this time Zhuhai County made a fuss, saying that the county people's hospital came to a famous doctor who came back from the United States, which is the pride of our local Zhuhai County, don't look at people young, but the medical skills are top-notch, and 38 difficult heart surgeries are done a day, which is as simple as eating and drinking.
Many patients come forward to say how to do it before it, how relaxed and comfortable the body is after doing it, the heart is "repaired", and the diet and daily life are different.
I don't know how many people went to send pennants, and the circle of friends was blown up.
Moreover, there are many titles, even in the United States, they are the kind at the top of the pyramid, and the people who interact with professors, presidents, deans, academicians, and governors of famous universities.
Therefore, under the persuasion of her family, the grandmother was finally moved and came to see a doctor.
During the consultation, Zhou Qiao "chatted" with the grandmother and her family to learn about her medical history, and learned that the old man's symptoms appeared about 3 years ago.
At that time, the grandmother often had chest tightness, shortness of breath, and dizziness, and I thought it was because I was old, after all, I was 90 years old three years ago.
Not everyone can be like the old man Jigong, who can still make movies and TV series at the age of ninety, with a hearty laugh, clear pronunciation, and still so strong line skills.
Last year, the grandmother, accompanied by her family, came to the county people's hospital for an examination and found that it was severe aortic stenosis and heart function decline.
In addition, there are respiratory insufficiency and diabetes.
At that time, Director Zhang personally received the consultation, because the situation was too special, the doctors under him could only invite Director Zhang.
Director Zhang told the family that the operation was extremely risky, and if you had to go to a big hospital in another place, you might be able to do it, but if you were in the county people's hospital, you could only treat it conservatively.
Eventually, the elderly and their families opted for conservative treatment.
After all, last year was ninety-two years old.
The old man felt that he had lived enough, and his family was mentally prepared to do things at any time. As for the old man's cemetery, it was bought together more than 20 years ago when the old man's wife died, so there was no need to worry so much.
The cemeteries of the two were connected, and if they didn't buy it at that time, they would be bought by others, and the old man wanted to be buried with his wife, so he shot in advance.
In the past year, the old man's condition worsened, he was flustered and short of breath when he moved slightly, and he could not be relieved by taking medicine.
It happened that Zhou Qiao, an expert who "caused a sensation in the county", appeared, so the old man came.
It's also a fate.
Zhou Qiao told her that she participated in the minimally invasive heart surgery competition in the United States, and also operated on many elderly people, and the operation was quite good.
"In your case, I can't say how old you can live, but at least after the surgery, the quality of life can be greatly improved, and the surgery I did is minimally invasive, especially suitable for elderly patients like you."
Zhou Qiao drew a picture and explained the surgical plan in detail, saying that it was an understatement, in fact, he could indeed do it lightly.
After some explanation, the old man and his family chose to operate here.
Just tomorrow, the first one!
Although some of the other patients came earlier than her, after hearing about it, everyone was willing to let the old man be the first to have surgery.
At such an age, courtesy to the elderly, giving priority to the elderly, is the etiquette engraved in the bones of most Chinese.
Zhou Qiao's choice for the elderly is TAVR surgery, that is, transcatheter aortic valve replacement.
During the operation, a minimally invasive method is used to make an incision of about 1cm in the right groin, and the femoral artery at the root of the right thigh is used as the main approach, and the new prosthetic valve is compressed into a thin tube, which is delivered along the blood vessel to the aortic valve of the heart.
The artificial valve used is based on nickel-titanium and cobalt-chromium alloy as the skeleton, and adopts bio-valve leaflet and self-expansion mode.
The valve has a memory elasticity and when it reaches the lesion, it can be pushed out of the tube to inflate and return to its original shape.
Although these valves are generally used for 10 to 15 years, at which point the valve may fail, leading to regurgitation or stenosis of the valve, the process is gradual and does not appear quickly to the point where the patient is at risk, and the patient can find the valve failing by ultrasonography or by seeking medical attention for symptoms. The patient can then have a repeat TAVR and insert a second TAVR valve into the decaying TAVR valve.
For this 93-year-old man, there is a high probability that there is no need for a second operation.
If there really is, no matter where Zhou Qiao is at that time, as long as he knows the news, he will definitely fly back, perform perfect-level surgical skills, and add another one to the old man.
Due to the severity of the elderly's condition and advanced age, the surgery was performed under general anesthesia and guided by X-ray and ultrasound images. The surgery also took slightly longer than others.
The time to discharge from the hospital is also correspondingly prolonged, and more days of observation are required.
However, the quality of Zhou Qiao's surgery was really excellent, and sixteen hours after the operation, the old man got out of bed and moved, and said to his family with a smile that he felt "much more energetic".
Because the old man is old, in addition to heart disease, there are other diseases, which need comprehensive medication, and now the county hospital beds are also abundant, Zhou Qiao suggested that the old man stay for a few more days, recuperate in the hospital, and do not need to be discharged from the hospital in such a hurry.
First, it is cheap to be hospitalized here, and secondly, the home is also close, and the family can come to see and take care of it at any time.
As for the upcoming New Year, it doesn't matter, you can pick it up on the Chinese New Year's Eve, and the family and the elderly also choose this way, saying that it is more reassuring to live in the hospital.
Originally, the old man was psychologically prepared, and from time to time he would take out the shroud and shoes to dry and touch, but after this operation, that mind faded, and when Zhou Qiao came to check the ward, the old man said in person that he felt that he could live for another seven or eight years.
Zhou Qiao naturally wished the old man a long and healthy life.
The family of the elderly is also happy, because the elderly can take care of themselves and have a pension.
As for the remaining eleven surgical patients, they were basically done on the same day and discharged on the same day. Zhou Qiao received a full seven more pennants.
……
Zhuhai County People's Hospital, Emergency Department.
The doctor called Director Wang.
"Director Wang, there is a patient who is very seriously ill, and there is no department in our hospital that can handle it, is it a transfer? Or do you want Dr. Chow to come and have a look? ”
"I'll go over and find out about the condition first." Director Wang hung up the phone and went to the emergency room.
At this glance, I immediately gasped.
"Director Wang, what should I do?"
"What else? Hurry up and ask Dr. Zhou! ”
Although today is the twenty-ninth day of the lunar month, tomorrow is Chinese New Year's Eve, and Dr. Zhou is also resting at home, but Dr. Zhou said that if there is a situation, he can be called at any time.
Zhou Qiao's medical skills are obvious to everyone, and Director Wang really admires them, it is not only in the heart field, but also in the field of all-rounders.
So, Director Wang immediately called Zhou Qiao and told him about the situation.
"Director Wang, I'll give you a video call, and I'll take a look at the patient's situation first." Zhou Qiao thought for a while and said. Because it's not intuitive to just listen to the description on the phone.
So, the video connection opens.
Zhou Qiao glanced at it slightly, also gasped, and said, "I'll come right away!" ”
"Okay, okay, Dr. Zhou, thank you!" Director Wang is very grateful.
"It's fine."
Zhou Qiao hung up the phone and looked at his mother: "Mom, I'll go to the hospital." ”
Mother Zeng Xiuye said: "Then you go quickly, pay attention to safety on the road." ”
Father Zhou Xiaode heard the movement and also came out to send him off: "Pay attention to safety and use more snacks." ”
The old couple was quite supportive.
During these days, they were proud of the spring breeze, and they were slapped by the sycophants of the neighbors around them.
Zhou Qiao's previous achievements in the United States, after all, were too far away and not so intuitive. Zhou Qiao was also very low-key and did not publicize it too much.
However, this time I came back and carried out medical cooperation and exchanges in the county people's hospital, because of several outstanding performances, the entire Zhuhai County was swiped, and relatives, friends and neighbors naturally knew about it.
And it's close at hand, it's happening around everyone, and the impact on everyone is very great.
In the past, some people looked down on the Zhou family, thinking that Zhou Qiao would be a little doctor at most after graduation, and he didn't know how many years it would take to become an attending doctor.
Now it's good that he has become a top-notch expert in the county hospital.
And they are still Internet celebrities, and they don't know how much money they make from live broadcasting.
Even the county people's hospital, only a few days after coming back, it is said that more than one million yuan has been given.
In fact, the exact number is one and a half million.
Originally, the county people's hospital gave a remuneration of 500,000 yuan, but isn't this Zhou Qiao's performance far exceeding expectations? After a series of process operations, Dean Zheng finally paid Zhou Qiao the first payment a year ago.
This is just the first one, and there will be more to come.
The reason why Dean Zheng couldn't wait to settle a wave was because Zhou Qiao's contribution was too great, for fear that Zhou Qiao would run away unhappy.
Moreover, this 1.2 million yuan, compared with the profits brought by Zhou Qiao, is well-deserved. What's more, there are also teaching contributions.
Only one-third of the time has passed for cooperation and exchange, and the follow-up remuneration will be settled later. Give a sum first, so that Dr. Zhou can rest assured.
This is the New Year, and if you take the money, you can also have a happy New Year.
In fact, Zhou Qiao is not short of this money.
But since there is, I don't refuse it. With ability, technology, well, and overtime, I have peace of mind.
It is worth mentioning that Zhou Qiao took this 1.2 million yuan, and felt that the money he earned in his hometown was sweeter.
After all, he helped his parents and fellow villagers in his hometown, and it can be regarded as giving back to this place where he was born and raised.
Zhou Qiao didn't plan to bring this money to the United States, so he directly gave it to his parents as a pension for the second elder.
"One million last year, more this year, it is estimated that at least three million can be taken."
The old parents are scared, and they brag about it when they meet people.
Of course, it's not that I take the initiative to brag, but when people ask, I wave my hand very modestly, and then I can't help but reveal a little information.
Some people didn't believe it, so the old father reluctantly showed the bank's transfer text message.
I went, relatives, friends and neighbors were simply stunned! In just one week, that's all.
Moreover, there is nothing unbelievable, all kinds of circle of friends have swiped the screen, and TV stations have gone to interview and report.
During this time, the matchmaker stepped through the threshold, but Zhou Qiao's parents got Zhou Qiao's advice and all declined.
……
Zhou Qiao arrived at the county people's hospital and examined the patient's condition at close range, which was shocking and more serious than it looked in the video.
The patient was sixty-eight years old, curled up in a hospital bed like a hedgehog.
Lying on his side, through clothes and diapers, several ulcers and bleeding pressure ulcers on his body were clearly visible.
Chronic malnutrition caused all of his bony markers to bulge high.
It can be said that it is skinny.
After removing the clothes and dressings, Zhou Qiao saw that his sacrococcygeal area, bilateral ischial tuberosity, greater trochanter, heel and other places were covered with large and small black pressure ulcers, and even the uncommon parts such as the anal perianus, shoulders and the back of the shoulder blades were also covered with black unphased pressure ulcers.
To make matters worse, the patient's left back pressure ulcer has ruptured and is bleeding actively.
The reason why the patient curls up in a ball is because the muscles of the limbs and trunk are spasmodic after the brain is damaged.
Zhou Qiao asked about his medical history while pressurizing and bandaging to stop bleeding.
According to the patient's family, the patient had hypertension for nearly nine years, and a few years ago, he suffered a cerebral hemorrhage and two cerebral infarctions, which broke him down and lost his ability to take care of himself.
The home is a rural area, originally a well-off family, but because of the patient's illness, the family has been emptied, and life is difficult.
Over the years, my wife has been in charge of taking care of her, and her education level is not high, and her usual care is feeding, wiping her body, and cleaning up her stool.
Later, when the pressure ulcer was severe, he applied iodine and cephalosporin powder to the outside world, but to no avail, and the condition became more and more serious.
This is also quite normal because not everyone understands medicine and nursing.
If you are bedridden for a long time, if you don't have professional care, there will definitely be a problem. And the economic conditions limit the patients to enjoy better treatment.
Seeing that the patient was no longer working, today, the day before Chinese New Year's Eve, the family sent him to the emergency department of the county people's hospital.
The mentality of the patient's family is nothing more than doing their best and obeying the destiny of God.
There is also another reason, which is not to want the patient to die at home during the New Year.
At least, it was also sent over for rescue, so as not to feel so guilty.
But Zhou Qiao, as a doctor, can't help but save him since he met him.
(End of chapter)