Chapter 342: It's all shared, don't worry, don't worry
On the fifth day of the Lunar New Year, Zhou Qiao came to work at the County People's Hospital again.
Because, the patient with pressure ulcers all over his body, Zhou Qiao came to check the room yesterday, tracked the progress of the treatment, and was almost ready for the second stage of repair surgery.
Zhou Qiao didn't plan to do it alone, because he came over to cooperate and communicate, and he had a teaching task.
took so much money, although I earned it by myself, but I always had to teach something.
And this case is a summary of almost all pressure ulcer conditions, which can be called a textbook-style "pressure ulcer museum". While rare, it is also quite "precious".
This patient is very pitiful, but he doesn't know that his situation is a very good, very good lesson plan.
From a dialectical point of view, isn't this another embodiment of the value of his life? So, there is no such thing as a good-for-nothing person.
Zhou Qiao applied to Dean Zheng, can he reduce the patient's medical expenses a little, because his family is too difficult, and then, it can be used as a "teaching material", which can be regarded as a contribution to medicine.
"This is the New Year, since Dr. Zhou has spoken, I don't have to say anything, I'll find a way!" Dean Zheng readily agreed.
Zhou Qiao originally thought that if Dean Zheng was embarrassed, then he would contribute some money himself, which could be regarded as charity. But since Dean Zheng patted his chest, forget it. What can be solved by the official is naturally solved by the official.
"Inform the gastrointestinal surgery, dermatology, orthopedics, and anesthesiology departments, and ask them to send someone over, and we will do a multidisciplinary consultation in the large conference room." Zhou Qiao said to the director of general surgery.
"Okay." The chief of general surgery immediately called.
Soon, the directors of various departments rushed over with their subordinates.
Zhou Qiao held a multidisciplinary consultation, the main content of which was to discuss the condition and explain the surgical plan.
Actually, it was basically him who spoke alone and then answered some of the questions from the floor.
Zhou Qiao spoke very carefully, what will he do next, why he should do this, what are the precautions, and what details need to be divided and cooperated......
And everyone also raised many questions, and Zhou Qiao gave them satisfactory answers.
Through this exchange, the department directors and doctors present nodded secretly. Because, although they are not good at technology, they know the goods.
In particular, Director Sun of the Department of Gastrointestinal Surgery was amazed in my heart, and said that I originally thought that Dr. Zhou came to cooperate and communicate, because he had a lot of dealings with cardiac surgery, but I didn't expect that I even knew about the operation of our gastrointestinal surgery.
"Dr. Zhou is so knowledgeable. Such a tricky question can give such a fresh and refreshing answer. β
"Listening to Dr. Zhou's words, it seems that the patient's condition is so serious, it is not impossible to solve it! It's so NB! β
"Dr. Zhou's surgical plan of breaking up the whole piece and breaking each one is really exquisite. How can he understand so much at such a young age? It can only be said that genius is genius! β
"I'll go, is the medical technology of the Americans really so advanced? Dr. Zhou has only been abroad for a few years, so that's it? Just listening to him talk about his condition, I feel that I have benefited a lot! β
Some doctors are suspicious, but in fact, he doesn't know that the doctors in the United States think the same way as him. American doctors say in their hearts, Chinese medical skills are so advanced? Just come over and a guy just like thatNB?
As everyone knows, it's purely Zhou Qiao's own power!
Working hard every day, can you not be amazing?
The multidisciplinary consultation is completed and the surgery begins.
As for the patient's preoperative preparation, it began last night.
As for the operating room, Zhou Qiao came over early in the morning today and asked the director of general surgery to prepare.
Everything is ready, only the master knife is owed.
"This time the main knife is not me, but everyone present, don't worry, I will follow you the whole time." Zhou Qiao said loudly.
Although he is young, he is full of a strong expert demeanor and can calm the field.
Almost all the department directors and doctors present were older than him, but they all respected him very much.
This is a position that has been gained with strong strength.
Why don't you try 38 minimally invasive cardiac surgeries a day?
Can you beat so many young experts from well-known medical institutions in the United States, win the championship, and win the favor of Nobel Prize academicians?
Can the clinic be visited by the Ministry of Foreign Affairs in person?
If you go to open a clinic, I'm afraid the county magistrate won't bother to patronize it.
The first to play was Director Sun of the Department of Gastrointestinal Surgery.
Originally, there was an attending physician in the Department of Gastrointestinal Surgery who volunteered, but was vetoed by Director Sun. Director Sun said in his heart, such an important operation, if you mess up, won't it be a loss of face for me?
Director Sun wanted to experience Zhou Qiao's so-called "hands-on teaching" in person.
Then, Director Sun took the lead. There were many onlookers on the sidelines.
There are some difficulties, Zhou Qiao personally guided.
The first surgery went well. The main procedure is a right-sided transverse colostomy in which the stool is directed out of the body on the side of the abdominal wall.
The key point here is that because the patient will need to lie prone for a long time in the future, the opening position of this ostomy surgery is different from that of traditional surgery such as colon cancer, and it needs to be closer to the front of the axillary line to clean up the stool.
And then there's a lot of other details.
The surgical plan was previously explained in the conference room, but during the specific operation, many on-site problems were encountered, and the doctor needed to respond on the spot.
I have to say that Zhou Qiao's level is very high, and he can cope with every situation easily.
After Zhou Qiao's guidance, Director Sun touched the bypass, and he felt very technical and refreshed.
"Dr. Zhou, thank you." Director Sun was very emotional, he had never had surgery so easy. It's like racing a car, with an experienced driver on the side to help you navigate and deal with unexpected situations.
"Is this what it's like to be a master doing surgery? Effortless? I feel like I'm a big expert too! Director Sun finally knew that the state of the big expert when he did the operation was different from that of ordinary people.
Even so, in the county people's hospital, Director Sun himself is a so-called "expert".
But he, an expert, is a relatively low-level kind and can only "dominate" in a small county town.
If according to Zhou Qiao's medical classification, entry, specialization, master, and perfection, then Director Sun's current level, that is, the peak of the specialization level, is still half a step away from the master-level beginner.
Now after Zhou Qiao's guidance, Director Sun feels that he has come to the realm of the master level.
Director Sun stepped down, and immediately after, the director of the dermatology department and two assistants came to the stage.
Under the guidance of Zhou Qiao, the medical anesthesia team carefully transferred the patient to the prone position, and then removed the large and dissolved and rotten pressure ulcers such as the shoulder, sacrococcygeal, and bilateral greater trochanter, and stopped bleeding and negative pressure suction.
In order to minimize the impact of the operation time on the patient, except for the smallest pressure sore on the patient's right back, which was removed and sutured directly, the rest of the pressure sores were treated with negative pressure first.
Many doctors and nurses took turns to play, and everyone had the opportunity to come one by one.
This is because this surgery is a super complicated and comprehensive operation.
Tensor fascia lata flap surgery in the supine position to resolve greater trochanteric pressure ulcers......
Then change to the prone position, and perform a second operation on the sacrococcygeal region and ischial tuberosity. In this procedure, the patient's chest and knees are raised and the thighs and hips are suspended in the air to protect the transplanted tensor fascia lata flap......
The operation lasted from 1 p.m. to 10 p.m. before it was over.
Basically, the medical staff involved have all been experienced.
Even, because the operating room is not "spacious" enough, it is divided into two groups. One is at the scene, and the other is in the monitoring room to observe.
Then when it came to its own session, it came in and swapped.
To everyone's surprise, there was no negative emotion in overtime during the Chinese New Year, but I felt that the time was too short and the opportunity to learn was not enough.
Receiving Dr. Zhou's on-site guidance at close range, everyone clearly realized how powerful Zhou Qiao was.
I used to see flowers in the fog, but now I feel it clearly.
Even if it is a very ordinary step, after Dr. Zhou points out the tricks, and then goes to operate, then the feeling is different. There will be new realizations.
It's like fishing, how easy it looks to be, just string the bait, throw the hook in the water, hold the rod quietly, and wait for the fish to take the bait. But in fact, it's not, there are many ways in it, and sometimes the master doesn't tell you about it, and you can't figure it out yourself.
Why is it that the fishing master, no matter what, can explode and kill the owner of the reservoir, but you go back to the Air Force and go to the vegetable market to buy fish to fill the faΓ§ade?
There are so many ways to fish alone, not to mention the super complicated technique of surgery.
"I'll do it at night, let's go and make skewers together!" The operation ended successfully, Zhou Qiao said loudly.
"Oh yes!" The medical staff cheered.
Everyone knows that Dr. Zhou took more than one million years ago, which was the envy of the whole hospital, and now, he finally has the opportunity to "slaughter" him.
In fact, it doesn't cost a lot of money to eat skewers. Although there were forty or fifty of them.
Zhou Qiao took so much money, and he really wanted to treat him, so it was better to be happy alone than to be happy with everyone. Dr. Chow has always been bold, and the staff at Iris Clinic are proof of that.
Immediately, the group went to a large barbecue restaurant and chartered almost an entire hall.
The store can't bake it at all, and then everyone works together, and it's almost self-service.
When Dean Zheng heard about it, he also rushed over to join in the fun and drank a few beers.
It's just that most of the doctors and nurses present don't drink alcohol, and only those like Dean Zheng, who don't usually have surgery, can drink a few glasses.
(End of chapter)