"My son was diagnosed with heart disease when he was 6 years old, and after listening to his heart, the doctor thought that something was wrong and recommended that we go for an ultrasound test."

"So we went, and then, the nightmare began." The child's mother sighed softly.

In the iris clinic, in Zhou Qiao's clinic, Zhou Qiao took Grace and listened to the child's mother together. As for Nanako Chiba, she is busy with other things and can't come for the time being.

However, this case is special, and afterwards Zhou Qiao will pull Chiba Nanako in and consult it together.

Real progress is when everyone makes progress together.

Zhou Qiao listened to the mother of the child while looking through the examination report they brought.

Both the previous and the latest ones are available, showing the progression of the disease, as well as the history of medication, which is quite valuable for reference.

THE ULTRASOUND REPORT SHOWED THAT THE VENTRICULAR SEPTUM OF THE CHILD WAS SIGNIFICANTLY THICKENED, AND THE PEAK FLOW RATE OF THE LEFT VENTRICULAR OUTFLOW TRACT WAS 1.7 M/S.

This is typical hypertrophic obstructive cardiomyopathy.

To be honest, at the beginning of the diagnosis, the parents of the child had never heard of this disease at all, they had heard of coronary heart disease, myocarditis, heart disease caused by high blood pressure, etc., this hypertrophic obstructive cardiomyopathy is really not the common kind, and almost no one around them has this disease.

Therefore, after knowing the condition, I was a little confused, my son is usually fine, and there is no abnormality in the regular physical examination, why did this disease suddenly appear?

Actually, it's because the general medical checkup package doesn't include ultrasound.

Cardiac ultrasound is different from ordinary B-ultrasound, both the cost of examination and the purchase of equipment are much higher than ordinary B-ultrasound. There are many functions of cardiac ultrasound, which cannot be satisfied by ordinary B-ultrasound.

For example, ultrasound can show the direction of blood flow, blood flow in different directions, and different colors, in addition, it can also measure the speed of blood flow.

Through the changes in these indicators, it is possible to determine whether there is a heart valve stenosis or insufficiency, and the condition of heart function can be evaluated.

In addition, hypertrophic obstructive cardiomyopathy has its own particularity, and it is usually asymptomatic.

Doctors are not saints, and physical examinations are also divided into prices and items, and they are not omniscient. Missed diagnosis and misdiagnosis are also common.

Even if it was checked out four years ago, what then?

The condition was complicated, and the doctor told them at the time that the operation was very difficult and there was no indication for surgery, so conservative treatment was recommended.

However, the doctor also said that although this disease is usually asymptomatic, once it occurs, it is a major event, and it is easy to have angina pectoris or cardiac arrest after a long time.

It's like a sword of Damocles hanging over your head, ready to fall at any moment. Parents of sick children are not to mention how worried.

It can be said that for four whole years, there has not been a day that has not been in such helplessness and fear.

I have also been to the hospital many times, and many well-known hospitals have consulted, and the doctors have said that considering that the child has not shown any discomfort and does not have any indication for surgery, it is recommended to use medication first.

This medicine has been taken for four years, but unfortunately, the crisis has not been resolved.

On the contrary, as the child grows older, angina sometimes appears.

Although cardiac arrest has not yet been encountered, once it has been encountered, isn't it a test of life and death?

Doctors have told them that after entering puberty, the structure and function of the human heart will change dramatically, and some risks often appear at this time.

Now that the child is ten years old, if one day suddenly "out of control", it will be ...... It's unimaginable and unbearable.

The parents of the child did not want to take any more risks, and they very much wanted to help their son get rid of this "disease" completely.

"Dr. Zhou, the experts at the University of California Medical Center said that you are the top in the field of cardiology, can you help us? Please! The child's mother wiped her tears and pleaded.

Zhou Qiao said softly: "If you can help me as much as possible, we will definitely do our best." As for surgery, although it is risky and difficult, it is not impossible. ”

Grace listened in horror, because if she had done it instead, she would probably have failed.

She comes from the Massachusetts General Heart Center and knows the risks of the procedure.

However, she knows Zhou Qiao, this guy is often very "modest", generally speaking, he is seven or eight points sure, or even higher.

Grace couldn't help but look forward to it, and said secretly in her heart: "I must participate in the whole process of this operation, and strive to let Zhou Qiao teach me more." ”

This disease, characterized by myocardial hypertrophy, can be divided into obstructive and non-obstructive hypertrophic cardiomyopathy based on the presence or absence of obstruction of the left ventricular outflow tract.

Hypertrophic obstructive cardiomyopathy is a hereditary primary myocardial hypertrophy, which is mainly manifested by obstruction of blood flow to the left ventricle, causing pulmonary congestion, poor systemic perfusion, and eventually myocardial ischemia.

Over time, as the disease progresses, the patient is very susceptible to angina pectoris or cardiac arrest, which can be life-threatening.

"Well, let's arrange for hospitalization first, do further examination and evaluation, and then we'll discuss it again and come up with a proper surgical plan." Zhou Qiao said.

"Thank you, Dr. Zhou."

"Thank you very much."

The child's parents seemed to see hope, and there was a faint look of excitement on their faces. It's not easy, after so many years, I finally found a famous doctor who is willing to help.

Immediately, Zhou Qiao called Jin Jizhen and asked the other party to lead the patient's family to the cardiac surgery ward of the community hospital to go through the hospitalization procedures.

At the same time, a series of inspections began to be arranged.

Since hypertrophic cardiomyopathy is very insidious and has high requirements for ultrasound diagnosis, Zhou Qiao thought about it and decided to go to the ultrasound room of the community hospital in person.

Because different doctors have different levels, some of the details and parameters obtained are naturally different.

Zhou Qiao wanted more detailed data about what he needed.

Grace also followed, and said that Zhou Qiao is still good at ultrasound? Is this not believing the doctors at that community hospital?

In fact, it's not that he doesn't believe it, but Zhou Qiao doesn't feel at ease if he doesn't go over to see it, which is a responsible performance.

Every detail is related to the life safety of the child, and it is also related to his golden signboard, which has to be paid attention to.

When he came to the ultrasound room, the doctor on duty gave the patient a routine review, Zhou Qiao looked at it for a while, put forward some of his own opinions, and asked the other party to add a few data that are "not usually very useful".

Subsequently, Zhou Qiao pondered for a few seconds and suggested that the child do an exercise test to evaluate the work of the heart under exercise.

This "exercise test" is usually done relatively rarely. There is also a certain risk, but with Zhou Qiao at the scene, and in a general hospital, this risk is controllable.

The doctor on duty was slightly stunned, and he was as good as a stream.

Grace nodded secretly on the side, and said in her heart that Zhou Qiao was a professional.

This kind of "professionalism" is more professional than that of "professional doctors".

It was this exercise experiment that brought to light the true condition of the child's heart.

THE DATA SHOWED THAT THE SYSTOLIC FLOW RATE OF THE LEFT VENTRICULAR OUTFLOW TRACT WAS 5 M/S AND THE PRESSURE DIFFERENCE WAS 117, WHICH FAR EXCEEDED THE NORMAL STANDARD. This indicates that the child has severe left ventricular outflow tract obstruction due to hypertrophic obstructive cardiomyopathy and must be treated with surgery as soon as possible, otherwise the risk of sudden death is extremely high.

The child's parents were also at the scene, Zhou Qiao explained that under normal circumstances, the thickness of the ventricular septum of a ten-year-old child is 0.8-1.0 cm, and the thickness of the ventricular septum of the child is 39 mm, which is nearly 5 times that of a normal person, and the left ventricular outflow tract obstruction is obvious, and various data show high risk!

The child's parents' faces suddenly changed dramatically, and their heartbeats accelerated.

The two glanced at each other, and felt a little lucky, it was really the right time, and if they delayed for a while, they might ...... It's a sad story. This is a weight they cannot bear.

They only have this one child. Even if there are several and one dies, it is not something that parents can bear.

"Dr. Zhou, please arrange surgery as soon as possible, thank you!" The child's father stepped forward and bowed deeply to Zhou Qiao.

Zhou Qiao nodded: "I must do my best!" ”

Grace's heart also beat violently, not because she was moved by Zhou Qiao, but because through this inspection, she understood the urgency of the matter more clearly.

On the one hand, the operation is very difficult and risky, and on the other hand, the child's condition is critical, and there is a risk of inducing myocardial ischemia and cardiac arrest at any time. Truth is a dilemma.

And Zhou Qiao nodded without the slightest hesitation.

This man ...... It's so fascinating!

But it must be successful.

If it were Murphy or Stephanie, even if Nanako Chiba was here, they wouldn't have such thoughts.

After all, Grace has not followed Zhou Qiao for a long time, and she is not 100% confident in Boss Zhou's skills. Because Grace knows deep down that the risks of surgery are objective.

She hasn't fully seen how powerful Zhou Qiao is.

Sending the child and family back to the ward, Zhou Qiao comforted him a few words, and left in a hurry with Grace. They have to further discuss the details of the operation, draw up a plan to deal with various emergencies, and conduct simulation drills in advance to ensure that the operation process is foolproof.

Zhou Qiao called Nanako Chiba over, but it was still "one to two".

Grace sighed lightly, when will it be Zhou Qiao's turn to teach me alone.

Grace and Nanako Chiba are both studying very seriously, and there is no such opportunity in other hospitals. Because after entering the workplace, people are not obligated to teach you.

Even if a senior doctor comes to teach you under the orders of the leader, people may not do their best, and some scheming people may even hide their secrets, which is human nature.

Of course, Grace is different at the Massachusetts General Hospital, her father is the director of the heart center, and this kind of "second-generation doctor" treatment is not something that ordinary doctors can enjoy.

During the operation, Grace quietly glanced at Zhou Qiao, and said in her heart that this man is not much worse than my father is to me.

She confessed to Zhou Qiao, but Zhou Qiao rejected her, indicating that she was not necessary for Zhou Qiao, and people would never covet her beauty.

is not greedy for beauty, and such "generosity", like a teacher and a father, is really quite rare.

Grace herself is a little guilty, taking such a high salary here, and learning other people's skills, it really can't be justified if she doesn't reciprocate.

"Doctor Zhou, when did you want me?" Grace had a secret resentment in her heart.

Of course, these distractions were just momentary thoughts and Grace quickly regained her immersion in medical training.

"Self-discipline" and "focus" are the basic attributes of genius. Without this attribute, one cannot be a true genius.

Whether it's Murphy, Stephanie, Nanako Chiba, Grace, or Yang Xuejun, once you are seriously engaged, you can enter that realm of selflessness.

The two girls are both first-class in learning, they don't need a hammer to beat the drum, they often draw inferences from one another, and Zhou Qiao feels very easy to teach.

Good students, everyone likes to bring.

Zhou Qiao's performance of the "teaching task" is naturally rewarded. Just like I used to teach Murphy and Stephanie.

It's just that the system prompts too often, which will disturb his usual work and life, so for some unimportant "information", Zhou Qiao has set up a "message do not disturb" mode.

But for some important and uncommon ones, the system is required to remind them in time.

He taught these two girls, and it was very enjoyable to teach, and suddenly, the system popped up a golden virtual panel in his mind: "Congratulations to the host for achieving the 'Little Teacher' achievement X2 again!" A small surprise treasure chest will be rewarded, and the following items can be randomly obtained by opening the box: male charm +2, a volume of absolute medical skills, a miracle drug, and a fragment of the medical temple key. ”

Zhou Qiao is idle now anyway, he watched the two girls practicing the operation, and silently gave an order in his heart: "Open the treasure chest immediately." ”

Suddenly, the lid of the virtual treasure chest in my mind popped open, countless ribbons fluttered, and between the golden light, a reward jumped into my mind: "Male charm +2." ”

Zhou Qiao was suddenly pleasantly surprised, if he remembered correctly, this masculine charm was quite difficult to improve, and it needed to be upgraded before it could grow again.

I didn't expect it to be drawn through a treasure chest.

However, if it were the other rewards, they were all very precious, and he would be equally happy.

When Nanako Chiba and Grace finished their drills and looked back at Zhou Qiao, the two of them agreed, and suddenly felt that Zhou Qiao was even more charming.

Grace tightened her legs slightly, and a seductive flush inadvertently swept across her pretty face, slightly distracted.

In fact, Zhou Qiao taught the two of them to operate, and he did not delay time, because there were still some preoperative preparations to be done.

Elena and Ava are idle, and they are also returning to their old jobs, and when they encounter such a major operation, they will come to help.

Of course, when some minor surgeries are usually performed, or when Nanako Chiba and Grace perform the surgery alone, they leave the opportunity to Park so-joo, Kim Hee-jin and Zhang Mengjing.

When everything is ready, the operation officially begins.

Although they haven't been in the operating room for a long time, Elena and Ava are still "masters" and everything is impeccable.

Ava touched the audio equipment in the operating room of the community hospital, which was still the same old equipment as before, and had not been replaced, but it felt very kind.

Although this audio is old, it is extremely durable, and the sound quality is still excellent after more than ten years.

I used to think about asking the community hospital to change the equipment, but now I think that it is better to use this old equipment.

Truth be told, although Elena and Ava are now princesses of the Nordic royal family, they still miss the busy times they used to have, especially the difficult years they spent at the clinic with Zhou Qiao.

Ava played a red song "Young Friends Come to Meet".

(End of chapter)