I run a clinic in the United States

Chapter 139 This Good Song Is Unlucky!
It is worth mentioning that Zhang Mengjing is recovering well now, and she plans to study nursing and become a nurse in the future.In the United States, the income of nurses is also considerable, which is better than washing dishes in restaurants.

Social class will also be promoted.

Zhang Mengjing didn't like studying in China before, and often couldn't learn because of illness, but after this incident, the whole person suddenly grew up, became sensible, and was no longer troubled by illness. When studying, not only was he efficient, but also Full of energy.

Zhang Jianjun and his wife were very happy, and often said to relatives and friends that Mengjing was a blessing in disguise!

Murphy was called over to discuss Yun'er's condition.

She has short chestnut hair, bright eyes and white teeth, and exquisite facial features. Elena nicknamed her "Little Iceberg Hepburn".

However, Bingshan little Hepburn walked in, glanced at the CT scan on Zhou Qiao's computer screen, and looked at the huge "hair stone", and couldn't help but gasped, her pretty face and green eyes were filled with surprise. So passionate!

Zhou Qiao glanced at her quietly, well, it seems that the clothing therapy of Qihua Sachet is becoming more and more effective!If it had been before, Murphy might still be "facially paralyzed", not caring at all, and looking very cold.

Now this is the behavior of normal people.

Of course, this is only a preliminary effect. It may take a long time for Murphy to completely get out of "autism".

"Let's discuss together how to use a gastroscope to safely remove that clump of hair!" Zhou Qiao signaled Murphy to sit beside him and watch the film together.

Murphy sat down obediently and muttered: "This one-time operation is obviously not enough. It needs to be scored multiple times. In addition, repeated friction in and out of the gastroscope will cause damage to the tender mucous membrane of Yoona's digestive tract. We need to find a special equipment." , to protect her digestive tract.”

"Heroes see the same thing!" Zhou Qiao said in approval, "We can find a transparent oropharyngeal esophageal cannula with a suitable diameter that is harmless to the human body. It is best to have a soft fan-shaped protective sleeve at the front end of the cannula. Avoid damage to the gastric mucosa caused by gastroscopy and hair strands when the hair is taken out, and cardia tearing caused by pulling."

"If you don't need a gastroscope, can it be dissolved by taking sodium bicarbonate?"

"This shouldn't work!"

The two of you talked to each other, and I talked to each other, perfecting the operation plan.

And Pu Xiuzhu took her daughter to prepare for the operation.

For gastrointestinal endoscopy, the colonoscopy requires laxatives to be emptied, but the hair stones will never be discharged.Pu Xiuzhu thought about it, and finally had it done once, and by the way, he also had a colonoscopy, so Zhou Qiao also arranged for laxatives.

However, Zhou Qiao also told her that it might not be too late.Because of this hair stone removal, the time is estimated to be very long.

Park Yun'er is so young, if she were given general anesthesia, it would be impossible for her to be anesthetized for more than ten hours, and her body would not be able to bear it.

If you can't get it done in five or six hours, and there are still a lot left, then pause, resume first, and do it next time!

If time permits, a colonoscopy can be scheduled.We will see the specific situation at that time.

At the same time, there are other preoperative examinations that need to be done, such as blood routine, liver and kidney function, blood lipids, glycosylated hemoglobin, and so on.

As a nurse, Park Xiuzhu knew all these tasks well. Zhou Qiao gave her orders and prescriptions, and she took her daughter there herself!

Being a doctor or a nurse is a great help to the family, at least when you see a doctor, you won't lose sight of it.

If you can’t figure it out yourself, you also know which expert is best to call for help!
Poor Park Yoona, she kept going in and out of the bathroom on the first floor of Iris Clinic, and all she finally pulled out was water.

Murphy and Elena went out to look for equipment, and finally found a suitable transparent tube, made of food material, harmless to the human body, and suitable in diameter and flexibility.

With everything ready, the group headed towards the community hospital.

It was still these few people, Murphy, Zhou Qiao, Elena, and Ava, and the patient was Park Yuner. Although Park Xiuzhu was also a nurse, she couldn't bear to look directly at her, so she didn't go in and waited in the rest area outside.

The anesthesiologist made an appointment for Caroline.He is also a senior anesthesiologist, not inferior to Nancy.

Caroline came to take Park Yoon-ah into the anesthesia room, but Park Yoon-ah felt very scared, her eyes were full of tears, she started crying, and refused to go in desperately.

Pu Xiuzhu hugged her to coax her, but couldn't coax her well, Zhou Qiao said, "Let me try!"

So, he picked up little Yoona and used the master-level child touching technique. Surprisingly, little Yoona calmed down under Zhou Qiao's touch.

Zhou Qiao personally carried her to the anesthesia room, laid a clean mattress on her, and didn't come out until Xiao Yun'er entered the anesthesia state very obediently and smoothly!

Anesthesiologist Caroline gave Zhou Qiao a thumbs up!

On the other hand, Pu Xiuzhu had mixed feelings in her heart and was a little jealous. She vaguely guessed that it might be that Park Yuner lacked fatherly love since she was a child, so when Zhou Qiao, the big brother, comforted her, it would have such a good effect.She is far better than her biological mother!
However, as long as my daughter can undergo the operation smoothly!

The conditions of this community hospital are still acceptable. Although some equipment is relatively old, such as audio equipment and decoration, at least there are enough operating rooms and some surgical equipment is relatively advanced.

For example, in some small hospitals, or the leaders are relatively stingy, because gastroenteroscopy is not a sterile endoscopy, even painless gastroscopy is performed in the endoscopy room, and the anesthetist can be called over when necessary.

This is understandable and legal.

However, this community hospital places the gastroenteroscope in a laminar flow sterile purification operating room, which can better avoid infection during examination and treatment.

It can only be said that he is a bit rich.

Laminar flow purification operating room is an operating room with a higher degree of sterility, and the cost of construction is relatively high. Although many hospitals have it, they are only used for major operations.

In fact, Park Yoona's surgery is also a relatively complicated major surgery!
That's why Zhou Qiao chose this one.

Of course, the corresponding operating room and equipment rental fees are relatively more expensive.But it's worth it.

After intravenous compound anesthesia, we all performed the time out procedure together.

Subsequently, under the protection of a specially prepared long transparent cannula cap, Murphy inserted the gastroscope and first conducted a routine examination of Yoona's esophagus, stomach and duodenum.

Continue to inject air to expand the gastric cavity, fully absorb the liquid in the stomach, and make the "hair stones" appear as much as possible.

However, this "hair stone" is so huge that it almost fills the entire stomach cavity. Even if the gas is injected, there is still not much room for operation!

Reach into the pre-planned suitable cutting knife and foreign body forceps...

When the operation officially started, Ava, the traveling nurse, was actually relatively free, and she started singing again.

In this song list, there are not only English songs, French songs, and German songs, but because of Zhou Qiao’s homesickness, as always, he selected many Chinese songs and played them randomly.

There are Luocha Haishi, I am still the boy I used to be, Blue and White Porcelain, Yungong Xunyin and so on. However, after playing, a song suddenly popped out that surprised Zhou Qiao!

This is "Thousands of Miles Away" sung by Jay Chou and Fei Yuqing.

"I sent you away thousands of miles away, you are silent black and white..."

Zhou Qiao: "..."

Stop it immediately!

"Ava, delete this song!" Zhou Qiao said.

Ava was confused: "What? Doesn't it sound good?"

Elena was also surprised and said, "I think it sounds pretty good!"

The melody was beautiful and the lyrics... well, they didn't understand either.

In fact, the lyrics are also well written, but it's just not suitable for this kind of occasion!
Zhou Qiao said helplessly: "It sounds good, but it's a bit unlucky."

"Unlucky?" The second daughter was suspicious.

Zhou Qiao said: "I will explain it in detail to you after the operation. Can I delete it now?"

Zhou Qiaoxin said, fortunately this is a general anesthesia operation, Park Yoona is already "asleep", and Park Soo Joo is not at the scene, maybe Park Soo Joo knows the meaning of the lyrics, after all, many Koreans are quite familiar with Chinese songs.

Especially Jay Chou's fame in Korea, no, in the whole of Asia, is extremely popular.

When the time comes...

Zhou Qiao felt weird, I'm sorry for Xiao Yun'er!
Murphy turned a deaf ear and concentrated on the operation!

Although Xiao Yun'er swallowed the hair into her stomach, it didn't take long to "refine" this hair stone, but the hair in her stomach seemed to be wrapped in glue, and it was intertwined, very tough , the transverse diameter exceeds 10cm, and the long diameter exceeds 20cm, which fills the entire gastric cavity and is very difficult to cut.

This size is far larger than Yoona's esophageal entrance and stomach exit. It is impossible to remove it directly with foreign body forceps without cutting or dividing it!

Murphy calmly started 3D modeling in her mind. Combining the content on the electronic display screen, she used an endoscopic incision knife to slowly cut and separate. Then she used foreign body forceps and five grasping forceps to grab a part of the separated hair. Constantly pull and shake the hair at different angles to loosen the hair slowly.

Then, pinch by pinch, carefully remove the hair.

Sometimes, a single cutting knife is not enough, you need to replace it with another knife head.

Because the group of "hair stones" in Yoona's body is quite special, the hair she eats is relatively long and intertwined, and the effect of chyme makes the group quite dense and sticky, which needs to be broken up continuously and divided into batches take out.

She may have eaten glutinous rice balls. The stickiness of glutinous rice is similar to that of glue. When it meets hair, the lumps are not completely digested, and the effect is simply...

In ancient times, glutinous rice juice was used as an adhesive to build city walls!
This is a very delicate job that requires a lot of patience!

During this process, the gastroscope repeatedly entered and exited Xiao Yun'er's mouth, throat, esophageal cardia and gastric cavity.

Xiao Yun'er is only nine years old, her stomach, digestive tract, and mouth are all extremely delicate, and they will be damaged if she is not careful.

Many things are easy to say, but very difficult to do.

For example, interventional surgery is highly praised by many people, and they always want to use interventional surgery, because the principle and operation sound quite simple, and the effect is also amazing. Puncture the blood vessel, causing the contrast agent to leak out, or the guide wire breaks and stays..., resulting in various medical accidents!

In addition, interventional surgery is more harmful to doctors!

Medicine is a very complex subject, easy to know but difficult to practice!

During Murphy's operation, Zhou Qiao served as an assistant. In addition to providing guidance, he also had to carefully observe the urine output of Little Yoona's catheter bag and bladder filling status, and also turn Little Yoona's body in time...

……

The operation lasted nearly seven hours, a little longer than the expected five or six hours, but it was finally a success!
Feeling that there was still time, I had a colonoscopy by the way. Fortunately, nothing abnormal was found.

The hair in Xiao Yuner's stomach was completely taken out and placed on a stainless steel plate. After a little compaction, the size of this hair stone was 30x18x2.5cm, nearly 1.5 pounds!
shocking!

People with a little trypophobia will feel suffocation and heart palpitations!
When Park Soo-joo saw the sample, she couldn't stop her tears from rolling down!

She felt that it was all her fault!If she hadn't forced her daughter to do various tutoring papers every day since the first grade of elementary school, and she even turned into a part-time tutor, putting too much academic pressure on her daughter, her daughter wouldn't have such a quirk!

It won't be like now, poor, lying on the hospital bed, weak.

Although the hair stone in Park Yuner's stomach was taken out, in order to prevent her from recurring, Zhou Qiao decided to give her psychological counseling when she recovered a little.

Because of this incident, little Yuner might not even be able to take the school's final exam.It can be said that the gains outweigh the losses.Park Soo Joo is quite self-blaming!
That night, Park Yoon-a stayed in the Iris Clinic for observation, and Park Soo-joo didn't go home either, and lived directly in the clinic to take care of her daughter.

She takes care of herself and goes the extra mile!

In addition, it was too late and it was not safe to go home.

In order to prevent Park Yoon-er from eating her hair again, Park Soo-joo took her daughter with her all day and night. When she was at work, she let Park Yoon-er play in the rest area of ​​the clinic, and even cut her hair short.

When cutting her hair, Park Yoon-a looked at the strands of hair falling down, and licked her lips, feeling quite reluctant.However, she also knew that this kind of behavior was wrong!What's more, my mother is watching from the sidelines!
So, the strange thought in my heart was forcibly suppressed.

And after this practice, Murphy's gastroscopy retrieval technique has become a master-level beginner in a rare leap!

It can be regarded as her second master skill!
This is achieved entirely by her own ability!Because Zhou Qiao has no way to add points to her to improve her corresponding skill level for the time being!
……

Christmas is coming, and elementary schools in the United States are already on vacation.

Park Xiuzhu was worried that her daughter would be alone at home during the day, so she brought her to the clinic and asked her to do her homework and read extracurricular books in the rest area.We'll go back together when Park Soo-joo gets off work.

It's just that there are fewer homework, not as much as before.

However, Park Xiuzhu believes that it is okay to reduce the dosage, but it must not be discontinued.Learning is like sailing against the current. If you don't advance, you will retreat.

Especially Xiao Yuner's physical and mental health, under Zhou Qiao's careful conditioning and psychological counseling, gradually recovered, and it was time to resume her studies.

Zhou Qiao did not object after evaluation.It is still possible to study a small amount every day.It may not be a good thing to relax too much all of a sudden.

Sometimes, Cathy would also bring little Danielle over to play. Park Yoon-ah liked babies quite a lot and would hold little Danielle in her arms and sing to her.Then he pretended to be a doctor and treated little Danielle with injections and infusions.

One big and one small, having fun.

Although elementary school was on holiday, UCSF was not. The dean of the medical school, Karin Durutaro, invited Zhou Qiao to give a special lecture at the school. As for the specific lecture content, Zhou Qiao chose it himself.

It is also paid, [-] US dollars an hour, Dean Karin Durutaro suggests at least two hours!
That's $[-].

You can earn so much just by giving lectures, you are definitely a high-end talent!If his former teachers and classmates knew about it, their jaws would drop!

Zhou Qiao felt a little pressure.However, this is also the recognition of his ability by the University of California!

In the exchange meeting at the medical center and school before, whether it was Dean Karin Dujutaro, other high-level officials, as well as experts and scholars attending the meeting, they all appreciated Zhou Qiao's profound knowledge and professional attainments.

After thinking about it for a while, Zhou Qiao decided to create a special topic on weight loss based on the real cases she came into contact with in her clinic!

Obesity is a fairly common problem in the United States, and there are not too many examples of it evolving into a disease.He has also been to the campus of the University of California, San Francisco, and saw many obese teachers or classmates when he was walking around.

Doing such a special topic is very strong in both academic and practical significance!In addition, maybe you can also bring some business to your clinic by the way!
Like many minor diseases and common diseases, the University of California Medical Center does not look at them. They almost only look at intractable diseases or diseases with strong academic nature.

In addition, even for diagnosis and treatment, the charges of the University of California Medical Center are relatively expensive.

The Iris Clinic is a private clinic affiliated with the University of California Medical Center, which itself has a certain diversion function.

In particular, Iris Clinic has a small reputation for weight loss!Many personal media and social platforms in San Francisco have praised the weight loss success rate of this clinic.

Dean Karin Durutaro naturally agreed and encouraged Zhou Qiao to write well, and he would also come to support him in person when the time comes!
Zhou Qiao spent a whole day working on this thing, preparing PPT, speech scripts, and making speeches without scripts. Not only must the speech be professional, but also interesting and attractive. In addition, the demeanor, speech speed, and gestures during the speech are all You have to practice well in advance!
The words must be clear, loud, and full of energy, and it is best to have a magnetic voice...

Poor Zhou Qiao, it's not long since she graduated from a medical school in China, and now she's going to a world-renowned university, University of California, San Francisco, to hold a large-scale lecture!I don't know how many people will come to listen. For a while, I worry about the crowds, and I am afraid that I will be under too much pressure. At the same time, I worry about the lack of people. If it is deserted, it will be too embarrassing!

In any case, he was very serious about his preparations, and he even declined Elena and Ava's invitation to play a particularly interesting game at night!

Instead, he pulled the twin nurses to act as the audience. He stood in the center of the hall on the third floor and started the simulation drill!
The twin nurses also cooperated very well. Whenever Zhou Qiao talked about something exciting, they applauded together!
Zhou Qiao's eyes lit up, and she said, "You guys will go together at that time. You should dress more carefully, so that no one will be recognized as someone from my clinic."

Elena interjected: "We will do nothing when the time comes, anyway, when we need to applaud, we will take the lead in applauding vigorously, cheers!"

Ava also said: "Don't worry, I'll call some high school classmates to come over, and I will make sure you don't leave Joe alone!"

In fact, Zhou Qiao underestimated her own fame, especially in the University of California School of Medicine.

As the youngest visiting professor, he has already become very famous!

When the poster for Zhou Qiao's special lecture was released, the school forum also promptly updated the post and pinned it to the top, which aroused considerable repercussions among students.

On the day of the lecture, the lecture hall that could accommodate 800 people was originally arranged, but it was temporarily replaced with a lecture hall that can accommodate 2000 people!
Elena and Ava were dumbfounded!They thought to themselves, if we knew this before, why would we still go so hard to find Tuo?

The trustees who were called by them were also dumbfounded, and instantly felt that they had come in vain!Some of them still wanted to hit Elena and Ava hard, but they also accepted this thought. After all, they are really dispensable!Calling you guys over is just icing on the cake, just in case.

Don't talk about adding money!

Ling Qingqing and her classmates also came to join her. Ling Qingqing is not fat, she is quite slender, but she has a fat roommate who is also an international student from China.

I was fat when I was in high school, but after I came to the United States, I let myself go. I ate all kinds of junk food. My whole body is like a balloon. I can't control my weight every day!
Hearing that Handsome Zhou had such a lecture, he immediately dragged Ling Qingqing to grab a seat!
As a result, they came a little late, and the previous lecture hall was empty. After inquiring, they found out that it had been changed to a larger lecture hall, and then rushed over. Only then can I see Zhou Qiao's handsome face.

Although, the lecture hall is stepped.But they couldn't resist the crowd, and there was a crowd of people standing in front of them!

When Zhou Qiao started speaking, hype fell from the sky, and golden lotuses sprung from the ground...

Well, that was a mistake, the seats were packed and the audience was attentive!

It has to be said that his handsome appearance and male charm +2 all played a considerable role!

Among the audience, there are more female students!
Zhou Qiao prepared the speech draft in advance, but when he was actually speaking, the endless knowledge in his chest kept pouring out, causing him... to leave the draft!

Completely did not follow the script written in advance!

Zhou Qiao didn't expect this either!
He believes in the horse, but the general content framework is still there, from the various causes and mechanisms of obesity, a series of complications caused by obesity, treatment plans, weight loss skills, and detailed explanations of some special cases, how to judge, what tips, and what to do How to prevent...

The narration is humorous and witty, often attracting laughter and applause from the audience!
The applause was even more like a tide, wave after wave!
Elena and Ava originally wanted to be trustees, but they didn't!
Many times, someone applauded before them, causing them to follow the sound and thought it was Zhou Qiao who had invited someone else!But obviously not!

Not only students from the medical school participated, but also students from many other departments, including many obese people. After listening to Zhou Qiao's lecture, they suddenly realized!

During the interactive session at the end of the lecture, many people asked questions, and many people even came to consult Zhou Qiao during the break.

The obesity problem in the United States is serious and widespread.

In medicine, obesity can be divided into simple obesity and secondary obesity.

Simple obesity is an excess of adipose tissue in the body with no obvious cause, which is related to genetics, environmental factors, unhealthy eating habits, and excessive mental stress.

Secondary obesity is often caused by certain diseases, such as Cushing's syndrome, anorexia nervosa + bipolar disorder, Willi syndrome, hypothalamic obesity, hypercortisolism, hypothyroidism, Hypogonadism, islet-related disease, and drug-induced overweight or obesity.

Those drugs include: anti-schizophrenia/affective disorder drugs, antidepressants, anti-seizure/convulsion drugs, corticosteroids (glucocorticoids), antihistamines (anti-allergy drugs), oral contraceptives, etc.

Many Americans do not like to use TT, causing women to take birth control pills and gain weight.When talking about this, Elena and Ava looked at each other and secretly laughed!

Because they are also taking medicine, they are really worried that they will get fat!

However, their worries are unnecessary. What they don't know is that after Zhou Qiao activates the function of adding points to their physical attributes, they no longer have to worry about becoming ugly or bloated!
And this number of times is not far away, still 39 times DF!

That is to say, when the number of DFs exceeds 100, the large number of points accumulated by Zhou Qiao these days will be put to use again!

　Thanks to "Past Blue Sky" for the tip.

　　
　
(End of this chapter)