I run a clinic in the United States

Chapter 224 Blood cancer?No.

Originally, Zhou Qiao and the others planned to take a side trip to New York or the Great Lakes, but since they had to come back to prepare for the live broadcast of the surgery, they took a flight directly back to San Francisco.

For this final live broadcast, you must be well prepared, such as practicing several times in advance, preparing speech scripts (narration scripts), and simulating some questions and answers.

No one knows what the academicians will ask suddenly. The lion fights the rabbit with all his strength, so it is always right to be more prepared.

"See you next time at the Statue of Liberty! Let's go boating on the Great Lakes next time!" Zhou Qiao said with regret.After all, those two places are quite far away.The Great Lakes, in particular, cover a very large area and span several states. Cleveland, Toronto, Detroit, Chicago, and Niagara Falls are all in that area, with a total area of ​​about 24 square kilometers. They are known as the Mediterranean Sea in North America.

The entire area of ​​the Five Great Lakes is equivalent to 2.4 times that of ZJ Province in China, and the length of the Five Great Lakes is equivalent to the distance from the imperial capital to Nanchang.

Taihu Lake, which is said to be eight hundred miles away, is only over 2 square kilometers, less than one percent of its size.

Of course, four of the five Great Lakes are shared by the United States and Canada. More than half of Canada's population lives nearby. Because the land around the Great Lakes is fertile and has a network of rivers, it is a chosen place.

That place is also the location of an important granary in the United States.

It's a pity that such unique conditions exist...

……

Iris Clinic, returning to his hometown, Zhou Qiao felt more cordial.

Every plant, every tree, every flower here, especially the twin girls who are as beautiful as flowers and have sweet smiles...

Of course, Zhou Qiao and the others did not come back empty-handed. They brought souvenirs for everyone, including delicious maple syrup, special Boston lobster dolls, Celtics "Green Jersey" hats, and Red Sox baseball team commemorative jerseys.

Murphy gave Elena and Ava a cuckold for each of the veteran team Celtics. Elena and Ava tried it on, and their skin became more supple and supple.

Zhou Qiao couldn't bear to look directly at it.

Although, he also thinks Elena and Ava cuckolding looks pretty good.Foreigners don't have this taboo.

Cathy likes maple sugar very much, and little Danielle and Park Yoona especially love the Boston lobster dolls, one for each, holding them in their arms and laughing non-stop.

Ariel loves Red Sox jerseys.

Rachel, Vivica, Park Soo-joo, and Kim Hee-jin also liked the souvenirs they received.

In fact, there are really no specialties to buy in Boston. There are quite a lot of delicious foods to eat and drink there, such as baked beans with honey, cream pie, cannoli, Frappes ice cream milkshakes, lobster rolls... but it’s not very convenient to bring them back.

"Dr. Zhou, you've come back just in time. I have a patient here. Her condition is a bit scary. Please help me with this."

Early in the morning, a patient came for a follow-up consultation and brought an examination report. After reviewing the condition, Vivica looked solemn.

The patient is a white aunt in her 50s. She came to see a doctor yesterday afternoon because of fever.

Regardless of the common symptoms of fever, it is actually very difficult to diagnose because there are so many diseases that cause fever.

The comparable thing is stomachache.There are many reasons that can cause stomach pain.

If a doctor who is not experienced enough hears these two symptoms, he will get a headache and often use the most common diseases to "try it out."

When this white aunt came over, she had a fever of 38.3°C and muscle aches all over her body. The symptoms had lasted for two or three days.

At first, she thought it was a cold, because it was very similar to the influenza she had had before, so she took some antipyretics and painkillers at home. Gradually, the fever subsided and the muscle soreness was relieved. How could she know , I had a fever again the next day, and my whole body started to hurt again.

Moreover, I felt weak and had no appetite. I couldn't even swallow my favorite donuts. I felt that this cold was a bit serious, so I came to Iris Clinic.

She thought it would be cured by infusion, but the experienced Vivica keenly noticed that there was a bruise on her arm. After further inspection and inquiry, she found that there were sporadic bruises on other parts of her body, the size of fingernails. Bruises, and the smell of blood in my mouth when I brushed my teeth in the morning.

The white aunt said uncertainly, where might she have accidentally bumped into her?She had not taken these symptoms to heart before.

As for the bloody smell after brushing teeth, it may be ordinary bleeding gums, which I often had in the past and didn’t take it to heart.

Vivica shook her head slightly and said in her heart that you have such a big heart, it doesn't look like you were bumping into someone.

It would be okay if there was only one spot, but with so many spots, and some of the bruises were on the armpits, it was generally unlikely to hit there.

Therefore, Vivica did not arrange an infusion for her, but quickly arranged various examinations. Now the report came out. The blood test showed severe abnormality of transaminases, indicating liver damage, and white blood cells and platelets also dropped significantly. Bilateral supraclavicular and inguinal There are swollen lymph nodes.

This result is very similar to that of hematology - leukemia, commonly known as "blood cancer".

Even in the United States, where medical care is advanced, everyone is aware of this disease.

Vivica was shocked and discussed it with Rachel. She felt that this diagnosis would be too arbitrary. After all, this disease was too serious. Zhou Qiao happened to come back and wanted to hear his opinion.

When Zhou Qiao came in, the white aunt might have had a premonition that something was not going to happen. She was crying and calling her family with tears in her eyes.

Vivica and Rachel comforted her that this has not been diagnosed yet, maybe there are other reasons.Let’s wait until our boss comes over to take a look.

Then, when Zhou Qiao came in, the white aunt wiped away her tears, hung up the phone, and looked at Zhou Qiao expectantly.

She knew that Iris Clinic had become famous recently. In the surgery competition, Dr. Zhou was the champion of the California division and also entered the finals of the US finals with a good score of No. 1.And from one clinic, all three doctors were shortlisted.

Such results, even though the finals have not yet taken place, are already dazzling enough to be bragging about no matter where they are.

So, as soon as the results came out and before Zhou Qiao and the others came back, Elena customized a banner and hung it outside the clinic. She promoted it to the outside world and treated everyone to a meal of high-fiber and low-calorie donuts. , it has already spread throughout the surrounding communities.

Everyone was happy for Zhou Qiao and the others, and almost everyone would give a few words of praise.

There is nothing to say about Dr. Zhou's level.

The white aunt hopes that Zhou Qiao will have a different view.

"Relax, let me take a closer look at the report." Zhou Qiao signaled everyone not to be too nervous, and then Vivica handed over the inspection report.

Zhou Qiao sat down and read through it carefully, sometimes frowning and sometimes relaxing.

A few minutes later, Zhou Qiao closed the report and asked the white aunt: "Have you traveled far away recently? For example, Florida, Hawaii or abroad? In the past month."

"Ah?" The white aunt was stunned, thought about it carefully, and then said, "I went to Brazil at the beginning of the month, but it has been a long time. It has been more than ten days since I came back."

Vivica frowned and said, "I asked you before, why didn't you say anything?"

Vivica had asked before, but the white aunt thought it was impossible after so long.If he had contracted any disease, he would have developed it a long time ago, so he didn't mention it.

However, now Zhou Qiao asked again and deliberately emphasized that it had been a month since she felt it was inappropriate, so she had no choice but to speak out!

Vivica smiled helplessly at Zhou Qiao and Rachel. Rachel shrugged, indicating that it should be fine.

The white aunt suddenly felt that the atmosphere in the clinic had become relaxed, and she couldn't help but asked in surprise: "What? Isn't this leukemia? Is it related to my going to Brazil? My sister is in Brazil. She bought a new house and invited me to be a guest. I I just went there with my husband for a few days. Nothing special seemed to happen."

Zhou Qiao smiled slightly and said: "The onset is rapid and the course is short. In addition to blood system diseases, infectious diseases can also lead to a decrease in white blood cells and platelets and liver damage, such as..."

"Dengue fever!" Zhou Qiao, Vivica and Rachel all said it at the same time.

"Ah! I've often heard of this disease, but this is the first time I've had it." The white aunt was also happy. It seemed that the pain and fever on her body were not that serious anymore.

"Of course, this is just our preliminary consideration and further verification is needed."

"I hope it must be dengue fever!" the white aunt hoped.

Zhou Qiao immediately arranged for dengue fever antigen and nucleic acid tests, and quarantined him against mosquitoes.It is arranged in a small ward on the second floor, and all kinds of mosquito repellent and anti-mosquito equipment are used.

Although it is already the end of September, mosquitoes still appear occasionally.It would be bad if it were passed on to others.

This disease is mainly transmitted through the bites of Aedes aegypti and Aedes albopictus (commonly known as Aedes mosquitoes), and the population is generally susceptible. After dengue fever patients or latent infections are bitten by Aedes mosquitoes, the virus generally needs to pass through the body of the Aedes mosquito. It takes about 8 to 10 days to multiply and then spread the virus to humans through bites.However, diseases generally do not spread directly from person to person.After people are infected, the incubation period is generally 1-14 days, and most people develop symptoms after 5-9 days, but some people do not get sick (called latent infection).

Cases of dengue fever have been reported in Florida and Hawaii in the United States.

Of course, Latin America, Southeast Asia, the Pacific Islands, the Caribbean and other places are even more serious.Not to mention Africa, especially south of the Sahara Desert.It’s just that there is a lack of statistical data in Africa, so it’s unclear how serious the problem is.

Because some people are latently infected, they are also called asymptomatic virus carriers.To be on the safe side, Zhou Qiao asked a white aunt to call her husband and come over for a check-up.Then the two of them were isolated in the clinic together, each in a ward.

Because the patient was worried, Zhou Qiao arranged for urgent service. At around four o'clock that afternoon, the test results finally came out. Sure enough, the white aunt was infected with the dengue virus.But her husband was negative.

At this moment, the stone in the white aunt's heart finally fell to the ground, but immediately she became very suspicious.

"My sister and her family have settled in Brazil, and I haven't heard of anyone getting sick. My husband went with me, and he is fine too!"

Vivica shrugged: "Your sister's family may have been vaccinated a long time ago, because Brazil is the hardest hit area. As for your husband, he may be a little luckier than you and not bitten by mosquitoes."

"It's also possible that he smells bad and mosquitoes don't want to bite him!" the white aunt said with a laugh.

Although dengue fever is very uncomfortable and can be fatal if not treated in time, isn’t symptomatic treatment already started?Dengue fever is nothing compared to leukemia!
The couple's mood brightened.Since the white aunt's husband was not infected, she sent him back, leaving only the white aunt here to treat herself.

However, there is currently no specific medicine for dengue fever. Fortunately, Vivica and Rachel have rich experience. After a series of symptomatic treatments, the white aunt's condition improved and she was discharged from the hospital within a few days.

After this incident, the white aunt said that if she goes to other countries in the future, especially those areas with high incidence of diseases, she must get more vaccinations before going there.

Zhou Qiao, Murphy, and Stephanie are working intensively to prepare for the live broadcast of the surgery.

The number of games has been determined, Zhou Qiao is the sixth, Murphy is the ninth, and Stephanie is the 13th!

Dr. Isner of the Cleveland Clinic was unlucky enough to be the first to appear.

Cleveland Clinic, Cardiovascular Surgery.

Everyone cheered for Dr. Isner and encouraged him!

"Doctor Isner, come on!"

"Dr. Isner, our Cleveland Clinic has always been No. 1 in the field of cardiac surgery in North America. This time, the computer randomly sorted you, Dr. Isner, by coincidence. You are ours again." The most powerful of the young doctors, I have to say, this is a very good start, and No. 1 is destined to be ours!"

"That's great. Dr. Isner, just show us your superb and exquisite surgical skills and let those people, especially that Zhou Qiao, know how powerful we are!"

"The previous wins and losses are in the past. The live broadcast of the surgery now is the key to determining the final ranking! Dr. Isner, we will definitely turn defeat into victory and regain the number one spot!"

"Actually, it's really good to be the first to appear. When Dr. Isner's exquisite skills and profound knowledge are displayed, it can put psychological pressure on the latecomers, making them tremble and perform poorly, and the final victory will be even more important. It’s easy!”

In fact, for the contestants from other medical institutions, they feel that the first one to appear is the unlucky one, and everyone will see everything, so they can formulate targeted tactics and win easily.

Not only is the Cleveland Clinic making a call, but other hospitals or clinics that are eligible to compete for the final top [-] rankings are also encouraging their own players.

Johns Hopkins Hospital, Cardiothoracic Surgery.

Connor, Henry, Todd, Alvarez, Angel and other doctors all cheered for Dr. Jay.

Angel waved her pink fist and shouted excitedly: "Come on, handsome guy Jay! You just didn't perform well before. If you perform well this time, you will definitely be in the top three!"

She thought to herself, she must not be suppressed by Stephanie again.How embarrassing!Stephanie, like her, is just a newcomer who has graduated for more than a year, while Dr. Jaylen has been working for eight or nine years and is usually one of the famous surgeons and pillars in the department.How can you lose?

"Yes, I will." Dr. Jie Lun cheered up and straightened his white coat and said.

"Jaylen, the director is looking for you." Dr. Pickford came over to send a message.

Dr. Jaylen came to the office of department director Madison Walker.

"Director, don't worry, I will definitely try my best!"

Madison Walker looked at him deeply, frowned and said: "It's not about trying your best, but you must be in the top five!"

"This..." Dr. Jie Lun suddenly felt a lot of pressure. It was so difficult to get into the top five!There are too many monsters ahead!

"If you make it into the top five, I will apply to the dean for a promotion and a salary increase. If you can't make it, you... you will understand the consequences!" Madison Walker said with a sullen face.

"OK, I get it!" Dr. Jielun took a deep breath and said solemnly.

"Go and get ready. The live broadcast from the Cleveland Clinic will be over this morning and it will be your turn in the afternoon." Madison Walker waved his hand.

So, Dr. Jie Lun walked out with a heavy heart. When he got outside the door, he couldn't help but twist his lips into a wry smile.He understood why Madison Walker was very angry and demanding, because this time, he was ranked behind Stephanie.Still two places behind!

At that time, he so hastily agreed to Stephanie's resignation. I guess Madison Walker's heart was bleeding at this moment, right?
In fact, Dr. Jaylen never expected that Stephanie would be so strong.He does not have absolute confidence in this live broadcast, but no matter what, it is his goal to try his best to win the top five.

Even without pressure from the director.

Zhou Qiao, Murphy, and Stephanie naturally have to watch the opponent's live broadcast online.

Because this is an open competition.For every live broadcast, everyone in the United States, even ordinary people who are not in the medical circle, can log in to the website and watch online.

It's just that most people will only take a few glances at most, but won't see the whole thing.Firstly, it is incomprehensible and too boring. Secondly, some scenes are a bit bloody even with minimal trauma and small incisions.

For example, there are some timid people who are afraid of drawing blood and dare not look directly at the scene when the needle is inserted.

Then some relatives and friends of the contestants will watch online.

Zhou Qiao kept a low profile. He did not post on WeChat Moments to inform his parents, relatives or classmates in China.

In addition, the time difference is too big, his game is in the afternoon, and it is midnight in China at that time.There is no point in letting parents stay up late to watch such boring games.

"Murphy, Stephanie, what do you think?"

Murphy curled his lips slightly and said calmly: "It's nothing more than that."

Stephanie shrugged, and seeing Zhou Qiao looking at her seriously, she thought for a moment and said, "Except for the three masters from the Cleveland Clinic, Mayo Clinic and Massachusetts General Hospital, I still have confidence in everyone else." Squeeze it!"

As soon as these words came out, Murphy looked at her in surprise.

Stephanie chuckled: "Don't forget, verbal expression skills and appearance are also bonus points."

Zhou Qiao waved his hand and said, "Don't take your appearance too seriously. Those judges are all old men and they may not care about this."

"Pfft~" Murphy couldn't help laughing when he saw Stephanie deflated.Xin said, do you really think big breasts can handle everything?

Although a mask is worn during the operation, there is a paragraph introducing the patient's condition and the explanation outside the operating room shows the face.In addition, wearing thin clothing in the operating room, with a figure as hot as Stephanie's, might actually be an advantage.

The reason why Zhou Qiao warned her was because this was an uncertain factor. If she pinned her hopes on this, it would be a bit uncertain.

"I understand. I still have time, and I can practice it a few more times."

In the past few days, Zhou Qiao, Murphy, and Stephanie were doing nothing but watching live broadcasts, discussing, and then conducting simulation drills in the operating room on the second floor.In order to compete, some counseling client appointments were postponed.Unless the condition is very urgent.

Everyone also knew that they were preparing for war and expressed their understanding.

Finally, it was Zhou Qiao's turn.

Surgery is performed in the best operating rooms at UCSF Medical Center.

Murphy and Stephanie served as assistants, and Elena and Ava also came to help.The anesthesia team is also the most senior team hired by the University of California Medical Center.

(End of this chapter)