Murphy also goes by the nickname "Joe" when no one is around.
In the past, she would call Dr. Zhou even if there was no one around, but now, her favorability has obviously increased to a certain level, and it works! There was a bit of crispness in the cold tone.
"Yeah." Zhou Qiao blinked and looked at Murphy, full of encouragement.
Murphy said: "Appendiceal inflammation occurs in the hernia sac, which is indeed rare. But, how do you distinguish whether it is an incarcerated paraumbilical hernia with ischemic intestinal contents? Or an incarcerated paraumbilical hernia with intestinal perforation?"
Zhou Qiao smiled slightly and gave a thumbs up to express approval!
"This issue is actually very complicated. Sit next to me... and I will explain it to you slowly!"
Murphy was stunned for a moment, then sat next to Zhou Qiao. She felt that Zhou Qiao must have made a slip of the tongue, or maybe she heard it wrong?
Actually let yourself sit on him? Murphy suddenly felt his body starting to feel hot! Unable to help but wonder, he touched the strange flower sachet he wore close to his body.
As smart as she is, she has already discovered that this sachet can make her feel hot at night. She woke up several times and felt extremely hot. She thought she had a fever, but she didn't feel any discomfort, she was just thirsty.
After drinking the water, the discomfort was completely eliminated, and I felt vaguely refreshed. Then my extremely lonely state of mind will be somewhat relieved.
She knew that this sachet might actually be somewhat magical.
But at this moment, in broad daylight, is the strange flower sachet working again?
Murphy was suspicious.
Zhou Qiao began to explain how to distinguish these three situations, explaining the profound things in simple terms. Murphy quickly abandoned her distracting thoughts and began to listen carefully. She naturally admired Zhou Qiao's profound knowledge!
In fact, imaging films are also interpreted by people. Some suggestions given by imaging doctors may not be correct and may contain errors, which need to be judged by the doctor in charge.
Medicine is a very complicated thing. If just taking a CT scan, anyone could tell what the disease is at a glance, and there would be no misdiagnosis, then the threshold for famous doctors would not be as high as it is now, and doctors would not be as rich. salary and respectable social status!
Sometimes it sounds simple, but the actual situation is often more complicated and there are too many factors that affect judgment.
Just like the previous cholesteatoma surgery, there are so many nerves and blood vessels, which are clearly explained. When listening to the process, it seems that anyone can do it, but in reality there are no labels, and they are all grown in the flesh and blood, and they are related to each other. They are criss-crossed, and it is really not that easy to completely sort out which one is which.
Basic understanding is so difficult, let alone a more complicated surgery that affects a lifetime of health!
"Feifei, do you understand?" Zhou Qiao felt that he had spoken very logically, and he couldn't help but give himself a thumbs up. If Murphy still had doubts, he would do it again!
Murphy had become accustomed to Zhou Qiao's strange nickname for her, so she nodded slightly to express her understanding.
"Yeah." Her voice was confusing.
"This surgery was also performed by you!" Zhou Qiao said.
Murphy: "Yeah." His blue eyes were bright and he was full of confidence.
This is Murphy’s sixth level 3 or higher surgery.
It is still a community hospital.
Zhou Qiao took Elena, Ava, and Murphy to change shoes, clothes, brush hands, and disinfect...
And Isobel entered the anesthesia room.
Rachel and Park Soo-joo stay at home.
Park Xiuzhu was surprised that this clinic could actually perform such a complex and difficult surgery?
Rachel told her as someone who had experienced it: "Not only this kind of surgery, Dr. Zhou can even perform neurosurgery!" It seemed that "general medicine" was truly interpreted with Dr. Zhou.
"Oh? Tell me!" Park Xiuzhu was naturally interested. The Korean clinic where she used to work only "referred patients" for serious diseases like this, and almost no surgeries were performed.
"Did you know? Our Dr. Zhou, Boss Zhou, became famous with one operation, and actually became a visiting professor at the University of California, San Francisco School of Medicine!" Rachel said with an exaggerated expression, as proud as you are. Yan.
Park Xiuzhu lost her job a few days ago and has been looking for a job. She didn't pay attention to this. At this time, she couldn't help but became curious. Taking advantage of the clinic's free time, she quickly asked Rachel.
Rachel naturally said everything she knew, but she didn't say anything... well, she even added a little bit of exaggeration!
After listening to Zhou Qiao's "heroic deeds", Park Xiuzhu remained silent for a long time.
She felt that she should have come to a very interesting and special clinic. The growth potential of this clinic is very huge. If she seizes the opportunity of this huge "founding hero", it is likely to change her life!
I have to say that although Park Soo-joo looks virtuous and has no scheming intentions, her way of looking at people is still vicious! Rachel wasn't as sharp as she was.
Of course, it may also be related to Rachel being old and not ambitious.
Rachel just wants to fish every day and make some easy money, or when the time comes, retire early and enjoy the rest of her life.
The song Aiwa played this time was Zhang Yunlei's "Exploring Qingshui River". This is actually a kiln song, which is sung more often at fireworks venues. The lyrics have many explicit sentences, but after being adapted, Zhang Yunlei sang it to express the love between children. , the melody is elegant and not vulgar at all.
Murphy turned a deaf ear, and during the operation, he explored and found that the patient's hernia sac neck was tightened, pus was found inside, the appendix was not only inflammatory, but also perforated, and there was a bezoar inside!
No other abnormalities were found in the intestines or other abdominal organs.
An appendectomy was performed and non-mesh repair of the hernia defect was performed.
Pus samples are sent for bacterial culture examination to facilitate postoperative symptomatic treatment.
One of the challenges of this surgery is that the inflammatory process caused by appendicitis can lead to wound infection and the risk of infection gathering.
There are many different methods of hernia repair, and there is evidence that, although open suture repair is less effective than synthetic mesh repair, there is a lower risk of wound infection in the context of tissue inflammation.
So, this time Murphy chose ordinary stitching! It also got Zhou Qiao’s approval!
Murphy's hands are very dexterous, and her suturing skills are also quite exquisite. She has reached the beginning of the master level, and it is her only skill that has entered the master level!
Of course, if the local inflammation is mild and the appendix is not perforated, synthetic or biological mesh may result in better long-term outcomes.
Murphy's sixth surgery ended perfectly in the endless cycle of "Exploring Qingshui River", a poignant love ditty with vitality, vitality and spirituality!
System prompt: "The progress of the 'Teacher' task has been advanced to 6/10. I hope the host will continue to work hard!"
"Murphy's favorability +1, Murphy's current favorability is 90!"
Zhou Qiao glanced at Murphy's profile, and Murphy seemed to feel it, and blinked his green eyes gently.
After the operation, Isobel woke up and was quickly transferred back to the ward on the second floor of Iris Clinic because she was in good condition.
A pus sample was examined and growth of E. coli and anaerobic bacteria was found, and antibiotic treatment was given for a week.
Postoperative recovery was good with no complications.
Another reason why Park Soo-joo thinks it’s good to work at Iris Clinic is that there is no need to work night shifts here! No need to work overtime!
She used to work in a Korean clinic and was often asked to stay and work overtime or work night shifts. Because some patients come just after get off work and need infusions or something, which will last until later.
Some are for emergencies at night.
In fact, Iris Clinic also had night shifts or overtime requirements, but Zhou Qiao didn't allow her to work overtime because she was an orphan and a widower and lived far away. Anyway, I live in a clinic with my twin nurses, and working overtime is just a matter of going downstairs.
Park Xiuzhu hurriedly got off work and picked up her daughter. After returning home, she prepared dinner for her daughter.
Park Yoona consciously went to the bedroom to do her homework.
The house they live in is relatively small, so Yoona's bedroom is combined with the study.
That means setting up a table next to the bed.
Yoona was writing and frowning inadvertently because the question was so difficult. This is an extra tutorial paper that her mother bought for her, not an assignment assigned by the school teacher.
Park Xiuzhu believes that if you want to surpass other students, you must use your spare time to overtake in corners!
Koreans are also very good at studying!
When you come to the United States, it’s natural to get involved with native Americans! Maybe the only opponent is the Chinese classmates in the class.
Park Yoon'er frowned and thought, while her little hands inadvertently twisted a strand of hair around. Suddenly, she pulled hard, and she tore off a small strand.
She stared at the torn hair. Out of curiosity, she stuffed the hair into her mouth and smashed it into her mouth. When she swallowed it, she suddenly felt a very pleasant feeling!
Instantly, I felt better!
Problem solved!
Outside, my mother is shouting that it’s time to eat.
Park Yoona packed up her homework and went to the bathroom to wash her hands. Looking at her beautiful face in the mirror and her black and shiny hair like satin, Park Yoona couldn't help but reach out and touch it.
Then, a very strange thought came to mind, like Pandora's box, once opened it can never be closed again!
That strange thought grew stronger and stronger. She groaned softly and couldn't bear it anymore. She found a pair of scissors from the drawer, cut off a strand of hair, then balled it up and stuffed it into her mouth!
"Yooner, come out to eat! Here's your favorite kimchi!" Outside, her mother was urging her when she saw that she hadn't come out for a long time.
"Coming, coming!" Yoona shouted vaguely, swallowing quickly and almost choked, but when she ran out, her hair had already entered her belly and she was in high spirits!
Thanks to "Book Friends 20230808174925255" for sending Murphy the chicken legs.
(End of chapter)
