It is worth mentioning that Zhang Mengjing is recovering well now. She plans to study nursing and become a nurse in the future. In the United States, nurses' income is quite considerable, which is better than washing dishes in a restaurant.
Social class will also be improved.
Zhang Mengjing didn't like to study in China before, and she often couldn't learn because of illness. But after this incident, she suddenly grew up, became sensible, and no longer had the trouble of illness. When she studied, she was not only 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 Yoona's condition.
She has short chestnut hair, bright eyes, white teeth, and delicate facial features. Elena nicknamed her "Iceberg Little Hepburn."
However, Little Hepburn walked in and took a look at the CT film on Zhou Qiao's computer screen. Looking at the huge "hair stone", he couldn't help but take a breath. Surprise appeared on his pretty face and in his blue eyes. 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.
This is how normal people behave now.
Of course, this is only a preliminary effect. It is estimated that it will take a long time for Murphy to completely come out of "autism".
"Let's discuss how to use a gastroscope to safely take out that ball of hair!" Zhou Qiao motioned to Murphy to sit next to him and watch the movie 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 the gastroscope and hair strands during hair removal and cardiac tear caused by traction."
"If you don't need a gastroscope, can it be dissolved by taking sodium bicarbonate?"
"This shouldn't work!"
The two of us perfected the surgical plan with one word and one word from me.
Park Xiuzhu took her daughter to prepare for the surgery.
A gastrointestinal endoscopy requires taking laxatives and emptying the intestines, but hair stones will never be expelled. Park Xiuzhu thought about it and finally did it once, and also had a colonoscopy together, so Zhou Qiao also arranged for laxatives.
However, Zhou Qiao also told her that it might not be too late. Because this removal of hair stones is expected to take a long time.
Park Yoon-ah is so young. If she undergoes general anesthesia, it will never be possible for her to be anesthetized for more than ten hours. Her body will be unable to bear it.
If you can't finish it in five or six hours and there's still a lot left, then pause, resume it first, and do it next time!
If you have time, you can arrange a colonoscopy. We will look at 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, glycated hemoglobin, etc.
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 nurse is of great help to your family. At least you won’t have a blind eye when seeing a doctor.
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 pipe, made of food material, harmless to the human body, with suitable diameter and flexibility.
With everything ready, the group headed towards the community hospital.
It was still the same people, Murphy, Zhou Qiao, Elena, Ava, and the patient was Park Yoona. 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 anesthetist made an appointment with Caroline. He is also a senior anesthesiologist, and his level is not lower than Nancy's.
Caroline came over and took Park Yoon-ah into the anesthesia room, but Park Yoon-ah felt very frightened, burst into tears, started crying, and refused to go in.
Pu Xiuzhu hugged her and coaxed her, but she couldn't coax her. 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 and laid a clean mattress on her. It wasn't until little Yoona was very obedient and smoothly entered the anesthesia state that she came out!
Anesthesiologist Caroline gave Zhou Qiao a thumbs up!
Park Soo-joo, on the other hand, had mixed feelings and was a little jealous. She vaguely guessed that it might be that Park Yoon-ah lacked father's love since she was a child, so when Zhou Qiao, the eldest brother, comforted her, it had such a good effect. Far more than her biological mother!
However, as long as my daughter can undergo the operation smoothly!
The conditions of this community hospital are still good. Although some equipment is relatively old, such as audio and decoration, at least there are enough operating rooms and some of the surgical equipment is relatively advanced.
For example, in some small hospitals, or the leaders are stingy, because gastrointestinal endoscopy is not a sterile endoscopy, even painless gastroscopy is performed in the endoscopy room, and the anesthesiologist 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 wealthy.
Laminar flow purification operating rooms are operating rooms with a higher degree of sterility. They are relatively expensive to build. Although many hospitals have them, they are only used for major surgeries.
In fact, Park Yoona's surgery was also a relatively complicated major surgery!
That's why Zhou Qiao chose this room.
Of course, the corresponding operating room and equipment rental fees are also relatively more expensive. But it's worth it.
After the intravenous compound anesthesia is completed, everyone will perform 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 stomach cavity, fully absorb the gastric fluid, and try to expose the "hair stones".
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!
Insert the appropriate cutting knife and foreign body forceps prepared in advance...
When the operation officially started, Ava, the traveling nurse, was actually relatively free, and she started singing again.
This time the song list includes not only English songs, French songs, and German songs, but because of Zhou Qiao's homesickness, many Chinese songs were selected and played randomly as usual.
There were Rakshasa Haishi, I'm Still the Boy I Used to Be, Blue and White Porcelain, Yun Gong Xun Yin, etc. However, as I kept playing, a song suddenly popped up that shocked Zhou Qiao!
This is "Thousands of Miles Away" sung by Jay Chou and Fei Yuqing.
"I will send you thousands of miles away, and you will be silent and 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 quite well written, but they are so unsuitable for this kind of occasion!
Zhou Qiao said helplessly: "It sounds good, but it's a bit unlucky."
"Unlucky?" The two women were confused.
Zhou Qiao said: "I will explain it in detail to you after the operation. Can I delete it now?"
Zhou Qiaoxin said that fortunately this was a general anesthesia operation, Park Yoon-ah had already "fallen asleep", and Park Soo-joo was not present. Maybe Park Soo-joo knew the meaning of the lyrics. After all, many Koreans also know Chinese songs quite well.
Especially Jay Chou's fame in Korea, no, throughout Asia, is extremely popular.
Then...
Zhou Qiao feels weird and feels very sorry for Xiao Yuner!
Murphy turned a deaf ear and concentrated on the operation!
Although Xiao Yoona swallowed the hair into her stomach and "refined" the hair stone for a short time, the hair in her stomach seemed to be wrapped in glue and intertwined together, making it very tough. , with a transverse diameter of more than 10cm and a long diameter of more than 20cm, filling the entire stomach cavity and making it 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 calmed down and started 3D modeling in her mind. Combined with the content on the electronic display screen, she used an endoscopic incision knife to slowly cut and separate, and then used foreign body forceps and five grasping forceps to grab a part of the separated hair. Continuously pull and shake the hair at different angles to slowly loosen it.
Then, carefully take out the hair piece by piece.
Sometimes, a single cutting knife is not enough, and it is necessary to use another knife head.
Because the "hair stones" in Yoona's body are quite special. The hair she eats is relatively long and intertwined vertically and horizontally. Coupled with the action of chyme, the lumps are quite dense and sticky and need to be broken up continuously. take out.
She may have eaten glutinous rice balls. The stickiness of glutinous rice is similar to that of glue. When it comes into contact with hair, the lumps are not completely digested, and the effect is simply...
In ancient times, glutinous rice juice was used as an adhesive when building 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.
Little Yoona is only nine years old. Her stomach, digestive tract, and mouth are all extremely delicate and can 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 it because the principle and operation sound quite simple and the effect is miraculous. However, what they don’t know is that interventional surgery requires very high technical skills from doctors and is very easy. The blood vessels may be punctured, causing the contrast agent to leak out, or the guide wire may be broken and retained... resulting in various medical accidents!
In addition, interventional surgery is relatively 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 enough time, I did a colonoscopy. Fortunately, no abnormalities were found.
The hair from little Yoona's stomach was completely taken out and placed on a stainless steel plate. After a little compaction, the size of the hair stone was 30x18x2.5cm, nearly 1.5 pounds!
shocking!
Anyone with a little bit of trypophobia will feel suffocated and palpitated!
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!
He wouldn't be like this now, lying in a hospital bed pitifully and weakly.
Although the hair stones in Park Yoona's stomach were removed, in order to prevent her from recurrence of the problem, Zhou Qiao decided to provide her with psychological counseling after she recovered a little.
Because of this incident, little Yoona may not even be able to take part in the school's final exam. It can be said that the gain outweighs the loss. Park Soo-joo feels very self-pity and self-blame!
That night, Park Yoon-ah stayed at the Iris Clinic for observation. Park Soo-joo did not go home 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 is too late and it is not safe to go home.
In order to prevent Park Yoon-ah from stealing hair again, Park Soo-joo has been keeping her daughter with her day and night these days. When she was at work, she let Park Yoon-ah play in the rest area of the clinic, and even gave her a short haircut.
When cutting her hair, Park Yoon-ah looked at the falling hair and licked her lips, feeling quite reluctant to part with it. However, she also knew that this behavior was wrong! What's more, my mother is watching from the side!
As a result, the strange thought in his heart was forcibly suppressed.
After this practice, Murphy's gastroscope retrieval technique unexpectedly became a master level in a rare leap!
It’s her second master-level skill!
This was achieved entirely by her own ability! Because Zhou Qiao has no way to add points to her to improve her corresponding technical 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 is less 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.
In particular, little Yoona's physical and mental health gradually recovered under Zhou Qiao's careful care and psychological counseling. It was time to resume her studies.
Zhou Qiao did not object after evaluation. It’s okay to study a little every day. Relaxing too much all at once may not be a good thing.
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 a great time.
Although the elementary school was on holiday, the University of California, San Francisco did not have a holiday. Karin Durutaro, the dean of the medical school, invited Zhou Qiao to give a special lecture at the school. As for the specific lecture content, Zhou Qiao chose it himself.
It’s also paid, five thousand dollars an hour, and Dean Karin Durutaro recommends at least two hours!
That's ten thousand dollars.
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 pressured. However, this is also the recognition of his ability by the University of California!
In the previous exchange meeting between the medical center and the school, Dean Karin Durutaro, other senior officials, and experts and scholars attending the meeting all highly appreciated Zhou Qiao's profound knowledge and professional attainments.
Zhou Qiao thought for a while and decided to create a special topic on weight loss based on real cases he had encountered in his clinic!
Obesity is a very common problem in the United States, and there are not many examples of it turning into a disease. He also visited the campus of the University of California, San Francisco, and saw many obese teachers or classmates while walking around.
Doing such a topic is quite powerful, both in terms of academic significance and practical significance! In addition, maybe you can get some business for your clinic!
Like many minor ailments and common diseases, the University of California Medical Center does not treat them. They almost only treat difficult and complicated diseases, or diseases that are more academic.
In addition, even for diagnosis and treatment, the University of California Medical Center charges are relatively expensive.
Iris Clinic is a private clinic affiliated with the University of California Medical Center and has a certain diversion function.
In particular, Iris Clinic is famous for weight loss! Many personal media and social platforms in San Francisco have praised this clinic's weight loss success rate.
Dean Karin Durutaro naturally agreed and encouraged Zhou Qiao to write well. When the time comes, he will also go to support it in person!
Zhou Qiao spent a day working on this thing, preparing PPT, speech scripts, and making unscripted speeches. Not only must the speech be professional, but also interesting and attractive. In addition, the demeanor, speaking speed, and gestures during the speech must all You have to practice it in advance!
The enunciation should be clear, loud, and full of energy, and preferably the voice should be a little magnetic...
Poor Zhou Qiao, he just graduated from a domestic medical school and is now going to the world-renowned University of California, San Francisco, to give a large-scale lecture! I don’t know how many people will come to listen. One moment I am worried that there are too many people and I am afraid that I will be too stressed. The next moment I am worried that there are few people. If it is deserted, it will be too embarrassing!
In any case, he was preparing very seriously, and even Elena and Ava invited him to play a particularly interesting game at night, but he declined!
Instead, he pulled the twin nurses to act as listeners. He stood in the middle of the hall on the third floor and started the simulation drill!
The twin nurses were also very cooperative. Whenever Zhou Qiao said something exciting, they would applaud together!
Zhou Qiao's eyes lit up and he said, "You will go together when the time comes. Dress more tightly and don't let anyone recognize you as someone from my clinic."
Elena responded: "We won't do anything then. Anyway, when we need to applaud, we will take the lead in applauding hard and cheering!"
Ava also said: "Don't worry, I'll call some of my classmates from high school over, and I won't leave you alone, Qiao!"
In fact, Zhou Qiao underestimated his fame, especially his fame at 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 was originally scheduled to accommodate 800 people was temporarily changed to a lecture hall that could accommodate 2,000 people!
Elena and Ava were dumbfounded! They said to themselves, if they had known this, why would we go to all the trouble to find help?
The helpers they called were also dumbfounded, and instantly felt that their efforts were in vain! Some people who still thought about giving Elena and Ava a hard blow also gave up on this idea. After all, they are really dispensable! Calling you over was just the icing on the cake, just in case.
Stop talking about adding money!
Ling Qingqing and her classmates also came to cheer. Ling Qingqing is not fat and is quite slim, but she has a fat roommate who is also an international student from China.
I was originally fat in high school, but after coming to the United States, I let myself go even more. I ate all kinds of junk food. My whole body was like a balloon. I was getting fat day by day and I couldn't control it!
When I heard that handsome guy Zhou was giving such a lecture, I immediately dragged Ling Qingqing over to grab a seat!
As a result, they arrived a little late, and the previous lecture hall was empty. After asking around, they found out that it had been changed to a larger lecture hall. After they rushed over, they could only stand in the passage at the back, and had to use their feet. Only then can you 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, the sky was filled with flowers and golden lotuses surged from the ground...
Well, that was a mistake, the seats were packed and the audience was attentive!
I have to say that his handsome appearance and masculine charm +2 all played a big role!
There are many female students in the audience!
Zhou Qiao prepared his speech in advance, but when he actually delivered it, the endless knowledge in his chest kept emerging, causing him to...go off the script!
Completely did not follow the script written in advance!
Zhou Qiao didn't expect this either!
He believes that the horse is free from the reins, but the general content framework is still there, starting from the various causes and mechanisms of obesity, a series of complications caused by obesity, treatment options, weight loss techniques, as well as detailed explanations of some special cases, how to judge, what tips are there, and what should be done How to prevent…
The eloquent words are humorous and full of fun, which often attracts laughter and applause from the audience!
The applause was like a tide, one after another!
Elena and Ava originally wanted to be caretakers, but they didn’t take it as such!
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 American obesity problem is serious and widespread.
Medically, 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, and is related to genetics, environmental factors, unhealthy eating habits, excessive mental stress, etc.
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 disorders, and drug-induced overweight or obesity.
Those drugs include: antischizophrenia/affective disorder drugs, antidepressants, antiepileptic/spasticity drugs, corticosteroids (glucocorticoids), antihistamines (antiallergy drugs), oral contraceptives, etc.
Many Americans don't like to use TT, which causes women to gain weight while taking birth control pills. When talking about this, Elena and Ava looked at each other and laughed secretly!
Because they also take medicine, they are really worried about getting 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 is not far away, there are still 39 DF times left!
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 chapter)
