Stephanie will naturally not refuse. What if she refuses and Zhou Qiaoyi gets angry and rejects her?
None of the tasks are completed.
Although Uncle Justin's behavior was despicable, Stephanie thought carefully about it and realized that his uncle had been really impeccable with herself and her mother over the years!
You must repay yourself!
Come here to be a spy. What position should you choose? Let’s sneak in first!
It’s not like I plan to work here for the rest of my life!
Stephanie thought to herself, as soon as I get the secret medicine or formula, I will run away immediately!
If she had a choice, of course she would choose surgery, especially medical and aesthetic surgery. How would she get access to the secret medicine if she didn't participate?
I heard that Murphy can often participate in surgeries, why can't she?
However, she didn't want to make matters worse.
After you come in and everyone is familiar with it, you can mention it in another way. If Zhou Qiao doesn't agree, he can continue to be a psychiatrist.
Zhou Qiao beamed with joy, then communicated with Stephanie and introduced the psychological counseling service of Iris Clinic.
In fact, it is very simple. Basically, some young people suffer from psychological anxiety, emotional or mental disorders due to factors such as high work pressure, obesity, love, unsatisfactory marriage life, etc.
Of course, there are also a small number of elderly people.
As for Stephanie's advantages, they are also very strong.
Because psychiatrists in the United States are usually divided into two types, one is therapist, most of whom are graduates of social studies or general non-medical psychology. They do not have a medical school degree and can only perform talk therapy without the right to prescribe. Strictly speaking, not really a psychiatrist.
Stephanie is a psychiatrist, which is more accurately translated as a psychiatrist. Not only does she have a doctorate in medical psychology, but she has also obtained a psychiatrist license. She can prescribe medicine, know hypnosis, and is proficient in various mental or psychological fields. healing skills.
A psychiatrist like Stephanie, who graduated from a serious medical school, naturally charges higher fees than the former.
Zhou Qiao's pricing for her is 300-600 dollars per hour, which fluctuates within this range depending on the patient's condition.
Of course, if it is particularly serious and requires electroconvulsive, hypnotic, transcranial magnetic stimulation or other special treatment methods, additional charges will apply.
In addition, Stephanie has another advantage, that is, she has experience as a part-time preacher in the church.
What is a church? A place where believers confess or pray.
Some people who have emotional or psychological problems may not come to a psychiatrist, but go to church instead.
Stephanie also had the experience of helping believers resolve their knots in church.
It is equivalent to having had work experience before. Maybe some theological treatments can be used.
Zhou Qiao is very satisfied with Stephanie!
After the communication was completed, Zhou Qiao pointed to the electroconvulsive therapy machine in the corner of his clinic and said, "I will help you arrange an empty clinic later, and the electroconvulsive therapy machine will be moved to your place. It will be more convenient for future treatments." Some!"
Looking at the electroconvulsive therapy device, Stephanie's delicate body trembled suddenly.
Zhou Qiao quickly asked: "What's wrong? Are you okay?"
Stephanie recalled the scene when her mother was tied to the treatment table by doctors and nurses in the mental hospital for electroshock treatment. She quickly shook her head and said, "I'm fine. Doctor Zhou, I don't want this instrument anymore." I try my best not to use electric shock."
Seeing Zhou Qiao looking at her in surprise, Stephanie's heart was filled with thoughts, and suddenly her face was full of smiles. She came out of that fearful mood, her enthusiasm was like a spring breeze:
"Dr. Zhou, I think so. I am better at psychological counseling, hypnosis, music, painting, calligraphy and other therapies. I personally don't like electric shock. I think it is too rough! If there is really a need, I will bring the patient here. Do you think it’s okay to operate here?”
Zhou Qiao nodded and said, "Okay!" In fact, he didn't want to use electric shock unless it was absolutely necessary.
Electroconvulsive therapy actually has many side effects. But sometimes it doesn’t work.
Then Zhou Qiao took Elena with him to help Stephanie clean up the consulting room.
He chose the one on the north side because all the ones on the south side were occupied. Fortunately, it is fully furnished with computers, tables, chairs, cabinets, etc. It is a consulting room left by a doctor who ran away in the past.
Iris Clinic only has five consulting rooms in total, and the remaining one is relatively small.
"I'll come, I'll come, I'll come! If you have anything to do, go and get busy!" Stephanie looked very beautiful, but she was not pretentious at all. She took off her coat, rolled up her sleeves, picked up the rag, and started wipe the table.
When he leaned over, his collar inadvertently opened towards Zhou Qiao, and the scenery inside was breathtaking.
"Qiao, there is a patient, come here for consultation." At this time, Murphy appeared at the door, glanced at Stephanie coldly, and then called to Zhou Qiao.
"Okay." Zhou Qiao went out.
Stephanie asked Elena: "That tall and beautiful girl just now is Murphy, right?"
Elena was surprised: "You also know?"
Stephanie smiled slightly and said, "Who made your clinic famous? I heard the lady at the front desk say this when I was in the hotel before."
"What kind of green plants do you like? I will buy a pot and put it on your table another day." Elena said.
"Thank you. As long as you pick it, I like it! For such a pretty girl, the green plants you picked must be great!" Stephanie started to act like a flatterer. She planned to give rainbow farts to everyone here. This way you can integrate into the group more quickly.
It has to be said that most people like to hear nice words, and Elena is no exception. Stephanie immediately made her laugh and said, "I'll take a look at it then, and I'll definitely pick one that suits your temperament!"
"By the way, where do you live now?"
"Well, I'm not a local. I'm currently living in a hotel. I plan to wait until my job is stable before I rent a house!"
"Then I can give you some reference advice when you rent a house."
"That's great, you are such a beautiful girl with super breasts!"
After cleaning up the clinic, because it was the first day and it was already afternoon, Zhou Qiao did not assign patients to Stephanie, but just let her get familiar with the environment first.
So, Stephanie went out and bought seven cups of milk tea, one cup for everyone in the clinic, including herself!
She understands people's psychology and the workplace. With just such a "little favor", coupled with her beautiful appearance, humorous language, extensive knowledge, and bright smile, she quickly became close to the people in the clinic. distance.
Except Murphy.
"Thank you, I don't drink milk tea." Murphy said coldly. He was rejected directly!
Stephanie: "..." She sneered inwardly, okay, considering that you have autism, I won't care about you.
Before coming, Uncle Justin told her about the main characters and general personalities of the Iris Clinic.
She sneered in her heart, but her face was like a warm spring breeze, and said, "How about I treat you to another delicious drink tomorrow? What would you like to drink?"
Murphy simply ignored her. Stephanie almost choked.
Stephanie walked out awkwardly, thinking to herself, why are you pulling?
Do you think you are great? My school is better than yours, I have one more doctorate in medicine than you, and I also have a master's degree in theology. If it weren't for completing the task and repaying Uncle Justin, I wouldn't bother to curry favor with you!
She felt wronged.
It’s so difficult to not only do despicable things, but also to flatter everyone you meet!
Not long after she left, Murphy got up and came to Zhou Qiao's general clinic.
"Feifei, is it about the intussusception patient? Don't worry, I believe in your skills." Zhou Qiao looked at Murphy standing at the door, his eyes full of doting and said.
Not long ago, Murphy called Zhou Qiao for consultation because Rachel brought over a patient with abdominal pain, a fifteen-year-old girl brought here by her mother.
After examination, the condition was somewhat complicated. It was not appendicitis, nor acute or chronic enteritis. The CT report showed that intussusception was considered and the possibility of neoplastic lesions could not be ruled out.
Colonoscopy is required for further confirmation.
It’s just that it’s too late today, so after the consultation, Zhou Qiao asked the patient to go back and try to eat easily digestible liquid food for dinner today, start fasting after dinner, and wait until early tomorrow morning to arrange bowel cleansing and other preparations, and then go to the community hospital in the afternoon Have a colonoscopy.
Colonoscopy depends on the patient's different conditions, and some even require preparation three days in advance.
If confirmed, there is a high probability that surgery will be required!
However, even if there is a tumor lesion, if it has not spread, radical surgery can achieve very good results!
Zhou Qiao thought Murphy was worried about this, after all, it involved tumor surgery.
Murphy shook his head, looked back and saw no one, so he closed the door, and then...
He walked over quickly and jumped on Zhou Qiao.
Zhou Qiao: "..."
After a while, Zhou Qiao joked: "You have become bolder, it's just a good thing!"
Murphy suddenly said: "I always feel that something is wrong with Stephanie. She...she must have come in with some ulterior motive! You shouldn't hire her!"
Zhou Qiao: "..." Is Murphy's intuition so powerful?
Immediately, he patiently explained to Murphy that Stephanie also had many advantages, and finally said: "Don't think too much, don't think everyone is so bad. In fact, Stephanie is just too enthusiastic."
Murphy curled his lips and thought, is he really jealous?
She was observant and meticulous, and she really didn't like Zhou Qiao's glance at Stephanie's breasts from time to time. However, Elena and Ava also had... that kind of relationship with Zhou Qiao, so why wouldn't she be jealous of them?
Murphy couldn't understand. Just as Ava was shouting outside, and another injured patient came, Murphy hurried out!
…
Early the next morning, Stephanie came to work and brought souvenirs to everyone. They were not expensive, but very exquisite, and everyone had a share.
Murphy: "..." She suspected that Stephanie had bad intentions, but there was no evidence.
She declined the gift again!
Stephanie didn't take it seriously and walked out with a smile.
Murphy thought to himself: "So she won't be angry?" He became more and more suspicious.
She thought for a while, and if Zhou Qiao couldn't explain it, she could secretly talk to Elena.
Unexpectedly, even Elena was "bought" by the other party's "little favor", and comforted her: "Murphy, don't think too much. Some people are like this, naturally enthusiastic and sociable. They shouldn't have it themselves." Too much malice.”
Elena felt that Stephanie's figure was too hot and felt the pressure, but it was not to the extent that she targeted Stephanie because of this.
What's more, the only bit of "pressure" was reduced a lot because of Stephanie's excessive enthusiasm.
Murphy: "..." Forget it, she concentrated on preparing for the colonoscopy.
The bowel cleansing laxatives prescribed to the little girl are still relatively expensive. The improved version her grandfather drank before has an ordinary "sea water" taste and is cheap, but not many people like to drink it.
Some people feel nauseous and vomiting after a few sips, and can't do it anymore.
The little girl’s mother is also willing to choose the more expensive one.
It is worth mentioning that the little girl and her mother are both Chinese.
They chose this place, firstly, because they live in nearby Chinatown, and secondly, because Zhou Qiao's reputation is already very famous in San Francisco, especially among the Chinese circles.
This is due to the publicity of Zhang Jianjun, boss Tang Yunxuan and President Zhang of the Wushu Association.
Of course, the identity of the man behind Luo Ya also plays an important role!
Although her daughter's condition is serious and the operation is huge, can it still be compared to Zhang Mengjing's head surgery?
Zhang Mengjing has now fully recovered and is already looking for a school to study again. She plans to study nursing.
The little girl’s mother also knows Zhang Jianjun’s family, and even visited Zhang Mengjing when she was hospitalized.
…
The colonoscopy process went smoothly, but the results were a bit unacceptable!
The little girl’s mother was struck by lightning!
After a long while, she trembled and called her husband, asking him to come over immediately!
The little girl's father is also Chinese. After coming over, Zhou Qiao once again explained the condition to the family in detail.
"This is a colon tumor with intussusception. There is a mass of about 4.5cm in the middle of the transverse colon, which causes intussusception and secondary intestinal obstruction. Although the tumor is large, the good news is that it has not spread and can be cured by surgery. The hope is pretty high.”
The little girl's father pondered for a moment and said: "Dr. Zhou, I heard that cancer usually has a family history, but in my family, including her mother's side, for three generations, I have never heard of any relative having the disease. This is a disease. My daughter is young, goes to school, has a regular schedule, has no bad eating habits, and doesn’t smoke or drink. How could she get this disease?"
Zhou Qiao thought for a while and explained to him: "There are many causes of cancer. A situation like Xiao Chenxi's is most likely caused by a genetic mutation."
"Gene mutation?"
"Yes, genetic variation means that either parent may have an allelic defect, but it does not show up. Instead, it is dominant in the next generation."
The little girl's parents thought about it carefully and felt that what Zhou Qiao said was quite reasonable. They didn't understand it anyway, and now was not the time to investigate the cause of the disease. The key was surgery.
Zhou Qiao said: "If you are willing, I can arrange pre-operative preparations immediately."
"As for the surgery, it will be performed by our clinic's talented doctor Murphy. She is a 19-year-old MD who graduated from a prestigious school. I will also assist on the side to ensure that the surgery goes smoothly. It's like Murphy and I are doing it together!"
"Let's discuss it carefully." The two took the child out. After all, this matter is very important to their family, and they cannot make a decision so easily.
They also called some people and finally decided to have the surgery at Zhou Qiao.
There is nothing to say about Zhou Qiao's level. Since his debut, he has never failed in any major or minor surgery, and so has Murphy!
This is well-known! They asked!
After signing the consent form for the surgery, they felt very uneasy and worried about their daughter's fate! I don’t know if this is the right choice? !
Although he is a famous doctor, he is always worried about his daughter.
Stephanie was shocked when she heard about it!
Zhou Qiao actually let 19-year-old Murphy do the surgery, and the others didn't have any objections. Oh my god!
No, I must go and see! I don't believe it. How can Murphy be so powerful? Can you perform such a difficult surgery?
I went to a better school than she did, and I have one more MD than her. Why? !
You know, at Johns Hopkins Hospital, only senior experts over forty years old can perform such major surgeries!
Not to mention being the surgeon, she has not even had the chance to participate in surgeries of the same level of difficulty.
Stephanie ran over and told Zhou Qiao. After two "small favors", everyone became more familiar with each other. She also roughly figured out Zhou Qiao's temperament and knew that Zhou Qiao was not that difficult to get along with.
Zhou Qiao pondered for a moment and then said: "Since you want to go, that's fine. But arrange the work at hand."
"Yeah, no problem. I will communicate with the previously scheduled patients in advance to ensure that they can leave during those hours on the day of the surgery." Stephanie said excitedly.
Zhou Qiao nodded and asked Ava to make an appointment with the operating room and anesthesia team, and asked Elena to count the instruments.
This time, he didn't give Murphy a shot in the arm, but taught her step by step how to do it. Instead, they just discussed the surgical plan with Murphy.
Because before, Murphy attained enlightenment in a dream and underwent many partial resections of the small intestine.
Since all of them were performed by removing part of the intestines, all of them were clear and clear. With the astonishing talent of Mo's medical genius, other intestinal surgeries had already reached the master level.
Zhou Qiao clicked on her skill tree. Although she only upgraded five skills to master level last time, including her original three, there were only eight. But today, hey, there are already thirteen master-level skills. Got it!
Although most of them are at the master level, it is enough to perform this surgery on a little girl!
With Murphy's current level, he is considered an expert even at the University of California Medical Center! Zhou Qiao secretly thought that Murphy should have a salary increase!
However, he often gives bonuses in private. It doesn't matter whether the salary is increased or not. It's the same thing if he gives more bonuses.
…
Two days later in the afternoon, Zhou Qiao led a group of people, chief surgeon Murphy, second assistant Stephanie, traveling nurse Ava, equipment nurse Elena, and the patient's family of three, to the community hospital.
After Stephanie learned the specific operation time from Ava, she immediately communicated with the clients who had previously made appointments. With her communication skills, it was naturally and easily handled.
This is a laparoscopic radical tumor resection. It is a level 4 operation and very difficult.
Stephanie has always been suspicious, will she really let Murphy do it? Isn't this a joke with the patient's life?
Maybe they were kidding themselves, or maybe Murphy was the surgeon in name, but in reality it was Zhou Qiao who was in charge?
As for the required equipment and consumables, Elena had already come over in advance to take stock.
There are various instrument dressings, endoscopic instruments and disposable items, such as rectal instrument packages, rectal-specific auxiliary material packages, surgical clothing packages, etc.
In addition, there are also Veress needles, 300 lenses, 1 12mm Trocar, 2 10mm Trocars, 3 5mm Trocars, 4 separation forceps, 3 laparoscopic intestinal forceps, needle holders, titanium clamps, electric hooks, suction devices, and surgical scissors. , converter, endotracheal tube, fiber optic electrocoagulation line, No. 147 silk thread, 5ml syringe, applicator, protective cover, etc.
The instruments and equipment include cold light sources, camera systems, monitors, electrosurgical units, ultrasonic scalpels, carbon dioxide pneumoperitoneum, irrigators, central suction...
Ava also debugged it in advance.
Nancy at the anesthesia team appointment.
Nancy has been divorced. After vacation, she met a new boyfriend. She has come out of her depression. Now she is happy every day. She is living a second life!
Under general anesthesia with endotracheal intubation, in lithotomy position, the buttocks are elevated about 20°-30°.
Anesthesia is completed and routine time out is completed.
After routine disinfection and draping, indwelling catheterization, Murphy and Ava worked together to connect light source lines, cameras and other pipelines.
Afterwards, Ava played songs and started the wall-mounted sound system as she habitually did.
The opening song she chose this time is "Pianpian"! One of Daolang's masterpieces! High praise on the Internet!
But it is indeed very pleasant to listen to, it is endlessly memorable, and the lingering lingering sound is endless.
Stephanie had participated in an operation at Johns Hopkins Hospital, but all she listened to were English songs or European and American pure music. Where had she heard this unique style of Chinese songs?
She was instantly attracted!
Then, in her surprised eyes, it was really Murphy who performed the surgery!
I saw that Murphy did not pause at all, and operated smoothly:
A pneumoperitoneum is established by means of a Veress needle puncture, and a 10mm Trocar is placed at the umbilicus, a 5mm Trocar is placed at the outer edge of the left and right clavicle at the level of the umbilical cord, and a 5mm Trocar is placed at the inner and lower side of McBurney's point in the right lower abdomen...
Immediately afterwards, a 5mm Trocar was placed on the pubic bone in the midline of the abdomen...
Murphy's exploration found that the proximal colon of the patient's tumor was sleeved into the distal colon, and the tumor was hidden inside the intestinal sleeve!
In addition, what is a little disgusting is that there is a large amount of feces in the patient's proximal intestine.
However, Murphy has a very high level of professionalism and did not frown at all.
Approximately 26 cm of the diseased intestine containing the tumor was removed, and the relevant regional lymph nodes were removed...
…
The entire operation lasted one hour and forty minutes, and Stephanie was also amazed for one hour and forty minutes!
During the operation, Stephanie couldn't help but ask some questions, and Zhou Qiao didn't hide his secrets and explained them to her carefully.
Including some details, such as how to observe the pneumoperitoneum flow rate during surgery. If it is too large or too small, it will affect the operation.
How to adjust the light source to ensure the perfect operation of the equipment involves the clarity and smoothness of the surgical field of view. It is very important and is a detail that cannot be ignored.
etc!
These experiences are very precious, and generally people who don’t have particularly close relationships won’t teach them.
Stephanie: "..." Thinking that she was here to be a spy, she couldn't help but feel a little ashamed.
The system pops up a golden virtual panel: "Stephanie's favorability +1, Stephanie's current favorability is 1!"
Zhou Qiao was stunned and almost thought he had seen it wrong!
Let me go, the favorability is only 1? This is too low a starting point!
Is it because of a hostile relationship? It seems there is a long way to go!
He glanced at Stephanie, and Stephanie felt guilty for a while, thinking that she had exposed herself somewhere!
This operation left a very deep and shocking impression on Stephanie!
Because Murphy's level is really much higher than hers!
The level of Murphy's performance was comparable to that of a master-level operation. Even the senior experts at Johns Hopkins Hospital were no more than that.
Stephanie had mixed feelings in her heart:
"I went to a better school than her, got more degrees than her, and went to a better hospital after graduation. But how could she be so good?"
After the operation, on the way back, Stephanie couldn't help but asked Elena quietly, and Elena said it was all taught by Zhou Qiao.
Stephanie: "Why is Zhou Qiao so powerful?"
Before, she only thought that Iris Clinic might be good at medical beauty. Unexpectedly, she actually felt that it was good at all aspects!
Especially, Zhou Qiao seems to be one year younger than her.
Elena said: "Maybe it's innate, right? You have to believe that there will always be geniuses in the world. Qiao often said to us, there is a sky outside the sky, there are people outside the world, and there are green mountains and buildings outside the mountains!"
Stephanie: "What do you mean?"
Elena explained to her in detail, and then Stephanie completely lost her pride!
System: "Stephanie's favorability +1, Stephanie's current favorability is 2!"
Zhou Qiao: "..." he thought to himself, the price is rising quite fast, it seems there is no hope!
Challenges are more exciting!
…
The second thing that impressed Stephanie about this operation was that it was so rare for a fifteen-year-old girl to suffer from bowel cancer. She had never seen it before!
What does this mean?
It shows that bowel cancer is increasingly affecting younger people!
In fact, compared with middle-aged and elderly patients, the incidence rate of young bowel cancer patients is increasing year by year!
The onset of bowel cancer is easily overlooked. Since this disease generally has no clinical symptoms, it is easily diagnosed as "hemorrhoids" by patients or their family members.
If you take the wrong medicine and lose time, the consequences will be disastrous.
Any malignant tumor that enters the middle or late stages is quite dangerous.
…
Because medical beauty appointments have been scheduled for a month later, Zhou Qiao has surgeries almost every day these days.
However, the scars of patients are relatively small and can be treated with local anesthesia. They do not need to go to a community hospital and can be treated directly in the operating room of Iris Clinic.
Every time, Zhou Qiao was alone.
Stephanie thought that there was indeed a secret recipe, and even Murphy was not allowed in to see it.
She wanted to go in and take a look, but was afraid that Zhou Qiao wouldn't allow it.
After thinking about it again and again, I ran to tell Zhou Qiao that I wanted to learn more and gain some experience!
Her long-term goal is to perform surgery and become a surgeon.
After she said it, she felt anxious, fearing that Zhou Qiao would not agree or find out her intentions.
Unexpectedly, Zhou Qiao just smiled and agreed.
"Is it that simple?" Stephanie couldn't believe it.
After entering, she was amazed by Zhou Qiao's cosmetic suturing techniques, which were simply miraculous. She considered herself a medical genius and had practiced various suturing techniques in school and at Johns Hopkins Hospital. , I feel that my hands are dexterous. Although I only use props, such as pig hearts, I am already as good as a senior resident doctor. I didn’t expect that Zhou Qiao’s skills are several blocks ahead of her!
He is indeed someone even Uncle Justin wants to deal with!
As for the secret medicine, she didn't see anything strange about it.
It seemed to be just an ordinary hydrogel dressing with half a roll left, which Zhou Qiao placed casually in the operating room.
Stephanie's heart skipped a beat!
Seeing Zhou Qiao wanting to clean, Stephanie quickly volunteered and said, "I'll do it, I'll do it. If you're busy, boss, go out and do other things, and leave this place to me!"
Zhou Qiao nodded and Shi Shiran walked out.
Seeing Zhou Qiao disappear, Stephanie moved to the drawer where the secret potion hydrogel was kept while doing her hygiene!
She had already observed the terrain and studied the monitoring of the operating room of Iris Clinic.
She blocked the drawer with her body to avoid being recorded by the surveillance camera, and then quickly and gently hid the roll of Zhou Qiao's remaining hydrogel in the palm of her hand.
I continued to work hard on hygiene and finally walked out calmly.
Zhou Qiao only performs this kind of medical beauty surgery once a day, not because he can't arrange it in time, but because he is under too much pressure to accumulate points!
It is necessary to save several hundred points to give to Veronica next month, but also to use them for current medical aesthetic patients.
Although Veronica's surgery was divided into six phases, each phase required 500-700 points. However, these ordinary medical aesthetic patients with relatively small scars only need 8-32 points per person depending on the scar area.
"Fortunately, there is little sister Murphy, otherwise, we really wouldn't be able to do it."
And Murphy is very powerful, one person is as good as Elena and Ava together.
As for Zhou Qiao himself, after his physical strength and X ability were enhanced, he could handle three people without the Qiangshen Capsule.
If Qiangshen Capsules are added, they may not be able to bear it.
While Zhou Qiao was accumulating his balance, he was also very considerate of her!
Thanks to "Zhehuzhi" for the reward.
What is worrying is that the child suffered bleeding from the postoperative wound and was hospitalized again. Although it was a minor surgery, he did not expect it to be so troublesome. And it was specially performed by an expert. The wound is fine after adenoidectomy, but the blood vessels on the tonsils are relatively thick. If there is severe bleeding, another operation under general anesthesia will be needed. Because the blade needs to be inserted into the throat to burn it, children cannot operate it without general anesthesia.
(End of chapter)
