Chapter 211 Six spells, three forms (asking for monthly votes)

Style: Romance Author: Can nirvana be achieved?Words: 3931Update Time: 24/01/11 10:28:45
The public service advertisement co-produced by Zhou Qiao and Talia was released. The response has been quite good.

Talia called to congratulate her, saying that although it was Zhou Qiao's first time acting, he didn't expect his acting skills to be so good. Judging from the finished film, there is no sense of being a newcomer at all.

In fact, regarding DP, California is liberal. Not only California, but many states in the United States are legal.

However, the most fundamental reason is that it cannot be banned, not that it does not want to be banned. At least, Governor Hulk wants to make a difference.

Governor Hulk signed a new decree re-declaring Big M illegal in California. The California government will severely crack down on the illegal activities of growing, selling, and consuming Big M starting from July 1, that is, seizures, confiscations, criminal prosecutions, trials, etc.

The previous state legal document that legalized Big M in California was not signed by Governor Hulk, but was a good thing done by his previous governor. It is completely defensible for him to overturn it now. It's not even a slap in the face.

Zhou Qiao naturally strongly supports Governor Hulk’s actions and praised Governor Hulk’s decree on Twitter. After all, he will live in California for a long time in the future, and no one wants their place of residence to be flooded with D-type products.



Iris Clinic. Operating room on the second floor.

Zhou Qiao is in the middle, with two stunning beauties on the left and right, one tall and one short, one fat and one thin, fragrant and fragrant.

Murphy is 180 centimeters tall, while Stephanie is only 161 centimeters tall. However, they are both thin and fat, and each has its own charm.

Especially Stephanie's towering breasts, which even Murphy would take a peek at from time to time.

Murphy's height also made Stephanie envious.

They didn't wear makeup or perfume, and their body fragrance was naturally distributed. The scent of a young girl's youthful body and hormonal scent.

"Hmph, my breasts can't compare to yours. How can I say that my surgery can't compare to yours? I will definitely rank in front of you in this competition!" Murphy vowed secretly in his heart.

Stephanie glanced sideways at Murphy and thought to herself: "What's the use of being so tall and thin? There's an airport. Although I'm a little short, I have proud peaks! Haha, I'm just I'm going to stand up on purpose, and I'll piss you off. Do you think I will lose this surgery competition? Haha, I want you to see that the sooner you get a doctorate, the better you will be!"

Zhou Qiao is carefully making a clay dummy.

They bought a lot of clay, which can be used repeatedly to make various life-size organs, which will eventually form a body and perform surgeries on it. It is a very good training prop.

When the dummy was finished, Zhou Qiao began to demonstrate the surgical process.

Demonstrate and explain in detail.

His move showed the demeanor of a top expert, his profound knowledge and superb skills, which shocked both Murphy and Stephanie, even though they had already known that Zhou Qiao was powerful.

It seems that there is nothing Zhou Qiao is not good at.

They are also medical geniuses. It is hard to imagine how Zhou Qiao became so good!

In fact, all level III and above surgeries are now performed in community hospitals or at UCSF Medical Center. This operating room at Iris Clinic only performs minor surgeries.

When there are no surgeries, it becomes a training ground for Murphy and Stephanie.

Zhou Qiao taught them six minimally invasive cardiac surgeries.

There are three types of small incisions: small incision through the right chest or thoracoscopic cardiac surgery, small incision through the left chest or thoracoscopic cardiac surgery, and small upper sternal incision cardiac surgery.

and three types of cardiac interventional procedures: mitral valve clipping (MitraClip), Watchman left atrial appendage occlusion, and transcatheter aortic valve replacement (TAVR or TAVI).

Minimally invasive cardiac surgery naturally covers a wide range of procedures and is by no means limited to these six types.

However, these six techniques are the six rounds of competition stipulated in this competition.

Formula competitions naturally have strict regulations and do not allow participants to freely express themselves and perform randomly. Otherwise, it would be difficult to judge at all.

This competition includes six techniques and three forms.

The six kinds of spells refer to the participating events, which are the six kinds that Zhou Qiao is teaching Murphy and Stephanie.

The three forms are competition methods, namely simulated confrontation, surgical video, and live broadcast.

Speaking of simulated confrontation, I have to say that the medical community in the United States is very good at playing. In addition to having advanced simulation training equipment, they have also developed it into a game-like model.

For this competition, a national minimally invasive cardiac surgery simulation confrontation server was specially set up. It is somewhat similar to an e-sports game, and the entire process is operated on a computer.

After the player's registration passes the review, they will receive a "game account" and the corresponding password. After registration and before the end of the game, they can log in to this server at will and conduct simulation training.

You can play alone, or you can choose to compete with other players for PK.

The server will automatically score the players based on their performance and then give them a ranking.

However, this is just a game that players use for training, not a real competition.

When it comes to the official competition, it is no longer computer operation, but another set of advanced surgical simulation equipment, equipped with a fully simulated silicone doll, and real people compete at the competition site.

That kind of physical doll is very expensive to make. Its full name is "Special prop doll for minimally invasive cardiac surgery competition." It has soft leather and good hand feel. It is said that it is a real-life model. It is restored 1:1, including the blood vessels that pass through during interventional surgery. They are all made in equal proportions. Quite high-tech.

It can be seen that the organizing committee of the competition attaches great importance to this competition and has spent a lot of money.

There are rumors that this competition will be held every four years, on par with the Olympic Games, and will continue to be held.

This set of surgical simulation equipment can also be connected to the server, has a computer display screen, and has its own scoring system. During the competition, the one with the highest score wins. In addition to various operating essentials, the scoring criteria also include operation time.

In other words, with the same surgical quality, the faster one wins. Completed within different time periods, there are different bonus points. It's a super complex calculation formula, and Zhou Qiao doesn't know the details.

All he knew was that the UCLA Medical Center had received fifty sets of such equipment. The qualifying finals of the California Division will be held on the Los Angeles campus.

Each set is worth two hundred thousand dollars.

In addition to being used during competitions, it can also be used for training by doctors in normal times. It's not a one-time thing.

The second format of the competition: surgery videos. To put it simply, it is a real-person surgery, recorded on video. The patients are found by themselves and the videos are recorded by themselves. Submit your entries within the stipulated time, and the experts from the jury will review and determine the ranking.

The surgical video is required to have a brief introduction of case information, such as clinical diagnosis, imaging examination report, and specific surgical process (including surgical approach, key steps, etc.).

The scoring criteria generally include the following aspects: reasonable selection of surgical methods, clear surgical ideas, clear anatomical levels, skilled and standardized operations, clear surgical fields, surgical difficulty, standardized and reasonable use of instruments, reasonable video editing, including necessary steps, and meeting the requirements for duration, etc. , each item has a different score, and the judges will score individually. After removing the highest score and the lowest score, the contestants will receive a comprehensive score.

Live broadcasting is even more difficult.

It is worth mentioning that there is no live broadcast of the previous state qualifiers. Only the final national finals, when the top thirty compete, will be broadcast live.

During the live broadcast, in addition to the surgery, the surgeon also had to answer some questions from the judges, many of which were tricky.

The patients in this live broadcast are also found by the contestants themselves. If you can't find it, you can give up the game.

In fact, most of the players who can enter the top 30 in the United States are supported by large hospitals, and it is impossible to find even such a case. For example, at Johns Hopkins Hospital, there are so many minimally invasive heart surgery patients every month that you can choose one with your eyes closed.

For some small clinics, it is really difficult to find patients for live streaming. Unless you pay a big price to recruit.

Of course, the entire competition requires the protection of patient privacy. No matter whether it is a surgical video or a live broadcast, the patient's personal information must not be disclosed. In addition, the patient must be informed that the surgery is for competition and requires the signature of the patient or family member.

As for the specific fees and remuneration, it is up to the contestants or the hospital to discuss it themselves.

Three formats, just the way the game is played.

The six techniques are the basic skills. This is also what Zhou Qiao focused on training Murphy and Stephanie.

The small incision and thoracoscopy were fine, but when it came time for the interventional surgery, due to the limited operating room conditions at Iris Clinic, Zhou Qiao simply simulated it and explained some steps and precautions.

Compared with traditional thoracotomy surgery, these surgeries have obvious advantages such as less trauma, shorter operation time, and faster postoperative recovery.

Interventional surgery is perfect in theory and sounds simple, but in practice it is very difficult. Some unskilled doctors accidentally punctured blood vessels, causing the contrast agent to leak out, causing medical accidents and even threatening the lives of patients. Some of them suddenly deteriorated and were unable to save their lives.

In fact, the principle of any surgery is quite simple. But it is easier said than done. There are too many thresholds from theory to practice.

It has to be said that Murphy and Stephanie have a solid medical foundation and extremely high medical understanding. It only took half a day for Zhou Qiao to teach them the perfect surgical skills that he had redeemed himself, purely on paper, and then the system prompted, The six techniques of both of them have all reached the primary level of specialization.

There are two of them, and two of them have reached the intermediate level of specialization.

It’s simply outrageous!

Stephanie glanced at Zhou Qiao, feeling strange in her heart, because she recalled the dream diagnosis and treatment, and one of the "past lives" was Heloise and Abelard.

He thought to himself, Heloise and Abelard have a relationship between students and teachers. Now that I am learning surgical skills from Zhou Qiao, isn’t I also a student and a teacher?

This slightly unethical relationship made her heart beat faster!

Many universities in the United States, such as Princeton, strictly prohibit relationships between teachers and students. Although this requirement violates the U.S. Constitution and the norms of personal freedom, it is becoming more and more strict in colleges and universities.

In the sixth season of "Friends", Ross was dating his female student when he was teaching at the university, and his colleagues told him that his job was ruined.

Yang Guo and his aunt assumed that in the United States today, the relationship between teachers and students in schools would still be reviled by thousands of people, and they would even be expelled.

Fortunately, although Zhou Qiao taught Murphy and Stephanie knowledge and skills, there was no nominal teacher-student relationship. They were bosses and employees.

"Have you all received your accounts? You can log in to that server to play when you have nothing to do."

"What about you, Joe?"

"I've already logged in!"

"Ah? Why didn't I find you?"

"Silly girl, who would use their real name?"

"Then what's your name?"

Zhou Qiao told them his name in this competition training "game" - killerking.

Murphy and Stephanie quickly checked online. Go ahead, this is a pretty powerful player! Although it has only been logged in for one day, it is already at the top of the list, with scores unparalleled and ranked first!

"So you are the number one master!"

Murphy and Stephanie were surprised.

Especially Stephanie, she originally thought that although she could sign up for the competition, she was prepared in a hurry, unlike Johns Hopkins Hospital, which started intensive training months in advance. Even if he participated, it would be difficult to get a ranking. However, he never expected that Zhou Qiao would take the lead without saying a word.

Although, it is just a ranking of simulation training. But still inspiring.

Stephanie and Murphy were each in their own clinics, facing the computer, carefully checking Zhou Qiao's personal homepage.

I found many people leaving messages there. One of them has a very high number of likes: "This is surgery, you want to be a killer? Who dares to let you do surgery!"

Zhou Qiao posted a smiling emoticon below and replied: "I am crushing you, not the patients!"

Everyone despised and reviled him below.

Since they all use online names, no one knows who they are.

Although Murphy and Stephanie have logged in, they have not started a confrontation yet, and the score is still: 0.

Zhou Qiao asked, one was called Heloise and the other was called Angel Kiss.

So, we added each other as friends.

In order to play this e-sports competition, Zhou Qiao even purchased new computers with better performance for everyone.

(End of chapter)