I run a clinic in the United States

Chapter 122 "The Most Beautiful Tumor" - "The Shark Crying Beads" ([-])
Zhang Mengjing's intracranial cholesteatoma was huge, surrounding the trigeminal nerve, facial nerve, auditory nerve, and glossopharyngeal nerve, as well as the brainstem, oculomotor nerve, trochlear nerve, abducens nerve, vagus nerve, basilar artery and its branches on the cerebellum Arteries and posterior cerebral arteries and other important structures.

Although this type of intracranial cholesteatoma is a benign tumor that grows slowly, it is called a "tumor" because it has the erosive and destructive properties of a malignant tumor.

The location where it grows is too important. Under the stimulation of inflammation, it will continue to expand, oppress and invade the surrounding tissue structure. It can drill bone seams, gnaw bones, and destroy human brain structure. Although drug treatment can relieve temporary pain Pain, but not the root cause.

If left unattended, the operation is not performed as soon as possible, and if it is delayed for a long time, it will cause very serious consequences, even life-threatening.

When all preoperative preparations were completed, Zhou Qiao took Elena, Ava, Murphy, Zhang Mengjing, and Zhang Jianjun to the University of California, San Francisco Medical Center.

In the clinic, Rachel was the only one left.

There is a child in the ward who has not been discharged yet, so please take care of her.

As for the safety of the clinic, there are always people in the nearby laundry, and Ariel and the others are paying close attention, so there is no need to worry about someone coming to make trouble.

Zhou Qiao and the others were in a car, while Zhang Jianjun drove his own car and followed closely behind with his daughter.

Although I have taken painkillers, I may have taken them for too long and developed drug resistance, so the drugs are not very effective.Zhang Mengjing still feels unbearable pain from time to time.

In addition, these drugs have side effects. If taken for a long time, there will be serious adverse reactions such as dizziness, drowsiness, gastrointestinal discomfort, allergies, and even liver and kidney function damage.

At the University of California Medical Center, a woman in the surgery office made an unfeeling request to Zhou Qiao.

"Good afternoon, Doctor Zhou, there is something we need to ask for your opinion and that of the patient."

"Oh? What's the matter? Please tell me!" Zhou Qiao nodded.

The blond lady said: "It's like this, many doctors in our hospital are very interested in your operation, including some well-known experts, such as Dr. David Crawford from the Department of Hepatobiliary and Pancreatic Surgery, Dr. Dr. Na McLaughlin and others, I hope to observe this operation in the monitoring room!"

"Ah?" Zhou Qiao was stunned. He didn't know that his coming over for surgery would actually attract so many people's attention?
He thought that not many people knew about it, that is, he brought Ava and others to fight for about an afternoon!
Judging from the other party's tone, it seemed as if the entire hospital knew!Even doctors who are not neurosurgeons are here!
Zhang Jianjun and Zhang Mengjing's eyes widened when they heard this.

Zhang Mengjing was drumming in her heart, saying that actually I don't want too many people watching.She has only been in the United States for a few days, and she still doesn't understand the language. She is full of strangeness and fear of foreign devils and the surrounding environment.

But Zhang Jianjun, on the contrary, felt more at ease, and faintly agitated.

Although he trusted Zhou Qiao's medical skills, more doctors and experts came to observe, which should be more secure for the operation itself.He didn't believe that if something happened, these experts would sit idly by.

In addition, the doctors and experts in the University of California Medical Center usually charge a lot of money, but now they come to "participate" for free, so they are making money!

Zhou Qiao looked at Zhang Jianjun and Zhang Mengjing, meaning to ask for their opinions.

Before Zhang Mengjing could speak, Zhang Jianjun nodded repeatedly and said, "I'm fine."

Zhang Mengjing had no choice but to shut up.I thought, forget it, anyway, I "fall asleep" during the operation, and I don't feel embarrassed.

When Zhou Qiao explained the operation to her, she said that general anesthesia was used, and the rest of the body, even the face, was basically covered.Only a small area of ​​the head is exposed.

In that small area, when I was at the Iris Clinic, before leaving, Elena helped her prepare the skin.The hair in that small area was shaved off, it was very ugly, so she knew where the knife was probably done, and she even wore a nice hat when she came here.

Zhou Qiao said to the staff: "I have no objection. Colleagues from the University of California Medical Center are welcome to watch this operation. If there is a chance after the operation, I would also like to communicate with the experts from your hospital and share the experience during the operation." Experience."

His perfect level skills are naturally full of confidence.

If it was an ordinary doctor, I heard that there were so many people watching, I would probably feel stage fright.However, anyone who has the courage to undergo such an operation has real skills and is unlikely to be stage frightened.

The staff member smiled slightly and said, "Then I wish you a smooth operation. I will communicate with the experts about the exchange of ideas."

"Thank you."

In fact, Zhou Qiao also wanted to blend in with her colleagues in the United States. After all, she opened a clinic in San Francisco and was affiliated with the University of California Medical Center.

Soon, senior anesthesiologist Rebecca Laroque brought the team over, joined Zhou Qiao, and communicated with the anesthesia session.

Zhang Mengjing was pushed into the anesthesia room.

Zhang Jianjun waited anxiously in the rest area outside.His wife's visa was not approved so quickly, so she had to rely on him alone to support her during this period!
He felt a lot of pressure, so he sent a message to his wife, thinking that his wife was already asleep, because it was late at night in China.But unexpectedly, my wife replied in seconds!

"Brother Jun, I can't sleep either. Has the operation started?"

"Yes! But I'm waiting outside. It seems that you can also go to the monitoring room. Many experts from the University of California Medical Center have gone to watch, but I don't dare to go."

"Why not?"

"It's too bloody, and it's my daughter again, so I don't dare to look directly at it." Zhang Jianjun pondered for a while, and then sent another message, "If you want to watch it, I can enter the monitoring room and play a video for you."

"It still doesn't work, and I don't dare! I hope the operation can be successful!"

"Yeah, if you can sleep, go to bed early!"

"I can't sleep, this is destined to be a sleepless night! I just went out to use the bathroom, and her grandparents were also chatting in the room and didn't fall asleep."

Zhang Jianjun: "..."

Taking a deep breath, I looked around and saw people coming and going.Not far away, there were also people with sad faces. Maybe, like him, they were waiting for the good news that their family members had a successful operation!

"I hope Dr. Zhou will be more helpful!" Zhang Jianjun prayed secretly.

Zhou Qiao led Elena, Ava, and Murphy to change shoes, change clothes, brush hands, disinfect... After a series of procedures, they entered the neurosurgery operating room with many advanced equipment.

The operating room here is more advanced and in better condition than the operating room in the community hospital, and the cost of use is naturally higher!
When entering, Ava secretly asked Zhou Qiao: "What song are you playing?"

Because she also felt that today's operation was very difficult, her sister and Murphy hadn't spoken much, presumably Zhou Qiao was also under a lot of pressure, so she wanted to play some songs that Zhou Qiao really liked.

Zhou Qiao didn't seem to like the Chinese songs she played earlier.

In fact, Zhou Qiao liked it, but felt that it was not suitable for surgery.

But Zhou Qiao thought about it and said, "It's up to you. However, today's operation will take a long time. In addition to Chinese songs, you can add some English songs, French songs, or soothing pure music."

Ava nodded: "Okay!"

She pondered, the volume could be kept as low as possible and adjusted to a more comfortable level.

In fact, Zhou Qiao is also an extremely serious and focused person. Once the operation is performed, he can completely ignore it, and no matter what music can be used as the background.

For the previous ones, it was because he was not the chief surgeon, but only worked as an assistant for Murphy, so he had time to pay attention to the music.

A four- to five-hour operation would be too dull and depressing if there was no music and the entire process was silent.

As for diapers, Zhou Qiao and the others don't wear them.After all, the estimate is only four or five hours.

The patient must eat and drink before the operation, but why don't the doctors and nurses not eat and drink before the operation and go to the bathroom before the operation?

In addition, once you enter the state of high-stress surgery, your feelings of thirst, hunger, and wanting to go to the bathroom will disappear.

This is because there is a hormone called adrenaline in the human body. When the human body encounters a stressful event, adrenaline will be secreted in large quantities!
Stress can be understood as a response to stimuli, such as feeling high-intensity pressure, being very excited, being very tired, being highly alert and focused, engaging in high-intensity exercise, or experiencing trauma, etc.

Adrenaline was developed by humans during the long process of evolution. Our primitive ancestors secreted large amounts of adrenaline when chasing prey or escaping from predators.

This hormone can expand the skeletal muscle blood vessels of the human body, supply energy and oxygen to the muscles, increase the blood demand, increase the cardiac output, increase the workload of the heart, and then expand the coronary arteries to increase the blood supply to the heart.

At the same time, this hormone can also relax bronchial smooth muscle because it needs a lot of oxygen and needs to breathe heavily.

Then, when chasing or escaping, you can't run two steps and stop to pee?So this hormone can also constrict kidney blood vessels.

The blood flow to the kidneys is reduced, and the urine output will naturally be reduced!

On the other hand, the temperature in the operating room is not as comfortable as we imagined. Doctors wear thick surgical gowns, hats, masks, gloves... and they don't feel very cool. A lot of sweat is discharged, the water is excreted through the sweat, and the urine is naturally reduced.

Ava is not only an itinerant nurse, but also has a part-time job, which is to wipe Zhou Qiao's sweat.

In addition, the conditions of the current operating room are very good, with a bathroom attached. If there is a real need, you can also ask an assistant to take care of it temporarily, and the surgeon will solve it first.That's two to three minutes.

Of course, some doctors also wore diapers when conditions were poor.

Like Zhou Qiao, her kidney function is strong and her ability to hold in her urine is also strong. She basically doesn’t need to go to the toilet for four to five hours.

Anesthesia was performed with general anesthesia and endotracheal intubation.

After the anesthesia is completed, there is a routine time out. This translation can be understood as three checks and nine pairs. Then, with the ethereal and lively "Yun Gong Xun Yin", the operation officially began!
Zhou Qiao was also slightly stunned. He never expected that Ava would play this song, which would surprise him a lot.

This song is really a classic among the classics, full of immortality, Zhou Qiao hopes that in this difficult operation, she can also supernaturally display the level of "immortal energy".

At the same time, the monitoring room next door was full of people!
Most of them are neurosurgery doctors, but there are also some interested doctors from other departments, and there are some who just come to join in the fun.

After seeing Zhou Qiao's operation, some doctors began to comment: "Is this the suboccipital retrosigmoid sinus approach? This approach requires very familiarity with anatomical relationships. The advantage is that it causes less trauma to the brain structure, but exposes The scope is relatively small, and the technical requirements for the surgeon are relatively high!”

"I have seen the patient's radiograph, and the tumor is not small, with a diameter of 3 cm. If it were me, I would choose the transtentorial approach with a larger operative field."

"Just looking at this approach, Dr. Zhou's movements are smooth and he has the style of a master. How did he learn such exquisite surgical skills at such a young age and not long after graduation?"

"I heard that China's clinical and surgical standards are very high, but it's not like a young guy can be so good, right?"

Some people came to watch, but they were actually unconvinced. They felt that Zhou Qiao should not receive such attention, nor should he undergo such a difficult operation. However, after seeing Zhou Qiao's first few steps of operation, these people felt Not good.

It turns out that they are really capable!

As soon as the expert makes a move, he will know if there is any!Everyone here is an elite who graduated from a prestigious school!The worst is also a senior attending doctor with more than six years of experience!

The ones with the highest qualifications and prestige are Dr. David Crawford and Dr. Alona McLoughlin, both of whom have more than 30 years of work experience.

In particular, Dr. Alona McLoughlin is the pillar of neurosurgery at the University of California, San Francisco Medical Center. She has very profound attainments in the fields of neurosurgery and internal medicine.

Dr. Alonna McLoughlin, like Dr. David Crowderford, drank coffee, watched silently, and would not comment easily.

However, they looked at each other and nodded slightly, obviously approving of Zhou Qiao's "hand gesture".

In the operating room, Zhou Qiao was orderly.

He used neuroendoscopy, minimally invasive microscopy technology, combined with cranial nerve electrophysiological monitoring equipment.

3*3cm bone window, incision of the brain pool...

Release cerebrospinal fluid, reduce brain volume, reduce intracranial pressure...

Cut through the thickened dura mater at the base of the skull...

Without fixed traction, the tumor is exposed...

Neuroendoscopy has a "fish-eye effect", which can obtain a "huge" field of view and deep three-dimensional vision in a small space.

On the huge electronic display next to the operating table, following Zhou Qiao's operations, the corresponding field of view was displayed.

Because there are many cameras in the operating room, far or near, and in the monitoring room, the monitoring screen is also worth eight or nine yuan. The doctors and experts who are watching can clearly see every detail of Zhou Qiao's operation.

At the same time, the recording in the background is also going on simultaneously.

Zhou Qiao quickly detected the tumor tissue, and a very beautiful "pearl" was displayed on the screen immediately!
This pearl was about 3 cm in diameter, pink and smooth, and there was an uproar in the monitoring room!
A female doctor exclaimed in surprise: "God, is this a cholesteatoma? Why is it so beautiful?"

Another doctor said: "Yeah, much prettier than any case I've seen before!"

"Oh my God, Goddess, what a blessing it would be if this wasn't a tumor!"

"I've never seen it!"

"Could this little Chinese girl be God's illegitimate daughter? It's the condensed power of the gods, but the potential has not yet been developed?"

"Haha, it's possible! But let's stop joking about medical stuff, we're watching surgery now, not fantasy movies!"

Even Dr. Alona McLaurin's eyes lit up, and she couldn't help explaining: "Generally speaking, it's not so good-looking, this one is a special case!"

In the operating room, Ava and Elena couldn't help exclaiming!
"Wow~, tumors can be so beautiful!"

"Pearl oysters can't produce such beautiful pearls!"

"Can it be dug up and made into jewelry?"

Murphy had always been expressionless, but at this moment he couldn't help but be amazed, his green eyes sparkled.

Even Zhou Qiao felt the "great impact"!
He is the skill of system empowerment. This is the first neuroendoscopic minimally invasive intracranial cholesteatoma resection in his life. Naturally, he has never seen it before.

"Making jewelry? Obviously not! It just looks as beautiful as a pearl, but it's not a pearl!" Zhou Qiao thought to herself, if it was a pearl, it would at least be an ancient royal tribute series.

He suddenly remembered an ancient text he read in the university library: "There are sharks in the South China Sea, living in the water like fish, and their eyes can weep without wasting their work."

I can’t remember exactly where it came from, but it means that there is a kind of shark in the South China Sea. It lives in the water like a fish and never gives up the work of weaving. When it cries, it can cry out pearls!
If Zhang Mengjing were to cry, of course, she would definitely not be able to cry out this tumor!
After careful inspection, it can be found that the tumor completely surrounds the trigeminal nerve, facial nerve, auditory nerve, and glossopharyngeal nerve, which is basically consistent with the preoperative examination film, and the tumor has rich blood supply and tough texture.

There are a large number of other nerves, blood vessels, and brainstem in the surrounding area. During the process of shunting to expose and resect the tumor, once it is damaged, the consequences will be serious.

(End of this chapter)