I run a clinic in the United States

Chapter 159 Murphy’s Tenth Channel and Rewards

The community near Iris Clinic.

The 15-year-old little Calvin, no, it should be said to be the fat big Calvin, is holding the fried chicken and chewing it up!

His mother couldn't help persuading him earnestly from the side: "Kawen, can you eat less, your weight is already seriously overweight, and you will have problems if you eat any more!"

His father was also very worried. Looking at his son who was growing horizontally, he couldn't help but said, "This kind of fried chicken is not as healthy as a hamburger! If you eat any more, you might have to go to the doctor!"

Anyway, the burger has some vegetables in it, doesn't it?

"Hmm~, it's so delicious! So delicious!"

How can little Calvin listen?He gnawed so happily that he couldn't stop at all!
Although he is only 15 years old, he already weighs more than 170 kilograms, but it is difficult to keep his mouth shut!

In particular, he only loves fried chicken, and every time he smells the smell of fried chicken, he can't help but want to buy it!

Xiao Kawen was in junior high school, and even wrote an essay about fried chicken in school - "To My Favorite Fried Chicken"!
In the article, Xiao Kawen enumerates the various advantages of fried chicken, cites classics, talks about its origin, popularity, tastes its color, fragrance, and evaluates its nutritional value. The teacher even praised him for this, saying that he has the potential to become a gourmet writer in the future!
Then, little Calvin loved fried chicken even more.

Eating fried chicken not only makes you happy, but also collects materials for writing essays. It’s the best of both worlds, why not?

As a result, he is now as fat as a gasoline barrel, and his height is only a little over 1.6 meters.

This is not high among children of the same age.

What he and his parents don't know is that his height is probably not going to grow anymore. Although he is only 15 years old, his actual bone age has already exceeded four or five years. Obesity is actually a very important factor hindering his height.

Human growth and development can be represented by two "ages", namely life age and biological age.

Chronic age refers to calendar age, while biological age refers to bone age.

Bone age is the abbreviation of bone age, which needs to be determined with the help of specific images of bones in X-ray photography.

Usually, X-rays of the child's left wrist are taken. Doctors use X-rays to observe the development of the ossification centers of the metacarpal bones, carpal bones, and the lower end of the radius and ulnar bones of the left hand to determine the bone age.

Generally speaking, boys stop growing when their bone age is 18.4 years old, and their bone age often exceeds their living age by 1-2 years. That is to say, basically by the age of 16, their growth potential is very limited.

So before the age of 16, you must not be fat!Otherwise, you won’t be able to grow taller!The golden growth period for human height is before the age of 16!
Little Calvin is an only child, and his parents are middle-aged children, so they are very spoiled, and in the end he is spoiled, eating fried chicken and drinking Coke every day, he can't control it at all!

Moreover, little Calvin has a quick mind, and he talks about it in a set way. After all, he has written a small composition and won a teacher's award.

Facing his parents' nagging, little Calvin sneered, ate wildly, and refuted vaguely.

"Dad, mom, I have a question for you guys. We humans managed to climb to the top of the food chain. Is it just to eat vegetables? Vegetables are so expensive. I eat more meat and fried chicken. Isn't it enough to save money? Is it? Many medical researchers have said that it is better to consume more protein! This chicken is high in protein, much better than pork!"

How can his parents talk about his little mouth?
In the end, there was nothing I could do to stop little Calvin from loving fried chicken!

However, what they never expected was that little Calvin suddenly fell ill!
He has a stomachache and is anorexic. Even if it is the most delicious fried chicken, the steaming and fragrant freshly fried chicken is put in front of him, and he doesn't even want to eat it!
"Could it be gastroenteritis? Or maybe I ate too much and couldn't digest it?" Little Calvin's parents were anxious and immediately took him to the Iris Clinic near their home.

This clinic has a booming business. It is said that it has been full of patients recently, and many people come from other places.

Because, in addition to being good at treating various diseases, this clinic also has two major features, namely weight loss and medical beauty.

Little Calvin's parents thought this way. Little Calvin came here for treatment, and by the way, he also consulted the young and promising Dr. Zhou about weight loss!

I heard that Dr. Zhou has treated the governor’s daughter and is one of the top doctors in California!
Although they did not have an appointment, because it was an emergency, Ava immediately invited them into Zhou Qiao's general clinic.

After Zhou Qiao inquired about the condition for a few minutes, he immediately arranged an abdominal color ultrasound for little Kawen. He took the expedited route. Of course, the corresponding cost would be higher.

The Iris Clinic signed a monthly settlement agreement with that commercial testing center, and the price negotiated by Aunt Zhou Qiao before was a relatively favorable price.That's [-]% off their regular price.

If the patient goes alone and settles with the testing center, the price is full price, but if he goes from Iris Clinic, he can get a 8% or 8.5% discount.

This is equivalent to the middleman earning the difference, but because the money is saved, the patient also accepts it.In addition, you only need to pay the bill of the clinic, and the operation is much easier.

Although the Iris Clinic only earns a premium of 1-1.5% each time, the long-term accumulation is amazing.

The reason why we can get a relatively low price is naturally due to competition. There are several commercial testing centers nearby.

The results of the abdominal color ultrasound were very clear. The cause was: Little Calvin’s gallbladder was actually filled with dense stones!
His entire gallbladder was stretched to about twice its size, like a slippery mango!

In addition, his gallbladder wall is already 0.4 centimeters thick, while the normal gallbladder wall is as thin as a piece of paper!

Zhou Qiao looked at the report, analyzed the condition of little Calvin and his parents, and said: "Little Calvin's gallbladder is full of gallstones. They are densely packed. I estimate there are at least fifty or sixty of them!"

"What? So many?" Little Calvin's parents immediately changed their colors in shock.

Little Calvin's face was also pale, and he didn't know whether it was caused by abdominal pain or shock.

"So many stones, God..." Little Calvin's parents were terrified!
Little Calvin's father quickly asked, "Doctor Zhou, what should we do now?"

Zhou Qiao pondered for a moment and said: "The best way now is to have surgery quickly and remove the entire gallbladder!"

Little Calvin's father was horrified: "Remove the entire gallbladder? Can it be ultrasonically crushed, and only the stones can be removed without hurting the gallbladder?"

Little Calvin's mother also said: "Yes, can you keep the gallbladder?"

After all, the gallbladder is an important organ of the human body, who would not want to keep it?
However, Zhou Qiao shook her head and said, "Let me tell you this, gallbladder stone removal surgery is indeed available, but those who can do gallstone stone removal surgery don't need surgery at all, and little Calvin's situation, from the film You have also seen it above, it is shocking! My suggestion is to remove it! You don’t have to worry too much, after the gallbladder is removed, it will basically not affect your normal life.”

"But..." Little Calvin's father hesitated to speak.

Zhou Qiao explained to them in detail some of the sequelae or effects of cholecystectomy, such as diarrhea, abdominal pain, food intolerance, postoperative infection, and so on.But not everyone will appear in every situation, just to say that there may be risks.

For example, some people only have short-term diarrhea, which lasts for a week or two, and they are almost like normal people.

Compared with the condition, gallbladder removal is indeed the most preferred.

In addition, Zhou Qiao can also provide a set of conservative treatment methods, but it is basically ineffective. It can be suppressed temporarily, but it will relapse in a few days.

As for whether to have surgery or not, it is entirely up to little Kavin’s parents to decide.

"Dr. Zhou, let's discuss this further."

The two sat in the rest area of ​​the clinic with little Calvin, and Elena brought coffee.

Before the couple had a good discussion, little Calvin's condition worsened, and he was rolling on the ground in pain!
That's right, he just squatted down and lay on the ground in the clinic hall. Regardless of the strange looks from the people around him, little Calvin was sweating on his forehead, with blue veins popping out, rolling on the ground, wailing, as if he was about to die!
It seemed that there was an invisible demon tormenting him inside him!Torture him to death!
This frightened Little Calvin's parents, they called Zhou Qiao immediately!

Zhou Qiao, Rachel, and Murphy all rushed over.Some other patients also came to watch.

After Zhou Qiao's first aid, painkiller injection, and antispasmodic medicine, little Calvin felt better.

However, after such a commotion, little Calvin's parents undoubtedly made a choice, that is, emergency surgery!

Immediately, immediately, as soon as possible!

They don't want to see their son suffer like that again!
Ava immediately contacted the community hospital, and little Calvin's parents took little Calvin for a pre-operative examination.

Zhou Qiao called Murphy to his consulting room and explained the steps and key points of the operation to Murphy!

Murphy blinked and glanced at Zhou Qiao. Suddenly his heart beat violently and his body felt faintly hot!

Of course, she also knew that the patient's condition was critical, so she quickly put aside distracting thoughts and listened carefully.

Murphy had never done this operation before. After Zhou Qiao explained it, she took her to the operating room upstairs, where she used clay figurines to perform simulation exercises, and taught Murphy by hand!
Cholecystectomy is a commonly used operation in biliary surgery. It can be divided into two types: antegrade (from the cystic duct) resection and retrograde (from the gallbladder fundus) resection.

Anterograde cholecystectomy has less bleeding and is simple to operate, so it is usually used more frequently.

However, when the inflammation is severe, the gallbladder is tightly adhered to the surrounding organs, and the cystic duct and cystic artery are not easily exposed, retrograde resection is appropriate.

Sometimes a combination of the two is required. How to do it depends on the specific condition and flexibility.It also shows the doctor's on-the-spot level very much!

Because of the limitations of instrument detection, in many cases, the specific situation can only be known when the surgical field is really exposed.

After everything was ready, Zhou Qiao brought Murphy, Elena, Ava, and the patient's family to the community hospital.

The anesthetist was Caroline, because Nancy was recently divorced and in a bad mood and went on vacation to relax.

Speaking of Nancy's marriage, Caroline, who is her best friend, is also aggrieved.Because Nancy's husband has a bad habit of gambling, and he refuses to change after repeated persuasion, Nancy is very disappointed. Not only that, every time he loses money, he also suffers from alcoholism and domestic violence!
Nancy couldn't take it anymore, so she filed for divorce!

Zhou Qiao and the others could only sympathize with this.Every family has its cupboard.

This is also because Zhou Qiao is very familiar with Caroline and the others, so they share gossip during the operation.

Yes, foreigners also like to gossip.And they have some similar mantras like us.

Like Guess what? (Guess what?)
Have you heard?(Have you heard?)
Could you keep a secret? (Can you keep a secret?)
Bad news travels fast.
It won't leave this room (Don't worry, it won't leave this room.)
and many more.

After anesthesia, routine time out, and Ava singing.

This time, the first song she chose was "Flower Demon", which she sang softly and melodiously.

Of course, not only this song, but more than ten new songs are played in a loop, but most of them are Chinese songs.Love the house and Wu, Aiwa fell in love with Chinese songs.

Of course, this is also because China’s economy has developed and cultural export has also been strengthened.

Murphy is the chief surgeon, this is Murphy's tenth operation, and it is also the last one of the mission of "Great Teacher of Education"!
Zhou Qiao was feeling excited, not knowing what kind of reward he would get after completing the task!But no matter what the reward is, it should be fun!

The gallbladder is located on the right side of the abdomen, below the liver.

This organ stores and concentrates bile produced by the liver and transports it to the duodenum to help digest fat.Bile is discharged from the gallbladder into the duodenum through the cystic duct and common bile duct.

Indications for surgery usually include: stones in the common bile duct, a history of obstructive jaundice, significant dilation of the common bile duct, or intraoperative angiography showing stones in the bile duct.

Murphy used four-port laparoscopic cholecystectomy, which is also the most commonly used surgery. There are also three-port and single-port cholecystectomy.

However, the single-hole field of view is too small and the operation is difficult, mainly because the little Cavern is too fat, so it is more convenient to use four holes.

If the other party is a woman, Zhou Qiao can also provide scar removal surgery, but after consulting Kavin's parents, Kavin's parents felt that it would be better to leave four scars to teach him a lesson.

Of course, the main reason is that Zhou Qiao's medical beauty and scar removal fees are too expensive, and Cavin is a boy, so there is no need for that.

In the end, more than fifty or sixty gallstones were recovered. A total of 120 gallstones of different sizes were removed from Little Calvin's gallbladder!

Put it on a stainless steel plate, just like the pearls in bubble tea, it will cause trypophobia!

Little Calvin's parents were naturally stunned, stunned, and stunned when they saw it!

Oh my god, there are so many!

Who can put it in the gallbladder and who can bear it? !
Little Calvin's parents looked at each other, speechless for a long time, thinking that it's no wonder their son was rolling on the floor in pain!
After a long time, little Calvin's father murmured to Zhou Qiao: "Doctor Zhou, why does my son have this 'strange disease'? What is the cause of this?"

Zhou Qiao shrugged: "During the consultation before, you said that he has loved fried chicken since he was a child, and he is not happy with fried chicken almost every day, and he also likes to drink drinks."

"You mean, he was caused by eating fried chicken and drinking Coke? Oh my god, it's unbelievable!"

Zhou Qiao said: "Indeed. In fact, the gallbladder is a very delicate organ. Eating too much or not eating it will cause damage to it. Calvin usually likes to eat fried chicken, drinks cola, and does not eat vegetables, which leads to blood As the cholesterol concentration in the blood increases, so does the cholesterol concentration in the bile in the gallbladder, which promotes the formation of gallstones."

"That was our fault!"

"It's just a pain for my little pity!"

Little Calvin's parents blamed themselves!They dote on their children too much, too pampered!
Zhou Qiao couldn't help comforting: "It should be fine after the operation, and it will get better."

In addition, in addition to dietary habits being the culprit, this disease may also be related to family inheritance.However, Zhou Qiao had asked before and found that no elder relatives in the Cavin family had suffered from this disease. It was thought that it was purely his own doing.

Little Calvin's parents said that they must strictly discipline him in the future and help him recuperate his body.After recovery, come to Zhou Qiao to customize a healthy weight loss plan.

In Zhou Qiao's mind, the system popped up a golden virtual panel:

"Congratulations to the host, you have completed the task of 'Great Teacher of Education' and won a medal of 'Great Teacher of Education'!"

"Reward a Tier II transformation potion, the host's strength, agility, endurance, intelligence, mental power, and X ability will all be increased by 100%!"

　Thanks for the "Jiangshan Lost" reward of 500 points!

　　
　
(End of this chapter)