I run a clinic in the United States

Chapter 236 Busy before departure
Considering that Zhou Qiao and the others still have work to arrange in advance, the scientific expedition team also needs to prepare some things for their trip, such as formulating an expedition plan in advance, what data needs to be collected, how to carry out the work after the trip, who will lead the team, who will be the deputy, etc. There are many things to do, so Academician Domitri gave everyone five days to prepare. Next Monday morning, they will gather in Harvard Yard in Boston and then take a flight to France.

Iris Clinic is indeed very busy, not to mention minor illnesses and health check-ups, Rachel and Vivica can handle them, it's just a little busy.If psychological counseling can be done, do it quickly, and if it is too late, postpone it.

Then, there were two major surgeries waiting to be done.There are still several doctors to interview.

Zhou Qiao was naturally in charge of the interview.As for the two tumor operations, Zhou Qiao participated in the consultation, checked for any omissions, and formulated and improved the surgical plan. The final operation was naturally handed over to two girls, Murphy and Stephanie.

The first operation was a schwannoma in the psoas muscle of a black uncle, and was handed over to Stephanie.

The black uncle is the father of a black girl who works for Ariel. He has no medical insurance. When something goes wrong, the black girl is in a hurry. He dare not go to other hospitals. They are expensive and subject to discrimination. The technology may not be available at the Iris Clinic. Qiang, Ariel brought her over to beg.

Seeing the black girl's hard work and merit, Zhou Qiao gave the black girl a super low discount price of [-] US dollars. The black girl was grateful, and she could afford it even if she scraped together.Ariel also lent her sixteen thousand dollars, which was equivalent to an advance on her salary.

This black uncle is a bit unlike a father. A few years ago, he abandoned his wife and children and went to Los Angeles. He lived with his new girlfriend and lived in Los Angeles. Later, he discovered a tumor. The doctor said that the surgery cost would be 30 US dollars. , his girlfriend heard about it and immediately broke up with him and kicked him out.

This uncle had nowhere to go, and it happened that his daughter seemed to be doing well in San Francisco, so he shamelessly came here.

The black girl came out to work hard at the age of 13, and has been following Ariel since then, and has suffered a lot. Ariel originally told her to leave it alone. This kind of father will die when he dies, but the little girl finally softened her heart and burst into tears. Ta, Ariel had no choice but to agree to help her.

When Zhou Qiao was in China, he thought that black people should be indifferent to family ties, but after coming to the United States, he found that this was not the case.Some black families actually have dinner together every day.

The last time he went to East Africa, he found that in some tribes, there were families with more than ten people, old and young, squatting on the ground to eat together. Although they were poor, they were enjoying themselves.Maybe human emotions are universal across the world, since we are all two-legged beasts after all.

If it weren't for Loya's relationship, he would have stayed away from these black people like everyone else.But this is Loya’s foundation.Luo Ya had tens of thousands of black people under his command, and it took a lot of effort to win over the hearts of the people.

This young black girl values ​​love and justice. Although Zhou Qiao and Ariel feel sorry for her, they still want to try their best to help her.

Sometimes Zhou Qiao murmurs that Luo Ya may have a certain skill in selecting people.Those cruel and cold-blooded ones may have been eliminated by her, or consumed as cannon fodder.

Speaking of Luo Ya, he actually missed her a lot. After the two got close, they always spent less time together and more time apart, especially after Luo Ya successfully "got out of the bottom".

But Luo Ya is too ambitious and doesn't know what she is doing in Texas recently. She hasn't contacted him for a long time.

Zhou Qiao asked Ava to contact the University of California Medical Center to make an appointment for the operating room and the Prometheus-3000 surgical robot.At the same time, Stephanie arranged a pre-operative examination for the black uncle to improve the data.

The University of California, San Francisco Medical Center, after trialling the one donated by Zhou Qiao, found it to be quite good, so it has now purchased several more Prometheus-3000s, making it more comfortable in terms of robots.

However, except for Zhou Qiao, other doctors under the age of 40 basically have no chance to use surgical robots.

Because, at the University of California Medical Center, there are a lot of surgeries. Older and more qualified doctors have occupied the resources, and the "schedule" of each surgical robot is fully booked.

Older doctors' hands are not as steady, and some surgeries are very physically demanding. However, surgical robots can filter out tremors and are less strenuous to operate.

The surgical robot donated by Zhou Qiao himself has priority for use, which is considered a special case.

The tumor next to the lumbar spine of this black uncle is a schwannoma. It has been discovered for more than half a year. Now the preoperative examination is even more shocking. Although the puncture examination shows that it is benign, it has compressed the nerves, causing severe pain and movement disorders. Many I can no longer do physical work, which has seriously affected my work and life.

The most important thing is that if it has progressed to this extent, it must have been growing for many years, and the possibility of malignant transformation is very high, so early removal is a better choice.

During this kind of surgery, it is like peeling an onion. You need to cut the epineurium first, layer by layer, and then peel off the tumor.

However, the tumor is located deep behind the abdominal cavity next to the spine. If the traditional surgery method is used, a large incision will be required. The surgical incision will be very long, the trauma will be very large, and the recovery will be quite slow.

If laparoscopy is used, it will also be very difficult, because the patient's tumor is very deep and the psoas muscle is very thick. Laparoscopic surgery will be more difficult and strenuous.

It's different with the Prometheus-3000 surgical robot. Stephanie can easily handle it by herself.

……

UCSF Medical Center, state-of-the-art operating room.

Stephanie is the surgeon, Zhou Qiao and Murphy also come to help, Ava, Elena, the old team.The anesthesia team consists of senior anesthesiologists and nurses in the medical center.

On the busy operating table, there was no sign of the surgeon, but five delicate robotic arms were busy.

Stephanie sat in a corner of the operating room, skillfully operating the human-computer interaction platform under the observation of Zhou Qiao and Murphy.

Ava played some songs, one of which was very special, it was the student version of Half Life in the Wind and Snow.

Zhou Qiao had heard the song "Half a Lifetime of Snow" before. It was very beautiful, but he never expected that there was also a student version. Ava and the others probably didn't understand the lyrics in it, but after listening to it, Zhou Qiao couldn't help but feel Thumbs up, absolutely amazing!
"In the 5000 years of China, how many heroes have emerged, and their faces in the flames of war touch the heartstrings..."

Coupled with children's singing, it has a unique artistic conception.

A strong youth makes a country strong.

Amidst the energetic singing, Stephanie controlled several robotic arms of the Prometheus-3000 surgical robot to flexibly rotate within the patient's abdominal cavity. With a 20x ultra-clear field of view, large blood vessels were clearly identified.

During the operation, B-ultrasound locates the exact location of the tumor, separates the psoas muscle, and exposes the tumor inside the muscle...

Cut the epineurium...

Peel off the tumor…

Hemostatic flushing...

The whole process can be said to be done in one go, and is quite time-saving and labor-saving.

The battle was resolved in just 32 minutes!

With surgical robots, no matter how thick the flesh is, it is no longer a physical job.

For example, some orthopedic surgeries require knocking, sawing, drilling, grinding, pushing, and pulling... which is quite labor-intensive for the doctor. However, if a surgical robot is used, the power of the robotic arm can be controlled by the heart, and the program can be automatically set, making the operation a breeze.

This is like digging with shovels in the past, but now with excavators...

After the operation, the black uncle was placed in the ward of the University of California Medical Center. Ariel accompanied the little black girl to visit the patient. They couldn't believe it when they saw several tiny wounds on the patient's waist and abdomen.

Moreover, the next day, the black uncle strongly requested to be discharged from the hospital.Because he can already get out of bed and move around freely, it doesn't seem to have much impact.It's too expensive to live here. Although Zhou Qiao got a discount, it's worth saving a little bit.

After Zhou Qiao checked it, he found that it was indeed the standard for discharge, so he agreed.

"Dr. Zhou, thank you. I thought it was a very serious operation and my father would have to stay in bed for a month or two. I didn't expect it to be done so quickly." The little black girl was very grateful.

Zhou Qiao and Ariel both hope that after this incident, the black uncle can understand something and stop causing trouble for the little black girl.Not to mention working hard to make money and repay medical expenses, at least you should pay more attention to the little girl. You can't just ask for money when you are short of money, and ask for money when you are short of money.

This little black girl is only 16 years old. Whose child pays tens of thousands of dollars in medical expenses to his father at the age of 16?

Moreover, this father has not taken care of her in the past few years.

Murphy was in charge of the other operation.The patient was a Chinese lady in her 30s who had just immigrated from Baodao. A physical examination revealed a pancreatic head tumor.

This woman worked as an accountant for a high-tech company in Silicon Valley. During a physical examination at a clinic near the company, an abdominal B-ultrasound revealed a tumor on the head of her pancreas.

Further inspection revealed that the tumor on the head of the pancreas was a full 8 centimeters in size.

What is the concept of 8 centimeters?An adult's fist is so big, it's shocking!
The sudden accident caused the lady named "Xing" to panic instantly.

Since the tumor was located close to the duodenum and common bile duct, a region where organs are closely connected, her doctor recommended a pancreaticoduodenectomy.

Ms. Xing checked a lot of information on the Internet, and the more she checked, the more scared she became.

Because this surgery for pancreatic head tumors requires laparotomy, removal of parts of the stomach, duodenum, gallbladder, common bile duct, and part of the small intestine, as well as very high-risk pancreaticojejunostomy and biliary-jejunostomy anastomosis.

Some patients even left messages on the Internet about their personal experiences, saying that this surgery has a huge impact on the body and is not that simple. There are many problems after the surgery, such as pancreatic dysfunction, leading to diarrhea and weight loss; biliary reflux, leading to repeated fevers. ; and so on, to name a few.

It can be said that after surgery, the quality of life will become quite poor.

Therefore, Ms. Xing was trembling with fear, so her family doctor recommended her to the Iris Clinic and referred her there.

Ms. Xing was a little curious at first, why didn’t she refer me to a big hospital but to a small clinic?

After her family doctor gave her a detailed introduction to Zhou Qiao's "records", Ms. Xing came over accompanied by her husband.

After all, there is a famous doctor in San Francisco, who has won the top three in the National Surgery Competition, and has a famous background as a Nobel Prize academician. There is really nothing to say about this kind of medical resources.

How difficult is it to find a Nobel Prize-winning academician to see a doctor?Ordinary people have no chance at all.But at Iris Clinic, it is possible.If Dr. Zhou couldn't figure it out, he would definitely ask the academician for help.

Ms. Xing came with great expectations.

Then, Zhou Qiao, Murphy and Stephanie arranged a detailed preoperative examination for Ms. The advanced Prometheus-3000 surgical robot not only helped her remove the tumor completely, but also left only a small wound on the body surface.

If she is willing to pay for the expensive secret medicine, they can even help her get a cosmetic surgery, and there will be no scars afterwards.

"Medical beauty? Oh, yes, yes, I remembered. My family doctor told me that Dr. Zhou is the developer of the miraculous scar-removing secret medicine." Ms. Xing was very excited.It would be great if it left no scars.

Of course, if you open the abdomen, the wound will be too large and the recovery will be slow. Even if you need to use secret medicine to remove the scar, the corresponding cost will be much more expensive, at least ten times.Nowadays, minimally invasive surgery saves a lot of money, and the recovery is faster.

Another good news is that Ms. Xing’s tumor is currently benign.

Although there is a possibility of malignant transformation, the probability is about 10.4%. If resection is performed before the tumor develops malignantly, the prognosis is still very impressive.

No one dares to bet on whether it will get worse, because once it gets worse, for the individual, it is 100%.

Probability is just data derived from statistics.

Just like the five-year survival rate, others can survive for five years, or even more than 20 years, but when it is their turn, they may not survive for half a year.

Ms. Xing's surgery was naturally more difficult than the surgery performed by the black uncle that Stephanie performed before.Therefore, Zhou Qiao left it to the more skilled Murphy to perform the surgery.

Still UCSF Medical Center, state-of-the-art operating room.

Ai Wa played a very unique song, which turned out to be the English version of "Pian Pian" with a female voice. Zhou Qiao was stunned for a while, and he didn't know who was so talented, and the cover was pretty good.

Murphy is deaf to the music and is selectively deaf. She has long been immersed in the palace of surgery.The patient's pancreatic head tumor is actually a certain distance from the lower section of the common bile duct. Compared with traditional open surgery, the surgical robot is more precise and flexible, and can preserve the patient's organ function to the maximum extent.

Therefore, the surgical procedure Murphy adopted was duodenum-preserving pancreatic head resection.

This surgical procedure can not only preserve the function of the duodenal food channel, but also preserve the duodenum as the head, greatly reducing the incidence of retrograde biliary infection.It can be said to be the best surgical method for benign or low-grade malignant tumors in the head of the pancreas.

This is also the surgical method formulated by Zhou Qiao and the three of them working together to keep improving.

Murphy has extremely dexterous hands. She controls the Prometheus-3000 surgical robot, which has 20 times the surgical field. The robotic arm has a built-in tremor filtering function, making it more stable.

Only five small holes were opened, four of 4cm and one of 0.8cm. It took only one and a half hours to successfully complete the complete resection of the pancreatic head tumor, and successfully preserved the stomach, duodenum and biliary tract.

If other senior doctors came, even with the help of this advanced surgical robot, it would probably take at least two and a half hours.

Intraoperative bleeding did not exceed 50 ml.

The final pathology results showed that it was pancreatic mucinous cystadenoma.

This tumor is also called "Mother's tumor". It is common in women over 30 years old. Most of them are located in the body and tail of the pancreas and are large on the face. It is characterized by a collection of multiple cysts filled with sticky mucus material.

It is a cystic lesion that occurs in the pancreas, and approximately 23% of individuals who undergo surgical removal of a pancreatic cyst are mucinous cystic tumors.

After the operation, Ms. Xing recovered well. Since the other party had extra money, Murphy gave her a medical suture.He is expected to recover and be discharged in about a week.

But the follow-up will be left to Rachel to follow up.

Murphy's surgery was of high quality and there were basically no problems.If you have questions, UC Medical Center also has many experts you can turn to.

Zhou Qiao and the others couldn't wait any longer, because they were about to leave for a "publicly-funded trip" to France.No, that's wrong, it's to participate in scientific research tasks.

The interview for the new doctor did not go very smoothly, mainly because Zhou Qiao was picky and only recruited female doctors.

There was no way, there were so many beautiful girls in the clinic, and he was reluctant to let a male doctor come in to work.If something happens, it will be too late to regret it.

Regardless of Elena, Ava, Murphy and Stephanie, they can all be called "disasters for the country and the people" and can make people have strong lust.

……

The afternoon before Zhou Qiao and the others set out, Luo Ya, who had disappeared for a long time, reappeared.

"Come here, go to the house we stayed at last time. I'll wait for you..." Luo Ya called, her voice hoarse, looking tired and distressing.

Zhou Qiao said: "Come right away."

Luo Ya said: "I actually passed by your clinic just now, but I didn't go in. Do you know why?"

Zhou Qiao said honestly: "I don't know."

Luo Ya said angrily: "There are four little sheep in there. It makes me upset when I see them. Every time I go in, I can't help but want to crush them to death, so I won't go."

Zhou Qiao: "..."

It seems that every time Luo Ya comes over, she pinches someone.Except for Murphy, the other three girls were choked by her.

Zhou Qiao couldn't help but shudder when he thought of that scene.It's better not to come, it's better not to come.

"By the way, have you eaten anything? I'll bring you some." Zhou Qiao said.

"Just buy some steaks and burgers."

"OK!" Zhou Qiao rode a bicycle and not only bought cooked steaks and burgers, but also some fruits.As for wine, no need.There is good wine stored in Loya's house.

There was originally some food frozen in the freezer, but she hadn't been back for a long time, and the ingredients were not very fresh and were inconvenient to eat.

When they arrived at Luo Ya's house, the two hadn't seen each other for a long time, and they didn't care about eating. Even Zhou Qiao didn't have time to put down his things, and the fire began to burn.

……

It took a full hour for the two of them to start eating.

Zhou Qiao glanced at Luo Ya and said, "Are you worried?"

Luo Ya nodded: "Do you still have the life-saving capsules you had before? Give me a few more."

Zhou Qiao was stunned and couldn't help but said: "What are you going to do again? With your current status, do you still need to personally take risks?"

Luo Ya took a bite of steak and said vaguely: "This is the last time."

"Where to go?"

"I heard that you are going to France for scientific research? I happen to be going to a neighboring country."

Zhou Qiao thought of something, was shocked, and shouted: "Are you going to Italy?"

"Yes."

"Avenge your father?"

"Yes!" Luo Ya nodded heavily and gritted his teeth, "I have found out the truth of that year, and I am going to kill that bastard with my own hands!"

"Okay, then I won't stop you, promise me, this is the last time!" Zhou Qiao put down the food in his hand, picked up a big grape, and peeled it. When he finished peeling, he just finished speaking, so he gently Gently put it into Loya's mouth.

"Well, for the last time, don't worry. With your life-saving capsule, even if that place is a dragon's pond and a tiger's den, I have the confidence to leave alive." Luo Ya waved her hands and smiled, and said, "The grapes you peel are sweet."

"Then I'll peel off a few more for you." Zhou Qiao showed his attentiveness and consideration.

Luo Ya lay back on his lap: "Let me share another good news with you. I have recovered the two mercenary groups that were scattered before, the 'Abyss' in South America and the 'Quicksand' in the Middle East. This time, I will Take the 'earth crack' that was originally located near Kosovo in Europe and the 'quicksand' on the border of Syria in the Middle East and set foot on that island."

As for the "abyss" in South America, it is too far away from Europe and is inconvenient.

Zhou Qiao frowned: "Is it too big?"

"Haha, the person has already entered the country. The Italian high-level officials also called me and told me not to mess around. The White House also called me and asked about my situation. When they learned that I was just seeking personal revenge, they ignored me."

Zhou Qiao was speechless for a moment.Two mercenary groups, how many people do they need?Even if we infiltrate in batches, it will probably take a long time.It seems that Luo Ya has been busy with this matter recently.

If a fight really breaks out, with tens of thousands of people fighting, the scene... will be no less than a war.

"A strong dragon will not overwhelm a local snake, so you should be careful." With this in mind, Zhou Qiao quickly exchanged ten life-saving capsules, "took them out" from his pocket and gave them to Luo Ya.

Luo Ya sighed softly, then took it and said: "Unfortunately, I can't mobilize the warship now. The 054A I ordered before is said to have just started construction, and I can't drive over."

Zhou Qiao: "..." I was speechless.

However, that was her father-killing enemy, so Zhou Qiao was naturally on Luo Ya's side. No matter what she did, it was understandable.Of course, Luo Ya wouldn't be that crazy. The warship drove over, probably just to provide escort in case of emergencies.

Loya used to stir up troubles here in San Francisco and Los Angeles, but she never harmed civilians.On the contrary, the security in San Francisco and Los Angeles was greatly improved in the end, and the United States also deserves credit.

Residents of San Francisco occasionally talk about this incident, and they all miss the violent queen of the year.

If Loya came to California to run for governor, she would also be quite popular.Of course, she also has the support of a huge consortium behind her.She is a consortium herself.

Luo Ya was not polite to him. She put the vacuum-packed capsules into her bag, then smiled at Zhou Qiao Yingying and said, "If I get my revenge and come back safely, you have to give me a gift."

"What gift? As long as I can do it, I will satisfy you!"

Luo Ya glanced at him faintly: "Give me a child! Preferably twins!"

Zhou Qiao was stunned for a moment: "..."

"What, you don't want to? Forget it, then I'll find someone else." Luo Ya curled her lips.

"Don't, don't, don't, but never, I have good genes and a lot of them!" Zhou Qiao quickly hugged her tightly and whispered, "Just look for me, why should you look for anyone else?"

With a smile on her face, Luo Ya put her hands around Zhou Qiao's neck and pushed his head down: "Then can you have twins?"

Zhou Qiao said: "I'll try my best." He thought this was a bit difficult. I wonder if the system can help?
Luo Ya smiled and said: "If there are no twins, it doesn't matter, we can just have a few more."

Zhou Qiao said: "Why do you suddenly want to have a baby? You are still so young."

Luo Ya raised her eyebrows: "With such a big family business like mine, someone must inherit it!"

"Then let's get married?" Zhou Qiao asked tentatively.

Luo Ya immediately refused and said, "No! Don't try to steal my child's property!"

Luo Yaxin said, you raise so many little sheep, why should I marry you?Then it’s hard to say whether my family property will belong to my children or not in the future.Even if it is, part of it has to be taken away, huh, it's very, very uneconomical.

You take me for a fool!
Zhou Qiao frowned and said, "Do you want to marry someone else?"

"What are you thinking about? Who else can I like besides you? Don't worry, I just want a baby."

Beautiful night.

Zhou Qiao didn't come back that night, so Elena and Ava smartly didn't ask any further questions.

When Zhou Qiao woke up the next day, Luo Ya had disappeared. She just left him a note: "If everything goes well, I will take you on a tour of Italy!"

(End of this chapter)