I run a clinic in the United States

Chapter 243 Strange Patient

With Thalia as our guide, shopping went smoothly and the items we picked were all of high quality.

Zhou Qiao also bought some American ginseng. It was a direct-operated store opened in Los Angeles by a company with its own American ginseng farm in Wisconsin recommended by Talia. That farm has a total of five directly-operated stores in Los Angeles, and the quality is quite good. Not bad.

However, Talia said that she actually didn’t know much about it, because things like American ginseng seemed to be bought more by Chinese.

Zhou Qiao has seen it in Chinatown before, but Zhang Jianjun said that there are many fakes in Chinatown, many of which are shipped from the northeast of China.

Because the time for the public service advertisement was short and everyone's acting skills were on the line, the filming was completed quickly. The clinic was busy and there were several major surgery appointments, so Zhou Qiao had to go back.

At the airport, Talia wore a big hat, sunglasses and a mask, holding Zhou Qiao's arm reluctantly.

"When are you coming again?" Thalia asked.

"Chinese New Year is coming soon. I plan to go back to China and may have to stay in China for a while."

"Hehe, when will you take me to China for some fun?" Thalia blinked.

"Wait for a chance later."

"When I go to China, I don't have to wear a hat and sunglasses like this. After all, there probably aren't many people there who know me. Then I can fly freely!"

Before getting on the plane, the two hugged again.

After Talia returned, Jenna joked and said, "Have you won Doctor Zhou these days?"

Talia shook her head gently. She always felt that there was still a distance between Zhou Qiao and her, and there seemed to be something different between them. So these days, although they were filming, shopping, and having dinner together as a couple, There was a lot of ambiguity, but in the end it didn't go any further.

Jenna smiled and said: "I heard that Chinese people are shy and conservative. If you really want to sleep with them, you have to be bolder!"

"What are you talking about? Who wants to sleep with him?"

"Oh, it's not sleeping, it's doing..."

"Jenna, you made me angry, let's see how I punish you~" Thalia rushed forward in feigned anger, and the sound of the two girls chasing each other and laughing was heard in the room.

"Talia, Talia, let me tell you, don't worry. There will be many opportunities for you to work together in the future. Even if there is no chance, you can take the initiative to create opportunities." When Jenna was pressed by Thalia When she couldn't move under her body, she quickly suggested.

"Yeah..." Thalia thought thoughtfully, thinking, I can create opportunities.For example, for public service announcements, you can recommend Governor Hulk to invest more and shoot more issues.Well, Veronica should be able to help speak up.

Jenna took the opportunity to sneak away and was about to take a shower. When she took all the things and was about to enter the bathroom, she couldn't help but come out and take a peek. As a result, when she saw Thalia still in that place in a daze, she couldn't help but be very speechless. Shaked his head.He said in his heart that this best friend is really hopeless and it looks like he has to move somewhere.

Because she felt that living with Talia would be an obstacle.For example, Talia can't bring Dr. Zhou back to live with her.

If you can take it home, the two of you can sit and chat for a while and drink some wine, maybe the atmosphere will rise.

……

As soon as Zhou Qiao came back, he was called to the consulting room by Stephanie.

In the past few days, Stephanie has received a patient. He originally heard that her psychological counseling center is particularly famous and came here for psychological counseling. However, Stephanie keenly discovered that the patient was not suffering from mental illness at all.

Stephanie told Zhou Qiao about the patient's condition.

The man's name is Ferran Azmi, 28 years old, a somewhat obese young man. His biggest worry is that he is becoming less and less interested in the opposite sex. Even when he sees a beautiful doctor like Stephanie, he doesn't feel it at all. .

Of course, I am not interested in the same sex either.

However, he was not like this when he was young, especially when he was in high school. At that time, he was full of endless desire for the young body of girls.Could it be that at such a young age, this is no longer enough?
Therefore, he was very distressed and wondered whether he had any mental illness. He heard from his neighbors that Dr. Stephanie from the Iris Clinic was very good at mental illnesses and could also treat insomnia, so he decided to give it a try. mentality, come and consult.

Stephanie took out several evaluation forms and asked him to answer the questions one by one. Soon, the astute Stephanie discovered that there were many strange things about this fat man's body.

For example, his breasts are abnormally developed, fuller than those of ordinary girls, and the cup size is at least several times that of Murphy.

The chin is clean with almost no stubble.

Stephanie felt that he might not have a mental illness, but a physical problem.

"What? Is there something wrong with my body?" The fat man was surprised. He still cooperated and went for some examinations with a suspicious attitude.

Comprehensive and systematic examination, including blood drawing, imaging examination and many other items.Although he had a physical examination every year before, the physical examination package provided by the insurance company only included a few common items, and not all of them were included.

The physical examination package can be customized. If you spend more money, there will naturally be more items.Or you can ask for additional tests and pay extra.

One of the results of this comprehensive test shocked Fearon and his family!
A head CT scan showed a nearly two centimeter tumor in Phelan's brain.

At the same time, other test results were also abnormal. In Fearon's hormone test, his prolactin was greater than 200ng/ml, which is more than ten times the upper limit of normal and four to five times higher than the level of lactating mothers.

The level of prolactin in the reproductive hormones is also far higher than the normal level, while the testosterone level is only 0.47ng/ml, which is significantly lower than the lower limit of normal value of 1.6ng/ml.

In addition, the report from the testing center showed that her physical examination results were also abnormal. Her limbs were thicker, she had no beard, and her body hair was sparse in other places. Her chest was fuller than many adolescent girls.

These test reports explain the abnormal phenomena on Feilun's body, and all of this is the result of the "manipulation" of his intracranial pituitary gland tumor.

"Oh my god, I'm not interested in the opposite sex because I have a tumor in my brain?" Ferran Azmi was shocked, and his family members were also shocked.

"Don't worry, our clinic is very strong in tumors and can help you perform surgery." Stephanie said calmly.

Pituitary adenoma is a common disease in neurosurgery. It is more common in women and is usually divided into functional and non-functional pituitary tumors.Functional pituitary tumors usually refer to a type of pituitary tumors that abnormally secrete some hormones. The more common ones are prolactin adenomas and growth hormone adenomas.

Pituitary tumors can cause endocrine function disorders, causing abnormal increases or decreases in hormone levels.Ferran Azmi suffers from a prolactinoma, which may even affect her fertility if it continues.

If it only secretes hormones and does not compress other tissue structures in the brain, then you can try conservative treatment with drugs first; if the tumor compresses other important structures in the brain such as the optic chiasm nerve, internal carotid artery, etc., and corresponding symptoms occur. Symptoms, at this time, drug treatment cannot achieve satisfactory results, and surgery is a relatively good solution.

So, Stephanie started to arrange surgery for Ferran Azmi.

She had written the surgical plan, and had fully prepared and rehearsed every detail. However, after all, she had not done many surgeries in the field of tumors, especially in the field of neurosurgery, and she was not very confident yet. She thought to herself, if With Zhou Qiao by my side, I feel confident.

So, she postponed the operation for a few days, planning to wait until Zhou Qiao came back before starting it.

In fact, if she was willing to ask Murphy to help sit in and provide guidance, there would be no problem at all, because Murphy had previously operated on Christie and had performed a similar pituitary tumor surgery.

However, Stephanie is very competitive and has been secretly competing with Murphy, so how can she be willing to lower her head?

"Am I much worse than Murphy? I just lack the opportunity to experience. If Zhou Qiao comes back to give me guidance, I will be qualified for this surgery." Stephanie secretly muttered.

It's not that she only cares about her private fight and doesn't care about the patient's condition, but the patient's illness is not a day or two, and it's not a particularly urgent illness. Surgery a few days later will have little impact.What's more, isn't Zhou Qiao coming back soon?
"Your surgical plan is very good. It's okay. You can do it with confidence and confidence in your abilities." Zhou Qiao gave Stephanie a thumbs up after carefully reading through Stephanie's surgical plan.

Then Stephanie was elated.

She went to lock the door, and then came back quietly.

Zhou Qiao: "..."

"It's okay. Murphy and Elena went to the community hospital for surgery. Rachel and the others are very busy. No one will come in."

Stephanie squatted down slightly.

Stephanie's planned surgical procedure was transnasal endoscopic pituitary tumor resection, that is, a transnasal approach. It would not leave any scars on the body surface, and the surgery itself was not particularly difficult, so this time Conducted in community hospitals.

The equipment conditions of this community hospital are equivalent to the above-average tertiary level in China. General fourth-level surgeries or below can be performed here.

This surgical procedure has become a standard procedure in some neurosurgery centers at home and abroad.Because the pituitary tumor grows in the sellar area, the dark area can be directly opened through the nasal cavity, and then the pituitary tumor can be removed.

Compared with other surgeries, this surgery is the most direct, minimally invasive, and has a very good field of view. During the tumor removal process, the tumor can be completely removed under the field of view and some important structures can be protected.

Now Iris Clinic already has departments of internal medicine, surgery, psychological counseling, cardiothoracic surgery, and oncology surgery. Zhou Qiao was thinking that he could also apply for a neurosurgery qualification.

Then it’s a little funny. There are only a few doctors, but there are so many applications for department qualifications.It seems it's really time to recruit more troops.It's just that it's a little hard to find good doctors, so I have to urge the headhunting company.

In fact, the best solution is to have medical seeds, and he will cultivate and teach them step by step. The medical seeds cultivated in this way are loyal and top-notch. Unfortunately, medical seeds are rare and not one among millions of people may be able to pick one.

The next afternoon, the operation began.

Since this surgery was relatively a "minor surgery" among the many difficult surgeries performed at Iris Clinic, and Murphy had already done it before, he did not go with him this time.She still has a lot of things to do.

Stephanie is the surgeon, Elena is the instrument nurse, Ava is the circulating nurse, Zhou Qiao is the assistant and tutor, and the anesthesia team is the senior Nancy and her capable anesthesia nurses.

Anesthesia is completed and multiple checks are completed.

Ava and Nancy had nothing to do for a while, one playing songs and the other gossiping.

The first song this time is Huang Ling's "Painting Jiangnan".

"I have a love story that I return to my old dream home after I put it into a painting. I have a love story that bears the imprint of the admiral's past life. The sky is sunny and the rain is raining in one city, which attracts me into the drama, adding to the drunkenness. A touch of fragrant tea in Yuyuan Garden is elegant..."

Huang Ling can be either salty or sweet. She is known as the singer who can change her voice. When she sings "Come on and be happy, you have a lot of time anyway", she is very "itchy" and sexy, the kind that penetrates your bones and soul. But when she sings Chinese-style songs, especially The costume appearance was absolutely stunning when she appeared at the CCTV Lantern Festival Gala, full of classical and dignified beauty.

During the beautiful song, Stephanie concentrated on the operation, while Ava and Nancy hid aside and chatted.

Nancy was radiant, and as soon as she asked, she had a new boyfriend.And her boyfriend is a strong black man.

Although most black people are irresponsible and run away just for fun, Nancy doesn't care.

Because she had been divorced before and was completely disappointed in her marriage. She had no plans to remarry or have children. She was just pursuing excitement now, so it didn't matter whether her boyfriend was black or not.

Zhou Qiao had no choice but to wish her happiness. After all, it's not good to interfere too much in other people's affairs. Everyone has their own choice.People who are willing to share their private lives have already regarded Zhou Qiao and the others as very close friends.

It can be seen that Nancy really likes this black boyfriend. During the operation, she took the initiative to share some interesting stories between the bed and the bed. For a while, the operating room was filled with all kinds of colorful words and jokes, some of which were too funny. It was too explicit, even though Zhou Qiao had experienced many battles, he still couldn't help but blush.

Fortunately, with the masks on, no one noticed.

Explicitness is the result of the style here, but there is no doubt about everyone’s professionalism and professionalism in medicine.

The operation was carried out in an orderly manner without affecting it.

Stephanie does not have an in-brain 3D model like Murphy, but under the endoscope, she can also clearly identify various anatomical structures, such as the choanal nares, the posterior end of the middle turbinate, the superior turbinate, and the opening of the sphenoid sinus. and the anterior wall of the sphenoid sinus.

The anterior wall of the sphenoid sinus is enlarged and the optic canal, Onodi air cells, and internal carotid artery are carefully identified.

Open saddle bottom.

Zhou Qiao guided her and told her not to open too much to both sides at this time to avoid damaging the cavernous sinus, and not to open too high to the top to avoid affecting the optic chiasm.

　Thank you for your monthly tickets.

　　
　
(End of this chapter)