I run a clinic in the United States

Chapter 244 Love at Twilight?
Subsequently, the dura mater was incised.Small sickle-shaped incisions are made in a cross shape.

Remove the tumor.

Sealing the sellar floor: Use crushed muscle mass and fascia to seal the sellar floor and sphenoid sinus, and then use antibiotic-containing gelatin sponge to compress the sphenoid sinus and sphenoethmoidal recess.

Done work!

Because it is entered through the nasal cavity, after the tumor is completely removed, no scars can be seen from the outside, and there is no impact on the appearance.

Ferran Azmi admired the surgery's external effects and exquisite design.

After the operation, Ferran Azmi was admitted to the neurosurgery ward of the community hospital.Jin Ji Zhen will come to take care of her every day and take medicine according to the doctor's instructions.

Stephanie and Zhou Qiao will also come for ward rounds every day. By the way, Stephanie will provide some psychological counseling services to prevent postoperative depression.

In other words, give a small, worthless gift and talk therapy.

In the United States, it is very common for psychologists to provide services after surgery, and of course, they also charge a fee.

On Stephanie's side, it's now $[-] an hour, and she can take medical insurance, or she can just talk for half an hour.

Because six hundred dollars for an hour of fun may be considered expensive by some, but three hundred dollars for half an hour is acceptable to many people.

Of course, Feren Azmi is also too fat, so during psychological counseling, Stephanie suggested that after he recovers, he can come to the Iris Clinic to tailor a weight loss plan. As long as he loses weight, he can Girlfriends are out of the question.

Ferran Azmi smiled bitterly and said, "I'm still not interested in women."

Stephanie laughed and said, "This operation has just been completed. It can't be so fast. It will take some time for the hormones in your body to return to normal."

Ferran Azmi recovered very well after the operation and met the criteria for discharge from the hospital in just one week.

When he was discharged from the hospital, Stephanie warned him of some precautions and asked him to come for regular check-ups in the future.

Anyway, as long as new patients come for treatment, we will try our best to turn them into regular customers.Even if you don't get sick, there will be various health examinations, weight loss plans, body index monitoring, psychological counseling, etc. in the future.

Regarding psychological counseling, it does not mean that you must be depressed or have something wrong before you come. You can also come if you are a little unhappy.

For example, there was a female client who would come to Stephanie to complain every time she had a fight with her boyfriend and ask a psychologist to help her solve the problem.People are happy when they have money.

……

Lizzie Chardy came to San Francisco. She came to California for vacation. She stopped by the Iris Clinic to visit, and then she was entrusted by Academician Domitri to bring something over.

Academician Domitri heard that Zhou Qiao was going back to China, so he asked Lizzy Chardy to bring two bottles of red wine for Zhou Qiao to help bring back to China and give them to his old friend in China, the Vice President of Union Medical College of the Imperial Capital. Xu Feifei.

This Ms. Xu Feifei is a foreign academician of the American Academy of Medical Sciences and an academician in China.

A few years ago, Academician Xu Feifei went to Harvard University for a visit and exchange, and she interacted with Academician Domitri, and thus formed a profound friendship.

"These two bottles of red wine are the collection of Academician Domitri. Ordinary people can't drink them. It's hard to buy them if you have money. But don't drop them." Lizzy Shardi warned with a smile.Because it is too expensive, it is not convenient to mail it.

Asking his disciples to deliver it in person would show more sincerity.In addition, Zhou Qiao is Chinese after all. He may return to China in the future and needs some connections in China.Academician Domitri also took this opportunity to make Zhou Qiao familiar with Academician Xu Feifei.

Everyone was stunned. Academician Domitri had an astonishing net worth. Since these two red wines were his old man’s collection, they were naturally expensive.

Stephanie stuck out her tongue and whispered, "Isn't that Academician Xu Feifei the old lover of Academician Domitri?"

"Haha, it's not an ordinary relationship anyway." Lizchardi smiled brightly and shrugged, "It is said that Academician Xu has never been married and devoted all his energy to medicine. It is possible that the two fell in love at dusk. "

"Is there such a thing?" Even Zhou Qiao was curious about Academician Xu and searched online on the spot.

Well, she is in her 60s, has a kind smile, a bright blue heart, and the aura of a female scholar.

Naturally, his status is also extraordinary. He is a chief physician, professor, doctoral supervisor, deputy to the 14th National People's Congress, president and deputy secretary of the Party Committee of BJ Union Medical College Hospital of the Chinese Academy of Medical Sciences, vice president of the Chinese Academy of Medical Sciences, and vice president of BJ Union Medical College.

"But don't worry, you two are so old. Even if they fall in love at dusk, they won't have any descendants. In the future, Academician Domitri's property will have to be inherited by you!" Lizzy Shardi joked said.

Zhou Qiao and the others were speechless, why did they bring this up again.He quickly explained again that the three of them definitely had no such intention.Let Lizsharti stop talking nonsense. Some jokes are not allowed to be made, and it would be very bad if Academician Domitri hears them.

Lizsharti shrugged and stopped talking.However, from her disapproving look, it can still be seen that she really thinks so deep down in her heart.

As Academician Domitri's assistant, Lizzie Chardy is actually one of the people who knows the academician's many thoughts best.

Zhou Qiao took Lizzy Chardy to visit the clinic. At noon, they all went to have lunch together. During the meal, they talked, laughed and told some interesting things. They had a great time.Lizshaldi said that she still had friends waiting for her, and they were going to go fishing on a boat in the afternoon, so Zhou Qiao and the others would not accompany her.

Zhou Qiao and the others also have a patient with a more serious condition, and the situation is a bit tricky.

The winter sun is warm. In the conference room on the second floor of the Iris Clinic, Zhou Qiao, Murphy, and Stephanie are looking at slides, consulting patients on their conditions, and discussing surgical plans.

The patient was a woman named Tu who owned a shop in Chinatown.Business is okay.Zhou Qiao and the others also went there to take care of business.

Unexpectedly, it would be the other party's turn to take care of their business so soon.

Ms. Tu’s family has been here for many years. They have two children at home, one in fifth grade and one in first grade. They live a happy life.

Then, an elder in Ms. Tu’s family suffered a heart attack a while ago and died due to ineffective rescue efforts. Most of the little sisters around her were diagnosed with various diseases, such as high blood pressure, heart disease, diabetes, and uterine fibroids. or something, so Ms. Tu was a little scared and came to Iris Clinic for a comprehensive physical examination.

She had always had regular physical examinations before, but she only had physical examination packages provided by the insurance company.

Because it comes as a gift with insurance, the price is relatively cheap, so there are fewer items included.

In fact, many doctors in the United States believe that the more comprehensive the physical examination items are, the better. There are many items that are harmful to the human body.Generally, the basic packages given by insurance companies only include some simple items.

If you want to know more about your physical condition, you can consult your family doctor, who will recommend a personalized plan based on the patient's physical health condition.

Generally speaking, doctors will make recommendations based on the different age groups of the patients undergoing physical examination.For example, those aged 30-40 mainly focus on changes in blood sugar, blood lipids, blood pressure and weight.

For users aged 40 to 50, the focus of the physical examination package is blood lipids, blood sugar, electrocardiogram, abdominal ultrasound, tumor cell marker examination, etc. For women, breast B-ultrasound and mammography can be examined together.

Users over 50 years old can choose cardiovascular and cerebrovascular disease health examination packages, chronic disease physical examination packages and cancer prevention physical examination packages.

In addition, gender factors, genetic factors, and the user's own physical condition, etc., will all be taken into consideration.

For example, women over 50 years old can choose a physical examination package for menopause, including bone density, blood sugar, cervical spine, lumbar spine and other examinations.

Then, clinical findings show that many diseases are closely related to genetic inheritance, such as diabetes, hypertension, coronary heart disease, cancer, etc. Therefore, if you have a family history of related diseases, you can also consider a physical examination package for the corresponding disease in advance for early detection and early treatment. .

All in all, if you want a more comprehensive physical examination, you will have to spend extra money.

Ms. Tu found out the problem after she came to Iris Clinic for a tailor-made package.

She was having trouble with her neck.

The physical examination report showed that a medium-sized nodule appeared on Ms. Tu's right thyroid gland, with a "4C" marked next to it.

What does 4C mean?
When Ms. Tu got the report, she immediately searched it on her mobile phone. She didn’t know if she didn’t search, but she was shocked when she searched!
My soul is almost out of body!
Because, the search shows that this situation is "the possibility of thyroid cancer is very high."

"I have cancer? Isn't it said that thirty is like a wolf and forty is like a tiger? I am young and in the prime of life, so why do I have cancer?" Ms. Tu couldn't accept it, so she came to Iris as soon as possible. Flower clinic, for help.

Rachel was in charge before. When Rachel saw that the condition was too serious, she immediately "referred" Zhou Qiao.

Zhou Qiao invited Murphy and Stephanie to come together for consultation. It was also a process in which everyone learned and improved together.You can't just use points to redeem it if you encounter any problems, right?That's too wasteful.

Although, he has quite a lot of points now.

After all, all of these girls, except Stephanie, have done it more than 100 times.Murphy's 100 times is 2400 points, and the twin girls' 100 times is also 2400 points.Loya had 800 points, and Stephanie had more than 30 points, nearly 800 points. Although there was consumption, Murphy and the twin girls both had more than 100 points.The account balance is now approaching the 5000-point mark.

Thinking about it now, [-] points doesn’t seem out of reach.

Finally, after three people discussed it, it was basically determined that the patient’s nodule was R-capital thyroid cancer, but the lymph nodes in the side area of ​​her neck were not very simple and she needed to be hospitalized for further examination.

As a result, Ms. Tu was admitted to the hospital and placed in the general surgery ward of the community hospital.On the same day, Zhou Qiao and three others performed a dynamic thyroid B-ultrasound evaluation on Ms. Tu, and sure enough, a problem was discovered on an isolated nodule at the lower pole of her right thyroid nodule.

There were several clusters of microcalcifications inside her nodule, and dynamic ultrasound evaluation suggested that the nodule might have broken through the thyroid capsule.

"Doctor, is the situation serious?" Ms. Tu asked tremblingly.

Zhou Qiao comforted: "Don't be afraid, even if there is a situation, we will try our best to help you solve it."

"Dr. Zhou, don't try your best, you must do it well!" Ms. Tu felt that she was a little incoherent.

Zhou Qiao knew what she meant, and immediately comforted her with Stephanie.

However, the other party's situation is really dangerous.

Because the previous dynamic assessment results mean that the other party has a high risk of lymph node metastasis.

As the examination continued, Murphy keenly discovered that Ms. Tu’s right neck area had several lymph nodes that were full in shape, with unclear cortical and medullary decomposition, and psammoma bodies inside, which suggested that the patient’s thyroid cancer had a high probability of lateral lymph node metastasis.

Subsequently, he arranged for the other party to undergo enhanced CT of the neck, contrast-enhanced ultrasound examination and thyroid biopsy.

The first two results come out first, and subsequent biopsies take longer.

Zhou Qiao and the others sat in the conference room again to discuss the condition. Based on the first two results, everyone quickly built an analysis model together.

Murphy: "Based on the point-to-point analysis of the lymph node examination results in the lateral neck area, it can be determined that the risk of lymph node metastasis in the patient's side area is close to 100%. At the same time, several other small lymph nodes that may have metastasis were also found in the side area. This confirms that the patient's thyroid nodule is a malignant tumor of R-capital thyroid cancer, which has a high probability of metastasis and requires immediate surgical treatment."

Just when everyone was busy preparing for the operation, the thyroid puncture result came out and it turned out to be "negative"!
This is a bit embarrassing.

Murphy: "..." Did I make a wrong judgment before?

Stephanie grinned and was about to gloat about her misfortune, silently giving Murphy a few words, when suddenly her heart moved and she muttered: "Could it be a false negative?"

After all, false negatives are not impossible.

Stephanie also participated in the consultation process. To be fair, she felt that Murphy's level was still very high, especially when it came to building analytical models and restoring patients' conditions based on data, he was often faster than her!

She needs 10 minutes, Murphy may be OK in 3 minutes.She had to admire this.

Although she was competing with Murphy overtly and covertly, she still felt that Murphy was right this time. That lymph node was definitely not that friendly.

In Zhou Qiao’s previous words, it is “not a good thing.”

Zhou Qiao pondered slightly, tapped his fingers on the table, and said, "Actually, if you want to confirm, it's very simple. We can do it in two steps."

As soon as he said these words, Murphy and Stephanie understood instantly.There is still a tacit understanding between the three of them.After all, it’s a daily grind.

Murphy immediately shouted: "Do another biopsy?"

Zhou Qiao nodded.

Of course, for another biopsy, it is impossible to continue puncture.

Stephanie said: "Then we should use small incisions to biopsy the lymph nodes in the four areas of the neck."

Once the biopsy results come out this time, it should be possible to confirm whether it was a false negative.Ultimately, the decision is made as to which surgical method to adopt.

(End of this chapter)