I run a clinic in the United States

Chapter 285 Live well and be rewarded!
Ankylosing spondylitis (AS) is a chronic inflammatory disease, which is a rheumatic and immune disease. The main lesions are the sacroiliac joints, spine and peripheral joints. It is usually accompanied by varying degrees of eye, lung, intestinal, cardiovascular disease, etc. Extra-articular manifestations, severe cases may cause spinal deformity and spinal ankylosis.

Little Njili is fine in other aspects, but she has a very, very serious spinal deformity!

During her daily walks, she often could only see the ground but not the sky. It was very difficult to look up at the stars or appreciate the white clouds and gorgeous rainbows. She had to make very awkward postures or simply lie on the ground. Only then can you appreciate the beautiful scenery that ordinary people can see at a casual glance.

At such a young age, it is difficult for outsiders to imagine the hardship and hardship involved in a "folded career" of six or seven years.

Some people work very hard just to stay alive.

Fortunately, God gave her a beautiful face, which was similar to Thalia's. It touched the softness in the heart of Thalia, a kind fairy, and she was willing to spend huge sums of money to heal her.

It is also equivalent to doing charity.This has a positive impact on Thalia's image.

Of course, little Njeli's complexion and temperament cannot be compared with Thalia.Just like the relationship between Xiao Ma Yun and Jack Ma.

Little Njili was once desperate and wanted to commit suicide, but unexpectedly, as luck would have it, such a beautiful young lady came like an angel and saved her from dire straits.

Her young heart was suddenly full of expectations, and she had a little more yearning and affection for the world.It turns out that there are still such naive people in this world.

Well, in addition to Miss Talia, there is also the handsome and charming Dr. Zhou. Both of them are angels, and they are all radiant.

"Doctor Zhou, is this disease serious?" Talia blinked and asked Zhou Qiao.

"It's quite serious." Zhou Qiao nodded and briefly explained it to Talia.

Ankylosing spondylitis is strongly associated with HLA-B27.

It is generally believed that genetic factors play a very important role in the onset of ankylosing spondylitis. The incidence of ankylosing spondylitis in HLA-B27-positive patients is about 10% to 20%.

In addition, immune factors are also one of the causes. Studies have shown that 60% of patients with ankylosing spondylitis have increased serum complement. Most cases have IgA type humidoid factor, and serum C4 and IgA levels are significantly increased.

In addition, trauma, endocrine, metabolic disorders and allergies have also been included as pathogenic factors.

The direct external cause is that some specific microorganisms, such as Klebsiella, share common antigens with the susceptible person's own tissues, which then triggers an abnormal immune response.

……

Thalia listened carefully, thinking that Joe was handsome.Okay, I don't understand it though.

Next to her, little Njeli’s mother naturally didn’t understand even more, but that didn’t stop them from pretending to listen carefully.

This is the most basic respect for doctors.

Especially for little Njeli's mother, Dr. Zhou, like Miss Talia, is their daughter's lifesaver.

"Now that the diagnosis has been confirmed, we will formulate a complete surgical plan, which is mainly divided into two parts, total hip replacement and spinal orthopedic surgery. Of course, we have this preliminary idea now, and the details still need to be perfected." Zhou Qiao said.

In fact, it would be much easier if ankylosing spondylitis is diagnosed and treated early when it first develops.

You can use physical therapy, hot water bath, mineral hot spring bath, sea salt hot compress, etc.; there is also physical therapy, which is slowly corrected through various specific gymnastics movements and postures; there is also drug therapy, internal treatment, external treatment, non-steroidal anti-inflammatory drugs Inflammatory drugs, anti-rheumatic drugs, etc. You can also use 3D printing technology to customize orthotics. By wearing this kind of orthotics, you can slowly recover. In short, there are many methods.

However, now that the condition has become so severe that she has become an extremely rare "folded girl" in clinical practice, those drugs and physical therapy have almost no effect.

Only surgery, through "shaping", could reshape her body.

Zhou Qiao comforted the little girl and her mother, then sent Talia back to the hotel, and then returned to the clinic to study the specific surgical plan.

Seeing Zhou Qiao leaving in a hurry, Talia was reluctant to leave, and thought to herself, forget it, let's wait until there is a chance to confess her feelings in the future.

Although Zhou Qiao sent her back to the hotel today, little Njili's surgery was about to happen, so no one had any thoughts about that.She also felt that it was a bit inappropriate to keep Zhou Qiao at this time.

In fact, she had many opportunities to be intimate with Zhou Qiao before, but she missed them all.

Iris Clinic, Conference Room.

Zhou Qiao projected the examination images on the big screen, and many examination reports were placed on the table. The cold Murphy and Stephanie, who had been guided by Zhou Qiao and became holy again, participated in the consultation together.

The three of them expressed their opinions.

Soon, the surgical plan was initially finalized.Of course, Zhou Qiao is the leader here because he is "the highest level".

This is one of the things that attracted Murphy and Stephanie to him.No matter what the complex condition is, it seems that Zhou Qiao can come up with a feasible plan as soon as possible.

Zhou Qiao's talent was out of reach for gifted medical seeds like Murphy and Stephanie, so he was deeply impressed deep in his heart and had endless admiration.And Zhou Qiao is also very strong in other aspects, so strong that they can't be separated from each other.

Little Njeli's hip joint hurts every day, and her joint space is narrow, ankylosed, and deformed. Therefore, she must undergo a total hip replacement.

An artificial total hip joint is composed of an artificial acetabulum and an artificial femoral head.In the past, both used metal, which proved to have many complications and has now been eliminated.At present, of course, polymer materials are the first choice, and 3D printing is used.

The advantage of 3D printing is that it is very fast and very "easy" to obtain the desired complex shapes and structures. Boston Medical Company, owned by Academician Domitri, is very good at this industry.

Now Joya Biomedicine has cooperated with the other party, and Jess even led a team to visit.Get the 3D parts you need at very favorable prices.

As for little Njili's nearly [-]-degree curved spine, Zhou Qiao plans to use surgical osteotomy to correct it.

Just cut the bones and put them back together again to make a straight piece.

Those that are curved and unusable can be discarded directly, but in this case, the height will be shortened, so 3D printing will come in handy again.

In spinal surgery, 3D printed artificial vertebral bodies have strong advantages because of their large bone contact area and microporous structure for bone ingrowth. For example, there is a titanium alloy microporous design built-in that After being placed between the bones of the spine, its metal micropores can attract the ingrowth of adjacent bone cells/tissues to achieve effective fusion with the host bone, thereby integrating it into one body. This integration can be as strong as that of a normal human body. required for functionality.

Of course, it sounds simple, but it is actually quite difficult to do.This surgery is very risky. If you are not careful, you may be paralyzed or even die!
But Dr. Zhou has perfect surgical skills, no diamonds, no porcelain work.

If it were another expert, such a major surgery would have to be done in at least two, or even three or four phases.

But Zhou Qiao only plans to do one issue.

Long-term pain is worse than short-term pain. More surgeries will only bring more harm and pain to the little girl.If you can do it in one go, why not do it in one go?Just like buying a house, those who need loans and installments are simply because they don't have enough financial resources.

Zhou Qiao has "sufficient financial resources" and strong technical skills. In addition, he can secretly exchange healing energy to speed up the little girl's recovery.

As for Wuhen, just use the patented drug from Joya Biomedical Group.At that time, the settlement will be normal with Joya Biomedical Group.

Although he is the major shareholder, Iris Clinic and Joya Biomedical Group are two different institutions after all, and they must be separated financially.

The "healing energy" can be regarded as the "soft power" of one's own surgery.Talia gave him enough money, but he originally wanted to refuse it, but Talia insisted, and this was Talia's charity. If he didn't accept the money, how could Talia build up her image?

How to promote it?Doesn’t that turn into doing charity yourself?

Therefore, Zhou Qiao was not polite to her.

As for Talia, when she sleeps with Zhou Qiao in the future, the money will still be hers, but it's just a different pocket. She actually doesn't care.

"At worst, think of it as a bounty for Joe. Live well and be rewarded!" Sometimes, Talia secretly joked in her heart like this. I have to say that every time she teased herself like this, it was quite sweet.

……

The surgical plan is drawn up, and preoperative examination and 3D printing customization are carried out simultaneously.

Zhou Qiao personally contacted the president of Boston Medical Company and sent the drawings.Due to the relationship with Academician Domitri, the quotations are all cost prices.

Zhou Qiao was also a little embarrassed about picking up the wool many times, but it was the benefit of being a teacher and a student if he didn't pick up the wool.Academician Domitri didn't care at all.

Murphy arranged for anti-infective treatment for little Njeli.

Jin Ji really prepares skin for little Njeli.

Because this surgery is a bit big, there is a lot of skin preparation.Jin Jizhen cleaned her whole body and local skin. She washed some areas multiple times and shaved them clean.

Although little Njeli's face looks similar to Thalia's, little Njeli's body is hairier despite her young age.Thalia, on the other hand, has very delicate skin with almost no hair.

This may be caused by differences in growth environment, diet, genetics, etc.

Two days later, everything was ready and the operation began.

An indwelling urinary catheter was performed before the operation, and 10 mg of atropine was intramuscularly injected for the first three 0.5 minutes, and blood was prepared.

Since it was conducted in a community hospital, many doctors from the orthopedics department of the community hospital rushed to the monitoring room to observe and learn.

Zhou Qiao didn't mind being watched.How much you can learn is up to you.

(End of this chapter)