I run a clinic in the United States

Chapter 326 One Meal a Day

Yang Xuejun embarked on the return flight with satisfaction. Her complexion was rosy and she became more and more charming.

She felt that she had gained so much from coming to the United States this time.

The number of fans of the two accounts of "Dr. Xiao Yang" and "Xue Qiao Selection" has exceeded 10 million.

Wealth is secondary, but the most important thing is that you get what you want. Finally, Zhou Qiao, the Bai Yueguang in her heart, fell asleep!

After Yang Xuejun returned to Hangzhou, he also bought a house in Hangzhou and then bought a luxury car.

The original little broken car was sold directly to the 4S store for yuan when the car was replaced.

It cost 4 when I bought it. Less than two years after it was opened, the S store only offered it . It was a huge loss.

This car is quite easy to drive. I liked it before, but I was quite reluctant to part with it when I sold it.

However, this little money is nothing to her anymore, Drizzle.

As for the house in Zhuhai County, it is still there. You can still stay here when you return home.

In other words, she now owns three houses. It would have been unimaginable a year ago.

The two accounts selected by Dr. Xiao Yang and Xue Qiao have so many fans, so they need to be updated every day.

On days when she is not carrying goods, she takes pictures of daily life, such as the videos of treating people and acupuncture at the famous Hu Qingyutang Medical Center, which are very real.

Because she became a fan through "Xuan Hu Ji Shi", this type of video is quite popular.

Post a random post, and the number of likes within 24 hours will be more than , and the number of comments will usually be more than .

If you haven’t bought a hot item before, it will become a hot item as soon as you post it.

Some particularly interesting ones can reach two to three million likes and hundreds of thousands of comments.

Then she used what she learned to create a special topic called "A Meal a Day", which mainly introduced some health-preserving soups and medicinal meals.

It would be boring to give an introduction. She rolled up her sleeves and bought the ingredients herself to cook. From selecting ingredients and cutting vegetables to the finished product, she became a "food blogger" again.

It has to be said that there are too many foodies, and most of her fans are housewives, so this type of video is only more popular than the usual visits to famous doctors.

The first delicacy she cooked personally was Masidaji Soup, which was recorded in "Yin Shan Zheng Yao" written by Hu Sihui, an imperial physician of the Yuan Dynasty.

"Yinshan Zhengyao" contains many recipes for various delicacies cooked with mutton, with a total of 87 recipes.

This is because the Mongols ruled the Central Plains at that time.

The Mongolian people, who have lived in alpine areas for a long time, live in pursuit of water and grass. Therefore, they like to eat warm food, with livestock meat and milk as the main raw materials.

The most powerful at that time was Southern Mongolia, which is today's Inner Mongolia, while Northern Mongolia (today's Outer Mongolia) was a weak chicken in ancient times, and it is even more weak now.

There are now just over three million people in Outer Mongolia, half of whom live in Ulaanbaatar. The population of the entire country is equivalent to that of a third- or fourth-tier city in China.

Its total national GDP is just over 100 billion. If compared with the top 100 counties in the country, it may barely rank in the top 50.

When Yang Xuejun introduced this delicacy in the video, a fan commented: "The last time I heard about Mongolia, it was because of the Mongolian navy."

According to the "Yinshan Zhengyao", Masidaji Decoction can not only nourish the body, but also warm and smooth the qi.

Yang Xuejun's improved recipe is as follows: 500g mutton, 5 grass fruits, 5g cinnamon, 100g hummus (chickpeas), 100g japonica rice, 1 small handful of coriander.

First mash and peel part of the chickpeas, soak the other half in advance, cook and remove. Wash and cut the fresh mutton into pieces, wash the japonica rice, wash and cut the coriander into sections, and rinse the other ingredients with a little water. Then boil the mutton with Cao Guo, Guan Gui, and crushed chickpeas into soup, and filter it out.

Add frankincense, cooked chickpeas, japonica rice and the just-cooked mutton to the filtered mutton soup and cook together. After boiling, add a little salt and add bay leaves and bring to a boil.

Among them, the grass and fruit have a fragrant smell, can remove dampness and cold, and can remove cold and dampness accumulated in the spleen and stomach. Cinnamon is a very good warming medicine. It can bring back fire and bring back energy. It is also very suitable for people with weak and cold constitutions.

The reason why it is called an improvement is because the spice of frankincense was used instead of mastaji.

Mastaki is a special Pistacia chinensis resin from the southern region of Chios Island in the Aegean Sea of ​​Greece. Only the Pistacia chinensis in this place in the world can produce this kind of glue, and a Pistacia chinensis tree can only produce this kind of glue in a year. 100g of this glue is produced, so Mastaki is extremely precious.

It's not that Yang Xuejun can't afford it, but it's that he doesn't have time to buy it, and if he buys it, even if it is made, it will not be practical for most people.

It loses its promotion significance.

So, she chose frankincense instead.

Many people recreate this dish and use frankincense instead. However, the frankincense is turbid and bitter, which is irritating to the stomach, so it is better to use frankincense.

Although no real Ma Si Da Ji spices are added, it does not affect the properties of this soup that are warm, dispel cold, and smooth the Qi.

The chickpeas inside are also delicious and rich in nutritional value. They can replace part of the refined white rice and noodles as the staple food. The contents of calcium, potassium, magnesium and B vitamins are quite high.

After Yang Xuejun finished cooking, the whole dish was full of color, flavor and flavor. Some people who were scrolling through their phones late at night couldn't help drooling when they saw her video, and then went to the kitchen to lick a few mouthfuls of seasonings.

……

"Brother Zhu, congratulations. Your tumor is under very good control and has shrunk a lot. At present, the tumor cells are obviously trapped in a localized state, and various tumor indicators have been reduced to close to the normal range, making it suitable for surgery."

In Iris Clinic, Chiba Nanako's clinic, Zhou Qiao and Nanako carefully checked Zhu Xiaofei's reexamination report and said to Zhu Xiaofei happily.

Zhu Xiaofei is the patient with advanced pancreatic cancer and an old comrade of Zhang Jianjun. When he first came here, his condition was very serious. At that time, Zhou Qiao and the others formulated a four-step strategy. Now it seems obvious that the first and second steps are both It was quite successful, and the third step is about to be carried out: surgical operation to cure it!

Surgery is also the most critical step.

Of course, the other steps are also important and essential.

"Thank you, thank you." Zhu Xiaofei was also very confident and looked grateful.

Zhou Qiao pointed at Chiba Nanako and said, "This is all the result of Dr. Chiba. If you want to thank her, thank her."

"Thank you, thank you Doctor Chiba." Zhu Xiaofei put his hands together and bowed to Nanako Chiba.

Chiba Nanako said a few humble words, and couldn't help smiling at the corners of her eyes and eyebrows, because Zhou Qiao had just praised her.

And by relying on this medication to control the condition of patients with advanced pancreatic cancer, she once again consolidated her position in the clinic. Both Murphy and Stephanie admired her level of medication.

"The conditions for surgery are ripe. Brother Zhu will be admitted to the hospital today. I will arrange pre-operative preparations for you, and then officially start the surgery at 1 o'clock tomorrow afternoon. How about that?" Zhou Qiao said with a smile.

Zhu Xiaofei: "Everything will be arranged by Dr. Zhou."

Before, he was a little unsure of Zhou Qiao's medical skills because Zhou Qiao and the others were too young, but once an expert takes action, they will know whether the effect is there or not.

After the previous two steps of treatment, Zhu Xiaofei is now completely relieved and no longer as desperate as when he was first diagnosed.

The reason why I was hospitalized again was because the first period was a minimally invasive surgery, which required hospitalization. After that, I was hospitalized for the first few days for medication. When the condition stabilized, I was discharged. I only came here once a week to take medication.

It can save the other party some money and not have to be in the hospital every day.

For simple chemotherapy drugs, the infusion room of the clinic is sufficient.

Park Xiuzhu took Zhu Xiaofei to the community hospital to go through relevant procedures and gave some instructions on what needed to be done next.

In the consulting room, Zhou Qiao held Nanako in his arms again.

After so long, Chiba Nanako has naturally been eaten by him. I have to say that Japanese beauties have a special taste.

"Zhou-kun, don't be in the consulting room..." Nanako begged for mercy.

The main reason is that if someone comes in and gets hit, Nanako is very thin-skinned.

In fact, Zhou Qiao is also thin-skinned. Although he is a scumbag.

But there is a reason for his scumbag, and it is all the fault of the system. What can you do if you encounter this kind of system? Natural scum to the end!

The scumbag is happy!

Zhou Qiao enjoyed himself more and more, while King Zhou's life was nothing more than this.

People always have shortcomings. In ancient times, there was also "a pear tree weighing down begonias".

A man is only honest when he hangs on the wall.

Nanako also enjoyed it.

The third stage of surgery is also a very critical step: radical resection of pancreatic body and tail cancer.

As early as 1913, Mayo Medical Center first reported the distal pancreas combined with splenectomy for the treatment of pancreatic body and tail cancer, and this traditional surgical procedure is still used today.

However, this operation has many shortcomings. For example, extended pancreatectomy or extended lymph node dissection cannot significantly improve patient prognosis and may increase the incidence of postoperative complications, so it has not been promoted.

Later, in 2003, Strasberg's team made a series of technical improvements to traditional distal pancreatectomy and proposed radical antegrade modular pancreaticosplenectomy (RAMPS).

Its research results show that RAMPS can significantly reduce the positive rate of retroperitoneal resection margins compared with traditional radical resection, thereby increasing the R0 resection rate and thus improving patient prognosis. However, there are currently no randomized controlled studies to confirm this conclusion.

Zhou Qiao did not use these two methods, but more advanced techniques from the system.

Pancreatic body and tail cancer with such a high degree of malignancy naturally deserves perfect surgical skills.

The anesthesiologist is the long-lost Nancy. After all the checks are completed, Ava sings.

Listening to the familiar melody, Zhou Qiao really felt very familiar. It had been a long time since he had performed an operation himself. Because for ordinary surgeries, Murphy and Stephanie can handle it.

This is a "Silk Opera".

"The orchids are twisted together, the world of mortals is like water, the three-foot-long red platform, everything goes into song, singing farewell for a long time will not make you sad, and the very red places will turn into ashes..."

Zhou Qiao's scalpel rhythms with the music. As if with divine help, every step is wonderful.

An incision was made around the midline of the upper abdomen around the umbilicus. The duodenum and pancreatic head were freed using Kocher's technique. The inferior vena cava and abdominal aorta were exposed to the left along the level of Treitz's fascia...

Dissect the gastrocolic ligament close to the avascular area of ​​the greater omentum of the transverse colon and enter the omental sac, separate the splenocolic ligament to the left, and ligate and dissect the gastroepiploa and short gastric blood vessels to the superior level of the spleen in sequence...

The whole process was completed in one go and was quite smooth.

The perfect surgical skills are unmatched by anyone, at least Zhou Qiao has not yet encountered an opponent.

Murphy and Stephanie are both at the top of their game, but watching their beloved Qiao undergo surgery and casually looking at Zhou Qiao are full of endless admiration and love.

Completely impressed by Zhou Qiao's surgical skills.

In fact, radical surgical resection of pancreatic body and tail cancer cannot be performed consistently.

The surgical procedures vary for different conditions.

Just like a martial arts master, you have to adapt to the situation and learn to use it flexibly. You can't just learn a sword skill and use it according to the script.

According to the script, it is enough to deal with ordinary enemies, but it is not enough to deal with powerful opponents.

Cancer of the body and tail of the pancreas is one of the most serious diseases. Different stages and conditions require different surgical treatments.

For example, it needs to be judged before surgery that if the tumor is staged T3 or above and the tumor breaks through the capsule and infiltrates to the level of Gerota's fascia, the posterior approach RAMPS combined with adrenalectomy should be performed, while for those with earlier stage tumor that fails to break through the pancreatic capsule, , standard pancreatic body and tail resection or RAMPS can be used.

Just to give an example, there are many detailed changes, which need to be analyzed in detail.

Plans and procedures can be drawn up in advance, but performance on the spot depends on the skill of the doctor.

It depends on the doctor's personal understanding of the disease and the patient's condition.

So many times, choosing a famous doctor is very important.

Zhu Xiaofei is lucky because he knows Zhang Jianjun and is Zhang Jianjun's old comrade-in-arms, so he has a chance to extend his life.

The operation was successful and the cut was clean.

Zhu Xiaofei was lying on the bed in the community hospital and continued to receive subsequent adjuvant consolidation chemotherapy, which was the fourth step and the last step of the entire treatment plan.

After this step, if you are discharged from the hospital, you will basically only need to come for follow-up examinations in the future.

Zhu Xiaofei himself can feel whether the quality of the surgery is good or not.

Because, after Zhou Qiao's surgery, although his wound had not yet healed and he was still weak, his overall spirit was much better.

There are also fewer complications.

In a word, in a better and relaxed state.

This is not an illusion, but a real feeling that the situation is good.

Although this time I owed a lot of foreign debt due to the treatment, my life was saved for the time being. He was only in his forties and still had most of his life left. He really didn't want to die like this.

I can't even let go of my wife and children.

He died at a young age, and from then on, others slept with his wife, lived in his house, and beat his children. How can that be accepted?

Just thinking about it is worse than death.

"Dr. Zhou's level is really high. I feel that surviving for five years should not be a big problem." When Zhang Jianjun came to visit, Zhu Xiaofei held the hand of his old comrade with emotion.

"That's good. Dr. Zhou said that as long as you survive five years, the probability of recurrence in the future will be even smaller. In the past few years, you should also check regularly. Dr. Zhou recommends a review every three months. It can be changed to once every six months or once a year. After five years, the interval between reexaminations can be longer." Zhang Jianjun was also sincerely happy for his old comrade.

"Uh-huh."

Zhu Xiaofei looked out the window. The sun was shining brightly outside, and he couldn't wait to go to work.

If you don't go to work, how can you pay off your debt? How to fulfill your promise to your wife and children?

In fact, many times, work makes people fulfilled and happy, and is also good for the recovery of illness.

Staying at home anxious every day is not good for your condition.

Even if you are a rich person and have no financial pressure, your life will be different if you find something meaningful to do.

Just like Murphy and Stephanie, they are not short of money now, but they just like to work at Iris Clinic. Very fulfilling and never tired of it.

……

Zhou Qiao also bought a car for Chiba Nanako and pushed him away. Could it be that he couldn't bear to part with the car?

If buying a house is not on the agenda just yet, it’s not because I’m being stingy, but because the time is too short.

Chiba Nanako has been here less than half a year. If she buys a house so soon, the other girls may be unhappy.

Zhou Qiao needs to balance the harem and take care of all aspects of emotions, which is difficult.

Among other things, time management is a headache. Fortunately, he has been able to cope with continuous high-intensity battles after several transformations.

When it comes to economic conditions, Chiba Nanako is probably the poorest. After all, she has only been with Zhou Qiao for a short time.

But being poor is relative, and Zhou Qiao also gave her a lot of bonuses in private, which amounted to almost half a million US dollars in just a few months.

Therefore, Chiba Nanako is quite satisfied.

(End of this chapter)