I run a clinic in the United States

Chapter 370: A trick to protect the kidneys

Seeing Yu Rongbin's worried look, Zhou Qiao smiled slightly and comforted him: "It shouldn't be a big problem, I'm somewhat thin-faced.

In addition, if you are willing to work in Texas, there are two hospitals there, and I own 30% of the shares in each, so arranging a job will not be a problem. "

Of course he was talking about Sequoia Hospital and White Rock Hospital. Although he didn't have many shares there, he definitely had a say. He could even make many important decisions and arrange a position, which was just a phone call away.

However, those two hospitals have not been established for a long time, and they are not in any big cities. However, the benefits are not bad, definitely better than Kaiser Permanente, which had a huge strike before.

Hearing that Zhou Qiao actually had shares in two hospitals in Texas, Yu Rongbin was shocked and finally relieved. He stepped forward and held Zhou Qiao's hand tightly. His heart was so excited that he was speechless for a moment: " Old classmates, it’s really…”

I thought Zhou Qiao was really loyal. After I came here, he not only treated me to a big meal, but also enthusiastically helped me solve my work. Where can I find such a classmate?

The work problems that I was worried about during this period were originally thought to be as difficult as a natural chasm, but who would have expected that Zhou Qiao would be able to solve them easily.

"Old classmates don't need to be so polite. Come and sit here often when you have time." Zhou Qiao calmly shook off the other person's hand and patted the other person's shoulder.

Well, a man is holding on to his hand, it's weird. If it were a female classmate, he might hold it a little longer.

"Dr. Zhou, help me." The patient was a little desperate and on the verge of collapse.

"Yeah, thank you, I can't repay you!" Yu Rongbin finally recovered and said with great gratitude.

For Zhou Qiao, Yu Rongbin's matter was just a trivial matter, not worth mentioning. He quickly forgot about it.

Zhou Qiao patted the other party's shoulder again to show encouragement.

Yu Rongbin spared no words of praise and praised Zhou Qiao to the sky.

They felt that maybe it was because Zhou Qiao hadn't seen them for a long time and that a break was better than a wedding. Little did they know that Zhou Qiao had really transformed again.

Yu Rongbin was very excited to share the good news with several familiar classmates.

"If UCSF Medical Center doesn't accept me, this community hospital will do the trick."

Those female classmates have a closer relationship with Zhou Qiao than Yu Rongbin. Recently, they have often liked Zhou Qiao's Moments and interacted with Zhou Qiao.

The remaining power is hard to resist.

It coincided with the live broadcast of "Xue Qiao Selection". Yang Xuejun and Talia were both in San Francisco, so Zhou Qiao was very busy.

After Yu Rongbin left, he visited the nearby community hospital and felt that it was really good. Being able to work here and find a white girlfriend would really be a pleasant life.

He didn't wait long here when he was very surprised to receive a call from the University of California, San Francisco Medical Center, asking him to come for an interview.

He didn't even visit or take the initiative to submit his resume, but he took the initiative to call and offer an interview opportunity. Is this... is this Zhou Qiao's strength?
You know, he submitted his resume to the hospital via email two months ago, but nothing came of it. I just called to invite you today. Isn’t this Zhou Qiao’s face or someone else’s?

There were still several days until next Monday, so he took advantage of this time to get a place to live and move.

Of course, Zhou Qiao manages time alone, and because he is strong, there is almost no difference.

Except for the twin girls and Murphy, the other girls have not acted together yet. An opportunity is needed.

Sure enough, after he passed by and exchanged brief greetings, the interviewer smiled slightly and mentioned Zhou Qiao's recommendation letter with a hint of envy in his tone.

Although the other party just asked him to go over for an interview, Yu Rongbin believed that they should be inseparable.

The other party has a solitary kidney.

Since Zhou Qiao had surgery in the afternoon, Yu Rongbin left temporarily.

Her husband was by her side and said in a low voice with red eyes: "We went to several hospitals, but there was nothing we could do."

She made an appointment with Zhou Qiao.

"If San Francisco cannot stay, there is still Texas to choose from. Texas is also one of the richest states. Zhou Qiao is really amazing." Yu Rongbin was filled with admiration.

Soon, after chatting for a long time, the other party gave him an offer, congratulated him on passing the interview, and asked him to come and join the job next Monday.

This is the remaining power after allocating part of the energy to Murphy, Stephanie, and Chiba Nanako.

What surprised Yang Xuejun and Talia was that Zhou Qiao seemed to be stronger again! Very strong, much stronger than before.

Naturally, most of Zhou Qiao's college classmates admired and admired Zhou Qiao's achievements, especially after what happened with Yu Rongbin.

I have to say that this patient is special.

"Zhou Qiao is really a very, very good guy. He is young and promising, creates miracles, is kind and loyal, has a lot of money at a young age, has a beautiful tree in front of the wind, and his future is unlimited and unpredictable..."

If Yu Rongbin can be cared for like this by Zhou Qiao, then they should be cared for even more.

Yu Rongbin won't bother Zhou Qiao about renting a house. He can still handle this small matter.

"Don't panic, don't panic. My team and I will consult carefully and make sure to give you a satisfactory answer." Zhou Qiao asked Jin Jizhen to entertain them, and then summoned Murphy, Stephanie, and Chiba Nanako to discuss the condition together and surgical options.

A special patient came to the Iris Clinic and came here because of its reputation.

Yu Rongbin: "..." Completely convinced.

Of course, there are also some who are jealous and dismissive, but Zhou Qiao doesn't know, and he doesn't bother to pay attention. I am not RMB, so I cannot be loved by everyone.

Isn’t it said that it requires one, two, and three interviews, several rounds of interviews, and even practical exercises? Is it that easy? Sure enough, there is a relationship, but it's different.

Even if they want to practice medicine in the United States, they have to pass the American exam and obtain an American license, which is a bit troublesome. However, everything depends on human effort. The schools where they are studying for Ph.D. are all famous domestic schools, so it should not be a big problem.

Several female classmates who were still studying for doctoral degrees in China couldn't help but be very moved, thinking about joining Zhou Qiao after graduation.

"Okay, thank you, I will be there on time!" Yu Rongbin hung up the phone and couldn't help but jump up excitedly and waved his fist fiercely, "It's really great!"

How can I be embarrassed to bother others with everything?

Just have one kidney.

Normally, humans have two kidneys. Like Zhou Qiao, the power of both kidneys is very strong.

In recent years, there have been more and more patients with kidney tumors. Compared with other tumors, kidney tumors seem to be easier to treat. Because a person has two kidneys, left and right, one can still live a normal life if one is removed.

However, this middle-aged woman was born with only one kidney.

She only had her left kidney, and she had a large tumor nearly seven centimeters in diameter.

I had breast cancer surgery a month ago and am still undergoing chemotherapy.

This causes the condition to become extremely complex and the difficulty of surgery to increase.

If she has two kidneys, it would be relatively simple. It would be an effective solution to remove the diseased kidney, the tumor and the kidney together to cut through the mess quickly.

But now, the tumor and the only kidney are growing closely together. They are intricate and closely connected. If you want to remove them completely, you have to consider the various effects of breast cancer and chemotherapy. You can imagine how difficult it is. During chemotherapy, kidney function is very important because it is involved in metabolizing drugs.

The purpose of surgery is to treat diseases and save lives, and the prognosis and the patient's future quality of life must be taken into consideration.

There are various factors involved and it is not just a matter of surgery.

If the operation is performed and the person dies, what is the use?

In addition, even if some people have both kidneys, they cannot "lose the pawn and save the car" because of other diseases.

For example, for some diabetic patients, the kidney is an extremely important organ for them, and surgery must not be performed hastily unless it is a last resort.

"Mrs. Gill only has one kidney. The best way is to save the kidney while removing the tumor." Zhou Qiao explained clearly.

Then, everyone discusses on this basis.

Naturally, their first consideration was NSS surgery, which is nephron-preserving partial nephrectomy.

This kind of surgery can completely remove the tumor while preserving the normal renal parenchyma to the maximum extent, which can achieve a win-win situation of "survival time" and "quality of life" for kidney cancer patients.

Of course, for the surgeon, the operation is also extremely difficult, requiring superb skills and racing against time to complete a series of operations from tumor removal to wound suturing.

At the same time, it also requires full collaboration and full management of the anesthesia and nursing teams.

The patient brought over the recently taken CT images, and Murphy quickly performed 3D holographic modeling to accurately evaluate Mrs. Gill's CT images.

Even Murphy took a breath of cold air: "The protruding part of the patient's kidney tumor is closely adjacent to the renal artery, renal vein, and renal pelvis, and is tightly wrapped around them like an octopus. It is very difficult to save the kidney. "

Murphy came to the whiteboard, picked up a pen, and shared his findings as he drew.

"The location of the patient's tumor is very dangerous: it is closely adjacent to the renal artery, renal vein, and renal pelvis. The risk of intraoperative bleeding and postoperative hematuria is extremely high."

"Secondly, the shape of the tumor is irregular. During the resection process, we must ensure that the tumor capsule is intact, and it must be done in one go without any sloppiness. Otherwise, if the tumor cells spread due to a slight carelessness, it will mean that the operation fails, and the follow-up will be very troublesome. "

"In addition, the patient's renal tumor was large and deep, occupying almost half of the kidney. After tumor resection, the residual wound tension was high and suturing was extremely difficult."

Looking at the dense graphics and lines on the whiteboard, everyone fell silent for a moment. Even for the Iris Group, it was by no means easy.

Stephanie pondered for a moment and then said: "The risk will be smaller if the patient waits for chemotherapy to finish before performing surgery."

Murphy shook his head and whispered: "The patient's tumor is already very large. If it progresses rapidly during this period, it will be even more troublesome."

Stephanie looked at Zhou Qiao.

Zhou Qiao thought for a few seconds: "I agree with Murphy, we cannot take this risk. If we delay for a while, the risk will become even more uncontrollable."

Stephanie couldn't help but curl her lips slightly, secretly angry: "I was suppressed by Murphy again, I must get it back next time."

In fact, Murphy and Stephanie secretly competed, and Zhou Qiao thought it was good and helpful to Murphy's condition. And both of them are very measured and don't go overboard or fight just for the sake of fighting.

"It's okay. Let's study the details carefully. No operation is without risks. We have overcome so many difficulties in the past. I believe we will be able to help patients this time." Zhou Qiao encouraged morale.

Immediately, everyone expressed their opinions, perfected the details and made a plan based on Zhou Qiao's ideas.

Chiba Nanako adjusted the patient's current chemotherapy regimen to adapt to the upcoming surgery.

In addition, even if the operation is successful, postoperative medication is extremely important and many complications need to be dealt with.

Finally, two hours later, the Iris Group came up with a satisfactory plan.

It is not only the surgical plan, but also includes perioperative monitoring, postoperative rehabilitation and other aspects.

Iris Tiantuan is naturally a complete solution. Of course, the price quoted is also quite high. But the Gills are wealthy people and have high-end insurance. Price shouldn't be an issue.

Zhou Qiao took the plan and went out to communicate with the Gilles. The other party also agreed to the plan and had no objection to the quotation.

It doesn’t matter if you don’t agree. It seems that this is the only place that can do it, and it is indeed the best solution I have seen recently.

Compared with this one, other hospitals are a bit worse and not so satisfactory.

If it can really achieve the therapeutic effect Zhou Qiao mentioned, it would be quite worthwhile to spend so much money.

For the rich, what does money mean when it comes to health?
Therefore, Zhou Qiao asked Park Xiuzhu to take the patient to the University of California Medical Center to complete the hospitalization procedures, complete the preoperative examination, and contact the operating room to make some preparations.

They decided to do the surgery as soon as possible.

Since the patient's condition is relatively complex, Zhou Qiao plans to use the Prometheus-3000 surgical robot, which will be more efficient and sure.

If you want to do your job well, you must first sharpen your tools. This ultra-difficult surgery deserves the use of surgical robots.

Of course, Zhou Qiao also went to the University of California Medical Center in advance and sat around and communicated with experts from the urology department, radiology department, oncology department, anesthesiology department, blood transfusion department and other departments.

Because this operation requires the cooperation of many departments.

It is worth mentioning that Yu Rongbin has already joined the University of California Medical Center as a low-level doctor in the general surgery department.

"I'll go, you are indeed an old classmate, so awesome!" Yu Rongbin discovered that as soon as Zhou Qiao arrived, he immediately "stirred up the storm", and the "big bosses" of so many departments came and went with all their strength. I was simply impressed by the cooperation with him in the surgery, and once again I deeply realized Zhou Qiao's influence.

As everyone knows, Zhou Qiao is like this every time he comes.

Moreover, the Gills had come here for consultation before, and they were not satisfied with the plan given by the experts in urology and oncology.

When they saw the Iris Flower Heavenly Group's plan, they had no choice but to accept it. I also want to follow and learn more.

However, even if the plan is placed in front of them, they may not dare to accept it.

This is related to surgical capabilities.

For example, there is a ravine in front of you, which is ten meters wide. People say you can just jump over it. Can you copy it?

Are you following the plan?
After careful preparations, the operation officially began!

The Prometheus-3000 surgical robot, with its three heads and five arms, once again showed its prowess. No, it should be said that Zhou Qiao showed its prowess.

Because the surgical robot is here all year round, but there is no one that can rely on it to perform this surgery.

Yu Rongbin applied to his boss and wanted to come and observe.

He didn't even have a share in it, but who told him to be introduced by Zhou Qiao?

As a result, Yu Rongbin was able to observe this ceiling-level surgery up close for the first time.

He also took some unimportant photos and posted them among his college classmates, making everyone envious.

(End of this chapter)