Felipe grimaced and asked the core question that he was most concerned about and that had plagued him for years.

Because Zhou Qiao also told him just now, diabetes is mostly caused by obesity, and if obesity is not solved in one day, it is estimated that it is difficult to completely control diabetes.

The old mother, Taylor, also looked at her with burning eyes.

Diabetes was unplanned, and losing weight was the purpose of their trip.

Zhou Qiao groaned slightly, in fact, he has been thinking about this problem since he diagnosed the patient yesterday, with the other party's weight, obesity history, and other weight loss methods are estimated to be ineffective, only - gastric surgery, can there be real hope of losing weight.

What medicinal diet, diet, exercise, is almost impossible!

And the other party's physical condition is very poor, can't exercise vigorously, really do those fierce exercises, no weight loss, people may die!

The other party's obesity is life-threatening!

It's possible to sleep, it's possible to walk, it's possible to fall and not get up, and it's a bit of luck to be alive until now.

Therefore, Zhou Qiao solemnly recommended this method.

After cutting the stomach, supplemented with medicinal diet, it should be feasible!

As for gastric surgery, although he has never done it, isn't there still a medical mystery?

Poor medical mysteries, although there are not many, but the flowers still have to be spent!

"Gastric surgery?" Felipe and Taylor are a little nervous, this is going to go under the knife!

"Yes, there are many benefits to this surgery, especially for Felipe's condition......"

Zhou Qiao began to explain the relevant knowledge, describing its advantages, and its scope of application.

As early as 1966, this kind of surgery was carried out by Edward Manson in the United States for some obese patients, including sleeve gastrectomy, gastric bypass, etc., the principle is to control the patient's gastric volume to achieve the purpose of weight loss.

Among them, vertical sleeve gastrectomy works by removing the outside of most of the stomach, creating a narrow gastric cuff.

Gastric bypass, on the other hand, divides the stomach into two parts, one of which is directly connected to the small intestine, bypassing the remaining stomach.

In particular, the following groups of people are particularly suitable:

The first is severely obese individuals: BMI greater than 40 or BMI greater than 35 with related diseases (such as diabetes, hypertension).

The second is individuals who have not been able to control their weight through non-surgical methods: for those who have tried a variety of non-surgical weight loss methods and have not been able to control their weight, gastric incision is a very good option.

The third is the existence of obesity-related diseases: gastric incision surgery can be an effective way to improve many obesity-related health problems, such as type II diabetes, hypertension and sleep apnea.

Felipe is almost all right!

Zhou Qiao told them that there are many treatments for diabetes, including changing dietary habits, exercise, medications, insulin therapy, metabolic surgery, etc., but gastric incision, especially "sleeve gastric surgery", is also one of them.

Moreover, this surgery is one of the known and effective means of curing type II diabetes, and has been written into the diabetes treatment guidelines.

The BMI of simply obese patients ≥ 37.5, and aggressive surgery is recommended;

32.5≤ BMI<37.5, surgery is recommended;

27.5≤ BMI <32.5, difficult to control with lifestyle changes and medical treatment, and at least 2 metabolic syndrome components, or comorbidities, surgery can be considered after comprehensive evaluation.

……

Zhou Qiao's talk is a full two hours!

Through the physical examination report, he used data to make a comprehensive assessment of Felipe's situation, and then introduced the specific process of the operation in detail and analyzed the various pros and cons after the operation.

Since he was going to do this operation, he issued an exchange order when he spoke, and after spending 15 medical points, he would exchange the master-level gastrectomy operation in his hand!

Then, the conversation became even more eloquent and gushing.

Taylor listened, listened, and couldn't help but smile with relief and anticipation.

She felt that Zhou Qiao's level was really powerful, although she couldn't understand most of it!

However, with her more than 70 years of life experience, she felt the ultimate care and rigor in Zhou Qiao, and it is reassuring for such a doctor to perform surgery!

And Zhou Qiao's age disadvantage can be ignored with such a professional and meticulous expression.

Felipe was forty-two years old, but he was still a mother, and his mother nodded, and he nodded his head as well.

In fact, another very important point that impressed Taylor was that among obese people, patients who did not undergo surgery had an 8-fold increased risk of death compared to those who underwent bariatric surgery; Patients who underwent bariatric and metabolic surgery had a significantly lower risk of death than those who did not.

The risk of this surgery is relatively low.

Taylor felt that surgery was imminent, otherwise, it would really be life-threatening!

What would she do if her son died?

After the patient and family agreed, Zhou Qiao asked Ava to call the community medical care and make an appointment with the other party's operating room and anesthesia team.

Because this surgery is laparoscopic, general anesthesia is required.

Usually during laparoscopic surgery, carbon dioxide is injected into the patient's abdominal cavity to form a pneumoperitoneum, which is convenient for various medical devices to operate. At the same time, after the abdomen is bulging, it will affect the patient's breathing and need to be assisted by a ventilator; In addition, general anesthesia is safer for patients, the experience is better, and there will be no nervousness, fear, anxiety and other emotions when "asleep".

In the state of general anesthesia, elderly patients can better detect hemodynamics, detect abnormalities in time and deal with them.

They were lucky that the operation was scheduled for 1 p.m. the next day, and Zhou Qiao suggested that Felipe stay in the ward of the Iris Clinic tonight to improve some preoperative preparation and monitoring.

Taylor didn't go home either, she stayed in a separate bed in the same room.

At night, the mother and son fell asleep, and the mood was inevitably apprehensive, but at the same time, they were endlessly longing.

Due to the presence of patients in the clinic, Zhou Qiao and Elena restrained themselves.

After deducting 15 points from his medical account, and with the fact that he has received money in the past few days, he still has 154 points in his account balance.

He felt that if he was free, he would go to Luo Ya, because if he exchanged for a strong kidney capsule, Elena would definitely not be able to resist his attack.

If you give Elena to take it too......

It's not that he hasn't thought about it, but it is equivalent to strengthening both sides at the same time, which is not helpful in creating medical mysteries.

The reason why I redeemed the master-level one is because I want to save some money.

In addition, this kind of surgery, the master level is enough!

It's too wasteful to use perfection.

The level of the master is not weaker than that of senior experts such as the Mayo Clinic and the University of California Medical Center.

Naturally, it is by no means weaker than the experts of domestic hospitals such as Xiehe, Huaxi, Zhongshan, Ruijin, Tongji, Xiangya and so on!

Even, especially winning!

After recuperating for one night, the next morning, Zhou Qiao asked Ava to call one by one, changing the time of the customer who had originally made an appointment between 1 pm and 2 pm, and explaining to the other party that it was because of the emergency operation.

Fortunately, most customers can understand and say that they will come later or make another appointment.

After lunch, Zhou Qiao hung a sign outside the clinic: "Dr. Zhou is temporarily closed for surgery in the community hospital." ”

Then, he took Elena, Ava, and Taylor, Felipe, mother and son, to the community hospital together.

Due to the relative proximity, Felipe insisted on walking over. However, when I came back, I guess I would have to call an ambulance or push it back directly from a hospital bed.

When they arrived at the community hospital and entered the operating room, they were watched by a short, stocky bald old man.

The other party's temples are gray-haired, with a hooked nose and deep eyes, and it is none other than Kainz, the owner of the Red-headed Gull Clinic.

Kainz was talking to a staff member at the community hospital when he saw this scene and couldn't help but be stunned: "What the hell? The iris clinic actually came to do the surgery? A young doctor who has just graduated, has this level? ”