The principle of "sleeve gastric surgery" is not complicated, but 5 small holes with a diameter of 0.5~1.2cm are pierced through the belly with a laparoscope, but the patient's situation is too special!

With a weight of 403 pounds and a height of only 1.75 meters, the whole person lies down like a small mountain of meat, and the operating table is made up of two together!

The other party's body is full of meat, and the stomach has long been stretched to a super large size, and the thickness of the stomach wall is at least 4-5 times that of ordinary people!

The operation of the instrument on the wall of the stomach is at least seven or eight times more difficult than that of an ordinary patient!

If you change the attending doctor with slightly worse skills, it is estimated that you will not be able to do it, and something will go wrong.

But Zhou Qiao is a master-level level, although he is tired enough and sweating all over, the operation is carried out in an orderly manner after all.

Eva, a traveling nurse, came over from time to time to help Zhou Qiao wipe her sweat, and Elena glanced at it, a little surprised, but as an instrument nurse, she couldn't spare her hands!

Zhou Qiao's hands are very dexterous, manipulating instruments such as arm commands, following the direction of the greater curvature of the stomach, retaining the antrum above the pylorus of 2-6cm, removing most of the stomach along the long axis of the stomach, and removing all the fundus, so that the residual stomach is "banana-shaped", with a volume of about 60-80ml.

In this way, the patient's stomach forms a small pouch of about 150cc, which can hold about 4-5 ounces of food.

It has the advantage that it does not require foreign objects to be inserted into the body, and the weight loss effect of surgery is significant.

Of course, in the future, you will have to eat smaller and more frequent meals, because it is easy to get full.

Of course, it is not without sequelae, for example, food will get stuck in the small stomach pouch, making people want to vomit from time to time, resulting in gastroesophageal reflux, malnutrition, high osteoporosis and other lifelong troublesome diseases.

However, these problems are completely acceptable for Felipe, whose life is in danger at any time.

When explaining the condition before the operation, Zhou Qiao also informed him.

As for some other postoperative complications with a small probability, such as anastomotic leakage, anastomotic bleeding, pulmonary embolism, deep vein thrombosis, etc., which are caused by invasive or irreversible, it is almost impossible to occur at Zhou Qiao's masterful level!

After the operation, turn off the main switch of the CO2 cylinder, remove the pneumoperitoneum tube, release the remaining gas, and press the "stop" button......

……

Close the incision......

The patient is pushed into the resuscitation room.

Anesthesiologist Nancy was amazed, such a difficult operation, this young doctor named Zhou Qiao actually felt like a light weight, and it looked like it was not so difficult to complete!

Nancy thought she could share the case with her colleagues in the future.

The operating room of the community hospital is monitored, the video can be called up, and of course, the permission of the person in charge of the hospital, the iris clinic and the patient must be obtained.

The eyes of Elena and Ava looking at Zhou Qiao were full of scorching heat, like the sun in the Sahara Desert, which can melt people.

They walked out of the operating room and were greeted by an anxious Taylor and another woman, Annie.

Taylor opened his mouth, his voice hoarse, and he didn't say anything!

She's just too stressed!

Thousands of intestines turned, and the operation time of just over 40 minutes was as difficult as 40 years.

Anne hurriedly asked, "Doctor, how is the operation?" ”

Zhou Qiao smiled slightly and said, "I'm very happy to tell you that the operation was quite successful!" ”

"Huh? Are you sure? That's just great! Anne was happy for Taylor.

Taylor breathed a sigh of relief, and the folds on her face seemed to have suddenly dissipated a lot, and she could speak her words, and said again and again: "Thank you, thank you, thank you very much!" ”

"Doctor Zhou, you are really my son's lucky angel!" Taylor stepped forward and hugged Zhou Qiao tightly.

Zhou Qiao patted her on the back lightly and said, "It's okay, Felipe is in very good condition now, when he wakes up, he will go back to the clinic for a few days, and he can be discharged smoothly." ”

It's just that Felipe's return was quite troublesome, but Anne helped and called a few security uncles from the community hospital, and everyone pushed Felipe back.

When we arrived at the Iris Clinic, we entered the elevator and arrived at the ward on the second floor, and everyone finally relaxed!

Of course, the few days after surgery were quite difficult days, Zhou Qiao asked Taylor to prepare some liquid food, such as milk, chopped beef and tomato soup boiled to a thin scale, and gradually over-bread, eggs, etc.

Although the gastric reduction surgery has been completed, blood sugar still has to be controlled, and then Felipe is so fat, it is impossible to lose weight in just a few days, this requires a process, Zhou Qiao estimates, as short as half a year, as long as a year, will definitely see the effect. Just pay attention to regular follow-up.

Watching his son get better day by day, Taylor is even more energetic in picking up garbage!

Cainz contacted Pierre from the community hospital again to inquire about the operation at the Iris Clinic, and was shocked to learn that Zhou Qiao had successfully operated on it!

"I can't stay any longer, this person is too threatening!" Kainz snorted coldly, and couldn't help but contact an acquaintance of the California Medical Board again to inquire about the progress of his last complaint.

The other party said that he was still going through the process, but it was estimated that it would not be long before an investigation team would come over and ask him to wait patiently.

Fleck arrives to pick up Zhou Qiao again, this time at a luxury hotel located between the Chardonnay and Cabernet Sauvignon vineyards of Napa Valley, California, where the greenery of the vineyards makes this vineyard resort feel like a "paradise".

Here, once selected as one of the "100 Most Beautiful Places in the World", it has the most beautiful landscape restaurant in the world, and is known as the "Elven Continent in Napa Valley".

This resort hotel is also the property of 18th Street, and it is a bright business.

When Zhou Qiao came, Luo Ya was swimming in the private pool, luxurious, constant temperature, there were many high-end spa equipment around, and most importantly, Luo Ya was alone in it.

Her toned figure was like a mermaid, and when she saw Zhou Qiao coming, she jumped up and waved her hand, Zhou Qiao hurriedly changed her clothes and jumped down to play in the water with her.

To be honest, he hasn't swam for so long since he came to San Francisco, mainly because he's too busy, and the other thing is, don't look at San Francisco as a seaside city, but he has to go to the pool for swimming.

On the west coast of the United States, there are many beaches, but there are almost no people swimming in the ocean.

Mainly, it's too cold! Even if it's summer!

Unless you wear scuba gear!

This is due to the characteristics of the Pacific Ocean!

When the North Pacific Current meets the North American continent, the troops are divided into two routes, one to the north and the other to the south, and this one is called the "California Cold Current".

It brings with it icy waters all year round, and the depth of the ocean and the thickness of the water are very large.

As a result, the water temperature does not rise even in hot weather on the coastline, even at hot latitudes.

But it's not just that the water is cool, it's also a lot of danger!

Sharks aside.

Due to the temperature difference between the coastline and the depths of the ocean, there are high waves and strong underwater currents almost all the time along the coast of the West Coast of the United States. For the average swimmer, swimming here can be swept away by the waves, or suddenly swept away by the current, or cramped by cold water rising from the depths.

In addition, due to the constant fluctuations of the ocean along the coastline, the water is not very clean, with seaweed, debris and other garbage. Much of the Pacific coast is one of the richest areas for fishing.

The balance of the medical mystery point account finally broke 200!

"Account balance 208, do you confirm that you want to redeem the attending doctor's license?" In my mind, the system pops up a golden virtual panel.