Of course, the ophthalmic, maxillary, and mandibular nerves are the three main nerves that are bifurcated, and there are many smaller nerves.

That's right, the disease that Zhou Qiao considered was trigeminal neuralgia!

However, the causes of trigeminal neuralgia are varied, usually divided into primary and secondary, and the causes of these two types of trigeminal neuralgia are different.

Among them, the etiology of primary trigeminal neuralgia is not fully understood, and the peripheral theory and the central theory are more recognized. There are many causes of secondary trigeminal neuralgia, such as tumors, inflammation, vascular lesions, and skull lesions.

Without a thorough examination, it is difficult to know by palpation alone.

Although Zhou Qiao considered it to be trigeminal neuralgia, he was still a little uncertain in his heart, after all, his main reliance was on the system, and he did not have absolute confidence in his own strength for this incurable disease.

"System, start the auxiliary diagnostic function!" Zhou Qiao silently gave an order to the system in his mind.

Immediately, after a wave of invisible energy was scanned, a virtual golden panel popped up in Zhou Qiao's mind:

[Patient Zhang Mengjing, the symptoms are: trigeminal neuralgia caused by cholesteatoma!] 】

[After the diagnosis is completed, 5 points will be deducted from the medical mystery points!] Host Doctor Xuandian Account Balance: 396 points. 】

"Doctor Zhou, how's the situation?" Zhang Jianjun asked nervously.

Because he is accustomed to observing words and feelings, he has already seen Zhou Qiao frowning inadvertently, as if he was muttering something.

The heart said Brother Zhou, don't groan, you have been groaning for so long, my heart is going up and down, like playing a drum!

Zhou Qiao frowned and said, "The situation is a bit complicated, I suspect that this is not ordinary pain, but trigeminal neuralgia." ”

"Trigeminal neuralgia?" Zhang Jianjun was stunned for a moment and asked, "Isn't it enough to prescribe some painkillers?" ”

Zhou Qiao shook his head and said: "Using painkillers is only a symptom but not a cure, and I suspect that she has secondary trigeminal neuralgia, which is likely to be caused by lesions in the face or skull, which compresses the trigeminal nerve." ”

Seeing Zhou Qiao draw a circle near his temples with his hand, Zhang Jianjun suddenly had a bad premonition: "You mean, there is a lesion in the brain?" ”

Is this still worth it?

Near the temples! What an important part that!

Zhou Qiao said: "Otherwise, let's do an inspection first to make it clear, and wait for the report to come out!" ”

The reason why he said so much is to give the patient's family a thorough ventilation first, so that the other party has a psychological preparation, so that it will not be difficult to accept it for a while after the diagnosis!

Of course, this is also because he has already been diagnosed with the system, otherwise, he would not have done it.

Because, what if it is misdiagnosed? Now that I put it this way, when the time comes, people will come to scold you, saying that you are deliberately scaring people just to cheat more money! I can't explain it then!

Zhang Jianjun didn't think so, he felt that he must be seriously ill.

It's a hunch, a gut feeling! He used to be a scout when he was a soldier, and his sixth sense has always been strong!

In addition, Zhou Qiao is not the hairy young man who just came to the United States!

At the beginning, Zhang Jianjun felt that although this guy was okay, he was too immature, but now, he didn't feel that way at all, but gave people the demeanor of a famous medical expert in his gestures!

Zhou Qiao has undergone many major surgeries in a short period of time, and his reputation has long spread inadvertently, and because of the alliance between 18th Street and Hongmen and Huaqing Gang last time, Zhou Qiao has already become a legend in Chinatown!

Zhang Jianjun knows how powerful Zhou Qiao is, this is a man that even the violent queen fancies!

Later, 18th Street was destroyed, but Zhang Jianjun heard the big guy occasionally mention it, saying that the power under the command of the violent queen has not been weakened in any way, and it has gone underground, faintly stronger!

After all, after changing her name to the Violent Queen Organization, Luo Ya has abandoned all the business of the gangsters, and now she is not only a mercenary group, but also a local separatist force in East Africa!

In that part of East Africa, dominate one side!

It is the decaying 18th Street that has been destroyed, and the elite that has been retained!

Zhou Qiao arranged for head CT and MRI, wrote a list and a contact letter, signed his name, and asked Zhang Jianjun to take it and go to the commercial imaging center 800 meters away for examination.

"Okay, I'll take her right away!" Zhang Jianjun was in a hurry.

"By the way, Brother Jianjun, has Mengjing bought medical insurance?" Zhou Qiao thought about it and asked.

Because he estimates that the total cost of this operation is estimated to be around 1 million US dollars! And even more!

If you have health insurance, you can get a lot of wool from federal health insurance and insurance companies! Eight or nine million dollars can at least be earned!

If he didn't have medical insurance, he would give a favor and earn a hundred thousand US dollars, and he would lose blood!

Oh, no, if you don't have medical insurance, it is recommended that the other party immediately find a way to buy it, do it, and then have the operation!

Anyway, I can't die for a while, at most I will suffer some torture, affecting my work and life, and there are also some complications, such as depression, facial sensory disorders, etc.

Of course, some people will commit suicide after depression, but Zhou Qiao thought about it, Sister Mengjing is very optimistic and lively, and it shouldn't progress so fast.

Zhang Jianjun hurriedly said: "I have bought it, I have bought it, and the first time I came to the United States, I helped her buy medical insurance." It was with my insurance plan, and it was just an addition to a family member. ”

Americans buy health insurance, usually on a family basis. In fact, China is now approaching this aspect, and there are already family mutual aid, balance sharing, or directly swiping their own cards to register for their families. In the past, these were non-compliant or impossible.

Zhang Jianjun has also been in the United States for many years, where would he not know the consequences of not having medical insurance!

In the past, he had a fellow countryman who was quite wealthy and thought that the medical technology in the United States was good, so he came to the United States for a major heart surgery and had no medical insurance.

As a result, the 10 million yuan prepared actually cost more than 11 million! More than a million over budget!

This is only to pay the bills of the hospital and doctors, and does not include food, clothing, housing and transportation here!

But the family was really rich, and they paid it directly.

If you do it in China, at most hundreds of thousands of yuan will be killed! After deducting the reimbursement of medical insurance and some serious illness insurance, it doesn't cost much.

More than 10 million were given to the Americans for nothing!

Zhang Jianjun thought about it, his family didn't have that foundation, so he helped his daughter be included in the medical insurance system as soon as possible.

Zhang Jianjun cheered up on the surface, but in fact, he was nervous and took his daughter for an examination, while in the clinic, Zhou Qiao spent 60 medical points to exchange for perfect-level trigeminal neuralgia-related knowledge and cholesteatoma removal surgery skills!

Because, these are two separate knowledge packs, 30 points each!

The reason why I want to be perfect is because the difficulty is too challenging, and the master level is not necessarily safe!

The other thing is that this surgery can't be done by Murphy. can only play Zhou Qiao himself!

Usually, after carefully teaching Murphy by himself, Murphy can reach the level of specialization and the initial level, and can independently perform the corresponding first, second, and third level surgeries, which are relatively simple.

But if Zhou Qiao assists, he can perform complex third-level surgeries and relatively general surgeries in the fourth-level surgery, while complex fourth-level surgeries that are more difficult and risky, Murphy will not be competent!

This operation is not trivial, the risk is too high, and Murphy can't hold it down.

As for Zhang Mengjing not having surgery with him, it's nothing, it's only 60 points, and if you spend it, you will spend it, and you won't be pressured by Yiduo. He has now unearthed the treasure girl and cracked the correct way to open the twin girls, and the medical mystery point is quite generous!

When the results came out, Zhou Qiao could clearly see on the computer that Zhang Mengjing's intracranial cholesteatoma was huge in size, encircling the trigeminal nerve, facial nerve, auditory nerve and glossopharyngeal nerve!

"Huh? Is it really a tumor? On the side, Zhang Jianjun was a little unacceptable for a while!

His daughter was also very confused, feeling that the sky had darkened all of a sudden, and she was a little at a loss.

However, Zhou Qiao looked at the film, zoomed in and carefully explained to the father and daughter, and talked eloquently, quite professionally, so they couldn't believe it!

Zhang Jianjun, in particular, believes it very much, after all, the inspection results are out!

Moreover, the man behind the violent queen can't lie to him at all!

"That'...... Is surgery going on? Where to do it? Zhang Jianjun took a deep breath, immediately regained his composure, and asked decisively!

This is a habit that I developed when I was a soldier in the past, and since it has become a fact, then accept it, and never drag the mud and water!

Zhou Qiao tapped his fingers on the tabletop and muttered: "The whole operation is actually very complicated and difficult, requiring extremely precise operation and continuous patience to completely remove the tumor, and preserve the structure and function of the trigeminal nerve, facial nerve, auditory nerve and glossopharyngeal nerve intact, and the slightest carelessness will cause serious consequences such as facial paralysis, deafness, and dysphagia." ”

"Moreover, minimally invasive microscopy techniques are required, combined with cranial nerve electrophysiology monitoring equipment, etc., which may not be suitable in community hospitals...... If you can trust me, Brother Jianjun, I will be in charge of the operation, and we will go to the University of California Medical Center to do it, where the operating room and equipment are more advanced! ”

In the past, Zhou Qiao's aunt had handled a clinic affiliation at the University of California, San Francisco Medical Center, and had received a subsidy of hundreds of thousands of US dollars from there, but she hadn't been there for a long time, and she had changed bosses, so she needed to resubmit the information and activate the account.

The operating room in the Iris Clinic is only suitable for first-level surgery, and the community hospital can do second- and third-level intermediate surgery, or relatively simple fourth-level surgery. And this more complex fourth-level surgery, which requires more equipment support, is better to go to the University of California Medical Center.

After all, the medical center has been ranked in the top 10 in the nation for years, and sometimes even in the top five.

Zhang Jianjun groaned and said, "Doctor Zhou, of course I can trust you. The last time I stitched up Jacob's wound, I knew you were amazing! It's just that I'm going to go back and discuss it with my wife first, after all, it's a major operation, and I need time to raise money. ”

After a pause, Zhang Jianjun asked again, "Doctor Zhou, can you help me estimate the price?" It's so easy for me to raise money in advance! ”

Zhou Qiao nodded, asked Zhang Jianjun about Zhang Mengjing's medical insurance configuration and coverage, and then carefully calculated it on the computer, and said: "The total cost is estimated to be 1.1 million US dollars, and the self-paid part is about 180,000 US dollars." Of course, the actual amount in the final will prevail! ”

This is because everyone buys different health insurance.

Like Mr. and Mrs. Clark and Mr. and Mrs. Westin, they are native Americans, and the insurance premiums they pay every month are also high, the types of insurance they configure are different, and they can also enjoy some benefits unique to American residents, so their out-of-pocket expenses are less.

Even if it is domestic, the same province, different cities; In the same county, different groups of people, civil servants' medical insurance, employee medical insurance, and urban and rural residents' medical insurance have different reimbursement ratios!

Not to mention commercial supplemental insurance.

Zhang Jianjun nodded, and left with his daughter with a heavy heart.

His wife was in China, and he didn't come with him, and now that it was night in China, he didn't want to wake up his wife in the middle of the night, so after he went back, he discussed it with Tang Yunxuan's boss first.

Tang Yunxuan's boss said: "I have a friend who works at the University of California Medical Center and is also a doctor, so I sent Mengjing's film and asked the other party to help see how much it would cost to have surgery over there." It's not that I can't trust Dr. Zhou, but it's such a big deal, and it's normal to shop around. ”

He didn't dare to say bad things about Zhou Qiao behind his back, lest it be spread out, and he couldn't eat and walked around. Even in front of Zhang Jianjun.

Zhang Jianjun naturally said yes. Because, Zhou Qiao's offer is 180,000 dollars, where does he have so much money, he has to borrow 70,000 or 80,000 yuan to make it up!

If it is the relationship of the boss, the experts at the University of California Medical Center will perform the operation, firstly, it seems that the technology is more secure, and secondly, maybe it can be cheaper?

It's a pity that he thinks too much!

The quality of the surgery is better or worse for the time being, but the price is 700,000 yuan! The self-paid part is 120,000 more expensive!

The friend of Tang Yunxuan's boss, about the afternoon of the next day after receiving the film, sent a quotation, saying that the total cost was about 1.8 million US dollars, and his own expense was about 300,000 dollars!

Generally, you see a doctor first and know the amount after receiving the bill, but isn't this an acquaintance? For such a big operation, it is also appropriate to inquire about the price first.

Otherwise, you will go to see it stupidly, and then the bill will bankrupt you!

I'll go, Zhang Jianjun was instantly stunned! 180,000 have to be borrowed, where to get 300,000! The University of California Medical Center is so dark, it actually costs 1.8 million!

Tang Yunxuan's boss pondered: "Why don't you do it at Dr. Zhou's place, after all, Dr. Zhou has even done this kind of surgery for pancreatic cancer, when I called to ask, the doctors at the University of California Medical Center actually knew about the Iris Clinic, and suggested that we can do it at Dr. Zhou's place!" ”

Zhang Jianjun said in his heart, sure enough, Dr. Zhou's level is recognized by even the University of California Medical Center!

In fact, the Iris Clinic often performs difficult surgeries and is a young doctor, which makes it one of the best clinics in San Francisco.

It's impossible not to be noticed by the bigwigs in the local medical circle!

In particular, Dr. Crawford, a specialist in hepatobiliary and pancreatic surgery and oncology at the University of California Medical Center, often mentions Iris Clinic and Zhou Qiao with his colleagues!

The commuter pass and the fixed addition, I will definitely complete it this weekend!

(End of chapter)