It is worth mentioning that Zhang Mengjing is now recovering well, and she plans to study nursing and become a nurse in the future. In the United States, nurses also earn a considerable amount of money, which is better than washing dishes in a restaurant.

Social classes will also be promoted.

Zhang Mengjing didn't like to study in China before, and because of illness, she often couldn't learn, but after this incident, the whole person suddenly grew up, sensible, and free from the trouble of illness.

Zhang Jianjun and his wife were very pleased, and often sighed to relatives and friends, Mengjing is a blessing in disguise!

Murphy is called over to take a closer look at Yoona's condition.

She has short chestnut hair, bright eyes and bright teeth, and delicate facial features, and Elena nicknamed her "Little Hepburn of the Iceberg".

It's just that the iceberg little Hepburn walked in, glanced at the CT film on Zhou Qiao's computer screen, looked at the huge "hair stone", and couldn't help but gasp, and the surprise was overflowing in his pretty face and blue eyes!

Zhou Qiao glanced at her quietly, well, it seems that the clothing therapy of the strange flower sachet is working more and more! If it had been before, Murphy might still be "paralyzed", not caring at all, and looking very indifferent.

Now that's how normal people behave.

Of course, this is only a preliminary effect, and it is estimated that it will take a long time for Murphy to completely come out of "autism".

"Let's discuss together how to use a gastroscope to safely remove that clump of hair!" Zhou Qiao motioned for Murphy to sit beside him and watch the film together.

Murphy sat down obediently and muttered: "This one-time is obviously not good, the score is many times, and the other is that the repeated friction of the gastroscope in and out will cause damage to Yun'er's immature mucous membrane of the digestive tract, and we need to find a special equipment to protect her digestive tract." ”

"Heroes see the same thing!" Zhou Qiao approvingly and said, "We can find a transparent oropharyngeal esophageal transparent cannula with a suitable diameter and harmless to the human body, and the front end of the cannula should preferably have a soft fan-shaped protective sleeve to avoid cardia tearing caused by damage and traction of the gastric mucosa by the gastroscope and hair strands when the hair is removed." ”

"If I don't use a gastroscope, can I dissolve it if I take sodium bicarbonate?"

"This shouldn't work!"

The two of you say a word, I say a word, and perfect the surgical plan.

And Park so-joo took her daughter to prepare for the operation.

Do gastrointestinal endoscopy, in which the colonoscopy needs to take laxatives and empty, but hair stones are absolutely not discharged. Park Xiuzhu pondered, and finally did it once, and by the way, even the colonoscopy was done, so Zhou Qiao also arranged laxatives.

However, Zhou Qiao also told her that it may not be too late. Because of this hair stone removal, the time is estimated to be very long.

Park Yuna is so young, if she is under general anesthesia, it is impossible to anesthetize for more than ten hours, and her body will be unbearable.

If you can't do it in five or six hours, and there is a lot left in the future, then pause, resume first, and do it next time!

If you have the time, you can schedule a colonoscopy. We'll see when the time comes.

At the same time, there are other preoperative examinations that need to be done, such as blood routine, liver and kidney function, blood lipids, glycosylated hemoglobin, etc.

For these jobs, Park Xiuzhu, as a nurse, is clear, Zhou Qiao gave her a list and prescription, and she took her daughter with her!

Being a doctor or nurse is a great help to your family, at least you won't be blinded when you see a doctor.

If you can't figure it out yourself, you also know which expert to turn to for help!

Poor Park Yun'er, kept going in and out of the bathroom on the first floor of the iris clinic, and finally pulled out all the clear water.

Murphy and Elena went out to look for equipment, and finally, found a suitable transparent pipe, food material, harmless to the human body, and suitable diameter and flexibility.

When everything was ready, the group went to the community hospital.

It's still these people, Murphy, Zhou Qiao, Elena, Ava, the patient is Park Yuna, although Park Xiuzhu is also a nurse, but she can't bear to look at it directly, she didn't go in, and waited in the rest area outside.

The anesthesiologist made an appointment with Caroline. He is also a senior anesthesiologist and is not below Nancy.

Caroline came over to take Park Yuna into the anesthesia room, but Park Yuna felt very frightened, her eyes were teary, she began to cry, and refused to go in.

Park Xiuzhu hugged her and coaxed her, but she couldn't coax her, Zhou Qiao said: "I'll try it!" ”

So, he picked up Xiao Yun'er and used the master-level children's touch technique, and said that he was also surprised that Xiao Yun'er was touched by Zhou Qiao, and it didn't take long for Xiao Yun'er to quiet down.

Zhou Qiao personally carried her to the anesthesia room and laid a clean mattress for her, until Xiao Yun'er was very obedient and smoothly entered the anesthesia, and then she came out!

Anesthesiologist Caroline gave Zhou Qiao a thumbs up!

And Park Xiuzhu had mixed feelings in her heart and was a little jealous, she vaguely guessed that it might be that Park Yuna lacked fatherly love since she was a child, so when Zhou Qiao, the eldest brother, comforted her, it would have such a good effect. It is far more than the biological mother!

However, as long as my daughter can have a smooth operation!

The conditions of this community hospital are still okay, although some of the equipment is relatively old, such as audio and decoration, but at least there are enough operating rooms, and some surgical equipment is relatively advanced.

Like some small hospitals, or the leaders are more picky, because the gastrointestinal endoscope is not a sterile endoscope, so even if it is a painless gastroscope, it is also placed in the endoscopy room, and the anesthesiologist can be called over when necessary.

This is understandable and compliant.

However, in this community hospital, the gastrointestinal endoscope is placed in the laminar flow sterile purification operating room, which can better avoid infection during examination and treatment.

can only be said to be a bit of a tyrant.

Laminar flow purification operating room is an operating room with a higher degree of sterility, which is relatively expensive to build, and many hospitals have it, but it is only used for major surgery.

In fact, Park Yuna's surgery is also a relatively complicated major surgery!

That's why Zhou Qiao picked this one.

Of course, the corresponding operating room and equipment rental fees are also relatively more expensive. But it's worth it.

After the intravenous compound anesthesia is completed, everyone performs the time-out procedure together.

Subsequently, under the protection of a specially prepared long transparent cannula cap, Murphy inserted the gastroscope and performed routine examinations on Yuna's esophagus, stomach and duodenum.

Continuously inject air to expand the stomach cavity to fully attract the liquid in the stomach and try to expose the "hair stones".

It's just that this "hair stone" is so large that it almost fills the entire stomach cavity, and even if you inject gas, there is still not much room for operation!

Reach into the pre-prepared appropriate cutter and foreign body pliers......

When the operation officially began, Ava, the itinerant nurse, was actually relatively idle, and she began to play songs again.

In this song list, there are not only English songs, French songs, and German songs, because considering Zhou Qiao's homesickness, as always, many Chinese songs were selected and played randomly.

There are Rakshasa Haishi, I am still the same boy I used to be, blue and white porcelain, Yungong Xunyin, etc., but when I put it on, I suddenly jumped out of a song that made Zhou Qiao stunned!

This is "A Thousand Miles Away" sung by Jay Chou and Fei Yuqing.

"I'll send you away thousands of miles away, and you're silent, black and white......"

Zhou Qiao: "......"

Stop now!

"Ava, delete this song!" Zhou Qiao said.

Ava was confused: "What? Doesn't it sound good? ”

Elena was also surprised: "I think it's pretty good!" ”

The tune is beautiful and the lyrics are ...... Well, they don't understand either.

In fact, the lyrics are also very well written, but they are not suitable for this kind of occasion!

Zhou Qiao said helplessly: "It's good, it's good, but it's a little unlucky." ”

"Unlucky?" The second daughter is suspicious.

Zhou Qiao said: "After the operation, I will explain it to you in detail." Can you delete it now? ”

Zhou Qiaoxin said that fortunately this is a general anesthesia operation, Park Yuna has "fallen asleep", Park Xiuzhu is not at the scene, maybe Park Xiuzhu knows the meaning of the lyrics, after all, many Koreans also know a lot about Chinese songs.

Especially Jay Chou is in South Korea, no, the fame in the whole of Asia is so popular.

When the time comes, it will be ......

Zhou Qiao feels weird, I'm sorry for Xiao Yun'er!

Murphy turned a deaf ear and concentrated on the operation!

Although Xiao Yun'er swallowed the hair into her stomach and did not take long to "refine" this mass of hair stones, the hair in her stomach seemed to be wrapped in glue, and it was intertwined, very tough, with a horizontal diameter of more than 10cm and a long diameter of more than 20cm, filling the entire stomach cavity, and it was very difficult to cut.

This size is far more than Yun'er's esophageal entrance and stomach exit, and it is impossible to take it out directly with foreign body forceps without cutting or dissecting it!

Murphy was calm and calm, the 3D modeling in her brain began, combined with the content on the electronic display screen, she used an endoscope to cut and separate, and then used foreign body forceps and five grasping forceps to grab a part of the cut hair, and constantly pulled and shook the hair from different angles to let the hair slowly loosen.

Then, take a pinch by pinch and carefully remove the hair.

Sometimes, a single cutter will not work, and you need to switch to another cutter head.

Because the "hair stones" in Yun'er's body are more special, the hair she eats in them is relatively long, criss-crossed, and the glutinous effect causes the clumps to be quite dense and sticky, which needs to be constantly broken up and taken out in stages.

She may have eaten glutinous rice balls, and the stickiness of glutinous rice is similar to that of glue, and when it comes to hair, the clumps are not completely digested, and the effect is simply ......

In ancient times, glutinous rice juice was used as a binder to build city walls!

It's quite a delicate job that requires extreme patience!

During this process, the gastroscope repeatedly entered and exited Xiao Yun'er's mouth, throat, esophageal cardia and stomach cavity.

Xiao Yun'er is only nine years old, and her stomach, digestive tract, and mouth are all extremely delicate, and they will be damaged if she is not careful.

Many things, easy to say, but very difficult to do.

For example, interventional surgery, many people admire, and they want to use interventional surgery at every turn, because the principle and operation sound quite simple, and the effect is also magical, but what they don't know is that interventional surgery has quite high technical requirements for doctors, and it is easy to puncture blood vessels, resulting in leakage of contrast media, or ...... of guidewire rupture and retention, resulting in all kinds of medical accidents!

In addition, interventional surgery is more harmful to doctors!

Medicine is a complex discipline that is easier said than done!

In the process of Murphy's operation, Zhou Qiao, as an assistant, in addition to guidance, he also had to carefully observe the urine volume and bladder filling of Xiao Yun'er's urinary catheterization bag, and also turn Xiao Yun'er's body in time......

……

The operation lasted almost seven hours, a little more than the expected five or six hours, but it was finally successful!

I felt that there was still time, so I did a colonoscopy by the way, but fortunately, nothing abnormal was found.

The hair in Xiao Yun'er's stomach was completely removed and placed on a stainless steel plate, and after being slightly compacted, the size of this hair stone was 30x18x2.5cm, nearly 1.5 pounds!

Shocking!

Anyone with a slight phobia of density will feel suffocation and palpitations!

When Park so-joo saw the sample, the tears couldn't stop rolling down!

She felt that it was all her own fault! If she hadn't forced her daughter every day and started to do all kinds of tutoring papers since the first grade of primary school, she would have become a part-time tutor, which put too much pressure on her daughter's academics, and her daughter would not have this quirk!

It wouldn't be like this, pitiful, lying on a hospital bed, weak.

Although the hair stones in Park Yuna's stomach were removed, in order to prevent her from recurring again, Zhou Qiao decided to give her psychological counseling when she recovered a little.

Because of this incident, Xiao Yun'er may not even be able to take the final exam of school. It can be said that the gains outweigh the losses. Park so-joo is quite self-pitying!

That night, Park Yuna stayed in the Iris Clinic for observation, and Park Xiuzhu did not go home, but lived directly in the clinic to take care of her daughter.

She takes care of it herself and does her best even more!

In addition, it is too late and it is not safe to go home.

In order to prevent Park Yuna from stealing her hair again, Park Xiuzhu has taken her daughter with her day and night these days, and when she goes to work, she lets Park Yuna play in the rest area of the clinic, and even deliberately cuts her hair.

When cutting her hair, Park Yuna looked at the falling strands of hair and licked her lips, quite reluctant. However, she also knew that this behavior was wrong! What's more, my mother is staring at it!

So, the strange thought in my heart was forcibly suppressed.

And after this practice, Murphy's gastroscopic fetching technique has rarely jumped to the master level!

It's her second master-level skill!

This is entirely on her own! Because Zhou Qiao has no way to add points to her for the time being, and improve the corresponding technical level!

……

Christmas is coming, and elementary schools in the United States have already closed.

Park so-joo was worried that her daughter was home alone during the day, so she brought her to the clinic and asked her to do her homework in the rest area and read extracurricular books. Wait for Park so-joo to get off work and then go back together.

It's just that there is less homework, not as much as before.

However, Park so-joo believes that it is okay to reduce the amount, but it must not be broken. Learning is like sailing against the current, and if you don't advance, you will retreat.

Especially Xiao Yun'er's physical and mental health, under Zhou Qiao's careful conditioning and psychological counseling, gradually recovered, and it was time to resume studying.

Zhou Qiao did not object after evaluation. It's okay to study a small amount every day. Over-relaxation all of a sudden is not necessarily a good thing.

Sometimes, Cathy also brings little Danielle over to play, and Park Yuna likes little babies a lot, so she holds little Danielle in her arms and sings to her. Then pretending to be a doctor, giving little Danielle a doctor, injections, and infusions.

One big and one small, have fun.

Although the primary school has been closed, but the University of California, San Francisco is not on vacation, the dean of the School of Medicine, Carlin Dujotaro, invited Zhou Qiao to give a special lecture at the school, as for the specific lecture content, Zhou Qiao himself selected.

It is also paid, five thousand dollars an hour, and Dean Carlin Dujotaro recommends at least two hours!

That's 10,000 US dollars.

If you give a lecture, you can earn so much, an absolute high-end talent! If his former teachers and classmates knew, his jaw would drop!

Zhou Qiao felt a little pressured. However, this is also a recognition of his ability by the University of California!

In the previous exchange meetings between the medical center and the school, whether it was Dean Carlin Dujotalo, other high-level officials, as well as experts and scholars attending the meeting, they all appreciated Zhou Qiao's profound knowledge and professional attainments.

Zhou Qiao thought about it and decided to combine the cases he really came into contact with in his clinic to make a special topic on weight loss!

Obesity, which is a fairly common problem in the United States, does not evolve into too many examples of disease. He has also been to the campus of the University of California, San Francisco, and when he walked around, he also met many obese teachers or classmates.

To do such a topic, whether it is academic significance or practical significance, is quite strong! Plus, maybe you can get some business for your clinic by the way!

Like many minor diseases, ordinary diseases, the University of California Medical Center does not look at them, they almost only look at incurable diseases, or more academic diseases.

In addition, even if you do receive medical treatment, the University of California Medical Center charges a relatively high price.

The Iris Clinic is a private clinic affiliated with the University of California Medical Center, which itself has a certain diversion function.

In particular, the Iris Clinic has a small reputation for weight loss! Many personal media and social platforms in San Francisco have praised the success rate of this clinic for weight loss.

Dean Carlin Dujotaro naturally agreed, encouraging Zhou Qiao to write well, and he would personally go to the scene when the time came!

Zhou Qiao spent a day working on this thing, preparing PPT, speeches, and making off-script speeches, not only to speak professionally, but also to be interesting and attractive, in addition, the demeanor, speed of speech, and gestures during the speech must be rehearsed in advance!

The words should be clear, loud, full of air, and the best voice should be a little magnetic......

Poor Zhou Qiao, it has only been long since he graduated from medical school in China, and now he is going to the world-renowned university University of California, San Francisco, to give a large-scale special lecture! I don't know how many people will come to listen, for a while, I am worried that there are too many people, I am afraid that I am too stressed, and for a while, I am worried that there are few people, if it is cold, it will be too embarrassing!

Anyway, he was very serious about preparing, and even when Elena and Ava invited him to play a particularly interesting game in the evening, he politely declined!

Instead, he pulled the little nurse twins to act as an audience, and he stood in the center of the hall on the third floor and began to simulate the exercise!

The little nurses of the twins are also quite cooperative, and whenever Zhou Qiao talks about the highlights, they applaud together!

Zhou Qiao's eyes lit up and said, "When the time comes, you will go together." Dress smartly, so that people don't recognize me as someone from my clinic. ”

Elena said: "We're going to do nothing, anyway, when we need to applaud, we'll take the lead and applaud vigorously!" ”

Ava also said: "Don't worry, I'll call some of my high school classmates over, and I won't let you be cold!" ”

In fact, Zhou Qiao underestimated his own fame, especially at the University of California School of Medicine.

He, the youngest visiting professor, has long been very well-known!

When the poster of Zhou Qiao's special lecture was released, the school forum also updated the post in time and put it at the top, which caused considerable repercussions among students.

On the day of the lecture, the lecture hall was originally scheduled to accommodate 800 people, but it was temporarily replaced with a lecture hall that could accommodate 2,000 people!

Elena and Ava were dumbfounded! They said to themselves, if we knew this, why did we bother to find To?

The trustees who were called by them were also dumbfounded, and they instantly felt white! Some of them still want to knock Elena and Ava hard, and they also accept this thought, after all, people are really dispensable! Calling you guys over is just icing on the cake, just in case.

Don't talk about adding money!

Ling Qingqing and her classmates also came to cheer, Ling Qingqing is not fat, quite slim, but she has a fat roommate and is also an international student from China.

I was fat when I was in high school, but after I came to the United States, I let go of myself, ate all kinds of junk food, and the whole person was like a balloon, watching me get fat day by day, and I couldn't control it at all!

Hearing that Zhou Handsome had such a lecture, he immediately pulled Ling Qingqing's fart and ran to grab the position!

As a result, they came a little late, and the previous lecture hall people went to the empty building, and after inquiring, they learned that they had changed to a larger lecture hall, and then rushed over, they could only stand in the back passage, and they had to pad their feet to see Zhou Qiao's handsome face.

Although, the lecture hall is stepped up. But they couldn't stand the crowd, they were all standing in front of them!

Zhou Qiao started to speak, the sky was falling, and the ground was surging golden lotus......

Well, mistakenly, the seats are full, concentrated!

I have to say that his handsome appearance and men's own charm +2 have played a considerable role!

There are a lot of female students in the audience!

Zhou Qiao had prepared his speech in advance, but when he really spoke, the endless knowledge in his chest kept emerging, causing him to ...... It's off-script!

I don't follow the pre-written manuscript at all!

Zhou Qiao didn't expect this either!

From the various causes and mechanisms of obesity, a series of complications caused by obesity, treatment options, weight loss skills, and some special cases, how to judge, what are the tips, and how to prevent them......

The eloquent language, witty language, and full of fun, often attracted the audience full of laughter and applause!

The applause is like a tide, wave after wave!

Elena and Ava originally wanted to be trusted, but they didn't!

Many times, some people applauded before them, making them follow their prestige, and they thought it was Zhou Qiao's other entrustment! But apparently not!

Not only medical school students participated, but also students from many other faculties, among which there were many obese people, who listened to Zhou Qiao's lecture and suddenly realized!

In the interactive session at the end of the lecture, many people asked questions, and even many people took advantage of the break to come to Zhou Qiao for consultation.

Obesity in the United States is serious and widespread.

In medicine, obesity can be divided into simple obesity and secondary obesity.

Simple obesity is the excess of adipose tissue in the body without obvious cause, which is related to genetics, environmental factors, unhealthy eating habits, excessive mental stress, etc.

Secondary obesity is often caused by a disease, such as Cushing's syndrome, anorexia nervosa + bipolar disorder, Chubby Willi disease, hypothalamic obesity, hypercortisolism, hypothyroidism, hypogonadism, islet-related diseases, and drug-induced overweight or obesity.

Those medications include: anti-schizophrenia/affective disorder medications, antidepressants, anti-epileptic/spasmodic drugs, corticosteroids (glucocorticoids), antihistamines (allergy medications), oral contraceptives, etc.

There are many Americans who don't like to use TT, which causes women to gain weight by taking birth control pills. When talking about this, Elena and Ava looked at each other and secretly smiled!

Because they are also taking medicine, they are really worried that they will get fat!

It's just that their worries are superfluous, what they don't know is that after Zhou Qiao activates the function of adding points to their physical attributes, they don't have to worry about becoming ugly or bloated!

And this number is not far off, there are still 39 DFs left!

That is, when the number of DF exceeds 100 times, the large number of points that Zhou Qiao has accumulated these days will be useful again!

Thanks to the "Blue Sky of the Past" tip.

(End of chapter)