The neighborhood near the Iris Clinic.

15-year-old little Kavin, no, it should be said that the fat big Kavin, is holding the fried chicken and nibbling on it!

His mother couldn't help but persuade the side: "Kavin, can you eat less, you are seriously overweight, and there will be problems if you eat again!" ”

His father was also worried, looking at his son who was developing horizontally, and couldn't help but say: "Fried chicken like this, in terms of health, is not as good as a hamburger!" You might have to go to the doctor again! ”

Hamburger got some veggies, didn't it?

"Hmm~, it's delicious! It's so delicious! ”

Where will little Carvin listen? He gnawed so much that he couldn't stop!

Although he is only 15 years old, he already weighs more than 170 pounds, but it is difficult to keep his mouth shut!

In particular, he loves fried chicken, and every time he smells the aroma of fried chicken, he can't help but want to buy it!

Little Kavin was in junior high school, and even wrote an essay about fried chicken in school - "To My Favorite Fried Chicken"!

In the article, Xiao Kawen counted the advantages of fried chicken, quoted scriptures, talked about its origin, popularity, tasted its color and flavor, and evaluated its nutritional value, and the teacher even praised him for this, saying that he has the potential to become a food writer in the future!

Then, little Calvin loves fried chicken even more.

Not only can you enjoy yourself by eating fried chicken, but you can also gather materials for writing essays, so why not have it?

So much so that now he is as fat as a gasoline barrel, and his height is only a little more than one meter six.

This is not high among children of the same age.

What he and his parents don't know is that his height is not expected to grow any longer, don't look at it as only fifteen years old, but the actual bone age has long exceeded four or five years, and obesity is actually a very important factor hindering height.

Human growth and development can be expressed by two "ages", namely the age of life and the age of biology.

Life age refers to calendar age, while biological age refers to bone age.

Bone age is short for skeletal age and is determined with the help of a specific image of the bone in an X-ray camera.

X-rays of the wrist of the child's left hand are usually taken, and the doctor uses x-rays to determine the bone age by looking at the development of the ossification center in the metacarpophalangeal bones, carpal bones, and lower end of the radial ulna.

Generally speaking, boys stop growing at the age of 18.4 years, and often the bone age is 1-2 years beyond the age of life, that is, basically by the age of 16, the growth potential is very limited.

So before the age of sixteen, you must not be fat! Otherwise, you won't grow tall! The golden growth period of human height is before the age of sixteen!

Little Carvin is an only son, and his parents are middle-aged, so he is very spoiled, but he is spoiled, eating fried chicken and drinking Coke every day, and he can't control it at all!

Moreover, little Kavin is quick to think, and he is still a set of words, after all, he has written small essays and won awards from teachers.

In the face of his parents' nagging, little Carvin disdainful on the one hand, eating wildly, and refuting vaguely on the other.

"Dad, mom, I have a question for you, we humans have managed to climb to the top of the food chain, is it just to eat vegetables? How expensive vegetables are, I eat more meat and fried chicken, isn't it enough to save money? Many medical researchers have said that it is better to consume more protein! This chicken is high in protein and much better than pork! ”

Where did his parents talk about his little mouth?

In the end, there was no way, and it couldn't dissuade little Carven's preference for fried chicken!

However, what they never expected was that little Calvin suddenly fell ill!

He had a stomachache and was anorexic, even the most delicious fried chicken, freshly fried and steaming and fragrant, put it in front of him, he didn't want to eat it!

"Could it be gastroenteritis? Or eat too much and don't digest it, right? Little Carvin's parents were anxious and immediately took him to the iris clinic near their home.

The clinic is doing a brisk business, and it is said that it has been full of patients recently, and there are many people from other places.

Because, in addition to being good at treating various diseases, this clinic also has two major characteristics, that is, weight loss and medical beauty.

Little Kavin's parents thought so, little Kavin came here for treatment, and by the way, they also consulted the young and promising Dr. Zhou about weight loss!

I heard that this Dr. Zhou also treated the governor's daughter, and he is a first-class famous doctor in California!

Although they didn't make an appointment, because it was an emergency, Ava immediately invited them into Zhou Qiao's general clinic.

Zhou Qiao asked a few words about his condition, and immediately arranged an abdominal color ultrasound for Xiao Kavin, taking the urgent channel, of course, the corresponding cost will be higher.

The iris clinic signed a monthly agreement with the commercial testing center, and the price negotiated by Aunt Zhou Qiao in the past was a relatively favorable price. Equivalent to 7% off their regular price.

If the patient goes alone, the price is the full price with the testing center, but if you go from the iris clinic, you can get 20% off or 8.5% off.

This is equivalent to the middleman making the difference, but because it saves money, the patient also accepts it. In addition, you only need to pay the bill of one clinic, which is much easier to operate.

Although the iris clinic only earns a premium of 1-1.5% each time, it has accumulated over a long period of time, and it is also amazing.

The reason why we can get a relatively low price is naturally because of competition, and there are several commercial testing centers nearby.

The results of the abdominal color ultrasound came out, and it was very clear and clear, and the cause was: Little Carvin's gallbladder was covered with dense stones!

His entire gallbladder was stretched to about twice the size, like a slippery mango!

In addition, the wall of his gallbladder is already 0.4 cm thick, while the wall of a normal gallbladder is as thin as a piece of paper!

Zhou Qiao looked at the report, analyzed the condition of Little Kavin and his parents, and said: "Little Kavin's gallbladder is full of gallstones, densely packed, I estimate, there are at least fifty or sixty!" ”

"What? So much? Little Carvin's parents immediately changed color in shock.

Little Carvin's face was also pale, and he didn't know if it was caused by abdominal pain or fright.

"So many stones, God......" Little Kavin's parents were dying!

Little Kavin's father hurriedly asked, "Doctor Zhou, what should I do now?" ”

Zhou Qiao pondered for a moment and said, "The best way now is to quickly do surgery and remove the entire gallbladder!" ”

Little Carvin's father was horrified: "Remove the entire gallbladder? Can ultrasonic lithotripsy be done to remove only stones without injuring the gallbladder? ”

Little Carvin's mother also said, "Yes, can you keep the gallbladder?" ”

After all, the gallbladder is an important organ of the human body, and who wouldn't want to keep it?

It's just that Zhou Qiao shook his head and said: "Let me tell you this, there is indeed a gallstone-preserving operation, but those who can do gallstone-preserving surgery do not need surgery at all, and Xiao Kavin's situation, you have also seen it from the film, it is shocking!" My suggestion is to excision! You don't have to worry too much, the removal of the gallbladder will basically not affect your normal life. ”

"But......," said little Carvin's father.

Zhou Qiao explained to them in detail some of the sequelae or effects after gallbladder removal, such as diarrhea, abdominal pain, food intolerance, postoperative infection, etc. But not everyone will be in every situation, just the possible risks.

For example, some people only have short-term diarrhea that lasts for a week or two, which is similar to normal people.

Removal of the gallbladder is indeed the most preferred option compared to the disease.

In addition, Zhou Qiao can also provide a set of conservative treatment methods, but basically it is not very effective, it can be suppressed temporarily, and it will recur in a few days.

As for whether to have surgery or not, it is entirely up to little Carvin's parents to decide.

"Doctor Zhou, let's discuss it again."

The two sat in the rest area of the clinic with little Carvin, and Elena brought coffee.

Before the couple could discuss it, little Kavin's condition worsened, and he rolled on the ground in pain!

That's right, just squatted down directly, and then lay on the ground in the clinic hall, ignoring the strange eyes of the people around him, little Kavin's forehead was dripping with cold sweat, and his muscles were bursting up, rolling on the ground, wailing, as if he was going to die immediately!

It's as if there was an invisible demon tormenting him inside him! Toss him to death!

This frightened little Kavin's parents, and hurriedly called Zhou Qiao!

Zhou Qiao, Rachel, and Murphy all rushed over. Some other patients also came to watch.

After Zhou Qiao's first aid, painkiller injections, and antispasmodic drugs, little Kavin felt better.

However, after such a fuss, little Carvin's parents undoubtedly made a choice, that is, emergency surgery!

Immediately, immediately, as soon as possible!

They don't want to see their son suffer like that again!

Ava immediately contacted the community hospital, and Carvin Jr.'s parents took Carvin Jr. for a preoperative check-up.

Zhou Qiao called Murphy to his office and explained the steps and key points of this operation to Murphy!

Murphy blinked, glanced at Zhou Qiao, and suddenly his heart beat violently, and his body was faintly hot!

Of course, she also knew that the patient's condition was important, so she quickly put aside distractions and listened carefully.

Murphy had never done this operation before, and after Zhou Qiao finished explaining, he took her to the operating room upstairs to conduct a simulation drill with clay figurines and teach Murphy hand in hand!

Cholecystectomy is a commonly used procedure in biliary surgery and is divided into anterograde (starting from the cystic duct) and retrograde (starting at the base of the gallbladder).

Anterograde gallbladder resection, with less bleeding, is easy to operate, and is usually used more.

However, when the inflammation is severe, the gallbladder is closely adherent to the surrounding organs, and the cystic duct and gallbladder artery are not easy to be exposed, retrograde resection is appropriate.

Sometimes it needs to be done in combination with the two, and how to do it needs to be specific to the condition and flexible. It is also very indicative of the doctor's level of presence!

Because instrumental testing has its limitations, many times only when the surgical field is really exposed, can we know the specific situation.

When everything was ready, Zhou Qiao took Murphy, Elena and Ava, as well as the patient's family of three, to the community hospital.

The anesthesiologist is Caroline, because Nancy has recently been divorced and is in a bad mood and goes out on vacation to relax.

Speaking of Nancy's marriage, Caroline, who is her best friend, is also indignant. Because Nancy's husband was contaminated with the vice of gambling and refused to change his persuasion, Nancy was very disappointed, not only that, but every time he lost money, he also drank heavily and committed domestic violence!

Nancy couldn't stand it anymore and filed for divorce!

In this regard, Zhou Qiao and they could only express sympathy. Every family has a scripture that is difficult to read.

This is also because Zhou Qiao and Caroline are very familiar with each other, so they shared gossip during the operation.

That's right, foreigners also like to gossip. And they share some similar mantras like us.

Like Guess what? (And guess what?) )

Have you heard? (Have you heard?) )

Could you keep a secret? (Can you keep it a secret?) )

Bad news travels fast. ）

It won't leave this room. )

Wait a minute.

The anesthesia is over, the routine time is out, and Ava plays a song.

This time, the first song she chose was "Flower Demon", singing in a low voice, tactfully and abruptly.

Of course, there is not only this one, but more than ten new songs played on a loop, but most of them are Chinese songs. Aiwu and Wu, Ava is fascinated by Chinese songs.

Of course, this is also because China's economy has developed and cultural exports have also been strengthened.

This is Murphy's tenth operation and the last of the "Great Teacher" mission!

Zhou Qiao was faintly excited, and he didn't know what kind of reward he would get after completing the task! But no matter what the reward is, it should be fun!

The gallbladder is located on the right side of the abdomen of the human body, below the liver.

This organ stores and concentrates bile produced by the liver and transports it to the duodenum to aid in fat digestion. Bile drains from the gallbladder into the duodenum through the cystic duct and common bile duct.

Indications for surgery usually include stones palpated to the common bile duct, a history of obstructive jaundice, significant dilation of the common bile duct, or intraoperative angiography showing stones in the bile duct.

Murphy performed a four-port laparoscopic cholecystectomy, the most commonly used procedure, along with three-port and single-port surgery.

However, the single-hole field of view is too small, and the operation is difficult, mainly because the little Carvin is too fat, and it is convenient to use four holes.

If the other party is a woman, Zhou Qiao can also provide scar removal surgery, but after consulting Kavin's parents, Kavin's parents feel that it is good to leave four scars and teach him a lesson.

Of course, the main reason is that Zhou Qiao's medical aesthetic scar removal fee is too expensive, and Kavin is a boy, so there is no need for that.

In the end, more than fifty or sixty gallstones came out, and one hundred and twenty-nine gallstones of different sizes were taken out of Little Carvin's gallbladder!

Placed on a stainless steel plate, like the pearls in bubble tea, dense phobia is committed!

Little Carvin's parents were naturally stunned, stunned, and stunned when they saw it!

Oh my God, that's a lot!

Who's in the gallbladder, who can afford it?!

Little Kavin's parents looked at each other, unable to speak for a long time, and said in their hearts that it was no wonder that their son was rolling on the ground in pain!

After a long time, little Kavin's father muttered to Zhou Qiao: "Doctor Zhou, why does my son have this 'strange disease'?" What exactly is causing this? ”

Zhou Qiao shrugged: "When I asked for a consultation before, you said that he has loved fried chicken since he was a child, and he has no fried chicken almost every day, and he also loves to drink drinks. ”

"You mean, he ate fried chicken and drank Coke? Oh my God, it's unbelievable! ”

Zhou Qiao said: "Indeed. In fact, the gallbladder is a very delicate organ, and eating too much, or not eating at all, can cause damage to it. Carvin usually likes to eat fried chicken, drink cola, and avoid vegetables, which leads to an increase in the concentration of cholesterol in the blood, and the concentration of cholesterol in the bile in the gallbladder also rises, which promotes the formation of gallstones. ”

"That's our fault!"

"It's just a little pity for me!"

Little Kavin's parents blame themselves! They are too spoiled and spoiled by their children!

Zhou Qiao couldn't help but comfort: "After the operation, it should be fine, it will be fine." ”

In addition, in addition to eating habits, this disease may also be related to family inheritance. However, Zhou Qiao asked before that no elder relatives in the Kavin family had suffered from this disease, and they thought it was purely their own doing.

Little Kavin's parents said that they must strictly discipline little Carven in the future and help him take care of his body. After recovery, come to Zhou Qiao's side to customize a healthy weight loss plan.

In Zhou Qiao's mind, the system popped up a golden virtual panel:

"Congratulations to the host, complete the 'Great Teacher' quest and get a medal of 'Great Teacher'!"

"Reward a Tier II Transformation Elixir, the host's strength, agility, endurance, intelligence, mental power, and X ability will be increased by 100% in all aspects!"

Thank you for the 500 coin reward!

(End of chapter)