Jenny's mother couldn't hide her excitement and asked curiously, "Doctor Zhou, what is the solution?" ”

Zhou Qiao explained a little and said: "It is an endoscopic retrograde treatment of appendicitis, called ERAT surgery. To put it simply, it is to enter in a similar way as colonoscopy, without opening a hole in the body, and while retaining the appendix, it leads out pus, pus plugs, and removes fecal stones. ”

Once the "culprit" of dung stone is caught, appendicitis is not a cause for concern, and it is estimated that it will not recur for a long time in the future with some medicine to reduce inflammation.

Of course, no one can say what will happen in the future, maybe there will be an outbreak of acute appendicitis for other reasons? But it's not because of the cause now.

At this stage, endoscopic fecal stone removal surgery is the best radical treatment.

In fact, the human appendix has many functions, and modern medicine has long had more understanding and research on the appendix.

First of all, the appendix strengthens a person's immunity.

In the inner layer of the appendix, there are a variety of dense immune cells, including T cells, B cells, etc., which are important parts of the body's immune response, which can help the body maintain part of its immunity and fight against foreign bacteria, viruses and other pathogenic microorganisms.

Secondly, the appendix stores a large number of bacteria that are beneficial to the human gut.

Bacteria, not all pathogenic bacteria, some are probiotics that are very helpful to the human body.

When the beneficial flora in the intestine is destroyed, such as taking antibiotics or diarrhea, the "probiotic group" is seriously damaged, and the appendix, the "arsenal", will send a large number of "reserve troops" to reinforce to maintain the balance of intestinal flora and reduce the damage caused by pathogenic bacteria in the human body.

In addition, some studies have pointed out that the appendix also contains a large number of secretory cells, which can secrete growth hormone and digestive enzymes, and may be involved in the regulation of endocrine and brain-gut axes.

All in all, try to preserve the appendix if you can. Human beings have evolved for so many thousands of years, and they still have this organ, which shows that its role cannot be underestimated.

"That's amazing!"

Jenny's mother and father looked at each other and said in their hearts, this trip is really the right one!

They never expected that such a young little brother next door who looked like a high school student would really have such novel ideas and methods!

I just don't know if the real technology works, but don't just talk about it.

After all, in life, there are too many experts who talk about everything and can do anything, but once they do it, they will be exposed to the strong outside and the middle of the work, and it is useless.

Anyway, Zhou Qiao's method gave them a bright feeling, and they decided to give it a try here!

Immediately, Zhou Qiao admitted Xiao Jenny to the hospital, arranged examinations and medical orders, and after Park Xiuzhu helped out, Xiao Yun'er also accompanied Xiao Jenny on the side.

Little Jenny is happy, and Xiao Yuna is also happy. Because, when little Jenny was hospitalized, Yun'er's mother deliberately "gracious" and let her take a day off, accompany her friends, and not have to do her homework.

This makes Xiao Yun'er very happy!

In fact, little Jenny's abdominal pain has also been relieved a lot, after all, after a few days of conservative treatment, it still has some effect, at least not as painful as it was at the beginning. But Zhou Qiao can be cured here, Jenny's mother has to try it, and it is impossible to wait until the next seizure to come back, right?

In addition, according to Zhou Qiao, this operation is not painful. Because there is no need for surgery, it will not cause any wounds.

The reason for hospitalization is because the preoperative examination needs to be perfected, blood tests, electrocardiograms, etc., as well as the most critical step - colon cleansing.

Since noon that day, little Jenny has only eaten liquids, and after 8 o'clock in the evening, she basically does not eat, and only drinks the kind of "laxatives" prescribed by the clinic, that is, the kind that Murphy's grandfather drank before, and the modified version is a bit like the lemon-lime flavored sports drink, and the taste is better than the ordinary compound polyethylene glycol electrolyte powder.

Little Jenny is so small, the ordinary kind is estimated that she really can't drink it.

I took it in batches, went to the toilet 9 times, and then went to bed after pulling it refreshed.

Little Jenny's mother stayed here to accompany her to the hospital, probably because of the change of bed, little Jenny couldn't sleep all night.

At ten o'clock in the evening, Zhou Qiao and Elena came over to check on the room together, and he didn't ask if the other party needed hypnosis services.

Because Stephanie had already gone home. And he himself, not wanting people to know, that he would do this technology.

In a good way, hypnotizing people will make patients and their families feel insecure. And because of the incident in Los Angeles last time, he decided to hide his technology and easily use it.

The operation was performed at the endoscopy center of the community hospital, and Ava made an appointment yesterday.

Zhou Qiao brought Stephanie as an assistant, because of this kind of operation, Murphy was already a master, and only Stephanie lacked experience.

Before leaving, Zhou Qiao called Stephanie to his clinic and explained the specific steps and precautions to her.

Stephanie is also a medical seed, extremely talented, and does not need a hammer to beat the drum, so it is actually quite easy for Zhou Qiao to teach it.

After arriving at the endoscopy center, Jenny's mother and her husband were waiting outside, and Zhou Qiao took Stephanie and little Jenny inside.

Stephanie operates, and Zhou Qiao, as a "teacher", is responsible for guiding and correcting some irregularities on the side.

Stephanie was happy that she could finally get started with a new technology on her own.

In the side lying position, little Jenny was bare-chested and a little nervous, but fortunately, there was such a good-looking young lady as Stephanie who kept comforting her.

Because the tube was inflated and inserted, little Jenny couldn't help but exclaim, "My stomach is so swollen!" ”

She said in her heart, fortunately it was cleaned yesterday, otherwise it would be too embarrassing to squirt out at this time!

"Ah~, it hurts, it hurts~" Little Jenny began to frown.

Although there is gas expansion, but when the endoscope encounters the corner, it is inevitable that there will be a little discomfort, the little girl's intestines are very delicate, and Stephanie is the first time to practice in person, and the control of the endoscope is not so silky when turning.

The human intestine itself is full of twists and turns, and if you want to enter the surgical site from the chrysanthemum, that is, the appendix, you need to pass through the rectum, colon, and cecum.

The colon is divided into four parts: ascending colon, transverse colon, descending colon and sigmoid colon.

The appendix, located on the lower right side of the abdomen, between the cecum and ileum, is connected to the posteromedial wall of the cecum at its root, and is distally free and atresia.

"Don't be nervous, take it easy." Stephanie softly comforted her and paused for a moment to help Jenny switch positions and positions, and gently pressed her stomach with her hand to help her defuse.

Generally speaking, the total length of a normal adult from the chrysanthemum to the cecum is about 1.5 meters, which varies from person to person, and little Jenny is only ten years old, and the intestinal tube is shorter.

After a lot of hard work, about 90 centimeters into the lens, finally, I saw the appendix opening.

After actually entering, it was not as painful and uncomfortable as before.

ERAT surgery is to reach the cecum through a colonoscopy, insert a guidewire and catheter into the inflamed appendix, and achieve the purpose of quickly reducing the pressure in the appendix cavity and reducing inflammation through a series of operations such as intubation, imaging, irrigation, and drainage, so as to preserve the intact appendix.

Zhou Qiao's surgical plan this time is an improvement over the ERAT surgery used by other specialists, he added a conical transparent cap and subscope to the colonoscope, which can directly operate into the appendix cavity, avoiding the traditional use of contrast agent to show the situation in the appendix cavity, and the patient does not need to be exposed to radiation.

After all, little Jenny is so small, and radiation is also harmful.

After entering, pus and blood were found, Stephanie was cautious, and under the guidance of Zhou Qiao, rinsed with normal saline, and then, found the target - a relatively large fecal stone.

The fecal stone was removed through the endoscope, rinsed with anti-inflammatory drugs, and the exploration continued, and a smaller fecal stone was found.

Repeat the previous action.

In the end, five fecal stones of different sizes were taken out and rinsed with normal saline several times, and the operation was finally completed!

It hurts when she goes in, but it goes smoothly when she pulls it out, of course, maybe little Jenny is used to it, and when Stephanie asked her, she shook her head with a smile and said, "It doesn't hurt!" Thank you sister! ”

The fecal stones were taken out in a sample bag, placed in a stainless steel plate, and shown to little Jenny's mother and father.

Little Jenny's mother couldn't help but exclaim, "Oh my God, there are so many dung stones." ”

Jenny's father was also stunned: "You took out so much?" "My heart said, no wonder my daughter hurts like that.

"Dr. Zhou, thank you." Jenny's father shook hands with Zhou Qiao and solemnly expressed his gratitude.

The couple was pleasantly surprised, there was nothing to do in the clinic next to them, but when they came to Zhou Qiao, they didn't need to do surgery, they could easily do it!

Moreover, the real surgical process turned out to be unexpectedly short, and after so long of preparation, I thought that the operation took a long time and the process was very complicated, but the result was only ten minutes?

I didn't even have an anesthesia.

The use of anesthesia is also one of their focuses. They believe that little Jenny is still so young, and the use of anesthesia will have a little effect.

In fact, the side effects of anesthesia are very small now, but since the patient's family is unwilling to use it, and the operation itself is not needed, Zhou Qiao will not mention it.

Unless, during the operation, when entering the lens, the colic produced by little Jenny is unbearable.

The feeling of pain also varies from person to person, and some people are particularly sensitive to pain, or they are young and unwilling to cooperate.

Little Jenny performed great, and both Zhou Qiao and Stephanie praised her!

Zhou Qiao also praised Stephanie, because, the system prompted that Stephanie had reached the peak of the specialization level after doing this time under the guidance of Zhou Qiao, and she was only one step away from advancing to the master realm, which can be said to be strong in talent and not weaker than Murphy.

It is worthy of being born with the seed of medicine.

It's just that Murphy met Zhou Qiao earlier than her, and after Zhou Qiao's promotion, he was already ahead of the curve.

If Stephanie wants to catch up, it will take time.

Because after the fecal stone was removed, the mucosal swelling and ulceration of the internal lumen of little Jenny's appendix could be seen, so she was still hospitalized for observation, and this minor illness was directly transferred back to the iris clinic without being in the community hospital.

When she returned to the clinic, little Jenny said that her stomach was bloated and she wanted to go to the toilet, so her mother accompanied her.

I went to the toilet and didn't do anything else, I farted just a little!

Well, take off your pants and sit on the toilet and fart, the main thing is that there is too much gas. Her mother was with her, and when she heard the toilet crackling, the mother and daughter couldn't help but giggle!

There was no fecal stone, and the residual gas was discharged, and the abdominal pain was basically non-existent, so I resumed eating and drinking and normal activities on the same day. In the afternoon of the next day, he was discharged from the hospital.

Xiao Yun'er pulled Xiao Jenny reluctantly.

As soon as little Jenny leaves, she's going to do her homework again! But little Jenny couldn't stay here forever.

Jenny's mother and father are quite satisfied with the experience and said that they will definitely come back again if they feel unwell in the future.

The bill was also settled very happily.

They feel that the fees of the iris clinic are still relatively reasonable, and even cost-effective.

This time, they spent a total of more than $9,000, and the medical insurance reimbursed 80%, and they only had to pay about $1,800 out of pocket.

The first few episodes of chronic appendicitis, before and after, also spent four or five thousand at my own expense, this time as long as 1800, once and for all, it is really comfortable!

The iris clinic also earns more from this order, minus various costs, Zhou Qiao estimates that it will earn at least 6,000 US dollars.

Ordinary patients with ordinary diseases, a single is indeed not as good as medical beauty, but to meet the daily needs of ordinary patients, this is the main business of the clinic, and it is also the kind that can flow for a long time. With so many of these cases combined, Iris Clinic now earns a lot of money every month!

In terms of medical cosmetology, it is completely about making money from rich people, and it is not so stable for a while.

Isn't it fragrant that primary school students only do multiple-choice questions, grasp both kinds of business, and want both kinds of income?

……

Stephanie sat in front of the computer in the consultation room, looking at the event announcement on the screen, depressed.

"It's a pity that I can't participate."

The event notice was forwarded to her by Angel, a former colleague at Johns Hopkins Hospital.

This is a notice about the first "Crescent Cup" Young Doctor Minimally Invasive Cardiac Surgery Formula Competition in the United States.

The competition, organized and held by a joint committee of 18 institutions, including the National Academy of Medicine, the American Heart Association and the United States Medical Council, and is exclusively sponsored by the largest pharmaceutical and medical device group in the United States, will officially start on September 5.

Because September 4 is the first Monday in September this year, it is a legal holiday for Labor Day in the United States, and there will be a day off.

The heart is one of the most important organs in the human body, and if there is a problem with the heart, the choice of minimally invasive surgery will be the mainstream in the future. Unless it is not minimally invasive, traditional thoracotomy will be chosen!

In addition to various drugs, "Yage Mohui" Group also produces various medical devices and consumables, including many related to heart surgery, such as thoracoscopy, artificial valves, catheters, stents, various types of cardiac sutures, etc., nearly 100 kinds, not to list them one by one.

Such a sensational event in the United States, many media will follow and report, this group is also through bidding, the exclusive sponsorship rights that were finally obtained, the purpose is of course to advertise, promote their own products, which is also the proper meaning.

"Equation" is a blunt literal translation, the original English word is "Formula", which means convention, routine; Guidelines, programs. To put it simply, it means to conduct a fair game under the same rules stipulated by the organizing committee.

In this competition, there is a set of strict and reasonable evaluation criteria, and the judges are all bigwigs from the heart field of the American medical community, including several academicians. As long as you perform well, you will never be buried.

It is said that there will be a variety of similar surgical competitions in the future, aiming to improve the professional level of young surgeons in the United States and form a good competitive atmosphere.

There are rumors that this is to counter the rise of China's medical care.

The level of outpatient and surgical services in China has tended to catch up, making many American bigwigs unable to sit still. Although the United States still leads in many areas.

A few years ago, there was a news that an American woman, when she was living in China, went to a Chinese hospital for a check-up because she was unwell, and then the results of the examination shocked her!

Because, the results of the examination showed that there was a huge tumor in her pelvis, which was 22 * 16 * 10 cm in size, equivalent to a four- or five-month fetus, and almost filled her entire abdomen.

Before that, she had a physical examination in the United States every year, and the United States, which is known as the world's most advanced medical technology, did not find her tumor. As a result, unconsciously grow so big!

A year before she came to China, when she was in the United States, she had dinner with friends, and a friend was playing with her, and when he touched her abdomen, he showed surprise and said, "Why are you so hard here?" ”

At the time, she joked, "These are my abs." ”

Now think about it, where are the abdominal muscles, it is clearly a tumor! Poor her, for many years I thought it was the result of diligent exercise.

Later, she chose to have the surgery in China, and she was amazed by the efficiency.

Hospitalization procedures are handled directly on the machine, which is very convenient.

The operation lasted more than three hours, and the quality was good, and the postoperative recovery was good.

The most important thing is that all the expenses add up, and it costs more than 13,000 yuan, less than 2,000 US dollars, if it is in the United States, it is at least seven or eight times, or even more.

For such an operation, even in the iris clinic with a price advantage, she will be charged 30,000 US dollars, and she will have to pay 6 or 7,000 US dollars after medical insurance.

In this competition, the word "youth" is included in the name, which naturally requires the age of the contestants.

Contestants under the age of 40 are required to conduct preliminary rounds according to their divisions (organized by each state), and then the top 20 will be selected by each state to travel to the capital of Massachusetts to participate in the national finals.

The reason why the final venue was chosen in Massachusetts is because the headquarters of the "Agomerhui" group is located in this state.

This state is one of the leading states in the production of medical devices in the United States, according to data, as early as the end of the last century, in 1998, the total price of medical device products sold by medical device manufacturers in Massachusetts to the United States and the world has reached 1.441 billion US dollars.

So far, it has given birth to many powerful pharmaceutical and medical device companies.

Speaking of Massachusetts, you may be relatively unfamiliar, but if you mention its alias or abbreviation, "Massachusetts" or "Massachusetts", it is really famous!

That's right, the world's top universities, Harvard University and the Massachusetts Institute of Technology, are located in this state.

These two universities are definitely ranked above UCLA, where Murphy studied, and Johns Hopkins University, where Stephanie studied!

Massachusetts is located in the northeastern part of the United States, bordering the Atlantic Ocean, and its capital and largest city is Boston. This is one of the oldest and most culturally valuable cities in the United States. The Boston Tea Party, which took place in American history, culminated in the famous American Revolutionary War.

"It's a pity to go to Boston and compete with the elite doctors in the United States." Stephanie felt sorry in her heart, because she checked on the Internet, and the people who signed up for the competition were all well-known hospitals, and there was no sign up in the name of a small clinic.

The Mayo Clinic is not a small clinic at all, but a super-large top medical center with a total of more than 60,000 doctors and nurses, with an annual revenue of more than $15 billion, and even established its own Mayo School of Medicine.

The Iris Clinic, with a total of only 9 employees, is a veritable small clinic.

And the Iris Clinic has never had heart surgery, even if there is a chance to compete, is it too late to practice now?

It's obviously too late!

Former colleague Angel sent a message expressing regret: "It's a pity that you can't participate, but you can pay more attention because I'm going to participate!" When the time comes, cheer me more, and when I win the award, I will invite you to a big meal, haha! ”

Stephanie: "......" is like a knife. People like Angel are also eligible to participate?

Although Angel also graduated from a prestigious school, but after working together for so long, she deeply understands what kind of level Angel is, and she is at least several grades above her!

"Angel, besides you, who else is there in the hospital?" Stephanie asked, unrelentingly.

"And Connor, Pickford, Thierry, Jalen, Todd, Alvarez......" Angel said a lot.

Stephanie: "I wish you all the best of luck and a good place." ”

After sending the message, she held her cheeks in her slender hands, and was in a daze at the computer.

Just then, Elena appeared at the door and shouted, "Stephanie, Joe is looking for you and letting you go to his office." ”

"Okay, right away!" Stephanie waved her hand and said to herself, could it be that she is going to give me dream therapy again? Because the time is calculated, it's about the same. In addition, because she couldn't participate in this competition, her "inner demon", the "prodigal witch" who was already ready to move, showed signs of rebellion again, and she couldn't suppress it no matter how she meditated on the Bible.

Well, if so, I'll ask for a little later this time, and it's better to find a ward on the second floor, and I'll do it while I'm in bed. I told Elena that I wasn't feeling well and didn't want to go back, so I slept in the ward at night.

Hiding under the covers will also make it more comfortable to dream like this.

However, when she came to Zhou Qiao's clinic, she found that it was not only her, but even Murphy was here!

"Hmph." Stephanie snorted.

Murphy also pursed his lips, and there was an invisible smell of gunpowder between the two.

Zhou Qiao coughed and said, "I received a notice of a surgery competition here, which was forwarded to me by the University of California Medical Center, asking if I was interested in participating. I would like to ask, are you two interested in participating? ”

Murphy apparently knew about it for a long time. He just nodded lightly and said, "Of course I can." "She's confident. Although she has not had heart surgery, she is still in time to learn and do it.

The talent of medical seeds, coupled with Zhou Qiao's strong backing, gave her this arrogance and confidence.

Didn't you see that the surgery competition is still two months away from the official start? The news was released in advance, just for everyone to prepare.

In fact, there are many hospitals that received the news in advance a few months ago and secretly prepared for the war early! For example, Johns Hopkins Hospital.

Hospitals that have not been informed of the news in advance are not strong enough to prepare in advance, and they have no chance of winning awards.

Stephanie's body shook slightly, and she stammered a little: "Zhou, Doctor Zhou, me, can we really sign up?" ”

Zhou Qiao said: "Of course. It's just an event, we not only have to participate, but also have to get a good ranking! ”

He said in his heart, he had to win the top three, but before he competed, it was difficult to say it, and he kept a low profile, so as not to be laughed at. It's a secret.

"Huh? Do you want to win an award? Stephanie was stunned, and her heart said how could it be like a dream? No, the boss painted the pie quite well.

At this time, Murphy chuckled and said, "Joe, since Stephanie has no faith, let's go." "Heart, bringing a Stephanie is too disappointing. A lot of things are inconvenient to do.

Zhou Qiao looked at her in surprise.

Murphy: "...... "Why are you looking at me like that?" Do I have flowers on my face?

Zhou Qiao was a little happy in his heart, because Murphy actually smiled when there were outsiders just now. The expression is very rich, and it is no longer the facial paralysis that was upright before.

Murphy also reacted, the surprise in her heart was not weaker than Zhou Qiao, she touched the strange flower sachet she was wearing, and said in her heart that the medicine prescribed by Zhou Qiao, what kind of clothing therapy, the effect is really good.

Well, in the last six months, especially in the last few months, I have felt a noticeable change, and I am almost not the same person as before.

She didn't know that Zhou Qiao himself was her best medicine, and the effect was better than that of strange flower sachets.

As soon as Zhou Qiao touched her, she would inadvertently start to get hot, and the gene transcription in her body would begin to become different.

Moreover, with Zhou Qiao, the body temperature will be maintained at 40 °C for a longer time.

Stephanie proudly straightened her chest and exclaimed, "How can I not have faith! You don't have faith! Joe, I'm going to race too! ”

Originally, she had always called Dr. Zhou Qiaozhou, but at this moment, in the face of Murphy's provocation, she also blurted out: "Joe~!" ”

Slanted Murphy, you can call it, I can't call it?

Murphy: "......" eyes turned cold.

Stephanie shrugged, disdainful.

Zhou Qiao said energetically: "Since you all have confidence, then we will start preparing tomorrow." I will send this event notice and the specific rules of the competition to your email address first, and you will take a look at it first when you go back. ”

The second daughter went out one after another.

After a while, Zhou Qiao's mobile phone rang one after another, and when he opened it, he saw that it was Stephanie and Murphy who had sent it one after another.

Murphy: "I went to our new house after work in the evening, I already set up the room, it was very cozy. There's also an oversized double bathtub that you'll love! ”

Stephanie: "Can you help me with my dream therapy at night?" I feel like something is wrong with my mental health again. Well, I made an appointment with Elena to have dinner together in the evening. Then after eating, I may be a little unwell and sleep in the clinic room tonight and not go back. ”

Zhou Qiao: "......"

Spend a good full moon, and I wish you all peace and joy!

Today's 10,000-word update is complete. The bigwigs have more monthly passes, let me rush to the ranking, thank you.

(End of chapter)