Lizzie Charty Meyer was very efficient, and not long after Zhou Qiao and they came out of Academician Dominory's office, she sent them three high-performance laptops.

It is additionally equipped with a large monitor, mechanical keyboard, mouse, mouse pad, screen privacy film, cooling base, speakers and the brand's matching laptop docking station.

The docking station is a small box that integrates the power supply and various interfaces, which can easily connect the laptop and various peripherals together without frequent plugging and unplugging.

This is not the special treatment of Zhou Qiao and the others, but the standard configuration of the staff of the institute.

Lizzie Charty is actually the "little housekeeper" of the institute, an assistant to the academician, and she usually takes care of some daily work.

With a computer, they were not in a hurry to go back, so Zhou Qiao and the three of them began to work hard.

Although the academician didn't urge them, let them take them back and write them slowly, and they could deliver the manuscript within two weeks. But the three of them still want to finish it as soon as possible, and they are idle, so why not do some work?

In addition, after completion, it must be the first draft, and the academician will also point out various places that need to be revised.

THE REVIEW PAPER THAT ZHOU QIAO RECEIVED WAS FROM THE CA-A CANCER JOURNAL FOR CLINICIANS, SPONSORED BY THE AMERICAN CANCER SOCIETY, WHICH TOPPED THE LIST LAST YEAR WITH A SCORE OF 286.13.

With such a high impact factor, Zhou Qiao had never heard of it when he was studying, after all, he studied in a relatively poor medical school, and the highest article issued by the professor in the school was more than a dozen impact factors? He didn't pay attention.

Because, he was not qualified to pay attention at that time.

It's just that during a class group outing, I heard a certain classmate who was born in the school mention that it was a certain professor, who posted a high-level article and invited a treat, and the parents of this classmate also went to this dinner.

After graduating, that student stayed at the school as a counselor with a bachelor's degree. Where does this make sense? Although it is a relatively poor medical school, if it is openly recruited, the master's degree will not be able to enter at all, and the starting point must be a doctorate!

Then the other party is working and going to graduate school at the same time. It is equivalent to occupying a position in advance. That classmate's usual grades are far inferior to Zhou Qiao.

Before Zhou Qiao graduated, he went to the township hospital, and he was a little hanging.

……

Academician Dominory gave him a lecture on the latest advances in cytokines and cancer therapy.

It is mainly reflected in the treatment of cancer by cytokines and chemokines.

Over the past few decades, cytokines and cytokine receptors have attracted the attention of many big names as cancer targets or cancer therapeutics, for example, to enhance the growth inhibition and immunostimulatory effects of interferon and interleukins IL-2, IL-7, IL-12 and IL-15, or to inhibit the inflammatory and pro-tumor effects of cytokines such as tumor necrosis factor, IL-1β and IL-6.

These discoveries led to the birth of several cytokines or cytokine antagonists, and then there were many clinical trials, but the therapeutic effect was limited.

Now, the advent of more effective immunotherapies and a deep understanding of the tumor microenvironment have led to new approaches to the use of cytokines in cancer therapy, including the use of cytokine-based therapies to enhance activity or mitigate immune-related toxicity of other therapies and to target early-stage cancers, but many challenges remain in terms of delivery methods, context-dependence, and pleiotropy, redundancy, and often conflicting roles of many cytokines.

What Zhou Qiao wants to do is mainly to summarize some of the research results of his predecessors, and make some prospects for future research directions and provide some ideas.

The front is easy to write, a large number of literature is consulted, and the core is refined, but the "dry goods part" in the back requires Academician Domitri to put forward some revisions and directions.

Zhou Qiao did not use the system, but wanted to rely on his own ability, study hard and write a high-level review. It's a pretty good experience.

Able to integrate their own medical knowledge and give themselves a broader vision and insight.

Murphy's review request is from the famous "The Lancet", which has an impact factor of 202.731 last year, and is also a top journal. Even her former mentor, Professor Eric Pasont, wanted to publish such an article, and it was not easy.

Academician Dominory gave her a topic on the causal effects of the microbiota and cancer.

The human microbial community, which constitutes a very complex microbial kingdom in the human body, symbiotes with the host across multiple body parts, mostly for good influence.

The interaction between the host and the microbiome naturally influences a variety of physiological processes and a variety of multifactorial disease conditions. It's not just bowel laxatives and the like, but it can also affect cancer.

Over the past decade, the microbial community has been thought to influence the development, progression, metastasis formation, and treatment response of multiple cancer types.

It is of great scientific and clinical significance to strengthen the molecular mechanism of microbial community regulatory interaction on cancer and its impact on cancer treatment.

Academician Dominory gave her the idea of describing the molecular pathogenic mechanisms that coexist throughout the microbial niche and contribute to the onset and progression of cancer. Highlights how to understand the causal impact of microbial communities on cancer and its response to treatment, as well as how microbes, or their secreted bioactive metabolites, may be exploited, as well as advances, limitations, challenges, and prospects as potential targets for precision cancer therapeutics.

The review manuscript assigned by Stephanie is also from a very good journal, the New England Journal of Medicine, with an impact factor of 176.079 last year.

Stephanie is entitled "Advances in the study of crosstalk between cell death programs in the defense of hosts against malignant tumors".

(Due to space limitations, I will not go into details)

In fact, there are really very few people with an impact factor of more than 100, less than 10 in the world, and it is only academic giants and Nobel laureates like Academician Domitri that can get so many invitations from top journals.

Zhou Qiao went to submit the manuscript himself? Hehe, even if the system helps him make a top-quality article, there is still no such opportunity. It will be thrown directly into the trash. It's that cruel.

Academician Domitri also has some other resources for manuscripts, but the impact factor is relatively poor, and the academician picks out the best three opportunities for these three newly recruited disciples. They are not unimportant.

It can be said that for journals ranked below 100, Academician Dominory generally declines because he is too busy with work to write articles.

Now Zhou Qiao and the others have not started their respective research projects, and there are no results, writing a review is the fastest way to get a paper.

Although it is only a review, but to be able to work on such a high impact factor article by one person, without the opportunity given by academicians, Zhou Qiao and they don't know how many years it will take to get mixed up.

The monopoly of various resources is really not something to be said casually.

Academician Dominory Cobb himself was born in a powerful family, because, in the United States, the class solidification is more serious, and it is difficult for "children from poor families" to break the circle. Who can become an academician is not from an extraordinary family? How much education did you receive from an early age?

Although Harvard University also admits a small number of very good poor students, it is only an "obligation" and a "superficial effort", and entering is not the same as integrating.

In the United States, some universities will provide poor students with "work-study" opportunities to earn money, what is this opportunity?

The most common are...... Let them clean the bathrooms for their wealthy classmates.

For example, some universities have some activities to promote "inclusivity", so that poor students also have the opportunity to participate in some paid social gatherings, which seems to be very good, but, in particular, the queue of poor students to buy discounted tickets is a separate line, which is very eye-catching.

In order to take care of poor students, some universities let them go in and eat when the cafeteria is about to close, because at this time they can buy meals at a reduced price, but the price is that they have to endure hunger first, and in addition, after entering, the attitude of the staff may not be good. Snobbery exists in every country.

These are all small sections, and they will pass after forbearance, but the resources, circumstances, and opportunities they get in the end are completely two worlds.

China is much better, at least the gaokao is fair, there is no need for so-called "letters of recommendation", and there is no need for all kinds of bells and whistles "resumes", but the reason why poor students and rich second generations can live in the same dormitory is only because they are admitted to the same university.

It is just the intersection of these four years of "seemingly equal".

After graduation, they go their separate ways, people can easily get jobs, classmates with "extraordinary backgrounds", enter the system or the army, and even have a series of "customized" positions, what about the children of poor families? Finding a job is a problem.

As for buying a house in a first-tier city, the difficulty is worlds apart.

How many years does it take for ordinary people to make a down payment, buy a small house, and become an ordinary resident of a big city, and they may have bought several houses before they go to college.

Zhou Qiao, as an ordinary person with no foundation, is still Chinese, and wants to break the circle in the United States, or pave the way for his many unborn descendants, don't look at the little money now, it is also difficult to reach the sky.

Luo Ya is very powerful, a natural leader, good genetics, and all kinds of tosses, but Luo Ya's resources will only be given to her own son or daughter.

And Luo Ya has today's achievements, and she fought with her life! Zhou Qiao helped her treat her injuries before, and her body was scarred, which is proof of this. If you don't have a good background and don't take the lead, how can you win people's hearts?

The only people she can rely on are those low-level blacks.

Murphy and Stephanie, if they don't know Zhou Qiao, the normal trajectory is a middle-level doctor, or an ordinary professor at the university.

Stephanie may have a chance to compete in the surgery competition, but at best she will make it to the National Finals, and she will not be able to compete in the final 20, let alone finish third.

Murphy may be a little more difficult, with an ordinary family background and autism, a 19-year-old genius medical doctor, just graduated, and can't even find a job. Tutor recommendations are useless.

If she has a better family background and a more heavyweight letter of recommendation, she may not even need an interview. I went straight to work.

As for the twin sisters, they have no relatives and no reason, and a small clinic like Iris is their home, and they do not have a prestigious school degree, and the upper limit is even more limited.

Murphy and Stephanie have MD degrees, in fact, more than 90% of young people in the United States.

Zhou Qiao's status and wealth, as well as his academic theoretical research, are far inferior to Academician Dominory Cobb, and he can have the opportunity to study with Nobel laureates, be a "true disciple", and call him a "teacher", which is not ashamed.

There are so many white scientists in Academician Domitry's research institute, and there are also many people from well-off families who come from prestigious universities, but they don't have this opportunity to apprentice, because Academician Domitri has a very high vision and looks down on them.

What's more, Academician Dominory also gives the three of them such a high salary, and they usually don't have to clock in, and they don't have to stay in the institute all the time, which is equivalent to being able to "work from home", in China, can you find such a good "boss"?

Zhou Qiao and the others stayed for two days, and then took a flight back to San Francisco.

This time, I still didn't go to New York, Chicago, the Great Lakes and other places. Because the clinic is too busy.

Then, Halloween arrived.

Halloween (November 1st) is a very important holiday in the West. Also known as Halloween, it is equivalent to the Chinese festival of the Middle Year (Taoism) or Obon (Buddhism).

On the eve of Halloween, also known as "Holy Eve", various celebrations were held, and in ancient times, in Gaul, Britain and Ireland, priests would praise autumn, starting at midnight on Halloween and continuing for a whole day.

On the Holy Night, the Great Grim Reaper summons all the ghosts of those who have died, and if there are evil spirits, they will be punished as animals.

Just the thought of a large number of ghosts or witches haunting can make the faint of heart tremble. So people lit bonfires and kept a close watch on the demons.

Of course, there are fewer people who believe in ghosts these days, and most see Halloween as a good opportunity to have fun, tell ghost stories, and scare each other.

Face makeup, jack-o-lanterns, trick-or-treating, apple biting, and worship are all Halloween traditions.

The Iris Clinic, under the control of Elena and Ava, is also full of atmosphere, preparing jack-o'-lanterns and a lot of candy to distribute to some imps who come to beg for candy.

Cathy pushes little Danielle to join in the fun and ask for candy.

Yuna and her mother also came.

Stephanie had nowhere to go, so she stayed at the Iris clinic and was busy with Elena.

Stephanie dresses up as a Medusa, while Elena and Ava are zombie brides and centaur girls, respectively.

Zhou Qiao was carefully dressed by three girls and became a Behemoth, a giant beast recorded in the Old Testament, some people believe that it is the embodiment of Satan, quite powerful and terrifying.

Little Danielle has learned to walk and speak simple syllables, Cathy helps her dress up as a little witch with a toy broom, Yoona is dressed up as a cute elf by Park so-joo, and Kim Hee-jin and Park so-joo are Frankenstein and vampire.

Little Danielle was naturally bold and was not afraid of these "scary" guys at all, "giggling" and reaching out for candy.

It's just that she was still too young, so Elena gave her a large lollipop and sucked it in her hand without worrying about choking.

Murphy was at home with the family, and in the fall and winter, her grandparents began to have all kinds of minor problems. She plans to wait for Halloween before taking her grandparents to the Iris Clinic for a comprehensive physical examination.

I also plan to follow Zhou Qiao's advice, go to the Chinese medicine hall in Chinatown, buy some medicinal food, and use dietary therapy to help my grandparents regulate their bodies.

There is a Chinese medicine practitioner sitting in the hall, who will take the pulse and provide different dietary formulas according to the physical condition.

Her grandparents and mother didn't know about buying a new house. Because it was difficult to explain before, there was not so much money, but now, the prize money of the surgery competition is very rich, there are 80,000 US dollars in the California division, and the finals are as high as 800,000 yuan, and then now I am in the research institute of Academician Dominory, with an annual income of more than 300,000 US dollars, plus the income of the Iris Clinic, it makes sense to buy a house.

Murphy plans to wait a few days and then tell his family, so he will take out a loan to buy it.

The family also knows that she is now a "little rich woman", and they will not doubt it.

Rachel and Vivica also stayed at home to spend time with their families, handing out small gifts such as candy to the neighborhood imps.

Happy times are always short-lived, and in the evening, in the dead of night, Zhou Qiao wants to take off his dress, and Elena and Ava stop him.

Zhou Qiao: "......"

Elena and Ava, a zombie bride and a centaur girl, come around one left and one right, laughing at each other.

"Oh my god, I really don't have that much taste!" Zhou Qiao looked at the dim light from the ghostly jack-o-lantern in the room, and begged for mercy with some trepidation.

Although he doesn't believe that there are ghosts in the world, he still feels a little scary when he has been exposed to ghost stories since he was a child.

"No! You have to do it! ”

The zombie bride and the centaur girl pounced on him, but fortunately, Zhou Qiao, as the embodiment of the brave and evil Satan, was not afraid of them.

The ancient giant beast Behemoth fought against the zombie bride and the centaur girl with one enemy and two, each performing different ultimates, and the battle was very fierce.

……

Since Iris Clinic is among the top three in the U.S. for minimally invasive cardiac surgery, despite the fact that the third place is tied with three and two more, this achievement is quite remarkable. Through the Iris Clinic's own campaign, as well as some media publicity in San Francisco, the Iris Clinic has become famous.

No, there are many patients who make appointments for heart surgery, and they come here.

In the past, there was no charge for the game, but now that the game is over, it is naturally a normal charge.

In the Westins' neighborhood, there is a poor three-year-old boy who has been diagnosed with congenital heart disease.

After the diagnosis, the family wondered which doctor to find for surgery.

Americans have always gone to the doctors, not the hospitals. Because the conditions of the hospital are "communal".

UCSF Medical Center, such a good hospital, so what? Doctors at many clinics can go and borrow equipment there.

The doctors inside also mostly have their own private clinics outside.

If it was before, I would have hesitated for a moment, but now, I naturally preferred the three talented doctors of the Iris Clinic!

Especially Zhou Qiao, who is a dazzling champion, beating so many doctors from top hospitals.

Moreover, many neighbors in the community recommended Zhou Qiao. For example, Mr. Westin is Zhou Qiao's hardcore, and he has always praised Zhou Qiao's level as a Chinese doctor.

So, the couple brought their three-year-old baby to the Iris Clinic.

Ava received them warmly.

For such a small child, it is naturally difficult to do surgery.

After Zhou Qiao's consultation, the little guy was admitted to the hospital, preoperative examination and evaluation were arranged, and finally, a plan was issued to tell them that it was not a problem!

I'm doing it here, and you're doing it so well!

The child's parents were pleasantly surprised, although Zhou Qiao's "tone" was a little big, but it was not surprising to think that this young and handsome doctor was the national champion.

So, the parents signed the consent form for the surgery.

Of course, the approximate cost is also informed in advance, which is acceptable to the parents.

The location of the operation was chosen at the University of California Medical Center, and Zhou Qiao planned to use his "Prometheus-3000" surgical robot.

When he received the award before, after negotiating the donation with the UCSF Medical Center, he left the address of the UCSF Medical Center, and the surgical robot had already been sent over for so many days.

And it has been installed, debugged and put into use. An old expert has already tried it before, and he thinks this new robot is quite good!

The day before the operation, Zhou Qiao took Murphy and Stephanie to familiarize themselves with the instrument, they had a strong learning ability, and basically mastered all the operations in half a day. You can even suggest some improvements.

However, the convenience of this surgical robot is beyond doubt.

The congenital heart disease of the little boy is "patent ductus arteriosus (PDA)", and the best way to do this is to "make up the heart".

There are many kinds of "PDA heart surgery", such as thoracotomy surgery, minimally invasive surgery assisted by thoracoscopy, PDA occlusion, etc., all of which are very mature surgeries.

It's not because the University of California Medical Center didn't have surgical robots before, but because the cost of using surgical robots is too high and it's not cost-effective.

One is that the patient or family may not accept it, and the other is that the clinic will earn less.

But now, he uses the latest "Prometheus-3000" surgical robot, which is free, so that he can earn more, and then the results are faster and better, so why not?

In addition to the "Prometheus-3000" surgical robot donated by Zhou Qiao, the UCSF Medical Center actually has more than 30 surgical robots, including 10 Prometheus-1000 and -2000, as well as other brands of surgical robots.

I didn't use it before, because I had to give money and the fees were expensive. And the University of California Medical Center, young doctors in general, are not eligible to use it.

The emergence of surgical robots can be said to have the significance of song name in the history of modern surgical development, which subverts the surgical methods of traditional surgery.

Especially for pediatric surgery, pediatric robotic surgery should be the trend of the future.

Because children's organs and tissues are smaller than adults, with thinner blood vessels and pipes, there are higher requirements for the accuracy of surgery, and this Prometheus-3000 surgical robot has more than 360 degrees, but several continuous 360-degree rotatable robotic arms, as well as super tremor filtering function, which can ensure very stable and fine operation, with the characteristics of small trauma, fast recovery, thorough resection, and few complications, especially suitable for children's minimally invasive surgery, reducing children's intraoperative and postoperative pain.

At nine o'clock in the morning, Zhou Qiao took Murphy, Stephanie, Elena, Ava, and a family of three to the University of California Medical Center.

The child's parents waited anxiously outside.

"Well, I don't know how long this operation will take?" The child's mother said worriedly.

The child's father said: "I heard that Dr. Zhou performed the operation very quickly, but this kind of radical surgery for congenital heart disease is a very complex operation, even if it is a champion like Dr. Zhou, it is estimated that it will take two or three hours, right?" Don't worry too much, catch up on a soap opera first to relieve your nervousness. ”

"Then why don't you play games?"

"I'm not in the mood to fight!"

"So am I!" The child's mother shrugged.

The husband and wife fidgeted outside the operating room, and not long after, the child's grandparents and grandparents also arrived.

In the operating room, Ava plays a song, and the opening song is half-born snow.

Very beautiful tune: "Who has no sleep all night before the frost moon falls in court, it is difficult to write the memories of the candle flame when the pen is disturbed, and the stories of the world can't escape parting, and there are countless clouds and sunny days that are missing ......"

After less than six songs, Zhou Qiao called it a day!

Ava was surprised: "So fast this time? ”

Elena laughed as she ate: "Men can't talk fast." ”

Murphy pursed his lips and said, "The bleeding in this operation is no more than 1 ml!" It's just amazing! ”

"Well, yes, this surgical robot is really time-saving and labor-saving." Stephanie was also amazed, with such sharp equipment, the efficiency of surgery in the future will be even higher.

Of course, since this equipment is donated to the University of California Medical Center, it is necessary to make an appointment every time it is used, and sometimes it may not be available.

But it doesn't matter, if you have it, they can use it, if you don't, they can do it with their hands. In fact, Zhou Qiao also suggested that if you don't particularly need it, you can use your hands to hone your surgical skills.

Robots can be used later when they are old and their hands and feet are not so dexterous.

The reason for the donation is that in addition to the fact that the iris clinic does not have the conditions, the daily maintenance and annual maintenance and repair of this surgical robot are quite troublesome and costly. Leaving this kind of work to the University of California Medical Center to do, Zhou Qiao can save a lot of energy.

Moreover, after the donation, the status of his clinic in the medical center has been upgraded to a new level, and correspondingly, the various prices on the affiliation agreement have been further discounted, and the authority is higher.

He has been approached by the University of California Medical Center to sign a supplementary agreement.

Even Ava was amazed at how long the operation was, let alone the child's relatives. I can't believe it.

When the anesthesia woke up, the child felt almost no pain, and the child's mother carried him back to the iris clinic. To the surprise and surprise of the family again, the operation in the morning, unexpectedly, oh my God, got out of bed in the afternoon and started running!

Able to run and jump, the little one doesn't feel any discomfort at all, and the condition is much better than before the operation.

Before the operation, the child immediately experienced shortness of breath, palpitations, and even hoarseness and cyanosis. But now, running and jumping, energetic, and ruddy.

The results of the surgery can be said to be immediate.

Of course, because I have just undergone surgery, I still shouldn't move too much. Therefore, when Stephanie heard the movement and came to check the room, she suggested that the child's parents should limit the child's movement a little and not let him do it.

The child's parents said they understood.

Early the next morning, Zhou Qiao took Murphy, Stephanie, Park Xiuzhu and others to come over for rounds, and after checking the little guy, he felt that the little guy was in good condition, and all kinds of vital signs were stable and normal, so he directly discharged the little guy.

The little one later came for a follow-up under the leadership of his parents, and his recovery was quite good, and the imaging report showed that the congenital heart disease had been completely cured.

When Mr. Westin heard about it, he gave a thumbs up to his neighbors: "I'll just say, Dr. Zhou is amazing!" ”

(End of chapter)