Considering that Zhou Qiao and they still have work to arrange in advance, and the scientific expedition team also needs to prepare some things for travel, such as drawing up the investigation plan in advance, what data needs to be collected, how to carry out the work after the past, who is the team leader, who is the deputy, etc., and many other matters, so Academician Domitrie left everyone a full five days to prepare, and next Monday morning, gather at the Harvard Courtyard in Boston, and then take a flight to France.

The Iris Clinic is indeed very busy, not to mention minor illnesses and health check-ups, Rachel and Vivica can handle it, it is nothing more than busy. Psychological counseling can do what can be done quickly, and postpone if it is too late.

Then, there are two more major surgeries to be done. There are also several doctors who need to be interviewed.

The interview is naturally in charge of Zhou Qiao. For the two tumor surgeries, Zhou Qiao participated in the consultation, checked and filled in the gaps, formulated and improved the surgical plan, and the final operation was naturally handed over to the two sisters, Murphy and Stephanie.

The first operation was a schwannoma in the psoas muscle of a black uncle, and it was handed over to Stephanie for surgery.

The black uncle is the father of a black sister under Aliel, there is no medical insurance, something happened, the black sister is in a hurry, and other hospitals dare not go, it is expensive and discriminated against, and the technology is not necessarily as strong as the iris clinic, so Aliel took her and begged her.

Zhou Qiao saw that this black girl had worked hard, and gave a super low discount price of 30,000 US dollars, the black girl was grateful, and she could afford it. Ariel also lent her $16,000, which was equivalent to a salary advance.

This black uncle, speaking is also a bit like a father, a few years ago abandoned his wife and children, went to Los Angeles, lived with his new girlfriend, and lived in Los Angeles, and later found a tumor, the doctor said that the operation cost 300,000 US dollars, and his girlfriend heard about it, and immediately proposed to break up and kicked him out.

This uncle had nowhere to go, and it just so happened that his daughter seemed to be doing well in San Francisco, so he brazenly came over again.

The black girl came out at the age of thirteen to work hard, and then she has been following Ariel, and she has suffered a lot, Ariel originally asked her to leave it alone, this kind of father, if he dies, he will die, but the little girl is soft-hearted after all, tears are bursting, and Ariel is helpless, so she has to agree to help her.

Zhou Qiao used to be indifferent to being in China and felt that black people should be affectionate, but after coming to the United States, he found that this was not the case. There are some black families who actually have dinner together every day.

The last time he went to East Africa, in some tribes, he found that some families of more than a dozen people squatted on the ground to eat together, although they were poor, they were also happy. Maybe human emotions are common all over the world, after all, they are all two-legged beasts.

If it weren't for Luo Ya's relationship, he would have stayed away from these black people like everyone else. However, this is the foundation of Loya. Tens of thousands of blacks under Luo Ya's hands have finally gathered the hearts of the people.

This young black girl values love and righteousness, and although Zhou Qiao and Aliel are not worth it for her, they still want to help her as much as they can.

Sometimes Zhou Qiao muttered that Luo Ya might really have a set of people to choose people. Those brutal and cold-blooded ones may have been eliminated by her, or consumed as cannon fodder.

Speaking of Luo Ya, he actually misses it a lot, after the two get along, they always get together less and leave more, especially when Luo Ya successfully "gets out of the bottom".

But Luo Ya is too ambitious, and she doesn't know what to toss in Texas recently, so she hasn't contacted him for a long time.

Zhou Qiao asked Ava to contact the University of California Medical Center to make an appointment for the operating room and the Prometheus-3000 surgical robot. At the same time, Stephanie arranged a preoperative examination for the black uncle to improve the data.

The University of California, San Francisco Medical Center, after the trial of the one donated by Zhou Qiao, felt that it was quite good, so now it has purchased several Prometheus-3000s, which has become more generous in terms of robots.

However, except for Zhou Qiao, other doctors under the age of forty basically have no chance to use surgical robots.

Because, at the University of California Medical Center, there are many surgeries, and older doctors with higher qualifications have occupied resources, and the "schedule" of each surgical robot is full.

Older doctors don't have that steady hands, and some surgeries are physically demanding, while surgical robots can filter tremors and are not so difficult to control.

The surgical robot donated by Zhou Qiao himself has the right of priority to use, which is a special case.

The black uncle's lumbar paravertebral tumor, belonging to schwannoma, has been found for more than half a year, and now the preoperative examination is even more terrifying, although the puncture examination shows benign, but it has compressed the nerves, causing severe pain and movement disorders, and a lot of physical work can no longer be done, seriously affecting work and life.

The most important thing is that it should have been many years since it progressed to such a large extent, and there is a high possibility of malignant transformation, so early removal is a better choice.

In this kind of surgery, when it is removed, it is like peeling an onion, you need to cut the epineurium first, layer by layer, and then peel off the tumor.

However, the tumor is located deep in the back of the abdominal cavity next to the spine, and if the traditional surgical method requires a large surgery, the surgical incision will be very long, the trauma will be very large, and the recovery will be quite slow.

If laparoscopy is used, it will also be difficult because the patient's tumor is located very deep and the psoas muscle is very thick, and it will be more difficult and difficult to operate with laparoscopy.

It's different with the Prometheus-3000 surgical robot, and Stephanie can easily do it alone.

……

University of California, San Francisco Medical Center, state-of-the-art operating theatre.

Stephanie was the main knife, Zhou Qiao and Murphy also came to help, Ava, Elena, the old team. The anesthesia team is staffed by senior anesthesiologists and nurses at the medical center.

On the busy operating table, there is no trace of the chief surgeon, but five fine robotic arms are busy.

Stephanie sat in a corner of the operating room, under the observation of Zhou Qiao and Murphy, skillfully manipulating the human-computer interaction platform.

Ava played songs, one of which was very special, a student version of the half-life snow.

The song "Half Life Snow", Zhou Qiao has heard it before, it is very beautiful, but I never expected that there is also a student version, the lyrics in it, Ava They probably don't understand it very well, but after Zhou Qiao listened to it, he couldn't help but give a thumbs up, it's amazing!

"In the 5,000 years of China, how many heroes have emerged, and the faces in the war have touched the heartstrings......"

Coupled with children's singing, there is a unique artistic conception.

If the youth is strong, the country will be strong.

In the energetic singing, Stephanie manipulated several robotic arms of the Prometheus-3000 surgical robot to rotate flexibly in the patient's abdominal cavity, with 20 times the ultra-clear field of vision, and clearly identified the large blood vessels.

During the operation, B-ultrasound locates the exact location of the tumor, separates the psoas muscle, and exposes the tumor in the muscle......

Incision of the epineurium......

Stripping the tumor......

Stop bleeding and flush ......

The whole process can be said to be done in one go, and it is quite time-saving and labor-saving.

Settle the battle in just thirty-two minutes!

With surgical robots, no matter how thick the meat is, it is no longer manual work.

Like some orthopedic surgeries, it is necessary to knock, saw, drill, grind, push, and pull...... It is quite expensive for doctors, but if you use a surgical robot, the power of the robotic arm can be controlled by heart, and the program can be set automatically, which is simply easy to operate.

It's like, in the past, I used to dig with a shovel, but now I use an excavator......

After the operation, the black uncle was placed in the ward of the University of California Medical Center, and Ariel accompanied the little black girl to visit the patient, looking at the few tiny wounds in the patient's waist and abdomen, the two of them couldn't believe it.

Moreover, the next day, the black uncle strongly demanded to be discharged. Because he was already able to get out of bed and move freely, it didn't feel like it had much impact. It's too expensive to live here, although Zhou Qiao discounted it, but it can save a little.

After Zhou Qiao checked it, it was true that he had met the criteria for discharge, so he agreed.

"Dr. Zhou, thank you, I thought it was a very serious operation, my father was going to lie in bed for a month or two, but I didn't expect it to be done so quickly." The little black girl is grateful.

Both Zhou Qiao and Aliel hoped that after this incident, the black uncle would understand something and stop making trouble for this little black girl. Not to mention working hard to earn money and repaying medical expenses, at least, you should usually care more about the little girl, you can't come to ask for money when you are short of money, and you can ask for it when you are short of money.

This little black girl is only 16 years old, whose child pays tens of thousands of dollars for his father's medical expenses at the age of 16?

And this father, in the past few years, has not taken care of her.

The other operation was in charge of Murphy. The patient, a Chinese lady in her thirties who had just immigrated from Treasure Island, was diagnosed with a pancreatic head tumor.

This woman, who works as a finance worker in a high-tech company in Silicon Valley, had a physical examination at a clinic near the company, and an abdominal ultrasound showed that she had a tumor at the head of her pancreas.

Further examination, a bit scary, the pancreatic head tumor turned out to be 8 centimeters in size.

What is the concept of 8 cm? It's shocking that an adult's fist is so big!

The sudden accident made this lady named "Xing" panic instantly.

Because the tumor was located next to the duodenum and common bile duct, which are closely connected to the organs, her doctor recommended that she undergo pancreaticoduodenectomy.

Ms. Xing looked up a lot of information on the Internet, and the more she checked, the more scared she became.

Because this pancreatic head tumor surgery requires an open abdomen, part of the stomach, duodenum, gallbladder, common bile duct and part of the small intestine and other organs need to be removed, and pancreatic and biliary intestinal anastomosis, which is very risky.

Even, some patients on the Internet left messages about their personal experiences, saying that the operation was quite a blow to the body, not so simple, and there were many problems after surgery, such as pancreatic dysfunction, resulting in diarrhea and weight loss; biliary reflux, resulting in recurrent fever; And so on, and so on.

It can be said that after the surgery, the quality of life becomes quite poor.

Therefore, Ms. Xing was so nervous that her family doctor recommended her to the Iris Clinic and referred her.

Ms. Xing was still a little curious at first, why didn't she refer me to a big hospital, but to a small clinic?

After her family doctor gave her a detailed introduction to Zhou Qiao's "achievements", Ms. Xing came over accompanied by her husband.

After all, San Francisco's famous doctors, the top three in the National Surgery Competition, and the background of the famous Nobel Prize academician, this kind of medical resource really has nothing to say.

How difficult is it to find a Nobel Prize academician? The average person doesn't have a chance at all. But if you visit an iris clinic, you may be able to do so. If Dr. Zhou couldn't figure it out, he would definitely ask the academician for help.

Ms. Xing came with great expectations.

Then, Zhou Qiao, Murphy and Stephanie arranged a detailed preoperative examination for Ms. Xing, conducted consultations, evaluations, and discussed the surgical plan, and told her that this operation can actually be "minimally invasive", using the most advanced Prometheus-3000 surgical robot, which can not only help her remove the tumor cleanly, but only leave a small wound on the surface of the body.

If she is willing to pay for the expensive secret medicine, she can even help her do a medical aesthetic without any scars afterwards.

"Medical aesthetics? Oh, yes, yes, I remember, my family doctor mentioned to me that Dr. Zhou is the developer of the miraculous scar removal elixir. Ms. Apricot was quite excited. It would be great if there were no scars.

Of course, if you open your abdomen, the wound is too large, and the recovery is slow, even if you want to use secret medicine to remove the scar, the corresponding cost will be much more expensive, at least ten times. Now with minimally invasive treatment, you can save a lot of money, and the recovery is faster.

In addition, the good news is that Ms. Xing's tumor is currently benign.

Although there is a possibility of malignant transformation, the probability is about 10.4%, and if resection is performed before the malignant development of the tumor, the prognosis is still very impressive.

No one dares to bet on whether it will worsen or not, because once it gets worse, for the individual, it is 100%.

Probability is just statistically derived data.

It's like a five-year survival rate, people can survive five years, or even more than 20 years, but when it's their turn, they may not be able to survive for half a year.

Ms. Xing's surgery was naturally more difficult than the operation of the black uncle who was operated by Stephanie before. Therefore, Zhou Qiao was handed over to the more skilled Murphy to take charge of the knife.

It is still the University of California, San Francisco Medical Center, with state-of-the-art operating rooms.

Ava played a very unique tune, which turned out to be the English version of the female voice of "Pianpian", Zhou Qiao was stunned when she heard it, and she didn't know who was so talented, and the cover was quite good.

Murphy is deaf to the tune and selectively deaf, and she has long been immersed in the temple of surgery.

Compared with traditional open surgery, the operation of the surgical robot is more delicate and flexible, which can preserve the patient's organ function to the greatest extent.

So Murphy's surgical method is a duodenum-sparing pancreatic head resection.

This operation can not only preserve the function of the duodenal food channel, but also preserve the duodenum as the head, which greatly reduces the incidence of biliary retrograde infection. It can be said to be the best surgical method for benign or low-grade malignant tumors of the pancreatic head.

This is also the surgical method formulated by Zhou Qiao and the three of them working together to keep improving.

Murphy's hands are extremely dexterous, she controls the Prometheus-3000 surgical robot, 20 times the surgical field, and the robotic arm has its own tremor filtering function, which is more stable.

Only five small holes, four 0.8 cm and one 1.2 cm, were opened, and it took only one and a half hours to complete the complete resection of the pancreatic head tumor, and successfully preserved the stomach, duodenum and biliary tract.

If other senior doctors come, even with the help of this advanced surgical robot, it is estimated that it will take at least two and a half hours.

Intraoperative bleeding did not exceed 50 ml.

The final pathological results showed that it was a pancreatic mucinous cystadenoma.

This tumor, also known as "mom's tumor", is commonly found in women over the age of 30, and most of them are located at the tail of the pancreatic body and have a large face, which is characterized by the collection of multiple cysts, which are filled with a thick mucus substance.

It is a cystic lesion that occurs in the pancreas, and about 23% of individuals who undergo surgical removal of pancreatic cysts are mucinous cystic tumors.

After the operation, Ms. Xing recovered well, and because the other party had added money, Murphy took her for a medical aesthetic suture. He is expected to be discharged from the hospital in about a week.

But in the future, it will be handed over to Rachel to follow.

Murphy's surgery is of high quality and there will be basically no problems. There are also many specialists at UC Medical Center who can turn to if you have questions.

Zhou Qiao and the others couldn't wait, because they were about to leave for France for a "public-funded tour". No, it's wrong, it's to participate in scientific expeditions.

The interview for the new doctor was not very smooth, mainly because Zhou Qiao was more picky and only recruited female doctors.

There is no way, there are so many beautiful girls in the clinic, he is reluctant to let the male doctor come in to work. If something happens, it's too late to regret it.

Whether it is Elena, Ava, or Murphy and Stephanie, they can all be called the "disaster for the country and the people" level, which can make people feel strongly lustful.

……

On the afternoon before Zhou Qiao and the others set off, Luo Ya, who had disappeared for a long time, reappeared.

"Come here, to the house we had last time. I'll wait for you ......" Luo Ya called, her voice was hoarse, looking very tired and distressing.

Zhou Qiao said, "Come right away." ”

Luo Ya said: "I actually passed by your clinic just now, but I didn't go in, do you know why?" ”

Zhou Qiao said honestly: "I don't know." ”

Luo Ya said angrily: "There are four little sheep in there, I feel upset when I see it, every time I go in, I can't help but want to pinch them to death, so I don't go." ”

Zhou Qiao: "......"

It seems that every time Luo Ya comes over, she pinched someone. Except for Murphy, the other three girls were choked by her.

Thinking of that scene, Zhou Qiao couldn't help but shudder. It's good not to come, it's good not to come.

"By the way, have you eaten? I'll bring you a little. Zhou Qiao said.

"Just buy a few steaks and burgers."

“OK！” Zhou Qiao rode a bicycle and not only bought cooked steaks and burgers, but also bought some fruits. As for alcohol, you don't need it. In that house in Loya, there is a store of wine.

Originally, some food was frozen in the freezer, but she hadn't come back for too long, and the ingredients were not fresh enough to eat.

When they arrived at Luo Ya's house, the two hadn't seen each other for a long time, and they didn't care about eating, and even before Zhou Qiao could put things down, the dry wood fire began to burn.

……

It was a full hour before the two of them began to eat.

Zhou Qiao glanced at Luo Ya and said, "Do you have something on your mind?" ”

Luo Ya nodded: "Do you still have the life-saving capsules before, give me a few more." ”

Zhou Qiao was stunned for a moment, and couldn't help but say, "What are you going to do again?" With your position today, do you still need to take risks yourself? ”

Luo Ya took a bite of the steak and said vaguely, "This is the last time." ”

"Where to go?"

"I heard you're going to France for a scientific expedition? I happened to go to a neighboring country. ”

Zhou Qiao remembered something, was shocked, and shouted, "You are going to Italy?" ”

"Yes."

"Avenge your father?"

"Yes!" Luo Ya nodded emphatically and gritted her teeth, "I have found out the truth of the year, and I am going to slaughter that bastard with my own hands!" ”

"Okay, then I won't stop you, promise me, this is the last time!" Zhou Qiao put down the food in his hand, picked up a big grape, peeled it, and when he finished peeling it, he just finished speaking, so he gently stuffed it into Luo Ya's mouth.

"Well, for the last time, don't worry, with your life-saving capsule, even if that place is Longtan Tiger's Den, I am confident that I will leave alive." Luo Ya waved her hand and smiled, and said, "The grapes you peel are sweet." ”

"Then I'll peel a few more for you." Zhou Qiao was careful and considerate.

Luo Ya lay on his back on his lap: "Let me share with you another good news, I have recovered the two mercenary groups that were scattered before, the 'abyss' in South America and the 'quicksand' in the Middle East. This time, I will set foot on that island with the 'fissure' near Kosovo in Europe, and the 'quicksand' on the border with Syria in the Middle East. ”

As for the "abyss" of South America, it is too far away from Europe to be very convenient.

Zhou Qiao frowned: "Will it be too big?" ”

"Haha, people have already entered the country. The Italian top brass also called me and told me not to mess around. The White House also called me and asked me about the situation. When they found out that I was just seeking a personal vendetta, they ignored me. ”

Zhou Qiao was speechless for an instant. Two mercenary groups, how many people do they have? Even if you sneak in in batches, it is estimated that it will take a long time. It seems that Luo Ya has been busy with this recently.

In case of a real fight, tens of thousands of people are fighting, and that scene is ...... No less than war.

"The strong dragon doesn't suppress the head snake, you still have to be careful." Thinking of this, Zhou Qiao hurriedly exchanged for ten life-saving capsules, "took them out" from his pocket, and stuffed them into Luo Ya.

Luo Ya sighed lightly, took it and said: "It's a pity that I can't call the warship now, and the 054A I ordered before is said to have just started construction, and I can't drive over." ”

Zhou Qiao: "......" was speechless.

However, it was her father-killing enemy, Zhou Qiao was naturally on Luo Ya's side, no matter what she did, it was understandable. Of course, Luo Ya will not be so crazy, the warship will drive over, it is estimated that at most it will be escorted, just in case of emergency.

Loya used to stir up trouble in San Francisco and Los Angeles, and she never hurt civilians. On the contrary, in the end, the law and order in San Francisco and Los Angeles were greatly improved, and on the American side, it also contributed to it.

Residents of San Francisco occasionally talk about it, and they miss the violent queen of the past.

If Loya comes to California to run for governor, she will also have a certain popularity. Of course, she also has a huge consortium behind her. She is a consortium herself.

Luo Ya was not polite to him, put the vacuum-packed capsule into the bag, and then smiled at Zhou Qiao Yingying, and said, "If I get revenge and return safely, you have to give me a gift." ”

"What gift? As long as I can do it, I will definitely satisfy you! ”

Luo Ya glanced at him faintly: "Give me a child!" Preferably the twin kind! ”

Zhou Qiao was stunned for a moment: "......"

"What, unwillingly? Forget it, then I'll find someone else. Loya pouted.

"Don't, don't, but don't, I have good genes and a lot of them!" Zhou Qiao hurriedly hugged her tightly and whispered, "Just look for me, what kind of person is looking for." ”

Luo Ya smiled at the corner of her mouth, wrapped her hand around Zhou Qiao's neck, and pressed his head down: "Then can you be a twin?" ”

Zhou Qiao said: "I'll do my best." "The heart says this is a little difficult, I don't know if the system can help?

Luo Ya smiled: "If you don't have twins, it doesn't matter, let's just have a few more." ”

Zhou Qiao said: "Why do you suddenly want to have a child?" You're so young. ”

Luo Ya raised her eyebrows: "I have such a big family business, I always need someone to inherit it!" ”

"And we're getting married?" Zhou Qiao asked tentatively.

Luo Ya immediately refused and said, "No! Don't try to rob my child's property! ”

Luo Yaxin said, you raise so many little sheep, I will marry you? It's hard to say whether my family property will be my child in the future. Even if it is, it will be divided into a part, hmph, very, very not cost-effective.

You're stupid!

Zhou Qiao frowned and said, "Do you want to marry someone else?" ”

"What do you think, who can I look up to but you? Don't worry, I just want a baby. ”

A beautiful night.

Zhou Qiao didn't come back that night, and Elena and Ava were very clever not to ask.

The next day, when Zhou Qiao woke up, Luo Ya had disappeared, and just left him a note: "If it goes well, I will take you to Italy when the time comes!" ”

(End of chapter)