With Talia as a guide, the shopping is very smooth, and the things picked are very tasteful.

Zhou Qiao also bought some ginseng, which was a direct store in Los Angeles recommended by Talia for a company that brought its own ginseng farm in Wisconsin, and the farm had a total of five direct stores in Los Angeles, and the quality was quite good.

However, Talia said that she actually didn't know much about it, because American ginseng seems to be bought more by Chinese.

Zhou Qiao had also seen it in Chinatown before, but Zhang Jianjun said that there were many fakes in Chinatown, and many of them were shipped from the northeast of China.

Due to the short time of the public service advertisement, everyone's acting skills were also online, so the filming was completed quickly, the clinic was busy, and there were several major surgery appointments, so Zhou Qiao had to go back.

At the airport, Talia wore a big hat, sunglasses and a mask, holding Zhou Qiao's arm and clinging to it.

"When will you come again?" Talia asked.

"The Chinese New Year is coming, and I plan to return to China, probably to stay in China for a while."

"Hehe, when will you take me to China to play?" Talia blinked.

"I'll have a chance later."

"When I go to China, I don't have to wear hats and sunglasses like that, after all, there shouldn't be many people who know me there. Then I'll be able to fly freely! ”

Before getting on the plane, the two hugged fiercely.

After Talia went back, Jenna joked and said, "Have you taken Dr. Zhou these days?" ”

Talia shook her head gently, she always felt that Zhou Qiao still had a sense of distance from her, and there seemed to be something missing between the two, so although she was filming, shopping, and having dinner together like a couple these days, there was no lack of ambiguity, but after all, she couldn't go further.

Jenna smiled: "I heard that Chinese people are more shy and conservative. If you really want to sleep with him, take the initiative and be bold! ”

"What nonsense, who wants to sleep with him?"

"Oh, it's not sleeping, it's doing ......"

"Jenna, you make me angry, see how I punish you~" Talia pounced angrily, and the sound of the second daughter chasing and fighting suddenly came from the room.

"Talia, Talia, let me tell you, don't worry, you still have many opportunities to work together in the future, even if you don't have a chance, you can take the initiative to create opportunities." When Jenna was pinned under Talia and couldn't move, she hurriedly suggested.

"Yes...... "Talia thought and thought to herself, I can create opportunities. For example, for public service announcements, you can advise Governor Hulk to invest more and shoot more issues. Well, Veronica should be able to help talk.

Jenna took the opportunity to slip away and prepare to take a shower, and when she took all her things and was about to enter the bathroom, she couldn't help but come out and take a peek, but when she saw that Talia was still in that place in a daze, she couldn't help but shake her head very speechlessly. The heart said, this girlfriend is really hopeless, it seems that she is going to move a place.

Because she felt that living with Talia would be in the way. For example, Talia couldn't bring Dr. Zhou back to live.

If you can take it home, the two of them can sit and chat for a while, and then drink some wine, maybe the atmosphere will come up.

……

As soon as Zhou Qiao came back, he was called to the consultation room by Stephanie.

In the past few days, Stephanie has received a patient, who originally heard that she is particularly famous for psychological counseling here, and came to her for psychological counseling, but Stephanie keenly found that the other party was not a problem of mental illness at all.

Stephanie told Zhou Qiao about the patient's situation.

The man's name was Feron Azmi, 28 years old, a somewhat obese young man, and his greatest sorrow was that he was becoming less and less interested in the opposite sex, even when he saw a beautiful doctor like Stephanie, he did not feel it at all.

Of course, there is no interest in the same sex.

However, he was not like this when he was young, especially when he was in high school, when he was full of infinite longing for the youthful flesh of girls. Could it be that at a young age, this is not enough?

So, he was very distressed, wondering if he had any mental illness, and heard from his neighbors that Dr. Stephanie from the Iris Clinic was very good at mental illness and could treat insomnia, so he came to consult with the mentality of giving it a try.

Stephanie took out a few evaluation sheets and asked him to answer the questions one by one, and soon, the sharp-minded Stephanie found that this chubby man had many strange things on his body.

For example, his breasts are abnormally developed, fuller than the average girl, and his cups are at least several times that of Murphy.

The chin is clean and there is almost no stubble.

Stephanie felt that he might not be mentally ill, but physically a.e.

"What? Something is wrong with my body? The chubby man was surprised, and with a suspicious attitude, he still cooperated to do some examinations.

Comprehensive and systematic examination, including blood draws, imaging examinations and many other items. Although he used to have a physical examination every year, there were only a few common items in the medical examination package provided by the insurance company, and not all of them were done.

The physical examination package can be customized, and if you spend a lot of money, you will naturally have more items. Or ask for additional tests and pay extra.

This comprehensive test, one of the test results, shocked Fallon and his family!

A CT scan of the head showed a tumor nearly two centimeters in Fallon's brain.

At the same time, other test results were also abnormal, and in Feren's hormone test, its prolactin was more than 200ng/ml, which was more than ten times the upper limit of normal and four or five times higher than the level of lactating mothers.

The level of prolactin in the reproductive hormone is also far higher than the normal level, while the testosterone level is only 0.47 ng/ml, which is significantly lower than the lower limit of normal of 1.6 ng/ml.

In addition, the report from the testing center showed that the results of the physical examination were also abnormal, his limbs were relatively thick, not only did he not have a beard, but his body hair was also sparse in other places, and his chest was fuller than that of many adolescent girls.

These test reports just explain the abnormal phenomena in Fei Lun's body, and all of this is the result of his intracranial pituitary tumor being "manipulated".

"Oh my God, I'm not interested in the opposite sex because I have a tumor in my brain?" Feren Azmi was stunned, as were his family.

"Don't worry, our clinic is very strong in tumors and can help you with surgical removal." Stephanie said lightly.

Pituitary tumor is a common disease in neurosurgery, which is more common in women and is usually divided into functional and non-functional pituitary tumors. Functional pituitary tumors usually refer to a type of pituitary tumor that secretes some hormones abnormally, the more common ones are prolactinous adenomas and growth hormone adenomas.

Pituitary tumors can cause endocrine dysfunction, resulting in abnormally high or low hormone levels.

Feren Azmi suffers from a prolactin-type adenoma, which can even affect fertility if delayed.

If you only secrete hormones and do not squeeze other tissue structures in the brain, then you can try conservative drug treatment first; If the tumor compresses other important structures in the brain, such as the optic chiasm nerve and the internal carotid artery, and the corresponding symptoms appear, the drug treatment cannot achieve satisfactory results, and surgery is a relatively good plan.

So, Stephanie set about arranging surgery for Feron Azmi.

She wrote the surgical plan, and all the details were fully prepared and rehearsed, but, after all, she didn't do much surgery in the field of tumors, especially in the field of neurosurgery, and she was not very confident in her heart.

So, she postponed the operation a few days a little, and planned to wait for Zhou Qiao to come back before starting.

In fact, if she is willing to ask Murphy and let Murphy help sit and guide, it will be no problem at all, because Murphy has operated on Christie before and has done similar pituitary tumor surgery.

However, Stephanie is very competitive and has been faintly competing with Murphy, so how can she bow her head?

"Am I a lot worse than Murphy? I'm just short of a chance. If Zhou Qiao comes back to guide me, I can also be competent for this main knife. Stephanie muttered to herself.

It's not that she only cares about personal fights and doesn't care about the patient's condition, but the patient's illness is not a day or two, and it is not a particularly urgent illness, and the operation a few days later has little impact. What's more, isn't Zhou Qiao coming back soon?

"Your surgical plan is very good, it's okay, you can do it boldly and boldly, and believe in your own ability." Zhou Qiao carefully flipped through Stephanie's surgical plan, and gave a thumbs up.

Then, Stephanie was elated.

She went to lock the door and walked back lightly.

Zhou Qiao: "......"

"It's okay, Murphy and Elena went to the community hospital for surgery, and Rachel and the others are very busy, and no one will come in."

Stephanie squatted down slightly.

Stephanie's proposed procedure is a nasal endoscopic pituitary tumor resection, that is, a transnasal approach, which does not leave a knife mark on the body surface, and the operation itself is not particularly difficult, so this time it is performed in a community hospital.

The equipment conditions of this community hospital are equivalent to the top three level in China, and general fourth-level surgeries or below fourth-level can be carried out here.

This procedure has become a standard procedure in some neurosurgery centers at home and abroad. Because the pituitary tumor grows in the sellar area, through the nasal cavity, the dark area can be directly opened, and then the pituitary tumor can be removed.

Compared with other surgical methods, this surgery is the most direct, the least traumatic, and the field of view is quite good, in the process of tumor resection, the tumor can be completely removed under the field of vision, and some important structures can be protected.

Now that the Iris Clinic already has internal medicine, surgery, psychological counseling, cardiothoracic surgery, and oncology surgery, Zhou Qiao pondered that he could also apply for a neurosurgery qualification.

And then it's a little funny, there are few doctors, and there are so many department qualifications. It seems that it is really time to recruit. It's just that good doctors are a bit hard to find, and you have to urge headhunters again.

In fact, the best plan is to have medical seeds, he comes to cultivate and teach them hand-in-hand, and the medical seeds cultivated in that way are loyal and first-class, but unfortunately there are very few medical seeds, and they may not be able to pick one among millions of people.

The next afternoon, the operation began.

Because this operation was relatively a "minor operation" among so many difficult surgeries performed at the Iris Clinic, and Murphy had done it before, Murphy did not go with him this time. She still has a lot of things to do.

Stephanie is the chief surgeon, Elena is an instrument nurse, Ava is a roving nurse, Zhou Qiao is an assistant and a mentor, and the anesthesia team is senior Nancy and her capable anesthetist nurses.

After the anesthesia is completed, the multi-party check is completed.

Ava and Nancy became idle for the time being, one singing and the other gossiping.

This time, the first song is Huang Ling's "Into the Painting of Jiangnan".

"I have a love into the painting after returning to the old dream hometown, I have a love to fall into the imprint of the previous life, a city of sunny weather and a city of rain to lead me into the play, adding to the drunkenness, Yu Garden a touch of fragrant tea and a cup of elegant ......"

Huang Ling can be salt and sweet, known as the singer of the voice, when she sings "Come on, be happy, anyway, there is a lot of time", especially "itchy" and sassy, the kind that goes into the soul, but singing national style songs, especially ancient costumes, is a must when it appears at the CCTV Lantern Festival party, full of classical and dignified beauty.

In the beautiful song, Stephanie concentrates on the operation, while Ava and Nancy sit aside and chat.

Nancy was radiant, and when she asked, she got a new boyfriend. And her boyfriend is still a strong black man.

Although most blacks are irresponsible and belong to the kind of play-and-run, Nancy doesn't care.

Because she was divorced before, she was already disappointed in her marriage, and she didn't plan to remarry, nor did she plan to have children, and now she is just purely pursuing excitement, so it doesn't matter if her boyfriend is black or not.

Zhou Qiao had no choice but to wish her happiness, after all, it is not good to interfere too much in other people's affairs, everyone has their own choice. People are willing to share their private lives, and they already regard Zhou Qiao and them as very close friends.

It can be seen that Nancy really likes this black boyfriend, and when she was doing surgery, she took the initiative to share some interesting stories between the sheets, and for a while the operating room was full of all kinds of colorful words and jokes, some words and sentences were too explicit, Rao is Zhou Qiao has been through a hundred battles, and he still can't help blushing.

Fortunately, there was a mask covering, and everyone didn't notice it.

Explicit is explicit, this is caused by the style here, but there is no doubt about everyone's professionalism and professionalism in medicine.

The operation was carried out in an orderly manner without affecting the operation.

Stephanie does not have 3D modeling in the brain like Murphy, but endoscopically, she can clearly identify various anatomical structures, such as the posterior nostrils, the posterior end of the middle turbinates, the upper turbinates, the opening of the sphenoid sinus, and the anterior wall of the sphenoid sinus.

Enlarge the anterior wall of the sphenoid sinus and carefully identify the optic canal, Onodi air chamber, and internal carotid artery.

Open saddle bottom.

Zhou Qiao instructed her on the side and told her not to open too much to both sides at this time, so as not to damage the cavernous sinus, and not to be too high to the top, so as not to affect the optic chiasm.

Thank you for the monthly pass.

(End of chapter)