There is also a reason why it is a two-step process.

If there is no lymph node metastasis, rashly dissection of the patient's lateral cervical lymph nodes will increase the surgical trauma; However, if the lymph nodes are left unattended by following the puncture results, and the metastasis recurs after a few days, it is equivalent to a complete failure of the operation.

Even in two steps, the risks of surgery are considerable. Because the position of the thyroid gland is so special, it belongs to the "lifeline" of the human body in the neck, and the human brain passes through countless nerves, passing through the neck, which is connected to other parts of the body. It can be described as a traffic artery!

Moving the knife in this place is frightening, even if it is a small incision.

So Zhou Qiao and the others were cautious and transferred Ms. Tu to the University of California Medical Center, intending to use the Prometheus-3000 surgical robot over there with the help of its high-definition vision.

But even surgical robots need to be quite careful. Because robots are also controlled by people.

Zhou Qiao carefully operated the operation, bypassing the delicate blood vessels in Ms. Tu's neck, and operating while explaining the precautions to Murphy and Stephanie.

Finally, after about half an hour, the diseased lymph node was successfully removed and sent for biopsy.

With such a large "body" part for biopsy, it is basically impossible to have a false negative.

The test item was an expedited service, and when the test results came out, the three of them were very happy, and sure enough, it was the same as the initial judgment.

The patient's R-head thyroid cancer has spread to the lymph nodes and all the lesions must be removed.

The full dissection surgery begins.

This process, like minefield demining, involves a wide range of areas, and you have to be careful at every step, and you are not sure where it is, so you have to explore it step by step. There are fragile nerves and blood vessels everywhere, and they are intricate, criss-crossed, and a slight break will cause extremely serious consequences, and even if they are connected again, they may leave sequelae.

Sometimes, even if it is not cut off, but the "pulling" is excessive, it will also cause some sequelae in the subsequent rehabilitation process. This is because the nerve suffers slight damage during the stretching process.

This kind of "delicate" thing, even if it is slightly damaged, conveys a biological signal that is strong or weak, and it affects the "performance" of a certain part of the human body. For example, the other party's fingers were very dexterous, but after this surgery, you will find that the fingers have become clumsier than before.

Zhou Qiao: They just want to avoid such a situation.

Finally, the patient's bilateral thyroid gland and the lymph nodes in the right lateral cervical region were completely excised and dissected, and the important functional channels such as the carotid artery, internal and external jugular vein, and accessory nerve within the dissection area were intact, and the postoperative pathological examination results were the same as those of the preoperative evaluation.

Ms. Tu's "hidden disease" was discovered early, the operation was timely, and the most important thing is that she met a national player like Zhou Qiao, and she recovered quite well after the operation, without any sequelae and complications.

If the same surgery is done by another doctor, it may be a variety of "troubles" after surgery.

Thyroid cancer is actually a solid tumor that progresses more slowly, which is a type of "lazy cancer".

Unlike other malignant tumors, lazy cancer does not have much "ambition", does not have much desire to "expand", and does not have particularly obvious symptoms in the early stage of the course of the disease.

However, if this kind of "lazy cancer" is not removed in time, once it metastasizes and spreads, the consequences are unimaginable.

Thyroid cancer is mainly divided into R head cancer of the thyroid gland, follicular thyroid cancer, anaplastic thyroid cancer, and medullary thyroid cancer. Among them, thyroid R head cancer is the most common type, accounting for 60%~80% of the total incidence of thyroid cancer, the incidence rate of women is much higher than that of men, with the development of the disease, the tumor will compress or invade adjacent organs and tissues, and patients will have symptoms such as dyspnea, dysphagia, jugular venous distension, hoarseness, etc.

This kind of cancer, regardless of the type of cancer and the size of the cancer lesion, has the possibility of lymph node metastasis and invasion of surrounding tissues, once there is a nodule, we must pay attention to it and seek medical attention as soon as possible, especially for high-risk groups who have a history of head and neck radiation exposure in childhood, a family history of thyroid cancer, overweight or obesity, long-term insufficient iodine intake, long-term fatigue, and bad mood.

Once the diagnosis is confirmed, the treatment process should be carried out as soon as possible under the guidance of a professional doctor, and most patients can obtain a good prognosis through standardized drugs, surgery and other comprehensive treatments.

……

The cork oak tree in front of the iris clinic is luxuriant, and the huge canopy sways from side to side in the northwest wind in winter, like the hand of a beckoning cat.

Finally, another suitable doctor came for an interview, Zhou Qiao was very satisfied, and another aunt was added to the clinic.

The aunt's name was Jenard Holt, her name was androgynous, short and fat, she could speak well, a bit like the woman who came out of an oil painting, she was not very old, only forty-eight years old, but she looked almost sixty years old.

No way, Westerners don't know how to maintain health, although she has always worked easily and her family is rich, but she just ages quickly.

When Dr. Jenard joined, she was surprised to find that the doctors and nurses here drank hot water. Even young girls, like Murphy and Stephanie, hold thermos mugs.

When I asked, it was made of flower tea. It smells fragrant, and it seems to taste good.

The older Rachel and Vivica also have a thermos cup in their hands, but they are soaking a small red fruit, and when they ask, it is a kind of thing called wolfberry, which is said to be very nourishing, beautifying and prolonging life.

Dr. Jenard took a look, no wonder everyone here looked so good, it turned out that there was a secret recipe, so he pondered, and went to buy a thermos cup himself, and also came to bubble this kind of thing to drink.

These flower teas, wolfberries, are not brought by doctors or nurses, but purchased by Elena and placed next to the tea bar machine in the lobby on the first floor, which is a free benefit.

On the first day that Dr. Jenard came, he didn't bring a cup, so he tried it with a disposable cup in the clinic, hmm~, it was really good, his eyes lit up, as if he had opened a new world.

According to the tradition of the Iris Clinic, a newcomer must have a dinner party, so Zhou Qiao took everyone to eat and drink again.

During the dinner, everyone talked about Chinese drinking hot water and confinement, and Dr. Jenard couldn't help but sigh, what kind of confinement did she have when she was young, even in winter, when she came to menstruation, she drank ice water, and she cooed. I didn't think it before, but now that I'm older, I feel all kinds of problems.

Zhou Qiao told her that it was still too late to start the way of health preservation. In terms of health preservation and dietary therapy, Chinese have special skills.

Although Dr. Jenard echoed Zhou Qiao's point of view and was also very interested in drinking that kind of flower tea, he was actually a little dismissive of the statement of health preservation, just because he joined on the first day and politely agreed.

She gave it a try, and joined the ranks of "health" with an idle attitude anyway.

Aunt Jenard was placed in surgery.

Zhou Qiao and the twin sisters began to pack their luggage and prepare to go.

Of course, before he leaves, the work of the clinic will be arranged.

Murphy moved from general surgery to general practice, while Stephanie sat in the general surgery and counseling departments, and took Dr. Jenard with her.

Of course, the other party is experienced, so there is no need to bring it. It is nothing more than to introduce the other party to the workflow of the clinic, the commuting time, when the salary is paid, if you go to the community hospital for surgery, who you need to contact, what materials to submit, and so on.

However, Dr. Jenard is also positioned as an ordinary grassroots doctor, responsible for some simple patients.

A little bit of a hassle, it's Murphy and Stephanie who take care of it.

Seeing that Elena and Ava could follow Zhou Qiao to China, Murphy and Stephanie were very envious.

Zhou Qiao comforted them and took them next time.

"Because you two are the backbone of the clinic, if you are all gone, what will happen to the clinic?" Zhou Qiao said.

During the time he was away, the clinic was naturally handed over to Stephanie and Murphy.

But Murphy has a cold temperament in front of outsiders and is not good at management, so it is estimated that Stephanie still needs to spend more time.

Stephanie said it was fine. She was happy that she had finally surpassed Murphy.

Murphy pouted lightly, hum, I didn't bother to bother with these trivial matters in the clinic.

"If you're in trouble, go to Ariel. I told Ariel that she'd keep an eye on the situation here. ”

At the end of the year, Zhou Qiao gave a year-end bonus, and also sent a copy to Aliel and her black girls. After all, guarding the safety of the clinic can be regarded as a hard work.

Ariel and the Black Girls are having a blast.

San Francisco has direct flights to BJ, and as early as January 7, 1981, a Boeing 747SP large passenger plane flew over the Pacific Ocean, opening the first route between China and the United States: BJ - Shanghai - San Francisco - New York. San Francisco became the first destination for Chinese civil aviation to fly thousands of miles to the United States. The San Francisco route is the first route from China to the United States in the history of China's civil aviation.

However, for some reason, the route was terminated, and recently, Air China's BJ-San Francisco direct service resumed, with two round-trip flights every Wednesday and Saturday.

In addition, the frequency of flights between China and the United States has also increased greatly, making it much easier and cheaper for Chinese people to travel between China.

Murphy drove them to San Francisco International Airport and reluctantly watched them board.

Zhou Qiao and her twin sisters landed at BJ Capital International Airport after passing through Canada and Russia for 13 hours.

Flying from the United States to China, taking Canada and Russia is the closest way.

If you cross the Pacific Ocean from east to west, the actual distance is even farther because the Earth is spherical.

Another reason is that the Pacific Ocean is too vast, and there is almost no "place to stay" below, and there is no place to make a forced landing if you encounter a problem. Moreover, the climate at sea is changeable, and it is easy to be affected by bad weather.

Once it crashed, the plane crashed into the Pacific Ocean, and there was no chance of rescue. Although the crash on land has little chance of survival, it is better to find the remains of the body, right?

Fun fact: Russia and the United States are separated by only one Bering Strait, 35 kilometers at its narrowest point and 85 kilometers at its widest point.

It is said that in ancient times, the Bering Strait froze over, and it was from this strait that ancient humans in Asia migrated to the American continent. Indians, like East Asians, are typically yellow-skinned, dark-haired, and black-eyed.

Israel took out the Bible deed and said that Jerusalem was their place. According to this logic, if we take out the "Classic of Mountains and Seas", we can also say that the American continent is our place. In particular, there are three chapters in it: "Dongshan Jing", "Overseas Dongjing" and "Great Wilderness East Jing".

It is recorded that 4,200 years ago, Dayu sent people to investigate the mountains and rivers of the American continent.

This is what an American said.

In July 1993, the Ocean Press published the Chinese edition of the monograph "Almost Fading Records - Two Ancient Documents on the Chinese Expedition to the Americas" (32 pages, 150 pages, 120,000 words, 700 copies for the first printing) of the monograph by the American scholar Ms. Henry Ettmertz, and Jia Lanpo, a famous scholar in China, wrote a preface to the Chinese edition of the book.

Based on the distance miles (3 li is equivalent to 1 mile) of the four mountain ranges described in the Dongshan Sutra, as well as related properties, Mertz strictly compared them with the peaks on the map of North America, and found that there is a very accurate correspondence between the two.

Specifically, the 12 mountains of the Eastern First Meridian are located in the north and south of New Mexico in the United States, and from north to south, they are (undecided), (Medicinbo Peak), Lunsky Peak, Grace Peak, Princeton Mountain, Blanca, North Trakis Peak, Manzano Peak, Blanca Mountain, Guadalupe Peak, Barthes Peak, and Cinati Peak.

The 17 eastern meridians are located in the north and south of Wyoming, USA, and from north to south are Hutt Mountain, Moose Mountain, Stone Inscription Office, Wolf Mountain, (undecided), Medicinpo Peak, Langz Peak, Ha Buddha Mountain, Summit Peak, Chicoma Peak, South Balt Peak, Cox Peak, Animas Peak, Madeira, Bamacek, Kuliakan, and Teliangoro.

The nine eastern meridians are located on the west coast of the United States, and from north to south, they are Fairysey, Burgate, Katznidel, Rupert (Port-au-Prince), Waddington, Olympus, Hood, Shasta, Lojiatos, and Santa Barbara.

The eight eastern four meridians are located in Washington, Oregon, and California in the United States, and from north to south, they are Mount Rainier, Mount Hood, Lonely Mountain, Mount Gilhet, Mount Crane, Mahoganai Peak, Trident, and Capitol Peak.

There is also a saying that the Bering Strait, which was originally land in ancient times, was only later flooded.

Because the average depth of the Bering Strait is 30 meters ~ 50 meters.

If a bridge is erected over the Bering Strait, China's high-speed train will pass through Siberia and cross the Bering Strait, which can reach Alaska, Canada and the United States mainland.

Even, through Mexico, Guatemala, Panabadas, etc., I can go to South America.

……

Zhou Qiao imagined on the plane, but he also knew that with the current relationship between China and the United States, the biggest obstacle to building this bridge was not a technical problem. It can be said that it is almost impossible.

They sat in the first class, and when they landed, they came out of the plane and looked at the magnificent Capital International Airport, Zhou Qiao took a deep breath and felt relaxed.

It's finally back!

(End of chapter)