Dr. Ormahi reported to the director.

The director of neurosurgery knew that Zhou Qiao had done some difficult neurosurgery, and had deep attainments in many specialties such as cardiothoracic surgery and oncological surgery.

Zhou Qiao came with Murphy and Stephanie. Of course, face-to-face communication with patients is essential. Consultation is also a very important part of the diagnosis process.

And Stephanie is good at communication, and the other party is a woman, so this matter is left to Stephanie.

Based on Zhou Qiao's experience, the first choice is heart screening, followed by lungs.

Because the blood oxygen can't go up, most of the problems are in these two organs.

After a check, sure enough, there was a problem with the heart.

Chest x-ray: suggests that the patient's heart is large.

Cardiac ultrasound: suggests a single ventricle, atrial septal defect.

Combined with the other party's medical history and some slightly abnormal situations in his past life, Zhou Qiao speculated that this is most likely a very complex congenital heart disease.

This made the doctors involved in the consultation even more confused: "The heart and the brain are two organs, so far apart, why does congenital heart disease grow an abscess in the brain?" ”

Zhou Qiao pondered for a few seconds, and immediately gave a perfect explanation.

"Congenital heart disease causes this patient to have different blood circulation than a normal person, and it is this difference that makes her more susceptible to bacterial infections than normal people."

Zhou Qiao got up, came to the whiteboard next to the big screen in the conference room, picked up a black whiteboard marker, and drew on it.

With just a few strokes, the heart structure of a normal person is outlined.

"Look, this is our normal human heart, and it goes like this, there are two ventricles: the left ventricle and the right ventricle."

Zhou Qiao drew a lung at the bottom, drew a circle at the top, noted the tissues of the whole body, marked the arrows, and formed a closed loop, while drawing, while explaining: "The normal blood circulation is that the blood of the whole body first flows to the right heart, then flows into the lungs, absorbs oxygen, and then flows to the left heart, and finally goes to the tissues of the whole body." ”

Actually, the doctors who attended the meeting understood this. Although you are neurosurgeons, you still know the structure of the human heart very well.

"However, Alice's heart is not like this, hers is like this."

Zhou Qiao turned his words, the pen went away, and he quickly sketched a comparison picture next to him, that is, Alice's heart has only one ventricle, which belongs to a single ventricle.

As soon as the two pictures are compared, everyone can see it at a glance.

"Most of Alice's blood circulates directly throughout her body and between the ventricles and is not filtered by the lungs, which causes bacteria in the tissues of her body to circulate through the blood and reach all the vital organs throughout her body, including the brain!"

"After a long evolution, nature evolved from fish with a single atrium and a single ventricle to mammals with two atria and two ventricles, and humans are one of them. But there are some animals that belong to the 'transition body', or 'intermediate', such as frogs, which are born with a 'incomplete circulation' system of double atria and single ventricle, which is very typical. ”

"So, in this respect, Alice's circulatory system has a very similar part to that of a frog, both of which are single-ventricular circulation."

Someone let out a soft exclamation: "Wow~, is she a frog princess?" ”

Alice certainly can't be a frog princess. And the frog princess used to be in high school in San Francisco. Known as the San Francisco version of the "High School Attached to the National People's Congress", the annual tuition fee is 350,000 yuan, and you can buy a Tesla; Only 100 of the 700 applicants were admitted, and the acceptance rate was the same as Berkeley's. It is expensive and difficult to enter, and it belongs to the typical elite education school in the United States.

Zhou Qiao used to ski in Lake Tahoe and had a relationship with the frog princess, but he never met again. He also has a photo with the frog princess.

Zhou Qiao shook his spirits and continued to explain.

Because of this very rare, unusual circulatory system, the probability of Alice getting a brain abscess is much higher than that of a normal person. If I had to talk about the reasons, there were probably the following two aspects. ”

"One is that Alice's body has been in a state of chronic hypoxia for a long time, with increased red blood cells, viscous blood, and slow flow rate, which can easily lead to bacterial retention and growth."

"Second, some of the blood carrying bacteria is not filtered by the capillaries of the lungs, and will directly enter the brain with blood circulation, forming an infection focus in the brain, thus developing into a brain abscess."

At this time, a doctor raised his hand and asked: "Doctor Zhou, after all this, we have basically understood the formation process of brain abscess, but what about the 'culprit'?" What is it exactly? ”

He was very confused.

Yes, everyone also looked over, who is the real culprit?

Zhou Qiao smiled slightly, looking like you are not in a hurry, and said: "Our Dr. Stephanie noticed one thing when communicating with patients before, that is, Alice has a pimple on the left side of her face that is particularly conspicuous. ”

As soon as these words came out, Dr. Ormahi also thought about it, indeed, it seems that Alice has such a pimple on her face, he has noticed it before, and he was still wondering in his heart, is it that the couple's private life is not harmonious, how can they still let his wife have acne?

I only heard Zhou Qiao continue: "After Dr. Stephanie's inquiry, the patient said that this pimple has been around for a long time, very stubborn, and occasionally I went to pick it up, but it has not been good for more than a month. ”

Dr. Ormahi was the first to react and immediately exclaimed, "I see. ”

I slapped the door of my head, I was very remorseful and ashamed, I noticed this small detail at the time, why was my mind full of patients with endocrine imbalance, and the life of the husband and wife was not harmonious, why didn't I think of this? It shouldn't be!

Seeing that the other doctors had seen it, Dr. Ormahi said: "The biggest possibility is that, as Dr. Zhou said, when Alice squeezed the pimple, the bacteria in the acne entered the bloodstream, because of Alice's own special condition, the bacteria drove straight into the brain tissue, and then caused a brain abscess." ”

As soon as these words came out, everyone understood.

In fact, after putting it bluntly, "that's what happened".

At the level of the doctors present, I suddenly felt that "it's so simple".

Some doctors couldn't help but mutter, "Why didn't I think of it before?" If I had worked a little harder and looked deeper, maybe I would have figured it out? After all, it's not that hard, is it? ”

However, often overly simple facts require a wealth of knowledge and careful thinking to reason and connect them together, and once the case is "solved", it is not surprising.

However, it takes a lot of skill to connect these inconspicuous details together.

Those doctors who think it is simple, think carefully and ponder, and feel that if they go back in time and let them come to diagnose the disease, they may not be able to get the result, even if they finally reason, it will take a lot of time, and there is no "understatement" like Dr. Zhou Qiao, who can easily "solve the case".

The top stream deserves to be the top stream. It's all in the details.

In fact, it is mainly because this case has great particularities, and most normal people will not encounter such a situation.

The difficulty of this case lies in "solving the case", and for the operation itself, the neurosurgery department of the community hospital is still very confident, because this kind of craniotomy has been done before.

Therefore, this operation did not trouble Zhou Qiao anymore, but they performed a craniotomy on the patient under the microscope and completely removed the abscess "with the soup and shell".

And Zhou Qiao's side, there are still a lot of things, and he has to be busy going to Texas to prepare Luo Ya for pregnancy.

Luo Ya has returned from France and recuperated in Texas for a few days, her body has been adjusted to the best condition, and the ovulation period is approaching, just waiting for Zhou Qiao.

Zhou Qiao simply packed a suitcase and stepped on the flight to Texas again.

His body has always been great, and he doesn't need to be deliberately recuperated.

In addition, in order to prepare for pregnancy this time, he exchanged the strong kidney capsule that he hadn't exchanged for a long time for another medicinal power, which can produce a large amount of healthy genetic material, and waited for it to be released when he met with Luo Ya this time.

When he arrived at the Houston airport, Loya drove him to pick him up, and the two drove northeast of Houston, about a hundred kilometers away, to a beautiful wine estate.

This estate, which is also one of the properties that Loya has purchased here, is located in the suburbs of Cristmills County, Texas (virtual place name).

Many times, Luo Ya herself can't remember where and what houses there are, and sometimes she needs an assistant to bring a list and rummage through it.

"How did you come up with the idea of living here?" In the car, Zhou Qiao asked.

I haven't seen Luo Ya for a long time, and this girl seems to be more beautiful than before.

"I've built a hospital here, and I've started a trial operation." Luo Ya smiled slightly and said.

She wore a short, slim-fitting leather jacket, and she was handsome, not the same type of beauty as Elena and Stephanie.

After Zhou Qiao's addition, as well as her own efforts, her figure has been maintained, and she is a little more "soft" than the previous "tough". Soft with rigid, rigid with soft, full of charm.

Of course, this is also because after she "washed her white", she didn't need to do those jobs anymore, nor did she have to go to the front line in person, and she already had time to start researching some cosmetics, clothes and the like.

"What do you do when you build a hospital?" Zhou Qiao asked curiously. There are many industries in Luoya, which are widely distributed, but there are not many in terms of medical care, especially hospitals. In the past, there were at most some teams of field medics.

"It's all ballots, do you understand the ballots? I plan to build at least 10 hospitals in different parts of Texas, especially in underdeveloped areas with relatively backward medical facilities, in three to five years. ”

Zhou Qiao suddenly said: "Ah~, do you want to run for the next governor of Texas?" ”

"Yes, you guessed it!" Luo Ya gestured and said proudly. Although it is difficult to run for governor, it is a matter of people. Her current foundation is also deep enough to challenge.

Family? She herself is the ancestor of the family! In a few decades, or even a few hundred years, perhaps her family will be a prosperous and mysterious family.

She had heard Zhou Qiao talk about the overlord's farewell concubine before, when the overlord died, a small soldier rushed to the front and snatched a bloody leg of the overlord, thus sealing the marquis, and the family had to continue for thousands of years.

It is for the famous Hongnong Yang!

Luo Ya also wants to build a family that can last for thousands of years.

She decided to have at least five children with Zhou Qiao.

"Of course, hospitals are not charity, they also need to make profits. Because a project that cannot be profitable cannot be sustained. This Cristmills County is the first. You are a top expert in this area, and I will invite you to come to my hospital to help me more when you have time. Luo Ya said with some embarrassment.

"Let's be polite, we're going to make people together!" Zhou Qiao smiled, and then touched his hand.

Anyway, there was no one else in the car.

"Don't make a fuss, beware of the car overturning!" Loya glared.

Zhou Qiao had no choice but to withdraw his hand.

"When you get to the manor, you can toss it." Loya winked.

Zhou Qiao was a little impatient. Although he has no shortage of women, each woman is a different experience.

Luo Ya has always had a sense of freshness in his heart. It seems that it will never get tired. This is Loya's own charm.

can make a man who is "experienced in a hundred battles", every time he sees her, he can still have a sense of freshness and great interest, which in itself proves Luo Ya's strength.

Texas wine actually has a long history, with a planting area of more than 5,000 acres, and there are five or six hundred wineries of all sizes.

The estate is picturesque, and the last thing that the United States lacks is land.

A quaint castle, a grassy lawn, and a modern musical fountain.

In the endless vineyards, many workers are busy in it, weeding, fertilizing, pruning, but now it is spring, the grapes are just beginning to grow tender green leaves, the snails have begun to climb up the rhizomes, and the delicious grapes will not ripen until summer.

However, there were already many aged wines in the cellar, and Luo Ya took Zhou Qiao to visit them, but because she was pregnant, she couldn't taste them for the time being.

"When you go back, I'll pick out a few bottles and bring them back to you. Not anymore. Loya said apologetically.

"Actually, I don't like to drink either." Zhou Qiao said. He is a doctor after all, and although there is a system, alcohol is really not a good thing, and the safe intake is actually zero.

That is, when needed, it is just to create an atmosphere. Usually, Zhou Qiao still prefers tea and coffee.

Later, in East Africa, Chen Zhining sent him coffee several times.

That is the origin of coffee, coffee with a variety of natural floral aromas, Zhou Qiao didn't like sour taste before, and later felt that roasted shallow coffee beans, mixed with natural floral aroma, without adding any sweeteners and milk, the taste is fresh, it is a must.

If you want a little less sour, you may want to roast the beans a little darker.

Because the sourness in coffee actually comes from the chlorogenic acid in coffee beans, also known as coffee tannins, which is a very good substance for the human body.

Dark roasting, the chlorogenic acid is destroyed. Of course, dark roasted coffee is more mellow and has a stronger bitter taste. It's all up to personal taste.

When night fell, in the luxurious restaurant of the wine estate, Luo Ya and Zhou Qiao had a candlelight dinner, and the guards walked away a little wisely, leaving space for the couple who had not seen each other for a long time.

Soon, the sound of a big battle came from the restaurant, and the guards covered their mouths and snickered, and immediately moved away again.

Zhou Qiao originally wanted to exchange a little magic medicine from the system for Luo Ya to take, and then increase the chance of the twins getting pregnant, but then after thinking about it, it was better to let it be.

Twins have identical twins and fraternal twins, the difference is that identical twins are divided by one egg (essentially mitotic), so the daughter cell genetic material is the same.

Therefore, identical twins must be of the same sex, but other aspects, such as intelligence, blood type, or physical characteristics, are relatively similar.

Fraternal twins may differ in gender, physiognomy, and physical characteristics. Fraternal twins, also known as "false twins", are similar to normal siblings.

For example, the dragon and phoenix fetuses are fraternal twins.

And identical twins are the real twins, just like Elena and Ava, they look exactly the same, and it is very difficult to tell apart.

(End of chapter)