Accompanied by Ava and Fang Yuanyuan, Xu Tiantian came back from the examination, and met her master, Shang Chunyan, an opera actor in his sixties, in the hall of the Iris Clinic.

The other party was also Tsing Yi when he was young, and now that he is older, he mostly plays the role of Lao Dan. Even Zhou Qiao, a layman, has heard people talk about it when chatting with some friends in Chinatown, saying that it is a must that Wang Baochuan and Li Yanfei played by this teacher Shang when he was young.

"Master, why are you here?" Xu Tiantian was still a little surprised when she saw her master.

Although she hadn't told her master yet, and she didn't know how to speak for a while, and her throat hurt, but when she thought about it, it must have been Chu Xuan or Master Huang who went to "ventilate the news".

"Don't talk, don't talk." Master Shang heard the hoarse voice of his apprentice, and he was so distressed, "Silly boy, your parents are not here, I am your only relative, who will come if I don't come?" ”

Xu Tiantian was inconvenient to speak, so Fang Yuanyuan did it for her and twittered about what happened and what happened to be inspected.

Teacher Rao Shishang already knew the general story from Master Huang, but Master Huang spoke simply, and Fang Yuanyuan talked a lot, so she was inevitably frightened and worried again.

When he heard that Miss Veronica was willing to fund Xu Tiantian's medical expenses, Master Shang was even more moved and came over to thank Veronica.

Shang Chunyan was still worried about the medical expenses before, wondering whether to tell Xu Tiantian's parents and ask them to help raise some money, but Xu Tiantian's family is poor, and her parents are in the countryside of China, so they may not be able to get the money.

Xu Tiantian was brought out by her, and she should be responsible. Where did you think that the medical expenses would be solved so easily?

Master Huang didn't mention this stubble to her before.

It didn't take long for the examination report to be sent, and Zhou Qiao brought them into Murphy's office and introduced them to their condition.

Sure enough, as Zhou Qiao and Murphy had expected, it was a neurological disease.

Zhou Qiao and Murphy carefully analyzed the image report of magnetic resonance neurovascular imaging and found that Xu Tiantian's right posterior inferior cerebellar artery compressed the glossopharyngeal nerve.

The glossopharyngeal nerves are a pair of cranial nerves in the human brain that control the movement of the muscles in the throat.

Glossopharyngeal neuralgia occurs when the glossopharyngeal nerve is affected by factors such as vascular compression, tumor compression, and traumatic irritation.

This kind of pain is actually similar to the principle of trigeminal neuralgia.

In addition, electronic laryngoscopy showed that Xu Tiantian's glottis "leaked".

That's right, the human glottis can also "leak".

When speaking and singing, both vocal cords close to resist the air, and the air squeezes the vocal cords, causing air vibration in the process of vocal cord beating, thus producing sound.

The glottis "leaked", that is, there was a gap when it was closed, and Xu Tiantian's situation combined with the typical incomplete glottis closure.

Fortunately, there are no vocal cord mass lesions, such as polyps, cysts, tumors, etc.

The two are actually related, her arteries compress the glossopharyngeal nerve, resulting in neuralgia, and then because of the pain, the bilateral vocal cords are not closed enough when vocalizing, resulting in hoarseness, weakness, loss of voice and other vocal disorders.

Of course, most of the causes are due to excessive use of the voice, too high a volume, not mastering the breathing well, or incorrect vocal methods when trying some new singing methods.

The vocal cords are fatigued for a long time, and physiological changes occur naturally.

This kind of thing, in fact, is also very common, as some track and field athletes will often twist their feet, rupture tendons in their heels, and so on. Which part is used more, and try some new tricks, there is a high chance of natural problems.

In addition, estrogen changes occur during women's menstruation, and the vocal cords will have mild congestion and edema, which will be less tolerated.

"Oh my God, Sister Tiantian is so pitiful." Fang Yuanyuan exclaimed.

Xu Tiantian: "......"

She thought her throat was falling, but she didn't expect the specific reason to be so complicated...... Well, she really didn't understand much, but it didn't prevent her from knowing that the condition was serious, and she immediately panicked in her heart, and she didn't know if she could be cured.

The throat can't make a sound, and when you open your mouth, or even when you don't open your mouth, it hurts so much that you can't just swallow your saliva, and it's not convenient to ask.

Her master Shang Chunyan was also worried, her brows furrowed even more, and she sighed in her heart, it turned out to be the reason in her brain and glottis, no wonder the seniors who had fallen in their throats before couldn't be cured.

How's that to be?

After all, this disease is much more serious than laryngitis and acute throat. It is estimated that it is not possible to do well by taking medicine.

"Doctor Zhou, is this disease easy to treat? Will she still be able to sing in the future? Shang Chunyan said very anxiously.

Fang Yuanyuan blinked, and didn't ask this kind of question, because she felt that Doctor Zhou would definitely be able to treat it, and after experiencing Chu Xuan's matter, Fang Yuanyuan now has a blind admiration and trust for Zhou Qiao.

Zhou Qiao said: "If the condition is mild, symptomatic pain relief, nerve nutrition and other methods have a certain effect on early neuralgia. But her condition is so severe that conservative treatment is no longer useful and surgery is needed as soon as possible. ”

"Huh?" Xu Tiantian was immediately afraid. Surgery, it must be a craniotomy, right?

She is young and has barely been in the hospital, and she is about to have her brain cut out. What's more, she is still a girl, so she is even more afraid.

Shang Chunyan: "......" was expected, but, well, craniotomy is craniotomy.

Zhou Qiao observed the words and saw that their complexion changed when they heard it, so he couldn't help but hurriedly comfort them, and said: "Actually, there are many 'minimally invasive' neurosurgery now. ”

"Minimally invasive?"

"Yes, although a craniotomy is a craniotomy, it is only a very small opening, and it is not so scary. I just talked to Murphy about it, and we plan to use microvascular decompression, which is the safest and most effective surgical treatment for glossopharyngeal neuralgia. ”

This means that a small opening is made behind the affected ear, and a spacer is used under a microscope to isolate the pressed blood vessels from the nerves. This surgery is less invasive, the operation time is short, and there is no scar on the body surface, and the pain will disappear immediately after the surgery for most patients. ”

"As for glottic insufficiency, it is not a big problem, when the neuralgia is relieved, and then combined with the inhalation treatment of drug nebulization, anti-inflammatory and swelling, the glottic leakage should be improved."

Hearing Zhou Qiao say this, Shang Chunyan and Xu Tiantian suddenly knew that they had something wrong with each other, and said in their hearts that medicine is really developed now. If they had been decades ago, or more than a hundred years ago, they would have really been out of play.

I can't sing, I can only go behind the scenes, or do something else.

Zhou Qiao continued to reassure them: "This operation is actually very fast, and then the follow-up treatment will take about half a month, and during the treatment, it is best not to speak." ”

Everyone immediately laughed.

Especially Xu Tiantian, she is really completely relaxed and happy. Don't speak? The pain is like this, and my voice is hoarse, let me say I don't want to say it.

Immediately, Zhou Qiao arranged Xu Tiantian in the neurosurgery ward of the community hospital, and it was still Ava who contacted and brought her over.

Park so-joo is in charge of nursing.

In fact, glossopharyngeal neuralgia is very easy to misdiagnose as trigeminal neuralgia. Because the incidence of glossopharyngeal neuralgia is very low, about 1 in 100,000 probability.

Zhou Qiao and the others subsequently improved the tetracaine spraying test, and the patient's symptom improvement rate was 90%+, ruling out trigeminal neuralgia. In fact, you can be diagnosed without doing this, and doing this is just to be foolproof.

When everything was ready, the operation began.

Really as Zhou Qiao said before, the operation time was very short, and the operation was over without playing a few Ava songs.

On the day after the operation, Xu Tiantian's pains disappeared completely as soon as she swallowed it. Although he was still speechless and needed follow-up treatment, his heart was much calmer.

She typed on her phone and told her master not to inform her family. Say it so that the family will not be worried.

Teacher Shang: "......"

Gently touched the child's bald head, and felt pity, this is good news and not bad news, this child is too sensible.

Such a major operation...... Well, it doesn't look like it's big either. If you don't say it, you won't say it. Teacher Shang agreed to her.

Neurosurgery, naturally, requires skin preparation, and since it is a brain melon, it is necessary to shave the head.

But Xu Tiantian's head shape is better, after shaving her head, her gorgeous color has not decreased, even if she goes to be a nun, she is also that kind of glamorous nun.

Zhou Qiao flew to Texas, Crist Mills County.

One is to visit Loya, and the other is that Sequoia Tree Hospital has encountered a tricky patient who needs his support.

Lu Xianna drove to the airport to pick up the plane, and that night, Zhou Qiao and Luo Ya hugged each other and slept together.

Because it was quadruplets, although it was only four or five months, Luo Ya's belly was already bulging and distended.

Various prenatal check-ups are also being carried out regularly, and the indicators are normal and the fetus is developing well.

Luo Ya's congenital conditions are good, Zhou Qiao's genetic material is excellent, and her nutrition can keep up, Luo Ya doesn't have to run around now, she stays in the wine estate every day to raise her baby, and her work is remotely commanded, how can there be problems with such good conditions?

It's just that Luo Ya is usually used to running around the world, and now she has been in Texas for several months, and she is really a little uncomfortable.

"Honey, hold on for a few more months, and when the baby is born, I will accompany you to travel around the world." Zhou Qiao hugged Luo Ya, stroked her high bulging belly with his hand, and said softly.

"That's what you said. Well, I'm going to go to China then. Take your baby to your house! Loya laughed.

Zhou Qiao was startled, and suddenly worried, because, how to explain it to his family when the time comes?

The marriage didn't even come to an end, so I got four children out.

Loya giggled, anyway, she didn't care, she had to go!

Zhou Qiao had no choice but to agree.

Thinking about it, when the time comes, I will say that the United States is open, well, I have many girlfriends, and I will have many children in the future. Alas~, parents will never cut off their relationship with themselves because of this, right?

As for relatives and friends, whatever! The mouth grows on someone else, so can it be blocked?

It's just that his personality in China is estimated to collapse and die.

Just when he was worried, Luo Ya next to him was already falling asleep with a smile, in fact, Luo Ya was joking with him.

Luo Ya is indeed going to China, but to get down to business. In addition, by then, the warship ordered before should be almost delivered, and she plans to select some henchmen from the East African base to receive and receive relevant training in the name of the Sue Soken government army.

Although she is now a Texas legislator, the East Africa base is her private property. In the future, he may take advantage of the chaos to build a small country and leave it to one of his sons.

Now pregnant and with four sons, she is already planning how to divide the territory in the future.

The next day, escorted by Lu Xianna, Zhou Qiao went to Sequoia Tree Hospital.

When he arrived, Dean Joachim Langley was already waiting at the gate, greeted by a large group of people.

"Dr. Zhou, I'm very happy to see you again!" Dean Joachim Langlei warmly stepped forward to hug Zhou Qiao.

"Let's talk while we go, what's going on?" Zhou Qiao asked.

Dean Joachim Langley gave a brief introduction to his condition. The patient was a local middle-aged white woman in Christe Mills County, in her fifties.

During his visit to Sequoia Hospital, a CT scan revealed a mass in the upper lobe of the right lung in his chest, which was considered malignant.

After further examination, numerous reports point to the possibility of malignancy. Therefore, surgery is imperative.

However, a preoperative examination revealed that the woman was severely deficient in factor VIII.

The activity range of clotting factor VIII in normal people is generally 50-150%, but this woman is very, very low, only 2%, which is very rare.

A normal prothrombin time (PT) is usually 10-16 seconds, but this lady is 45 seconds, which means that her "clotting time" is significantly longer than normal!

In fact, there are many coagulation factors in the human body that play a role in the process of hemostasis, and this lady's severe deficiency of coagulation factor VIII. is one of the more important ones.

Coagulation factor deficiency is a recessive inherited bleeding disorder, including sex chromosome recessive inheritance and autosomal recessive inheritance.

For example, the famous "hemophilia" is a lack of clotting factor VIII or IX.

And this lady is missing the coagulation factor VIII.

I have to say that she is not a member of the royal family, but she suffers from the "disease of the royal family".

Because the most famous carrier of the "hemophilia" gene in history is Queen Victoria of the United Kingdom.

Victoria had nine children, three of the four princes were hemophiliacs, and the five princesses were all carriers of the hemophilia gene, and their children married into European royal families, resulting in the spread of the hemophilia gene to the European royal family, so this disease is also nicknamed "royal disease".

Coagulation factor deficiency is mainly manifested in clinical manifestations as bumps, trauma and bleeding after surgery, which is difficult to stop, or even spontaneous bleeding, which can lead to death in severe cases.

These patients are like "glass people", and patients with clotting factor deficiencies are extremely risky if they are treated with surgery, and bleeding can be life-threatening.

Previously, when the chemical plant exploded, Sequoia Tree Hospital actually encountered a patient who had difficulty stopping the bleeding, but the patient's blood clotting factor deficiency was far less than that of the current woman.

The main reason why the patient's bleeding could not be stopped was because there were many hidden bleeding spots in her body, and later Zhou Qiao helped her open her abdomen for a second time and solved the bleeding points one by one, which saved her life.

And now this lady, a malignant tumor, needs surgery, but she encounters the famous "hemophilia", and she bleeds when she touches it, so how can she operate?

Therefore, after discussion, the doctors at Sequoia Tree Hospital decided to seek help from Dr. Zhou, who is highly skilled in medical treatment.

There are also pats on the back of Luoya, indicating that they can't do without Dr. Zhou.

(End of chapter)