After a simple greeting, the two sides sat down, and Zhou Qiao asked, "What's wrong?" Have you had any tests before? ”

"I've done it, I've done it." Zhu Xiaofei hurriedly handed over the previous physical examination report and examination report.

When Zhou Qiao saw it, he was shocked.

Murphy on the side was also moved.

"Murphy, you go and call Stephanie and Nanako Chiba, let's go to the conference room and discuss this condition together."

“OK。” Murphy went out.

Soon, everyone gathered in the conference room, and Zhang Jianjun and Zhu Xiaofei were also listening.

……

After Zhu Xiaofei came to the United States this year, he bought medical insurance, and then the insurance company gave him a physical examination package, and he went to do it.

In the past few years, he has been delivering food in China and self-employed, and he has never had a physical examination.

Who knows, the nightmare comes.

Physical examination revealed a mass in the tail of his pancreatic body.

After getting the medical examination report, he immediately went for a more detailed review, and the results showed that there was a tumor about 7 centimeters in diameter at the tail of his pancreas.

To make matters worse, he also had a low-density lesion of about 1 cm on his liver, and pancreatic cancer had probably metastasized to his liver.

"No wonder I've been having stomach aches lately." I didn't think about the symptoms before, but now that I think about it, it's not a simple abdominal pain.

With such a big thing in your stomach, can it not hurt?

In addition, he carefully recalled that his stool had been foul recently, and it was estimated that it was also because of this disease.

He also thought that he was not accustomed to the soil and water, and he did not digest what he ate.

He went to the University of California Medical Center, where doctors told him that pancreatic cancer is a very malignant tumor of the digestive system, and that his condition was quite bad, with a five-year survival rate of less than 10%.

Zhu Xiaofei was stunned all of a sudden, he couldn't imagine that he thought he was in a good body, how could he suddenly find out about this disease? Short-lived?

Well, he admitted that after being discharged from the army, he was able to maintain his figure for the first few years, but then he relaxed, because of the pressure of survival, he began to eat irregularly, overeat, and was very tired from work every day, and then when he was tired, he made some high-grade liquor to "relax", and smoked more and more.

However, there are a lot of people who smoke and drink, how did he find such a ghost thing as pancreatic cancer?

In fact, Zhu Xiaofei's situation is normal, because pancreatic cancer has a high degree of malignancy, insidious onset, and atypical early symptoms, and 80% of patients are already in the middle and advanced stages when they are found.

Like the patient treated by Zhou Qiao before, Jessica's mother, because it happened to be detected early, so it was cured by surgery in time, and the five-year survival rate is quite high.

However, Zhu Xiaofei's situation is serious.

The report shows that Zhu Xiaofei has liver metastasis and elevated tumor indicators, and in addition, the possibility of abdominal metastasis cannot be ruled out.

It can be said that his pancreatic cancer is estimated to be in a systemic state, and simply carrying out a "war of annihilation" against local tumors cannot achieve the goal of ideal radical cure.

In addition, systemic treatment such as chemotherapy cannot be carried out during the perioperative recovery period, which can easily cause tumor cells to resurge and start anew.

After careful discussion, Zhou Qiao, Murphy, Stephanie, and Nanako Chiba finally formulated a treatment plan, that is, in four steps.

The first step is to do minimally invasive surgical exploration + CT-guided interventional treatment of liver lesions.

In the second step, neoadjuvant chemotherapy is administered.

In the third step, after the neoadjuvant chemotherapy is effective and the surgical conditions are met, surgical resection is performed.

The fourth step is to consolidate the effect of postoperative adjuvant chemotherapy.

Their plan seems simple, but in fact it is very profound, to use an analogy, it is like a master duel in a martial arts movie, in the face of the sudden big killing moves of the "opponent", the overwhelming offensive, they perform one set of small combos after another, dense and small and meticulous play, and gradually resolve the strong offensive of the "opponent" into an invisible ......

We want the final victory, not the frontal toughness, the fierce and the rush.

The front is hard, but it is not strong. Is it true that the name of "the king of cancer" came for nothing?

Zhou Qiao explained the patient's condition and surgical plan in detail.

Zhu Xiaofei was confused when he heard this, and secretly thought in his heart, why are all the doctors here young and beautiful, like celebrity models, and I don't know if the medical skills are really as high as Lao Zhang said.

At stake in his own life, he was naturally worried, but he decided to be treated here. Because Lao Zhang is trustworthy.

After the explanation, Zhou Qiao asked for the patient's consent and admitted him to the hospital.

Because the patient said that he was in financial difficulties and wanted to save some money, Zhou Qiao did not arrange him at the University of California Medical Center, but arranged him in the nearest community hospital.

After Zhu Xiaofei came to the community hospital to check in, sure enough, when the people here mentioned Dr. Zhou, their faces were full of admiration and admiration.

Zhang Jianjun didn't lie to him before.

Zhu Xiaofei also went online by himself, and searched for the information of the iris clinic with his mobile phone, and the more he looked at it, the more surprised he became, and I have to say that the reputation of the iris clinic is very big, and it can be called the top in California, so I feel more and more at ease.

"If you come, you will be safe, let's live here first."

Zhu Xiaofei sighed, thought about it, and called home again, but he didn't dare to say that it was pancreatic cancer, only that it was a little problem.

It's just that you may not be able to send money back for the time being.

When he went abroad, he brought a little savings with him, thinking that he could support it for a while, and then he would talk about it when the money ran out. Moreover, it seems that you can treat the doctor first, and the bill can be paid a little later.

Zhu Xiaofei doesn't have many friends here, and Zhang Jianjun can be said to be his only old acquaintance, so Zhang Jianjun comes over to see this old comrade-in-arms every day after work or when he is free on his rest day.

"Lao Zhu, don't worry, I see that Dr. Zhou and they talked about this set of serial killing tricks, there is a high probability that it is still very promising."

Zhang Jianjun comforted his old comrades-in-arms every time and made his heart relax.

"In many cases, the individual's mentality and desire to survive are very important, if you don't have confidence and give up hope, then there is really no hope." Zhang Jianjun said.

"Hmm. Thank you, Lao Zhang. Zhu Xiaofei nodded, indicating that he understood.

But it is clear that things fall on your head, and no one can see it so easily.

In addition, Zhu Xiaofei is also under a lot of pressure when he is hospitalized here, his condition is on the one hand, and secondly, the medical expenses are also a problem.

I guess I'll have to borrow money. He has no acquaintances here, so he can only borrow it from Zhang Jianjun.

Zhang Jianjun estimated that there was not much, so he could only ask him to help borrow it, and he didn't know if Lao Zhang was willing to do it.

I haven't seen him for so many years, and when I just met abroad, I asked Lao Zhang to borrow money, and I don't know if he will recognize me as a brother in the future.

After a night of nothing, Zhu Xiaofei thought about it and fell asleep.

He had many, many dreams.

There are nightmares, but also beautiful visions.

Many relatives and friends have "shown their faces" in their dreams.

The chaotic dreams disturbed his normal thinking and memory, and when he woke up, he tried to call his wife and children, because, just after dreaming, his wife and children were chatting outside.

He couldn't tell the difference between dreams and reality, and thought he was lying in the bedroom of his hometown.

It took a long time before I finally confirmed that this was in the United States, lying in the hospital.

The next day, Zhou Qiao gave Zhu Xiaofei a laparoscopic minimally invasive exploration, took a sample, and sent it for laboratory testing of the nature of the tumor.

In addition, according to the previous plan, under the CT "navigation", Zhu Xiaofei was given a local ablation to solve his liver lesions.

It's a win-win-win-win

Minimally invasive exploration is a must to be performed to fully understand the disease and at the same time, through that small incision, the obvious metastases of the liver can be treated by the way, avoiding multiple surgeries.

This minimally invasive exploration and local ablation is very fast due to the small incision and does not delay the subsequent neoadjuvant chemotherapy.

Fortunately, the results of the exploration are good, and Zhu Xiaofei's pancreatic cancer has not metastasized to the abdominal cavity, which is undoubtedly great news.

"Nanako, you have a specialty in medication, and this neoadjuvant chemotherapy will be handed over to you to be responsible." Zhou Qiao said to Nanako Chiba.

"Okay, Zhou Jun. Guaranteed to live up to the trust. Nanako Chiba smiled slightly, still a little confident.

As for the others, they also recognized Nanako Chiba's ability, so they had no objection to Zhou Qiao's arrangement.

Nanako Chiba used all her skills, combined with her own experience, and consulted a large number of literature, to draw up a very detailed medication plan.

Some key steps are given detailed explanations, why they are designed like this, and they are shown to Zhou Qiao.

In Zhou Qiao's office, Zhou Qiao carefully flipped through Nanako's plan and couldn't help nodding approvingly: "Nanako's level is really excellent, and there are almost no flaws." ”

He couldn't find fault with it, and I have to say that Nanako put her mind to it.

Zhou Qiao's gaze at Nanako Chiba was full of heat, and he said in his heart that she was really a treasure girl, and she could be regarded as having picked up a treasure.

After waiting for a hundred times, add a little more to her, and it is estimated that the level of medication will be even higher.

"Zhou Jun ......" Nanako Chiba was a little soft and shy and timid by Zhou Qiao.

When Zhou Qiao saw that there was no one in the office, he couldn't help but take him into his arms.

"Zhou Jun......" Nanako Chiba trembled slightly, before, the bad old man of Fujiwara Yoichi also wanted to violate her in the office, she was very disgusted at the time, fought back, and finally escaped from the clutches of the other party.

After fleeing, he immediately quit his job.

But now, in the face of Zhou Jun's "violation", Nanako Chiba did not feel disgusted at all, but fluttered, feeling that her whole body was so soft that she seemed to be about to fly.

Filled with endless longing.

The only thing I'm worried about is what if someone suddenly breaks in and sees it?

However, now that the clinic is overcrowded, the office is really not suitable. So Zhou Qiao stopped at a shallow taste, he stroked Nanako's hair and said, "Go to work." ”

Nanako Chiba finally breathed a sigh of relief, she was really scared to death just now, and she thought that Zhou Qiao was going to ...... her here

Fortunately, Zhou Jun is measured.

However, there is a slight loss. Paradoxical.

Nanako Chiba tidied up her clothes, and after she went out, she was full of energy and more motivated to work.

Dimission? How can it be?

If possible, she hopes that today's events will happen every day in the future, and it is best to have a morning and noon and evening time, which can be regarded as a very delicious snack.

……

The reason why the second step of neoadjuvant chemotherapy is performed is to shrink the tumor, reduce the tumor index, and achieve the most ideal surgical conditions.

This serious disease is not something that can be operated on as soon as it comes up. You need to find the right moment.

For advanced or advanced pancreatic cancer, surgery is performed as soon as it comes up, and it cannot be completely cured. Some doctors may do this for various purposes, but after doing so, within a few months, it will break out again. Then, there is no then.

Zhou Qiao: What they want to do is comprehensive treatment to ensure that the five-year survival rate is effectively improved.

Their well-designed plan will be more secure in terms of final efficacy than direct surgery.

It's a responsibility to the patient.

Surgery is done to cure the disease, but to cure the disease, it is not only necessary to rely on surgery, just like marching to war, the outcome of the war is the most important.

Handed over the neoadjuvant chemotherapy to Nanako Chiba, Zhou Qiao was relieved.

Nanako Chiba was caught by Murphy and Stephanie, so she also began to make achievements in academics.

Before the mode of administration of meropenem, an article was written.

This time, in order to formulate the best medication regimen for Zhu Xiaofei, she read a lot of academic articles and accumulated a lot of cutting-edge theories, so she planned to write a high-quality review.

Writing a review will not only not delay the work, but will also be able to improve your level more effectively because of the in-depth thinking and strategic planning in the process of writing, and adjust the medication at any time according to the changes in the patient's condition.

She will write about the research progress on the mechanism of tumor targeting peptide binding to related receptors, as well as the limitations of PDC molecular drug delivery systems.

At the end of the article, she also summarizes the current status of PDCs (candidates) that are currently under development or marketed for various cancer cell-related receptors.

After these two articles were written, she was quite satisfied, and took them to Zhou Qiao with a little embarrassment.

Zhou Qiao smiled: "If you don't mind, I'll help you vote." Then, add me a name to it? ”

Nanako Chiba was pleased and said very gently: "If Zhou Jun's name can be on it, it will be my honor." ”

It's not polite, but, she really feels that just two people are co-branded, and there is an inexplicable sense of happiness.

Zhou Qiao shrugged: "Then I'm welcome." ”

It's not that Zhou Qiao deliberately took advantage of her, but that she has a relationship with Academician Dominory, and now she has dealt with many leading journals, and everyone knows her identity and background.

In the past, the name of Academician Domitri had to be added, but now, with only his own name, many journals will not reject the manuscript.

Academics are not only immersed in scientific research and writing articles, but also sophisticated in many cases.

Where there are people, there are rivers and lakes, and this kind of network of relationships is everywhere.

Sure enough, after adding his name, he picked two TOP50 journals, one of which was a well-known cell, and submitted the article.

Soon, the other party replied to the email and discussed the publication with Zhou Qiao.

When Nanako Chiba found out, she was speechless.

The heart said that Zhou Jun is really powerful, and such a journal with such a high impact factor can be done so quickly.

If she votes for it herself, although the quality of the article is first-class, it is estimated that there is a high probability of sinking into the sea.

Because, although the article is first-class, there are so many scientific researchers around the world, and there are so many similar articles, people don't know how many submissions they can receive every month, and even if they can send them, they can't receive feedback so quickly.

Since whether it is Murphy or Stephanie, Zhou Qiao's name will be added to the article, so Zhou Qiao's personal cumulative impact factor has exceeded 1000 points!

After Nanako Chiba learned the details, she also secretly made up her mind that her contribution to Zhou Qiao must not be too far behind.

Academic achievements can further enhance the influence of the Iris Clinic and increase the foundation of the clinic.

Elena created a poster for academics and posted it on the billboard in the lobby on the first floor of the clinic. Every patient who comes to the clinic can see it.

Everyone inevitably commented on it, and some even took photos to commemorate the visit to Dr. Zhou.

(End of chapter)