Yang Xuejun stepped on the return flight with satisfaction, her complexion was ruddy, and she became more and more beautiful.

She felt that the harvest from coming to the United States this time was really great.

"Dr. Xiao Yang" and "Xue Qiao Selection", the number of fans of both accounts has exceeded 10 million.

Wealth is secondary, and the most important thing is that you get what you want. Finally slept with Zhou Qiao, the white moonlight in his mind!

After Yang Xuejun returned to Hangzhou, he also bought a house in Hangzhou, and then changed to a luxury car.

The original small broken car was directly sold to the 4S store for 30,000 yuan when the car was replaced.

When I bought it, I bought it for 120,000 yuan, and after less than two years of opening, the 4S store only paid 30,000 yuan, and I lost money.

This car is quite easy to drive, and I liked it before, but I was a little reluctant to sell it.

However, this amount of money is nothing to her, drizzle.

As for the house in Zhuhai County, it is still kept. You can live when you go home in the future.

That is, she now has three houses. I couldn't have imagined it a year ago.

Dr. Xiao Yang and Xue Qiao selected these two numbers, and there are so many fans, so they need to be updated every day.

On days when she doesn't bring goods, she shoots some daily videos, such as seeing people at Huqing Yutang Famous Doctor Hall and acupuncture, which is very real.

Because she herself is a fan who has risen by "hanging pots to help the world", this kind of video is quite popular.

Just post one, and the number of likes within 24 hours is more than 500,000, and the number of comments is usually more than 100,000.

I haven't bought a hit, and it's a hit as soon as I get it.

Some are particularly interesting, and they can reach two or three million likes and hundreds of thousands of comments.

Then she used what she had learned to open a "one meal a day" topic, mainly to introduce some health soups and medicinal diets.

The introduction must be boring, she rolled up her sleeves, personally bought the ingredients and came back to cook, starting from the selection of ingredients and cutting vegetables, until the finished product was baked, and she became a "food blogger" again.

I have to say that there are too many foodies, and most of her fans are housewives, so this kind of video is only more popular than the usual famous medical halls.

The first delicacy she personally made was Ma Si Da Ji soup, which was recorded in the Yuan Dynasty imperial physician Hu Sihui's "Drinking and Eating Properly".

In "Drinking and Eating", there are many recipes for delicacies cooked with mutton, with a total of 87 recipes.

This is because it was the Mongols who ruled the Central Plains at that time.

The Mongolian people, who have lived in the alpine region for a long time, live in pursuit of water and grass, so they have formed the characteristics of liking warm food and taking livestock meat and milk as the main raw materials in their diet.

At that time, it was Southern Mongolia, which is today's Inner Mongolia, and Northern Mongolia (today's Outer Mongolia) was a weak chicken in ancient times, and now it is a weak chicken.

There are now more than 3 million people in Outer Mongolia, half of whom live in Ulaanbaatar, and the population of the entire country is equivalent to that of a third- and fourth-tier city in China.

Its national GDP adds up to more than 100 billion yuan, and if it is compared with the top 100 counties in China, it may barely rank in the top 50.

When Yang Xuejun introduced this delicacy in the video, some fans commented: "The last time I heard about Mongolia, it was because of the Mongolian Navy. ”

According to the record of "Drinking and Eating", Ma Si Da Ji soup can not only be nourishing, but also gentle and smooth.

Yang Xuejun's improved recipe is as follows: 500g of mutton, 5 grass fruits, 5g of cinnamon, 100g of huihui beans (chickpeas), 100g of japonica rice, and 1 small handful of coriander.

First, one part of the chickpeas is mashed and peeled, and the other half is soaked in advance, cooked and removed for later use. Wash and cut the tender mutton, wash the japonica rice, wash the coriander and cut into sections, and rinse the other ingredients slightly and prepare. Then boil the mutton together with the grass fruit, cinnamon, and crushed chickpeas into a soup and strain it well.

Put the southern frankincense, boiled chickpeas, japonica rice and the boiled mutton in the strained mutton soup together, add a little salt after boiling, and then put the bay leaves to boil slightly.

Among them, the smell of grass and fruit is fragrant, dry and damp and cold, which can dispel the cold and dampness accumulated in the spleen and stomach. Cinnamon bark is a good warm medicine, and at the same time, it can lead to fire and return to the source, and it is also very suitable for people with weak and cold constitution.

The reason why it is called improved is because the spice of mastaji is replaced by southern frankincense.

Maastagi is a special resin of Coptis chinensis from the southern region of the Aegean Sea in Greece, only this place can produce this glue in this place, and a Coptis tree can only produce 100g of such glue a year, so Mastaji is extremely precious.

Yang Xuejun is not unable to afford it, but it is too late to buy it, and if he buys it, even if it is made, for most people, it is not very practical.

It loses the significance of promotion.

So, she chose southern frankincense instead.

There are many people who reproduce this dish and will use frankincense instead, but the frankincense is turbid and bitter, which has a certain irritation to the stomach, so it is better to use southern frankincense.

Although no real Masidaji spices are added, it does not affect the properties of this soup that are warm, cold and smooth.

The chickpeas inside are also delicious and rich in nutritional value, which can replace some refined white rice noodles as a staple food, and its content of calcium, potassium, magnesium and B vitamins is quite high.

After Yang Xuejun finished cooking, the whole dish was full of color, flavor and flavor, and some people who swiped their mobile phones late at night couldn't help drooling when they saw her video, and then went to the kitchen to lick a few mouthfuls of seasoning.

……

"Brother Zhu, congratulations, your tumor is very well controlled, it has shrunk a lot, at present, the tumor cells are obviously trapped in a local state, and the tumor indicators have been reduced to close to the normal range, reaching the conditions for surgery."

Iris Clinic, Chiba Nanako Clinic, Zhou Qiao and Nanako together, carefully checked Zhu Xiaofei's review report, and said to Zhu Xiaofei happily.

Zhu Xiaofei is the advanced pancreatic cancer patient, Zhang Jianjun's old comrade-in-arms, when he first came, the condition was very serious, at that time Zhou Qiao and they formulated a four-step strategy, now it seems that it is obvious that the first step and the second step are quite successful, and the third step is about to be carried out: surgical cure!

Surgery is also the most critical step in this.

Of course, the other steps are also important and essential.

"Thank you, thank you." Zhu Xiaofei was also very confident and grateful.

Zhou Qiao pointed at Nanako Chiba and said, "This is all the credit of Dr. Chiba, if you want to thank her, thank her." ”

"Thank you, thank you, Dr. Chiba." Zhu Xiaofei folded his bow to Nanako Chiba and bowed.

Chiba Nanako said a few words modestly, and the corners of her eyes and eyebrows couldn't stop smiling, because Zhou Qiao had just praised her.

And she, with this medication to control the condition of patients with advanced pancreatic cancer, once again stabilized her position in the clinic, Murphy and Stephanie both praised her medication level.

"The conditions for the operation are ripe, Brother Zhu will be admitted to the hospital today, I will arrange preoperative preparations for you, and then the operation will officially start at one o'clock in the afternoon tomorrow, how about it?" Zhou Qiao said with a smile.

Zhu Xiaofei: "Everything is arranged by Dr. Zhou. ”

Before, he was still a little unconfident in Zhou Qiao's medical skills, because Zhou Qiao and they were too young, but as soon as the experts made a move, they knew whether the effect was there.

After the first two steps of treatment, Zhu Xiaofei is now completely relieved and no longer as desperate as when he first found out.

The reason why I was hospitalized again was because the first stage was a minimally invasive surgery, which required hospitalization, and then I was hospitalized a few days ago, and when the condition was stable, I was discharged, and I just came to use the medicine once a week.

You can save a little money for each other and don't have to be in the hospital every day.

Chemotherapy alone can be used in the infusion room of the clinic.

Park Xiuzhu took Zhu Xiaofei to the community hospital, went through the relevant procedures, and told some precautions and what to do next.

In the consultation room, Zhou Qiao once again took Nanako into his arms.

After such a long time, Nanako Chiba was naturally eaten by him a long time ago. I have to say that Japanese beauties have a different taste.

"Zhou Jun, don't ...... in the consultation room" Nanako begged for mercy.

Mainly, if someone comes in and gets bumped into, Nanako is thin-skinned.

In fact, Zhou Qiao is also thin-skinned. Although he is scum.

But his scum is there for a reason, it's all the pot of the system.

What can you do with this kind of system? Natural scum to the end!

Scum, and happy!

Zhou Qiao is enjoying it more and more, and the life of the king is nothing more than that.

People always have shortcomings. In ancient times, there was also "a pear flower pressed begonia".

Men are only honest if they hang on the wall.

Nanako also enjoyed it.

The third stage of surgery is also a very critical step: radical resection of pancreatic caudal cancer.

As early as 1913, Mayo Medical Center first reported the treatment of pancreatic caudal cancer with splenectomy, a traditional procedure that is still in use today.

However, this procedure has many drawbacks, such as extended pancreatic resection or extended lymph node dissection, which does not significantly improve the prognosis of patients and may increase the incidence of postoperative complications, so it has not been promoted.

Later, in 2003, Strasberg's team proposed radical antegrade modular pancreatictomy (RAMPS) by making a series of technical improvements to traditional distal pancreatectomy.

The results of the study showed that RAMPS could significantly reduce the positive rate of posterior peritoneal resection compared with traditional radical resection, thereby increasing the rate of R0 resection and improving the prognosis of patients. However, there are no randomized controlled studies to confirm this conclusion.

Zhou Qiao did not use these two methods, but more advanced techniques from the system.

Pancreatic tail cancer with such a high degree of malignancy is naturally worthy of perfect surgical skills.

The anesthesiologist is Nancy, who has not been seen for a long time, and after the multi-party check, Ava plays the song.

Listening to the familiar melody, Zhou Qiao is really quite intimate, he hasn't had a hands-on operation for a long time. Because of the normal surgery, Murphy and Stephanie would have done it.

This is a song "Silk Play".

"The orchid fingers are twisted, the red dust is like water, the three-foot red platform, everything is blown into the song, singing goodbye for a long time is not sad, and the very red place turns into a gray ......"

Zhou Qiao's scalpel moves with the music, and if God helps, every step is wonderful.

The median of the epigastric abdomen is incised around the umbilicus, and the Kocher maneuver dissociates the duolipid intestine and the head of the pancreas, and exposes the inferior vena cava and abdominal aorta along the Treitz fascial layer to the left......

The gastrocolic ligament is severed close to the omentum of the transverse colon in the avascular area and enters the omentum sac, the spleen and colon ligament are separated to the left side, and the gastroomentum and gastric short blood vessels are ligated and severed to the upper spleen......

The whole process was done in one go and was quite smooth.

Perfect-level surgical skills are incomparable, at least Zhou Qiao has not yet encountered an opponent.

Murphy and Stephanie are both at the pinnacle of mastership, but watching their beloved Joe undergo surgery and casually glance at Zhou Qiao's gaze are full of endless admiration and love.

I was completely impressed by Zhou Qiao's surgical skills.

In fact, the surgical radical surgery for pancreatic body tail cancer cannot be consistent.

Depending on the condition, the procedure varies.

Just like a martial arts master, he has to adapt to the situation, learn and apply it lively, and if he can't learn any swordsmanship, he will use it according to the script.

According to the script, it is okay to deal with ordinary enemies, but it is not enough to deal with powerful opponents.

Pancreatic tail cancer is a disease within a disease, and different stages and different conditions require different surgical treatments.

For example, it is necessary to judge before surgery that for patients with T3 and above stages and tumors that break through the capsule and infiltrate to the Gerota fascial layer, the posterior approach RAMPS combined with adrenal resection should be performed, while for those with early tumor stage and failure to break through the pancreatic capsule, standard distal pancreatectomy or RAMPS can be used.

Just to give an example, there are many detailed changes that need to be analyzed on a case-by-case basis.

The plan can be drawn up in advance, but it depends on the doctor's level to play in the battle.

It depends on the doctor's personal understanding of the disease and the patient's condition.

So in many cases, it is quite important to choose a famous doctor.

Zhu Xiaofei is lucky, because he knows Zhang Jianjun and is still Zhang Jianjun's old comrade-in-arms, so he has a chance to continue his life.

The operation was successful and the cut was clean.

Zhu Xiaofei lay on a bed in a community hospital and continued to receive follow-up adjuvant consolidation chemotherapy, which is the fourth step, the last step of the entire treatment plan.

After this step, if you are discharged from the hospital, you will basically only need to come for a follow-up examination in the future.

Whether the quality of the operation is good or not, Zhu Xiaofei can feel it himself.

Because, after Zhou Qiao's operation, although his postoperative wound has not healed and he is still weak, his whole spirit is much better.

There are also fewer complications.

In a word, in a better and relaxed state.

It's not an illusion, it's a real feeling that it's in good shape.

Although he owed a lot of foreign debts for this treatment, he finally saved his life for the time being. He is only in his forties, and he still has more than half of his life, and he really doesn't want to die like this.

I can't let go of my wife and children.

He died at a young age, and after that, it was someone else who slept with his wife, lived in his house, and beat his children. So how can it be accepted?

Just thinking about it is worse than death.

"Dr. Zhou's level is really quite high. I feel like it shouldn't be a big problem to live for five years. When Zhang Jianjun came to visit, Zhu Xiaofei held the hands of his old comrades-in-arms and sighed.

"That's good. Dr. Zhou said that as long as you survive for five years, the probability of recurrence in the future is even smaller. Dr. Zhou recommends that the check-up be done every three months, and then change to semi-annual or once a year, and after five years, the time interval for the re-examination can be a little longer. Zhang Jianjun was also sincerely happy for his old comrades-in-arms.

"Uh-huh."

Zhu Xiaofei looked out the window, it was sunny outside, and he couldn't wait to go to work.

If you don't go to work, how can you pay off your debts? How do you fulfill your promise to your wife and children?

In fact, in many cases, work makes people fulfilling and happy, and it is also good for the recovery of the disease.

Staying at home every day is anxious, which is not good for the condition.

Even if you are rich, without financial pressure, find something meaningful to do, and life will be different.

Like Murphy and Stephanie, they're not short of money right now, but they just love working at the Iris Clinic. It's very fulfilling and enjoyable.

……

Zhou Qiao also bought a car for Nanako Chiba, and pushed people, can't he even give up a car?

If you want to buy a house, it hasn't been put on the agenda for the time being, not because it's stingy, but because the time is too short.

It has been less than half a year since Nanako Chiba came, and if she bought a house so quickly, I am afraid that several other girls will be unhappy.

Zhou Qiao needs to balance the harem and take care of all aspects of emotions, which is difficult.

Not to mention anything else, time management in peacetime is a headache, but fortunately, he has undergone several transformations and can cope with continuous high-intensity combat.

If you want to talk about economic conditions, it is estimated that Nanako Chiba is the poorest, after all, the time with Zhou Qiao is still short.

But poverty is relative, and Zhou Qiao also gave her a lot of bonuses in private, almost 500,000 US dollars in the past few months.

So, Nanako Chiba is quite satisfied.

(End of chapter)