Zhou Qiao and Luo Ya went to the East African base to inspect, and this side is becoming more and more formal. It's no longer like hiding in a cave.

Of course, the base of the cave is still in operation, but about 30 kilometers away from the base of the cave, a very good place was selected, the terrain is neither high nor low, flat and open, the surrounding transportation is convenient, and a new city has been built, which has begun to take shape.

It's called the City of Hope.

Luo Ya privately introduced that she intends to develop this place into a new capital in the future.

The people of the original base medical department have also all moved out, led by Chen Zhining, and a brand new hospital has been established in the west of the city, "Hope Hospital", but there is a shortage of manpower, and the hospital is quite "sloppy", which is worse than Baiyan Hospital in Texas.

Zhou Qiao helped in the hospital, set up some norms and systems, and at the same time, helped them establish a telemedicine assistance system, and if there were any difficulties in the future, they could ask for help from the Iris Clinic. Or find assistance from Sequoia Tree Hospital, White Rock Hospital, etc. They are all brother hospitals, regardless of each other.

For hospitals with a shortage of high-level talents, to establish a telemedicine assistance system, in fact, various surgical robots are the most convenient way, so Zhou Qiao suggested to Luo Ya to purchase a few such equipment.

If it were Chen Zhining, Luo Ya might not pay attention to it. Just more than 200 medical staff, still buying surgical robots? Baiyan Hospital didn't even buy it.

Now Sequoia Tree Hospital has purchased 3 Prometheus-3000 surgical robots, Luo Ya thought for a moment, and then purchased 3 units for Baiyan Hospital, as for East Africa, because the hospital is smaller, only 1 unit was purchased.

It's not that she's stingy, it's that she's too big now, and her liquidity is a little stretched for a while. In addition, for such a small hospital, one is enough.

Chen Zhining was very satisfied and grateful to Zhou Qiao: "If it weren't for Dr. Zhou's advice, it is estimated that I would not have used such a good surgical robot in ten years." ”

"The remote assistance system is also very good, and it solves our urgent needs."

Both Murphy and Stephanie will use surgical robots connected to remote 5G systems, which they can operate directly from the air in San Francisco. Of course, this is based on a remote video consultation beforehand.

It is impossible to perform surgery without a diagnosis and without understanding the situation.

Nanako Chiba has good qualifications, and she can also be trained to learn to operate surgical robots.

The customers of this hospital in East Africa are mainly used by members of the Luoya Group and their relatives, as well as some local indigenous people.

Although the cost of surgical robots is expensive, some middle and high-level people in the group are wealthy, and there are also some wealthy families in the local area.

Little did anyone know that a few years later, the hospital would become one of the top hospitals in East Africa and a mecca for many people on the continent.

In addition to setting up some norms and establishing a telemedicine assistance system, Zhou Qiao also helped train medical staff to make them more professional.

During the lecture, everyone listened carefully and took good notes.

Zhou Qiao also helped solve some cases that they couldn't handle.

It can be said that no matter what the disease, how complicated, or how foggy it is, when it comes to Zhou Qiao's side, it is easy to clear the clouds and see the sun. The medical staff of this hospital have long known that Boss Zhou is powerful, and they have been accustomed to it, but they secretly admire it in their hearts, and they will not shout in surprise.

Don't wait for later, people are coming now.

About 100 kilometers away from the base, there is a small town, and there is a "big family" in the town, which cannot be said to be particularly rich, but can only be said to belong to the "upper-class" family in the local area.

Twenty-eight-year-old mother Ayesha gave birth to a baby who developed "jaundice" not long after the child was born.

Jaundice is very normal and will be encountered by most babies, and it will often "turn yellow" and return to normal after a few weeks.

However, Ayesha's baby was not so lucky, and he was unfortunate enough to have symptoms such as yellowing and clay-colored stools.

This symptom, known as "congenital biliary atresia", can occur in 1 in 8,000 to 10,000 newborns per year.

In other words, there is almost a 1 in 10,000 chance of being hit!

Among blacks, the proportion of jaundice is actually even lower. This may be genetically determined. But not for nothing. And the people here are not too dark, they are a little yellowish.

Although the skin of the child is dark, when the whites of the eyes become yellow, the urine is also yellow, and most of them are jaundice. Moreover, the transdermal measurement of bilirubin will not be accurate due to the dark skin of black people, but the measurement of bilirubin in the blood is more accurate.

Children with this kind of "congenital biliary atresia" have no other way than to undergo "Kasai surgery", that is, anastomosis of the liver and intestines to temporarily relieve the problem of bile stasis.

Ayesha and her husband took the baby to the capital's Federal National Hospital for "Kasai surgery".

Unfortunately, after treatment, the baby did not successfully "turn yellow", and bilirubin remained high at 168μmol/L.

Ayesha felt that the sky was dark every day, and she blamed herself for not giving her baby a healthy body.

Looking at the baby's bright eyes, Ayesha didn't want to give up, and together with her husband, she took the baby to many hospitals in the capital for treatment, but in places like Africa, especially Sue Soken, where there are any famous doctors, it is naturally impossible to get it.

When the critical moment came, Zhou Qiao's throwing knife to General Valle's wife in the capital spread almost all over Sue Soken, no, even out of Africa, and many other countries have reported related news.

When Ayesha saw the news, she was very excited, although they didn't have much money, but after discussing with her husband, the family still carried the baby and came to Hope Hospital.

Zhou Qiao and Luo Ya's whereabouts, after leaving Yavidebe, are actually kept secret and ordinary people don't know.

However, in the town where Ayesha lives, three young people have been selected to enter the base, one of them is a distant relative of Ayesha's family, and when he was returning home from vacation as a cleaner at Hope Hospital, he heard that Ayesha's family wanted to seek medical treatment from Dr. Zhou, but there was no way out, so after thinking about it, he asked the hospital's boss.

Because, although he is only a cleaner, he has also signed many confidentiality clauses, and after a series of training, he is very confidential, and he doesn't know whether to disclose it or not.

There is a rule in the group training that if you don't know how to choose, the best thing to do is to ask your immediate supervisor immediately.

In the end, the news was reported layer by layer and came to Zhou Qiao.

After Zhou Qiao groaned, he agreed to help the other party take a look.

Only then did the cleaner dare to share Zhou Qiao's news with Ayesha. Ayesha's family was so excited that they rushed over overnight.

With Zhou Qiao's instructions before, Ayesha's family was admitted to the hospital.

Living in the "Hope" hospital, Ayesha's family has not seen Zhou Qiao yet, but many medical staff have come to see it, helping the children with examinations, nursing, etc., they are full of "hope", just like the name of this hospital, it seems that they have seen the "dawn" when they live here.

Early the next morning, Zhou Qiao came over to see the baby.

Although Ayesha's family knew that Zhou Qiao was young and handsome, they were still shocked when they saw the real person. In Ayesha's words, it's that she has grown so big and hasn't seen such a good-looking man yet.

Of course, she also has self-knowledge, this belongs to the male god she looks up to, the kind that can only be seen from afar.

She only hopes that this male god, who is too handsome to be like a mortal, can save her baby's health.

The baby has had "Kasai surgery" before, in fact, this kind of Kasai surgery is difficult to solve the problem fundamentally, and the vast majority of children will develop liver cirrhosis after surgery, and in severe cases, liver failure and other symptoms may occur.

Ayesha's child, when admitted to Hope Hospital, already had symptoms of liver failure, and at this time, only a liver transplant could save his life.

"Liver transplant?" Ayesha and her husband were shocked.

However, they also know that I am afraid that the method mentioned by Dr. Zhou is the best cure.

However, this is expensive, right?

Zhou Qiao observed his words and knew their difficulties, although the family was a wealthy family in the local area, they had spent a lot of money on treating the baby before, and they might not be able to afford a liver transplant.

Considering that the other party's distant cousin is a cleaner in the hospital, he can barely be regarded as an "employee's family", so Zhou Qiao made the decision and gave the other party a 50% discount.

With such a decision, Zhou Qiao can still make a decision.

Ayesha's family was immediately grateful, which was equivalent to saving them at least 1.9 million beels, which is almost equivalent to 250,000 yuan, while the original fee was about 3.8 million beers.

Even if there is a 50% discount, their family will be "bankrupt", but for the sake of the baby, Ayesha and her husband feel that the opportunity is rare and it is still worth a fight.

Fortunately, the preoperative evaluation found that the mother's liver was suitable for liver donation, however, Ayesha's blood type was different from that of the baby, Ayesha had blood type B, and her child had blood type O, which was a trans-blood type transplant.

Fortunately, both anti-A and anti-B antibody titers are less than 2, and no special treatment for plasmapheresis is required, and trans-blood type liver transplantation can be safely performed with close monitoring plus gamma globulin infusion.

Zhou Qiao conducted a detailed examination and evaluation of Ayesha and the child, and formulated a thorough surgical plan.

It's just that there are many good things.

"The baby's weight is too light, and this time is not suitable for surgery." Zhou Qiao explained to Ayesha's family that usually, pediatric organ transplantation often takes 10 kg as the cut-off line, and the difficulty of receiving surgery and postoperative management of recipients below 10 kg is greatly increased.

At this time, the child's weight was less than five kilograms.

Even if the surgery is reluctant, it will be difficult for the baby to recover after the operation, and there will be more complications.

The child will not be in danger of life immediately, so Zhou Qiao has a better plan.

"What then?" Ayesha's family is in a hurry, do they have to wait?

If the doctor leaves, it's one thing whether he will come in the future. Now it may be that people just have good intentions and delay it, and it is impossible to say.

After all, things are all subject to change, and they want to have surgery as soon as possible.

Zhou Qiao comforted: "Don't worry, don't worry, recuperate for another week or two, I will help him formulate a nutrition plan, gain some weight, and the prognosis will be better." ”

"Prognosis" is a medical term with a long history of more than 2,000 years, derived from Hipporates.

To put it simply, it is to predict the later efficacy, disease progression, prognosis, etc.

Many times, to see the level of a doctor is to see whether his "prognosis" is good or not, and whether his "prediction" is accurate.

If the "prognosis" is good, the level is really high.

Otherwise, if you do the operation and take off, as if you are superb, but within a few days after the operation, the patient is groaning, or the recovery is not good, and various complications are not good, can it be said that the level is high?

The goal of healing and saving lives is to restore health, not how smooth the surgical process is.

After Zhou Qiao's reassurance, Ayesha's family settled down with peace of mind, and Zhou Qiao formulated a detailed nutrition plan for the child, adjusted milk powder and parenteral nutrition, and worked hard to gain weight for the child.

Chen Zhining participated in the case with a group of backbone doctors, such a good opportunity, of course, he had to learn from Zhou Qiao. Moreover, the big boss Zhou Qiao sees a doctor, how can there be no younger brother by his side?

From the perspective of the hospital alone, Zhou Qiao is a well-deserved big boss. In the medical field, Luo Ya respects Zhou Qiao.

In terms of academics, Zhou Qiao is a "big boss"!

Therefore, after Zhou Qiao threw the nutrition plan and nursing plan to Chen Zhining, he and Luo Ya went to "play in the mountains and rivers".

Of course, he also called every once in a while to inquire about the child's condition.

Zhou Qiao and Luo Ya went to the beach and boarded the newly purchased frigate. Visited on a frigate and also went on a cruise in the Red Sea.

I have to say that this kind of frigate is very majestic and has strong firepower, not to mention pirates, even if it is a powerful local force, they all retreat when they see it from afar.

After two weeks, the child's weight increased to 6.3 kilograms, and Zhou Qiao decided that the operation could be carried out!

That's right, it's usually 10 kilograms, but at Zhou Qiao's level, 6.3 kilograms is also relatively "safe", and the prognosis will not be too much trouble.

Before the operation, Zhou Qiao reconstructed Ayesha's liver in 3D, mainly to understand the shape of the hepatic artery, portal vein, hepatic vein, and biliary tract.

Because of living donor liver transplantation, it is not only necessary to ensure the safety of the donor, but also to ensure that the removed liver is just "suitable" for the baby, neither too big nor too small.

The baby is growing, and after this period of time, the specific size of the liver needs to be slightly adjusted.

Zhou Qiao does things and strives for excellence.

Usually, there is a ratio of the weight of the liver to the recipient obtained by the liver, and a high ratio will cause the liver to be unable to close the abdomen after surgery, causing "large liver syndrome" and leading to serious complications such as vascular embolism. Too small a ratio can lead to small liver syndrome, in which the acquired liver is unable to meet the needs of the receptors, leading to liver failure.

On the day of the operation, with the cooperation of Chen Zhining and a group of key medical staff, Zhou Qiao led the team to perform a fine operation, first removing about 230 grams of left lateral lobe liver from the child's mother Ayesha, and then dougaging the donor liver and transplanting it into the child's body.

It is worth mentioning that the child's weight is too small, and the diameter of the hepatic artery, portal vein and bile duct is very thin, and when reconstructing each tube, the technical requirements are extremely high and the operation is extremely difficult.

In the end, after more than five hours of hard work, the operation was successfully completed.

In other well-known hospitals, such an operation would take at least 10 hours. This is still the case that the conditions of the hospital are relatively poor, which affects Zhou Qiao's performance.

About two weeks after surgery, the child's liver function was normal without any serious complications.

The Ayesha family was grateful.

At this time, Zhou Qiao had already left East Africa and returned to his hometown in Zhuhai County.

(End of chapter)