The three stages of surgery are myelomeningocele, sacral neuromodulation electrode implantation, and sacral nerve permanent stimulator implantation.

The first stage of surgery was to repair the girl's basal membrane.

The second and third stages of surgery are actually a major operation, called sacral neuromodulation, which is the implantation of a bladder pacemaker, but it is carried out in two stages.

This technique uses interventional means to continuously apply a short pulse of stimulation current to a specific sacral nerve to activate or inhibit nerve pathways, interfere with the abnormal sacral nerve reflex arc, and thus affect and regulate the effector organs innervated by the sacral nerve, such as the bladder, urethral sphincter and pelvic floor. Sacral nerve stimulation affects the activity of levator ani muscle and bladder detrusor muscle through micro-electrical stimulation to control urination.

In the second stage of surgery, sacral neuromodulation electrodes were implanted, and in vitro testing experience was carried out after surgery; If the results are good, a third-stage surgical implantation of a permanent sacral nerve stimulator can be performed.

Sacral nerve stimulation, which is currently the most cutting-edge technology in the field of urinary neuromodulation, is used more in adults, and more than 400,000 people around the world have been treated with this technology to achieve good results.

It mainly treats refractory urinary frequency and urgency, non-obstructive urinary retention, neurogenic bladder, constipation, fecal incontinence, etc.

However, the primary cause of the disease is very different from that of adults, and the anatomical characteristics are also different, adults are usually caused by trauma, and children generally have problems with nerve conduction due to congenital disorders such as tethered spinal cord syndrome or myelomeningocele.

In addition, most children have abnormal sacrococcygeal structure, which is a great challenge when accurately inserting sacral nerve stimulation electrodes.

Therefore, for children, it is relatively rare in clinical application.

There is no way to copy the same technique.

Zhou Qiao: They used this technology on a five-year-old child, which is a precedent, and if successful, it is enough to publish an article with a high impact factor.

Looking at the surgical plan, Nanako Chiba, who has also recently had a lot of research and experience in the field of surgery, fell into deep thought.

A few minutes later, this beautiful Japanese girl couldn't help but brush her long straight black hair and looked at Zhou Qiao: "Zhou Jun, according to the image report from East Africa, the child has a serious deformity in the right sacrococcygeal bone, resulting in no normal sacral foramen in the right S2-S4.

For sacral neuromodulation electrode implantation, sacral foramen positioning puncture itself is difficult, and if it cannot be accurately punctured into the sacral foramen, it will not only consume a lot of time, but also directly affect the quality of the entire neuromodulation surgery.

Now that the sacral foramen on the right side of the child is completely visible, can the operation be carried out smoothly? ”

Zhou Qiao couldn't help but glance at Nanako Chiba with appreciation, and said, "You can find this detail, which means that you have a relatively thorough understanding of this operation." Very rare indeed. But ......"

Zhou Qiao paused, then pointed to the 3 iceberg beauties, and said, "Don't worry, we have Murphy!" ”

Zhou Qiao naturally knows Murphy's ability, and this operation requires Murphy to use her super 3D holographic modeling ability. It's easier for others to do, but for Murphy, it's a no-brainer.

Nanako Chiba looked at Murphy in surprise.

Murphy shrugged modestly and said, "Nanako, don't worry, I'll take care of it." ”

Stephanie pouted on the side, she had been dealing with Murphy for a long time, and although she didn't know Murphy's magical abilities, she knew that Murphy had expertise in this area. So she didn't ask at all before, Nanako Chiba came late after all, and she hadn't noticed the secret yet.

However, Stephanie is not inferior, she is good at hypnosis. Although hypnotizing Zhou Qiao and Murphy can't do it, everyone else is okay.

Of course, Loya can't be hypnotized. Luo Ya's battle instinct was too strong, and last time, before her hypnotic power was activated, the black shadow flickered, and Luo Ya kicked away the fidget spinner in her hand and choked her neck.

She could feel the death at the time. Because, as long as Luo Ya used a light force, with the combat power of that lioness, she could easily break her neck.

"Actually, if Murphy doesn't make a move, we can solve it in a stupid way." Zhou Qiao said.

"What's the stupid way?" The three of them looked at Zhou Qiao in surprise.

Zhou Qiao said: "CT-MRI dual navigation 3D printing technology. ”

Stephanie and Nanako Chiba suddenly stuck out their tongues, and even the cold Murphy blinked slightly.

The three of them all said in their hearts, do you call such advanced technology a "stupid method"?

This kind of technique, even for them, didn't think about it for a while.

However, these three girls are all geniuses, and Zhou Qiao mentioned it a little, and they understood.

It's the kind that breaks at a point.

CT-MRI dual-navigation 3D printing technology is essentially based on the three-dimensional reconstruction of the sacrococcygeal region of medical CT images, the positioning of the sacral nerve under magnetic resonance, and then uses advanced 3D printing technology to print a personalized surgical navigation template, with the help of which the surgeon can also successfully complete the operation.

To put it simply, it is to lay the "rails" first, and you can't see and operate them, can't you? Print a "track" out and follow the track.

But why bother so much when Murphy can easily solve it?

Compared to Murphy's operation, this is really a stupid method.

So, the surgery was scheduled.

Hope Hospital has a Prometheus-3000 surgical robot and has built a 5G remote medical assistance platform, so Zhou Qiao and they can directly manipulate the robot in the operating room of Hope Hospital in San Francisco.

I hope that the hospital will arrange some medical staff to cooperate closely.

As a result, the first two stages of surgery were successfully completed.

In particular, when the sacral neuromodulation electrodes were implanted in the second stage of surgery, the results were really fantastic.

"Sister, sister, I can finally urinate normally!" Sister Jiaika's symptoms improved very significantly, she grew so big, for the first time she had a feeling for peeing, when under the autonomous control and perception, the first "shhhh

For her, the experience was wonderful, and the mood was simply beautiful and happy.

That night, she also completed the first spontaneous poop in her life, and couldn't help but be more excited, her body was weak, and she couldn't sleep in the hospital bed at all. Repeating his excitement over and over again.

Jayka smiled and comforted her for a long time before lulling the little girl to sleep.

The little girl is full of longing for the future, as a normal girl.

No more discrimination, no more ridicule.

Of course, she is still young and there are many things she doesn't know. This surgery will have a huge impact on her for the rest of her life.

For example, if you are cured of this disease, not only will you not die, but you will also have a chance to find a boyfriend, get married and have children.

Otherwise, even if he survives, he can't control his urine and urine anytime and anywhere, so what man would dare to marry?

Jiaika looked at her sleeping sister and couldn't help but wipe away her tears. She felt that she could start looking for a house in the City of Hope.

The estimated cost of this operation, the hospital has already told her, after a huge discount of 50% for internal employees, it will cost more than 200,000 US dollars. Although the cost is large, it is not much more than within the range of Jiaika's previous estimates.

There are still tens of thousands of dollars left, enough for Jiayika to buy a house in the City of Hope.

This area is vast and sparsely populated, with perennial wars, and housing prices are very cheap. The City of Hope has just been built, and many of them are new houses, so there is more room for choice.

As for the source of livelihood, she can send it to her family every month, and then her parents and brother can do things in the base.

If nothing else, at least the cleaner can arrange it.

She is now a lieutenant and a sniper that the base attaches great importance to, and it must be no problem to find a job as a cleaner or porter for her family.

Compared with other people in the same village, her family is not lazy, but many times, being able to endure hardships means that there will be endless hardships in a lifetime. If you are diligent, you will still be poor.

Without Queen Loya, she and her family would still be living in dire straits.

Luo Ya is very popular here, because after Luo Ya established a base here, the lives of the residents within the base have been significantly improved. In particular, families who join the base as full-time employees.

Although Loya is an outsider, she is their god.

Since then, nothing has been the same.

Jayka burst into tears.

After about two weeks of testing, the frequency and amount of urine leakage of Jiayika's sister was significantly reduced, and the daily diaper consumption was gradually reduced, and then the final surgery was scheduled.

The iris group shot, and the operation naturally went quite smoothly.

When the operation was completed, Jiayika asked Zhou Qiao in the video: "Dr. Zhou, thank you very much for the operation. What I want to ask is, does this pacemaker need to be replaced? If so, how much will it cost? I'm good to start saving up early. ”

For the sake of her sister, Jiayika also fights.

No way, just such a younger sister, she doesn't want to talk about personal emotional problems until the family is settled. She sometimes laughs at herself that she is an emotionless, cold-blooded killing machine.

But in fact, she is a good sister who is quite loving. Everyone admired her when they saw that she loved her sister so much.

Zhou Qiao smiled slightly and told her, "There is no need to replace it at all." ”

"Huh?"

Jiaika was stunned, with her limited knowledge, it seems that this kind of pacemaker is powered by tiny batteries, and when the battery is out of power, it has to be replaced with a new one. Why doesn't it need to be replaced?

Zhou Qiao said with a smile: "The current of the implanted permanent stimulator only needs to be maintained at the minimum effective value after surgery, which can maximize the service life of the stimulator." According to my estimate, your sister will make a full recovery before the battery runs out. Once fully recovered, there is no need to replace it. ”

"That's right...... That's great! Thank you, Dr. Chow! Jiayika gave a standard military salute to the video.

For her, Zhou Qiao is also a chief, one of the biggest chiefs.

"You're great, do a good job, and the future is promising!" Zhou Qiao said a few words of encouragement, and he also heard Luo Ya mention this girl. Loving his sister, affectionate and righteous, loyal to the base, he is a rare talent.

Although there are many talents in the East African base, those who are as outstanding as Jiayika and have stood out in recent years are also ten hands.

If you want to select a list such as "Top Ten Shows in East Africa" and "Top Ten Masters of the Base", Jiayika is definitely on the list, of course, among the rookies.

People like Black Scorpion and Margaret are all "older generation" and belong to the leadership, so they will definitely not participate in the ranking.

One week after the operation, Jiaika's sister was discharged from the hospital. Zhou Qiao: The quality of their surgery is really good, and the little girl did not have any adverse reactions.

Jiayika also successfully found the house, bought it, it is a rough house, three bedrooms, two living rooms and two bathrooms, after a simple decoration, the ground, bathroom, kitchen and other places are pasted with tiles, the necessary furniture, bathroom, kitchenware, etc., the family moved in.

One for parents, one for my brother, one for Jiayika and my sister, although the house is not big and not finely decorated, but it is better than the windows are bright and clean.

Usually, Jiayika basically doesn't live at home, which is equivalent to a room for her sister.

There is also a primary school in the City of Hope, and Jiaika plans to send her to school when her sister has been sick at home for a year and her body has recovered. When you have an academic degree in the future, you don't have to go into the battle sequence to play your life like her, but you can do some civilian work.

As for Jiaika's parents, they have never lived in such a nice house, and every night when they come back, they can't help but sweep here, touch there, and clean the house spotlessly.

Jiaika's parents worked as cleaners, and her brother worked as a porter in a warehouse.

Jiayika told the honest brother: "You must be diligent when you work, learn more from the masters inside, if you can learn to drive a forklift, you can be promoted and raised, and the work will be easier." ”

Jayka's brother nodded his head like a chicken pecking rice.

Although Jiayika is a girl and young, in this family, she is the head of the family!

The city of hope is not big, and Jiayika is a newly rising East African rookie, who has won a huge bonus of 300,000 yuan, and is more or less a celebrity in the base, and the fact that she took her sister to see a doctor has naturally spread throughout the base.

Many colleagues followed suit and sent their relatives to the hospital to enjoy this benefit.

Hope Hospital has repeatedly achieved good results, performing five difficult surgeries in a month, coupled with the previous incident of Zhou Qiao's flying knife in the capital of Sue Soken, the reputation of Hope Hospital has initially spread.

Many well-informed dignitaries know that Hope Hospital can operate remotely, and hospitalization in Hope Hospital, which is not only well-equipped, but also can invite Dr. Zhou, a top famous doctor in North America, and his team to perform surgery, which is undoubtedly an amazing good news.

If you have a serious illness in the future, you don't have to travel long distances to Europe and the United States to seek medical treatment, but go directly to the hope hospital, which can save a lot of money.

When I went to North America, Europe and other places, I didn't mention the cost of hospitalization and surgery, but how much did it cost to go back and forth, and how much did it cost to eat, drink, and Lazar for the escorts. There is no health insurance.

It is said that there is no medical insurance to see a doctor there, which is simply life-threatening. The kind that bankrupts a family when a serious illness occurs. It is not easy to be treated decently.

And what about Hope Hospital, a remote ultra-high-tech intercontinental surgery! Just by listening to it, you know it's amazing.

Intercontinental missiles, everyone has heard of them, they are super expensive, only superpowers have them, and intercontinental surgery, the same awesome, in Sue Soken, even if it is a big hospital in the capital, does not have this condition.

It can be seen that the "Hope Hospital" is really a hospital as its name suggests, full of "hope".

Zhou Qiao's hospital under Luo Ya has a 30% stake in technology. But Murphy, Stephanie and Nanako Chiba did not.

Therefore, if it is these three girls who make a move during telemedical assistance, Zhou Qiao will give a "flying knife fee" accordingly.

Even if it is his own woman, Zhou Qiao has to "settle accounts", all in all, he will never let them suffer.

Of course, in addition to these "open accounts", there are also various "dark accounts", which often give money privately.

……

Domestic, Hangzhou.

Dr. Xiao Yang still manages her self-media account with her heart in addition to work every day. After all, this is her biggest source of income.

In her free time, in addition to studying medicinal diet and traditional Chinese medicine, she is also practicing fitness and martial arts.

Taijiquan, Bajiquan, and Xingyi Boxing are all played decently.

In addition, I also recruited a girl who is good at photography as an assistant and shoots videos for her every day.

In the picturesque park, Yang Xuejun finished a set of Tai Chi 48 loose hands, elegant and smart, and there is no lack of heroic posture, standing in the wind, quite a grandmaster style.

The camera assistant looked at the finished film and couldn't help but exclaim: "Sister Xiao Yang, you really played so well, I don't even need to edit it." ”

Yang Xuejun looked at it and was quite satisfied, but immediately shook his head.

"What's wrong, Sister Xiao Yang?" The camera assistant didn't understand, what else was there to dislike about this?

Yang Xuejun said: "Although the fight is good, it is all flower boxing and embroidered legs, just this boxing method, it also strengthens the body, and there is no actual combat ability." If you really encounter danger, it is an absolute gangster excitement punch. ”

"Gangster Excitement Punch?" The photography assistant glanced up and down at this petite and delicate little Yang sister, who was like a peach blossom, and couldn't help but laugh and said, "Don't talk about gangsters, I'm excited!" ”

"Begging for a beating, huh? Dare to flirt with my sister? Yang Xuejun immediately grabbed this photographic beauty and ravaged it up and down.

"Ahhh

"Spare your life, spare your life, this is not a gangster's excitement fist, this is an indecent grappler!"

In fact, Yang Xuejun knows that his boxing skills are just bullying and bullying girls, and when he really encounters strong gangsters, he is pinched by others every minute.

She stopped, and was in a state of dismay.

The photographer beauty tidied up her messy clothes and comforted: "Traditional martial arts, all the routines that have been handed down now are routines, which are originally for physical fitness, and now in the era of peace, how can there be that environment for you to practice killing skills." ”

Yang Xuejun nodded, also figured it out, and no longer entangled.

People have been practicing routines for decades, and they have no actual combat ability, and she has made her debut halfway, and she can practice this good-looking boxing technique in a short period of time, which is already very good.

You can't be too demanding.

(End of chapter)