"Hemipelvic amputation?"

At the University of California, San Francisco Medical Center, after a multidisciplinary consultation with a large group of doctors, the doctor in charge came to inform Sylvie Thurman of the results of the surgical plan they discussed.

Although Sylvie Thurman was lying on the hospital bed and had just come out of the operating room not long ago, when she heard the news, she still couldn't help but tremble and struggled and shouted, "No! No way! You can't amputate me! ”

She is young, only 31 years old, not married, and has not yet completed more than half of her life, how can she accept such an surgical plan?

On the side, her parents, the gray-haired Thurman couple also looked shocked, especially Mrs. Thurman, whose bodies trembled a little, and exclaimed excitedly: "You have been discussing for so long, and you have discussed such a perverted and cruel surgical plan?" Please forgive us for not being able to accept it! ”

Mr. Thurman also said categorically: "My daughter can't have such an operation. Aren't you one of the top hospitals in California and the world? Why can't such a minor illness be solved? ”

The doctor in charge spread his hands and said helplessly: "She is a neurofibroma, and it is a rare huge tumor in this category, involving multiple organs, especially bones, and it is not a simple minor disease. ”

"However, it can't be easily amputated." Mr. Thurman said bitterly.

The doctor in charge frowned and said, "Didn't I come to discuss with you?" You need to sign your consent before you can start the surgery. If you don't agree, we're not going to do it. ”

Of course, he didn't want to amputate the young female patient, but the other party's condition was really complicated, wasn't there no way out?

Sylvi Thurman is actually a student at the University of California, San Francisco, but she just graduated with a doctorate last year and was already employed in a large factory in Silicon Valley, with a good salary, but who knows, not long ago, her body was abnormal, and she often felt weak in her left foot and unsteady in walking.

Later, after an examination, it was found that there was a huge pelvic tumor in the stomach, with a diameter of nearly 20 centimeters, occupying the entire pelvic cavity.

Moreover, the examination found that her tumor had destroyed the sacrum, and the nerve roots on one side of the sacrum had also been severely damaged, which caused her to have weakness in her left leg and unsteady walking, and surgery to remove the tumor was a priority.

Since she was going to have surgery, she naturally trusted the hospital affiliated with her alma mater, so she came to the University of California, San Francisco Medical Center.

After the doctor completed the examination items, he also arranged surgery.

However, halfway through the operation, because the condition was too complex and the operation faced a huge risk of bleeding, the doctor had to suspend the operation, pushed Sylvie out of the operating room, and transferred back to the ward.

The surgery was not done, but the doctor was very careful to take part of the tissue for a biopsy. The pathological results showed that it was a neurofibroma.

This disease, in fact, is an autosomal dominant inherited disease, which is a neurogenic tumor disease with multisystem damage caused by gene mutations, which will involve nerves, muscles, bones, internal organs, skin, etc., and is a multisystem disease, but nervous system tumors are the characteristic manifestations of the disease.

In addition to genetic mutations, there are many other triggers that can accelerate the onset of the disease, such as long-term exposure to harmful chemicals, radiation, excessive smoking and drinking, etc.

Sylvie thought back carefully, maybe in the last year, because of the PhD graduation and the reason that she was too stressful after work, she smoked and drank too much.

Because when I had a physical examination last year, I didn't have this symptom at all.

The good news is that neurofibromas are benign tumors.

The bad news is that Sylvie's tumor has grown relatively large and entrenched throughout her pelvis, causing severe displacement of organs such as the uterus, bladder, and colorectum.

Moreover, there is a layer of capsule on the surface of the tumor, and there are many earthworm-like blood vessels distributed outside the capsule, and the blood supply is very rich and complex.

At that time, the doctor who operated on her was "open", and when he saw such dense blood vessels, he was discouraged.

Who would dare to do this?

How to go under the knife?

Direct removal of this tumor from outside the capsule?

That means a huge risk of bleeding, and if a blood vessel ruptures unexpectedly, the patient is at risk of dying from massive bleeding at any time.

"Doctor, I really can't accept a hemipelvic amputation to control bleeding, don't you have a more secure way?" Sylvie said, sobbing.

The doctor pondered for a while before hesitatingly saying, "Why don't you ask Dr. Zhou from the Iris Clinic to come and take a look?" ”

"Doctor Zhou? Is it the young and handsome Dr. Zhou, who is particularly good at medical beauty, weight loss and heart disease? As a student at the University of California, San Francisco, Sylvie had also heard of Zhou Qiao's name.

Zhou Qiao often gives academic lectures at the University of California, San Francisco, and although Sylvie is not a medical student, she has been to audit a few times, but she has not been there many times, so she only has a few impressions of medical beauty, weight loss, heart disease, etc.

Moreover, she is not a person in the medical circle, and she really doesn't know which specialties Zhou Qiao is proficient in.

Zhou Qiao was able to break the circle and let Sylvi know that he was a famous doctor and was good at several aspects, which was already quite remarkable.

The doctor in charge nodded and said, "It's that Doctor Zhou." ”

So, Zhou Qiao was invited over to participate in the discussion of the condition.

Zhou Qiao naturally didn't come alone, he brought two big beauties, Nanako Chiba and Grace.

Neurofibroma, in fact, the iris clinic has received treatment before, although the condition is different, but it can be regarded as accumulating a certain amount of experience.

Nanako Chiba participated, but Grace didn't come at that time and didn't participate.

Being able to touch a field that she hadn't touched before made Grace even more excited and excited.

Although she broke through the barrier with Zhou Qiao, because Nanako Chiba was also there, Grace did not show how close she was to Zhou Qiao.

It's the same with Nanako Chiba.

As a result, Zhou Qiao traveled with two beautiful girls, and they were almost like "ordinary colleagues".

A gentle black straight Japanese girl, a "tomboy" with smart short hair, delicate facial features, and a loose suit, the demeanor is completely different.

Zhou Qiao, Nanako Chiba and Grace, discussed with multidisciplinary experts from the University of California, San Francisco Medical Center, including neurosurgery, orthopedics, radiology, gynecology, anesthesia and surgery, for two hours, and finally, formulated a surgical plan.

The doctor in charge of Sylvie Thurman's condition before also participated in the consultation, looking at the surgical plan formulated by Zhou Qiao, and looked at the colleagues around him. Xin said, this has to be Dr. Zhou.

Grace looked at Zhou Qiao, who was talking eloquently, and her obsession was even worse, and she said in her heart, this is okay?

Although she had never had this type of surgery before, just looking at the photos taken during the previous surgery made her feel shocking.

Can it be simple to make so many experts at the University of California Medical Center feel embarrassed by the shocking condition of professionals, and need to have a big killer trick such as "half pelvic amputation"?

However, Zhou Qiao, a man, can easily and eloquently talk, saying that he is sure and has formulated detailed steps.

And this surgical plan sounds quite reliable.

The entire surgical plan is divided into two major steps, which need to be carried out in two stages.

In the first stage of surgery, the nerve tissue of the sacrococcygeal region is separated and the tumor is "uprooted"; In the second stage of surgery, the entire tumor in the pelvis is removed.

A person as powerful as Zhou Qiao has to be divided into two phases, so it is no wonder that the experts at the University of California Medical Center are not sure.

Subsequently, the patient was referred to the Iris Clinic.

Zhou Qiao took Nanako Chiba and Grace to meet the patients and their families, and communicated with them.

When the Sylvian family heard that surgery could be done without amputation, it was naturally as if they had seen the dawn, and they were quite excited and longing.

After the patient and family were easily managed and their consent was obtained, the preparation for the surgery began, including more detailed preoperative examinations.

Elena, Ava, Park so-joo and Jang Meng-jing were transferred to support.

It was also an opportunity for Park so-joo and Jang Mengjing to learn more sophisticated and professional nursing skills from Elena and Ava.

As for the settlement of medical expenses, don't worry, Zhou Qiao has a deep cooperative relationship with the University of California Medical Center, and if there is an affiliation agreement, it is enough to use the previously commonly used account sharing model.

After careful preparation, another ultra-difficult operation at the Iris Clinic has begun.

Ava has recently become obsessed with red songs, so after anesthesia and multi-party checking, she fiddles with the sound equipment in the operating room and plays a "Hymn to Heroes" as the opening song.

"The wind and smoke are rolling and singing heroes, the green mountains on all sides listen to it, listen to it, the thunder beats the golden drum on a sunny day, and the sea waves make a harmony......"

The singing is tragic and resonant, which makes people never get tired of listening to it, and Zhou Qiao seems to be more motivated to do the operation.

Park Xiuzhu glanced at Ava, then at Zhou Qiao's intoxicated expression, and sighed in her heart, saying that Jin Ji was really sloppy.

Every time Kim Hee Jin plays Korean songs, although Dr. Zhou also likes to listen to them, it is clear that the songs that Kim Ji Jin chooses are not as good as the songs that Ava chooses, which can make Dr. Zhou more excited.

Korean songs may have unique features in terms of love and love, but compared with such impassioned classic Chinese red songs, it seems that the aura is much weaker.

Grace saw the friends around her, not only Nanako Chiba, a Japanese girl, Park Xiuzhu, the Korean sister, and even several other surgical assistants and anesthesia teams from the University of California Medical Center in the operating room, could hum a few words, and said that I should also learn Chinese.

San Francisco is originally one of the Chinese base camps, and foreigners here can speak a few words of Chinese, which is really normal. But Grace is from the eastern part of the United States, and she really has very little contact.

Not to mention race and language, the east and west of the United States are not even the same in time zones.

Time zones in the United States are complex, with four time zones spanning West 5 to 8 West regions, each corresponding to a standard time.

From east to west, they are Eastern Time (EST) (Zone 5 West Time), Central Time (CST) (Zone 6 West Time), Mountain Time (MST) (Zone 7 West Time), Pacific Time (Western Time) (PST) (Zone 8 West Time).

In addition, Alaska Time (AKST) (West Kowloon Time) and Hawaii Time (HST) (West 10 West Time) are each decreasing by one hour according to the "East Morning, West Evening" pattern.

The United States adopts daylight saving time from the second Sunday in March to the first Sunday in November every year, which is one hour faster than normal.

Unlike China, which only uses Beijing time as a standard.

Grace came to live in California from Massachusetts, and she had to go through jet lag, which is a new experience just in terms of time zones.

Now, she found that everyone actually knows a little Chinese, and she has long dedicated herself to Zhou Qiao, if she doesn't learn a little Chinese, she can't say it.

After all, she is still looking forward to when Zhou Qiao will take her to China to play.

When you arrive in China, you can speak the local language, which is definitely much more convenient.

If Nanako Chiba knew about her thoughts, I'm afraid she would pout, and said in her heart, I haven't been there yet. It's not just me, Murphy, Stephanie, Talya, none of them have been there. Even if you want to bring it, you're a newcomer, at least you have to be at the back of the line, right?

Zhou Qiao returned to China to visit relatives, often the woman she brought back before and after the Chinese New Year, and the meaning is different.

This operation was naturally performed by Zhou Qiao himself, with the assistance of Nanako Chiba and Grace.

At the same time, several doctors at UC Medical Center have won the precious opportunity to work as assistants in the operating room.

During the operation, Zhou Qiao showed exquisite surgical skills.

He first separated the tissue around the tumor, and then opened the envelope around the tumor, and the whole process looked like a smooth flow, if I had to describe it, it was like peeling a banana.

In this way, not only can intraoperative bleeding be reduced, but also damage to surrounding organs can be avoided, and it can be said that the safety of the entire operation has been greatly improved.

Peeling a banana is peeling a banana, but "this banana" is not so easy to peel, and the technique is extremely difficult.

In the end, Zhou Qiao relied on ceiling-level skills to successfully peel off the capsule perfectly, with very little bleeding, less than 30 ml, and then separated and removed the tumor in the capsule, clean and neat, leaving no trace.

The doctors at the University of California Medical Center who came to assist and observe exclaimed in their hearts: "Why is it that in such a difficult situation, Dr. Zhou broke the game, as smooth and easy as playing a game?" ”

Grace's beautiful eyes rippled, and she gently tightened her legs.

Three days later, Zhou Qiao led the original team to perform the second stage of surgery, and the anterior tumor was removed, which was also very smooth.

At the end of the operation, Sylvie Thurman is recovering well and will be discharged from the hospital in the near future.

"Thank you, Dr. Zhou!"

Lying on the hospital bed, Sylvie Thurman was full of emotion. It seems that you still have to find a good doctor like Zhou Qiao for surgery. Otherwise, with a half-pelvic amputation, she doesn't know how she will face her life in the future. Maybe even getting pregnant has become a luxury.

It is worth mentioning that when Zhou Qiao and the others were about to go back after the operation, their old classmate Yu Rongbin was waiting for him outside the surgery center.

Yu Rongbin is Zhou Qiao's college classmate, because of "falling in the middle of the family", he had to step into the workplace in advance, and there was no way to find a job, and then he came to Zhou Qiao with a cheeky face.

Zhou Qiao wrote him a letter of recommendation and introduced him to the University of California Medical Center.

After entering such a good hospital, Yu Rongbin is grateful, but he has also been conscientious and worked hard. Later, when the economic crisis was alleviated, he decided that he still wanted to continue his studies, because in the medical field, a master's degree really has a limited future.

Because this is the affiliated hospital of the University of California School of Medicine, many professors of the medical school also work in the medical center, as an internal employee, have the opportunity to contact these professors, Yu Rongbin relied on his excellent communication skills, and pulled Zhou Qiao's "tiger flag", so he "hooked up" with a senior professor of the medical school and got the matter of studying for a doctorate on the job.

He has always wanted to invite Zhou Qiao to dinner, but he has never had time, either Zhou Qiao has no time, or he is busy with work and studies.

This time he happened to be on vacation, and he heard that Zhou Qiao came to the University of California Medical Center for surgery, so he paid close attention to it, and he didn't want to disturb Zhou Qiao before the operation, so he waited for the operation to end and stopped Zhou Qiao and his party at the exit.

Old classmates invited him to dinner, Zhou Qiao naturally wouldn't be polite, and immediately took Elena, Ava, Nanako Chiba, Grace, Park Xiuzhu, Zhang Mengjing, so many beauties followed.

The location was chosen at a western restaurant next to the University of California.

Since it is not far away, everyone chatted while walking. Along the way, Yu Rongbin can be envied. It's not that Zhou Qiao came to have surgery again, but that there are so many beauties around Zhou Qiao!

It's so enviable that it's indescribable.

See once envy once.

Zhou Qiao is now surrounded by several beauties, even the oldest Park Xiuzhu, who still have charm, and they are very beautiful, the kind that can make people desire. Not to mention those young girls.

To Yu Rongbin's shock, there was a new face he hadn't seen before, and that was Grace.

"Isn't this year's champion of heart surgery? How did you come to the Iris Clinic? ”

"Zhou Qiao, this guy is really ...... What a collection of beauties! ”

Yu Rongbin was surprised, naturally he was extremely admired, and at the same time secretly ashamed, he was the same age as Zhou Qiao, and it was just that he couldn't catch up professionally, and even in terms of soaking women, it was much inferior.

Because, he's still single.

I talked to an average-looking little nurse at the University of California Medical Center, but we broke up not long after.

(End of chapter)