I run a clinic in the United States

Chapter 245 Returning to China
There is a reason why it is divided into two steps.

If there is no lymph node metastasis, hastily performing cervical lymph node dissection on the patient will increase the surgical trauma; but if the lymph nodes are spared according to the puncture results, in case of recurrence of metastasis in the future, it will be equivalent to a complete failure of the operation.

Even in two steps, the risks of surgery are considerable.Because the location of the thyroid gland is so special, it is in the neck and is the "lifeline" of the human body. The human brain is connected to other parts of the body through countless nerves and through the neck.It can be said to be a traffic artery!
Using the knife in this place is scary every step of the way, even if it is a small incision.

So Zhou Qiao and the others cautiously transferred Ms. Tu to the University of California Medical Center, planning to use the Prometheus-3000 surgical robot there and its high-definition vision.

But even surgical robots need to be very careful.Because robots are also controlled by humans.

Zhou Qiao carefully performed the operation, bypassing the delicate blood vessels on Ms. Tu's neck, and explained the precautions to Murphy and Stephanie while performing the surgery.

Finally, about half an hour later, the diseased lymph node was successfully removed and sent for biopsy.

When such a large "main" part is used for biopsy, it is basically impossible to produce false negatives.

The testing project was under expedited service. When the test results came out, the three of them were very happy. Sure enough, it was the same as the initial judgment.

The patient's thyroid cancer had spread to the lymph nodes, and all the diseased parts had to be removed.

Comprehensive dissection surgery begins.

This process is like demining a minefield. It involves a wide range of areas. You must be careful at every step. Moreover, you are not sure exactly where it is, so you have to explore it step by step.There are fragile nerves and blood vessels everywhere, and they are intricate and crisscrossed. If one of them is broken even slightly, it will cause extremely serious consequences. Even if it is reconnected, there may be sequelae.

Sometimes even if there is no cutting off, excessive "stretching" will cause some sequelae in the subsequent recovery process.Because the nerve will suffer slight damage during the stretching process.

This kind of "precision" thing, even if it is slightly damaged, will transmit strong and weak biological signals, which will affect the "performance" of a certain part of the human body.For example, the other person's fingers were originally very dexterous, but after undergoing this surgery, they will find that their fingers have become clumsy than before.

Zhou Qiao and the others just want to avoid such a situation.

Finally, the patient's bilateral thyroid gland and right cervical lymph nodes were completely removed and dissected, and important functional channels such as the carotid artery, internal and external jugular veins, and accessory nerves within the dissection range were completely preserved. The postoperative pathological examination results The results were consistent with the preoperative assessment.

Ms. Tu's "hidden disease" was discovered early and the surgery was timely. The most important thing is that she met a national player like Zhou Qiao and recovered very well after the surgery without any sequelae or complications.

The same surgery performed by another doctor may cause all kinds of "trouble" after the surgery.

Thyroid cancer is actually a solid tumor that progresses slowly and is a type of "lazy cancer".

Unlike other malignant tumors, lazy cancer does not have much "ambition" and does not have much desire to "expand". There are no particularly obvious symptoms in the early stages of the disease. Clinical statistics show that most thyroid cancer patients discover that they have the disease through physical examination. There is this cancer.

However, if this kind of "lazy cancer" is not removed in time, once it metastasizes and spreads, the consequences will be disastrous.

Thyroid cancer is mainly divided into thyroid capitate cancer, follicular thyroid cancer, anaplastic thyroid cancer, and medullary thyroid cancer.Among them, thyroid R capitate cancer is the most common type, accounting for 60% to 80% of the total incidence of thyroid cancer. The incidence rate in women is much higher than that in men. As the disease progresses, the tumor will compress or invade adjacent organs and tissues, and patients will develop symptoms. Symptoms include difficulty breathing, difficulty swallowing, jugular vein distension, hoarseness and other symptoms.

This kind of cancer, regardless of the type of cancer and the size of the cancer focus, has the possibility of lymph node metastasis and invasion of surrounding tissues. Once there are nodules, we must pay attention and seek medical treatment as soon as possible, especially for families with a history of head and neck radiation exposure in childhood and thyroid cancer. High-risk groups with a history of thyroid disease, overweight or obesity, long-term insufficient iodine intake, long-term fatigue, and bad moods should undergo regular thyroid-related examinations.

Once diagnosed, the treatment process should be carried out as soon as possible under the guidance of professional doctors. Through standardized drugs, surgery and other comprehensive treatments, most patients can obtain good prognosis.

……

The cork oak tree in front of the Iris Clinic has lush branches and leaves, and its huge canopy sways left and right in the northwest wind in winter, like the hand of a lucky cat welcoming guests.

Finally, another suitable doctor came for an interview. Zhou Qiao was very satisfied, and the clinic added another aunt.

This aunt's name is Jenard Holt. Her name is rather androgynous. She is short, fat, and well-spoken. She looks a bit like a woman who walked out of an oil painting. She is not very old, only 48 years old, but she looks almost 60 years old. .

There is no way, Westerners don't understand how to maintain health. Although her job has always been easy and her family is wealthy, she ages quickly.

After Dr. Yenard joined, she was very surprised because she found that the doctors and nurses here all drank hot water.Even young girls, like Murphy and Stephanie, are holding thermos bottles in their hands.

When I asked, it was revealed that it was scented tea.It smells fragrant and seems to taste good.

Rachel and Vivica, who are older, also each have a thermos cup, but what they drink is a small red fruit. When asked, it is something called wolfberry, which is said to be very nourishing, beautifying the skin, and prolonging life. .

Dr. Yenard took a look and realized that no wonder everyone here had such good skin. It turned out that there was a secret recipe, so he thought about buying a thermos cup and drinking it by soaking in something like this.

These scented teas and wolfberry were not brought by the doctors or nurses themselves, but purchased by Elena and placed next to the tea bar machine in the lobby on the first floor. They are free benefits.

On the first day Dr. Yenard came, he didn’t bring a cup, so he tried it with the clinic’s disposable cup. Well, it was really good. His eyes lit up, as if a new world had opened up.

According to the tradition of Iris Clinic, there must be a dinner party when new people join, so Zhou Qiao took everyone to eat and drink again.

During the dinner, everyone started talking about the Chinese people drinking hot water and confinement period. Dr. Yenard couldn’t help but lamented that there was no such thing as confinement period when she was young. Even in the winter, when she got her period, she couldn’t help but sigh. I drink ice water, gurgling.I didn't feel it before, but now that I'm older, I feel all kinds of problems.

Zhou Qiao told her that it was not too late to start a regimen of health.In terms of health care and dietary therapy, the Chinese have specialties.

Although Dr. Yenard agreed with Zhou Qiao's point of view and was very interested in drinking that kind of scented tea, he actually still had some disapproval of the idea of ​​maintaining health, just because he politely agreed on the first day he joined.

She joined the ranks of "health preservation" with the attitude of giving it a try, and it would be idle anyway.

Mother Yenard was assigned to the surgery department.

Zhou Qiao and the twin girls began to pack their luggage and prepare to set off.

Of course, the work at the clinic will be arranged before he leaves.Murphy was transferred from the general surgery department to the general practice department, while Stephanie was transferred to the general surgery department and the psychological counseling department, and took Dr. Yenard with her.

Of course, since the other party is experienced, there is actually no need to bring him with him.It's nothing more than introducing the clinic's work flow to the other party, starting and getting off work hours, when salary will be paid, if you go to a community hospital for surgery, who needs to be contacted, what materials should be submitted, etc.

However, Dr. Yenard is positioned as an ordinary grassroots doctor, responsible for some simple patients.

If there's a little bit of trouble, it's up to Murphy and Stephanie to take care of it.

Murphy and Stephanie were very envious when they saw Elena and Ava being able to follow Zhou Qiao to China.

Zhou Qiao comforted them and took them next time.

"Because you two are the backbone of the clinic. If you both leave, what will happen to the clinic?" Zhou Qiao said.

During his absence, the clinic was naturally in charge of Stephanie and Murphy.

But Murphy has a cold temperament in front of outsiders and is not good at management, so Stephanie probably needs to pay more attention.

Stephanie said no problem.She was very happy, she finally had the advantage over Murphy.

Murphy curled his lips slightly, hum, I'm too lazy to care about these trivial matters in the clinic.

"If you encounter trouble, go to Ariel. I told Ariel that she will always pay attention to the situation here."

At the end of the year, Zhou Qiao gave out year-end bonuses, and also gave one to Ariel and her black girls.After all, protecting the safety of the clinic is a credit to their hard work.

Ariel and the black girls couldn't be happier.

There are direct flights from San Francisco to BJ. As early as January 1981, 1, the Boeing 7SP large passenger plane flew across the Pacific Ocean and opened the first route between China and the United States: BJ-Shanghai-San Francisco-New York.San Francisco has become the first destination for Chinese civil aviation to fly thousands of miles to the United States.The San Francisco route opened the first route from China to the United States in the history of Chinese civil aviation.

But later due to some reasons, this route was terminated. Recently, Air China's BJ-San Francisco direct route resumed, with two round-trip flights every Wednesday and Saturday.

In addition, the number of flights between China and the United States has also greatly increased, making it much easier and cheaper for Chinese people to travel.

Murphy drove them to San Francisco International Airport and reluctantly watched them board the plane.

Zhou Qiao and his twin girls landed at BJ Capital International Airport after traveling through Canada and Russia for thirteen hours.

From the United States to China, the shortest way is to take Canada or Russia.

If you cross the Pacific Ocean from east to west, the actual distance will be farther because the earth is spherical.

Another reason is that the Pacific Ocean is so vast that there is almost no "place to stay" below, and there is no place to make an emergency landing if there is a problem.Moreover, the maritime climate is changeable and it is easy to be affected by severe weather.

Once the plane crashes and crashes into the Pacific Ocean, there is no chance of rescue.Even though it crashed on land and the chance of survival was slim, the remains of the body could still be found, right?
Trivia: Russia and the United States are separated only by the Bering Strait, which is only 35 kilometers at its narrowest point and 85 kilometers at its widest point.

It is said that in ancient times, the Bering Strait froze, and ancient humans from Asia migrated to the American continent through this strait.Indians, like East Asians, have typical yellow skin, black hair, and black eyes.

Israel took out the Bible and deeded it, saying that Jerusalem was their place.According to this logic, if we take out the "Book of Mountains and Seas", we can also say that the American continent is our place.Especially the three chapters of "Dongshan Jing", "Overseas Eastern Jing" and "Great Wilderness Eastern Jing".

It records that 4200 years ago, Dayu sent people to inspect the mountains and rivers of the American continent.

This is what an American said.

In July 1993, Ocean Press published the Chinese version of the monograph "Almost Faded Records - Two Ancient Documents About the Chinese Exploration of the Americas" by American scholar Henry Etmertz (7 karat, 32 pages, 150 words, first printing of 12 volumes), the famous Chinese scholar Jia Lanpo wrote the preface to the Chinese version of the book.

According to the "Eastern Mountain Classic", Mertz described the distances of the four mountains (4 miles equals 3 mile) and related properties, strictly comparing them with the peaks on the map of North America, and found that the two have a very accurate correspondence.

Specifically, the 12 mountains are located in the north-south of New Mexico in the United States. From north to south, they are (undetermined), (Medicine Peak), Langs Peak, Grace Peak, Princeton Mountain, Blanca Peak, North Trakis, Manzano, Blanca, Guadalupe, Barter, Qinati.

The 17 mountains of the second longitude of the east are located in the north-south of Wyoming in the United States. From north to south, they are Hutt Mountain, Moose Mountain, Stone Inscription, Wolf Mountain, (undetermined), Medicine Slope, Langs Peak, Harvard Mountain, Summit Peak, Chicoma Peak, South Bart Peak, Cox Peak, Animas Peak, Madeira, Bamachik, Kuliacán, Tliangoro.

The nine mountains of the Eastern Submersible are located on the west coast of the United States. From north to south, they are Mount Fairweisse, Mount Burgate, Mount Katznieder, Mount Rupert (Port-au-Prince), Mount Waddington, and Mount Olympia. Mountains, Mount Hood, Mount Shasta, Los Angeles, Santa Barbara.

There are 8 mountains in the East and the Fourth Meridian in Washington, Oregon, and California. From north to south, they are Mount Rainier, Mount Hood, Mount Lonely, Mount Gilht, Mount Kelan, Mount Mahogany, Trident, Capitol Peak.

There is also a theory that the Bering Strait was originally land in ancient times, but was later flooded.

Because the average depth of the Bering Strait is 30 to 50 meters.

If a bridge is built across the Bering Strait, China's high-speed rail will pass through Siberia and cross the Bering Strait, directly reaching Alaska, Canada and the continental United States.

You can even go to South America via Mexico, Guatemala, Panama, etc.

……

Zhou Qiao was thinking on the plane, but he also knew that with the current relationship between China and the United States, the biggest obstacle to building this bridge is not technical problems.It can be said to be almost impossible.

They were traveling in first class. When they landed, Zhou Qiao took a deep breath and felt relaxed and happy as he stepped out of the plane and looked at the magnificent Capital International Airport.

finally come back!
(End of this chapter)