I run a clinic in the United States

Chapter 266 Preparing for Pregnancy in Texas
Dr. Olmasy reported to the director.

The director of the neurosurgery department knew that Zhou Qiao had performed some difficult neurosurgery operations and had profound knowledge in many specialized fields such as cardiothoracic surgery and oncology surgery. It happened that the cooperation and exchange was about to end, so he caught up with this "Tail" invited Zhou Qiao's team over.

Zhou Qiao came with Murphy and Stephanie.Of course, face-to-face communication with patients is essential.Questioning is also a very important part of the diagnosis process.

Stephanie is good at communication and the other party is a woman, so this matter is left to Stephanie.

Based on Zhou Qiao's experience, the natural first choice is the heart, followed by the lungs.

Because blood oxygen cannot flow, the problem most likely lies in these two organs.

After a thorough investigation, it turned out that he had a heart problem.

Chest X-ray: It indicates that the patient's heart is huge.

Cardiac ultrasound: showed single ventricle and atrial septal defect.

Combining the other party's medical history and some slightly abnormal circumstances in his past life, Zhou Qiao speculated that this was most likely a very complex congenital heart disease.

This made the doctors involved in the consultation even more confused: "The heart and the brain are two organs, and they are so far apart. Why would congenital heart disease cause an abscess in the brain?"

Zhou Qiao thought for a few seconds and immediately gave a perfect explanation.

"Congenital heart disease will cause this patient's blood circulation to be different from normal people, and it is this difference that makes her more susceptible to bacterial infections than normal people."

Zhou Qiao got up, went to the whiteboard next to the big screen in the conference room, picked up a black whiteboard pen, and drew on it.

With just a few strokes, the heart structure of a normal person is outlined.

"Look, this is our normal human heart. It looks like this. It has two ventricles: the left ventricle and the right ventricle."

Zhou Qiao drew another lung at the bottom and a circle at the top, indicating the body tissues and marking the arrows to form a closed loop. While drawing, he explained: "Normal blood circulation is that blood from the whole body flows to the right heart first. It then flows into the lungs, absorbs oxygen, then flows to the left heart, and finally to tissues throughout the body."

In fact, all the doctors present at the meeting understand this.Although we are neurosurgery doctors, we still have a very clear understanding of the structure of the human heart.

"However, Alice's heart is different from this; hers is like this."

Zhou Qiao changed the topic and quickly sketched a comparison picture beside her. That is, Alice's heart has only one ventricle, which is a single ventricle.

Once the two pictures are compared, everyone will understand at a glance.

"Most of Alice's blood circulates directly between the body and ventricles without being filtered by the lungs. This allows bacteria in the body's tissues to circulate through the blood and reach all important organs throughout her body, including the brain!"

"After a long evolution in nature, from fish with a single atrium and a single ventricle, mammals with a double atrium and a double ventricle finally evolved, and humans are one of them. But there are some animals that are 'transitional bodies,' or 'Intermediates', such as frogs, are born with an 'incomplete circulation' system of two atria and one ventricle, which is very typical."

"So, from this aspect, Alice's blood circulation system is very similar to that of a frog, which is a single-ventricular circulation."

Someone exclaimed: "Wow~, is she the frog princess?"

Of course Alice cannot be the Frog Princess.The Frog Princess used to attend high school in San Francisco.Known as the San Francisco version of the "High School Affiliated to Renmin University of China", the annual tuition is 35, which can buy a Tesla; only 700 people are admitted out of 100 applicants, and the admission rate is the same as that of Berkeley.It is expensive and difficult to enter, and it is a typical American elite education school.

Zhou Qiao used to ski in Lake Tahoe and met the Frog Princess once, but they never met again.He also has a photo with the Frog Princess.

Zhou Qiao cheered up and continued to explain.

"Due to this very rare blood circulation system that is different from ordinary people, the probability of Alice getting a brain abscess is much higher than that of normal people. If we have to say the reason, there are probably the following two aspects."

"First, Alice's body has been in a state of chronic hypoxia for a long time. The red blood cells in her body are increased, the blood is thick, and the flow rate is slow, which can easily lead to the retention and growth of bacteria."

"Second, some of the blood carrying bacteria will not pass through the filtration of the capillaries in the lungs, and will directly enter the brain along with the blood circulation, forming an infection focus in the brain, thus developing into a brain abscess."

At this time, a doctor raised his hand and asked: "Dr. Zhou, after saying so much, we have basically understood the formation process of brain abscess, but what about the 'culprit'? What is it?"

He was very puzzled.

Yes, everyone is looking over, "who" is the real culprit?

Zhou Qiao smiled slightly and said, "Don't worry, our doctor Stephanie noticed something when she was communicating with the patient before. That is, there is a pimple on Alice's left face." Particularly conspicuous.”

As soon as these words came out, Dr. Olmasy also thought thoughtfully. Indeed, it seemed that Alice had such a pimple on her face. He had noticed it before, and at that time he was still wondering if it was like this. If the private life of the couple is not harmonious, how can the wife still get acne?
Just listen to Zhou Qiao continue: "After Dr. Stephanie's inquiry, the patient said that this acne has been there for a long time and is very stubborn. He occasionally picks it, but it has not healed for more than a month."

Dr. Olmasy was the first to react and immediately shouted: "So that's it."

I slapped my forehead, feeling very remorseful and ashamed. I noticed this small detail at that time. How come my mind was filled with all the patients' endocrine disorders and disharmonious marital life? Why didn't I think of this?This is so inappropriate!

Seeing other doctors looking over, Dr. Olmasy said: "The most likely possibility is that, as Dr. Zhou said, when Alice squeezed her pimples, the bacteria in the pimples entered the blood, because In Alice's own particular condition, the bacteria traveled straight into the brain tissue and then caused a brain abscess."

As soon as this was said, everyone understood.

In fact, after all is said and done, "that's all."

With the level of the doctors here, I immediately thought "it's so simple."

Some doctors couldn't help but mutter, "Why didn't I think of this before? If I had worked harder and looked deeper, maybe I would have figured it out? After all, this is not a difficult thing, right?"

However, facts that are often too simple require a wealth of knowledge and careful thinking to reason and connect them together. Once the case is "solved", there will be no surprises.

However, connecting these inconspicuous details together requires profound skills.

Those doctors who thought it was simple thought carefully and thought that if they could go back in time and ask them to diagnose a disease, they might not be able to get the results. Even if they finally figured it out, it would take a lot of time. There is no such thing as Dr. Zhou Qiao. "Understatement", the case was "solved" easily.

Top-notch is indeed top-notch.The real work is seen in the details.

In fact, the main reason is that this case is very special and most normal people will not encounter such a situation.

The difficulty of this case lies in "solving the case". As for the operation itself, the neurosurgery department of the community hospital is quite confident because it has done this kind of craniotomy before.

Therefore, this operation did not bother Zhou Qiao anymore. Instead, they performed a craniotomy on the patient under a microscope and completely removed the abscess "with soup and shell".

As for Zhou Qiao, there are still many things to do. He is also busy going to Texas to prepare for Luo Ya's pregnancy.

Luo Ya has returned from France and has rested in Texas for a few days to adjust her body to its best condition. Moreover, the ovulation period is approaching soon, so she is waiting for Zhou Qiao.

Zhou Qiao simply packed a suitcase and boarded the flight to Texas again.His body has always been in great shape and does not require any special care.

In addition, in order to prepare for this pregnancy, he exchanged the strong kidney capsules that he had not exchanged for a long time for another medicinal power. This medicinal power can produce a large amount of healthy genetic material, which is waiting to be released during this meeting with Luo Ya.

After he arrived at the Houston Airport, Loya drove to pick him up personally, and then the two of them drove northeast of Houston, about a hundred kilometers away, where there is a beautiful wine estate.

This manor, one of the properties Loya purchased here, is located in the suburbs of Crystal Mills County, Texas (fictitious place name).

Many times, Luoya herself can't remember which houses are there, and sometimes her assistant needs to bring in a list and look through it carefully.

"Why do you think of living here?" Zhou Qiao asked in the car.

I haven't seen Luo Ya for a long time. This girl seems to be more beautiful than before.

"I'm planning to build a hospital here and it's already started trial operation." Luo Ya said with a slight smile.

She was wearing a short, slim-fitting leather jacket, and she looked very handsome. She was not of the same type of beauty as Elena and Stephanie.

After Zhou Qiao's additions and her own efforts, her figure has been maintained and is a bit more "feminine" than the "strong" one before.Soft yet strong, hard yet soft, full of charm.

Of course, this is also because after she "cleansed herself", she no longer needs to do the work of fighting and killing, nor does she need to be on the front line in person. She has already had time to start researching some cosmetics, clothing matching and the like.

"Why build a hospital?" Zhou Qiao asked curiously.Luo Ya has many industries that are widely distributed, but not many in the medical field, especially hospitals.In the past, there were at most some teams of field doctors.

"They are all votes. Do you understand the votes? I plan to build at least ten hospitals in different places in Texas, especially in underdeveloped places with relatively backward medical facilities, in three to five years."

Zhou Qiao suddenly said: "Ah~, you want to run for the next governor of Texas?"

"Yes, you guessed it!" Luo Ya made a gesture and said proudly.Although running for governor is difficult, it depends on people.Her current foundation is deep enough to challenge her.

Aristocratic family?She herself is the ancestor of the family!After a few decades or hundreds of years, maybe her family will become a prosperous and mysterious family.

She had heard Zhou Qiao tell the story about the Overlord Farewell My Concubine before. When the Overlord died, a soldier rushed to the front and snatched one of the Overlord's bloody legs, thus becoming a marquis and the family could continue like this for thousands of years.

It’s the famous Hongnong Yang family!
Luo Ya also wants to create a family that can last for thousands of years.

She decided to have at least five children with Zhou Qiao.

"Of course, the hospital is not a charity, it also needs to make a profit. Because a project that cannot make a profit cannot last. This is the first one in Crystal Mills County. You are a top expert in this field. Please come here if you have time. Please help me in the hospital." Luo Ya said a little embarrassed.

"Why are we so polite? We are going to create humans together!" Zhou Qiao said with a smile, and then touched it with his hand.

Anyway, there was no one else in the car.

"Don't make trouble, be careful of the car overturning!" Luo Ya glared.

Zhou Qiao had no choice but to take back his hand.

"When you get to the manor, you can do whatever you want." Luo Ya winked.

Zhou Qiao couldn't wait.Although he has no shortage of women, every woman has a different experience.

Luo Ya has always been fresh in his heart.It seems that I never get tired of it.This is Loya's own charm.

Being able to make a "battle-experienced" man feel fresh and extremely interested in her every time he meets her, this in itself proves Luo Ya's strength.

Texas wine actually has a long history, with a planting area of ​​more than 5000 acres and five to six hundred wineries, large and small. Loya bought a ready-made manor, which is also a "century-old brand."

The estate is picturesque, and perhaps the most indispensable thing in America is land.

Antique castles, green lawns, and musical fountains full of modern flavor.

There are endless vineyards, and many workers are busy inside, weeding, fertilizing, and pruning. However, it is spring now, and the grapes have just grown green leaves. The snails have already begun to climb up the roots. Delicious grapes need to wait until summer. To mature.

However, there were already many aged wines in the cellar. Luo Ya took Zhou Qiao to visit, but she was unable to taste these wines temporarily because she was pregnant.

"When you go back, I will select some fine wines and bring them back to you. But that's not possible now." Luo Ya said apologetically.

"Actually, I don't like drinking either." Zhou Qiao said.After all, he is a doctor. Although he has a system, alcohol is really not a good thing, and the safe intake is actually zero.

That's just to stir up the atmosphere when needed.Normally, Zhou Qiao prefers tea and coffee.

Later, in East Africa, Chen Zhining sent him coffee several times.

That is the origin of coffee. The coffee has various natural floral aromas. Zhou Qiao didn’t like the sour taste in the past, but later he felt that the lightly roasted coffee beans, mixed with natural floral aromas, without any sweetener or milk, had a refreshing taste. It's a must.

If you want less sourness, you may want to roast your beans darker.

Because the sourness in coffee actually comes from the chlorogenic acid in coffee beans, also called coffee tannin, which is very beneficial to the human body.

When roasted darkly, the chlorogenic acid is completely destroyed.Of course, dark roasted coffee is more aromatic and more bitter.This all depends on personal taste.

When night fell, Luo Ya and Zhou Qiao had a candlelight dinner in the luxurious restaurant of the wine manor. The guards wisely moved away, leaving space for the couple who had not seen each other for a long time.

Soon, the sound of fighting was heard in the restaurant. The guards covered their mouths and snickered, and immediately moved away.

Zhou Qiao originally wanted to exchange some magical medicine from the system for Luo Ya to take it to increase the chance of twin pregnancy, but after thinking about it later, he decided to let nature take its course.

There are identical twins and fraternal twins. The difference is that identical twins are divided by one egg (essentially mitosis), so the genetic material of the daughter cells produced is the same.

Therefore, identical twins must have the same gender, but other aspects, such as intelligence, blood type, or physical characteristics, are relatively similar.

Fraternal twins may have different genders, looks, and physical characteristics.Fraternal twins, also called "false twins," are just like normal siblings.

For example, twins are fraternal twins.

Identical twins are real twins. Just like Elena and Ava, they look exactly the same and are very difficult to tell apart.

(End of this chapter)