I run a clinic in the United States

Chapter 322 Chiba Nanako is very motivated

After some simple greetings, the two parties sat down and Zhou Qiao asked: "What kind of problem is it? Have you had any examinations before?"

"I've done it, I've done it." Zhu Xiaofei quickly handed over the previous physical examination report and inspection report.

Zhou Qiao was shocked when he saw it.

Murphy beside him was also moved.

"Murphy, go and call Stephanie and Nanako Chiba. Let's go to the conference room and discuss this condition together."

"OK." Murphy went out.

Soon, everyone gathered in the conference room, where Zhang Jianjun and Zhu Xiaofei were also listening.

……

After Zhu Xiaofei came to the United States this year, he bought medical insurance, and the insurance company gave him a physical examination package, so he went for it.

In the past few years, he has been delivering food in China and working on his own, but he has never had a physical examination.

Who knows, a nightmare is coming.

Physical examination revealed that the body and tail of his pancreas occupied a space.

After receiving the physical examination report, he immediately went for a more detailed reexamination. The results showed that there was a tumor about 7 cm in diameter at the tail of his pancreas.

What's even worse is that there is a low-density lesion of about 1 cm on his liver. Pancreatic cancer may have metastasized to the liver.

"No wonder I always have stomachaches lately." The symptoms I didn't take seriously before, now I think about it, are not simple abdominal pains.

With such a big thing in my stomach, can it not hurt?

In addition, he thought carefully about the smelly stool he had recently, which was probably due to this disease.

He thought it was because he was acclimatized and couldn't digest the food he ate.

He went to the University of California Medical Center, and the doctor told him that pancreatic cancer is a highly malignant digestive system tumor. His condition was very bad, and the five-year survival rate was less than 10%.

Zhu Xiaofei was stunned for a moment. He couldn't imagine why he was suddenly diagnosed with this disease when he thought he was in good health. Soon?

Well, he admitted that after he was discharged from the army, he could maintain his figure in the first few years, but then he relaxed. Because of the pressure of survival, he began to eat irregularly and overeat. He was very tired from going to work every day, and then when he was tired, he started to eat too much. I drank some high-strength liquor to "relax" and smoked more and more cigarettes.

However, there are many people who smoke and drink. How come something like pancreatic cancer found him?

In fact, Zhu Xiaofei's situation is normal, because pancreatic cancer is highly malignant, has an insidious onset, and atypical early symptoms. 80% of patients are already in the middle and late stages when discovered.

Like the patient Zhou Qiao treated before, Jessica's mother, because she happened to be discovered early, she underwent timely surgery and had a very high five-year survival rate.

However, Zhu Xiaofei's situation is serious.

The report shows that Zhu Xiaofei has developed liver metastasis and increased tumor indicators. In addition, the possibility of abdominal metastasis cannot be ruled out.

It can be said that his pancreatic cancer is probably in a systemic state, and simply conducting a "war of annihilation" against local tumors cannot achieve the ideal goal of radical cure.

Moreover, systemic treatments such as chemotherapy cannot be performed during the perioperative recovery period, which can easily cause tumor cells to resurge and start anew.

After careful discussion, Zhou Qiao, Murphy, Stephanie, and Chiba Nanako finally formulated a four-step treatment plan.

The first step is to perform minimally invasive surgical exploration + CT-guided interventional treatment of liver lesions.

In the second step, neoadjuvant chemotherapy is performed.

The third step is to perform surgical resection after the neoadjuvant chemotherapy is effective and the surgical conditions are met.

The fourth step is, of course, postoperative adjuvant chemotherapy to consolidate the curative effect.

Their plan may seem simple, but it is actually very profound. To use a metaphor, it is like a showdown between masters in a martial arts movie. Faced with the "opponent's" sudden killing move and overwhelming offensive, they perform a set of small combos. , the dense, compact and meticulous style of play gradually neutralizes the "opponent's" powerful offensive...

What we want is final victory, not head-on confrontation and fierce attack.

There is no way to be tougher than to be tough from the front. Did he really get the title of "King of Cancer" for nothing?

Zhou Qiao explained the condition and surgical plan to the patient in detail.

Zhu Xiaofei listened in a daze, and secretly wondered why all the doctors here were young and beautiful, like celebrity models. He didn't know if their medical skills were really as high as Lao Zhang said.

It was related to his own life, so he was naturally worried, but he still decided to get treatment here. Because Lao Zhang is trustworthy.

After the explanation, Zhou Qiao sought the patient's consent and admitted him to the hospital.

Because the patient said he had financial difficulties and wanted to save some money, Zhou Qiao did not arrange for him to be admitted to the University of California Medical Center. Instead, he was arranged to a nearby community hospital.

After Zhu Xiaofei came to the community hospital and checked in, sure enough, when people here mentioned Dr. Zhou, their faces were full of admiration and adoration.

Zhang Jianjun had not lied to him before.

Zhu Xiaofei also went online by himself and searched for information about Iris Clinic on his mobile phone. The more he read about it, the more surprised he became. It must be said that Iris Clinic is very famous and is considered the best in California. Therefore, he felt more and more at ease in his heart. .

"Now that you've come, let's settle down and live here first."

Zhu Xiaofei sighed, thought for a while, and called home again, but he didn't dare to say it was pancreatic cancer. He only said it was a minor problem. Maybe he just came here and he was not acclimated to the climate and it would become a problem after a period of recuperation. .

However, you may not be able to send money back for the time being.

When he went abroad, he took a little savings with him, thinking that he could last for a while until the money ran out. Moreover, when seeing a doctor here, it seems that the patient can be treated first and the bill can be paid later.

Zhu Xiaofei doesn't have many friends here, and Zhang Jianjun can be said to be his only old acquaintance. Therefore, Zhang Jianjun comes over to see this old comrade every day after get off work, or when he is free on his days off.

"Lao Zhu, don't worry. I think the serial killing moves Dr. Zhou and the others talked about are very likely to be successful."

Zhang Jianjun comforted his old comrade every time and made him feel more at ease.

"Many times, personal mentality and desire to survive are very important. If you don't have confidence and give up hope, then there is really no hope." Zhang Jianjun said.

"Yes. Thank you, Lao Zhang." Zhu Xiaofei nodded, indicating that he understood.

But if you understand, you understand that if things fall on you, no one can look away so easily.

In addition, being hospitalized here put Zhu Xiaofei under a lot of pressure. On the one hand, his condition was a problem, and on the other hand, medical expenses were also a problem.

I guess I need to borrow money. He had no acquaintance here, so he could only borrow it from Zhang Jianjun.

Zhang Jianjun probably didn't have much, so he could only ask him to borrow it, and he didn't know if Lao Zhang would be willing.

We haven’t seen each other for so many years, and we just met each other abroad, so I asked Lao Zhang to borrow money. I don’t know if he will recognize me as a brother in the future.

After a night of silence, Zhu Xiaofei thought about everything and fell asleep in a daze.

He had many, many dreams.

There are nightmares and there are wonderful visions.

Many relatives and friends "showed their faces" in dreams.

The chaotic dreams disturbed his normal thinking and memory. When he woke up, he tried to call his wife and children because, just after the dream, his wife and children were chatting outside.

He couldn't distinguish between dreams and reality, and thought he was lying in the bedroom of his hometown.

It took a long time before I finally confirmed that I was in the United States, lying in a hospital.

The next day, Zhou Qiao performed laparoscopic minimally invasive exploration on Zhu Xiaofei, took samples, and sent them to test the nature of the tumor. In addition, according to the previous plan, local ablation was performed on Zhu Xiaofei under CT "navigation" to resolve his liver lesions.

This can be described as killing two birds with one stone.

Minimally invasive exploration is necessary to fully understand the disease. At the same time, through the small incision, obvious metastatic lesions in the liver can be treated, avoiding multiple surgeries.

This kind of minimally invasive exploration and local ablation has a small incision, so the postoperative recovery is very fast and does not delay subsequent neoadjuvant chemotherapy.

Fortunately for everyone, the results of the investigation were good. Zhu Xiaofei's pancreatic cancer did not metastasize to the abdominal cavity. This is undoubtedly great news.

"Nanako, you are expert in medication, so I will leave you in charge of this neoadjuvant chemotherapy." Zhou Qiao said to Chiba Nanako.

"Okay, Mr. Zhou. I promise to live up to my trust." Chiba Nanako smiled slightly, still quite confident.

As for the others, they all recognized Chiba Nanako's ability, so they had no objections to Zhou Qiao's arrangement.

Chiba Nanako used all her skills, combined with her own experience, and consulted a large amount of literature to formulate a very detailed medication plan.

Detailed explanations were given for some key steps and why they were designed in this way. Show them to Zhou Qiao.

In Zhou Qiao's office, Zhou Qiao carefully read through Chiba Nanako's plan and couldn't help but nodded in approval: "Nanako's level is indeed excellent, with almost no flaws."

He couldn't find anything wrong with it, and he had to say that Nanako had put a lot of thought into it.

Zhou Qiao looked at Chiba Nanako with burning eyes, saying in his heart that she was really a treasure girl, and he had found a treasure.

In the future, after a hundred times, we will add some improvements to her, and her medication level will probably be even higher.

"Zhou Jun..." Chiba Nanako was a little weak and shy when Zhou Qiao looked at her.

Zhou Qiao couldn't help but hug him when he saw no one in the office.

"Zhou Jun..." Chiba Nanako trembled slightly. In the past, that bad old man Fujiwara Yoichi also wanted to invade her in the office. She was very disgusted at the time, fought back hard, and finally escaped from his clutches.

After escaping, I immediately quit my job.

But now, facing Zhou Jun's "intrusion", Chiba Nanako didn't feel sick at all. Instead, she felt relaxed, and her whole body felt so soft that she seemed to fly.

Full of endless longing.

The only worry is, what if someone breaks in suddenly and sees it?

However, now that there are too many people in the clinic, the office is really not suitable. So Zhou Qiao gave it a try. He stroked Chiba Nanako's hair and said, "Go to work."

Chiba Nanako finally breathed a sigh of relief. She was really scared to death just now. She thought Zhou Qiao was going to kill her here...

Fortunately, Zhou Jun is measured.

However, I was slightly disappointed. Very contradictory.

Chiba Nanako tidied her clothes. After going out, she was in high spirits and more energetic at work.

Resign? How can it be?

If possible, she hopes that what happened today will happen every day in the future. It is best to have it once in the morning, noon and evening. It can be regarded as a very delicious snack.

……

The reason why the second step of neoadjuvant chemotherapy is performed is to shrink the tumor, reduce tumor indicators, and achieve the most ideal surgical conditions.

This serious disease does not require surgery as soon as it appears. Need to find the right time.

For advanced or advanced pancreatic cancer, surgery is performed as soon as it is diagnosed, but it cannot be completely cured. Some doctors may do this for various purposes, but after doing so, the disease will break out again within a few months. Then, there is no more.

What Zhou Qiao and the others need to do is comprehensive treatment to ensure that the five-year survival rate is effectively improved.

Their carefully designed plan will be more secure in terms of final curative effect than direct surgery.

This is responsible for the patient.

Surgery is performed to treat a disease, but treating a disease requires more than just surgery. It is like marching to a war. The result of the war is the most important.

Zhou Qiao was relieved to leave neoadjuvant chemotherapy to Chiba Nanako.

Chiba Nanako was involved in Murphy and Stephanie, so she also began to make academic achievements.

I wrote an article on the previous administration method of meropenem.

This time, in order to formulate the best medication plan for Zhu Xiaofei, she read a lot of academic articles and accumulated a lot of cutting-edge theories, so she planned to write a high-quality review.

Writing a review will not only not delay work, but also allow you to think deeply and take a high-level view during the writing process, which can more effectively improve your own level and adjust medication at any time according to changes in the patient's condition.

What she wants to write about is the research progress on the binding mechanism of tumor-targeting peptides and related receptors, as well as the limitations of PDC molecular drug delivery systems.

At the end of the article, she also summarized the current status of PDC (candidate) drugs under development or on the market that target various cancer cell-related receptors.

After writing these two articles, she was quite satisfied and took them to Zhou Qiao to look at with a bit of embarrassment.

Zhou Qiao smiled and said: "If you don't mind, I will vote for you. Then, add my name on it?"

Chiba Nanako was delighted and said very gently: "If Mr. Zhou's name can be on it, it would be a real honor for me."

This was not to be polite, but she truly felt that just two people signing together made her feel inexplicably happy.

Zhou Qiao shrugged: "Then I won't be polite."

It wasn't that Zhou Qiao deliberately took advantage of her, but that he was related to Academician Domitri and had dealt with many leading journals. Everyone knew his identity and background.

In the past, Academician Domitri's name had to be added. Now, if only his own name is used, many journals will not reject the manuscript.

Academics are not just about immersing yourself in scientific research and writing articles, but are often also about being worldly.

Wherever there are people, there are rivers and lakes, and this kind of network of relationships is everywhere.

Sure enough, after adding his name, he picked two top 50 journals, one of which was a well-known cell, and submitted the article.

Soon, the other party responded to the email and discussed the publication with Zhou Qiao.

Chiba Nanako was stunned when she found out.

I thought that Mr. Zhou was really amazing, he could handle a journal with such a high impact factor so quickly.

If she were to submit it herself, even though the quality of the article would be first-rate, it would most likely go to waste.

Because although the article is considered first-class, there are so many scientific researchers around the world and there are so many similar articles. I don’t know how many submissions I receive every month. Even if I can publish it, I can’t receive feedback so quickly.

Since whether it is Murphy or Stephanie, Zhou Qiao's name will be added to the articles published, so Zhou Qiao's personal cumulative impact factor has exceeded 1000 points!

After Nanako Chiba learned the details, she secretly made up her mind that her contribution to Zhou Qiao must not be too far behind.

Academic achievements can further enhance the influence of Iris Clinic and increase the clinic's heritage.

Elena specially made academic posters and posted them in the bulletin board in the lobby on the first floor of the clinic. Every patient who comes for treatment can see it.

Everyone couldn't help but comment, and some even took photos as a souvenir, feeling proud to be treated by Dr. Zhou.

(End of this chapter)