I run a clinic in the United States

Chapter 98 Murphy's Third Cut: Pituitary Microadenomas ([-]) (Subscribe)
Although there are two black women in the consulting room, one is fat and the other is quite thin, but how could this cousin of Christie put women in his eyes?
Those two black women were Ariel and Billie.

Billie has already been discharged from the hospital. Today, Ariel brought Billie over for a follow-up visit.

Christie's little cousin just rushed forward, wanting to fight Zhou Qiao, but Ariel, who was like a brown bear, stood up instantly, stretched out her big hand, grabbed the back of the little cousin's neck, and lifted him from behind. up!
This cousin of Christie's hands and feet were hanging in the air and kept kicking, but he couldn't break free. He was completely horrified!
Ariel threw him away and threw him out of the door very accurately. She curled her lips and said: "How dare you threaten Dr. Zhou? I tell you, if I see you on this street again, you should know as a result of!"

"You know I'm..." Christie's little cousin was still not convinced.

As a result, Ariel lifted the hem of her coat and shouted: "I don't care who you are!"

Christie's little cousin was so startled that he almost peed!
I saw that there were several grenades, a submachine gun, and the logo of [-]th Street hanging under Ariel's clothes!
"Shit..." The little cousin whispered, wanting to scold, but shut up instantly, not daring to shout loudly.

Although he is a gangster on the street, he never dares to offend the bosses on the 18th Street!He quickly smiled and waved his hand, turned around and ran.

Upstairs, Christie's parents were still counting on their nephew to "persuade" Zhou Qiao. As a result, they saw from the window that the nephew ran out quickly without stopping at all, as if there was a giant beast chasing behind him. He is average!
"..." In the ward, several people looked at each other in blank dismay.

Christie went to bed, waved her hand, and signaled them to leave quickly!

Christie's parents had no choice but to leave in tears.Three other relatives followed.

Zhou Qiao came up and asked Christie's opinion: "Do you still want to do it?"

Christie said: "Of course I did! I just don't understand, why are they always not nice to me, but they have to be so 'nice' to me at the critical moment?"

Transfer, transfer, you give money!
Zhou Qiao shrugged, said a few words of comfort, and went out.

It was not convenient for him to interfere with other people's family affairs, but since Christie agreed and she signed it herself, the operation could be carried out normally.

It was almost time for the scheduled operation, so Zhou Qiao and the others went to the community hospital half an hour earlier.

Ariel was afraid that the family would cause trouble again, so she brought a few black girls to escort them.The firearms are naturally hidden inside the jacket.

To them, Christie’s family is nothing to fear!Even if the other party holds a gun, the speed and accuracy of drawing the gun are far inferior to them.

Zhou Qiao looked at Ariel's strong and burly figure, and thought to herself that her figure also has advantages, among other things, the gun is hidden in the jacket, which is not obvious from the outside!

Christie’s family didn’t come back, so they probably gave up on Christie.

Tyler and Felipe are upside down.Felipe held a bouquet of flowers and waited with his old mother in the rest area outside the operating room.

Felipe wondered if he could work as a cleaner at the Iris Clinic in the future.

However, the body has not yet fully "recovered", and he still cannot do heavy work, for fear that Zhou Qiao will dislike it.

He told his mother what he thought, and Taylor thought for a while and said, "Wait until your health is better. When looking for a job in the future, you can give priority to this place. Dr. Zhou is a better person, as long as you are diligent, it shouldn't be a problem."

This time "Family with Children" was finally scheduled.The familiar melody made Zhou Qiao a little... powerless to complain.

It’s not that the song isn’t nice, the rhythm is actually quite upbeat, but why does Ava like Chinese songs so much?It's done almost every time I have surgery.

As everyone knows, Ava is also caring for Zhou Qiao.

Ava knew that Zhou Qiao was alone in a foreign country, and had no relatives or friends. They were the only two sisters to accompany her. They usually spoke English, and she was afraid that he would be homesick, so she played some songs from Zhou Qiao's hometown every time!

This painstaking and carefulness is actually quite rare, but unfortunately Zhou Qiao has not yet been able to appreciate it.

……

The surgery chosen by Zhou Qiao was transsphenoidal surgery.

This surgical method is to enter the pituitary fossa through the nasal passage through the natural space of the human body to remove the pituitary tumor.Therefore, there is no surgical scar on the face after surgery.

Usually divided into two types, one is done through microscope; the other is done through endoscope.

Through the application of these two technologies, the tumor can be removed more thoroughly and the treatment effect is good. Transsphenoidal surgery has the advantages of humaneness, less damage and quick recovery. Therefore, more than 90% of surgeries currently use transsphenoidal surgery. .

In view of the obvious advantages of neuroendoscopic surgery in terms of minimally invasiveness, many scholars believe that neuroendoscopic transsphenoidal resection of pituitary adenomas has become the direction of neurosurgery and will gradually replace microsurgery.

Of course, transsphenoidal microsurgery still has its advantages. In particular, the microscope can provide a three-dimensional view, and direct vision is reliable for hemostasis, and the instruments are sensitive to operate. Especially when the main body of the tumor is removed, the structure of the surgical field can be clearly displayed.

The specific choice depends on the preference and expertise of the surgeon.

Zhou Qiao chose neuroendoscopy this time.

Community hospitals have a full set of equipment, and the benefits of borrowing community hospital operating rooms are here.

In the cheerful music of "Family with Children", Murphy was in charge of the surgery without any distractions.

The background music is really just the background. Once the surgeon starts the operation, he basically turns a deaf ear to it. At least, it will never affect the operation.

If there is an impact, it must be when you are uncertain, upset, and sweating. At that critical moment, when the chief surgeon says a word, the roving nurse will naturally turn off the music immediately.

Without background music, the operating room must be extremely boring and tense!
If the patient is under local anesthesia, he may be scared to death at this time!

Of course, surgery under local anesthesia is basically impossible to have that kind of life-threatening situation.

In fact, in the community hospital where Zhou Qiao and the others are located, the operating room was built relatively early, and a lot of equipment has been used for many years. For example, this wall-mounted audio system is estimated to be at least 15 years old.

Like some advanced intelligent operating rooms in China, the music software is integrated in the surgical equipment, the sound quality is quite good, and it is a large screen, touch, and some have voice control function, similar to AI control such as Siri and Xiaoai. system.

The patient is placed under general anesthesia in a supine position with the head tilted back 20-30°.

Murphy was wearing gloves, a mask, a hat...and was fully armed. She had slender fingers and was extremely dexterous. She took 1‰ of Xinjiazil and disinfected Christie's facial skin and bilateral nasal cavities, and then used epinephrine pads to wet compress both nasal cavities. Shrink mucous membranes.

The packing in the nasal cavity is removed, and a speculum is inserted upward through the nostril against the anterior wall of the sphenoid sinus. The tip of the speculum remains closed and is deflected to the opposite side to displace the posterior part of the nasal septum.

Open the speculum blades, place the endoscope and fix it, and use a dissector to separate the bony septum and the edge of the cartilage...

Probe and find both sides of the sphenoid sinuses...

Use special rongeurs to bite open the bottom of the sphenoid sinus and peel off the sphenoid sinus mucosa...

Bite off the sphenoid sinus and mediastinum, open the sellar floor, incise the sellar floor dura mater, and electrocoagulate its edges to stop bleeding...

(End of this chapter)