Of course, the ophthalmic nerve, maxillary nerve, and mandibular nerve are the three main nerves that branch out, and there are many smaller nerves.
Yes, the disease Zhou Qiao is considering is trigeminal neuralgia!
However, the causes of trigeminal neuralgia are diverse and are usually divided into primary and secondary. The causes of these two types of trigeminal neuralgia are different.
Among them, the cause of primary trigeminal neuralgia is not yet fully understood. The peripheral theory and the central theory are more recognized. There are many causes of secondary trigeminal neuralgia, such as tumors, inflammation, vascular lesions, skull lesions, etc. .
Without detailed examination, it is difficult to know by palpation alone.
Although Zhou Qiao thought it was trigeminal neuralgia, he was still a little unsure. After all, he mainly relied on the system, and he did not have absolute confidence in his own strength for this difficult and complicated disease.
"System, activate the auxiliary diagnosis function!" Zhou Qiao silently gave the order to the system in his mind.
Immediately, after a burst of invisible energy waves scanned, a virtual golden panel popped up in Zhou Qiao's mind:
[Patient Zhang Mengjing’s condition is: trigeminal neuralgia caused by cholesteatoma! 】
[After diagnosis, 5 medical points will be deducted! The balance of the host’s Yi Xuan point account: 396 points. 】
"Doctor Zhou, how is the situation?" Zhang Jianjun asked nervously.
Because he is used to observing words and expressions, he has already seen Zhou Qiao frowning inadvertently, as if he was thinking about something.
My heart said to me, brother Zhou, please stop brooding. You have been brooding for so long, and my heart is pounding like a drum!
Zhou Qiao frowned and said: "The situation is a bit complicated. I suspect that her pain is not ordinary pain, but trigeminal neuralgia."
"Trigeminal neuralgia?" Zhang Jianjun was stunned and asked, "Wouldn't it be enough to just prescribe some painkillers?"
Zhou Qiao shook his head and said: "Using painkillers only treats the symptoms but not the root cause, and I suspect that she has secondary trigeminal neuralgia. It is most likely caused by lesions in the face or skull that compress the trigeminal nerve."
Seeing Zhou Qiao draw a circle near his temple with his hand, Zhang Jianjun suddenly had a bad premonition: "You mean, there is a disease in the brain?"
Is this okay?
Near the temple! What an important part that is!
Zhou Qiao said: "Otherwise, let's do an inspection first to make sure, and wait until the report comes out!"
The reason why he said so much was to give the patient's family some fresh air first, so that they would be mentally prepared so that they would not be unable to accept it immediately after the diagnosis!
Of course, this is also because he has already confirmed the diagnosis using the system, otherwise, he would not have done this.
Because, what if it is a misdiagnosis? If you say this now, people will scold you and say that you deliberately scare people just to defraud people of more money! I really can’t explain it at that time!
Zhang Jianjun didn't think so. He felt that he must be seriously ill.
This is a hunch, an intuition! He used to be a scout when he was in the army, and he has always had a strong sixth sense!
In addition, Zhou Qiao is not the young guy who just came to the United States!
When he first came here, Zhang Jianjun felt that although this guy was okay, he was too immature. But now, he no longer feels that way. Instead, he gives off the demeanor of a famous medical expert with every move he makes!
Zhou Qiao has performed many major surgeries in a short period of time, and his reputation has spread inadvertently. Especially because of the alliance between 18th Street and the Hongmen and Huaqing Gang, Zhou Qiao has already become a legend in Chinatown!
Zhang Jianjun knows how powerful Zhou Qiao is, this is a man that even the Queen of Violence likes!
Later, 18th Street was destroyed, but Zhang Jianjun heard the boss occasionally mention that the power under the Queen of Violence had not weakened in any way, and had all gone underground, becoming faintly stronger!
After all, after changing its name to the Violent Queen Organization, Loya has abandoned all the gang's business. Now it is not only a mercenary group, but also a local separatist force in East Africa!
In that part of East Africa, dominate!
What will be destroyed is the decadent 18th Street, but the elite will be preserved!
Zhou Qiao arranged for a head CT and magnetic resonance imaging, wrote out the order and contact letter, signed his name, and asked Zhang Jianjun to take it to the commercial imaging center 800 meters away for examination.
"Okay, I'll take her there right away!" Zhang Jianjun was furious.
"By the way, Brother Jianjun, has Mengjing bought medical insurance?" Zhou Qiao asked after thinking about it.
Because he estimated that the total cost of this surgery was around one million US dollars! even more!
If you have medical insurance, you can get a lot of information from Medicare and insurance companies! At least eight to nine million US dollars is profitable!
If you don’t have medical insurance, he’ll give you a favor and earn you $100,000, all at a loss!
Oh, no, if you don’t have medical insurance, I suggest that the other party immediately find ways to buy it and get it done, and then come back for the surgery after it’s done!
Anyway, this disease will not kill you for a while. At most, you will suffer some torture, which will affect your work and life. In addition, there will be some complications, such as depression, facial sensory impairment, etc.
Of course, some people will commit suicide after being depressed, but Zhou Qiao thought that the girl Mengjing was quite optimistic and lively, so she probably wouldn't progress that fast.
Zhang Jianjun said quickly: "I bought it, I bought it. The first time I came to the United States, I bought her medical insurance. It was together with my insurance plan. It just added a family member."
Americans usually buy health insurance on a family basis. In fact, China is also moving closer to this aspect. There are already family mutual aid, balance sharing, or directly swiping your own card to register for family members, etc. In the past, these were all illegal or impossible.
Zhang Jianjun has also been in the United States for many years. How could he not know the consequences of not having medical insurance?
In the past, he had a fellow countryman whose family was quite wealthy. He thought that the medical technology in the United States was good, so he came to the United States to have a major heart surgery without medical insurance.
As a result, the 10 million yuan prepared was actually spent on more than 11 million yuan! More than a million dollars over budget!
This only covers hospital and doctor bills, and does not include food, clothing, housing and transportation here!
But that family was really rich, so they paid it directly.
If it were done in China, it would cost hundreds of thousands of yuan at most! After deducting reimbursements from medical insurance and some critical illness insurance, it actually doesn’t cost much.
More than 10 million, all given to the Americans for free!
Zhang Jianjun thought that his family did not have that foundation, so he immediately helped his daughter to be included in the medical insurance system.
Zhang Jianjun looked cheerful on the surface, but in fact he was worried and took his daughter for a check-up. In the clinic, Zhou Qiao spent 60 medical points in exchange for perfect trigeminal neuralgia-related knowledge and cholesteatoma removal surgery skills!
Because, these are two separate knowledge packages, each worth 30 points!
The reason why we need the perfect level is because the difficulty is too challenging, and the master level is not necessarily safe!
Another thing is that Murphy cannot do this surgery. Zhou Qiao can only play in person!
Usually, after carefully teaching Murphy step by step, Murphy can reach the level of entry-level expertise and can perform corresponding first- and second-level surgeries alone, as well as relatively simple third-level surgeries.
But with Zhou Qiao's assistance, Murphy can perform complex third-level surgeries and relatively ordinary fourth-level surgeries. However, Murphy is not qualified for complex fourth-level surgeries that are more difficult and risky!
This operation was no small matter, and the risks were too high for Murphy to bear.
As for Zhang Mengjing not having surgery with him, it doesn't matter. It's only 60 points, so spend it as much as you can, and you don't have to worry about too many arts. He has now discovered the treasure girl and figured out the correct way to open the twin girls. He has quite a lot of medical points!
When the results came out, Zhou Qiao could clearly see on the computer that Zhang Mengjing's intracranial cholesteatoma was huge and surrounded the trigeminal nerve, facial nerve, auditory nerve and glossopharyngeal nerve!
"Ah? Is it really a tumor?" On the side, Zhang Jianjun couldn't accept it for a moment!
His daughter was also confused. She felt that the sky suddenly became dark, and she felt a little at a loss.
However, Zhou Qiao zoomed in on the film and explained it carefully to the father and daughter. He talked eloquently and was so professional that they couldn't help but believe it!
Especially Zhang Jianjun, he believed it very much. After all, the test results came out!
Moreover, the man behind the violent queen could not lie to him at all!
"Then...are we going to have surgery? Where will it be done?" Zhang Jianjun took a deep breath, regained his composure immediately, and asked decisively!
This is a habit I developed when I was a soldier. Now that it has become a fact, accept it and never be sloppy!
Zhou Qiao tapped his fingers on the table and muttered: "The entire operation is actually very complicated and difficult. It requires extremely precise operation and continuous patience to completely remove the tumor and preserve the trigeminal nerve, facial nerve, auditory nerve and tongue intact. The structure and function of the pharyngeal nerve, if not careful, can lead to serious consequences such as facial paralysis, deafness, and dysphagia."
"Moreover, it requires the use of minimally invasive microscopy technology, combined with cranial nerve electrophysiological monitoring equipment, etc. Community hospitals may not have suitable equipment... If Brother Jianjun trusts me, let me perform the surgery and we will go to the University of California Medical Center. Yes, the operating room and equipment over there are more advanced!"
In the past, Zhou Qiao's aunt had applied for clinic affiliation at the University of California, San Francisco Medical Center, and received hundreds of thousands of dollars in subsidies from there, but she hadn't been there for a long time, and the boss had changed, so she needed to resubmit. information and activate your account.
The operating room in the Iris Clinic is only suitable for first-level surgeries, while community hospitals can perform second- and third-level intermediate surgeries, or relatively simple fourth-level surgeries. For this more complex fourth-level surgery, which requires more equipment, it is better to go to the University of California Medical Center.
After all, this medical center has been ranked among the top ten in the United States every year, and sometimes even ranks among the top five.
Zhang Jianjun said in a deep voice: "Doctor Zhou, of course I can trust you. I knew you were great when you stitched up Jacob's wound last time! However, I have to go back and discuss it with my wife first. After all, this is a major operation, and I need Time to raise money.”
After a pause, Zhang Jianjun asked again: "Dr. Zhou, can you help me estimate the price? It's so convenient for me to raise money in advance!"
Zhou Qiao nodded and asked Zhang Jianjun about Zhang Mengjing's medical insurance configuration and coverage. Then he calculated it carefully on the computer and said, "The total cost is estimated to be 1.1 million U.S. dollars, and the self-pay part is about 180,000 U.S. dollars. . Of course, the final actual amount shall prevail!”
This is because everyone’s health insurance situation is different.
Like the Clarks and the Westins, who are native Americans, they pay high monthly insurance premiums and have different types of insurance. They can also enjoy some benefits unique to native Americans, so they pay out of pocket Less fees.
Even within the country, in the same province, in different cities; in the same county, with different groups of people, civil servants’ medical insurance, employee’s medical insurance, and urban and rural residents’ medical insurance have different reimbursement ratios!
Not to mention commercial supplementary insurance.
Zhang Jianjun nodded and left with his daughter with a heavy heart.
His wife was in the country and did not come with her. It was night in the country and he did not want to wake her up in the middle of the night. Therefore, after he returned, he discussed it with Tang Yunxuan's boss.
Tang Yunxuan's boss said: "I have a friend who works at the University of California Medical Center and is also a doctor. I sent Mengjing's film and asked him to take a look at it to see how much it would cost to have surgery there. This is not unbelievable. Dr. Zhou, for such a big matter, it is normal to shop around."
He didn't dare to say bad things about Zhou Qiao behind his back, lest the news spread and he would be left with nothing to eat. Even in front of Zhang Jianjun.
Zhang Jianjun naturally said yes. Because Zhou Qiao's quote was 180,000 dollars. How could he have so much money? He had to borrow 70,000 to 80,000 dollars to get it together!
If the boss has a relationship and the surgery is performed by experts from the University of California Medical Center, firstly, the technology seems to be more secure, and secondly, maybe it can be cheaper?
Unfortunately, he thought too much!
Putting aside the quality of the surgery, the price is a whopping 700,000 yuan! The self-paid part is 120,000 more expensive!
The friend of Tang Yunxuan's boss sent a quote on the afternoon of the next day after receiving the film, saying that the total cost would be about US$1.8 million, with an out-of-pocket cost of about US$300,000!
Usually, you see a doctor first, and you only know the amount after receiving the bill, but isn't this an acquaintance? For such a major surgery, it makes sense to inquire about the price first.
Otherwise, if you go to see it stupidly, the bills will make you bankrupt!
Let me go, Zhang Jianjun was instantly confused! I have to borrow 180,000 yuan, but where can I get 300,000 yuan? The University of California Medical Center is so shameful, it actually charges 1.8 million!
Tang Yunxuan's boss thought: "How about we do it at Dr. Zhou's place? After all, Dr. Zhou has even done surgery for pancreatic cancer. When I called to ask, all the doctors at the University of California Medical Center knew about Iris." The clinic suggested that we can do it at Dr. Zhou’s place!”
Zhang Jianjun thought to himself, as expected, Dr. Zhou’s skills were even recognized by the University of California Medical Center!
In fact, Iris Clinic often performs difficult surgeries and is a young doctor. Among so many clinics in San Francisco, it can be regarded as standing out.
It’s impossible not to be noticed by the big guys in the local medical circle!
In particular, Dr. Crawford, a specialist in hepatobiliary and pancreatic surgery and oncology at the University of California Medical Center, often mentions Iris Clinic and Zhou Qiao to his colleagues!
I will definitely finish the monthly pass and regular updates this weekend!
(End of chapter)
