"Cholesteatoma has its own special growth pattern. It often crawls and grows along the subarachnoid space toward the adjacent brain cistern. After the tumor contents are removed, an artificial channel can be created."
"Along this passage, you can reach parts that are difficult to reach when resecting other tumors. The content and texture of cholesteatoma are different. The one I just cut is harder, but there are also many cases where the texture is softer. of……"
"When resecting, if it is difficult to remove, you can divide it into pieces, that is, cut off a part first and eat it bit by bit. Don't force it."
"After most of the resection is done, the remaining surrounding parts can be gently pushed into the tumor cavity and slowly flushed with normal saline to aspirate the tumor."
"This is a bloodless surgery! However, when flushing the residual tumor, be sure to use cotton pads to protect the surrounding cisternal sulcus to prevent the keratinized and desquamated tumor cells from entering the surrounding cistern with the flushing fluid. Diffuse brain dissemination reduces the occurrence of postoperative aseptic encephalitis!"
System prompt: "Murphy's favorability +2, Murphy's current favorability is 88!"
With such teachings by words and deeds, Murphy's admiration naturally filled his body, and it's not surprising that his favorability increased!
The system prompted again: "Murphy is observing this operation and has reached the pinnacle of expertise in cranial nerve and related tumor removal."
Zhou Qiao was stunned: "..." Just by looking at one and not practicing it herself, and I haven't finished the surgery yet, she can be just one step away from the master level?
It is indeed a medical seed!
However, Zhou Qiao was not surprised, because this was not the first time he knew of Murphy's talent.
He was very happy to have a disciple like this!
The operation actually went very slowly. Ava came over to help Zhou Qiao wipe his sweat more than once, and played dozens of songs several times.
I played Yungong Xunyin alone five times!
Because this operation is actually a very, very delicate job and cannot be done quickly.
"Carved on tofu" is not enough to describe it, because the tofu is carved wrongly, but the taste is not affected and it can still be eaten. But this "carving on the brain" and "carving on the nerves and blood vessels" is really much more difficult! It’s too difficult!
Most people don’t dare to do it easily!
Just like what some neurosurgeons in the monitoring room said before, the main body of the tumor is removed and it’s almost done. Anyway, this kind of tumor grows very slowly. It is estimated that it will take ten or eight years to grow to such a big size. Things that will happen in ten or eight years will be discussed later!
Zhou Qiao demanded perfection and left no future troubles. He carefully removed the remaining parts of the tumor step by step.
Migrate adjacent blood vessels, such as the petrosal vein, and separate them with insulating materials to eliminate the compression and stimulation of the trigeminal nerve by external factors...
…
Finally, five hours later, everything was cleared, and further exploration of the entire length and ventral side of the trigeminal nerve revealed no other obvious vascular compression.
The brainstem, trigeminal nerve, abducens nerve, basilar artery, superior cerebellar artery, facial auditory nerve and posterior cranial nerves were well protected, and the bone flap was restored after surgery.
The entire operation went smoothly without any errors, and the intraoperative bleeding was only about 15ml.
As for the samples, they will be sent for pathology and may be collected as specimens in the future.
Of course, we also need to seek the opinions of patients and family members. What if the other party wants to take it away? After all, such a beautiful tumor was cut off from his own body. It has a certain commemorative significance!
After the operation was over, Zhou Qiao walked out.
Zhang Jianjun hurriedly came up to him. Zhou Qiao nodded slightly and said, "Brother Jianjun, fortunately you have lived up to your mission! The operation was a success!"
Zhang Jianjun muttered twice, but he couldn't say "thank you" because he was so excited that he couldn't help but wipe his tears and cried with joy.
When he finally recovered and wanted to say thank you, many doctors and nurses gathered around and everyone started applauding! The applause is getting louder and louder!
Dr. Alona McLoughlin and Dr. David Crawford walked over together to congratulate Zhou Qiao and congratulate him on the success of the operation!
This is also the first official meeting between the three.
"Dr. Zhou, your operation can be said to be at the textbook level. I don't know when you will be free. I would like to invite you to our neurosurgery department to give a post-operative report sharing meeting. Is it an honor?" Alona Dr. McLoughlin spoke earnestly.
Zhou Qiao said modestly: "It should be my honor!"
After all, he had fantasized about studying in such a prestigious school before, but it was just a fantasy, because some of his classmates went to prestigious schools in the United States. As a peer, he would inevitably have similar thoughts.
But the reality at the time told him that that was impossible! He should go to the township hospital honestly and live a normal life.
Who would have expected that his aunt, who had disappeared for many years, would change the trajectory of his life!
Looking back now and thinking about it, life's experiences are really amazing! Those classmates who came to study in the United States in the past are probably still studying hard and have not even obtained a master's degree, but he can already communicate with professors from prestigious schools like the University of California!
The UCSF Medical Center is actually a hospital affiliated with the UCSF School of Medicine. Doctors like Dr. Alonna McLoughlin and Dr. David Crawford not only have positions in the hospital, but also in the medical school. He also has the status of a professor!
Murphy’s former mentor, Professor Eric Parsant, not only held positions in the medical school and affiliated hospitals, but was even nominated by the governor to serve as a member of the Medical Board of California!
Such famous people often have more than one title!
Zhou Qiao said that he should wait until the day after tomorrow, because the operation has just been completed and further observation is needed, but it is expected that there will be no serious problems the day after tomorrow.
So we agreed to hold a sharing meeting at 2 p.m. the day after tomorrow in the lecture hall of the Department of Neurosurgery at the University of California Medical Center.
Dr. David Crawford said he would also participate.
On the same day, Zhang Mengjing was transferred to the Neurosurgery Intensive Care Unit of the University of California Medical Center and stayed there for three days to observe the situation.
It was a bit untimely to return to Iris Clinic at this time. The wards at the University of California Medical Center were very advanced and had all kinds of facilities. Although Zhou Qiao was very confident, it was still more cost-effective to live here before it was completely clear.
Although the wards here are expensive, he charges 1.1 million dollars, which is enough!
It has to be said that the wards at the University of California Medical Center are quite good and are equipped with intelligent robots. Even if the doctor is not available, patients and nurses can communicate directly with the doctor through the robot.
On the first day, Zhang Mengjing was in good condition. On the second day, it was basically concluded that there would be no functional impairment. In other words, the nervous system was not damaged at all.
On the third day, there were no obvious postoperative complications, such as aseptic meningitis, ventriculitis, hydrocephalus, etc.
Therefore, after seeking Zhang Jianjun's opinion, Zhang Mengjing was transferred back to Iris Clinic, where she still needed to recuperate for a period of time.
Transport by ambulance.
Although the ambulance is expensive, it is nothing compared to the $1.1 million.
From this order, after deducting various costs, including the borrowing fee of the operating room at the University of California Medical Center, hospitalization fees in the intensive care unit, etc., Iris Clinic can earn at least 800,000 US dollars, so Zhou Qiao will not provide the services it should have. stingy.
Although he earns a lot, Zhou Qiao's perfect surgical skills cannot be bought with money elsewhere.
Not only is it inexpensive, it can even be said to be great value for money!
At the small post-operative experience sharing meeting at the Neurosurgery Department of the Medical Center, Zhou Qiao showed his extremely profound knowledge and eloquent talk, which impressed many doctors and experts present.
The complete success of the operation, the iron-clad fact, established his pivotal "status in the world"!
After soliciting the opinions of Zhou Qiao, the patient and the patient's family, Zhou Qiao's video of this surgery was also included by the University of California School of Medicine as a ceiling-level teaching case for students to learn from.
As for the most beautiful tumor "pearl" sample that was peeled off during the operation, it also caused a sensation at the University of California Medical Center. Everyone came to visit and wanted to see its true appearance!
"The Shark Crying Pearl" is a beautiful legend. This kind of cholesteatoma, which is comparable to the best pearls, is also extremely rare. Driven by curiosity, people come to join in the fun and even take selfies. It is normal.
Even people from other departments came.
Dr. Aarond and Dr. Crawford both spoke highly of Zhou Qiao, and also communicated with Zhou Qiao in private about the visiting professorship. Zhou Qiao was naturally disrespectful. After all, he is an undergraduate in China, and this is what he lacks now. What a name!
After getting Zhou Qiao's permission, the two experts went to work!
Zhang Jianjun felt that his decision was absolutely correct. Although he had great confidence in Zhou Qiao before, he did not expect that it would be so high!
This surgery was even recognized by a prestigious school like the University of California. Not only was it highly praised, but it was also awarded the title of visiting professor!
1.1 million, he really made a fortune! Isn’t it better than spending 1.8 million for surgery at the University of California Medical Center?
If Zhou Qiao's real strength were used to calculate the price, the total cost would be at least 2.5 million!
Of course, Zhang Jianjun only paid about 180,000 at his own expense!
Because of this, he did not default on the payment. Instead, he took the initiative to request the payment of the bill as soon as possible, and he paid part of it first.
As for the tumor sample, Zhang Mengjing didn't want it, and Zhang Jianjun also thought it was unlucky. Since Zhou Qiao wanted to collect it, he gave it to him as a gift! After all, doctors’ preferences are different from ordinary people.
It is said that some departments have collected many kinds of strange specimens.
On the sixth day after the operation, the top management of the University of California approved Zhou Qiao's proposal to be a visiting professor. As soon as Alona received the news, she immediately called Zhou Qiao to inform Zhou Qiao of the good news!
Soon after, Zhou Qiao, who was mentally prepared, received a formal notice and invitation from the medical school.
Karin Durutaro, dean of the School of Medicine at the University of California, San Francisco, called him personally. After exchanging pleasantries, he warmly invited him to attend the appointment ceremony for visiting professors at the School of Medicine. He also inquired about Zhou Qiao’s schedule and communicated the award. Time for the ceremony.
After hanging up the phone, Zhou Qiao sighed softly, feeling that there was something wrong with it.
In the past, those students who came to study in the United States were all in the central and eastern parts of the United States, such as Harvard University and Ohio State University, which were far away from San Francisco!
It would be great if we were at the San Francisco campus, and we could also come and participate in the appointment ceremony of his visiting professor!
Walking in beautiful clothes at night!
Zhou Qiao also didn’t want to take the initiative to post on Moments or Twitter, as it would seem to be showing off and a bit exaggerated.
Alas~
After thinking about it, he still felt that it would be better to keep a low profile.
On the day of the awarding ceremony, UCSF was quite a sensation. There were related news on the school website and forums. Many students saw the announcement and came to watch.
Naturally, there are many Chinese students among them.
Because, after hearing the news, they all felt extremely shocked and surprised!
Such a young visiting professor is still a compatriot from the motherland! What an honor!
Ling Qingqing is here too!
It was the Hanfu girl whom Zhou Qiao met when he and his three little ones were eating seafood at Fisherman's Wharf, who played "Swords Like a Dream" on the guzheng. The other party is an international student from the University of California, San Francisco.
At that time, Elena, Ava and Murphy even dressed up in Hanfu.
"Oh my god, Zhou Qiao is so amazing!" Ling Qingqing couldn't help exclaiming. At that time, she thought Zhou Qiao was just an ordinary person. Who would have expected that he would become a visiting professor at the school in one fell swoop?
Will she have to call her "teacher" or "professor" when we see her in the future?
How embarrassing!
Ling Qingqing suddenly felt a little shy! My heart is restless! Because she doesn’t have a boyfriend yet! Thinking about it, if he could catch Zhou Qiao, wouldn't it be more honorable?
Her classmate asked from the side: "Qingqing, is this the handsome guy you told us about?"
"You are so young, almost the same as us, and now you are a visiting professor?"
"Yeah~" Ling Qingqing was still very reserved.
When some other female students saw Zhou Qiao's young and handsome face, many of them screamed in surprise, and some even blew rogue whistles to attract Zhou Qiao's attention.
After the ceremony, Ling Qingqing came over to take a photo with Zhou Qiao, held his arm, leaned against him gently, and smiled like a flower.
Zhang Mengjing's mother finally arrived in the United States. She was originally quite resentful that her daughter was living in such a simple small clinic. But when she heard that Dr. Zhou actually went to the University of California School of Medicine to give lectures and received the title of visiting professor, she was simply shocked!
Even looking at the Iris Clinic, I feel like this place is classy!
In fact, let alone her, even many colleagues, bosses and doctors from other clinics feel that this place has become high-end and full of mystery!
Many people came to contact Rachel and inquire about the clinic.
Rachel: "..." Naturally, she talks about everything she knows and talks about everything. Well, sometimes she even brags a little bit.
She felt that she had come to the Iris Clinic at the right time! With such a boss, you will have a bright future! It’s much more fun than opening your own clinic!
When I opened my own clinic, how could I have received so many calls from my colleagues?
Even when her clinic couldn't open, many people ridiculed her when it closed. And now? They all expressed envy!
There are many people who want to apply, but Zhou Qiao is no longer accepting people easily!
I am afraid that people who are not good at technology will ruin their own brand!
In order to celebrate Zhou Qiao's honorary title of visiting professor at the University of California, Iris Clinic once again organized a team building with food and drinks!
This time, Rachel called her family, and Murphy also brought his mother! Her grandparents did not come out because they were old, especially because her grandfather was not in particularly good health.
Zhou Qiao took them to have Chinese food. Since it was the season when California king crabs are at their most plentiful, they ordered a 16-pound king crab. The store made nine delicious dishes out of this extra-large king crab!
A table full of crab feast, including fried king crab with truffle silver thread, king crab legs marinated in Sichuan pepper wine, rich king crab with blooming flowers, steamed king crab with scallion oil and garlic, crispy fried crab body meat, and charcoal-grilled herbs King crab, crab roe xiaolongbao, popping crab roe sushi roll, wild rice and crab meat soup.
Coupled with several other dishes, it was a gluttonous feast, and everyone’s mouths were full of oil!
After dinner, Murphy went to get a short haircut at Elena's suggestion. He looked as elegant as Audrey Hepburn.
Zhang Jianjun also held a banquet at Tang Yunxuan after his daughter was discharged from the hospital to celebrate her daughter's escape from the pain. Zhou Qiao was also invited to go.
At the banquet, everyone was polite to Zhou Qiao. There were also big bosses from the Chinese gang who happened to be dining there. After hearing the news, they also came over to toast.
If people were polite to him in the past, it was because he was the man behind the violent queen. Although they were polite, it was superficial and it was for Luo Ya's sake. They still looked down on Zhou Qiao himself a little, thinking that Zhou Qiao was eating. Soft!
However, now, the title of visiting professor at a prestigious medical school like the University of California has made everyone truly admire and be polite from the bottom of their hearts.
A doctor from a small clinic suddenly became a visiting professor at a famous university, which had a great impact on them! Although they are uneducated, they respect educated people very much!
Especially, Zhou Qiao is also a doctor!
No one can guarantee that they will not have headaches or fever. If they or their family members suffer from any serious illness, they may have to seek help from Dr. Zhou! Build a good relationship now and communicate your feelings. It will be much easier in the future!
(End of chapter)
