The community near Iris Clinic.
The 15-year-old little Calvin, no, it should be said to be the fat big Calvin, is holding the fried chicken and chewing it up!
His mother could not help but persuade her with earnest words: "Caven, can you eat less? Your weight is seriously over the standard. If you eat any more, you will have problems!"
His father was also worried. Looking at his son who was developing sideways, he couldn't help but said: "Fried chicken like this is not as healthy as hamburgers! If you continue to eat it, you may have to see a doctor!"
The burger has some vegetables in it, right?
"Hmm~, it's so delicious! So delicious!"
How can little Calvin listen? He chewed it with great joy and couldn't stop at all!
Although he is only 15 years old, he already weighs more than 170 kilograms, but it is difficult to keep his mouth shut!
In particular, he loves fried chicken. Every time he smells the aroma of fried chicken, he can't help but want to buy it!
Xiao Kawen was in junior high school, and even wrote an essay about fried chicken in school - "To My Favorite Fried Chicken"!
In the article, Xiao Kawen enumerated the various advantages of fried chicken, cited classics, talked about its origin and popularity, tasted its color, fragrance, and evaluated its nutritional value. The teacher even praised him for this, saying that he has the potential to become a food writer in the future!
Then, little Calvin loved fried chicken even more.
Eating fried chicken not only makes you happy, but also collects materials for writing essays. It’s the best of both worlds, why not?
As a result, he is now as fat as a gasoline barrel, and his height is only a little over 1.6 meters.
This is not high among children of the same age.
What he and his parents don't know is that his height is not expected to grow any longer. Even though he is only fifteen years old, his actual bone age is already over four to five years ago. Obesity is actually a very important factor that hinders his height.
Human growth and development can be expressed by two "ages", namely living age and biological age.
Chronic age refers to calendar age, while biological age refers to bone age.
Bone age is the abbreviation of bone age, which needs to be determined with the help of specific images of bones in X-ray photography.
Usually, X-rays are taken of children's left wrist. Doctors use X-rays to observe the development degree of the ossification center of the left palm phalanges, carpus and the lower end of the radius and ulna to determine the bone age.
Generally speaking, boys stop growing when their bone age is 18.4 years old, and their bone age often exceeds their living age by 1-2 years. In other words, basically by the age of sixteen, their growth potential is very limited.
Therefore, you must not be fat before the age of sixteen! Otherwise, you won’t be able to grow taller! The golden growth period for human height is before the age of sixteen!
Little Calvin is an only child, and his parents are middle-aged, so they are very doting on him. As a result, he is spoiled. He eats fried chicken and drinks Coke every day, and he can't control it at all!
Moreover, Xiao Kawen has a quick mind and can speak one thing after another. After all, he has written short compositions and won awards from teachers.
Faced with his parents' nagging, little Kavin showed disdain, ate crazily, and retorted vaguely.
"Dad, mom, I have a question for you guys. We humans have finally climbed to the top of the food chain. Is it just to eat vegetables? Vegetables are so expensive. If I eat more meat and fried chicken, isn't it enough to save money? Is it? Many medical researchers have said that it is better to consume more protein! This chicken is high in protein and is much better than pork!"
How can his parents talk about his little mouth?
In the end, there was nothing I could do to stop little Calvin from loving fried chicken!
However, what they never expected was that little Calvin suddenly fell ill!
He had a stomachache and anorexia. Even if it was the most delicious fried chicken, freshly fried, steaming and fragrant, placed in front of him, he wouldn't want to take a bite!
"Could it be gastroenteritis? Or maybe I ate too much and couldn't digest it?" Little Calvin's parents were anxious and immediately took him to the Iris Clinic near their home.
This clinic has a booming business. It is said that it has been full of patients recently, and many people come from other places.
Because, in addition to being good at treating various diseases, this clinic also has two major features, namely weight loss and medical beauty.
Little Calvin's parents thought this way. Little Calvin came here for treatment, and by the way, he also consulted the young and promising Dr. Zhou about weight loss!
I heard that Dr. Zhou has treated the governor’s daughter and is one of the top doctors in California!
Although they did not have an appointment, because it was an emergency, Ava immediately invited them into Zhou Qiao's general clinic.
After Zhou Qiao inquired about the condition for a few minutes, he immediately arranged an abdominal color ultrasound for little Kawen. He took the expedited route. Of course, the corresponding cost would be higher.
Iris Clinic signed a monthly settlement agreement with that commercial testing center, and Aunt Zhou Qiao had negotiated a relatively favorable price in the past. That’s 30% off their regular price.
If the patient goes alone and settles with the testing center, the price is full price, but if he goes from Iris Clinic, he can get a 20% or 15% discount.
This is equivalent to the middleman making a profit difference, but because he saves money, the patient accepts it. In addition, you only need to pay the bill of one clinic, and the operation is much simpler.
Although Iris Clinic only earns a 10% to 1.50% premium each time, the accumulation over a long period of time is amazing.
The reason why we can get a relatively low price is naturally due to competition. There are several commercial testing centers nearby.
The results of the abdominal color ultrasound were very clear. The cause was: Little Calvin’s gallbladder was actually filled with dense stones!
His entire gallbladder was stretched to about twice its size, like a slippery mango!
In addition, his gallbladder wall is already 0.4 centimeters thick, while the normal gallbladder wall is as thin as a piece of paper!
Zhou Qiao looked at the report, analyzed the condition of little Calvin and his parents, and said: "Little Calvin's gallbladder is full of gallstones. They are densely packed. I estimate there are at least fifty or sixty of them!"
"What? So many?" Little Calvin's parents immediately changed their colors in shock.
Little Calvin's face was also pale, and he didn't know whether it was caused by abdominal pain or fright.
"So many stones, God..." Little Calvin's parents were so anxious!
Little Calvin's father quickly asked: "Dr. Zhou, what should we do now?"
Zhou Qiao pondered for a moment and said: "The best way now is to have surgery quickly and remove the entire gallbladder!"
Little Calvin's father was horrified: "Remove the entire gallbladder? Can we use ultrasonic lithotripsy to remove only the stones without damaging the gallbladder?"
Little Calvin's mother also said: "Yes, can you keep the gallbladder?"
After all, the gallbladder is an important organ of the human body. Who wouldn’t want to keep it if it can be kept?
However, Zhou Qiao shook his head and said: "Let me tell you this, there is indeed a gallbladder-preserving lithotomy surgery, but people who can do it do not need surgery at all. And little Calvin's situation, from the film You saw it above, it’s shocking! My suggestion is to remove it! You don’t have to worry too much, normal life will basically not be affected after the gallbladder is removed.”
"But..." Little Calvin's father hesitated to speak.
Zhou Qiao then explained to them in detail some of the sequelae or effects after cholecystectomy, such as diarrhea, abdominal pain, food intolerance, postoperative infection, etc. But it doesn’t happen to everyone in every situation, it’s just about the possible risks.
For example, some people only have short-term diarrhea, which lasts for a week or two, and is almost like normal people.
Compared with the condition, gallbladder removal is indeed the best option.
In addition, Zhou Qiao can also provide a set of conservative treatment methods, but it is basically ineffective. It can be suppressed temporarily, but it will relapse in a few days.
As for whether to have surgery or not, it is entirely up to little Kavin’s parents to decide.
"Dr. Zhou, let's discuss this further."
The two of them sat in the rest area of the clinic with little Calvin, and Elena brought coffee.
Before the couple could discuss it, little Calvin's condition worsened and he was rolling on the ground in pain!
That's right, he just squatted down and lay on the ground in the clinic hall. Regardless of the strange looks from the people around him, little Calvin was sweating on his forehead, with blue veins popping out, rolling on the ground, wailing, as if he was about to die!
It was as if there was an invisible demon torturing him inside his body! Torture him to death!
This frightened little Kavin's parents and they quickly called Zhou Qiao!
Zhou Qiao, Rachel, and Murphy all rushed over. Some other patients also came to watch.
After Zhou Qiao's first aid, pain-relieving injections, and antispasmodic drugs, little Calvin felt better.
However, after such a commotion, little Calvin's parents undoubtedly made a choice, that is, emergency surgery!
Immediately, immediately, as soon as possible!
They don't want to see their son suffer like that again!
Ava immediately contacted the community hospital, and little Calvin's parents took little Calvin for a pre-operative examination.
Zhou Qiao called Murphy to his consulting room and explained the steps and key points of the operation to Murphy!
Murphy blinked and glanced at Zhou Qiao. Suddenly his heart beat violently and his body felt faintly hot!
Of course, she also knew that the patient's condition was serious, so she quickly put aside distracting thoughts and listened carefully.
Murphy had never done this surgery before. After Zhou Qiao explained it, he took her to the operating room upstairs and conducted a simulation exercise with a clay figure, teaching Murphy step by step!
Cholecystectomy is a commonly used surgery in biliary tract surgery. It is divided into two types: antegrade resection (starting from the cystic duct) and retrograde resection (starting from the base of the gallbladder).
Anterograde cholecystectomy has less bleeding and is simple to operate, so it is usually used more frequently.
However, when inflammation is severe and the gallbladder is tightly adherent to surrounding organs, making it difficult to expose the cystic duct and cystic artery, retrograde resection is appropriate.
Sometimes it is necessary to combine the two. How to do it depends on the specific condition and flexibility. It also shows the doctor’s on-the-spot level!
Because instrument detection has its limitations, in many cases the specific situation can only be known when the surgical field is truly exposed.
When everything was ready, Zhou Qiao took Murphy, Elena, Ava, and the patient's family of three to the community hospital.
The anesthesiologist was Caroline, because Nancy had recently been divorced, was in a bad mood, and was on vacation to relax.
Speaking of Nancy's marriage, Caroline, her best friend, was also indignant. Nancy was very disappointed because her husband had a bad gambling habit and refused to change despite repeated advice. Not only that, he also drank alcohol and committed domestic violence every time he lost money!
Nancy couldn't bear it anymore, so she filed for divorce!
Zhou Qiao and the others could only sympathize with this. Every family has its cupboard.
This is also because Zhou Qiao is very familiar with Caroline and the others, so they share gossip during the operation.
Yes, foreigners also like to gossip. And they have some similar mantras like us.
Such as Guess what? (Guess what?)
Have you heard?(Have you heard?)
Could you keep a secret?(Can you keep a secret?)
Bad news travels fast.
It won't leave this room (Don't worry, it won't leave this room.)
etc.
After the anesthesia was completed, it was time out, and Ava sang.
This time, the first song she chose was "Flower Demon", which she sang softly and sadly.
Of course, it’s not just this one song, but more than ten new songs are played on a loop, but most of them are Chinese songs. Love the house and the bird, Ava is obsessed with Chinese songs.
Of course, this is also because China’s economy has developed and cultural export has also been strengthened.
Murphy is the surgeon. This is Murphy's tenth operation and also the last one in the "Great Mentor" mission!
Zhou Qiao was feeling excited, not knowing what kind of reward he would get after completing the task! But no matter what the reward is, it should be fun!
The gallbladder is located on the right side of the human abdomen, below the liver.
This organ stores and concentrates bile produced by the liver and transports it to the duodenum to help digest fat. Bile is discharged from the gallbladder into the duodenum through the cystic duct and common bile duct.
Indications for surgery usually include: stones in the common bile duct, a history of obstructive jaundice, significant dilation of the common bile duct, or intraoperative angiography showing stones in the bile duct.
Murphy used four-port laparoscopic cholecystectomy, which is also the most commonly used surgery. There are also three-port and single-port cholecystectomy.
However, the field of view of a single hole is too small and the operation is difficult. The main reason is that the little Cavern is too fat, so it is more convenient to use four holes.
If the other party is a woman, Zhou Qiao can also provide scar removal surgery, but after consulting Kavin's parents, Kavin's parents felt that it would be better to leave four scars to teach him a lesson.
Of course, the main reason is that Zhou Qiao's medical treatment for scar removal is too expensive, and Kavin is a boy, so there is no need.
In the end, more than fifty or sixty gallstones were recovered. A total of one hundred and twenty-nine gallstones of various sizes were removed from Little Calvin's gallbladder!
Put it on a stainless steel plate, just like the pearls in bubble milk tea, it makes you trypophobic!
Little Calvin's parents were naturally shocked, shocked, and shocked again after seeing it!
Oh my god, there are so many!
Who can put it in the gallbladder and who can bear it? !
Little Calvin's parents looked at each other and were speechless for a long time. They thought to themselves that no wonder their son was rolling on the floor in pain!
After a long time, little Calvin's father murmured to Zhou Qiao: "Dr. Zhou, why does my son get this 'strange disease'? What is the cause of this?"
Zhou Qiao shrugged: "During the previous consultation, you said that he loved eating fried chicken since he was a child. He enjoys fried chicken almost every day, and he also likes to drink drinks."
"You mean, he was caused by eating fried chicken and drinking Coke? Oh my god, it's unbelievable!"
Zhou Qiao said: "Indeed. In fact, the gallbladder is a very delicate organ. Eating too much, or not eating at all, will cause damage to it. Kavin usually likes to eat fried chicken, drink Coke, and does not eat vegetables, which causes blood The cholesterol concentration in the gallbladder increases, and the cholesterol concentration in the bile in the gallbladder also increases, thus promoting the formation of gallstones."
"That's our fault!"
"It's just a pain for my little pity!"
Little Calvin’s parents blame themselves! They are too pampered and pampered towards their children!
Zhou Qiao couldn't help but comfort him: "It should be fine after the operation, and it will get better."
In addition, in addition to dietary habits being the culprit, this disease may also be related to family inheritance. However, Zhou Qiao had asked before and found that no elder relatives in the Cavin family had suffered from this disease. It was thought that it was purely his own fault.
Little Kavin’s parents said that they must strictly discipline little Kavin in the future and help him take good care of his health. After recovery, come to Zhou Qiao to customize a healthy weight loss plan.
In Zhou Qiao's mind, the system popped up a golden virtual panel:
"Congratulations to the host, for completing the 'Great Mentor' mission and receiving a 'Great Mentor' medal!"
"As a reward, a level II transformation potion will increase the host's strength, agility, endurance, intelligence, mental power, and X abilities by 100% in all aspects!"
Thanks to "Jiangshan Lose" for the 500-point reward!
(End of chapter)
