I run a clinic in the United States

Chapter 156 "The Great Mentor" Mission Progress 910
A week later, Grandma Farah returned to the Iris Clinic with the blood results.

Zhou Qiao, Murphy and Rachel consulted together and were finally diagnosed with antisynthetase syndrome combined with interstitial lung disease.

Grandma Farah was very curious, what kind of disease is this?Never heard of it before!

Zhou Qiao explained to her in detail, trying to express it in a way that the other party could understand.

This disease is actually one of the rheumatology and immunology diseases.

Patients often manifest prominently as unexplained interstitial lung disease, and clinical manifestations may also include skin rash on specific parts, fever, arthritis, mechanic's hand, Raynaud's phenomenon, myositis, fingers turning white and purple when exposed to cold, etc.

Because the external manifestations of this disease are not so typical, special blood tests, such as autoantibodies and myositis spectrum antibodies, are often required to confirm it. Therefore, it is easy to miss or misdiagnose clinically, and it is treated as ordinary pneumonia.

If timely diagnosis and standardized treatment are not carried out, the lung lesions of some patients will continue to progress and eventually develop into pulmonary fibrosis and even respiratory failure.

Because patients with antisynthetase syndrome often have some special antibody abnormalities, and these abnormal antibodies can easily cause lung damage, interstitial pneumonia is one of the most important clinical manifestations of patients with antisynthetase syndrome.

Rheumatism, called "rheumatism" in English, comes from the Greek word, and its original meaning is pain that flows like wind or water.

It is translated into rheumatism because the translator not only understands Chinese and Chinese medicine, but also understands English and Latin.

Therefore, Rheumatology is also available abroad.

This is a phenomenon of world medical convergence.

According to Joe Zhou, in the United States, the top three hospitals for rheumatology are Johns Hopkins Hospital, Cleveland Clinic and New York Hospital for Special Surgery.

This disease is an intractable disease no matter which country it is in. Rachel has little experience in intractable diseases, so she was treated as common pneumonia at the beginning. This cannot be too strict.

Because Zhou Qiao's positioning for her arrangement is different.

At Iris Clinic, Rachel's position is to deal with common diseases, which is also the most tedious part of the clinic's work.

If you can't figure it out, pass it on to Zhou Qiao.

In a unit, different roles naturally have different divisions of labor. This is normal.

When Rachel heard Zhou Qiao's explanation, she couldn't help but suddenly realized.I couldn't help but admire Zhou Qiao and Murphy even more.

She also vaguely felt her position, so her mentality was not unbalanced.

"Dear Ms. Farah, your disease is quite complicated and requires immunosuppressants and anti-pulmonary fibrosis drugs. I will give you a prescription and you can buy it from an outside pharmacy." Zhou Qiao said.

Although the Iris Clinic has a small pharmacy, it is mainly for emergency use.

For example, anesthetics, disinfectants, analgesics, antipyretics, etc. required for minor surgeries, emergencies, or trauma treatments.

Some common medicines are available, but there are too many types of medicines, it is not realistic to have all of them, and there is not such a large venue. Some of them are in relatively small demand, and the cost performance is not high.

As a first-tier city, San Francisco has many chain pharmacies, and they are also covered by medical insurance, making it very convenient for patients to purchase on their own.

"Is it guaranteed to be effective this time?" Grandma Farah was really a little scared and wanted to get better as soon as possible.

Zhou Qiao said: "Don't worry, now that we have figured out the specific cause of the disease and given symptomatic treatment, it won't be a big problem. But the treatment of this disease takes a bit long."

The old woman asked, "How long will it take?"

Zhou Qiao told her: "It can take two months at the fastest, or three months at the slowest time. The lung lesions will be obviously absorbed, and the cough and asthma will also be well improved."

"Of course, during the treatment period, it is best for you to come for a follow-up visit once a week, so that we can keep track of your condition at any time and adjust the medication in time."

"Thank you!" Grandma Farah took the prescription, coughed, and left tremblingly.

At such an old age, there is no one to accompany me when I see a doctor.

The clinic has an air purification system and many green plants. It is also disinfected every night, so although patients come in and out every day, the air is actually quite good.

Hygiene is basically done by Park Xiuzhu alone, because the clinic does not have that many inpatients.

Although Zhou Qiao didn't say anything, when she was free, she would sweep here and wipe there. I have to say that Pu Xiuzhu is very diligent and has the qualities of a good wife and mother.

For this reason, the clinic has become cleaner and tidier since Park Soo-joo came.

Zhou Qiao thought about giving her a proper salary increase.

Park Yuner has been staying with her mother in the clinic a few days ago. Her mother is working, so she does her homework and reads in the rest area on the first floor. She is very well-behaved.

After surgical treatment and psychological counseling, she has already returned to a normal girl. Her hair was very ugly because she had eaten a lot, so Park Xiuzhu took her to have a short hairstyle similar to Murphy's. It looked like Also very handsome.

Sometimes Cathy would bring little Danielle over, and Park Yoon-a would tease the little sister, singing, dancing, and walking around with her in her arms. The two sisters had a good time.

But Park Yoona started school these days, and when little Danielle came over again, there were no children to play with her.

Little Danielle was a little disappointed and angry. With the development, the little guy had already started to have mood swings beyond the obvious physical needs.

If someone plays with her, she will dance and laugh happily.

If no one teases her, she will be unhappy.

Ava gave little Danielle a small rattle toy, which she bought in Chinatown, she looked very interesting, Zhou Qiao said that this is a very traditional toy for Chinese children, and at the same time it is a traditional musical instrument, Ai The baby started.

It has to be said that this small rattle is very exquisitely made, made of sheepskin and wood, with three altars of sea gods painted on it, holding a circle of heaven and earth in his hand, with flying silk around his body, and stepping on the third prince of the Dragon King, it is very powerful.

Little Daniel was immediately attracted by this little Chinese toy, she grabbed it and turned it around, making a "dong dong dong dong" sound, and refused to let go.

Cathy said with emotion that the little guy gave her a lot of happy company.

In order to prevent herself from getting sick and leaving little Danielle unattended, Cathy has been careful these days and has not even caught a cold.

After having a child, Cathy's mental state is much better than before, with more smiles on her face, wrinkles seem to be less, and she looks younger.

"Hello, good morning little Ava, is Dr. Zhou here?" Ariel walked into the Iris Clinic with a black girl. When she saw Ava, she greeted her with a smile.

The reason why she could tell whether it was Ava or Elena was purely because Ava was usually on duty at the nurse station.

Ava smiled slightly and said, "There are no patients in the clinic."

"Okay, thank you." Ariel led the black girl to Zhou Qiao's general practice room.

"How is it, Ariel, how are you doing recently?" Zhou Qiao asked.

"It's good, but Martha has a little trouble." Ariel pointed at the muscular black girl behind her and said.

"Oh?" Zhou Qiao looked at Martha.

This black girl, Zhou Qiao is also very familiar, the backbone of the laundry, quick to move, eyes like a leopard.

Ariel said: "She had a small lump on her stomach. She didn't know what was going on, and it didn't hurt. Then she looked indifferent. I found out today, so I brought her here."

Originally, this black girl didn’t want to come over and said it didn’t hurt, so Ariel scared her and said, do you know about tumors?

It's scary to look at the kind that doesn't hurt or itch. Once it breaks out, it will be in the late stage.You are so young!
That black girl was startled.Then Ariel carried her over.

I have to say that Ariel treats her subordinates very well.It may be influenced by Roya.

Luo Ya always treated her subordinates with kindness and power.Simply showing kindness, these black people would not be so obedient.

"Come on, Martha, lift up your clothes and show Dr. Zhou!" Ariel said.

Martha lifted up her blouse. It has to be said that this black girl often exercises, her vest line is very tough, and her tendons are full.

But even the most able-bodied people can get sick or get hurt.Birth, old age, sickness and death are inevitable for human beings.

This is the choice of genetic evolution and the protection of the human population.Survival of the fittest, even if an evil individual appears, it will dissipate within a hundred years.

Zhou Qiao went forward to check. The lesion was located in Martha's right groin area. It was a bulging lump about the size of an adult's fist.

Zhou Qiao looked at it and tried to use her fingers to press it with moderate strength, generally pressing, and asked, "Does it hurt?"

Martha shook her head and said, "It doesn't hurt!"

"No feeling at all?" Zhou Qiao asked.

"It itch!" said Martha, suppressing a laugh.

Zhou Qiao: "..."

Does it mean that you feel itchy when you touch her?

Ariel scolded: "I'm here to treat you! Be serious!"

Martha thought about it carefully and replied seriously: "There is a feeling of swelling. Nothing else is abnormal."

Zhou Qiao nodded and asked: "Approximately how long has it been? Were there any injuries or sudden pain before?"

Martha thought for a moment and said: "Maybe a few days before Christmas, I was exercising at the community gym. When I was doing squats and deadlifts with a barbell, I held my breath and exerted force. Suddenly, for a moment, I felt a sensation on my right side. I felt a sharp pain in the root of my thigh. At that time, I thought it was a strain, so I went to the locker room to take a rest and check the injury myself, and then I discovered such a bulge!"

"The bulge was not that big at the time, it was only about the size of a small potato, and it didn't hurt or itch when I touched it, so I didn't take it seriously!"

"It only grew bigger later."

"Doctor Zhou, this bag...couldn't it be really...a tumor like Ariel said?"

Martha shuddered at the thought of tumors.Although malignant tumors have a high five-year survival rate in the United States, they remain a terrifying disease.

Zhou Qiao smiled and said, "No. Ariel did it on purpose to scare you. There is an allusion in China called taboo disease and avoid medicine, which means that if you have any illness, don't be afraid, you must come to the doctor. Well, in your case, It's most likely an inguinal hernia."

He doesn't use the system now, and his level is very high, so he can get a general idea without checking.

Of course, follow-up examinations are required to confirm the diagnosis.

"Huh? Inguinal hernia?" Martha immediately breathed a sigh of relief. It seemed that this wasn't a particularly serious illness.

She suddenly remembered, and said: "It seems that my grandma had this disease before, but she was diagnosed when she was older. How can I have this disease at such a young age?"

Zhou Qiao said with a smile: "This disease has nothing to do with age. Although inguinal hernias are more common in the elderly, it is not uncommon for young people to suffer from this disease."

"How to explain this disease? For example, if our abdominal wall is the outer tire of a tire, when the outer tire is damaged, the inner tube will bulge out."

"The abdomen of our human body is not complete. There are many defects or channels in the abdominal wall that are connected to the outside of the abdominal cavity."

"For example, in your groin near the root of your thigh, there is an inguinal canal that connects the internal and external sounds of the abdominal cavity. Usually, the opening of this channel is covered by fascia, as if a door closed this channel!"

“However, as you age, the fascia becomes looser and weaker, which means the door panel becomes thinner.”

"Or like you, if you suddenly use too much force, the door will be torn under the action of external force. At this time, the passage will open and gradually become larger, and then the contents of the abdominal cavity will leak out."

"That's an inguinal hernia!"

After Zhou Qiao explained it in such a simple and simple way, Ariel and Martha understood it, nodded repeatedly, and said that Dr. Zhou's level is high!
Martha asked again: "Dr. Zhou, how will you treat such a big bulge now? Is it surgically removed?"

She has long heard that Zhou Qiao's surgery is very good!I never thought I would have the opportunity to experience it myself!Although, this is by no means a good experience!
Zhou Qiao said: "How can it be removed? You didn't really understand what I said just now."

Martha: "..."

Ariel: "..."

Both nodded, as if yes.

It's the feeling that you seem to understand, but you don't seem to understand.

They understood clearly when Zhou Qiao was talking, but when Zhou Qiao stopped, they became confused again.

Zhou Qiao had no choice but to continue explaining: "Think about it, if the tire is usually punctured or bulging, what would you do?"

Martha couldn't help but said: "This is simple, just make a patch and repair it!"

She is familiar with repairing tires and has been trained!
Roya's confidants are all in accordance with the requirements of special forces.Martha was also a part of it.

Zhou Qiao slapped his thigh and shouted: "That's the reason! I'll get you a patch to repair it! No, let our genius doctor Murphy repair it for you. Murphy is very good!"

"what?"

Ariel and Martha almost fainted!That's okay too?
Zhou Qiao waved his hand and said: "Surgery is so simple and crude, either repair it or replace it!"

He immediately called Murphy. If nothing unexpected happened, this should be Murphy's ninth surgery!

Just one more, and you will reach the achievement of "Great Mentor of Education"!

Thinking about it, Zhou Qiao is quite looking forward to it!
(End of this chapter)