I run a clinic in the United States

Chapter 205 Strange Symptoms
Iris Clinic, General Practice Clinic.

Maybe summer is approaching, and the business of losing weight has been increasing recently.

Zhou Qiao sat in front of the computer, modifying and improving the clinic's weight loss diagnosis and treatment plan.

These diagnosis and treatment plans were gifts from his former aunt, and the results were very good. However, his "knowledge level" has improved now, and he feels that there are still many things that can be modified.

So I spent a little more thought on it.

Originally, there were three sets of weight loss programs A, B, and C in the computer, targeting three different groups of people.

Now, Zhou Qiao modified, refined, and added to it, and finally formulated AH, a total of eight sets of weight loss-related diagnosis and treatment plans. The advantage of this is that Rachel and Vivica do not need to spend too much thought in the future. You only need to consult a doctor or judge the patient's type based on the examination report, and then select the appropriate weight loss diagnosis and treatment plan from the computer.

Of course, necessary training is essential.

Zhou Qiao found a free afternoon and spent about two hours. He called Rachel, Vivica, Murphy and Stephanie together and gave them a detailed explanation and explanation in the small conference room. Answer questions.

Because some of the weight loss programs there require surgical procedures, such as sleeve gastrectomy, intragastric water balloon implantation, and liposuction.Of course, most of the plans are to control the diet plan, medicinal diet, and supplement with appropriate exercise.

Rachel and Vivica gave thumbs up and praised, feeling that with these mature and ready-made weight loss programs, their work will be easier in the future!
Of course, they must be on guard against others, and Zhou Qiao also asked them to sign a confidentiality agreement.

It is no exaggeration to say that if someone steals these weight loss programs and uses them to open a specialized weight loss clinic or club, they can immediately prop up the facade and make the business prosperous.

Of course, even if Zhou Qiao redeems a perfect weight loss medical package, weight loss cannot prevent recurrence.

Because this is related to self-discipline. It is very hard when losing weight, but after losing weight, many people will relax for a while and inevitably eat and drink.Appetite cravings are not so easy to control. With a large amount of caloric intake, rebound is inevitable.

Then, many people come back to the clinic to seek help.Therefore, even if it only covers some surrounding communities, the weight loss business will never be cut off and will continue to grow.

……

43-year-old Amanda and 42-year-old Flora came out of the Iris Clinic together, and they looked at each other and smiled.

"Amanda, I didn't expect you to come here to lose weight."

"Yeah, I'm getting older and my figure is so bloated! When we were in junior high school together, we were both members of the school cheerleading team. At that time, we had a graceful figure and charmed many boys. But now it's not the case!"

"Haha, the green and lush years are always so nostalgic!"

Although the two were middle school classmates and had a good relationship when they were studying, and they have been living in San Francisco since then. They even live in communities not far from each other, but they have not interacted with each other for many years since they got married and had children. If it hadn't been for this weight loss We happened to meet each other, so I probably don’t know when we will start contacting you.

Maybe, wait until after retirement?
In fact, they all have contact information for each other, but they have never been able to get around to it.If it’s not work, it’s spending time with family, or all kinds of miscellaneous trivial matters.

The two talked about it and felt that they were similar in age and body shape. Although they saw different doctors, the weight loss plans provided by Iris Clinic were surprisingly consistent. So before they parted, they made a bet to see whether See who loses weight faster!

"Amanda, if you lose weight faster than me, buy me coffee."

"Haha, definitely, Flora, if you win, you can treat me to milk tea."

"I hope we can all become as thin as lightning!"

Both of them are full of confidence and full of longing for life after losing weight.

However, after Amanda returned, she tried several Chinese medicines prescribed by Iris Clinic and found that she couldn't drink them at all.She is particularly sensitive to bitter tastes. Every time she takes the medicine, it feels like torture. Even adding sugar substitutes to it does not help.

Iris Clinic is very good at doing business. The weight loss package also includes some sugar substitutes, such as steviol glycosides, monk sugar, allulose, and sucralose, which are all relatively expensive.

She called Flora and asked about Flora.

Flora said it was okay and told her that a Chinese colleague mentioned that the more bitter the medicine, the more effective it is.There seems to be a proverb that the more bitter the medicine, the better it is and the more beneficial it is to the disease.Well, obesity is also a disease.

Flora asked Amanda to hold on a little longer. The two of them were still betting. Could they just give up?

Amanda smiled bitterly and said, "I will never give up!"

With Flora's encouragement, Amanda persisted for a few more days, but she couldn't stand it anymore and didn't want to wrong herself, so she secretly said: "Forget it, I'll stop losing weight."

“What if my husband says I’m wasting money?”

Her husband was more frugal, so Amanda thought about it and secretly threw away the medicine. She just lied to her husband and said that he would take it to the company and drink it at work.

She planned to go to the clinic to change her weight loss plan after some free time.Iris Clinic is quite famous for weight loss. When I consulted before, the doctor also said that if you feel that the plan is not suitable, you can come back for "tailor-made" and you can always find the right one.

But for several days, after getting up in the morning, her mouth felt dry and bitter, and there was a vague sour taste in her throat. Her stomach became severely bloated after lunch and dinner.

At first, Amanda thought these strange symptoms were due to the side effects of taking those traditional Chinese medicines. She thought that the medicine was quite effective. However, after stopping the medicine for many days, it was still the same. She also wondered whether the weather was getting hotter. , because of indigestion?
Since she could still bear it and she happened to be a little busy at work recently, she didn't take it to heart.

This man is old, how can he not have some minor problems?
She has a physical examination every six months. It seems that since the age of 35, various minor problems have appeared one after another in the physical examination report. As she grows older, more and more.

Doctors don't have a good solution for these minor problems. They just recommend more observation and follow-up, stay up less late at night, exercise more, relax and not be too stressed.

For example, for some minor problems, surgery is not eligible, medicines are ineffective, and there are side effects.It would be better not to intervene.

……

Iris Clinic, ward on the second floor.Park Soo-joo was doing hygiene, and Jin Ji-jin came over to look for her, clutching her chest.

"Sister Xiuzhu, is it inconvenient for our clinic to ask for leave?"

"It's convenient. Why, are you feeling unwell?" Park Xiuzhu asked with concern.

"Yeah." Jin Jizhen hummed softly, frowned, and said, "Then if you want to ask for leave, who should you ask for? Elena, or directly ask the boss?"

"Everything is fine. Dr. Zhou is very easy to talk to. If he is here, just go to him directly. If he is not here, just tell Elena..."

Before Park Xiuzhu finished speaking, she saw Jin Jizhen suddenly coughing loudly and looking painful, so she quickly took out a few tissues and handed them over.

"Thank you..." Jin Jizhen took it and covered her mouth, "Cough, cough..."

When Jin Ji Zhen let go of her hand, Park Xiuzhu couldn't help but turn pale with horror when she saw the bright red blood stains on the tissue. She shouted loudly: "Ji Zhen, your illness is serious or small. You must not ignore it."

After all, you are coughing up blood!

Jin Jijin had a very indifferent expression, shrugged, and said with a wry smile: "Sister Xiuzhu, this is an old problem of mine. It's not worth making a fuss about. Well, just rest at home for a few days and you'll be fine!" Park Xiuzhu immediately became serious. , criticizing her: "What old problem is this? It's not good if it gets serious! Have you forgotten that uncle named Lao Jiang a while ago? He was stuck in a fish bone and had to undergo major surgery, even his esophagus was gone."

"I'm telling you, you have to treat the disease as early as possible. Early treatment and early recovery. Let's go, let's go, I'll take you to see Dr. Zhou." Park Xiuzhu pulled Jin Jizhen and went to Zhou Qiao's clinic.

Jin Ji was still a little reluctant, so Park Soo-joo asked: "Are you financially strapped? It's okay. If you don't have money, although I'm not rich, I can lend you some."

"No, Sister Xiuzhu, I really have this old problem. If you really want to see it, why don't you go find Rachel or Vivica?"

Park Xiuzhu was immediately speechless and said, "Why don't Dr. Zhou, a famous doctor like me, go to see Rachel and Vivica instead of going to see a doctor? What are you thinking?"

Anyway, when they are alone, they communicate in Korean and are not afraid of being overheard.

Jin Jizhen whispered: "Sister Xiuzhu, am I not afraid of disturbing the boss or making him unhappy?"

"Why are you unhappy? Let me tell you, this is the benefit of our clinic employees. Boss Zhou is a very nice person. If we feel uncomfortable, we should go to him for consultation. If there is no need for surgery or examination, Sometimes it’s even free.”

Although the clinic has a price list and charges based on time, Zhou Qiao has always been generous to his employees, since they are just consultations anyway.We are all colleagues, and we are destined to get together. Isn’t this convenient?

So, at Park Soo-joo's insistence, Jin Jizhen was dragged to Zhou Qiao's general clinic by this enthusiastic compatriot sister.

After entering, Zhou Qiao asked them to sit down, asked about their condition and understood the situation. Only then did Pu Xiuzhu know why Jin Ji was so coquettish before and would rather go to Rachel or Vivica.

It turned out that she was having her period these days.This disease is most likely related to her menstruation.

Pu Xiuzhu covered her mouth and snickered, thinking that it was nothing. I am more generous. I had a scar on my chest, but I watched Dr. Zhou deal with it for me.Dr. Zhou is so handsome, but I take advantage of him!

Recalling how Zhou Qiao helped her deal with the scar on her chest, Pu Xiuzhu still had some aftertaste, but she sighed softly in her heart.She also knew that her daughter was already so old and there were so many beauties around Zhou Qiao. No, even without so many beauties, she, the mother of a child, had no hope at all.

It is estimated that even Zhou Qiao would not like her as a lover.

As a single mother, Park Soo-joo has not touched a man for so many years. Sometimes she wakes up in the middle of the night and feels deeply lonely. However, such secret things are not enough for outsiders to know.

She could only devote her energy to work and raising her daughter, and tried not to let herself think about those miscellaneous things.

Park Xiuzhu originally wanted to leave after bringing Jin Jizhen here, but Jin Jizhen was a little shy and quietly pulled Park Xiuzhu and motioned for her to accompany her here, so Park Xiuzhu stayed.

"How long have you had this 'old problem'?" Zhou Qiao asked Jin Jizhen.

Jin Jizhen said: "It's been about five or six years. Ever since I came to the United States to study, there have always been a few days every month where I feel uncomfortable."

"Sometimes it's stomach pain, sometimes it's chest pain, sometimes it's back pain, waist and abdominal pain. The kind that makes me unable to lie down and sleep."

"I used to work in a Korean clinic, and I saw doctors there and community hospitals, but there was no specific explanation. Some doctors said it was costochondritis, and some said it was gastritis. Every time The doctor prescribed medicine and I was fine after taking it, but I later discovered that even if I didn’t take medicine, I would be fine within a few days.”

Zhou Qiao asked: "How long have you been coughing up blood?"

Jin Jizhen: "This happened not long ago, that is, in the past year or two. Although I coughed a few times before, it was not as large as today. I'm sorry, Sister Xiuzhu, I scared you just now!"

But this last sentence was turned to Park Xiuzhu beside her.

Park Xiuzhu said: "Silly girl, what is there to apologize for? It doesn't matter that I was scared, your body is important!"

Zhou Qiao said with a smile: "You should thank Sister Xiuzhu instead of apologizing. She is right. Abnormal health conditions should be treated as soon as possible."

Jin Ji really pursed her lips, thinking to herself, didn’t I have no confidence in the doctor?In other words, I have no confidence in current medicine.

She believed that not all illnesses could be cured by going to a doctor, just like she had gone to the doctor so many times before, but to no avail.When she was in Korea, some elders were like this. They would go to one doctor or another doctor for coughs and joint pains, and each had their own opinions, but in the end they couldn't be cured.

Sometimes I feel that medicine is really not that developed, and many diseases have to be overcome by oneself rather than cured.

Jin Ji couldn't help it, so she covered her chest again, started coughing, and frowned.

Zhou Qiao took out the stethoscope and said, "Let me check it for you."

Jin Jizhen: "..." nodded slightly.

Facing the handsome Zhou Qiao, she was indeed a little embarrassed.Although she studied nursing.However, when such a handsome doctor presses a cold stethoscope on his chest, it feels really...

Zhou Qiao frowned and said, "You are considering menstrual pneumothorax. I will arrange an emergency CT for you right away! If confirmed, the pneumothorax will be relieved first."

"Ah? Pneumothorax?" Jin Ji was really surprised, why did she have a pneumothorax?She thought it was a minor problem.Sure enough, Sister Xiuzhu was right.

Just, menstrual pneumothorax?
"Dr. Zhou, what is menstrual pneumothorax?" Jin Jizhen asked.She also has blind spots in her knowledge. She has never encountered this kind of situation before, mainly because her working experience is too short.

Zhou Qiao explained while opening the order: "Menstrual pneumothorax is a type of spontaneous pneumothorax, which occurs specifically in women during menstruation. Clinically, it is characterized by repeated spontaneous pneumothorax during menstruation. As for the specific cause, it may be related to the endometrium. It is related to heterotopia or diaphragmatic hole.”

Since the situation was urgent and the test results had not yet come out, Zhou Qiao did not explain in detail. He just made an order and asked Park Soo-joo to send Kim Hee-jin to the testing center for a test.

Jin Ji was really in pain and turned pale. It was not safe to go alone.

After Elena heard about it, she gave Park Xiuzhu the keys to the Land Rover and asked them to drive to the clinic.

Since we were in an emergency, the inspection report came out quickly.

Zhou Qiao’s diagnosis was correct; it was indeed a pneumothorax.

In addition, Jin Jizhen has a bulla on her right lung and her condition is very critical.

Zhou Qiao asked Murphy to relieve Jin Ji Zhenxing while Stephanie watched from the side.

Although Stephanie was quite disdainful of Murphy, seeing Murphy's skillful techniques, she had to admit that Murphy's skills in the surgical field were better than hers!

She glanced at Zhou Qiao resentfully, wondering when she would let me operate alone?
This is actually a minor surgery, which involves inserting a drainage tube into the patient's chest to drain out the bulging gas inside.But when intubating, mastering the scale is a technical job.

A virtual 3D holographic image appeared in front of Murphy's eyes, and the scale was just right.

To everyone's surprise, not only a large amount of air but also a lot of accumulated blood was extracted from Jin Jijin's pleural cavity!

After the pent-up air in the chest was discharged, Jin Ji couldn't help but feel much better.However, she was a little confused: "Why did you get a pneumothorax? And, there is so much blood? Doctor Zhou told me before that it was caused by menstruation. Could it be that the blood I coughed up was menstrual blood? Oh my god... "

Jin Ji really couldn't believe it, and she was a little disgusted. After all, normal menstrual blood came out from the lower part, but she came out from the mouth. This is not... people would laugh to death if they knew it!
(End of this chapter)