I run a clinic in the United States

Chapter 207
Finally, the examination results came out. Amanda had many cord-like erosion lesions in the dentate line of her esophagus, with a length and diameter greater than 5 mm. She was diagnosed with reflux esophagitis grade B.

Gastroesophageal reflux disease is a disease in which gastric and duodenal contents reflux into the esophagus, causing uncomfortable symptoms and/or complications. It can be divided into reflux esophagus according to whether it causes esophageal mucosal erosion and ulcers. inflammatory and non-erosive reflux disease.

Reflux esophagitis can occur in people of any age, and the incidence in adults increases with age.The incidence is high in Western countries and low in Asia.This regional difference may be related to genetic and environmental factors.

This disease is especially obvious in obese people or people who are addicted to smoking and alcohol.

"It's also obesity. Why doesn't Flora have it but I have it?" Amanda was quite depressed.

But now that the diagnosis has been made, there is no other way but to actively cooperate with the treatment.

"Dr. Zhou, why do gastric contents reflux into the esophagus?" Amanda asked curiously.

Zhou Qiao told her: "There is a 'valve' between our esophagus and stomach, called the cardia. It is usually closed. Even if we lie down or stand upside down, the food and gastric acid in the stomach will not flow back into it." The esophagus. But if this valve is loose, gastric acid and gastric contents can easily flow back into the esophagus. Over time, it can cause burns to the esophageal wall, leading to esophagitis."

As for the reasons for loose valves, there are many.

"This disease is not considered critical and can be cured." Zhou Qiao told the other party not to worry too much, and then he formulated a "tailor-made" treatment plan based on Amanda's specific condition.

First, a meal plan was drawn up that suited Amanda's current situation. She still needed to continue to control her weight, and then told her to adjust her lifestyle. She should not exercise strenuously or lie down immediately after meals, quit smoking and drinking, reduce abdominal pressure, and avoid wearing tight belts. , Avoid eating high fat, chocolate, coffee, spicy food, etc.

Finally, in conjunction with drug treatment, take oral acid-suppressing drugs, gastric mucosal protective agents, etc.

After two weeks of comprehensive treatment, Amanda's symptoms have improved significantly, and the throat discomfort has basically disappeared. The results of the gastroscopy review also showed that the "erosion" in the esophagus has healed, but there is still a possibility of recurrence of the disease, Zhou Qiao Tell Amanda that regular follow-up visits are needed.

He did not mean to "promote business", but his condition really required it. Besides, Americans have the habit of regular follow-up visits.It’s just that Amanda will have to strengthen the monitoring of this disease in the future.

Flora comforted her old friend: "Amanda, don't be too depressed. At least, you have lost more weight than me!"

Amanda grinned a bitter smile: "I would rather not lose weight this quickly! But Flora, you are right, I should be cheerful."

"Yes, yes, in everything you should look at the good aspects and ignore the bad!"

It has to be said that a cheerful mood is helpful in the treatment of any disease.

……

Zhou Qiao and Murphy were still sneaking around, and Murphy's new car became their daily battlefield.

As the sun set and Zhou Qiao's body trembled, a golden virtual panel popped up in his mind: "Achieve 100 small achievements with Murphy and unlock new skills. You can add points to Murphy's body to improve his physical attributes."

Zhou Qiao was delighted. He took a quick look and found that it was similar to Elena and Ava before. The attributes that could be added were probably: appearance, figure, skin (fair, smooth, delicate), physical strength, flexibility...

"All +2!" Zhou Qiao thought, and Murphy, who was lazily curled up in the back seat, felt a stream of warm air wrapping around him.

"Why is there wind? Are the car windows not closed tightly?" Murphy murmured, but when she opened her eyes, she found that the car windows were closed tightly.

"Is it cold? Then I'll hold you!" Zhou Qiao covered him.

"don't want……"

The suspicion that just emerged in Murphy's heart was interrupted by Zhou Qiao's movements. The strange feeling in her body was also diluted by many other wonderful feelings that arose from Zhou Qiao's movements.

It's not that Zhou Qiaoshe couldn't add more, but that he added too much. The "abnormality" was too obvious and difficult to explain.It can't be that her own mother doesn't even know her.

It’s too late.

This is fine now, easy to fool.

In addition, Murphy itself is already very beautiful, so there is no need to add too much.When Murphy returned home and took a shower, he looked at himself in the mirror and was amazed.

Obviously I am very tired every time, but this time, I am still energetic and energetic. Besides, ah~, I seem to be beautiful again!
She looked at her figure and appearance and fell into intoxication.

Before, she felt that Elena and Ava had better skin than her, but now, she felt that she was no longer weaker than them.

"Maybe Elena is right. After being nourished by Joe, she will really become beautiful! Now, I've caught up, haha!" Murphy let out a rare cheerful laugh in his heart.

The next day, everyone felt the change in Murphy.Of course, it's not particularly obvious.

But several girls, such as Elena, Ava, Stephanie, and Kim Jizhen, were particularly sensitive, so they noticed it immediately.

Elena's heart moved, she blinked and said nothing.

Stephanie was depressed.

Originally, she was about the same as Murphy, but now... She returned to her consulting room, took out a small mirror, and took a closer look. Her skin was no worse or uglier than before.Also very good.

But why was he suddenly suppressed by Murphy?Could it be that she is wearing makeup?

When she thought of this, she made an excuse to chat with Murphy, but Murphy ignored her.It doesn't matter, she just took the opportunity to look at Murphy's face!

There is no makeup at all, just natural makeup!
Stephanie: "..." What's going on?
It would be great if my skin could be as good as theirs!
However, she looked down at the towering peaks on her chest, and her confidence regained some.At least, no one in this clinic can match her in terms of bra size.Not even Park Soo-joo, who has given birth to a child!

The reason why Stephanie's bra cups are so big is not because she is fat. On the contrary, she also has a slim waist.

Usually thin people, like Murphy, can't have larger cup sizes.But Stephanie is an exception. Her insides are not supported by fat, but are naturally filled with glands.

Zhou Qiao added some extra points to the figures of Murphy, Elena, and Ava. He did not deliberately add cup sizes, but just let nature take its course and make slight modifications to maintain their natural naturalness and symmetry.Therefore, in terms of cup size, she is still inferior to Stephanie.

Zhou Qiao sent a message to Murphy: "How about we pick a house another day, and the title will be written in your name."

It's not that Zhou Qiao wants to hide her beauty in a golden house, the main reason is that it is really inconvenient to be in the car every day. Occasionally it is irritating once or twice, but the more times, the inconvenient problem is exposed.

Buying a house that can serve as a safe house for two people will be more comfortable.

Murphy made a smiley face, naturally he felt sweet in his heart.You know, even Elena, Ava, and Zhou Qiao have never bought a house for them.

Elena and Ava live in the clinic with Zhou Qiao. This is their home and there is no need to buy an additional house.Of course, when Zhou Qiao's assets become richer in the future, he won't be stingy and everyone will have his own set.But now it's not necessary.

Although Elena is the chief housekeeper of the clinic, Elena has no control over Zhou Qiao's personal account. She doesn't know how much money there is in Zhou Qiao's personal account, but she knows it is definitely a lot.

Zhou Qiao and Murphy first searched online, and then after discussion, they settled on a house by the sea near the Bayview Opera House.

They made an appointment with a real estate agent and took the time to check it out on the spot. They were quite satisfied with the community's environment, public facilities, safety, and the occupation and quality of the neighbors.

Rich people do things with ease. Although this house was not cheap, costing a full 350 million US dollars, Zhou Qiao did not counter-offer, paid the full amount directly, and bought it without hesitation.

This is because not all houses in the United States can be bargained for. Some houses in good locations not only cannot be bargained for, but they have to be purchased at a premium.

It is worth mentioning that the United States also has school districts.Sometimes similar properties are only one street apart, because prices in different school districts can vary greatly.

However, since the distribution of education resources in school district housing in the United States is relatively even, and there is no household registration system like China, even if you rent a house in the school district, you can go to school nearby. Therefore, although the price of school district housing is slightly higher, it is not as high as in China. So crazy.

　Thank you all for your monthly votes.The double monthly pass is really cool, especially the one where 1 vote equals 3 votes!
　　It's just that I got off work a little late today. I didn't expect that there would be a lot of things on the last day before the holiday.Once I have a good night's rest, I will definitely write [-] words tomorrow.

　　
　
(End of this chapter)