I run a clinic in the United States

Chapter 291 The City of Camellia "Sacramento"

The test results came out and confirmed Zhou Qiao's inference.

A long segment of abnormal signals was found in the cervical segment of the spinal cord of Grandpa Talia, suggesting the possibility of inflammatory demyelination.

VEP showed that the P100 incubation period was prolonged, further supporting the diagnosis of neuromyelitis optica, and the subsequent cerebrospinal fluid test reported: AQP4 antibody was positive. This indicator can be said to be a very important indicator for the diagnosis of "neuromyelitis optica".

After combining the results of various tests, Zhou Qiao and Dr. Victoria Fewes worked together to identify the real culprit, which was neuromyelitis optica spectrum disorder (NMOSD).

At this time, it was still dark, and they were working overtime overnight. For Dr. Victoria Fevers, she was originally on night shift tonight.

Zhou Qiao brought Dr. Victoria Fevers over to explain the condition and diagnosis results to Talia's family.

"Hello everyone, I've kept you waiting for a long time. We have a new discovery here..."

For Talia's family, they never expected that what they thought were minor ailments such as convulsions and tremors were old coronary heart disease, but turned out to be a rare disease with an incidence rate of about one in [-]. sick.

Moreover, the diagnosis process was also full of twists and turns. Without Dr. Zhou Qiaozhou's participation, I don't know how long it would have been before the diagnosis was confirmed.

For the family members, every minute and every second of the waiting process is torture.

In addition, if the time is too long, the condition may further deteriorate to the point of no return. Besides, it may not be possible to diagnose it. Maybe it will be misdiagnosed?

This rare disease is so rare that doctors at Kaiser Permanente have not necessarily seen it. It’s not surprising that misdiagnoses occur.

Neuromyelitis optica spectrum disease is a rare autoimmune disease of the central nervous system. It is generally related to abnormalities in the body's immune system. It is caused by the body's immune disorder attacking its own organs.

The global prevalence of this disease is 1.82/10, and it mainly affects the optic nerve, spinal cord and special parts of the brain.

In addition, Grandpa Talia's condition is atypical, and it is not consistent with the "patterns" that have been discovered. His early symptoms were heart palpitations and convulsions, and examinations showed that he had coronary heart disease and other diseases. The clinical confusion is very strong.

Disease diagnosis is really not that easy. If it were that simple, if you could do all the tests and get the results just by looking at a film, wouldn’t everyone be a miracle doctor?
  Dr. Victoria Fevers couldn't help but pat her chest continuously, and she was terrified. If she relied blindly on the test results, didn't believe Zhou Qiao, and didn't fully think about the patient's unexplained convulsions, she might really get a misdiagnosis.

In fact, Zhou Qiao had already been misdiagnosed before he came. It's just that Dr. Victoria Fevis felt something was wrong and planned to organize a consultation with multidisciplinary experts the next day.

"Dr. Zhou, how can you be so powerful? From such a complicated condition, from various disease sites and factors such as intracranial, spinal cord, peripheral nerves, infectious, vascular, immune, tumor, etc., you can go straight to the core. The crux was discovered immediately.”

Dr. Victoria Fives was overwhelmed with admiration.

She secretly thought that even if a multidisciplinary expert consultation was organized, it would probably take several hours or even days to diagnose. However, Dr. Zhou only looked at the MRI film for a while and considered the related diseases, and it was still A rare disease.

This has to give people two thumbs up at the same time!

Dr. Victoria Fewes conducted a detailed review of the patient's condition and Zhou Qiao's diagnosis. She participated in the entire process and felt that she benefited a lot.

In fact, this disease is not difficult to treat, but I am afraid that the real cause cannot be found.

If you can't find the "real culprit" and mess around outside, it will be in vain.

But once the cause is found and it is not a terminal illness, recovery is just around the corner.

Dr. Victoria Fewes reported to the director of the department the next day. The director invited experts from the hospital's Department of Neurology to discuss the matter. Of course, Zhou Qiao was also invited to participate.

In the end, everyone unanimously agreed with Zhou Qiao's diagnosis and gave a double thumbs up to express their admiration.

When Americans praise others, they are sometimes generous and often give two thumbs up at the same time, which is a bit exaggerated. If you were in China, everyone would give you a thumbs up at most.

At the meeting, everyone worked together to formulate a specific treatment plan based on the patient's symptoms.

When Talia's grandfather's condition improved a little, he was transferred to the general ward of the neurology department.

Doctors estimate that he can be discharged from the hospital in two weeks at most.

Talia's family members looked at Zhou Qiao differently from the beginning.

At the beginning, I was a little wary of Zhou Qiao. I feel that Zhou Qiao may not be worthy of their big star beauty, and it may also affect Talia's acting career.

But looking at it now, it seems to be quite good, definitely a good match.

"Maybe not only will it not affect your acting career, but it will actually help? Who can say for sure what didn't happen?"

Talia's eldest cousin Adriana also rushed over later and expressed her gratitude to Zhou Qiao for his help.

"Dr. Zhou, thank you for saving my grandfather." Adriana's eyes were a little complicated. Looking back, she herself had been treated by Zhou Qiao.

Once, she was covered in bruises, and it was Zhou Qiao who personally performed the repair surgery on her. Doctor Zhou looked at almost every part of her body.

But now, the little cousin is interested in Dr. Zhou, so she will naturally not fight with her little cousin. Besides, there is Luo Ya, the lioness, so Adriana can only sigh softly and secretly wish her little cousin good luck. .

Hearing everyone thanking Zhou Qiao and surrounding Zhou Qiao, Talia's eyes were watery and she was extremely happy.

First, my grandpa is out of danger and can be expected to be discharged from the hospital. Second, this is all the result of my lover! If I hadn't brought Zhou Qiao here, I don't know what would have happened.

The third natural thing is that everyone recognizes their lover, even though the relationship has not been announced yet.

"Talia, little baby, tell your mother, is Dr. Zhou your boyfriend? Do you have that?" Talia's mother asked her daughter privately.

Thalia naturally denied it: "Mom, we are just ordinary friends."

She couldn't help but think of the charming scene with Zhou Qiao last night. While she was on the phone, Zhou Qiao was "harassing" her. Unfortunately, good things were interrupted again and again... Talia's heart was moved, and she thought, nothing will happen next. You can always enjoy the world of two people with Qiao. Sacramento is Talia’s second hometown because her grandparents lived here and she often came here to spend summer and winter vacations when she was a child, so she is very familiar with this place.

Zhou Qiao let this little beauty take him around the city. After all, it is the capital of California, so it must be unique.

"This place is actually a very livable city with many attractions, such as the Old Street of Sacramento, which retains wooden houses, steam trains and gold mining machines from more than 150 years ago. It is a very typical western cowboy flavor."

"There is also the Romanesque Corinthian State House in Municipal Park, built in 1860. There is also the Crocker Art Museum and Sutter's Fort, as well as the Museum of Indian and Pioneer Relics, and more."

Talia knew everything about her family and drove Zhou Qiao with her, chatting while playing, and introducing the local customs of Sacramento.

She was driving Zhou Qiao's car, and because she was familiar with it, she became the driver.

Zhou Qiao sat in the passenger seat, holding a cup of coffee, enjoying it like an uncle again.

This city is the seat of Sacramento County and the state capital of California. It has a population of approximately [-] and is the fifth most populous city in California.

Of course, if the entire metropolitan area is included, the population should be around two million.

A metropolitan area, simply understood, is a large area, with a certain city as the core, surrounding suburbs and many satellite cities, all added up.

The Bay Area like San Francisco is also a metropolitan area.

There are only about 9 people in the urban area of ​​San Francisco, but when you add in the huge Bay Area: East Bay, South Bay, North Bay and Peninsula, 101 counties, and [-] towns, there are nearly [-] million people in total!

Silicon Valley is in the South Bay of the Bay Area.

Why is West Bay the only one lacking?
  That's because to the west of San Francisco is the vast Pacific Ocean.

……

Although Sacramento is the capital of California, its reputation and development are far behind those of San Francisco and Los Angeles. There are also some provincial capitals in China where this is the case. For example, Fuzhou and Xiamen; Jinan and Qingdao; Nanning and Guilin.

Of course, Fuzhou's economic size may be larger than that of Xiamen, but its reputation is really not as good.

Unlike other cities in the United States, Sacramento has very good greening. Along the way, Zhou Qiao saw many trees, whether on both sides of the streets, or in some residential areas and parks.

Moreover, he was surprised to find that there were many familiar shrubs along the road. If he was not mistaken, they should be camellias.

"Talia, why are there so many camellias in Sacramento?" Zhou Qiao's hometown is also rich in camellias. Camellia flowers and camellia oil are both good things. He had been used to it since childhood.

The flowering period of camellia is very long. It blooms in winter and spring every year, and sometimes it can even last until Labor Day. Although all the flowers have withered now, this evergreen flower and tree is lush all year round and has beautiful leaves. Characteristics, it is impossible for Zhou Qiao to admit his mistake.

Thalia smiled and said: "Of course it's because there are many Chinese here. The local Chinese call this the second port, and there is a Chinese name for it, 'Sacramento', which is the Chinese transliteration of Sacramento."

"If you had come a few months earlier, there would have been a grand annual Camellia Festival here, which lasted for more than ten days." Thalia looked at the street scene outside the window and couldn't help but recall that when she was a child, she lived at her grandparents' house and visited Camellia every year. The grand occasion of the festival.

Her grandmother also planted many camellias in the yard and on the balcony, which bloomed particularly brightly every year in the cold winter.

Zhou Qiao nodded. San Francisco is known as the "Big Port", but this is the "Second Port". There are enough Chinese people there. Sacramento should be the transliteration of the former Cantonese Chinese, just like San Francisco is also called San Francisco.

There are still many Chinese and Chinese-language media using this name. Wanwan also adopts this name.

But as the capital of California, Sacramento is too low-key. You know, even if California were taken alone, its GDP would rank among the top five in the world, higher than the United Kingdom, India, and France.

And Sacramento is equivalent to a third-tier city in the country.

Of course, there are historical factors why Sacramento has been the capital of California for a long time. Although its economic status is not good, its political status has always been leveraged.

"There are so many camellias here. I remember coming to the Camellia Convention when I was a child, and my grandmother told me that there are about 800 kinds, and there should be more varieties now!" Thalia is as charming as a camellia.

"Camellias are very beautiful. Not only you Chinese like them, but we Americans also like them very much. The locals jokingly call this city the 'Camellia Capital of the World.'"

Zhou Qiao nodded, imagining the grand scene of flowers blooming all over the city during the Camellia Festival, and couldn't help but be fascinated.

In "The Legend of Dragons", Mrs. Wang's favorite camellia in Mantuo Villa is the camellia. She has collected many varieties, such as Red-dressed Plain Wrapped, Scratched Beauty's Face, Lean on the Railing, Full Moon, Charming Eyes, Failed Scholar, Eighteen Bachelors, Thirteen Taibao, Eight Immortals Crossing the Sea, Seven Fairies, Three Fengchen Heroes, Er Qiao, Eight Treasures Makeup and so on.

But Mrs. Wang didn’t know the goods and was not very good at growing flowers. Therefore, although there were many varieties, they were planted improperly and the flowers looked mediocre.

There are many more varieties of camellias in Sacramento than those collected by Mrs. Wang. It is estimated that only Jinhua, Wucheng, Dali and Kunming in China can be compared.

Later, Talia introduced some well-known camellias in the United States, but most of the names were very straightforward and not as culturally rich as those in China.

"Next time during the Camellia Festival, let's go shopping together."

"Okay!" Thalia's blue-green eyes curved into a crescent shape and she smiled.

The two parked their car near the lotus pond in William Land Park. At this time of year, "the little lotuses are just showing their sharp corners" in the pond not far away. The breeze blows and the water ripples. Seeing no one around, the two look at each other. When they meet, sparks can't help but burst out.

Zhou Qiao reached out and gently hugged Thalia, who was wearing a white dress and green silk stockings, into his arms. He smelled the faint body fragrance coming from her body and was mesmerized.

"do not……"

When Zhou Qiao took a step further, Talia trembled slightly and panicked, wondering what to do if someone passed by.

(End of this chapter)