I run a clinic in the United States

Chapter 355 The success must be with you!

"I'm still young and my body is usually so strong. I don't want to die..." Aunt Texas couldn't accept it at all.

Her husband and daughter were comforting her and were at a loss what to do.

A nurse nearby also tried to persuade her, but to no avail.

The Texas aunt burst into tears and couldn't stop it: "I'm really scared, I'm still young..."

Zhou Qiao walked into the ward under the leadership of the department director. The little nurse's eyes lit up and she immediately shouted: "Stop crying, the top doctor Zhou is here!"

"What the hell?" Aunt Texas immediately felt saved, stopped crying, and looked over.

The little nurse pointed with her finger.

When the Texas aunt saw it, she couldn't help it again and started to howl loudly.

Because, she thought it was some powerful famous doctor, but instead a young and handsome guy came. What kind of top-notch thing is this?

The attending doctor was stunned. Where is the shadow?

Zhou Qiao pointed: "Here, and here."

Maybe, you can get the other party to come?

Now, Aunt Texas was anxious.

At first, he was treated at a clinic in the town. Not only was he not cured, but he also developed anemia and coffee urine.

This disease is naturally quite serious, but it is not incurable. Unfortunately, the operation was as fierce as a tiger. After a series of treatments, the Texas aunt's condition did not improve, but became more and more serious.

An attending doctor called up the patient's disease course information and introduced the condition at the same time.

"Dr. Zhou, please help my mother quickly. Thank you very much!" The patient's daughter was extremely excited and enthusiastic. As for the patient and her husband, they don’t know Zhou Qiao very well because they live in the countryside all year round.

Zhou Qiao waved his hand modestly: "Thank you."

Zhou Qiao looked at the report and picked out one: "There are shadows in the patient's lungs. Let's do a fiberoptic bronchoscopy."

Then, he went to the computer and enlarged the film to view it. The black dot was actually not small, especially around it. After enlarging, there was a large circle of shadow, but it was quite light. Only one or two places were slightly thicker and shrunk. Just one or two black spots.

Then, after a series of examinations, the hospital identified the blood disease as hemophagocytic syndrome.

Her daughter originally had the attitude of giving it a try, because although the hospital is backed by experts, the experts may not necessarily show it to you, or may not be available, nor may they be in Texas.

They are just ordinary people, not powerful people. They can come and leave experts at a moment's notice. Doctors, especially top-notch doctors, have a very high status in the United States. Even if they want to make an appointment, they may not be able to make one.

The doctor at the small town clinic felt that it was very difficult, so he referred him to another large hospital in Crystal Mills County.

This is a primary or secondary immune abnormality disease caused by the abnormal activation and proliferation of lymphocytes, monocytes and macrophage systems and the secretion of large amounts of inflammatory cytokines due to infections, tumors and other pathogenic factors. Hyperinflammatory response syndrome.

Then, at the suggestion of his daughter, he switched to Sequoia Hospital for treatment. Because her daughter heard that one of the owners of Sequoia Hospital was the famous Dr. Zhou.

If that doesn't work, I have no choice but to go to the Houston Hospital. But going to a major hospital in Houston was beyond the coverage of their family’s medical insurance.

The attending doctor took a closer look, and sure enough, there were two small black spots. It's very small and can't be noticed without looking carefully.

It turned out that the patient had symptoms of fever a few months ago. At the same time, he also had symptoms such as being very afraid of cold, feeling weak, and lacking appetite.

However, her daughter exclaimed in surprise: "Is this Dr. Zhou who is famous all over California? Oh, please forgive me for saying the wrong thing, it should be famous all over North America!"

Unexpectedly, Dr. Zhou actually came, but she was so happy! So when I saw Zhou Qiao, I was very excited and excited.

"Can this be seen? Or is it just a casual glance or two?" The attending physician was simply stunned.

So, full of admiration, the doctor followed Dr. Zhou's instructions and arranged a bronchoscopy for the patient.

Then, according to Zhou Qiao's instructions, samples of alveolar lavage fluid were taken for pathogen metagenomic testing.

They didn't know how to do it, so Zhou Qiao guided them step by step.

Eventually, pathogens such as Babesia vole were detected.

Babesia mainly lives in red blood cells. In the alveolar lavage fluid of patients, the number of red blood cells is actually very small, but Babesia can still be detected in this way.

What does that mean?

When you see a cockroach in the kitchen, it means that the sewer is full of cockroaches.

Sure enough, the patient's peripheral blood was subsequently subjected to the same test, pathogen metagenomic testing, and blood smear examination.

The real murderer has surfaced.

Sure enough, it was vole Babesia.

The medical staff involved in the diagnosis and treatment were amazed: "Dr. Zhou is amazing!"

"It has to be Dr. Zhou!"

"Why do I feel that diagnosing a disease doesn't seem difficult, why didn't we think of this before?" A new doctor touched his chin, puzzled. This is to see whether someone is tired or relaxed when it comes to shouldering the burden. When it's your turn, you will be pushed down immediately.

You will know it once you see it, but you will lose it once you practice it.

Once the real culprit is found, it will be much easier to treat the problem accordingly.

Soon, Aunt Texas’ fever subsided, her urine returned to normal, and her anemia improved.

"Babesia? What's going on?" Aunt Texas was confused.

Zhou Qiao smiled and said: "If you think about it carefully, have you ever been bitten by insects when you were working in the countryside? For example, ticks?"

Because babesiosis is mostly transmitted through tick bites, it can also cause human-to-human infection through blood transfusion and vertical transmission.

It is a zoonotic disease that parasitizes the red blood cells of mammals and causes damage to the host's red blood cells, leading to a series of symptoms, such as anemia, coffee hematuria, etc.

Aunt Texas couldn't help but touch her red neck, suddenly thought of it, and said, "Isn't it that time that I was bitten by some insect?"

"Have you been bitten by an insect? Mom, why didn't you tell me earlier?" The daughter was speechless.

"I have been working in the mountains and down the mountains for decades. Isn't it normal to be bitten by insects?" The Texas aunt rolled her eyes. I have been bitten by insects many times since I was a child, and I was also bitten by a snake. , who would care.

However, she never expected that just an insignificant insect bite would cause her to suffer for several months, and she would almost suffer an emotional breakdown and be so frightened.

The reason why the Texas aunt was so sure was because she remembered that before she got this strange disease, she was really bitten by an insect on her neck, and she crushed the insect to death at that time.

If Zhou Qiao hadn't reminded her, she wouldn't have been able to connect the strange disease with the insect bites.

"In addition to Babesia, many clinically-contained vector-borne infectious diseases such as rickettsia, new bunyavirus, Benacoxella, Orientia, etc. can use this technology to identify the pathogens."

In the large conference room of Sequoia Hospital, Zhou Qiao provided technical training to the relevant medical staff on this case. The content of the explanation is mainly pathogen metagenomic detection technology.

Pathogen metagenome is based on high-throughput sequencing technology to conduct massively parallel sequence determination of nucleic acids extracted from clinical samples, and through bioinformatics analysis, tens of thousands of microorganisms such as bacteria, fungi, parasites, viruses, and rickettsiae can be detected.

For some common infectious diseases, clinicians can identify the pathogens based on epidemiological history, patient clinical symptoms, imaging, and routine laboratory tests. However, for various rare, rare or new infections, Diseases and critically ill patients, pathogenic metagenomic technology can quickly detect pathogens indiscriminately, providing an important basis for rapid diagnosis and precise treatment of clinical infectious diseases.

Previously, Sequoia Hospital did not have this capability. It can be said that the entire diagnosis and treatment of Texas Aunt was carried out under the guidance of Zhou Qiao, and the medical staff benefited a lot.

In the future, if Sequoia Hospital encounters related diseases, it will be able to handle them independently.

Zhou Qiao often provides training and lectures, and now he is also good at making PPT.

Moreover, in the United States, doing PPT is really important. Even the rough black people under Luo Ya have now learned to make PPT reports.

The President of the United States and some dignitaries will also prepare beautiful PPTs for their speeches. Moreover, there are many such masters in the United States, and the PPTs they produce are concise, clear, and beautiful.

You can get extra points just for your PPT and presentation skills.

This is also a form of paper. If you give a casual report, how can it be as powerful as someone else's carefully prepared PPT report?

When it comes to formalism and all kinds of bells and whistles, the United States is not much weaker than China.

But then again, PowerPoint is originally produced by Microsoft.

……

Zhou Qiao was busy at home taking care of her four babies, feeding them milk powder, changing diapers, and giving guidance to Sequoia Hospital and White Rock Hospital, while Luo Ya, the mother, was thriving on the Texas border.

Of course, she also made video calls every day to tease the baby. It’s just that the babies can no longer enjoy breast milk.

But with four babies, no matter how powerful Luo Ya is, breast milk is not enough.

Fortunately, there are many sheep raised in the winery, and the goat milk can be milked. It is all organic and is given to the babies after simple pasteurization.

In addition, we also stocked up on various high-end milk powders. Babies are very nutritious.

With the early education team here, there is no shortage of entertainment for the babies.

Border, National Guard mess hall.

Luo Ya was wearing a military uniform, smiling and "taking food" to the long queue of soldiers.

"Come on! Success must be yours!"

"You will form the strongest steel wall in Texas!"

"I'm so proud of you!"

Encouraged by Loya, the magical queen, the warriors were in high spirits.

Perhaps, many Texas men will look down on women, but no one has ever dared to look down on this magical queen.

(End of this chapter)