I run a clinic in the United States

Chapter 373 Chiba Nanako adds points

Outside the window, the sky was filled with bright stars. Chiba Nanako was wearing silk pajamas, showing off her graceful figure. She crept Nana to the window and looked out at the charming night with a lot of thoughts.

"Following Zhou Jun, it's such a strange journey!" Chiba Nanako looked back at Zhou Qiao, who was sleeping soundly on the bed, and couldn't help but purse her lips and smile sweetly.

She felt that she was right to follow Zhou Qiao!
Because, tonight, a very strange experience happened.

Needless to say, flying in the clouds happens every time, but tonight, my body seems to be... more energetic!

The feeling was hard to describe, but she knew very well that her physical fitness had suddenly improved qualitatively.

Physical strength, energy, skin's delicateness and tenderness, flexibility, agility...every aspect. It seems that my intelligence has also improved, and my brain can think about things faster.

She finally understood why the twin beauties, Murphy and Stephanie, could dance all kinds of difficult dances.

Because she can do it now.

She gently raised her right foot and pointed it straight upward. Standing in a horse position was as easy as drinking water and eating rice balls. She switched to her left foot again and could still do it easily and freely, and she could still maintain the posture of standing in a horse position. Make a few turns.

This was simply unimaginable before, because although she is beautiful, she is a medical student, not a dancer, and has no expertise in this area.

Chiba Nanako was naturally enhanced by Zhou Qiao tonight. I have to say that the enhanced Chiba Nanako is more charming and has stronger fighting ability.

Next door, Chiba Ryukin was woken up by a strange sound. She couldn't help but use the air conditioner to cover her ears. She was very troubled: "Sister, it's too much. I won't let you rest. I have to go to the library tomorrow to study questions." Of!"

"Murphy, Chiba Nanako, come here for a consultation." Stephanie came over and called them.

Chiba Nanako actually came later than Thalia, but because Jinshui Tower got the moon first, she had sex with Zhou Qiao a hundred times first.

Faced with Chiba Nanako's gentle initiative, Zhou Qiao naturally enjoyed it to the fullest. The beauty in the world is right in front of you.

"However, according to the medical knowledge I have learned, apart from genetic material, the rest of a man's rain and dew is nothing more than water, fructose, protein, peptides, and some other sugars, such as glucose, as well as enzymes such as prostaglandins, inorganic Salt and organic small molecules have no cosmetic effect at all and have little nutritional value.”

"The same goes for my brother-in-law. I used to stay overnight secretly, but now it's better. He stays overnight openly and doesn't shy away from me anymore." Qianye Liuyin couldn't sleep, her heart was like a deer.

She touched her face carefully and felt it. She felt that she had achieved reverse growth and was at least two or three years younger than yesterday.

When she came to the clinic to work, Murphy and Stephanie were slightly stunned when they saw her, and then they understood instantly. Everyone knows that this Japanese girl must have benefited from Zhou Qiao.

"Could it be that Zhou Jun's rain and dew contain magical active substances?"

She felt that she could not leave Zhou Qiao. Everyone wants to take advantage of such a good resource, right? Exclusivity is impossible, but getting a share of the pie is essential.

Soon, Sanniu came to the conference room. Zhou Qiao was already waiting there, and the projector was ready.

……

"This should all be because of Mr. Zhou. Quantitative changes lead to qualitative changes..."

"This time, a patient with severe heart failure came here because of his serious condition." Zhou Qiao projected the patient's information on the big screen and began to explain.

They have been here before and know the ropes very well.

The patient was a 68-year-old Chinese man named Zhu. Since he was infected with the globally prevalent virus two years ago, his health has been deteriorating, with recurring symptoms of chest tightness, shortness of breath, and fatigue.

"I can only say that Zhou Jun is definitely not an ordinary person. No wonder Elena, Ava, Murphy and Stephanie are all devoted to him..." Chiba Nanako looked at the moonlight outside the window and took a sip. Zhu Chun turned around and walked towards Zhou Qiao again.

Soon, Zhou Qiao was awakened by Chiba Nanako in a unique way.

The next morning, Chiba Nanako got up, full of energy and refreshed. She went to the bathroom, looked in the mirror, and was stunned. She had never looked so beautiful.

At first, Mr. Zhu didn't take it seriously, but as his condition gradually worsened, he couldn't lie down at night. When he walked during the day, he was out of breath after walking more than ten meters and had to stop to rest.

He lives with his son and daughter-in-law in the Bay Area, which is a bit far away from the Iris Clinic. He has visited clinics and hospitals near his home before, and the diagnosis results were "dilated cardiomyopathy and heart failure."

Although, the doctor also formulated a treatment plan for him, which was mainly conservative treatment. Because he was older, he wanted to use conservative treatment first to see the effect.

However, the effect is not ideal. I was hospitalized for a month or two and was even put on a ventilator, but my quality of life was still very poor. It did improve a week or two after I was discharged, but after that I still had to walk a few steps quickly or go up two flights of stairs. Panting heavily, feeling flustered and short of breath, exhausted, and feeling like I'm going to die.

Later, his son told a Chinese colleague about his family affairs, and the colleague shouted in surprise: "Your father has a heart disease? Then why don't you go to Dr. Zhou from Iris Clinic?"

"Dr. Zhou?" Uncle Zhu's son was confused.

The colleague said strangely: "Have you never heard of Zhou Qiao, a famous doctor in California? He is the best at heart disease!"

"I really haven't paid attention to it before." Uncle Zhu's son was ashamed, but then he checked the information and knew how powerful Zhou Qiao was. Not only a famous doctor in California, but also one of the top doctors in North America.

Moreover, he is still an internet celebrity.

He had been obsessed with technical work before, and he had never heard anything outside the window. He had never watched short videos, so he really didn’t know. Not to mention Zhou Qiao, he doesn't know many famous stars.

He felt that those things were meaningless and a waste of people's energy, so he didn't pay attention to them. Unexpectedly, I missed a lot of important information.

So, he rushed over with his old father.

In the conference room, Zhou Qiao continued to introduce: "Fatigue, chest tightness, palpitations, loss of appetite, and multiple complications of heart failure appeared in Old Man Zhu in turn, making his life very unstable in his later years. We had previously arranged a cardiac ultrasound examination for him , the report showed that his left ventricle was enlarged to 79mm, while that of a normal male is less than 55mm; the left ventricular ejection fraction, which represents the pumping function of the heart, is only 19%, while that of a normal adult is more than 55%. The QRS wave duration is 190ms, which is normal. It should be less than 120ms; these data fully demonstrate that the patient’s cardiac systolic movement is obviously asynchronized and uncoordinated.”

Stephanie: "The patient's condition, in which the left and right ventricular contractions are uncoordinated, is actually very common in patients with heart failure. I believe that conservative treatment is no longer effective and surgery is necessary."

Heart failure, referred to as heart failure, refers to a syndrome in which the pumping function of the heart is impaired due to various reasons, and cardiac output cannot meet the basic metabolic needs of body tissues. The main symptoms are dyspnea, limited activity, and body fluid retention.

This disease is the terminal stage of various heart diseases and has a high incidence of sudden cardiac death. A large number of evidence-based studies show that up to 50% of heart failure patients die within 5 years. Therefore, heart failure is also called the "cancer of the heart." Moreover, the incidence of this disease is increasing year by year.

Heart failure patients not only face the threat of death, but also suffer from symptoms such as difficulty breathing, fatigue, and edema in daily life. Most importantly, the cost of repeated hospitalization is also very high.

Murphy and Chiba Nanako also support surgical treatment.

Because the human heart is like the engine of a car.

No matter how expensive a car engine is, it will be damaged or "stalled" due to overuse and wear, and the same goes for the human heart.

Car engines can be overhauled, and the human heart can also be "overhauled" or even replaced. Of course, there is no need to replace it unless absolutely necessary. Heart transplantation is expensive, and donors are not necessarily easy to obtain. And other people's hearts will have a little rejection reaction.

"Since we all agree to the surgery, let's study the plan carefully." Zhou Qiao said, and then encouraged everyone to express their opinions.

He wants to train several girls so that the clinic can operate normally and cope with various complex conditions and difficult surgeries without relying on him or the system.

The system is, after all, a foreign object, and its origin is unknown. After all, our own abilities are more important.

Of course, with Zhou Qiao's current wealth, even if he lies down and eats and drinks every day, he can live very comfortably until the end of his life. However, people must have some career pursuits in life. Otherwise it will be extremely empty and boring.

When you die, you may regret your inaction when you were young.

After a full hour of discussion, they decided to use CRTD (cardiac resynchronization + automatic defibrillator) implantation to help the patient regain his "heart" life. At the same time, a very detailed surgical plan was also drawn up, as well as corresponding plans to deal with various emergencies.

This operation, simply put, is to implant a CRTD (cardiac resynchronization defibrillator pacemaker) into the patient through minimally invasive surgery to treat the dyssynchrony of cardiac contraction and prevent sudden cardiac death, thus completely improving heart failure.

For normal people, the left and right ventricles of the heart can cooperate with each other and beat synchronously. However, heart failure causes the left and right ventricles of many patients to no longer "move in step", causing the heart to enlarge and the heart function to become worse. It's getting worse.

CRTD technology can gradually restore the patient's left and right ventricles to regular and synchronous beating, just like equipping the heart with a brand new engine to help the heart pump blood more effectively.

In addition, it can also promptly identify fatal malignant arrhythmias and prevent sudden cardiac death, which can be said to serve multiple purposes.

Zhou Qiao took the plan and communicated with the patient and his son, using easy-to-understand words to explain the general idea of ​​the operation. The patient and his son were very happy and looking forward to it, and they signed the contract happily.

However, their family lives a bit far away from here, about more than 100 kilometers away. I don’t know if the insurance purchased there can be used for the diagnosis and treatment at Iris Clinic.

Zhou Qiao gave the patient's son the plan and quotation, and asked him to take the plan to the insurance company for consultation.

Luckily in the end, the insurance company said yes and agreed to the quote.

The operation started at the community hospital with the expectation of Mr. Zhu and his family.

Compared with ordinary pacemaker implantation, this surgery requires the surgeon to have higher comprehensive interventional skills. It requires the comprehensive application of three major cardiac interventional technologies: coronary interventional technology, pacemaker implantation technology and electrophysiology. technology, known as "the crown jewel of pacemaker implantation".

Because cardiac resynchronization therapy with defibrillation function (CRTD) is currently the most advanced three-chamber pacemaker in the world. It combines the dual functions of CRT and implantable cardioverter defibrillator (ICD). It automatically monitors arrhythmias and has an automatic defibrillation function, which is equivalent to placing a "cardiac monitoring unit" inside the heart. It is also a "mobile ambulance" that can help patients with heart failure achieve synchronous contraction of the left and right ventricles, improve heart function, and even Allows the enlarged heart to retract.

This time, Stephanie is the surgeon, Nanako Chiba is the assistant, Murphy is the second assistant, and Zhou Qiao sits and observes.

Naturally, Park Soo-joo and Kim Hee-jin also participated.

Zhang Mengjing said that she also wanted to come, but the nurse station could not be without people. Jin Jizhen said that next time there was an unimportant minor surgery, Zhang Mengjing would appear. Jin Jizhen went to the nurse's station to take over temporarily.

"Sister Jin, you are so kind." Zhang Mengjing looked forward to it. She also wants to participate in various surgeries and wants to grow.

Firstly, it is more technical, and secondly, it is a very happy thing to be able to closely cooperate with Brother Zhou Qiao’s work!

Although her father, Zhang Jianjun, and Zhou Qiao are brothers and equal friends, Zhang Mengjing doesn't want to call Zhou Qiao uncle, but it feels sweeter to call her brother.

Every time Zhang Jianjun heard his daughter call Zhou Qiao "brother", his brows would jump, but he couldn't help it. In the end, I had to go with my daughter.

He explained to Zhou Qiao that everyone had their own opinions and that the little girl was ignorant, so he told Zhou Qiao not to mind.

Why would Zhou Qiao care about this kind of title? Just call yourself by your name.

The operation was quite successful. Mr. Zhu stayed in the community hospital for about a week and was discharged.

Originally, just for the surgery, he could be discharged from the hospital in three days, but his physical condition was too bad, so Zhou Qiao suggested that he stay a few more days and let Chiba Nanako help with medicine.

While he was in the hospital, Zhu's son asked his father if he could eat red ginseng.

Chiba Nanako said it’s okay, you can eat some in moderation.

So, Uncle Zhu's son stewed ginseng soup and came over to give his old father a tonic.

In fact, red ginseng is beneficial to patients with heart failure. Red ginseng can improve patients' heart function and has a certain qi-tonifying effect.

Chiba Nanako is Japanese and a member of the Chinese cultural circle. Although she is not a professional student of Chinese medicine, she should not be too familiar with some common Kampo medicinal supplements.

For example, red ginseng, white ginseng, American ginseng, cordyceps, velvet antler, Ganoderma lucidum, bird's nest, Polygonum multiflorum...

Not long ago, Xue Qiao selected a batch of American ginseng for live streaming and the quality was quite good. Chiba Nanako also bought some and sent them to her old father who was retiring in Hokkaido.

Although American ginseng is produced in North America, the main consumer groups are East Asians, especially the Chinese.

Although Americans don’t eat American ginseng, most people don’t even know what it is. Some people even think it’s ginger or the rhizome of a similar plant. However, Americans are very good at seizing business opportunities.

In the 18th century, French missionaries discovered ginseng, a precious specialty of China, in Northeast China. It was expensive and scarce in quantity (during the Qing Dynasty, there were not many wild ginseng left). Then, missionaries introduced the form, growth environment and medicinal value of ginseng to Europe and the United States.

Then, a missionary in Canada learned about "ginseng" through reading, so he searched for similar plants in North America in the same dimension as Northeast China, and found it.

This is American ginseng, also known as American ginseng. Then, Americans made a fortune by digging up American ginseng and exporting it to China.

Later, special legislation was introduced to protect American ginseng. To this day, American ginseng is still one of the important commodities in Sino-US trade.

Since North America is the place of origin, the climate and soil quality are more suitable for the growth of American ginseng. Although it was later introduced in Northeast China, the quality of the American ginseng produced is far inferior to that of North America.

Traditional Chinese medicine pays attention to "authentic". Simply put, it means medicinal materials from a specific region. Compared with the same type of Chinese medicinal materials produced in other regions, it has better quality and curative effect, and the quality is stable. It has a high reputation and recognition. The most extensive.

Authentic medicinal materials are selected under the guidance of traditional Chinese medicine theory and through long-term clinical application of traditional Chinese medicine, and have been tested in medical practice.

From the perspective of the Chinese medical community, American ginseng produced in the United States is the most valuable, followed by American ginseng produced in Canada, and then American ginseng produced in China.

It is worth mentioning that, apart from the difference in appearance, from the perspective of modern medical research, it is impossible to distinguish between American ginseng and ginseng. However, from the perspective of traditional Chinese medicine, these are two medicinal materials with very different medicinal properties.

When American ginseng first appeared in China, the imperial doctors of the Qing Dynasty characterized the two through tests and combined with the climate of the place where it was produced. Chinese ginseng is a hot and dry thing, suitable for tonic for deficiency and cold, while American ginseng has cooling properties. Cold food is more suitable for people with hot and dry bodies.

Simply put, American ginseng has milder medicinal properties and is colder, so it is suitable for taking in summer, while ginseng is more powerful and suitable for tonic in autumn and winter.

(End of this chapter)