I run a clinic in the United States

Chapter 384 Let your family come with you next time

"Aunt Huang, your serum calcium is actually within the normal range, and the CT results show that there is a lumbar disc herniation..."

At Iris Clinic, Murphy was explaining the condition to a Chinese aunt. Her fluent Cantonese shocked the aunt.

The aunt said in her heart that this little foreign girl looked cold and cold, but she didn't expect that she could speak Cantonese so authentically. Much better than what my daughter-in-law said.

Her daughter-in-law is also a foreigner, but she only speaks Mandarin and is rather blunt.

Auntie is very happy to hear the authentic local accent in a foreign country. Especially, it was said by a beautiful foreigner.

This aunt is fifty-six years old. Her son and daughter-in-law have settled in San Francisco. She was in China before, but after she retired, she came to live with her son and daughter-in-law, mainly helping them take care of their children and doing housework.

Maybe raising children after retirement is even busier than working in China before. Then Aunt Huang developed symptoms of back pain more than a year ago.

The old aunt thought that she was not forgiving at this age. She was probably tired from taking care of the children and doing housework every day.

After all, in the past few years of retirement, my son and his wife have given birth to a second child, raising the older one and raising the younger one. Although they have all the grandchildren and can enjoy family happiness, it is really hard work.

Aunt Huang went out.

"Okay." Aunt Huang came by herself. After all, she came to see a doctor, and her daughter-in-law had to take leave to look after the younger child at home. The older one was sent to school, but the younger one was only less than one year old. It was not easy.

It turned out to be the lumbosacral region.

Aunt Huang thought that her body must be deficient in calcium. Osteoporosis is a common symptom among the elderly, so she wanted to buy calcium tablets.

"Lumbar disc herniation?" Aunt Huang listened to Murphy's explanation, grasped the key words very keenly, and asked, "Um...doctor, my low back pain should be caused by lumbar disc herniation, right?"

Especially, "undifferentiated diseases" like Aunt Huang's.

"What's going on?" Aunt Huang was suspicious.

The lumbar disc herniation is not that serious.

Low back pain caused by osteoporosis is also very common.

"Mom, why don't you go to Iris Clinic? The doctors there are very good and they are prescribed by Chinese people. After you go there, communication will not be a problem." The foreigner's wife said in broken Mandarin.

As for Zhou Qiao, he took Stephanie to the community hospital for a consultation. And Chiba Nanako has just started to learn Chinese.

"Ah?" Aunt Huang turned around and saw Murphy looking at the computer attentively and typing, as if what he just said was just casual.

Since Aunt Huang's English is not very fluent, Jin Jizhen brought her to Murphy.

Halfway there, something suddenly clicked in my heart, and I instantly understood the meaning of Murphy's words.

Murphy returned to his seat, arranged an MRI examination for the other party on the computer, smiled slightly and said: "Don't worry, our clinic is one of the top clinics in the United States, and we will definitely help you solve your illness. Just take it On this list, follow the address and contact information on it to get an MRI. The testing center is not far away, only a few hundred meters away from our clinic."

Murphy groaned softly.

But Aunt Huang is not.

Murphy helped her arrange bone density, bone metabolism index and other tests, and the results were all normal. There is no calcium deficiency either.

Could it be that they dislike my age and are afraid that I might fall if I walk alone? Aunt Huang thought to herself.

Murphy looked at her figure and added inadvertently: "When the report comes out and the follow-up visit is held, let your family members accompany you."

Murphy shook his head and said: "Your protrusion is only mild and there is no compression of the nerve. It is not enough to cause such severe low back pain."

Aunt Huang touched the painful spot and said, "This is it."

"Other places..." Aunt Huang thought about it carefully and then said, "It seems that sometimes my stomach feels bloated and painful. Maybe I eat too much, and then my butt hurts."

Her son and daughter-in-law were also very distressed and grateful. They not only helped her buy various flavors of calcium tablets, but also bought waist protectors and a sweeping robot to help her reduce the burden of housework.

Inexplicably, I went to the doctor repeatedly and had recurring attacks, but the cause was not so easy to find out.

"Are you feeling uncomfortable in any other way recently?" Murphy pondered for a few seconds and asked.

"Which place?" Murphy came over and wanted to make sure.

"Thank you, thank you." Aunt Huang took the list and left.

My son also said: "If you feel unwell, it's better to go see him early. Early detection and early treatment would be a waste if you don't use medical insurance."

In fact, diagnosing a disease is really not that simple. The disease cannot be revealed as soon as a film is taken and an examination is done.

For someone as old as Aunt Huang, indeed, as Aunt Huang had judged by herself at home before, it is normal for middle-aged and elderly people to have osteoporosis.

However, even though I have low back pain, it’s not like I can’t even walk.

"Doctor, what's wrong? Is my condition not serious?" Aunt Huang asked suspiciously.

However, after taking a lot of calcium tablets, Aunt Huang's workload has also been reduced, but her back pain has not improved and it attacks from time to time.

Murphy felt something in his heart and frowned slightly.

Iris Clinic is not that far away. It only takes about ten minutes to walk.

"Could that little foreigner mean that my condition is a bit serious and I may need to be hospitalized or even need surgery?"

The calcium tablets in the United States are so good. Some people in China have asked her to send some back.

What is an undifferentiated disease?
It refers to those conditions for which a clear diagnosis cannot be made for the time being, such as fatigue, weight loss, headache, etc.

This disease, to a certain extent, is actually a difficult disease.

If people in my hometown want to buy something, they ask my mother to do the shopping for them, and my son and wife also try their best to help to satisfy my mother.

"But it shouldn't be very serious, or is it a disease that they are sure to cure? Is that why you told me with a smile before?"

Because, Aunt Huang recalled carefully, Murphy had always been cold and expressionless since she received the doctor. She only smiled when she finally arranged for an MRI.

There must be a demon in the abnormal situation.

In fact, Aunt Huang guessed correctly. Murphy was really afraid of scaring Aunt Huang, so he deliberately forced a smile at that time. Otherwise, Murphy would not laugh all day long.

Aunt Huang went for an MRI, and sure enough, the situation was very bad. The report showed that there was a 4 cm space-occupying mass in her pelvic cavity.

Fortunately, with Murphy's previous hint, Aunt Huang was mentally prepared and not so panicked.

When she came for follow-up consultation, her son and wife came with her.

We also brought our children and had a lot of fun playing in the children's play area in the rest area. With Jin Jizhen helping to take care of the child, the mother does not have to worry. She followed the clinic and wanted to hear what the doctor had to say.

In the clinic, Murphy: "Consider pelvic tumors."

"Are you going to have surgery?"

"It's needed," Murphy said.

Aunt Huang said in her heart that it was indeed the case. Although she was very nervous, worried, and found it hard to accept, she didn't feel so bad at this time because of Murphy's previous hint.

Murphy: "If you are willing, I can arrange for Aunt Huang to be in a community hospital for preoperative preparation, and I will also do a needle biopsy for confirmation."

"Okay, okay, thank you, thank you."

Naturally, Aunt Huang's family would not disagree. After all, Iris Clinic has an extraordinary reputation, and the cold and beautiful doctor in front of her has also won a national award.

Aunt Huang doesn't know much about Murphy's fame, but her son and daughter-in-law are well known.

Murphy is the second-ranked member of the Iris Group, second only to the boss Zhou Qiao.

Not only is his surgery amazing, he is also top-notch academically, and he has published countless high-impact articles.

However, because of this medical visit, Aunt Huang personally experienced the power of Murphy and felt that this place was very reliable.

So Murphy called Park Xiuzhu and asked Park Xiuzhu to take Aunt Huang and her family to the community hospital.

Finally, under Murphy's surgeon, the operation was successfully completed.

Although Murphy was pregnant, the surgery was performed using a snake-shaped minimally invasive surgical robot produced by Future Medical Devices, which did not place high physical demands on the surgeon.

The use of surgical robots greatly saves the workload of medical staff and reduces work intensity.

The community hospital also purchased eight such surgical robots. Because Dean House placed the order earlier, he got the goods earlier. They have been clinically used in community hospitals and the feedback is very good.

When Murphy performs surgery, he naturally prefers the surgical robot produced by his "home". It can also be regarded as advertising and adding successful cases.

I have to say that this snake-shaped minimally invasive surgical robot has excellent performance and is quite easy to use.

Aunt Huang is actually very confused. Isn't it just ordinary low back pain? Why is pelvic tumor involved?
When Murphy went for ward rounds, when she asked about it, he explained to her that low back pain is a common undifferentiated disease in clinical practice.

Some of these diseases are simple, some are complex, some are mild, and some are serious. It can be said that "everything is possible."

If it is acute low back pain, it is simpler. It is usually caused by acute lumbar sprain, trauma, and some infectious diseases, such as lumbar tuberculosis, herpes zoster infection ("snake wrapped around the waist"), etc.

However, long-term chronic low back pain is more complicated. In addition to the common causes of lumbar disc herniation, osteoporosis, lumbar spinal stenosis, and low back myofascial pain syndrome caused by long-term habitual bad posture or long-term overload labor are also relatively common.

In addition, ankylosing spondylitis will cause bilateral symmetrical pain in the neck and waist, and spinal tumors will also cause obvious low back pain in the early stages.

There are many other types of causes such as aortic dissection, renal colic, and many more.

Pelvic tumors like Aunt Huang's can also cause it.

It can be said that the causes are complex and diverse.

And Murphy's ability to target pelvic tumors immediately is absolutely top-notch.

Even Stephanie and Chiba Nanako were extremely impressed deep in their hearts after hearing this.

Stephanie: "This girl may not be as interesting as me in bed, but her level of diagnosis seems to be...a little higher than mine."

Chiba Nanako: "Murphy is so awesome!"

Chiba Nanako has been "miserable" again recently, because Yang Xuejun has returned to China, Talia has also returned to Hollywood, Murphy and Stephanie are pregnant, and Zhou Qiao's firepower has been focused on her again.

Although her physical strength increased several times compared with before after adding points, she still could not withstand Zhou Qiao's attack.

Several times, she couldn't help but want to call her sister in to help her, but she still held back. Mainly because my sister is too young. This cannot affect her studies.

Although Chiba Nanako knew that following Zhou Jun would bring incredible benefits and wanted her sister to get a share of the pie, her sister was still a high school student after all, so it was inappropriate.

Fortunately, not long after, the twins Elena and Ava returned from Northern Europe and came to San Francisco for vacation.

"Finally, someone is sharing the firepower." Chiba Nanako finally breathed a sigh of relief.

After the twin girls arrived, Zhou Qiao naturally accompanied them.

This pair of girls are both experienced, they are in pairs, and they have a tacit understanding of cooperation, 1+1>2, so they can withstand Zhou Qiao's criticism.

Moreover, they have been in Northern Europe for so long, and returning to San Francisco for vacation is like manna after a long drought, which will increase their combat effectiveness.

……

In the vast Indian Ocean, the frigate is cruising. On the deck in front of the 76mm stealth naval gun, in the presence of many soldiers, Captain Margaret is conferring a medal on the special soldier Jiaika Zimmerman.

Jiaika is a girl born and raised in East Africa. She was drafted into the army more than three years ago. She is just a logistics worker and does a good job in logistics.

However, after working for a year, she took the initiative to sign up, asked to adjust her position, and wanted to join the combat order.

In view of her outstanding performance, her application was approved.

After the assessment, the base found that she was very talented in shooting, so they planned to train her into a sniper.

Jiaika cherished the hard-won opportunity. With extraordinary perseverance and devilish training, after two years of hard training, he finally became an excellent sniper.

Later, he was favored by Margaret and went on missions with the navy.

Although the frigate is at sea, it is also equipped with a "Marine Corps". Although the ship has powerful weapons such as missiles, it is often difficult to use them lightly.

Missiles are so expensive. No matter how rich Luo Ya’s family fortune is, she can’t afford to fire missiles every day. This is her private property, not the country's money.

And sometimes, the enemy leader hides in his lair and uses missiles or cannons to swat mosquitoes.

As for snipers, it can be said that it is the lowest-cost method to go deep into the hinterland of hostile forces, behead people with precision, kill with one hit, and just walk away after the incident.

In the past six months, Jiaika has assassinated three important figures of the hostile forces one after another. Even Luoya expressed high praise for this and promoted her several levels in a row, from the original "sergeant" to "lieutenant". In addition, three hundred thousand US dollars will be awarded.

An enemy leader is worth one hundred thousand dollars.

This is what Jiaika sacrificed his life for.

"Congratulations, Jiaika. Starting from today, you can enjoy one month's paid vacation. Whatever plans you have and wherever you want to go, you can make them come true." Margarita finished the awarding and hugged Jiaika. After a while, he said.

Originally, Luo Ya wanted to come and meet Jiaika in person, but because there were many things going on in Texas and four babies waiting to be fed, she didn't come.

The last time she came, Jiaika was out on a mission and she didn't see her.

"Yes, Jiaika, you can tell us all about where you want to go, and we can give you some suggestions."

"If you want to travel, I think Hawaii, Europe, or China are all very good places."

"Yes, if you go to Asia, you can go to other countries, but don't go to India."

"Why?"

"Haven't you heard? There was a Spanish couple, the girl was a celebrity, but when they traveled to India, the husband was beaten and the girl was raped by seven people. It was so miserable."

"Oh my God, isn't India a big country? Is it such an exaggeration?"

"It turns out that we in the world are not backward and in chaos. The big countries ranked among the top ten are also in such bad shape."

"In comparison, China is a country with very, very good public security."

Everyone is talking to each other, and I haven't been so happy for a long time. Although Jiaika got the honor, because of this incident, there will be extra food in the restaurant today, and then a small party will be held for everyone to relax.

Jiaika was silent for a moment, shook her head and said, "I want to go home. Then I will take my sister to Hope Hospital for treatment."

"Is your sister sick?" Margaret was very apologetic. She had never paid attention to the family affairs of this "iron-blooded black girl" before.

It seems that I have asked several times before, but Jiaika is a very strong girl and did not mention it too much.

"Well, her illness is very strange and embarrassing. My family was poor before and there were no good doctors. This time I want to ask Dr. Zhou and others to help." Jiaika said seriously.

"Go, Dr. Zhou will definitely help your sister." Margaret patted Jiaika on the shoulder and encouraged her.

Jiayika is an "internal employee" and her family will receive a 50% discount for medical treatment at Hope Hospital.

And she just got three hundred thousand dollars, so it shouldn't be a problem to treat her sister and improve her family's life.

She thought that if she had 108,000 yuan left after the treatment, she would buy a house in the City of Hope and bring her family from a remote area.

Although the City of Hope is not large now, its development should get better and better in the future. Moreover, under Luo Ya's military management, it is considered a place with relatively good security.

She now has a "full-time official position" in the base, and she can take care of her family to some extent.

Amid everyone's blessings, Jiaika left the frigate three days later, returned home, and sent her sister to Hope Hospital.

It is not a problem to admit family members of internal employees to the hospital if they are sick.

Because the condition was strange and complicated, Chen Zhining activated telemedicine assistance and asked Zhou Qiao for help.

Zhou Qiao brought Murphy, Stephanie, and Nanako Chiba together in the conference room to communicate and conduct remote consultations with the medical team in East Africa.

Jiaika's younger sister is five years old, dark and skinny due to long-term malnutrition. In recent years, Jiayika has been sending money to her family every six months, and her life has become better than before.

Otherwise, my sister will suffer even more.

Jiaika bought some diapers for her sister and took her to see a doctor. Before, when she was at home, her five-year-old sister always wore open-crotch pants.

Because my sister has no way to control her bowels and bowels.

That is to say, you can't feel your bowels and defecation, so you can't control it. Sometimes you fart and defecate, which is as embarrassing as it gets.

Now Jiaika put diapers on her, bought new clothes, washed them cleanly, combed her hair neatly, and tied it into a few braids, so she could barely live a normal life.

Although, having to change diapers several times a day is quite expensive and troublesome.

But this is what a normal girl should look like.

After Zhou Qiao and others learned about the girl's condition, they were very sympathetic.

After detailed examination and multiple consultations, Zhou Qiao and the others identified the “culprit” as a disease called myelomeningocele, which is a congenital developmental malformation of the nervous system with a global incidence rate of approximately 0.05% to 0.1%. , is one of the important causes of neonatal disability and death.

Jiaika's sister is really "walking on thin ice" to be able to survive to this day.

This disease can actually be reduced by taking oral folic acid medication or food fortification to supplement folic acid in the early stages of pregnancy.

But Jiaika's family was poor. When her mother was pregnant with her sister, there was no such condition, or in other words, there was no such understanding at all.

However, Zhou Qiao and others speculated that Jiayika's sister's previous illness should have been mild, otherwise, she would not be alive now.

However, as time progresses, the condition will naturally become far more serious than when he was born. If it progresses for a few more years, it is likely that the entire lower body will be paralyzed. The risk of premature death is also considerable.

After Jiaika learned about her illness, she was terrified. At the same time, I felt lucky that through hard work, I got a promotion and a salary increase, and also received a huge reward. Only then did I have the opportunity to bring my sister to see a doctor in time.

Under the leadership of Zhou Qiao, the Iris Clinic and the East Africa Hope Hospital team worked together to tailor a treatment plan for Jiaika’s sister.

The entire treatment process requires three surgeries, and of course, later rehabilitation training, drug training, etc.

(End of this chapter)