I run a clinic in the United States

Chapter 50 Unplanned Illness (It's Tuesday, Please Read More)

"Is this gentleman seeing a doctor? Oh, for advice on weight loss, Dr. Zhou in our clinic is indeed very accomplished in the field of weight loss. Well, let me measure your blood pressure and pulse first." Ava brought the equipment and said .

"Okay, okay...thank you." Felipe was a little incoherent, not daring to look at Ava.It's because Ava is so beautiful!

Ava smiled slightly, started to operate, and asked: "How often do you usually have a physical examination?"

Felipe: “…I haven’t done it for several years.”

Ava said: "That's not possible. Usually we recommend follow-up at least once every six months."

"Hmm, yes."

"How much do you weigh?... 403 pounds? My God..." Ava exclaimed. Although she knew that the other party was heavy at a glance, she didn't expect it to exceed 400 pounds!
"I guess your BMI index is seriously over the standard, let me do a quick blood sugar test for you!" Ava looked at the other party and suggested.

Because she felt that the other party's blood sugar must be too high.

Felipe and Taylor naturally followed Ava's arrangements. For such a beautiful little angel, Felipe had long lost his opinion.And Taylor also felt that it was necessary to make one.She has worried about her son's health for a long time.

Ava quickly fetched the blood glucose meter, which is a blood-sucking instrument. The test strip controls the blood sample measurement by itself, and there will be no deviation in the result due to the blood volume. It is easy to operate, just use the test strip to touch the blood.

Another common blood glucose meter is the blood-smearing type. The blood-smearing machine generally collects a large amount of blood, and the patient is more painful.If too much blood is collected, it will also affect the test results. If the blood volume is insufficient, the operation will fail and the test paper will be wasted. Most of these blood glucose meters are photoelectric.

Of course, there are also undamaged blood glucose meters for sale, but the price is very expensive!In many ways, the Iris Clinic still retains the traditional virtues of the Chinese nation, focusing on frugality.

"Have you eaten for more than 2 hours now? Or to put it another way, have you eaten anything within 2 hours?" Ava asked while operating the instrument.Because whether you eat or not will affect your blood sugar results and judgment.

However, no matter whether you eat or not, a preliminary inspection is also of great reference value.

Felipe said nonchalantly: "No... I just had... six hamburgers for lunch."

Ava couldn't help shrugging her shoulders and said to herself, I can only eat a hamburger at most, sometimes I can only eat half of it, and then I have half for Joe.My saliva was on it, and Joe didn't mind, hehe, he can only eat three at most in one meal.

If she knew that after eating six, Felipe would only be a quarter full at most, she would probably be shocked!
Felipe is now a little hungry, palpitations, and fatigue.

Taylor is very thin, and her face is full of wrinkles, which are marks left by the pressure of life. She said with a wry smile: "Felipe is already trying to diet. Sometimes, he eats more than 30 meals at a time. Hamburg, old mother, I can hardly afford to support him!"

Ava shrugged, smiled politely, and comforted: "It's not a bad thing to eat too much, you just need to exercise more, or you will have many health problems. Ah~, the blood sugar level is so high?"

She exclaimed softly.

Felipe and Taylor quickly looked over!
"What's the result?" Taylor asked nervously.

Ava said very worriedly: "It's already as high as 22 mmol/L. Usually, the blood sugar is greater than 2 mmol/L 11.1 hours after a meal, and we think it exceeds the standard. You... If my prediction is correct, there is a high probability that your son has died. Suffering from type II diabetes requires a systematic examination. However, this requires Dr. Zhou to prescribe a checklist."

Taylor and Felipe suddenly felt heavy. In fact, this result did not seem surprising.After all, Felipe is so fat!
Moreover, this was only because I ate six burgers two hours ago.If you eat it openly, with more than 30 in your stomach, and a few large glasses of Coke, the blood sugar level will probably be even more shocking!

"You don't have to worry too much, Dr. Zhou should be free soon, I'll go check it out for you!" Ava got up and went to Zhou Qiao's consulting room to take a look.

Zhou Qiao was explaining the test report to a patient with stomachache. The patient had chronic gastritis, which was probably caused by irregular diet, long-term consumption of strong alcohol, coffee, and cold food. Zhou Qiao prescribed some medicine to protect the gastric mucosa. Drugs that inhibit gastric acid secretion and promote motility, and gave some precautions. It was recommended that the patient be followed up for regular follow-up examinations.Because chronic gastritis has a certain chance of becoming cancerous.

For this minor illness, he has solid basic knowledge and reads and studies every day, so he doesn't need to use the system at all.

Elena and Ava also went to the library to borrow professional books. Anyway, the security is not good at night, so they dare not go out, and charging at home is fine.Sometimes the three of them will conduct some surgical cooperation drills together. Elena and Ava will also compare the skills of infusion and needle injection, hand speed, etc., which is also very interesting.

The men and women are matched, and the work is not tiring. Both Zhou Qiao and the twin beauties feel that their days are quite fulfilling!

"Joe, there is a patient who is seriously overweight and has high blood sugar..." Seeing that Zhou Qiao was free, Ava went over to tell him about Felipe's condition.

"Then invite him in." Zhou Qiao said with a slight smile.

"Okay." Ava turned around, curled her lips when she walked out, quite resentful, hum, she was actually lukewarm to herself.Have you forgotten what happened last time?When nothing happened?

Soon, Felipe came in and Zhou Qiao began to consult, and then arranged a physical examination and diabetes-related examinations, such as blood sugar, oral glucose tolerance test, urine glucose, urine ketones, glycosylated hemoglobin, glycosylated serum protein, Serum insulin and C-peptide levels, blood lipids, uric acid, etc.

The detection indicators are more comprehensive, which is helpful for diabetes classification, condition judgment and follow-up guidance treatment.

In addition, the other party has not had a health checkup for several years, so there are more items that need to be arranged.

The other party also has medical insurance, and there are not many expenses that need to be paid out of pocket.Zhou Qiao mainly plucks the wool of the US government and insurance companies.

In addition, there is no unreasonable inspection arranged against conscience.

However, there is a high probability that the other party has type [-] diabetes. There is currently no cure for this disease, but it can be controlled through drug treatment.If blood sugar is not controlled for a long time, it will cause serious complications.

Accompanied by his mother Taylor, Felipe went to the testing center with difficulty.Originally, Ava saw them coming and wanted to drive them off, but then she realized that it was reasonable for them not to drive.

Felipe couldn't get into the clinic's car, which made Ava feel a little embarrassed.

"Thank you, thank you, let's just walk." Taylor expressed his thanks.

By the time they got there, Felipe was exhausted, sweating, and out of breath.Then, he said he needed to go to the bathroom, and Taylor was waiting outside.

After a while, Felipe came out with an embarrassed look on his face.

Taylor asked: "What's the matter? Are you feeling unwell?"

Felipe said embarrassingly: "Mom, I accidentally broke someone's toilet seat!"

Taylor: "..."

Fortunately, there is no monitoring in the toilet, so there should be no need to pay, right?
Taylor hurriedly took him for an examination, and stayed away from right and wrong!

It's a mess...

It seems that the son is right, he does not like to go out for a reason!

The next day, all the test results were received.Zhou Qiao took a quick look and knew that type II diabetes was gone!He went online last night to replenish his knowledge in this area and recharged himself without using the system.

Zhou Qiao explained the test results to them very seriously, as well as her own diagnosis basis and some precautions.

The two types of diabetes are actually very easy to distinguish.Zhou Qiao can make a judgment based on her own knowledge without using the system.

Usually, type [-] diabetes is mostly related to innate immune factors or genetics, the absolute lack of insulin in the body, the complete destruction of its own pancreatic islet β cells, and the complete lack of insulin secretion.Type II diabetes is mainly due to the relative shortage of insulin caused by obesity and other reasons, and the function of pancreatic islets gradually decreases.

Then, in terms of symptoms, patients with type [-] diabetes are thin and thin, and they will drink, eat, and urinate more, and some patients will have dry mouth and fatigue.Patients with type II diabetes are generally obese and have no obvious symptoms in the early stage. As the disease progresses, they will gradually appear polydipsia, polyphagia, polyuria, and weight loss.

Fortunately, the other party's condition has not progressed to a serious level, and it can be controlled with drugs.

Zhou Qiao prescribed medicine and asked Ava to get an injection, but Ava came back quickly and asked for help: "Joe, Felipe has too much flesh on his body, too thick, and the insulin needle can't be pushed in at all!"

Zhou Qiao slapped her head and said apologetically, "I was negligent, I should take hypoglycemic drugs orally!"

He said in his heart that if he did not rely on the system and relied solely on his own abilities, it would be easy for him to make some mistakes.Such an oversight in small details probably wouldn't have happened if he had exchanged his medical skills for diabetes, including his many experiences.

However, he felt that he could not rely on the system for all diseases, mainly because it was difficult to accumulate medical points. He wanted to save up 200 points as soon as possible to redeem the attending doctor's license.

With the attending doctor's license, it will be much smoother for the clinic to apply for opening some specialties in the future.

Now it is mainly at the level of grassroots clinics and general practitioners, mainly focusing on minor illnesses, health checkups, and weight loss consultations. Those serious illnesses are discovered through the system during these medical treatment or consultation processes, rather than people taking the initiative to treat them because of this disease. door-to-door.

However, if you have a special specialty and become more famous, you will attract more serious patients and earn more.

"Doctor Zhou, my diabetes can be controlled by taking medicine, but what about my weight?"

(End of this chapter)