I run a clinic in the United States

Chapter 76
They don’t have autism, so how can they use it?

Zhou Qiao gave them a sachet that can beautify the skin and is extremely beneficial to blood circulation. It also came from the system. Each one cost 5 medical points!

Current Yixuan Point account balance: 3 points!
Since it is a gift, it will naturally be wetted by rain and dew, so how can we favor one over the other?

Elena and Ava are white, sometimes too white, blindingly white, like Snow White stoya.

Beautiful is beautiful, but if it nourishes Qi and blood through the sachet, and adds a bit of ruddy, white skin, it will be even more attractive!
"Wow~, it smells so good, thank you, Joe. I like this sachet very much!" Elena said, holding the sachet with her slender fingers, putting it under her tall nose and sniffing carefully, showing her A drunken look.

"Joe, I like it too..." Ava stopped her voice, and gently held it and sniffed it, but what Zhou Qiao didn't notice was that the red lips covered by her sachet opened and closed inadvertently, seemingly silently adding a smile. The word "you".

Although Murphy's favorability level for Zhou Qiao had risen to 71, he still had a calm expression, shrugged, said nothing, and just silently put the sachet into his pocket.

But the system prompts: [Because the host gave the exotic flower sachet, Murphy's favorability is +3, and the current favorability is 74! 】

Zhou Qiao: "..."

Glancing at Elena and Ava, he wondered why the system didn't remind them?
System: [Eileen and Ava's favorability has already been filled to 100, no need to remind. 】

Zhou Qiao: "..." I would be lying if I said I wasn't secretly happy.

Looking at the night outside, Zhou Qiao took Murphy to the laundry shop to find the black girl. On the way, he said to her: "You must wear this sachet often. It is best to be close to your body. It is good for your body!"

"Yeah." Murphy nodded and his eyes lit up.

When they arrived at the laundry, it was still the same black girl who volunteered as last time. She took out a submachine gun from the secret compartment and was about to drive to escort Murphy back.

Zhou Qiao asked gratefully: "What is your name?"

The black girl grinned, showing her white teeth: "My name is Ariel."

"Ariel, thank you!"

"You're welcome, Doctor Zhou!" Ariel said cheerfully.Except for the eyes and teeth, which are white, everything else is charcoal. This kind of skin color is especially advantageous when fighting at night.

Of course, this is excepted if the opponent is wearing night vision goggles.

Murphy's appearance could not be hidden from Loya. However, Loya was currently fighting with the Crips Gang, busy with various overt and covert businesses, and the layout of the East African mercenary army. Everything was so chaotic that she had no time to pay attention to Zhou. There's something about having another woman on Qiao's side.

She didn't care about this either. Zhou Qiao already had two little sheep at home, and she didn't mind one more.

Luo Ya is a person who has escaped from vulgar taste. She has more important things to do!
Of course, it was quite enjoyable for Zhou Qiao to come over occasionally and relax her endlessly.

Zhou Qiao is addicted to vulgar taste and can't help himself. Late every night, he and Elena don't know the time or the direction.

Elena bought the medicine secretly, so they did not take care of the TT manufacturer's business.

……

Murphy gradually got used to life in the surgery department of the Iris Clinic, and her grandfather's medical examination report came out. Looking at the medical examination report, Beauty Bingshan couldn't help frowning.

Grandpa naturally had a lot of little problems.

High blood pressure, high blood lipids, low hemoglobin, small pulmonary nodules, mild carotid artery plaque (2 small plaques), carotid artery stenosis (stenosis area of ​​about 30%), high transaminases, liver hemangioma (benign disease) , asymptomatic, non-hepatic angiosarcoma), small gallstones (about 0.4*0.5*0.2 cm), liver cysts (about 5 cm and asymptomatic), thyroid nodules ([-]% of them are benign, just check them regularly), Premature cardiac contraction (without structural heart disease)…

In fact, Murphy didn't take these minor problems to heart!
Because, although it looks scary, it is actually not a serious problem, just need regular review.

As for high blood pressure and high blood lipids, if you pay more attention to them and take some antihypertensive drugs in moderation, the problem will not be big.

However, there was a routine stool examination in the physical examination report, and the color of the stool actually showed - black!
This is more of a headache!
Black stools are mostly a manifestation of gastrointestinal bleeding, and there are many possible causes!

Such as gastric ulcer, duodenal ulcer, acute gastroenteritis, etc. In addition, taking iron and other drugs can also cause it.

However, there is another worst-case scenario, and that is - cancer!
In patients with gastric cancer, due to tumor bleeding, the blood turns black after being digested by gastric acid and other digestive juices, and when mixed in the stool, it appears as melena.

High-segment intestinal tumors, such as small intestine cancer, upper colon cancer, etc., if the bleeding volume is small and the tumor stays in the intestine for a long time, it can also appear as black stool after the action of digestive juices.

"What if it's a malignant tumor..." Murphy didn't dare to think deeply.

Although she was worried in her heart, she remained expressionless on the surface as before, like an iceberg, and came to Zhou Qiao's consulting room.

"Doctor Zhou..."

"What's the matter, Murphy?" Zhou Qiao asked, then pointed to the chair and motioned for her to sit down.

Murphy handed his grandfather's physical examination report to Zhou Qiao.

Zhou Qiao read through it and couldn't help but frown: "Are you worried about black stool?"

"Yeah." Murphy nodded.

Zhou Qiao pondered for a moment and then said, "Why don't you let your grandpa come over? I'll help him do a gastrointestinal endoscopy!"

Digestive tract tumors can only be detected early through gastrointestinal endoscopy, and other methods cannot replace it.

Gastrointestinal endoscopy equipment is relatively expensive and is not available at Iris Clinic, but it can be carried out at community hospitals.

After paying the property tax in a few days, Zhou Qiao plans to buy some less expensive equipment if he has money left over.

For example, the surgical microscope that has been damaged and has been in disrepair for a long time is simply discarded. Buying a new one will only cost tens of thousands of dollars.

Although there are community hospitals and the University of California Medical Center, hand surgeries are usually more urgent. It would be much more convenient if there was one in the clinic.

He can suture without a surgical microscope, but it will be more tiring!And the effect will be slightly inferior.

Why not use better tools?
Besides, he does, but Murphy doesn't.

Murphy specializes in debridement and suturing. Without a surgical microscope, suturing nerves and small blood vessels is basically confusing, and the quality cannot be guaranteed.

Murphy said: "Then I'll call grandpa."

She came outside and thought about it. Of course, she couldn't directly mention the cancer. It hadn't been diagnosed yet, so she said softly: "Grandpa, your physical examination report has come out. Several indicators are not sure and need to be further investigated." examine."

Grandpa asked, "What inspection?"

Murphy said: "It's a gastroenteroscopy. Don't worry, it's very simple."

"Okay, my little baby, grandpa will be here soon."

Murphy's grandfather naturally obeyed his little granddaughter and doted on her very much.

Immediately, grandpa drove over with Murphy's grandma.

Because grandma was worried about his wife's condition and wanted to see Murphy's working environment, she also came with her.

After the two old men arrived, Elena immediately served them black tea and two plates of snacks.

However, Murphy's grandfather had to have a gastrointestinal endoscopy, so he could only look at it but not eat it.

Elena explained this.

Fasting is an inevitable requirement before all gastrointestinal endoscopy examinations.

Ava has already contacted the community hospital and made an appointment for a gastroenteroscopy examination, which will be at about four o'clock in the afternoon, which is six hours later.

"Grandpa, this is a pack of laxatives. I'll help you dissolve it and you drink it. That's the toilet over there." Murphy brought a pack of medicine over, poured it into an empty cup very carefully, and then slowly stirred it.

"Do you still want to take laxatives?" Grandpa said with some resistance.

He really hates that kind of diarrhea scene, especially when it's still outside.

When he goes to the toilet at home, he has to take off his clothes every time he has a bowel movement, otherwise it will be uncomfortable to sit on the toilet.However, this is a clinic, so it is inconvenient.

(End of this chapter)