I run a clinic in the United States

Chapter 90 Ascending colon diverticular disease with acute inflammation!
Zhou Qiao was very enthusiastic, asked about the medical history, and asked Elena to bring coffee to Mrs. de la Torre. As for Mr. de la Torre, he might need an operation, so he didn't prepare a drink for him.

Ava took the thermometer and took Mr. de la Torre's temperature. He had a fever, which was 101.84 degrees Fahrenheit, which was 38.8 degrees Celsius.

Since there is fever, the inflammation index must be high, but the specific situation will not be known until the blood sample test results come out.

Zhou Qiao asked Elena to fetch an antipyretic capsule and give it to Mr. de la Torre first, and let the temperature drop first.

Because if you want to buy medicine, you have to go to an outside pharmacy.It takes time to go back and forth, anyway, a pill of antipyretics is not expensive, and the clinic has reserves, so I will take one for Mr. de la Torre first.

Besides, the cost of antipyretics will definitely be included in the subsequent bills, but it will not be clearly listed.

It seems too stingy to list a single pill.Other costs are a little bit higher, and patients are not so clear.

In addition, since it is the first time, the diagnosis and treatment fee is a little more expensive than that of regular customers, and there is no appointment, so an additional [-] dollars has to be added.

"Why don't I check your body first." Zhou Qiao motioned Mr. de la Torre to lie on the examination bed.

Then the abdomen was palpated, and Mr. de la Torre did have obvious tenderness in the lower right abdomen. Depending on the situation, it is indeed possible to have appendicitis.

However, the careful Zhou Qiao felt suspicious.

Because after careful inspection, he, who possessed master-level appendicitis-related knowledge and skills, keenly noticed that there was something wrong with Mr. de la Torre's pain site, which was not a typical McBurney's point.

"How are you, Doctor Zhou?" Mr. de la Torre asked after getting up from the examination bed.

Zhou Qiao returned to the computer and said, "I suspect that yours is not appendicitis, but abdominal pain and fever caused by other diseases. How about this, I will arrange a blood sample and enhanced abdominal CT examination for you first, and see the results."

"Okay then." Mr. de la Torre nodded, and looked at his wife, feeling a little apprehensive, because he thought it was a good appendicitis, and appendicitis is easy to treat, but now the doctor at the Iris Clinic said no.

If it is another disease, my God, it has been delayed for five or six years. If it is cancer or something, isn't it in the advanced stage?God, I can't even imagine it.

The two felt anxious, took the order, and went to a nearby commercial testing center for examination.

As a result, the inflammatory index was naturally high. However, the enhanced CT report of the abdomen showed that the intestinal wall of Mr. de la Torre's ascending colon was irregularly thickened, and there were round black hollow shadows.

Zhou Qiao looked at the report, tapped her fingers on the table, thought about all the knowledge she had learned in college, and finally locked her illness in "diverticulitis".

"I just don't know if it's right or not, why don't I exchange it for the system's auxiliary diagnosis function!" Zhou Qiao thought to herself, and immediately gave the system a silent command in her mind.

After a while of invisible scanning, the system pops up a golden virtual panel:

[Patient Shaq de la Torre's condition is: ascending colon diverticulosis with acute inflammation! 】

[After the diagnosis is completed, 3 medical mystery points will be deducted!The balance of the host doctor's Xuandian account: 112 points. 】

Zhou Qiao was suddenly pleasantly surprised and his body shook slightly. His level was still very good!

This was diagnosed entirely by his own ability. Starting the system's auxiliary diagnostic function was just a verification!
As for the remaining 112 points of medical mystery points, it was because of a large expenditure recently, giving Luoya two life-saving pills of +16 as a gift, which consumed 64 points.

Roya has been out of contact recently, and she doesn't know what's going on in Los Angeles.

Thinking of this Vajra Barbie, iron-blooded chick, Zhou Qiao was still quite worried.

However, with two life-saving pills on her body, it is equivalent to two extra lives, so her safety should be guaranteed.

Besides, Roya herself is a woman with strong force value.

"Doctor Zhou, what's the result?" Mr. de la Torre felt even more worried when he saw that Zhou Qiao had been silent.

Zhou Qiao came back to her senses, and quickly said seriously: "Your illness is not appendicitis."

"Ah? What the hell is that?" Mr. de la Torre was in a hurry, and his wife was also uneasy, praying in his heart, it's best not to have some serious illness!

Zhou Qiao said: "According to my diagnosis, yours is ascending colon diverticular disease with acute inflammation."

"What disease?" Mr. de la Torre looked confused, what is this talking about, I have never heard of it!

Mrs. de la Torre was also confused, her eyes widened, and she asked, "Doctor Zhou, is this disease serious? Can it be cured?"

Zhou Qiao said earnestly: "If you just give antibiotics, pain relief, rehydration and other treatments like the previous treatment plan, it can indeed relieve the symptoms, but the symptoms are not the root cause. If you want a complete cure, I suggest surgery!"

The indications for surgical treatment of diverticulitis are clear and are recommended after two well-documented episodes of simple diverticulitis and/or one episode of complicated diverticulitis.

Mr. de la Torre has been there for five or six years, and he has an attack every year, which is equivalent to five or six times!
In fact, this disease is quite common here in the United States, because the main reason is too little intake of vegetables and fruits.

Most people in the United States don’t like to eat fruits and vegetables, and they are relatively expensive.

After Zhou Qiao came here, he ate a lot of beef and steak, far more than vegetables and fruits.

So Americans now have a proposal to include fruits and vegetables in medical insurance.

Another factor is the age factor. This disease is not common before the age of 40, but with age, the incidence rate gradually increases after the age of 60.

However, smoking, male sex, non-steroidal anti-inflammatory drugs, caffeine, obesity, etc. can all increase the incidence of diverticular disease.

From a pathophysiological point of view, blood circulation disturbance and obstruction of the opening of the diverticulum leading to bacterial proliferation, increased pressure in the diverticulum, ischemia and inflammation are the key factors in the development of diverticulosis into diverticulitis.

Domestic vegetables and fruits are relatively cheap, so the incidence rate is relatively low. According to literature data in 2016, the incidence rate of colonic diverticular disease in my country is about 1.97%.In African countries, it is even lower.

In Europe, America and other countries, the vast majority of diverticulosis occurs in the left colon, especially the sigmoid colon.

However, Mr. de la Torre's disease was located in the lower right abdomen, which was similar to the symptoms of appendicitis, so the previous doctor misdiagnosed it.

"Surgery~" Mr. de la Torre gasped, inevitably a little nervous, because he has lived for more than 60 years in his life, and he has never had a knife.

Therefore, he seemed a little hesitant. In addition, he didn't know if this doctor Zhou was good at performing surgery.Look so young.

It is true that Mr. Westin has undergone appendicitis surgery here, but can such a simple and common disease as appendicitis compare with my disease, which sounds so awkward?
　Thanks to "Book Friends 20180618221541732" for the reward!

　　
　
(End of this chapter)