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 who might need surgery, so he did not prepare a drink for him.

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

Since there is a fever, the inflammatory indicators must be exceeded, but this will not be known until the blood sample test results come out.

Zhou Qiao asked Elena to take a fever reducer capsule and give it to Mr. de la Torre first, and then lower his body temperature first.

If you want to buy medicine, you have to go to an outside pharmacy. It was a delay to go back and forth, anyway, a pill of antipyretic medicine was not expensive, and the clinic also had a stock, so I gave Mr. de la Torre a pill first.

Besides, the cost of fever reducers will definitely be included in the bill at a later date, but it will not be clearly listed.

Listing a single pill seems too stingy. The other costs are slightly added, and the patient is not so clear.

In addition, since it is the first time to come, the medical fee is a little more expensive than that of the old customers, and there is no appointment, so I have to add another 20 US dollars.

"Why don't I help you get checked first?" Zhou Qiao motioned for Mr. de la Torre to lie down on the examination table.

Then the abdomen was palpated, and Mr. de la Torre did have obvious tenderness in the right lower quadrant, and depending on the situation, there was indeed a possibility of appendicitis.

It's just that the careful Zhou Qiao was suspicious in his heart.

Because under careful examination, he had mastered the knowledge and skills related to appendicitis, and keenly noticed that there was something wrong with Mr. de la Torre's painful area, not the typical McCh's point.

"Doctor Zhou, how's it going?" Mr. de la Torre asked, as he got out of the examination bed.

Zhou Qiao returned to the computer and said, "I suspect that your abdomen is not appendicitis, but abdominal pain and fever caused by other diseases, so let's arrange a blood sample and abdominal enhanced CT examination for you first, and then see the results." ”

"Okay then." Mr. de la Torre nodded, and looked at his wife, both a little apprehensive, because he had thought it was a good appendicitis, and appendicitis was very curable, but now the doctor at the iris clinic said no.

If it's another disease, my God, it's been delayed for five or six years, and if it's cancer or something, wouldn't it be at an advanced stage? Oh my God, I can't imagine it.

The two were apprehensive, took the list, and went to the nearby commercial testing center for inspection.

As a result, the inflammatory indicators were naturally high, but the CT report of the abdomen showed that Mr. de la Torre's ascending colon had irregular thickening of the intestinal wall with a round-like black cavity shadow.

Zhou Qiao looked at the report, tapped his fingers on the desktop, and thought about all the knowledge he learned in college, and finally locked the disease on "diverticulitis".

"I just don't know if it's right, it's better to redeem the auxiliary diagnostic function of the system once!" Zhou Qiao thought in his heart, and immediately silently gave instructions to the system in his mind.

After an invisible scan, the system pops up a golden virtual panel:

[Patient Shaq de la Torre, the condition is: ascending colon diverticulosis with acute inflammation!] 】

[After the diagnosis is completed, 3 points of medical mystery points will be deducted!] Host Doctor Xuandian Account Balance: 112 points. 】

Zhou Qiao was suddenly pleasantly surprised, his body shook slightly, his level was still very good!

This is completely based on his own ability to diagnose, and the auxiliary diagnosis function of the system is activated, but it is verified!

As for the balance of medical mystery points, it is only 112 points, because there is a large expenditure recently, and Luo Ya was given two +16 life-saving pills, which consumed 64 points.

Loya has been out of touch lately, and I don't know what happened in Los Angeles.

Thinking of this King Kong Barbie, an iron-blooded chick, Zhou Qiao is still quite worried.

However, there are two life-saving pills on her, which is equivalent to two more lives, and safety should be guaranteed.

Besides, Luo Ya herself is a woman with a strong force value.

"Doctor Zhou, what happened to the result?" Mr. de la Torre couldn't help but be even more worried when he saw that Zhou Qiao had been silent.

Zhou Qiao came back to his senses and hurriedly said, "Your illness is not appendicitis. ”

"Huh? What the hell is that? "Monsieur de la Torre was in a hurry, and his wife was also anxious, praying in her heart that it was better not to be ill too serious!

Zhou Qiao said: "According to my diagnosis, you have ascending colon diverticulum disease with acute inflammation. ”

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

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

Zhou Qiao said seriously: "If you just give antibiotics, pain relief, rehydration and other treatments like the previous treatment plan, it can indeed be relieved, but the symptoms are not cured." If you want a radical cure, I recommend surgery! ”

The indication for surgical treatment of diverticulitis is well defined, and surgery is recommended after two well-documented episodes of uncomplicated diverticulitis or/and one episode of complicated diverticulitis.

Mr. de la Torre has been in it for five or six years, and he has had one seizure a year, which is equivalent to five or six times!

In fact, this disease is quite common in the United States, because the main reason is too little intake of vegetables and fruits.

Most people in the United States do not like to eat fruits and vegetables, and fruits and vegetables are more expensive.

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

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

Another factor is age, which is uncommon before the age of 40 but increases with age after the age of 60.

Then 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, vascular dysfunction and obstruction of the diverticular opening lead to bacterial proliferation, increased pressure within the diverticulum, ischemia, and inflammation, which are the key factors in the development of diverticulitis.

According to the literature in 2016, the incidence of colon diverticulosis in China is about 1.97%. In African countries, it is even lower.

In Europe and the United States, the vast majority of diverticulosis is more common in the left colon, especially the sigmoid colon.

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

"It's an operation~" Mr. de la Torre gasped, inevitably a little nervous, because he had lived for more than sixty years in his life and had never used a knife.

Therefore, he seemed a little hesitant, and in addition, he didn't know if this Dr. Zhou's level of surgery was good? Looks so young.

It is true that Mr. Westin had appendicitis surgery here, but can the simple and ordinary condition of appendicitis compare to my sick-sounding condition?