A week later, Grandma Farrah returned to the Iris Clinic with the blood results.

Zhou Qiao, Murphy and Rachel consulted together and were finally diagnosed with antisynthetase syndrome with interstitial lung disease.

Grandma Farah wondered, what kind of disease was this? I've never heard of it before!

Zhou Qiao explained to her in detail, as much as possible in a way that the other party could understand.

This disease is actually one of the rheumatological and immunological diseases.

Patients often present with unexplained interstitial lung disease, and clinical manifestations can also include rash in specific areas, fever, arthritis, technician hands, Raynaud's phenomenon, myositis, and white and purple fingers when cold.

Because the external manifestations of this disease are not so typical, special blood tests are often required, such as autoantibodies, myositis spectrum antibodies, etc., so it is easy to miss or misdiagnose clinically, and it is treated as ordinary pneumonia.

If timely diagnosis and standardized treatment are not carried out, some patients will continue to progress lung lesions, and eventually develop pulmonary fibrosis and even respiratory failure.

Because patients with antisynthetase syndrome often have some specific antibody abnormalities, and these abnormal antibodies can easily cause lung damage, interstitial pneumonia is one of the most important clinical manifestations in patients with antisynthetase syndrome.

Rheumatism, known in English as "rheumatism", comes from the Greek word for pain that flows like wind and water.

Translated into rheumatism, because the translator not only understands Chinese and Chinese medicine, but also understands English and Latin.

Therefore, rheumatology is also available abroad.

This is a phenomenon of the convergence of world medicine.

According to Zhou Qiao, in the United States, for rheumatology, the top three hospitals are about Johns Hopkins Hospital, Cleveland Clinic and New York Special Surgery Hospital.

This disease is an incurable disease in any country, and Rachel's lack of experience with incurable diseases is that she was treated as an ordinary pneumonia at the beginning, which cannot be too demanding.

Because Zhou Qiao's positioning of her arrangement is different.

At the Iris Clinic, Rachel's position is to deal with common ailments, and it is also the most tedious part of the work in the clinic.

If you can't figure it out, you will transfer it to Zhou Qiao.

In a unit, different roles naturally have different division of labor, which is normal.

Rachel heard Zhou Qiao's explanation and couldn't help but suddenly realize. I can't help but admire Zhou Qiao and Murphy even more.

She also vaguely felt her position, so her mentality was not unbalanced.

"Dear Ms. Farah, your disease is complex and requires immunosuppressants and anti-pulmonary fibrosis drugs. I'll give you a prescription and you go to an outside pharmacy to buy it. Zhou Qiao said.

The Iris Clinic, although it has a small pharmacy, is mainly for emergency use.

For example, some anesthetics, disinfectants, analgesics, antipyretics, etc., which are needed for minor surgery, emergency or trauma treatment.

There are some common drugs, but there are too many types of drugs, and it is not realistic to prepare them all, and there is not such a large venue, and some of the demand is relatively small, and the cost performance is not high.

As a first-tier city, San Francisco has many chain pharmacies, and they can also use medical insurance, so it is convenient for patients to buy on their own.

"Is there a guarantee that it will work this time?" Grandma Farah was a little scared and wanted to get better as soon as possible.

Zhou Qiao said: "Don't worry, now that the specific cause has been figured out, the symptomatic treatment is not a big problem." But this disease takes a bit long to treat. ”

The grandmother asked, "How long will it take?" ”

Zhou Qiao told her: "If it is fast, it will be two months, and if it is slow, it will be three months, and the lung lesions will be significantly absorbed, and the cough and asthma will also be well improved." ”

"Of course, during the treatment period, it is best for you to come for a follow-up appointment once a week, so that we can keep track of your condition and adjust your medication in time."

"Thank you!" Grandma Farah took the prescription and left trembling while coughing.

At such an age, there is no one to accompany the doctor.

The clinic has an air purification system, lots of greenery, and disinfects every night, so although there are patients coming in and out every day, the air is actually quite good.

Sanitation is basically done by Park so-joo alone, because the clinic does not have that many inpatients.

Although Zhou Qiao didn't say it, when she was free, she would sweep here and wipe there, I have to say that Park Xiuzhu is very diligent and has the characteristics of a good wife and mother.

Because of this, since Park so-joo came, the clinic has become more clean and tidy.

Zhou Qiao pondered that she could be given a little more salary.

Park Yuna has been staying in the clinic with her mother a few days ago, and her mother works, so she writes homework and reads books in the rest area on the first floor, and she is very well-behaved.

After surgical treatment and psychological counseling, she has already returned to a normal girl, and her hair is very ugly because she has "eaten" a lot before, so Park Xiuzhu took her to make a short hairstyle similar to Murphy, and she looks very handsome.

Sometimes Cathy would bring little Danielle over, and Park Yuna would tease this little sister, hold her and sing, dance, and go around, and the sisters had a good time.

But in the past few days, Park Yuna has started school, and when little Danielle comes back again, there are no children to play with her.

Little Danielle was a little lost and angry, and as she developed, the little one began to have obvious mood swings beyond her physical needs.

If someone plays with her, she will dance and laugh merrily.

If no one teases her, she will be sullen.

Ava gave little Danielle a small rattle toy, which she bought in Chinatown, she looked very funny, Zhou Qiao said that this is a very traditional toy for Chinese children, and at the same time it is a traditional musical instrument, Ava started it.

I have to say that this small rattle is particularly exquisite, sheepskin wood, painted with the gods of the Three Altars of the Sea Society, holding a Qiankun circle in his hand, flying around the sky, and stepping on the three princes of the Dragon King, very powerful.

Little Danielle was immediately attracted by this small Chinese toy, grabbed it and spun around, making a "dong dong dong" sound, and refused to let go.

Cathy said with emotion that the little one gave her a lot of happy company.

In order to prevent herself from getting sick and little Danielle has no one to take care of her, Cathy is cautious these days, and she has not even had a cold.

After having a child, Cathy is in a much better state of mind than before, with more smiles on her face, fewer pleats and a younger look.

"Hello, good morning little Ava, is Dr. Zhou there?" Ariel walks into the Iris Clinic with a black girl and says hello with a smile when she sees Ava.

The reason why she could tell if it was Ava or Elena was purely because it was usually Ava on duty at the nurse's station.

Ava smiled and said, "In the consultation room, there are just no patients. ”

"Okay, thanks." Aliel took Hei Mei to Zhou Qiao's general clinic.

"How's it going, Ariel, how are you doing?" Zhou Qiao asked.

"It's good, it's just that Martha is a little troublesome." Aliel pointed to the sturdy black girl behind her and said.

"Oh?" Zhou Qiao looked at Martha.

This black girl, Zhou Qiao is also very familiar, the backbone of the laundry, quick in action, and her eyes are like leopards.

Ariel said: "She has a small bag bulging in her stomach, I don't know what's going on, and it doesn't hurt." Then she looked like she didn't care, and I found her today, so I brought her over. ”

Originally, this black girl didn't want to come over, and it didn't hurt, so Aliel scared her and said Do you know the tumor?

It's scary to look at the kind that doesn't hurt, and once it breaks out, it's the late stage. You're still so young!

The black girl was startled. Then he was carried by Ariel.

I have to say that Ariel treats his subordinates very well. Probably influenced by Loya.

Luo Ya treats her subordinates with grace and power. These blacks will not be so submissive if they are simply courtesy.

"Come, Martha, pick up your clothes and show Dr. Zhou!" Ariel said.

Martha lifted her blouse, I have to say, this black girl often exercises, the vest line is very tough, and she has tendons and flesh.

But even the strongest people can get sick or get hurt. Birth, old age, sickness and death are something that human beings can never avoid.

This is a genetic evolutionary selection to protect the human population. Survival of the fittest, even if there is an evil individual, it will dissipate in only a hundred years.

Zhou Qiao stepped forward to check, and the lesion was in the groin area on the right side of Martha, which was a bulging, about the size of an adult's fist.

Zhou Qiao looked at it, tried to press with his fingers, and pressed it with moderate force, and asked, "Does it hurt?" ”

Martha shook her head and said, "It doesn't hurt! ”

"Don't feel it at all?" Zhou Qiao asked.

"It's a little itchy!" Martha couldn't help but laugh.

Zhou Qiao: "......"

It means that she touched her and tickled it?

Ariel scolded: "Treat you!" Be serious! ”

Martha thought about it carefully and replied seriously: "There is a feeling of swelling." Nothing else is abnormal. ”

Zhou Qiao nodded and asked, "How long has it been?" Have you ever had any previous injuries or sudden pain? ”

Martha pondered for a moment and said: "Maybe a few days before Christmas, I was exercising in the community gym, and when I was doing squat deadlifts with a barbell, I held my breath and exerted my strength, and suddenly, for a moment, I felt a sharp pain at the base of my right thigh, and I thought it was a strain, so I went to the locker room to rest for a while, and by the way, I checked the injury myself, and then I found that there was such a bulge!" ”

"At that time, the bulge was not so big, it was the size of a small potato, and it didn't hurt or itch to the touch, so I didn't pay attention to it!"

"It only got bigger later."

"Dr. Zhou, this bag ...... Could it be really...... Like Ariel said, it's a tumor, right? ”

Martha shuddered at the thought of the tumor. Although the five-year survival rate for malignant tumors is high in the United States, it is still a terrible disease.

Zhou Qiao smiled and said, "Not really." Ariel was deliberately scared. We have a Chinese allusion called "Avoiding Doctors", which means that if there is any pain, don't be afraid, you must come to the doctor. Well, in your case, there is a high probability of an inguinal hernia. ”

He doesn't use the system now, and his level is also very high, so he knows an idea without checking.

Of course, follow-up tests are required to confirm the diagnosis.

"Huh? Inguinal hernia? Martha breathed a sigh of relief, as if it wasn't a particularly serious illness.

She suddenly thought about it, and said, "It seems that my grandmother has had this disease before, but she was checked out when she was older, why do I have this disease when I am so young?" ”

Zhou Qiao smiled: "This disease has nothing to do with age. Although inguinal hernias are more common in older people, it is not uncommon for young people to suffer from this condition. ”

"How can this disease be explained? For example, if our abdominal wall is the outer tire of a tire, when the outer tire is damaged and broken, the inner tube will bulge out. ”

"The abdomen of our human body is not complete, and there are many defects or passages in the abdominal wall that communicate with the outside of the abdominal cavity."

"For example, in your groin near the base of your thigh, there is an inguinal canal that connects the intra-abdominal and external sounds, and usually, the opening of this passage is covered by fascia, as if a door closes this passage!"

"However, if you get older, the fascia will be loose and weak, that is, the door panel will become thinner."

"Or like you, suddenly, too hard, and under the action of external force, the door is torn, and at this time, the passage will open and slowly become larger, and then the contents of the abdominal cavity will leak out."

"This is an inguinal hernia!"

As soon as Zhou Qiao said it in simple terms, Ariel and Martha both understood, nodded again and again, and said that Dr. Zhou's level is high!

Martha asked again: "Doctor Zhou, how will such a big bag be healed now?" Is it surgically removed? ”

She had long heard that Zhou Qiao's surgery here was very powerful! I didn't expect to have the opportunity to experience it! Although, it's never a good experience!

Zhou Qiao said: "How can it be removed?" I just said so much, you don't really understand. ”

Martha: "......"

Ariel: "......"

Both nodded, as if yes.

It's the feeling that I seem to understand, but I don't seem to understand.

When Zhou Qiao spoke, they understood and understood very well, but as soon as Zhou Qiao stopped, they were confused again.

Zhou Qiao had no choice but to continue to explain: "What do you think, usually the tires are broken and bulging, what should you do?" ”

Martha couldn't help but say, "It's simple, just make a patch and fix it!" ”

She is familiar with repairing cars and tires, and she is trained!

Luo Ya is all in accordance with the requirements of the special forces. Martha was one of them.

Zhou Qiao slapped his thigh and shouted, "That's it!" I'll get you a patch and fix it! No, let's let our genius doctor Murphy fix it for you, Murphy is very high! ”

"Huh?"

Ariel and Martha almost fainted! Is that okay?

Zhou Qiao waved his hand and said: "Surgery is so simple and crude, either repair or replace!" ”

He immediately went to call Murphy, and if nothing else, this should be Murphy's sister's ninth operation!

One more is missing, and the achievement of "Great Teacher" has been achieved!

Zhou Qiao thinks about it, and he is still looking forward to it!

(End of chapter)