When Mrs. Silverstone came back for follow-up appointments, it was her daughter who accompanied her, with two test reports, dopamine transporter PET and polysomnography.

Zhou Qiao and Stephanie carefully discussed the two test results of Mrs. Silverstone.

Among them, 18F-dopaPET examination showed that Mrs. Silverstone had reduced dopamine uptake in the substantia nigra and striatum in the brain, and decreased the glucose metabolism rate of the temporal-parietal-occipital cortex, which was more serious than that of Alzheimer's disease.

Zhou Qiao pondered that this may be related to Lewy body dementia visuospatial disorders, visual hallucinations, etc., while Alzheimer's disease is mainly due to a decrease in the glucose metabolism rate of the temporal lobe and cingulate gyrus. Stephanie thought so.

Mrs. Silverstone's polysomnography data was not very good, showing a very significant REM sleep disorder.

This disorder is the complex motor behavior that occurs while asleep, such as punching and kicking, getting out of bed and walking, etc., which is consistent with the previous patient's description.

In life, most people may experience a decrease in sleep quality, which may be related to factors such as excessive activity before bedtime and consumption of caffeinated beverages during the day, and may also be caused by problems in the brain itself.

When humans sleep, the brain's synapses retract and the spaces between brain cells widen, and the brain's cerebrospinal fluid (CSF) floods in, taking away the extracellular excess β amylase, which is an important marker of cognitive decline.

When sleep disorders are impaired, the β amylase in the brain cannot be effectively removed, which in the long run, can lead to cognitive decline, the most common of which is Alzheimer's disease.

Severe sleep apnea syndrome and rapid eye movement sleep disorder can lead to Alzheimer's disease.

Of course, there is a clear difference between the polysomnography data and EEG characteristics of Alzheimer's disease and Alzheimer's disease.

Polysomnography is a measured map of various physiological indicators during the patient's sleep recorded by a polysomnography monitor, including SPT, TST, NREM, TWT, WASO, SE and other indicators.

This examination can be done in a hospital or testing facility, or you can take the equipment home (equivalent to rental, which will incur additional bills.) The hand-held one, which weighs about the same weight as a portable B-ultrasound instrument, and it is not difficult to carry it home), connect the device according to the doctor's previous instructions, and monitor it by itself.

Because this monitoring needs to be carried out after 9 p.m. to 8 a.m. the next morning, the time is relatively long, and some people will recognize the bed and sleep worse in an unfamiliar environment, so they prefer to do it at home.

"Mrs. Silverstone, we can basically conclude that you have dementia with Lewy bodies." Zhou Qiao closed the report and said solemnly.

"Will that cure you?" Mrs. Silverstone's daughter said with great concern. Mrs. Silverstone was also worried. A good old age, encountering this strange disease, no one is in a bad mood.

Mrs. Silverstone was mildly depressed.

Zhou Qiao said: "Through drug treatment, the progression of the disease can be delayed, but the patient companionship and loving care of the family are also very necessary!" ”

Mrs. Silverstone's daughter was ashamed: "I neglected my mother before, and I will spend more time with her in the future." ”

"I plan to close the flower shop for a while, accompany my mother to travel to Europe, and relax." Mrs. Silverstone's daughter said.

Their ancestors were from England, and there is an old castle heritage in Scotland, but it is too remote, uninhabited and untended for many years, and has become a local landscape. This time, I plan to go back to my "homeland" to have a look.

Zhou Qiao nodded, no matter what the future holds, the company of the moment is indeed the most important.

When he thought of his old parents, he was a little ashamed, and he hadn't returned to China for almost a year. Since moving to the United States, I have been busy, and the recent surgeries are scheduled for three months later, and I have no time.

Zhou Qiao pondered that in the future, the less important customers would be assigned to Murphy and Stephanie to be responsible for the medical aesthetic surgery. Because now there is a real-life version of the secret medicine "Delska", you don't have to do it yourself every time.

At the East Africa base, the first batch of finished products has been sent, and Zhou Qiao has used the system to identify them, and the quality is quite good. After all, it is the optimal production process provided by the system, and if there is still a problem, the biomedical team can disappear in situ!

Qiao Ya Biomedical Group is treated very well, but it does not raise incompetent people and pursues a wolf culture.

Regarding the operation and management of Qiao Ya Biomedical Group, Zhou Qiao did not ask, he was the shopkeeper. After all, a person's energy is limited, and the Iris Clinic has invested most of his energy and time, and the rest has to wander among several beautiful women, and enjoy it, there is really no spare time for business.

Besides, in terms of business, Zhou Qiao is not good at.

Zhou Qiao feels that people live, in addition to the appropriate pursuit, to make necessary contributions to social development, but also to pay attention to the quality of life, which is a balance and coordination of career and personal life, let him work all day and night, dedicate himself to the pharmaceutical industry, when a continuous tool man, he does not do!

He's not that noble!

Roll up your sleeves and work hard, for whom? Many times, there is no direct correlation between hard work and rising wealth. Because of the strong work pressure, the money is not earning much, but overdrawing the precious health, which is greatly not worth it.

Due to the limited production capacity of the first batch of "Delska", it was naturally prioritized for transportation to the United States for sale, mainly aimed at the wealthy. Luo Ya also prepared 1,000 sticks for Zhou Qiao's side, each with 2 ml sticks.

Of course, Stephanie can only do these aesthetic surgeries in her spare time, and she can only participate when she is free after arranging the diagnosis and treatment of psychological counseling patients.

For this reason, Stephanie was very excited, and finally she could hold the scalpel. Although, in her opinion, in addition to making money, medical aesthetic surgery is actually not on the table.

She really wanted to learn and challenge the difficult major surgery, just like Murphy, but unfortunately she didn't have the opportunity yet.

"Why is Murphy, a cold idiot, so spoiled by Zhou Qiao? Could it be that she was also ...... by Zhou Qiao" Stephanie suddenly shook her delicate body, and she was so surprised that she couldn't get it back. The more I think about it, the more I think it's possible!

"Hmph, she's nothing remarkable, but she just met Zhou Qiao first. I'll definitely catch up! Thinking of Murphy's superb surgical skills, Stephanie was a little unconvinced!

is younger than himself, why is the level higher than himself? Her breasts are not as big as mine, and her figure is not as confusing as mine!

Stephanie was cranky.

Zhou Qiao prescribed some drugs to Mrs. Silverstone, such as the anticholinesterase drug donepezil, which can improve cognitive function and behavioral disorders; Vistrom, which has a better effect on visual hallucinations; Fluoxetine, on the other hand, is for Mrs. Silverstone's mild depressive symptoms.

The other party took the prescription and could go to the outside pharmacy to buy it by himself. These medicines are not commonly used and are not stocked in the clinic. The Iris Clinic only has some medicines that are used frequently and that are needed for emergency treatment.

In addition, there are comprehensive management programs such as cognitive rehabilitation and motor function training, which are explained in detail to Mrs. Silverstone and her daughter, so that they can practice at home on their own, and of course, if necessary, they can also come to the clinic for professional help.

If you do it at the clinic, you will be charged according to the training time and the number of times, which is more expensive due to the long time.

Zhou Qiao suggested that the combination of the two methods will have a better effect!

"Dr. Zhou, how long will it take for my mother to see noticeable results?" Mrs. Silverstone's daughter asked.

Zhou Qiao pondered for a while, and combined with the patient's condition, he said, "About two or three months." However, even if there is a significant improvement, long-term treatment and follow-up are required. ”

"Understood, understood! Thank you Dr. Chow! ”

Seeing off Mrs. Silveston and her daughter, Zhou Qiao had just breathed a sigh of relief, and Rachel had come to invite her again! Because, she also encountered an incurable disease, and some couldn't make up her mind!

Usually, if Zhou Qiao is not there, they encounter patients who can't make up their minds, so they will directly refer them and recommend them to experts at the University of California Medical Center, but now that Zhou Qiao is back, they naturally invite Zhou Qiao to go to the consultation as soon as possible.

Zhou Qiao, there is no doubt that he is the Dinghaishen needle and firefighter of the Iris Clinic, where he needs to drill!

One of the patients that Rachel received here was a Chinese woman named Liu Ying in Chinatown, 45 years old, in the prime of life, and one of the pillars of the family.

Before Sister Ying went abroad, she was also middle-class, and she did decent teacher work, and the parents thought about it.

Her husband used to be an engineer in a large state-owned enterprise, sitting in the office every day and drawing drawings.

It is entirely for the sake of having a good educational environment for their children, so they go abroad.

The previous jobs of the two were very envied by their relatives. However, when he went abroad, his class immediately declined.

My husband was reduced to repairing air conditioners, going out every day, exposed to the sun and rain, doing physical work, and sometimes working at height (the risk of injury from a fall of more than 2 meters is extremely high).

Sister Ying had to wash the dishes.

Although the income is okay, the nature and intensity of labor are completely different, and the social status in the country is gone, and the gap in my heart is difficult to describe.

Because of this, this Sister Ying is more frugal in her daily life, and the previous situation of spending heavily in China is gone. Then his temper also became irritable, and he got angry at every turn, just like the Hedong lion and tigress, the whole family didn't dare to provoke.

The night before yesterday, because there were too many dishes, if I was in the country before, I would throw the trash can directly if I couldn't finish eating, but when I came here, the cost of living increased greatly, and I needed money everywhere, so Sister Ying was reluctant, and she took the leftovers into action!

As a result, I ate and was extremely uncomfortable at night.

Later, in the middle of the night, I was nausea, vomiting, diarrhea, and I had three times in a row, and the whole person was about to collapse!

Sister Ying pondered, it should be gastroenteritis, or indigestion, and eating those leftovers will break the stomach! Some regrets.

In the middle of the night, I didn't dare to go out to see a doctor. In China, in this case, it is very convenient to take a taxi immediately, or my husband drives and goes to the hospital for emergency treatment, and it is not expensive.

But in the United States, hehe...... Bear with me first.

She has a standing medicine at home, and the Chinese compatriots like to prepare some medicine at home when they have nothing to do, just in case they need it, no, now the medicine at home comes in handy.

Sister Ying took some antidiarrheal drugs, took some certain brand stomach and digestion tablets, ate cephalosporin, and came some Huoxiang Zhengqi water, and finally some probiotics that regulate intestinal flora and improve immunity!

Anyway, I ate a little bit when I looked at the right one.

Her husband advised her: "Don't take medicine indiscriminately, what should I do if I eat so much at once, and my body is bad?" ”

Sister Ying was already unwell, but when she heard this, she immediately became angry and roared, "What's wrong with me taking some medicine?" Isn't it what you want me to eat? ”

Her husband argued, "What's up to my liking?" What are you talking about, you're sick, and I'm quite uncomfortable! ”

"You're a bad fart! You wish I was dead so I could find a new wife, and don't think I didn't know you were close to that Lucy at the gym! Sister Ying blushed and her neck was thick, and her muscles were pounding.

Her husband: "......" is not a refutation, nor is it a refutation, and he slips into the small room.

At this time, the more she quarreled with her, the more energetic she became.

I can't afford to provoke, can't I still hide?

"I knew you wouldn't care about me! Hmph, people are sick, and you are actually hiding! You have no conscience, I get up early and wash the dishes greedily, am I easy! Sister Ying lost her temper, then wiped her tears, endured the pain, and stayed up until dawn.

Her husband naturally won't ignore her, after dawn, come over and touch her forehead, it is hot, a temperature measurement, a full 38.8 °C, and said: "Let's go to the doctor, I heard that the iris clinic is better, and Dr. Zhou there is Chinese, and the communication is convenient, so let's go to him." ”

After the results came, because there was no appointment, it was unfortunate that Zhou Qiao went to a client for medical aesthetic surgery, and Sister Ying's condition was more urgent, so Ava took her to Rachel's side!

Abdominal pain, diarrhea, vomiting, fever, this situation see internal medicine. Rachel is also a senior primary care physician.

Liu Ying's body was very uncomfortable, and she really couldn't wait, so she let Rachel see it.

After Rachel understood the situation, she arranged for Sister Ying to have routine blood tests and hypersensitive C-reactive protein, because the condition was very urgent, so an urgent service was arranged.

There is an agreement between the clinic and the testing center, and there is an expedited fee for expedited, but when it comes to this, Sister Ying said that it is acceptable!

If they go on their own, they can do it, but the price may not be cheaper than walking from the clinic, and they will have to make an appointment, queue up, and may not be able to enjoy the urgent service.

Because of the large volume of the clinic, the negotiated price is discounted, that is, the middleman makes a difference. And Zhou Qiao is now famous, and he has a good relationship with the other party's management, and he has eaten together a few times, and he can also cut the queue when he is in a hurry.

When the results of the examination came out, Rachel found that the patient's white blood cell count and hypersensitive C-reactive protein were much higher than normal, indicating that she had an infection.

The condition not only did not remission, but worsened. Even the fever doesn't go away.

In the past, Sister Ying had a cold and fever, and it quickly subsided after taking some antipyretics. Now it doesn't seem to be working very well.

The couple died in a hurry, urging again and again, is Dr. Zhou free? Can you call Dr. Zhou?

Because Zhou Qiao is relatively famous and Chinese, they feel that it may be better to communicate with Zhou Qiao!

Rachel also muttered a little, she couldn't figure it out, so she came to call Zhou Qiao!

(End of chapter)