Eventually, the results of the examination came out, and Amanda had many cord-like erosions in the dentate line of the esophagus, with a length and diameter greater than 5 mm, and the diagnosis was reflux esophagitis grade B.

Gastroesophageal reflux disease (GERD) is a disease in which gastroduodenal contents reflux into the esophagus, causing uncomfortable symptoms and/or complications.

Reflux esophagitis can occur at any age, and the incidence in adults increases with age. The incidence is high in Western countries and low in Asia. Such regional differences may be related to genetic and environmental factors.

This disease is especially pronounced in obese people or people who are addicted to tobacco and alcohol.

"It's also fat, why doesn't Flora have it, but I do?" Amanda was rather depressed.

But now that the diagnosis has been made, there is no choice but to actively cooperate with the treatment.

"Dr. Zhou, why do stomach contents reflux into the esophagus?" Amanda asked curiously.

Zhou Qiao told her: "There is a 'valve' between our esophagus and stomach, called the cardia, which is usually closed, even if we lie flat and stand upside down, the food and stomach acid in the stomach will not reflux into the esophagus." However, if this valve is loose, stomach acid and stomach contents can easily reflux into the esophagus, and if it is too long, it will cause burns on the wall of the esophagus, which can lead to esophagitis. ”

As for the reasons for loose valves, there are many kinds.

"This disease is not critical, it can be cured." Zhou Qiao told the other party not to worry too much, and then he formulated a "tailor-made" treatment plan according to Amanda's specific condition.

First, I drew up a meal plan suitable for Amanda's current condition, and still continued to control her weight, and then told her to adjust her lifestyle, not to exercise vigorously or lie down immediately after meals, to quit smoking, stop drinking, reduce abdominal pressure, avoid wearing tight belts, avoid eating high-fat, chocolate, coffee, irritating foods, etc.

Finally, with drug treatment, oral acid-suppressing drugs, gastric mucosal protectors, etc.

After two weeks of comprehensive treatment, Amanda's symptoms have improved significantly, the discomfort of the throat has basically disappeared, and the results of gastroscopy also show that the "erosion" of the esophagus has healed, but there is still a possibility of recurrence of this disease, Zhou Qiao told Amanda that regular follow-up visits are needed.

He didn't deliberately "pull business", but he really needed it, and besides, Americans have a habit of regular follow-up. It's just that Amanda will strengthen the monitoring of this disease in the future.

Flora comforted the old friend: "Amanda, don't be too depressed, at least, you have lost more weight than me!" ”

Amanda grinned wryly: "I'd rather not have this kind of fast thinness!" But Flora, you're right, I should be cheerful. ”

"Yes, yes, everything should be good and ignore the bad!"

It has to be said that a cheerful mood is helpful for the treatment of any disease.

……

Zhou Qiao and Murphy are still sneaky, and Murphy's new car has become their daily battlefield.

When the sun set and Zhou Qiao's body shook slightly, a golden virtual panel popped up in his mind: "Achieve 100 small achievements with Murphy and unlock new skills, which can add points to Murphy's body and improve his physical attributes." ”

Zhou Qiao was delighted in his heart, he quickly glanced at it, it was similar to Elena and Ava before, and the attributes that could be added were approximately: appearance, figure, skin (fair, smooth, delicate), physical strength, flexibility, ......

"+2 for all!" Zhou Qiao's heart moved, and Murphy, who was lazily curled up in the back seat, felt a warm air flow enveloping him.

"Why is it windy? Are the windows not closed tightly? Murphy muttered, but when she opened her eyes, she found that the windows were closed quite tightly.

"Is it cold? Then I'll hold you! Zhou Qiao covered the past.

"Don't ......"

The suspicion that had just arisen in Murphy's heart was interrupted by Zhou Qiao's movements, and the strange feeling in her body was also diluted by Zhou Qiao's movements, which surged up many other wonderful feelings.

It's not that Zhou Qiao is reluctant to add more, but that he adds more, and the "abnormality" is too obvious to explain. can't add that her own mother doesn't know her.

More than enough is too much.

It's good now, it's easy to fool the past.

In addition, Murphy himself is already beautiful and does not need to add too much.

When Murphy returned home and bathed, he looked at himself in the mirror and was amazed.

Obviously, I was very tired every time, but this time, I was still energetic, my body was full of vitality, and the other thing is, ah~, it seems to be beautiful again!

She looked at her figure and countenance, and fell into intoxication.

Before, she thought that Elena and Ava's skin was better than hers, but now, she felt that she was not weaker than them.

"Perhaps, Elena is right, after being moisturized by Joe, she will really become beautiful! No, I'll catch up, haha! Murphy let out a rare cheerful laugh in his heart.

The next day, everyone felt the change in Murphy. Not the most obvious kind, of course.

But several girls, such as Elena, Ava, Stephanie, and Kim Jijin, are very sensitive, so they immediately found out.

Elena's heart moved, she blinked, and didn't say anything.

Stephanie was depressed.

Originally, she was about the same as Murphy, but now she is ...... She returned to her consultation room, took out a small mirror, and looked at it carefully, and her skin was no worse than before, and it was not uglier than before. It's also very good.

However, why was he suddenly pressed down by Murphy? Could it be that she is wearing makeup?

As soon as she thought of this, she used the excuse to talk to Murphy, but Murphy ignored her. It didn't matter, she just took the opportunity to look at Murphy's face!

There is no makeup, pure natural and no makeup!

Stephanie: What the hell is going on with ......?

If only my skin could be as good as theirs!

However, she looked down at the towering peaks on her chest, and her confidence regained somewhat. At least, in this clinic, no one can match her when it comes to cups. Even Park so-joo, who has given birth to a child, can't do it!

The reason why Stephanie's cups are so big is not because she is fat, on the contrary, she also has a small waist that she holds in a small hand.

Usually skinny people, like Murphy, cups are unlikely to be large. But Stephanie was an exception, she was not made of fat, but was born with a full gland.

Zhou Qiao added some points to the figures of Murphy, Elena, and Ava, and did not deliberately add cups, but went with the flow and modified them a little to maintain their natural naturalness and proportionality. Therefore, in terms of cups, it is still inferior to Stephanie.

Zhou Qiao sent a message to Murphy: "Otherwise, let's pick a house another day, and your name will be written on the property right." ”

It's not that Zhou Qiao wants to deliberately hide the gold house, the main reason is that it is really inconvenient to be in the car every day, and occasionally once or twice it is stimulating, and the number of times is too much, and the problem of inconvenience is exposed.

It would be more comfortable to buy a house as a safe house for two.

Murphy made a smiling expression, naturally sweet in his heart. You know, even Elena and Ava, Zhou Qiao has never bought a house for them.

Elena and Ava live in the clinic with Zhou Qiao, which is their home and they don't need to buy an additional house. Of course, when Zhou Qiao has more assets in the future, he will not be stingy, and everyone will have a set. But now it's not necessary.

Although Elena is the big housekeeper of the clinic, but Zhou Qiao's private account, Elena can't control it, and she doesn't know how much money is in Zhou Qiao's private account, but she knows a lot.

Zhou Qiao and Murphy first searched on the Internet, and after discussion, they took a fancy to a house near the Bayview Opera House.

They made an appointment with a real estate agent, took the time to go and have a look at the site, and were satisfied with the environment, public facilities, safety and the professionalism and quality of the neighbors.

Although this house is not cheap, it costs 3.5 million US dollars, but Zhou Qiao did not make a counteroffer, and directly paid in full and bought it very easily.

This is because not all houses in the United States can be bargained, and some houses in good locations not only cannot be cut, but have to be bought at a premium.

It is worth mentioning that there are also school districts in the United States. Sometimes similar listings are just one street away because of the big difference in housing prices between school districts.

However, because the distribution of educational resources in school districts in the United States is relatively even, and there is no household registration system like China, even if you rent a house in the school district, you can also enroll in the nearest school, so although the price of school district housing is slightly higher, it is not as crazy as in China.

Thank you all for your commuter pass. It's really cool to double the monthly pass, especially the kind of 1 ticket to 3 votes!

It's just that I got off work a little late today, but I didn't expect that on the last day before the holiday, there were a lot of things. Wait for me to have a good night's rest, and tomorrow will be ten thousand words.

(End of chapter)