The results of the examination came out, confirming Zhou Qiao's inference.

In the cervical segment of Taria's spinal cord, a long abnormal signal was found, and inflammatory demyelination was considered.

VEP showed a prolonged P100 latency, which further supported the diagnosis of neuromyelitis optica, and the posterior cerebrospinal fluid test reported positive AQP4 antibody. This indicator can be said to be a very important indicator for the diagnosis of "neuromyelitis optica".

After combining the results of various tests, Zhou Qiao and Dr. Victoria Fervis locked down the real culprit, that is, neuromyelitis optica spectrum disease (NMOSD).

At this time, before dawn, they were working overtime, and for Dr. Victoria Fervis, she was already on the night shift tonight.

Zhou Qiao brought Dr. Victoria Fervis over to explain Taria's condition and diagnosis to Taria's family.

"Hello everyone, we've been waiting for a long time, we have a new discovery here......"

For Talia's family, they never expected that the small problems such as convulsions and tremors that everyone thought were old coronary heart disease, turned out to be a rare disease with an incidence of about 1 in 100,000.

Moreover, the diagnosis process is also full of twists and turns, if there is no Dr. Zhou Qiaozhou joining, I don't know how long it will take to be diagnosed.

And the process of waiting, for the family, every minute and every second is torment.

In addition, if it takes too long, it may cause the condition to deteriorate further to the point of no return. Besides, it may not be able to be diagnosed, maybe, it will be misdiagnosed?

This rare disease is so rare that the doctors at Kaiser Medical Center may not have seen it. It is not surprising that misdiagnoses occur.

Neuromyelitis optica spectrum disease is an autoimmune rare disease of the central nervous system, which is generally related to the abnormal immune system of the human body, which is caused by the attack on its own organs by the disorder of the human body's immunity.

The global prevalence of this disease is 1.82 per 100,000 and mainly affects the optic nerve, spinal cord and special parts of the brain.

In addition, Taria's grandfather's condition is atypical, that is, it is a little inconsistent with the "rules" that have been discovered, he manifested palpitations and convulsions in the early stage, and the examination showed that he had coronary heart disease and other diseases, and the clinical confusion was very strong.

Disease diagnosis, it's really not that easy, if it's really that simple, do all the tests once, watch a film and get the results, then wouldn't everyone become a miracle doctor?

Dr. Victoria Fivis couldn't help but pat his chest continuously, and was afraid, if he blindly relied on the results of the examination, did not believe Zhou Qiao, and did not fully think about the patient's unexplained convulsions, he might really misdiagnose.

In fact, before Zhou Qiao came, he had been misdiagnosed. It's just that Dr. Victoria Fervis sensed something was wrong and planned to organize a consultation with a multidisciplinary expert the next day.

"Doctor Zhou, why are you so powerful, from such a complex condition, from various lesion sites and factors such as intracranial, spinal cord, peripheral nerves, infectious, vascular, immune, neoplastic, etc., you actually go straight to the core, and you can find the crux of the problem at once."

Dr. Victoria Fevis was impressed.

She secretly thought that even if a multidisciplinary expert consultation was organized, it would take hours, or even days, to be diagnosed, but Dr. Zhou only watched the MRI film for a while, and took into account the related disease, and it was a rare disease.

This has to make people give two thumbs up at the same time!

Dr. Victoria Fervis gave a detailed review of the patient's condition and Zhou Qiao's diagnosis, and she was involved in the whole process and felt that she benefited a lot.

In fact, this disease is not difficult to treat, and I am afraid that the real cause will not be found.

If you can't find the "real culprit", you will be foolish outside, and in the end it will be in vain.

But once the cause is identified, and it is not a terminal illness, recovery is just around the corner.

Dr. Victoria Ferves reported to the head of the department on the second day, and the director of the department invited experts from the neurology department of the hospital to come over for discussion, and of course, Zhou Qiao was also invited to participate.

In the end, everyone unanimously agreed with Zhou Qiao's diagnosis and gave a thumbs up to express their admiration.

When Americans praise people, they are sometimes not stingy, often giving two thumbs up at the same time, which is slightly exaggerated. If it is in China, everyone will give a thumbs up at most.

At the meeting, everyone worked out a specific treatment plan based on the patient's symptoms.

When Taria's grandfather's condition improved, he was transferred to the general ward of the neurology department.

Doctors estimate that he will be discharged from the hospital in two weeks at most.

Talia's family looked at Zhou Qiao with a different gaze than at the beginning.

At the beginning, there was still a little precaution against Zhou Qiao. feels that Zhou Qiao may not be worthy of their family's big star beauties, and maybe it will affect Taria's acting career.

But looking at it now, it seems to be quite good, definitely a good match.

"Maybe it won't affect your acting career, but it will help you? Who can say for sure what didn't happen? ”

Taria's eldest cousin, Adriana, also rushed over and thanked Zhou Qiao for his help.

"Dr. Zhou, thank you for saving my grandfather." Adriana's eyes were a little complicated, and in retrospect, she herself had been healed by Zhou Qiao.

Once, she was covered with bruises, and it was Zhou Qiao who personally helped her do the repair surgery. Dr. Zhou has seen almost every part of her body.

But now, the little cousin is interested in Dr. Zhou, she naturally won't fight with the little cousin, besides, there is also the lioness of Luoya, Adriana had to sigh lightly, and secretly wished the little cousin good luck in her heart.

Hearing everyone's thanks to Zhou Qiao, and circling around Zhou Qiao, Talia's eyes were like water, and she was extremely happy.

The first is that my grandfather is out of danger and can be discharged from the hospital, and the second is that this is all the credit of my lover! If I hadn't brought Zhou Qiao over, I don't know what would have happened.

The third natural thing is that everyone recognizes their lover, although the relationship has not yet been announced.

"Talia, little baby, tell your mother if that Dr. Zhou is her boyfriend? Do you have one? Talia's mother privately pulled her daughter and asked.

Naturally, Talia denied it: "Mom, we're just ordinary friends. ”

I can't help but think of the charm with Zhou Qiao last night, while I was on the phone, Zhou Qiao was "harassing", but unfortunately good things were repeatedly interrupted...... Talia's heart was budding, and she said in her heart, next, there should be nothing to do, and you can always enjoy the world of two with Joe.

Sacramento, which is equivalent to Talia's second home, is very familiar with this place because her grandparents lived here, and she often came here to spend summer and winter vacations when she was a child.

Zhou Qiao asked this little beauty to take her to visit the city. It's the capital of California, so there's something special about it.

"This place, in fact, is a very livable city, with many attractions, such as Sacramento Old Street, which has preserved more than 150-year-old wooden houses, steam trains and gold panning machines, which is very typical of western cowboy flavor."

There is also the Romanesque Corinthian State Parliament building in the Municipal Park, built in 1860. There are also the Crocker Art Gallery and Fort Sutter, as well as the Museum of Indian and Pioneer Remains, and much more. ”

Talia is like a treasure, driving with Zhou Qiao, chatting while playing, and by the way, introducing the customs of Sacramento.

She drove Zhou Qiao's car, because she was familiar with it, so she came to be the driver.

Zhou Qiao sat in the co-pilot, holding a cup of coffee, enjoying himself like an uncle again.

The city, the seat of Sacramento County and the seat of the state of California, has a population of about half a million, making it the fifth most populous city in California.

Of course, if you count the entire metropolitan area, the population should be around two million.

A metropolitan area, simply understood, is a large area, with a certain city as the core, and the surrounding suburbs and many satellite towns, all add up.

The Bay Area like San Francisco is also a metropolitan area.

There are only about 800,000 people in the San Francisco metropolitan area, but with the huge bay area: East Bay, South Bay, North Bay and Peninsula, 9 counties, 101 towns, and a continuous total of nearly 8 million people!

And Silicon Valley is the South Bay in the Bay Area.

Why is there only a lack of West Bay?

That's because San Francisco is west of the Pacific Ocean.

……

Although Sacramento is the capital of California, it is far inferior to San Francisco and Los Angeles in terms of fame and development. This is also the case in some provincial capitals in China. For example, Fuzhou and Xiamen; Jinan and Qingdao; Nanning and Guilin.

Of course, Fuzhou's economy may be larger than Xiamen's, but its reputation is not as good.

Sacramento is different from other cities in the United States, the greenery is very good, along the way, Zhou Qiao saw a lot of trees, whether it is on both sides of the street, or some residential areas, parks.

Moreover, he was surprised to find that there were many familiar shrubs along the road, and if he was not mistaken, it should be camellia.

"Talia, why is there so much camellia in Sacramento?" Zhou Qiao's hometown is also rich in camellia, camellia and camellia oil are all good things. He grew up seeing each other.

The flowering period of camellia is very long, every winter and spring is the blooming period, sometimes even lasts until May Day, although now the flowers have all withered, but this evergreen flowering tree, lush all year round, the leaves are also very distinctive, Zhou Qiao can not be mistaken.

Talia laughed, "Of course, it's because there are a lot of Chinese here." The local Chinese call it Erbu, and there is a Chinese name called 'Sacramento', which is the transliteration of Sacramento by the Chinese in the past. ”

"If you had come a few months earlier, there would have been an annual grand camellia festival here, the kind that lasts for more than ten days." Looking out the window at the street scene, Talia couldn't help but recall the pomp and circumstance of living at her grandparents' house when she was a child and visiting the Camellia Festival every year.

Her grandmother also planted many camellias in the yard and on the balcony, and they bloomed particularly brightly in the cold winter every year.

Zhou Qiao nodded, San Francisco is known as the "big port", and here is the "second port", which is enough to see a lot of Chinese. Sacramento is supposed to be a transliteration of the former Cantonese Chinese, just as San Francisco is also called San Francisco.

There are still many Chinese and Chinese-speaking media who still use this name. Wanwan also adopted this name.

But Sacramento, as the capital of California, is too low-key. You must know that even if California is taken out alone, its GDP can rank among the top five in the world, higher than the United Kingdom, India, and France.

And Sacramento is equivalent to a third-tier city in China.

Of course, Sacramento's long-term status as the capital of California has its historical factors, although its economic status is not good, but its political status has always been leveraged.

"There are so many camellias here, I remember when I was a child, my grandmother told me that there are about 800 varieties, and now there should be more varieties!" Talia is like a camellia, delicate and moving.

"Camellias are very beautiful, not only you Chinese like it, we Americans also like it, and the locals jokingly call this city 'the camellia capital of the world.'"

Zhou Qiao nodded, imagining the grand occasion of the Camellia Festival full of flowers blooming in the city, and couldn't help but be fascinated.

In "Dragon Babu", Mantuo Villa, Mrs. Wang's favorite is camellia, and she has collected many varieties, such as red dress, scratching the beauty face, leaning on the rail, full moon, eye-catching, Luodi Xiucai, eighteen bachelors, thirteen Taibao, eight immortals across the sea, seven fairies, three heroes of wind and dust, two Qiao, eight treasures and so on.

But Mrs. Wang doesn't know how to raise flowers, so although there are many varieties, it is actually illegal to plant them, and the flowers are mediocre.

And the camellia in Sacramento is not much more than the varieties collected by Mrs. Wang. It is estimated that only Jinhua, Wucheng, Dali and Kunming in China can be compared.

Later, Talia introduced some well-known camellia flowers in the United States, but the names are mostly straightforward and not as cultural as in China.

"Next Camellia Festival, let's go shopping together."

"Okay!" Taria's blue-green eyes were curved into a crescent moon shape, and she smiled.

The two parked their car near the lotus pond in William Land Park, at this time, the pond not far away "the little lotus is showing its sharp corners", the breeze is blowing, the water is rippling, seeing no one around, the two meet their eyes, and can't help but burst out a spark.

Zhou Qiao reached out and gently hugged Talia, who was in a white dress like a waterfall, into his arms, sniffing the faint body fragrance coming from her body, as if she was fascinated.

"Don't ......"

When Zhou Qiao went further, Talia trembled lightly and panicked, what if someone passed by.

(End of chapter)