Talking about the wind and sunshine earlier, Chloe thought that this beautiful Chinese doctor was asking her to go outside for a walk, breathe fresh air, and enjoy the autumn sunshine!

Where did you think that you were actually going to pee?

It's the first time she's heard of it when she's grown so big.

Even Dr. Vivica, in her nearly twenty years of primary practice, has never heard of or seen before.

Because, Vivica used to be in the grassroots clinic, dealing with some minor ailments.

The vast majority of clinics in the United States, when encountering a slightly more difficult, more serious disease, it is directly one word: referral. Simple and brutal.

This is due to the hierarchical diagnosis and treatment system and two-way referral system in the United States, and it is also a routine operation.

However, the iris clinic is a special case, and here, there is no such thing as a referral. Because there are the most top-notch all-round famous doctors here.

No referral, is also the "tradition" of the iris clinic.

"Do you really want to pee? Dear Chinese Doctor! Chloe thought it was Chinese magic.

This mysterious eastern country has a lot of miraculous medical technology, such as steel needles all over the body.

Come to think of it, it's the same with urine.

Nanako Chiba shook her head and said very seriously: "I am not Chinese, I am Japanese, from Tokyo, graduated from the University of Tokyo. ”

"Oh~" Chloe had a feeling of sudden realization, but then she was confused and blurted out, "Isn't RB a state in China?" ”

At this time, not only Nanako Chiba was speechless, but Dr. Vivica on the side also covered her forehead, the same as Rachel's expression before.

Vivica was relieved and comfortable, and said in her heart, I just couldn't tell the difference between Koreans, Japanese and Chinese before, but I didn't expect that this Koyi didn't even know the country of RB.

It seems that it is not my fault alone.

In fact, the United States is the world hegemon, and the Americans, like the late Qing Dynasty in China, are proud to the core, and lack relevant education and learning, where will they pay attention to other small countries.

Chloe is a product of happy education, after graduating from high school, she entered a burger restaurant to sell hamburgers, although she has heard of China, but she really does not know the relationship between RB and China, and does not know where the capital of China is.

Chloe looked confused, and said suspiciously: "Tokyo? Isn't it the capital of China? ”

Nanako Chiba told her seriously, "BJ is the capital of China. RB is a country on the border of China. ”

"Well, forgive me for my ignorance." Chloe shrugged, then touched her stomach and smiled, "My abdominal pain seems to have lessened a bit because of you like this." ”

Vivica clutched her stomach and cried out, "My stomach hurts a little. "Bear with the smile!

Nanako Chiba spread her hands: "Then hurry up and go pee." Ask Ava to take two disposable cups and divide the urine into two parts, one in the sun and one in the shade of the clinic as a control. ”

"Okay." Chloe hurriedly went out, she was also very curious about whether the operation of urinating could help her find out the real cause, but she was really tormented by this situation of abdominal pain at every turn.

"Pee?"

Ava looked surprised as she handed Chloe two clear disposable cups, and then, when she finished taking her urine and came out to dry it, she watched from the sidelines.

When Rachel and Dr. Jenard heard about it, they also came out with Vivica to watch.

"How long is this going to take? Is it to see the color change? Or is there some precipitation? Or smell the smell? ”

"I don't know, Dr. Nanako Chiba didn't say."

Chloe filled two large glasses, because the sun was strong outside, and she was afraid that it would dry in the sun for a while. So the amount is somewhat sufficient.

I have to say that the fresh urine is yellow and clear, and under the sunlight, it is crystal clear, and it is strangely good-looking, but it has a strange smell.

Since Chloe was still in pain, Vivica took her to the infusion room for an infusion, and then she would be relieved by symptomatic treatment.

Everyone else also dispersed, after all, a glass of urine, put it in the sun, there was a sense of freshness at first, and it was just like that for a few seconds. It's impossible to stare all the time, and it's not something to drink.

About an hour and a half later, Murphy and Elena returned from the community hospital, and when they entered the door, Elena noticed the urine not far from the gate, glanced at it, and said to Murphy, "Why is there a glass of yellow liquid here?" It's like a urine forehead. ”

After a closer look, it was confirmed, the strange smell was emanating, it was definitely urine, and I couldn't help but be a little angry, and shouted loudly: "Who is so low-quality, put urine at the door of the clinic." ”

When Nanako Chiba heard this, she hurriedly came out to explain, but Ava took the lead.

Because Ava was reading a book in the rest area, so close.

"It's a patient urinating, and it's sunny in one place, and the rest of the place is shaded by trees," Ava said. It was Nanako Chiba's suggestion. ”

"Pee?" Elena was also confused.

Murphy thought for a moment, then nodded, and said, "This is a suspicion of porphyria, right?" ”

Nanako Chiba, who came out later, couldn't help but glance at Murphy in surprise, and said in her heart, this little beauty of the iceberg still has some skills and can see through my intentions.

Before Murphy, no one else knew.

Now that Murphy has approved it, Elena naturally won't care too much, and the group will go back to their posts and perform their duties.

After another half hour or so, Black Sister drove Stephanie back.

After parking the car, the two got down, and Stephanie took out ten 20 dollar denominations and stuffed them to Heimei.

"That's too much, Dr. Stephanie." Hei Mei said politely.

"Not much, I've worked hard for you this time. I don't know what I would have done without you. Stephanie thanked her.

Because on the road, there was a homeless man who saw that Stephanie was beautiful and had a hot body, so he couldn't help but come forward to harass her, and then the black girl took action and taught the other party to be a man.

didn't make a heavy hand, that is, broke one leg and two ribs of the opponent.

There was no way, the black girl had tried her best to restrain herself, and she didn't even use a dagger or a gun.

"That's what I'm supposed to do." Hei Mei was very happy and accepted it, "Doctor Stephanie, I won't send you in, and you will call me next time you need to." ”

Hei Mei turned around and wanted to go back to the laundry, and then she had a sharp nose and smelled a strange smell, so she couldn't help but sniffle and follow the smell to look over.

Seeing this, he suddenly became angry, and scolded loudly: "Who is peeing here, and still putting it at the door to dry?" ”

The heart said that within a kilometer around here, who doesn't know that it is the territory of our laundry, and the iris clinic is Dr. Zhou's place, making trouble here, is it looking for death?

Dr. Vivica happened to come out to make coffee, and when she heard this, she immediately put down her cup and ran out to explain: "This is examining a patient, don't kick it over." ”

She was worried that if she ran slowly, the irascible black girl would kick over. That's in vain, it's been in the sun for so long.

Chloe, Ava, Elena, Murphy, Nanako Chiba and others also followed.

Chloe had just finished the infusion, and now she is much better, resting in the rest area, she should have come out from time to time to take a look, but because she was unwell, she didn't watch it.

At this time, Chloe shouted, "It was my urine, Dr. Nanako Chiba explained." ”

She was very afraid of this black girl, she was too fierce, but when she thought that this was the arrangement of the clinic, she suddenly felt confident again.

"Pee?" The black girl looked even more confused, and said that white people are also so bad?

It's disgusting!

"I'm sorry, I don't know." The black girl was disgusting and a little ashamed, but fortunately she didn't kick it over.

Nanako Chiba looked at Stephanie. Because Murphy saw it before, Nanako Chiba said in her heart, I don't know if this girl with a hot figure can see it?

Murphy glanced at Stephanie as well.

Stephanie is proficient in psychology, and when she noticed Nanako Chiba's gaze and Murphy's little Bichi's nonchalant eyes, how could she not know that these two chicks wanted to secretly "provoke" her, and immediately smiled and said, "This is suspected porphyria, right?" ”

Vivica, Chloy, and Heimei had been talking for so long, and she had already thought about the cause.

Dr. Vivica: "......"

I'm almost depressed, why are these young girls so high? Any one of them can see it? Is she an idiot?

Rachel was also ashamed and admired at the same time.

Nanako Chiba gave a thumbs up, nodded at Stephanie, and said, "Yes, consider Park's disease." Look at the time, it's almost there. ”

"Well," said Stephanie with a nod, "this disease is indeed quite rare, and you are quite good!" ”

The two "touted" each other, and Murphy blinked and dragged Elena back to the consultation room.

In fact, at this time, the urine that was originally yellow and clear like beer had already changed color a little, and after about half an hour, Nanako Chiba came out to check and saw that the color had become crimson, the same as red wine, and the glass placed under the cabinet in the bathroom of the clinic was still yellow.

Nanako Chiba nodded, knowing in her heart.

Porphyria, basically diagnosed.

Chloe, Vivica, Rachel, Jenard, Ava, Elena, and others came out to watch, and they were all amazed.

Nanako Chiba explained to Koi that porphyrin is the raw material for the synthesis of heme by the human body, and porphyria is a group of heterogeneous diseases caused by the excessive accumulation of porphyrin and porphyrin precursor substances due to the lack of a specific enzyme in the process of heme synthesis.

Porphyrin precursor substances are neurotoxic, so the main clinical manifestation is neurological involvement.

The most common of these symptoms is acute intermittent abdominal pain, which occurs in about 90% of cases, varies in location and duration, and can lead to intestinal obstruction in severe cases, as in Chloe's case.

The reason for drying urine is because porphyrin is almost the only endogenous photosensitizer in the human body and has a special absorption spectrum.

After absorbing light, porphyrins and their derivatives are activated to emit red fluorescence, of which urinary porphyrins have the strongest degree of light sensitivity.

Urine containing porphyrins is sun-dried like red wine, and some people mistake it for hematuria, but it is not.

"I see! You're amazing, Dr. Nanako Chiba! Chloe gave two thumbs up to express her gratitude.

Subsequently, Nanako Chiba arranged gene sequencing for Chloe, but the test took time, and it didn't come out so quickly, but eight or nine are not far from ten.

……

Murphy and Stephanie also came out to take a look, and the two of them looked at the newly arrived doctor of the University of Tokyo Faculty of Medicine, which was a preliminary acceptance of each other.

Well, I don't have any ability, and I'm not qualified to be our sister.

They know that a stunner like Nanako Chiba, Zhou Qiao will definitely eat her.

has been with Zhou Qiao for so long, they still don't know Qiao's thoughts? There are no young and beautiful women who came back in vain.

In fact, the US state of Utah supports polygamy, and it is not surprising that there are people who marry more than a dozen wives in Utah.

As long as you have the ability, you and I are willing, and no one can interfere. Others only have envy.

And Utah is not far from California, and its neighbor to the east is Nevada, and further east, Utah. It is the equivalent of the next door next door, not a remote place, but a core hinterland.

Even in states that don't support polygamy, it's not uncommon for people to exercise in private.

In the love of many Americans, especially young people, there is such a rule: if you love her (him), you should let her (him) do whatever she (he) likes, instead of stopping her (him) and making her (him) lose the fun of experiencing adventure.

As for middle-aged men or women, it's not that they don't have this concept, but they have experienced everything they should have experienced, so they are not so interested.

Because polygamy was a bit of a suspicion of "turning back the clock on history," the US government was naturally opposed at first, and even sent troops to suppress it, but as a result, as soon as the army passed, many soldiers joined the camp of the other side and enjoyed the "benefits" of polygamy there. This matter is over.

After all, public opinion cannot be violated.

According to statistics, 40% of the customers of adult toys or movies in the United States are women.

Also, in the United States, adult films also have Oscars. There is a legal magazine over there, which is very influential, abbreviated as AVN, and its main content is to grade adult films and write film reviews.

Just look at this magazine to know which piece sells well and which piece makes garbage.

Every year, AVN hosts and sponsors the annual adult film industry awards ceremony in Las Vegas, USA, in line with the Oscars.

In the film, all kinds of protagonists and supporting roles, suits and leather shoes, beautiful evening dresses, dressed properly, participated in this grand ceremony. There are also many media outlets who come to interview and report.

This is all compliant and legal, and the awards are also a set, Best Actor, Best Actress, Best Supporting Actress, Best Screenplay, Best Director, Best Picture, Best Friend Scene Award, Best Multiplayer Sports Award, Best Newcomer, Best Non-professional ......

There is also a complete red carpet ceremony, the same trophy as the Oscars, and the budget is definitely more than any local station Spring Festival Gala in China.

All in all, it's grand, it's very high, and it's not shabby.

There is an award-winning actress who has run for Congress, yes, it is a member of the United States Congress.

Someone warned her that politics is a big chess game, and your status and status, think about it carefully.

The actress proudly retorted: "I only know one thing, the filthiness and obscenity of politics far exceed my work." I'm ready to fight! ”

I have seen too many scenes of them naked, and then I attended this kind of occasion, there was a very, very strong sense of time and space dislocation.

Well, Elena and Ava are also big buyers, and there are still a lot of inappropriate things hidden on the third floor of the clinic.

The new house has been ventilated for several months, and the formaldehyde has almost dispersed, and they plan to move in and officially move in.

Then, Murphy and Stephanie both came over to help pack their luggage, and Elena and Ava did not shy away from them, openly cleaning up, and even playing with them, teasing Murphy.

For example, when Elena saw Murphy flipping through a little erotic dress, she strongly recommended that she wear it for everyone to see, saying that this dress is especially suitable for Murphy's figure and shows off her skin very much.

Murphy was blushing, and Stephanie was surprised, saying that I already knew, and there were more exciting toys here.

If you want to say that you can play, you have to be Elena first, and even Stephanie, a prodigal witch, sighs to herself.

Murphy had fantasized about being with Elena and Ava, but if Stephanie joined, she would definitely refuse.

I have to say that Elena and Ava are very popular.

……

I play in private, but everyone's usual work is still very serious and dedicated.

Zhou Qiao is very strong, several girls can't do without him, and they have never considered cheating. Because after being with Zhou Qiao, he was completely uninterested in other men.

When the results of the genetic test came out, sure enough, Coe was suffering from porphyria.

Nanako Chiba called, informed Koi of the result, and asked her to come over for a review.

During the re-examination, Nanako Chiba explained the condition to Chloe and told her that drinking, infection, mental stimulation, surgery, menstruation, low blood sugar, etc., are all triggers of porphyria, and she should pay attention to it in the future.

As for the treatment, it is very simple, it is to apply a large dose of glucose every day to reduce the production of porphyrin precursors, and the other is to avoid predisposing factors.

If menstruation is unavoidable, you can increase your glucose intake during menstruation.

Chloe bought a lot of glucose preparations or drinks, drank a little every day, and never got sick again, and she liked to eat sweets. In the past, I was afraid of being fat and didn't dare to eat, but now it's okay, the doctor said, rest assured to eat, in her case, blood sugar can't spike.

Of course, regular check-ups and physical examinations are also very important.

Naturally, Chloé has become a big fan of the Iris Clinic.

The abdominal pain that has plagued Chloe for months,A strange disease that can't be found out after a lot of examinations.,It was easily diagnosed by Nanako Chiba.,I have to say,Nanako Chiba's level is very high.。

Because of this, Vivica, Rachel, Jenard and others were shocked by Nanako Chiba, and put her on the same position as Murphy and Stephanie, and if there is any incurable disease in the future, if Murphy and Stephanie are not there, they will also go to her for advice.

No way, Dr. Zhou said, we don't make referrals at the Iris Clinic.

Referral? Dr. Zhou can't afford to lose this person.

No referral is a tradition at the Iris Clinic, and the second tradition is the orientation team, and when encountering unexplained abdominal pain, the first thing is to pee and sunshine, which is the third tradition of the Iris Clinic.

Later, whenever a newcomer came in, especially an internist, and encountered unknown abdominal pain, the "seniors" told her to ask the patient to take two urine samples, one to dry in the sun, and the other to stay in a cool and dark place indoors as a control.

Often the newcomer looks confused: "Pee? "What's the operation?

However, it often works wonders.

Since then, it has been used ever since.

This third tradition was "created" by the beauty of Nanako Chiba, and many years later, many people will give a thumbs up when they talk about it.

Of course, it is also the cause of luck and chance, and it happens that Murphy and Stephanie are not there, but luck and opportunity are also for those who have the ability. It is the embodiment of strength.

(End of chapter)