Akon's mother hurriedly told her husband about it.

Husband: "You're confused! Hurry up, let's go find Dr. Zhou. ”

Although Akon's mother felt a little embarrassed, for the sake of her son's health, she was still cheeky and took her son over with her husband.

Iris Clinic.

Although they didn't make an appointment, Zhou Qiao still received them.

"Your son's illness may be extremely complicated and unusual. Hospitalization is required, symptomatic treatment is required, and then investigation. Genetic testing may be required. Zhou Qiao said.

"Huh?"

"So serious? Still need to test for genes? What is a rare disease? "Mr. Mondez is very sensitive.

Zhou Qiao said: "Let's take a look at the report first." ”

Therefore, Little Akon was admitted to the community hospital and arranged a series of tests: blood routine, biochemistry, inflammatory markers ESR, CPR, stool routine, fecal culture, gastroscopy and colonoscopy, and biopsy for pathological examination.

And, of course, most importantly, genetic testing.

With so many dense inspections at once, the Mondez couple were confused and a little suspicious.

Think, is it over-medicalized?

It's a lot of money just for these tests. Although there is medical insurance, there is also a lot of out-of-pocket expenses.

"Husband, do you think we should transfer to the University of California Medical Center?"

"I've done everything, let's see the results first. Let's hope Dr. Zhou didn't fool us. ”

Zhou Qiao didn't let them wait too long, because the child's condition was a bit serious, so for some projects with a long testing cycle, Zhou Qiao arranged an urgent service.

Otherwise, the child's condition is likely to progress to a worse state as time drags on.

Sure enough, all the results point to an extremely rare disease: very early-onset inflammatory bowel disease and immunodeficiency.

Genetic testing showed that Akon Jr. had a hemizygous mutation in the CD40LG gene and was immunodeficient with hyperimmunoglobulinemia (X-linked hyperIgM syndrome).

At the same time, the imaging report showed a large ulcer on the duodenum with multiple small ulcers around it.

The clinical manifestations of Akon, abdominal pain, ulcers, fever, and blood in the stool in the days after admission, were consistent with the clinical manifestations of very early-onset inflammatory bowel disease (VEO-IBD).

"What the hell is this?" Akon's parents were confused.

Zhou Qiao explained to them what is extremely early-onset inflammatory bowel disease and immunodeficiency.

Very early-onset inflammatory bowel disease, as the name suggests, is a very early-onset inflammatory bowel disease diagnosed before the age of 5 or 6 years, and has a very strong genetic color.

"Can that be cured?" Akon's mother asked.

Zhou Qiao groaned.

"What? Can't be cured? ”

Zhou Qiao shook his head: "That's not it." It's just that I can help him stabilize this disease, and if he wants to cure it, he needs a bone marrow transplant. This requires matching with a suitable donor source. ”

"What? Still need a bone marrow transplant? Akon's parents were once again confused.

"What happens if it's not cured?" Akon's mother asked.

Zhou Qiao said: "If it is not treated, intestinal perforation, shock, acute peritonitis, atelectasis, sepsis, intestinal necrosis, and gastric necrosis will occur in the later stage...... Many complications, life-threatening. I'm sorry, I'm not alarmist, but if you don't trust me, you can go to UC Medical Center. ”

"There's no meaning like that, there's no meaning like that, don't get me wrong, Dr. Zhou. We just don't know about the disease, and we are not mentally prepared for it at all. Akon's father said sincerely.

Akon's mother: "......" heart aches for a while, and she is already a little speechless.

At first, I thought it was a mouth ulcer! How did it come to this?

Stomach pain, mouth ulcers, a little fever, how did it rise to a bone marrow transplant? Isn't that a means used to deal with leukemia?

Thinking that it may be on the same level as leukemia, Akon's parents are simply dead.

Zhou Qiao comforted: "Don't worry, next, we will stabilize his condition, and then conduct donor screening." It could be you, or it could be his brothers and sisters, and hopefully it will end well. ”

When I heard that Akon had two more brothers, it was undoubtedly good news.

Zhou Qiao asked Akon's parents to bring the two children over and work with Akon's parents for HLA genotyping.

Luckily, Akon's eldest brother, the kid who was in high school, had a very good match and was able to perform an HLA fully identical transplant.

It has to be said that this is also the benefit of having more children.

If the whole family is not suitable, then there is only one way to turn to strangers. That's even harder.

This is an allogeneic hematopoietic stem cell transplant and can be divided into parental bone marrow transplantation and unparental bone marrow transplantation.

Normally, the donor source for a parental bone marrow transplant is the patient's siblings, parents, or other relatives. For unrelated bone marrow transplants, donors are genetically completely different from other people.

It is worth mentioning that because the matter was too serious, Akon's parents still didn't want to believe it, and secretly took the report to the University of California Medical Center to consult a specialist, and the result was naturally undoubted.

The specialist told them that Dr. Zhou's diagnosis was correct, that the disease was quite rare, and that the incidence of X-linked hyper-IgM syndrome was estimated to be 2:1,000,000 in men.

Although Dr. Zhou discovered it relatively early because of his medical skills, he must not take it lightly, because this disease is like a time bomb that worsens at any time and endangers his life.

According to the current progress of Akon's condition, if he does not intervene, he will encounter a death crisis within half a month.

A few words woke up Akon's parents completely!

They had to learn to face reality and face the bleakness of life.

At the same time, they are very grateful to Zhou Qiao for allowing their children to detect the disease early and intervene as soon as possible.

Early detection and early treatment of any disease is preferred.

"Husband, let's go, go back to Dr. Zhou." Akon's mother was completely convinced, and from the bottom of her heart, she felt that Dr. Zhou was really the most powerful doctor she had ever seen.

The other party went to the University of California, so he naturally couldn't hide it from Zhou Qiao.

The slightly well-known experts over there are very familiar with him, and they have dealt with him more or less, and they will tell him in private.

However, Zhou Qiao doesn't care. Because, as the parents of patients, they will not be able to accept rare diseases for a while, and it is normal for them to want to find someone to confirm it.

Zhou Qiao is not such a small person.

Zhou Qiao called Nanako Chiba over and asked Nanako Chiba to take charge of the medication.

Nanako Chiba carefully studied the condition, discussed with Zhou Qiao, and finally formulated a dosing regimen of meropenem combined with vancomycin and fluconazole for anti-infection, and oral administration of mesalazine and thalidomide.

Under Nanako Chiba's superb medication level, Akon's condition was quickly stabilized, and when the conditions for surgery were met, a stem cell transplant was performed.

Although this operation is complicated and extremely risky, it is naturally a success for Iris Tiantuan.

After the operation, little Akon needed to continue to be hospitalized for follow-up treatment and nursing, but his physical indicators gradually recovered, and he was just around the corner to be discharged.

"Nanako, will you feel hard?" All the postoperative patient medications are now thrown to Nanako Chiba, Nanako Chiba is very busy every day, and Zhou Qiao is really distressed.

Nanako Chiba stroked her hair: "No, I think it's very fulfilling." Working here and being exposed to so many complex cases is also quite amazing for my personal growth! ”

Zhou Qiao asked, "Where is the enrichment?" ”

Nanako Chiba blushed suddenly, and blinked her eyes: "Zhou Jun ......"

Squirmed, but took the initiative to take the initiative.

In view of Nanako Chiba's heavy workload and excellent performance, Zhou Qiao decided to give Nanako Chiba a salary increase.

Among the girls, Nanako Chiba has the lowest income, so Zhou Qiao usually gives more bonuses in private.

Like Elena and Ava, there is no financial burden, and Nanako Chiba still has to support her sister, and occasionally, she has to send some money back to China to support her old father in the countryside. It's not easy.

……

Los Angeles.

Talia was unlucky.

She recently received a dubbing job for a cartoon, dubbing the main character in it, the rabbit policeman, and the pay is very good.

The lines in it are quite tense, she is quite involved in dubbing, and the dubbing effect is quite passionate, and even the director praised her for her excellent performance, which adds a lot of color to the cartoon.

However, I don't know what happened, when I woke up today, I found that my mouth hurt so much that I couldn't open it, I couldn't speak loudly, and my mouth hurt even more when I ate.

Live-in roommate Jenna: "Let's go, let me take you to the doctor." ”

Talia opened her mouth: "......"

"What did you say?" Jenna didn't hear clearly, so she couldn't help but put her ear up and asked.

Talia pointed to her ear, endured the pain, and said softly, "Go to San Francisco and find Dr. Zhou." ”

"Oh my God......" Jenner was speechless. A little problem, you're going to fly so far to see a doctor in San Francisco? I think you're psychologically needed, oh no, physical!

Jenna also knows the relationship between Talia and Zhou Qiao, although Talia has been hiding it from her, but last time in San Francisco, she accidentally saw it.

At this time, I saw that my best friend was pitiful, so I had to agree to send her over.

After all, Talia was good to her.

The house she lives in here is Talia's, and if she lives here for free, her rent will be confiscated.

At first, they shared a house, but when Talia bought a house, Talia felt that it was too lonely and unsafe to live alone, so she invited her to live with her.

But in fact, it was secretly helping her in this way. Jenna always remembered that Talia was good.

So, Jenna took a leave of absence to escort Talia over. Of course, the money for the round-trip ticket, Talia out.

"Oh, dear Taria, what's wrong with you?"

When Talia shows up at the Iris Clinic, Elena, Ava, and Stephanie all come over and ask with concern. Murphy also cast a friendly look.

Talia's popularity is also quite good, probably because of the star halo, when they didn't know each other, Elena and Ava were her fans.

Chiba Nanako saw Talia for the first time, and looked at this beauty very curiously, from the mouths of others, she knew that she was a popular flower in the United States, but she couldn't help but have a thought in her heart, that is: "This chick shouldn't be Zhou Jun's girlfriend." Zhou Jun is really ...... Hearts ......"

Nanako Chiba is very helpless, but she can't leave Zhou Qiao anymore, and she doesn't see her for a day, like the kind every three autumns.

Moreover, so many girls revolve around Zhou Jun, more of this is not more, less of this is not less.

Chiba Nanako feels that only a man as good as Zhou Qiao will have so many girls like him.

After all, everyone wants good things.

Zhou Qiao had just gone to the University of California, San Francisco School of Medicine in the morning to attend an academic exchange event, and when he received the news and rushed back, Talia was waiting pitifully in the rest area.

Originally, there were so many doctors here, Murphy, Stephanie, and Nanako Chiba, all of whom were masters, but she had to insist on waiting for Zhou Qiao to come back.

Everyone will follow her.

Mainly, her condition is not a life-threatening emergency.

Everyone also knows her careful thoughts, just to make Zhou Qiao feel sorry for her.

With such a careful thought, everyone will satisfy her.

Zhou Qiao gently pinched Taria's chin, carefully examined it, and then perfected the relevant examinations, and finally diagnosed with temporomandibular joint dysfunction syndrome.

The main symptoms are pain when opening and closing the mouth, the mouth is not open, you can hear a slight popping of your cheeks when chewing food, and sometimes dizziness, tinnitus and so on.

It is more common in young adults, with the highest prevalence in 20 to 30 years of age.

"Little baby, don't worry, this is one of the most common oral and facial diseases, and it is easy to get treated."

Zhou Qiao estimated that it was Talia who dubbed the cartoon this time, opening and closing her mouth too much in a short period of time, and sometimes she shouted loudly because of the needs of the plot, and then put more pressure on the temporomandibular joint, which caused joint damage and dysfunction of the masticatory muscles.

Talia's condition is still mild, and in some severe cases, the disc may be over-stretched and dislodged, resulting in disc displacement.

If the displacement of the disc is very severe, and the effect of conservative treatment is not good, surgery is required.

Talia's condition can be alleviated by local physiotherapy such as ultrashort wave, iontophoresis, and magnetotherapy.

The dental department of the community hospital has these equipment, so Zhou Qiao took her over and gave her physiotherapy by himself.

During the treatment, Talia was teary-eyed, and Zhou Qiao said in his heart, don't worry, little baby, when I and you are a hundred times, you will not have this kind of little trouble.

Because after a hundred times, Zhou Qiao can add points to her, so that she can improve her all-round attributes in all aspects. Cold, fever, throat discomfort, mouth not opening wide...... These little problems will no longer be there.

A small problem with the temporomandibular joint is not worth mentioning.

This is also the benefit of following Zhou Qiao.

It is also one of the biggest perks. Money can't buy it.

If other women knew, they would probably rush up and wait in line.

Just think about Tang Seng, so many female monsters want to eat him.

Zhou Qiao's welfare attribute, although not as good as Tang monk's meat, is also quite tempting.

When Talia recovered, Zhou Qiao asked what had happened. Although I had heard Jenner mention it before, I didn't know about it.

Talia said it could also have something to do with her love of nuts since she was a child.

She likes to eat nuts, especially large almonds, pecans, and Turkish hazelnuts, and when chewing on these harder or tougher foods, she has occasionally found herself making slight noises in her joints when chewing food over the years.

Zhou Qiao knew it, which showed that Talia's temporomandibular joint had been chronically worn, but because it was not serious and did not affect her life, she didn't care, and this sudden high-intensity dubbing work led to an acute attack.

The director called to inquire, and after understanding the situation, he counted Talia as a work-related injury, and not only reimbursed the full amount of medical expenses, but also gave an additional compensation.

Of course, the cartoon was also a box office hit due to Taria's outstanding performance, and later won the honor of Best Animated Film of the Year.

This year alone, there are eight movies starring or participating in Talia, which can be described as a prolific model worker. Fans gave her a nickname, "Sister Model Worker".

"Christmas is coming soon, so stay here. Then after Christmas, Xue Qiao will have a live broadcast, and I solemnly invite you to be a guest in the live broadcast room! In the hotel room, on the sofa, Zhou Qiao put his arm around Talia and invited.

There is no need for such a good star resource, but it is not for nothing.

Talia chuckled: "With such a solemn thing as you? "I don't know where my hand is going.

And Jenna has long since returned to Los Angeles alone. Send Talia over, and her mission is complete.

And Talia doesn't know how long she'll be here, and she still has work to do back in Los Angeles.

(End of chapter)