Outside the window, the sky is full of stars, and Nanako Chiba is wearing silk pajamas, showing her graceful figure. She curled Nana to the window, looking out at the enchanting night with a lot of thoughts.

"It's really a strange journey to follow Zhou Jun!" Nanako Chiba glanced back at Zhou Qiao, who was sleeping soundly on the bed, and couldn't help pursing her lips and smiling sweetly.

She felt that she was right to follow Zhou Qiao!

Because, tonight, a very strange experience happened.

Needless to say, flying in the clouds, there are always times, but tonight, my body seems to be ...... It's even more dynamic!

It's hard to describe the feeling, but she knows very well that her physical fitness has suddenly made a qualitative leap.

Physical strength, energy, delicate and delicate skin, flexibility, agility ......, all aspects. It seems that the intelligence has also improved, and the brain thinks things faster.

She finally knew why the twin beauties, Murphy and Stephanie, were able to dance all kinds of difficult dances.

Because she can do it now.

With a slight lift of her right foot, straight up, it was as easy to stand as if she were drinking water and eating balls, and she switched to her left foot, still doing it with ease, and she could still maintain the posture of standing a horse and spin it a few times.

This was unimaginable before, because although she was beautiful, she was a medical student, not a dance student, and she had no expertise in this area.

"This should all be because of Zhou Jun, quantitative changes cause qualitative changes......"

"Could it be that Zhou Jun's rain and dew contain magical active substances?"

"However, according to my medical knowledge, in addition to the genetic material, the rest of men's rain and dew are just water, fructose, protein, polypeptides, and some other sugars, such as glucose, as well as enzymes such as prostaglandins, inorganic salts and organic small molecules, which have no beauty effect at all and have little nutritional value."

"It can only be said that Zhou Jun is definitely not an ordinary person, no wonder Elena, Ava, Murphy and Stephanie are all desperate to revolve around him......" Nanako Chiba looked at the moonlight outside the window, pursed her lips, turned around and walked towards Zhou Qiao again.

She felt that she couldn't leave Zhou Qiao. Such a good resource, everyone wants to possess it, right? Monopoly is impossible, but a piece of the pie is essential.

Soon, Zhou Qiao was awakened by Nanako Chiba in a unique way.

Facing the gentle initiative of Nanako Chiba, Zhou Qiao naturally enjoyed it to the fullest. The stunner in the world is right in front of you.

Chiba Nanako was naturally added by Zhou Qiao tonight, and I have to say that the Chiba Nanako who has added a point is even more charming and has stronger combat effectiveness.

Nanako Chiba is actually later than Talia, but because she is close to the water, she has a hundred times with Zhou Qiao first.

Next door, Chiba Ruyin was woken up by a strange sound, and couldn't help but cover her ears with an air conditioner, and she was very annoyed in her heart: "Sister is really too much, and she doesn't let people rest, and people will go to the library tomorrow to brush up on the questions!" ”

"My brother-in-law is too, I used to stay overnight secretly, but now it's good, I don't shy away from staying overnight openly." Chiba Ruyin tossed and turned, and her heart was like a deer.

……

The next morning, Nanako Chiba got up, full of energy and refreshed, she went to the bathroom, looked in the mirror, and couldn't help but be stunned, she had never been so beautiful.

She touched her face carefully, felt it, and felt that she should have achieved reverse growth, at least two or three years younger than yesterday.

When she came to work at the clinic, Murphy and Stephanie couldn't help but be slightly stunned when they saw her, and then they realized it instantly. Everyone knows that this Japanese chick must have gotten the benefits of Zhou Qiao.

They are people who have come from here, and they know the doorway very well.

"Murphy, Nanako Chiba, come and have a consultation together." Stephanie came and called them.

Soon, Sanniu came to the conference room, Zhou Qiao was already waiting there, and the projector was already ready.

"This time I was a patient with severe heart failure, and he came here, and his condition was quite serious." Zhou Qiao projected the patient's information onto the big screen and began to explain.

The patient, a 68-year-old Chinese man surnamed Zhu, had been suffering from chest tightness and shortness of breath and fatigue since he had been infected with the global epidemic virus two years earlier.

At first, Uncle Zhu didn't pay attention to it, but as his condition gradually worsened, he couldn't lie flat at night when he slept, and he walked during the day, and he was out of breath after walking more than ten meters, so he had to stop and rest.

He lives with his son and daughter-in-law in the Bay Area, a little far from the Iris Clinic, and has been to clinics and hospitals near his home before, and the diagnosis is "dilated cardiomyopathy and heart failure".

Although, the doctor also formulated a treatment plan for him, mainly conservative treatment, because he is older, use conservative treatment first to see the effect.

However, the effect is not ideal. I was hospitalized for a month or two, and I even had a ventilator, but the quality of life was still very poor, and it did improve in the first week or two after discharge, but after that, I still walked a few steps or two flights of stairs, and I began to gasp for breath, panic and shortness of breath, exhaustion, and the feeling of dying.

Later, when his son told a colleague who was also Chinese, about the family, the colleague was surprised and exclaimed, "Your father has a heart attack?" Then why don't you go to Dr. Chow at Iris Clinic? ”

"Doctor Zhou?" Uncle Zhu's son was suspicious.

The colleague said strangely: "Haven't you heard of Zhou Qiao, a famous doctor in California?" He's the best at heart disease! ”

"I really hadn't paid attention to it before." Uncle Zhu's son was very ashamed, but then, after checking the information, he knew how powerful Zhou Qiao was. Not only is California's famous doctor, but also the top in North America.

Moreover, it is also an Internet celebrity.

He has always been obsessed with technical work, his ears don't hear anything outside the window, and he never watches short videos, so he really doesn't know. Not to mention Zhou Qiao, he doesn't know many famous stars.

He felt that those things were meaningless and the most wasteful of people's energy, so he didn't pay attention to them. Unexpectedly, I missed a lot of important information.

So, he rushed over with his old father.

In the conference room, Zhou Qiao continued: "Fatigue, chest tightness, palpitations, loss of appetite, and multiple heart failure complications appeared in Zhu Laobo's body in turn, making his later life very unstable. We have arranged for him to have an ultrasound of the heart, and the report shows that his left ventricle is enlarged to 79mm, compared to 55mm in normal men. The left ventricular ejection fraction, which represents the pumping function of the heart, is only 19%, while that of normal adults is more than 55%, and the QRS complex time limit is 190 ms, and the normal value should be less than 120 ms; These data fully indicate that there is a significant asynchrony and incoordination of the patient's cardiac contraction movements. ”

Stephanie: "In this condition, the left and right ventricles are not coordinated, which is actually very common in patients with heart failure, and I think that conservative treatment is no longer effective, and surgery is necessary." ”

Heart failure, referred to as heart failure, refers to a syndrome in which the pumping function of the heart is impaired due to various reasons, and the cardiac output cannot meet the basic metabolic needs of the whole body tissues, which is mainly manifested as dyspnea, limited activity, and fluid retention.

This disease is the terminal stage of various heart diseases, and the incidence of sudden cardiac death is high. Numerous evidence-based studies have shown that up to 50% of heart failure patients die within 5 years, so heart failure is also known as the "cancer of the heart". Moreover, the incidence of this disease is increasing year by year.

Patients with heart failure not only face the threat of death, but also have symptoms such as breathlessness, fatigue, edema and most importantly, repeated hospitalizations are very costly.

Murphy and Nanako Chiba are also in favor of surgical treatment.

Because the human heart is like the engine of a car.

No matter how expensive a car engine is, it can be damaged or "stalled" due to overwork and wear, and the same is true for the human heart.

Car engines can be overhauled, and the human heart can naturally be "overhauled" or even replaced.

Of course, there is no need to replace it unless it is absolutely necessary. Not to mention the huge cost of heart transplantation, the donor is not necessarily easy to get. And other people's hearts will have a little rejection reaction.

"Since we all agree to the operation, let's take a closer look at the plan." Zhou Qiao said, and then encouraged everyone to express their opinions.

He wants to train several girls, so that in the future, without relying on him or the system, the clinic can operate normally and cope with all kinds of complex conditions and difficult surgeries.

The system, after all, is a foreign object, and its origin is unknown. After all, everyone's own ability is more important.

Of course, with Zhou Qiao's current wealth, even if he lies flat and eats and drinks every day, he can live very comfortably until the end of his life, but when people live, they must always have a little career pursuit. Otherwise, it will be extremely empty and boring.

When you die, you may regret and regret the inaction of your youth.

After a full hour of discussion, they decided to use CRTD (cardiac resynchronization + automatic defibrillator) implantation to help the patient regain his "heart". At the same time, a very detailed surgical plan has been drawn up, as well as corresponding plans to deal with various emergencies.

This surgery, simply put, is a minimally invasive procedure to implant a CRTD (cardiac resynchronization defibrillator pacemaker) to treat asynchronous cardiac contraction movements and prevent sudden cardiac death, thereby radically improving heart failure.

For normal people, the left and right ventricles of the heart can cooperate with each other and beat synchronously, however, heart failure causes many patients to stop the left and right ventricles "walking in unison", which in turn causes the heart to enlarge and the heart function becomes worse and worse.

CRTD is a technology that allows the patient's left and right ventricles to gradually return to regular and synchronized beating, as if equipping the heart with a new engine to help the heart pump blood more efficiently.

In addition, it can also identify fatal malignant arrhythmias in time and prevent sudden cardiac death.

Zhou Qiao took the plan, communicated with the patient and his son, and explained the general idea of the operation in easy-to-understand words, and the patient and his son were very happy and looked forward to it, and signed it very happily.

It's just that their family lives a little far from here, about a hundred kilometers, and I don't know if the insurance they bought at home can be used for the diagnosis and treatment of the iris clinic.

Zhou Qiao gave the plan and quotation to the patient's son, and asked him to take the plan to the insurance company for consultation.

Luckily, the insurance company said yes and agreed to the offer.

In the expectation of Uncle Zhu and his family, the operation began in the community hospital.

This surgery, compared with ordinary pacemaker implantation, has higher requirements for the surgeon's comprehensive interventional technology, and requires the comprehensive application of the three major technologies of cardiac intervention: coronary interventional technology, pacemaker implantation technology and electrophysiology technology, which is known as the "crown jewel of pacemaker implantation".

It combines the dual functions of CRT and implantable cardioverter-defibrillator (ICD), which can automatically monitor arrhythmia and have automatic defibrillation function, which is equivalent to putting the "cardiac monitoring unit" into the heart, and is also a "mobile ambulance", which can help heart failure patients achieve synchronized contraction of the left and right ventricles, improve cardiac function, and even make the enlarged heart retract.

This time, Stephanie was in charge, Nanako Chiba was the assistant, Murphy was the second assistant, and Zhou Qiao was in charge of observing.

Park so-joo and Kim Hee-jin naturally participated.

Zhang Mengjing said that she also wanted to come, but there could be no one at the nurse station, and Jin Jizhen said that next time there was an unimportant minor operation, Zhang Mengjing would appear. Kim Hee Jin went to the nurses' station to take over for a while.

"Sister Jin, you're so nice." Zhang Mengjing is looking forward to it. She also wants to be involved in various surgeries, and she also wants to grow.

First, it is more technical, and secondly, it is a very happy thing to be able to cooperate with Zhou Qiao's brother in close proximity!

Although her father Zhang Jianjun and Zhou Qiao are brothers and are equal friends, Zhang Mengjing doesn't want to call Uncle Zhou Qiao, but she still calls her brother sweeter.

Every time Zhang Jianjun heard his daughter call Zhou Qiao "brother", his brows jumped, but he couldn't control it. In the end, I had to go with my daughter.

He explained to Zhou Qiao that everyone has their own opinions, and the little girl is not sensible, so let Zhou Qiao not mind.

How could Zhou Qiao care about this title? You can just call yourself by name.

The operation was quite successful, and Uncle Zhu was discharged after about a week in the community hospital.

Originally, just in terms of surgery, he could be discharged from the hospital in three days, but his physical condition was too poor, so Zhou Qiao suggested that he stay for a few more days and let Nanako Chiba help with medication.

When he was hospitalized, Uncle Zhu's son asked if his father could eat red ginseng?

Nanako Chiba said that it doesn't matter, you can eat some in moderation.

So, Uncle Zhu's son stewed ginseng soup and came over to give his father a tonic.

In fact, red ginseng is good for heart failure patients, red ginseng can improve patients' heart function and has a certain qi tonic effect.

Nanako Chiba is a Japanese, a member of the Chinese cultural circle, although she is not a professional student of Chinese medicine, but she is not too familiar with some common Chinese medicine tonics.

For example, red ginseng, white ginseng, American ginseng, cordyceps, deer antler velvet, Ganoderma lucidum, bird's nest, Polygonum multiflori......

Not long ago, Xue Qiao selected live broadcast to bring goods, and there was a batch of American ginseng of quite good quality, and Nanako Chiba also bought some and sent it to her old father who was far away in Hokkaido.

Although American ginseng is produced in North America, its consumers are mainly East Asian people, especially Chinese.

Although Americans don't eat American ginseng, most people don't even know what it is, and some people even think it's ginger, or the rhizome of a similar plant, but Americans are very good at seizing business opportunities.

In the 18th century, French missionaries discovered ginseng, a precious Chinese specialty, in northeast China, which was expensive and scarce (in the Qing Dynasty, wild ginseng was scarce). Then, the missionaries introduced the morphology, growing environment, and medicinal value of ginseng to Europe and the United States.

Then, a missionary in Canada read about "ginseng" and looked for similar plants in North America, which is the same dimension as northeastern China, and found it.

This is American ginseng, also known as American ginseng. The Americans then made a fortune by digging American ginseng and exporting it to China.

Later, special legislation was enacted to protect American ginseng. To this day, American ginseng is still one of the important commodities in Sino-US trade.

Since North America is the place of origin, the climate and soil quality are more suitable for the growth of American ginseng, although it was later introduced in Northeast China, the quality of American ginseng produced is far less than that of North America.

Traditional Chinese medicine, paying attention to "authenticity", simply put, is a specific region of medicinal materials, compared with the same kind of Chinese medicinal materials produced in other regions, the quality and efficacy are better, and the quality is stable, with a high reputation, the most widely recognized.

Authentic medicinal materials are selected under the guidance of traditional Chinese medicine theory and long-term clinical application of traditional Chinese medicine, and have been tested by medical practice.

In the eyes of the Chinese medical community, American ginseng from the United States is the most valuable, followed by American ginseng from Canada, and then American ginseng from China.

It is worth mentioning that, regardless of the difference in appearance, it is impossible to distinguish American ginseng from ginseng from the perspective of modern medical research. However, from the perspective of traditional Chinese medicine, these are two medicinal materials with very different properties.

When American ginseng first appeared in China, the imperial physician of the Qing Dynasty qualitatively characterized the two through drug testing, combined with the climate of its place of origin, etc., Chinese ginseng is a hot and dry thing, which is suitable for deficiency and cold, while American ginseng is a cold thing, which is more suitable for people with hot and dry bodies.

To put it simply, American ginseng is milder and cooler, making it suitable for summer use, while ginseng is "hot" and suitable for autumn and winter tonics.

(End of chapter)

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