"Aunt Huang, your serum calcium is actually within the normal range, and then the CT results show that you have a herniated lumbar disc......"

At the Iris Clinic, Murphy is explaining the condition to a Chinese aunt, and her fluent Cantonese makes the aunt stunned.

Aunt said in her heart, this little foreign girl looked at Gao Leng, but she didn't expect Cantonese to speak so authentically. Much better than my daughter-in-law said.

Her daughter-in-law is also a foreigner, but she only speaks Mandarin and is relatively blunt.

In a foreign country, hearing the authentic local accent, my aunt is still very happy. Especially, it was said by a beautiful foreigner.

This 56-year-old aunt and her son's daughter-in-law settled in San Francisco, she used to be in China, and after she retired, she came to live with her son and daughter-in-law, mainly to help them take care of the children and do housework.

Maybe after retirement, taking care of children is busier than working in China before, and then Aunt Huang had symptoms of low back pain more than a year ago.

The old aunt pondered, this is old, but she is not forgiving, most of them take care of the children every day, do housework, and are tired.

After all, in the past few years of retirement, my son and daughter-in-law have also given birth to a second child, and after bringing the older one to the younger one, although it is said that the grandchildren are complete and enjoy the joy of family, it is really hard.

Aunt Huang felt that the body should be deficient in calcium, and osteoporosis is a common symptom of the elderly, so she wanted to buy calcium tablets.

How good this American calcium tablet is, there are still people in China who ask her to send some back.

The son and daughter-in-law are also very distressed and grateful, not only helped her buy various flavors of calcium tablets, but also bought waist support and a sweeping robot to help her reduce the burden of housework.

What the people in the hometown want to buy, they ask their mother to buy it on their behalf, and their sons and daughters-in-law also try their best to help to satisfy their mother's face.

However, I have eaten a lot of calcium tablets, and Aunt Huang's workload has also been reduced, but her back pain has never improved, and she has attacks from time to time.

"Mom, if you go to the Iris Clinic, the doctor over there is very powerful, and it is opened by Chinese." After you go, communication is not a problem. The foreigner's daughter-in-law said in broken Mandarin.

The son also said: "If you are not feeling well, you should go to see it early, detect it early and treat it early, then it is a waste to buy medical insurance and not use it." ”

"Okay." Aunt Huang came by herself. After all, she came to see a doctor, and her daughter-in-law had to ask for leave to watch the little child at home, and the older one was sent to school, but the younger one was only less than a year old, so it was not easy.

The iris clinic is not far away, and it takes about ten minutes to walk alone.

Since Aunt Huang is not very fluent in English, Kim Hee Jin brought her to Murphy.

As for Zhou Qiao, he took Stephanie to the community hospital for a consultation. And Nanako Chiba's Chinese is just getting started.

"Lumbar disc herniation?" Aunt Huang listened to Murphy's explanation, and grasped the key words very keenly, so she asked, "That ...... Doctor, my low back pain should be caused by a herniated lumbar disc, right? ”

Murphy shook his head and said, "This one of yours is only mildly protruding, and it doesn't compress the nerves, and it's not enough to cause such severe low back pain. ”

"What's going on?" Aunt Huang was suspicious.

Murphy groaned softly.

In fact, diagnosing a disease is really not that simple, it is not a matter of taking a film and examining it, and the disease will come out.

In particular, "undifferentiated diseases" like Aunt Huang.

What is an undifferentiated disease?

It refers to those conditions that cannot be clearly diagnosed for the time being, such as fatigue, weight loss, headaches, etc.

Inexplicably, repeated visits, recurrent attacks, but the cause is not so easy to find out.

This disease, to a certain extent, is actually an incurable disease.

At such an age as Aunt Huang, indeed, as Aunt Huang judged at home before, it is normal for middle-aged and elderly people to have osteoporosis.

Low back pain due to osteoporosis is also very common.

However, Aunt Huang is not.

Murphy arranged for her to have tests on bone mineral density and bone metabolism, and the results were normal. There is also no shortage of calcium.

And the lumbar disc herniation is not serious to that extent.

"Have you been feeling sick elsewhere lately?" Murphy pondered for a few seconds and asked.

"Other places......" Aunt Huang thought about it carefully, and said, "It seems that my stomach sometimes swells and hurts, maybe I eat too much, and then my butt hurts." ”

"Where?" Murphy came over to make sure.

Aunt Huang touched the painful location and said, "This is it." ”

It turned out to be the lumbosacral region.

Murphy's heart suddenly froze, and his eyebrows frowned slightly.

"Doctor, what's wrong? I'm not in serious condition, am I? Aunt Huang asked suspiciously.

Murphy returned to his seat, arranged an MRI examination for the other party on the computer, and said with a slight smile: "Don't worry, our clinic is one of the top clinics in the whole United States, and we will definitely help you solve your pain." You take this list and do an MRI according to the address and contact information on it, the testing center is not far away, and it is only a few hundred meters away from our clinic. ”

"Thank you, thank you." Aunt Huang was about to leave with the list.

Murphy looked at her figure and added casually: "When the report comes out, let the family accompany you when you have a follow-up visit." ”

"Huh?" Aunt Huang turned around, but saw that Murphy was looking at the computer intently, typing, as if what she had just said was just casually.

Is it because you dislike me for being old and afraid that I will walk and wrestle alone? Aunt Huang said in her heart.

However, although I have lower back pain, I can't walk.

Aunt Huang went out.

Halfway through, I suddenly felt a sigh in my heart, and instantly understood the meaning of Murphy's words.

"Does that little foreigner mean that my condition is a bit serious, and I may need to be hospitalized or even have surgery?"

"But it shouldn't be very serious, or is it a disease that they are sure to cure? That's why you told me with a smile on your face? ”

Because, Aunt Huang recalled carefully that since Murphy received the consultation, she had been cold and expressionless, and only smiled when she finally helped her arrange an MRI.

When things go wrong, there must be demons.

In fact, Aunt Huang guessed correctly, Murphy was really afraid of scaring Aunt Huang, so he deliberately squeezed out a smile at that time. Otherwise, Murphy would not have laughed all day long.

Aunt Huang went for an MRI, and sure enough, the situation was very bad, and the report suggested that her pelvis had a 4-centimeter mass.

Fortunately, with Murphy's hint before, Aunt Huang was already mentally prepared, so she was not so flustered.

When she came for a follow-up visit, her son and daughter-in-law came with her.

The children also brought it and had a lot of fun playing in the children's play area in the rest area. With Kim Ji Zhen to help take care of it, the child's mother doesn't have to worry, follow up with the consultation room, and want to hear what the doctor has to say.

In the office, Murphy: "Think about pelvic tumors. ”

"Do you want surgery?"

"Yes." Murphy said.

Aunt Huang said in her heart that it was so. Although she was apprehensive, worried, and difficult to accept, she didn't feel so bad at this time because of Murphy's hint earlier.

Murphy: "If you want, I can arrange for Aunt Huang to be in a community hospital for preoperative preparation, and I will also do a needle biopsy to confirm." ”

"Okay, okay, thank you, thank you."

Aunt Huang's family naturally would not disagree, after all, the reputation of the Iris Clinic is extraordinary, and the cold beautiful doctor in front of her has also won the national award.

Aunt Huang doesn't know much about Murphy's fame, but her son and daughter-in-law are like thunder.

Murphy is the second ranked in the Iris Heavenly Group, second only to the existence of the boss Zhou Qiao.

Not only is the surgery powerful, but the academics are also first-class, and I have posted articles with unknown high impact factors.

However, because of this medical visit, Aunt Huang personally learned how powerful Murphy is, and she also feels that it is very reliable.

So, Murphy called Park Xiuzhu and asked Park Xiuzhu to take Aunt Huang's family to the community hospital.

In the end, under Murphy's main knife, the operation was successfully completed.

Although Murphy is pregnant, the operation is performed with a serpentine minimally invasive surgical robot produced by Future Medical Devices, which does not require much physical strength from the surgeon.

The use of surgical robots greatly saves the workload of medical staff and reduces the work intensity.

The community hospital has also purchased eight such surgical robots, because the order of Dean House was relatively early, so it was obtained earlier, and it has been clinically applied in the community hospital, and the feedback is very good.

Murphy does surgery, so he naturally prefers a surgical robot produced by "home", which can be regarded as an advertisement and an increase in successful cases.

I have to say that this snake-shaped minimally invasive surgical robot has excellent performance and is quite easy to use.

Aunt Huang is actually very confused, isn't it just ordinary low back pain? How did a pelvic tumor come out?

When Murphy went to the ward rounds, he saw her and explained to her that low back pain is a common undifferentiated condition in clinical practice.

Some of these diseases are simple, some are complex, some are mild, some are severe, and it can be said that "anything is possible".

If it is acute low back pain, it is simpler, usually acute low back sprain, trauma and low back pain caused by some infectious diseases, such as lumbar tuberculosis, herpes zoster infection ("snake around the waist") and so on.

However, with long-term chronic low back pain, it is more complicated.

In addition to the common cause of lumbar disc herniation, osteoporosis, lumbar spinal stenosis, and low back myofascial pain syndrome caused by long-term habitual poor posture or long-term overwork are also common.

In addition, ankylosing spondylitis will have bilateral symmetrical pain in the neck and waist, and there will be obvious low back pain in the early stage of spinal tumors.

There are many other types of causes like aortic dissection, renal colic, and many more.

Pelvic tumors like Aunt Huang can also cause.

It can be said that the causes are complex and diverse.

And Murphy can lock the pelvic tumor for the first time, which is definitely the top flow level.

Even Stephanie and Nanako Chiba admired it in their hearts when they heard about it.

Stephanie: "This chick may not be as interesting as me in bed, but the level of this diagnosis seems to be ...... It's a shame to be taller than me. ”

Nanako Chiba: "Murphy is amazing! ”

Nanako Chiba has been "miserable" again recently, because Yang Xuejun has returned to China, Talia has also returned to Hollywood, Murphy and Stephanie are pregnant, and Zhou Qiao's firepower has been concentrated on her again.

Although her physical strength has increased several times compared to before, she still can't resist Zhou Qiao's attack.

Several times, she couldn't help but want to call her sister in to help her, but she held back. The main thing is that my sister is too small. She can't let this affect her studies.

Although Nanako Chiba knew that following Zhou Jun would have incredible benefits, and she also wanted her sister to get a piece of the pie, but after all, her sister was still a high school student, so it was not suitable.

Luckily, it wasn't long before the twins Elena and Ava returned from Northern Europe for a vacation in San Francisco.

"Finally someone has to share the firepower." Nanako Chiba finally breathed a sigh of relief.

After the twin sisters came, Zhou Qiao naturally accompanied them.

This pair of girls have also added points, and they are in pairs, with tacit understanding, 1+1>2, but they can also withstand Zhou Qiao's tart.

Moreover, they have been in Northern Europe for so long, and returning to San Francisco for a vacation is like a long drought and nectar, which has a bonus to combat effectiveness.

……

In the vast Indian Ocean, the frigate is cruising, and on the deck in front of the 76mm stealth gun, in the presence of many soldiers, the captain of the ship, Margaret, is awarding the medal to special forces soldier Jayka Zimmerman.

A girl born and raised in East Africa, Jayka was drafted into the army more than three years ago and is just a logistics staff member who does a good job of logistics.

However, after a year of work, she took the initiative to sign up, asked to change her position, and wanted to join the battle sequence.

In view of her outstanding performance, her application was agreed.

After the assessment, the base found that she was very talented in shooting, so they planned to train her to become a sniper.

Jiayika cherished the hard-won opportunity, relying on extraordinary perseverance and devilish training, after two years of hard training, he finally became an excellent sniper.

Subsequently, Margaret took a fancy to him and went out on a mission with the navy.

Although the frigate is at sea, it is also equipped with a "marine", and although there are missiles on the ship, such a weapon as a big kill, many times, it is not easy to use lightly.

How expensive missiles are, no matter how rich Luo Ya's family property is, she can't afford to shoot missiles every day. This is her private property, not the state's money.

And sometimes, the enemy leader hides in the nest and uses missiles to shoot mosquitoes.

And snipers, deep into the hinterland of hostile forces, decapitation with precision, kill with one hit, and go to the clothes after the incident, can be said to be the lowest cost way.

In the past six months, Jiayika has assassinated three important figures of hostile forces one after another, and even Luo Ya has expressed high praise for this, and promoted her several levels in a row, from the original "sergeant" to "lieutenant", in addition, a reward of 300,000 US dollars.

An enemy leader, 100,000 US dollars, is worth the price.

This is also what Jiaika bought in exchange for his life.

"Congratulations, Jiayika, from today onwards, you can enjoy a month of paid vacation, whatever you have planned, where you want to go, you can achieve it." After Margarita finished the award, she hugged Jayka and said.

Originally, Luo Ya wanted to come to meet this Jiayika in person, but because there were many things in Texas and the four babies were waiting to be fed, she didn't come.

The last time she came, Jayka was out on a mission and hadn't seen her.

"Yes, Jiaika, you can tell us all where you want to play, and we can give you some advice."

"If you're traveling, I think Hawaii, Europe, or China are all great places."

"Yes, if you go to Asia, you can go to other countries, but don't go to India."

"Why?"

"Haven't you heard? There is a Spanish couple, the woman is still a star, but when they traveled to India, their husband was beaten, and the woman was wheeled by seven people, which was miserable. ”

"Oh my God, isn't India a big country? Is it so exaggerated? ”

"It turns out that it is not our Sue Soken that is backward and chaotic in the world, and the big countries that are among the top ten are also so bad."

"In contrast, China is really a very, very good country with very good security."

It's been a long time since I've been so happy, and although Jiayika has been honored, because of this incident, there will be an extra meal in the restaurant today, and then a small party will be held for everyone to relax.

Jayka was silent for a moment, shook her head, and said, "I want to go home." Then I took my sister to Hope Hospital. ”

"Your sister is sick?" Margaret is sorry that she hadn't paid attention to the affairs of this "iron-blooded black girl" family before.

It seems to have been asked a few times before, but Jiaika is a very strong girl and didn't mention it too much.

"Well, she's sick, it's weird, it's embarrassing. Before, my family was poor and there were no good doctors, so this time I would like to ask Dr. Zhou to help them take a look. Jayka said earnestly.

"Go ahead, Dr. Zhou will definitely help your sister." Margaret patted Jayka on the shoulder and encouraged.

Jiayika is an "internal employee", and his family will receive a 50% discount when he sees a doctor at Hope Hospital.

And she just got 300,000 US dollars, and it should not be a problem to treat her sister and improve the life of her family.

She thought that if she saw a doctor, she would have 108,000 yuan left, so she would buy a house in the City of Hope and bring her family from a remote area.

Although the scale of the City of Hope is not large now, the development should be better and better in the future, and under the militarized management of Luo Ya, it can be regarded as a place with better security.

She now has a "half-official position" in the base, and to some extent, she can also take care of her family.

With everyone's blessings, three days later, Jiaika left the frigate and then returned home, taking her sister to the Hope Hospital.

If the family members of internal employees are sick, admission is not a problem.

Due to the strange and complicated condition, Chen Zhining activated telemedical assistance and asked Zhou Qiao for help.

Zhou Qiao took Murphy, Stephanie and Nanako Chiba to gather in the conference room to communicate with the medical team in East Africa and consult remotely.

Jiayika's younger sister, five years old, is dark and skinny, because of long-term malnutrition. In recent years, Jiayika has sent money to his family every six months, and his life is better than before.

Otherwise, my sister will be even more bitter.

Jiaika bought some diapers for her sister and took her to see a doctor, and before, when she was at home, her five-year-old sister had always been open crotch pants.

Because, my sister has no way to control her urine and bowel movements.

That is, I can't perceive the urine, I can't feel it, so I can't control it, and sometimes I fart and pull out the stool by the way, how embarrassing it is.

Now Jiaika has put on diapers for her, bought new clothes, washed them cleanly, combed her hair neatly, tied a few small braids, and barely lived a normal life.

Although, changing diapers several times a day is quite expensive and troublesome.

But that's what a normal girl should be.

Zhou Qiao and the others were also quite sympathetic when they learned about the girl's condition.

After detailed examinations and many consultations, Zhou Qiao locked the "culprit" on a disease called myelomeningocele, which is a congenital malformation of nervous system development, with a global incidence of about 0.05% to 0.1%, which is one of the important causes of disability and death in newborns.

Jiayika's sister can live until now, and she is really "walking on thin ice".

In fact, this disease can be reduced in the first trimester through oral folic acid medication or food-fortified folic acid supplementation.

But Jiaika's family is poor, and when her mother was pregnant with her sister, where did she have such conditions, or rather, she didn't have this understanding at all.

However, Zhou Qiao speculated that Jia Yika's sister's previous illness should have been mild, otherwise, she would not have survived now.

However, as time progresses, the condition is naturally much more serious than at birth, and if it progresses for a few more years, it is likely that the lower half of the body will be paralyzed. The risk of premature death is also considerable.

After learning about her condition, Jiayika was terrified. At the same time, I also feel fortunate that through my hard work, I was promoted and raised, and I also received a huge reward, so I had the opportunity to bring my sister over to see a doctor in time.

Under Zhou Qiao's leadership, the Iris Clinic worked together with the East African Hope Hospital team to tailor a treatment plan for Jiayika's sister.

The whole treatment process requires three surgeries, of course, there are also rehabilitation training, drug training and so on.

(End of chapter)