There are still hidden secrets in the disease.

Moreover, most of them are rare diseases.

Because if it weren't for a rare disease, with the strength of the Iris Flower Heavenly Group, the case would have been solved a long time ago!

There is only that kind of rare disease, because there are few people who have studied, there is not much data, and there is a lack of corresponding specific drugs, so the diagnosis and treatment are more troublesome.

The medical industry is indeed a big cake, and it is also one of the industries that will never die. As long as humanity exists.

Even if immortality is achieved, it will never be immortal for everyone. So, medical care lives on.

There are many people who study medicine, but most of them do it from the perspective of profit. Rare diseases, because of the low demand, so the investment has not been very large.

Especially in the United States, "unprofitable" research projects are difficult to fund.

Even if there is occasional research, it is purely for "academic gain", such as publishing a paper to fill in a gap. But the final drug development will also be cut.

Because input and output are not proportional, they will lose money. No one is going to do that.

"The girl's condition is peculiar, and most importantly, we have previously ignored her psychiatric symptoms." Stephanie is an expert in this area, and said with a frown.

"Is it possible that there is a correlation between her mental abnormalities and liver damage? Is there a very insidious chronic liver disease that causes mental abnormalities at the same time? ”

This idea, like a light breaking through the clouds, opened everyone's minds.

Enlightened.

Stephanie, Murphy, Nanako Chiba, and Zhou Qiao all expressed their opinions and had an extremely fierce discussion in the conference room, which can be called a collision of academic ideas.

Sometimes, people even think that it is more interesting to discuss academic things than to combine negative physical distances.

By the time Kim Hee-jin called them to lunch, they were still discussing while eating in the pantry.

Kim Hee Jin stuck out her tongue and whispered to Park Xiuzhu, "Sister, Doctor Zhou, they are too dedicated, right?" ”

Park so-joo shrugged, cut off a small piece of eye-meat steak and stuffed it into her mouth, chewing as she said, "If they are not dedicated, how can they achieve such an amazing achievement?" ”

Now, even if it is Nanako Chiba, if she is taken out alone, she is still an existence that can "suppress one party".

In the end, everyone reached an agreement and came to a conclusion.

Although the patient's parents and other family members did not have a foundation of liver disease and metabolic disease, based on the patient's medical history and the results of liver biopsy, a new direction of diagnosis was locked, that is, metabolic disease.

Subsequently, Iris Tiantuan arranged for the patient to have his whole genome sequenced, and sure enough, the new findings confirmed this.

The patient has a very insidious gene mutation and is classified as a rare disease called citrullinemia type II.

It is a metabolic disease and an autochromosomal recessive disorder.

Further genetic testing found that both parents of the patient carried the mutated gene, and after testing the amino acid levels in the blood of a family of three, it was found that the levels of citrulline, arginine and other amino acids in the blood of the patient and his mother were significantly increased, while the amino acid levels in the father's body were normal.

At this time, the girl's mother finally shared a privacy with the Iris Celestial Troupe. That is, when she was young, she actually had mild schizophrenia for a few months.

At that time, it was after childbirth. But under the guidance of a psychiatrist, it didn't take long for him to recover.

Therefore, when the girl was diagnosed with schizophrenia, the mother did not raise objections, because schizophrenia is hereditary.

The mother just wanted to find a good doctor to help her daughter heal.

But she didn't expect that her daughter's situation was more serious.

"Why didn't you say it before?" Stephanie was a little angry. How much is it that delays us. If we had said it earlier, we would have been able to "solve the case" much faster based on this detail alone.

Zhou Qiao waved his hand, signaling that it was okay. Because such a situation is very common in clinical practice. Many family members, and even patients, hide their medical history for a variety of reasons. Or withhold some details that lead to the disease.

Human nature is not uncommon.

Perhaps, in the eyes of patients and their families, information that is not very important is actually quite helpful in the diagnosis of the disease.

Mild schizophrenia is also due to citrullinemia.

The girl's father was very surprised and couldn't help but ask: "Doctor, it is obviously a metabolic disease, why does it cause mental symptoms, and why do liver function indicators are abnormal?" ”

"And then it is, why does the whole family carry the mutated gene, why is it that both mother and daughter are sick, and I'm fine?"

The girl and her mother also looked over.

Zhou Qiao smiled slightly and explained to them: "Citrulline is an amino acid, which, like other amino acids in the human body, is the main raw material for the synthesis of proteins. However, due to a genetic mutation, your body lacks the ability to convert citrulline and other amino acids into proteins, resulting in excessive accumulation of certain amino acids in the body. ”

"This is equivalent to a problem in the processing process, resulting in raw materials that cannot be converted and continue to accumulate in the body, and ammonia in the blood has a relatively large toxic effect on the cranial nerves, and when the accumulation reaches a certain amount, it will cause damage to the cranial nerves, resulting in neurological symptoms."

"The liver, as the most important place of amino acid metabolism, will also be affected by this metabolic abnormality, whether it is citrulline that cannot be metabolized or the use of related drugs, it will increase the burden on the liver, thereby affecting liver function."

The girl's family nodded again and again, very admired.

Zhou Qiao said that people with this mutated gene can induce disease attacks under the influence of factors such as infection, fatigue, staying up late, and bad mood.

Needless to say, the girl's trigger is the trigger, and her mother's trigger is considered to be caused by postpartum mental stress.

Even if there is no genetic defect, many mothers will also experience postpartum depression and other conditions.

Luo Ya has never had postpartum depression, she has good physical fitness, strong psychological quality, and she has endless things, where will there be postpartum syndrome.

Of course, the most important thing is to have money, and there is a professional neonatal care team of more than 20 people to help her feed, educate and take care of the baby. Her grandmother was there every day, watching the four babies.

Loya's job is to come and nurse once in a while, and it's all over after a little teasing.

Zhou Qiao is even more powerful, and he goes to see it in person once a month on average. Of course, it doesn't count in the video.

Luo Ya joked: "If your son doesn't kiss you in the future, it's none of my business." ”

Zhou Qiao: "......"

A few years later, Zhou Qiao's descendants were full. Some descendants are not close to him, and he doesn't mind. After all, if everyone likes to stick to him, it won't be annoying.

He prefers that his children will be independent.

Some children regret in their later years that although their father was great, his time was devoted to great medical careers, resulting in their childhood not enjoying the fatherly love they deserved.

……

Although there is no specific drug for this rare disease because it is not well studied, it can be controlled by medication such as dietary modification, lowering blood ammonia levels, and preventing liver damage.

And it is true, under the ultra-high level of treatment of Iris Tiantuan, the girl's symptoms were quickly controlled and she was successfully discharged from the hospital.

As for whether it will relapse in the future, it depends on the inducement, therefore, Zhou Qiao told the other party to stay up less late, not to cause too much pressure because of studies or work, all in all, usually smile more and maintain an optimistic and cheerful mood.

If it really relapses and there are signs, it doesn't matter, come to the clinic for consultation as soon as possible, the iris clinic is always open, and will provide her with effective solutions.

Because of this, the girl's family also became fans of the Iris Clinic.

Especially when the disease recurs, it is easy to go to other places and other doctors to figure it out, and it is easy to treat it blindly.

Therefore, it is important to maintain a cheerful state of mind. If you have a sad face all day long, your forehead wrinkled into the word "Chuan", and you often stay up until two or three o'clock in the morning at night before you go to sleep, in case some hidden rare diseases are triggered, and there is no medicine to cure them, it is really worth the loss.

The most important thing to maintain health is to go to bed early and get up early, and be happy. People who have no heart and no lungs will live longer.

Regarding health preservation and liver protection, Dr. Xiao Yang shared a very simple but excellent "tea" on his self-media account - black bean liver tea.

Ingredients: 30g black beans, 15g mulberry parasitic, 15g wolfberry, 5-8 longan meat, 6 red dates, 2-3 eggs, 5 slices of ginger.

Soak the black beans in hot water for 30 minutes, remove the core of the red dates, peel and slice the ginger.

Put the black beans, mulberry parasitism, goji berries, longan meat and ginger in a pot and cook over high heat for about half an hour.

Add the eggs and cook for about 15 minutes, remove the eggs, peel off the shells, and then put the eggs in, turn the heat to low, cook for about 15 minutes, add brown sugar to taste.

Among them, black beans nourish blood and black hair, mulberry parasitism nourishes liver and blood and dispels rheumatism, wolfberry, longan meat, and red dates nourish blood and calm the nerves. In addition, it also has a beauty effect, and it is also a good choice for women who "love beauty".

……

The year before last, the first "Crescent Cup" Young Doctor Minimally Invasive Cardiac Surgery Formula Competition in the United States was held at the University of California, Los Angeles Medical Center.

The second edition was held at Cedars-Sinai Medical Centre.

This is the third year, and it was held at the UCSF Medical Center.

Since they happened to be in San Francisco, Zhou Qiao and his family saved the trouble of staying in a hotel on a business trip, and drove directly to the competition venue in about ten minutes, which was quite convenient.

Of course, with competitors from all over California coming to compete, the price of hotels in San Francisco has skyrocketed, at least twice as expensive as usual.

I booked late, and I couldn't get a hotel close to the competition venue, so I could only live in some more remote places.

At the same time, it also promotes San Francisco's tourism and catering industry.

When you come over, you have to eat, drink, and have fun everywhere, so this kind of competition can also boost the local economy.

It's just that this year's California players are not particularly good, unlike the first one, where the competition is so fierce and the competition is so rolling.

Dr. Victoria Ferves, leading the team again, on behalf of Caesar's medical team, came to make soy sauce.

Originally, she was quite peaceful, and felt that as always, it was impossible to win an award, and she was very satisfied with a participation award.

The main reason why she came to participate in the competition was to communicate with her colleagues more, and this was also a benefit.

The food, drink, housing and transportation during the game here can be reimbursed, and you can also take a day or two off to have fun at various attractions in San Francisco, which is equivalent to publicly-funded tourism.

To her surprise, this time, she actually reached the top 20 in California and was able to represent California in the National Finals.

After the competition, Dr. Victoria Fervis came to the Iris Clinic with a lot of gifts.

"Welcome, Dr. Victoria, you're so kind!" Zhou Qiao took the gift, handed it to Kim Jizhen, and then invited Dr. Victoria to sit in his office.

We are also old friends, and we have dealt with each other many times, especially before Talia's grandfather was hospitalized at Kaiser Medical Center, thanks to the care of Dr. Victoria.

"Doctor Zhou, thank you so much this time, if it weren't for you, I don't think I would have been able to enter the top 20." Dr. Victoria is grateful.

Zhou Qiao was stunned for a moment, then waved his hand and said, "You misunderstood, Doctor Victoria, you can advance to the finals circle this time, completely relying on your own excellent level." ”

"Huh?" Dr. Victoria smiled and shrugged his shoulders in disbelief.

Zhou Qiao said seriously: "I declare in advance that I have no favoritism." ”

"Clearly, you're right, I'm relying on my own strength." Seeing that Zhou Qiao didn't admit it, Dr. Victoria Fervis also reacted, yes, even if Dr. Zhou is partial to himself and takes care of himself, he must not say it.

It's reputational.

Even though there is no third party in the office now, Dr. Zhou still does not leak, and I have to say that he is a very strict person.

Well, it's the result of my own efforts.

Dr. Victoria no longer dwelled on this matter, but continued to talk and laugh with Zhou Qiao. Anyway, she felt that she would just come over and send her heart.

In fact, Zhou Qiao really didn't cheat for personal gain.

The reason why Dr. Victoria Fervis was able to advance to the top 20 in California this time is that her medical skills have improved a lot in recent years, and second, many senior masters did not come to the competition because they were hit by Zhou Qiao.

Third, the younger generation in the California Division does not have too many dazzling geniuses.

Dr. Victoria Fervis is also a doctor of medicine from a prestigious university, and he has been working steadily over the years.

She can get the sixth ranking in California, and Zhou Qiao is also happy for her.

This is very important for her future development, and she will definitely be able to use it when she returns.

Of course, medical skills are one thing, and Dr. Victoria's ability to handle relationships between superiors and subordinates and colleagues is also important.

(End of chapter)