I run a clinic in the United States

Chapter 198 The irritable Sister Ying

When Mrs. Silverstone came for a follow-up visit, it was her daughter who accompanied her, bringing two test reports, dopamine transporter PET and polysomnography.

Zhou Qiao and Stephanie carefully discussed the two test results of Mrs. Silverstone.

Among them, 18F-dopaPET examination showed that the dopamine uptake in the substantia nigra and striatum of Mrs. Silverstone's brain was reduced, and the glucose metabolism rate in the temporal-parietal-occipital cortex was reduced, which is more serious than Alzheimer's disease.

Zhou Qiao pondered that this might be related to visuospatial impairment, visual hallucinations, etc. in Lewy body dementia, while Alzheimer's disease is mainly caused by reduced glucose metabolism in the temporal lobe and cingulate gyrus.Stephanie was convinced.

Mrs. Silverstone's polysomnography data were not very good either, showing very obvious rapid eye movement sleep disorder.

This disorder is a complex motor behavior that occurs while sleeping, such as punching, kicking, walking out of bed, etc., which is consistent with the description of previous patients.

In life, most people may experience decreased sleep quality. In addition to factors such as excessive activities before going to bed and drinking caffeinated drinks during the day, it may also be caused by problems in the brain itself.

When humans sleep, brain synapses close up and the gaps between brain cells expand. At this time, the brain's cerebrospinal fluid rushes in, taking away the excessive extracellular deposits of beta amylase, which is what causes cognitive function. an important marker of decline.

When sleep disorders occur, beta-amylase in the brain cannot be effectively cleared. If things go on like this, it will lead to cognitive decline, the most common of which is Alzheimer's disease.

Severe apnea syndrome and rapid eye movement sleep disorder can lead to Alzheimer's disease.

Of course, there are obvious differences in the polysomnography data and EEG characteristics of Lewy body dementia and Alzheimer's disease, both of which are Alzheimer's disease.

Polysomnography is a measured chart of various physiological indicators recorded by a polysomnograph during sleep, including SPT, TST, NREM, TWT, WASO, SE and other indicators.

This examination can be done in a hospital or testing institution, or you can take the equipment home (equivalent to renting, which will incur additional bills. It is portable, about the same weight as a portable B-ultrasound machine, and it is not difficult to carry it home). According to Connect the device according to the doctor's previous instructions and monitor it yourself.

Because this monitoring needs to be carried out from 9 pm to 8 am the next morning, which takes a long time, some people will recognize their bed and have worse sleep conditions in a strange environment, so they prefer to do it at home.

"Mrs. Silverstone, we can basically conclude that you suffer from Lewy body dementia." Zhou Qiao closed the report and said solemnly.

"Can that be cured?" said Mrs. Silverstone's daughter, very worried.Mrs. Silverstone also looked worried.Live a good old age, but no one will be in a bad mood when encountering such a strange disease.

Mrs. Silverstone was suffering from mild depression.

Zhou Qiao said: "Drug treatment can delay the progression of the disease, but the patient company and loving care of family members are also very necessary!"

Mrs. Silverstone's daughter felt very ashamed: "I neglected my mother in the past. I will definitely spend more time with her in the future."

"I plan to close the flower shop for a while and travel to Europe with my mother to relax," Mrs. Silverstone's daughter said.

Their ancestors came from England, and there is an ancient castle heritage in Scotland, but it is too remote and has not been lived in or taken care of for many years. It has become dilapidated and has become a local scenery.This time I plan to go back to my "homeland" to visit.

Zhou Qiao nodded, no matter what the future holds, the company at the moment is indeed the most important.

He thought of his old parents and felt a little ashamed. He had not returned to China for almost a year.Since I moved to the United States, I have been busy. The latest surgery was scheduled for three months, and I have no time.

Zhou Qiao was thinking that in the future, Murphy and Stephanie would be responsible for less important clients during medical aesthetic surgeries.Because now there is a real-life version of the secret medicine "Delska", so you don't have to take it yourself every time.

The first batch of finished products has been sent to the East African base. Zhou Qiao used the system to identify them and found that the quality is quite good.After all, it is the optimal production process provided by the system. If there is still a problem, the biomedical team can disappear where it is!

Qiaoya Biopharmaceutical Group's treatment is very good, but it does not support incompetent people and pursues a wolf culture.

Zhou Qiao has no involvement in the operation and management of Qiaoya Biopharmaceutical Group. He is the boss.After all, a person's energy is limited. Iris Clinic has invested most of his energy and time, and the rest must be wandering among several beauties and enjoying it endlessly. There is really no spare time for business.

Besides, business is not what Zhou Qiao is good at.

Zhou Qiao feels that in life, in addition to appropriate pursuits and making necessary contributions to social development, people must also pay attention to the quality of life. This is a matter of balance and coordination between career and personal life, which makes him work all day long and devote himself wholeheartedly. He doesn't want to be a tool man in the pharmaceutical industry!

He is not that noble!
Roll up your sleeves and work harder, for whom?Many times, there is no direct correlation between hard work and rising wealth.Because of the strong work pressure, you don’t earn much money, but instead overdraw your precious health, which is not worth it.

Due to limited production capacity, the first batch of "Delska" was naturally shipped to the United States for sale, mainly targeting wealthy people.Luo Ya also prepared 1000 tubes for Zhou Qiao, each with 2 ml.

Of course, Stephanie can only perform these medical and aesthetic surgeries in her spare time. After arranging the diagnosis and treatment of psychological counseling patients, she can participate only when she is free.

For this reason, Stephanie was very excited and could finally hold the scalpel.Although, in her opinion, medical aesthetic surgery is not a big deal other than making money.

She really wants to learn and challenge difficult major surgeries, just like Murphy, but unfortunately she hasn't had the chance yet.

"Why is this aloof idiot Murphy so favored by Zhou Qiao? Could it be that she is also favored by Zhou Qiao..." Stephanie's delicate body suddenly shook slightly, and she was beyond surprised.The more I think about it, the more possible it becomes!

"Humph, there's nothing special about her, she just got to know Zhou Qiao first. I will definitely catch up!" Thinking of Murphy's superb surgical skills, Stephanie was a little unconvinced!

He is younger than himself, so why should he be at a higher level than himself?Her breasts are not as big as mine, and her figure is not as attractive as mine!

Stephanie was thinking wildly.

Zhou Qiao prescribed some drugs to Mrs. Silverstone, such as the anticholinesterase drug donepezil, which can improve cognitive function and behavioral disorders; Risperdal, which is effective for visual hallucinations; and fluoxetine, which is effective for treating visual hallucinations. Mrs. Silverstone had mild symptoms of depression.

After the other party gets the prescription, he can go to an outside pharmacy to buy it himself.These drugs are not commonly used and are not in stock at the clinic.Iris Clinic only stocks some drugs that are frequently used and those needed for emergency rescue.

In addition, there are comprehensive management programs such as cognitive rehabilitation and motor function training, which are explained in detail to Mrs. Silverstone and her daughter, so that they can practice on their own at home. Of course, if necessary, they can also come to the clinic to seek professional help. help.

If done in a clinic, you will be charged according to the training time and frequency. Because the time is longer, the cost is also more expensive.

Zhou Qiao suggested combining the two methods for better results! "Dr. Zhou, how long will it take for my mother to see obvious results?" Mrs. Silverstone's daughter asked.

Zhou Qiao pondered for a while, then based on the patient's condition, he said: "About two or three months. However, even if it improves significantly, long-term treatment and follow-up will be required."

"I understand, I understand! Thank you Dr. Zhou!"

After seeing off Mrs. Silverstone and her daughter, Zhou Qiao just breathed a sigh of relief when Rachel came to invite her again!Because she also encountered a difficult and complicated disease and was a little undecided!
Normally, if Zhou Qiao is not around, they will directly refer patients who are undecided and recommend them to experts at the University of California Medical Center. However, now that Zhou Qiao is back, they will naturally ask Zhou Qiao for consultation as soon as possible.

Zhou Qiao is undoubtedly the Dinghai Shenzhen and fire fighter of Iris Clinic, drilling wherever it is needed!

One of the patients Rachel received was a Chinese woman from Chinatown, named Liu Ying. She was 45 years old, in the prime of life, and one of the pillars of the family. Women can hold up half the sky!
Before Sister Ying went abroad, she was in the middle class and had a decent job as a teacher, the kind that parents tried to curry favor with.

Her husband used to be an engineer in a large state-owned enterprise, sitting in the office and drawing drawings every day.

It was entirely for the sake of a good educational environment for my children that I went abroad.

Relatives were very envious of their previous jobs.However, after leaving the country, the class immediately dropped.

My husband is reduced to repairing air conditioners for people. He goes out every day, is exposed to the sun and rain, and does manual labor. Sometimes he has to work at high altitudes (the risk of injury is extremely high when falling more than 2 meters).

Sister Ying had to wash the dishes.

Although the income is okay, the nature and intensity of the labor are completely different. The social status in the country is no longer there, and the gap in my heart is hard to describe.

Because of this, Sister Ying is more frugal in daily life, and the lavish spending she used to do in China has disappeared.Then his temper became irritable and he got angry easily. Just like the Hedong lion and tigress, the whole family did not dare to offend him.

The night before yesterday, I cooked too much food. In the past, if I was in China, I would have thrown the unfinished food into the trash can. However, when I came here, the cost of living increased greatly and money was needed everywhere. Therefore, Sister Ying was reluctant to bear it and bit the bullet. Those leftovers were put into operation CD!
As a result, I just ate to hold myself up, and my stomach felt extremely uncomfortable at night.

Later in the middle of the night, I still had nausea, vomiting, and diarrhea. I had diarrhea three times in a row, and I almost collapsed!

Sister Ying thought that it might be gastroenteritis or indigestion. She ate the leftovers and stuffed her stomach!Some regrets.

I didn't dare go out to see a doctor in the middle of the night.In China, if this happens, you can call a taxi right away, or your husband can take the car and go to the hospital for emergency treatment, which is very convenient and not expensive.

But in the United States, haha... just bear with it for now.

She has a constant supply of medicine at home. Chinese compatriots like to keep some medicine at home in case of emergencies. No, the medicine at home has come in handy now.

Sister Ying took some antidiarrheal medicine, some XX brand Jianweixiaoshi tablets, Cefixazole, some Huoxiang Zhengqi water, and finally some to regulate intestinal flora and improve immunity. of probiotics!

Anyway, I ate whatever seemed suitable.

Her husband advised her: "Don't take medicine randomly. If you take so much at once, your body will be damaged. What should you do?"

Sister Ying was already feeling unwell. When she heard this, she immediately got angry and roared: "What's wrong with me taking some medicine? Isn't it what you want if I die?"

Her husband argued: "Why do you agree with me? What are you talking about? I feel very uncomfortable when you are sick!"

"You feel so bad! You wish I was dead so you could find a new wife. Don't think I don't know that you are close to that Lucy from the gym!" Sister Ying blushed, her neck thickened, and her veins popped.

Her husband: "..." It's not even a refutation, nor is it not a refutation. He entered the small room dejectedly.

At this time, the more I quarreled with her, the more energetic she became.

Can't afford to provoke, can I still not hide?

"I knew you wouldn't care about me! Humph, I'm sick, and you're hiding! You heartless guy, I wake up early and wash the dishes till late at night. Is it easy for me?" Sister Ying lost her temper, and then wiped her tears. , endured the pain and stayed up until dawn.

Naturally, her husband would not ignore her. After dawn, he came over and touched her forehead. It was very hot. He measured her temperature and found it was 38.8°C. He said, "Let's go see a doctor. I heard that Iris Clinic is better." Dr. Zhou there is Chinese and communication is easy, so we go to him."

After the results came, because there was no appointment, unfortunately, Zhou Qiao had a cosmetic surgery for a client, and Sister Ying's condition was more urgent, so Ava took her to Rachel's place!
Abdominal pain, diarrhea, vomiting, and fever should be treated by internal medicine.Rachel is also a senior primary care physician.

Liu Ying felt very uncomfortable and really couldn't wait, so she let Rachel watch.

After Rachel learned about the situation, she arranged for Sister Ying to undergo routine blood tests and high-sensitivity C-reactive protein tests. Because her condition was urgent, she arranged for expedited service.

The clinic has an agreement with that testing center, and there is an expedited fee for expediting, but when it came to this, Sister Ying said she could accept it!

If they go by themselves, it is possible, but the price may not be cheaper than going from the clinic, and they have to make an appointment and queue up, and they may not be able to enjoy expedited service.

Because the clinic has a large volume, the negotiated price is discounted, which means the middleman makes a profit from the price difference.Moreover, Zhou Qiao is now famous and has a better relationship with the other party's management. They have had dinner together several times and can jump in the queue when there is a rush.

When the examination results came out, Rachel found that the patient's white blood cell count and high-sensitivity C-reactive protein were much higher than normal, indicating that she had an infection. Based on her symptoms, she was given relevant anti-infection and antipyretic drugs, but the medication was not effective.

Not only did the condition not ease, but it worsened.Even the fever can't be reduced.

In the past, Sister Ying had a cold and a fever. She took some antipyretics and it went away quickly.Now it doesn't seem to be working.

The couple was so anxious that they kept asking, is Dr. Zhou free?Can you call Dr. Zhou?

Because Zhou Qiao is relatively well-known and he is Chinese, they thought it might be better to communicate with Zhou Qiao!
Rachel also muttered a little and couldn't figure it out, so she came to call Zhou Qiao!

(End of this chapter)