I run a clinic in the United States

Chapter 388 The result of your own efforts
There are hidden secrets to the illness.

Moreover, most of them are rare diseases.

Because if it were not a rare disease, with the strength of the Iris Group, the case would have been solved long ago!
Only for rare diseases, because there are few people studying them, not much data, and there is a lack of corresponding specific drugs, diagnosis and treatment are more troublesome.

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

Even if immortality is achieved, not everyone will be able to live forever. So, medical care is here to stay.

There are many people who study medicine, but most of them do so from the perspective of profit. As for rare diseases, because the demand is small, investment has never been very large.

Especially in the United States, it is difficult to obtain funding for "unprofitable" research projects.

Even if someone does research occasionally, it is purely for "academic interests", such as publishing papers and filling gaps in certain aspects. But the final drug research and development will also be cut off.

Because input and output are not directly proportional, you will lose money. No one would do this.

"This girl's condition is very strange, and most importantly, we have ignored her mental symptoms before." Stephanie, an expert in this field, said with a slight frown.

"Is it possible that her mental disorder is related to liver function damage? Is there a very hidden chronic liver disease that may cause mental abnormality symptoms under certain inducements?"

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

At that time, it was after giving birth. But under the guidance of a psychiatrist, he recovered soon.

suddenly see the light.

Although the patient's parents and other family members had no foundation for liver disease or metabolic disease, based on the patient's medical history and liver biopsy results, everyone still locked in a new diagnostic direction, that is, metabolic disease.

Eventually, everyone reached a consensus and came to a conclusion.

This is a metabolic disease and an autosomal recessive genetic disease.

"Why didn't you tell me before?" Stephanie was a little angry. How much has it delayed us? If we had told it earlier, we would have been able to "solve the case" much faster based on this detail alone.

The patient has a very hidden genetic mutation and is classified as a rare disease called "citrullinemia type Ⅱ".

Sometimes, everyone even thinks that discussing academic matters is more interesting than physically being together at a negative distance.

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

Jin Jizhen stuck out her tongue and said quietly to Park Xiuzhu: "Sister, are Dr. Zhou and others too dedicated?"

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

Park Xiuzhu shrugged, cut off a small piece of ribeye steak and stuffed it into her mouth. While chewing, she said, "How could they achieve such amazing achievements if they were not dedicated to their work?"

Subsequently, Iris Tiantuan arranged whole-gene sequencing for the patient, and sure enough, the new findings confirmed this.

This mother just wants to find a better doctor to help her daughter get cured.

This idea is like a ray of light breaking through the clouds, opening everyone's minds.

Now, even Chiba Nanako can "suppress one party" if taken alone.

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

Further genetic testing found that the patient's parents both carried this 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 elevated, while the father's amino acid levels were normal.

When Jin Ji Zhen called them to have lunch, they were still discussing while eating in the tea room.

Zhou Qiao waved his hand, indicating that it was okay. Because this situation is very common in clinical practice. Many family members and even patients conceal their medical history for various reasons. Or conceal some details that caused the disease.

This is human nature and happens all the time.

Perhaps, in the eyes of patients and family members, information that is not very important is actually quite helpful in diagnosing the disease.

Mild schizophrenia is also caused by citrullinemia.

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

"Then the question is, why do the entire family carry the mutated gene? Why are only the mother and daughter affected, but I'm fine?"

The girl and mother also looked over.

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

"This is equivalent to a problem in the processing link, causing the raw materials to be unable to be converted and constantly accumulating in the body. Ammonia in the blood has a relatively large toxic effect on the cranial nerves. When accumulated to a certain amount, it will cause damage to the cranial nerves. , resulting in neurological symptoms.”

"The liver, as the main site 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 and thus affect liver function."

The girl's family nodded in admiration.

Zhou Qiao said that people who carry this mutated gene can induce disease attacks due to factors such as infection, fatigue, staying up late, and being in a bad mood.

Needless to say, the cause of the girl's disease, and the cause of the disease for her mother is considered to be caused by high postpartum mental stress and other reasons.

Even if there are no genetic defects, many mothers will still suffer from postpartum depression and other conditions.

Luo Ya has never suffered from postpartum depression. She has good physical fitness and strong psychological quality. She is also busy with endless things, so there is no chance of postpartum syndrome.

Of course, the most important thing is to have money and a professional newborn care team of more than 20 people to help her with feeding, early education, and babysitting. Her grandmother was also there every day, watching over the four babies.

Luo Ya's job is to come occasionally to nurse and tease her and that's it.

Zhou Qiao is even more awesome, going to see him in person once a month on average. Of course, watching it in the video doesn’t count.

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

Zhou Qiao: "..."

A few years later, Zhou Qiao's descendants came to the house. He doesn't mind if some of his descendants are not close to him. After all, he has many children and grandchildren, and if everyone likes to cling to him, it will be annoying to death.

He also hopes that his children can be independent. Some children will regret in their later years that although their father is great, he devoted all his time to the great cause of medicine, resulting in them not enjoying the father's love they deserved during their childhood.

……

As the diagnosis becomes clear, the treatment also becomes clear. Although this rare disease has little research and no specific medicine, symptoms can be controlled through dietary adjustments, lowering blood ammonia levels, and drug treatments to prevent liver damage.

And this is indeed the case. Under the extremely high-level treatment of Iris Flower Tiantuan, the girl's symptoms were quickly controlled and she was discharged from the hospital smoothly.

As for whether it will relapse in the future, it depends on the trigger. Therefore, Zhou Qiao told the other party not to stay up late and not to be too stressed by school or work. In short, he should smile more and maintain an optimistic and cheerful mood.

If it really relapses and there are signs of it, it doesn’t matter. Come to the clinic for consultation as soon as possible. Iris Clinic is always open and will provide her with effective solutions.

Because of this incident, the girl’s family also became supporters of Iris Clinic.

Especially when the disease recurs, if you go elsewhere, other doctors will not be able to figure it out and it is easy to treat it blindly.

Therefore, it is important to maintain a cheerful mind. If you have a frown all day long, your forehead is wrinkled into the word "Chuan", and you often stay up until two or three in the morning before going to bed, if you trigger some hidden rare disease and there is no cure for it, then it is really not worth the gain.

The most important thing in maintaining good health is to go to bed early and get up early, and be in a happy mood. Heartless people will live longer.

Regarding health care and liver protection, Dr. Xiao Yang shared a very simple but extremely effective "tea drink" on his self-media account - black bean liver-nourishing tea.

Ingredients: 30g black beans, 15g locust, 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 cores of the red dates, and peel and slice the ginger.

Put the black beans, locust, wolfberry, longan meat and ginger into the pot and cook over high heat for about half an hour.

Add the eggs and cook for about 15 minutes. Take out the eggs, peel off the egg shells, then put the eggs in again, reduce the heat to low, cook for about 15 minutes, add brown sugar to taste.

Among them, black beans nourish blood and black hair, mulberry nourishes liver blood and dispels rheumatism, wolfberry, longan meat, and red dates nourish blood and calm the nerves. The combination of these ingredients can achieve the effect of nourishing blood, protecting liver and dispelling wind. In addition, it also has beautifying effects, so it is also a good choice for women who "love beauty".

……

The year before last, the first "Crescent Cup" Young Doctors Cardiac Minimally Invasive Surgery Formula Competition in the United States, the California Division, was held at the UCLA Medical Center.

The second session was held at Cedars-Sinai Medical Center.

This year is the third time, and the University of California, San Francisco Medical Center was chosen to host it.

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

Of course, since contestants from all over California came to compete, the prices of hotels in San Francisco skyrocketed, at least twice as expensive as usual.

I booked late and couldn't get a hotel close to the competition venue, so I had to stay in some relatively remote places.

At the same time, it also promotes San Francisco’s tourism and catering industries.

When everyone comes over, they always want to eat, drink, and play around. Therefore, this kind of competition can also promote the local economy.

It's just that none of the players in California this year are particularly outstanding. Unlike the first session, the competition was so fierce and the competition was so exciting.

Dr. Victoria Fevers, leading the team again, came to represent the Kaiser Medical Team.

Originally, her mentality was quite peaceful, and she felt that it was impossible to win an award as before, so she would be satisfied with a participation award.

The reason why she came to compete was mainly because she wanted to communicate more with her colleagues, and this was also a benefit.

During the competition here, food, drink, accommodation and transportation are all reimbursed, and you can also take a day or two off to have fun at various attractions in San Francisco, which is equivalent to a publicly-funded trip.

To her surprise, this time, she actually made it to the top 20 in California and was able to represent California in the national finals.

After the game, Dr. Victoria Fewes came to the Iris Clinic and brought many gifts.

"Welcome, Dr. Victoria, you are so polite!" Zhou Qiao took the gift, handed it to Jin Jizhen, and then invited Dr. Victoria to sit in his office.

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

"Dr. Zhou, thank you so much this time. If it weren't for you, I probably wouldn't be in the top 20." Dr. Victoria was sincerely grateful.

Zhou Qiao was stunned, then waved his hand and said: "You misunderstood, Doctor Victoria, your ability to advance to the finals this time was entirely due to your own excellent level."

"Huh?" Dr. Victoria smiled and shrugged, expressing disbelief.

Zhou Qiao said seriously: "I declare in advance that I have not engaged in malpractice for personal gain."

"I understand, you are right, I just rely on my own strength." Seeing that Zhou Qiao refused to admit it, Dr. Victoria Fewes also realized, yes, even if Dr. Zhou favored herself and took care of herself, But I definitely can’t say it out loud.

This harms the reputation.

Even though there is no third party in the office now, Dr. Zhou is still flawless and must be said to be a very rigorous person.

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

Dr. Victoria no longer dwelled on the matter, but continued to chat and laugh with Zhou Qiao. Anyway, she felt that it would be enough to just come over and express her feelings.

In fact, Zhou Qiao really did not engage in malpractice for personal gain.

The reason why Dr. Victoria Fewes was able to enter the top 20 in California this time is that, firstly, her medical skills have improved greatly in the past few years, and secondly, many experienced experts did not come to participate because they were beaten by Zhou Qiao.

Third, there are not many dazzling talents among the younger generation in the California Division.

Dr. Victoria Fewes also graduated with a doctorate in medicine from a prestigious university. She has been working steadily over the years, which can be regarded as a accumulation of experience.

She was able to get ranked sixth in California, and Zhou Qiao was also happy for her.

This is very important for her future development, and she will definitely be reused after she returns.

Of course, medical skills are one thing, and it is also important that Dr. Victoria is good at handling the relationship between superiors and subordinates and between colleagues.

(End of this chapter)