"Is this gentleman seeing a doctor? Oh, I'm consulting on weight loss. Dr. Zhou in our clinic is indeed very knowledgeable in the field of weight loss. Well, let me measure your blood pressure and pulse first." Ava took the instrument and said .
"Okay, okay...thank you." Felipe was a little incoherent and did not dare to look at Ava. It’s really because Ava is so beautiful!
Ava smiled slightly, started to operate, and asked: "How often do you usually have a physical examination?"
Felipe: “…I haven’t done it for several years.”
Ava said: "That's not possible. Usually we recommend follow-up at least once every six months."
"Hmm, yes."
"How much do you weigh?... 403 pounds? Oh my god..." Ava exclaimed. Although she knew at a glance that the other person was heavy, she didn't expect that it was more than 400 pounds!
"I estimate that your BMI is seriously over the standard. Let me do a quick blood sugar test for you!" Ava looked at the other person and suggested.
Because she felt that the other person's blood sugar must be excessive.
Felipe and Taylor naturally followed Ava's arrangements. For such a beautiful little angel, Felipe had long lost his opinion. And Taylor also felt that it was necessary to make one. She has been worried about her son's health for a long time.
Ava quickly got a fast blood glucose meter, which is a blood-sucking instrument. The test paper controls the blood sample measurement by itself, and there will be no result deviation due to blood volume problems. It is easy to operate, just use the test paper to tap a drop of blood.
Another common type of blood glucose meter is the blood smearing type. The blood smearing machine generally collects a large amount of blood, which is more painful for the patient. If too much blood is collected, it will affect the test results. If the blood volume is insufficient, the operation will fail and the test paper will be wasted. Most of these blood glucose meters are photoelectric.
Of course, there are also undamaged blood glucose meters for sale, but they are very expensive! Iris Clinic still retains the traditional virtues of the Chinese nation in many aspects, focusing on frugality.
"Have you eaten for more than 2 hours now? Or to put it another way, have you eaten anything within 2 hours?" Ava asked while operating the instrument. Because whether you eat or not will affect your blood sugar results and judgment.
However, regardless of whether you have eaten it or not, a preliminary test is of great reference value.
Felipe said nonchalantly: "No... I just had... six hamburgers for lunch."
Ava couldn't help but shrugged and said to herself, I can only eat one hamburger per meal, and sometimes I can only eat half, and then I have half for Joe. It's stained with my saliva, but Joe doesn't mind. Hehe, he can only eat three at most in one meal.
If she knew that after eating six, Felipe would only be a quarter full at most, she would probably be shocked!
Felipe was now a little hungry, palpitating, and weak.
Taylor is very thin, and her face is full of folds, which are the marks left by the pressure of life. She smiled bitterly and said: "Felipe is already trying to diet. Sometimes, he eats more than thirty dollars per meal. A hamburger, my old mother, I can’t afford to feed him anymore!”
Ava shrugged, smiled politely, and comforted: "Eating more is not a bad thing, you just need to exercise more, otherwise your body will have many health problems. Oh, your blood sugar level is so high?"
she exclaimed softly.
Felipe and Taylor quickly looked over!
"What's the result?" Taylor asked nervously.
Ava said very worriedly: "It's already as high as 22 mmol/L. Usually, if blood sugar is greater than 11.1 mmol/L 2 hours after a meal, we consider it to be excessive. You...if I predict correctly, there is a high probability that your son has already If you suffer from type II diabetes, you need to undergo a systematic examination. However, this requires Dr. Zhou to prescribe a checklist."
Taylor and Felipe suddenly felt heavy. In fact, this result did not seem surprising. After all, Felipe is so fat!
Moreover, this was only because I ate six burgers two hours ago. If you eat it openly, with more than thirty pieces in your stomach, and a few large glasses of Coke, the blood sugar level will probably be even more shocking!
"Don't worry too much. Dr. Zhou should be free soon. I'll go check it out for you!" Ava got up and went to Zhou Qiao's clinic to take a look.
Zhou Qiao was explaining the test report to a patient with stomachache. The patient had chronic gastritis, which was probably caused by irregular diet, long-term consumption of strong alcohol, coffee, and cold food. Zhou Qiao prescribed some medicine to protect the gastric mucosa. Drugs that inhibit gastric acid secretion and promote motility, and gave some precautions. It was recommended that the patient be followed up for regular follow-up examinations. Because chronic gastritis has a certain chance of becoming cancerous.
He has solid basic knowledge about this minor disease and reads and studies every day, so he doesn't need to use the system at all.
Elena and Ava also went to the library to borrow professional books. Since the law and order was not good at night, they did not dare to go out, so it was good to recharge at home. Sometimes the three of them would do some surgical cooperation drills together, and Elena and Ava would also compete in infusion and needle injection skills and hand speed, etc., which was also quite interesting.
The men and women are matched, and the work is not tiring. Both Zhou Qiao and the twin beauties feel that their days are quite fulfilling!
"Qiao, there is a patient who is seriously overweight and has high blood sugar..." Seeing that Zhou Qiao was free, Ava went over to tell him about Felipe's condition.
"Then invite him in." Zhou Qiao said with a slight smile.
"Okay." Ava turned around and curled her lips as she walked out, feeling quite resentful. Huh, he was so lukewarm towards her. Have you forgotten what happened last time? As if nothing happened?
Soon, Felipe came in and Zhou Qiao began to consult, and then arranged a physical examination and diabetes-related examinations, such as blood sugar, oral glucose tolerance test, urine glucose, urine ketones, glycosylated hemoglobin, glycosylated serum protein, Serum insulin and C-peptide levels, blood lipids, uric acid, etc.
The detected indicators are more comprehensive, which is helpful for diabetes classification, disease diagnosis and subsequent guidance of treatment.
In addition, the other party has not had a physical examination for several years, so there are more items that need to be arranged.
The other party also has medical insurance, and the expenses that need to be paid out of pocket are not very high. Zhou Qiao's main job is to steal money from the U.S. government and insurance companies.
In addition, there is no unreasonable inspection arranged without conscience.
However, the other party is most likely to have type II diabetes. There is currently no cure for this disease, but the condition can be controlled through drug treatment. If blood sugar is not controlled for a long time, serious complications will occur.
Felipe, accompanied by his mother Taylor, trudged to the testing center. Originally, Ava saw them coming and wanted to drive them off, but then she realized that it made sense for them not to drive.
Felipe couldn't get into the clinic's car, which made Ava feel a little embarrassed.
"Thank you, thank you, we can just walk." Taylor expressed his thanks.
When they arrived, Felipe was almost exhausted, sweating profusely and out of breath. He then said he needed to use the bathroom, so Taylor waited outside for him.
After a while, Felipe came out with an embarrassed look on his face.
Taylor asked: "What's wrong? Are you feeling unwell?"
Felipe said sarcastically: "Mom, I accidentally broke someone's toilet seat!"
Taylor: "..."
Fortunately, there is no surveillance in the toilet, so there should be no need to pay for it, right?
Taylor quickly took him for a checkup and stayed away from the place of right and wrong!
What happened...
It seems that my son is right, there is a reason why he doesn’t like to go out!
The next day, all the test results were received. Zhou Qiao took a quick look and knew that type II diabetes was gone! He went online last night to replenish his knowledge in this area and recharged himself without using the system.
Zhou Qiao explained to them the test results, his diagnosis basis and some precautions very seriously.
The two types of diabetes are actually easy to distinguish. Zhou Qiao can make judgments based on his own knowledge without using the system.
Usually, type I diabetes is mostly related to innate immune factors or genetics. There is an absolute lack of insulin in the body, complete destruction of the own pancreatic islet beta cells, and complete insufficient insulin secretion. Type II diabetes is mainly caused by a relative lack of insulin caused by obesity and other reasons, and the function of the pancreatic islet gradually decreases.
In terms of symptoms, patients with type I diabetes may lose weight and may experience polydipsia, polyphagia, and polyuria. Some patients may experience dry mouth, fatigue, etc. Patients with type II diabetes are generally obese and have no obvious symptoms in the early stage. As the disease progresses, they will gradually develop polydipsia, polyphagia, polyuria, and weight loss.
Fortunately, the other party's condition has not progressed to a serious condition and can be controlled with medication.
Zhou Qiao prescribed medicine and asked Ava to take an injection, but Ava quickly came back for help: "Qiao, there is too much flesh on Felipe's body and it is too thick, and the insulin needle cannot be pushed in at all!"
Zhou Qiao slapped his head and said apologetically: "I was negligent, I should take oral hypoglycemic drugs!"
He said in his heart that if he did not rely on the system and relied solely on his own abilities, it would be easy for him to make some mistakes. Such an oversight in small details probably wouldn't have happened if he had exchanged his medical skills for diabetes, including his many experiences.
However, he felt that he could not rely on the system for all diseases, mainly because it was difficult to accumulate medical points. He wanted to save up 200 points as soon as possible to redeem the attending doctor's license.
With the attending doctor's license, it will be much smoother for the clinic to apply for opening some specialties in the future.
Nowadays, it is mainly at the grassroots clinics and general practitioner level, mainly focusing on minor illnesses, health examinations, weight loss consultations, etc. Those serious illnesses are discovered through the system during these medical treatments or consultations, rather than people taking the initiative to treat them because of the disease. Door-to-door.
However, if you have a specialty specialty and become famous, you will attract more clients with serious illnesses and earn more.
"Dr. Zhou, my diabetes can be controlled by taking medicine, but what about my weight?"
