Zhou Qiao was very enthusiastic, asked about the medical history, and asked Elena to bring coffee to Mrs. de la Torre. As for Mr. de la Torre, he might need surgery, so he did not prepare a drink for him.
Ava got a thermometer and took Mr. de la Torre's temperature. He had a fever, which was 101.84 degrees Fahrenheit, which was 38.8 degrees Celsius.
Since there is fever, the inflammation index must be high, but the specific situation will not be known until the blood sample test results come out.
Zhou Qiao asked Elena to get a fever-reducing capsule and give it to Mr. de la Torre first, so that the body temperature would drop down first.
Because if you want to buy medicine, you have to go to an outside pharmacy. Going back and forth wastes time. Anyway, a pill of antipyretic medicine is not expensive and the clinic has it in stock, so I gave Mr. de la Torre one pill first.
Besides, the cost of antipyretics will definitely be included in subsequent bills, but it won’t be listed explicitly.
It seems too stingy to list every single pill. Other costs are slightly higher, and patients are not so clear about them.
In addition, since this is my first time here, the consultation fee is a little more expensive than that of regular clients, and since I don’t have an appointment, I have to add an additional $20.
"How about I check your body first?" Zhou Qiao motioned for Mr. de la Torre to lie down on the examination bed.
Then the abdomen was palpated, and Mr. de la Torre did indeed have obvious tenderness in the right lower quadrant. Judging from the situation, it was indeed very likely that he had appendicitis.
However, Zhou Qiao, who was attentive, had doubts in his heart.
Because after careful inspection, he, who has master-level knowledge and skills related to appendicitis, keenly noticed that there was something wrong with the painful area of Mr. de la Torre, and it was not a typical McBurney's point.
"Dr. Zhou, how are you?" Mr. de la Torre asked after getting up from the examination bed.
Zhou Qiao returned to the computer and said: "I suspect that what you have is not appendicitis, but abdominal pain and fever caused by other diseases. Let's do this. I will arrange a blood sample and abdominal contrast-enhanced CT examination for you first and see the results."
"Okay." Mr. de la Torre nodded, and he and his wife looked at each other, both a little uneasy, because they originally thought it was a good case of appendicitis, and appendicitis is easy to cure, but now the doctor at Iris Clinic said no.
What if it’s another disease? Oh my god, it’s been delayed for five or six years. If it’s cancer or something, wouldn’t it be in the advanced stage? God, I can't even imagine it.
The two felt anxious, took the order, and went to a nearby commercial testing center for examination.
The results showed that the inflammation index was naturally high. However, the abdominal contrast-enhanced CT report showed that Mr. de la Torre's ascending colon had irregular thickening of the intestinal wall and a round black cavity shadow.
Zhou Qiao looked at the report, tapped his fingers on the table, and thought about all the knowledge he had learned in college. Finally, he identified the disease as "diverticulitis."
"I just don't know if it's right, why not exchange it for the system's auxiliary diagnosis function!" Zhou Qiao thought to himself, and immediately gave the system instructions silently in his mind.
After a period of invisible scanning, the system popped up a golden virtual panel:
[Patient Shaq de la Torre's condition is: ascending colon diverticulosis with acute inflammation! 】
[Diagnosis completed, 3 medical points will be deducted! The balance of the host’s Yi Xuan point account: 112 points. 】
Zhou Qiao was suddenly pleasantly surprised and his body shook slightly. His level was still very good!
This was diagnosed entirely by his own ability. Starting the system's auxiliary diagnostic function was just a verification!
As for the balance of medical mystical points, which is only 112 points, it is because of a large expenditure recently. Luo Ya was given two +16 life-saving pills, which consumed 64 points.
Luo Ya has been out of contact recently, and she doesn’t know what is going on in Los Angeles.
Thinking of this King Kong Barbie and the iron-blooded girl, Zhou Qiao was quite worried.
However, having two life-saving pills on her body is equivalent to two more lives, so her safety should be guaranteed.
Besides, Luo Ya is a woman with strong martial arts.
"Dr. Zhou, what's the result?" Mr. de la Torre couldn't help but become more worried when he saw Zhou Qiao kept silent.
Zhou Qiao came to his senses and said seriously: "Your disease is not appendicitis."
"Ah? What is that?" Mr. de la Torre was anxious, and his wife was also uneasy beside him, praying in her heart that it would be better not to be a serious illness!
Zhou Qiao said: "According to my diagnosis, you have ascending colon diverticular disease with acute inflammation."
"What disease?" Mr. de la Torre looked confused. What was he talking about? He had never heard of it!
Mrs. de la Torre was also confused. Her eyes widened and she asked, "Dr. Zhou, is this disease serious? Can it be cured?"
Zhou Qiao said seriously: "If we just give antibiotics, pain relief, rehydration and other treatments like the previous treatment plan, it can indeed alleviate the problem, but treating the symptoms does not cure the root cause. If you want a complete cure, I suggest surgery!"
The indications for surgical treatment of diverticulitis are clear and are recommended after two well-documented episodes of simple diverticulitis and/or one episode of complicated diverticulitis.
Mr. de la Torre has been having an attack for five or six years, and he has an attack every year, which is equivalent to five or six times!
In fact, this disease is quite common here in the United States, because the main reason is too little intake of vegetables and fruits.
Most people in the United States don’t like to eat fruits and vegetables, and they are relatively expensive.
After Zhou Qiao came here, he ate a lot of beef and steak, much more than vegetables and fruits.
So Americans now have a proposal to include fruits and vegetables in medical insurance.
Another factor is age. This disease is uncommon before the age of 40, but as age increases, the incidence gradually increases after the age of 60.
Then smoking, male gender, non-steroidal anti-inflammatory drugs, caffeine, obesity, etc. can all increase the incidence of diverticular disease.
From a pathophysiological perspective, blood supply impairment and obstruction of the diverticular opening lead to bacterial proliferation, increased pressure within the diverticulum, ischemia, and inflammation, which are key factors in the development of diverticular disease into diverticulitis.
Domestic vegetables and fruits are relatively cheap, so the incidence rate is relatively low. According to 2016 literature, the incidence rate of colon diverticular disease in my country is about 1.97%. In African countries, it is even lower.
In Europe and the United States, the vast majority of diverticular diseases occur in the left colon, especially the sigmoid colon.
Mr. de la Torre's disease occurred in the right lower abdomen, and the symptoms were similar to those of appendicitis, so the previous doctor misdiagnosed him.
"It's an operation~" Mr. de la Torre took a breath, inevitably a little nervous, because he had never had an operation in his life for more than sixty years.
Therefore, he seemed a little hesitant. In addition, he didn't know whether Dr. Zhou's surgical skills were good or not. Looking so young.
It is true that Mr. Westin had an appendicitis operation here. However, can a simple and common disease like appendicitis be compared with a disease like mine that sounds so mouth-watering?
