Chapter 104 104 Increased transaminase & small shop & a batch of imported...



Chapter 104 104 Increased transaminase & small shop & a batch of imported...

Zhao Wanqiu sat up straight immediately, while Shu Jinyue was still very relaxed. "Are there any other symptoms or abnormalities?"

Lin Zhen nodded, "We ordinary people all know that if the liver is not healthy, the eyes, skin and palms will turn yellow, but this patient's skin color is normal, his temper is not impatient, he doesn't get angry easily, he doesn't have pain under his ribs, his eyes are not blurry, and his vision is normal."

Of course, this is what Chinese medicine says. Lin Zhen studied Chinese medicine, and Zhao Wanqiu has a background in Western medicine. She said: "There are also physiological reasons for the increase in transaminase, such as not getting enough rest, staying up late, drinking, fatigue, etc., which can also cause a temporary increase."

"But it has been going on for quite a long time. He said that during a physical examination at work three years ago, his transaminase level was found to be elevated. At that time, it was only 48, so he didn't take it seriously. The doctor just told him to drink less and get enough rest."

The normal transaminase value is below 40. Some hospitals may set the standard below 35 due to different instruments and testing reagents. But no matter which standard is used, the patient's value of 48 is indeed excessive, but not very high, and the doctor's handling method is not wrong.

"That's the weird thing. After he went home, he strictly followed the doctor's advice. He stopped drinking, went to bed early and got up early, ate a light diet, and even lost a little weight. But when he went for a follow-up check two months later, he found that his transaminase level had risen instead of falling, to 108 units."

From 48 to 108, the key point is that he still increased so fast while being so self-disciplined and following the doctor's orders. If he didn't listen to the doctor, I can't imagine how much his weight would have soared.

"The doctor did all the necessary tests, but still had no clue, so he told him to go home, continue to abstain from alcohol and maintain good living habits, and observe the patient. Later, the patient was busy with work and didn't pay much attention to it. Who knew that the most recent physical examination found that his transaminase level was as high as 388!"

Shu Jinyue finally sat up straight this time and leaned forward slightly, "Are you sure you didn't make a mistake?"

"Yes, when the results first came out, the doctor and the patient didn't believe it, so they tested it several more times, but the result was the same."

It’s about to reach ten times the upper limit of normal, which is very serious liver damage! There is really nothing to be afraid of when transaminase levels rise at first. Many factors can cause a transient slight rise. But if it remains at a high level for a long time, it must be taken seriously, because it may be followed by fatty liver, liver fibrosis, cirrhosis and even liver cancer. These consequences all start with a small abnormal indicator.

Zhao Wanqiu smacked her lips. "I should have taken it seriously when the result was 108 during the second checkup. The doctor was... maybe a young and inexperienced doctor."

Shu Jinyue disagreed, but did not refute her stereotype of "young doctors". She was thinking. Transaminase is an important indicator of liver metabolic function. High transaminase level clinically indicates impaired liver function. This is a knowledge point that has been repeatedly emphasized by clinical physiology and diagnosis teachers, and it is also a must in the exam.

With such a high increase and lasting for more than three years, we can completely rule out the possibility of "temporary" and "transient".

"The patient did not dare to delay for even a second and went straight to the best hospital in Shilan Province. He immediately made an appointment with an expert in the newly established liver disease department. The director of the liver disease department looked at his test results and recommended that he be hospitalized for treatment first." Lin Zhen continued her vivid description. It must be said that she really has a talent for storytelling.

Zhao Wanqiu said quickly: "If malignant liver tumors are ruled out, then it should be liver damage. It could be viral, alcoholic, or drug-related. Have you checked them one by one?"

"Since the patient has been saying that he didn't drink alcohol before, didn't drink much, and has been sober for three years, then alcohol should be ruled out."

There are only two directions left: viral liver damage, mainly considering various viral hepatitis, especially in a country with a high incidence of hepatitis B like Longguo, which is the focus of suspicion.

"We thought so at the time, but he was tested and it turned out that he had not been infected with several common viral hepatitis infections."

Shu Jinyue asked, "Has he ever received a hepatitis vaccine in the past three years?"

“Neither do I.”

Well, the only thing left is drug-induced liver damage. "Could it be that he has been taking one or several drugs that can damage liver function for a long time in the past three years? Have you asked this clearly?"

"No, I asked the patient and his family, and they all said that he did not take any medication for a long time. At most, he took some Yinqiao tablets and aspirin when he had a cold, and they were all within the normal dosage."

After saying so many words in one breath, Lin Zhen's small voice was exhausted. Zhao Wanqiu quickly made her a cup of honey water and said, "Drink some water quickly, don't be in a hurry."

"I'm anxious, very anxious. It's rare for the liver disease department to encounter such a strange case. I thought Dr. Brian happened to be in our hospital. He is a liver disease expert from a developed country, so I thought of asking him for help. Using a real case as a teaching example is just right." She took a sip of honey water. "But I think that since we have to let a Western doctor take a look, we Chinese medicine doctors can't miss the opportunity, so I quickly came to find Jin Yue."

Shu Jinyue was really speechless about the little genius. She put more effort into making herself "famous" than she put into her studies. Thanks to her, since getting Brian's business card that day, many patients suddenly found the clinic opposite the San Department Store. Jin Yue looked at them and they looked very unfamiliar. Some even had accents from other places. It didn't seem like they were the result of word of mouth among the neighbors.

Upon asking, I found out that they were unable to be cured at the provincial hospital, so the doctors at the provincial hospital recommended them to me. As for how you know she is seeing patients at a clinic outside, how did you know the address? They said it was a doctor named Kobayashi from the provincial hospital who told them!

This "Xiao Lin" is Lin Zhen!

Suddenly, there were many more patients with complicated diseases, and the consultation time for each patient was prolonged. She even got off work an hour later than usual. Shu Jinyue really wanted to thank Lin Zhen for her "publicity".

"Come on, let's go check it out." Lin Zhen pulled her to go, and Zhao Wanqiu was curious, "I'm fine, let's go check it out with you guys."

The three of them came to the liver disease department of the provincial hospital. The nurses' station was full of people, including medical staff from the liver disease department, as well as those who had heard the news and rushed there from other departments, and nearby patients and their families. No matter whether they understood or not, it always helped to listen.

Shu Jinyue and the others couldn't squeeze in, so they stood on the periphery. They heard Yang Moli translating the patient's medical history, treatment process, and test results. It was similar to what Lin Zhen said. Shu Jinyue listened for a while and searched the center of the crowd.

According to Lin Zhen, the patient had no signs of liver disease, so she simply passed over the patient who looked unwell and looked at the man with a normal complexion.

He looked to be in his forties, with a gentle appearance, of medium height, neither fat nor thin, neither tall nor short, and had a very ordinary Asian appearance. No wonder the doctor asked him to go home and observe during the second checkup. He himself did not take it seriously because he did not look sick.

Over there, Brian was also surprised after listening to Yang Moli's introduction. Jin Yue used his limited English hearing to hear him ask, "Have you ever had an ultrasound examination of the liver, gallbladder, spleen, and kidneys?"

"I did, and there was no enlargement or space-occupying lesions. It can be said that there was nothing abnormal." Yang Moli said helplessly.

"What about the barium meal?"

"I have done it before, and there is nothing unusual."

Brian took out his pen and started to record. There were too many people in between, so Jin Yue couldn't see, but she knew that he must have written "NO" one after another!

Brian frowned and thought for a moment, "I need to give him a physical examination."

Therefore, medical staff evacuated the crowd, and there was no condition to set up a special examination room, so they could only take the patient back to his ward and examine him by drawing the curtain.

It was such a rarity to be treated by a foreign expert, it was enough for them to brag about it among their relatives and friends for years... Well, the people of Long Country, who always loved to watch the fun, came to the ward again.

Of course, this also includes Shu Jinyue and the other two. This time they were quick to squeeze to the innermost circle. They could see the patient's lifted clothes and Brian taking a stethoscope. He first palpated the patient's liver area, then auscultated it, and checked the dullness area of ​​the liver. It was a very standard clinical medical physical examination process.

Lin Zhen blinked at Jin Yue. It was exactly the same as what they had learned in school textbooks. It seemed that Western medicine all over the world had the same process.

Jin Yue knew that she was going to "brainlessly praise" Chinese medicine again, and was about to remind her not to talk or stand out, when he suddenly found that there was another gaze on him. He turned around and saw that it was Brian.

"Shu!" Brian stood up first. "I was just about to go to the clinic to find you. They said you opened a great clinic, right?"

All eyes focused on him turned to look over at once. Some people recognized Shu Jinyue and laughed, "Doctor Shu, what a coincidence that foreign experts and Chinese medicine experts are all gathered together today."

"Do you know this young man?"

After so many years of hard work and settling down, no one finally regards Shu Jinyue as a little nurse anymore.

"This is the doctor Shu I told you about last time. Don't be fooled by her young age. She is actually very good at Chinese medicine. The provincial hospital couldn't cure my headache, so I went to her for help."

"Which department is she in? How do I get an appointment with her?"

Lin Zhen took the opportunity to say, "She is at the Jinyue Clinic opposite the San Department Store, but she only sees patients at night from seven to ten."

However, some people are not interested in seeing a Chinese doctor. “Can you please stop talking about this and let this foreign expert treat the patient?”

Brian smiled apologetically at Jin Yue, and then told the director of the liver disease department about this person's condition. In his mind, he thought Shu Jin Yue was good at "traditional Chinese medicine" such as acupuncture, massage and cupping, so he did not take her into consideration, but discussed it with the director himself.

"If liver disease is ruled out, I suggest checking for bile duct disease. Gallstones, bile duct tumors, pancreatic head tumors, etc. can all cause bile duct obstruction. In my clinical research, I found that this can also lead to an increase in transaminase in the blood to a certain extent."

The director actually thought about it. He had ruled out all these diseases through ultrasound examinations. He really didn't know what else to think about.

Brian pondered for a moment, "Well, let's check the autoimmune diseases and endocrine functions, systemic lupus erythematosus, hyperthyroidism, adrenocortical insufficiency... wait a minute, there are also diseases of abnormal copper metabolism and abnormal iron metabolism..." blah blah, there are a lot of professional terms, but fortunately Yang Moli studied clinical medicine and is very familiar with these terms.

Shu Jinyue found it very difficult to listen to this. It was too difficult. The English that she had studied intensively had already been lost in the English-Chinese dictionary after many years of clinical work.

The director had a flash of inspiration. Xinlong Country was established only for more than 30 years, and a lot of theoretical knowledge is still based on what experts and professors from the Soviet Union said, and some is even from the Republic of China period. Suddenly, when he heard Brian mention that these diseases can also lead to elevated transaminase, he felt enlightened. Theoretically, it is indeed possible! However, I have rarely encountered this in clinical practice, or even if I did, I had not found it out. Now when I heard about it, I suddenly felt like I had suddenly realized something.

"Okay, I'll arrange for him to be checked out right away."

The medical staff were busy, and the crowd of onlookers had almost finished watching. "The director is so happy, this must be the disease the foreign experts talked about, right?"

"I think so. Maybe we can find out the cause tomorrow."

Even the patient himself was encouraged: "These foreign experts are so good, their technology is so advanced." The meaning is self-evident. The Longguo experts had been searching for the cause of the disease for so long and could not find it, but they just used a stethoscope to listen and press on him, and the problem was solved.

Although this statement may be a bit undermining of one's own prestige, once the window of reform and opening up was opened, everyone saw the gap between Dragon Country and developed countries, which is a fact that cannot be changed in a short period of time. With this kind of cognition and impact, it is no wonder that people feel that "the moon is rounder abroad".

Lin Zhen was indignant, "Look, Jin Yue, you thought about these situations on the way here. It turns out that this foreign expert is not much better than you."

It's hard for Jin Yue to say anything. She knows more than people of this era because she has seen it on her mobile phone and in updated textbooks. It's not surprising that doctors of this era have not realized this. It can't be said that their technology is not good enough.

"That's all you know. You can't say your skills are very good." Lin Zhen was still whispering. Jin Yue pulled her and said, "Forget it, let's go back first."

"Ah? Shouldn't you let him see our amazing Chinese medicine?"

Jin Yue shook her head and nodded, "There's no rush about this. If he can cure the patient, it doesn't matter whether there's an opportunity to show it or not. If he can't, then I want to try it." Mainly, she was also curious about whether the Western medicine's diagnostic method of eliminating one thing at a time could ultimately find the real cause of the disease.

Lin Zhen and Zhao Wanqiu, who were looking confused, could only follow Jin Yue out of the hospital. Lin Zhen had worked the night shift with her teacher last night and was now yawning from sleep. "Auntie, Jin Yue, you guys go back. I'm going back to the dormitory to catch up on my sleep."

Zhao Wanqiu looked at the two big dark circles under her eyes and felt distressed. "Good girl, go back and have a rest. Come to my house for dinner this weekend and I'll stew braised pork elbow for you."

Don’t be fooled by Lin Zhen’s skinny appearance, but her favorite dish is actually the super hard dish stewed pork elbow. It is said that when she was a child, she had to eat this to get better when she was sick, just like children in Northeast China have to eat canned yellow peaches when they have a fever. She actually eats pork elbow! When Shu Jinyue first heard it, he thought she was bragging, but later he found out it was true.

What an amazing little genius.

Zhao Wanqiu did not go home but went directly to the clinic. Jin Yue walked to the entrance of the alley alone and met Li Yulan and Xiao Zhenzhen walking towards him from the other side.

"Where are you going, Sister Yulan?"

"Oh, don't mention it. The Niu family is quarreling again. They have gone to the street office again. Director Niu asked me to go over. As the director of women's affairs, I am almost a full-time mediator for the Niu family."

Niu Xiaofang is about to give birth. Her brother Niu Dagang has a girlfriend. His girlfriend said that it is not allowed for a married sister-in-law to return home to give birth to a child, let alone to stay in her parents' home for the confinement period, otherwise it will bring bad luck to Niu Dagang and affect the fortune of her and Niu Dagang's child in the future. She said that either the sister-in-law should move out, or she and Niu Dagang should break up.

Niu Dagang is notorious for domestic violence. After all these years, he finally found a partner who doesn't mind his reputation. Naturally, he won't let the marriage fall through. Besides, his future wife is claiming to be doing this for his own good and to save his reputation. Of course, he can't disappoint her and force Niu Xiaofang to move out to give birth and take care of herself after the baby is born.

Aunt Niu herself was a male chauvinist and had long looked down on her daughter who was of no use to her. She joined in the conspiracy and forced her to move out.

But Niu Xiaofang is not the kind of "good daughter" who will just swallow her anger. She went to the street office crying and making a scene, citing the quotations of great men. "She said that women can hold up half the sky. Why do we say she is capable when we are holding up the sky, but she has no share when it comes to distributing houses? She also asked us to give her an explanation. If we don't get an explanation, she will not go back and will give birth to her child in the street office."

Li Yulan sighed, "To be honest, I don't like her very much, but I think what she said when she was fighting for the house makes sense."

Jin Yue nodded in agreement.

"But don't be fooled by her self-righteousness now. If the baby is a girl, she will be in a completely different mood."

They could already foresee how pitiful the little girl would be if they gave birth to a daughter, with her father in jail and her mother not caring about her. The only blood relationship she had was her half-brother, Niu Xiaobing.

Li Yulan thought about this and felt sorry for Niu Xiaobing: "Bah, whoever gave birth to the child should raise him, don't waste the money on a decent college student."

Last year, Niu Xiaobing failed to get into his ideal school and had to take remedial classes for another year. Ever since Sun Ailan recovered from her illness, Niu Xiaobing suddenly became motivated and his grades improved by leaps and bounds. He ranked among the top three in the school in the last two mock exams and will definitely be able to get into a good university in the future.

If there is a hungry "sister" at this time, wouldn't it be a disaster to the family? Not to mention that he himself disagrees with this matter, even if he agrees, Sun Ailan and the Sun family will not agree.

The two chatted for a few words, and then met Shu Wenming again at the gate of No. 16 Courtyard. He seemed to be talking to someone and pointed at the house at the entrance of the alley.

Jin Yue vaguely heard something like "smashing the wall" and "opening the window". He wanted to listen again, but the person had already walked away. "Who is it?"

"He's a private worker. He's Sun Dalong's cousin."

Shu Jinyue remembered that he hadn't seen Sun Dalong for a while, "He doesn't seem to come home often recently?"

"Yes, I was sent to Lin City by the Chinese Medicine Factory to study."

Shu Jinyue looked at the man's back as he walked away, and suddenly remembered, "Brother, are you going to renovate the house?"

"Yes, but it's not our house. I want to find something for your second sister-in-law to do." Seeing that there was no one around, he whispered, "I think the job at the vegetable market is in jeopardy. Now that farmers can go to the city to sell vegetables, some smart people have started to buy vegetables from farmers and then sell them elsewhere. They are fresher and cheaper than the state-owned vegetable stores, and their service attitude is better. If you were a vegetable buyer, whose vegetables would you buy from?"

It goes without saying that state-owned vegetable stores will become history in the future, and this historical node will soon arrive.

"Instead of letting your second sister-in-law wait to be laid off, why not find something to do now?" He touched his chin, "I appreciate your and Aunt Zhao's kindness, but I know Wenli is not suitable for accounting work. She is easily careless, and it is too difficult for her to deal with money. If she makes a mistake in the accounting and causes problems, it will be difficult for you too."

He didn't want to fail to do his job well and ruin the relationship of his family, so when Zhao Wanqiu suggested that Xu Wenli go to the clinic as an accountant, he said he would think about it.

Shu Jinyue really didn't think about it that way. "At first, I thought being an accountant was just about calculating how much income and expenses were each day."

Shu Wenming shook his head. "Your clinic will definitely grow in the future. It's easy to calculate the accounts of several dozen yuan a day now, but it may not be the case in the future. Take my current garment factory for example. The accounts involved have also been increasing a little bit over time. Sometimes I can't believe the numbers when I look at them."

After the floral shirts were launched, the response was incredibly good. He was so dizzy from calculating the accounts every day. If he asked Wen Li to do it, she would not have time to take care of her illness because she would have gotten sick from being too tired.

"I've seen some people start to open small shops in some alleys in other streets. A few days ago, I happened to meet Aunt Qin, who lives at the entrance of the alley. She wanted to sell the back house, so I bought it directly. I plan to open a window on the wall and let your second sister-in-law open a small shop."

He didn't expect her to earn much money. He just wanted her to be happy and have some free time. At the same time, he also wanted her to have time to take care of Xiao Ping'an and help her with her homework. That was enough.

"Okay, second brother, you are the only one who loves your wife. You have already bought the house and are planning to decorate it before you tell me."

"I just haven't thought about what to say yet. You know my dad's cowardly temper. If he heard that Wenli no longer has a stable job, he would be very angry with me."

He didn't want her just a temporary worker, but he scolded her for so long. And Wenli was a regular employee.

Thinking of the old man's furious look, the brother and sister both laughed.

In the evening, Jin Yue talked about this with Xu Duan. He didn't say anything to show his love for his wife. "Don't underestimate opening a small store. You can earn as much as working. If you can expand it in the future, you can open a supermarket like the foreigners and make more money."

He cited several examples of big bosses in Hong Kong and Country M who made their fortunes by opening supermarkets. Jin Yue didn't expect that he knew so much.

Xu Duan was amused by her look, "Why do you think I've been in Shenzhen for so long?"

He was not idle, and had people take him to Hong Kong City many times, and he had seen everything he should have seen. "When I have more capital, I will prepare to do axle processing. I may be very busy then, but we don't have to live apart anymore."

"You want to open a factory in the bookstore?"

"Well, I was just about to tell you that in a few days I will go with Yang Guodong's friends to look at the land in the east. In the future, the industry of Book City should be developed in that direction."

Shu Jinyue pursed his lips, "Do you know all these inside information?"

Xu Duan was amused by her words "inside information". "What nonsense! Even Aunt Hu can't say for sure about this kind of thing. Who dares to guarantee me? This is the most likely direction after my analysis." He pointed casually. "There are mountains to the west, which is environmentally friendly and has many sanatoriums. Industry cannot develop there. There is a lake, fishing villages and duck ponds to the south. The north is the upwind direction of our entire city, so the industrial layout environmental assessment will not pass."

Shu Jinyue said "Oh" in a daze, his eyelids twitching, "Then you are really amazing."

It was obviously perfunctory, but Xu Duan was not annoyed and pressed on, "I know, you keep saying it."

Shu Jinyue blushed, you bastard! When they first got married, he was quite serious. He probably thought she was too thin and asked her to be more reserved. But now it’s different. He wants to eat her.

In order to finish early, she would close her eyes and praise him randomly, saying things like "You are so great" and "You are awesome". Every time she praised him, she would be so proud and confident that it would be easy to finish once she was excited, at least five or six minutes earlier than usual.

"Other people may praise their husbands to make them more powerful. You are afraid that I am too powerful, so you deliberately do bad things to me."

"Itchy...Okay, okay, I won't praise you anymore, I'll keep it all."

"Let me try first."

As a result, when the two were fighting most vigorously, the phone in the living room suddenly rang. They could hear it in the backyard. No one in this compound could not hear it. I wonder if the neighbors will start scolding later.

Seeing that she was not concentrating, he exerted force and her head hit the headboard. Fortunately, he had been using his hands to block her head, so he did not hit her.

"Telephone."

"in spite of."

"At this time... at this time, Ken... it must be urgent. It is very likely that he is looking for me."

Xu Duan really didn't want to stop at this critical moment, but he still had some sense. Thinking of the nature of her work, he could only force himself to stop, panting as he put her coat on. "You stay here, I'll go answer it first, and call you if there's anything else."

It's so easy for men to put on clothes. They can just wear any set. When Jin Yue put on his clothes and tidied his hair, he had already come back: "Kang Yongxin called. The nasal medicine that Sato called for last time has been produced and processed. He asked when it will be sent to Shenzhen City and shipped from our company."

Shu Jinyue has now fully entrusted these tedious tasks to him, "Well, you can do it yourself. Come to me if you need my cooperation."

Xu Duan pushed her back into bed, "Okay, you've been busy all day, let's take a rest first."

Since starting his internship, Jin Yue has had more patients. He sees them at the street office during the day and at the clinic at night. He used to be able to read for a while when he was in school, but during this period he has not found any time to read at all. He has even lost two kilograms, and his waist is so thin that he can't even hold it with one hand.

However, her busyness is not idleness, but she gains extra benefits from every patient she sees. She is really different now from before, and people who have not seen her for a long time can hardly recognize her.

Facial features will not change easily, but temperament can be cultivated. She became confident and calm, cared less about other people's opinions, and was not easily wasted. If she had to describe it, Xu Duan felt that Su Jinyue used to be a girl, always with a child's recklessness and shyness, but now she has become a mature woman who can stand on her own.

Even the way she yawns is so charming...Xu Duan felt warm in his body as he thought about it.

Just as he was about to continue what he was doing and was halfway through taking off his clothes, the phone rang again. This time he was really angry and wanted to swear!

Jin Yue laughed loudly, "Go quickly, don't delay the important matter."

"I'm doing serious work." He emphasized certain words.

He is usually very serious and formal, and seldom says such obscene words. Jin Yue actually felt a little bit excited, thinking, could this be the legendary charm of dirty talk?

However, this time the call was not to Jin Yue, but to Xu Siqi who was looking for Xu Duan. "He said there is a batch of imported cars at the port. For some reason, no one has come to pick up the cars for a long time. The customs is going to deal with them, and I need to go there."

"You want to buy it?"

"Yes." Xu Duan took out the passbook he had just brought back from a book on the bookshelf. There was only 80,000 yuan in it.

When he just came back, Jin Yue felt that 80,000 yuan was too much money, but now, that was a batch of small cars, and the 80,000 yuan instantly became a drop in the bucket.

Shu Jinyue handed him his passbook without hesitation.

Xu Duan didn't hesitate. He looked at her deeply and hugged her. "I won't let your investment fail."

Shu Jinyue is a veritable little rich woman. Not to mention her various properties and shops, the numbers on her bankbook alone have been increasing several times a year in the past few years. Her gastric fluid and rhinitis medicine are very famous in Japan. The profit she makes from the Japanese alone is six figures every year, and she also gets a lot of dividends in China. The only thing she spent a lot of money on in recent years was opening a clinic and buying two small buildings in a department store a few days ago, but compared with her savings, this amount is just a drop in the bucket... because she has an astonishing 200,000 in her bankbook!

Two hundred thousand is nothing compared to the wealthy Kim Hyun-jun, but in the current Dragon Kingdom, it can still do a lot.

Of course, it is impossible to buy a batch of cars with this amount of money. Nowadays, the price of a car starts from six figures. Even if it is sold at a low price, this amount of money is still not enough. The next morning, Xu Duan went to find someone to borrow money and raised one million in cash.

Xu Duan took the money and immediately rushed to Shenzhen without delay. Seeing him leave again, the Shu family was used to it. Only Xiao Pingan asked, "When will uncle come back?"

Meng Meng also asked: "Will my uncle bring us gifts when he comes back?"

Yaya: "My uncle-in-law bought us leather shoes." Even the calmest children could not resist the temptation of gifts. The pink cropped pants that their uncle-in-law bought for them really made them popular among other children for a while.

The three little ones nodded in unison: Yes, anything brought back by our uncle-in-law is the most fashionable!

"It will probably take some time to come back." Jin Yue didn't tell him that he took away one million, for fear of scaring everyone.

"Will he take me to ride his big horse next time he comes back?" Xiao Ping'an has also ridden his father's big horse, but his father is not as tall as his uncle. He cannot pick the pomegranates from the tree by riding on his father's shoulders, but can easily pick them by riding on his uncle's shoulders. He is taller than all the other children!

Shu Wenming patted his head and said, "You little bastard, I let you ride a big horse every day, why are you still thinking about your uncle?"

Xiao Ping An immediately hugged his neck and said, "Hello, Daddy. I love you, Daddy."

Everyone laughed, what a little flatterer.

Shu Wenming pulled him over and poked him with his stubbled chin, making him laugh. "When mom's store opens, you and sister Mengmeng Yaya should stay home and do your homework. Don't disturb your mom, okay?"

After Liu Huifang went out to drive the car, Grandpa Liu returned to his hometown. Shu Wenyan worked overtime every day, so Mengmeng and Yaya were completely brought to the old house, and Teacher Shu took care of their food, accommodation, and homework.

"Second Aunt is going to open a small shop?!" Meng Meng was the first to scream, her voice cracking with joy, "There are so many delicious foods in the small shop!"

At present, there are only two private kiosks in Xinqiao Street. One is quite far away, and the other is run by Sun Laoliu's wife in Huaishu Hutong. She is very stingy. She will not allow you to pay a penny less when buying something, and will not allow you to pay a cent more when selling it. She will definitely press the scale bar flat, and if you are not careful, she will press it down. The children don't like her at all.

However, there is food inside, in addition to the common salt, soy sauce and vinegar, there are also some fruit candies, biscuits and canned food. There are not many kinds of things, but they are all delicious things that cannot be eaten at other times. After school, when the children pass by her door, they will stand for a while, staring at it eagerly.

Sun Laoliu's wife can't stand these children who just look but don't buy, and she would chase them away every time she sees them. The children are both afraid and want to see.

The three little ones in the Shu family are very ambitious. They secretly swear that when they grow up, they will open a small shop like her, but their shop will be bigger and serve better food than hers!

Now, their wish is about to come true! ! !

The little ones were so happy that they scratched their heads all over the sky, just like three little monkeys. They hugged Wen Li cutely and said, "Can I go to Second Aunt to help me with my homework after school?"

"Our homework is so difficult. Second Aunt is the only one in the family who can do it."

"Mom, can I be with you every day and help you with work... um, work in the store."

Great filial piety!

Xu Wenli was coaxed into smiling happily by them. The store hadn't even opened yet, but she had already signed a bunch of unequal treaties, such as helping her sweep the floor in exchange for ten candies, helping her collect money in exchange for a cream popsicle... Shu Jinyue felt a headache after listening to them.

Xiao Ping'an is sweet-talker, Meng Meng is brave and Ya Ya is quick-witted but actually "sinister". The three children cooperate with each other and Xu Wenli is no match for them at all.

Jin Yue feels that it is not good for children to be too smart, she cannot beat them!

The family was chatting and laughing when two people suddenly came to the door. They were Qin Haiyang and Yang Moli.

Jin Yue quickly stood up and said, "Why are you here? Come in and sit down."

Qin Haiyang was a little embarrassed. He had been to the Shu family before. Yang Moli, on the other hand, looked calm. "No, we have something to talk to you about. Can you please lend me some time to talk?"

Jin Yue quickly got up, put on his coat, and followed them to the yard, "Is there something urgent?"

"To make a long story short, I saw you were there when Brian was diagnosing the patient with elevated transaminases that day, so I wanted to ask you to go and help."

"Didn't you go for an endocrine checkup?"

Yang Moli and Qin Haiyang looked at each other and sighed, "The problem is that we didn't find any problem, but the patient's transaminase level has risen again. Now it has reached 408. Immediate treatment is needed, but Western medicine's enzyme-lowering drugs are not effective." The premise is that the results of tests in three different hospitals using different types of equipment ruled out the possibility of misdiagnosis due to equipment failure.

Jin Yue was a little eager to try, of course she wanted to give it a try, but to be honest, neither the patient nor the hospital had ever thought of seeking help from traditional Chinese medicine from the beginning, and she didn't want to act rashly and seem to be asking for trouble.

"Don't we have Brian, a liver disease specialist? What does he think?"

Qin Haiyang said quickly: "He is also at a loss at the moment. It was Brian's idea to ask you to come. I introduced your experience in treating difficult and complicated diseases to him, and he was very interested."

Yang Moli continued, "You were able to diagnose Vanishing Twin Syndrome back then, which is enough to prove that your medical skills are very impressive, and you are proficient in both Chinese and Western medicine. We didn't consider Chinese medicine at first mainly because we couldn't explain it clearly to those old Chinese medicine doctors, and we couldn't communicate... You know, we don't understand Chinese medicine, and they are not very familiar with Western medicine. You have also received higher education in medical school in recent years, I believe that communication between us will not be a problem."

Jin Yue didn't know what to say. Should she be thankful that she was admitted to university and received a professional education?

Seeing her expression relax, Yang Moli continued, "At present, we have ruled out all the possible situations. Brian was originally preparing to return home, but seeing this special case, he stayed for a few more days. I also thought it was time for him to experience the magic of traditional Chinese medicine."

"Comrade Yang Moli thinks too highly of me. Chinese medicine can't cure every disease."

Qin Haiyang quickly tried to smooth things over: "Yes, yes, any kind of medicine has its limitations. Jasmine and I are also anxious, but Jin Yue, you have to be more confident. I heard from Director Mo that you can even cure chronic myeloid leukemia. We believe in you."

Speaking of this disease, it’s a long story and it’s not suitable to explain it to them. “Well, I can only say that I will try my best.”

She wanted to see what kind of strange disease it was that left the world's top liver disease experts helpless.

***

When the three arrived at the provincial hospital, a crowd of people had already gathered in the doctor's office of the hepatology department, even more than last time. Many patients would rather have pale faces than not wait at the door to watch the fun, and the medical staff couldn't drive them away.

Last time we watched foreign experts treat diseases, this time we watched a disease that even foreign experts couldn’t cure.

"Shu, it's great that you're here. My God, we need your help." Brian, who had not been seen for a few days, looked much more haggard. According to Yang Moli, he was worried about this strange disease. He used all the connections he could and consulted many colleagues in countries M and Y, but to no avail.

"None of my colleagues have encountered such a situation. After ruling out all other factors, the patient's transaminase level is still rising, and enzyme-lowering drugs are ineffective." He shrugged helplessly.

The patient sat on a chair with a depressed look. Although the doctors told him again and again that he did not have any other problems and that he was either seriously ill or fortunately lucky, he could not be cured. Even foreign experts were helpless. His confidence was repeatedly reduced. He even felt that he must have some terminal illness that had not yet been discovered and named. Maybe he would die suddenly one day, and only by dissecting his body would they know what exactly killed him.

Shu Jinyue saw despair on his face. This despair was different from the one on Kang Yuqiong's face at the beginning. Kang Yuqiong at least knew what she was about to die of, but he would never know.

When Shu Jinyue looked at his face again, it was still normal, except that the sides of his nose looked greasy. He didn't know if it was due to the light, or because he was in a desperate mood and hadn't washed his face properly in the past few days.

Shu Jinyue had suffered from carelessness many times, so she had learned to get to the bottom of things if she noticed the slightest abnormality. She immediately drove the crowd in front of the patient away, and when she got closer, she saw that the patient was indeed covered in a layer of oil.

She took out a white handkerchief and asked the patient to wipe it herself. The oil was removed and her skin looked normal again.

The sides of the nose are greasy, which happens to many people. Many businesses even launch corresponding cosmetics and skin care products for this. It is not something worthy of attention... But Shu Jinyue remembered that this patient was not like this last time.

It is impossible for a person to produce so much "oil" inexplicably in just a few days.

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