Medical road

Zhu Bing is recovering well day by day.Leaders attach importance to it, and now he has enjoyed the treatment that a division-level cadre can enjoy.In the single-person ward, there is a special escort, and Lu Renjia comes to see Zhu Bing every day. Although she can't cook, there are people who fawn on her. There are no gifts in the ward.The appearance of Lu Renjia made many caring people aware of something. Anyway, many high-ranking figures came to visit Zhu Bing.

Lu Renjia and Zhu Bing are really grateful to Zhang Fan now. If it weren't for Zhang Fan, maybe one would be killed and the other would be guilty for a lifetime.The director of the chest has already explained to the doctor in charge, what is the situation of the patient, you must report to Zhang Fan!Zhang Fan's position in the surgery is already very stable, but Zhang Fan feels a little bit eager to cry when he thinks of the number given to him by endocrine.

This so-called endocrinology graduation exam is very difficult.The patient is a female, and she was the number one figure in the modeling industry in China.She is almost 1.8 meters tall, her hair is fluttering, her looks are charming, her steps are graceful, and her curves are charming. She looks back and smiles even if she doesn't fall in love. This is the same she was before.

Now, it’s really horrible. Because of feelings, the young girl turned into abandonment, gave up her modeling career, stayed at home and overeated. As a result, within three years, the once beautiful, young, sexy and charming girl became A big fat girl weighing more than two hundred jins.

Lie on the bed and looked at it, like a meat mountain.The once charming face of melon seeds has become a steamed bun with the same hair, but now she really makes people feel greasy.

The girl herself wants to understand, it shouldn’t be this way, but overeating can be addictive, not that you can lose weight if you want to lose weight, and this kind of weight will really kill people if you lose weight unscientifically, because the body has adapted With your weight, the sudden change will definitely cause problems in various organs.

Some advertisements say that weight-loss drugs are in a mess, and some weight-loss companies specifically say that they are the most scientific way to lose weight.Grasping the idea of ​​ordinary people wanting to lose weight and desperately asking for money, I am sorry that this is not the scope of their consideration.

Especially this kind of people who are overweight can not go on a diet easily and roughly, because the first thing that is consumed when dieting is not your fat, but protein.A large amount of protein is consumed, but the weight is not lost, and then problems occur, edema and heart failure are accompanied step by step.

After the protein consumption is almost the same, the organs start to consume fat in order to save their lives, and then a large amount of decomposed fat enters the liver, and the liver is not completely metabolized at one time, and then becomes fatty liver.Don't underestimate this fatty liver. If fatty liver continues to develop, it will be cirrhosis, not to mention liver tumors. A cirrhosis of the liver can make you want to die.

Liver cirrhosis, jaundice, and hepatic encephalopathy don’t talk about it. Let’s talk about the vasculature. The liver is an endocrine organ that connects the link between the previous and the next.

What is fatty liver cirrhosis? It means that the soft liver is full of fat particles, which block all the unobstructed liver lobules, and the veins are blocked, and then the esophageal varicose veins rupture, the kind of vomiting blood, that is, the veins of the esophagus. If it breaks, it will kill people.So we must lose weight scientifically and don't be reckless, this is not a small matter.

For women, it is human nature to love beauty, especially young girls who pay special attention to their own body shape and image. This group of people is more sensitive to weight loss information. Individuals have to go further to lose weight even if their weight is within the normal range. The result is improper food restriction. Disorders of eating behavior, anorexia nervosa, or vomiting after overeating, etc., are not a single disease. They all become mental disorders, and then they develop mental illness. Don’t laugh. There are many, many problems. Case.

There are two types of adipose tissue in human tissues, brown fat and white fat. The difference between the former and the latter is that the former is spread throughout the body, with abundant blood vessels, many mitochondria in cells, innervated by sympathetic nerves, containing uncoupling proteins, and simple It means that brown fat can be consumed by neuromodulation, but white fat cannot.

The treatment of obesity seems simple, but the perseverance required is not easier than quitting smoking. The first intervention is to improve eating habits, exercise more, and increase physical activity.With these few words, few people in modern society can do it for a long time.

Eat less low-energy, low-fat foods, and moderate intake of protein and carbohydrates.There is a saying that is particularly classic, the doctor does not allow the food to be delicious, and the food is not the favorite.

The name of the former model should also be a master, very predictable, because the girl's name is Tangyuan!The result is really round, very round!

It’s not easy to treat this girl because she gritted her teeth during the day and said to lose weight, but at night she secretly eats junk food in the quilt like a fat mouse. Fried, puffed, and high-sugar are all. Her favorite!

If you want to cure the illness, you must first establish a firm confidence in this girl Yuanyuan. How to establish it, Zhang Fan can't help it.What is the most complicated, human nature!There is no good way for Zhang Fan. This is not an operation. If it is broken, it will be cut off. The only thing that cannot be cut off is by stupid methods. He teaches three times a day, every half an hour, from the dangers of obesity to what should be eaten. , Repeat it in the morning, noon and night

Zhang Fan took over and began to designate her diet. A reasonable diet is the basis for weight loss, with less oil, less salt, and less sugar. Try to make Girl Yuanyuan drink white water instead of drinks. This is the general rule, and there are more specific ones. Things, a reasonable diet can first meet the human body’s nutritional needs, and also make the calorie intake lower than the body’s energy expenditure, so that part of the body’s fat is oxidized and consumed. This is the most scientific method. Really undesirable.

And there is a trick to the size of food. Just eat some foods that are large in size and small in energy. A simple data can help everyone understand this. One gram of fat provides nine kilocalories of energy, while one gram of protein or one gram of carbohydrates provides only four. With kilocalories of energy, one or two boiled chicken drumsticks have much lower energy than one or two deep-fried chicken drumsticks. Foods such as vegetables and fruits have a large volume and less energy.

Zhang Fan was ready for everything, but after three days he weighed it up, and he found that the weight of the glutinous rice balls had not changed.Zhang Fan looked at the director, but the director arrogantly went to the clinic without saying a word. Zhang Fan was entangled, and the dumpling girl was uncomfortable, and she was crying.

"Doctor Zhang, am I out of help!"

"No! What are you, I've seen someone heavier than you!" Maybe after hearing this kind of relief, the tangyuan girl was not happy, and she went back to the ward with her head lowered in silence. Zhang Fan looked like Roshan. The girl is also helpless in her heart.

What to do, simple treatment is of no use, and this kind of repeated treatment has made the dumpling girl lose a lot of confidence.what can we do about it?There is no internal medicine in the system, and there is no large library in Chasu City, and there is no way to find a reference book.Zhang Fan, lying on the sofa, sighed. This was the first time he felt helpless.

"What's the matter?" Zhang Fan sighed while lying on the sofa, Shao Hua's mother pulled Shao Hua and asked.

"I'm worried about his sickness!" Shao Hua said.

The more Zhang Fan thinks about it, the more he loses his score. It's not that the director of endocrinology will not let him out of the department.But as a doctor, if you don't study or think, can you be worthy of that snow-white uniform?

Zhang Fan thought for a while, sat up, and said to Shao Hua and Shao Hua's mother in the kitchen: "Auntie, stop cooking my meal, I'll go out."

"Go after you eat it! It's ready soon." Shao Hua said to Zhang Fan when he got out of the kitchen.

"No, I don't have any appetite, I'll go first. Go and find someone!" Zhang Fan put on his clothes and went out.

Who should I go to? Of course it is the director of endocrinology. The person who asked the question must have the answer.Without contacting, I drove directly to the director of endocrinology.

The tea market in winter is a white world. The snow will only melt in the next spring. In winter, the gardens on both sides of the road are like snow walls, with snow piles high.

Diliber’s home is not in the hospital complex. She is an original resident of Chasu City, and she has been living in the frontier for many generations. She has been living in the house of her ancestors, a small courtyard with tiled walls and a courtyard. The outside of the wall is full of trees, and there are two sturdy trees at the door.

After Zhang Fan drove to the door, he could vaguely see the lights in the yard. When he was about to take out the phone, the door was opened. A middle-aged aunt opened the door. The aunt was not thin, so she stood at the door and blocked the door. Really.

"Ba Langzi, who are you looking for?" Chinese is not very fluent.

"Does Director Diliber live here?" Zhang Fan asked politely.

"Right here, your name is Zang Wan?"

"Uh! Zhang Fan!" Zhang Fan explained with a black face!

"Fast forward, Auntie is waiting for you!" In fact, Di Li Baier has been waiting for Zhang Fan after checking the room in the morning. She did not come in the morning, at noon, and still did not come before get off work in the evening. When disappointed, Zhang Fan chased her home.

"Go, he doesn't have the mind to eat or drink." After Di Li Baier let his niece out, he said to Zhang Fan: "No matter how you look at it, you don't think your IQ is high, but the way you usually perform professionally, He really looks like a genius, why is it so strange!"

"I want to study it myself." Zhang Fan said embarrassedly, making people talk stupid face to face, no matter who it is, it will be uncomfortable.

"Hehe, that's right, you can't achieve what you have done without the spirit of research, let's talk about it, what's in mind now."

"Well, the conventional treatment no longer has any good effect on the glutinous rice balls, and she seems to have lost confidence in this treatment method. I thought and thought there was no good way. In the end, I felt that she was so young and must be made as soon as possible. I lose weight and then integrate into society, so I think she should be operated on. A simple gastroplasty can reduce her food intake."

Diliber, who was drinking, almost squirted the water out."Is this the result of thinking about it for a day and then coming to tell me the night?"

Zhang Fan nodded embarrassedly, "Hey! Why is the surgeon's mind so simple. Although your skill level is already quite good in the primary hospital, you still don't have a sound medical knowledge. This is my observation. I’ve been thinking about it for a long time, and I don’t want to understand how you formed such a deformed medical concept. Today, I will let me, a young lady who is dying of the wind, give you this lesson.” Although Diliber is a few doctors, she Her father was a high-ranking official in a city, and she was also a senior intellectual. She was very Chinese, and she regarded this monarch and ministers more seriously than some Han people.

Skills should not be taught lightly, she is waiting, she is watching, waiting to see if Zhang Fan has this savvy, and is watching to see if Zhang Fan has this character.As a result, I waited for a long time and watched it for a long time.

Diliber had been talking for a long time, and after waiting for a long time, Zhang Fan was still confused."Aren't you willing to study?"

"Oh! Yes! Yes! Teacher, you have tea!" Zhang Fan finally understood.Although Di Li Baier was dissatisfied, there was no way. Zhang Fan was still excellent when he pulled the general from the scorpion, but Zhang Fanzhi was not here. Now his medical thinking is unnaturally close to the surgery, so Di Li Baier is also helpless!

"When I was in the Soviet Union, I was fortunate enough to study with a medical professor for a while. At that time~~" Diliber slowly told the past.The sparks from the fireside quietly jumped up and down. The young and old were sitting around the fire in the middle of the winter night. The older ones wanted to give up what they had learned, but the younger ones were absorbed in not giving up. Any word.

As time passed slowly, Diliber's niece looked out the window several times and found that the two had been talking, and the young man kept writing notes.

"Let’s come here today, I’m tired!" Di Li Baier couldn’t hold on. One night, more than three hours of talking made Di Li Baier exhausted his brains. Zhang Fan asked too strange questions, especially for anatomy. Understand, but the various factors of partial internal medicine are not well understood.But the question can be explained by surgical thinking and knowledge.

So this evening was actually the old lady using internal medicine to re-establish Zhang Fan's medical thinking.

"Well, let me give you a massage. My technique is really good!" Zhang Fan was also embarrassed, and let the old lady sit upright for several hours. He also wanted to do something for this respectable old lady.

"No, go back. Be careful on the road. If you still want to listen to my old lady's nagging, you can continue to come tomorrow. When you have some real ideas for the treatment of glutinous rice balls, you will also have one. Perfect medical thinking. Go!"

Zhang Fan slowly backed out of the house. Standing at the door of the house, Zhang Fan looked up at the starry sky and stretched out.This night of study gave Zhang Fan, who did not study hard at the university, a chance to make up for something that self-study could not make up.