Zhu Bing recovered well day by day. The leaders paid attention to it, and now he has enjoyed the treatment that department-level cadres can enjoy. The single ward has a special escort. Lu Renjia comes to see Zhu Bing every day. Although she doesn't know how to cook, there are people who fawn on her, and there is no room for 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 die in Huangquan and the other would feel guilty all his life. The director of the thoracic surgery has already told the doctor in charge that the patient must report to Zhang Fan if there is any condition! Zhang Fan's position in surgery is already very stable, but when Zhang Fan thinks of the patient number assigned to him by endocrine, he feels like crying.
This so-called endocrinology graduation exam is very difficult. The patient is a woman who was once considered a number one figure in the modeling industry in Huaguo. She is almost 1.8 meters tall, with fluttering hair, charming demeanor, elegant steps, and charming curves. She can charm people even if she doesn't fall in love with a smile. This is her before.
Now, it's really terrible, because of emotional reasons, the young girl became self-defeating, gave up her modeling career, and stayed at home to eat and drink too much. As a result, it took three years for the once beautiful, youthful, sexy and charming girl to become A fat girl who weighs more than two hundred catties.
Lying on the bed and looking at it at a glance, it looks like a mountain of meat. The once charming melon-seeded face has become a steamed bun, and her hair is still beautiful, but now she really makes people feel greasy.
The girl also figured it out herself, it shouldn't be like this, but overeating is addictive, it doesn't mean that you can lose weight if you want to lose weight, and this kind of weight, if you lose weight unscientifically, it will really kill people, because the body has adapted Without your weight, sudden changes will definitely cause problems in various organs.
Some advertisements talk about weight-loss pills, and some weight-loss companies specifically say that it is the most scientific way to lose weight. Grasping the idea of ordinary people wanting to lose weight, desperately asking for money, unsafe for safety, unhealthy for health, sorry, this is not the scope of their consideration.
Especially for this kind of overweight people, you can't go on a diet easily and rudely, because when you go on a diet, the first thing you consume is not your fat, but protein. A large amount of protein is consumed, but the weight does not lose weight, and then problems appear, edema and heart failure follow step by step.
After the protein is almost consumed, 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 can't finish the metabolism again and again, and then it 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 live and die.
Liver cirrhosis, jaundice and hepatic encephalopathy will not be discussed, just talk about the vascular system, the liver is an endocrine organ, connecting the functions of the previous and the next.
What is fatty liver cirrhosis, that is, the soft liver is full of fat particles, which block all the unobstructed liver lobules, and the veins are not smooth, and then rupture of esophageal varices, the kind of profuse vomiting of blood, that is, the veins of the esophagus If it breaks, it will kill you. So we must lose weight scientifically, don't be reckless, this is not a small matter.
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. Some people will go further to lose weight even if their weight is in the normal range. The result is due to improper food restriction Disorders of eating behavior, anorexia nervosa, or self-induced vomiting after overeating, etc., are not a single disease, they all become mental disorders, and if they develop into mental illness, don’t laugh, there are many, many of them. cases.
There are two kinds of adipose tissue in human tissue, brown fat and white fat. The difference between the former and the latter is that the former is spread all over the body, has rich blood vessels, and has more mitochondria in the cells. It is innervated by sympathetic nerves and contains uncoupling proteins. Simple In other words, brown fat can be consumed by neural regulation, while white fat cannot.
The treatment of obesity seems simple, but the perseverance required is not as easy as quitting smoking. The first intervention is to improve eating habits, exercise more, and increase physical activity. With just these few words, few people in modern society can do it for a long time.
Eat less low-energy, low-fat foods, and consume protein and carbohydrates in moderation. There is a very classic saying that what the doctor refuses to eat is delicious, and what the doctor orders is not to be eaten.
The person who named this former model should also be a master, with strong foresight, because the girl's name is Tangyuan! It turned out to be really round, very round!
It's not easy to treat this girl, because she gnashes her teeth during the day and talks about losing weight, but at night, she secretly eats junk food under the quilt like a fat mouse. Fried, puffed, and high-sugar foods are all her favourite!
If he wanted to cure the disease, he had to build up a firm confidence in this Yuanyuan girl first. How to build it up, Zhang Fan had no choice. What is the most complicated, human nature! Zhang Fan has no good way. This is not surgery. If it is broken, he will cut it off. If it can’t be cut off, he can only rely on stupid methods. Education three times a day, half an hour each time, from the dangers of obesity to what to eat , morning, noon and night repeat!
Zhang Fan took over and began to specify meals for her. A reasonable meal is the basis for losing weight, less oil, less salt, less sugar, and try to make Yuanyuan girl drink plain water and no beverages. This is the general rule, and there are more specific ones. Things, a reasonable diet can firstly meet the nutritional needs of the human body, but also make the calorie intake lower than the body's energy consumption, so that part of the body's fat can be oxidized and consumed. This is the most scientific method, half starved to death, that way It's not advisable.
And there is also a trick to the size of the food. Just eat some foods with large volume and low energy. A simple data can let everyone understand this. One gram of fat provides 9000 calories of energy, while one gram of protein or one gram of carbohydrates provides only four. One kilocalorie of energy, one tael of boiled chicken legs has much lower energy than one tael of fried chicken legs. Foods such as vegetables and fruits are not only bulky but also have less energy.
Zhang Fan made all the preparations, but three days later, he weighed himself and found that the weight of the glutinous rice balls had not changed. Zhang Fan looked at the director, but the director went to the outpatient clinic arrogantly, without saying a word, Zhang Fan was entangled, and the Tangyuan girl was also uncomfortable, with a sad face.
"Doctor Zhang, am I hopeless!"
"No! What are you? I've seen ones that are heavier than you!" Perhaps after hearing this kind of relief too much, Tangyuan girl was not at all happy. She remained silent and returned to the ward with her head down. Zhang Fan looked like a mountain of meat. The girl, also felt helpless in her heart.
What should I do? Simple treatment is useless at all, and this repeated treatment has made Miss Tangyuan lose a lot of confidence. what can we do about it? There is no internal medicine in the system, there is no large library in Chasu City, and there is no way to find a reference book. Zhang Fan, who was lying on the sofa, sighed, this was the first time he felt helpless about the disease.
"What's wrong?" Zhang Fan lay on the sofa and sighed, Shao Hua's mother pulled Shao Hua and asked.
"I'm worried about his sickness!" Shao Hua said.
The more Zhang Fan thought about it, the more hopeless he became, not because he was afraid that the director of endocrinology would not let him leave the department. But as a doctor, if you don't study or think, are you worthy of that snow-white uniform
After thinking about it, Zhang Fan sat up, and said to Shao Hua and Shao Hua's mother in the kitchen: "Auntie, stop cooking for me, I'll go out for a while."
"Let's go after eating! It will be ready soon." Shao Hua said to Zhang Fan when he came out of the kitchen.
"No, I don't have any appetite. I'm leaving first. Find someone!" Zhang Fan put on his clothes and went out.
Who should I go to, of course the director of endocrinology, the person who asked the question must have the answer. There was no need to contact, and I drove directly to the house of the director of endocrinology.
Chasu City 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, piled high with snow.
Di Libaier's home is not in the hospital complex. She is considered an original resident of Chasu City, and she has lived in the frontier for many generations. She has always lived in the house of her ancestors, a small courtyard house, tiled walls, and a courtyard. Trees are planted outside the wall, and there are two thick and big trees at the door.
After Zhang Fan parked his car at the door, he could vaguely see the lights in the yard. When he was about to take out his phone, the door was opened. A middle-aged aunt opened the door. The aunt was not thin, so she stood at the door and directly blocked the door. Strictly.
"Balangzi, who are you looking for?" I'm not very fluent in Chinese.
"Does Director Di Libaier live here?" Zhang Fan asked politely.
"It's right here, your name is Zang Wan?"
"Eh! Zhang Fan!" Zhang Fan explained with a dark face!
"Come on, Auntie is waiting for you!" In fact, after checking the room in the morning, Di Libaier had been waiting for Zhang Fan. He didn't come in the morning, at noon, or before get off work at night. When disappointed, Zhang Fan chased her home.
"You go, he doesn't have the mind to eat and drink." After letting his niece go out, Dili Baier said to Zhang Fan: "No matter how you look at it, you don't have a high IQ, but you usually show it professionally. It really looks like a genius, why is it so strange!"
"I want to study it by myself." Zhang Fan said embarrassedly, anyone would be uncomfortable if people say that they are stupid in front of them, but there is no way, as their skills are not as good as others, so they have to bear it.
"Hehe, that's right. Without the spirit of research, you can't achieve what you are doing now. Let's talk about it. What do you think of now?"
"Well, the conventional treatment has no good effect on the glutinous rice balls, and she seems to have lost confidence in this treatment. I thought about it and there is no good way, and finally I think she is so young, she must be treated as soon as possible. To lose weight and integrate into society, so I think she should have an operation, a simple gastroplasty, which can make her eat a lot less."
Dilibeer, who was drinking water, almost spit out the water. "Is this the result of thinking about it for a day and then coming to tell me at night?"
Zhang Fan nodded embarrassingly, "Hey! Why is the mind of a surgeon so simple? Although your technical level is already relatively good in basic hospitals, you still don't have a sound medical knowledge. This is my observation of you. It’s been a long time, and I don’t want to understand how you formed such a deformed medical concept, let me, an old lady who is dying, teach you this lesson.” Although Dili Baier is a minority doctor, she Her father became a high-ranking official in the city, and she was a high-level intellectual with strong Sinicization, and her father and son valued this monarch more than some Han people.
Skills should not be taught lightly, she is waiting, she is watching, waiting to see if Zhang Fan has this understanding, watching, to see if Zhang Fan has this character. As a result, after waiting for a long time and looking at it for a long time, a four-dimensional image came out!
Dili Baier 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! I am willing! I am willing! Teacher, you drink tea!" Zhang Fan finally understood a little bit. Although Di Li Baier was dissatisfied, there was nothing he could do about it. Zhang Fan was considered an excellent general, but Zhang Fanzhi was not here. Now his medical thinking was unnaturally close to surgery, so Di Li Baier was also helpless!
"When I was in the Soviet Union, I had the honor to study with a professor of medicine for a period of time. At that time~~" Dili Baier slowly talked about the past. The sparks by the stove jumped up and down quietly, the old and the young sat around the stove in the middle of the winter night, the older ones wanted to teach all they had learned, while the younger ones were engrossed and refused to give up any word.
Time passed slowly, and Dilibeer's niece looked out the window several times, and found that the two had been talking, and the young man was still writing notes.
"Let's stop here today, I'm tired!" Di Li Baier couldn't hold on any longer. One night, more than three hours of talking made Di Li Baier rack his brains. The questions Zhang Fan asked were too weird, especially for anatomy. I understand, but I don't know much about the various factors of partial internal medicine. But for doubts, I can use surgical thinking and knowledge to explain them.
So this night was actually the old lady's idea of using internal medicine to re-establish Zhang Fan's medical thinking.
"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 need, go back quickly. Be careful on the way, if you still want to listen to my old lady nagging, you can continue to come over tomorrow. When you have some real ideas about the treatment of glutinous rice balls, you can be regarded as having one." Perfect medical thinking. Go for it!"
Zhang Fan slowly stepped back out of the house. Standing at the door, Zhang Fan looked up at the starry sky and stretched his waist. This night's study gave Zhang Fan, who hadn't studied hard at the university, the opportunity to make up for what he couldn't make up for by self-study.