"What's your diet? It's very normal." The patient said, "I lost weight a while ago, but wasn't that why I was hospitalized twice? I think this person has his destiny as long as he lives, so there is no need to be too harsh on himself. Back to normal eating.”
Su Yun seemed to remember something, but what the patient said didn't match up, and his brows furrowed a little tighter.
"Are you saying that cruciferous plants contain glucosinolates, and taking them in large amounts can lead to insufficient iodine intake and lead to goiter?" Zheng Ren asked.
"There is only one explanation." Su Yun looked at the patient doubtfully and said.
"Generally speaking, no. A study of 5 euthyroid subjects showed that after drinking 430 grams of kale juice twice a day for 7 days, the subjects' average 6-hour thyroid radioactive iodine uptake was It was 2.52% lower than the baseline level, but there was no abnormality in the serum thyroid function test." Zheng Rendao.
"That's normal people. It may not be like this for abnormal hypothyroid patients." Su Yun insisted.
"Doctor, doctor, I like to eat meat, but I like eating it. During the time when I was losing weight, I almost died of discomfort. I had no energy to do anything, and my life had lost its direction and meaning. You said you are a human being, you have struggled. After millions of years, we finally climbed to the top of the food chain, why do we need to be vegetarian again?”
The patient was familiar with him. He had just met Zheng Ren and Su Yun, and his conversation was already very smooth.
Zheng Ren also felt that what Su Yun said made sense, thought about it carefully, and then said: "You are talking about a survey in the journal "Thyroid" in 2015."
Su Yun nodded. He felt something was wrong and did not even sit with the patient to talk nonsense. If it had been any other patient, Su Yun would have sat together and started chatting with him long ago given Su Yun's temper.
Today, this "old" patient seems weird no matter how he looks at it.
"I have seen an extreme case - a case report in the New England Journal in 2010. In order to control blood sugar, an 88-year-old woman ate 1.0-1.5kg of raw cabbage every day for several months, and eventually developed myxedema. Coma." Zheng Ren said: "If it weren't for the very serious reports in New England, I wouldn't have believed it. This is too much cabbage."
"Three kilograms of Chinese cabbage a day, isn't that like feeding rabbits?" Although the patient couldn't quite understand what the two people were saying, he could still understand simple and basic things, such as three kilograms of Chinese cabbage a day.
"It's quite extreme. Do you eat normally?" Su Yun asked, "Have you controlled your diet due to diabetes or something?"
"No, I have already said that I like to eat meat. Vegetables and leaves are all nonsense. It won't do anything if you eat them. I will be hungry after a while. I don't have gout or diabetes. I have high blood pressure but it's not serious. Take advantage of it. Eat as soon as you can while you can still eat, don’t wait until you are old and lose your ability to eat.”
The patient said, swallowing hard, "I'm like this now. I'm sick intermittently. I probably won't be able to eat until I get old."
"No, it's just hypothyroidism complicated by goiter..." Zheng Ren hesitated. These two diseases were connected, but they had nothing to do with thyroid crisis or sudden goiter causing difficulty in breathing.
Chronic thyroid enlargement caused by different reasons is called goiter. Goiter can be divided into two categories: simple goiter and hyperthyroidism. The former can be divided into diffuse goiter and nodular goiter.
The patient's diagnosis is hypothyroidism, and the diagnosis of the big pig's trotters is consistent with that of 912, so it can only be considered as simple goiter.
The more Zheng Ren thought about it, the more something was wrong.
"What did the doctor say when you were hospitalized several times before?" Zheng Ren asked.
"My disease is very strange. Let me check it out. It's very complicated. I'm not a medical student, so I can't speak so many professional words." The patient said, "But I don't want to do a needle biopsy or iodine radiation." A similar examination was fatal at first sight, so I simply left the hospital and went home."
There is a certain degree of lack of medical compliance, and the patients themselves have their own opinions, which are even a little extreme. Zheng Ren made his own judgment about the patient and continued to ponder the information he had just heard.
Long-term consumption of large amounts of cruciferous vegetables may reduce thyroxine production, but the patient clearly stated that he did not have this condition.
And the words long-term and large are really difficult to achieve.
Especially eating 3 pounds of Chinese cabbage a day is not something that ordinary people can do if they want to stick to it for a long time. It is already similar to the behavior of an ascetic. Zheng Ren frowned when he thought about having to eat three kilograms of cabbage every day.
"What else do you usually eat?" Su Yun asked.
"Meat! Apart from meat, it is meat!" When the patient mentioned the word meat, his eyes were shining. "They all say that carbohydrates are true love, but I don't think so. No matter how delicious Northeastern rice is, it is not as good as a big piece of fat. The meat tastes delicious.”
Does it matter if you eat meat or fat? Zheng Ren carefully searched for a lot of information, but in the end he still looked confused.
"I still think it has something to do with the cruciferous family." Su Yun insisted: "This extreme situation can only occur if you eat a large amount of cruciferous plants for a long time. Carrots, do you eat all kinds of radishes?"
"If you don't eat it, every bite of that thing will be full of water, and there will be no delicious meat."
"How do you eat meat? Shredded pork with pickled mustard?" Su Yun continued to ask.
"No, just cook it and eat it in big chunks. Dip it in garlic paste, eat big chunks of meat, and drink a lot of wine. This is the greatest enjoyment in life." The patient said this with some frustration. "I have to be hospitalized this time. I don't know how many days I will be able to eat." It’s meat.”
"If you order any meal, you can get meat. It's very convenient here in the hospital. It's not delicious, but it's edible." Zheng Ren said.
"It's different. You still have to make the best food yourself. Speaking of the increase in pork prices this year, I spend a lot more money every day... "
While talking, the patient took the topic astray again.
Zheng Ren is also quite helpless. This is the most typical Kanye. If he doesn't stop him, he probably can talk until tomorrow morning.
"Wait a minute, do you usually... take any health supplements?" Zheng Ren suddenly remembered something and asked.
"Don't eat...that's not right." The patient glanced at Zheng Ren secretly and whispered, "Dr. Zheng, let me recommend something to you."
Zheng Ren instantly became alert.
"I'm not asking you to buy it. I'm not a businessman or a micro-businessman. Don't be so defensive about me." The patient saw Zheng Ren's vigilance and immediately explained: "When it comes to health care products, I started taking wolfberry after I was over 40. Soak it in water, but it takes effect slowly. Guess what I’ll eat?”
"How can you guess?" Zheng Ren had no intention of answering.
"I'll go! Where are you eating Maca?" Su Yun suddenly said with enlightenment, "I'll tell you!"