Zhu Bing is recovering well day by day. The leadership paid attention to it, and now he has enjoyed the treatment that division-level cadres can enjoy. There is a special escort in the single ward. Lu Renjia visits Zhu Bing every day. Although she can't cook, there are people who are so fawning that there is no room for gifts in the ward. The appearance of Lu Renjia made many interested people aware of something. Anyway, many high-ranking people came to visit Zhu Bing.
Lu Renjia and Zhu Bing were really grateful to Zhang Fan now. If it hadn't been for Zhang Fan, one might have died and the other would have been guilty for the rest of his life. The director of the Department of Thoracic Surgery has already told the doctor in charge that any situation of the patient must be reported to Zhang Fan! Zhang Fan's position in the Department of Surgery was already very stable, but when Zhang Fan thought about the patient assigned to him by endocrinology, he felt like crying.
This so-called endocrinology graduation exam is very difficult. The patient is a woman who was once considered a leading figure in the Chinese modeling industry. She is almost 1.8 meters tall, with flowing hair, charming demeanor, elegant steps, charming curves, and a smile that can make people fall in love even if they don't fall in love with her when she looks back. These are all the things she used to be.
Now, it is really terrible. Due to emotional reasons, the young girl became self-destructive, gave up her modeling career, stayed at home and overeated. As a result, in three years, the once beautiful, youthful, sexy and charming girl became Got a fat girl who weighed over two hundred pounds.
Lying on the bed and looking at it, it looks like a mountain of meat. The once charming oval face has become a steamed bun, and the hair is still the same, but now she really makes people feel greasy.
The girl herself also figured it out, it shouldn’t be like this, but overeating can be addictive. It doesn’t mean that you can lose weight if you want to lose weight. Moreover, if you lose this kind of weight unscientifically, it will really kill you, because the body has adapted. If you lose your weight, sudden changes will definitely cause problems to various organs.
Some advertisements make ridiculous claims about weight loss pills, and some weight loss companies specifically say they are the most scientific way to lose weight. They grasp the idea of people wanting to lose weight and desperately demand money. Regarding safety, safety, and health, I'm sorry, this is not the scope of their consideration.
Especially those who are overweight should not go on a diet easily and roughly, because when dieting, the first thing that is consumed is not your fat, but your protein. A large amount of protein is consumed, but the weight does not decrease, and then problems appear, and 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. Then a large amount of decomposed fat enters the liver. The liver cannot metabolize it all again, and then it becomes fatty liver. Don’t underestimate fatty liver. If fatty liver continues to develop, it will lead to cirrhosis of the liver. Not to mention liver tumors, a cirrhosis of the liver can make you want to live and die.
Let’s not talk about liver cirrhosis, jaundice, and hepatic encephalopathy. Let’s talk about the vasculature system. The liver is an endocrine organ that connects the previous and the next.
What is fatty liver cirrhosis? It means that the soft liver is filled with fat particles, which blocks all the unobstructed liver lobules and blocks the veins. Then esophageal varices rupture, the kind of big mouthfuls of vomiting blood, is the veins of the esophagus. If it breaks, it will kill people. So you must lose weight scientifically and 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 even if their weight is within the normal range, they will continue to lose weight, but the result is due to improper food restriction. Disorders that cause eating behavior, such as anorexia nervosa or spontaneous vomiting after overeating, etc., are not a single disease. They have become psychological disorders. If they develop further, they will become mental illnesses. Don’t laugh. There are many, many. cases.
There are two types of adipose tissue in human tissues, brown fat and white adipose. The difference between the former and the latter is that the former is distributed throughout the body, has rich blood vessels, has many mitochondria in the cells, is innervated by sympathetic nerves, and contains uncoupling proteins. Simple It is said that brown fat can be consumed through neural regulation, but white fat cannot.
The treatment of obesity seems very simple, but it requires no more perseverance than quitting smoking. The first step is to intervene and treat, which is to improve eating habits, exercise more, and increase physical activity. With these few words, few people in modern society can achieve this for a long time.
Eat less low-energy, low-fat foods and consume moderate amounts of protein and carbohydrates. There is a very classic saying, whatever the doctor won't let you eat is delicious, and whatever the doctor will let you eat is something you don't like.
The person who named this former model must have been a master, with great foresight, because the girl’s name is Tangyuan! It turned out really round, very round!
It’s not easy to treat this girl, because during the day the girl gritted her teeth and talked about losing weight, but at night she secretly ate junk food under the quilt like a fat mouse, including fried, puffed, and high-sugar foods. Her favorite!
If you want to cure the disease, you must first establish a firm confidence in this girl Yuanyuan. How to establish it? Zhang Fan has no choice. What is the most complicated thing is human nature! Zhang Fan has no good solution. This is not surgery. If it is broken, just cut it off. If it cannot be cut off, it can only rely on stupid methods. He teaches three times a day, for half an hour each time, from the dangers of obesity to what to eat. , repeat once in the morning, noon and evening!
Zhang Fan took over and began to designate meals for her. A reasonable meal is the basis for losing weight. Less oil, less salt, less sugar. Try to make Yuanyuan girl drink plain water and no drinks. This is the general rule, and there are more specific ones. Things, a reasonable diet can first meet the body's nutritional needs, and at the same time make the caloric intake lower than the body's energy consumption, allowing part of the body's fat to be oxidized and consumed. This is the most scientific method, half starving to death, that way Really undesirable.
And food size also has a trick, just eat some foods that are large in size and low in energy. A simple data can let everyone understand this. One gram of fat provides nine thousand calories of energy, while one gram of protein or one gram of carbohydrate only provides four. The energy of kilocalories, one ounce of boiled chicken legs is much lower than that of one ounce of fried chicken legs. Foods such as vegetables and fruits have less energy despite being large in size.
Zhang Fan made all preparations, but three days later, he weighed the rice dumplings and found that there was no change in the weight of the glutinous rice balls. Zhang Fan looked at the director, but the director arrogantly went to the clinic without saying a word. Zhang Fan was confused, and Miss Tangyuan felt uncomfortable, crying.
"Doctor Zhang, am I hopeless?"
"No! You are nothing, I have seen people heavier than you!" Maybe she had heard this kind of relief too many times. Girl Tangyuan didn't feel happy at all. She stayed silent and lowered her head and returned to the ward. Zhang Fan looked like a mountain of meat. The girl felt helpless in her heart.
What should I do? Simple treatment is of no use at all, and this repeated treatment has made Miss Tangyuan lose a lot of confidence. what can we do about it? The system does not offer internal medicine, there is no large library in Chasu City, and it is difficult to even find a reference book. Zhang Fan sighed as he lay on the sofa. This was the first time he felt that there was no way to deal with an illness.
"What's wrong?" Zhang Fan sighed as he lay on the sofa. Shao Hua's mother pulled Shao Hua and asked.
"I'm worried about his illness!" Shao Hua said.
The more Zhang Fan thought about it, the more unreasonable he became. It was not because he was afraid that the director of endocrinology would not allow him to leave the hospital. But as a doctor, if you don’t study or think, are you worthy of that snow-white uniform?
Zhang Fan thought about it, sat up, and said to Shao Hua and Shao Hua's mother in the kitchen: "Auntie, stop cooking for me. I'm going out."
"Let's go after eating! It will be ready soon." Shao Hua walked out of the kitchen and said to Zhang Fan.
"No, I have no appetite. I'm leaving first. 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. No need to contact me, I drove directly to the home of the director of endocrinology.
Tea City in winter is a white world, and the snow will only melt in the coming spring. In winter, the gardens on both sides of the road are like snow walls, with piles of snow piled high.
Diliber's home is not in the hospital community. She is considered an original resident of Chasu City, and she has been living in the frontier for who knows how many generations. She has been living in her ancestors' house, a small courtyard with blue tile walls and a courtyard. There are trees outside the wall, and there are two big and thick 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 the phone, the door was opened. A middle-aged aunt opened the door. The aunt was not thin. She stood at the door and blocked the door. It's tight.
"Ba Langzi, who are you looking for?" He didn't speak Chinese fluently.
"Does Director Diliber live here?" Zhang Fan asked politely.
"Right here, your name is Zang Wan?"
"Uh! Zhang Fan!" Zhang Fan explained with a dark face!
"Come in quickly, my aunt is waiting for you!" In fact, after checking the room in the morning, Dilibere had been waiting for Zhang Fan. She didn't come in the morning, didn't come at noon, and still didn't come before getting off work in the evening. When she was disappointed, Zhang Fan chased her home.
"Go ahead, he's not in the mood to eat or drink." After Diliber let his niece go out, he said to Zhang Fan: "No matter how I look at it, I think your IQ is not high, but the way you usually behave professionally, He really looks like a genius, why is he so weird!"
"I want to study it myself." Zhang Fan said embarrassedly. No matter who is being called stupid in front of others, they will feel uncomfortable, but there is no way. If you are not as good as others, you have to suffer.
"Haha, that's right. If you don't have the spirit of study, you won't be able to achieve what you are now. So tell me what you think of now."
"Well, conventional treatment has no good effect on Tangyuan, and she seems to have lost confidence in this treatment method. I thought about it, but there is no good way. In the end, I felt that she is so young, she must be treated as soon as possible. She wants to lose weight and integrate into society, so I think she should have surgery, a simple gastroplasty, which can make her eat a lot less."
Diliber almost spit out the water when he drank it. "Is this the result of thinking about it all day and then coming to tell me late at night?"
Zhang Fan nodded sheepishly, "Hey! How can a surgeon's mind be so simple? Although your technical level is already quite good in a grassroots hospital, you still don't have a sound medical knowledge. This is my observation of you. I don’t want to understand how you formed such a deformed medical concept. Today, I, a dying old lady, will teach you this lesson.” Although Dilibere is only one of the few doctors, she Her father had become a high-ranking official in the city, and she was a high-level intellectual. She was very Chinese-speaking, and she valued the king, the king, the ministers, the father, the son, and the son more seriously than some Han people.
Skills should not be taught lightly, she was waiting, she was watching to see if Zhang Fan had this understanding, and she was watching to see if Zhang Fan had this character. As a result, after waiting for a long time and looking at it for a long time, there came a look that looked very different!
Diliber has been talking for a long time, and after waiting for a long time, Zhang Fan is still confused. "Aren't you willing to study?"
"Oh! Yes! Yes! Teacher, you have tea!" Zhang Fan finally understood. Although Dilibere is dissatisfied and has no choice, Zhang Fan is still a good general among the generals, but Zhang Fan's ambition is not here. Now his medical thinking is unnaturally close to surgery, so Dilibere is also helpless!
"When I was in the Soviet Union, I was fortunate enough to study with a medical professor for a period of time. At that time~~" Diliber slowly recounted the past. The sparks beside the stove jumped up and down quietly. An old man and a young man sat around the stove late at night in this winter. The older one wanted to teach everything he had learned, but the young one was absorbed in it and refused to give up. Any word.
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.
"That's it for today, I'm tired!" Dilibere couldn't hold on any longer. One night, more than three hours of talking made Dilibere exhausted. The questions Zhang Fan asked were too weird, especially for anatomy. I understand, but I have only a limited understanding of the various factors involved in internal medicine. But questions can be answered with surgical thinking and knowledge.
So this night was actually the old lady using internal medicine ideas to re-establish Zhang Fan's medical ideas.
"Let me give you a massage. My skills are really good!" Zhang Fan was embarrassed and made the old lady sit upright for several hours. He also wanted to do something for this respectable old lady.
"No, go back quickly. Be careful on the way. If you still want to listen to my old lady's nagging, you can continue to come here tomorrow. When you have some real treatment ideas for glutinous rice balls, you will also have one. Sound medical thinking. Go for it!”
Zhang Fan slowly walked backwards out of the house. Standing at the door of the house, Zhang Fan looked up at the starry sky and stretched his waist. This night's study gave Zhang Fan, who had not studied hard in college, the opportunity to make up for the things that self-study could not make up bit by bit.
