Medical road ahead

"The postprandial blood sugar test results showed that the blood sugar value was greater than 7.8 but less than 11.1; the percentage of HbA1c was 6.3."

After receiving Xiaoxue's blood sugar test report, Qin Xiao quickly informed everyone.

"Is it diabetes?" Xiaoxue asked nervously.

In fact, she had suspected for a long time that she might be suffering from diabetes, but also accompanied by hyperlipidemia and high blood pressure.

Qiao Tan shook his head, took her hand, and explained: "The blood sugar level does not exceed 11.1, which is not diabetes, but it is not lower than 7.8, which is not absolutely healthy. It belongs to impaired glucose tolerance, and there is a risk of developing diabetes."

"Impaired glucose tolerance? What do you mean? Is it also a disease?" Xiaoxue asked suspiciously.

"Yes."

Qin Xiao nodded and said in detail: "Impaired glucose tolerance refers to the abnormal glucose metabolism state that transitions from normal blood sugar to diabetes. mol/L, it enters the stage of diabetes, so impaired glucose tolerance is actually a warning light before the onset of diabetes."

"Then what should I do?"

Xiaoxue rubbed her hands anxiously.

"Improving diet, increasing exercise, and reducing body weight, in short, can improve impaired glucose tolerance while controlling Fat-Willi syndrome," Qin Xiao said.

Dr. Zhou asked: "Xiaoxue's impaired glucose tolerance should still be in the early stage?"

Qin Xiao frowned and shook his head, "I'm not too sure about this, the previous hospital didn't seem to check for Xiaoxue's possible diabetes."

"Well, if it is early, we can take targeted IGT intervention measures, which will help reverse IGT, reduce the risk of IGT progressing to diabetes, and reduce the occurrence of CVD." Dr. Zhou thought for a while and said.

Qin Xiao nodded and said: "I understand what you mean, the effect of early intervention is indeed better, but I can cooperate with Dr. Qiao's nutritional treatment to make Xiaoxue's condition improve as soon as possible."

"Nutrition therapy combined with endocrine therapy can cure Xiaoxue's metabolic disease and gradually make her physically and mentally healthy. Together with my adolescent sex hormone replacement therapy, it can promote Xiaoxue's normal development and make her gradually approach her peers." level of development." Dr. Lu added.

"You all need to take your time. The one who is more urgent now is my side. Let me take Xiaoxue for an X-ray examination to see if she has scoliosis."

After speaking, Dr. Li walked to Xiaoxue's side, ready to take her back to his department for examination.

Dr. Qi stood up and said, "Then go to my place and check to see if her eyes are normal. Usually, patients with chubby Willie syndrome have myopia or esotropia."

"On my side, I can only carry out psychological treatment for Xiaoxue step by step, and it can be slow." Director Xu said.

Dr. Zhou joked: "I will cooperate with you from the side, wherever you need to move."

Soon, several experts and doctors divided up their respective tasks and sorted them in order of priority.

Immediately afterwards, everyone accompanied Xiaoxue to the orthopedics department for an X-ray examination.

Usually, patients with scoliosis will have "razor back". Even if you don't use equipment to check, you can also rely on the doctor's rich experience to diagnose, but Xiaoxue's fat layer is too thick to be judged by the naked eye, and X-ray examination can also confirm the spine. Various factors of lateral bending, such as curvature, location, nature, rotation, compensation, flexibility, etc.

"No evidence of scoliosis."

After Xiaoxue completed the full-length anteroposterior and lateral images of the spine in the standing position, Dr. Li did not ask her to perform the derotated images and the maximum left-right curved images in the supine position. He stepped out with the results of the examination and said to everyone: "Although Xiaoxue's bones are delayed, everything is normal. In addition, her muscle coordination ability is only a little lower than that of her peers, and has not yet reached the range of 'deficiency'. Therefore, there is no need for further treatment on my side, just teach her some Stretching the muscles and stimulating the secretion of the epiphysis to cooperate with Dr. Qiao's nutritional therapy and Dr. Lu's hormone therapy."

"Xiaoxue, did you hear that? There is nothing wrong with your spine."

Hearing this, the rest of the people breathed a sigh of relief, Qiao Tan embraced Xiaoxue and smiled in relief.

With one less disease, the difficulty of comprehensive consultation will be reduced, and the possibility of cure will increase. This is good news for both doctors and patients.

"By the way, I need to change Xiaoxue's shoes." Dr. Li added, pointing to the pair of discolored cotton shoes on Xiaoxue's feet, and said, "Change to suitable sports shoes, because Xiaoxue's exercise volume will increase afterward." , but also the sole with good anti-slip function and resilience, which can not only prevent falls, but also shockproof, cushion elastic force, and reduce the burden on the feet. Although Xiaoxue is eighteen years old, her physical condition is still in the children's During the development period, in addition to the clothes on her feet, the clothes on her body should also match her actual situation."

"Look, as expected of someone who is going to be a grandfather soon, he is much more careful than us." Director Xu laughed.

Qiao Tan said with a smile: "From now on, I will be in charge of Xiaoxue's outfit."

"That's great, thank you, Dr. Joe."

Xiaoxue quickly thanked her and gently held her hand.

Seeing this, Dr. Lu immediately joked to Qiao Tan: "Look, Xiaoxue is so relieved of your aesthetics. If it were someone else, I'm afraid she wouldn't be smiling so brightly."

"No, I don't worry." Xiaoxue said hastily.

"Okay, it's time to go to my place. I'll check Xiaoxue earlier so that she can have a rest. It's been a long time."

Doctor Qi reminded her in time, and led everyone to the ophthalmology department to check Xiaoxue's eye abnormalities.

"No myopia, but esotropia."

After the examination, Dr. Qi frowned and said, "It's best to operate as soon as possible."

"Surgery? Can't you rely on wearing glasses to heal?" Dr. Zhou asked.

Dr. Qi explained to him: "There are two types of esotropia. The first type can be corrected by wearing glasses as you said. This kind of esotropia belongs to accommodative esotropia. It has a certain relationship with the degree of the eyes. Generally, it is The eyeball has high hyperopia, and the esotropia will gradually improve after wearing glasses. The other type of esotropia is non-accommodative esotropia, which has nothing to do with whether you wear glasses or not. Even if you wear glasses, the esotropia will not If there is any change, this must be treated with surgery. Xiaoxue is the second case, the earlier the operation, the better the effect."

"Is this surgery risky? Will it affect comprehensive treatment?" Qin Xiao asked.

"Don't worry, it won't. This kind of surgery is very simple, and it belongs to ocular surface surgery. No matter it is during or after the operation, there are relatively few complications." Dr. Qi said.

"That's good."

Qiao Tan nodded reassuringly, lightly squeezed Xiaoxue's chubby hand, and asked Dr. Qi, "When can I arrange surgery for Xiaoxue? Only then can I follow up on her nutritional treatment."

"Do a preoperative examination first to determine whether Xiaoxue's binocular vision and fusion power are normal. If she does not have binocular single vision ability before the operation, she must receive vision enhancement training before considering surgery. Otherwise, there may be stereo vision that cannot be restored to normal. Visual function. Similarly, if Xiaoxue has a strong fusion ability, her prognosis will be more optimistic. Otherwise, fusion training should also be carried out,” Dr. Qi said.

Then, she glanced at her watch and realized that it was getting late, "Let Xiaoxue come over for the preoperative examination tomorrow."

"Okay, I'll go to the kitchen to arrange Xiaoxue's nutritious dinner for today."

Qiao Tan nodded, and after saying goodbye to several doctors, he left Xiaoxue to Qin Xiao, and asked him to take Xiaoxue back to the ward, and instruct her on various matters during the hospitalization.

On the way, Xiaoxue looked at Qin Xiao and said with a smile, "Doctor Qiao is really kind."

"I also think she's pretty good." Qin Xiao strongly agreed.

"Still very gentle." Xiaoxue said again.

"Aren't you gentle..."

Qin Xiao tilted his head and thought for a while, "Sometimes, it's quite gentle."

And sometimes...

"Qiao Jia, did you take my words for granted?"

After learning from Hu Tu that Qiao Jia is serious about Xiao Ceramics, Qiao Tan rolled up his sleeves and headed straight to Qiao Jia's ward in a menacing manner. The place he passed by seemed to have encountered a tornado, and the leaves fell and the grass fell...