Medical road ahead
Chapter 190 A Fat Man Has Nine Diseases
"Let me help you."
Just when Qin Xiao was about to go back to the office to write down the ten criteria for identifying morbidly obese, Qiao Tan stopped him and chased after him.
"Then there's Dr. Laucho."
Qin Xiao Jieyi led her towards his office, "The registration fees of these people will be returned, right?"
"Well, it was because they were coming back that they left there and returned to their respective homes."
Qiao Tan nodded, then asked, "Did you find any endocrine disease patients among them?"
"I'm not sharp-eyed. I can tell whether the various glands in their bodies are secreting normally just by looking at them."
Qin Xiao laughed, and said, "However, out of ten fat people, nine are sick. There must be endocrine disorders among them."
After entering the office, Qin Xiao took out a pen and paper and handed it to Qiao Tan, "We each write six sheets, so that they can each get one."
"Okay, Director Qin."
Qiao Tan smiled and raised his head, "When we're almost done writing, your interns will also finish checking for them."
Afterwards, the two buried their heads in writing, chatting with each other.
"The Chinese New Year is coming soon, I wonder if this year will be as busy as last year." Qiao Tan said.
Qin Xiao shook his head, "It must be easier than last year, maybe after the new year is over, a vaccine will be developed."
"I remember you flew back from abroad after the New Year's Eve last year, so you spent the New Year abroad before?" Qiao Tan asked suddenly.
"Well, Xi'er and I spent the New Year abroad while my parents were in China." Qin Xiao nodded.
Qiao Tan asked again: "It is said that Chen Yuan asked you to come back. Why didn't you plan to come back to serve the motherland before?"
Qin Xiao paused, got up and made a cup of tea for Qiao Tan, then took a sip from his own teacup, and then slowly said: "Originally, I didn't want to go back to China, both I and Xi'er have already gotten used to it." life abroad."
"Don't you miss your parents?" Qiao Tan asked tentatively.
Qin Xiao hugged the teacup and lowered his eyes, "My dad and I had some conflicts before."
"contradiction?"
Qiao Tan was surprised, this was the first time he heard that their father and son were at odds.
"So, it's because of this that you haven't let me see your parents?" She guessed immediately.
"more or less."
Qin Xiao nodded slightly, as if unwilling to mention the conflict between him and Qin Yuan.
Seeing this, Qiao Tan didn't ask any more questions, but frowned secretly, feeling curious.
"Teacher, I have already checked them."
At this moment, Liu Yiyan knocked on the door of Qin Xiao's office.
"How about it?"
Qin Xiao waved to him.
Liu Yiyan immediately walked into the office, first nodded to Qiao Tan, and then told the situation of the 12 people one by one: "Three of them are physically obese and may have other diseases, but there is no endocrine disorder. The other nine people all have major or minor endocrine diseases."
"Tell me."
Qin Xiao raised his hand to signal him to sit down and speak slowly, while he took out another teacup and made tea for him.
After Liu Yiyan sat down, he broke his fingers and said: "Three young ladies have irregular menstruation problems, one of them suffers from acanthosis nigricans; two older ladies have thyroid problems, and one of them has complexion problems. Yellowish, one is swollen eyelids, and the one with swollen eyelids also has hirsutism; the little boy is eating hypertensively, he said that he is always hungry, and thinks it is caused by dieting to lose weight, in addition, he also has hirsutism; There are also three men who said that they snored very badly and were lethargic during the day. One of them had abnormally enlarged breasts. He thought it was because of gaining weight. Explained the situation to me."
"got it."
Qin Xiao handed him the teacup, and ordered: "Let that man with abnormally developed breasts come to my consultation room, and you can order the other eight according to the symptoms, as for the other three."
He looked at Qiao Tan, smiled and said, "I'll leave it to Dr. Qiao."
"Thank you for your hard work, Xiao Liu."
After Qiao Tan nodded to Liu Yiyan to thank him, he took the 12 written notes and left the office.
"Li Bin, 25 years old."
Suddenly, Li Bin walked into Qin Xiao's consulting room and reported his personal information.
And the man Liu Yiyan mentioned with abnormally developed breasts was exactly him.
Before this, he had never paid much attention to his breasts, even as he gained weight, they were also plump, even a little too plump.
Because he is a man, how could he have breast disease.
"Will it become breast cancer?" Li Bin asked worriedly.
Qin Xiao reassured: "It's not that serious. However, the breasts of the human body are indeed very complicated, and they are the same regardless of men and women. Therefore, early detection and early treatment, once delayed, will definitely become a serious disease."
After speaking, he looked at Li Bin and asked, "Do you usually like to eat fried food and carbonated drinks?"
"Hehe. There seems to be no fat person who doesn't like to eat these, right?" Li Bin scratched his head with a smile.
Qin Xiao also laughed, "Not all fat people like it, some people are obsessed with sweets, which leads to obesity."
"I also like sweets." Li Bin shrugged embarrassedly.
"Then your eating habits have to be corrected."
Qin Xiao sternly reminded, and then asked: "Are there any pains in the breasts?"
"Not really." Li Bin shook his head.
Qin Xiao asked again: "Mind if I show you if there is a lump?"
"Do you want to touch it?" Li Bin asked blushingly.
Qin Xiao asked with a smile: "Is there any other way?"
"Okay okay."
Li Bin nodded with a blushing face, pretending to be indifferent and let Qin Xiao touch his chest.
Qin Xiao checked quickly. It took less than a minute before he returned to his seat and said to Li Bin, "Fortunately, there is no lump. I will prescribe you a six-hormone test to find out which one you are. There is a problem in this aspect, but from the perspective of your abnormal breast development, it should be caused by the high estrogen level, which leads to a decrease in the ratio of androgen/estrogen. After checking the six hormone items, I will give you an answer to your question Prescribe some medicine, but you must pay attention to improving bad diet and work and rest, try to avoid staying up late, and avoid eating irritating food."
"I must listen to the doctor!"
Li Bin nodded solemnly, took the checklist from Qin Xiao and went to pay the fee.
On the other hand, Huang Zhi also prescribed Xue Hui, Song Jiaxuan, and another young girl's irregular menstruation problems, and gave them a checklist, and said to Xue Hui who suffered from acanthosis nigricans: "Don't worry about it. Psychological burden, yours is benign, I will prescribe some plasters for you to rub, and if you keep rubbing them, they will fade away, and when your endocrine disorders return to normal, there will be no more new ones.”
"Okay, thank you doctor." Xue Hui thanked her gratefully.
Except for the four of them, the others also took their checklists to pay the fee, while the three physically obese patients followed Qiao Tan to visit the yoga room of the hospital.
"Dr. Qiao, it is said that your nutrition department can also treat obesity, so can the three of us have inpatient treatment in your nutrition department?" one of them asked.
Another person responded positively: "Is it possible? I think the environment in your hospital is very good, and you can practice yoga in your spare time, which is far more complete than the facilities at 'Slim Fast'. Moreover, the hospitalization expenses can be reimbursed by insurance .”
Qiao Tan laughed and said, "Do you think my place is a weight loss institution?"
The third person explained: "Isn't it said that prevention is better than cure? Before the three of us suffer from major diseases caused by obesity, we should lose fat first, so as to avoid endocrine disorders like Li Bin's."
"Yes!" The other two nodded hurriedly.
Qiao Tan smiled, "It's good that you have this awareness, come on, I'll give you hospital treatment."
Just when Qin Xiao was about to go back to the office to write down the ten criteria for identifying morbidly obese, Qiao Tan stopped him and chased after him.
"Then there's Dr. Laucho."
Qin Xiao Jieyi led her towards his office, "The registration fees of these people will be returned, right?"
"Well, it was because they were coming back that they left there and returned to their respective homes."
Qiao Tan nodded, then asked, "Did you find any endocrine disease patients among them?"
"I'm not sharp-eyed. I can tell whether the various glands in their bodies are secreting normally just by looking at them."
Qin Xiao laughed, and said, "However, out of ten fat people, nine are sick. There must be endocrine disorders among them."
After entering the office, Qin Xiao took out a pen and paper and handed it to Qiao Tan, "We each write six sheets, so that they can each get one."
"Okay, Director Qin."
Qiao Tan smiled and raised his head, "When we're almost done writing, your interns will also finish checking for them."
Afterwards, the two buried their heads in writing, chatting with each other.
"The Chinese New Year is coming soon, I wonder if this year will be as busy as last year." Qiao Tan said.
Qin Xiao shook his head, "It must be easier than last year, maybe after the new year is over, a vaccine will be developed."
"I remember you flew back from abroad after the New Year's Eve last year, so you spent the New Year abroad before?" Qiao Tan asked suddenly.
"Well, Xi'er and I spent the New Year abroad while my parents were in China." Qin Xiao nodded.
Qiao Tan asked again: "It is said that Chen Yuan asked you to come back. Why didn't you plan to come back to serve the motherland before?"
Qin Xiao paused, got up and made a cup of tea for Qiao Tan, then took a sip from his own teacup, and then slowly said: "Originally, I didn't want to go back to China, both I and Xi'er have already gotten used to it." life abroad."
"Don't you miss your parents?" Qiao Tan asked tentatively.
Qin Xiao hugged the teacup and lowered his eyes, "My dad and I had some conflicts before."
"contradiction?"
Qiao Tan was surprised, this was the first time he heard that their father and son were at odds.
"So, it's because of this that you haven't let me see your parents?" She guessed immediately.
"more or less."
Qin Xiao nodded slightly, as if unwilling to mention the conflict between him and Qin Yuan.
Seeing this, Qiao Tan didn't ask any more questions, but frowned secretly, feeling curious.
"Teacher, I have already checked them."
At this moment, Liu Yiyan knocked on the door of Qin Xiao's office.
"How about it?"
Qin Xiao waved to him.
Liu Yiyan immediately walked into the office, first nodded to Qiao Tan, and then told the situation of the 12 people one by one: "Three of them are physically obese and may have other diseases, but there is no endocrine disorder. The other nine people all have major or minor endocrine diseases."
"Tell me."
Qin Xiao raised his hand to signal him to sit down and speak slowly, while he took out another teacup and made tea for him.
After Liu Yiyan sat down, he broke his fingers and said: "Three young ladies have irregular menstruation problems, one of them suffers from acanthosis nigricans; two older ladies have thyroid problems, and one of them has complexion problems. Yellowish, one is swollen eyelids, and the one with swollen eyelids also has hirsutism; the little boy is eating hypertensively, he said that he is always hungry, and thinks it is caused by dieting to lose weight, in addition, he also has hirsutism; There are also three men who said that they snored very badly and were lethargic during the day. One of them had abnormally enlarged breasts. He thought it was because of gaining weight. Explained the situation to me."
"got it."
Qin Xiao handed him the teacup, and ordered: "Let that man with abnormally developed breasts come to my consultation room, and you can order the other eight according to the symptoms, as for the other three."
He looked at Qiao Tan, smiled and said, "I'll leave it to Dr. Qiao."
"Thank you for your hard work, Xiao Liu."
After Qiao Tan nodded to Liu Yiyan to thank him, he took the 12 written notes and left the office.
"Li Bin, 25 years old."
Suddenly, Li Bin walked into Qin Xiao's consulting room and reported his personal information.
And the man Liu Yiyan mentioned with abnormally developed breasts was exactly him.
Before this, he had never paid much attention to his breasts, even as he gained weight, they were also plump, even a little too plump.
Because he is a man, how could he have breast disease.
"Will it become breast cancer?" Li Bin asked worriedly.
Qin Xiao reassured: "It's not that serious. However, the breasts of the human body are indeed very complicated, and they are the same regardless of men and women. Therefore, early detection and early treatment, once delayed, will definitely become a serious disease."
After speaking, he looked at Li Bin and asked, "Do you usually like to eat fried food and carbonated drinks?"
"Hehe. There seems to be no fat person who doesn't like to eat these, right?" Li Bin scratched his head with a smile.
Qin Xiao also laughed, "Not all fat people like it, some people are obsessed with sweets, which leads to obesity."
"I also like sweets." Li Bin shrugged embarrassedly.
"Then your eating habits have to be corrected."
Qin Xiao sternly reminded, and then asked: "Are there any pains in the breasts?"
"Not really." Li Bin shook his head.
Qin Xiao asked again: "Mind if I show you if there is a lump?"
"Do you want to touch it?" Li Bin asked blushingly.
Qin Xiao asked with a smile: "Is there any other way?"
"Okay okay."
Li Bin nodded with a blushing face, pretending to be indifferent and let Qin Xiao touch his chest.
Qin Xiao checked quickly. It took less than a minute before he returned to his seat and said to Li Bin, "Fortunately, there is no lump. I will prescribe you a six-hormone test to find out which one you are. There is a problem in this aspect, but from the perspective of your abnormal breast development, it should be caused by the high estrogen level, which leads to a decrease in the ratio of androgen/estrogen. After checking the six hormone items, I will give you an answer to your question Prescribe some medicine, but you must pay attention to improving bad diet and work and rest, try to avoid staying up late, and avoid eating irritating food."
"I must listen to the doctor!"
Li Bin nodded solemnly, took the checklist from Qin Xiao and went to pay the fee.
On the other hand, Huang Zhi also prescribed Xue Hui, Song Jiaxuan, and another young girl's irregular menstruation problems, and gave them a checklist, and said to Xue Hui who suffered from acanthosis nigricans: "Don't worry about it. Psychological burden, yours is benign, I will prescribe some plasters for you to rub, and if you keep rubbing them, they will fade away, and when your endocrine disorders return to normal, there will be no more new ones.”
"Okay, thank you doctor." Xue Hui thanked her gratefully.
Except for the four of them, the others also took their checklists to pay the fee, while the three physically obese patients followed Qiao Tan to visit the yoga room of the hospital.
"Dr. Qiao, it is said that your nutrition department can also treat obesity, so can the three of us have inpatient treatment in your nutrition department?" one of them asked.
Another person responded positively: "Is it possible? I think the environment in your hospital is very good, and you can practice yoga in your spare time, which is far more complete than the facilities at 'Slim Fast'. Moreover, the hospitalization expenses can be reimbursed by insurance .”
Qiao Tan laughed and said, "Do you think my place is a weight loss institution?"
The third person explained: "Isn't it said that prevention is better than cure? Before the three of us suffer from major diseases caused by obesity, we should lose fat first, so as to avoid endocrine disorders like Li Bin's."
"Yes!" The other two nodded hurriedly.
Qiao Tan smiled, "It's good that you have this awareness, come on, I'll give you hospital treatment."
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