Medical road ahead

"It's too much! Who is spreading rumors behind his back? Such a slander of Director Qin has caused him to be suspended from his post."

"There is also that nonsense official account, which is completely fabricated under the name of a doctor. In addition to slandering Director Qin's soft article, they also posted many medical prescriptions that misled readers. They should be completely blocked."

After learning that Qin Xiao was suspended because of rumors about buying a kidney, everyone in the hospital was outraged.

Wang Xiaobo and Hu Tu also found Qiao Tan and asked about Qin Xiao's situation.

"Is Director Qin okay? Shall we go and see him?" Wang Xiaobo worried.

Hu Tu nodded, and said in agreement: "Why don't we go to his house to buy something after get off work?"

Qiao Tan laughed, "He's not sick, what is there to see?"

"It's all suspended. It's different from getting sick. We have to care about him." Wang Xiaobo said.

Hu Tu also asked: "Is Director Qin okay? Has he figured out who he offended?"

Qiao Tan shook his head and said, "He only returned to China last year, and he stayed abroad for the past few years. Even if he offends anyone, he offends foreigners, and the person who did this is obviously a domestic person."

Wang Xiaobo said: "But Uncle Qin's plan to buy a kidney did happen in country M, and the other party obviously knew about it, or had investigated it."

"But whoever has such a big enmity with Director Qin still spends so much time investigating what happened a few years ago, and what happened abroad, it takes a lot of effort. Although the Internet is now developed, it is impossible for someone like Director Qin to For an amateur, it is very difficult for ordinary people to check his background information." Hu Tu was puzzled.

"unless."

Wang Xiaobo had a flash of inspiration, and looked at the two of them: "It's a reporter."

"reporter?"

Qiao Tan frowned for a moment, suddenly thinking of someone coming.
"Director Qin, I recently met a patient who is almost 30 years old and hasn't had menstruation yet."

When several people were talking about this matter, Liu Yiyan took a special day off and came to Qin Xiao's house, one to visit him, and the other to ask him some outpatient and clinical questions.

Qin Xiao analyzed: "This shows that her gonads are retarded. Besides, what else is wrong?"

After finishing speaking, he looked at Liu Yiyan and waited for his next words.

Liu Yiyan continued: "After I checked her, I found that she not only had gonadal retardation, but also suffered from an autoimmune disease, which may be a genetic problem, so she was more worried about whether she would pass it on to her children."

"Forehead"

Qin Xiao scratched his brows and said, "The first thing she should worry about is the menstrual problem."

"Right! That's what I told her. Now, I have given her drug treatment, hoping to cure her problem as soon as possible. But what I can't figure out is that she is almost 30 years old, why did she come to the hospital now Treat the problem of not having menstruation." Liu Yiyan said.

Qin Xiao said: "On the one hand, it's because of lack of consciousness. Patients usually have a fluke mentality, thinking that if they procrastinate, maybe the disease will be cured, or maybe it's just a false alarm, and the procrastination may last for several years. My sister is also like this."

As he said that, he stopped suddenly, and after he calmed down, he continued: "On the other hand, it may be because they are ashamed to speak out, especially women's diseases, which are related to their privacy. They need to overcome psychological barriers before they dare to come to the hospital. The doctor I met for the first time told me the truth about my condition.

For example, the problem of hypogonadism, maybe this patient once planned to come to the hospital for treatment, but out of timidity, he finally delayed until now.

But what they don't know is that endocrine diseases are often hidden, such as diabetes. When patients' physical examination finds that their blood sugar is abnormally high, most of them think about diet control instead of immediate treatment, but they don't know how to control it. It will eventually lead to the emergence of acute complications, only to come to the hospital for diagnosis and treatment, and then find that the condition has intensified. "

"But we can't always remind patients to seek medical treatment as soon as possible."

Liu Yiyan spread his hands together, feeling a little helpless.

"Yes!"

Qin Xiao nodded, empathizing, "We can only cure diseases and save lives, but we cannot warn patients before they get sick or are about to get sick. However, patients with endocrine diseases can still attract the attention of people around them by changing their appearance."

"Did you say thyroid disease?" Liu Yiyan asked hurriedly.

Qin Xiao nodded: "Hyperthyroidism exophthalmos is a kind, and gigantism caused by acromegaly is also a kind, because the excessive growth hormone secreted by the pituitary gland tumor will make people grow taller suddenly, similarly, if the growth hormone is deficient, it will also cause dwarfism. As for the loss of eyebrows, lethargy, edema, and slow reaction, it is hypothyroidism.”

"Yep!"

Liu Yiyan suddenly understood, nodded with a smile, and then asked: "Then relying on external changes to judge whether you have endocrine diseases, can you write a special article and publish it on Rongyitong?"

"Of course you can. After you write it, show it to me, and then hand it over to Dr. Qiao for her to publish it on HTH. There is a column there to summarize these." Qin Xiao nodded and said.

"Okay okay."

Liu Yiyan wrote it down, and then asked curiously: "Then Director Qin, you have been an endocrinologist for so long, have you encountered any special cases that you still remember so far?"

Qin Xiao stroked his chin and thought for a while, then said: "There really is one."

"What kind of case?"

Liu Yiyan immediately sat up straight.

"Go, make us a cup of coffee each, and I'll talk to you slowly."

Qin Xiao raised his chin and pointed to the kitchen.

"okay!"

Liu Yiyan stood up and ran to the kitchen excitedly.

"There are still some desserts in the refrigerator, you can pick any two here." Qin Xiao said again.

"As ordered!"

After making coffee, Liu Yiyan opened the refrigerator and looked shocked, "So many cakes and desserts? Director Qin, I didn't expect you to like sweets so much."

Qin Xiao explained with a smile: "Doctor Qiao likes to eat."

"Oh! Got it."

Liu Yiyan nodded knowingly, then returned to the living room with coffee and dessert, and continued chatting with Qin Xiao.

Qin Xiao took a sip of his coffee and praised, "Not bad."

"Whee!"

Liu Yiyan smiled brightly, took a sip from the coffee cup, and then picked up a piece of ice cream mousse, savoring it carefully.

After putting down the coffee cup, Qin Xiao recalled: "It was when I was in country M. I was still in the internship period. There was a 'male' patient. The men here are quoted. You will know after listening. He Because of periodic hematuria, I was accompanied by my buddies to the hospital where I was practicing at the time. After a series of examinations, the urologist found that this was not a simple urological problem, but more like an endocrine problem. Therefore, the doctor brought Then he came to the endocrinology department and asked us to assist in the examination. Finally, it was found that the patient was suffering from an endocrine disease called congenital adrenal hyperplasia.

There are different subtypes of this disorder, one of which presents with hypertension, hypokalemia, and abnormal sexual development.At the same time, we found from the results of the chromosome analysis of this patient that he is female but not male, but because of the long-term influence of excessive androgen secretion by the adrenal gland, he appears male in appearance, but his periodic hematuria is actually menstrual cramps. "

"Huh? Then does she really look like a man? Just look at the appearance?" Liu Yiyan was surprised.

Qin Xiao nodded, "It is indeed difficult to distinguish between male and female, and European and American people have strong bones, and her facial features are very deep. If there is no scientific proof, I really can't believe it."

"Wow! Congenital adrenal hyperplasia, I have never encountered such a case." Liu Yiyan was amazed again.

Qin Xiao smiled and said, "When you stay in the hospital for two more years, basically you will encounter any difficult and miscellaneous diseases."

"Uh-huh."

Liu Yiyan deeply agrees.

After a while, he put down his coffee cup and rolled up his sleeves, "Director Qin, since I'm here, let me clean up for you."

"what?"

click -

Just when Qin Xiao was in a daze, the door of the room was opened.

Immediately afterwards, Qiao Tan's voice full of jokes came, "Hey! Xiao Liu doesn't go to work, so he came to your house to be a nanny?"