Medical road ahead

"First of all, menstrual changes must belong to the outpatient category of gynecological endocrinology. If a patient finds that his menstruation is 'should come or not, should go or not', he should come to the hospital in time."

When Qiao Tan came to the dining room with the food, he found that Qin Xiao and Tan Xi had upgraded from talking to writing, and began to carefully record the types of outpatient visits to the gynecological endocrinology clinic.

"Yes."

Tan Xi nodded, and further said: "The common gynecological endocrine diseases that lead to abnormal menstruation are polycystic ovary syndrome, hyperprolactinemia, ovarian insufficiency, etc."

After taking notes, Qin Xiao continued: “You should also visit the Department of Gynecology and Endocrinology for menopause-related symptoms, such as hot flashes, sweating, sleep disorders, fatigue, emotional disorders (irritability, irritability, anxiety, nervousness, or mood disorders). depression, etc.), vaginal dryness, vulvovaginal pain, itching, dyspareunia, recurrent atrophic vaginitis, recurrent lower urinary tract infections, nocturia, frequent urination, and urgency.”

Tan Xi added: "In fact, these menopausal symptoms are very common, but they have not been paid attention to by everyone. They think it is a normal physiological situation, thus ignoring the impact of menopausal symptoms on quality of life and the long-term health hazards caused by postmenopausal hormone changes. etc.

Although, with the development of society and the improvement of living standards, the life span of human beings is also slowly extending. It can be seen that under the premise of this extension of life expectancy, women in the world will spend one-third of their lives spent after menopause.

As for our country, the average age of women's menopause is about 49.5 years old, and the current number of menopausal people is about 1.3 million, and it is estimated that by 2030, it will reach 2.8 million, and more than 90% of these women will experience symptoms related to menopause. symptom.

Therefore, it is a top priority for our gynecologists and your endocrinologists to improve women's awareness and attention to gynecological endocrinology. "

"Yes!"

Qin Xiaozheng nodded, and continued: "Dysmenorrhea and sexual pain also often trouble women. The former will attract some attention, and patients will correct it in time, but for the latter, most of them are quietly endured, and at most they rely on medicine to relieve pain. Like These two categories should also be included.”

"Yes, in fact, these two types are also typical symptoms of endocrine diseases."

Tanxi nodded, and then said: "There are also infertility and abnormal sexual development. Especially the latter, because abnormal sexual development often occurs in infancy, and at this time, parents will take their children to children's endocrine However, if the secondary sexual characteristics do not develop at the age when they should normally develop, or if there is primary amenorrhea, or even signs of virilization, then corresponding investigations should be conducted in the gynecological endocrinology clinic to confirm the diagnosis. "

"Well, I made a note of it."

Qin Xiao nodded, writing vigorously.

Seeing this, Qiao Tan couldn't help asking, "Why don't you use a computer to record, and write on paper without worrying about trouble?"

Tan Xi smiled and said, "I'm used to taking notes with a pen, maybe Director Qin is cooperating."

Qin Xiao explained: "Computer typing will produce associative words, which will interfere with my original thinking. In addition, the friction between the tip of the pen and the paper is something that computer typing cannot accomplish."

"Tsk! The sound of typing on the keyboard cannot be made with paper and pen." Qiao Tan teased.

Tan Xi patted Qiao Tan on the back, and said angrily: "Director Qin insists on writing with a pen. of."

"Isn't what you said the same? How many doctors don't write like dogs?" Qiao Tan raised his eyebrows to retort.

Tan Xi looked at her and said, "That's why we have to practice hard to achieve a fast and clear level, so that when patients see our words, they won't complain that we are drawing ghosts."

"Yes Yes Yes!"

Qiao Tan nodded, and led her towards the dining room, "Let's eat first, and we'll talk later, or the food will be cold."

"Well, it's quite fragrant."

Tan Xi sniffed, then looked at Qiao Tan's fluffy hair, and said with sincere emotion: "My daughter has grown up."

"It's already grown up."

Qiao Tan gave her an angry look, then went to pull Qin Xiao up again, "Eat first."

"okay!"

Qin Xiao obediently put down his pen and followed her towards the dining table.

"Wait! Neither of you washed your hands."

Afterwards, she pushed the two of them to wash their hands, and she helped serve the meal.

After washing his hands and returning to the table, Tanxi smiled and joked to the table full of delicacies: "Your father doesn't have the good fortune."

Qiao Tan was curious: "Is he going to be on duty today?"

Tan Xi said: "It seems to be preparing for an amputation operation."

"Amputation?"

Hearing this, Qiao Tan and Qin Xiao frowned at the same time.

For them, the most uncomfortable thing is not being able to save the patient's life, and that is being forced to amputate the patient's limb.

"What's wrong? I have to amputate. Is the tissue dead?" Qiao Tan asked again.

Tanxi recalled it for a while and said, "It seems to be smoking."

"Smoking?" Qiao Tan was stunned.

Qin Xiao speculated, "Is it vasculitis?"

"It seems to be." Tan Xi nodded.

"vasculitis"

Qiao Tan bit his chopsticks, thinking about the relevant information about this disease and its clinical manifestations in his mind.
"I don't want amputation! Don't amputate."

In the ward, the patient suffering from vasculitis was lying on the bed and kept crying. His little toe exposed outside the quilt was black, as if he had stepped on soot, while the other three toes were in a state of necrosis. , terrible and disgusting.

"Amputation?"

Qiao Wei, who followed Dr. Liu from the vascular surgery department into the ward, frowned, then nodded, "It's considered an amputation."

"Doctor Liu, do you have to amputate?"

After seeing Dr. Liu, the patient immediately sat up and looked at him eagerly, his eyes flickering slightly, and there were still two tears hanging from the corners of his eyes.

Dr. Liu didn't answer him right away, but turned to the nurse who took care of him and asked, "That's what you told him, amputation?"

The nurse took it for granted: "Isn't cutting off the toes called amputation? The toes are also part of the limb!"

"you"

Dr. Liu was immediately speechless.

Qiao Wei smiled and said, "Xiao Hua is right, but he forgot to tell the patient carefully."

After saying that, he came to the patient's bed and said patiently: "Although Dr. Liu helped you re-open the three arteries after ablation of the thrombus, your toe is completely necrotic and must be removed as soon as possible to prevent it from spreading. The whole foot had to be amputated."

"Just... just cut off toes?"

The patient's eyes widened, half-believing.

"In an immediate operation, it is true that you only need to cut off your ten toes, but if you delay it, it will be hard to say." Jovi nodded.

Hearing this, the patient was relieved, and hurriedly urged: "Hurry up! Arrange an operation for me, I will cut it now, it doesn't matter if the toe is gone, as long as the foot and leg are still there."

When the rest of the people saw this, they all covered their mouths, but Dr. Liu asked him, "Will you still smoke in the future?"

"No smoking, no smoking, no smoking even if killed."

The patient shook his head desperately, already determined to quit smoking.