Medical road ahead

"The relationship between nutrition and endocrine?"

Qiao Tan was a little confused by Qin Xiao's words, feeling half-clear. She naturally knew the relationship between nutrition and endocrine, and also knew the relationship between nutrition and other medical subjects, but she didn't understand the deep meaning of Qin Xiao's words.

"Let me ask you, what is endocrine?"

Qin Xiao didn't take her into the ward, but took her lightly and walked towards the balcony at the end of the corridor.

"Endocrine is actually a physiological term. In short, it refers to the phenomenon that the substances produced by the body's tissues are directly secreted into the blood (body fluid) without going through the catheter. It can also be understood as the secretory cells directly enter the hormones produced In body fluids, a secreted form that uses body fluids as the medium to produce effects on target cells."

Qiao Tan answered seriously, as if endorsing a letter.

"Then what is an endocrine disorder?" Qin Xiao asked again.

"Endocrine disorders specifically refer to female endocrine disorders, because female patients account for the vast majority." Qiao Tan replied.

"Do men suffer from endocrine disorders?" Qin Xiao continued to ask.

"Yes, men can also experience endocrine disorders, but they are conceptually different from women, and most of them are classified as 'endocrine system diseases', because endocrine disorders in men are generally related to hormone levels in the body, such as hyperthyroidism, hypothyroidism, etc. But both men and women may suffer from endocrine system diseases." Qiao Tan nodded and elaborated.

"Then how to prevent endocrine disorders or diseases of the endocrine system?"

"Good living habits and reasonable diet management, in the final analysis, is nutrition!"

After talking about it, Qiao Tan suddenly realized Qin Xiao's intention.

"It turned out that while I was studying nutrition, I was also studying endocrinology and other medical subjects."

"Not only that, after you officially entered the clinical nutrition department, you have already participated in the diagnosis and treatment of other medical disciplines, and as your work gradually deepens, your knowledge and clinical practice of other medical disciplines are also accumulating. Although, it seems The Department of Nutrition is only preparing nutritional diets and nutritional supplements for patients, but it actually plays a central role in promoting it. Therefore, nutrition is the most comprehensive medical discipline." Qin Xiao added.

"But I...but I still want to be a professional endocrinologist."

Qiao Tan pursed his lips, speaking truthfully.

"Dr. Qiao, why are you so obsessed with becoming an endocrinologist?"

Qin Xiao was puzzled, "Actually, when you cooperated with our endocrinology department, didn't you also participate in the diagnosis and treatment of patients' endocrine diseases?"

"That's different, okay?" Qiao Tan frowned.

"What's the difference? Isn't the original intention of our doctors to practice medicine to save lives? Whether you provide nutritional therapy for patients, or I provide targeted endocrine therapy for patients, as long as the patient is cured, isn't it a happy thing for everyone?" Qin Xiao asked back.

"It's different anyway."

Qiao Tan pouted, looked up at him, and asked, "What about you, Director Qin? Why do you want to major in endocrinology instead of surgery and neurology?"

"Want to know?" Qin Xiao raised his eyebrows.

"En." Qiao Tan nodded heavily.

"I'll tell you after you help me cure this infertility patient."

After speaking, Qin Xiao turned around and walked towards the ward that he was about to enter just now.

"Infertility? Isn't that a typical case of gynecology? She should go to my mother for consultation!"

Qiao Tan hurriedly followed.

"Tell me about the symptoms of endocrine disorders in women."

Qin Xiao stopped and looked back at her.

"Well"

Qiao Tan almost bumped into Qin Xiao, who was suddenly braking. After she regained her footing, she thought about it and said carefully with her fingers: "Skin deterioration, bad temper, gynecological diseases, obesity, breast hyperplasia, body hair, graying premature aging, and infertility."

"Then is it because of endocrine disorders that the cerebral cortex cannot regulate it effectively; or is it because the endometrium is damaged and the response to female hormones is not sensitive, which reflexively affects the regulation of endocrine and ultimately causes infertility?" Qiao Tan was puzzled.

"The latter, so I am using estrogen to restore the endometrium to this patient. However, her damage is more serious, so I can only increase the amount of estrogen, combined with oral progesterone, to prevent Adhesions in the uterine cavity. However, in this process, it is difficult not to avoid damaging the patient's liver function, so I also prescribed some liver-protecting drugs for her." Qin Xiao said.

"You asked me to assist you because you want me to prepare some liver-protecting meals and nutritional supplements for this patient?" Qiao Tan guessed.

"Yes."

Qin Xiao nodded, and said again: "However, this is only one of them. The second is that I hope you can enlighten her psychologically and let her relieve her stress, so as to help speed up the healing. After all, healing people and diseases , 'people' is the key."

"Is it because of the psychological pressure caused by years of infertility?" Qiao Tan frowned and asked.

"Well, in addition to her own pressure, there are also those imposed on her by her family and her surroundings. She is 33 years old and has been married to her husband for five years. She has never had children, so her husband's family has put a lot of pressure on her, and this pressure It's an invisible disease, but as her attending doctor, I can't help her much psychologically."

Qin Xiao raised his eyebrows and frowned, rarely showing a look of despair in front of Qiao Tan.

"Maybe it's because you are a man. After all, men and women are different. Even if the patient feels uncomfortable, it is difficult to confide in you."

Qiao Tan raised his hand and patted his back to reassure him, "Leave it to me, I will help her relieve the pressure, and then customize a nutritional treatment plan for her to help your endocrinology department heal her disease as soon as possible." Infertility."

"Thank you, Dr. Joe."

Qin Xiao thanked her with a smile, and then led her into the ward to visit the infertile patient.
"Nowadays, many institutions have set up training courses for nutritionists. There are good and bad ones, but no matter whether these courses are professional or not, the people who are trained are not qualified to be called 'nutritionists', at most they can be regarded as dietary experts."

After leaving the ward, Qin Xiao and Qiao Tan chatted slowly as they left.

"Director Qin is right. Don't talk about other knowledge of nutrition. It's not just a simple training class, you can learn the essence of eating, because after the human body eats a certain food, The food will pass through the mouth → throat → esophagus → stomach → duodenum → jejunum... and finally to the anal canal, and in this process, various nutrients in the food will affect various hormones, digestive enzymes, intestinal The cells of the mucous membrane, and the different effects of the liver, kidney and other organs in the body, alone require a lot of medical knowledge for comprehensive research before drawing conclusions. Knowing what food is the most nutritious is only a matter of diet knowledge, not systematic knowledge of nutrition." Qiao Tan nodded in agreement.

"A person who does not understand general medicine, does not know how to process various ingredients and make food, but only learns the theoretical knowledge of nutrition, which cannot be used in practice at all, and there are not many professional nutrition talents like Dr. Qiao in China at present. , so, you have to be careful!"

"Please let it go!"

Suddenly, several figures rushed out and knocked Qiao Tan aside. Fortunately, Qin Xiao had quick eyesight and quick hands, and was able to protect her by his side in time.

"Xiao Bo?"

Qiao Tan leaned against Qin Xiao's arms, looked up, and found that one of them was Wang Xiaobo