NovelTags Chapter 516
Chapter 516
The 18th patient...
This is a little girl who looks relatively small, and her mother came with her...
Female, 14 years old, junior high school student.
"Doctor Lin..."
The little girl looked at Lin Feng's eyes and there was light.
Lin Feng looked at the little girl in front of him, and his first reaction was that he was slightly fat, dark skin, and acne on his face...
However, what made Lin Feng couldn't help but pay attention to the waist of the little girl in front of him,
Extra coarse!
This is definitely a huge blow to a little girl who loves beauty.
Lin Feng: "What's wrong?" "
The little girl winced, "That's right, Doctor Lin, I heard that you understand everything... I have a bit of dark skin and I often have acne..."
Pointing to the face, he said with inferiority.
The live broadcast room shouted one after another: "What can be done about this? "Born like this, can it be cured?" "Can lose weight..."
Lin Feng: "Was it like this before?" "
The little girl shook her head repeatedly: "No, I used to be very white, but I don't know why in recent years, my face has turned black, and it is useless to use whitening, and I can't wash it clean!" "
Saying that, he also held the photo from a few years ago to Lin Feng.
A look of distress.
Lin Feng took a look,
The little girl in the photo, white and clean, clear water hibiscus, lightly thin, quite beautiful.
It's very different from the black and fat in front of you.
"Do you have any medical history?"
"Nope."
Lin Feng: "You turn around and show me your neck..."
The little girl turned around.
Lin Feng's gloved hand pulled away the little girl's long hair, revealing her neck.
And then......
What comes into view is,
Black markings...
Melanin deposition...
The has become very rough...
"Acanthosis nigricans"!
Acanthosis nigricans is a skin lesion characterized by brown, velvety, hyperkeratinized plaques.
Very common on the neck.
Regardless of the cause, acanthosis nigricans and skin tags are usually associated with insulin resistance.
Lin Feng suddenly judged:
"Insulin resistance"!
What is insulin resistance?
It refers to the decrease in the efficiency of insulin to promote glucose uptake and utilization for various reasons, and the body compensates for excessive secretion of insulin, resulting in hyperinsulinemia to maintain the stability of blood sugar.
Black neck disease is one of the manifestations of insulin resistance.
As for one of the root causes of insulin resistance: obesity is the most important cause of insulin resistance, especially "central obesity".
What is "central obesity"?
Generally, it refers to the accumulation of fat in the abdomen, usually manifested as an increase in waist circumference (using the waist circumference comparison value as a criterion).
Obviously,
The "thick waist" of the little girl in front of her has reached the standard of central obesity.
Central obesity, also known as visceral obesity, as the name suggests, its excess fat is not only accumulated in the subcutaneous tissue, but more importantly, in the internal organs.
Because the kidneys, liver, pancreas and other vital organs are gathered in the waist and abdomen, if there is too much fat in the waist and abdomen, it will destroy the pancreatic system and increase the risk of high blood pressure, fatty liver, diabetes and other diseases...
Its risk is more dangerous than other ordinary obesity!
And the little girl in front of her, the cause of insulin resistance should be "central obesity".
"You usually like sweets?"
"Yes, I like to drink milk tea..."
"Drink less in the future, and lose weight in addition... Have you checked your blood sugar before? "
"No..."
"Check it out, I suspect you already have diabetes..."
"Huh? ~~~"
At this time, the mother and daughter were shocked.
When the little girl came, she just wanted to see the face, black, acne, how did it become insulin resistance again? Diabetes?
But
The little girl and her mother still trusted Lin Feng very much.
Lin Feng opened a bill and went for a diabetes + insulin test.
......
Next patient,
Female, Zhao Fen, 68 years old...
The old lady was gray-haired and was pushed in by her son in a wheelchair.
It is estimated that the legs cannot walk.
"Doctor Lin, I heard that you are very powerful, I want you to help me see my leg..."
"What's wrong with the legs?"
"Half a year ago I couldn't walk, and then it started to hurt as soon as it was cold... And my hands too..."
As soon as Lin Feng heard this, he immediately thought of gout.
"Show me your hand..."
The old lady slowly reached out to Lin Feng.
I can lift it, but the wrist movement is a little difficult, and it hurts...
"It hurts when it's cold, right? Wouldn't it be hot? "
"No..."
Lin Feng nodded: "It should be a disease like gout... For more than half a year, haven't you seen a doctor? "
The old lady shook her head: "No..."
Lin Feng sweated furiously: "Although the disease of gout cannot be cured, it can be controlled... You just don't take medicine to control it, so you keep accumulating, resulting in inability to walk..."
Old lady: "Doctor Lin, can my leg be restored?" "
Lin Feng: "Yes, take medicine... Just dissolve the uric acid crystals and expel them..."
"Don't you need surgery?"
"I'll see..."
Lin Feng pinched the old lady's knee, and the tophi was not very serious.
Evaluated it and said:
"Let's eat for 2 months... When the time comes, you can walk..."
The old lady was shocked.
"Huh? It's true? "
"Naturally it's true, what did I lie to you for?" Lin Feng said with a smile.
Then asked about the past medical history, Lin Feng prescribed some gout medicine, and ended the diagnosis.
......
Just as Lin Feng was preparing for the next patient,
Then there was a loud scolding from his teacher Zhang Guofeng.
Lin Feng was stunned for a moment.
I got up and walked out quickly.
Come outside,
Then I saw the teacher, Zhang Guofeng, and Director Zhang cursing at a young mother.
Then behind Director Zhang Guofeng,
Nurse Xiao Zheng, a nurse who had just joined the company, was sitting in a chair in horror at this time.
The face is pale.
Lin Feng couldn't help but be stunned.
What happened?
"Do you know it's harmful? In case of infection! Will die! "
Lin Feng was still the first time to see the teacher lose such a big temper, it was simply pointing at the face of the patient's family and cursing.
The young mother was emotional: "It's not because of your doctors, if I say my son is AIDS, you won't treat my son." "
Lin Feng was taken aback!
AIDS?
For hospitals and departments, this is definitely a very serious "occupational exposure incident"!
It is estimated that in the next period of time, the hospital will increase its protection efforts, and all kinds of things will not be less.
The director was already angry at this time: "Your son is a human, but our doctors and nurses are not people?" What if our nurses get infected? You're going to ruin her for the rest of her life! And whoever comes to the hospital is treated equally, without discrimination! When did you discriminate against you? "
。。。。