Medical road ahead

"Hey! Why are there a group of fat people here?"

"What's going on? Why are so many fat people coming to the hospital?"

"A hospital is not a weight loss center."

After the police caught the person in charge of "Get Thin Fast", the group of fat people who participated in the weight loss training finally asked for their registration fees back, and led by Qiao Tan, they came to the Affiliated Hospital of C University together to prepare for a General physical examination.

After all, obesity is not only an aesthetic problem, but also a signal of disease in the body. That's why Qiao Tan suggested that they come to the hospital with him for an examination, treat them if they are sick, and continue to lose weight according to scientific methods if they are not sick.

However, when the ten or so fat men with an average weight of 200 jins entered the hospital, they immediately attracted everyone around them to watch and comment curiously. During the period, there were also some unfriendly remarks, which made Qiao Tan frown and was about to call for a stop , and heard a fat man named Li Bin angrily counterattack: "What's wrong with us being fat? Have you eaten your rice? Has it affected the country's economic development?"

"We are fat is our own business, what does it have to do with you?"

Song Jiaxuan immediately agreed, and the others also looked angrily.

"Uh"

Seeing this scene, the surrounding audience quickly dispersed.

"Okay, let's go directly to the endocrinology department."

Qiao Tan patted Song Jiaxuan on the back, and led them straight to the endocrinology department.

Li Bin asked: "Don't we need to register?"

Qiao Tan shook his head with a smile, "I'll take you through the back door."

"Haha! Okay, follow Dr. Qiao through the back door."

Li Bin laughed out loud, and the big guy quickly forgot the unhappiness just now, and followed Qiao Tan to the endocrinology department.

On the way, Xue Hui raised her own doubts: "Dr. Qiao, didn't you say to have a comprehensive physical examination? Why go to the endocrinology department first?"

Qiao Tan explained: "There are too many of you, and the physical examination needs to be scheduled. Before confirming the specific time, I want to take you to check the endocrine problems first, because endocrine disorders can also lead to obesity, especially for women."

"So it is."

Xue Hui nodded clearly, and then said: "My aunt is not normal, I don't know if there is something wrong with endocrine."

"You'll know after the inspection."

Qiao Tan smiled at her.

"Doctor Qiao, are you here to increase the performance of our department?"

When Huang Zhi saw Qiao Tan leading a dozen or so fat people into the consultation area of ​​the Endocrinology Department, she was surprised at first, and then joked.

"Yes!"

Qiao Tan nodded with a smile, pulled Huang Zhi and said in a low voice, "They are all victims of 'slimming fast', and I brought them here this time because I want you to help check whether they have endocrine diseases. "

"understood."

Huang Zhi nodded solemnly, and then said: "But there are too many people, I have to allocate them properly, otherwise, other patients will be delayed."

"Well, then I'll trouble you to arrange it." Qiao Tan nodded with a smile.

"This is?"

Qin Xiao, who returned from the men's room, was about to walk towards his consulting room when he was blocked by a group of fat people who stood taller.

"Director Qin, Dr. Qiao has brought the patient over."

Huang Zhi smiled and waved to him, then showed an ambiguous smile.

"Oh?"

Hearing this, Qin Xiao raised his eyes and looked at Qiao Tan across the air, then turned his head to look at those fat people who were slightly cramped, and guessed in his heart: Could it be the group of customers who were cheated by "thin fast", right?

"Cough! Everyone sit down first."

Qin Xiao quickly withdrew his thoughts, motioned everyone to take a seat in the consultation area, then strode towards Qiao Tan, and asked, "The client who is 'thinning fast'?"

"Correct."

Qiao Tan nodded and explained: "I arranged physical examinations for them, but the physical examination center has not yet set a time, so I brought them to check the endocrine first. I found that several people have endocrine disorders."

"Okay, let me arrange it." Qin Xiao nodded.

Seeing this, Huang Zhi smiled and said, "Since Director Qin is here, then I won't interfere, and I'll go get busy first."

After finishing speaking, he turned his head and blinked at Qiao Tan, then quickly returned to his consulting room.

Qiao Tan scratched his cheek and asked Qin Xiao, "Bringing so many people here suddenly, will it cause trouble for you?"

"I like it when you give me trouble."

Qin Xiao smiled, quickly stretched out his hand and squeezed her palm, and then arranged for Liu Yiyan and others to come over and inspect these fat people one by one.

Afterwards, while observing, he popularized science to everyone: "There are many causes of obesity, some are physiological, and some are pathological. If it's the former, just follow the weight loss method of nutritional science. If it's the latter , then it’s not just a matter of weight loss, but also treatment.”

"Then what is morbid obesity?" Song Jiaxuan asked.

Qin Xiao replied: "The following 10 abnormalities appear in obese people, which means that there is endocrine dysfunction.

The first is acanthosis nigricans, which manifests as pigmentation and keratin hyperplasia on the back of the neck or underarms, and verrucous protrusions in severe cases. "

Someone asked, "Isn't this a sign of malignancy?"

Qin Xiao waved his hands and explained, "Very few cases of acanthosis nigricans are related to genetics or malignant tumors, but most of them are caused by excessive obesity accompanied by endocrine disorders. This is related to hyperinsulinemia. , lipid metabolism disorders and other diseases. In addition, it may also be related to autoimmune diseases, or women's polycystic ovary syndrome.

The second type is fusiform lavender stripes on both sides of the abdomen and inner thighs, which is a signal of increased cortisol, which may be accompanied by pituitary and adrenal gland lesions. If not controlled, it will lead to osteoporosis, Hypertension, hypokalemia.

The third is breast development in men. This phenomenon often occurs in people who like to eat fried food and drink high-carbonated drinks. genetic disease.

The fourth is that women have menstrual disorders, or even amenorrhea during the childbearing age.Because normal fat is essential to maintain the effect of estrogen, and obesity or inappropriate weight loss may cause endocrine changes, which will be reflected in the menstrual cycle, and even lead to infertility.

The fifth is sleep apnea syndrome.Many people mistakenly think that a wide body, a fat body, and a sound sleep are a sign of good health. They don’t know that lethargy is actually due to excessive accumulation of fat, which restricts lung expansion, reduces oxygen exchange, and causes hypoxemia. Drowsy during the day, unable to concentrate.If this happens for a long time, it will lead to cerebral ischemia, hypoxia, and eventually cardiopulmonary failure.And if this happens to obese people, it will also affect growth and development.

The sixth is fatty liver.This kind of non-alcoholic fatty liver is easy to be ignored. By the time it is diagnosed by B-ultrasound, it is often already serious, accompanied by signs of liver function damage such as elevated transaminases.If fatty liver occurs in obese children and is not treated in time, more than 30% of them will develop liver cell necrosis and liver fibrosis.

The seventh is hairy.If obesity with hirsutism occurs in children, it is necessary to consider the possibility of genetic diseases or abnormal gonad development, while obesity with hirsutism and precocious puberty, chromosome and endocrine examination should be done; when obesity with hirsutism occurs in young women, if at the same time In the case of menstrual disorders, infertility, and habitual abortion, the possibility of polycystic ovary syndrome should be considered; when it occurs in women over 30 years old or postmenopausal, there is often high blood pressure or diabetes, and this situation should be treated in time Adrenal-related examinations to rule out the possibility of tumors.

The eighth type is yellowing of the skin and swollen eyelids. When this happens to obese women after childbirth or before and after menopause, they may also experience general weakness, chest tightness, shortness of breath, and stiff hands and feet. The possibility of thyroiditis or hypothyroidism should be considered.

The ninth is appetite change, especially when obese children have abnormal appetite and always feel that they are not full, they should be particularly vigilant. It is necessary to consider whether there is hypothalamic syndrome, and do glucose tolerance and other tests to find out related symptoms in time. disease.

The tenth type is thickening of the waistline. The weight exceeds the standard by a small amount, even below the standard line, but the waistline is obviously thickened, and there are often complications such as diabetes, dyslipidemia, and coronary heart disease.For men with a waist circumference of more than 90 cm and women with a waist circumference of more than 85 cm, the medical profession calls it visceral obesity, or triglyceride waist. The pathological basis of this type of obesity is mainly insulin resistance.

Therefore, if you compare your obesity status with these ten items, you can probably know whether you are ordinary obese or morbidly obese. "

"We can't remember it for a while! Can we write it down?" Li Bin asked with a frown.

Qin Xiao rubbed his forehead and smiled, "Okay!"