godfather of surgery

Chapter 459 Fatty's Health Lecture

Gout is a medical disease that rarely requires surgical intervention.

But in this patient, there are not only many gout nodules all over the body, but also large ones. The skin of several gout nodules can't hold on, and they rupture on their own, forming long-lasting wounds. At this time, without surgical intervention, the wounds can hardly heal.

Because gout nodules are covered with uric acid crystals, human tissues are eroded by uric acid crystals, resulting in extremely poor healing ability of the wound, or even no healing ability. Even if surgery is performed, the wound will not heal and will continue to ooze.

Gout can develop to this point, generally because the patient does not pay attention to it.

Some patients think that gout does not need treatment. Anyway, sometimes it hurts and sometimes it doesn’t.

There are also some patients who feel that gout needs to be treated, but in order to be treated, they must take medicine. They think that the medicine has side effects, and they are afraid of worrying about the side effects of the medicine, so they procrastinate and procrastinate until it is impossible to deal with it.

Gout is a disease, and if it is a disease, it must be cured. Diet adjustment can also be regarded as a treatment method, but it is only limited to patients with hyperuricemia without gout attacks, or early mild gout patients.

The vast majority of gout cases require medical intervention, drugs that lower the levels of uric acid in the blood.

In the human body, uric acid is the final metabolite of purines.

In gout patients, there is a malfunction in purine metabolism, so its metabolite uric acid increases, and this malfunction is often irreparable.

"Fatty, you should be a gout expert. If you have time, you can educate everyone about gout." After seeing this patient, Yang Ping felt that it was necessary to educate everyone about this disease.

The hospital holds weekly health classes at the Sanbo Hotel, which are lectures on popular science knowledge about health. The audience is generally hospital staff, inpatients, or their family members.

Fatty Liang once recommended himself to the medical office, hoping to take on the popularization of gout, but in accordance with the principle of specializing in specialists, the medical office rejected Fatty's request and handed over the gout class to endocrinologists.

The fat man went to the endocrinologist's class and was very disappointed. He felt that it was not popular enough, not earthy enough, and did not mention the pain point.

Now Yang Ping proposes to let him give lectures on gout, and he is eager to try.

"It's better to hit the day than to choose a day. Anyway, I'm free now, so how about giving a lecture now? If possible, we recommend you to go to the health lecture at Sanbo Hotel?"

Xiao Wu was very interested because his father-in-law was a gout patient. Every time he asked Fatty about it, he gained some bits and pieces of knowledge. He always hoped that Fatty could give a formal lecture. He knew that Fatty really knew about gout.

"How about? Now? In our demonstration classroom?" Zhang Lin also supported, his father's blood uric acid was high every time he had a physical examination.

"Fatty, I'm not ready for the lecture now, okay? If the lecture is good, I recommend you to go to the health lecture." Yang Ping encouraged him.

With Yang Ping's recommendation, let the medical office show some face, go to the health lecture hall to show off, this is Fatty Liang's dream.

"Okay! Since everyone appreciates it, it is better to hit the sun than to choose a day. Give me half an hour, no, an hour. I will give you popular science. When it comes to gout, I have a deep pain, so Xiaosheng collected the world's papers and monographs and studied them carefully. Then take yourself as the research object, accumulate over time, achieve a little bit of success, and make a fool of yourself today." Fatty Liang cupped his hands.

Xiao Wu Zhang Lin immediately supported, and Zhang Lin yelled: "Let's prepare, right away, right away, everyone, Liang Jing, the gout leader of Sanbo Hospital, will give a lecture. Come and listen to the class, a class will make you gout without asking for help."

Hyperuricemia, increased blood uric acid, but does not cause gout symptoms, can be regarded as the pre-gout state.

If the blood uric acid increases and the symptoms of gout appear again, the official diagnosis of "gout" will be announced.

Immediately, everyone crowded into the demonstration classroom, and the regular trainees and interns all told each other—the general surgery lecture.

It doesn't matter what you talk about or who talks about it. The key is that general surgery gives lectures, and you must listen to them as long as you have time.

The topic is about gout, the anesthetist is the speaker, it doesn't matter!
The important thing is that the anesthesiologist is a fat man and he is a gout patient, so when the news spread, everyone immediately put down their work and gathered in the general surgery department.

Most of the students who arrived at the demonstration classroom first were obese students, in order to occupy a good position.

Unexpectedly, the impromptu lecture attracted so many people. It seems that the potential scale of gout patients is extremely powerful.

Fatty stood on the stage, feeling a bit overwhelmed by the situation, coughing dryly into the microphone, ready to speak.

"Today, I will tell you about gout. I am both a doctor and a gout patient, so I am the most qualified and most obliged to give this class."

"Let me say this bluntly, half of you sitting here don't understand gout, and the other half understand gout, all of them are OUT."

"Of course, the statistical scope does not include Dr. Yang."

Although all of you here are regular trainees, interns, graduate students, and young doctors, they all have dignity. Who do you look down on? Who hasn’t read the chapter on gout in internal medicine?

For lectures, in order to attract attention, it is necessary to properly engage in headline parties.

"At present, the number of patients with hyperuricemia in China has exceeded 10 million. What is the concept of [-] million? Brothers, about [-] people have hyperuricemia. The person with high uric acid raised his right hand, and someone in the family with high uric acid raised his right hand. left hand."

A lot of hands were immediately raised in the venue, no need to count, those who attended the class today were not for themselves, but for their families.

"I won't repeat the definitions of hyperuricemia and gout. They can be regarded as two different stages of the same disease."

"In a word, hyperuricemia and gout mean that the body's metabolism of purine is malfunctioning. Uric acid is a product of purine metabolism. If there is a problem with purine metabolism, blood uric acid will increase. When blood tests show that uric acid is increasing, but you have never had a bad disease. It feels like hyperuricemia; a blood test shows an increase in uric acid, and you have symptoms of gout, which is gout.”

"There is a problem with purine metabolism, uric acid increases, and it cannot be excreted. When the uric acid content in the blood exceeds a certain level, uric acid crystals will be precipitated. It is similar to middle school chemistry knowledge that salt crystals will be precipitated if the salt water is too thick. The reason is the same. This crystal erosion and It irritates the surrounding tissue, triggering gout symptoms."

Fatty Liang was still a little surprised, and everyone started to get into the mood.

"Many people think that gout is caused by eating. They think that it is high-purine food, such as eating too much seafood, so they get gout. Wrong! Big mistake!"

Fatty Liang looked distressed, and the atmosphere in the venue was immediately mobilized.

At this level, you can go to CCTV.

"Many people are diagnosed with gout for the first time, and they are very surprised: I don't eat seafood or drink beer, how can I get gout? Some people follow this logic: I have strictly followed the gout diet, quit seafood, animal offal, beer, Soy products, etc., why is the gout still not cured?"

"Gout has nothing to do with what you eat. It's not that you eat too much seafood, you get gout; it's because you have gout, so you can't eat a lot of seafood. Seafood is just an inducement. You have already got gout, and you eat too much seafood. , just induced the symptoms of gout.”

"Then since gout is not caused by eating, do I still need to hold the recipes, don't eat this, don't eat that, and live an ascetic life?"

The fat man asked the crowd.

Everyone responded immediately: "Yes, do you want to avoid it?"

In everyone's knowledge, it is a matter of course that gout should be taboo.

"Very well, let me start with the point of whether gout should be tabooed or not. I will tell you responsibly that gout does not need strict taboos. You can eat seafood, chicken, duck and fish. You don't eat this, you don't eat that, What you avoid is precisely high-protein foods. If you lose a balanced diet, your uric acid will be higher. A balanced diet will help lower your uric acid.” The fat man said confidently.

His conclusion is not a grandstanding, but a conclusion obtained from reading the latest research results on gout.

Such a novel argument, of course, attracted everyone's attention and concentrated their attention.

"The human body's purine, 80.00% comes from endogenous body metabolism, only 20.00% comes from exogenous food.

The rise of uric acid is not because you eat too much high-purine food, but because your purine metabolism is malfunctioning.

So, what you eat has very little effect on the purines in your body.

At the same time, there is a dynamic balance system of purine in the human body. If you eat more purine food, the endogenous source will decrease; if you eat less purine food, the endogenous source will increase, so as to maintain a dynamic balance.

The food you eat from your mouth has very little effect on purines, how small is it, about 5% of the effect.

According to a gout recipe to avoid food, not only will it not have much effect on lowering uric acid, but it will also cause some side effects due to an unbalanced diet.

Therefore, in terms of diet, the most important thing for gout patients is a balanced diet, not a partial eclipse, and eat vegetables, fruits, chicken, duck, and fish.

Dieters who strictly follow the gout diet can generally only reduce uric acid by 50mmol/l, while those who eat a balanced diet without taboos can reduce it by 100mmol/l.

But remember, a balanced diet is not an unrestricted diet, and you will burp if you drink too much water. "

Fatty Liang talked endlessly, telling everyone how to abandon the outdated concept of dieting and establish a new concept of balanced diet.

For gout, I have summed up a few golden rules. For ordinary people, I will not tell him, so everyone should take notes.

"do not drink,

No sugary drinks,

eat less salt,

Let go of fruits and vegetables,
Seafood, meat, eggs, fish and poultry, etc. should be eaten normally, without taboos or excessive amounts.

You have to exercise, you have to sweat, you have to lose weight, or it's all just a dream.

Drink plenty of water and urinate more, this red stroke is the key point.

Exercise, lose weight, drink water, and eat a balanced diet, but the uric acid is still very high. In addition to continuing to maintain the above points, take medicine decisively. "

These few simple rules are much better than dense gout recipes.

Although Fatty Liang is an anesthesiologist, this is not a problem when Huaxi's doctor is concentrating on researching gout.

His easy-to-understand new arguments are well-founded and supported by scientific data, not hearsay.

"Then if you have to take medicine, how do you choose the medicine?" Xiao Wu was very anxious.

He knows Fatty very well, and the things that Fatty will devote energy to research are very reliable.

　I'm going to attend an academic meeting this weekend, and the schedule may be a little looser next week. During this period of time, the update is not good, and I bow and apologize to everyone! ! !I am too busy! ! !thank you all.In the big plot of the story, some medical science popularization knowledge should be properly interspersed, which should not affect the main plot, and can also play a certain role in hardcore science popularization.

　　
　
(End of this chapter)