Reasoning diagnosis: Big brother, your wife has been prescribed medicine!

Chapter 107 The fat girl with a strange condition! (Please subscribe!)
The water friends in the live broadcast room couldn't help sending out barrage:

"Haha! Is it true? Is it true that there is something stuffed in that place?"

"This buddy can play!"

"It's so good at playing, it's all right!"

"Shock!"

"Am I the only one who wants to know what it is? (Squint smile.JPG)"

"It must be that kind of thing. Otherwise, how could ordinary things get in there?"

"Fuck! The boss is awesome!"

Lin Yi coughed lightly, and continued to ask:

"Tell me, what is it?"

"I………"

"Say it!"

"Camera………"

After the young man finished speaking, Lin Yi and the water friends in the live broadcast room were shocked!
what's that?Camera?
How did the camera get there? !
"Brother, are you...do you want to do a colonoscopy for yourself?"

After a while, Lin Yi looked at him and asked.

As soon as these words came out, the water friends in the live broadcast room burst into laughter:

"Haha! This brother has a very clear mind!"

"Put the camera in and do a colonoscopy for yourself, what a talent!"

"I've improved my knowledge! When I'm free, I'll put my mobile phone on and plug in the video to try!"

"Hahaha! Brother upstairs, I wish you good luck!"

The young man from Lianmai quickly waved his hands and said with a troubled expression:

"No... I'm a reporter."

"I went to shoot a celebrity's party last night, but after being discovered, I was blocked by a group of security guards."

"In desperation, I had no choice but to rush to the toilet and stuff the pinhole camera I was wearing into it..."

After listening to his answer, the water friends in the live broadcast room laughed even more:

"This brother is a paparazzi, this is a celebrity's private life, haha!"

"That's right, just talk about the paparazzi, and we all understand!"

"This buddy will definitely have a bright future with his professionalism!"

"Indeed, this is professionalism, haha!"

"He's a ruthless person, awesome!"

After listening to his answer, Lin Yi also couldn't laugh or cry.

So he spoke immediately and said:
"Brother, let me tell you, turn off Lianmai now, and go to the hospital closest to your home immediately, and let the doctor take it out for you."

"Don't feel embarrassed, and don't think about it so much, you don't have to be sick!"

"Otherwise, if there is any danger in this thing, it will be too late for you to regret it!"

After being told by Lin Yi, the young man also figured it out.

So he nodded quickly and said:

"Okay, anchor, I understand, then I'll go now!"

Afterwards, he hastily hung up the phone.

Lin Yi couldn't help but looked at the screen and shook his head.

It seems that it is unrealistic to expect a few intractable diseases in the live broadcast.

These water friends who come to see a doctor are all here because of the active atmosphere!
After diagnosing these water friends, the number of viewers in Lin Yi's live broadcast room soared a lot.

Afterwards, after Lin Yi connected with a few more water friends, he downloaded the broadcast and went to sleep.

………………

The next day.

Lin Yi went to the hospital as usual.

As soon as he arrived in the office, Wu Jiang immediately said to him:

"Brother Yi, go to the consulting room now. A patient has come. The other consulting rooms are a bit busy, so they are assigned to our consulting room."

"Now Yin Liang is watching her in the consulting room."

Lin Yi frowned slightly after hearing this, and then asked:
"Is it because other clinics are busy that patients are arranged to come to our clinic?"

"Well...No, the patient's situation is still a bit complicated."

Wu Jiang thought for a while and said.

"Okay, I'll go now."

Lin Yi nodded, then changed his clothes and walked directly to the consulting room.

Pushing open the door of the consulting room, I saw Yin Liang was sitting at the table, and opposite him was a young woman who was well-dressed and slim.

Beside her, sat a very obese little girl who looked only fourteen or five years old.

But the whole body feels like a meatball!
Obviously, this young woman should be the mother of the little girl.

After Lin Yi came in, both of them couldn't help turning their heads to look at Lin Yi.

"Brother Yi, you're here."

Yin Liang also hurriedly greeted Lin Yi.

"Well, what's the situation?"

After Lin Yi nodded slightly, he asked him.

"This little girl had a heart attack during gym class at school today."

"Then it was sent to our emergency department. They were supposed to see it in the clinic, but the eldest lady said that the little girl often suffered from muscle soreness, lack of concentration, fatigue and other symptoms in the past year or so."

"So I felt a little complicated, so I asked her to come to our consulting room."

Yin Liang explained to Lin Yi.

After hearing this, Lin Yi looked at the chubby little girl, frowned and said:

"Such a young child has a heart attack, is it hereditary?"

"It's not genetic. No one in our family has heart disease."

As soon as Lin Yi asked the question, her mother immediately shook her head and denied it.

"Not hereditary?"

Lin Yi couldn't help being a little surprised.

Because it is rare for such a young child to have heart disease that is not hereditary.

"Little girl, how old are you this year?"

Afterwards, Lin Yi turned to look at the little girl again, and asked her.

"I'm 13 this year."

The little girl answered truthfully.

Only 13 years old?
It may be due to her relatively obese body, so she looks older than her actual age.

It is unimaginable to suffer from heart disease at the age of 13 without genetic inheritance.

Immediately afterwards, Lin Yi stared at her and said in his heart:
"View Patient Examination Report."

Afterwards, the inspection report screen appeared in front of Lin Yi's eyes.

Lin Yi read each item one by one.

EKG ST-segment elevation...

Creatine kinase test was positive...

Sure enough, it was a heart attack!

At the same time, in the previous examination, the little girl's blood pressure was also very high.

After reading it, Lin Yi couldn't help feeling puzzled.

what is happening?
Although being obese is a precursor to heart disease, she is too young.

Such a small child, even if he is obese, he will not suffer from heart disease!
"Brother Yi, what should we do now?"

Yin Liang didn't have a clue at this time, he didn't know how to find out, so he cast his hopeful eyes on Lin Yi.

Lin Yi thought for a moment, then said:
"Let's start with the etiology of the patient's heart disease first."

"In this way, first take the patient for a glucose clamp."

"Glucose clamp?"

Yin Liang couldn't help asking back.

He couldn't figure out why the little girl had a heart attack, so why did she need to have a glucose clamp.

Because the glucose clamp is the method of detecting insulin secretion and insulin resistance, what does this have to do with heart disease.

"Yes, I want to check for metabolic syndrome first."

Lin Yi nodded, affirming.

"Metabolic syndrome………"

Yin Liang read in his mouth, and after a few seconds, he figured out Lin Yi's intentions.

Indeed, in addition to increasing the risk of stroke and diabetes, metabolic syndrome can also cause heart disease.

One of the symptoms of metabolic syndrome is elevated blood pressure. I saw the report just now showing that the girl had high blood pressure, and other symptoms were also consistent, so Lin Yi thought of this disease first.

Afterwards, Lin Yi turned to Yin Liang and said:

"Let's arrange for them to go through the hospitalization procedures first. In her current situation, she must not be able to go back directly."

"Okay, doctor, thank you!"

Before Yin Liang could speak, the girl's mother nodded her head in agreement.

After everything was done, Yin Liang came to the little girl's ward to prepare for her pre-glucose clamp.

After a while, Lin Yi also came to the ward.

At this time, the little girl's mother was also in the ward, sitting by the bed, staring nervously at Yin Liang's constantly manipulating hands.

"Did you tell the patient's family about the risks of glucose clamp?"

After Lin Yi came in, he asked Yin Liang.

Glucose clamp requires intravenous injection, so that the insulin level in the patient's serum suddenly soars in a short period of time.

And maintain it at this level, and then start to infuse the patient with glucose to keep the blood sugar at a normal level.

Insulin sensitivity was measured by glucose infusion rate.

The higher the perfusion rate, the stronger the insulin sensitivity in the patient.

In this way, it can be judged whether the patient has metabolic syndrome or not.

However, since insulin is a hypoglycemic hormone, it is easy to cause hypoglycemia during glucose clamping, so there is a certain risk.

Yin Liang shook his head and said:
"not yet."

When the mother of the little girl next to her heard this, she immediately asked anxiously:

"Doctor, what does this mean? Is it dangerous to do this test?"

Later, Lin Yi told her about the things that might cause hypoglycemia.

Her hands clutched the corners of her clothes nervously, her heart became tangled, and then she asked cautiously:
"Doctor, if after a short examination, it is found that my daughter has this disease, how about treating her?"

"There is no cure for this disease, because its root is resistance to insulin."

"But you don't have to worry too much. As long as you control your diet and exercise regularly, you can control your condition."

Lin Yi replied directly to her.

After listening, she immediately said:
"So you're saying that this disease is related to diet and exercise?"

"But my daughter's usual diet and exercise are fine!"

"Usually her diet is a scientific diet carefully prepared by me."

"And every night after dinner, I would ask her to go to the playground for a run. The amount of exercise is definitely greater than that of ordinary people."

"If the disease you're talking about has something to do with diet and exercise, then she's definitely fine. So...could it be the disease?"

After she finished speaking, Lin Yi couldn't help being puzzled.

It seems that she is not lying, so this little girl usually eats a reasonable diet and does a lot of exercise, how can she be so fat?
Her mother's figure also looks quite slender.

But after all she said, Lin Yi still wouldn't change his judgment easily.

So he went on to say to the girl's mother:

"Ma'am, even that doesn't make it clear that she doesn't have metabolic syndrome."

"Because judging from her symptoms, the most suitable disease is this metabolic syndrome."

"So it still needs to be checked."

"Is that so..."

The girl's mother lowered her head after hearing this, feeling tangled in her heart.

After a while, she raised her head, looked at Lin Yi and said:

"When I was in another consulting room just now, other doctors saw that my daughter's situation was a bit complicated, so they asked me to come to you."

"So I think your medical skills should be very high."

"Since I've come to look for you, I'll trust you and hand over my daughter to you. Do whatever you think suits you!"

In the end, she directly changed into a desperate tone.

"Okay, thank you for your trust!"

Lin Yi looked at her and nodded vigorously.

Then he turned his head to look at Yin Liang, and said to him:
"Then let the people from the inspection department come over when you are ready."

"it is good!"

Yin Liang agreed, and then continued to do some tests on the little girl.

After confirming that there is no problem, arrange for a doctor from the examination department to come.

Standing outside the ward, Yin Liang looked in the direction of the ward and whispered to Lin Yi:
"Brother Yi, what the little girl's mother said just now should be true."

"Huh? Which ones?"

Seeing Yin Liang saying this to himself suddenly, Lin Yi couldn't help but looked at him suspiciously.

"It's that she said that the little girl eats scientifically every day, and that she exercises regularly."

Yin Liang looked at Lin Yi and said seriously.

Seeing Yin Liang's serious expression, Lin Yi couldn't help laughing.

"No, Brother Yi, what are you laughing at, I'm serious!"

Yin Liang said immediately.

"When will you learn to observe micro-expressions and judge whether she is lying?"

Lin Yi couldn't help asking.

"It's not to observe her micro-expression, but when you were not in the ward just now, she kept telling me how good her daughter is, how she manages her carefully and so on."

"So I think with her character, she will indeed make reasonable arrangements for her daughter's diet and exercise."

As he spoke, Yin Liang couldn't help but shook his head and sighed:

"But it can be seen that she really loves her daughter very much. She is such a perfect person."

"But her daughter is so fat, and I haven't seen her express dissatisfaction with her daughter's figure."

"Are you right, Brother Yi?"

After finishing speaking, Yin Liang looked at Lin Yi.

But Lin Yi didn't reply immediately, but frowned, not knowing what he was thinking about.

"What's the matter, Brother Yi, why don't you talk anymore, what are you thinking?"

Yin Liang didn't expect that he would be so serious when he casually said a few words to him.

"I don't think so."

Lin Yi stared at the ground and said in a deep voice.

"Ah? Maybe what?"

"Her mother doesn't necessarily care about her daughter's obesity. Often the more sensitive and caring in her heart, the more casual and indifferent she is to outsiders."

"It stands to reason that she took the initiative to praise her daughter to you, an unfamiliar person. It can be seen that she pays great attention to her daughter's advantages in all aspects, and is even a little vain."

"It is impossible for a person like her not to care about her daughter's figure."

"Otherwise why would she impose such a strict diet and exercise regime on her daughter?"

"So these behaviors are completely inconsistent with her attitude of not paying attention to her daughter's figure!"

Afterwards, Lin Yi continued to analyze.

"This………"

Seeing Lin Yi start to analyze clearly, Yin Liang didn't know what to say for a while.

I was just talking casually, as for going online like this!
We are treating patients, not reasoning cases!

After a while, Lin Yi also realized that he had lost his composure, so he quickly smiled and said:
"I usually watch too many detective dramas, and I'm making old mistakes. Don't worry about it, haha!"

(End of this chapter)