The 18th patient...

This is a little girl who seems to be small, her mother came with her...

· Female, 14 years old, junior high school student.

"Doctor Lin..."

The little girl looked at Lin Feng's eyes, there was light.

Lin Feng looked at the little girl in front of him. The first reaction was that she was slightly fat, with dark skin and acne on her face...

However, Lin Feng couldn’t help but pay attention to the waist of the little girl in front of him.

Very rough!

This is definitely a huge blow to a little girl who loves beauty.

Lin Feng: "What's wrong?"

The little girl cowered and said: "That's it, Dr. Lin, I heard that you know everything... My skin is a bit dark, and I often get acne..."

Pointing to the face, he said with inferiority.

The live broadcast rooms shouted: "What can I do?" "It's natural to be like this, can it be cured?" "Can lose weight..."

Lin Feng: "Is it the same before?"

The little girl shook her head repeatedly: "No, I used to be very white, but I don't know why my face has turned black in recent years. Whitening is useless. No matter how the scene is, I can't wash it clean!"

With that said, I showed Lin Feng a photo of a few years ago.

A distressed look.

Lin Feng took a look,

160   The little girl in the photo is white and pure, with clear water lotus, lightly thin and pretty.

It is very different from the black and fat in front of me.

"Do you have any medical history?"

"No."

Lin Feng: "You turn around and show me your neck..."

The little girl turned around.

Lin Feng's gloved hands pulled away the girl's long hair, exposing her neck.

Then……

What catches the eye is,

Black markings...

Melanosis...

The horny skin has become very rough...

"Acanthosis nigricans"!

Acanthosis nigricans is a skin lesion characterized by brown, velvety, hyperkeratotic plaques.

Very common on the neck.

Regardless of the cause, acanthosis nigricans and skin tags are usually related to insulin resistance.

Lin Feng suddenly judged:

"Insulin resistance"!

What is insulin resistance?

It refers to various reasons that reduce the efficiency of insulin in promoting glucose uptake and utilization, compensatory secretion of excessive insulin by the body, resulting in hyperinsulinemia, in order to maintain the stability of blood sugar.

Black neck disease is one of the manifestations of insulin resistance (aicd).

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 refers to the accumulation of fat in the abdomen, which is usually expressed as an increase in waist circumference (using the waist circumference comparison value as the criterion).

obviously,

The "thick waist" of the little girl in front of me has reached the standard of central obesity.

Central obesity is also called visceral obesity. As the name suggests, its excessive fat is not only accumulated in the subcutaneous tissue, but more importantly, accumulated in the internal organs.

Because the kidneys, liver, pancreas and other important organs are gathered in the waist and abdomen, too much fat in the waist and abdomen will destroy the pancreas system and increase the risk of diseases such as high blood pressure, fatty liver, diabetes...

Its risk is more dangerous than other ordinary obesity!

For the little girl in front of her, the cause of insulin resistance should be "central obesity."

"Do you usually like to eat sweets?"

"Yes, I like to drink milk tea..."

"Drink less in the future, and lose weight... Have you checked your blood sugar before?"

"No……"

"Check it, I suspect you already have diabetes..."

"Huh?~~~"

This time, the mother and daughter were shocked.

When the little girl came, she just wanted to see her face, blackness, and acne. Why did she become insulin resistant again? diabetes?

but,

The little girl and her mother still trust Lin Feng very much.

Lin Feng issued an order to do a diabetes + insulin check.

...

The 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 good, I want you to help me see my leg..."

"What happened to the legs?"

"I couldn't walk half a year ago, and then it started to hurt when the weather was cold... and my hands too..."

When Lin Feng heard this, he immediately thought of gout.

"Show me your hand..."

The old lady slowly stretched out her hand to Lin Feng.

I can lift it up, but the wrist movement is a bit difficult and painful...

"It hurts when the weather is cold, right? It doesn't hurt when the weather is hot?"

"will not……"

Lin Feng nodded: "It should be gout or something like...More than half a year, haven't you seen a doctor?"

The old lady shook her head: "No..."

Lin Feng sweats wildly: "Although gout cannot be cured, it can be controlled... You just don't take medicine to control it, and it keeps accumulating, making it impossible to walk..."

Old lady: "Doctor Lin, can my leg recover?"

Lin Feng: "Yes, take medicine...just dissolve the uric acid crystals and expel them..."

"No need for surgery?"

"Let me see……"

Lin Feng squeezed the old lady's knee, the tophi is not very serious.

After evaluating it, he said:

"Eat for 2 months... then you can walk..."

The old lady was taken aback.

"Huh? Really?"

"Naturally it is true, what did I lie to you for?" Lin Feng smiled.

Then, after asking about the 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 curse from his teacher Zhang Guofeng.

Lin Feng was stunned for a moment.

Get up and walk out quickly.

Come outside,

Then I saw the teacher, Director Zhang Guofeng, cursing at a young mother.

Then behind Director Zhang Guofeng,

Nurse Xiao Zheng, a nurse who has just been employed not long ago, was sitting in a chair in horror at this time.

His face turned pale.

Lin Feng couldn't help being stunned.

what happened?

"Do you know this is harmful? In case of infection! It will be dead!"

It was the first time that Lin Feng saw a teacher having such a big temper. He pointed to the face of the patient's family member and cursed.

The young mother was emotional: "It is not because of your doctor. If I say that my son is AIDS, you will not treat my son."

Lin Feng was shocked!

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 protection, and there will be no shortage of various things.

The director was already furious at this time: "Your son is a human, but our doctors and nurses are not humans? What if our nurse is infected? You will ruin her forever! And whoever comes to the hospital will be treated equally and without discrimination! When did you discriminate against you?"

. . . . .

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