The Godfather of Surgery

Gout is a medical condition that rarely requires surgical intervention.

However, in this patient, the gout nodules all over the body were not only numerous, but also large. The skin of several gout nodules could not hold up and collapsed on their own, forming a long-lasting wound. At this time, without surgical intervention, the wound could hardly heal.

Because the gout nodules are full of uric acid crystals, the human tissue is eroded by uric acid crystals, resulting in extremely poor healing ability, or even no healing ability.

The fact that gout can develop to such a level is usually the reason why the patient does not pay attention to it.

Some patients feel that gout does not need treatment. Anyway, sometimes it hurts, sometimes it doesn't, the pain is less, the pain is more, and the pain is just like a normal person, so there is no need for treatment.

There are also some patients who feel that gout needs treatment, but 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.

Gout is a disease, and it needs to be treated. The adjustment of diet is also a kind of treatment method, but it is only limited to patients with hyperuricemia without gout attack, or patients with mild gout in the early stage.

The vast majority of gout requires drug intervention, which is used to lower the level of uric acid in the blood.

Internally, uric acid is the final metabolite of purines.

In gout patients, purine metabolism malfunctions, 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 share with everyone the knowledge of gout." After reading this patient, Yang Ping felt that it was necessary to share some knowledge about this disease with everyone.

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

Liang Fatzi once recommended himself to the medical office, hoping to undertake the popularization of gout, but following the principle of specialized teaching, the medical office rejected Fatzi's request and gave the gout lesson to an endocrinologist.

Fatty went to the endocrinologist's class and was very disappointed. He felt that it was not popular enough, not local enough, and did not mention the pain points.

Now Yang Ping proposed to let him give lectures on gout, and he was eager to try it.

"Choosing a day is worse than hitting the day. Anyway, if you are free now, how about giving a lecture now? If possible, we recommend you to go to the health lecture hall of the Sanbo Hotel?"

Xiao Wu is very interested because his father-in-law is a gout patient. Every time he asks Fatty to get a little bit of knowledge, he always hopes that Fatty can give a formal lecture. He knows that Fatty really knows something about gout.

"Why not? Now? Tell us in our classroom?" Zhang Lin also supported. Every time his father had a physical examination, his blood uric acid was high.

"Fatty, I'm not ready to give a lecture now, okay? If you teach well, I recommend you to go to the health lecture." Yang Ping encouraged him.

With Yang Ping's recommendation, give some face to the medical department and go to the health lecture hall to show off. This is what Fatty Liang dreamed of.

"Okay! Since everyone praises it, it's better to choose a day than hit the sun, give me half an hour, no, an hour, I will give you popular science, when it comes to gout, I have pain in my skin, so Xiaosheng collected the world's papers and monographs and studied them carefully. Then take myself as the research object, accumulate over time, and make a small achievement, and today I will show my ugliness." Liang Fatzi handed over.

Xiaowu Zhang Lin immediately supported, Zhang Lin shouted: "Let's prepare, immediately, immediately, everyone, Liang Jing, the gout leader of Sanbo Hospital, is giving a lecture, all of which are dry goods. If you have hyperuricemia and gout in your family, they are all called Come and listen to the class, a class will make you gout without asking for help."

Hyperuricemia, an increase in blood uric acid without causing gout symptoms, can be regarded as a pre-stage state of gout.

If the blood uric acid increases and the symptoms of gout appear again, the official diagnosis of "gout" is declared.

Immediately, everyone crowded into the classroom, and the trainees and interns all told each other that the general surgery was going to be a lecture.

It doesn't matter who talks about what, the key is the general surgery lecture, as long as you have time, you must listen to it.

The topic is about gout, the anesthesiologist is the keynote 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 came out, everyone immediately put down their work and gathered in the general surgery department.

The first to arrive in the classroom, most of them are 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 strong.

Fatty stood on the stage, unable to hold back the scene, he coughed a few times 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 most qualified and obliged to teach this class."

"I'll say something unceremoniously. Half of the people sitting here don't know about gout, and the other half know about gout. All of them are out."

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

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

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

"At present, there are more than 100 million hyperuricemia patients in China. What is the concept of 100 million? Brothers, there is one hyperuricemia in about 10 people. The person with high uric acid raises his right hand, and someone in the family raises it with high uric acid. Left hand."

Immediately, many hands were raised in the venue, no need to count. Today's lectures are not for themselves, but for their family.

"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 are the failure of the human body's metabolism of purines. Uric acid is a product of purine metabolism. If there is a problem with purine metabolism, blood uric acid will increase. When the blood test shows that uric acid is increased, but you have never been bad. If you feel it, it’s called hyperuricemia; if a blood test shows an increase in uric acid, if you have symptoms of gout, it’s gout.”

"There is a problem in 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. Like high school chemistry knowledge, salt crystals will be precipitated when the salt water is too concentrated. It irritates surrounding tissues and triggers gout symptoms."

Fatty Liang still had some expectations, and everyone began to enter the state.

"Many people think that gout is caused by eating, and that it is high purine food, such as eating too much seafood, so you get gout, that's wrong! It's a big mistake!"

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

This level can be used on CCTV.

"Many people were diagnosed with gout for the first time and were 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 recipe, quitting seafood, animal offal, beer, Soy products, etc., why is the gout not cured?"

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

"Then, since gout doesn't come from eating, I still need to hold the recipe, and I won't eat this or that, and live an ascetic life?"

The fat man questioned the crowd.

Everyone immediately responded: "Yes, then should we avoid food?"

In everyone's knowledge, gout taboo is a matter of course.

"Very good, I will start with the point of whether to avoid gout. I will tell you responsibly that there is no need to strictly avoid gout. You can eat seafood, chicken, duck, and fish. You can eat either this or that. What you avoid is precisely high-protein foods. If the nutrition of the diet is unbalanced, the uric acid will be higher. Maintaining a balanced diet is more conducive to the reduction of uric acid." The fat man said confidently.

His conclusion is not grandstanding, but the conclusion of reading the latest research results on gout.

Such a novel argument, of course, attracts everyone's attention and concentrates one by one.

"Eighty percent of the purines in the human body come from endogenous body metabolism, and only 20 percent come from exogenous food.

Elevated uric acid is not because you eat too many foods high in purine, but because your purine metabolism is malfunctioning.

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

At the same time, there is a dynamic balance system of purine in the human body. If your purine food increases, the endogenous source will decrease; if the purine food you eat decreases, the endogenous source will increase, thus maintaining a dynamic balance.

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

Following a gout recipe to avoid food will not only have little effect on reducing uric acid, but also cause some side effects due to an unbalanced diet.

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

A dieter who strictly follows the gout recipe can generally only reduce uric acid by 50ummol/l, while a balanced diet without a taboo can reduce it by 100mmol/l.

But remember, a balanced diet is not an uncontrolled diet. Drinking too much water can cause hiccups. "

Fatty Liang took a breath and gushed endlessly, telling everyone how to abandon the outdated diet concept and establish a new balanced diet concept.

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

"do not drink,

Do not drink sugary drinks,

eat less salt,

Let go of vegetables and fruits,

Seafood, meat, eggs, fish and poultry, etc., eat normally, do not avoid food, do not overdo it.

You have to exercise, you have to sweat, you have to lose weight, or everything is a dream.

Drink more water, pee more, this is the key point of the red stroke.

Exercising, losing weight, drinking water, and eating a balanced diet, uric acid is still very high, in addition to continuing to maintain the above points, take medicine decisively. "

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

Although Fatty Liang is an anesthesiologist, Dr. Huaxi is not a problem when he is concentrating on gout research.

His new easy-to-understand arguments are well-founded and supported by scientific data, rather than hearsay.

"If you have to take medication, how do you choose to use it?" Xiao Wu was very anxious.

He knows Fatty very well, and the things that Fatty should invest his energy in research are still very reliable.

I am going to attend an academic conference this weekend. Next week, the time may be a little looser. The update is not good during this time. I bow and apologize to everyone! ! ! I can't be too busy! ! ! thank you all. In the plot of the story, some medical science knowledge is appropriately interspersed, which should not affect the main plot, and can also play a certain role in hard-core science.