Zhu Bing's recovery is good day by day. The leadership attaches great importance to it, and now he has enjoyed the treatment that cadres at the department level can enjoy. The single ward, with a special escort, Lu Renjia came to see Zhu Bing every day, although she couldn't cook, but some people stammered, and the gifts in the ward couldn't be put down. The appearance of Lu Renjia made a lot of people with a heart notice something, anyway, many high-ranking people came to visit Zhu Bing.

Lu Renjia and Zhu Bing are really grateful to Zhang Fan now, if it weren't for Zhang Fan, maybe one would have died in Huangquan and the other would have felt guilty for the rest of his life. The director of the thoracic surgery has already explained to the doctor in charge that the patient must report to Zhang Fan if there is any situation! Zhang Fan's position in the surgery department is already very stable, but Zhang Fan wants to cry a little when he thinks of the patient number handed over to him by endocrine.

This so-called endocrine graduation exam is very difficult. The patient is a woman, and she used to be the number one person in the modeling industry in China. She is almost one meter eight tall, her hair is fluttering, her demeanor is charming, her steps are elegant, her curves are charming, and she can be captivating even if she doesn't fall into the city when she looks back and smiles, this is all her before.

Now, it's really miserable, because of emotional reasons, the young girl has become self-defeating, gave up her modeling career, stayed at home and overeaten, and as a result, in three years, the once beautiful youthful, sexy and charming girl has become a big fat girl weighing more than 200 pounds.

Lying on the bed, it looks like a mountain of meat. The once charming melon seed face has also become a steamed bun, and her hair is still the same, but now she really makes people feel greasy.

The girl herself has figured it out, it shouldn't be like this, but overeating is addictive, not that you can lose weight if you want to, and this kind of weight, if you lose weight scientifically, it will really kill you, because the body has adapted to your weight, and sudden changes will definitely make various organs have problems.

Some advertisements say that diet pills are fanciful, and there are also some weight loss companies that specifically say that they are the most scientific way to lose weight. Grasping the idea that people want to lose weight, desperately asking for money, for safety and unhealth, I'm sorry, this is not the scope of their consideration.

Especially for people with super high weight, you can't easily go on a rough diet, because the first thing you consume when dieting is not your fat, but protein. A large amount of protein is consumed, but the weight is not reduced, and then there is a problem, edema, heart failure is accompanied step by step.

After the protein is almost consumed, the organs begin to consume fat in order to save their lives, and then a large amount of decomposed fat enters the liver, and the liver cannot be metabolized at one time, and then it becomes fatty liver. Don't underestimate this fatty liver, if the fatty liver continues to develop, it will be liver cirrhosis, not to mention liver tumors or anything, a liver cirrhosis can make you want to live and die.

Liver cirrhosis, jaundice, hepatic encephalopathy is not to be discussed, let's talk about this vasculature, the liver is an endocrine organ, connecting the functions of the previous and the next.

What is fatty liver cirrhosis, that is, the soft liver is full of fat particles, which blocks all the unobstructed liver lobules, and the veins are not smooth, and then there is a rupture of esophageal varices, the kind of vomiting blood in a big mouth, that is, the veins of the esophagus are broken, and it will kill people. So be sure to lose weight scientifically, don't be reckless, this is not a small matter.

Women, love beauty is human nature, especially young girls pay special attention to their own body shape and image, this group of people is more sensitive to weight loss information, even if the weight is in the normal range, individual people even if the weight is in the normal range to further lose weight, the result is because of improper food restriction and caused by eating disorders, anorexia nervosa or self-vomiting after overeating, etc., this is not a single disease, this has become a mental disorder, and then the development is mental illness, don't laugh, this has many, many cases.

There are two kinds of adipose tissue in human tissues, namely brown fat and white fat, the difference between the former and the latter is that the former is all over the body, rich in blood vessels, has many mitochondria in cells, is innervated by sympathetic nerves, and contains uncoupling proteins.

The treatment of obesity seems simple, but the perseverance required is not as easy as quitting smoking, and the first intervention treatment is to improve eating habits, exercise more, and increase physical activity. In just these few words, there are few people in modern society who can do it for a long time.

Eat less low-energy, low-fat objects and consume protein and carbohydrates in moderation. There is a saying that is particularly classic, what doctors don't let eat is delicious, and what they don't like to eat.

The person who named this former model should also be a master, and he has a strong foresight, because the girl's name is Tangyuan!

It's not easy to treat this girl, because the girl gritted her teeth during the day and said to lose weight, but at night she secretly ate junk food in the quilt like a fat mouse, fried, puffed, and high sugar are her favorites!

If you want to cure the disease, you first have to establish a firm confidence for this round girl, how to establish it, Zhang Fan has no choice. Zhang Fan has no good way, this is not an operation, if it is broken, it will be cut off, this can not be cut, it can only rely on stupid methods, three education a day, half an hour each time, from the harm of obesity to what should be eaten, repeat it in the morning, noon and evening!

Zhang Fan took over and began to give her a designated meal, a reasonable diet is the basis for weight loss, less oil, less salt, less sugar, try to let the round girl drink white water, not drink drinks, this is the general principle, there are more specific things, a reasonable diet can first meet the body's needs for nutrition, but also to make the calorie intake lower than the body's energy consumption, so that a part of the body's fat oxidation consumption, this is the most scientific method, starving half to death, that way is really undesirable.

And there is a trick to the size of the food, just eat some foods with large volume and small energy, a simple data can let everyone understand this matter, one gram of fat provides nine thousand calories of energy, and one gram of protein or one gram of carbohydrates only provides four thousand calories of energy, one or two boiled chicken thighs are much lower than one or two fried chicken thighs, vegetables and fruits are not enough energy.

Zhang Fan made all the preparations, but three days later, he weighed and found that there was no change in the weight of the rice balls. Zhang Fan looked at the director, but the director went to the outpatient clinic arrogantly, without saying a word, Zhang Fan was entangled, and the Tangyuan girl was not comfortable, crying with a sad face.

"Doctor Zhang, am I hopeless!"

"No, what are you, I've seen anything heavier than you!" may have heard too much of this relief, the Tangyuan girl was not happy at all, she was silent, and returned to the ward with her head down, Zhang Fan looked at the girl like Roshan, and she was also helpless in her heart.

What to do, simple treatment is useless at all, and this repeated treatment has also made the tangyuan girl lose a lot of confidence. What should I do? The system does not open internal medicine, and there is no large library in Chasu City, so there is no way to even find a reference book. Zhang Fan, who was lying on the sofa, sighed, this was the first time he felt that there was no way to do it.

"What's wrong?" Zhang Fan sighed while lying on the sofa, and Shao Hua's mother pulled Shao Hua and asked.

"I'm worried about his illness!" Shao Hua said.

The more Zhang Fan thought about it, the more he was out of character, not because he was afraid that the director of endocrinology would not let him out of the department. But as a doctor, if you don't study and don't think, are you worthy of that snow-white uniform?

Zhang Fan thought about it, sat up, and said to Shao Hua and Shao Hua's mother in the kitchen: "Auntie, don't cook my food, I'll go out." ”

"Let's eat and go again! Shao Hua came out of the kitchen and said to Zhang Fan.

"No, I don't have an appetite, I'll go first. Find someone!" Zhang Fan put on his clothes and went out.

Who to go to, of course, the director of endocrinology, the person who asked the question must have the answer. I didn't need to contact him, I drove directly to the house of the director of endocrinology.

In winter, the city is white, and the snow will not melt until the following spring, and in winter, the gardens on both sides of the road are like snow walls, and the snow piles are high.

Dilibair's home is not in the hospital community, she is the original resident of Chasu City, I don't know how many generations have been in the frontier, she has been living in the house of her ancestors, a small courtyard, tiled blue walls, the courtyard wall is full of trees, two stout trees at the door.

After Zhang Fan drove and stopped at the door, he could vaguely see the lights in the yard, and when he was about to take out the phone, the door was opened, and a middle-aged aunt opened the door, and the aunt was not thin, and she stood at the door and blocked the gate directly.

"Balangzi, who are you looking for?" is not very fluent in Chinese.

"Does Director Dilibier live here?" asked Zhang Fan politely.

"Right here, your name is Zang Wan?"

"Eh!Zhang Fan!" Zhang Fan explained with a dark face!

"Come on, my aunt is waiting for you!" In fact, after checking the room in the morning, Dilibair has been waiting for Zhang Fan, she didn't come in the morning, she didn't come at noon, and she still didn't come before getting off work in the evening, just when she was almost disappointed, Zhang Fan chased her to her house.

"You go and take it, and he doesn't have the heart to eat or drink. After Dilibair let his niece out, he said to Zhang Fan: "No matter how you look at it, I think your IQ is not high, but the way you usually show yourself professionally is indeed a genius, why is it so strange!"

"I'd like to do my own research. Zhang Fan said embarrassedly, let people say stupid to their faces, no matter who they are, they will be uncomfortable, but there is no way, their skills are not as good as others, so they have to bear it.

"Hehe, that's right, without a spirit of study, I can't do what I have now, so let's talk about it, what do you think of now. ”

Well, conventional treatment doesn't have any good effect on Tangyuan, and she seems to have lost confidence in this treatment. I thought about it and thought that there was no good way, and in the end I felt that she was so young, and she had to lose weight as soon as possible and integrate into society, so I thought I should give her surgery, a simple gastroplasty, which would make her eat a lot less. ”

Dilibyer, who drank the water, almost squirted the water out. "Is this the result of thinking about it all day and then coming to tell me at night?"

Zhang Fan nodded embarrassedly, "Hey, how can the surgeon's mind be so simple." Although your technical level is already relatively powerful in the grassroots hospital, but you still don't have a sound medical knowledge, this is the idea I got from observing you for a long time, and I don't want to understand how you formed such a deformed medical concept, today let me, an old lady in her old age, give you this lesson. Although Di Libeier is a few doctors, her father has become a high-ranking official in a city, and she is a high-level intellectual, and she is very sinicized, and she values this monarch and ministers, father and son more seriously than some Han people.

Skills can't be taught lightly, she's waiting, she's watching, waiting for Zhang Fan to see if he has this understanding, I'm watching, to see if Zhang Fan has this character. As a result, I waited for a long time and watched for a long time, and waited for a four-like one!

Di Libeier has been talking for a long time, and after waiting for a long time, Zhang Fan is still confused. "Don't you want to study?"

"Oh! Yes! Yes, Teacher, you drink tea!" Zhang Fan finally understood. Although Di Libeier is not satisfied, there is no way, Zhang Fan is quite good, but Zhang Fanzhi is not here, and now his medical thinking is unnaturally close to surgery, so Di Libeier is also helpless!

"When I was in the Soviet Union, I had the privilege of studying with a medical professor for a while, and at that time~~" Dilibel slowly recounted the past. The sparks by the fire jumped and fell quietly, and the old and the young sat around the fire in the middle of the winter night, the older ones wanting to teach what they had learned, while the young ones were engrossed and unwilling to give up a word.

Time slowly passed, and Dilibair's niece looked out the window several times and found that the two had been talking, and the young man was still writing notes.

"That's all for today, I'm tired!" Di Libeier couldn't hold on, one night, more than three hours of telling made Di Libeier struggle with his brains, Zhang Fan asked too strange questions, he knew a lot about anatomy, but he didn't know much about the various factors of internal medicine. However, questions can be explained with surgical thinking and knowledge.

So this night, in fact, the old lady used the ideas of internal medicine to re-establish Zhang Fan's medical ideas.

"I'll give you a massage, my technique is really good!" Zhang Fan was also embarrassed, and let the old lady sit upright for several hours, he also wanted to do something for this respectable old lady.

"No, let's go back. Be careful on the road, and if you still want to listen to my old lady's nagging, you can continue to come back tomorrow. When you have some real treatment ideas for tangyuan, you can be regarded as having a perfect medical mindset. Go for it!"

Zhang Fan slowly retreated out of the house, and Zhang Fan, who was standing at the door of the house, looked up at the starry sky and stretched his waist. This night's study gave Zhang Fan, who did not study hard in college, the opportunity to make up for what he couldn't make up for by himself.