Thinking of the conflict between doctors and patients, Lu Tianyu couldn't help but sigh slightly, he thought of a news he saw last night: in a southern province, a male patient suddenly picked up the glass bottle of the sputum aspirator and smashed it on the head of an eighteen-year-old female nurse, and then continued to commit murder with glass shards, causing the female nurse to break her tendons and laceration her scalp.

Such a tragedy has happened more than once, and there are far more than one or two medical personnel killed or injured, but no one is confident when the tragedy will end.

Seeing Lu Tianyu's thoughtful look, Chen Min was curious, so he asked, "Doctor Lu, what are you thinking?" ”

"Oh, didn't think much of it. Mr. Chen, let's talk about your son, what hobbies does he usually have? Lu Tianyu collected his heavy heart and began to inquire about Xiao Liangliang's condition.

Lu Tianyu's question caused Chen Min to sigh, "Hey, my family is bright, and one of my biggest hobbies is eating." ”

Next, Lu Tianyu listened to the growth process of a snack and a little chubby child.

Xiao Liangliang is Chen Min's only son, before the age of five, this child was normal, his height and weight were about the same as children of the same age, but since that summer, I don't know what the reason, he suddenly liked ice cream, and he had to eat several sticks every day.

Chen Min and his lover didn't pay attention to this, and the two of them had to worry about various things in the company all day long, so they didn't restrict their son from eating ice cream. Since then, Xiao Liangliang has contracted the bad habit of loving snacks, and his appetite has grown. By the time I was six years old. A lunch. A person can eat a KFC family bucket and eat more than twice as much as his peers.

With the sharp increase in appetite, Xiao Liangliang's weight also rose, forty kilograms, fifty kilograms, sixty kilograms, and even seventy kilograms, almost one step a year, from a cute little boy with pearls and jade, to a little fat dun full of fat.

In the meantime. Chen Min and his lover also discovered the abnormal changes in the child's weight, on the one hand, they tried their best to control Xiao Liangliang's diet, on the other hand, they forced him to lose weight, and even spent a lot of money to let him participate in two weight loss summer camps, but with little effect. During the summer camp, the weight was lost, but after the summer camp ended, it returned to its original state within half a month, which made Chen Min and his wife very sad.

After listening to Chen Min's narration. Lu Tianyu said secretly in his heart: "It seems that as Director Liang said, the root of Xiao Liangliang's illness is above this obesity nine times out of ten." ”

Lu Tianyu and Chen Min chatted at the bedside. Xiao Liangliang on the hospital bed had a sullen face, pouting, twisting his head, looking out the window, and he didn't know who he was sulking with.

"Mr. Chen, what's wrong with Xiao Liangliang?" Lu Tianyu asked softly.

"This kid just wanted to eat a chicken leg burger, and if I didn't agree, he would make trouble with me, and if I ignored him, he would get angry alone. Hey, this kid really breaks my heart. As he spoke, Chen Min glanced at Xiao Liangliang deeply, his eyes were full of complex emotions, including the anger of hating iron and steel, and the heartache of worrying about the child's health.

Lu Tianyu slowly walked in front of Xiao Liangliang, squatted down, looked at the fat child, and asked kindly: "Liangliang, tell my brother, why are you angry?" ”

"My dad won't give me a chicken leg burger." The child's voice sounded in the ward, and it could be heard that there was a lot of resentment.

"Liangliang, you're sick now, so you can't eat greasy things like chicken leg burgers." Lu Tianyu said softly.

"What about when you're cured? When I'm cured, will I be able to eat good food again? I want a chicken leg burger, I want french fries, I want ham sausage, and I want ice cream! Xiao Liangliang opened a pair of cute little eyes, and his eyes were full of strong desire when he looked at Lu Tianyu.

Lu Tianyu was speechless. To be honest, the food that Xiao Liangliang said was high in fat and calories, which was absolutely forbidden for a little fat child like him, but in this case, Lu Tianyu couldn't bear to say it, which was really a bit cruel for a child.

"Xiao Liangliang, after you get better, you can eat whatever you want, but you must not eat too much, and you must control your daily intake." For the sake of this child's health, Lu Tianyu decided to persuade a few words.

"I don't want it, I don't want it, when I get better, I want to eat, I want to let go of my stomach and eat." Xiao Liangliang shouted loudly on the bed, and he looked like a pampered child.

Lu Tianyu was speechless, looking at the little red child in front of him, and sighed in his heart.

…………

When Lu Tianyu finished reporting what he had learned to Director Liang, this well-known endocrinology expert in the province frowned and said in a deep voice: "This little patient is a little tricky. ”

Lu Tianyu didn't speak, just listened quietly, he knew that Director Liang must have something to say later.

Sure enough, Director Liang continued: "Although I have also treated a lot of children with diabetes, it is really the first time I have encountered a little patient like Xiao Liangliang, who has three highs in one. Tianyu, have you asked about the patient's family history? ”

"Teacher, I asked. Xiao Liangliang's father, Chen Min, has a history of high blood pressure; His grandfather, who had a history of high blood pressure and diabetes, died of cerebral infarction a few years ago. In addition, Xiao Liangliang's grandfather also has a history of hypertensive cerebral stroke. As for the other immediate family members, no suspicious medical history has been found for the time being. Lu Tianyu replied loudly.

Director Liang nodded approvingly and said, "The reason why Xiao Liangliang's condition is so serious, family genetic history is probably a very important reason. Tianyu, if you were the attending doctor, how would you treat this child? ”

Lu Tianyu pondered for a moment and said, "Treat the symptoms first, and then the root cause!" Although Xiao Liangliang's condition has been alleviated, the risk of ketoacidosis has not been ruled out, so hypoglycemia, rehydration, and correction of acid-base balance are the first considerations, and at the same time, blood pressure and lipid lowering also need to be carried out simultaneously, and strive to minimize the damage of various risk factors. ”

"After Xiao Liangliang's condition is completely relieved, it is necessary to start treating the root cause. Although diabetes and hypertension are chronic diseases, there is no possibility of curing the root cause, but Xiao Liangliang's obesity is undoubtedly a high-risk factor, BMI is more than 35, waist circumference is 86cm, and the waist-to-hip ratio has reached 1.1, these indicators are obviously abnormal. ”

"Therefore, Xiao Liangliang must lose weight, not lose weight." Finally, Lu Tianyu concluded. (To be continued......)