When the man heard the child's words, he completely collapsed.

He just wants to work hard to make money to give his children a better life, but he doesn't know that what his children really need is companionship.

And now, the child is terminally ill, and everything is too late.

"Songsong, it's Dad who is sorry for you!"

The man broke down and cried, and the child kept wiping away tears.

Li Xiyang glanced at Zheng Xiaoyu, and the two left the rescue room silently.

At this time, father and son must have a lot to say.

I hope they can open up to each other this time.

Rescue outdoor,

"Dr. Li, what do you think?"

Zheng Xiaoyu was helpless against the disease.

Li Xiyang thought for a while and said, "I'll call Big Brother Liu in a while and transfer the patient to Shenwai!" ”

At present, the only person who can save the boy in the entire Renhe is Liu Lao.

Old Liu...

Zheng Xiaoyu nodded, "Okay!" ”

In fact, during this time, Liu Lao's name has spread in the imperial capital's medical circle.

Because at the last meeting of the Imperial Capital, Professor Dong of the First Academy personally named Liu Lao and invited him to join the association.

This incident can be said to have caused quite a stir in the medical circle of the imperial capital.

After all, Professor Dong is the first person outside the country, and Liu Lao is the first person who can personally invite him to join the association.

In private, everyone is also speculating about the relationship between the two.

However, I didn't understand the relationship, but I turned out Liu Lao's past surgical cases.

For a time, it amazed the imperial capital medical circle,

This is definitely a great god!

Whether it is the technique or the success rate of the operation, he is definitely a person who stands on the spire of gold in the field of gods and goddesses in China.

It's just that such a giant old man, why was he so low-key in the past?

Since then, many experts and professors have come to Renhe to visit Liu Lao.

This also adds a lot of traffic and popularity to Renhe.

Therefore, Zheng Xiaoyu also admires Liu Lao very much.

Back in the office, Li Xiyang called Liu Lao.

When he heard gliocytoma, Liu Lao's voice was also heavy.

"Okay, you push people out of the gods first, and then we'll talk after a detailed examination."

"Okay, then trouble Liu Lao!"

……

After seeing off the patient and his family, Li Xiyang changed his clothes and went to the clinic.

Qian Min sat across from him and was responsible for recording and sorting out the cases.

The first patient was a boy in his twenties.

It is very sunny.

It's just that this guy has a few scrapes and bruises on the corners of his mouth and chin, and there is still blood under his nose that has not been wiped clean.

Li Xiyang asked strangely, "How did you do it?" ”

The man smiled, and there were still two missing front teeth.

"Doctor, I accidentally hit a telephone pole while riding a bicycle to work!"

"Poof~"

Qian Min on the side couldn't hold back and laughed.

The boy glanced at him, "Doctor, are you laughing at me?" ”

Qian Min coughed lightly twice and waved his hand, "Don't think about it, I'm a little cold." ”

"Really?"

The boy looked suspicious.

Li Xiyang looked at the two of them and smiled, "Okay, you don't have much of a problem, just go to the nurse to clean up the wound and apply ice to your nose." ”

"Oh, by the way, you have to go to the dentist for this tooth!"

The boy pouted, "Okay! ”

"But doctor, I have one more question!"

"What's the problem?"

The boy said seriously, "Doctor, you said that I lost two front teeth, it won't affect me to drive a BMW, right?" ”

Li Xiyang glanced up at him and said, "I don't know if the shadow will affect you to drive a BMW, but I'm pretty sure that the bragging will definitely leak." ”

"Puff~"

Qian Min was amused again.

The boy was not annoyed, he smiled, "You are a good doctor, you have a good sense of humor, I like it." ”

With that, the boy left.

Qian Min smiled and said, "Doctor Li, I didn't expect you to be so bad!" ”

"Am I bad?"

Li Xiyang looked innocent, he was obviously just stating the facts.

"Let's be next."

"Hmm!"

Qian Min was about to call the number, but the door was pushed open reluctantly.

I saw a man in a wheelchair being pushed in by a dummy.

Qian Min asked, "Are you No. 2?" ”

The man in the wheelchair said with some embarrassment, "No... No! ”

Qian Min frowned.

At this time, the family member who was pushing the wheelchair in the back hurriedly said, "Doctor, my husband's condition is urgent, I really can't wait any longer, or you can take a look first!" ”

The man also nodded again and again, "Yes, doctor, you can help me see it first, I'm dying of pain, my feet hurt so much, and the soles of my feet feel like they hurt my heart." ”

The man's face shook as he spoke.

Qian Min is dissatisfied, who comes to the emergency department to see a doctor is not in a hurry!

It's okay to cut the queue indiscriminately!

Just when she was about to drive people out, Li Xiyang waved her hand, "Forget the small money, you can see the seriously ill patients first." ”

Seeing Li Xiyang say this, Qian Min stopped talking.

"What number are you?"

"Number 11!"

Li Xiyang nodded, and then checked the registration record.

"He Bing, right?"

"Yes, yes, I'll call He Bing!" The man nodded.

After confirming the patient's name and age, Li Xiyang began to ask, "What's the matter, let's talk about it?" ”

The man hurriedly said, "It's such a doctor, my foot hurts!" ”

"I was in the unit a few days ago, and I didn't feel much at the time, but the next day it was swollen, and it hurt, it hurts, it hurts, you see, I'm in a wheelchair, doctor, you think I'm going to be paralyzed!"

The more the man talked, the more anxious he became, and the thought that he would not be able to walk in the future was called an uncomfortable one.

Li Xiyang comforted, "Don't worry, I'll take a look." ”

"Family, help him and help him to the bed."

"Good, good!"

Together with his family, he helped the patient to the simple bed in the consultation room.

Li Xiyang began to check.

He rolled up his right trouser leg and saw that the patient's entire right ankle was swollen, which contrasted with the left ankle.

But

"You're swollen, but it's not as simple as a broken foot!"

Generally speaking, the swelling caused by the broken foot is only swelling at the ankle.

Because the foot is affected, only the ankle is damaged, and it usually goes either inward or outward.

"How did you get this foot at the time, remember?"

The man thought for a moment, "I was stepping on the stairs, it seemed... Yes, it's inward! ”

Inward?

Li Xiyang frowned.

The whole ankle and heel shouldn't be swollen up!

Seeing that Li Xiyang's face was wrong, the family panicked.

"Doctor, my husband's leg..."

Li Xiyang waved his hand, "Don't worry, I'll take a look." ”

"Sir, tell me if it's tender!"

After speaking, Li Xiyang first put his hand on the lateral joint of the patient's ankle and pressed it.

Asked, "Does it hurt?" ”

The man immediately nodded, "It hurts!" ”

Li Xiyang said secretly, "The tenderness is obvious, there is no hard lump to the touch, no dislocation, no rebound pain." ”

"What about this side?"

Li Xiyang pressed the patient's medial ankle joint again.

"Does it hurt?"

"It hurts!"

The man nodded, his expression seeming more pained.

"Strange!"

Li Xiyang always felt that the other party didn't look like a simple stumbling foot.

Then he pressed the man's heel again.

"Ahh

”

This time the man reacted more.

Directly shouted out like killing a pig.

"Hey young, it hurts me to death, I can't press it there, I can't press it!"

The man's entire facial features were about to twist together.

There's no reason for that!

Li Xiyang was puzzled.

At this moment, the light screen in front of him flickered.

[Right foot: Woo woo, it hurts, why do you have to press it when anyone sees me, sooner or later it hurts to death]

[Brain: It's not all to blame for that mouth, I drink and eat everything, but now it's okay, I'm guilty]

[Mouth: Brother Brain, it's not right for you to say that, my role is to eat and drink, otherwise what would you want me to do]

Seeing the dialogue of the organs, Li Xiyang fell into deep thought.

A man has broken his foot, how can it have anything to do with eating and drinking?

Don't...

Li Xiyang suddenly thought of something and asked the man, "Do you like to drink?" ”

The man was stunned, and he didn't seem to expect the topic of the doctor to change so quickly!

However, the family member immediately complained with a face, "Doctor, what you said is so right, my family likes to drink the most, and when they drink, they get drunk, and they don't have a head." ”

"Doctor, you said that his feet have been bad, is it related to drinking, or should he quit bars!"

Women obviously want to take this opportunity to get men to give up drinking.

But as soon as the man heard this, he instantly became anxious.

"No, it's looking at my feet, what are you talking about?"

"Besides, my family is so big at work, I can't sleep without drinking a little alcohol every day, and it's definitely not okay to quit drinking."

"You..."

Seeing that the husband and wife were about to quarrel.

Li Xiyang hurriedly raised his hand to stop him, and asked at the same time, "Sir, have you ever eaten seafood since the day you broke your foot?" ”

Seafood?

The man shook his head, he hadn't eaten it.

And I'm not a fan of seafood.

"What about the animal offal?"

What's this...

The man thought for a moment and suddenly said, "I've had barbecue." ”

When?

It was the day of the broken foot!

The man recalled, "That day, the unit organized a party, and the big guy ordered a barbecue in the restaurant, and I liked to eat chicken heart the most, and I ate more than 20 skewers at that time." ”

But

"Doctor, what does this have to do with my feet?"

Li Xiyang did not answer immediately, but beckoned his family to help the man back into the wheelchair.

Then he said, "Seafood and animal liver are high-purine foods, and if you eat too much of this food, the uric acid in the human body will rise, and as soon as the uric acid is high, it will evolve into hyperuricemia." ”

"And I suspect that your symptoms are not simply ankle swelling caused by broken feet, but gout."

"Gout?"

"That's right, hyperuricemia can also be called gout. It can cause heel pain, foot thumb pain, and can also be complicated by arthritis, chronic nephritis, kidney stones, and more.

So I suggest you check your uric acid and then check your kidney function. ”

Purine, also known as purin, can undergo a series of metabolic changes to form uric acid, the final product.

The source of purines is divided into endogenous purines, 80% of which comes from the oxidative decomposition of nucleic acids, exogenous purines mainly come from food intake, accounting for 20% of the total purines, uric acid has no physiological function in the human body, under normal circumstances, 2/3 of the uric acid produced in the body is excreted by the kidneys, and the remaining 1/3 is excreted from the intestines.

Uric acid is constantly produced and excreted in the body, so it maintains a certain concentration in the blood.

The amount of uric acid per liter of blood in a normal person is less than 0.42 mmol/L for men and no more than 0.357 mmol/L for women.

In the process of purine synthesis and decomposition, there are a variety of enzymes involved, due to the congenital abnormality of enzymes or some unspecified factors, metabolism disorders, so that the synthesis of uric acid increases or decreases the excretion, the result can cause hyperuricemia.

When the blood uric acid concentration is too high, uric acid is deposited in the joints, soft tissues, cartilage and kidneys in the form of sodium salt, causing foreign body inflammation in the tissues, which has become the bane of gout. Gout, in turn, can cause swollen joints.

In addition, when the uric acid is too high, not only kidney stones will appear, but when the uric acid in the human body reaches a certain peak, it will not only accumulate in the kidneys, but also accumulate in the joints of the human body when forming crystals.

Seafood and animal liver are both foods that are very high in purines, and alcohol can exacerbate the metabolites of this purine.

Listening to Li Xiyang's explanation, Qian Min was secretly frightened.

The other party complained of swollen and red pain in the ankle, and Dr. Li was able to determine that this was a symptom of gout.

You must know that the broken foot is a bone injury, but gout is not.

Although the two diseases have some similarities, they are very different in nature.

Li Xiyang just glanced at it and asked a few questions, and he could determine that it was gout.

That's amazing!

It seems that not only in the operating room, but also in the clinic, you can learn a lot from Dr. Li.

Patients and family members are not familiar with gout, but nephritis, kidney stones can be heard very clearly.

At that moment, he asked in a trembling voice, "Doctor, are you saying that not only did I have a broken foot, but also a kidney?" ”

Li Xiyang shook his head, "What I just said are all possible risks, and we have to carefully check what step it has developed." ”

"Well, you go check for uric acid first, and then take a film to see what is going on with the bones.

If the test shows high uric acid, then you may be suffering from gout. ”

But don't worry too much.

As long as the internal organs are not involved, the treatment of gout is not difficult, as long as you pay attention to your dietary habits in the future, plus some anti-inflammatory drugs, the effect is still very obvious.

Unless it is particularly severe, surgery may be needed to remove the tophi.

"Anyway, you should go for an examination first, and when the examination report comes out, I will talk to you about this treatment plan in detail."

Hearing this, the two of them immediately felt a lot more relieved.

"Okay, let's go for a check-up, I'm sorry for you, doctor!"

"Don't bother, go ahead!"

"Uh-huh!"

After the two left, Qian Min said, "Dr. Li, I have been in the emergency department for so long, and this is the first time I have encountered gout. ”

Li Xiyang nodded, "That's because we lack nationwide gout epidemiological survey data in China, but according to the gout prevalence reported at different times and in different regions, the prevalence of gout in China is 1%~3%,

The incidence is not very high, but in recent years, it has begun to increase year by year, and gradually tends to be younger. ”

Qian Min thought for a while and said, "Is it related to people's eating habits?" ”

Li Xiyang nodded, that's right.

The main culprit of gout is high uric acid.

The appearance of high uric acid is closely related to people's eating habits and lifestyles.

Six of these foods are known as purine kings: seafood, organ meats, alcohol, sweets, sugary drinks, and stock.

Once gout attacks, it is no less uncomfortable than stones, and in order to maintain uric acid at a normal level, what people need to do is to reduce the intake of high-purine foods and stabilize the normal level of uric acid!