Sometimes, Zhang Fan feels that medicine, like the previous branches of Arts and Sciences, is related to each other, but the more in-depth study, the more he feels that surgery and internal medicine, NIMA is like two ambiguous men and women.
No one knows whether they have slept or not, but you say they are a family. They play each other every day. You say they are not a family. One can't lack the other.
For example, the thyroid gland, you suddenly ask a surgeon to tell you about the thyroid gland, and then he is serious and calm. At most, he tells you about the function of the thyroid gland. Looking at his calm face, he was as flustered as an old dog.
If you ask how the thyroid comes from, how it works, and what you eat for three meals a day, the surgeon is expected to turn his face. He thinks you're here to make a stand.
Physicians can clearly explain the principle of the thyroid gland. For example, thyroid hormone is coupled to form thyroxine (T4) by iodide and iodine catalyzed by oxidase.
What's the use of this thing after you know it? For patients, there is no gross use. For doctors in general hospitals, it's OK to know about it. Because of the treatment plan, you can't break the treatment guidelines sent by the Ministry of health.
But the more we reach the level of top doctors, this thing is quite clear, just like one plus one is two. We can't hesitate. Only those who are proficient can't be proficient.
Just like the right hand spiral, holding the cylinder, you can dish it up, so that you can make new discoveries and research.
Of course, 90% of doctors don't have to and can't be so skilled. After all, the pleasure brought by the right-hand spiral is similar to that brought by research. People can be happy when they lie down with their own equipment. Why do they have to play this research.
Therefore, there are still a few who can be called National hands in the world.
Of course, when it comes to thyroid, let's briefly talk about what this thing does.
The expression of thyroid gland is mainly completed by thyroid hormone. Thyroxine can increase oxygen consumption, heat production and low density lipoprotein expression.
In fact, to be more transparent, thyroid hormone affects the heart, but it's not as strong as adrenaline, but after a long-term problem, it's like you're wearing inappropriate shoes.
Can you go? I can walk, but if I walk too much, I still let you cover your feet and cry.
Therefore, this thing is a necessary fine-tuning function. It is similar to the salt in food.
Thyroxine plays a key role in brain development and bone maturation. Therefore, don't forget the pre pregnancy examination.
Various indicators of thyroid gland, such as T3 and T4, to tell you the truth, they are not engaged in medical treatment. It's useless to know this thing. Today, I'll invite you an academician of Endocrinology, who will speak thoroughly. In three days, you still don't know anything.
However, it is necessary to know about thyroid diseases. After all, in modern society, all kinds of pressure and depression, early detection and early treatment are always the best way to treat diseases, which is more effective than knowing the president of a class III hospital.
Thyroid diseases can be divided into, more and less, as well as nodules and lesions.
Hypothyroidism, or hypothyroidism, is a disease that is more common in older women. There are more whites and Latinos, and I don't know why. The symptoms of hypothyroidism are obvious.
For example, excessive menstruation, amenorrhea, no child, the result is milk overflow! And chills and dry skin.
Some female friends feel that their skin is rough. They want to make thousands of cosmetics shiny. At this time, they should pay attention to hypothyroidism. Go to the hospital.
There is also hyperthyroidism. It is not called hyperthyroidism in Jinmao country. It is called thyrotoxicosis. It means that there are too many thyroid hormones and they are toxic.
The symptoms of hyperthyroidism are also particularly obvious. They are afraid of heat and eat more. As a result, they lose weight and have more stool times.
Pay attention here. It's not that you are greedy and eat too much hot pot. You feel hyperthyroidism after diarrhea. The stool of hyperthyroidism is formed, which is definitely not your greedy soup.
There is also fatigue, which is difficult for ordinary people to understand, because everyone is weak, but anxiety and irritability are particularly obvious. Also, if one day, you suddenly feel that your eyes are getting bigger. Be careful at this time.
This is not secondary development. What makes your eyes bigger may be hyperthyroidism.
Early detection and early treatment are not good in case of thyroid crisis. This thing will kill people.
In particular, women with hyperthyroidism must not get pregnant easily, because pregnancy complicated with hyperthyroidism is really troublesome.
For people in the non-medical industry, the focus is on how to prevent. As for treatment, to tell you the truth, you may not be able to explain the examination results clearly to undergraduates who have graduated from medical school for three or four years.
Women are three to five times more likely to suffer from thyroid diseases than men, especially women who are addicted to tobacco and alcohol.
Also, we must try our best to control our mentality and avoid frequent excitement and anger.
Gland diseases, including mammary gland, thyroid gland and even pituitary gland, are very mysterious. Some people have a firefight temper all their life, but others have no gland diseases all their life.
And some people, because of a period of bad mood, not only the thyroid, but also the breast are all kinds of nodules.
Therefore, to avoid emotional excitement, in fact, the most important thing is that there are some mysterious factors, such as heredity and environment, which ordinary people can't choose, so they can only listen to fate.
There is also pressure, which is impossible to choose.
Therefore, we, especially female friends, can only work hard on emotion. If we divide half of the energy of beauty and whitening to take care of the glands, it should be very effective.
The morning operation lasted until noon. Zhang Fan had a working meal with the doctors of the double gland department. Speaking of this working meal, everyone in the tea vegetable hospital laughed at Zhang Fan, which made Zhang Fan very angry.
Because many leaders, whether big or small, often start with health at the beginning of taking office, and then observe their subordinates through this action that is easy to achieve, to see who is obedient, who is not obedient, and who is a thorn in the head.
Zhang Fan is different. At the beginning, the first thing people did on stage was to kick out the boss who contracted the tea vegetable canteen. He doesn't care if there's a man or a woman behind this guy.
Because he doesn't cook well.
Now, the canteen of tea vegetable hospital can be a food attraction of tea vegetable.
Especially for the working meal, Zhang Fan felt that it should be better for these doctors and nurses who can't go home to eat and drink better.
Therefore, the working meal of tea vegetable hospital is very rich. A meal costs three yuan, but there are many dishes, including fish, all kinds of meat and vegetables.
And it's not limited. It's three yuan for a self-help meal, but you can't waste it. Whoever wastes it will be fined 100.
At the beginning, Ouyang was sad looking at the consumption of the hospital canteen. She told people at that time that the Dean was a food, and the doctors and nurses in the whole children's hospital were food. Why didn't I find it before!
At that time, Zhang Fan didn't explain or refute after listening, but there was something in his stomach“ You have come through hard work and plain living. You can get rid of it with a meal of white rice, but we can't! "
But a week later, the hospital canteen was on track, and the consumption was about the same as before. But people from top to bottom exaggerate that anyone who can eat and find a high level of chef.
The working meal in the operating room and the extra meal in the middle of the night cost Zhang Fan even more.
From cakes to snacks, Zhang Fan made all the delicious food in the hospital canteen. Many bachelors began to get fat before they got married.
In particular, some lesbians claim not to eat meat on weekdays, but since the reform of the canteen, women's meat consumption is almost the same as that of men.
"Zhang Yuan, my uncle's children want to come to our affiliated kindergarten. Please give me a note."
During dinner, the director of the double gland Department ate braised meat and chatted with Zhang Fan. Other doctors and nurses are not interested in coming.
Zhang Fan doesn't like this kind of big fat red meat very much unless he is hungry. He usually gets a fish and sucks it slowly, especially the small white strips of tea vegetable Sailimu Lake.
The fish is not long, because the snow melts in plateau lakes. In summer, the lake water is biting, so the fish in them are not long.
But the fish is beautiful, full of silver. In the blue lake, it looks like a piece of white spray.
It looks good, but it's more troublesome to eat, because it has many thorns, and it seems that the thorns are not long in order. There are all thorns under the fish skin.
However, after the fish is slightly braised and then boiled with a little red pepper, although the fish can't give a sense of satisfaction, it sucks up and brings the unique taste of protein.
Really, there is no way to describe it. The more you suck, the more fragrant it is. It's the same as sucking the bone marrow pasted with meat. It doesn't taste.
However, few people like to eat this fish in the hospital because they are afraid of trouble. Only a few people like to eat. For example, Zhang Fan is even one, and he is still the favorite.
"OK, let his children enter the hospital tomorrow. Check them in advance. All kinds of preventive shots should be given. After all, they are their own children. Don't be careless. "
In fact, the director of breast department can let his uncle's children enter the kindergarten, but isn't the dean in front of him now. It's better to ask for leadership than to do it yourself.
After dinner, Zhang Fan had no time to rest. Although there is a small lounge of Zhang Fan in the operating room.
But at noon, Zhang Fan usually has time to rest.
Because most of the operations are in the daytime, once the operation is arranged, the patients often can't eat.
Although the nutritional agents are injected intravenously, so that the patients will not have hypoglycemia, they can not eat, light infusion, and the discomfort in the stomach is still very strong.
Therefore, the operating room will not rest at noon. After dinner, drink water and continue the operation.