Chapter 147: The little doctor who shocked the head nurse
Faced with the middle-aged woman's sharp eyes and somewhat aggressive questioning, Li Jiagan pondered for a moment and said calmly: "Sister, your disease is caused by liver stagnation and qi stagnation, liver and stomach disharmony, and stomach qi reversal. Sister, you also eat less now.
Bar?"
"That's it?" the middle-aged woman said with a slight sneer.
Who couldn't recite two sentences from the Chinese medicine doctor's eloquent talk? She didn't quite understand it, and she didn't want to hear it.
"Haha, from the perspective of Western medicine, my eldest sister should have fatty liver, and it is a moderate fatty liver of more than 15% to less than 20%. In addition, the digestive function may also be somewhat poor, and the sympathetic nerves may also be slightly imbalanced.
." Li Jiagan said again.
The middle-aged woman was stunned and stunned on the spot.
When she arrived, she had just received the test report. The fat content in her liver reached more than 18% of the liver weight! It was within the range Li Jiagen said!
A doctor can diagnose her with fatty liver without relying on any equipment, just by inspection, pulse diagnosis and palpation (let’s call it palpation), and can estimate the degree of her fatty liver to 15% to 20%.
In such a small range?!
Not only has she seen such a doctor, she has never heard of it!
You must know that she is also engaged in medical treatment, and she is also the chief nurse of the county hospital!
The little doctor in front of me is really amazing!
"When the fat content exceeds 10% of the liver weight, it is fatty liver. When the fat content exceeds 10% to 25%, it is moderate fatty liver. When it exceeds 25% to 50%, it is severe fatty liver. My eldest sister's current fatty liver is already considered moderate fatty liver.
, we must take it seriously, sister, if you don’t believe it, go to the hospital and do a liver function test.”
Li Jiagen said as he stood up with the medicine box in hand, nodded to the middle-aged woman and left.
"No, I've already done the test. You're right, uh, I'm sorry!" The middle-aged woman also stood up, her words a little confused in her absence, "Let's get acquainted again? I'm Fan Yaxuan, the chief nurse of the county hospital.
May I ask what is Doctor Li’s name?”
Well, he is indeed a small leader, but despite his low level, he actually manages quite a few people under his direct supervision. It’s just that this kind of thing where he comes to take the doctor’s exam even though he knows his condition is really a bit uncomfortable.
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Probably because I didn't like what he was charging today, so I deliberately made things difficult for him.
But now my attitude is quite correct.
Naturally, Li Jiagen didn't want to get married to someone for nothing, so he smiled slightly and said: "My name is Li Jiagen, and I run a small clinic in Liuta Town."
"Ah, Doctor Li, I apologize to you for my abruptness earlier. Then, Doctor Li, is there any good way to help me control my fatty liver?" Fan Yaxuan looked at Li Jiagan and said sincerely.
Seeing that Li Jiagan's expression was a bit thoughtful, she hurriedly added: "Of course I know that the general way to treat fatty liver is to improve the diet structure and increase exercise. The so-called keep your mouth shut and move your legs, but I am very busy at work and don't have that much time.
I specialize in exercise, and I have to run a lot of legs a day at work. I usually think that my diet is well adjusted. So I really don’t understand how I can get fatty liver, and I am already moderately fatty.
I have liver disease, and now it’s difficult to control this fatty liver if I can’t find the cause, so Dr. Li, I very much hope you can help me control this fatty liver.”
The liver is the largest glandular organ in the human body. It participates in digestion, excretion, detoxification, metabolism and other processes in the body. It undergoes more than 500 chemical reactions, so it is an extremely complex organ.
For such a complex organ, there are many causes of metabolic abnormalities such as excessive fat accumulation in liver cells, including alcoholism, obesity, malnutrition, excessively greasy food, diabetes, etc. Fatty liver has never been an independent clinical entity.
Fatty liver disease is a permanent disease, and many fatty liver diseases are the result of other diseases affecting fat metabolism. Fatty liver disease is only a pathological diagnosis.
No one dares to say that the pathogenesis of fatty liver disease can be completely understood.
Fan Yaxuan really does not think that her fatty liver is caused by an unreasonable diet or lack of exercise. None of the doctors at the county hospital can clearly explain the cause of her fatty liver, although she has not yet gone to the city hospital.
She had undergone relevant examinations, but she did not believe that the doctors at the city hospital could find out the cause of her fatty liver.
If the cause is unclear, the fatty liver will be difficult to control, and if the fatty liver cannot be effectively controlled, the next step will be fatty liver fibrosis. If it continues to develop, it will become fatty cirrhosis, and if it continues to develop, it will lead to liver cancer...
Therefore, Fan Yaxuan was really scared.
Most of the time, the more people engage in medical treatment, the more afraid they are of their own illnesses, because they know better than the average person how complex and terrifying the development of diseases in the human body is.
"My main treatment methods are those of traditional Chinese medicine." Li Jiagan looked at Fan Yaxuan and said, "Tuina massage, acupuncture and traditional Chinese medicine."
From Fan Yaxuan's impatient attitude when he used Chinese medicine to explain the pathology in Fan Yaxuan's body, Li Jiagan could tell that she was not interested in Chinese medicine and did not trust it. This was normal. The main treatment method in the county hospital was Western medicine.
, the strength of traditional Chinese medicine is very weak (it can be seen from the fact that a doctor like Zhang Linwei is even the main traditional Chinese medicine doctor in the county hospital). Traditional Chinese medicine treatment is limited to a small range, and in many cases is even dispensable. Fan Yaxuan, as a county doctor,
The chief nurse of the hospital is mostly exposed to Western medicine treatments throughout the day. How could she be so interested in and trust TCM treatments?
Sure enough, after listening to Li Jiagan's words, Fan Yaxuan frowned slightly and said: "I'm sorry, Doctor Li, I am definitely not questioning your medical skills, but it seems that not many doctors support using acupuncture and massage to treat fatty liver, right? Many authoritative doctors generally agree.
The view is that acupuncture and massage are of little value in treating fatty liver."
Li Jiagan listened and smiled and said: "I also think that changing the diet structure and increasing exercise are the fundamental ways to treat most mild to moderate fatty livers. But you just said that you don't have the conditions to do a lot of exercise. You also think that your fatty liver
Doesn’t it have much to do with exercise and diet? It’s probably caused by other reasons in the body? Why don’t you find another doctor and try Western medicine treatments?”
Li Jiagen said and looked at the watch. It was almost seven o'clock. The Zhang family had already started serving dinner. Old man Zhang and his son Zhang Jingming came over to invite Li Jiagen and Fan Yaxuan to go to the restaurant to eat together.
But Li Jiagan was worried about the specific situation of Chen Yujiao's court session today, and Chen Yujiao's uncle also called earlier and said he wanted to sit and chat with him. For this reason, Liu Xintao called him and asked him to go to her house for dinner, but he was tactful.
He declined, so now he really has neither time nor mood to eat at Zhang's house, nor is he in the mood to discuss the treatment concepts and effects of traditional Chinese medicine with Fan Yaxuan here.
But just as he was about to refuse, Old Man Zhang had already come up and pulled him into his restaurant without any explanation: "Xiao Li, you haven't had a meal at my house yet. You have to stay for a meal today no matter what!"
Chapter completed!