blenderwars Chapter 407
Chapter 407
Chapter 407
“Sure enough, it’s acidic!”
Lin Feng laughed.
Exactly as I expected.
Chen Qingru looked at Lin Feng with admiration.
“The teacher is really amazing!!”
And the patient Wang Qing,-at this moment a little pain.
Gout!
I heard that gout can’t be cured…
To be with you for a lifetime…
He grimaced: “Doctor Lin, what should I do now?”
Lin Feng: “Wait, there is one more check…”
Wang Qing: “???”
My day!
Still doing inspections?
Lin Feng: “In fact, high uric acid is the best test for gout. If your uric acid is less than 420, there will be some errors…There is another test called “Dual Energy CT”, which is the first in the differential diagnosis of gout. This is an important non-invasive test, and research shows that its sensitivity and specificity have reached 91.9% and 85.4%, respectively…”
Finally, Lin Feng said:
“However, you can do it or not…because I am sure that your pain is definitely caused by “gout”. ”
Patient Wang Qing: “Then don’t do it, thank you Dr. Lin…Next, do I need to take medicine?”
Lin Feng nodded: “Yes, your gout just appeared, it is not serious, there is no tophi, and it does not need surgery to remove it.”
The so-called surgical removal is to use surgery to cut open the skin and fascia, and cut out pieces of tophi (the crystalline deposits accumulate and become pieces of ‘stone’).
“You only need to take medicine to control it now…”
What is the drug control law?
As mentioned earlier, gout is “high uric acid” + “poor urination”…
Therefore, the purpose of the drug is to “control the increase in uric acid” + “increase the excretion of uric acid”!
before,
The main drug used to inhibit the production of uric acid is “Allopurinol”, a very classic drug. It can reduce the production of uric acid, mainly by inhibiting xanthine oxidase.
but,
“Allopurinol” has great side effects on kidney function.
In general, patients with gout have three highs (hypertension, hyperlipidemia, and hyperglycemia), and most patients with three highs have renal insufficiency.
Moreover, it is also easy to cause skin allergies, and severe exfoliative dermatitis can occur.
but!
Although it has many shortcomings, it is the best medicine for gout because there is no other better medicine.
Until 2009.
The island country has developed a new “magic medicine”!
A sensation in the global medical community!
It is “Febuxostat”, which has the same effect as “Allopurinol” and belongs to “xanthine oxidase inhibitor”.
It has many advantages: less side effects, more targeted, small dosage, less demand for kidney function… Allopurinol can reduce, it can reduce, allopurinol can not reduce, it can still reduce…
In short, this is the magic medicine!
Well, apart from being very expensive, a box of several hundred yuan. (Gout needs to be suppressed by long-term medication)
However, this year after more than a decade, according to the latest findings from Melaka, “Febuxostat” is more likely to cause heart disease than “Allopurine.”
“Gout is a lifelong disease. It is currently not cured, so long-term medication is needed…”
Lin Feng introduced these two medicines to the patient.
“It’s the expensive “febuxostat” or the cheap “alopurine”… it depends on your choice…”
“this……”
The patient Wang Qing thought for a while.
After all, I’m still young, and I can’t eat “alopurine”, peeling, baldness, etc., don’t I have the desire to die?
A decision was made at the moment: “Dr. Lin, you should still prescribe me something “not him”… it’s more expensive and safer…”
Lin Feng nodded.
Prescribe medicine.
“By the way, Doctor Lin, apart from taking medicine, is there anything else I need to pay attention to?”
“There are a lot of places to pay attention to, corresponding to the ph+ temperature mentioned at the beginning, so don’t catch colds, and try not to catch colds and fevers and other infections, which will cause gout… and joint damage, which will also accelerate gout, so don’t get severely high. Load exercise…”
Lin Feng continued:
“In addition, don’t drink soup. The longer the soup, the higher the purine. You can’t mix most of the drinks. Try not to drink alcohol, try not to eat seafood, and eat less meat…”
The patient Wang Qing cried with a face…
This doesn’t work, that doesn’t work either…
What is the meaning of life?
Lin Feng chuckled: “Come on, show you a picture, and see if you dare to eat…”
Lin Feng searched the computer for pictures of tophi.
·Picture: The palm of a hand is deformed and huge because of tophi.
Patient Wang Qing took a look,
The scalp suddenly became numb!
Disgusting!
“Dare you still eat it?”
“Don’t dare, don’t dare…”
Wang Qing shook his head again and again, and was obviously scared (disgusting)!
Lin Feng: “Yes, there is one more thing. Although the current diagnosis is gout, the cause of “rheumatism” cannot be ruled out… But this examination will take 2 days. You should go to the local hospital after traveling and returning home. Rheumatism check…”
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Patient Wang Qing nodded repeatedly.
Actually rheumatism is more troublesome than gout…
…
…
Outside the waiting hall,
A middle-aged woman, Wang Huizhen, 52 years old, is waiting for treatment at this time.
She is in Lin Feng’s office.
at this time,
She was holding her knees, frowning, aching pain.
Things start from 3 years ago…
Three years ago, she was the lead dancer in the square dance, and a group of aunts regarded her as the leader.
Then, one by one aunts got older, and then began to have arthralgias. One by one, the doctors told these aunts:
“You are suffering from joint degeneration…”
Degeneration of joints has become a common problem for the elderly of their age.
Subsequently,
Wang Huizhen also suffered from joint pain. When dancing, her right knee began to have intermittent pain. At first she didn’t pay attention. After two or three months, her left knee, left toe, and right toe also started to hurt.
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“Could it be that the joints are degenerating?”
No way, Wang Huizhen had to go to the hospital for registration.
The doctor said: “It’s not that your joints have degenerated, but that your immune system has a problem. It’s rheumatism… and this disease is an autoimmune system disease. If the treatment is not standardized, it will affect multiple organs and systems in the body, such as the heart and lungs. In the later stage, joint deformities will affect life, leading to a decline in the quality of life, and even being unable to take care of themselves… be hospitalized…”
Wang Huizhen: “Impossible. Everyone has joint degeneration. Why am I rheumatism?”
Wang Huizhen was very angry. After all, she always felt that she was in good health. As a result, the doctor said that she was paralyzed, deformed, cardiopulmonary failure… and hospitalization!
Make a big fuss! !
This doctor must be trying to cheat money! !
Yes, black doctor! !
Wang Huizhen firmly did not trust the doctor, and felt that she was just a joint degeneration, not a so-called rheumatism.
but,
Joint pain still exists.
How to solve the pain if you don’t take the rheumatism prescribed by the doctor?
Patients of the same age, tell Wang Huizhen a “magic medicine” that can treat my joint pain!
“Ibuprofen”! !
(Ps: This medicine is considered to be the medicine that appears the most in this book. When you have a fever, it basically appears in the picture. It is a classic medicine.)
Then,
Wang Huizhen went to the drugstore and bought some pain-relieving ibuprofen.
One eat,
Hey, it works!
The joint pain has improved a lot.
Therefore, Wang Huizhen insisted that the doctor is definitely making a fuss.
A common painkiller “cure” my disease!
Why be hospitalized?
.again.