In fact, Liu Miqiao is not an expert in treating fat people. He only has a few ancient prescriptions. Regarding the specific use of ancient prescriptions, Yuan Shan is more powerful. Just like A Ling, she has more experience in treating seriously ill children.
Liu Muqiao checked around the fat man.
Not easy.
It is difficult to find the specific projection of body organs on the body surface.
Where is the heart?
Where is the liver?
Where are the lungs?
Wait.
Even though he is so big, he is a bit bigger than a normal person, but his internal organs have not enlarged and are almost the same as a normal person.
Therefore, to find the location of his internal organs, other doctors would have made a fool of themselves if Liu Maqiao hadn't been a master in physical examination.
His heart was buried so deep that it was difficult to hear the heart sounds.
The breath sounds of his lungs were also very loud, and he had to breathe heavily to barely hear them.
As for the palpation of the liver, I simply gave up.
"Urgent check liver and kidney function, blood routine, blood sugar, and electrolytes." Liu Maqiao said to the nurse in the outpatient clinic.
Originally, there was no such service. This patient was special, so the nurse moved forward from the blood drawing room and went directly to the patient.
Soon, the results came out.
"Liu Muqiao, this patient is very challenging. I'm worried that I won't be able to handle it, so I ask you to treat me." Yuan Shan showed Liu Muqiao the test sheet first.
Some surprises.
This patient's test results turned out to be okay, except that his blood sugar was a little high, 8.9, and everything else was within the normal range.
Liu Miqiao handed the laboratory test sheet to Yuan Shan, "You should treat this patient. To be honest, although I gave you 5 ancient prescriptions, I have not done any research on treating obesity. You are the first person, and I can't.
”
When Yuan Shan heard this, her heart trembled, she was so excited and touched!
She never expected that Liu Miqiao would handle it like this!
Obviously he gave me these ancient prescriptions, but in order to achieve my success, he actually said that he was not as powerful as me. What kind of noble character is this?
Yuan Shan is very grateful.
She now understands why A Ling's critical emergency treatment should not be named after him. He wants to achieve success for others.
She thought before that Liu Miqiao married A Ling because A Ling was very attractive, young, and like a ripe peach. Who knows if Liu Maqiao had an affair with her secretly? Maybe it was for that reason that he married her.
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Now, I, Yuan Shan, am already in my early 50s, and Liu Maqiao treats me like this, what else can I say?
What else can I do besides be grateful?
"Director Yuan, don't think too much. I am really not humble, let alone of high moral character. I gave you the ancient prescription and asked you to study it, so I was lazy. So, from now on, you will be the first person to treat obesity.
.This patient is not a pediatrician. You should try it. Maybe, your clinic needs to be renamed as an obesity clinic instead of a pediatric obesity clinic."
"No, no, no, Liu Miqiao, I can't lose pediatrics. I only see obesity clinics for two and a half days. Therefore, I am not going to open an obesity clinic for adults, only a pediatric obesity clinic. As for this one, I will try
Try it."
Director Yuan faced this fat man, thought for a long time, and finally said: "Arrange a ward - you can only live in the ward. You can't enter other houses or doors. We can't be impatient if we stay for two to three months.
Lose weight slowly and see if you can reduce it to less than 200 pounds."
It is true that this patient can only be admitted to the ward. The door of the ward is relatively wide and the bed can be pushed in and out. In addition, the beds in Antai Hospital are all high-end beds. They are made of alloy and are solid. They will not deform after being weighed several hundred pounds.
.
Liu Ya felt a little distressed.
She was very worried that he would crush the bed. With more than 30,000 yuan for a hospital bed, no one would care about her.
German goods, after all, are brand names, and they have not been deformed.
Yuan Shan personally went to the Pharmacy Department to find their section chief, and together they went to the ointment-making workshop and made a specially made ointment in an extra-large size.
Ordinary people only have 100 grams of each ointment recipe, and some ointment recipes only have 50 grams. This patient's ointment recipe is 500 grams, which is several times the normal amount.
Only one of the fat man's internal organs is enlarged - his stomach. He is really a big eater. He can eat no less than 3 kilograms of rice, no less than two kilograms of pork, and about 5 kilograms of vegetables every day, excluding snacks.<
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His snacks are mainly biscuits, fruits, and milk.
Therefore, Yuan Shan thought that if the ointment was designed for ordinary people, it would definitely not be effective.
The paste recipe she designed is 500 grams each.
The patient finished the 500-gram prescription in about 20 seconds.
"It doesn't taste good," the patient said.
He rarely talks.
Even though he is so big, his voice is very small and thin, so it is difficult to tell whether he is a boy or a girl.
The patient started taking the ointment, and the effect started to show after taking it once. The patient's appetite dropped significantly. He used to eat more than a pound of rice at one meal, but now he doesn't want to eat even half a pound.
Sure enough, the weight is gradually losing weight.
On the 7th day after taking the ointment, I finally weighed him and he lost 21 pounds, 3 pounds every day.
Good news!
Valid.
On this day, Liu Muqiao received a call from Yuan Shan, asking him to come for a consultation. Another big fat man came.
"Fat man, I told you, I'm not good at treating you." Liu Miqiao said.
"No, there is a special situation. This patient has abdominal pain. We estimate that he has a surgical condition." A surgical condition is a condition that requires surgery.
"Did anyone else consult?"
According to the rules, Liu Miqiao is not invited directly for consultation. There are layers of professionals in front of him. He only appears in very difficult cases.
"Three doctors were invited for consultation, because the patient was too fat and too fat to draw a conclusion."
A fat man, about 350 pounds, and the fat is mainly concentrated in the abdomen.
Everyone's fat distribution is inconsistent. Some people have it evenly distributed all over the body, some people have fat mainly on the waist and back, some people have fat concentrated in the abdomen, making them have a big belly, and some people have big buttocks and legs with fat.
Concentrate on the lower body.
The new fat man here today is here to treat obesity, but something is wrong with Yuan Shan's examination. This patient's abdominal muscles are tight. The blood test showed that the white blood cells were also increased, with 83% neutrophils, which is a sign of infection.
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When Liu Muqiao came, he was shocked when he saw the sick child.
The fat man is too fat. At the age of 12 or 13, he actually weighed 350 pounds.
He began to check.
Difficult.
The hill-like abdomen contains hundreds of kilograms of fat. Touching the abdominal muscles is really not something ordinary doctors can do.
No wonder the doctors in the first three consultations did not dare to draw conclusions.
What Yuan Shan said about abdominal muscle tension is just speculation, and it is difficult to find out whether the abdominal muscles are tight or not.
Liu Muqiao's physical examination is at the master level, and his level is equivalent to that of Dr. Zhang Xiaoqian, a great expert at Union Medical College Hospital.
Liu Miqiao's forehead was sweating slightly.
It took him almost an hour.
Doing such a physical examination is equivalent to high-intensity physical work.
He had no choice but to use the standard examination methods from the past to help the patient conduct a rigorous physical examination.
This chapter has been completed!