[Imperfect] Baby, How to Decide Life and Death?

Nine years ago, I graduated from graduate school, After getting a master’s degree in surgery (the direction is general surgery), I am confident that after several years of study and professional training, I can already be qualified for the job of a general surgery resident. However, unfortunately, I did not find the hospital I liked and was reduced to a pediatric surgeon in the children’s hospital when I was desperate and eager to find a job. Although there was no way out, it was very important for the hospital to be short of people at that time. To the extent of what? In the case of my night shift out of the clinic, once the children who need surgery in Read More …

BMJ says surgeons are more handsome than physicians? Argue against it!

In recent days, there is a very popular article in my circle of friends. The article to the effect that the famous medical journal BMJ once published a research report. The report pointed out that after a small study, it was found that: Why are surgeons more handsome than physicians …:) Of course, most of the people who forwarded this article were surgeons (including me). The article is published by BMJ, one of the four major medical journals, and its research methods are naturally subject to strict examination. Let’s look at what this circle of friends article says. How to prove [surgery is better than internal medicine]? How does this article in BMJ prove the argument that surgeons are more Read More …

Is it outdated to lie down on the pillow for 6 hours after lumbar puncture?

What should be explained after lumbar puncture? I believe the vast majority of people will answer: [Go to the pillow and lie down for 6 hours to avoid headache after operation], which is what textbooks have always said and what we have done. However, have you ever doubted this sentence? Why [go to the pillow and lie down for 6 hours]? Headache is the most common complication of lumbar puncture, which is related to cerebrospinal fluid leakage from dura mater caused by excessive puncture needle or vertical cutting of longitudinal fibers, excessive collection of disposable cerebrospinal fluid, etc. The decrease of cerebrospinal fluid volume, on the one hand, makes cerebrovascular mechanical expansion and stimulates pain-sensitive tissues on the vascular wall Read More …

Will the early exit of the new national husband Zetao Ning be the injury effect of swimming?

A few days ago, [Little Fresh Meat] Zetao Ning stopped in the semi-finals of the 100m freestyle event. Early this morning, news came from the front court of Rio that Zetao Ning was eliminated in the 50m freestyle preliminaries, which made people pinch a cold sweat. In spite of this, fans of young girls all over the world continue to add Shi oil (AI) to Zetao Ning on Twitter. I have to say that a perfect figure and a good face will always be so outstanding in the swimming pool… This figure is enough. On the other hand, of all athletes, swimmers often have the best body shape-the balanced muscles of the whole body can not only let fans’ hormones Read More …

Every doctor should be on guard: how is the patient [toothache] related to stroke and myocardial infarction?

Since 1989, September 20 every year has been National Love Teeth Day. This year’s theme is very interesting, called “Oral Health, Whole Body Health”. How can oral health be related to general health? Periodontal disease is the most common kind of [dental disease] that we often say. It is an inflammatory disease caused by pathogenic microorganisms adhered to the biofilm or dental plaque on the tooth surface in daily life, including gingivitis and periodontitis. However, in recent years, the association between periodontal disease and cardiovascular and cerebrovascular diseases such as ischemic stroke, hypertension and atherosclerosis has attracted much attention. Dental Loss and Ischemic Stroke Joshipura followed 41,380 male subjects without cardiovascular diseases and diabetes for 12 years and found an Read More …

Control hypertension, the lower the blood pressure, the better?

No matter the doctor of what Department, he is familiar with hypertension. However, hypertension must be reduced to what’s level before it is considered [best]? This is difficult for even many cardiologists to answer correctly. Is there a lower limit for lowering blood pressure? Is the lower the blood pressure, the better the protection of organs? Or is it enough to maintain a reasonable level? For a long time, the determination of the best pressure control target for hypertension patients has been controversial, especially for hypertension patients complicated with coronary artery diseases. Strict pressure control is written into the guide. In April this year, the Canadian Hypertension Education Program (CHEP) Committee of Experts released an update of the 2016 Hypertension Read More …

The main diagnostic points of depression are hidden in its English name.

Recently, the news of Qiao Renliang’s suicide due to depression swept through the circle of friends on Weibo and WeChat. News of stars committing suicide due to depression is common, and there are not a few ordinary people troubled by depression. According to WHO survey, there are at least 350 million depressed patients worldwide. Depression patients do not only go to psychiatric departments, because many diseases may be accompanied by depression. How to quickly identify depression patients and their suicidal tendencies is especially important for medical workers. The latest edition of the Diagnostic and Statistical Manual of Mental Illness (DSM) released in 2013, DSM-5, is a new weathervane for the classification and diagnosis of psychiatric diseases. Based on DSM-5, the Read More …

Informal Incomplete Guide to Dressing Change

As a surgeon, the most basic operation is dressing change. However, dressing change is not only the operating standards taught to us by teachers or Lao He, but also many things that need us to improve. We need to crawl around and learn continuously in clinical practice. We need to adapt to illness and people. The operating standard is [guide], which is [informal and incomplete guide] due to the personal system. 1 A father, dressed very well, brought his daughter to me to change dressing. I took the female intern to lead them to the dressing room. As it was a small breast surgery done by the outpatient department, it was a private part and inconvenient. I asked the father Read More …

Is there really an anti-alcoholism drug in the world?

One day, I was attending a friend’s party and was about to have a few drinks when my deskmate mysteriously took out a pill and pointed to the antique packaging box, indicating that the treasure in my hand was a “magic medicine” for relieving alcoholism. As a professional, I was so curious that I came back to find out [is there any magic anti-alcoholism drug in the world? ] Alcohol metabolism The metabolism of alcohol in the body belongs to zero-order metabolism, that is, metabolism at a constant speed, and there are great individual differences, with the average value of 20 mg/dL per hour for the average person. Ethnic differences are one of the reasons for alcohol metabolism differences. Most Read More …

One million to buy 10 months of life, you buy?

One in seven to eight people will die of cancer. A typical 4 +2 +2 family has just eight people. Except for a few lucky people, most people will face an encounter with cancer at some point in their lives. Ten years after being defined by the World Health Organization as a chronic disease that can be treated, controlled or even cured, the word cancer still has destructive power. A daughter who died of her father’s cancer wrote in an article, “I think every family should prepare potassium cyanide. If I have cancer, I will eat it immediately. I cannot accept being the cancer patient who tortures my relatives.” The question is no longer whether we will encounter this eternal Read More …