"Diet? It's normal, "the patient said. "I lost weight a while ago, but didn't I stay in the hospital twice? I feel that life is life. There's no need to be too mean to myself, so I returned to eating normally."
Su Yun seemed to have thought of something, but the patient's words did not match. His brows furrowed even more.
"Are you saying that cruciferous plants contain glucosinolates, and large amounts of oral intake will lead to insufficient iodine intake, resulting in goiter?" Zheng Ren asked.
"That's the only explanation," Su Yun said as he looked at the patient in confusion.
"Generally speaking, it won't happen. A study of five subjects with normal thyroid function showed that after drinking 430 grams of kale juice twice a day for seven consecutive days, the subjects' average six-hour thyroid radioiodine uptake was 2.52% lower than the baseline level, but the serum thyroid function test was normal," Zheng Ren said.
"That's for normal people. Abnormal hypothyroidism patients might not be like this," Su Yun insisted.
"Doctor, doctor, I like to eat meat. I really like it. During the time when I was losing weight, I almost died of discomfort. I didn't have the energy to do anything. Life lost its direction and meaning. Tell me, humans have struggled for millions of years and finally climbed to the top of the food chain. Why do they have to be vegetarian? "
The patient was very familiar with Zheng Ren and Su Yun. He had just met Zheng Ren and Su Yun, so he was already very good at talking.
Zheng Ren also felt that what Su Yun said made sense. He thought about it carefully and said, "You're talking about a 2015 survey by the Thyroid journal, right?"
Su Yun nodded. He felt that something was wrong, so he did not sit with the patient and talk nonsense. If it were other patients, with Su Yun's temper, they would have sat together and talked.
Today, this' old 'patient felt strange no matter how he looked at it.
"I've seen an extreme case — there was a case report in the New England Journal in 2010. An 88-year-old woman ate 1.0 to 1.5 kilograms of raw cabbage every day for several months to control her blood sugar. In the end, she developed a myxedema coma," Zheng Ren said. "If it wasn't for the serious New England report, I wouldn't believe it. This person ate too much cabbage."
"Three pounds of cabbage a day. Isn't that feeding rabbits?" Although the patient did not understand what the two were talking about, he could still understand the simple and basic things, such as three pounds of cabbage a day.
"It's quite extreme. Do you eat normally?" Su Yun asked, "Do you control your diet because of diabetes?"
"No, I told you I like meat. Vegetable leaves and whatnot were all nonsense. Eating them wouldn't help, and they would be hungry soon. I don't have gout or diabetes. I have high blood pressure, but it's not serious. Eat while you still can. Don't wait until you're old and can't eat anymore. "
As the patient spoke, he tried hard to swallow a mouthful of saliva. "I'm like this now, intermittently sick. I reckon that I won't be able to eat until I'm old."
"No, it's just hypothyroidism combined with goiter …" Zheng Ren hesitated for a moment. These two illnesses had nothing to do with thyroid crisis and sudden goiter that caused breathing difficulties.
Chronic goiter caused by different causes is called goitre. Goiters can be divided into simple goiters and hyperthyroidism. The former can be divided into diffuse goiter and nodular goiter.
The patient's diagnosis was hypothyroidism. The System and the 912's diagnosis were the same, so it could only be considered a simple goiter.
The more he thought about it, the more he felt that something was amiss.
"What did the doctor say when you were hospitalized the last few times?" Zheng Ren asked.
"He said that my illness was very strange and asked me to check it out. The specifics are very complicated. I'm not a medical student, so I can't say so many professional words, "the patient said. "But I don't want to do a puncture biopsy or any iodine radiation tests. It'll kill me to hear it. Later, I just left the hospital and went home."
There was a certain degree of poor medical compliance. The patient himself had his own opinions, and they were even slightly extreme. Zheng Ren had his own judgment of the patient. He continued to ponder over the information he had just heard.
Long-term and large intake of cruciferous vegetables might reduce the production of thyroxine, but the patient clearly said that he did not have such a situation.
Moreover, the words long-term and large intake were really difficult to achieve.
Especially three pounds of cabbage a day. If he wanted to persist for a long time, it was not something that an ordinary person could do. It was already similar to the behavior of an ascetic monk. When Zheng Ren thought about how he had to eat three pounds of cabbage every day, he frowned.
"What else do you usually eat?" Su Yun asked.
"Meat! Other than meat, it's meat! " When the patient said the word meat, his eyes lit up. "They say that carbohydrates are true love, but I don't think so. No matter how delicious the northeastern rice is, it's not as satisfying as a big piece of fatty meat. "
Eating meat, fatty meat, did it matter? Zheng Ren carefully searched for a lot of information, but in the end, he was still at a loss.
"I still think it has something to do with the cruciferous family," Su Yun insisted. Su Yun insisted, "Only long-term consumption of large amounts of plants from the Cruciferae family can such an extreme situation occur. Carrots, do you eat all kinds of carrots? "
"No, it's all water when I bite into it. It's not as delicious as meat."
"How do you eat meat? Shredded pork with pickled vegetables? "Su Yun continued to ask.
"No, I just cook it and eat it in big pieces. Dipping it in garlic paste, eating big pieces of meat, and drinking big mouthfuls of wine. This is the greatest enjoyment in life. "At this point, the patient was a little depressed." I'm going to be hospitalized this time, and I don't know how many days I won't be able to eat meat. "
"Just order any meal, there's meat. The noodles in the hospital are very convenient. It's not delicious, but it's edible, "Zheng Ren said.
"It's not the same. It's best if you make it yourself. Speaking of which, the price of pork has increased this year, and I spend a lot more money a day … "
As he spoke, the patient changed the topic again.
Zheng Ren was also quite helpless. This was the most typical chatterbox. If he did not stop him, he would probably talk until tomorrow morning.
"Wait a minute, do you usually … eat any health supplements?" Zheng Ren suddenly remembered something and asked.
"No … That's not right." The patient secretly glanced at Zheng Ren and said in a low voice, "Doctor Zheng, let me recommend something to you."
Zheng Ren instantly became vigilant.
"I'm not asking you to buy it. I'm not a businessman, nor am I a WeChat merchant. Don't be so guarded against me." The patient saw Zheng Ren's vigilance and immediately explained, "Speaking of health supplements, I've been soaking goji berries in water since I was 40, but that thing takes effect slowly. Guess what I eat? "
"How can I guess?" Zheng Ren had no intention of continuing the conversation.
"F * ck! You eat Maca? "Su Yun suddenly said with a sudden realization." I knew it! "
Top Point
You've already exceeded your reading limit for today. If you want to read more, please log in.
Login
Select text and click 'Report' to let us know about any bad translation.
