As the saying goes, “one fat destroys all”, with the development of society, obesity and related metabolic diseases incidence rate continues to rise. Obesity has brought great influence on people’s health and even life. As a leader in the field of weight loss and metabolism, Youdao doctor group has completed more than 2000 cases of weight loss surgery so far, bringing new hope to fat friends.
In fact, weight reduction surgery is to reduce the digestive tract absorption and digestive area through surgical means, so as to achieve the purpose of reducing the weight of patients. Weight loss surgery can not only reduce the weight of patients, but also improve or even cure the metabolic complications caused by weight gain and obesity, such as hypertension, diabetes, hyperlipidemia, hyperuricemia, polycystic ovary syndrome, sleep apnea syndrome, and so on. All these are all necessary for weight loss surgery to assist in controlling diet to lose weight.
At present, weight loss surgery as a long-term effective method to lose weight, not every fat person is suitable for weight loss surgery. Body mass index (BMI) is an important standard to judge a person’s degree of obesity. It is calculated by dividing the kilogram value of weight by the square of the height value (CM).
Dr. Yu said that according to the guidelines for surgical treatment of obesity and diabetes in China, there is definite indication for weight loss surgery: BMI 32 or more recommended for weight loss surgery. If 27.5 ≤ BMI < 32.5, and there are two metabolic diseases, such as hypertension, hyperglycemia, hyperuricemia, hyperlipidemia, polycystic ovary and other diseases, weight loss surgery can also be considered.
Now the most commonly used weight-loss surgery is gastric bypass surgery and sleeve gastrectomy. Which is better? How should patients choose? In fact, it depends on the patient’s physical conditions and their own situation.
If the degree of obesity of patients is relatively high, and BMI is more than 40, then gastric bypass surgery, weight loss effect will be more ideal, can achieve the best effect of long-term weight loss. If the BMI of the patients is less than 40, the weight loss effect of sleeve gastrectomy can make the patients get good weight loss effect, because it does not need to lose more weight and fat.
In general, with the progress of medical technology, weight loss surgery has become a routine and safe treatment for obesity, which is a good choice for weight loss. However, fat friends need to choose the right way to lose weight according to their own physical conditions.

As the “important component” of supporting human upright walking, knee joint maintenance is very important. Once it is damaged, it will affect the movement and the quality of life. The causes of knee pain are complex and diverse, which are very common in young people to middle-aged and elderly people of all ages. How to make good use of the knee, maintain the knee joint and prolong the “service life” as far as possible? Zhao Chang, deputy chief physician of the Department of joint surgery and sports medicine of the Third Hospital of Southern medicine, came to help.
There are many reasons for knee pain
Early maintenance
Zhao Chang said that one third of the patients who seek medical treatment due to bone and muscle problems are related to the knee joint, and about 25% of the adults have suffered from knee joint pain. If they are professional athletes, the proportion can be more than half.
The causes of knee related acute pain include fracture, meniscus injury, ligament injury, tendinitis, bursitis, gouty arthritis, infectious arthritis, etc; Chronic pain may be caused by osteoarthritis, rheumatoid arthritis, synovitis, popliteal cyst, patellofemoral joint disease, etc.
The early diagnosis and treatment of knee joint disease is very important. If there are severe pain, obvious swelling, inability to stretch and bend, weight bearing, difficulty in standing and walking, joint pain and ringing and other symptoms, which are not improved for several weeks, it is recommended to seek medical consultation immediately.
Running doesn’t necessarily hurt the knee
Running knee
Whether it is easy to hurt the knee when running frequently has always been controversial. Is it true that running hurts the knee?
Zhao Chang said that the data showed that the incidence of arthritis in runners was 13.3%, that in sedentary people was 10.2%, and that in amateur runners was only 3.5%. For ordinary fitness runners, running is conducive to joint health, reasonable, moderate, moderate running will not hurt the knee. But excessive and intense running can cause joint problems. Patellofemoral joint disease is the most common cause of knee joint pain in young people. It is common in young people who love running, especially in long-distance running. This is the legendary “running knee”. Its incidence is about 20%, accounting for half of the clinical knee pain.
In addition to pain and swelling, the common symptoms of the running knee include strong pain in the front of the knee when going up and down stairs or squatting, and “click” or “rustle” when stretching and flexing. In addition, still walking or standing when “soft legs.”.
The treatment of “running knee” is mainly non-surgical treatment, including drug therapy, massage, physical therapy, muscle exercise and so on. When the symptoms appear, the knee joint should be limited to vigorous activity for 1-2 weeks to avoid further cartilage damage. When swelling, pain suddenly intensified, can first cold compress, reduce joint swelling, two days later hot compress. When the standard non-surgical treatment is ineffective or the symptoms gradually worsen, surgical treatment can be considered.
Why does knee osteoarthritis increase in young people?
Knee arthritis is another common cause of knee pain. Studies have shown that osteoarthritis is common in different parts of the elderly female population, and the incidence rate of knee joint is the highest. Is knee arthritis inevitable when people are old? Now more and more young people will be diagnosed with knee arthritis, and why?
Zhao Chang said that as a chronic systemic disease, osteoarthritis is also a degenerative change of articular cartilage, which is really closely related to age. However, the “age” of the knee joint is not necessarily proportional to the actual age of the person. It does not mean that people will definitely have knee arthritis when they are old, nor that young people will not get sick, especially young people who often take strenuous exercise or use incorrect exercise methods will have a higher risk of getting sick. In a word, the key is maintenance.
In the early stage of knee arthritis, there may be pain after going up and down stairs and exercise, and the rest will be improved. In the middle stage of development, it may show pain when moving joints or walking, and gradually develop to pain even when resting or at night, even deformity and limited activity, which affects life.
Routine maintenance of knee joint
Zhao Chang said that daily maintenance of the knee, first of all, to start from reducing weight, obese people, knee will consume more. For every kilogram of weight lost, the knee joint will be several times easier.
Secondly, long-term flexion and adduction walking can accelerate cartilage wear. For those with early symptoms, wearing the corresponding brace can alleviate the progress of osteoarthritis.
Thirdly, avoid sports injury. Warm up before exercise, pay attention to the standard movement, choose the appropriate venues and sports equipment, pay attention to physical fitness, muscle strength, flexibility, coordination training, avoid excessive fatigue and forced exercise. We should choose the type and intensity of exercise according to individual physical fitness and physique. Ordinary people suggest that the increase of exercise time and intensity per week should not exceed 10% of the previous week; If there is obvious discomfort on the next day after exercise, we should take a proper rest.
Diet, should pay attention to eat fresh fruits and vegetables, supplement vitamin C, D, middle-aged women appropriate supplement folic acid, are very beneficial to knee health.
It is also an important intervention measure to prevent knee joint disease to improve the poor alignment of lower limbs. Knee varus and valgus are common in daily life, that is, O-shaped legs and X-shaped legs. The knee joints of this kind of people are easier to relax and accelerate wear, and the risk of knee osteoarthritis is several times higher than that of normal people. Therefore, if it is serious, we should consult the doctor as soon as possible.
If the knee joint has been worn and degenerated to a certain extent, attention should be paid to:
Don’t exercise for too long. When the knee feels uncomfortable, take a rest immediately.
Do not do large amount of exercise, such as fast running, high jump, long jump.
Do not do the knee half flexion rotation to prevent meniscus injury.
Keep your ideal weight to reduce the load on your knees.
Pay attention to keep your knees warm. You can wear trousers and kneepads to protect your knees.

When our bodies appear pain, always used to take medicine to take injections.
In fact, there are natural “pain switches” in our bodies that help us stop pain in certain parts of the body.

First, stiff neck pain

When you blow the air conditioner or open the window to sleep, you accidentally get a cold neck. The next day, your neck will be stiff and painful, and you can’t turn your head or lower your head.

Where is the switch: Houxi acupoint, pinch the root of the little finger

At this point, you can pinch the hollow below the root of your little finger on the inside and outside. You can pinch hard with your fingernail, but be careful not to break it.

Left neck pain, pinch on the right side of the little finger root, the right side of the pain pinch on the left side, pinch at the same time slowly active neck, is conducive to fast relief of stiff neck.

Two, lumbar sprain pain

When strenuous exercise, when moving things, or even when talking to someone, it is possible to cause lumbar sprain, especially for long time desk work, less exercise and physical labor, more prone to waist flash and so on.

Where is the switch: save the bamboo point, according to the two eyebrows

At this time, you can point to the depression of the two eyebrows, with the fingertip vertical point according to the two eyebrows, while slowly moving the waist, generally point once will get a significant improvement, can point 2~ 3 times a day.

Three, severe headache

We can pinch the hollows in the wrist when we have a sudden severe headache from a cold.

Where is the switch: column lack point, pinch according to the radial styloid

In the place where we usually look at the pulse in traditional Chinese medicine, there is a small bone sticking up, and this is the radial styloid process.

When you have a severe headache, you can use your fingertips (but do not use your fingernails) to point the depression under the radial styloid process. The strength should have the feeling of pain and swelling. Maintain the point for about 3 minutes, which can effectively relieve the headache.

Four, stomach pain

Because of eating cold drinks, blowing cold air, eating improper stomach pain, you can pinch the outside of the thigh.

Where is the switch: Zusanli acupoint, pinch by the thigh

Pinch the point in the knee up four fingers width position, you can use your fingers or comb back, pen nib and so on to find the most painful point in this position.

After finding it, press it hard. It is appropriate to maintain this strength for about 3 minutes, which can quickly relieve stomachache.

You can also use your fingers to pat here properly until the red fever point appears, which can also be effective.

Five, toothache,

There is a folk saying, called toothache is not a disease, the pain will kill.

Pain in the tooth area may be a problem with the tooth itself, or it may be neuropathic pain.

The problem of the tooth itself, we should seek the dentist’s help as soon as possible, and if it is not the organic disease of the tooth itself, we can pinch the tiger mouth to quickly relieve the pain.

Where is the switch: Hegu point, pinch according to the tiger’s mouth

The fingertip should be aimed at the highest point of the muscle uplift of the tiger mouth, and it should be pinched vertically from the side of the bone, and the strength should be maintained for about 3 minutes, which can effectively relieve the toothache.

Six, chest pain,

Many people with heart disease, when excited, cold, drinking, eating too much, may cause a heart attack, and appear in the precardiac area of pain and discomfort.

Where is the switch: Jiquan point, pull the armpit

Insert the finger into the left armpit, the appropriate force to pull in the armpit, can effectively relieve the rapid heartache, can be used for temporary first aid heart disease.

Seven, cramp leg pain

A lot of people have had the leg cramp acute pain experience, when the cramp happens how to first aid?

Where is the switch: Chengshan point, according to the miter ditch

Kneading is located in the middle of the calf abdomen point for about 1 minutes, can effectively relieve cramping pain.

Eight, dysmenorrhea

Many women are afraid of a few days of menstruation, because in those days the lower abdomen and lower back will not be declining pain, and even someone can only lie down in pain.

Where is the switch: Taichong point, pinch foot back

Pain can be relieved by pressing on the back of the foot.
The specific position is between the big toe and the second toe. You can press this position with the fingertip vertically for 3 minutes, and then change to the other side and continue to press it for 3 minutes. It can effectively relieve the pain in the lower abdomen and lower back.

Nine, heel pain

Wearing high-heeled shoes all day, by night, swollen ankles, heel pain is a problem for many people.

Where is the switch: Zygomatic acupoint, click on the cheek

Press the cheek, the middle position of the face, the depression under the cheekbone, press the tip of the pen or the blunt end of the toothpick vertically here, and the strength is appropriate to have a sense of acid swelling, maintain for 3 minutes, and then click on the other side, which can effectively relieve heel pain.

10. Shoulder pain

Because of the long-term use of the computer, or often hold the child, and lead to shoulder pain, and even a frozen shoulder, shoulder joint activity is greatly limited.
We can click on a pain relief spot on the outside of the leg near the knee joint.

Where is the switch: Yanglingquan point, pinch knee below

This is just below the knee joint, and you can feel a protruding bone, which is the depression below it.

If the left shoulder is painful, we can pinch and press the right calf forcefully, and pinch the left calf when the right shoulder is painful.
Until there is a feeling of acid swelling, maintain for 3 minutes, while slowly moving the pain of the shoulder joint, can effectively stop the pain, and expand the range of motion of the shoulder joint.

When I saw this problem, it made me think of a lot of death and surgery (the relationship between working in the hospital) in my life. Combined with my own experience of surgery, my feeling is that the two processes are similar, but the results are different – similar quiet track. With the pulse of time, the two may be parallel lines, confluence lines, or cross lines: going in different directions, One is goodbye, the other is never to see again.
In peacetime, sudden death is far away from most people. We put more energy into our work and life in order to “live better”. Of course, “death” is just a matter of time
People are high-level animals, will consider the death of this high-level thing.
Contemporary writer Yu Hua said: “death is not the loss of life, but out of time.”
Now I still remember clearly that when I was a child, I suddenly made a clear understanding of myself, planned my life, even the design of death. Because of the death of their loved ones in their sleep, I cry – a good one is never seen again, cherish the time that we have now ~! So, I decided to treat it with beautiful eyes and kind heart! It’s a treasure even if it’s never seen again. Suddenly there is a kind of power in my heart. The boundary of my heart and mind is like the expansion of the universe, and the boundary is far away and fuzzy – this is a growth when I was 17 years old.
When you grow up, the “death” will occasionally appear. From watching my grandfather leave peacefully before work, to ushering in (rescue success) in the silence after work, I have a 17-year-old heart in my heart and go all out in my work
With the busy work and the enrichment of life, the problem of death has been gradually diluted, not because there is no time to think about it, but because I feel that if my life is fixed, I don’t need to tangle too much, the practice process and broadening the width are also interesting, and there are many things to experience in the future
So what is the feeling of death?
Think back to my patients sharing their experience of death, you may find it incredible!
The feeling of frequent death, such as rising to heaven after death, out of body, strong light and stars, reminds me of the end of the story of “the little girl who bought matches”. The little girl was in grandma’s kind and warm arms, with a smile on her face, and it was not painful to leave. To borrow the scientific explanation: “at the time of death, the human brain will secrete the substance of opium in the brain, which can relieve pain and make you feel happy at the same time.” Therefore, there is a saying of “return to light” in medicine.
Death is a never-ending hike. The feeling of death is unknown and mysterious.
From a scientific point of view, as long as the human body enters the deep anesthesia, you will not feel cut to pieces. General anesthesia refers to the state of reversible loss of consciousness and loss of pain caused by inhalation or intravenous injection of narcotic drugs from respiratory tract. Different from death, after general anesthesia, the human heart is still beating, and breathing needs the auxiliary ventilation of anesthesia machine to maintain the stability of vital signs.
After general anesthesia, the doctor begins to do the operation. During this period, due to the traction of the operation, wound bleeding and the metabolism of narcotic drugs, the heart rate and blood pressure will fluctuate in a certain range. Generally, the fluctuation can be adjusted by the human body itself, but in some cases, the human body can not adjust by itself, so the anesthesiologist needs to use drugs to maintain the stability of heart rate and blood pressure, To ensure the safety of the operation.
When the operation is completed, anesthetics are almost metabolized, people will slowly wake up, and then recover consciousness and consciousness. Just like when you drink and get drunk, when the metabolism of alcohol is over, people will wake up. But when you wake up, you won’t remember what happened during the operation. You can only remember that before anesthesia, the anesthesiologist talked to you, and then you don’t know. Then you remember that when you wake up, there was a catheter in your throat, and then you said some nonsense, vaguely remember.