Freezing Point Feature No. 1207
They choose to cut the stomach
Ding Rui has grown from 160 jin to 280 jin in 10 years.
She can eat 4 burgers and spaghetti in a pot, and she has eaten a 7-hour buffet alone.
She had to open two doors to go to the outdoor glass plank road on the 88th floor of Shanghai Jinmao Tower. She was stopped by security as soon as she moved to the door.
In Happy Valley, she played a roller coaster and couldn't fasten the safety buckle. She was persuaded to retreat. She was so angry that she turned around to buy marshmallows to soothe herself. In the end, she could only sit on the carousel.
She has worked as a tour guide, but most of the time she only "interprets" the Great Wall in the car, and she can't climb the Great Wall.
She had asthma since she was a child, and she only developed asthma when the season changed. After more than 250 kg, her frequency increased to once a month.
Once, she had asthma again. In the hospital, a standard-sized wheelchair was too small for her, and she got stuck in the wheelchair and panted even harder.
When she was pushed to the ICU, her blood oxygen saturation had dropped to more than 70%, which was extremely dangerous, but she had to wait-the hospital had 6 male medical staff before she was carried to bed.
She had severe diabetes, and there was too much meat in her belly, arms, and neck. She couldn't push her insulin needles in. She could only take hypoglycemic drugs.
She even imagined that if she died suddenly, the scene would be equally embarrassing-no one could lift her.
In the end, Ding Rui chose to cut off two-thirds of her stomach.
1
When walking into the consulting room of the Weight Loss Center, Jia Yu used the word "Help".
He weighed more than 400 kilograms and could hardly walk, but he decided to take the farthest road for him: from Inner Mongolia to Beijing for treatment.
In Beijing, he lived in a hotel opposite the hospital and stopped four or five times on the way to the outpatient clinic on foot. He walked for 5 minutes and rested for 5 minutes. He leaned against the wall on the road and sat directly on the floor in the stairwell, panting with other people. It's almost after the 100-meter sprint."
He was the "biggest tonnage" in the class all the way.
In college, before every class, he rode an electric bike through the crowd.
To put on shoes, he had to bend over and use his hands to move his feet to the chair to tie his shoes.
Even brushing his teeth and washing his face, he would get sweaty from exhaustion, and his back hurts after standing for 5 minutes.
Every day when he lay down, he would have a feeling of "being pinched and unable to breathe", and he would wake up several times a night.
At night, he has to run to the toilet six or seven times, and the school dormitory is uniform on the bed and off the table. Climbing up and down makes him exhausted.
He woke up close to 12 noon every day, often missed morning classes, and he was in a "semi-comatose state" all day.
Meng Hua, director of the General Surgery Metabolic Weight Loss Center of the China-Japan Friendship Hospital, is getting busy.
In 3 years, the number of patients waiting for gastric incision beds rose from 300 to 1,000.
He has seen all kinds of obese people, when the weight rises to a certain value, complications will come one after another.
Someone was on a business trip with a ventilator on his back; someone collapsed in the corner as soon as he entered the clinic door; a patient had three traffic accidents, all because he fell asleep while driving.
Some women suffer from polycystic ovary syndrome due to obesity. In some 20 years, menstruation can only occur by taking medicine, and some do not have menstruation for a long time, which lasts for more than 50 days.
The WHO has warned that overweight and obesity are the fifth most common cause of death in the world. At least 2.8 million people die of obesity each year.
Researchers from the University of Oxford in the United Kingdom published an article in the international authoritative journal "The Lancet". 15-year weight survey data found that obese people with a BMI greater than 40 live an average of 10 years less than people with normal weight.
"Obesity is the upstream of all diseases," Meng Hua emphasized.
It will bring a series of complications, such as cardiovascular and cerebrovascular diseases, diabetes and so on.
A patient with serious complications described: "Obesity means that the body parts are originally the configuration of a car, but you have to drive a truck, can it be broken?"
Even so, many patients are still unaware of the risk of obesity.
Many people believe that they are not sick when they enter the clinic, and all their discomforts are "just because of fat."
It can be checked before the operation and report the up and down arrows of a single pile.
Not every "fat person" needs gastric surgery.
The Chinese Center for Disease Control and Prevention once issued the "Guidelines for the Prevention and Control of Overweight and Obesity in Chinese Adults". Obesity is considered obesity if the BMI is above 28.
Menghua’s “stomach retention under the knife” has strict indicators. Patients with a BMI of 27.5 and diabetes can perform gastric resection; for patients with a BMI higher than 32.5 and diabetes, the first choice is gastric resection.
Patients with a BMI of 37.5 or higher, with or without diabetes, can cut their stomach to interfere with their weight.
The waistline of China is getting thicker.
As early as 2016, "The Lancet" published a research report. There are about 90 million obese people in China, of which 12 million are severely obese, ranking first in the world.
Menghua’s short video science popularization platform receives hundreds of private messages every day.
His outpatient service ended one or two hours later than other departments.
According to statistics, in 2019, more than 10,000 people in China chose gastric surgery.
Currently, more than 100 hospitals carry out gastric surgery.
The most extreme patient Meng Hua had contacted was a 34-year-old man who weighed nearly 400 kilograms. He hesitated for several years. He was admitted to the hospital and then slipped away, hoping to "reduce it by himself."
Only half a year later, he came to the hospital again and was taken directly to the emergency department because he died of severe heart failure before the operation.
2
The Weight Loss Center is the most special department of the China-Japan Friendship Hospital.
The hardware here is relatively "uninhibited". Initially, the scale for outpatient clinics could only weigh up to 400 kg. Later, another one with an upper limit of 700 kg was brought in.
The maximum load of the mobile bed for transporting patients is 630 kg.
The hospital gown, the air bag and cuff of the blood pressure monitor, and the elastic stockings are all custom-made extra-large.
In the narrow corridors, the obese people really passed by.
There is no “discrimination” here. Unfamiliar patients pull WeChat groups on the spot.
Weight, a number that needs to be avoided in every possible way, can be easily said-in most cases, you will not be the fattest.
Everyone shared the fat and pain.
Someone went to a friend's house and accidentally broke the toilet gasket.
There is a risk of getting stuck if someone does not raise their hands when doing CT.
Someone said that on a business trip, he stood in the bathtub and made a grunt, and the bathtub sank.
She had difficulty squatting and couldn't sit on the soft sofa.
She said that once an appendix operation was performed, the surgeon could not find the appendix and had to open the abdomen again.
Because of her obesity, her appendix was hidden behind her stomach, and the operation left a 20 cm scar on her abdomen.
Those subtle pains can only be understood here.
For example, if you take the train, you have to buy a shop.
Buying a ticket depends on the aircraft model.
When driving, the steering wheel will hit the stomach, and the accelerator and brake will be slow for half a beat-two legs will be rubbed.
After finally seeing a long list of X-sized clothes, the other party choked him: "I am willing to eat but not to wear it!"
Fat trapped them a little bit.
Zhang Zicheng works in IT, and the project he is responsible for has to climb high, and investigate the network cables and wires in the building.
He can't climb the ladder and can only trouble others.
As he gets fatter, his space for activities shrinks and his scope of work narrows.
Later, he could only move closer to the software direction and start from scratch.
Ding Rui used to work in Xizhimen, Beijing. Those three iconic bullet-shaped tall buildings were her nightmare. The company was on the 20th floor. She had to leave at 5:30 in the morning to ensure that she would not be late.
Once, the elevator was repaired and only reached the 16th floor.
She slowly climbed the 4th floor with the handrail, being left behind again and again.
She always arrives 30 minutes early, and will be late with only a few minutes left when she enters the door.
She felt that her memory was declining rapidly and her temper was getting worse.
"The body changed the mind, and the mind changed the physiology, entering a vicious circle."
The last straw that crushed her was a flight.
She stretched the seat belt to the longest but still couldn't fasten it.
Ding Rui could only call the flight attendant, and the other party took the extension strap to connect it. The problem was solved, but she knotted her heart.
Her seat is in the last row of the plane.
She sat motionless almost the whole time.
That was the first time, "I finally learned the reasons for many things, all because of fat."
3
Strictly speaking, this is not a complicated operation.
Meng Hua will make 3 holes in the patient's abdomen. Under laparoscopy, measure the shape of the sleeve along the lesser curvature of the stomach, draw a line to fix the point, cut off 70% of the stomach on the greater curvature, and then suture it.
Simply put, the nearly semicircular stomach has become an elongated banana shape.
However, this does not mean that surgery is risk-free.
The fact is, the more dangerous it is to cut the stomach for the fatter person: obesity brings abnormal blood pressure and blood oxygen, and the patient is at risk of apnea at any time. Once hemorrhages, he may die directly.
The patient with the heaviest hand by Meng Hua was more than 500 kilograms.
He had high abdominal pressure and strong fluidity of fat. Meng Hua used gauze to separate his organs and fat, but his organs were squeezed by fat, leaving little room for operation.
This is also the biggest stomach he has ever cut.
Ordinary patients only need a 15mm knife in the belly button. On that day, he extended the incision by a quarter before pulling out the man's stomach.
If the stomach is enlarged, the stomach wall will thicken accordingly.
The device that went in was held in his hand, "like a stick, unable to move", and the device is at risk of being "smashed".
After a "heavyweight" operation, he will sweat profusely.
Obesity is caused by a combination of factors, such as genetic factors.
There is a family of three: their daughter, mother, and mother's sister were all lying under Menghua's knife, and cousins from the two places agreed to be hospitalized together.
However, almost all patients love it.
Some people eat less dinner but no less snacks.
Some people eat a small amount, but they are all "energy bombs" with high oil and sugar.
Some people hardly drink boiled water and buy carbonated drinks on barrels.
Some people don't like deep-frying, and they don't order takeaway, but they have a soft spot for staple food.
Losing weight is not about losing as much as you want.
Wang Zhe, a dietitian from Menghua’s team, explained that some people who are new to diabetes or people with pre-diabetes secrete large amounts of insulin, but the body cannot use it normally. The brain always has the illusion of hunger and has a stronger appetite.
In addition, the causes of obesity include vicious weight loss that destroys basal metabolism, unbalanced diet, and uneven ratio of nutrients to productivity.
Jia Yu's hunger "has become a habit."
His take-out order ranges from breakfast to supper, four to five times a day.
Breakfast is two cages of steamed buns, two bowls of porridge, a large plate of chicken or fish at noon, and two bowls of rice. Repeat the lunch configuration in the evening and add one or two supper at night.
Sometimes, for a meal, he would order food from two or three stores for a base of fifty or sixty yuan.
Almost all his expenses are on food.
When I was in college, the monthly food expenses exceeded 4,000 yuan.
Jia Yu said that sometimes, because his stomach is not empty, he still wants to order food.
"It seems that the brain has sent a message, you should have a desire, go order a takeaway."
A middle-aged lady couldn't control her mouth, worried that she would say goodbye to unlimited diet after cutting her stomach. She asked Meng Hua for a way to "eat and lose weight".
Meng Hua joked, "You can make a small zipper for the stomach and cut it into a section in two years."
"Sleeve gastrectomy is to cut off 70% of the stomach and lose 70% of the extra weight." Meng Hua told the patient, "If you continue to eat, the stomach may be stretched again, and you can't just want us to move. , You won't move."
The biggest BMI seen in Menghua Clinic has approached 80.
In the world of fat people, keeping your mouth shut is a big problem.
When a patient was admitted to the hospital, he brought a bag of fruit on his back.
Many people will arrange preoperative meals for themselves.
The out-of-town patients who came to Beijing to see a doctor carried a "must-eat list" while carrying their luggage. They arranged everything from boiling lamb to roast duck.
Even if the ward rounds are frequent, some people still eat during the hospitalization, and you can smell the spicy and spicy pot when you walk around in the ward.
Some people shouted to lose weight, but they also ordered fritters for breakfast.
According to Meng Hua's experience, in an empty state, a person's stomach is about the same size as a fist, but it can be blown up like a balloon while eating.
The stomachs cut through his hands looked no different from ordinary people.
"Obesity is more a patient, not simply without willpower." Meng Hua said that the desire to eat is closely related to the hormones in the body. Obese people secrete more ghrelin than ordinary people, which stimulates the hypothalamus to feel hungry. If you don't eat He has to fight his hunger all the time, and there are external expressions such as low blood sugar, pale complexion, trembling hands, and grumpy temper.
4
Thickening is not only the stomach wall, but also the invisible wall.
Jia Yu was nicknamed "Pig" all the way.
In high school, "Journey to the West: Conquering the Demons" was released, and he was renamed "Pig Gang Hyena".
He did not refute, "really used to it".
Most of the time, not many people remember his name, but many people know "Here is a fat man".
Every time a new nickname appeared, he would still lose it.
When others speak to him and call his nickname, he occasionally responds.
He has lost his self-confidence and can only keep telling himself, "At least I am very kind."
A man of 390 kg didn't like to be asked about the size of his clothes, "I wear XXXX...XL", and added a sentence after saying a bunch of words quickly, "You count yourself".
Ding Rui's nickname has never been "little", only "big", Dading and Dabai.
Later, she comforted herself and was called "Da Bai", not necessarily because of "Da", trying to turn to "White".
When she was a child, she wanted to be a model and liked to be a host and dancing, but after her weight exceeded 200 kg, her weight became inversely proportional to her dream.
When opportunities came, she could only watch them slip away one by one.
She has participated in English song singing and speech contests. Every time a few people of similar level compete together, she will be eliminated first. Most of the reason is fat, but no one has said clearly.
Later, she developed the habit of "self-audit" and gave up the application altogether when it was unlikely to be selected.
Her circle of friends is very thin, and in the rare selfies, she uses things to block herself.
Before the age of 37, she had only had one boyfriend.
They used to be classmates, and they were the fattest men and women in the class-in the eyes of classmates, "the fat man should find the fat man", and they "group CP".
Two people can share a pair of pants and wear the same size shoes.
The boy broke up with her after a successful career. The next girlfriend is thinner than Ding Rui and looks younger.
After crossing 180 kilograms, no boy chased her.
She was in love at first sight, but she always stopped at friends with each other.
For almost 10 years, Ding Rui has not been in a romantic relationship.
She knows that no one will take the initiative to look at herself, "Even if the other party agrees temporarily, I cannot promise the future based on my current figure or physical condition, and I can't get along healthy."
She became more sensitive. Some people praised her small face. She would think that the deeper meaning might be that the body is too fat.
Once, she quarreled with someone, evenly matched and even gained the upper hand, when the other party jumped out "You are a fat man", Ding Rui was discouraged.
She wanted to hit the other party for a while, but held back, because "this sentence is actually correct".
She became a teacher, and her subordinates or students always have a "but" in their evaluation.
For example, the teacher is so fat but so cute; the teacher is so strong but so powerful.
"The sum of the words that describe you is linked to your appearance, rather than just judging by connotation."
Because of her fatness, she is also a funny character in the group to set off the atmosphere.
When playing games, people will naturally tease her figure.
She chose to blacken herself first. This was the outlet she found to be relatively balanced, which made herself feel present without being too embarrassed.
She always eats more than others at dinner together.
She will spend a little more money, but she can't stop her companions from "innocently" making complaints, "Eating with you, we will never be full."
Shopping with friends to buy clothes, she sat in the distance and watched, but couldn't buy them anyway.
Ding Rui admitted that she had lost a lot of things.
When living in Australia, her parents rarely made video calls with her.
After returning to China 3 years later, she gained another 70 jin. Her father didn't recognize her at the airport. It wasn't until she stepped forward and called "Dad" that the other party came back to her senses and said lightly, let's go.
The expression of the family is cautious. The previous four dishes and one soup were replaced with one or two vegetarian dishes.
She had a lot of tempers at her parents, and small things often aroused her anger.
The first time I met with students and parents, she would make a fuss about her weight if she wanted to impress.
For example, "If the child falls down, I can catch you" "Although I am fat, I am soft."
Her name is not easy to remember, and she is always called "the fat teacher".
When she was alone, countless nights, she couldn't help thinking about the various problems caused by her weight.
This is a hidden pain that cannot be shared publicly.
She found that her social circle became narrower, her personality became more and more irritable, and she changed from being positive to her least favorite appearance, always in an extreme state, "either black or white".
She said that she had a dream.
Her chubby body was split open, and the skinny she got out of her skin, passed through the crack of the door and then under the door.
She said that it was her clearest perception of thinness, even though it was in a dream.
In reality, she is immersed in the Internet world.
In the game, she has many good teammates.
When the voice is connected to the microphone, no one cares whether the person on the other side of the screen is fat or not.
In the game, she plays a light role, for example, playing a wizard in a video game.
It was a thin fairy who felt like flying when she moved fast, using tricks like dancing.
After 250 pounds, her fingers were not flexible enough, and her hand speed was slow. After sitting for a long time, she had low back pain and she had to lie down in a different position.
Later, her operation got worse and worse, she was sprayed with "Pig Teammate" and she also dropped the game.
She said that at that time she never took the initiative to contact people, she never played a role in the crowd that others wanted to know, no one threw an olive branch out of thin air, and only made discussions with her at work.
Jia Yu, too, has never been the kind of person that others expect.
Because of his fatness, he has always had a low self-esteem since he was a child, and "returning his head is higher than that of beautiful women" when he goes out. Some of them are pointing in the back, and some are straightforward.
He has never been angry, more feelings are shame.
He will try to avoid going to crowded places, and move to corners when he must appear in public places.
He is used to depression and anxiety.
In the most serious period, he put aside his university studies. He soaked in the Internet cafes every day. He ordered takeaways when he was hungry. He would walk away when he saw his classmates and try not to enter school.
In fact, in recent years, many obese patients that Menghua has come into contact with have psychological problems.
One patient's name was "Yang Fan". Meng Hua praised her name for sailing away. The other party responded with a wry smile, "I can't get up for a long time."
Later, Ding Rui worked out a way of self-comfort: I will have another job, it’s okay; I have passed 16 certificates, and it’s okay.
A big meal is the easiest way to relieve stress.
She eats faster and faster, and the time for a meal ranges from half an hour to 10 minutes to 5 minutes.
Her appetite is getting better and better, and a meal of spicy fragrant pot ranges from 40 to 50 yuan to more than 100 yuan.
Later, I ate more and became hungry faster.
It's like a vicious circle: the more fat you are, the more you will be squeezed in your life, the more you will want to eat, and the more you will eat and the fatter you will become, the less you will be moved.
"After entering that point, everything seems to be the same."
5
In the weight loss center outpatient clinic, almost half of the patients who come to see the doctor are weight loss experts. They have tried many popular and unpopular methods. However, many people's efforts to lose dozens of pounds quickly rebounded.
For example, "I lost 50 kg and gained 50 kg", "It took two months to lose 40 kg, and it only took a month to bounce back."
Chen Mengni's knees couldn't load her body, and her knees hurt within a few minutes of running.
She had applied for a lot of fitness cards, and in the end she basically only took a shower.
She wanted to turn to swimming, but almost all swimming pools had only narrow ladders. People who got up from the water were heavier, not to mention her who was more than 300 kilograms. She was afraid of stepping on the ladder with one foot.
Some patients quipped, "The money spent on weight loss these years can buy a one-bedroom apartment in Beijing's Third Ring Road."
"The flesh is like a sponge. We struggled to squeeze out the water. We just need to absorb the water again, bang, bounce back."
Many male patients would say in front of the doctor: "I used to be only 110 kilograms." The doctor laughed: Which fat man did not grow from a thin 110 kilogram.
As a last resort, I came to the step of cutting the stomach.
Up to now, Meng Hua has performed about 4000 gastric resection operations, and more than 3,500 consecutive cases have no bleeding, obstruction or leakage at the margin.
"Just like the bucket principle, stomach cutting is the safest system for weight loss among obese people."
"Obesity is actually a disease of the times." Meng Hua concluded.
Nowadays, people have a car when they go out, work can be done at home, snacks and drinks are on call, and professions are more tolerant of body shapes.
Meng Hua remembered that many of his patients were freelancers, and some of them were online shopkeepers selling plus-size women's clothing.
The concept of obese people is quietly changing, and more and more young people are coming to lose weight: there are 22-year-old girls, and some parents come with 16 or 17-year-old children.
The "Greater North China Weight Loss and Metabolic Surgery Clinical Data Database 2019 Annual Report" also pointed out that among the population undergoing bariatric surgery, women accounted for more than 70%, and the median age was 31 years old.
If someone can't change his lifestyle, he can change his stomach quickly.
Not long ago, former agent Yang Tianzhen shared his experience of gastric surgery on his social platform.
At work, she can confidently say that there is nothing she can do, but she also admits that losing weight is her shortcoming.
In the things she couldn't do, she decided to give up.
Similar patients also entered the clinic in Menghua.
A fat lady has a tight job and cannot do without socializing. She has no spare time for exercise. She has no expectations of changing her lifestyle, but she wants to lose weight.
Sometimes, it is the whole society that breeds body anxiety.
Some netizens said that her BMI was 21.5, but the app on the scale showed that she was "too fat".
Some people have BMI22, but it is getting harder and harder to buy the right size among the branded women's clothing in the mall.
In recent years, Meng Hua has also witnessed a lot of patients with fairly standard weights. The thinnest girl is only more than 90 kilos, and she wants to lose 20 to 30 kilos.
He somehow pushed these patients away.
Sometimes, the atmosphere in the consulting room is depressing and tense.
The 90-jin mother brought the 200-jin daughter; the parents brought the 400-jin son; some young people were tired of obesity and insisted on surgery, but the family thought it was far from the step of cutting their stomachs.
Meng Hua seldom does the kind of patient who "parents let him lose weight, but he has no strong will."
He had anticipated the ending-the effect of weight loss would be poor.
6
In the China-Japan Friendship Hospital, the weight loss center is still very young.
Last year, they had a specialist ward.
Meng Hua first came into contact with gastric surgery almost ten years ago.
At that time, international and domestic guidelines for weight loss and metabolic surgery indicated that stomach surgery can treat diabetes.
He thought of his uncle, an old man in his 70s who had undergone gastric cancer surgery. Although the scope of resection was different, the principle of gastrointestinal reconstruction was similar.
At that time, the old man was also approaching 200 kilograms. He suffered from severe cervical spondylosis. He suffered from panting when climbing stairs, insufficient blood supply to the brain and high blood pressure. He sought medical treatment every three days.
Six or seven years after the operation, the other party's weight lost 50 kilograms, and he was never looked for.
Later, he openly recruited the first batch of patients for gastric surgery from the society, mainly for obese patients with severe diabetes.
No one signed up, he could only "kill familiar" and found friends with severe diabetes and cataracts, and seeing that they were recovering well after the operation, the cases in his hand began to overlap one by one.
Before getting involved in bariatric surgery, Meng Hua focused on stomach cancer. There were too many heavy stories.
In the weight loss center, “patients come heavy and walk easily.”
Two years after the operation, Ding Rui's weight stabilized at 130 kg.
She wears a slim white dress and a lavender scarf. Many people praise her as thin.
This is a word she has never heard.
When shopping, she can wear all the clothes, and the waiter flatters her that "whatever she wears is good."
She knew it was a sales routine, and she would still be secretly happy.
She rushed to Happy Valley alone and played all the projects.
The first one to board the Sun God car, the tourists around them closed their eyes and shouted, she laughed and opened her eyes wide.
Her lung capacity increased, she became a frequent visitor to the gym, tried swimming, and was on the Great Wall for the first time in 20 years.
She made an appointment with her friend to ride a bicycle.
She went bungee jumping again, spending one person's money.
She also wants to skydive if there is a chance.
It took two years for Ding Rui to adapt to her new appearance.
One time she went through a security check at the airport and got stuck after using her ID card to perform face recognition. After that, she changed all the photos identified in the software.
She deleted those big-size women's clothing stores that she had followed, and gradually erased the old traces on the big data push.
The wall that stood between her and the outside world gradually cracked.
She still likes a lively atmosphere, but she doesn't need to hide herself.
A boy chased her.
Ding Rui concluded that she knew herself again and lived again.
The day of hospitalization was Hu Shuang’s 30th birthday.
She regarded the operation as a birthday present for herself.
One year after the operation, her menstruation was normal.
She complained to her mother that the monthly money spent on sanitary napkins made her almost bankrupt.
Mother laughed at her, "Did you not pay more for food before?"
She lost weight from 300 kg to 130 kg. She got into the habit of exercising. She planned to play around with her friends. Later, she joined Meng Hua's team and was responsible for communicating with patients.
She knew the sensitivity and fragility of fat people, and when she met them on the street, she would rush to secretly stuff the business card into the other's hand.
7
But Meng Hua knew that cutting his stomach would not solve all problems.
"Surgery can only bring patients from obesity to mild obesity. It does not mean that people will become thin directly." He emphasized that if you want to become a normal weight, you must change your lifestyle.
He said that over the years, there have been cases of obesity among postoperative patients.
Although most people can follow the doctor's advice, helplessness still occurs from time to time: some people ignore the importance of exercise, and some patients are still greedy.
During the interval of the operation, Meng Hua received a call. A patient was only 20 days after the operation. He couldn't help but drank the broth, ate a plate of scrambled eggs with tomatoes, and tasted the spicy until the pain rolled, and he came to the doctor for help.
He was angry and helpless, "How can I manage this?"
Because of the indulgence of diet, some people enlarge the cut stomach again, which also causes gastroesophageal reflux to a certain extent.
The regret engraved in Meng Hua's heart is that a few years ago, he performed gastric surgery on a man weighing more than 400 kilograms.
At that time, there was no complete postoperative management.
The operation was very successful, and the patient's many high-risk indicators were brought back to a stable level. He also wrote this case in his PPT.
In just one year, the patient called for help again.
Meng Hua learned that after losing more than 100 kilograms, the other party could not control himself, and once again was eaten back to a high-risk state.
During that time, Meng Hua was going through the work transfer procedures, so he had to ask the patient to wait, but the bad news came first.
Due to the high levels of various indicators, the patient died eventually.
Nowadays, weight loss has become a multidisciplinary management. Experts in nutrition, internal medicine, endocrinology, respiratory medicine, traditional Chinese medicine, acupuncture, and psychology all need to be involved.
More than one family member of the patient asked Meng Hua whether he could manage lifelong weight loss.
Meng Hua replied, “We can always provide services, but the problem is that patients are willing to cooperate and need to change their lifestyles.”
Sun Yaowei, a graduate student of Beijing Sport University, is doing an internship in Menghua’s department. He opened an online exercise class with patients.
In the past three months, he went to the ward countless times to talk to groups of patients about the benefits of exercise, but promotion was still "very difficult."
There is a rowing machine at the nurse's station outside the ward to facilitate patient movement.
Most of the time, users are only medical staff.
Jia Yu really doesn't want to go back to his previous life.
He described himself as breaking through the "Ghost Gate".
He hurriedly finished the operation before graduating from university, and his current job is road and bridge engineering, which requires physical strength.
He often goes out for a run, and in peak season, he spends a day in the countryside.
He finally knew what a "normal person's day" was.
(At the request of the interviewee, the patients in the article except Ding Rui, Hu Shuang, and Yang Fan are pseudonyms. China Youth Daily and China Youth Daily reporter Lu Chong also contributed to this article)
The pictures in this edition are all taken by Lu Chong, a trainee reporter from China Youth Daily and China Youth Daily, except for their signatures.
China Youth Daily·China Youth Daily reporter Wang Jingshuo Source: China Youth Daily