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Zhao Xin Lan
Endocrinology
About me
Zhao Xinlan, female, Chief of the Endocrinology Department, Hunan Provincial People's Hospital, Chief Physician, and Master's Supervisor.
Serves as a member of the Elderly Endocrinology Group of the Geriatrics Branch of the Chinese Medical Association, the Islet Cell Histology Committee of the Chinese Geriatrics Society, the Deputy Director of the Women's Metabolic Disease Prevention and Treatment Professional Committee of the Hunan Female Physicians Association, a member of the Diabetes Professional Committee of the Hunan Medical Association, a special medical insurance review expert in Hunan Province, and a member of the Hunan Province Medical Accident Appraisal Expert Database.
Has undertaken 3 provincial-level projects, won a Hunan Medical Science and Technology Progress Award (ranked third), and participated in more than 10 national and provincial-level projects, with over 10 professional papers published in SCI and other journals.
Proficient in diseases
Individualized precise treatment for diabetes, adrenal diseases, secondary hypertension, thyroid diseases, pregnancy endocrinology and other endocrine diseases diagnosis and treatment.
Voices
Can cholecystitis be cured?
Can cholecystitis be cured? The answer is definitely yes. Cholecystitis can be cured through either medical or surgical means. Firstly, if it is chronic cholecystitis without obvious clinical symptoms, one can prevent acute attacks by paying attention to their daily life, avoiding high-fat and high-calorie diets, and keeping warm. If it is acute cholecystitis, then acute anti-infection treatment is needed. Moreover, if the inflammation is severe and the gallbladder is significantly enlarged, or there is even a risk of perforation, then emergency surgical treatment is necessary at this time.
What department should I go to for obesity?
Obesity is a chronic metabolic disease that belongs to the field of endocrinology, so the first choice for early-stage obesity is to see an endocrinologist. Some hospitals also have specialized weight management departments, which are also an option for consultation. When obesity is accompanied by other serious comorbid conditions, such as coronary heart disease or heart failure, in addition to seeing an endocrinologist, it is also necessary to visit the cardiology department. If there is concomitant osteoarthritis, a visit to the orthopedics department is needed. Women suffering from menstrual irregularities or infertility should consult with a gynecologist. In summary, obesity is a disease that can cause multiple metabolic abnormalities and damage multiple systems, requiring early prevention and treatment.
Is it difficult for people with obesity to get pregnant?
Patients with obesity, especially women with excessive abdominal fat, often experience disrupted hormonal balance due to altered levels of circulating sex hormones. This frequently leads to ovulatory abnormalities and excess androgens, often accompanied by reproductive dysfunction. As a result, such conditions manifest as difficulty in conceiving, and are commonly associated with menstrual irregularities, amenorrhea, and infertility. Some patients may also develop polycystic ovary syndrome. Even in pregnant obese women, the risks of diabetes and hypertension increase, as do the risks of complications during childbirth and congenital abnormalities in their infants. Therefore, it is crucial for women of childbearing age to maintain a normal weight.
Differences between the symptoms of thyroiditis and thyroid cancer
Thyroiditis, if it is acute suppurative thyroiditis, clinical manifestations include fever, local pain in the thyroid, tenderness on palpation, and a hard texture of the thyroid. Examination will show an increase in white blood cells. Subacute thyroiditis may also present with mild fever or high fever and local pain in the thyroid, but compared to suppurative thyroiditis, the increase in white blood cell levels is not as significant in subacute thyroiditis. If it is autoimmune thyroiditis, there may not be obvious symptoms clinically; there may be enlargement of the thyroid, and the thyroid may feel tougher upon palpation. As for thyroid cancer, clinically, if it does not cause hyperthyroidism or hypothyroidism, there are no specific symptoms. When the cancerous tumor is large, there may be an enlargement of the thyroid, the texture of the enlarged thyroid will be very hard, and there will be notable local adhesions. Of course, the main difference can be detected and diagnosed through an ultrasound examination.
Does cholecystitis require surgery?
Whether cholecystitis requires surgery depends on the acute or chronic status of the inflammation and its severity. If it is acute suppurative cholecystitis, emergency surgery is needed to avoid gallbladder perforation and resultant peritonitis, which could lead to serious septic shock, thus emergency surgical treatment is necessary. If it is mild chronic cholecystitis, elective surgery can be considered, and there is no need for emergency treatment. If it is asymptomatic chronic cholecystitis, it can also be managed with dietary adjustments and symptomatic medical treatment, and surgery may not be strictly necessary.
How to treat diabetic foot?
Diabetic foot is one of the most severe complications of diabetes. It is caused by a combination of factors including peripheral vascular disease and diabetic peripheral neuropathy associated with diabetes. In such cases, treatment can involve internal medicine, interventional vascular treatment, and surgical treatment cooperatively managed by multiple vascular departments. Early treatment focuses on controlling blood sugar, improving circulation, and nourishing nerves. If ulcerations and skin breakdown have already occurred in the foot, further debridement and anti-infection treatments are necessary. It is essential to conduct an ultrasound of the lower limb vessels to assess for any vascular narrowing. If severe vascular occlusion occurs, vascular surgery may be needed to restore blood flow. In cases of severe diabetic foot with infection, surgical debridement or even amputation may be necessary. Thus, it is crucial to control blood sugar well in the early stages of diabetes to prevent these complications and potentially avoid the onset of diabetic foot.
Can obesity be contagious?
No. Obesity can be classified into primary and secondary types according to its cause. Primary obesity, also known as simple obesity, is the most common type and is mainly due to poor dietary habits, such as overeating, particularly excessive intake of fatty foods, and a sedentary lifestyle, and is not secondary to other diseases. Secondary obesity is caused by diseases such as hypothalamic-pituitary disorders, hypercortisolism, hypothyroidism, hypogonadism, and insulinoma. Therefore, the causes of obesity are not infectious factors, so obesity is not contagious. However, lifestyles can influence each other; being around people with poor lifestyles for a prolonged period can also lead to adopting poor lifestyle habits and potentially result in obesity.
Diabetic foot VSD (Vacuum Sealing Drainage) nursing key points
If you have diabetic foot, it is necessary to check the condition of your feet every day. When washing your feet daily, observe the color and shape of the feet, whether there is any skin damage, and whether there are changes in local color. Secondly, more professionally, you can feel the pulsation of the dorsal artery of the foot to see if it is normal. Third, insist on washing your feet daily to maintain cleanliness and hygiene. Be careful that the water temperature for soaking should not be too high, preferably not exceeding 40 degrees Celsius, and do not soak for more than 30 minutes. Additionally, trimming nails is very important. Do not tear them with your hands to avoid damaging the skin of your feet; use scissors to cut long nails. Another important aspect is shoe wearing. It is best to wear loose-fitting shoes to avoid rubbing against the feet and breaking the skin.
What should people with obesity eat?
Patients with obesity, due to excessive caloric intake, experience accumulation of fat in the body, leading to overweight. Obesity can cause many dangers, such as diabetes, hyperlipidemia, hypertension, etc., so it is important to control your diet. The correct way for diabetic patients to eat is to avoid high-calorie, high-fat foods, such as fat-rich animal products and animal viscera, avoid high-calorie sugary drinks and high-sugar fruits, and try to eat low-calorie, high-fiber vegetables.
Can people with obesity exercise?
Obesity is a metabolic disease caused by excessive accumulation of fat in the body or abnormal distribution, commonly referred to as obesity, with body weight exceeding the standard. Obesity can be due to excessive intake and insufficient exercise; thus, not only can obese individuals exercise, but they also need to persist in it. However, during exercise, it is important to consider special circumstances. The amount and method of exercise vary from person to person, and it is necessary to develop individualized exercise plans and choose exercises or programs that are easy to maintain while progressively advancing. However, when designing exercise treatment plans, it is crucial to consider the impact of complications, especially for patients with cardiovascular, respiratory, or musculoskeletal comorbidities, and choose suitable forms of exercise. Generally, it is recommended to exercise three to five days per week, with 30 to 45 minutes of appropriate activity each day. Patients with these complications should avoid intense exercises and can start with mild activities such as brisk walking, swimming, and strolling, or consult with rehabilitation specialists to develop appropriate individualized exercise plans.