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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
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.
What tests are needed for obesity?
Obesity, also known as adiposity, is a chronic metabolic disease caused by excessive accumulation of fat or abnormal fat distribution in the body. Therefore, once obesity is diagnosed, it is necessary to conduct tests related to metabolism, such as blood glucose, blood lipids, blood pressure, and blood uric acid, which are commonly known as the "four highs" tests. Additionally, liver function tests and kidney function tests should be completed to exclude obesity caused by other diseases. It is also necessary to conduct examinations for pituitary tumors, adrenal cortex function, and thyroid function to determine whether the obesity is secondary to other diseases.
Does cholecystitis hurt?
Whether cholecystitis is painful depends on the nature of the inflammation. If it is acute cholecystitis, it often causes severe pain in the gallbladder area, which is persistent and accompanied by chills, fever, poor spirit, loss of appetite, and even jaundice. If it is chronic cholecystitis, there may not be obvious symptoms of gallbladder pain. However, it can lead to an acute attack of chronic cholecystitis under the conditions of chills, high-fat diet, or other causes, which then causes pain in the gallbladder area.
Treatment methods for leukopenia
First, it is necessary to identify the cause of leukopenia. Common causes include viral infections and poor bone marrow hematopoiesis, and some medications can also cause this condition. Therefore, symptomatic treatment mainly involves the use of medications that increase white blood cells. For mild leukopenia, oral medications commonly used include Li Xuesheng, squalene, and Vitamin B4 to promote the proliferation of white blood cells. In more severe cases, granulocyte colony-stimulating factors may be used. Of course, the main method of treatment still depends on the different causes of each patient. Once leukopenia occurs, it is necessary to go to the hospital for an examination to clearly determine the cause of the decrease in white blood cells, so that targeted treatment can be provided. (Please use medications under the guidance of a professional physician and do not self-medicate.)
Key Points of Diabetic Foot Care
First, a daily foot examination is necessary, including the top, bottom, and toes. Carefully observe the skin's color, temperature, and moisture level, check for edema, skin lesions, and assess sensory and motor reflexes. Second, maintain a daily routine of soaking the feet in warm water. The water temperature should not exceed 40°C, with the soaking time ideally between 10 to 20 minutes. Third, regularly trim your toenails. Long toenails can easily break and damage the surrounding tissue, thus it is important for diabetic foot patients to regularly trim their nails. Fourth, the breathability of shoes and socks is important. It is advised not to wear sandals or slippers that expose the skin of the feet since exposed skin is more susceptible to injuries. Fifth, never walk barefoot. Sixth, avoid using electric blankets, hot water bottles, heating by the fire, and cupping therapy, to prevent burns on your feet. Seventh, maintain proper skin moisture. For patients with sweaty feet prone to excessive sweating, fungal infections may occur. It is recommended to wipe the spaces between toes with medical alcohol during foot baths, and to add a small amount of vinegar to the footbath water, as a bifunctional environment discourages fungal growth. Eighth, actively control blood sugar levels in diabetes. Ninth, maintain moderate exercise. Frequently elevate the affected limb to facilitate blood return and improve circulation in the lower limbs.