192: Obesity is OK, but it doesn't affect your life

The primary cause of Cushing's Syndrome is the dysregulation of the hypothalamic-pituitary-adrenal axis, leading to excessive secretion of glucocorticoids by the adrenal cortex, which in turn causes a series of complications.

Qin Jiang looked at Gan Rui and said, “Look at your current physique: moon face, buffalo hump, and central obesity—these are all symptoms of Cushing’s Syndrome.”

Gan Rui stubbornly retorted, “Dr. Qin, I should just be a bit overweight, right? At most, I’ll just lose weight. It can’t be that serious, can it?”

Even now, Gan Rui still couldn’t believe he had something called Cushing’s Syndrome.

After all, at his age, obesity was a very common thing.

Who in their thirties doesn't have a beer belly?

Seeing that Gan Rui didn't believe him, Qin Jiang continued, “Other people’s obesity might be caused by overwork or irregular eating habits.”

“But your obesity is definitely caused by complications of Cushing’s Syndrome.”

“According to the examination report, you also have high blood pressure, don’t you?”

Gan Rui scoffed with indifference.

“What’s wrong with having high blood pressure because I’m fat? It’s perfectly reasonable.”

“Doctor, just tell me what illness I have truthfully. You don’t need to make up some syndrome to scare me. I won’t shortchange you on the medical fees, not a single penny, as long as you treat me properly.”

Gan Rui’s words annoyed the netizens in the live stream.

“What is this guy pretending to be? Didn’t he just borrow money from a woman? Now he’s acting like he’s rich. That’s ridiculous.”

“I work in a Hospital, and I actually encounter many people like this. No matter what the doctor tells them, they’ll act like they know more than you, including how their illness came about and how it should be treated.”

“I don’t quite understand. If these people think they know more than doctors, why do they even come to see a doctor?”

“Perhaps it’s the only way they can appear smart and capable.”

Undoubtedly, Gan Rui belonged to the type of person the netizens were talking about.

Previously, Qin Jiang had interrupted him repeatedly and said his current career was disreputable, which had already made Gan Rui very unhappy.

Now, Qin Jiang suddenly mentioned an illness he had never heard of, and Gan Rui naturally felt even more that Qin Jiang had ulterior motives.

Seeing Gan Rui still so stubborn, Qin Jiang sneered, “Is that so? Does obesity cause osteoporosis?”

“Since you know so much, why don’t you explain to me why you have osteoporosis at such a young age?”

Gan Rui was rendered speechless by Qin Jiang’s question.

How would he know? If he knew, he wouldn’t have come to see a doctor!

Qin Jiang continued, “Lift your shirt and let me see your stomach.”

Although Gan Rui didn’t know what Qin Jiang wanted to do, he still obediently complied.

On Gan Rui's obese belly, numerous purple skin streaks appeared, looking like stretch marks after giving birth.

Qin Jiang pointed at these purple streaks and asked, “Now tell me, where did these purple streaks come from?”

Gan Rui opened his mouth but couldn't explain the reason.

After all, besides being stubborn, he certainly couldn't compare to Qin Jiang in medical knowledge.

“Why aren’t you talking? Weren’t you very eloquent just now?”

Seeing Qin Jiang getting angry, Wei Lan quickly stepped forward to mediate.

“Dr. Qin, please don’t be angry. My boyfriend has always had this bad temper. He knows nothing but insists on pretending to know everything.”

“Dr. Qin, please overlook his childishness and don’t stoop to his level.”

It must be said that Gan Rui truly accumulated good karma in his previous life to meet such a good woman as Wei Lan in this one.

“On your girlfriend’s behalf, I will continue to treat you. Otherwise, I would have you leave right now.”

Bad temper?

Qin Jiang’s temper was even worse.

If it weren't for his commitment to the principle of a benevolent doctor, Qin Jiang would have already told someone as deeply entrenched as Gan Rui to get out.

Qin Jiang pointed at the purple streaks on Gan Rui’s belly and said, “Your condition is also a complication caused by Cushing’s Syndrome, called protein metabolism disorder manifestation.”

“The clinical manifestation is like yours: dark red complexion, thin skin, where we can clearly see subcutaneous capillaries, which are these purple streaks.”

“These purple streaks are generally distributed on the abdomen, inner thighs, buttocks, and similar areas. The cause of this series of issues is excessive protein decomposition, which leads to the rupture of skin elastic fibers, ultimately presenting as your current condition.”

Qin Jiang’s explanation completely convinced Gan Rui.

This is what you call professionalism!

Generally speaking, this condition of thin skin can actually be caused by many reasons.

For example, after pregnancy and childbirth, or after excessive weight loss.

However, the spontaneous appearance of purple streaks is very rare.

At this moment, Gan Rui already believed what Qin Jiang said; he must have truly contracted Cushing's Syndrome.

However, before Gan Rui could even open his mouth to ask how to treat it.

Qin Jiang calmly added, “Things haven’t been going well lately, have they?”

“Huh?”

Qin Jiang’s sudden question completely stumped Gan Rui.

“Dr. Qin, what do you mean by ‘not going well’?”

Qin Jiang glanced at him.

“What do you think I mean by ‘not going well’? Don’t you feel it yourself?”

Gan Rui stammered, unable to speak for a long time.

Lately, he had indeed felt some difficulties in that area, but out of concern for his male pride, Gan Rui had always told Wei Lan that he was stressed from work lately, which was why his condition wasn't good.

Now, being suddenly exposed by Qin Jiang in person, Gan Rui felt somewhat embarrassed.

However, Gan Rui quickly reacted.

He looked up at Qin Jiang with shining eyes.

“Dr. Qin, do you mean that the reason I’m not doing well is also because of this illness?”

Qin Jiang nodded.

“Significant decline in gonadal function is indeed one of the complications of this disease. Depending on the patient’s constitution, the severity of this complication varies from person to person.”

“However, according to your various examination data, your condition is undoubtedly the most severe.”

Gan Rui asked nervously, “Then can my illness still be cured?”

Gan Rui wasn't very concerned about other illnesses; after all, things like obesity didn't affect his life.

But this decline in gonadal function was life-threatening.

If this illness couldn't be cured, it would directly affect his life's happiness.

Qin Jiang sneered, “I told you, if you don’t get your illness treated quickly, you’ll spend the rest of your life in a Hospital bed.”

“I told you about so many complications before, but you weren’t nervous. You’re only nervous about this one, right?”

Gan Rui said awkwardly, “Dr. Qin, you misunderstood. What I meant was that if you have an illness, you have to treat it, and of course, you have to cure it completely.”