It is now 11:00 pm. Although I am exhausted after the day’s work. But as a doctor who is involved in the treatment of acromegaly (axillary odor), I would love to spend some energy to share with you what I have felt during the consultation and treatment over the years. What is axillary odor? For many people, armpit odor is one of the four kings of gonorrhea, syphilis, and marmalade that stick to the poles alongside each other. Large bold letters “fox odor” is often followed by a sentence: the old Chinese medicine ancestral secret recipe, a needle spirit. When you see such a small ad may be respectful or hypnotic, but in fact contains a lot of information. Message 1: This is a hidden disease, not to be told. Patients often have the luxury of hoping that no one else will find his “defect”, because being discovered will often cause great embarrassment to both sides; message two: the number of patients is huge, you think these so-called “old Chinese medicine” can rely on the small ads on the poles to feed themselves. It can be seen that there are really many people who read the advertisements and then “unveil the list and go”; information three: the treatment is not standardized. We all know that the so-called “one needle spirit” is a fantasy, but “very sick” often lose the ability to judge common sense, more willing to take the risk to try the so-called less invasive, fast-acting methods, trying to overnight ” Huang Bo became a prince, Phoenix became a princess. And this is all because of the lack of transparent and unified standard treatment. Speaking of which, I would like to talk about the so-called logic of dealing with things. I believe that dealing with problems usually can not escape from the face, understanding and action three steps. Example 1: A young female patient did not go out in the summer and did not exercise in the winter in order not to let others find out her odor. Example 2: A 68-year-old man has been a member of the party for more than 40 years, his life is upright, his work has been successful, and his children are all outstanding. Life is happy, respected, did not want to say that to this age because of odor in the square dance was disliked, and eventually endured the eyes of others different resolutely came to do the surgery. The examples are a bit extreme, but they are real people. The girl in example one preferred to live such a tedious life not far from trying to change, which is an escape, and the old man in example two could not pass the self-esteem barrier, and decided to have surgery after several consultations, which is the face. The prerequisite for facing is understanding, if you do not understand your own defects, how can you face it? So let’s talk about understanding. You must think that small advertisements can only cheat the ignorant patients who are sick and desperate for help. Then you are wrong. Today’s methods of treatment for armpit odor are mixed with many streams of small advertisements on telephone poles. You think they have disappeared with the transparency of information, in fact, it is more intensified. Axillary odor, also known as fox odor, beard odor, body odor, the main armpit area of the sweat gland secretions (top pulp gland) and the product of microbial action emitted after the special odor (body odor), and armpit hair has a lot to do with. Axillary odor is more obvious when it is hot and sweaty, and leaves yellowish traces on light-colored clothes. It is caused by the overdevelopment of a special sweat gland in the armpit called the parietal gland. The above paragraph is the definition of armpit odor that I found on Wikipedia. I think it can be attributed to the chemical reaction between the large amount of sweat gland secretions and bacteria in the armpit. Thinking back to your experience or those around you, you must be no stranger to this smell in humid summer days, hot and crowded elevators and carriages, stressful interviews and exams. Because of these situations, people secrete a lot of sweat, while the armpit, a place where dirt is hidden, is full of bacteria, and the magical chemical reaction between the two results in a face of embarrassment. So does armpit odor need to be treated? This seems to be the most important question for patients. Some people believe that it is a gift from God and that people should keep this innate body odor, a bit like “the body is the parent”. 2015 Acta Paediatrica reported that two-day-old newborns can recognize their mothers by their distinctive body odor (Two-day-old newborns recognize their mothers by their body odor). old newborn infants recognise their mother by her axillary odour.) From a medical standpoint, you can certainly choose not to treat the problem and instead apply perfume or antiperspirant. But the long-term use of these chemical products can cause irreversible damage to your skin, making it hyperpigmented and less elastic. I’ve never met a patient who has lasted more than 20 years, and those who have been wearing the medication for more than 10 years have often had horrible armpit skin. Patients I met with the “no treatment school” usually think like this: I think my smell is not very heavy; the smell is sometimes light and sometimes heavy, so I have been difficult to make up my mind; I saw that so-and-so around me had surgery, but the results were not very good; I felt embarrassed when people knew that they had done such a surgery, and so on. After contacting more of these patients, I found a common problem: they care a lot about other people’s opinions, but at the same time they believe in their own judgment, and when their judgment differs from others’ ideas, they often become very inferior. In fact, these patients want to change the status quo, but they are not optimistic about the feasibility of these methods, so they choose to paralyze themselves. Therefore, I think that when there exists a relatively suitable treatment method with little trauma, fast recovery and good appearance, does armpit odor need to be treated becomes a pseudo-proposition. There are hundreds of reported surgical treatments for armpit odor, but the one thing that never changes is the removal of the sweat glands. The less sweat glands remain, the less likely it is that odor will exist after surgery, and the smaller the trauma, the faster the recovery, I think any kind of surgical treatment cannot escape this rule. But the two are to a certain extent mutually exclusive. How to remove more sweat glands with less invasion is the problem that these surgical approaches try to solve. Although there are a lot of nano-superconductors, local Botox injections and scratching techniques around to catch people’s attention, if you search for armpit odor treatment, minimally invasive surgery is still the accepted treatment today. The purpose of the surgery is to remove the parietal glands by removing the sweat glands as completely as possible. This surgical approach allows for the best surgical results while maintaining an aesthetically pleasing wound. During my time as an armpit odor specialist, I have seen patients of all kinds. I admire their courage, at least they choose to take action instead of running away from the disease. Some patients chose not to have surgery after consultation. This is also a decision made after having a good understanding of the disease, not just blindly following the clouds. Many patients have achieved satisfactory results after treatment, and some patients with a tortuous recovery process have become friends with their doctors.