MTL - I Can See Health-v3 Chapter 920 fat man problem
Chapter 920 Fatty's Dilemma
Lu Chen has been very busy recently.
The national nature project, the establishment of journals, and the new type of tricuspid valve surgery are all in hot development.
The journal "Modern Cardiovascular Diseases" of the Fifth Hospital of the Magic Capital did not attract much attention after it was published.
However, this case report written by Gu Xinyue has aroused many discussions among people in the cardiovascular industry.
This rare case can greatly broaden the horizons.
For some high-end industry insiders, there is an obvious reference.
Just because it is a Chinese journal, it has not caused much trouble internationally.
Lu Chen also wrote several small articles about some of his past thoughts and published them in the journal "Modern Cardiovascular Diseases".
The content of these small articles is mostly a review of the field of cardiology.
Overview of this kind of thing, the threshold is low, and the upper limit is extremely high.
Ordinary review literature can only be irrigation.
But top-level reviews can be published in top international journals.
The several reviews written by Lu Chen are naturally excellent works of high quality.
There are also other people from the Fifth Academy of Magic Capital who published papers in the journal "Modern Cardiovascular Diseases".
Including Ke Yue, Fan Zhiping and Lu Chen as the editor-in-chief, all selected are of high quality.
The road to self-created journals is extraordinarily long and arduous.
All beginnings are hard.
Lu Chen is full of hope.
…
in the ward.
Gu Xinyue was thinking hard at this time.
A big fat patient just came, and the blood oxygen saturation always drops for no apparent reason.
A series of diseases that may reduce blood oxygen saturation, such as heart failure, pulmonary embolism, etc., he has taken into account.
However, after the final analysis, the diagnosis was all wrong.
"Hey, do you want to find Lu Chen again?"
Gu Xinyue didn't really want to find Lu Chen in her heart.
If every difficult case comes to Lu Chen, it may make him develop a dependent mindset.
will have a bad influence on his future clinical diagnosis and treatment.
But without asking Lu Chen, he has no clue for the time being.
In desperation, Gu Xinyue could only find Jin Miao and Fan Zhiping.
As the saying goes, three cobblers top one Zhuge Liang.
The three of them stay together and can always collide with some sparks.
However, the three discussed for a long time.
Common diseases in cardiology have been discussed.
The three of them still have no clue.
This made Gu Xinyue sad.
"Otherwise, why not ask Director Lu?" Jin Miao suggested.
When he saw it, he asked if he didn't understand, not to mention Lu Chen, who was willing to teach.
This is definitely no problem.
Fan Zhiping also nodded.
Recognizing his own shortcomings and seeking help in time is one of his greatest strengths.
Seeing that they both said so, Gu Xinyue could only compromise.
He came to Lu Chen's office and pulled him out.
"Lu Chen, quickly help me see a patient."
Gu Xinyue paused.
He wanted to know, how would Lu Chen deal with this kind of situation?
"Okay."
Lu Chen just dealt with the documents at hand, nothing to do.
Gu Xinyue brought Lu Chen in front of the patient.
in the ward.
Lu Chen saw this patient for the first time.
's first impression on Lu Chen was that he was fat!
The patient's weight is at least 200 jins.
With a bloated figure, lying on a hospital bed, it makes people feel a little inconsistent.
The HP on his head is now 64 (--)!
This HP value indicates that the patient must have a problem, but it has not yet reached the safe red line.
Gu Xinyue said: "Director Lu, the patient's medical history is very simple, that is, during this period of time, he felt fatigued and flustered, so he came to the hospital for an examination. Oxygen saturation is not stable, especially at night."
"Low oxygen saturation?" Lu Chen frowned, "Is there something wrong with the lungs?"
"No, we did a lung CT and even a CTA, and we didn't find any problems."
Gu Xinyue took out all of the patient's examinations and laboratory tests.
Lu Chen picked it up and checked them one by one.
Except for the high blood lipids and uric acid, all the test indicators are normal and negative.
"It's really weird!"
Lu Chen was quite curious.
This kind of patient who doesn't seem to have a big problem may not have a simple condition!
"Let me see the patient first."
In addition to a comprehensive physical examination of the patient.
After a series of heart and lung auscultation, Lu Chen still did not find any meaningful signs.
What the patient presents to the public is just an abnormality.
That is too fat!
Other than that, there seems to be no other disease.
"Director Lu, you have to take a good look at me." The patient said to Lu Chen with bitter tears.
He consulted many hospitals because of this problem.
But it has not been resolved.
"I heard that your Cardiology Department of the Fifth Hospital of the Magic City can solve many intractable diseases, so I ran over."
The Fifth Academy of the Magic Capital already has some reputation in the Magic Capital.
In particular, some intractable diseases were solved by Lu Chen.
This time, Lu Chen's pressure was even greater.
Seemingly simple condition, but the diagnosis is not easy!
Although Lu Chen had systematic help, it would be of no use if he didn't expect a diagnosis from the sidelines.
Just when Lu Chen was at a loss.
In the ward, the patients in other beds raised a question that attracted Lu Chen's attention.
"Director Lu, he snores too loudly at night!"
Actually, severe snoring is a disease!
Especially if it sounds intermittent, don't be embarrassed to say it.
The snoring sounds like thunder and the danger is great!
Lu Chen hurriedly said to Gu Xinyue who was beside him, "Have you done sleep apnea monitoring?"
"No." Gu Xinyue shook her head.
"Oops, how did we forget this?!"
Lu Chen patted his head, and he first opened the patient's previous blood oxygen saturation record.
The blood oxygen saturation is lower than normal people, and when it is too much, it is at night!
Under normal circumstances, most people do not snore when sleeping, or snoring for very little time.
The main reason for snoring is that there is a narrowing of the upper airway, which then blocks the airflow and snores.
is what we often say, sleep apnea syndrome.
Now it is easy to understand why the patient's blood oxygen saturation will drop at night!
The airway is blocked, the oxygen is not enough, the blood oxygen must be low!
"Congratulations, the completion of the system upgrade has increased!"
The system prompt also proved that Lu Chen's conjecture was correct.
When Lu Chen told Gu Xinyue and others about his thoughts, everyone suddenly realized.
After arranging sleep apnea monitoring for patients, this is even more confirmed!
The simple truth of makes all the "experts" want to break their heads!
Even Lu Chen almost thought about it.
Many times, clinicians ignore simple diseases and think about rare and difficult diagnoses instead.
This will lead to a dead end, deeper and deeper!
(end of this chapter)
