Chapter 279: Young people are terrible, Dr. Du bowed his head after being severely beaten by society

Author: Jiangbian Yuweng

Chapter 279: Young people are terrible, Dr. Du bowed his head after being severely beaten by society

Yang Chan is a very competitive woman.

She is the squad leader of Class 512. Her academic performance has always been among the best in the class, and she is extremely proud of herself. Unexpectedly, after joining the work, she was overtaken by Zhou Can, who had mediocre grades, and the gap between the two seemed to be quite wide.

Big.

She didn't say anything, but deep down she was feeling panicked.

Only by winning the game can she feel better.

People, especially those who are proud at heart, are more eager to prove that they are no worse than others.

The relationship between Yang Chan and Zhou Can has always been delicate. She will always be the arrogant and domineering squad leader in front of Zhou Can. When Zhou Can is in trouble, she can help him without hesitation without asking for anything in return.

Because she feels that as the monitor of the class, she has the obligation to take care of her classmates.

This time, she wants Zhou Can to know that she is still the powerful squad leader and her valiant and heroic appearance is still there.

Just diagnosing SAS disease is not her area of ​​expertise.

She has begun to rack her brains to deduce the cause of the patient's disease. It is difficult to say whether she can gain anything.

Gao Jian is also working hard to diagnose.

The cause of the patient's disease is related to the central nervous system, and neurology is his strong point, so he has certain advantages and is very motivated.

He also wanted to win against Zhou Can and regain his confidence.

In the past two years, I have almost been overwhelmed by Zhou Can because Zhou Can is so good.

The better the competitor, the greater the pressure on the parties involved.

Compared with the two of them, Zhou Can is the calmest and most laid-back one. He is still conducting deeper analysis based on the clues he has discovered.

Just as several chief doctors were diagnosing the woman, an accident happened.

The woman was originally just supporting her huge head with both hands, half-lying on the table. Now she was lying on the table and fell asleep, snoring.

This little accident made several doctors look at each other, and then couldn't help but smile.

"Does she usually fall asleep easily during the day at home?"

Zhou Can asked the first question to the family members.

"Yes! This child often falls asleep suddenly while sitting on the sofa watching TV or talking to us. She followed us for a day of examinations in the hospital today, and she is probably exhausted.

"

When the woman's mother looked at her daughter, her eyes were doting.

Parents must have a certain responsibility for raising their daughter to be so fat.

They say spoiling a child is like killing a child.

When parents pamper their children too much, they do not really love them, but harm them.

"Does she sleep a lot during the day?"

Zhou Can wanted to know whether the patient had daytime sleepiness.

"That's not long. My daughter sleeps very lightly during the day and is easily awakened." It seems that there is no drowsiness.

"Has she always snored this loudly?"

Zhou Can nodded and asked.

"It's pretty good today. When it's severe, you can feel the vibration on the door and glass of the room. Doctor, my daughter's loud snoring does that mean her lungs are strong?"

The woman's mother was actually proud of her daughter's loud snoring.

I really don’t know what kind of weird parents these are.

"There seems to be no scientific basis for this!" Zhou Can tried his best to sound as nice as possible, otherwise he would make his family members unhappy and it would not be good if they quarreled.

As far as he knows, the louder the snoring is, the more severe the respiratory obstruction is.

It's just that the patient's mother is proud of this. If Zhou Can tells the truth, he may immediately arouse the resentment of his family members.

If it is central sleep apnea, it is usually mild intermittent snoring.

Her snoring seems to be severe and not intermittent. It seems to be more like obstructive sleep apnea.

The three chief physicians had previously judged that this patient probably had mixed sleep apnea, which should be correct.

Diagnosis of mixed causes is more complex and much more difficult.

No wonder other hospitals have performed surgeries with no results.

Suddenly, the patient's snoring stopped.

Her body began to move uneasily, and her face looked a little red from being suppressed. Finally, it seemed as if her blocked airway was suddenly opened.

A long puffing sound comes from the mouth, and the waste gas in the body is discharged.

The patient's paused breathing then returned to normal.

Zhou Can, Director Zhang and others witnessed the patient's apnea with their own eyes. In addition to being shocked, they were even more happy.

Being able to see the symptoms with your own eyes is definitely helpful for diagnosis.

When she resumed breathing just now, she needed to expel air from her mouth. Was it the nasal airway that was blocked?

This provides a direction for their diagnosis.

"When she was apnea, she didn't seem to have any circulatory system symptoms, such as high blood pressure, arrhythmia, myocardial infarction, etc. This is a good phenomenon, at least she doesn't have to worry about causing other circulatory system diseases when she is apnea."

Zhang Bihua said.

Sleep apnea syndrome is very prone to combined symptoms of the circulatory system, respiratory system, nervous system, endocrine and metabolic systems.

The risk of these complications is even higher than the SAS disease itself.

"There seems to be no inspiratory disorder, hypoxemia and hypercapnia, which will not lead to pulmonary hypertension and right ventricular failure. The patient's condition should be relatively mild, far from being extremely dangerous."

As Zhou Can spoke, he walked around to the patient's side and carefully observed her neck.

The family members are quite snobbish and don't seem to trust him as a young doctor.

Standing there, just moving slightly to the side.

Zhou Can doesn't mind. He has been a doctor for so long and has seen all kinds of family members.

Suffering a little grievance is commonplace.

That is to say, his medical status has been improved now, and he can already receive very good treatment in front of superior doctors. In the past, when he was an intern, his status was not improved, and he really suffered from both sides.

After his family members and patients scolded him, they always had to scold him again when he was hospitalized. Sometimes the teacher's face was as dark as ashes.

After reading it, Zhou Can felt a little confident.

Director Zhang, Deputy Director Shi and Director Jiang have already discussed the patient's condition. However, the three of them have not made any substantial diagnostic breakthrough.

"One more question, did she say she had a headache when she got up in the morning?"

Zhou Can decided to learn more about it.

"It seems that she really has this symptom. She often says she didn't sleep well last night and has a headache." The female patient's mother replied.

"Has she ever had enuresis?"

Zhou Can already has further judgment in his mind.

"Uh...well, I guess there isn't one!" the patient's mother replied hesitantly.

Her eyes flickered and her face changed rapidly, indicating that she was not telling the truth.

In fact, there are other ways for doctors to judge whether family members are answering questions honestly.

For example, when you lie, your eyes will look to the upper left, which means that the family member or patient is trying to deceive the doctor. If your eyes look to the upper right, it means that they are recalling past events, and they are more likely to tell the truth.

Just now, the mother of the female patient looked up and to the left when she answered, and her eyes were wandering. She did not dare to look at Zhou Can at all, and she was probably lying.

"You don't have to feel embarrassed for your daughter if she doesn't seek medical treatment. Telling us the real symptoms will help us find out the cause of her illness. As long as the cause is found, it will be possible to cure her sleep apnea syndrome.

, all her symptoms will disappear and her body will return to normal."

Zhou Can was good at teaching and drawing cakes for his family members.

"Well...my daughter does have enuresis, but it only happens occasionally." The mother of the female patient lowered her head and whispered.

The two family members found that Zhou Can could accurately tell some of their daughter's secret symptoms, and they couldn't help but admire the young doctor.

"Director Zhang, I suggest checking the patient's thyroid function."

Zhou Can made diagnostic suggestions to the leader, Director Zhang.

Yang Chan and Gao Jian couldn't help but be shocked. They didn't expect Zhou Can to have a diagnostic breakthrough so quickly.

That is to say, the two of them have never stayed in the same department as Zhou Can.
To be continued...