I can see health

Chapter 920 Fatty's Problem

Lu Chen has been very busy recently.

The National Nature Project, the establishment of journals, and the new tricuspid valve surgery are all in full swing.

The "Modern Cardiovascular Disease" magazine of Shanghai Fifth Hospital did not attract much attention after it was published.

However, the case report written by Gu Xinyue has aroused discussions among many people in the cardiovascular industry.

This rare case can greatly expand horizons.

For some high-end industry insiders, there are obvious references.

It's just that because it is a Chinese journal, it didn't cause much disturbance internationally.

Lu Chen also wrote several small articles on some of his past thoughts, and published them in the "Modern Cardiovascular Diseases" magazine.

The contents of these small articles are mostly reviews in the field of cardiology.

Summarizing this kind of thing, the threshold is low, and the upper limit is also extremely high.

Ordinary review literature can only be irrigation.

However, top-level reviews can be published in top international journals.

The reviews written by Lu Chen are naturally excellent works of high quality.

There are also other people from Shanghai Fifth Hospital who have published papers in the journal "Modern Cardiovascular Diseases".

Including Ke Yue, Fan Zhiping, and Lu Chen as the editor-in-chief, the selections are all high-quality.

The road to self-created journals is particularly long and arduous.

All beginnings are hard.

Lu Chen was full of hope for this.

……

in the ward.

Gu Xinyue was thinking hard at this time.

A fat patient has just arrived, and his blood oxygen saturation keeps dropping for no apparent reason.

He has considered a series of diseases that may reduce blood oxygen saturation, such as heart failure and pulmonary embolism.

However, after the final analysis, the diagnosis was wrong.

"Hey, are you looking for 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 thinking.

It will have a bad influence on his future clinical diagnosis and treatment work.

But without asking Lu Chen, he has no clue yet.

In desperation, Gu Xinyue could only find Jin Miao and Fan Zhiping.

As the saying goes, three cobblers are worth one Zhuge Liang.

When the three of them stay together, they can always collide with some sparks.

However, the three of them discussed for a long time.

Common diseases in the Department of Cardiology have been discussed.

The three still have no clue.

This worried Gu Xinyue to death.

"Why don't you go ask Director Lu?" Jin Miao suggested.

In his eyes, just ask if you don't understand, let alone Lu Chen who is willing to teach.

This is certainly no problem.

Fan Zhiping also nodded at the side.

Recognizing his own shortcomings and seeking help in time is one of his greatest strengths.

Seeing that they both said that, Gu Xinyue could only compromise.

He came to Lu Chen's office and pulled him out.

"Lu Chen, hurry up and see a patient for me."

Gu Xinyue paused.

He really wanted to know, how would Lu Chen deal with this situation?
"Okay."

Lu Chen just dealt with the documents in 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.

Lu Chen's first impression was that he was fat!
The patient's weight is at least two hundred catties.

With a bloated figure, lying on the hospital bed, this makes people feel a little out of place.

The life value on his head is now 64 (--)!
This life value shows that the patient must have a problem, but it has not yet reached the red line of safety.

Gu Xinyue said: "Director Lu, the patient's medical history is very simple. He just felt fatigued and flustered during this period of time. He came to the hospital for a check-up. He did all the blood tests and checks. There was nothing wrong with it. But there is one thing, the patient's Oxygen saturation is not stable, especially at night."

"Low oxygen saturation?" Lu Chen frowned, "Is there something wrong with your lungs?"

"No, we did a lung CT and even took a CTA, but we didn't find any problems."

Gu Xinyue took out all the examination and test sheets of the patient.

Lu Chen picked it up and checked them one by one.

Except for high blood lipids and uric acid, all the laboratory indicators were normal and negative.

"It's really weird!"

Lu Chen was quite curious.

This kind of patient who seems to have no major problems may have a complicated condition!
"Let me see the patient first."

In addition to a comprehensive physical examination of the patient.

After a series of cardiopulmonary auscultation, Lu Chen still did not find any meaningful signs.

What the patient showed to everyone was just an abnormality.

That is too fat!

Other than that, there seemed to be no other diseases.

"Director Lu, you have to show me well." The patient said to Lu Chen with bitter tears.

Because of this problem, he consulted many hospitals.

But it has not been resolved.

"I heard that the Cardiology Department of the Fifth Hospital of Shanghai City can solve many difficult and miscellaneous diseases, so I came here."

The Fifth Courtyard of the Shanghai City has already gained some reputation in the Shanghai City.

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 simple!
Although Lu Chen had systematic help, if he didn't expect a sideline diagnosis, it would be useless.

Just when Lu Chen was at a loss what to do.

In the ward, patients in other beds mentioned a problem that caught Lu Chen's attention.

"Director Lu, he snores too loudly at night!"

In fact, severe snoring is a disease!

Especially if it sounds intermittent, don't be shy about saying it.

The snoring sounds like thunder, which is very harmful!

Lu Chen hurriedly said to Gu Xinyue who was beside him, "Have you done any sleep apnea monitoring?"

"No." Gu Xinyue shook her head.

"Oh, how did we forget this?!"

Lu Chen slapped his head, and he first opened the patient's previous blood oxygen saturation record.

Blood oxygen saturation is lower than normal, and most of the time it is at night!

Under normal circumstances, most people do not snore when they sleep, or they snore very little time.

The main reason for snoring is that there is a narrowing problem in the upper airway, which then blocks the airflow and causes snoring.

That 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's prompt also proved that Lu Chen's conjecture was correct.

When Lu Chen told Gu Xinyue and the others about his thoughts, everyone suddenly realized.

After arranging sleep apnea monitoring for the patient, this is further confirmed!
Such a simple truth makes all the "experts" want to break their heads!
Even Lu Chen almost lost his mind.

Many times, clinicians always ignore simple diseases and instead think about some rare and difficult diagnoses.

This will lead to a dead end, deeper and deeper!

(End of this chapter)