This doctor has a system

Chapter 72 72. Sleep apnea and hidden diseases

The data collection work is going smoothly, and Gao Feng plans to collect more than 150 cases.

According to this progress, it will take about a week, and some patients still need to follow up by telephone. Hu Jiaran took the initiative to contract this task.

During the ward round the next morning, Gao Feng found that the patient with lung cancer and heart failure was much better than when he came, and the old lady no longer felt chest tightness when she got out of bed and walked.

The patient suffering from brucellosis saw Gao Feng come to make the rounds and thanked him with a smile.

"You have received heartfelt thanks from patients and family members, and you have obtained a skill point." The system prompted.

The next few patients all came for chemotherapy. Gao Feng found that the less he knew about his condition, the better his mental state.The more educated and aware of their own situation, the worse their mental state.

When bad luck befalls them, few people can accept it calmly.

"This 81-bed patient is probably going to give up." Dong Qianqian sent away a family member of the patient, "This old lady's condition is out of control, I want to add bevacizumab to her, but the patient's financial conditions are not good. "

Bevacizumab is a drug used to treat many types of cancer and certain eye diseases.For cancer, it is given by slow injection into a vein and is used for colon, lung, glioblastoma, and renal cell carcinoma.

In 2006, the US Food and Drug Administration (FDA) approved bevacizumab combined with carboplatin/paclitaxel chemotherapy for first-line advanced non-squamous non-small cell lung cancer (mainly lung adenocarcinoma.).

"What year was this medicine released?" Gao Feng asked, he remembered it for several years, "The patent is about to expire!"

"Yes!" Dong Qianqian has also paid attention to this drug, "Many manufacturers are eager to try to imitate it. I don't know when the domestic product will be released."

Once the patent of a certain drug expires and is allowed to be copied, its price will soon drop sharply, and more patients will benefit from it.

"We still have to collect skill points as soon as possible." Gao Feng thought to himself, he has not forgotten that he can also open the branch of pharmacy. If the drug development process can also be exchanged for skill points, it will make people unable to calm down.

In the afternoon, a patient came to the hospital, Dong Qianqian went out for consultation, and Gao Feng took 2 Gui Peisheng to see the patient.

The patient is a 30-year-old male, 177cm tall and weighing 200 catties, standing there like a wall.

"It will definitely affect other people's wifi signals!" Huang Liya whispered to Zhang Tianci.

Gaofen looked at the hospital certificate, and the preliminary diagnosis on it was sleep apnea hypopnea.

Sleep apnea-hypopnea syndrome, characterized by sleep snoring, apnea, and daytime sleepiness, is most common in obese middle-aged adults.

"Do you have any symptoms?" Gao Feng asked.

"It's just that I snore a little at night, feel very sleepy and tired during the day, and have a headache when I wake up in the morning." The patient looked tired, "I always feel like I didn't sleep well at night."

The patient's wife stood aside, "every night, I screamed loudly when I touched the pillow, and I couldn't get up during the day!"

"Let him watch the door in the store. He fell asleep after sitting there for a while, and he yawned when others talked to him."

The patient's wife accumulated a lot of anger, "The last time I went out to drive, while waiting for a traffic light, I fell asleep lying on the steering wheel, and the owner of the car behind almost came down and beat him."

"It feels like the whole person is abolished."

These symptoms of the patient are very consistent with the performance of sleep apnea hypopnea syndrome.

"Is the blood pressure and blood sugar high?" Gao Feng asked again.

"The blood sugar is not high, and the blood pressure has been slightly high in the past two years. The last time I tested at home was a high pressure of 142, and the low pressure was normal."

"Have you always been this fat?"

"No, I was very thin when I was in my early 20s, only about 120 kilograms. I'm pretty handsome." The patient thought for a while.

"What a handsome fart! But I didn't snore at that time, and I gained weight in the past 6.7 years." The wife on the side added.

"Okay, we basically understand your situation. You should be suffering from sleep apnea hypopnea syndrome. I will make an appointment for you to monitor sleep apnea tonight, and wait for the results to come out."

Gao Feng went back to the office first, Huang Liya and the others will continue to ask about the remaining details.

A few minutes later, the patient's wife came to the office, "Hello, Doctor Gao, I would like to add some information about the patient." She looked a little embarrassed.

"You say."

"Why don't you go out and talk, it's a little inconvenient here." The patient's wife glanced at the office.

When we arrived at the corridor, the patient's wife was a little embarrassed. Gao Feng comforted her and said, "It's okay. If you have anything to say, you've already arrived at the hospital. It's best to tell the doctor what's going on."

"My wife has not been able to do that in the past two years. Every day he lies on the bed and falls asleep, saying that he is not interested." The patient's wife was very embarrassed, "Taking some medicine has no effect. Is this right? Can you check it out while you're at it?"

"His condition should be caused by sleep apnea hypopnea syndrome." Gao Feng said to her: "Wait a moment, I will get you a coloring page."

He remembered the small popular science card about the disease sleep apnea hypopnea placed at the nurse's station, on which a series of adverse consequences were written in detail.

Due to long-term hypoxia, patients will experience increased blood pressure, cardiac arrhythmia, increased nocturia, decreased adult desire, sexual dysfunction, decreased concentration, and cognitive abilities.

Adults can also experience emotional states such as anxiety and depression.Many patients even come to the hospital mainly because of the influence of desire.

"The decreased desire can be recovered after treatment?" The patient's wife read the card for a long time.

"Okay, don't worry about that." Gao Feng's tone was very sure.

"Thank you, doctor!" The patient's wife breathed a sigh of relief. She felt a little annoyed. She knew that she had come to the hospital to see her from the beginning, and the old woman had been a widow for two years.

Gao Feng told Dong Qianqian about this, "Patients still don't know much about this disease."

Dong Qianqian said: "Many places still think that snoring while sleeping is a blessing, saying that it is a good sleep. It is better to do more science popularization in the media to let everyone know the danger of this disease."

"As far as I know, many county hospitals below can't do this sleep monitoring examination, and they can't make a definite diagnosis. How can we talk about the next treatment."

Gao Feng is also thoughtful. There is another very important reason why patients do not pay attention to this disease: the damage caused by this disease to the body occurs slowly. If you boil a frog in warm water, many patients will not go to the hospital without serious symptoms. See a doctor.

In the evening, Gao Feng went to pick up Li Xinyao from get off work. The two of them were loving each other. Li Youliang called, "Brother, where are you?"

"Oh, I feel a little tired today, I'll go there later." Gao Feng replied after stopping his movements.

"Good guy, just started a day ago, you let go of the pick, and the two of us are still busy here." Li Youliang expressed a little dissatisfaction.

Actually, I'm busy too, Gao Feng thought.

"I'll go get you two something to eat later." Gao Feng comforted Li Youliang.

　I'm really tired today. After running outside all day, I don't want to write at night.

　　
　
(End of this chapter)