My Medical Skills Give Me Experience Points

Yang Chan is a woman with a strong competitive spirit.

She was the class leader of class 512, her academic performance firmly ranked first or second in her class, and she was undoubtedly very proud inside. She didn't expect that after starting work, she would be surpassed by the average-performing Zhou Can, and it seemed that the gap between them had widened significantly.

She didn't say it out loud, but deep inside she was stifled with frustration.

Only by turning the tables could she feel at ease.

People, especially those with internal pride, have an even greater desire to prove they are not inferior to others.

The relationship between Yang Chan and Zhou Can had always been delicate. In front of Zhou Can, she was always the arrogant and domineering class leader. When Zhou Can was in trouble, she would help him without hesitation and ask for nothing in return.

Because she felt it was her duty as a class leader to take care of her classmates.

This time, she wanted to show Zhou Can that she was still the powerful class leader, her impressive presence still intact.

It's just that diagnosing SAS disease was not her area of expertise.

She had already begun to rack her brains to deduce the patient's cause of illness. Whether she could gain any insights was still hard to say.

Gao Jian was also actively engaged in the diagnosis.

The patient's cause of disease had some connection to the central nervous system, and neurology was his strong suit, so he had a certain advantage and was extremely motivated.

He too wanted to win a round against Zhou Can to regain confidence.

In the past two years, he had almost been suffocated by Zhou Can, who was simply too outstanding.

The better the competitor, the greater the pressure on the person concerned.

Compared to the two of them, Zhou Can was the calmest and most leisurely one. He was still conducting a deeper analysis based on a clue he had discovered.

The incident happened while several attending physicians were diagnosing this woman.

The woman, who was originally propping her huge head with both hands and half lying on the table, suddenly fell asleep on the table, emitting bursts of snores.

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

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

Zhou Can asked the first question to the family members.

"Yes indeed! This child often sits on the sofa watching TV or talking to us, and suddenly can fall asleep. Today, she has been with us undergoing examinations at the hospital for the entire day, she must be exhausted."

The woman's mother looked at her daughter with doting eyes.

Having raised her daughter so chubby, the parents certainly have a certain responsibility.

There is a saying, 'Overindulging a child is like killing a child.'

Parents who spoil and overly indulge their children aren't truly loving them, but rather harming them.

"How long does she sleep during the day?"

Zhou Can wanted to find out if the patient had a tendency to sleep excessively during the day.

"It's not long, though. My daughter sleeps very lightly during the day; she is easily woken up." It seems that she doesn't have excessive sleepiness.

"Has her snoring always been this loud?"

Zhou Can nodded and asked.

"Today it's actually rather mild. When it's severe, you can feel the doors and glass vibrating in the room. Doctor, does my daughter's loud snoring indicate that she has strong lung function?"

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

Can't imagine what kind of peculiar parents these are.

"There doesn't seem to be any scientific basis for that!" Zhou Can tried to keep his tone as nice as possible; otherwise, if he annoyed the family later, it wouldn't be good if they got into an argument.

To his knowledge, the louder the snoring, the more severe the airway blockage.

But since the patient's mother took pride in it, if Zhou Can told the truth, it might immediately provoke the family's antagonism.

If it were central sleep apnea, it would generally be mild, intermittent snoring.

Her snoring seemed more serious and not intermittent. It leaned more towards obstructive sleep apnea.

Previously, the three attending physicians had judged that the patient likely had mixed-type sleep apnea, which was probably correct.

Diagnosing the cause of mixed-type is more complex and much more difficult.

No wonder surgeries in other hospitals had no effect.

Suddenly, the patient's snoring stopped.

Her body began to move restlessly, and her complexion started turning progressively redder as if she was being suffocated. At last, it was as if the blocked airway suddenly cleared.

A long "puff" sound came from her mouth, expelling the waste gases from her body.

The patient's ceased breathing then resumed normal.

Zhou Can and Director Zhang, among others, personally witnessed the patient's breathing pause, and apart from shock, they were even more delighted.

Being able to see the symptoms with their own eyes was definitely beneficial to the diagnosis.

When she resumed breathing, she needed to expel air from her mouth; was the nasal airway blocked?

This provided them a direction for the diagnosis.

"When she stopped breathing, it didn't seem like there were any symptoms related to the circulatory system. Such as hypertension, arrhythmia, myocardial infarction, etc. This is a relatively good sign, at least she doesn't have to worry about triggering other circulatory system diseases during the respiratory pause."

Zhang Bihua said.

Sleep apnea syndrome can easily lead to comorbid symptoms in the circulatory system, respiratory system, nervous system, endocrine and metabolic systems.

These complications are riskier than the SAS disease itself.

"There doesn't seem to be inspiratory impairment, hypoxemia, or hypercapnia either, which means there's no risk of pulmonary artery hypertension and right ventricle failure. The patient's condition should still be considered mild, and it hasn't reached an extremely dangerous point."

As Zhou Can spoke, he walked to one side of the patient to carefully observe her neck.

The family members were quite opportunistic, seemingly distrusting this young doctor.