stjorthotic Chapter 282
Chapter 282
Chapter 282
“This child has a hard life~~~”
The tears of the patient’s mother told of the patient’s past.
Lin Feng listened carefully,
Patient, Tan Xiaoli, 26 years old,
After repeated setbacks on the graduation job search journey,
The mood is abnormally low, and I can’t do anything to lift the spirit of depression.
Sleep has also begun to deteriorate, unable to fall asleep, waking up easily, and having nightmares.
Subsequently,
Go shopping and make fewer friends.
I started staying at home, not talking~, silent, with a sad expression on his face.
In the back, a neighbor said that there might be depression.
When my parents heard this, they panicked. Many depression patients who used to watch the news committed suicide by jumping off the building.
Isn’t it possible for your own daughter?
They were so frightened that they hurriedly coaxed them and sent them to the hospital to see a doctor.
The doctor asked a lot, and then went to the psychiatrist.
“Are there any relatives who have mental disorders?”
“One, the child’s cousin used to be mentally abnormal…”
“This is a family history…”
finally,
The doctor gave the judgment of depression!
Subsequently,
Parents who didn’t give up, took the patients to several hospitals.
The result is the same!
Also diagnosed as depression!
This time I accepted my fate.
That’s it, after 2 years.
I took the medicine according to the doctor’s instructions, and adjusted the medicine several times in the middle, and my condition went back and forth.
until now,
The patient Tan Xiaoli has gained a lot of weight, from 90 jin to 140 jin.
Besides,
There was severe snoring.
The snoring sound was loud, terrifying, and scary.
“I saw the doctor on the Internet and said that snoring is so severe that it is easy to suffocate. Therefore, in the past few months, we have stayed in front of our daughter’s bed. As long as the daughter snored when she slept, we would shake her up for fear that she would suffocate directly. It’s so dead.”
Lin Feng nodded.
The reason for snoring may be that some tissues in the throat are too thick and fat (especially if this patient is so fat). When sleeping, these tissues will collapse and block the airway, and it will become difficult for airflow to enter and exit the airway. Snoring.
Mother sobbed: “But we kept waking up our daughter. Not only was the daughter very irritable, but we were also very tired…”
“Doctor, what do you say?”
Lin Feng thought for a while and said, “I suggest, first do a sleep monitoring…Half of admission, I will sleep in the hospital today, and have an examination by the way…”
Patient’s parents: “Okay, thank you doctor…”
…
The patient is admitted to the hospital,
Things are going well,
Two hours later, at 10:00 in the morning,
The patient Tan Xiaoli was sleepy and fell asleep in the hospital bed.
Then……
Lin Feng finally heard what his parents called the “scary” snore.
Snoring!
It really shocked Lin Feng!
The results of sleep breathing monitoring are also amazing!
Patients often have apneas, the longest is nearly 40 seconds of apnea!
It’s amazing!
At this level, there may be danger of suffocation at any time!
(Other conditions: panting or snoring, then the snoring ceases.)
“Doctor, how is the situation?”
The parents asked worriedly.
“It’s very serious, it’s “SAHS sleep apnea hypopnea syndrome”! ”
While Lin Feng looked serious, he also thought of a question:
Is the patient really depressed?
Still poor sleep?
The patient’s breathing state, cerebral ischemia, hypoxia, and usually lack of concentration.
Therefore, this state of the patient may not be depression, but may be a breathing problem.
“Doctor, what should my daughter do?”
“There are two ways.”
Lin Feng explained.
“The first is surgery, which cuts off the hypertrophic tissue that blocks the airway.”
“The second type is to sleep with a “non-invasive ventilator”. ”
The so-called “non-invasive ventilator CPAP” is a device that can continue positive airway pressure. Wear a mask. When you sleep, the ventilator pumps air into the mask. After the air enters the respiratory tract, it will open a way to improve breathing. Blocking situation.
It is used clinically to treat sleep apnea syndrome and related diseases,
As soon as the parents heard of the operation, they couldn’t help but be afraid.
Father shouted:
“We choose the second one!”
Lin Feng waved his hand.
“Wait a minute, let me think…”
Lin Feng began to recall some knowledge points of “SAHS sleep apnea hypopnea syndrome”.
He feels that this patient’s disease is a bit problematic.
SAHS will have the following clinical manifestations:
· Respiratory obstruction, hypoxia, and snoring while sleeping
· When awake: lethargy, lack of energy, fatigue, fatigue, inattention, and memory loss are all possible.
·There is another possibility: it will be misdiagnosed as a mental illness!
The patient’s sleep and breathing problems lead to cerebral ischemia and hypoxia. After a long period of time, it may lead to changes in the person’s temperament, anxiety, depression…
In Lin Feng’s many sign-in experiences, many patients have been misdiagnosed as schizophrenia due to apnea-hypopnea syndrome, etc. Once the breathing problem is cured, the mental problem will be resolved.
Therefore, the patient in front of me may not be depressed!
Combined with the main complaint of the patient’s mother just now:
“The effect of taking medicine, over and over again…”
Therefore, the possibility of depression is even smaller.
“Doctor Lin, what’s the matter?”
The patient’s parents were stopped by Lin Feng and couldn’t help wondering…
Lin Feng: “I think, your daughter may not be depressed, there are other possibilities…”
Lin Feng said this!
The patient’s parents are overjoyed!
Doctor Lin, that’s a doctor with very good medical skills!
What Dr. Lin said, the credibility is still very high!
Lin Feng: “I’m not sure yet… let me ask you a few questions…”
The patient’s mother was excited: “Doctor Lin, you ask!”
Lin Feng: “You just said that the diagnosis of depression was 2 years ago, and snoring only occurred in the past few months, right? Have you snored for a long time before?”
The patient’s mother shook her head: “No, I’m pretty sure.”
Lin Feng pondered,
Looking at the female patient sleeping on the hospital bed.
The neck is a bit thick.
So I asked the patient’s parents a question.
“Have you checked your daughter’s thyroid function and thyroid b-ultrasound in the past two or two years?”
Lin Feng’s initial considerations were:
·Because the patient is too fat, breathing is difficult to breathe and snoring…and then cause mental problems (suspected of depression).
However, the patient’s mother said that the time of snoring was one and a half years later than the time of depression.
So rule out this possibility!
But there is a second possibility: goiter is enlarged, causing blockage of the airway, and then breathing difficulties…and then cause (suspected depression).
“A power? Thyroid ultrasound?”
“No.”
The parents shook their heads.
“Then I will give you two orders, “A-Gong” and “A-B Ultrasound”. You should do it now. The results of “A-B Ultrasound” will be obtained after 10 minutes. …”
The patient’s parents were confused.
but,
Out of trust in Lin Feng and expectation of her daughter.
“Okay, okay, I’ll take my daughter for an examination right away!”
…
Not long after,
The female patient woke up from breathing and choking.
Then I was pulled by my parents to draw blood and do a B-ultrasound…
11:00,
The B-ultrasound results were brought back to Lin Feng.
· Enlarged goiter.
·Thyroid echo is thickened and unevenly distributed, consider “hypothyroidism”!
The patient, parents, a family of three, looked at Lin Feng with expectation and eagerness.
Yes,
The patient knew at this time that he might not be depressed, and couldn’t help but feel refreshed!
God in the eyes!
Once Lin Feng got this result, he was a little bit more certain in his heart.
Earlier, the patient’s mother complained:
· In the past two years, the patient has appeared: reluctant to speak, not talking, slow to move, chills, and memory loss.
This behavior is indeed very similar to depression.
But at the same time it is also like: “hypothyroidism” (hypothyroidism, the opposite of hyperthyroidism) symptoms!
When thyroxine is deficient, the function of the whole body will be reduced, and even edema will occur… and, “become fat”! !
This corresponds to the patient getting fat!
certainly,
The blood test result of Jiagong hasn’t come out yet,
……… …….. …
Lin Feng hasn’t really been sure yet.
“Show me your hand…”
Lin Feng is going to give the patient a detailed physical examination.
It was found that the patient also had symptoms such as dry, rough skin, low skin temperature, thinning of hair, and edema of the lower extremities (a depression appeared when pressed in).
This is a manifestation of hypothyroidism! !
The probability has risen to 99%! !
Lin Feng told this family of three of his considerations.
“It may not be depression, but hypothyroidism!”
As soon as this word came out,
A family of three was extremely excited and wept on the spot!
…
That afternoon,
The results of a blood draw came out:
Hypothyroidism!
At this time, Lin Feng finally concluded: “Hypothyroidism”!
“Thank you doctor, thank you doctor!”
A family of three excitedly thanked.
The female patient and mother cried even more.
Depression and mental illness, in the past two years, they have received many pointers from their surroundings.
At this moment, they finally felt that the clouds were up and the spring was blooming.
all of these,
It’s all because of Dr. Lin Feng!
…
Watched a family of three leave,
Lin Feng smiled,
Continue to receive patients.
The 58th patient:
·An old man, male, about 60 years old.
The old man was helped in by an old lady.
Old lady: “Doctor Lin, help me look at my old man. My eyes are narrowed… I can’t open it.”
Lin Feng: “………………”
As soon as he walked in, Lin Feng noticed that the old man’s eyes were closed.
Lin Feng thought it was an old man who had a temper and closed his eyes.
The result is not open!
sit down,
The old lady began to talk about it.
“My old man, for the past ten days, I don’t know why, my eyes have always seemed to have no strength… At first I thought that I hadn’t rested well, and I was tired, but it became harder and harder to open my eyes later…”
“Look, that’s it for today, it’s squinting…”
The old lady pointed at the old man’s eyes with disgust.
Lin Feng observed this old man up close,
Close your eyes completely.
Pulled the eyelids of the old man.
Pull up,
The black and white eyes are a bit muddy, but they are also normal for the elderly.
Lin Feng let go of his eyelids,
The eyelids fell off all at once.
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ps: The update is complete…Knife.