2063 The story of snoring
“Boss Zheng, I was thinking of looking for you a few days ago.” Zhang Weiyu said,”but chief Wei said that we should talk about it after the examinations are almost done. He did not want to waste your time.”
“Yes.” Zheng Ren nodded. Director Wei was right.
“The patient is a young man in the main store of my store. He’s in Feng County, which is quite far away.”
“Eh? The main store? Isn’t this the main restaurant?” Su Yun was shocked.
Usually, the main store would be set up in first-tier cities like Beijing and Shanghai, and the branch stores would be spread all over the country. This was the normal business model.
However, the main store of this store was actually in Feng County.
Since ancient times, there were nine prefectures in the world, and Xu Prefecture was one of them. Feng County was also an ancient city with some historical legends.
“It’s an old shop, a family heirloom. My old man refused to move the shop to the capital no matter what. ” Zhang Weiyu said,”old man, the hundred-year-old plaque in the house is more important than your life. I’ve said it twice, and I was almost kicked out of the house. “
Zheng Ren nodded as he could imagine that. This was the so-called tradition.
“I have a distant relative who had a cerebral hemorrhage last autumn. He recovered well after the operation, but his child doesn’t want to go to school anymore, so he went to work in a shop.” Zhang Weiyu said,”he took medicine to control his blood pressure after the surgery. It was fine at the beginning, but his blood pressure became higher and higher a few months later.”
The patient was an 18-year-old boy. Half a year ago, he suddenly had a headache and a mental disorder. He was seen in the local hospital. When he did a head CT scan, he found that there was cerebral hemorrhage in the left spinal cord of the left Basilisk area.
When he was admitted, his blood pressure was measured to be 220/110 mmHg. After taking into account the intracranial pressure, he was immediately treated with an intracranial hemorrhaging surgery.
After the surgery, he took 10mg of Anapril Malay orally, once a day.
In the beginning, he took oral Armory and received Armory treatment. His blood pressure was controlled at 110-120/70-80 mmHg, and his condition was good. However, as time passed, his blood pressure increased.
However, he was still a young man after all, and he did not pay enough attention to his body. It was already good enough that she could take her medicine on time every day. As for the daily blood pressure measurement, he only persisted for about a month before he stopped.
He felt uncomfortable again a few days ago, so he measured his blood pressure. It was 180/120 mmhcg. As for the process in the middle, the patient himself could not clearly describe it.
He was scared out of his wits. He quickly looked around and found Zhang Weiyu in the capital.
This was the whole story.
The medical history was not complicated. The patient’s family had a history of high blood pressure, but everyone else had taken a kind of blood pressure drug, so their blood pressure was still under control.
He did not have stubborn and uncontrollable blood pressure like him.
Due to his family history, Zheng Ren ruled out many hereditary diseases.
“Chief physician Wei brought me to see chief physician Zhang. At that time, chief physician Zhang suspected that it was an adrenal problem, so he did the relevant examination.” Zhang Weiyu said.
Director Zhang Lin said,”the patient changed her medication and increased her dosage. She took an oral dose of 5mg of loxidelate, twice a day, and took 4mg of terazoline saline every night. Her blood pressure was controlled for a few days before it went back to normal.”
“I think it should be something related to the adrenal gland, but we did an MRI scan on the adrenal gland and also did an angiography for it, and nothing happened.”
This examination was very detailed, and it almost ruled out the possibility of kidney-type hypertension.
High blood pressure was mainly divided into primary and secondary, and each type had many branches. Department Director Zhang Lin’s considerations were very thorough, and her inclination was clear. Her consideration was that it was secondary hypertension.
The most common types of secondary hypertension were renal-type hypertension, Endocrine Hypertension, and some other rare trigger factors.
“How tall and heavy is the patient?” Zheng Ren asked.
“1.8 meters, 230 pounds.” Zhang Weiyu said.
She was a little chubby. Zheng Ren thought for a while and asked,”is your snoring serious?”
“Amazing. I don’t even dare to sleep with him. His snores are so loud that I feel like the bed is shaking.” Zhang Weiyu laughed.”When he was hospitalized, he had a single room. Everyone in the ward was scared away by his snoring.”
“You suspect it’s a symptom of sleep induced respiratory failure?” Su Yun asked.
“Stubborn high blood pressure. That’s probably the problem.” Zheng Ren said.
“Yes, I also suspect that it’s patients with respiratory arrest and low respiratory syndrome.” Department Director Zhang Lin said,”I’ve already asked the patient to do an enhanced MRI on her kidney. It’s just that the hospital over there is very unfamiliar with the examination for aushs and doesn’t know how to do it.”
This was also normal. Although it was common to see people with respiratory problems, many people would snore the entire night like they were in an opera.
However, the induced high blood pressure could be controlled as long as he took the appropriate medicine. Those that were difficult to control were still relatively rare.
“Boss Zhang, tell me about his snoring.” Zheng Ren was more interested in the patient’s snoring.
“Don’t mention it, boss Zheng. ” Zhang Weiyu sighed.”I went home for the new year. I only stayed for two days before I came back. It was because he snored.”
“It’s the new year. The shop’s business is good, so it’s always open. The neighbors are too lazy to cook, so they come over to treat us. When I went back, I was thinking of drinking and chatting with my family. But I can hear his snores even across the wall. “
Zheng Ren listened quietly.
“That snoring, I feel like even the wall is shaking.” Zhang Weiyu complained,”that’s not all. As they fought, he seemed to have stopped breathing.” Once, I heard him snoring. There was no sound at all in the middle, and it stopped for a full 50 seconds…I think it was about a minute. “
After hearing Zhang Weiyu’s explanation, Zheng Ren had a general idea of the patient’s condition.
“I was afraid that he would have another cerebral hemorrhage and that no one would know if he died in bed, so I got up and prepared to go see him. When I reached the door, I started snoring again, so I went back to sleep. “
“Say, not only is he snoring, but he’s also scaring people in the middle of the night. I stayed at home for two days during the new year and then ran back. “
When people in the same room or bed found that the patient had respiratory arrest, they often pushed the patient to wake him up in fear that his breathing could not recover. The patient’s respiratory arrest usually ended with panting, suffocation, or loud snoring.
This condition was called respiratory arrest, a symptom of sleep respiratory arrest and low respiratory syndrome.
Most people could start breathing on their own due to oxygen deficiency when they snored, but this person in front of him had held his breath for a little too long.
As there was no way to check his body, Zheng Ren could only guess. As for whether he was right, it was hard to say.
“Boss Zhang, is the old restaurant in dianfeng still busy?” Su Yun suddenly asked.
“It’s a small county. It closes early, so there’s very little nightlife.” Zhang Weiyu did not know why the topic had changed, but he still said what he wanted to say.
The young man beside boss Zheng couldn’t be neglected either. Even if he were to neglect boss Zheng, he would be magnanimous and would not be angry. However, this young master was hard to please. Who knew what kind of trouble he would cause at that time?