I Can See Health

   Chapter 619 Calm man

   Looking at the calm man, Lu Chen was slightly taken aback.

  Uremia, these three words have a lot of lethal power in the hearts of ordinary people.

  Most people will change their color when they smell it!

   In simple terms, uremia means that the kidneys are useless for various reasons.

   For the human body, the kidneys are the organs that drain and detoxify.

  The wastes produced by people’s metabolism every day will be excreted through the kidneys to form urine.

  The kidneys are damaged, and the toxins cannot be excreted from the body.

   Over time, various organs in the human body accumulate toxins, which will lead to multiple organ failure and death.

  …

   The man lying on the bed was able to say these three words so lightly.

   It seems that he should already know his condition very well.

   "When was uremia diagnosed?" Lu Chen continued to ask.

   "It should be half a year." The man said slowly.

   After he finished saying this, he suddenly began to vomit again.

  Lu Chen immediately tilted his head once to prevent aspiration.

  Fortunately, he didn't vomit much, and after vomiting a small amount of dark red blood, it stopped.

   But after vomiting, the mental state of the whole person is even more sluggish.

  Lu Chen immediately instructed the nurse to give treatment to protect the stomach and stop bleeding.

   "Since uremia is diagnosed, why is there no dialysis?"

   Seeing that the patient's condition improved slightly, Lu Chen asked aloud.

There are only two treatments for    uremia.

   kidney transplant, or dialysis.

   The cost of a kidney transplant is quite unbearable for ordinary families, but the cost of dialysis, which is reimbursed by medical insurance, can barely be afforded.

   "I don't want dialysis. I didn't want to have dialysis before, and I don't want dialysis now." The man shook his head, "You don't need to worry about me, I'll be discharged when I feel better."

  Lu Chen's heart sank to the bottom. .

  If the medical history provided by the patient is true, then his gastrointestinal bleeding should be caused by uremia.

  The accumulation of toxins in patients with uremia can damage the mucosa of the gastrointestinal tract and cause gastrointestinal bleeding.

   In addition, patients with uremia may be combined with hyperparathyroidism. Hyperparathyroidism will increase the level of gastrin and increase the acidity of gastric juice, thereby damaging the gastric mucosa and causing bleeding.

   "Contact your family, we will communicate with him, you don't need to worry about the cost." Lu Chen said.

   "No." The man shook his head slowly, "I'm not married, I don't have a wife and children. My mother is gone, and my father is too old to move around in the countryside."

   "But uremia is not on dialysis, so the risk is very high!" Lu Chen frowned, "There is even a risk of sudden death at any time!"

   The man in front of him is only thirty years old!

   He tried to persuade the man to notify his family to come over.

   If it is really uremia, according to the current condition of the patient, after the condition is stabilized, emergency dialysis treatment is definitely needed.

   "No need, really no need." Although the man was very weak, his tone was unusually firm, "Dialysis is impossible, and I will never be able to do dialysis in my life."

   After saying this, the man seemed to have exhausted his strength, slowly closed his eyes, and stopped talking.

  …

   The bedside ECG monitor emits a beeping sound.

  The nurse left after drawing blood from the patient.

  Lu Chen measured the man's blood pressure again and perfected the electrocardiogram.

   All vital signs are temporarily stable, but what to do next is difficult.

   Waiting for the test results to come out, if the diagnosis is uremia, then dialysis must be done.

   However, the patient's negative treatment attitude made the next treatment plan confusing.

   "Notify the medical department, contact the patient's work unit, and let them coordinate."

  Lu Chen immediately contacted the medical department.

   Dialysis treatment, although the current technology is very mature, there are still certain risks.

   If there is no consent of the patient and the presence of family members, it must not be carried out easily.

  …

   Simple treatment of the patient.

   After Lu Chen and Xu Yiwen took over, they also got off work.

   But now it’s less than half an hour before going to work in the afternoon.

  Lu Chen hurried to the cafeteria, and after a quick lunch, he returned to the emergency department without stopping.

   At this point, the patient's test results came out.

  “Creatinine 1124umol/L…”

   Seeing such a high creatinine value, the patient's uremia is undoubtedly diagnosed!

   "I have communicated with the patient many times." Xu Yiwen shook his head slightly, "He still doesn't want dialysis, and we have nothing to do."

   "Thank you, brother."

  Lu Chen returned to the emergency room.

   The patient's condition is much better than when he first came to the hospital in the morning.

   But his health is still decreasing.

   "If you are afraid that the treatment fee will not be enough, we can take the green route." Lu Chen said to the man, "First perform the arrears of treatment, and then you can make up the treatment fee."

   Seeing the patient's twisted attitude, Lu Chen felt that he was worried about the cost of treatment.

   For this kind of critically ill patients, the hospital has a corresponding green channel system, allowing arrears of treatment, and making up for the treatment fee later.

   The man was half lying on the bed with the oxygen tube still at the tip of his nose. He glanced at Lu Chen with a lonely expression.

   "Doctor, I actually have hereditary uremia."

  Lu Chen was slightly startled, "Hereditary?"

   "Yeah." The man nodded slowly, "My mom passed away because of uremia, and my brother is on dialysis."

  The words of a man are calm.

   But in the eyes of Lu Chen and the nurse, it was as heavy as a thousand catties.

  A proper tragedy...

  Perhaps, the tragedy of life has long drained his tears.

   In everyone's eyes, it was a tragic thing, so he was able to face it so "calmly".

   "My dad is alone in the country. He is now helping my brother with dialysis. If he has to bear the cost of my dialysis, it is impossible."

   For patients with uremia, the number of dialysis is about 2-3 times a week.

   This also means that the patient himself has basically left most of his work.

  The cost of dialysis is all borne by the only old father in the family.

   "When did your brother get sick?"

   "It's about the same time as me." The man smiled wryly, "He is undergoing dialysis in the county hospital."

  Lu Chen is about to ask further about the relevant medical history.

  The man suddenly began to gasp for breath, his breathing was short, and his face was painful.

   "I...I feel so uncomfortable here..."

  The man grabbed his chest and said to Lu Chen in pain and helplessness.

   Lu Chen's heart tightened.

   He knew that it was very likely that uremia had damaged the heart, leading to a series of diseases such as myocardial ischemia and heart failure.

  Lu Chen quickly greeted the nurse and gave the patient a simple treatment.

   However, without dialysis, any other treatment may be futile.

   Taking advantage of this gap, Lu Chen got the patient's mobile phone.

  …

   "Hello, are you Wang Wu's family?"

   "Yes, who are you?"

   "I'm an emergency doctor at Jinghua Second Hospital. Wang Wu is hospitalized in the emergency department. He is in critical condition and needs emergency dialysis..."

   "Okay, I'll be right here!"

  Lu Chen informed the patient's old father at home.

   However, even if he buys the fastest train, he will not arrive at the hospital until 2 pm tomorrow.

   It is now three o'clock in the afternoon, and there will be nearly a day until two o'clock in the afternoon tomorrow.

   Now we can only wait for the patient’s family to come in person and persuade the man to cooperate with the treatment.

  It is also impossible for the emergency department to force patients to undergo dialysis treatment.

  Just, in less than a day, can the patient wait?

  Lu Chen would come to the patient's bedside to check every once in a while to ensure that the man's vital signs were stable.

   (end of this chapter)