I can see health

Chapter 619 A Calm Man

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

Uremia, these three words, are very lethal in the hearts of ordinary people.

Most people will change their colors when they hear it!
To put it simply, uremia is because of various reasons, the kidneys are useless.

For the human body, the kidney is an organ that drains water and detoxifies.

The waste produced by human metabolism every day will be excreted through the kidneys in the form of urine.

The kidneys are broken, and the toxins in the body cannot be excreted.

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 can say these three words so easily.

It seems that he should already be very aware of his condition.

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

"It should have been half a year." The man said slowly.

After saying this, he suddenly began to vomit again.

Lu Chen immediately turned his head once to prevent aspiration.

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

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

Lu Chen immediately ordered the nurse to give treatment measures to protect the stomach and stop the 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 treatment methods for uremia.

Kidney transplant, or dialysis.

Most families cannot afford the cost of a kidney replacement, but the cost of dialysis can barely be afforded after being reimbursed by the medical insurance.

"I don't want dialysis. I didn't want dialysis before, and I don't want dialysis now." The man shook his head, "Don't worry about me. I'll be discharged from the hospital when I get 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 the body of patients with uremia can damage the gastrointestinal mucosa and cause gastrointestinal bleeding.

In addition, patients with uremia may be complicated with hyperparathyroidism, hyperparathyroidism will cause the level of gastrin to increase, which will increase the acidity of the gastric juice, which will damage the gastric mucosa and cause bleeding.

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

"No need." 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 old, so it's inconvenient to move around in the countryside."

"But uremia without dialysis, the risk is very high!" Lu Chen frowned, "There is even a risk of sudden death at any time!"

The man in front of me is only 30 years old!

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

If it is really uremia, according to the current situation of the patient, after the condition is stable, 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 it is impossible for me to do dialysis in my life."

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

……

There was a beeping sound from the bedside ECG monitor.

The nurse left after taking blood from the patient.

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

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

When the test results 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, but there are still certain risks.

Without the consent of the patient and the presence of family members, it certainly cannot be done easily.

……

Simple treatment of patients.

After Lu Chen and Xu Yiwen handed over their shifts, 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 finishing his lunch quickly, he returned to the emergency department without stopping.

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

"Creatinine 1124 umol/L..."

Seeing such a high creatinine value, the patient's uremia was 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 arrived at the hospital in the morning.

But his health is still declining.

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

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

For such critically ill patients, the hospital has a corresponding green channel system, allowing treatment in arrears, and making up for treatment costs later.

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

"Doctor, I actually have hereditary uremia."

Lu Chen was slightly taken aback, "Inherited?"

"Yeah." The man nodded slowly, "My mother 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 weighs a thousand catties.

Proper tragedy...

Perhaps, the tragedy of life had drained his tears long ago.

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

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

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

This also means that the patient himself basically bid farewell to most of the 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's undergoing dialysis at a hospital in the county."

Lu Chen was about to inquire further about the relevant medical history.

The man suddenly began to gasp heavily, short of breath, with a painful expression on his face.

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

The man clutched 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 hurriedly called the nurse over to give the patient simple treatment.

However, without dialysis, any other treatment measures may be in vain.

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

……

"Hi, hello, are you Wang Wu's family?"

"Yes, are you?"

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

"Okay, I'll be right there!"

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

However, even if he bought the fastest train, he would not arrive at the hospital until two o'clock tomorrow afternoon.

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 I can only wait for the family members of the patient 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 receive dialysis treatment.

It's just that it's less than a day, can patients wait?

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

(End of this chapter)