The most enlightened doctor

After 5:30 in the afternoon, Yu Zhiming, who had completed the scheduled outpatient work for the day, met Mr. Wen Yaoguang, an old Chinese medicine doctor who came with Fang Yu and had a folk prescription for treating uremia.

As the saying goes, birds of a feather flock together. Yu Zhiming found that Dr. Wen Yaoguang and Mr. Liu, the poison king, were both thin.

However, Dr. Wen was younger than Mr. Liu, and looked to be in his sixties.

After a brief exchange, Yu Zhiming began to examine Teng Lin, a cured uremia patient brought by Dr. Wen.

Teng Lin, 34 years old this year, mainly developed uremia due to kidney damage caused by nephrotoxic drugs.

After nearly two years of dialysis, Teng Lin came to Dr. Wen for treatment. After more than half a year of treatment, his kidney function basically returned to normal and he no longer needed dialysis.

It has been one year and three months since Teng Lin's uremia was announced to be cured.

Yu Zhiming first gave Teng Lin a full-body examination, and then focused on examining his kidneys...

The main function of the kidney is performed by the nephron.

To put it simply, this kidney unit is like a small family workshop with complete functions and hard work, which is responsible for filtering blood and absorbing impurities.

There are about one to two million kidney units in our human body.

There is a lot of redundancy in so many kidney units, and only half of them can meet the metabolic needs of the human body.

This is why one kidney maintains the normal work and life of the human body.

However, these one or two million kidney units, although seemingly numerous, have one characteristic, which is that they cannot be repaired. Once it is broken, it can only be discarded.

And our human body will cause damage to the kidney units due to various reasons, such as smoking and drinking, high blood pressure, high blood lipids, drug toxins, infection, inflammation, malnutrition, diabetes, lupus erythematosus, etc., causing them to break down.

When more and more kidney units are broken, and the remaining kidney units cannot complete the metabolism of the human body, metabolic waste and toxins will accumulate in the body, and then water, electrolyte and acid-base balance will be disturbed, thus showing a series of symptoms of self-poisoning.

This is uremia.

Generally speaking, because the nephrons are irreparable, uremia is also irreversible.

And uremia will become more and more serious, because more and more nephrons will break down over time.

At present, the only effective way to cure uremia is kidney transplantation.

Unlike heart transplantation, in kidney transplantation, the patient's original kidney is not removed and replaced with a new kidney in the original position, but a bypass is opened next to the original kidney and connected to the new kidney.

This is mainly because the original kidney is not completely useless, and some nephrons are still working and can still play some functions...

Yu Zhiming carefully examined Teng Lin's kidney, which was smaller than that of ordinary people due to damage.

Gradually, Teng Lin's kidney gave Yu Zhiming a different feeling.

A sense of splendor.

This is not a visual splendor, but a splendor of the contrast between stillness and activity.

This situation is formed because the damage to the kidney is not homogeneous, but blocky.

Teng Lin's kidneys are like a city overlooking the night sky, with patches of light and scattered light spots in the darkness.

It's just that the city's economy is a bit backward, and the area covered by the patches of light and light spots accounts for only one-third at most.

However, the light is extremely bright, about twice as bright as the light emitted by a healthy kidney.

Yu Zhiming immediately understood that this is why Teng Lin can maintain the metabolism of the whole body with less than one-third of the healthy kidney units.

The working capacity of the kidney unit has been doubled.

At the same time, Yu Zhiming also understood why the kidneys of the uremia patients cured by Dr. Wen would deteriorate sharply after one to three years.

Letting the remaining healthy kidney units work overclocked is an overdraft of the future and it is impossible to last.

Knowing the principle of Dr. Wen's treatment of uremia, Yu Zhiming was a little disappointed.

This folk remedy is indeed a folk remedy, a sword that goes against the grain, and a method of drinking poison to quench thirst with great sequelae.

For example, Teng Lin could maintain a normal life for ten years or more with the help of dialysis.

When the situation gets worse, there will be more time to find a kidney donor and do a kidney transplant.

In Teng Lin's current situation, perhaps in another year, his kidneys will deteriorate acutely due to a small trigger, and may even cause other physical symptoms, leaving him no time window for a kidney transplant.

"Teng Lin, your kidney function is still pretty good and can meet your physical needs."

"But..."

Yu Zhiming reminded: "You'd better contact a donor of kidneys for transplantation from your own body first, just in case."

Teng Lin's face immediately turned pale, and he asked anxiously: "Doctor Yu, is my kidney having problems again?"

Yu Zhiming said frankly: "There is no problem now, and there will be no problem for a while in the future, but there will definitely be problems in the future."

"And once there is a problem, it must be an acute deterioration."

"I asked you to contact a donor of kidneys for transplantation from your own body to prepare in advance, so as not to be too late."

As soon as Yu Zhiming said this, Wen Yaoguang's face on the side looked bad.

He asked in an unpleasant tone: "Doctor Yu, are you questioning my treatment?"

Yu Zhiming patiently explained: "Dr. Wen, your treatment method is to overdraw the potential of the remaining healthy kidneys and double their work. This method is bound to not last long and will collapse one day in the future."

After a pause, he continued: "Of the six uremia patients you cured before, four of them died of acute deterioration, and two of them were lucky enough to receive kidney transplants. Isn't that proof?"

Wen Yaoguang's face turned dark and he said, "I originally thought that Dr. Yu invited me here to discuss treatment and discuss cooperation, but unexpectedly you came to slap me in the face by questioning my treatment methods."

"In that case, I'm leaving!"

Why……

Seeing Dr. Wen Yaoguang walking away, Yu Zhiming was dumbfounded and didn't know how to deal with it for a while.

Then Fang Yu's voice sounded in his ears, "Doctor Yu, we invited him here. No matter what, we must get together and get him back safely."

Yu Zhiming quickly waved his hand and asked Fang Yu to go out to chase Dr. Wen Yaoguang and deal with the aftermath.

"Doctor Yu, Doctor Yu, what should I do?"

Yu Zhiming looked at Teng Lin, who looked worried, and said in a deep voice: "In this case, you stay here first. Your situation can be considered a good research case. I will ask a nephrology expert to give you an examination and consultation."

He added: "All fees are free, and we will give you some kidney and body maintenance advice and medicines."

At this time, the door of the soundproof inspection room was pushed open.

Poison King Liu Lao came in and asked: "Zhi Ming, Dr. Wen was angry with you. What's going on?"

Yu Zhiming first called a student to take Teng Lin out for placement, and then introduced the principles of Dr. Wen's treatment of uremia that he had examined.

Liu Lao chuckled and said: "Regardless of whether it is the potential for overdraft or drinking poison to quench thirst, it cannot be said that Dr. Wen's folk prescription has no therapeutic effect. You should not reject it entirely."

Yu Zhiming quickly argued: "Mr. Liu, I didn't completely deny his treatment method. It was him who left angrily before I could say a few words."

"You're so old, but you're still so angry."

Mr. Liu was a little unconvinced and criticized: "As long as it is used properly, poisonous prescriptions can also save lives. This folk remedy of drinking poison to quench thirst may not be unable to play a big role."

"Zhi Ming, you are a young man, your thinking should be more active and unconstrained..."

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