Chapter 615: Calm Man

Looking at the calm man, Lu Chen was slightly startled.

Uremia, these three words, are very lethal in the minds of the general public.

Most people will change their expressions upon hearing this!

To put it simply, uremia means that the kidneys are useless due to various reasons.

For the human body, the kidneys are the organs for drainage and detoxification.

The waste products produced by human metabolism every day are excreted in urine through the kidneys.

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

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

…

The man lying on the bed could say these three words so easily.

It seems that he should have a good understanding of his condition.

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

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

After he said this, he suddenly started vomiting 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 patient's mental state became even more depressed.

Lu Chen immediately ordered the nurse to provide treatment measures to protect the stomach and stop bleeding.

“Since the diagnosis of uremia was made, why was there no dialysis?”

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

There are only two treatments for uremia.

Kidney transplant, or dialysis.

Most families cannot afford the cost of a kidney transplant, but the cost of dialysis is barely affordable after being reimbursed by 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, "You don't need to worry about me. I will be discharged from the hospital 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 the body of uremic patients can damage the gastrointestinal mucosa and cause gastrointestinal bleeding.

In addition, patients with uremia may be complicated by hyperparathyroidism. Hyperparathyroidism can cause an increase in gastrin levels and increase the acidity of gastric juice, thereby damaging the gastric mucosa and causing bleeding.

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

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

"But without dialysis for uremia, 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 thirty years old!

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

If it is really uremia, according to the patient's current condition, emergency dialysis treatment will definitely be needed after the condition stabilizes.

"No need, really no need." Although the man was very weak, his tone was extremely firm, "Dialysis is impossible, and it is impossible for me to do dialysis in this life."

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

…

The heart rate monitor next to the bed made a beeping sound.

The nurse took blood from the patient and left.

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

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

When the test results come out, if the diagnosis is uremia, dialysis will definitely be required.

However, the patient's negative treatment attitude makes the subsequent treatment plan confusing.

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

Lu Chen contacted the medical department as soon as possible.

Dialysis treatment, although the technology is very mature, still has certain risks.

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

…

Simply handle the patient.

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

Valley

But now there is less than half an hour before going to work in the afternoon.

Lu Chen hurried to the cafeteria, quickly finished his lunch, and then returned to the emergency department without stopping.

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

"Creatinine 1124umol/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 can't do anything."

"Thank you for your hard work, senior 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 points were still declining.

"If you are worried that the treatment fee will not be enough, we can take the green route." Lu Chen said to the man, "Just perform the overdue treatment first, and then you can make up for the treatment fee."

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, which allows treatment in arrears and will make up for the treatment expenses 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, looking lonely.

"Doctor, actually I have hereditary uremia."

Lu Chen was slightly startled, "Hereditary?"

"Yes." The man nodded slowly, "My mother passed away because of uremia, and my brother is undergoing dialysis."

The man's words were light and indifferent.

But in the eyes of Lu Chen and the nurse, they were heavy.

A complete tragedy...

Perhaps, the tragedy of life had already drained his tears.

He could face things that everyone thought were tragic so "calmly".

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

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

This means that the patient himself has basically bid farewell to 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 mine." The man smiled bitterly, "He is doing dialysis in the county hospital."

Lu Chen was about to ask about the relevant medical history.

The man suddenly began to breathe heavily, breathing rapidly, and his face was painful.

"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 this was most likely caused by uremia causing damage to the heart, leading to a series of symptoms such as myocardial ischemia and heart failure.

Lu Chen quickly called the nurse over and gave the patient a 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.

...

"Hello, hello, are you Wang Wu's family member?"

"Yes, UU reading wｗw.uukaｎshu.net you are?"

"I am a doctor in the emergency department of Jinghua Second Hospital. Wang Wu is hospitalized in the emergency department. The situation is quite critical and requires emergency dialysis..."

"Okay, I'll come right away!"

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 is still nearly a day until two o'clock tomorrow afternoon.

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

It is impossible for the emergency department to force the patient to receive dialysis treatment.

However, it was less than a day, could the patient wait?

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

.