Chapter 2576

Talking without delay, they changed their clothes. Soon, the three left the dressing room and talked while walking to the CT room.

"The general trend in the future is that there will be fewer and fewer successful doctors in large-scale third-class hospitals, all of them going to private hospitals, except emperor capital, magic capital, Yangcheng, Pengcheng and provincial capital cities." Director Kong said.

Zheng Ren and Su Yun listened quietly.

"Gu Xiaoran has to take this step sooner or later. I think it's good for him."

"Director, how many years do you think it will take to get to this step?"

"I used to think it was 20 years later. But now it's getting faster and faster. Many public hospitals have no medical insurance quota... This kind of thing can't be said. It's common in places. You should know."

"Haicheng... OK." Zheng Ren also sighed.

"That's because you're in the first hospital of Haicheng City. Boss Zheng, you don't want to talk to people at ordinary times. Other hospitals in Haicheng face this problem. Doctors just work and have to support their families. What if they don't have a job? Go to a private hospital. There's no restriction on going to commercial insurance." Su yundao.

Zheng Ren knows that director Kong is telling the truth. He's just a doctor. There's nothing he can do. Doctors like Gu Xiaoran, who lives in third and fourth tier cities, sooner or later have to leave their homes and go to public hospitals or private hospitals in big cities.

Whether he likes it or not, the individual is quite small before this general trend, and it is not too much to describe it with a mantis.

"Someone came to Zhao Wenhua a few days ago." Director Kong continued.

"Huh?"

"In a newly established private hospital, some people have been poached from the Affiliated Hospital of Medical University. They are all unhappy doctors with Professor level. Zhao Wenhua is still not many." Director Kong said.

Zheng Ren knew the truth and nodded slightly. It is estimated that director Kong knew about it. Zhao Wenhua went to show his loyalty and talked to him.

It is a general trend to go to private hospitals in the future, which can not be changed by manpower. Zheng Ren, who has been working in public hospitals since he joined the work force, is hard to accept for a while, but the fact will not be transferred by whether he accepts it or not.

With director Kong's footsteps, the three came to the CT room. As soon as I came in, I saw sister Gao dressed in a white suit, wearing a isolation suit, and didn't even change her clothes.

She and a doctor in the emergency department pushed the flat car back. Zheng Ren looked at the eye system panel, which clearly said - acute liver injury, acute kidney injury and acute renal failure.

Isn't it vomiting and diarrhea?

Zheng Ren didn't have time to think, so he immediately came forward to help.

"Elder sister Gao, how did my brother-in-law get it?" Zheng Ren asked.

"Yesterday was fine." Elder sister Gao said with a sad face, "he began to have diarrhea in the middle of the night and ate two tablets of Pipemidic Acid. As a result, he was heavier this morning. He had to go to work. His colleague said he almost didn't faint in the bathroom."

They all had liver and kidney failure, but they almost fainted in the bathroom, Zheng Ren thought.

But in normal life, where does liver and kidney failure come from? Zheng Ren glanced at sister Gao. Her system panel was slightly red, but there was no diagnosis. This means that they are in sub-health state without getting sick.

It shouldn't be from diet. If you eat, the couple should eat together.

Looking at the relationship between sister Gao and her lover seems normal, Zheng Ren doesn't think much. Then the rest is the abnormal liver and kidney function caused by drugs. Zheng Ren immediately asked, "what medicine does my brother-in-law take recently?"

"I've been taking antihypertensive drugs and hypoglycemic drugs for many years and nothing has happened." Elder sister Gao replied.

"What medicine did you take for diarrhea yesterday?"

"Pipemidic Acid, just take two. I'll watch what I eat."

Pipemidic Acid is a quinolone antibacterial drug. It interferes with the synthesis of bacterial DNA by acting on bacterial DNA rotating enzyme, resulting in bacterial death. It has an effect on gram-negative bacilli. It is a drug that you often take when you have diarrhea.

This drug is mainly excreted through the kidney in its original form, 58% ~ 68% of the dosage is excreted from the urine 24 hours after administration, about 20% is excreted from the feces, and a small amount of drug is metabolized in the body.

Zheng Ren doesn't believe that two tablets of Pipemidic Acid can cause liver and kidney function damage.

"Have you eaten before?" Although he didn't believe it, Zheng Ren asked carefully for fear of a rare allergy. Even if the system panel does not indicate allergy, some biochemical reactions cannot be ruled out.

"Yes, every time I have diarrhea, it works." Elder sister Gao replied.

Zheng Ren then asked about other situations. After returning to the emergency observation room, he went directly to Zhou Litao.

"Boss Zheng, why are you here?" Zhou Litao said happily.

Zheng Ren looked at the small freckles on his face as if he was going to fly. His mental state was good. He was not depressed and relieved because he was the general manager of the hospital again.

"Sister Gao's lover is ill. Let me have a look." Zheng Ren said, "did you come back from the emergency laboratory examination?"

"Just came back, acute liver and kidney function damage. Transaminase has reached more than 600 and creatinine has reached 500." Zhou Litao took Zheng Ren to read the test sheet on the computer.

Like the diagnosis of big pig hoof, it is very serious acute injury.

After another look at abdominal CT, no abnormal lesions were found. It was not a real change. It was still related to diet.

"Boss, I don't think elder sister Gao is in a hurry. I haven't said anything." Su Yun said, "such severe liver and kidney function damage is still related to eating. For example, I have seen a similar case after drinking a lot of alcohol and drinking strong tea."

"Well, ask sister Gao again." Zheng Ren looked at the film with his cheek and made sure there was no omission, he said in a deep voice.

What Su Yun said is indeed a possibility. Overeating and heavy drinking affect liver function.

When drinking strong tea after drinking, theophylline in tea can quickly affect the kidney and play a diuretic role. At this time, alcohol is discharged from the kidney before it can be decomposed again, so that the kidney is stimulated by a large amount of ethanol, thus damaging renal function.

When he came to the door of the emergency observation room, Su Yun called sister Gao out and asked, "sister Gao, has my brother-in-law gone out for a drink these days?"

"No, he can't drink. It's more than a bottle of beer." Elder sister Gao was a little scared and replied with a pale face.

"What about Chinese and Western medicine? Is there anything that I haven't just said? For example, I took a lot of non steroidal anti-inflammatory and analgesic drugs for gout." Zheng Ren asked.

"No, he's in good health..." elder sister Gao was stunned for a moment and then said, "I don't let him eat those messy things at ordinary times. Well, I'll ask. I'm really a little uncertain when you say so."

With that, sister Gao turned back to the ward.

Zheng Ren and Su Yun didn't follow in. They stood at the door and waited.

"I must have taken some medicine, otherwise I can't explain." Su yundao.