There was no delay in changing clothes, and the three of them left the dressing room and talked while walking to the CT room.
"In the future, in addition to the Imperial City, Modu, Yangcheng, Pengcheng, and provincial capitals, there will be fewer and fewer doctors in large tertiary hospitals, and all will go to private hospitals." Director Kong said.
Zheng Ren and Su Yun listened quietly.
"Gu Xiaoran has to take this step sooner or later, I think this is a good thing for him."
"Director, how many years do you estimate to reach this step you said?"
"I used to think it would be twenty years later. But now, it is getting faster and faster. Many public hospitals do n’t have health insurance quotas ... This kind of thing can't be said, it is common in places, you should know."
"Haicong ... okay." Zheng Ren also sighed.
"That's because you are in the First Hospital of Haicheng City. You are not willing to chat with Boss Zheng. Other hospitals in Haicheng face this problem. The doctors only work and have to support their families. . There are no restrictions on commercial insurance. "Su Yundao.
Zheng Ren knew that Director Kong was telling the truth, he was just a doctor, there was nothing he could do. Doctors like Gu Xiaoran, who live in third- and fourth-tier cities, have to leave their homes to go to public hospitals or private hospitals in big cities.
Regardless of whether he is willing or not, the individual was quite small before this megatrend, and the use of a praying arm as a car is not too much to describe.
"Someone was looking for Zhao Wenhua a few days ago." Director Kong continued.
"Ok?"
"A newly-established private hospital, someone from the Affiliated Hospital of the Medical University was also taken away. They are all unsatisfactory doctor-level doctors, and Zhao Wenhua still has few."
Zheng Ren knew the reason, and nodded slightly. It is estimated that Director Kong knew this. It was Zhao Wenhua who showed loyalty and talked to him.
去 Going to private hospitals in the future is a general trend, which cannot be changed by manpower. Zheng Ren, who has been working in a public hospital from the time he worked to the present, was hard to accept at the moment, but the fact is not whether he accepts it or not.
Following the steps of Director Kong, the three came to the CT room. As soon as she came in, she saw Sister Gao wearing a white suit, wearing an isolation suit, and not even changing her clothes.
She and a doctor in the emergency department pushed back with a flat car, Zheng Ren looked at the system panel, which clearly stated-acute liver injury, acute kidney injury, acute renal failure.
Does n’t spit up and diarrhea?
Zheng Ren had no time to think and immediately came forward to help.
"Sister Gao, how did your brother-in-law do this?" Zheng Ren asked.
"It was okay yesterday." Sister Gao said with a sad face. "I started having diarrhea in the middle of the night and ate two pieces of piperanic acid. It turned out to be heavier in the morning. He had to go to work. His colleague said he was almost dizzy in the bathroom."
Lidu had liver and kidney failure, but he almost fainted in the bathroom, Zheng Ren thought to himself.
But normal life, where does liver and kidney failure come from? Zheng Ren glanced at Gao Gao, her system panel was reddish slightly, but no diagnosis was made. This means being in a sub-healthy state without being sick.
I should n’t have come from the diet. If I eat, my couple should eat together.
Seeing that the relationship between Sister Gao and her lover seems normal, Zheng Ren didn't think much. So what remains is the drug causing abnormal liver and kidney function. Zheng Ren then asked: "What medicine has your brother-in-law taken recently?"
"Hypertensive drugs, hypoglycemic drugs, have been eating for many years, and nothing has ever happened." Sister Gao replied.
"What medicine did you take for diarrhea yesterday?"
"I took two tablets of piperacic acid, and I watched them."
Pinopipic acid is a quinolone antibacterial drug. It acts on bacterial DNA rotase and interferes with bacterial DNA synthesis, resulting in bacterial death. It has an effect on Gram-negative bacilli and is a medicine often taken when diarrhea.
药 This drug is mainly excreted in the kidney in its original form, 24% of the administered amount is excreted from the urine 24 hours after administration, about 20% is excreted from the feces, and a small amount of the drug is metabolized in the body.
If you want to say that two tablets of piperacic acid can cause liver and kidney damage, Zheng Ren doesn't believe it.
"Have you ever eaten before?" Although not convinced, Zheng Ren still asked cautiously, for fear of a rare allergy. Even if the system panel does not indicate allergies, some biochemical reactions cannot be ruled out.
"I have eaten it every time I have diarrhea, it works." Sister Gao replied.
Zheng Zhengren then asked about other circumstances and returned to Zhou Litao directly after returning to the emergency observation room.
"Boss Zheng, why are you here?" Zhou Litao said happily.
Zheng Zhengren looked at the little freckles on his face as if they were about to fly. He was in a good state of mind, and was not frustrated because he was hospitalized again, and was relieved.
"Sister Gao's love is ill, I'll take a look." Zheng Rendao, "Is the emergency laboratory test back?"
"Just returned, acute liver and kidney damage. Transaminase has reached more than 600, and creatinine has also reached 500." Zhou Litao and Zheng Ren viewed the test sheet on the computer.
As in the diagnosis of large trotters, severe acute injuries are common.
I took another look at the abdominal CT and found no abnormal lesions. It was not a substantial change, and it was still related to diet.
"Boss ~ www.novelhall.com ~ Shouldn't Gao Gao be in a hurry. I didn't say anything about it." Su Yundao, "So serious liver and kidney damage is still related to eating. For example, drinking a lot after drinking Strong tea hangover, I have seen a similar case. "
"Well, ask Sister Gao again." Zheng Rentuo looked at the film with his cheeks, sure that there was no omission, Shen Sheng said.
Wu Suyun said that it is indeed a possibility, overeating, heavy drinking, alcohol affects liver function.
After drinking strong tea after drinking alcohol, theophylline in tea leaves can quickly affect the kidneys and exert diuretic effect. At this time, alcohol is excreted from the kidneys before it has time to decompose, and the kidneys are stimulated by a large amount of ethanol, which damages kidney function.
I came to the emergency observation room door, and Su Yun greeted Sister Gao and asked, "Sister Gao, has your brother-in-law gone out for a drink these days?"
"No, he doesn't drink, just a bottle of beer." Sister Gao was a little scared and replied pale.
"What about Chinese and western medicine? Didn't you just say that? For example, you have a gout attack and have taken a lot of non-steroidal anti-inflammatory analgesics." Zheng Ren asked.
"No, he's okay ..." Sister Gao froze and then said, "I don't usually let him eat those messy things. Well, I'll ask, I'm really a bit confused when you say that."
He said, Sister Gao turned back to the ward.
Zheng Ren and Su Yun did not follow in, they stood at the door and waited.
"It must be what medicine to take, otherwise there is no way to explain." Su Yundao.