Chapter 2578

Talking did not delay changing clothes, the three of them soon left the dressing room, chatting while walking to the CT room.

"In the future, except for the imperial capital, the Shanghai capital, Yangcheng, Pengcheng, and provincial capitals, there will be fewer and fewer qualified doctors in large tertiary hospitals, and all of them 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 think it will take to get to the point you mentioned?"

"I used to think it would be twenty years later. But now, it's getting faster and faster. Many public hospitals don't have medical insurance quotas... This kind of thing can't be said. It's very common in places, and you should know."

"Haicheng...is okay." Zheng Ren also sighed.

"That's because you are in the No. 1 Hospital of Haicheng City. Boss Zheng, you usually don't want to chat with people. Other hospitals in Haicheng face this problem. Doctors only work and have to support their families. What should I do if I don't have a job? Go to a private hospital." .There is no restriction on taking commercial insurance on that side.” Su Yun said.

Zheng Ren knew that Director Kong was telling the truth. He was just a doctor and there was nothing he could do. Doctors like Gu Xiaoran who live in third- and fourth-tier cities will have to leave their hometowns sooner or later to go to public hospitals in big cities or private hospitals.

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

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

"Um?"

"In a newly established private hospital, some people were also poached from the Affiliated Hospital of the Medical University. They were all unsatisfactory professor-level doctors, and Zhao Wenhua was not that many." Director Kong said.

Zheng Ren knew the truth, and nodded slightly. It is estimated that Director Kong knew about this, and it was Zhao Wenhua who went to show his loyalty and had a chat with him.

Going to private hospitals is a general trend in the future, and this cannot be changed by manpower. Zheng Ren, who has been working in a public hospital since he joined the job, had a hard time accepting it, but the fact does not depend on whether he accepts it or not.

Following Director Kong's footsteps, the three came to the CT room. As soon as I came in, I saw Sister Gao wearing a white dress and an isolation suit inside, and she didn't even change her clothes.

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

Isn't it vomiting and diarrhea?

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

"Sister Gao, how did brother-in-law do this?" Zheng Ren asked.

"It was fine yesterday." Sister Gao said with a mournful face, "I started to have diarrhea in the middle of the night. I took two tablets of pipemidic acid, but it got worse this morning. He insisted on going to work, and my colleagues said that he almost passed out in the bathroom."

They all have liver and kidney failure, didn't they almost faint in the bathroom, Zheng Ren thought to himself.

But in normal life, where does the 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 being sub-healthy, not sick.

It shouldn't be from diet. If it's food, the couple should eat it together.

Seeing that the relationship between Sister Gao and her lover seemed normal, Zheng Ren didn't think much about it. Then the rest is the abnormal liver and kidney function caused by the medicine, Zheng Ren then asked: "What kind of medicine has my brother-in-law been taking recently?"

"I've been taking antihypertensive drugs and hypoglycemic drugs for many years, and nothing happened." Sister Gao replied.

"What medicine did you take for diarrhea yesterday?"

"Pipmidic acid, I just took two pills, I'm watching."

Pipemidic acid is a quinolone antibacterial drug that interferes with the synthesis of bacterial DNA by acting on bacterial DNA gyrase, resulting in bacterial death. It has an effect on Gram-negative bacilli and is a medicine that is often taken when diarrhea occurs.

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

Zheng Ren didn't believe that two pills of pipemidic acid could cause liver and kidney damage.

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

"I've eaten it, I eat it every time I have diarrhea, it's quite effective." Sister Gao replied.

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

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

Zheng Ren looked at the little freckles on his face as if they were about to fly, he was in a good state of mind, and he was not depressed because he was hospitalized again, so he was relieved.

"Sister Gao's lover is sick, let me take a look." Zheng Ren said, "Did the emergency laboratory test come back?"

"Just came back, acute liver and kidney damage. The transaminases are over 600, and the creatinine is also 500." Zhou Litao took Zheng Ren to look at the test sheet on the computer.

The same diagnosis as the big pig's hoof, very serious acute injury.

I took another look at the abdominal CT, and found no abnormal lesions, not solid changes, and it was considered to be related to diet.

"Boss, could it be that Sister Gao is in a hurry and didn't say anything." Su Yun said, "Such severe liver and kidney damage may have something to do with eating. For example, after drinking a lot of alcohol, drinking strong tea to hangover, I I've seen one such case."

"Well, I'll ask Sister Gao again." Zheng Ren looked at the film with his chin in his hand, making sure there were no omissions, and said in a deep voice.

What Su Yun said is indeed a possibility, overeating and drinking a lot, alcohol will affect liver function.

Drinking strong tea after drinking alcohol, theophylline in the tea can quickly affect the kidneys and exert a diuretic effect. At this time, the alcohol will be excreted from the kidneys before it can be decomposed, and the kidneys will be stimulated by a large amount of ethanol, thereby damaging kidney function.

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

"No, he doesn't know how to drink, a bottle of beer is enough." Sister Gao replied with a pale face, a little scared.

"What about Chinese and Western medicine? Is there anything I didn't mention just now? For example, I took a lot of non-steroidal anti-inflammatory analgesics for a gout attack." Zheng Ren asked.

"No, he's in good health..." Sister Gao was taken aback for a moment, and then said, "I don't usually let him eat those messy things. Well, let me ask. I'm really not sure about what you said."

With that said, Sister Gao turned and went back to the ward.

Zheng Ren and Su Yun did not follow in, they stood at the door and waited.

"It must be some kind of medicine, otherwise there is no way to explain it." Su Yun said.