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 was accompanied by Fang Yu and had folk prescriptions for treating uremia.
As the saying goes, birds of a feather flock together, Yu Zhiming discovered that Dr. Wen Yaoguang and Mr. Liu, the poison king, both had a skinny figure.
However, Dr. Wen is younger than Mr. Liu, only in his sixties.
After a brief exchange, Yu Zhiming began a physical examination of Teng Lin, the uremia-cured patient brought by Dr. Wen.
Teng Lin, 34 years old, suffered kidney damage mainly due to nephrotoxic drugs, which later developed into uremia.
After nearly two years of dialysis, Teng Lin sought medical treatment from Dr. Wen. After more than half a year of treatment, his kidney function basically returned to normal and he no longer needed dialysis treatment.
One year and three months have passed 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 functions of the kidney are performed by the nephron.
To put it simply, this nephron is like a small family workshop with full functions and hard work, responsible for filtering blood and absorbing impurities.
The number of nephrons in our human body is about one million to two million.
There is considerable redundancy in the number of nephrons, and only half the number can meet the metabolic needs of the human body.
This is why one kidney can maintain the normal work and life of the human body.
However, these one to two million nephrons may seem to be numerous in number, but one characteristic is that they cannot be repaired. Once they are broken, they can only be discarded.
Due to various reasons in our human body, such as smoking and alcoholism, high blood pressure, hyperlipidemia, drug toxins, infection, inflammation, malnutrition, diabetes, lupus erythematosus, etc., all can cause damage to the nephrons and cause them to break down.
When more and more broken nephrons become damaged and the remaining nephrons are unable to complete the body's metabolism, metabolic waste and toxins will accumulate in the body, leading to water, electrolyte and acid-base balance disorders, thus manifesting a series of self-inflicted symptoms.
Symptoms of poisoning.
This is uremia.
Generally speaking, because the nephron is irreparable, uremia is also irreversible.
Moreover, uremia will become more and more serious, because more and more kidney units will be damaged as time goes by.
Currently, the only effective way to cure uremia is kidney transplantation.
Unlike heart transplant surgery, in kidney transplant surgery, the patient's original kidney is not removed and replaced with a new kidney in its original position. Instead, a bypass is opened next to the original kidney and connected to the new kidney.
This is mainly because the original kidney has not been completely destroyed, and some nephrons are still working and can still exert some functions...
Yu Zhiming carefully inspected Teng Lin's kidneys, which were smaller than normal due to damage.
Gradually, Teng Lin's kidneys gave Yu Zhiming a different feeling.
A feeling of beauty.
This is not a visual colorfulness, but a contrast between silence and activity.
This situation occurs because the damage to the kidneys is not homogeneous, but fragmented.
Teng Lin's kidneys are like overlooking a city under the night sky, with patches of darkness dotted with patches of lights and sporadic light spots.
It's just that the city's economy is somewhat backward, and the area covered by patchy lights and light spots occupies at most one-third.
However, this light is extremely bright, about twice as bright as the light emitted by healthy kidneys.
Yu Zhiming immediately understood that this was why Teng Lin could maintain the metabolism of the whole body using less than one-third of the healthy kidney units.
The working capacity of the nephrons is doubled.
At the same time, Yu Zhiming also understood why the uremia patients treated by Dr. Wen before had their kidneys deteriorate rapidly after one to three years.
Allowing the remaining healthy nephrons to work overclocked is an overdraft of the future and is simply impossible to last.
After knowing Dr. Wen's principle of curing uremia, Yu Zhiming was a little disappointed.
This folk remedy is indeed a folk remedy. It is a method of drinking poison to quench thirst with serious side effects.
For example, Teng Lin could maintain a normal life for ten years or more with the assistance of dialysis.
When the situation gets worse, there will be enough time to find a kidney donor and perform a kidney transplant.
Just like Teng Lin's situation now, maybe in another year, his kidneys will deteriorate acutely due to a small inducement, and may even cause other physical symptoms, and he will not even be given a time window for a kidney transplant.
"Teng Lin, your current kidney function is pretty good and can meet your body's needs."
"but……"
Yu Zhiming reminded: "You'd better contact the kidney donor for biological transplantation first to be prepared."
Teng Lin's face immediately turned pale and he asked eagerly: "Doctor Yu, is there something wrong with my kidneys again?"
Yu Zhiming said frankly: "There is no problem now, and there will be no problem for some time in the future, but there will definitely be problems in the future."
"And when something goes wrong, it will inevitably worsen."
"Letting you contact a kidney donor for a biological transplant is to prepare in advance so that you won't be late in time."
As soon as Yu Zhiming said these words, Wen Yaoguang's face turned ugly.
He asked in an unhappy tone: "Dr. 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 be unsustainable 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 questioned my treatment method and came to slap me in the face."
"In that case, I'm leaving!"
Why……
Seeing Dr. Wen Yaoguang walking away, Yu Zhiming was a little 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.
Mr. Liu, the Poison King, came in and asked: "Zhi Ming, Dr. Wen was so angry with you that he drove away. 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 discovered.
Liu Lao chuckled and said: "Regardless of whether it is the potential for overdraft or the poison to quench thirst, Dr. Wen's folk prescription cannot be said to have no therapeutic effect. You should not reject it entirely."
Yu Zhiming quickly defended: "Mr. Liu, I didn't completely deny his treatment method. It was him who left angrily before I could say a few words."
"You are so old, but you still have such a strong temper."
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..."
