Department of Nephrology, West China Hospital, Chengdu, Sichuan Province.

Dr. Tang picked up the water cup on the table and took a big sip. The cold tea entered his mouth and instantly made his chaotic mind feel clear.

He looked up at the clock on the wall and found that more than two hours had passed since he sat down.

"I'll get off work in two hours." He muttered, pressed the call button on the table, and waited quietly for the next patient to arrive.

As the mechanical electronic call sounded, the door was pushed open, and a middle-aged woman walked in with a timid girl.

"Please sit down, do you feel uncomfortable?"

As Dr. Tang spoke, he glanced around and saw that the middle-aged woman had rough skin and simple clothes. The girl must be her daughter. Although she was young, her face was haggard and her eyes were dull. She was definitely the patient.

After the girl sat down, the middle-aged woman immediately handed over a test sheet with a flattering smile on her face.

"Doctor, look at my daughter. She is young, has not had a good appetite, and is not feeling well. The child's father keeps saying that it is fine and thinks she is pretentious, but I am always worried, so I took the child all the way to the provincial capital for medical treatment.

Well, it shouldn’t be a big problem.”

Dr. Tang showed a kind smile and looked at the test sheet with ease.

Dr. Tang concentrated his attention, peeled off the cocoon, and began a detective-like interrogation process to find the original disease.

"Dialysis?" The middle-aged woman suddenly burst into tears: "Then if it is uremia, how long can the child live?"

Including the old man, there are five or six people in the family, farming in the valley, and the whole family depends on him for food, so their life must be difficult.

The old man was stunned by the question, but he still said stubbornly: "I'll have to ask your doctor."

"Then show me the prescription." Doctor Tang frowned and said.

"Uh," Dr. Tang couldn't help but hold his forehead and was speechless for a moment.

"The most important thing is that it will give you money. For the first phase of the experiment, you can get at least several thousand in fees. You can use this money to provide dialysis for your daughter. Free food and accommodation during the experiment. In short, it can alleviate some of your difficulties."

The patient's parents nodded in agreement, and even the old man shut his mouth and no longer insisted on his theory of supplements.

The middle-aged woman suddenly burst into tears: "There is nothing I can do. My family is in a rural area. I am too poor. My daughter has not been with me since she was a child. I only started to take care of my daughter when she was older. I don't know anything and I don't have the money to see a doctor."

"Doctor, is this dialysis very expensive? I only have more than 2,000 yuan now, and I have to leave 300 yuan for travel expenses. Do you think it is enough?"

"The creatinine is over 700, and the normal value should not exceed 114umol/L. The girl is thin and thin, and most of them are around 70-80. Your kidney failure is already very serious, and it may be uremia."

Dr. Tang felt a sense of powerlessness in his heart. Even though he had been practicing medicine for many years, he still felt sad to see such a young flower being broken off by someone's own hands and shrinking in front of him.

"Okay, after you finish the puncture, come to me and sign the consent form."

He took a deep breath and said with a serious expression: "The child has a large amount of protein in his urine. You should not eat more of these high-protein foods in the future. Otherwise, the more you eat, the faster the disease will progress. If you don't control it well, you will soon die."

It will progress to uremia and require dialysis..."

"By the way, Sanqing has a new drug for the treatment of chronic kidney disease. It is in clinical trials. The drug is very effective. You can give it a try. Maybe you can recover as soon as possible and avoid dialysis."

Dr. Tang sighed and reassured: "In short, renal failure cannot be cured. I hope it is not late-stage uremia. In any case, we must find out the cause first and then do dialysis as soon as possible."

"Is the child's kidney disease caused by taking supplements? Doctor, can you be sure? If you are sure, I will definitely give the child less food."

Fortunately, this parent really loved his daughter and remembered many details clearly. After asking, he could easily find out the real culprit.

Doctor Tang smiled slightly and warned: "Then you must listen to the doctor's advice and never take any messy supplements again."

Doctor Tang was shocked again.

To identify it early, there is a very simple and economical method: urine routine + renal function test + renal B-ultrasound.

Dr. Tang was quite satisfied with the parent's attitude. He felt moved and said, "I think the child is still young. As long as he doesn't continue to take supplements, there is still a possibility of recovery."

"Besides, it's not too much to eat. I'm an old man and I can't make up for my weakness. He's so young. The more he eats, the better, and the better his health will be."

Doctor Tang sighed again. In just half an hour, he had sighed more than he had in a whole year.

"Don't cry yet!" Dr. Tang said sternly: "This disease is usually suffered by the elderly in their fifties and sixties. It is rare among young people, let alone 18-year-old patients. There must be a special reason. If you think about it,

Let’s talk about the development of this disease from beginning to end.”

After thinking about it, I don't know who to blame for this girl's tragic life.

According to the low price of a tertiary hospital: 7+20+80=107 yuan, once a year, no matter what kind of kidney disease, it can definitely be screened early.

As if the mother had found a treasure, she gave her daughter two bowls of secret recipe decoction every day since she was 12 years old. She continued to drink it until a month ago, every day for six years.

Unfortunately, many people do not have this awareness.

This depends on the onset characteristics of chronic renal failure. It is characterized by insidious onset. Chronic kidney disease in stages 1-3 may not have any symptoms. Some patients who are careless or skinny may even have no obvious discomfort in stage 5.

It can be called the silent killer.

The next patient was a boy who had just entered high school. He came to see a doctor because he had oliguria and foamy urine. He was suspected of having proteinuria.

She hugged her daughter and couldn't help but burst into tears: "My life is so miserable, wuwuwu, how could you get uremia when you are so good~"

Moreover, when many people are diagnosed, they have already reached the middle and late stages and have developed uremia.

Doctor Tang sent the patient away, couldn't help but sigh again, and then continued to call the next one.

No wonder teenagers develop symptoms of kidney failure at such a young age.

Doctor Tang asked unceremoniously: "Then how could the child get sick?"

We can only blame the world for being too unpredictable and suffering too much in life.

At least this mother cares about her daughter's dysmenorrhea and her inability to eat. She will also run around raising money, and even if she quarrels with her family, she will take her to a big hospital for treatment.

Doctor Tang was stunned for a moment, and his whole body fell into a sluggish state. It took him a long time to react.

The middle-aged woman shook her head: "There is no prescription. I have to get medicine regularly."

In his world, keeping the whole family fed would probably take all the effort.

"Alas~" Doctor Tang sighed, not knowing what to say.

His voice suddenly became louder, and he sat up straight, staring at the test form without saying a word.

In the following period, as he said, more and more young people came to see the nephrology department.

The daughter sat aside, her expression always numb, and she didn't say a word. Her dark eyes no longer had the agility that belonged to her age, as if she had been drained of all her strength by the disease.

"Let's do this. I'll make an order for you first, get a puncture, and then be hospitalized. I hope it's early and you can still be saved."

Before he finished speaking, he was interrupted by his grandfather.

After careful interrogation, it was discovered that the boy had no family history, no diabetes, or even any underlying diseases. He also loved playing basketball and sports.

The child's father was instantly overjoyed: "That's great, thank you doctor, please hurry up and make arrangements."

In particular, no one can blame this situation because it is not easy for anyone.

"Only when toxins accumulate to a certain extent, will it cause loss of appetite. It's like all the organs in the body are soaked in toxins, and the same is true for the gastrointestinal tract, so there will be a loss of appetite."

"Hey, let's do this. I'll give you a chance to try the drug in clinical trials," Dr. Tang said, feeling a little distressed and worried: "Sanqing Group has a new drug for the treatment of chronic kidney disease, which has just entered the third phase of clinical trials."

The child's father nodded, knowing what he was thinking, and turned around and said, "Dad, just listen to the doctor, eat less in the future, and arrange hospitalization first. If you need dialysis, we can also take care of it."

As he spoke, he shook his head with great emotion: "Hey, more and more young people are suffering from uremia now because they often drink drinks, take supplements, and drink messy decoctions, which damage their kidneys.

Already."

The middle-aged woman wiped away her tears and fell into memories.

After all, this mother still cares about her daughter. When she knows that her daughter is not feeling well, she will find a solution. She also spends a lot of time making decoction every day.

The real world is like this. If someone is harmed, there may not necessarily be a corresponding perpetrator.

By the time chronic kidney disease gradually develops into uremia, it is already too late!

After a while, a solemn look appeared on his face, and his eyes became stern.

He suddenly felt the anger of hating iron for not being able to make steel: "It's just a bowl of herbal decoction with unknown ingredients and unknown efficacy. You let your daughter drink it every day, every month, for 6 years in a row, without seeing a doctor."

?”

He could only repeat: "These supplements must be excreted by the kidneys when eaten. Since you already have symptoms of kidney failure, you must not take them anymore. In the future, you must eat a low-protein diet to let the kidneys take a breath. Don't take them anymore."

It’s such a heavy burden.”

Because chronic kidney disease has another characteristic, it develops slowly. Therefore, even if many people check it every year, even if the indicators are abnormal, the difference is not big, they are not uncomfortable, and they are unwilling to treat them. They even suspect that the doctor is deliberately scaring them, and then warm water

Boiling the frog has been delayed beyond control.

After saying that, he turned around and shouted at the child's father: "I'm just saying that Huaxi is famous, but its medical skills are not that good. Take your child to Haishi for medical treatment quickly, and don't delay the child."

It is foolish to take your daughter to eat the secret recipe, but how can you bear to criticize her harshly?

Dr. Tang has never heard of the rural area where they live, which shows how remote it is. Apart from the rural health center, the only people there can only go to see so-called miracle doctors.

"Uraemia is generally called the silent killer because it develops slowly from early-stage kidney disease. Over a long period of time, the body slowly adapts to it and there are no obvious symptoms at all."

"As a result, I now have kidney failure from drinking???"

As for kidney transplantation, it all depends on fate.

He also knew that rural women knew nothing and worked outside all year round, so it was no longer easy for them to raise their daughters.

"This..." Dr. Tang was at a loss for words. As a rigorous doctor, although he was very sure that these high-protein supplements had spoiled the child, he could not draw a conclusion directly. After all, the doctor had to bear responsibility for every word he said.
To be continued...