Chapter Twenty-Nine: Schmitt

Qianzhou Province is located in the northwest of Pinghai Province, belongs to the inland provinces, although in terms of economy compared with Pinghai Province, but in the medical field is indeed the country's leading, the best hospitals in the five northwest provinces are in Xiping City, the capital of Qianzhou Province.

After Chang Lao sobered up, his condition was stable, and Jiang Yu could also go to Qianzhou Province to see Zhang Wen with confidence.

Zhang Wen had arrived at Xiping Madison Hospital at noon the day before, and Qi Yue had returned to Xining the day before Zhang Wen's arrival and personally arranged Zhang Wen at Madison Hospital.

Jiang Yu walked out of the airport, a black Volkswagen heard it in front of Jiang Yu, Qi Yue rolled down the window to greet Jiang Yu, Jiang Yu got into the car, and the car drove out of the airport......

"Zhang Wen didn't react much after arriving in Xiping, right?"

"I was a little nervous at first, but now it's stable." Qi Yue said with a smile.

Yesterday at noon, Zhang Wen was personally sent to Xining Airport by American experts, and as soon as she got off the plane, Qi Yue took people to wait in the special channel, and was accompanied by doctors and nurses from Madison Hospital.

Zhang Wen was originally Chang Qingwu's secretary, and she was very clear about the rules in the system, and yesterday Qi Yue could be said to have the grandeur of the vice governor's son, although she did not find out her identity, but she shocked Zhang Wen along the way.

Maybe Zhang Wen still had a strange mind before returning to China, but after seeing Qi Yue's battle, Zhang Wen was obviously much more honest.

People's mentality is like that, before returning to China, Zhang Wen's heart was up and down, on the one hand, she was worried about Xue Yanfei's revenge, and on the other hand, she couldn't figure out the situation in China, but after arriving in Qianzhou, she had seen Qi Yue's pomp and circumstance, and Zhang Wen's heart was also a lot more relieved, at least her boyfriend's treatment in Qianzhou should be guaranteed.

The car stopped at the entrance of Madison Hospital, Qi Yue led Jiang Yu into the hospital, and when Jiang Yu entered the hospital, he took out his mobile phone and dialed a number at the same time, and the phone was quickly connected, and fluent English came out of the microphone and communicated with Jiang Yu affectionately.

Before the two of them walked to the outpatient building, a white man in his forties in the building had already greeted him with a smile on his face, and he stretched out his hand and hugged Jiang Yu: "Oh, dear Jiang, I'm so happy to see you." The other party also spoke fluent English.

Jiang Yu replied in English: "Professor Schmitt, I am also very happy to meet you. ”

Qi Yue stood on the side dumbfounded, this foreigner he saw yesterday, he flew from the United States with Zhang Wen, yesterday they came to the hospital, the director of Madison Hospital with a large group of high-level officials personally greeted this white foreigner, and the pomp was called a big.

Madison Hospital is an American-funded hospital, and its status in Xiping City is very special, and the president of Madison Hospital will definitely not be so enthusiastic even if he sees the vice governor of Qianzhou Province, but yesterday they greeted this foreigner together, which shows the identity of this foreigner. 、

But this white foreigner saw Jiang Yu with such enthusiasm at this time, Qi Yue couldn't imagine what Jiang Yu had done in the United States in the past few years, and he was able to win the friendship of so many big names in the American medical field.

After Jiang Yu and Schmit hugged, he turned back to Schmitt and introduced: "Mr. Schmitt, this is my best friend, Qi Yue, you should have met yesterday." ”

Speaking and introducing Qi Yue in Chinese: "This is Mr. Schmitt, an authority in nephrology in the United States and a leading medical professor in the world. ”

"Smitt?" Qi Yue has also studied medicine for a few years, and he is no stranger to Smitt's name, a medical expert who can be compared to Kevin, and has been on the cover of medical magazines in the United States.

"Hello, Misterzi!" Schmit smiled and stretched out his hand, he did see Qi Yue yesterday, but he didn't talk to Qi Yue much.

Qi Yue also hurriedly stretched out his hand and said in English: "Mr. Schmitt, it's a pleasure to meet you." ”

To be honest, Qi Yue was really a little excited, don't look at him as the son of the vice governor, but a medical authority like Schmit is really not as good as the son of a governor like him.

Just like Kevin, medical authorities like Schmit are in contact with heads of state, kings of a certain country, and people at the helm of major consortia, and the people they know are basically either rich or noble.

After the politeness, Schmit and Jiang Yu walked side by side in front and walked towards Zhang Wen's boyfriend's ward, telling Jiang Yu about his condition while walking Schmitt.

The so-called uremia can also be called metabolic acidosis, and it can also be called chronic renal failure, and uremia can be said to be a clinical manifestation of chronic renal failure.

Chronic renal failure refers to a clinical syndrome composed of a series of symptoms and metabolic disorders caused by various kidney diseases leading to a gradual and irreversible decline of kidney function until the loss of function, referred to as chronic renal failure.

The terminal stage of chronic kidney failure is often referred to as uremia. Uremia is not an independent disease, but a clinical syndrome common to various advanced kidney diseases, which is a combination of a series of clinical manifestations that occur when chronic renal failure enters the terminal stage.

Zhang Wen's boyfriend is named Lin Xingyi, who was diagnosed with kidney failure three years ago, and later developed uremia, and has been on dialysis treatment in China for half a year, and later came to the United States, where he was in charge of treatment by a student of Schmitt.

At that time, Jiang Yu called several friends in the medical field in the United States and asked them to help investigate a Chinese uremia patient named Lin Xingyi, and it was Schmit who called Jiang Yu back.

And this time Zhang Wen was able to agree to return to China, thanks to Schmitt's persuasion. Schmit was an authority in the field of nephrology, and he personally came forward to examine Lin Xingyi, and Zhang Wen was very excited when she learned of Schmitt's identity.

After Schmitt's examination, he told Zhang Wen that there is no perfect treatment plan for uremia in the world at present, and the cure rate of uremia is not high, even he himself is not very sure, but he is willing to introduce a famous doctor to Zhang Wen, and this famous doctor is Jiang Yu.

For Schmitt, he helped persuade Zhang Wen on the one hand because of Jiang Yu's friendship, and on the other hand, because Schmit knew that Jiang Yu did have the ability to do this, if he could communicate with Jiang Yu to treat Lin Xingyi together, then it would also be a good opportunity for Schmit himself.

According to Schmitt, Lin Xingyi's condition is not optimistic, and even in the United States, dialysis treatment is only temporarily used to alleviate the condition, and if nothing else, it will last for a year at most.

Jiang Yu studied Western medicine when he was in college, and he also studied first aid in the United States, so he is no stranger to the treatment of uremia, and the most conventional treatment for uremia is hemodialysis and peritoneal dialysis.

Hemodialysis is to introduce the patient's blood into the dialysis machine through vascular access, exchange substances between the dialysis membrane and the dialysate in the dialyzer, and then return the purified blood to the body to achieve the purpose of excreting wastes, correcting electrolytes and acid-base balance disorders. If dialysis can be adhered to for a long time, many patients can survive for more than 10~20 years.

Hemodialysis requires the help of hemodialysis machine, basically to the hospital for treatment 2 to 3 times a week, about 4 hours each time, its advantage is that the waste accumulated in the body after each hemodialysis is less, and there is a fixed time to return to the hospital for treatment every week.

At the same time, the disadvantages of hemodialysis are also obvious, every time you need to stick a needle; Anemia is severe; Blood pressure will be affected before and after dialysis, which is not good for cardiovascular disease and diabetes patients; Strict diet is required; Discomfort is more likely to occur before dialysis; Inability to arbitrarily change the dialysis time; The risk of contracting hepatitis B and hepatitis C is greatly increased, and it is very expensive, which is difficult for many families to accept in the long run, which is why Zhang Wen took risks for money.

Peritoneal dialysis is a special liquid called "peritoneal dialysis fluid" is poured into the abdominal cavity through a "peritoneal dialysis tube", at this time, one side of the peritoneum contains metabolic waste and excess water, and the other side is a dry peritoneal dialysis fluid, and the metabolic waste and excess water in the blood will run through the peritoneum into the peritoneal dialysis fluid. The waste fluid is removed from the abdominal cavity and a new one is added.

Peritoneal dialysis has many advantages, protecting residual kidney function is better than hemodialysis, peritoneal dialysis is the closest treatment plan to physiological state, there is no hemodynamic, fluid volume and biochemical abrupt changes during peritoneal dialysis, so as to reduce dialysis complications caused by instability of the internal environment, such as cardiovascular disease, hypertension, hypotension, arrhythmia, etc. During the treatment, it will not cause renal ischemia, which is conducive to protecting residual kidney function and so on.

However, peritoneal dialysis also has serious contraindications, that is, for patients with chronic persistent or recurrent intraperitoneal infection or extensive peritoneal metastasis of tumors, resulting in extensive peritoneal fibrosis and adhesions; Patients with severe skin disease, extensive abdominal wall infection, or extensive abdominal burns do not have a suitable location for the peritoneal dialysis catheter.

And whether it is hemodialysis or peritoneal dialysis, it is only a symptom but not a cure, Zhang Wen's boyfriend has a serious abdominal infection, which is not suitable for peritoneal dialysis, even hemodialysis cannot be maintained for a long time, so waiting for his result is nothing more than trying to maintain his life for a period of time.

Schmitt is naturally not satisfied with such a result, he knows that there has been a case of a complete cure of uremia in Jiang Yu's hands, if he can communicate with Jiang Yu and learn something from Jiang Yu, it will definitely be a great gain for Schmitt, otherwise it would be impossible for an international authority like Schmit to come to China for a Zhang Wen.

While talking about his condition to Jiang Yu, Schmit led Jiang Yu into the nephrology department of Madison Hospital, and many doctors greeted Schmit along the way, but Schmit ignored it and only cared about communicating with Jiang Yu, which made many doctors and nurses in Madison Hospital very curious, what was the origin of this young man, and made Mr. Schmit pay so much attention to it.

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