Chapter 32 Zhang Wen moved
Lin Xiwen, as a master of the older generation of Chinese medicine, although he is kind on the surface, but his inner arrogance is definitely not lower than that of Schmitt, his first impression of Schmit is not good, and he is too lazy to deal with Schmitt, since Jiang Yu invited, he is not pretentious, he stepped forward and carefully examined Lin Xingyi, and then checked Lin Xingyi's medical records, and then turned back and said to Jiang Yu: "Kidney failure, uremia accompanied by abdominal infection, the condition is very complicated." ”
Jiang Yu nodded and said: "The condition is indeed complicated, the patient has a history of hemodialysis treatment for up to a year, and if the condition cannot be relieved, it will be even more difficult to treat." ”
"What do you think?" Lin Xiwen asked Jiang Yu.
Jiang Yu said: "In my opinion, it should be that qi does not take blood, water vapor disorder, spleen and kidney deficiency, you can use the method of replenishing qi and strengthening the spleen, strengthening the kidney and stopping bleeding, and strengthening the foundation and peiyuan." ”
Generally, the causes of kidney failure are mostly caused by nephritis, pyelonephritis, hypertension, diabetes, etc., and in the later stage, urea nitrogen and creatinine continue to be high, and the gastrointestinal mucosa is stimulated by toxins, ischemia and blood oxygen, and other reasons for diffuse bleeding, and so on, and finally various diseases are entangled, which is very difficult to treat.
The clinical manifestations of uremia are disorders of water, electrolytes, and acid-base metabolism; Disorders in the metabolism of proteins, sugars, fats and vitamins, in fact, are mainly caused by kidney water dysfunction.
The kidney's water control function is dysfunctional, which leads to the accumulation of urea in the body, guanidine compounds Under normal circumstances, arginine is mainly metabolized into urea, guanidine acetic acid and creatinine in the liver, urea and creatinine accumulate in uremia, and arginine can be broken down into methylguanidine and guanidine arginine through other pathways. Among them, methylguanidine is the most toxic small molecule substance, which can accumulate up to 70~80 times the normal value in the body, and is associated with many clinical symptoms such as weight loss, shortened red blood cell lifespan, vomiting, diarrhea, and drowsiness. Amines Aliphatic amines can cause myoclonus, asterixis, and hemolysis; Polyamines can cause anorexia, nausea, vomiting and proteinuria, and can promote erythrolysis, inhibit the production of erythropoietin, and promote the occurrence of pulmonary edema, ascites and cerebral edema in renal failure.
It is precisely because of kidney water imbalance and water vapor disorder, which leads to water, electrolyte, acidolysis and metabolic disorders, as the so-called indicators should go straight, and now Lin Xingyi's dialysis treatment is only to use a dialysis machine to filter the impurities in the blood, but the symptoms are not cured, and after a period of time, the impurities in the body can accumulate to a certain extent and need to be dialysis again, which is actually just a way to alleviate it.
Lin Xiwen looked at Jiang Yu, his eyes were bright, as the so-called layman looked at the doorway, and the insider looked at the excitement, as soon as Jiang Yu opened his mouth, Lin Xiwen knew that Jiang Yu was talking to the point, basically hitting the nail on the head, even if he came to treat this disease, it was such a plan.
Jiang Yu said with a smile: "This is just the first shallow opinion of the juniors, and I hope that Lin Lao will correct it." ”
Lin Xiwen shook his head: "Your opinion is very good, and the method is also very symptomatic, you can give it a try according to this method." ”
"Lin Lao has a good reputation, I think it is safer for you to prescribe treatment when you are old."
Lin Xiwen was stunned for a moment, a little puzzled, Jiang Yu's thinking was very correct, it was said that he could just prescribe medicine directly, but now he gave in and let him treat, what does this mean? Is it a fear of taking risks?
Jiang Yu saw Lin Xiwen's misunderstanding, and hurriedly said: "Lin Lao, don't think too much, I came from Pinghai Province this time, I can't stay in Qianzhou Province for long, and having your old man in charge of treatment is also a kind of responsibility for the patient, so I won't delay the patient's treatment." ”
Lin Xingyi's condition is very complicated, it is not a medicine that can be cured by one dose or two doses of medicine, and the correct thinking may not necessarily take effect quickly, and no one can say what happened in the middle.
Originally, if Lin Xingyi was treated by Jiang Yu, Jiang Yu also planned to persuade Zhang Wen to let Lin Xingyi transfer to Pinghai Province after that, but he unexpectedly met Lin Xiwen, in Jiang Yu's opinion, if Lin Xiwen took over the treatment of Lin Xingyi, it would definitely be better.
Although Jiang Yu is conceited, he doesn't think that he is more powerful than Lin Xiwen, at least in terms of experience, Lin Xiwen will definitely throw him a few streets.
Moreover, if Lin Xiwen takes over, Zhang Wen can rest assured, Lin Xingyi's safety in Qianzhou can also be guaranteed, and Zhang Wen has no worries, otherwise, Zhang Wen will definitely not worry about Lin Xingyi going to Pinghai before Xue Yanfei falls.
"In that case, I'll make a plan first." Lin Xiwen didn't say much, he happened to run into Jiang Yu and Schmit today, otherwise he would have to check Lin Xingyi.
Seeing that Lin Xiwen agreed to take over, Zhang Wen glanced at Jiang Yu gratefully, although Schmit was also an authority, he had clearly told her that the possibility of her boyfriend's cure was very small, and now that Lin Xiwen took over, it could be regarded as a glimmer of hope.
Lin Xiwen wrote a prescription on the side and handed it to Jiang Yu, Jiang Yu looked at it and admired it very much, Lin Xiwen's prescription can be said to be comprehensive, if he prescribes the prescription, he is definitely inferior to Lin Xiwen.
When Jiang Yu handed over the prescription to the doctor to grab the medicine, Schmit spoke: "Jiang, this patient ......"
Jiang Yu smiled and said: "This old Mr. Lin's medical skills are better than mine, this patient makes Lin Lao's treatment more secure, I will discuss with Lin Lao, and explain more to you during the treatment." ”
Schmit blinked, his mood was very complicated, could it be that Lin Xiwen's ability was really above Jiang Yu? I couldn't help but feel a little emotional, he had long heard that China was a hidden dragon and crouching tiger, but he didn't expect that this time when he came to China, he met someone who was better than Jiang Yu, which made Schmit a little frustrated.
Jiang Yu patted Schmitt on the shoulder and said, "Old friend, Chinese medicine and Western medicine have their own strengths, and they are different medical systems, and Chinese medicine does have unique features in some diseases. ”
As a person of traditional Chinese medicine, Jiang Yu does not reject Western medicine, but recognizes Western medicine very much, Chinese medicine and Western medicine have their own strengths, and they cannot be generalized, such as the craniotomy of Chang Lao before, if it were not for Kevin's chief surgeon, the current situation is still unknown.
"Chinese medicine ......," Schmit muttered softly.
Jiang Yu smiled, turned back to Lin Xiwen and said, "Old Lin, although this Professor Schmit is a little arrogant, he is a crazy person who is very obsessed with medicine, and I hope you don't mind." ”
"Haha, my old man is not such a stingy person yet." Lin Xiwen said with a smile, he understood what Jiang Yu meant, this foreigner was interested in the treatment process.
Seeing Lin Xiwen leave, Qi Yue breathed a sigh of relief, since Lin Xiwen entered the ward, Qi Yue has been silent.
"What, you're afraid of Lin Lao?" Jiang Yu asked with a smile.
"This old man is highly respected in Qianzhou Province, and the leaders of the provincial party committee will visit him every New Year's holiday, even if my father sees it, he is polite." Qi Yue smiled bitterly, in the face of others, he could still bow to the governor's son, but in front of Lin Xiwen, he had no confidence, the old man slapped him twice, and he could only laugh.
"Jiang Yu, thank you." Zhang Wen stepped forward and bit her lip and said.
Jiang Yu looked at Zhang Wen, sighed and said: "You know what I came to Qianzhou for, I will do my best with your boyfriend, and you should rest assured of Lin Lao's ability, but ...... over there."
Zhang Wen bit her lip tightly, she was indeed very guilty when she mentioned Chang Qingwu, Chang Qingwu trusted her very much, but she failed Chang Qingwu.
"Qingwu treats you well, I just hope you can stand up and seek truth from facts."
Jiang Yu looked at Zhang Wen: "I know this makes you very embarrassed, once you stand up, you will face legal sanctions, but Qingwu is innocent, you should think about it." ”
As he spoke, Jiang Yu and Schmit greeted each other and planned to leave.
"Doctor Jiang......" Seeing that Jiang Yu was about to go out, Zhang Wen suddenly spoke.
Jiang Yu turned around, Zhang Wen hesitated for a moment and said, "As long as you can guarantee his safety, I am willing to follow you to Longjiang." ”
"Ah Wen." Lin Xingyi on the hospital bed opened his mouth and burst into tears, he didn't know how Zhang Wen got the money to take him to the United States, he just found out.
"Don't worry, you guys have a good talk first, I will stay in Qianzhou for two days." Jiang Yu said a word and left the ward with Qi Yue Smitt.
In the evening, Schmit invited Jiang Yu to dinner, along with Qi Yue and the director of Madison Hospital, and Jiang Yu only learned the name of the director during dinner, surnamed Hu, named Hu Sizhong.
Hu Sizhong is an overseas Chinese, his grandfather came to the United States, grew up in the United States, and also graduated from Harvard Medical School in the United States.
"My grandfather was a strong man in the national army back then, and he was a fellow villager with Lin Lao, and Lin Lao also agreed to serve as a special expert in the hospital for the sake of my grandfather's face." Hu Sizhong toasted Jiang Yu with a wine glass: "Thank you Xiao Jiang for helping me round the field today, otherwise I, the dean, will be overestimated." ”
Schmit did not understand Chinese, and Hu Sizhong was not afraid of Schmitt on the side, so he thanked Jiang Yu in person.
"Dean Hu is polite, even without me, Mr. Schmidt, I won't embarrass you." Jiang Yu and Hu Sizhong touched each other, as the so-called multiple friends have many roads, since Hu Sizhong has shown goodwill, Jiang Yu will not be tense.
To be honest, Jiang Yu is really happy today, Lin Xiwen's unexpected disturbance has opened Zhang Wen's line of defense, judging from Zhang Wen's attitude, Bacheng will agree to go back to Longjiang with him, as long as Zhang Wen agrees to come forward, then Chang Qingwu's case will basically be solved.
In Longjiang City, Pinghai Province, in Xue Yanfei's luxury villa, Qin Mingfei and Xue Yanfei had just gone through a gut battle, and the two of them were leaning on the bedside and talking.
"What do you say Jiang Yu is doing in Qianzhou before leaving Jiangzhou?" Qin Mingfei frowned, Jiang Yu naturally would not sit back and watch Chang Qingwu being wronged, he would inevitably run around, so Jiang Yu's every move Qin Mingfei had been staring at, and today Jiang Yu left Longjiang Qin Mingfei was a little restless.
"What else can Jiang Yu do when he goes to Qianzhou except to ask Qi Guodong for help?" Xue Yanfei didn't care, Qi Yue's father Qi Guodong did serve as the mayor of Longjiang City before, but now he has already gone to tea, this is Pinghai not Qianzhou.
For Qin Mingfei's timidity, Xue Yanfei looked down on him very much, as Xue Yanfei said before, Qin Mingfei also has a good father, and nothing else is good.
PS: Ask for collections, ask for flowers, book friends, support more, thank you.