Wang Ge is actually not afraid that Liu Ya will really say anything excessive.

He himself counts in his own heart. And first scaring the patient's family, attracting attention, and then continuing to comfort, is generally the routine of doctors.

"The clinical manifestations of uremia generally cause a lot of distress to others. The biggest manifestation is water, electrolyte, acid-base metabolism disorders, caused by acidosis may cause the body to be very weak, vomiting, loss of appetite and so on. Abnormal metabolism of other electrolytes, water, sodium, potassium, calcium and phosphorus can cause symptoms such as pleural and abdominal effusion, edema of the limbs, edema of internal organs, hypokalemia, hyperkalemia, and hyperthyroidism. For this type of large disease, there are many small symptoms that are broken down below. In fact, what Liu Ya said is already quite general.

said too much, Wang Qing may not understand. However, Liu Ya spoke very seriously and meticulously as if he was teaching a lesson to a student.

"You should know that the kidneys are one of the most important organs for maintaining the body's metabolic balance. In the case of kidney failure, the balance of almost all the nutrients ingested by the body cannot be maintained, which is equivalent to the failure of the organs that can filter the blood and adjust the balance of the elements. Therefore, the balance and metabolism of proteins, sugars, fats, and vitamins in the human body will also be disrupted. Liu Ya continued.

Wang Qing sat in the car and listened very carefully. I listened to the doctor's symptoms, as if my father was dying.

"So, as long as the kidneys can be repaired and restored, or a kidney transplant can be performed directly, the chances of survival will be improved, right?" Wang Qing said.

She was rich, very rich, even if it was a little more expensive to have a kidney transplant.

But it's not about money. In China, organ transplants are waiting to be sorted.

The hospital registers, and once a suitable kidney source is found, it will be matched in cohort order.

If a person dies for other reasons, his internal organs can be used, and at the same time the person has registered for organ donation, or the family has temporarily decided to agree to donate the body, and the organs will be reused.

1.4 billion Chinese, lying in the hospital waiting for a kidney replacement, do not know how many. Kidney transplantation is also a matching and rejection test.

The probability of finding a kidney source that matches just right, without rejection, and at the same time will not be snatched away by other people waiting for a kidney replacement, is simply too low.

Some uremia patients are doing dialysis while waiting for the kidney source, waiting for several years, all the original money for surgery is used for dialysis, the body is not as good as day by day, and before there is a kidney source to use, the person dies in the process of waiting.

How desperate is this?

"Theoretically, kidney replacement is the ultimate route and the hope of a complete cure. But for uremia patients, it's not just the kidneys that we need to solve. We have just learned that the imbalance of the metabolism of all elements in the whole body must cause very serious consequences, and it is a complete destruction of the entire body. The cardiovascular and cerebrovascular system may have atherosclerosis, myocardial infarction, cerebral infarction, heart failure, and arrhythmias. Pulmonary edema, asphyxia due to pleural effusion, pneumonitis, and respiratory failure due to pulmonary calcification may occur in the respiratory system. Not to mention the gastrointestinal system, nausea and vomiting, indigestion, gastric mucosal erosion, peptic ulcer caused by gastric bleeding. The blood system will have anemia caused by malnutrition, difficulty in blood clotting, more points under the skin, and massive bleeding from internal organs cannot be suppressed in time. The neuromuscular system can be affected, delusional coma, inability to concentrate, memory loss, occasionally spasms, convulsions, cerebral edema. Intracranial hypertension. The skeletal system can cause osteodystrophy, paleoinflammation, osteoporosis, malacia and other conditions, and it is possible to cause fractures after a fall, but spontaneous fractures are still not very common. ”

Liu Ya finished talking about these things in one breath, and basically didn't give Wang Qing time to react.

A uremia patient, in fact, from head to toe, there is nothing good about it.

And Liu Ya's description is already very objective and conceptual, and even a bit evasive.

Even important words and words scared Wang Qing a lot.

"Therefore, in addition to solving the problem of kidney failure, we need to address other complications caused by uremia and adjust the patient's body to a state that can be used for kidney transplantation before we recommend starting this work. Of course, the preliminary preparation still needs to be done, register first, and then slowly adjust the body, and adjust the body within the waiting time, so that it will not be delayed for so long. Liu Ya has always felt that the luck of the king pigeon is actually good, so the luck of his sister and his uncle should not be much worse.

Waiting for the kidney source is still very promising.

"How long can I survive dialysis without a kidney transplant?" Wang Qing asked.

"It's hard to say this, it can only be determined according to the specific situation of the patient. And I'm an emergency doctor, so I take more of these things in the emergency department, and there are fewer follow-up things. There are those who live for a year or two, and there are those who live for thirty or fifty years. During this time, others may experience various complications, experience resuscitation, and even amputation. Whether it is peritoneal dialysis or extracorporeal hemodialysis, it can only replace part of the function of the kidney, and the frequency is relatively high. At the final stage, a kidney transplant is still required. In fact, Liu Ya already knew what Wang Qing wanted to ask.

The king pigeon listened and listened, and also heard that something was wrong.

Normal people can think of it with their knees, and they can think of it.

A kidney transplant is the only solution. But now the kidney source is not so good, and there is only one way left.

Immediate family members, living-donor transplants.

It's similar to what is played on TV, there are all kinds of scenes where a father and mother cut their kidneys to save their sons, or younger brothers and sisters cut their kidneys to save their brothers.

Living donation is actually a big requirement in hospitals. Any hospital that has the capacity to perform a living-donor kidney transplant will have an organ transplant ethics committee.

The so-called ethics committee is in charge of ethical matters. When a patient's family asks to use their own kidney distance to save the lives of their immediate family members, they must submit the documents and materials required by the Ethics Committee for review.

If the hospital's ethics committee believes that this kidney transplant may be a very serious burden on the family and may put the family under more stress, then they have every reason for the hospital to refuse the procedure.

This is not a recommendation, but a final finding.

Although there are two kidneys, in fact, each kidney has a great impact on the human body. If a living donation is made, the donor's future life will be greatly affected.

These people can no longer do heavy work, physical work, can no longer stay up late at night, the whole person is almost like a waste, powerless. And the donee may not always be completely well.

Liu Ya had seen a report in the hospital's internal magazine. When a young man became ill with uremia, his father donated a kidney to him. However, the good times did not last long, and due to the young man's physical reasons, the new kidney also lost its function in a short period of time and failed rapidly.

When her life was dying, the young man's mother also wanted to donate one of her kidneys, desperate to save her son's life.

It is understandable that parents love their children. However, the decision on whether or not to proceed with surgery is in the hands of the hospital's ethics committee.

According to the committee's assessment, the man's father was incapacitated, and even if a second kidney transplant was performed, there was a high probability that the new kidney would fail in the young man's body.

What's more, the family has no way to continue to pay for the operation of 10 to 200,000 yuan. If the mother donates another kidney and loses the ability to work, then the family is really finished.

To put it mildly, the ethics committee believes that if a kidney transplant is performed, a family of three may die, and even if they are not poor, they will be starved to death.

If the kidney transplant is not performed, the son dies, and the old couple is at least still alive, and there is still a labor force in the family, which is enough to support the two people.

Now Wang Qing is already thinking about donating a kidney to her father.

The ethics committee of the Second Affiliated Hospital of Yaxiang is relatively strict, and when submitting materials, it is strictly forbidden to donate living organs between non-relatives.

The first is to rule out the risk of rejection, and second, this matter may also involve the sale of organs.

The relationship between the donor and the donee must be siblings, spouse, parents or children. Other than that, we will not accept any other surgical application. The spouse must also be married for more than three years and already have children.

From this you can see how much a kidney transplant can hurt a person.

In addition to this, a complex series of rejection checks are carried out between the donor and the donor.

If you do not pass the examination, you will not be able to perform surgery. And you don't have to be a close relative to be able to pass this test.

It's a very difficult choice. According to reason, when his father was hospitalized and his life was in danger and had to be replaced, Wang Qing should donate his own kidney.

However, once the surgery for kidney donation is performed, the high-intensity work will definitely not be able to support it. This means that she is likely to lose the ability to make money.

People are still so young, not married, no children, not in love, in the prime of their youth, and abolished like this, no one can be willing.

"Sister, I suggest you don't think about it so much now. Uncle's situation hasn't gotten worse enough yet. You can try conservative treatment first, and then wait slowly for the kidney source. Dialysis can also last for a while. Wang Ge understands the pain and struggle in Wang Qing's heart very well.

The key is that Wang Qing can't let her mother do this, the third uncle has died, and she won't take it down to find the second uncle, that is, Wang Ge's father, and let the family have a kidney.

Even if Wang Jiancheng was willing, she would never accept it.

People also have to live well, why should they give people a kidney for no reason and make the rest of their lives a wasted person? With Wang Qing's self-cultivation and the moral education she has experienced, she will never be allowed to do such a selfish thing.

Not to mention buying a kidney, it is not only illegal and criminal, but also may be in danger of contracting other infectious diseases.

If it really comes to a situation where there is no way, this matter can only be done by Wang Qing herself.

The more Wang Qing thought about it, the tighter the brows on her head tightened.

"Your brother is right. The previous things have not been solved yet, so there is no need to think about it so far. Maybe by then, there will already be a suitable kidney source. I don't think your family conditions are bad, this should be a blessing in misfortune. Liu Ya said.

In fact, for poor families, not to mention the cost of kidney transplantation of 10 to 200,000 yuan, even dialysis for uremia patients two to three times a week is a huge pressure.

"It costs three or four hundred yuan at a time, thousands of dollars a week, and four or five thousand yuan a month. If some hospitals have medical insurance, they can reimburse 95%, even if it is rural cooperative medical care, they can also reimburse 30%, plus the second reimbursement, and if the patient can live for 10 to 20 years through dialysis under ordinary family conditions, it is still acceptable.

The state is now vigorously promoting medical insurance and cooperative medical care between rural and urban areas, but there are still people who have no insurance at all, and are so poor that they cannot even afford 50 or 60 yuan. Your father should have health insurance, and money is not a big deal. Liu Ya said, "This matter is not as difficult and complicated as you think. ”

"Is it so cheap in China?" Wang Qing was stunned. "Wouldn't it cost only a few dozen dollars per dialysis?"

"The policy is good, but the times are different. Liu Ya smiled.

In the interval between several people talking, Wang Ge's ambulance has already left the city, driving north from the Ring Expressway, speeding on the highway to Hengzhou City, the blue police lights on the roof of the car are constantly flashing, even if the car is not transporting patients, he still turns on his siren.

There were no vehicles on the highway in the early morning, there were vehicles in front, and when I saw the ambulance with police lights flashing behind and sirens approaching quickly, I knew that there must be some urgent patient who needed to be transferred, so I immediately slowed down and kept to the right, so that the ambulance could drive through the overtaking lane first.

The king pigeon can finally justify its speed on the road, raising its speed to 120 km/h.

And Wang Qing was still sitting in the carriage, frowning, and didn't say a word.

"Sometimes, you really have to learn from me. Wang Ge said, "You have to live without heart and lungs, don't think so far ahead about something, live in the moment, after all, the boat will naturally go straight to the bridge." ”

"I see, let's see my father first. Wang Qing wiped away her tears inadvertently between the two.