This Doctor is Great

Zhou Mo came to the ward again.

Zhou Mo asked the patient's wife: "Has he ever gone to the toilet? Urinated."

Wife: "Not yet."

Zhou Mo: "How long has it been since you went to the bathroom?"

The wife hesitated for a moment: "Has it been several hours?"

Zhou Mo: "How many hours?"

The wife suddenly became speechless, and looked at her husband Zheng Zhengquan.

The patient Zheng Zhengquan hesitated for a moment, and said: "It seems that I went to the toilet once after eating supper yesterday, and I haven't used the toilet until now..."

Zhou Mo said to himself as expected: "In other words, there are 18 hours."

Patient Zheng Zhengquan nodded: "Yes."

Zhou Mo: "Do you feel urgent to pee now?"

Patient Zheng Zhengquan shook his head: "No."

Kidney failure!

Zhou Mo immediately concluded: There must be something wrong with the patient's kidney!

Because of rhabdomyolysis, renal failure, or even acute renal failure, will occur, which happens to correspond to the fact that the patient has not gone to the toilet for more than ten hours.

Why does rhabdomyolysis cause kidney failure?

The cause is muscle lysis, a large amount of myoglobin is released into the blood, and the excess will be filtered out from the glomerulus and enter the renal tubules, causing blockage in the renal tubules, thereby causing acute renal failure.

Then, kidney failure will lead to no urine!

In addition to myalgia + muscle weakness + tea-colored urine or cola urine + renal failure, there are other indicators:

——Creatine kinase will be greatly increased (more than 5 times), which is the most important test for rhabdomyolysis syndrome.

Most of the creatine kinase exists in the skeletal muscle and cardiac muscle of the human body, so the increase of creatine kinase is either the destruction of skeletal muscle cells or the damage of cardiomyocytes.

Zhou Mo clicked on his iPad,

one look!

Liver function and kidney function have come out.

The first is liver function.

When Zhou Mo was doing liver work, he specially marked the target of 'creatine kinase' (big liver work).

Look at the liver function.

Creatine kinase increased 10 times!

Needless to say, such a high level of creatine kinase is either a big problem with the heart or a big problem with the skeletal muscles.

Corresponding to the symptoms of Zheng Zhengquan, the patient in front of him, there must be no problem with the heart, it can only be a problem with the skeletal muscles.

Then look at the kidney function blood test results:

Serum creatinine: 200!

Seeing this result, Zhou Mo was shocked.

This value is already very serious!

Kidney failure is undoubtedly!

And it's the kind that is very serious and has reached the terminal stage!

"It must be sent to the kidney for dialysis immediately!"

At this point, Zhou Mo no longer needs to judge. The patient meets so many conditions for rhabdomyolysis (myalgia + muscle weakness + creatine kinase explosion + severe renal failure), so what else could it be rhabdomyolysis?

Call the nephrologist immediately.

Let them come and pick up the sick.

This time it was not a consultation, but a direct transfer to another department.

Zhou Mo lamented for a while: Nima, why is it another patient from another department?

...

at this time,

In the cardiology department, Zhou Quan waited and waited...

It has been more than 2 hours, and Zhou Mo is still busy...

...

Hearing someone said that he needed kidney dialysis, the nephrology department came soon.

3 minutes,

The nephrologist rushed to the cardiology department.

Zhou Mo: Roll your eyes·jpg

After a detailed examination of the patient, the nephrologist finally determined that it was rhabdomyolysis, and it was also caused by heavy drinking.

At this time, their experience was shown. The nephrologist asked the patient Zheng Zhengquan how much alcohol he drank (Zhou Mo didn't ask), and the patient said he drank 15 bottles of beer.

The nephrologist directly believed that it was not caused by volleyball, but by drinking beer.

Now the wife of the patient Zheng Zhengquan became furious.

Facing Zheng Zhengquan, he just cried and cursed.

"Tell you not to drink, tell you not to drink, now you know your mistake? I almost died!...Wooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooooow

"I won't drink it next time, I won't drink it next time..."

"Fart, do you think I'll believe you?"

"I really dare not drink, dare not drink!"

The wife cried repeatedly, and the patient Zheng Zhengquan apologized and promised again and again.

Zhou Mo heard a smile on the corner of his mouth.

soon,

The patient was transferred to another department for dialysis.

Dialysis is to use artificial methods to imitate the filtration function of human glomerulus, and remove redundant and harmful substances in human blood under the condition of extracorporeal circulation, so as to purify the blood.

(There is a class representative, please give me a dialysis picture, for everyone to learn from?)

patient sent away,

Zhou Mo still has to continue to work, go through the formalities, write materials... and so on.

Beds 28 and 29 remain vacant.

These two, are fantastic beds.

A gangster, keep an eye on them all the time!

...

at this time,

It is already 19:43.

Cardiology and surgery, Zhou Quan waited and waited...

I've been waiting for almost 3 hours, and Zhou Mo hasn't left yet!

Hard work! !

Me, Zhou Quan, endured humiliation for the sake of the thesis!

...

20:00,

Zhou Mo finished everything, and finally he could go home from get off work.

Just as Zhou Mo walked out of the duty room and came to the corridor,

"Huh……"

"Isn't that Doctor Zhou Quan?"

The sharp-eyed Zhou Mo suddenly saw Doctor Zhou Quan walking around outside the Cardiology Department, as if waiting for someone.

"wait for me?"

Zhou Mo thought for a while, went to the duty room to change clothes, and then left through the safe passage through the back door of the Cardiology Department.

Looked at the phone.

Zhou Quan: "Have you got off work yet?"

Zhou Quan: "Have you not left work yet?"

Zhou Quan: "It's already 20 o'clock, are you still busy? Why don't you reply!"

Zhou Quan: "It's 21:00, why aren't you off work?!"

Zhou Quan: "Have you eaten yet?"

...

20:30, Zhou Quan is still waiting...

At 21:00, Zhouquan is still waiting...

wait, wait,

In the end, Zhou Quan was a little annoyed and irritable, and couldn't bear the humiliation anymore.

Send a message to Zhou Mo: "It's already 21 o'clock, are you hungry? May I treat you to supper?"

ding dong~~~

Zhou Mo replied in seconds: "I'm sorry, Doctor Zhou, I left the hospital at 20 o'clock and forgot to check my phone, sorry..."

comprehensive:"………………"

gone?

I kicked the horse and turned the table (╯‵ ′)╯︵┻━┻!

Holding back his unhappiness, Zhou Quan sent a WeChat message: "Then are you free now? You should be hungry too, and I happen to be hungry too, please have a supper."

Zhou Mo: "Sorry, I'm having supper with other colleagues, so I won't bother you... Doctor Zhou, if you have something to say, just say it..."

Zhou Quan: "..., can you not publish your "Biliary Heart Syndrome" paper? I submitted it earlier than you, but I didn't pass it the first time. When I submitted it for the second time, I was told that you had submitted it. I repeated it to you."

He played a trick.

Lie about submitting earlier than Zhou Mo!

Zhou Mo: "Dr. Zhou was joking. You can't be earlier than me. If you are earlier than me, even if your manuscript is rejected, mine will be rejected because of the repetition rate... After all, journals are very strict now. .”

comprehensive:"…………"

grass!

Zhou Mo actually understands this!

Zhou Quan thought for a while, and finally decided: "The papers of the two of us have been repeated. It's not good to tear our faces apart. After all, we are all on our own... Otherwise, you will give me the first paper, and your second paper, and then I will compensate you. , how? I heard that your life is a bit tight...you know what I mean..."

This time, what he wrote was a little bolder and more explicit.

compensate you!

Here you go!

Let's see if your heart beats or not!

.