The conversation did not delay the change of clothes. Soon, the three of them left the changing room and chatted as they walked to the CT room.
"In the future, aside from Imperial Capital, Sorcery Capital, Guangzhou, Shenzhen City, and the provincial capital, there will be fewer and fewer doctors in large tertiary Grade A hospitals. All of them will go to private hospitals," Department Chief Kong said.
Su Yun and Zheng Ren listened quietly.
"Gu Xiaoran will have to take this step sooner or later. I think this is a good thing for her."
"Director, how many years do you think it will take to reach this stage?"
"In the past, I thought it would be twenty years in the future. But from the looks of it, it was getting faster and faster. Many public hospitals don't have medical insurance quotas … I can't say anything about this, but it's very common in places. You should know that. "
"Sea City … is fine." Zheng Ren also sighed.
"That's because you're in Sea City General Hospital. Boss Zheng, you don't usually want to chat with others. The other hospitals in Sea City were also facing this problem. Being a doctor was just a job. He had to support his family. What would happen if he had no work to do? Go to a private hospital. There are no restrictions on Shang Bao. "Su Yun said.
Zheng Ren knew that Department Chief Kong was telling the truth. He was just a doctor and there was nothing he could do. Doctors like Gu Xiaoran who lived in third or fourth-tier cities would have to leave their hometown sooner or later and go to public hospitals or private hospitals in big cities.
Whether he was willing or not, an individual was quite insignificant in the face of such a general trend. It would not be an exaggeration to say that he was like a mantis trying to stop a chariot.
"A few days ago, someone looked for Zhao Yunlong," Chief Kong continued.
"Hmm?"
"A newly established private hospital. People from the First Affiliated Hospital of Provincial Capital Medical University were also poached. They are all doctors at the level of professors who are not satisfied. There are not many people like Zhao Yunlong, "Chief Kong said.
Zheng Ren understood the logic behind it and nodded slightly. He reckoned that Chief Kong knew about this. Zhao Yunlong went to show his loyalty and chatted with him.
In the future, it would be the trend to go to private hospitals. This was not something that could be changed by manpower. Zheng Ren, who had been working in a public hospital since he started working, found it difficult to accept, but the truth would not change whether he accepted it or not.
Following Department Chief Kong's footsteps, the three of them arrived at the CT room. As soon as he entered, he saw Sister Gao wearing a white coat with an isolation suit inside. She did not even change out of her clothes.
She and a doctor from the emergency department pushed the stretcher trolley back to the hospital. Zheng Ren glanced at the System panel, which clearly stated — acute liver injury, acute kidney injury, acute renal failure.
Aren't you vomiting and having diarrhea?
Zheng Ren did not have time to think and immediately went forward to help.
"Sister Gao, how did brother-in-law do this?" Zheng Ren asked.
"He was fine yesterday." Sister Gao said with a sad face, "I started having diarrhea in the middle of the night. I took two pieces of pipemidic acid, but it got worse this morning. He insisted on going to work, and his colleagues said he almost fainted in the bathroom. "
'He almost fainted in the bathroom with liver and kidney failure,' Zheng Ren thought to himself.
But how could there be liver and kidney failure in a normal life? Zheng Ren glanced at Sister Gao. Her System panel was slightly red, but there was no diagnosis. This meant that he was in a sub-healthy state, not sick.
It shouldn't be for food. If it was for food, the couple would have eaten together.
Seeing that the relationship between Sister Gao and her lover seemed to be normal, Zheng Ren did not think too much about it. Then, the only thing left was that the drug caused abnormal liver and kidney function. Zheng Ren immediately asked, "What medicine has brother-in-law been taking recently?"
"He's been taking antihypertensive drugs and hypoglycemic drugs for many years. He's never been fine," Sister Gao replied.
"What medicine did he take for diarrhea yesterday?"
"Pipemidic acid. He only took two. I watched him eat it."
Pipemidic acid was a quinolone antibacterial drug. By acting on bacterial DNA rotase, it interfered with bacterial DNA synthesis, causing bacterial death. It was effective against gram-negative bacteria and was a drug that was often taken when one had diarrhea.
This drug was mainly excreted through the kidneys in its original form. Within 24 hours after administration, 58% to 68% of the dose was excreted in the urine. About 20% was excreted in the feces, and a small amount of the drug was metabolized in the body.
Zheng Ren did not believe that two pieces of pipemidic acid could cause liver and kidney damage.
"Have you taken it before?" Although he did not believe it, Zheng Ren still asked very cautiously, afraid that there was a rare allergic reaction. Even if the System panel did not indicate an allergic reaction, he could not rule out some biochemical reactions.
"I've taken it before. I take it every time I have diarrhea. It's quite effective," Sister Gao replied.
Zheng Ren then asked about other things. After returning to the emergency observation room, he went straight to look for Zhou Litao.
"Boss Zheng, why are you here?" Zhou Litao asked happily.
Zheng Ren looked at the little freckles on his face that looked like they were about to fly up. His mental state was still good. He was not depressed because he had become a chief resident again. He heaved a sigh of relief.
"Sister Gao's lover is sick. I came to take a look," Zheng Ren said. "Is the emergency test back?"
"I just came back. Acute liver and kidney damage. The aminotransferase has reached more than 600, and the creatinine has also reached 500. "Zhou Litao brought Zheng Ren to look at the test results on the computer.
Just like the diagnosis of the System, it was a very serious acute injury.
He took another look at the abdominal CT. There were no abnormal lesions. It was not a real change. It was considered to be related to diet.
"Boss, could it be that Sister Gao was anxious and didn't say anything?" Su Yun said. "Such serious liver and kidney damage is still related to eating. For example, after drinking a lot of alcohol, drinking strong tea to relieve the alcohol. I've seen a similar case. "
"Okay, let's ask Sister Gao again," Zheng Ren said in a deep voice as he looked at the radiographic films with his chin resting on his hand.
What Su Yun said was indeed a possibility. Overeating and drinking a lot of alcohol would affect the liver function.
After drinking strong tea after drinking, the theophylline in the tea could quickly affect the kidneys and play a diuretic role. At this time, before the alcohol could be broken down, it would be discharged from the kidneys, causing the kidneys to be stimulated by a large amount of alcohol, thus damaging the kidney function.
When they arrived at the entrance of the emergency observation room, Su Yun called Sister Gao out and asked, "Sister Gao, has brother-in-law gone out drinking these few days?"
"No, he doesn't drink. A bottle of beer is too much," Sister Gao was a little scared and replied with a pale face.
"What about Chinese and Western medicine? Is there anything that you didn't say just now? For example, if he had a gout attack and took a lot of non-steroidal anti-inflammatory and analgesic drugs, "Zheng Ren asked.
"No, his body is fine …" Sister Gao was stunned for a moment before she said, "I usually don't let him eat those messy things. Well, I'll go and ask. Now that you mention it, I'm really not sure. "
As she spoke, Sister Gao turned around and returned to the ward.
Zheng Ren and Su Yun did not follow in. They stood at the door and waited.
"He must have taken some medicine. Otherwise, there's no way to explain it," Su Yun said.
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