They didn't delay changing their clothes while talking, and soon the three of them left the dressing room and walked to the CT room while chatting.
"The general trend in the future is that, except for the Imperial Capital, Magic Capital, Yangcheng, Pengcheng and provincial capital cities, there will be fewer and fewer doctors in large tertiary hospitals, and all of them will go to private hospitals." Director Kong said.
Zheng Ren and Su Yun listened quietly.
"Gu Xiaoran will have to take this step sooner or later. I think this is a good thing for him."
"Director, how many years do you estimate it will take to get to the point you mentioned?"
"I used to think it would be twenty years later. But now I see it is getting faster and faster. Many public hospitals do not have medical insurance quotas... This kind of thing cannot be said. It is very common in places. You should know it."
"Haicheng... not bad." Zheng Ren also sighed.
"That's because you are in Haicheng No. 1 Hospital. Boss Zheng, you usually don't want to chat with people. Other hospitals in Haicheng are facing this problem. Doctors just work and have to support their families. What should I do if I have no work? Go to a private hospital. . There are no restrictions when it comes to commercial insurance." Su Yundao said.
Zheng Ren knew that Director Kong was telling the truth. He was just a doctor and there was nothing he could do. Doctors like Gu Xiaoran who live in third- and fourth-tier cities will have to leave their hometowns sooner or later to go to public hospitals or private hospitals in big cities.
Whether he likes it or not, an individual is quite insignificant in front of this general trend, and it is not an exaggeration to describe it as a mantis with its arms like a car.
"Someone was looking for Zhao Wenhua a few days ago." Director Kong continued.
"Um?"
"In a newly established private hospital, people from the Medical University Affiliated Hospital have also been poached. They are all unsatisfactory leading professor-level doctors, and there are not many like Zhao Wenhua." Director Kong said.
Zheng Ren knew the reason and nodded slightly. It is estimated that Director Kong knew about this. Zhao Wenhua went to express his loyalty and talked with him.
Going to private hospitals will be a major trend in the future, and this cannot be changed by human efforts. Zheng Ren, who has been working in a public hospital since he started working, found it difficult to accept it for a while, but the fact will not change whether he accepts it or not.
Following Director Kong's footsteps, the three of them came to the CT room. As soon as she came in, she saw Sister Gao wearing a white suit and an isolation gown underneath. She didn't even change her clothes.
She and an emergency department doctor pushed the flat cart back. Zheng Ren glanced at the system panel, which clearly read - acute liver injury, acute kidney injury, and acute renal failure.
Isn't it vomiting and diarrhea
Zheng Ren didn't have time to think and immediately stepped forward to help.
"Sister Gao, what did your brother-in-law do?" Zheng Ren asked.
"It was fine yesterday." Sister Gao said with a sad face: "I started having diarrhea in the middle of the night and took two tablets of Piper, but it got worse this morning. He had to go to work, and his colleagues said he almost fainted in the bathroom."
His liver and kidneys failed, so he almost fainted in the bathroom, Zheng Ren thought to himself.
But in normal life, where does liver and kidney failure come from? Zheng Ren glanced at Sister Gao. Her system panel was slightly red, but there was no diagnosis. This means being in a sub-healthy state without being sick.
It shouldn't be from the diet. If they were eating, the couple should be eating together.
Seeing that the relationship between Sister Gao and her lover seemed normal, Zheng Ren didn't think much about it. Then the rest is that the medicine caused abnormal liver and kidney function. Zheng Ren then asked: "What medicine has my brother-in-law taken recently?"
"I have been taking antihypertensive and antihyperglycemic drugs for many years, and nothing has ever happened to me." Sister Gao replied.
"What medicine did you take for diarrhea yesterday?"
"Piperic acid, I just took two pills. I watched what I ate."
Piperic acid is a quinolone antibacterial drug that interferes with bacterial DNA synthesis by acting on bacterial DNA gyrase, thereby causing bacterial death. It is effective against Gram-negative bacilli and is a medicine often taken when you have diarrhea.
This drug is mainly excreted unchanged through the kidneys. 58% to 68% of the dose is excreted in the urine 24 hours after administration, and about 20% is excreted in the feces. A small amount of the drug is metabolized in the body.
Zheng Ren didn't believe that two pills of piperic acid could cause damage to liver and kidney function.
"Have you ever eaten it before?" Although he didn't believe it, Zheng Ren still asked cautiously, fearing that he might have a rare allergy. Even if the system panel does not indicate allergies, some biochemical reactions cannot be ruled out.
"I've taken it. I take it every time I have diarrhea. It's quite effective." Sister Gao replied.
Zheng Ren then asked about other situations, and after returning to the emergency observation room, he went directly to Zhou Litao.
"Boss Zheng, why are you here?" Zhou Litao said happily.
Zheng Ren looked at the small freckles on his face that looked like they were about to fly. He was in good spirits and was not depressed because he was the hospital manager again, so he breathed a sigh of relief.
"Sister Gao's lover is sick, let me take a look." Zheng Ren said, "Have the emergency laboratory tests come back?"
"I just came back with acute liver and kidney damage. The transaminase has reached over 600, and the creatinine has also reached 500." Zhou Litao took Zheng Ren to look at the test results on the computer.
The diagnosis is the same as the big pig's hoof, a very serious acute injury.
I took another look at the abdominal CT and found no abnormal lesions. It was not a solid change. It was considered to be related to diet.
"Boss, could it be that Sister Gao is anxious and has something to say?" Su Yundao said, "Such serious damage to liver and kidney function is probably related to eating. For example, drinking strong tea to relieve hangover after drinking a lot of alcohol, I I have seen a similar case.”
"Well, let's ask Sister Gao again." Zheng Ren put his chin on his head and looked at the film to make sure nothing was missing, and said in a deep voice.
What Su Yun said is indeed a possibility. Overeating and drinking a lot of alcohol will affect liver function.
If you drink strong tea after drinking, the theophylline in the tea can quickly affect the kidneys and exert a diuretic effect. At this time, the alcohol is excreted from the kidneys before it can be decomposed again, causing the kidneys to be stimulated by a large amount of ethanol, thereby damaging kidney function.
Arriving at the door of the emergency observation room, Su Yun called Sister Gao out and asked, "Sister Gao, has your brother-in-law been out drinking heavily these days?"
"No, he doesn't know how to drink. A bottle of beer is enough." Sister Gao was a little scared and replied with a pale face.
"What about Chinese and Western medicine? Is there anything I didn't mention just now? For example, when I have a gout attack, I take a lot of non-steroidal anti-inflammatory analgesics." Zheng Ren asked.
"No, he's in good health..." Sister Gao was startled for a moment, and then said: "I usually don't let him eat those messy things. Well, let me ask. I'm really not sure what you said."
With that said, Sister Gao turned around and returned to the ward.
Zheng Ren and Su Yun did not follow him in. They stood at the door and waited.
"It must be some kind of medicine, otherwise there is no way to explain it." Su Yundao said.