Back to 1999: From operating surgeon to becoming a top doctor

"A patient who is newly admitted to the hospital has a left colostomy one month after colon cancer surgery. This time, he requested to be hospitalized mainly because of general discomfort."

The doctor who reported the case couldn't help but be speechless secretly when he looked at the description of the patient's physical signs on the iron medical record folder.

Good guy, as soon as I came up for ward rounds, I got such a difficult patient.

Still feeling unwell?

What disease is this?

"Okay, I get it."

Xiao Chenguang waved his hand and stopped the doctor who was flipping through the medical records and wanted to continue reporting.

Forehead?

Why don't you let me tell you?

The doctors, nurses, patients and family members who followed Xiao Chenguang on the ward rounds were all stunned for a moment.

According to the previous ward round model, didn't the subordinates finish the report, the director would ask about the patient's relevant indicators, and then leave the room coolly after asking questions.

Why is this ward round a little different today?

Just when everyone was puzzled, Xiao Chenguang came directly to the patient's bedside.

"Uncle, have you eaten this morning?"

Facing the inquiry, the uncle sitting on the bed was stunned.

Because he is often hospitalized, he is already very familiar with the doctor's ward rounds process.

But most of them just stop at the door, look into the room, say a few words, and then leave.

Few people would ask him about his specific situation, and no one would ask him about his eating, drinking and diarrhea during the ward rounds.

"Ah... I ate... but I haven't had much appetite recently and I always feel uncomfortable all over. That's why I wanted to come to the hospital for a checkup." The patient answered truthfully.

"Well, you just have no appetite." Xiao Chenguang nodded, with thoughts in his eyes.

patient:"???"

Xiao Chenguang continued: "You should not only have gastrointestinal discomfort, but also feel tired all over the body, belching constantly, and the amount of enterostomy is larger than usual."

"How do you know?!"

The patient was shocked.

He had just been admitted to the hospital today, and he hadn't had time to tell many things to the doctor in charge. Most of what he remembered in the admission medical records was the history of his colon surgery. Only he knew such unimportant personal signs.

"Of course you can tell."

Xiao Chenguang pointed to the patient's swollen eyelids and said, "You feel weak all over and have gastrointestinal discomfort. It was originally caused by increased fluid loss from the colostomy opening and water and sodium retention."

"But when you saw your edema, you thought it was caused by too much intake every day. Starting from this half month, you restricted water and food without permission. It turned out that the symptoms were getting worse and worse, and that's when you came to the hospital."

patient:"!!!"

He really didn't expect that the doctor in front of him would explain all the changes in his illness in the past half month.

Could this man have opened his eyes and be able to know the past and the future?

Otherwise, how could he know everything about his condition? This was the first time the two of them had met.

However, what Xiao Chenguang said next was the bombshell news, which almost exploded in the patient's heart.

"Uncle, you are suffering from prerenal AKI caused by decreased GFR, which is what we often call acute kidney injury caused by decreased glomerular filtration rate."

As soon as these words came out, not only the patient was stunned, but also the medical staff who were doing the rounds together were stunned.

What?

Is the patient feeling unwell all over because of kidney problems?

This is not right either.

The patient was admitted to the hospital after surgery for colon cancer. As for complications, at most they were gastrointestinal problems.

Why is the kidney gone now?

"Doctor, what you said is true. My waist has always been very good and I can bend and stretch it normally. How could there be a problem?"

The patient looked in disbelief.

It's no wonder that even the medical staff at the scene looked in disbelief when they heard Xiao Chenguang's diagnosis.

"Believe it or not, look at your feet."

After saying that, Xiao Chenguang pointed to the end of the patient's bed. Seeing this, the family members on the side quickly lifted the quilt.

Suddenly, there was a sound of cold air sucking in from the scene.

"What's wrong with my feet?!"

The patient looked down and suddenly looked shocked.

His feet were obviously swollen, especially from the top of his feet to his ankles. The skin had become crystal clear due to edema, and even the slightest touch could cause the water to break out.

The patient's calf also began to swell. Xiao Chenguang just pressed it with his finger, and a dent immediately appeared, which could not be recovered for a long time.

"When I was admitted to the hospital today, I didn't notice the swelling. It's only been so long, why is it like this?"

The patient was obviously scared, and would become overwhelmed if this happened to anyone.

"There's really something wrong with the kidneys in bed 1."

"My dear, my feet are swollen like fermented steamed buns. At first, I was a little doubtful of Dr. Xiao's diagnosis, but I didn't expect him to see the problem at a glance."

"But how did Dr. Xiao figure it out?"

At this time, doubts arose in the hearts of the medical staff.

The patient may not understand, but the medical staff present are all professionally trained. Seeing the patient's symptoms at this time, they have completely agreed with Xiao Chenguang's diagnosis.

Unexpectedly, Xiao Chenguang could make a diagnosis with just the most basic audio-visual touch. This kind of diagnostic ability made everyone envious.

No wonder Director Wang would directly appoint Xiao Chenguang as the chief resident of the department at the morning meeting. He must have seen Xiao Chenguang's ability to deal with patients.

At this moment, the door to the ward was pushed open.

The nurse who received the emergency report from the laboratory department took a laboratory test sheet and immediately reported the condition of the patient in bed to everyone present.

[Renal function: creatinine L, urea nitrogen 10.2mmol/L, glomerular filtration rate 10ml/min]

Basically, every value is seriously exceeded, which reflects that the patient's renal function is in the acute failure stage.

The bright data further confirmed Xiao Chenguang's diagnosis.

After hearing this, the patient was almost scared.

He didn't expect that his general discomfort was so serious.

He looked terrified, grabbed a corner of Xiao Chenguang's white coat, and asked hurriedly: "Doctor, since you can see my disease at a glance, there must be treatment measures."

The patient had just experienced a serious illness and now suffered this disaster. He didn't want to die, so he regarded Xiao Chenguang as the last straw.

"If blood filtration can be done, it is estimated that the patient will be able to recover in three to five days."

But Xiao Chenguang knew that in 1999, unlike later generations, even township health centers had blood filtration machines.

In this era, everything was just starting, and hospitals that could carry out blood filtration technology might have to go to the provincial capital.

But it takes at least four or five hours to drive from the provincial capital. Even if the patient can finally endure the bumpy road, there may not be a blood filter machine available in the provincial capital hospital.

After all, there are many patients with more serious conditions than him, with renal necrosis and uremia, all waiting for the machine. Whoever gets the chance to survive will have a chance to survive. How can they easily give it to others?

Seeing Xiao Chenguang fall into deep thought, the patient felt dizzy, his eyes went black, and he almost fainted.

Just when the patient thought he was going to die, Xiao Chenguang's voice rang again in the ward.

"Don't worry, your disease can be cured."

window._taboola = window._taboola || ; _taboola.push({ mode: 'thumbs-feed-01', container: 'taboola-below-article-thumbnail---300x250', placement: 'Below article thumbnail - 300x250', target_type: 'mix' });