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"Teacher Liu, the examination results for the patient just now have all come out. The brain CT, ECG, and echocardiogram are all negative, but his blood test results are very strange."

Li Hao came to Liu Banxia with the examination report.

"From the examination report, his electrolytes are very low, which is causing his fainting and spasms. Moreover, his blood urea nitrogen and creatinine levels are incredibly high, and hemoglobin is low, indicating possible kidney failure."

Liu Banxia frowned, "What's going on? So young and already experiencing kidney failure? Have new tests been scheduled?"

"Ultrasonography has already been arranged. I also have some doubts. Unless there is a kidney pathology, it shouldn't present like these test results at this age even if kidney function is somewhat impaired." Li Hao said.

Liu Banxia took the lab report and examined it carefully. The more he looked, the tighter his brow furrowed.

The data Li Hao just mentioned are already very clear.

Blood creatinine is the creatinine in the blood, a product of muscle metabolism. It is generated in the muscles, released into the blood, and finally excreted through urine.

This is a small molecular substance filtered by the glomeruli and generally not absorbed by the renal tubules. Every day, the creatinine metabolized by the body is excreted through urine. Even if your urine volume is small, it can be pretty much excreted.

There's only one situation where there's a problem with your urine metabolism, meaning there's a problem with your kidneys, causing creatinine levels in the blood to rise because they can't be excreted.

Normal creatinine levels in men are about 50-100 or so, which is the normal range. And this patient's level? It's already reached 653.

It's not just kidney failure; this is severe kidney failure, heading towards uremia.

The same applies to blood urea nitrogen; it is also excreted through glomerular filtration. When kidney function has issues, blood urea nitrogen levels in the body will rise.

This patient's blood urea nitrogen level has reached 15.3; the normal standard for people is generally not more than 7.14.

"Let's go and consult Teacher Wu. We didn't have a nephrology expert before; now that we do, we cannot waste this resource," Liu Banxia said after thinking for a few seconds.

"Haven't contacted his family yet? If he has kidney disease and it has reached these levels, there should have been some symptoms before, shouldn't there? And his company has not mentioned anything?"

Li Hao shook his head, "The company person who came with him didn't know anything. The patient is their Department Manager, does things decisively, and is a very potential middle management staff in the company."

"Also tried the phone number on his employment form; it says invalid number. Also tried unlocking his mobile; it's password-protected, no fingerprint or facial recognition."

Liu Banxia nodded and led Li Hao to the urology department.

"Teacher Wu, please help us with some guidance. We have a patient brought in from emergency; please take a look at the examination report." Liu Banxia said.

"Something related to kidneys? Otherwise, you would have handled it directly." Wu Wenlin said, holding the examination report.

"Yes, we suspect so. The situation is quite complicated, please take a look first." Liu Banxia said.

In the cafeteria the other day, we discussed such situations. If it were emergency surgery, Liu Banxia could have handled it without involving others.

But now it's not emergency surgery, and it involves nephrology, requiring a consultation. We could ask the urology department to go over, but need to keep things low-profile.

"What's going on, such severe kidney failure, and from these test data, it should be caused by chronic kidney failure." Wu Wenlin said.

"Seeing his age, I thought it was acute kidney failure caused by rhabdomyolysis. But the data below doesn't support this; where is the patient?"

"Teacher Wu, ultrasonography has been arranged." Li Hao quickly said.

Wu Wenlin nodded, "That's good, but based on these examination conditions, there's not much to consider, just arrange dialysis directly. Is the patient unconscious?"

"Yes, the patient is unconscious. Family can't be contacted, colleagues don't know anything. I initially suspected medication overdose, but later it seemed unlikely, as liver function is not greatly affected." Liu Banxia said.

"Li Hao, once the patient's ultrasonography is done, arrange for dialysis directly. Under the current conditions, we can only choose to preserve kidney and life first, and investigate the cause slowly."

"Alright, Teacher Wu, Teacher Liu, I'll go tend to the patient first." Li Hao said.

Wu Wenlin nodded, "Best to wait until the patient is conscious and inquire about any prior medical history. The medication side effects mentioned by Dr. Liu cannot be completely ruled out."

"Unlike older people, where chronic kidney disease accumulation over the years causes such results, check the surface to see if there's evidence of prior dialysis."

Li Hao nodded and then jogged out to make arrangements.

"Teacher Wu, for patients like this, with such severe kidney failure, even if we find the cause, can we only proceed with a kidney transplant, and it's too late to make any adjustments?" Liu Banxia asked.

"It's very likely, but it also depends on the cause," Wu Wenlin replied.

"If it's not an organic disease of the kidneys, but caused by other chronic diseases, even a transplant won't help. Unless the root cause is dealt with, putting him on the list won't give him a chance." 𝑓𝘳𝑒𝑒𝓌𝘦𝘣𝘯ℴ𝑣𝘦𝑙.𝘤𝑜𝑚

"If it's merely an organic disease of the kidneys, we can put him on the list. But given the current situation, it's uncertain when he might be prioritized."

"Moreover, you currently don't have authorization from his family or from him personally, so even if we have a kidney available, we can't proceed with the transplant."

"In recent years, the onset age for kidney disease is showing a tendency to drop year by year. When I was in the inpatient department, there was a young patient, only 11 years old."

"I explored his causes, and I personally lean towards dietary factors. Parents and grandparents pay a lot of attention to the child, focusing heavily on meat consumption, while vegetables were somewhat neglected."

"This imbalance in diet led to a physical burden, triggering nephritis. Additionally, parents were more concerned with the child's diet and sleep, paying less attention to other aspects."

"By the time it was discovered, it was too late, he didn't pull through. From diagnosis to death, it took less than four months. Looking further up, there are quite a few in their twenties and thirties as well."

"Their contributing factors are many, with poor lifestyle habits leading the way. As you young people say nowadays, staying up late has become standard, right? Then there's some who love gaming and hold their urine."

"Diet is also an important consideration, excessive intake of takeout meals and high-sugar drinks. Combined with some social pressures, it's easy to break a person down unknowingly."

Liu Banxia nodded, "Today's lifestyle habits truly contribute to many illnesses trending toward younger ages. A heart attack in those around forty is now common."

"Not more, at least one patient in the weekly heart attack cases we handle is in the 40-50 age bracket. People say that if you make it past sixty, you've truly passed a critical point."

"As material life improves, it provides a booming opportunity for the outbreak of various diseases. There's another situation I need to discuss with you, we have a patient in the emergency center who isn't misusing steroids, could you help examine him later?"

Wu Wenlin smiled and nodded, "No problem, symptoms have already manifested, right? Typically, these are irreversible changes. Advise his family ahead of time, as it's reached the level of hospitalization, the impact won't be small."

"Sigh... we've talked about it too. Comes from a well-off family, inherited over four generations, they are a bit worried now," Liu Banxia said.

"Let's see more about his situation later. Although continuing the family line might be challenging, it should be workable. Better to start early, don't delay."

"If the patient has any more issues, just come and get me," Wu Wenlin said.

"Alright, thank you, Teacher Wu. I'll go help out up front," Liu Banxia said.

The communication was quite good, and though he hadn't interacted much with Wu Wenlin, at least they were getting along well now.

"Teacher Liu, kidney ultrasound shows no abnormalities, estimated to be caused by other conditions, should I proceed with dialysis now?" Li Hao ran over.

"Do it, we need to keep him alive first. His kidneys are already critically endangered, that's the priority. Start, and I'll sign," Liu Banxia said.

"Teacher Liu, two emergency patients from an assault are arriving soon," Xu Yino announced.

"Alright, you handle the reception, I'll supervise," Liu Banxia responded.

This basically sums up his everyday role, the six apprentices haven't fully graduated yet. In fact, for doctors in their profession, truly graduating is very difficult.

Even for himself, he's still learning while teaching.

Though he's helping supervise, he's still putting on rubber gloves. Assault injuries, if severe, require on-the-spot rescue.

"Male patient, 33 years old, unconscious. Blunt trauma to head and chest, right side skull fracture, jaw dislocation. Blood pressure 70/90, heart rate 110, oxygen given in the ambulance. No family medical history, fitness trainer," the emergency worker said while pushing the patient down.

"Rescue Room One," Xu Yino said.

"Female patient, 31 years old, stable vital signs, left brow laceration,"

The emergency worker from the second vehicle also pushed the stretcher down.

"Follow me to the diagnostic bed," Miao Rui said.

Walking ahead, Liu Banxia glanced back, suspecting this might be caused by relationship issues? Assaulted victims, the reasons are typically a few.

But he wasn't focused on this now, better handle the patient Xu Yino was dealing with. Situation seems a bit serious, especially with the skull fracture involved.