Medical road ahead

"No."

Qin Xiao shook his head and explained, "I'm going to teach the new interns."

"Ok."

Qiao Tan nodded and asked again, "However, why study chronic nephritis alone? Even though endocrine disorders may cause chronic nephritis, in terms of endocrinology, diabetes, hyperthyroidism, and thyroid problems are common cases. If we want the interns to grasp the interaction and relationship between endocrinology and nutrition as soon as possible, wouldn’t it be better to start with common cases? Or combine chronic nephritis with other endocrine-related diseases so that the interns can have a comprehensive understanding.”

"Doctor Qiao, do you know that more and more women are suffering from chronic nephritis nowadays, especially women in childbearing period?" Qin Xiao asked.

"Well, I heard from seniors in the Department of Endocrinology that the onset of chronic nephritis is often related to the secretion of estrogen in women, which is why women are more likely to suffer from chronic nephritis than men." Qiao Tan nodded.

"Especially for women in childbearing period, think about it, a woman who is about to marry and become a mother loses her happy marriage, family, and even her life due to sudden chronic nephritis. Shouldn't this be taken seriously by our doctors?" Qin Xiao Ning Se said.

"Director Qin is right, I will prepare the materials and report to you as soon as possible."

As if infected by Qin Xiao's suddenly solemn expression, Qiao Tan also became serious. After finishing the day's work, he took a bag of instant noodles and a box of instant coffee and went back to the room to study in seclusion.

"Yaoyao, help!"

Just when she turned on the laptop and before she could hold the mouse, she suddenly received a silly WeChat message.

Qiao Tan smiled, and quickly replied, "It seems that Aunt Yang has settled accounts with you after Qiuhou."

"It's small to settle accounts after autumn, but it's big to call me on a blind date." Hutu immediately replied.

"Blind date again? Didn't you just break up with Xiao Ceramics? Even if you want to strike while the iron is hot, you have to start the fire first!" Qiao Tan was stunned.

"Hehe...my mother has already started the fire."

Hu Tu sent a helpless expression.

"Aunt Yang deserves to be the March [-] red flag bearer in our hospital and a fighter among model workers."

Qiao Tan replied with a big smile.

"Oh! Come and think of a way for me."

Hutu made a pleading expression.

"Why don't I bring Xiao Bo to stage a scene of condemning a heartless scumbag when you are on a blind date?"

"What good will it do you to ruin my reputation?"

"It can leave you alone forever."

"I would like to be alone for the rest of my life, but my mother will definitely not agree. Find another way."

"Well"

Qiao Tan scratched his chin and pondered for a while, then picked up his phone and sent a message, "Let's use the old method. Although the method is old, it works."

"Okay! I think so too."

After chatting with Hu Tu for a few more words, Qiao Tan put down his phone and was ready to officially enter the study state.

However, she had just finished typing the header of the report when another WeChat message came from her mobile phone.

"Sister Tu doesn't work overtime tonight? Why is it endless?."

She frowned impatiently, picked up her phone and checked it, only to find that the message came from her ex-boyfriend Wei Junyan.

"Yaoyao, if you want to delay getting married two years later, then let's delay it by two years."

After reading the message quickly, Qiao Tan deleted it, and then muted the phone, so as not to be disturbed by the outside world.
"Director Qin, this is the report you want."

Two days later, Qiao Tan successfully completed the task and handed over the report to Qin Xiao.

"Thanks a lot."

Qin Xiao nodded in thanks, and after noticing the bruises in her eyes, he said apologetically, "I'm sorry for making you stay up late. I forgot to say that this report is not urgent."

"It's okay, I also want to finish it sooner, so I can hear your opinion." Qiao Tan waved his hands and smiled innocently.

"It's rare to see the sun in City C today, let's go to the atrium garden to chat."

Qin Xiao glanced at the sunny sky outside the window, then took Qiao Tan to the atrium garden of Building No. [-], and ordered a cup of English black tea and two desserts for the two of them.

"cough!"

Looking at the peach mousse and tiramisu close in front of him, Qiao Tan resisted the urge to swallow, and turned his eyes to the green plants beside him.

"Something for you."

Seeing this, Qin Xiao pursed his lips, concealed his smile, and then raised his hand to signal, "As I said, Dr. Qiao is not fat, but has a round face, so there is no need to think about losing weight."

"Director Qin, I'm a nutritionist. Naturally, I know that eating too much sweets will not only increase blood lipids and blood pressure, but also affect the function of insulin, cause diabetes, and increase the burden on the heart." Qiao Tan said righteously.

"The hazards you mentioned are only likely to occur under the premise of eating sweets in large quantities, for a long time, and at night, and it is the afternoon, and the amount is not large. In addition, the butter used in this hotel is animal butter, no added Chemicals like saccharin are relatively healthy, so you can eat them with confidence." Qin Xiao smiled.

"Then you eat too!"

Hearing this, Qiao Tan immediately rubbed his hands, eager to try, and after bending over to pick up the plate of peach mousse, he pushed the remaining tiramisu in front of Qin Xiao.

"I don't like sweets."

After Qin Xiao said a few words, he opened the report and read it with a frown.

Order two if you don't eat?

Qiao Tan was puzzled, picked up the small spoon and slowly savored the delicious food in his hands, not forgetting to sneak a glance at Qin Xiao, and became apprehensive following his frowns and frowns.

Is my report poorly written?

Thinking of this, Qiao Tan suddenly lost his appetite and stared at Qin Xiao without blinking.

"What's wrong? It's not delicious?"

Feeling a hot gaze on his face, Qin Xiao raised his eyes and met Qiao Tan's eyes.

"No, it's delicious."

Qiao Tan shook his head, pouted his lips and said truthfully, "I'm worried that my report won't be well written."

"As a newcomer, it's good. However, there is too much theoretical knowledge, and the practicality is a little weak. After you work for a few months and a half, you will naturally accumulate experience." Qin Xiao said objectively and to the point.

"Ah."

Qiao Tan nodded humbly, and patiently listened to Qin Xiao's advice.

"I personally suggest that your report can be divided into five major categories of nutritional therapy, according to the degree of CKD (chronic kidney disease) in different periods, to prescribe the right medicine."

"How to classify?"

Qiao Tan sat up straight, put his hands flat subconsciously, and focused his eyes.

"In CKD stage 1, the kidneys are in a sub-healthy state, but there is no obvious discomfort. You only need to participate in regular physical examinations and long-term observation. In this case, prevention and control are the main focus. In nutrition therapy, blood pressure can be controlled through diet, blood sugar and blood lipids; implement a low-protein, low-sodium diet; improve lifestyle and delay the development of the disease."

"In stage 2 of CKD, when chronic kidney disease begins to become severe, the nutritional treatment is not much different from that in stage 1, but it is important to evaluate whether the disease will progress too fast and pay attention to the speed of acceleration. However, patients in this stage Vitamins B1, B2, and vitamin C intake of people will generally be insufficient, and this should be paid attention to, and corresponding dietary supplements should be taken.”

"CKD stage 3, moderately abnormal kidneys, while insisting on drug treatment, strengthen the monitoring of anemia, nutrition, abnormal calcium and phosphorus metabolism and thyroid function, and deal with complications in time to delay the further progression of the disease. In addition to supplementing vitamins and trace elements Attention should be paid to adjusting the intake ratio of carbohydrates, protein, and fat. This period is also a watershed, especially the intensive adjustment of dietary structure and dietary patterns, and the strengthening of nutritional therapy.”

"In CKD stage 4, the glomerular filtration rate is severely reduced. In addition to drug treatment, continuous nutritional therapy, and monitoring of various renal indicators, preparations for renal replacement therapy, dialysis access, and appropriate nutritional reserves can be started. .”

"As for CKD stage 5."

Speaking of this, Qin Xiao's expression suddenly became lost, and his eyes became confused.

After a short pause, he returned to normal, and continued: "At this time, it has developed to the stage of renal failure. Apart from dialysis treatment (hemodialysis or peritoneal dialysis), the only option is kidney transplantation."

After finishing speaking, he quickly lowered his eyes and stopped talking.

The surrounding air seemed to freeze, gradually depressing.

Qiao Tan could clearly sense his embarrassment (sound of dao) and embarrassment (sound of can three times) at the moment, so he frowned and scratched the back of his hand, and asked cautiously, "Director Qin, there is a relative in your family who suffers from Chronic kidney disease?"