One day, while I was carefully reviewing the registration information in the consulting room, a familiar voice suddenly came from behind: "Hello, Xiao Lu! I came to dispense medicine and came to see you today." I looked back and found out that it was a patient I knew well, Lao Lu. My name was Lao Lu, but actually he was not old at all. He was only 54 years old this year. As soon as he finished speaking, I saw him walk in with high spirits. He was hale and hearty, and his face was ruddy. It was really surprising that he should be a uremic patient. After a brief chat with Lao Lu about his recent physical condition, he said goodbye to me and looked at his distant back. My thoughts suddenly returned to a year ago.
Lao Lu was hospitalized due to gastrointestinal bleeding. During the test, he found that his blood creatinine was over 500. Only then did he learn that he had uremia. He felt that he was in good health at ordinary times, but he never expected to develop uremia. This was like a bolt from the blue for him. Later, on the recommendation of our nephrologist, he came to the Comprehensive Management Outpatient of Chronic Renal Diseases in the Department of Nephrology of Tongji Hospital for follow-up. When he sat in front of me with a weak and depressed expression, I thought what this patient most needed was actually confidence and courage. First of all, I gave him a preliminary understanding of chronic kidney disease, told him that chronic kidney disease is not terrible, and not all patients with uremia must undergo dialysis immediately. I also gave him examples of successful cases of delayed dialysis in our comprehensive management clinic for chronic kidney disease over the past two years. As I spoke, I gradually felt as if Lao Lu's eyes lit up, at least indicating that he had seen a glimmer of hope in the darkness. Subsequently, I conducted targeted education on Lao Lu based on various laboratory indicators during his hospitalization. Lao Lu listened very carefully and took notes with his wife.
At the beginning of the outpatient follow-up, Lao Lu's wife accompanied him to the clinic. She was afraid that Lao Lu might not be able to take it easy. Later, as his condition gradually stabilized, Lao Lu confidently insisted on coming to the clinic on his own every time. After every time I carefully and patiently taught about kidney disease and related diet, Lao Lu said that he really learned a lot of knowledge that is conducive to controlling the development of the disease. According to the monthly review indicators, he also actively communicates with the doctor about his illness to facilitate timely adjustment of the treatment plan; He bought a food scale from the internet and strictly followed the daily protein requirements; Under our advice, Lao Lu actively persists in exercising despite extreme cold and heat. In summer, he even gets up at 4 o'clock in the morning to take a walk. I remember Lao Lu once said that when I first asked him to persist in walking slowly, he began to gasp after walking 500 meters. Now, he has persisted for a year. He can walk 7 kilometers without any problems and he doesn't feel tired. A recent follow-up index showed that Laolu's renal function did not deteriorate, but rather improved. Lao Lu is one of more than 400 patients in the Comprehensive Management Clinic for Chronic Renal Diseases of the Department of Nephrology of Tongji Hospital since its opening, and he is also one of the models among so many patients with chronic kidney diseases. "I have been suffering from uremia for more than a year and have not entered the dialysis stage. Lao Lu himself says this is a miracle.". He feels that he is still very young, and hopes that he can continue to cooperate with the medical staff of the Department of Nephrology of Tongji Hospital to earnestly adhere to follow-up, minimize the time for entering dialysis, and then live happily and happily!
The story of Lao Lu is over. This is the real person and story around me. Every patient with chronic kidney disease needs to understand that entering the uremic stage does not mean entering the dialysis stage immediately. After a comprehensive evaluation by a doctor, it is possible that there is room for manoeuvre like Lao Lu, but it requires the active cooperation of the patient, such as regular follow-up, careful implementation of dietary plans, and adherence to exercise. The most crucial thing is to hope that every patient with chronic kidney disease can walk out of the pain and trough of sudden illness as soon as possible, face up to their condition, actively brace themselves for treatment and care, and ultimately live as strong, confident, and happy as Lao Lu!