Rebirth 1977 Great Era

Chapter 1373 Another donation of a building, "Mr. Wang set the rules!"

Fang Yan is really scared. There weren't so many people donating buildings before. How come they're donating so often now? They must be so rich.

Fang Yan said to them:

"Let's talk about this later, there are other people waiting."

"Donating a building is not something that can be explained in a few words. If you really want to donate, we can invite Director Liao and the dean here as well."

Upon hearing this from the dialect, Ms. Sun's father nodded and said:

"Alright, I've noted it down. I'll leave the rest of the treatment to you, Dr. Fang."

Fang Yan nodded and said:
"Of course, I will definitely help Ms. Sun recover."

With that phrase in dialect, the other party was finally satisfied and left.

Fang Yan then returned to his examination table, spent half a minute organizing the medical records, and then said to the nurse:

"Go call the next person!"

The nurse agreed and then beckoned the next person to enter the room.

The person being wheeled in this time was a young man, who looked to be in his early twenties. He was in a somewhat disoriented state at the moment.

However, he wasn't in a limp or delirious state. He sat very upright, his whole body seemed to be in a tense and taut state, but his expression was one of unconscious daze.

This condition is commonly seen in cases of central nervous system abnormalities, psychological stress, metabolic problems, or poisoning.

Epilepsy, encephalitis, traumatic brain injury, acute stress, and anxiety-panic attacks are commonly seen in clinical practice.

However, if it were one of these diseases, the dialect suggests that it might not be recovered, and it is more likely to be some rare illness.

Fang Yan picked up the flashlight and said to the patient's family:
"Tell me what happened."

The young man is clearly unable to speak now, so his family has to speak on his behalf.

"Let me speak," a young woman pushing the patient stepped forward; she was probably the young man's girlfriend.

As she spoke, she took out a stack of treatment records and examination reports from the pocket behind her wheelchair.

"My husband came home at 11 p.m. two months ago. It was thundering and raining outside. I was getting him some clean clothes to change into. I had just finished getting them and hadn't given them to him yet when I heard him calling me from the living room. He sounded very uncomfortable. When he came to my living room, he couldn't speak very clearly, but he still managed to say that he had phlegm blocking his throat and was having trouble breathing. Not long after he finished speaking, he passed out."

The dialect speaker nodded, "This is phlegm obstruction."

Then the patient's wife continued:
"I immediately called a car and took the person to a nearby hospital."

"On the way to the hospital, he started convulsing about six or seven times. The Western doctor diagnosed him with acute renal failure and treated him with Western medicine for two months, but he still hasn't regained consciousness."

Fang Yan then opened the patient's diagnosis and found that the patient's temperature upon admission was 38 degrees Celsius, blood pressure was 140/90 mmHg, nitrogen dioxide combining power was 26% by volume, non-protein nitrogen was 164 mg%, and creatinine was 8.4 mg%. The hospital diagnosed the patient with acute renal failure. Fang Yan also saw that the patient's surname was Fei and he was 30 years old.

Fang Yan held the stack of test reports, focusing mainly on the values of "non-protein nitrogen 164mg%, creatinine 8.4mg%".

He frowned slightly. Both indicators were far above the normal range, so the diagnosis of acute renal failure was correct. However, the triggering factors of "encountering thunderstorms after drinking alcohol, vomiting and fainting followed by convulsions" made him feel that it was not just simple renal failure.

He looked up at the young man, shining the flashlight in his hand first on his pupils. Both pupils were equal in size and round, and their light reflex was slightly sluggish. Then he reached out and gently pressed the young man's shoulder. He could clearly feel that the muscles were tense like a hard rock. When his fingers touched the shoulder, the young man's mouth twitched unconsciously, but he did not open his eyes.

"Has he coughed up phlegm in the past two months? What color and what does the phlegm look like?" Fang Yan asked the young man's girlfriend.

The girl paused for a moment, then quickly recalled: "Yes! At first, nurses would suction phlegm every day at the hospital. It was thick, yellowish-black phlegm. Later, it gradually decreased, but it would still occasionally get blocked. The doctor said he had inflammation in his lungs and had been taking anti-inflammatory drugs."

"What about the seizures? Have you had any more seizures in the last two months? What did they look like each time you had a seizure?" Fang Yan pressed on.

"I had frequent seizures the first month, about every two or three days. Each time, I'd straighten my arms and legs, roll my eyes upwards, and it would only last a minute or two. This month has been much better; I've only had two seizures, both while I was asleep at night." The girl said, then added after a moment's thought:

"Western medicine says the kidney failure is under control, but he just can't wake up. They also said it might be 'hypoxic-ischemic encephalopathy' and told us to be prepared for a long-term illness..."

Fang Yan didn't respond, and turned to the last page of the examination report, the chest CT scan. The scan showed blurry shadows in the lower lobes of both lungs, which was a sign of inflammation. But what bothered him more was the presence of unevenly dense shadows in the mediastinum, which didn't seem like ordinary inflammation.

He put down the report and reached out to take the young man's pulse.

Then, with his other hand, he pressed on the young man's neck, which was stiff. He then pressed on the young man's abdomen and found it to be equally stiff and swollen.

Fang Yan asked the patient's family:
How does he eat?

"Did you swallow?"

"There were swallowing movements, but the hospital recommended intravenous nutrition and then nasogastric feeding," the patient's family member said.

Fang Yan nodded and continued to ask:

How does he relieve himself?

"I have a catheter for urination, and I can defecate on my own, but I haven't had a bowel movement for seven or eight days. My urine output is also decreasing day by day."

"What are your urination and defecation like?" Fang Yan continued to ask.

The patient's family member said:
"His feces were hard, dry pellets, like goat droppings, and his urine was brown."

Fang Yan nodded and continued to check the patient's right pulse.

After feeling with both hands, Fang Yan discovered that the pulse was wiry and rapid.

Next, Fang Yan planned to examine the young man's tongue. He thought it would take some effort to pry open his mouth because he was stiff all over, but to his surprise, it didn't take much effort at all. He pried open the mouth directly.

Looking at the tongue, it was covered in a burnt black coating, almost as if it had swallowed ink.

And when I touched it, there was no saliva on it, just like dry sandpaper.

"Dr. Fang, what's going on? Is it what Western medicine calls acute renal failure?" the patient's family asked Fang Yan.

Instead of directly answering "Is it acute renal failure?", Fang Yan gently closed the young man's mouth before turning to his family. His tone was calm yet certain: "Acute renal failure is the result, and it's a term used in Western medicine. We don't use that term in traditional Chinese medicine. Moreover, the root cause isn't in the kidneys. His condition is 'phlegm-heat obstructing the lungs, obstruction of the internal organs, and toxins attacking the heart.' Kidney failure is caused by toxins blocking the body and having nowhere to be expelled, which damages the kidneys. The loss of consciousness is also due to toxins clouding the mind."

He pointed to the young man's tense body: "Look at him, his whole body is as hard as a stone, his neck and stomach are tense. This is because he has not had a proper bowel movement for seven or eight days. His stool is as dry as sheep droppings, and toxins are accumulating in his intestines. If they rise up to his lungs, they will cause phlegm blockage, and if they rise up to his brain, they will cause mental confusion. His tongue coating is scorched black and dry like sandpaper, and his pulse is wiry and rapid. These are all clear signs of excessive heat and depletion of body fluids, which is more complicated than simple kidney failure."

"Can you treat him?" the patient's family member immediately asked in dialect.

Nodding in dialect:

"Don't worry, since I say so, it must be curable."

"It's just a little troublesome."

The patient's family members immediately exchanged glances, and then the oldest one said:

"We understand the rules. The Zhou family donated it, so we..."

Fang Yan was taken aback and quickly told them to stop.

Why is everyone starting to compare themselves to the Zhou family?

Are they just too rich?
He sensed something was wrong, and then, with a sense of unease, asked:

"Did you hear anything from someone on your way back?"

The patient's family member spoke in a dialect:

"Oh dear, Mr. Wang has already told us all about it, and we know the rules."