I'm just a veterinarian! You've unlocked the Great Physician System!

"The ibuprofen and Tylenol you prescribed both contain nonsteroidal anti-inflammatory drugs (NSAIDs), which can quickly reduce fever, inflammation, and pain. In addition, you also prescribed levofloxacin, another anti-inflammatory drug, and other medications to further enhance the anti-inflammatory effect. Furthermore, you prescribed gentamicin and dexamethasone, which could very likely cause acute kidney injury or even uremia!"

This five-drug regimen for a mild cold and fever really made his scalp tingle.

The key is that it should be used by this elderly group.

To put it bluntly, even young people's kidneys can't handle it!

"Hiss—, no wonder Dr. Ogawa is so agitated! Damn! This is risking his kidneys!"

"A tiny little problem, and they prescribed you a late-stage medication dosage? Good heavens, is this how they make money?!"

"Sigh, some patients insist on treating doctors like miracle cures, demanding immediate results. They believe that if a doctor doesn't work immediately, they're not a good doctor; if they do, they're a good doctor. So, many doctors use all sorts of methods to get patients to say they're good doctors, regardless of whether they're harmful to the body or have side effects. As long as it achieves what the patient calls fast and effective, that's all that matters. It's just that most people's understanding is too limited."

"That's why big hospitals can't cure you in a few days, but small clinics can help you quickly. It's because they're treating you with late-stage medicine when you're already in an early stage of the disease."

anger.

The live stream was mostly attended by medical students and healthcare workers, and seeing so many prescriptions sent chills down their spines!
"I had a cold before, and they prescribed oral azithromycin and oseltamivir, intravenous cephalosporin and another antibiotic, plus an antiviral drug. I didn't have my period for two and a half months, and I was very weak. I used four kinds of antibiotics."

"That's right, I really think the government should step in and regulate private clinics. Lately, they've been packed with people getting IV drips. Hospitals don't readily offer IV drips, but small clinics are always ordering them. My mother had a sore throat, and the clinic immediately offered her an IV drip, saying it would cure her faster, and each treatment costs several hundred yuan! And once she's treated at a clinic, she can't go anywhere else for treatment because they can't cure her!"

"Undeniably, small clinics can address the medical needs of many people, but some doctors in these clinics are truly unscrupulous. A few days ago, my baby and I went to a clinic. The first thing they asked was if I had medical insurance. They did throat and nasal swabs, saying the nasal swab was more accurate. I said, 'If it's more accurate, why not just do one from the start?' Less than five minutes later, they mysteriously said my child had H1N1. I said, 'Just treat it as usual.' Then something even more outrageous happened. Before I even had any tests done, they registered both my child and me as having H1N1. Then they repeatedly confirmed whether we both had medical insurance, and ordered 265 yuan worth of medicine for my child, while I was prescribed 118 yuan worth. Afterwards, I regretted not confronting them or leaving immediately when I had questions. It really comes down to the doctor's conscience!"

Of course, many patients and their families who have personally experienced this have also complained about it.

Small clinics are responsible for the health of 800-900 million people out of the country's more than one billion. It would be wrong and unfair to say that all small clinics are bad or unscrupulous.

But this clinic definitely has problems.

This aunt, who is in her fifties, just had a simple cold and a slight fever.

They directly administered a five-in-one cold, fever, and heat-relieving medication that is clearly toxic!
This is a very dangerous combination: NSAIDs + aminoglycosides. Clinically, it is clearly known to increase the probability of acute renal failure, acute tubular necrosis, rapid spikes in serum creatinine, and even uremia.

If the patient is older, the risk increases exponentially.

Prescribing this kind of medicine to patients is really irresponsible.

Uremia!

These words were spoken.

Many of the people receiving IV drips at the scene were stunned.

"What nonsense are you spouting? You doctors from a big hospital are just trying to scare people! Every time I have a cold, fever, or sore throat, I come here for IV drips, and I get better every time. Uremia? I think you only get all sorts of poisoning by going to a big hospital like yours!"

Just then, an old man who was receiving an IV drip retorted to Zhang Lingchuan in an annoyed manner.

I come here for treatment every time.

One good thing is coming!

You said this is uremia!
Urine deficiency is utter bullshit!
If you really have uremia, why don't you feel anything?

Zhang Lingchuan looked at the old man with a red tag on his head who was arguing with him. At the same time, a "[Exploreable]" tag appeared above the old man's head.

[Current patients can explore and trigger quests, guaranteeing at least 100 professional reputation.]

Actually, most of the IV drips in the clinic have yellow labels, but there are a few with red labels as well.

The idea that everyone who isn't sick comes to the clinic is understandable, so the yellow label is understandable.

He scans the red tags as needed.

Since they can't be cured here, they'll definitely go back to the hospital most of the time.

He mainly wanted to remind those who were unaware that they were among the popular groups with a red label.

To everyone's surprise, an old man with a red tag said he was fine and often sought treatment there, showing no signs of the illness he described. This piqued his curiosity.

The current host is using a precision scan.

Zhang Lingchuan immediately initiated a precise scan.

"If you have nothing else to do, get out of here! Don't get in the way!!"

I don't know why.

Zhang Lingchuan felt that this old man disliked him.

"Sir, just because you think everything is fine doesn't mean it really is fine."

But the red label is like an alarm.

The old man's health condition is definitely not good.

I just don't know if it has anything to do with this clinic.

"Hey everyone, look at this junior doctor in the big hospital, he's quite interesting. He says that just because I feel fine doesn't mean it really is fine. What, don't I take my own feelings seriously? Do you think I don't know my own body?!"

The old man named Li Dashan was overjoyed.

He felt as if Zhang Lingchuan was sent by heaven to make him laugh.

"Hahaha~"

"Young man, you'd better hurry back to your big hospital!"

They all burst into laughter.

"6. Even veterinarian Zhang had a day when he was humiliated."

"Sigh... old men and women, they only want to believe what they believe."

"Zhang, I think you should stop meddling in other people's business and go directly to the next place to do charity work for farmers. Staying here is a complete waste of time. No matter how much you try to persuade them, these people won't go to the hospital."

"I dare say, if this were the prescription for treating a cold, fever, and sore throat, the people who come to this clinic would have their blood pressure spiked to who knows how high."

"Speaking of which, there's a small village clinic near my house. Whether it's a cold or a fever, it cures everyone, adults and children alike, with the same prescription. I'm always amazed; it's famous throughout the surrounding villages!"

"Antibiotics, hormones, and antiviral drugs all at once, and it'll definitely cure the disease! /doge"

Seeing Zhang Lingchuan being mocked by these elderly men and women, some netizens shook their heads.

Some even advised Zhang Lingchuan not to waste his time here and to respect their fate.

In fact, many of the younger generation, even those who haven't studied medicine, know a little bit about it.

For example, prescribing the same formula for every illness is definitely problematic.

"Sir, may I ask your surname?"

Zhang Lingchuan remained calm.

"His surname is Li! His full name is Li Dashan! What! Are you planning to take revenge on this old man later?!"

Grandpa Li snorted coldly.

It even had a slightly sarcastic tone.

"Uncle Li, you don't look too good. You've been feeling weak and sleepy lately, and you probably get up at least two or three times a night, right?" The scan results are in.

He was initially somewhat displeased by the old man's aggressive manner.

But after seeing this result, all he could say was it was a pity...

"Huh? Instantly activated Sage Mode!"

"Holy crap, this is already the consultation stage!?"

"Sir... of all people to criticize, you had to criticize Veterinarian Zhang! Fine! Let's see what kind of lottery you win!"

Regarding Zhang Lingchuan's words.

The viewers in the live stream were completely stunned.

I thought they would leave.

Who would have thought they would unleash their ultimate move?

Some fans were even curious about what kind of prize this old man could offer.

"I'm getting old, my body isn't what it used to be, so it's normal to be a little tired!"

Li Dashan said nonchalantly.

What kind of skill is that?

As people get older, they will naturally feel physically weak, fatigued, and wake up more often at night.

"That's true. Besides feeling tired all the time, having less energy, and declining physical strength, you must also have symptoms like not wanting to eat, feeling full after eating only a little, and occasionally feeling nauseous, right?"

Zhang Lingchuan asked again.

In fact, when kidney function declines, the amount of metabolic waste in the body increases, which can irritate the gastrointestinal tract and lead to the above-mentioned conditions.

"I have a sensitive stomach! Who among you here dares to say you don't?!"

Grandpa Li Dashan's reply was very insightful.

Then he pulled everyone else in the room along with him.

Indeed, gastrointestinal problems are quite common among middle-aged and elderly people.

Even young people don't often suffer from stomach problems, let alone the elderly.

"This old man is really tough."

"Awesome! I hope this old man stays this unruly throughout!"

Grandpa Li Dashan was unaware that the number of viewers in the live stream had already reached tens of millions.

Everyone is praising him for being tough!
"What Grandpa Li said makes sense. I guess your calves are swollen, and even your eyelids. Basically, your eyelids are swollen when you wake up in the morning, and your ankles are swollen in the afternoon."

Zhang Lingchuan looked at the old man again.

"Doctor, I have that too! It's just normal sleep problems, from standing for long periods of time!"

Before Grandpa Li could even speak...

An older woman with an IV drip and a red tag still on her head spoke up.

"That's true! I can't sleep well at all! My eyelids are always puffy when I wake up in the morning, right? And as I get older, my calves swell up when I stand for a long time. A lot of people are like that!"

Li Dashan heard that someone was speaking up for him.

Setsuna said, completely agreeing.

Actually, he was a little surprised just now.

The young doctor said his diagnosis was surprisingly accurate.

But what his fellow patients said gave him a hint.

As a doctor, he said that many elderly people have the same illness, which is similar to a fortune teller saying ambiguous things.

I almost got caught up in it.

“Grandpa, Grandma, to be honest, I suggest you go to the hospital for a urinalysis and blood creatinine test! Especially you, Grandpa Li, there’s a urine smell in your breath.”

Stubborn to the end!
You won't listen?
Both my own gaseous nose and the system scan have now yielded results.

In particular, system scanning.

Patient Name: Li Dashan.

[Patient's gender: Male.]

[Patient's age: 55 years old.]

[Patient Status: The patient has a long history of repeated visits to local clinics, and for over ten years has frequently used various potent medications, including antipyretics, analgesics, antibiotics, aminoglycosides, and hormones, for common ailments such as mild colds, fever, and cough. Currently, the patient reports a recurrence of cold symptoms, accompanied by sore throat, mild cough, and fatigue. Vital signs are temporarily stable: temperature 37.4℃, heart rate 86 bpm, blood pressure 148/92 mmHg. The patient has recently experienced significant fatigue, increased nocturia, urinary frequency and urgency, decreased appetite, and mild lower extremity edema. While surface symptoms are relatively mild, the overall mental state is poor, and the complexion is slightly sallow, suggesting a possible progression of a chronic systemic disease.]

[Patient Diagnosis: Progressive stage of chronic drug-induced kidney injury, now in the late stage of uremia (end-stage chronic renal failure), with secondary hypertension and a risk of multiple systemic metabolic disorders, designated as a red-labeled condition; without systematic intervention, death is expected within three years.]

[System notification: The patient's long-term irregular medical practices have led to cumulative damage from multiple medications. For example, frequent use of antipyretics, analgesics, quinolone antibiotics, aminoglycoside antibiotics, and glucocorticoids can cause persistent damage to the renal tubules and interstitium over a long period.]

……

The patient currently presents with mild symptoms, but a systematic assessment indicates that renal function has entered the end stage. Continuing with the existing symptomatic treatment at a primary care clinic will not reverse the disease progression, and the patient is expected to gradually develop severe uremia and multiple organ complications within the next few years.

[Ding! Congratulations, host, you have awakened the "Persuasion to Treat" quest! Persuade the patient to immediately stop their irregular long-term medication use and refer them to a nephrology specialist as soon as possible. You will receive 1 Ordinary Treasure Chest.]

This is the result of his scan.

After nearly completing the attending physician's task, the results of the precise scans are now becoming increasingly detailed.

In summary, the problem stems from long-term, high-intensity medication use. The old man has now developed uremia and is even suffering from complications. Without intervention, he will die within three years!
But why didn't he feel anything?

This requires a detailed explanation of the kidneys, an organ with a strong compensatory capacity.

Therefore, there are no obvious symptoms in the early stages of injury.

Only when a large number of nephrons are lost and the compensatory capacity is gradually exhausted will symptoms such as fatigue, increased nocturia, frequent and urgent urination, and decreased appetite begin to appear.

As kidney function continues to deteriorate, metabolic waste gradually accumulates in the body, eventually leading to uremia.

Therefore, many cases of uremia are only diagnosed in the late stages.

It was already quite late by then.

Now, the reason this old man developed uremia, after looking into it, is basically inseparable from the medication used at this clinic.

I wonder if the remaining patients with red labels also have uremia.

If all cases are diagnosed with uremia, and it is due to the long-term effects of medication, such clinics should be shut down, and the person in charge should even be arrested and sentenced!

...(End of this chapter)