A year ago, one Friday in the summer, it was 5:30 p.m., my best friend Chen glasses called me, hurry to Yulin “happy old home” to eat hot pot.
The day I had several surgeries, just packed up and ready to go home, tired, really do not want to go. The company’s main business is to provide a wide range of products and services to its customers. I have a lot of sympathy for the money, life is boring, and line and find the Chen glasses, this guy clumsy mouth, especially when hooking up with the sister, must need my assistance, wine to slightly drunk, my grassroots quotes naturally become the active atmosphere of MSG, MSG eating too much is not good, the main component of MSG is monosodium glutamate, in the digestive process is transformed into an inhibitory neuromediator, so the side effects came, dizziness, headache, drowsiness. I went to the beauty like Lin Chi-ling, whispering and slightly melancholy image instantly captured my heart, my dopamine secretion became ungenerous, anyway, I drank a lot of original beer, that beer thieves expensive, the aftertaste is large, so that Chen glasses became a supporting role in the dinner, the whole evening was I was in the vertical and horizontal.
After the meal to go to the Yulin pedestrian street small bar then drink, finally I did not win the wine, Chen glasses forced me to call home, words, I do not mean to caution him, “can not find the right person, the biggest reason is to change the wrong self, you have to work hard oh.” I clearly remember the grim expression of Chen glasses.
Home humming a little song in the bathroom defecated a bubble of urine, fell back to sleep. The first thing I did the next day after waking up was to lift the toilet to detoxify the face, and the scene in front of me made me thunderstruck, the toilet pool is the general red color of meat wash water. I collected a small bottle of urine from the toilet bowl and started to urinate, observing the morning urine and experiencing the symptoms when I urinated, which were bloody throughout, lighter in color than last night, no blood clots, no frequency, urgency, pain and pain in other parts of my body.
Suddenly I remembered the classic complaint of kidney and bladder cancer, painless hematuria.
Secondly, I am rather fatalistic, I think that doctors who are engaged in any specialty eventually die of any specialty disease.
At least I am still young and strong, but is it too early for me to have cancer at the age of 45?
Ming Li Mengyang “Mr. Meishan epitaph” there is a paragraph, “Sun when there is a sheep disease, I medical immediately healed. The proverb says that doctors do not heal themselves. It is true that the doctor is self-healing, Huangqi Biantuo so far what can also.”
This is the classic description of the doctor’s illness, the doctor is not self-medication, said the doctor’s analysis of the patient’s condition to the head, on the contrary, their own condition is ambiguous. Emma, can’t mess up, I must calm down and slowly sort out my thoughts.
1, urine can be red when taking certain drugs or food, such as rifampin, aminopyrine, carrots, etc., can be ruled out ;
2.Naked eye hematuria almost always has a urinary tract lesion, I must have a disease;
3, initial hematuria suggests bleeding from the urethra, prostate or bladder neck; terminal hematuria suggests lesions lesions located in the bladder triangle, bladder neck or posterior urethra; full hematuria suggests bleeding from the bladder or urinary tract above the bladder (such as the kidney);
4, hematuria with renal colic consider upper urinary tract obstruction, mostly stones; with upper abdominal masses are mostly renal tumors, hydronephrosis, renal cysts or renal prolapse, Nima painless hematuria, highly alert to urologic malignant tumors.
5, systemic diseases, such as diabetes mellitus, hematological diseases can also occur hematuria;
6, unexplained hematuria is called idiopathic hematuria, accounting for about 20% of patients with hematuria, possible causes include renal vascular malformations, microscopic stones or crystals, and renal papillary necrosis.
Fear a hair ah, first go to hospital and say, the whole body for a full range of examination, must find the culprit of hematuria!
Third, the entire department was naturally alarmed by the hematuria of the next teacher, and even though it was a weekend, almost all the doctors were there, and young doctors and masters were working to arrange for my admission.
In the urology department, where beds are hard to come by, the director and the head nurse made a cadre ward for me. The ward was in good condition, with a refrigerator and microwave oven, better than an ordinary business hotel, and the most satisfying thing for me was that the ward was opposite the doctor’s duty room and could receive a wifi signal.
I have mixed feelings lying on the hospital bed, favoritism and fraud, my life finally just the first time to enjoy the cadre treatment. I am not a noble person, all the routine tests are inserted, two days of urine were sent to the test, urological ultrasound, urological MRI (magnetic resonance imaging) the same day thunderbolt completed, the results are quite tangled, urine found in a large number of red blood cells and a little protein, MRI suggests that the bladder part of the mucosa is not smooth.
What exactly is the disease?
My sworn brother, Professor Wang Shaogang (@TongjiWangShaogang), deputy director of urology at Wuhan Tongji Hospital, just happened to call me, brother, there is a urology academic meeting in Langzhong, Sichuan next week, you also come to attend it, we have a drink and talk.
I described my condition to Prof. Shaogang, and said, “I’m happy, you can come to Chengdu to see me.
Professor Shaogang was silent on the phone for half a day, “How about I put off my lecture? I laughed brightly, it’s okay, I’m scaring you, you can come back after the meeting.
Next, there is a vital examination, cystoscopy, which I have done for others, at least a few thousand cases, the most impressive one, more than a decade ago, one afternoon, I did cystoscopy for a farmer who came to Rong from a suburban county, accompanied by his four-year-old son, I finished the examination in one go, the farmer was pale and limped out, and at 6 p.m., after work, I found the farmer lying In the corner of the ground floor of the surgical building, still in pain, the son was feeding him bread, I was in tears, and immediately ordered two boxed lunches for them. Compassion is the end of benevolence, and I learned that I should take better care of patients during treatment. When it was my turn to do it, I was a little scared.
Fourth, the director patiently consulted me, and I strongly requested that it be done under general anesthesia. The cystoscope sheath was too thick, and it was horrible to insert it through my urethra, replacing it with a ureteroscope whose sheath was more than half as small.
The following Monday, I took off my pants and laid my bare buttocks on the examination table in a dazzling truncated position, and propofol began to guide the anesthesia intravenously. I replied breathlessly, “If it turns out to be cancer, my naturally beautiful penis will be ruined. I was having a candlelight dinner at the Sichuan TV station’s revolving restaurant with a beautiful woman shaken out by WeChat, and was about to kiss when the anesthesiologist’s voice rang in my ears, “Mr. Ha, wake up.
The director of my microscopy slapped my face, not cancer, but chronic non-bacterial cystitis.
I was not happy, but I was disappointed. If cancer is diagnosed, I am prepared to die before holding a “memorial service in memory of comrade sewer”, inviting friends and leaders from all walks of life to attend, secretly estimating how many people in this hostile world actually love me? How many people will send me a wreath when I die? The video is a video of a microscopic examination.
Five, video performance tends to interstitial cystitis, microscopic examination suggests that the bladder mucosa is widely congested, the triangle mucosa has a few follicular changes, bladder water dilatation test has diffuse mucosal punctate bleeding, the triangle mucosa took a piece of tissue sent for biopsy.
Doubt came, I did not have any bladder irritation (urinary frequency, urgency, painful urination) and pain (pain in suprapubic area, perineal and penile pain, painful intercourse). The pathological examination suggested, atypical hyperplasia of migrating cells. Is it interstitial cystitis or adenocystitis?
Cystitis can be broadly classified as
1, interstitial cystitis, chronic non-bacterial inflammation, with frequent urination, urgency, nocturia and pelvic pain as the main manifestations, the watery dilatation of the bladder during cystoscopy as the gold standard for diagnosis, but not absolutely.
2, non-specific cystitis, including acute and chronic cystitis caused by bacterial infection.
3, atopic cystitis, including tuberculous cystitis, radiation cystitis, and adenoidal cystitis.
The national urology academic meeting in Langzhong was held as scheduled, and I instructed Lai, who went to the meeting, to submit my microscopic video information to the big experts for discussion.
Professor Shaogang organized a group of experts from Tongji Hospital, West China Hospital, Beijing Hospital and PLA General Hospital to watch the microscopy video and diagnosed interstitial cystitis.
Professor Wang Kunjie, deputy director of urology at West China Hospital, made special arrangements for me to have a urine fish examination after the meeting back in Hong Kong, that is, using fluorescence in situ hybridization to detect chromosomal aberrations in the urine exfoliated cells to exclude cancer, with no abnormal findings.
How to treat it?
1.Drink more water;
2.Stop drinking alcohol;
3.Eat a light diet;
4. Exercise more, go to bed early and wake up early to develop good living habits.
The first two days after the microscopic examination is a bit uncomfortable, especially the end of urination, painful, the day after the examination I went to the public toilet, see next to no one, a snot and a tear moaned, luck is too bad luck, a bubble of snot just dripped on my penis, just when I took out toilet paper to wipe, a group of people came in, look at their strange eyes, I was embarrassed to death, because I simply have no way to explain. I didn’t masturbate.
In fact, I do not care too much about my body, occasionally drink and occasionally stay up late, cystitis has been with me like a shadow, every urine analysis, the results are always a clear mirror to remind me, under the doctor that
1, you have hematuria.
2, one side of the face or limbs numbness, weakness.
3, transient blackness in front of the eyes or blurred vision.
4.Unexplained drowsiness, sleepiness, yawning.
5.Sudden onset of slurred speech and slurred mouth or choking and coughing.
6.Sudden abnormalities in personality, behavior, and intelligence.