Kidney patients are afraid of three things, especially the last one!
The first thing: when they are first discovered, they are most afraid of kidney punctureWhen kidney disease is first diagnosed, kidney patients often need to make a choice: do you want to do a kidney puncture biopsy?
This is a secondary operation with medium risk. Even in some hospitals, this is not an option, but a must-do project. If you don’t do it, you won’t be treated. There are multiple factors behind this:
1. Revenue generation:
Hospitals are self-financing, and the national funding only reaches 10% of hospital expenditures, and even many hospitals are less than 10%. In fact, many hospitals are operating in debt and are under great revenue pressure. kidney puncture is also a way for hospitals to generate revenue.2. Improve the effectiveness of treatment:
Pathological type is an important basis for formulating personalized treatment plans. Kidney puncture can provide this key information to help doctors formulate more accurate treatment plans.3. Defensive medicine:
When the doctor-patient relationship is tense, “defensive medicine” stands out. If the treatment is ineffective, when reviewing the diagnosis and treatment process, kidney puncture can help to avoid the responsibility of inadequate diagnosis and treatment.4. Rigid requirements of the scientific research + clinical model:
Doctors not only need to see patients, but also need to undertake scientific research tasks. Do you only want to see patients step by step and do not want to do scientific research? Wishful thinking. If you do not do scientific research and I do not do scientific research, how can the hospital ranking rise? If a paper has kidney puncture, it can improve the submission level and publication success rate of the paper.However, the traumatic nature and potential risks of kidney puncture, such as bleeding and infection, make many kidney patients stay away from it. This fear is common among patients.
The second thing: During the treatment process, the most feared recurrence.
Why does kidney disease recur repeatedly? There are many reasons behind this:
1. Sometimes it is the patient’s own factors:
Bad living habits are an important cause of recurrence of kidney disease. High-salt, high-fat, high-protein eating habits, as well as bad behaviors such as smoking, alcoholism, staying up late, and fatigue, will damage the kidneys and increase the risk of recurrence.2. Sometimes it is caused by the disease itself:
The occurrence of kidney disease is closely related to genetic defects and immune disorders. The immune complexes that are constantly produced in the body attack the kidneys, causing aseptic and chronic inflammation. The source of this inflammation is related to genes and living environment, resulting in a high recurrence rate of kidney disease.3. Sometimes the treatment method is imperfect:
Kidney disease requires both Western medicine to control the disease and Chinese medicine to improve the efficacy, reduce the recurrence rate, and reduce the side effects of Western medicine. However, Chinese and Western medicine often do not interact with each other. Occasionally, there is too much competition and too little cooperation.The third thing: In the end, the most fearful thing is dialysis
When kidney disease progresses to a certain extent, dialysis becomes a reality that patients have to face. This fear is often stronger than kidney puncture and recurrence:
1. Heavy economic burden:
Dialysis treatment requires long-term treatment, is expensive, and reduces labor capacity. For many families, this is an indelible economic burden.2. Double torture of body and mind:
The complications and side effects that may occur during dialysis make patients suffer. Going to dialysis three days a week, lack of freedom, and not being able to drink water when thirsty, the quality of life is poor.3. The test of family relationships:
Long-term care and companionship are also a huge test for family members. Under great pressure, family relationships may become tense or even broken. It is not easy to be a doctor, and it is even more difficult to be a kidney patient.We all look forward to a better future – 850 million kidney patients around the world can detect their condition early and develop good living habits; the medical system is also patient-centered, and the operating model is determined by the efficacy (rather than the operating model determines the efficacy), so that these “three fears” disappear in the long river of history.