This day is destined to be an unforgettable day.
Lao Li rode his bicycle to the clinical building early in the morning.
After completing the physical examination, I changed into hospital clothes and slippers and went through the check-in procedures.
Thanks to the communication in advance, he was prepared for everything and lay on the operating table that afternoon.
Lao Li opened his eyes wide and watched Director Wu's familiar face appear in front of him.
He only had time to smile and opened his mouth to say hello.
When Director Wu turned around and said something, his eyelids suddenly sank and he lost consciousness.
I don’t know how long it took.
"Li Wei~Li Wei~"
Suddenly, he heard someone calling his name. The voice seemed to be floating from the sky. It was vague and he didn't know where it came from.
He tried to open his eyes, and what he saw was the dazzling lights and the familiar white ceiling.
He struggled to look around and found that he was already in the ward, even his clothes had been changed.
Director Wu stood nearby and looked at him with a smile: "The operation went well. How do you feel?"
Lao Li nodded confusedly and touched his waist habitually. He was stunned and the urine bag was gone.
Director Wu explained: "Because you are now uremic and have less urine, and you can also dialyze to urinate, so I removed the urine bag."
Lao Li's stiff brain turned for a moment, and then he remembered, oh, it turns out that he had just undergone an artificial bladder transplant.
Although he has had uremia for many years, his urine output is getting less and less, but he is not completely anuric. Most of the water and toxins and impurities have been excreted by hemodialysis, but there is still a small amount of urine retention. The urine bag can play an insurance role. .
Lao Li forced a smile and was about to say "thank you".
Suddenly, there was a strong stimulation in the urethra.
He looked down and saw a urine bag hanging next to the bed, and he immediately understood that he had a urinary catheter inserted.
Lao Li's smile suddenly froze on his face, and he couldn't tell whether he was sad or happy: "Director Wu, there is no need for a urinary catheter. I don't have much time to pee."
Director Wu looked serious, patted his arm and comforted him: "Just in case, from urine bag to urine catheter, you have taken a big step in your life."
Lao Li couldn't laugh or cry: "Isn't this still a urine bag? It's just transferred from the belly to something like that."
"The blood vessels and nerves in your bladder have not yet grown, and you have no control over urine. Your urethral sphincter has not been used for a long time, and you are not skilled in operating it. There will definitely be more and more urine leakage. It is really difficult to prevent it."
"To take a step back, these 10 milliliters of urine are still urine. What should I do if it leaks out? You think so."
Director Wu looked at him with eyes as deep as the sea: "You don't want to wet the bed every day at your age."
"This..." Lao Li couldn't help but blush when he thought of that scene, and fell silent for a moment.
After much thought, he had to admit that Director Wu was right.
Although the constant stimulation from his urethra made him feel uncomfortable, he could only endure it.
Only when the bladder becomes aware and can hold urine and discharge the urine can we bid farewell to the urine bag completely.
Seeing that he didn't say anything, Director Wu continued: "Don't worry, your operation went well. The doctor who performed the operation back then may have average skills, and the bladder cut was not very clean. There are still some remnants, which can be well connected to the bladder." Together."
"Your physical fitness is also good in all aspects. I estimate that your bladder will be able to work normally in a month at most."
"I've prescribed Sanqing, a new drug for you, which can increase the filtration rate of glomerular cells. I hope it can start to take effect."
"You can stay in the hospital with peace of mind for this month. It's a clinical trial anyway. All expenses are covered. There are also visits from relatives every week, so just treat it as a rest."
Lao Li listened blankly. What Director Wu said were all good things that he had never dreamed of.
He was able to do nothing and spend a month recuperating in the hospital. This was comparable to that of a retired veteran cadre. He was a dignified security captain, and he was able to receive such treatment. It was like smoke rising from his family's ancestral graves.
No wonder, the piano friends in the community said that it is extremely difficult to apply for clinical trials of Sanqing. It is like winning the lottery and you have to be lucky to get it.
I used to be dismissive of this, thinking that medicines are only three parts poisonous. Only medicines that have been tested for a long time after being put on the market can be taken with confidence. Like this new medicine that looks for guinea pigs everywhere, even if it pays him a lot of money to test the medicine, He will definitely, absolutely not participate.
Unexpectedly, the first time I participated in a clinical trial, I got a bladder for free, and I could eat and drink for free for a month.
So delicious!
It smells so good!
The next time something like this happens, he wants to do it again.
It would be best if I could get another kidney for free.
Lao Li touched his left waist and couldn't help but think about it, a smile slowly appeared on his face.
"Okay, these are the post-operative precautions, have you heard them all?"
Director Wu talked a lot, and when he saw Lao Li looking like he was in a state of confusion, he couldn't help but ask.
Lao Li chuckled and said, "I heard it, I heard it all."
"Okay, see you next time for ward rounds." Director Wu didn't reveal the truth about his distraction, so he turned around and walked out.
"Hey, wait," Lao Li suddenly remembered something and asked quickly: "Where are the other four people? How are they doing?"
Director Wu muttered: "They are all in good condition, especially the two children. They are young and have strong physical recovery. They still had partial bladder transplants and recovered in more than half a month."
"The girl has completely recovered. It is said that she is preparing for the college entrance examination. I hope she can get into a good university. Her parents said that after this incident, she became particularly interested in artificial organs and wanted to study biology and further her studies in this area."
"As for the boy, he went to school the day after he was discharged from the hospital. I heard that he is not autistic now. Instead, he is naughty and lively every day. His parents have come to give him banners."
"The other two patients are older and are still recovering. Like you, they are enjoying free holidays in the hospital."
"However, they do not have uremia. After taking off the urine bags, they should be able to live and work normally. Their family conditions are not good. I am very happy to hear from the family members. One is that they have recovered from the disease and will change urine bags and eat in the future. We can save a lot of money on medicine, and we can go out to work and make money."
Old Li breathed a sigh of relief and sighed: "That's good. They are all miserable people. It would be great to be able to return to normal."
"I think those two brothers are also the backbone of the family. At their age, the family must be burdened with heavy burdens. Now that they can finally take on the important role again, I am really happy for them from the bottom of my heart."
"That's right, after all, you are in pretty good condition. You had your own house after demolition in the early years, your daughter also has her own job, and you work as a security captain in the community. You are so popular, and you have enough food and clothing." Director Wu Said with deep sympathy.
"Haha, contentment always brings happiness, I know that." Old Li scratched his head and said cheerfully.
"I have also experienced hardships since I was a child. The main thing when getting sick is to have a good attitude. As long as you have a good attitude, no matter how serious the disease is, it will not defeat you."
"Anyway, in the end, the worst outcome is that he will be a good man again after eighteen years."
"It is better to live one day at a time, live happily, bring happiness to others, and keep the pain to yourself."
****
The days passed day by day, and half a month passed in the blink of an eye.
On this day, Lao Li strolled around the recreation room as usual and played several games of Landlord with other clinical trial patients.
On the way back to the ward, he suddenly felt a strong urge to urinate.
This feeling was a bit strange, and he didn't react for a while.
Then, he subconsciously looked at the urine bag hanging on his waist.
I saw a stream of yellowish liquid gushing in along the thin tube.
Lao Li was stunned for a moment.
Is this... urination?
How come there are so many?
He was completely stunned, his mind went blank, and he stood there like a pillar, motionless.
He didn't wake up suddenly until the urine bag became bulging and hung heavily on his waist.
"250 ml was drained out just now, plus what was originally in it, it is now more than 500 ml."
"With so much peeing all at once, is it possible that my kidney function is starting to recover?"
Lao Li was shocked and happy for a moment, and ran towards the ward with his feet up.
Returning to the ward, he quickly called the nurse and told her what had just happened.
The nurse didn't dare to be careless, so she changed the urine bag for him and left in a hurry.
Half an hour later, Director Wu appeared in the ward again.
He looked serious and held an inspection report in his hand.
"Lao Li, it is rare for patients with uremia to urinate normally, but it is not impossible. The specific situation varies from person to person."
"However, after most people undergo dialysis for a long time, they will become oliguric and then anuriic. If you can continue to urinate, it means that there is still some residual kidney function that continues to work."
"After you lost your bladder and one kidney, the remaining kidney was unable to bear the workload of the two kidneys, which led to uremia. In addition, you have always been in good health, with a healthy diet and exercise. There is no other reason. problems."
"Generally speaking, your physical fitness is relatively strong and you have followed the doctor's instructions very well. This residual kidney function is very well protected and has been stubbornly present in the body."
"Now your bladder has recovered and can store urine. The hydronephrosis has been relieved and you have been taking medicine for treatment."
"My opinion is that maybe your kidney function is gradually recovering."
"Really?" Lao Li got excited and grabbed Director Wu's hand, his face flushed.
"Listen to me and continue." Director Wu is always very serious when talking about his condition, highlighting his professionalism.
"Your urine was tested just now, and it is still different from normal people. Although there is urination, the content of metabolic end products, such as CO2, urea, creatinine, uric acid, creatine, and ammonia, is relatively small. "
"The metabolites of the 500 ml of urine you just had are only equivalent to the amount of 50 ml of urine from a healthy person. The function of the kidneys in regulating human waste is still insufficient, and there is a big gap with healthy kidneys."
"Your kidneys have now restored their drainage function, but their metabolic regulation function has not yet been restored. You must continue to take medication, and you must not stop hemodialysis."
Old Li nodded repeatedly: "Okay, Director Wu, it will be whatever you say."
He was already elated when he learned that his kidneys were slowly getting better. Even if Director Wu asked him to go up and down the mountain of swords and pans of oil, he would not frown.
"By the way, Director Wu, I felt the need to urinate before. Does this mean that my bladder can be used?"
Lao Li recalled the fleeting feeling just now and asked cautiously.
Director Wu pondered for a moment and asked, "How is your urethral sphincter? Do you feel it?"
Lao Li looked confused: "What is a sphincter?"
"Try raising your anus. Do you feel it? Can you control it?"
Lao Li tried to exercise and kept nodding: "Okay, okay."
Director Wu warned: "Then clamp the urinary catheter regularly in the past two days to exercise the bladder contraction function. Clamp it for a few hours at a time, and then release it when you feel the urge to urinate."
"You can also try it. When your bladder feels the urge to urinate, hold it for a while, wait until it is full, and then drain it to see if you can urinate on your own. If you can, the urinary catheter can be removed."
Lao Li was instantly overjoyed: "Great, I've been waiting for this day for a long time."
In the next few days, he gradually felt the presence of his bladder. Every time he received the urge to urinate, he would try to hold it in for a while, and then release it when it was stronger.
I checked my urine bag every day and found that my urine output had been increasing.
From 100 ml, to 500 ml, and finally to 1000 ml.
The urine holding training was also very successful and he can now control the contraction of his bladder.
Five days later, Lao Li had to hold back a large amount of urine.
When the nurse pulled out the urinary catheter, he immediately rushed to the toilet.
The sound of gurgling water flowed in the bathroom.
To Lao Li's ears, it was as beautiful as music, even more melodious than the erhu he played.
After a hearty flow of water, Lao Li pulled up the zipper of his crotch.
Only then did I feel a burning pain.
It turns out that the urethra was damaged due to the urinary catheter being left in place for a long time. After draining the water, it felt like the wound was soaked in salt water, causing endless pain.
But to Lao Li, this was nothing.
At this moment, his heart was filled with joy, which washed away all the pain.
"I finally peed."
"With the new bladder, kidney function is slowly returning."
"The coming days will only get better day by day."
Lao Li looked at himself in the bathroom mirror and said to himself, his tone very firm.
****
Director Wu stood in the corridor, opened the window, lit a cigarette, and took a long drag.
Since the five clinical procedures were completed, patient feedback has been excellent.
He wrote a paper and published it, which instantly shocked the entire industry.
During this period, the ringtones on his cell phone never stopped, and they were all calls from the urology departments of major hospitals.
Many of them were seniors who came to visit and study, which made him fall into the trouble of happiness.
The successful transplantation of the artificial bladder also gave him a bit of fame among patients.
Many patients who suffer from urine bags come from all over the world to want to transplant artificial bladders.
Director Wu's workload has increased dramatically and he is too busy to stop every day.
If he was 996 before, he has become 007 now.
"Fortunately, there are quite a few doctors in the department, and they are all involved in the artificial bladder transplant operation, so they can share the workload with me. Otherwise, I would have been lying on the hospital bed."
"Sanqing wants to use patients' cells to specifically cultivate artificial bladders. I'm afraid the production won't be able to increase for a while."
"I guess I will have to work like a donkey in the production team and work hard for a while."
Director Wu slowly blew out a smoke ring and thought with a resentful look on his face.
Suddenly, a cell phone buzzed in my pocket.
He picked up the phone and just said a few words, his eyes suddenly widened.
"What? You said there is a paraplegic patient who also wants an artificial bladder?"
(End of chapter)
