At night, in a bar where the atmosphere was not very noisy, Rokuro Kube was sitting alone in front of the bar, drinking a glass of wine in a dull manner, keeping his head lowered as if thinking about something.

Chen Yu saw Rokuro Kube at a glance when he walked into the bar. He walked over and patted him on the shoulder: "Hey, Kube!"

"Ah! Chen Sang!" Rokuro Kube was suddenly startled when Chen Yu patted him on the shoulder. He quickly turned around and saw that it was Chen Yu and then relaxed: "Don't suddenly pat me from behind! I'm going to be scared by you.

die."

"You invited me over for a drink, but you ended up drinking alone here. Did your work not go well or something happened to you, Kokube? Let me guess, maybe you fell in love with a female forensic doctor from your institute.

Was your confession rejected?" Chen Yu sat down next to Kube Rokuro and looked at the sad face of Kube Rokuro. Chen Yu couldn't help teasing him.

"No way!" Rokuro Kube quickly denied it, but after denying it, he felt a little embarrassed and explained to Chen Yu in a superfluous manner: "There are indeed two beautiful female forensic doctors in udi, but I didn't confess to them.

"

"Oh~!" Chen Yu said "oh" meaningfully, and looked at Rokuro Kube with ridicule in his eyes: "So it's not that there are no female forensic doctors, but that you haven't confessed your love to others?"

However, facing Chen Yu's teasing, Kube Rokuro was not in the mood to laugh at this time. He just shook his head and said: "Those female forensic doctors are really..."

"What is it really? Kube-kun, why are you looking so sad?" Looking at Kube Rokuro's dull look, Chen Yu also stopped teasing him and asked seriously: "Should I

Could it be that you can’t accept corpses being dissected?”

"No. If it's just a corpse being dissected, although the scene is a bit jarring, I think I can still accept it," Rokuro Kube denied Chen Yu's guess and explained to him: "A corpse was sent for dissection before.

, and it turned out that another deceased person was implicated. Today, I went to visit the deceased’s house with two female forensic doctors. I originally planned to investigate the cause of death of the deceased, but because the body had been cremated, we could only pay homage and then came back.”

Hearing what Kube Rokuro said, Chen Yu guessed a little bit about his mood, patted his shoulder, and comforted him: "Life and death are uncertain, so I chose the profession of doctor, whether it is forensic medicine or clinical treatment,

You always have to face life and death, just take it easy!"

"I also know that I have to be more open-minded, but... But in the house we went to today, the daughter just died, the mother was still crying, and everything is still vivid in my mind... But on the way back, the two female forensic doctors were already there.

We were talking and laughing..." When mentioning this matter, Kube Rokuro's expression became darker, as if he could not accept the attitude of the two female forensic doctors.

As if to emphasize his attitude, Kube Rokuro finally added a comment: "Those anatomy doctors simply don't treat people as human beings."

However, after listening to Kube Rokuro's words, Chen Yu didn't express anything. He just ordered a glass of absinthe for himself, and his tone became a little melancholy: "This is normal, right? If everyone is like you, Xiao Kube,

If you feel heavy-hearted when encountering something, you will easily break down emotionally after working in this field for a long time. The attitude of those anatomy doctors is not surprising. Only by facing the work in such a relaxed manner can you avoid the pressure caused by the work.

The same goes for us who do clinical treatment. If every patient comes, we treat them with empathy. If the operation fails or something goes wrong, and the patient dies, you will have to bear the guilt for the rest of your life. If you don't look away,

There is no way I can stay in this industry.”

"Is that so?" After listening to Chen Yu's words, Kube Rokuro seemed to understand a little more, but he might not be able to change his point of view for a while.

Perhaps because he felt that this topic was too heavy, Chen Yu took the initiative to skip it and asked another matter: "Liu Lang, you just said that a body was sent to you for autopsy, but it involved another deceased person. This

What's going on?"

"Oh, it was a commission from a pair of parents. Their son was found dead in their home. The police determined that the cause of death was ischemic heart disease. His parents felt that their son could not die from this cause, so they sent him to us.

udi came to conduct a forensic autopsy and wanted to know the cause of his son's death. However, after the autopsy, the creatinine value was three times the normal value, confirming acute kidney injury and suspected poisoning." Perhaps he also wanted to skip the previous topic, Kube Rokuro

When he explained the case he encountered to Chen Yu, perhaps because he wanted to hear the opinion of this senior brother, Rokuro Kube explained it in great detail.

"Poisoning? That's not necessarily true!" After listening to Rokuro Kube's explanation, Chen Yu disagreed with the judgment of the udi's autopsy forensic doctor: "Although poison is indeed the main cause of acute kidney injury, it is not all acute.

Renal injury refers to a sudden and sustained decrease in renal function, defined as an increase in serum creatinine of at least 0.5mg/dl1, manifested by azotemia, water, electrolyte and acid-base balance, and systemic symptoms of various systems, which may be accompanied by oliguria

Or anuria.”

"As for the cause..." Chen Yu said this, seeming to be very dissatisfied with the confused look on Kube Rokuro's face: "Kyube-kun, why don't you even know this? You are studying medicine after all.

Hospital, right? Even though he is a third-rate doctor, he should know these things as a clinician, right?"

"I'm sorry! I didn't listen carefully in class." After being scolded by Chen Yu, Kube Rokuro knew that his performance was really embarrassing, so he quickly apologized, but he was more concerned about what Chen Yu said that triggered

Reason: "But what are the causes of acute kidney injury, senior brother? Why do you say it is not necessarily poisoning?"

Chen Yu glanced at Kube Rokuro speechlessly, obviously even more dissatisfied that he, a medical student, didn't even know the cause of acute kidney injury, but still explained to him: "The cause of acute kidney injury is prerenal.

Acute kidney injury caused by factors, acute kidney injury related to renal parenchyma or renovascular disease, and post-renal acute kidney injury caused by urethral obstruction.

Acute kidney injury caused by toxic poisoning is renal tubular necrosis caused by nephrotoxin, which belongs to acute kidney injury related to renal parenchyma or renal vascular disease. Possible poisons include aminoglycosides, contrast agents, heavy metals, organic solvents or other antibiotics
Chapter completed!