2018年3月30日星期五

What should we think about urinary protein negative

It is a good thing to turn urinary protein negative, but there is a class of patients with kidney disease, urinary protein is best not to turn negative, kidney physician: If your urine protein is the case, do not rush to treat it.
In most cases, a negative urinary protein means that the treatment of kidney disease can come to an end. It is worth celebrating. However, there is such a class of patients with kidney disease, their urine protein is best not to turn negative.

 Patient’s anxiety
A few days ago, a patient gave me a message saying that he had been treated for two years and his urinary protein had not improved. To see him as anxious, he asked about the leakage of protein.
As a result, his 24-hour urinary protein ration was always between 0.16-0.2 grams, and he could not always fall below normal.
Do not know what other people think, my first feeling was: This person is coming to show it?
After two years of illness, urinary protein has been controlled at this level. Is it already quite a good deal? I really want to ask his doctor to take down my knee!
However, his anxiety is very real. He repeatedly asked me if I should use hormones.
Treatment is a price
Everyone may have a misunderstanding about treatment: Treatment is good for health.
This was originally true, but this idea is very easy to ignore the other side of the treatment: the treatment of the damage to the body.
Just like the martial arts novels, those who believe that rivers and lakes doctors seem to only save people will not kill people, like a great one-sidedness.
The old ancestors had already warned us: It was a drug poison.
All treatments, whether drugs or devices, will damage our bodies to varying degrees.
Otherwise, ginseng is so good. Why are you not eating? Do not control the price, I am afraid it is white for you to eat, you will not do so.
The doctor's job is simply to find a balance between side effects and efficacy, which will relieve the pain without causing the body to be injured.
Treatment is also stressful enough
Go back to the previous case.
For urine protein, it's good to be able to turn over, but isn't it worth it to not only be full of anxiety but also use drugs with side effects such as hormones?
We will not buy a new car because the rearview mirror of the car is a little broken.
There are some minor problems with the body, as long as they do not affect life and do not cause more serious consequences in the short term, it is not necessary to use thunder measures to force treatment.
Why do doctors only recommend observation when the renal cyst is less than 3 cm? Is direct surgery not immediate?
Why does hemodialysis not be performed when serum creatinine is more than 200? Isn't it more consistent with "killing disease in the cradle"?
Because the treatment is also stressful enough.
Therefore, you do not have to worry about the fact that some of the values ​​on the lab sheet are not in the normal range, and that life is so beautiful.
Remember, if the problem is really serious, the doctor will certainly find a solution and will never let it go.
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