D: Good morning, what seems to be the problem today, Mr. Chen?
P: Well, I've had nocturia for six months and I started losing weight four months ago.
D: Any other problems? Have you noticed any changes in your urine?
P: Yes, it's darker, reddish. I wonder if it could be blood.
D: Have you noticed anything else?
P: Yes. I've felt sick several times in the morning and I've noticed my legs are swollen after work in the evening. Also, I've felt really groggy for some weeks now. I don't seem to enjoy my food any more and I've lost weight.
D: How much?
P: About 6Kg.
D: How long have you had this trouble?
P: About 4 months really.
D: Have you ever had trouble with your urine before?
P: Yes. Two years ago I had a burning sensation when I passed water. The doctor said that I had high blood pressure as well and he put me on tablets and it cleared up.
D: Well, I'd like to examine you. Please come to the examination room, remove your clothes except your underpants, and lie on the table.
D: You can get dressed now ... well, it looks like you have some reduced kidney function. I want you to take some blood tests, X-中山市癫痫病康复医院电话rays and kidney function tests. I'd like you to collect your urine for 24 hours. The nurse will tell you exactly how to do it.
Then we'll ask you to come in for an ultrasound examination of the kidneys. This is a very simple procedure to make sure
there is no obstruction.
P: Can you tell me exactly what is wrong with my kidneys?
D: Well, the tests show that you are in a condition called chronic glomerulonephritis, which has damaged the kidneys.
P: Is the chronic glomerulonephritis severe? Are there any good treatments to repair the kidney damage?
D: Yes, of course. You'd better stay in the hospital for treatments, and observation. We'll have to insert a tube into your abdomen to flash out toxic substances in the blood stream.
P: How long will I have to stay in hospital? Will I have to stop working?
D: For about 3-4 weeks. Just remind me. What's your job?
P: I'm a teacher.
D: Well, I should advise you to have a 2-month rest.
P: Thank you doctor.
D: Not at all.
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医生：检验结果显示您得了慢性肾小球，而那病是您的肾功能受到损害。 病人：那慢性肾小球肾炎严重吗?有针对肾功能损害的好的吗? 医生：呃，有的。我想你需要住院作治疗了，我们将会一直跟踪你的病情。
D: What's the matter with you?
P: I have been feeling thirsty recently, and I am always tired. D: How about your urination?
P: I pass more urine than I used to.
D: How many times a day?
P: About eight times.
D: How about your appetite?
P: My appetite has been good, but I still feel I am losing weight. D: Any other symptoms?
P: I can't concentrate on anything for long, and I always feel weak. I have said t治疗癫痫病专业医院是哪家hat, I guess. Sometimes I also feel dizzy.
D: How old are you?
P: I'm 45 this year.
D: Sir, do you have anyone in your family who has diabetes? P: Yes, my father has had diabetes for nearly 15 years. What do you mean, doctor? Do you mean I have got diabetes?
D: According to your symptoms and your father's history, there is a strong possibility that you have got diabetes, as the disease runs in families. Of course, we need to do some checks. First please go to the Laboratory Department and examine your urine and blood sugar. Come back to me with the report.
(Later with the results of the examination)
D: The examination shows an elevation of blood sugar and you have sugar in your urine. You have got diabetes.
P: Is it serious? What's a normal blood sugar level?
D: It is <130mg%, Generally it is 80—120mg%. Diabetes is a
disease due to the poor function of the pancreas, which brings about metabolic disorder of sugar, fat and protein. It's a
chronic disease. At the time being there is still no way to cure it. But as I said your case is not serious now. If you pay
attention to treatment your diet and you will get better
P: What else should I pay attention to? Is there a diet for diabetes?
D: 重庆癫痫病医院怎么样Having your urine tested regularly to see how your disease is going is very important. On the other hand, you should try to omit sugar from the diet. This includes candy, cake, ice-cream, etc. High starch foods such as bread, potato, rice, etc should be limited, too.
P: Thank you very much, doctor. Godbye.