Dr. Ji Bairui - Deputy Director, Nephrology, DUBAI Medical

15/06/2025

Kidney failure is a condition in which the kidneys lose their ability to filter waste products from the blood. Over time, dangerous levels of waste products can build up in the body, which can be life-threatening if left untreated.
Significant damage to the nephrons (the basic structural units of the kidneys) can cause kidney function to decline. Your doctor will diagnose chronic kidney failure if this loss of function lasts for more than 3 months.

15/06/2025

15/06/2025

First time serving as a forum speaker achievement unlocked ~ Although thrombotic microangiopathy (TMA) and atypical hemolytic anemia (AHUS) are rare, each of them is fatal, complex, and difficult to diagnose.
The comments from senior experts present, the experience sharing from other speakers, and the questions from other doctors online were very professional and interesting.
Patients are always our teachers, and there are always unknown areas waiting for us to explore.

15/06/2025

Today marks the end of a one-month internship course for another group of foreign medical students. This month, I have been saying sorry sorry to them because I am too busy as a teacher. In addition to maintaining a non-stop clinical workload, the E-Da Hospital Nephrology Department also had its biannual super event, JCI CCPC (International Hospital Evaluation, Clinical Care Program Certification) at the end of last month (the slides were changed until the last minute), plus an oral report at the Nephrology Annual Meeting and a poster report at the end of the month (oral reports are really stressful, with very little preparation time), in addition to a three-hour biochemistry class in the Department of Medical Laboratory Science; in addition, the nephrology class is maintained once a week. Once I got busy, my resistance became weak and I suddenly got gastroenteritis, so I went to the emergency room and stayed there for the night.
But, they were taught something. I gave them some questions about hyponatremia, hypokalemia, and acid-base problems to practice, and finally taught them acid-base calculations on the last day. I interviewed and examined three patients, performed physical examinations, and watched two kidney slice operations (I heard that everyone was very satisfied). I hope everyone has gained a lot and can put their strengths into practice when they return to their own countries! !

15/06/2025

The four students had completed their nephrology clerkship rotation today.
In this month, we had class of basic chest X ray, computed tomography, kidney echograms, chart writing, physical examination, hyponatremia, hypokalemia, acid base disturbance, and also viewed a renal biopsy procedure. I believe everyone leave with full of knowledge.
And in the last day, I was asked why to choose to be a nephrologist?
My answer is, there are few works that can meet the criteria of these 3 below: to earn a basic living, to help others to relieve their suffering, and to do with enthusiasm. I think that doctor is an occupation that can easily meet these criteria if you choose subspecialist you are interested in.
Hope you all learn much from nephrology, and good luck！

15/06/2025

Today, the southern session of the in-service education course for dialysis personnel is hosted by E-DA Medical System, and I am one of the speakers. The venue is Chang Gung Memorial Hospital in Kaohsiung. Returning to the tall and long sixth-floor auditorium, I felt like I was back in my days as an R (resident physician), haha~

15/06/2025

Today is the karaoke competition for E-DA kidney friends (equivalent to E-DA Voice), and I am very honored to be the host. The competition today was very fierce. Kidney patients worked very hard to win a place, and it was equally lively on and off the stage!
Apart from dialysis, kidney patients actually lead a life no different from normal people. They can also sing, and singing competitions are held regularly to provide everyone with a little entertainment. You can also practice cardiopulmonary capacity, which is healthier~
A kidney patient came to the stage and said that his dialysis yesterday was quite dry and his throat was hoarse. I said, next time before singing, remember to tell the doctor to wash with half a kilogram of water less because there will be a singing competition! ha
The championship speech of a kidney patient was also very moving. He said that he had originally planned to give up because he had lived enough at his age, but he did not expect to make it all the way to today and win the championship (you can’t tell at 83 years old~)
Because there was karaoke singing in the hospital lecture hall on Sunday, an unrelated patient passing by said: The hospital also provides karaoke, why don’t you come in and sing?
Me: Hey girl, this is a Winler game

15/06/2025

In the past two days, the dialysis kidney patients have held a health education meeting on high phosphorus. The latest phosphorus-lowering drugs were introduced by themselves, and the nutritionists introduced high-phosphorus foods. Did everyone learn a lot?
The three steps to reduce phosphorus are regular dialysis, diet control, and drug treatment, none of which can be ignored.
In fact, I learned a lot from listening to the nutritionist’s introduction this time. I usually advise patients with high phosphorus not to drink soy milk, but nutritionists think it is okay to drink soy milk. What's the difference? Because soy milk contains good plant protein, and although it contains phosphorus, the absorption rate is only 30% (much lower than the 100% inorganic phosphates used in general processed meats).
Therefore, if the patient's phosphorus level is really high and cannot be lowered, and he or she intends to give up one meal of meat (note, this is under this premise), he or she can use plant protein (such as soy milk) to supplement the appropriate amount of protein.

15/06/2025

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