Doctor of Healing

"Hi, hello, I'm Dr. Meng Qingfei Meng from the Emergency Department of the Second Affiliated Hospital."

Meng Qingfei just said a word, but the person over there hung up the phone without saying a word of nonsense as if he had seen a ghost.

"..."

Meng Qingfei was in a daze with the beeping mobile phone in his hand.

Chapter 293 Drowsiness Caused by Grapefruit

What the hell does this mean!

Meng Qingfei looked at the phone in a daze.

Soon, he made another call.

"Hello, I am……"

"Telecom fraud, I know, get out!"

Beep beep~~~The phone was hung up immediately.

Meng Qingfei couldn't laugh or cry.

He didn't expect the patient's family to think it was a telecommunications fraud, and the awareness of prevention is too strong.

Ji Xiang is usually more serious, unless he can't help it, such as this time.

"Sigh." Meng Qingfei shook his head, so he got up and went to the nurse's station to make a call.

Ji Xiang followed Meng Qingfei to see how he would solve it.

This time I used the department's landline, and the other party's tone was a little better, but when he heard Meng Qingfei's voice, he wanted to hang up again, and Meng Qingfei yelled out in an instant.

"You can ask 114."

"Is 114 still there?" the patient's family asked.

"I don't know either." Meng Qingfei said helplessly, "But I'm really a doctor in the emergency department of the Second Affiliated Hospital. This is our department's landline. Your father came to see a doctor. I have something to ask you."

There was silence on the other side of the phone for a few seconds, obviously a mental struggle.

"My dad is in good health. It hasn't been long since the physical examination." The family member of the patient on the other side of the phone replied hesitantly.

"Well, let me guess, and you verify it. If it's right, call me back on your cell phone. It's tiring to talk to you, as if I'm holding back my strength to cheat you of money."

Meng Qingfei complained.

"Say it." The other party said vigilantly.

"Is your father taking statins recently, and eating a lot of grapefruit in the fall? If so, call me immediately!"

Meng Qingfei spoke out his question as briefly as possible.

"That's it?"

"You think I lied to you that I don't know when the registered Jingjing Baitiao was used?" Meng Qingfei said contemptuously.

"Then let me ask, the Emergency Department of the Second Affiliated Hospital, right?"

"My surname is Meng, and I'm in the emergency department. When you come, call me directly." Meng Qingfei hung up the phone without any fuss.

"Mr. Meng, what is Jingjing Baitiao?" Ji Xiang asked.

"The recent fraudulent calls are all electronic voices. It may be that the scammers feel that the success rate is too low, so they started manual services." Meng Qingfei walked to the consulting room unsteadily, explaining to Ji Xiang as he walked, "Recently, I have received several calls. .”

"He said politely, Mr. Meng, hello, does your ID end with ＊＊＊?"

"Is the leakage of personal information so serious? Even the ID card is known." Ji Xiang was surprised.

"Have you never received a scam call?" Meng Qingfei was more surprised than Ji Xiang.

"Well, never." Ji Xiang shook his head.

Meng Qingfei didn't understand, but he didn't want to understand, "After confirming, they continued to say that the IOU I registered a long time ago was stolen and I need to cancel my account. This trick is relatively simple. If you have downloaded Dongdong, it is very likely that you will Sign up for a white bar.

They will be rewarded for registering IOUs, cash or vouchers. It is estimated that many people have registered. "

"Well, I will forget what I did before." Ji Xiang said.

"But I never shop online, surely I don't." Meng Qingfei laughed.

"Liars are too rampant now." Ji Xiang said, "Teacher Meng..."

"Xiaoji, I want to test you. What do you think is the patient's condition?"

Meng Qingfei asked a little proudly.

After inquiring about the patient's situation just now, he knew everything in his mind, and everything was under control, which is a model of the combination of years of clinical experience and basic knowledge.

Ji Xiang shrugged his shoulders. He saw Meng Qingfei's mouth turned up, with a joking expression on his face, and he went to the operating room of the system in a heartbeat.

"If you can say it..." Meng Qingfei was stunned for a while, he thought about it carefully, but he didn't know what to give Ji Xiang.

If it were another Gui Peisheng, he would be grateful for letting them sew up the small opening, but Ji Xiang has started to do level [-] surgery so frankly, there is no way to reason.

"Mr. Meng." Ji Xiang was startled for a moment, then smiled, "Grapefruit contains nocoumarin compounds, which are active substances that are the main inhibitors of drug-decomposing enzymes in the human body.

Nonocoumarins can rapidly increase the concentration of statins in the blood in a short period of time, resulting in a doubling of the drug entering the blood, and inhibiting the decomposition and metabolism of the drug in the body, greatly increasing the accumulation and side effects of the drug. "

"!!!"

"When you asked about the medical history, I heard the patient say that he usually sleeps poorly and takes estazolam. Nocoumarins also have a strong effect on estazolam..."

"What?" Meng Qingfei was startled.

He knew about the first part, but he didn't know that nonocoumarins and estazolam also reacted.

"Some anti-anxiety drugs such as diazepam and midazolam cannot be taken together with grapefruit, because grapefruit will prolong the action time of such sedative hypnotics, causing dizziness and drowsiness."

"!!!" Another series of exclamation marks floated on the top of Meng Qingfei's head.

He was completely unaware that grapefruit and estazolam could interact.

"The patient's symptoms are very clear, that is, taking a large amount of grapefruit orally, leading to excessive intake of nonocoumarin compounds, and the usual oral drugs reacted."

"Then what did you diagnose?" Meng Qingfei asked.

"If the disease is mild, the patient will have sore limbs, but if the urine changes color, it is estimated that there has been rhabdomyolysis." Ji Xiang said calmly, "Mr. Meng, your clinical diagnosis and treatment are very good. Generally, rhabdomyolysis is prone to occur in people who suddenly exercise a lot. man, but..."

Meng Qingfei's expression was calm, but he stared at Ji Xiang in a daze, feeling astonished.

Many people may know that there is a reaction between eating grapefruit and lipid-lowering drugs, but not many people can make a correct diagnosis in complicated clinical situations.

It's like solving a math problem. There are only a few formulas and theorems, and if you know it, you can solve it. That's a math genius.

But Ji Xiang is different, he can even extend to estazolam.

Combined with the fact that the patient slept so soundly in the waiting hall before, it proves that what Jixiang said is correct.

Originally wanted to test Ji Xiang, but unexpectedly let Ji Xiang give a lesson. Meng Qingfei looked at this little guy curiously while listening to Ji Xiang's "lecture".

Really interesting young man.

The older the doctor, the more valuable it is because he has seen more and has rich clinical experience.Is Ji Xiang... an outlier.

"Mr. Meng, do you think I'm right?" Ji Xiang asked after finishing speaking.

Meng Qingfei smiled helplessly, "You must be right, in the end this question is superfluous."

The phone rang, and Meng Qingfei answered the call.

He communicated with the family members of the patient, firstly talking about the preliminary diagnosis and adding what Ji Xiang said about the interaction between grapefruit and estazolam.

After a brief explanation, Meng Qingfei told the patient's family to come quickly.

Rhabdomyolysis can be large or small, and it is definitely not a disease that can be ignored.

Chapter 294 An Accident After Well-Prepared

"Xiaoji, the patient's family will be back soon." Meng Qingfei finally let out a sigh of relief, "Go on."

"Not much more, grapefruit may also react with anti-allergy drugs, anti-rejection drugs, and antihypertensive drugs such as nifedipine."

"So there are so many more." Meng Qingfei said to himself.

"Mr. Meng, you are great. I don't think there is any problem when the patient fell asleep in the waiting area. You saw it." Ji Xiang praised.

His praise was sincere.

A similar diagnosis is extremely difficult. From the inexplicable snoring in the waiting area to the contact with the family members before the patient came back from the laboratory test, every detail is full of clinical experience after careful recollection.

Of course Ji Xiang admired Meng Qingfei very much.

Although he is a bit cautious, sometimes he does not open the connection without reading the medical records, for fear of encountering a one in ten thousand small probability event, but that is also part of the clinical experience.

Meng Qingfei shook his head, then laughed, "The biggest advantage of me is being a dog."

"Mr. Meng, look at what you said."

"I was so stupid when I was young." Meng Qingfei said, "My neighbor has five sons, Yishui is in his 20s. If his family wants to repair the wall, he has to smash the eaves of my house. In rural areas, if a man talks too much, he will be stubborn. My parents were scared, and finally I stood up and pointed a stick at them, and I forgot what I said."

Ji Xiang laughed, what Meng Qingfei said was really vivid.

"How old were you?" Ji Xiang asked.

"8 years old. Later, my mother said that my brothers said that I was still young, and if I had a grudge, I would be in trouble when I grew up, so I didn't touch the eaves of my house. But the older I got, the more cowardly I was. The more difficult it becomes, the more it becomes what it is now."

"It is said that 3 years old is considered young, and 8 years old is regarded as old. It is not allowed to look at me here."

"Mr. Meng, I don't think you are stupid, but I think you are very powerful. If you are an ordinary doctor, at least you have to wait for the laboratory test to come back."

"The levels are different. They can't be sure, but I can be sure." Meng Qingfei waved his hand and didn't care. "Xiaoji, you are very good. I didn't even know about the reactions of grapefruit and estazolam."

"Teacher Meng, to be honest, I don't think you are cowardly at all." Ji Xiang repeated it seriously.

"Oh?" Meng Qingfei raised his eyebrows.

"I remember a patient who had breast plastic surgery asked you to remove the stitches, but you didn't remove the patient's medical records without saying anything."

"and then?"

"For the patient in front of you, you contacted the patient's family directly without waiting for the test results to come back." Ji Xiang smiled, "You are willing to take responsibility for the emergency patients. Even if the diagnosis is wrong, you will bear the consequences to buy time. But the emergency patients Patient, after all, it takes up a slow word, so don't worry."

Meng Qingfei really didn't expect that a young man like Ji Xiang could see through his behavior at a glance, and his affection for Ji Xiang increased greatly.

"Very powerful." Ji Xiang praised with a thumbs up.

While chatting, the patient came back with the test sheet.

Under the microscope, hematuria filled the field of vision, and Meng Qingfei ordered a bunch of tests to confirm that the patient had rhabdomyolysis.

The patient didn't understand, and was also a little unhappy, but the patient's family members who rushed over immediately took him for an examination.

More than an hour later, the patient was directly admitted to the ICU, and until now the patient still did not feel much discomfort.

It can be said that the diagnosis and treatment of this patient were timely.

After talking with the ICU doctor on duty, Meng Qingfei finally relaxed.

"Xiaoji, don't you rotate the emergency department?" Meng Qingfei asked.

"It seems that I didn't see the emergency department in the carousel."

"Really, the emergency department trains people. How can doctors not rotate the emergency department? Who made the rules? What's wrong!" Meng Qingfei felt a little regretful.

"I will accompany you on duty when I have time." Ji Xiang said with a smile.

"Are you still used to urology?"

"Next Monday, I will transfer to the Department of Bone Removal Surgery." Ji Xiang said.

"It's so fast. In the blink of an eye, you've been on rotation for three months."

……

……

"It's so fast. In the blink of an eye, you have been on rotation for three months." Deng Chaohong said while performing the operation.

"Ms. Deng, my next department will be chest surgery." Zhao Tianjiao said.

"It's okay, just tell me about the side outside the chest, and just come back for surgery." Deng Chaohong smiled.

However, he didn't chat too much. The patient in front of him had an extremely difficult operation, so he casually said a few words to soothe his tense nerves, and then Deng Chaohong continued to concentrate on the operation.