Doctor of Healing
Page 281
In today's terms, Meng Qingfei is the worst kind of person.
I don't know what he has experienced in his medical career for so many years, which has created the character of Gou.
But the current Meng Qingfei is someone Ji Xiang doesn't know.
"Shut up, beep beep and the child will be gone!" Meng Qingfei raised his voice by 30 decibels.
this moment,
Meng Qingfei's angry eyes were like a diamond possessing his body, and his roar was like thunder on the ground.
Not only the family members of the little patient were shocked, but also other people who were waiting for the doctor or who had no place in the observation room to hold their children on drips in the corridor.
Those children seemed to feel a fierce murderous intent, and instinctively shut their mouths obediently.
For the first time, the corridor of the emergency department of pediatrics, which was noisier than the emergency department of internal medicine and surgery, became quiet for the first time.
"Now that the child is incontinent, are you sure you don't want to do a check?" Meng Qingfei asked coldly.
"..."
"..."
The little patient's family reacted for a few seconds before they panicked and realized that the smell was the smell of stool.
They took off the child's pants, just like what Meng Qingfei said, the child was already incontinent.
Just now, and this doctor discovered it earlier than them.
"Doctor, what should I do?"
An old man was still calm. Although he was flustered, he didn't lose his mind. Instead, he chose to ask Meng Qingfei and believed in this meddling doctor.
At this moment, wearing white clothes represents trust.
"Draw blood, and I'll go back if you f*ck beep beep." Meng Qingfei cursed.
"Draw!" The old man immediately made a decision.
The situation is urgent, and it is no longer a time to struggle with whether you can hit the nail on the head.
Meng Qingfei yelled at the nurse to come over immediately, but the little patient's skin was pale, and after several slaps, no trace of subcutaneous veins could be seen. She was a little embarrassed, and looked up at Meng Qingfei.
"I'll come." Meng Qingfei said.
The child's mother sat on a chair with the child in her arms. Meng Qingfei squatted in front of her and patted the child's back twice.
The sound of "popping" made the eyelids of the children's family members jump.
But they are still sensible, and they can distinguish between incontinence and being slapped on the back of the hand, which is the lightest and which is the most serious.
It's just that the child's mother shed tears in panic and shrugged her shoulders.
"Don't move, be quiet!" Meng Qingfei's words in a hurry were not so clean, but they were more deterrent.
The child's mother immediately suppressed the crying and held the child motionless like a log, not daring to move.
Ji Xiang concentrated and entered the operating room of the system.
Ji Xiang felt a little surprised that Meng Qingfei seemed to be a different person suddenly.
One needle, see blood.
Meng Qingfei's level is unquestionable, even if he draws blood, he shows a super high level.
It's just that the needle hurt a little, and the child began to struggle dimly.
"Press and hold!" Meng Qingfei had just drawn half a tube of blood, but the needle missed as the child struggled, and the purple blood under the skin appeared at a speed visible to the naked eye.
If it was normal, there is no guarantee that someone behind him would kick Meng Qingfei to the wall of the pediatric emergency room.
But now the family members of the patients are just trying to grin an apologetic smile.
Blood was drawn again, and the collection was finally completed.
"Can you do a test?" Meng Qingfei asked the little nurse.
The little nurse was stunned for a long time. She knew the doctor was Meng Qingfei from the emergency department opposite, and guessed in her heart that it should be Meng Qingfei's friend or relative.
"Yes." The little nurse said.
"I'm going to deliver blood. If your doctor doesn't have time, you can immediately order an emergency department for blood ammonia. Remember it's an emergency department! Emergency department!!" Meng Qingfei ran farther and farther with blood collection tubes in hand as he spoke.
Ji Xiang followed behind Meng Qingfei, admiring him very much.
Meng Qingfei's diagnosis was correct, he vaguely gave the diagnosis when he first saw the child.
Not only did he give a diagnosis, but he even predicted that the pediatric emergency doctor would misdiagnose it, so he ran over and yelled at the patient's family members, and finally had to deliver blood himself, urging the emergency department to give the results immediately.
The emergency examination was not far away. Meng Qingfei passed the blood in, and after a quick exchange with the doctor inside, he came out.
"Teacher Meng." Ji Xiang said, "I didn't expect you to be so irritable."
"If I had a good temper, I wouldn't work in the emergency department." Meng Qingfei put his hand in front of his nose and sniffed it. "Smell, boy's urine? It cures all diseases."
He stretched out his hand and joked with Ji Xiang.
"No."
Meng Qingfei fought back, and wiped the buttocks behind the white clothes indiscriminately as he did every time he washed his hands.
Ji Xiang couldn't bear to watch this scene, Mr. Meng must be too sloppy.
Although Ji Xiang has no obsession with cleanliness, Meng Qingfei is too informal.
"Mr. Meng, what disease do you think is wrong?"
"Ruiyi Syndrome." Meng Qingfei gave the correct answer.
This answer is the same as the answer given by the system NPC, and Ji Xiang is inexplicably pleased.
"Mr. Meng, how did you judge?" Ji Xiang asked while taking advantage of the laboratory test.
"Salicylic acid medicines for children with viral infections are prone to Ruiyi syndrome. If a few members of the family are given the wrong medicine in a panic and the dose is increased, similar situations are more likely to occur."
"!!!"
"They went to the wrong place just now. Instead of going to the pediatrics department, they went to the emergency medicine department. I heard the quarrels and complaints between them, and I know that the two old people usually quarrel over the children, and the quarrels are very fierce."
"What does it mean to fight for a child?" Ji Xiang asked without understanding.
"I have a friend. When he first had a child a few years ago, his parents, his father-in-law and mother-in-law all said that they wanted the child to stay with him. It was fairer to settle down for a week."
Ji Xiang scratched his head, he was very unfamiliar with similar things, but he listened very carefully.
"Once his father was reluctant to send the child there, turned off his mobile phone, and flew directly to Hainan with the child. The family searched for it, and almost didn't call the police. In the end, the two families had a big quarrel, and the young couple...hahaha."
Meng Qingfei laughed three times as if thinking of something funny.
It's just that there was no joy in his laughter, and his eyes kept on the emergency examination, waiting for the result.
Chapter 400
"It's just a child, it's okay, the elders of the two families are very spoiled." Meng Qingfei's smile stopped abruptly, and he said absent-mindedly.
"Mr. Meng, how do you judge that the child has Ruiyi syndrome." Ji Xiang asked.
"Reye's syndrome is a rare condition that occurs in children recovering from a viral infection ... such as the flu, and the use of salicylates is an important cause.
Extensive mitochondrial damage is its pathological basis.Reye's syndrome can affect all organs of the body, but the liver and brain are most affected. "
"Normal dosage itself may induce Ruiyi syndrome. If the two elderly people panicked and took the medicine once before the high fever persisted, guess what would happen."
"It's really caused by drug overdose." Ji Xiang also replied helplessly.
What Meng Qingfei said was rather vague, and Ji Xiang lacked experience in this area, so he could only make a rough guess.
Although the two elderly people love their children, it is unimaginable that the children overdose because of worry and anxiety.
Ji Xiang wrote it down, and compared it when encountering similar things in the future.
"Ruiyi Syndrome has relatively serious damage to the brain and liver, and the child has incontinence. If the treatment is not timely, it may be the end of the calf." Meng Qingfei finally said.
Ji Xiang sighed, he looked Meng Qingfei up and down, as if he had never seen him before.
"Why are you looking at me like that?"
"Mr. Meng, aren't you afraid of being complained by shouting at the patient's family?" Ji Xiang asked.
"Should be complained." Meng Qingfei was very relaxed about the complaints he had been evading, and he didn't seem to take it seriously.
"Really?"
"When the illness is cured, the family members of the patient must think that I am alarmist. They have never experienced it, and they don't know what will happen to the child after the child has Ruiyi syndrome. So, in retrospect, they will be very angry, and then go to the medical office to complain about me. .”
"However, compared with the child dying and turning into a vegetable, being complained is also an acceptable result."
Ji Xiang shrugged, spread his hands, and looked up at the sky.
"Teacher Meng..."
"Everyone is like this. If you cut off something that hasn't happened at the beginning, do you think others will be grateful?" Meng Qingfei said disdainfully.
"Then you have been complained, what should you do?" Ji Xiang was slightly worried.
"What should I do? Salad."
"Teacher Meng, what should I do?" Seeing that Meng Qingfei didn't answer, Ji Xiang continued to ask.
"I'm a doctor in the emergency department. Director Bai won't suspend me even if my brain is full of shit." Meng Qingfei curled his lips, and the tone of disdain in his tone became a little stronger, "He knows about Ruiyi syndrome, because This is one of the diseases that they have been exposed to in neurology and surgery, although it is relatively rare."
"Even if I don't know, I would be happy to stop my job. Do you really think that emergency surgery is very popular? My father is suspended, and the three grandchildren work every three days, and some people will ask for sick leave immediately."
"The emergency department of the No. [-] Affiliated Hospital of Tangtang is closed? Is Director Bai or Dean Sun the one who has the face? If it's a big deal, someone will be transferred from the inpatient department, but who wants it? In the end, it's not a mess."
"Don't underestimate emergency doctors, rare things are more expensive."
"..." Ji Xiang was speechless.
Emergency medicine and surgery is hell... no, emergency pediatrics is.
But Ji Xiang knew that Meng Qingfei was talking nonsense.
He is a person who has to read the medical records even when the stitches are removed, is cautious, walks on thin ice, and goes to the bottom of his bones. This time he almost scolded the patient's family members like dogs, but he was trying to save a child.
This should be the benevolence of doctors.
It's just that Meng Qingfei was too lazy to say it, or was too embarrassed to say it.
"Old Meng, come out, blood ammonia is high, 88! Blood sugar is low, 2.2!" The doctor in the laboratory opened the window and loudly told Meng Qingfei the test results.
"Thanks!"
Meng Qingfei didn't delay, and strode back to the pediatric emergency department.
At this time, the pediatrician had already finished the rescue, and sent the last emergency patient to the pediatric intensive care unit, and just started the consultation.
"Doctor Waiting, blood ammonia 88, blood sugar 2.2, consider Ruiyi syndrome." Meng Qingfei told the emergency pediatrician immediately after returning.
"I'm going! What the hell is going on!!"
"Ten minutes ago, the child was incontinent, hurry up."
"Okay!" The emergency pediatrician immediately called for someone to send the child to the emergency room.
Meng Qingfei heaved a sigh of relief. When the child was sent to the emergency room and vaguely heard furosemide, ground rice, mannitol, and monosodium glutamate, his energy and spirit were all gone, and he returned to the old fool. Looks like a doctor.
"Waiting for the doctor, give me a vinegar enema!" Meng Qingfei finally ordered, and left in a staggering manner.
"Mr. Meng, is the vinegar enema for lowering blood ammonia?"
"Go back and read by yourself." Meng Qingfei was in a good mood, and wiped his hands on the buttocks behind the white clothes while walking.
The place he wiped repeatedly was dark, making it hard to see.
"Mr. Meng, how is Ruiyi syndrome recovering? Can it be cured?" Ji Xiang asked.
"It's okay if it's discovered early. As long as many children are discovered early, they can be given fluids. Many of these diseases have not been diagnosed, and simple fluids will be fine. But the incontinence is still a little serious...Xiaoji, you What have you been up to lately?"
Meng Qingfei asked.
"Work. In the words of Mr. Wang, it's like a cow and a horse."
"No. [-] in the country in the occupational medical examination, and no. [-] with full marks, you are awesome." Meng Qingfei turned to look at Ji Xiang with a smile.
"Because of the score limit, I can only score full marks, which is a pity." Ji Xiang raised his eyebrows.
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