Doctor of Healing

"We are usually so busy that we can't even eat. Where can we find time to do scientific research? You think so. And scientific research will definitely cause problems due to wrong directions. If there are problems, you won't be promoted?"

Chapter 671 One mistake will cause eternal hatred, but turning back is a hundred years old

"As a result, what nonsense scientific research and papers finally gave birth to an industrial chain." Meng Qingfei complained.

"Mr. Meng, do you really want to make money?" Ji Xiang asked.

Meng Qingfei shook his hand, "You don't need you, you are busy with your work. Scientific research and papers, having a name is much more useful than giving gifts or treating guests to dinner. Remember, the head nurses in your departments and the nurses in the pharmacy who change the pharmacy have a chance. Bring a name. It doesn’t matter how high you are, just the top five authors will do.”

"Yeah." Ji Xiang nodded vigorously.

He memorized every word Meng Qingfei said, no, it was engraved in his mind.

These scattered things are very important. If there is no clear reminder from the master, I will definitely not realize it.

By the time you realize it, many things have already been done.

"They can write shitty papers and don't know how to do scientific research, but the nurses want these messy things. You give them a name and give them a chance to advance. It will be good for you in the future."

"I know Teacher Meng." Ji Xiang said modestly.

Meng Qingfei looked at Ji Xiang, his eyes full of childish joy.

But after a while, there was less playfulness in his eyes and more seriousness.

"This is what I thought 15 years ago, what do you think I think now?"

Ji Xiang also got serious.

In empathy, Jixiang has experienced countless life fragments, and these fragments have various influences on Jixiang.

But Jixiang put various pieces of life in it like a big water tank, and it didn't have a fatal impact on him.

This is also a kind of talent.

Now Meng Qingfei wanted to instill Ji Xiang with his own content, and Ji Xiang pricked up his ears to listen.

"Existence is reasonable. When I was young, I always wanted to change the world, but in the end I changed the world." Meng Qingfei said, "Write it as you please. A few papers are no big deal."

"For me, writing papers, doing scientific research, copying and pasting data, it's not the same as playing. When I was young, I was still full of energy and couldn't hold back my face."

Meng Qingfei didn't say much, but under the simple words, deep regret was hidden.

One misstep will cause eternal hatred, but looking back, it will be a hundred years old, Ji Xiang feels about the same.

"Meng'er, take a look for me." The emergency physician walked to the door, probed and said to Meng Qingfei.

Meng Qingfei's level is really high, even in the emergency department, some people recognize it.

"what happened?"

"Here are the medical records. Look at them. I'll deal with the patients. I just went to the observation ward for a while, and there were so many people." The emergency physician muttered, dropped the medical records without touching the ground, and went back to get busy.

The emergency internal medicine department was very busy today, but the surgery department was fine, and with Ji Xiang as an assistant, Meng Qingfei was very leisurely.

While Meng Qingfei and Ji Xiang were looking at the medical records, Meng Qingfei said, "The first emergency rescue I participated in is still fresh in my memory."

Speaking of emergency rescue, Ji Xiang was very interested.

"Teacher Meng, tell me."

"A patient with liver cirrhosis, gastric varicose veins, portal hypertension, and hematemesis was sent to the Department of Gastroenterology. It was the end of the 90s, and the hospital at that time was dilapidated. Do you know what the only benefit is?"

"There is no doctor-patient dispute." Ji Xiang said with a smile.

"Xiaoji, you've made great progress, and you know everything about doctor-patient disputes."

"Two peaches kill three warriors, diverting the conflict, I understand."

Meng Qingfei raised his head and took a deep look at Ji Xiang. He did not comment on what Ji Xiang said about two peaches killing three men, but continued to look down at the medical records and the laboratory test sheets behind the medical records.

"At that time, a three-chamber two-capsule tube was used for this kind of patients. The tube was inserted, and the bleeding was temporarily relieved. Because the patient's condition was very serious, the third-line professor on duty was going to use thrombin. That stuff was rare in hospitals at that time, and several of them were used as medicine. baby."

"Put the medicine into the dressing tray, put the saline on it, and the professor stretched out his hand—give me the tray. He is going to use a syringe to draw the diluted thrombin, and then inject it down the gastric tube."

"As a result, a female classmate wanted to flatter her again, but she didn't understand what the professor was doing. She went up to pick up the bender, poured out the medicine mixed in it, and handed the bender to the professor."

"..." Ji Xiang's eyes were full of images, "Hahahaha."

"The professor is also very helpless. He can only inject it with salt water and epinephrine. He originally wanted to see the effect of thrombin, but someone disrupted the plan one step ahead of time."

"Later, this girl...is still willing to cause trouble. This disease is very strange. What do you think, Xiaoji?"

Meng Qingfei chatted halfway and returned to the medical records.

His mind is jumping, but Ji Xiang can also keep up.Ji Xiang is not Zhao Zhe, and he has no interest in these things, so it's better to talk about something serious.

"The patient's liver function was slightly abnormal when he first came here, but it was still good." Ji Xiang said in chronological order, "After the intravenous administration of famotidine, the liver function has been getting worse. The first feeling is that it is caused by famotidine. .”

"Old man." Meng Qingfei said with emotion, got up from the treatment room, and spent a long time digging through garbage bags to find the instructions for famotidine.

"Mr. Meng, it's on the computer." Ji Xiang reminded.

"My eyesight is a bit blurry, and I can't see things clearly on the computer." Meng Qingfei said, "I'm still used to reading the manual."

The small characters on the instruction manual are more difficult to distinguish than the characters on the computer. Ji Xiang felt that Meng Qingfei had become accustomed to it, and he didn't want to change it.

Meng Qingfei took the instructions of famotidine and began to look for side effects.

"A small number of patients may develop rashes and urticaria."

"Nervous/mental system: Headache, dizziness are common, and fatigue, hallucinations, etc. may also occur. If it occurs, symptoms can be controlled with haloperidol."

"A small number of patients have dry mouth, nausea, vomiting, constipation and diarrhea, and occasionally mildly increased aminotransferases, and rare abdominal fullness and loss of appetite."

"It's here!" Meng Qingfei frowned when he found it. "Occasionally mild transaminase elevation. According to the manual, adding words such as occasional and mild should not be a major problem."

Ji Xiang and Meng Qingfei had the same idea, and felt that there would be no major problems.

He held his breath and came to the operating room of the system.

Meng Qingfei continued to read down one by one.

After reading the instruction manual, I started to read the medical records again.

The logic is relatively clear, it should be caused by famotidine, but the patient's transaminases are obviously elevated, which is different from the results of clinical practice.

"Teacher Meng, I have an opinion." Ji Xiang said suddenly.

"Tell me."

"Although famotidine is relatively safe, its pharmacokinetics show that 20% of it is metabolized by the liver.

In the case of hepatic insufficiency, the drug concentration may be too high due to slow metabolism; 30% of the oral dose and 65% to 80% of the intravenous dose are excreted through the kidneys, and there have been reports of liver and kidney damage caused by the drug. "

"How about we stop famotidine and try liver protection medicine?"

Chapter 672 Your article has been settled

The reason Ji Xiang gave was not particularly sufficient. The side effects of famotidine were clearly written in the manual. Meng Qingfei hesitated for a long time and said nothing.

Because the evidence was rather vague, Ji Xiang didn't insist, and the two tacitly took this matter as air.

At ten o'clock in the evening, Ji Xiang said goodbye.

Meng Qingfei saw that the internal medicine department in the emergency department became quiet. He walked over and said, "Old He, stop famotidine and try liver protection medicine."

"I've used liver protection medicine, but the effect is mediocre. Famotidine has side effects? Why didn't I know." The emergency physician looked at Meng Qingfei suspiciously.

"It is written in the instructions that there may occasionally be slight changes in liver function. Let's try it. Anyway, there is no better way now. Besides, famotidine is symptomatic for abdominal pain. I have been using it for a few days, and it is normal to stop it. Can't say anything."

The emergency physician did not think that Meng Qingfei was right about famotidine, but he had no good solution, so he ordered the doctor to stop famotidine.

There was nothing to say all night, and the next morning, Meng Qingfei made a few phone calls to urge the results of liver function.

"Meng'er, I think you are thinking too much." The emergency physician said.

"The suggestion given by Xiaoji, I think I can try it. I thought about it all night yesterday, and I dreamed that the patient's liver function recovered."

"Xiaoji? Is that the little star?"

Since Ji Xiang appeared on the show, many nurses in the emergency department mentioned him with the words "star", so the emergency physician emphasized that Ji Xiang is a "little star".

Meng Qingfei was a little unhappy when he heard the sting in his words, and replied, "Xiaoji is very accurate in seeing things very often."

"Don't talk nonsense, famotidine will not cause liver damage at all." The emergency physician said contemptuously, "The instructions are here, Menger, have you been on the night shift and lost your mind?"

Meng Qingfei just smiled and didn't speak.

Although the diagnostic logic given by Ji Xiang is not complete, if an old doctor with white beard and hair said in a tone of vicissitudes that there are many problems with Motidine, everyone might be convinced.

Clinically, many of the rare complications have to be seen with their own eyes.

But Jixiang is young, and he will never give people such a sense of convincing.In addition, he has appeared on variety shows, some doctors find it difficult to accept, so they are prejudiced instead.

"Meng'er, you told me about scientific research yesterday, is it true or not?"

"Of course it's true. It's obvious at a glance." Meng Qingfei said.

"You, you have a great ability but you don't know how to use it. You were sent to the emergency department for a lifetime. That's not the case."

"Me? I don't have great abilities." Meng Qingfei smiled, "If you say that you have abilities, I think Xiaoji is about the same."

"He'll tie a knot."

"Didn't you watch the show?" Meng Qingfei asked.

"I don't watch variety shows, I never watch them. It's no fun for those celebrities to play tricks. I go home and go fishing."

No wonder, it is estimated that Dr. He in the emergency department doesn't like to read the news, otherwise he should know about such a big thing as Ji Xiang's surgery on Neymar.

"Meng'er, can you really publish papers with an impact factor of 3 or more? If others say that I don't believe it, I will take it seriously! 10 is too expensive. If you say you have the ability, go out and make a lot of money. .”

"If famotidine is the culprit, the article will be settled." Meng Qingfei laughed.

The emergency physician was taken aback for a moment. Seeing that Meng Qingfei didn't seem to be lying, he became entangled.

"Xiaoji won't care about me, and he doesn't lack papers."

"Damn, I've been reading novels for the past few days, and I'm talking about being a top student. It's cool to write papers! People can publish top-level papers and journals if they want to, and I can do it if I want to. How nice it would be."

Meng Qingfei refreshed the webpage, but still hasn't reported back.

He said lightly, "Xiaoji performed an operation on Neymar in Lin'an, and now observes Neymar's recovery, and has published two top SCI papers."

"!!!" There were countless exclamation marks on the emergency physician's head, and his eyes changed a little, releasing hot flames.

"What journal?" He asked eagerly, as if he had forgotten that he said that Ji Xiang was a "little star".

"The Lancet and European Sports Medicine."

"!!!"

"The impact factor of the latter is slightly lower, which is of little significance, but it belongs to a specialized journal. In the field of orthopedics, it has a very large influence." Meng Qingfei said.

"The impact factor is not big, how big is it? Is there 1?"

"I glanced at it yesterday, it seems to be around 3 o'clock."

The emergency physician burst into tears.

That's it, it's already a top-level journal that can't be expected, why is it in Meng Qingfei's mouth... no, it is a weak journal in Jixiang's side?

Indeed, compared with The Lancet, journals with an impact factor of 3 or less are weaker, but if you want to publish an article in this type of journal, at least 10, it depends on your luck, and you can’t publish it just because you want to.

The emergency physician's eyes were red, as if infected with pink eye disease.

Meng Qingfei refreshed again, and the liver function results returned.

He stared intently.

In just one night, famotidine was stopped and liver-protecting drugs were used, and the patient's liver function has recovered a lot.Although it is not normal yet, compared with the previous inspection, we can see the trend of recovery.

"Old He, look." Meng Qingfei let out a long breath, "I just said that Xiaoji is right."

The emergency physician wanted to refute, but because Meng Qing insisted on helping him write a thesis, some things were hard to say.

"Come on!" Meng Qingfei patted the table, "I have work to do today."

"What are you going to do?"

"Tracking the patient's data, a paper can be written soon. Lao He, let's make an agreement, I don't ask you how much you want." Meng Qingfei chuckled.

"You can really write it, that's not a lot of money." The emergency physician said.