"Clinical practice is like this, not to mention that ordinary people's awareness of diseases and diagnosis and treatment is about equal to zero. Even if it's an old doctor, what can he do? Something should have happened. Meng Qingfei said.

"Teacher, is there anything else?"

"Of course, don't think you're great." Meng Qingfei looked at Ji Xiang and said directly, without thinking that Ji Xiang would think too much.

Ji Xiang smiled.

Something similar has been said by system NPCs.

"Some time ago...... Did you know that the pediatric emergency department of our hospital has stopped? Meng Qingfei suddenly changed the subject.

"I don't know, Mr. Meng."

"There are fewer and fewer pediatricians, it is difficult to support a pediatrician and a newborn, and the serious pediatric cases have stopped, and there is no way. Then again, there was a patient who came to see the doctor with a child in his arms. ”

There is still a difference between Meng Qingfei and Zhao Zhe, although he will go off topic when he speaks, he always takes back the topic as soon as possible.

Except for the dirty white clothes, this person is not bad in other points, Ji Xiang thought.

"A 30-week-old newborn was sent by a 120 ambulance from the county hospital below. I opened a hospitalization order and was hospitalized directly, for fear that something would happen halfway without a doctor's words that would be difficult to explain, so I followed. ”

"What happened?"

"In premature infants at 30 weeks, the child has progressive dyspnea, moaning, cyanosis, and inspiratory retraction within 4~12 hours after birth. Let me test you, what disease is diagnosed? ”

"Neonatal Respiratory Distress Syndrome." Ji Xiang didn't want to, and replied directly.

"Not bad." Meng Qingfei nodded, Ji Xiang's basic knowledge is indeed very solid.

Although this is a simple question, it is good that a non-pediatric doctor can answer half of it.

"The treatment of neonatal respiratory distress syndrome requires a drug, porcine lung phosphate injection, and the trade name of this drug in our hospital is Guersu, 5300 pieces."

"Oh." Ji Xiang has no concept of money, it doesn't matter if 5300 is more or less than one or two zeros.

Seeing Ji Xiang's flat face, Meng Qingfei was slightly stunned, but he didn't think much about it.

"While I was taking the children to the neonatal unit, I gave them a vaccination and told them about the medicine."

"You know, if two doctors with different systems say it, the family will be a little bit more receptive. This medicine is too expensive, but it doesn't really do any good. It doesn't take much in a year, and the manufacturer follows the natural flow. ”

Meng Qingfei explained, Ji Xiang probably knew what he meant.

"Later, I used it at home, is the child well?" Ji Xiang asked.

He estimated that Mr. Meng was telling himself such a clinical experience.

"No, the next day before I got off work, the child died."

“！

！ ”

"Because Gursu is expensive, the patient's family discussed it. I don't know which doctor to call, and he directly said that the hospital can't have such an expensive medicine! ”

"Just, useless?" Ji Xiang was surprised.

"Well, it didn't work." Meng Qingfei said very calmly, "Just because of the doctor's words, the patient's family refused to use the medicine, and the child died." ”

"What I'm telling you about this is the same as not removing stitches from patients." Meng Qingfei said very seriously, "Now there are many branches of clinical departments, and interlacing can't be described as a mountain, and a big mountain is separated by a department, you know." ”

Ji Xiang was awe-struck in his heart and nodded.

"That's about what it means." Meng Qingfei said with a smile, "Don't say anything else, the nurses in our hospital give birth to children, and how much neonatal jaundice is delayed, then it's still the nurses of our family." ”

"Teacher Meng, I see."

"It's okay to come and see it often, if you can pick up some small stitches, I'll take you to do it first." Meng Qingfei felt that he had given Ji Xiang a great favor, and said very cautiously, "Once you have a hand, you can sew it yourself." ”

Ji Xiang didn't explain how well he did the operation, and bowed slightly to express his gratitude.

"Don't talk about this, I was off work a few days ago, and I went to the imaging department for some things, and they said something that made me dizzy."

"A graduate student in the imaging department, a doctor in my own family, I don't know whose way to stay." Meng Qingfei said, "I haven't come down for three years after taking the license exam. ”

"Well, not really."

"I was dizzy because I didn't know that doctors in the imaging department also had to take the practice certificate, and if they wanted to diagnose, they had to practice medicine, otherwise they would be technical posts, and the four-year imaging technology could not be examined, and the five-year medical film had a clinical graduation certificate."

“……”

Ji Xiang was also a little dizzy.

Four or five years of imaging medicine is still different.

"And then there is that the kid can be admitted to graduate school, but he can't get into the medical practitioner exam. It is no wonder that graduate students may take the imaging exam, and the medical practitioner exam is mainly clinical. ”

"Say a thousand, say ten thousand, you must be cautious." Meng Qingfei said very seriously.

"Thank you, Mr. Meng." Ji Xiang understood Meng Qingfei's very winding words, knew that it was good for himself, and sincerely thanked the emergency doctor.

"I'll tell you another story."

There are fewer patients in the emergency department today, Meng Qingfei said that he is addicted, and he is also very energetic as a good teacher.

"My buddy, in the imperial capital." Meng Qingfei said with great interest, "When he was studying in cardiothoracic surgery, he encountered a patient who had postoperative intestinal bloating and his stomach was about to explode. ”

"The relationship between anesthesia?" Ji Xiang asked.

"Listen to me." Meng Qingfei did not answer Ji Xiang's question and continued, "I haven't had a bowel movement for many days, and there is definitely no mechanical intestinal obstruction. Hot compresses, massage, kessel, neostigmine, gastrointestinal decompression, anal duct exhaust, all the methods that can be used have been used, but there is still no effect. ”

"What if it were you?"

Go to the system space to find the system NPC, Ji Xiang thought to himself.

System NPCs must have a way to be.

Meng Qingfei didn't wait for Ji Xiang's answer, he said with a smile, "This disease, the hospital where he studied was at a loss, and my buddy was dumbfounded." ”

"Huh? Why? I feel that the top tertiary hospitals can't treat all diseases. Ji Xiang said after thinking.

"No, my buddy will cure this disease, he thinks it's very simple, so he doesn't even dare to say a word of nonsense. Later, after waiting for a day, the director was anxiously standing in the doctor's office and scolding. ”

"Will he?"

"Of course, there is also a mantra - one in and one out, and the medicine is cleared."

"What's the ...... of one in and one out" Ji Xiang felt that Mr. Meng was driving with him.

It's boring, isn't it?

But Meng Qingfei's face didn't have the smile that all men understand, but said very seriously, "Xinsi's Ming." ”

"Teacher Meng, you just said that Xinsi's Ming, and it seems that this medicine is not produced by manufacturers now because it is too cheap." Ji Xiang Road.

"Also, it's just a little less. I ask you, how do you use neostigmine? ”

"Intramuscular injection, intravenous thrust can be used, mainly intramuscular injection."

"Where's the Zusanli injection?"

"......" Ji Xiang was stunned.

He knew Zusanli, but he didn't understand what Zusanli injection was.