What the hell does this mean!

Meng Qingfei looked at his phone in a daze.

Soon, he made another call.

"Hello, I'm ......"

"Telecom fraud, I know, get out!"

Dudu~~~ The phone was then hung up.

Meng Qingfei couldn't cry or laugh.

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

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

"Ugh." Meng Qingfei shook his head, so he had to get up and go to the nurse's station to make a call.

Ji Xiang followed behind Meng Qingfei to see how he solved it.

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

"You can ask 114."

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

"I don't know." Meng Qingfei said helplessly, "But I am really a doctor in the emergency department of the Second Affiliated Hospital, this is the landline of our department, your father came to see a doctor, I have something to look for you." ”

There was silence on the other side of the phone for a few seconds, apparently engaged in a psychological struggle.

"My dad is in good health, not long after the physical examination." The patient's family on the other side of the phone replied hesitantly.

"Well, I guess, you verify. If that's right, you call me on my phone. It's tiring to talk to you, like I'm holding back my energy and trying to scam you out of money. ”

Meng Qingfei complained.

"You say." The other party said vigilantly.

"Has your father been taking statins lately, and he's been eating a lot of grapefruit lately in the fall? If yes, call me right away! ”

Meng Qingfei tried to say his question as briefly as possible.

"That's it?"

"Do you think I lied to you that I don't know when the Jingjing white strip that was registered was used?" Meng Qingfei said disdainfully.

"Then let me ask, the emergency department of the Second Affiliated Hospital, right?"

"My surname is Meng, emergency surgery, come to me directly after you come." Meng Qingfei was not verbose, and hung up the phone directly.

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

"The recent scam calls are all electronic voice, and it may be that the scammers feel that the success rate is too low and start manual service." Meng Qingfei walked to the consultation room slowly, explaining to Ji Xiang as he walked, "I have received several calls recently. ”

"People politely and directly said, hello Mr. Meng, is the tail number of your ID card ***."

"Is the leakage of private information so serious? Even the ID card knows. Ji Xiang was surprised.

"You haven't received a scam call?" Meng Qingfei was even more surprised than Ji Xiang.

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

Meng Qingfei didn't understand, but he didn't want to understand either, "After confirmation, they continued to say that the white slip I registered a long time ago was stolen by someone and needs to be closed." This scam is relatively simple, if you have downloaded Dongdong, it is likely that you will register a white slip casually.

They will give rewards, cash or vouchers when they sign up for the white strip, and it is estimated that many people have signed up easily. ”

"Well, they'll forget what they've done." Ji Xiang Road.

"But I never shop online, surely not." Meng Qingfei laughed.

"Scammers are so rampant right now." Ji Xiang said, "Teacher Meng......"

"Xiaoji, I'm going to test you, what do you say is the patient's condition?"

Meng Qingfei asked a little proudly.

Just after inquiring about the patient's situation, he knew everything in his heart, and it was a model of combining many years of clinical experience with basic knowledge.

Ji Xiang shrugged his shoulders, he saw that the corners of Meng Qingfei's mouth were raised, with a mocking expression, and his heart moved to the system operating room.

"What if you can say it......" Meng Qingfei was stumped for a moment, he pondered carefully, but he didn't know what to give Ji Xiang.

Change to other trainees, let them stitch up the small wound and be grateful, but Ji Xiangdu specially started to do fourth-level surgery, where to reason.

"Teacher Meng." Ji Xiang was slightly stunned, and then smiled, "Yuzu contains coumarin-like compounds, which are the main inhibitors of drug-decomposing enzymes in the human body.

Trancoumarin compounds can rapidly increase the concentration of statins in the blood in a short period of time, resulting in the doubling of the amount of drugs entering the bloodstream, and inhibiting the decomposition and metabolism of drugs in the body, greatly increasing the accumulation and toxicity of drugs. ”

“！

！ ”

"When you asked about your medical history, I heard the patient say that he usually doesn't sleep well and takes estazolam. Lacanocoumarins also have a strong effect on estazolam......"

"What?" Meng Qingfei was stunned.

He knew the former part, but he didn't know that the coumarins and estazolam also reacted.

"Some anxiolytic drugs such as diazepam and midazolam cannot be taken with grapefruit, because grapefruit can prolong the action time of such sedative-hypnotic drugs, thereby causing dizziness and drowsiness."

“！

！ A series of exclamation marks floated above Meng Qingfei's head.

He had no idea how grapefruit and estazolam could interact.

"The patient's symptoms are very clear, that is, a large amount of grapefruit is taken orally, which leads to excessive intake of coumarinoids, which reacts to the usual oral medications."

"And what do you diagnose?" Meng Qingfei asked.

"If the patient has mild symptoms, his limbs will be sore, but his urine will be discolored, and it is estimated that he has rhabdomyolysis." Ji Xiang said calmly, "Mr. Meng, your clinical diagnosis and treatment are very good, generally rhabdomyolysis is good in people who suddenly exercise a lot, but ......"

Meng Qingfei's expression was calm, but he looked at Ji Xiang in a daze, stunned.

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

It's like solving a math problem, there are only a few formulas and theorems, and you can solve them if you know it, that's a mathematical genius.

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

Combined with the fact that the patient slept so sweetly in the waiting hall before, it proved that what Ji Xiang said was right.

I originally wanted to take the test for Ji Xiang, but I didn't expect to let Ji Xiang teach a lesson, Meng Qingfei listened to Ji Xiang's "lecture" and looked at this little guy curiously.

It's really interesting young people.

The older the doctor, the more valuable he is because he has seen more and has rich clinical experience. Ji Xiang...... It's an anomaly.

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

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

The mobile phone rang, and Meng Qingfei answered the phone.

He communicated with the patient's family, first talked about the preliminary diagnosis and added 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.