640 can't be believed

"Does it have anything to do with my condition?" The patient looked at Ji Xiang suspiciously.

If it weren't for the fact that the young man opposite was clean, tall, and comfortable to look at, she would have become impatient.

"Hey, little doctor."

The patient was not impatient, Xie Kaixian couldn't help but scold, "Don't say a few words, we are here to find Director Zou, what does it have to do with you." If you don't understand, don't ask nonsense, if you want clinical practice, you have to listen to the teacher. I've never seen a young man like you who doesn't understand the rules, and I don't know who taught it. ”

"What I taught, what Dr. Xiao Ji asked is what I want to ask, do you have any opinions?" Although Deputy Director Zou didn't know what was going on, he didn't hesitate to stand on Ji Xiang's side and choked Xie Kai's words back.

“……”

Xie Kai was stunned for a moment, he didn't dare to offend Deputy Director Zou at all.

Although Deputy Director Zou has been snorting, which is a little ridiculous, Xie Kai can clearly perceive the kind of [majesty of a senior doctor] on his body.

Ji Xiang is just a young doctor, at best, he can add a promising modifier, why does Deputy Director Zou protect him so much?!

And it's not the kind of thoughtful care, it's to subconsciously defend Ji Xiang when he hears that someone is slightly hostile to Ji Xiang.

It seems to have become an instinct, commonly known as calf protection.

"What snacks do you eat, does it have anything to do with licorice?" Ji Xiang completely ignored Xie Kai, just like others ignored Lin Jiuze, or even more thoroughly.

In Ji Xiang's eyes, Xie Kai was a buzzing little flying insect.

"Black jelly beans, I like licorice-flavored ones." The patient said puzzled.

"Oh, that's it, your blood in your stool is probably caused by eating black jelly beans." Ji Xiang smiled, "Let's do an examination first and see if the blood potassium." ”

"Doctor, doctor?" The patient hurriedly called Ji Xiang.

Although the young doctor gave rise to a sense of distrust, the young man "guessed" that he was eating black jelly beans flavored with licorice.

This undoubtedly makes the patient curious.

"Is it related to blood in my stool when I eat snacks and cough suppressants?" The patient asked.

"Black jelly beans are rare in China, but they are very common abroad." "There have been reports of adverse reactions after taking foods or drugs containing licorice-like substances.

For example, water and sodium retention, hypokalemia, hypertension, etc., and in severe cases, rhabdomyolysis, periodic paralysis, hypertensive encephalopathy, cardiac arrest, etc. ”

"Your situation is special, colonoscopy ......"

Ji Xiang combined his medical history, broke it and crumpled it to explain himself from the patient's symptoms to conjectures.

What he said was not complicated, and even in Xie Kai's opinion, some of Ji Xiang's words did not use medical terms, and they looked a bit LOW.

But the patients and their families understood, and they nodded their heads again and again.

"Long-term use of large amounts of licorice drugs can lead to high blood pressure and low blood potassium. Do you feel weak in the last year or so? ”

"yes."

"Frequent palpitations and shortness of breath, the heart suddenly pounds, but only a few times, and then it's fine."

"yes!"

"It's all due to low blood potassium." Ji Xiang said, "High blood pressure and low blood potassium have a small probability of causing mucosal lesions, but they are very mild, and there will be blood in the stool, and it is difficult to find the specific location of bleeding through colonoscopy." ”

“……”

“……”

When Ji Xiang said his conclusion, not only the patient and the patient's family, but also all the doctors present were stunned.

In particular, Deputy Director Zou, who is an elite-level expert in gastrointestinal surgery and specializes in surgery and colonoscopic polypectomy, has never heard of similar things, nor has he seen similar patients.

"Although the state has not completely banned the production of compound licorice tablets, it requires a doctor's prescription. I guess it's because you're taking more and more compound licorice tablets and the hospital can't prescribe them, so you're particularly interested in licorice-flavored snacks. ”

“!!!”

Ji Xiang said that even the patients themselves didn't realize it before, but now that they think back every step, this is indeed the case.

My dependence on compound licorice tablets is getting higher and higher, and I always want to increase the dosage, but I can't prescribe it.

I had a chance to eat a licorice-flavored snack and felt that the whole body was comfortable, that snack was so delicious, it was simply a beautiful taste in the world.

Since then, I have found many kinds of licorice-flavored snacks and finally started eating black jelly beans.

The blood in the stool, dizziness, palpitation, and weakness all the time are related to snacks and coughing!

The patient is somewhat confused.

Her logic is a little confused.

"Check it out first." Deputy Director Zou said.

He asked Mr. Miao to open an outpatient examination for the patient to do, and then Deputy Director Zou pulled Ji Xiang to the side and began to whisper.

Zhao Zhe looked at Ji Xiang deeply, recalling Ji Xiang's diagnosis in his mind.

Even if he knew the result, Zhao Zhe still couldn't copy it.

"Zhao Zhe, who is he?" Xie Kai asked.

He was a little dazed, as a doctor, someone had explained the diagnosis process, but he didn't understand it.

This is incredible, it is like a heavy punch that shatters all of Xie Kai's three views.

"Ji Xiang, I introduced it to you." Zhao Zhe replied, "I'm in Xiaoji's medical team now, he may have done it, especially the interventional surgery is doing quite well, I ......"

"I didn't ask you so much, Zhao Zhe, how did you say he was diagnosed?"

"How do I know, my job is to cooperate with Dr. Xiaoji." Zhao Zhe showed a relaxed smile, "I asked Neymar yesterday for an autographed jersey!" Do you dare to think about it once upon a time? I don't dare to think about it anyway. ”

Xie Kai listened to Zhao Zhe talking about Neymar in Rory on the side, and his heart was in turmoil.

If the expert from the First Affiliated Hospital of Hangzhou Medical University gave a quick diagnosis, he would admire it very much, and he would often bring it up on the wine table after returning home.

It's a good fodder to brag about.

It is normal for a senior doctor in a higher-level hospital to give a correct diagnosis, and there is no need for accidents.

But the diagnosis was given by a young doctor, which made Xie Kai unacceptable.

In his ears, Zhao Zhe was buzzing like a fly, and Xie Kai looked at the whispering figures of Ji Xiang and Deputy Director Zou becoming more and more confused.

said that it was whispering, but in fact, Ji Xiang kept saying it, and Deputy Director Zou kept thinking like a student.

This picture of the teacher's earnest teachings made Xie Kai even more incomprehensible.

They chatted for a while, and Deputy Director Zou took Ji Xiang and Zhao Zhe to get busy, and Xie Kai was thrown aside.

Pretending, Xie Kai thought unconvinced.

In his opinion, what compound licorice tablets and what licorice-flavored snacks are. In the past, how many patients took compound licorice tablets until they were old, and they didn't see anything.

The patient is only in his early 30s, so why do he have low blood potassium.

However, 4 hours later, when the results came out, Xie Kai rubbed his eyes in disbelief as he looked at the values on the report sheet.

(End of chapter)