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

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

Meng Qingfei shook his hand, "I don't need you, you're busy with you." For scientific research and papers, it is much easier to bring a name than to give gifts and invite guests to dinner. Remember, the head nurse of your department and the nurse of the pharmacy who changed the doctor's order have the opportunity to bring a name. It doesn't need to be too high, just the top five authors. ”

"Hmm." Ji Xiang nodded vigorously.

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

These scattered things are very important, and if you don't have a clear reminder, you will definitely not be aware of it.

When I realized it, a lot of things were already in place.

"They can write a fart paper, they don't do research, but they want this mess. You give them a name and give them a chance to advance, and it will be good for you in the future. ”

"I know Mr. Meng." Ji Xiang said humbly.

Meng Qingfei looked at Ji Xiang, and his eyes were full of gratification.

But in a blink of an eye, there was less banter in his eyes and more seriousness.

"This was what I thought fifteen years ago, and guess what I think now?"

Ji Xiang also got serious.

In empathy, Ji Xiang has experienced countless episodes of life, which have various influences on Ji Xiang.

But Ji Xiang was like a big water tank and packed all kinds of life fragments into it, and it didn't have a fatal effect on him.

This is also a type of talent.

Now Meng Qing has to instill in Ji Xiang what belongs to him, and Ji Xiang up his ears to listen.

"To exist is to be reasonable, when I was young, I always wanted to change the world, but in the end I changed the world." Meng Qingfei said, "Let me write it, a few papers, what's the 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 vigorous and couldn't pull down my face. ”

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

A misstep becomes a thousand years of hatred, but when he turns back, he is a hundred years old, and Ji Xiang feels about it.

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

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

"What's wrong?"

"Here's the medical record, you watch, I'll deal with the patient. I just went to the observation ward for a while, and there were so many people. The emergency physician nagged, and threw down the medical records without touching the ground.

Today, the emergency department is super busy, but the surgery is fine, and with Ji Xiang's assistance, Meng Qingfei is very leisurely.

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

Speaking of emergency rescue, Ji Xiang was full of interest.

"Teacher Meng, tell me."

"A patient with cirrhosis, gastric varices, portal hypertension, and hematemesis was sent to the Department of Gastroenterology. It was the late nineties, and the hospital was in tatters. Do you know what the only benefit is? ”

"There are no doctor-patient disputes." Ji Xiang said with a smile.

"Xiaoji, you are making such rapid progress, and you have an understanding of doctor-patient disputes."

"Two peaches kill three soldiers, do you transfer contradictions, I understand."

Meng Qingfei raised his head and glanced at Ji Xiang deeply, and did not evaluate what Ji Xiang said, but continued to look down at the medical records and the test sheets behind the medical records.

"At that time, a three-lumen and two-capsule tube was used for such patients, and the tube was put in, and the bleeding was temporarily relieved, because the patient was very sick, and the third-line professor on duty was ready to use thrombin. That thing was rare in hospitals at that time, and several of them were used as treasures. ”

"Put the medicine into the dressing tray, put the salt water on it, and the professor stretched out his hand—give it to me. He prepares to use a syringe to draw the diluted thrombin and inject it down the stomach tube. ”

As a result, a female classmate wanted to make a sycophant again, but she didn't understand what the professor was doing. She went up and picked up the curved plate, poured out the medicine inside, and handed it to the professor. ”

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

"The professor is also very helpless, so he can only use salt water mixed with adrenaline to inject it. He wanted to see the effect of thrombin, but his plan was disrupted by someone one step ahead. ”

"Then this girl ...... Still willing to get into trouble, this disease is very strange, Xiaoji, what do you think. ”

Meng Qingfei chatted halfway through and returned to the medical record.

His mind jumps, but Ji Xiang can keep up. Ji Xiang is not Zhao Zhe, he is not interested in these, so it is better to get down to business.

"When the patient first arrived, his liver function was slightly abnormal, but it was fine." Ji Xiang said in chronological order, "After intravenous administration of famotidine, the liver function has been getting worse, and the first feeling is caused by famotidine. ”

"Old." Meng Qingfei sighed with emotion, got up from the treatment room, and spent a long time in a garbage bag to find the instructions for famotidine.

"Teacher Meng, there is one on the computer." Ji Xiang reminded.

"My eyes are a little bit glazed, and I can't see clearly when I look at things on the computer." Meng Qingfei said, "I'm still used to reading the manual." ”

The small characters on the manual are more difficult to distinguish than the words on the computer, and Ji Xiang feels that Meng Qingfei is a natural habit and does not want to change it.

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

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

"Neurological/psychiatric system: headache, dizziness, fatigue, hallucinations, etc. are common. If they occur, symptoms can be controlled with haloperidol. ”

"A small number of patients have dry mouth, nausea, vomiting, constipation, and diarrhea, with occasional mild aminotransferase elevation, and rarely, a feeling of abdominal fullness and anorexia."

"It's here!" After Meng Qingfei found it, he frowned, "Occasionally, there is a slight increase in aminotransferases. It is said that the words "occasional" and "mild" should not be a major problem in the manual. ”

Ji Xiang and Meng Qingfei had the same thoughts, and they didn't think there would be any big problems.

He held his breath and made his way to the operating room.

Meng Qingfei continued to look down one by one.

I read the instructions and started to look at the medical records again.

The logic is clear, it should be caused by famotidine, but the patient's elevated aminotransferases are obvious, 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, pharmacokinetics have shown that it is 20% metabolized by the liver.

In the case of hepatic insufficiency, it is easy to cause the drug concentration to be too high due to slow metabolism; 30% of the oral dose and 65%~80% of the intravenous dose are excreted through the kidneys, and liver and kidney damage caused by the drug have been reported. ”

"Why don't we stop famotidine and try it with liver-protecting drugs?"

(End of chapter)