194 Deadly grapefruit

In the conference room, there was a mess.

"Xiao Wu, what's wrong with Dr. Yang?" asked Dean Zhou in shock.

"Die to your own death. Wu Mian sighed, shook his head slightly and said.

"Dean Zhou, that's right. Chu Zhixi said warmly, "Dr. Yang's heart rate and pulse are a little problematic, but other physical examinations don't look like a heart attack. My brother looked for the medicine on his body and found that he was carrying drugs to lower blood lipids. ”

"Uh......"

"I must have taken the blood lipid-lowering medicine regularly, but there was a white flesh of grapefruit between his fingernails, which was probably stuck when he peeled it. Chu Zhixi said.

"Doctor Chu, please simply say that I am confused. Dean Zhou said.

"Grapefruit contains a substance called furanocoumarin. Its properties are generally similar to coumarin, soluble in ethanol, ether, ethyl acetate, acetone and other solvents, insoluble in water, soluble in hot sodium hydroxide solution to crack the lactone ring, in case of acid and re-cyclization. ”

“......”

Dean Zhou couldn't understand it.

He hesitated, but still interrupted Chu Zhixi's words, and said politely, "Xiao Chu, you can be simpler." ”

"Uh...... That's all it takes. ”

"What did you say. Dean Zhou almost didn't cry.

"Oh oh, look at it, blame me, blame me. Chu Zhixi suddenly realized that he was in Bajingzi, and said again and again, "Furancoumarin is a thing that reacts with many drugs. ”

"Generally speaking, it is a blood pressure medication. ”

"I'd like to hear about this, saying that blood pressure medicine can't be taken with grapefruit. I thought it was pseudoscience, but I didn't believe it. ”

After Chu Zhixi began to say "human", Dean Zhou finally understood, and he hurriedly said.

Canadian researchers say in the Proceedings of the Canadian Medical Association that it was 12 years...... Brother, when did 12 years happen?"

November 26, 2012. ”

Well, on November 26, 2012, researchers in Canada said that more and more drugs were found to cause adverse reactions when taken with grapefruit juice, and could even lead to serious side effects such as sudden death. Researchers recommend that people should avoid grapefruit juice and avoid citrus fruits such as grapefruit when taking these drugs. ”

"I thought it was pseudoscience, but it turned out to be true. Dean Zhou said in a daze.

"Well, yes. Chu Zhixi said, "My brother was also scared. ”

"Don't talk nonsense. ”

"Hee-hee, the last time I had a liver transplant in London, the patient was always dizzy after the surgery. You have been sitting at the head of the bed for 3 days and 3 nights, taking time to sleep, and the patient has fainted again. There's something going on!"

Dean Zhou was dumbfounded.

Let's just say that this person in front of him has any ability, he looks at the patient and is fine, and the patient faints when he leaves, if there is nothing to say, he will definitely not believe it.

"Don't talk about that. Wu Mian shook his head and said, "Doctor Yang is fine, blood pressure and lipid lowering drugs and grapefruit cannot be eaten together." Then there are figs and yellow-hearted peppercorns or something, and it will be okay to pay attention to it in the future. This is a lipid-lowering drug, which is easier to judge. If you encounter a special situation, such as a yellow pepper in a hot pot, and then eat grapefruit before and after eating hot pot, you can't really find the reason for the illness. ”

Dean Zhou thought along Wu Mian's train of thought, this is really the truth. But...... Thinking of Wu Mian's reprimanding of Yang Lei just now, Dean Zhou was a little frightened, but fortunately he didn't keep his mouth.

"Xiao Wu, Dr. Yang is not easy, the family just had a second child. Dean Zhou was silent for a while, and whispered tentatively.

Wu Mian glanced at Dean Zhou helplessly, did he think he was scolding? Isn't that nonsense.

Those who can scold the dead are basically patients with myocardial infarction. As soon as the blood pressure is high and the coronary artery spasms, the person dies directly. I have just checked it myself, and this is not the case with Dr. Yang.

But Wu Mian didn't bother to explain, and asked, "Dean Zhou, can't the meeting be held yet?"

Dean Zhou grinned, what kind of meeting is this. Just half an hour after the meeting, I lay down one. If you open it again, there is really someone who has a good one, and you can't explain it.

"No, no, no. Dean Zhou said again and again, "Xiao Wu, you go and get busy." ”

"Okay. Wu Mian turned around, and was just about to take a step, when he suddenly said, "President Zhou, the grassroots hospital is different from the provincial and municipal tertiary hospitals, and you can be optimistic about the basic disease." There's no need to get those, the doctor is tired, it's useless. ”

“......”

Dean Zhou watched Wu Mian float away in a white T-shirt, followed by a bouncing girl with a double ponytail, standing in the classroom in a daze.

I am kind-hearted, why doesn't Section Chief Wu appreciate it.

......

......

"Brother, why don't you let me say it?" Chu Zhixi said with a smile, "Don't let me talk about your troubles, you are timid and good-looking." ”

"It's meaningless, he doesn't understand what you said, why is that tongue going on. ”

"Yes, grapefruit is not only related to antihypertensive drugs, but also related to anti-rejection drugs. Later, didn't you observe that the patient fell ill every time he ate grapefruit, and then went to the laboratory to study the drug reaction, and came to the conclusion. ”

"I don't want to think about it, I have a headache. ”

Wu Mian strode back to the office and saw that the two eldest sisters of the section looked at him wrongly. He didn't care, sitting in a chair in a daze.

There are some things in my heart, and Wu Mian still needs to straighten it out little by little.

He sat on the chair, his fingers tapping on the armrests of the chair, like knocking on the bamboo chair behind Lao Yu Mountain.

The world finally quieted down, and Wu Mian felt that he hadn't scolded himself today. The medical record is written as that virtue, and I also let myself check it. This is because I am getting older, and I am not in good health, so I don't want to make trouble.

If you change to 20 years old, hang all the doctors in Bajingzi Traditional Chinese Medicine Hospital for three days. The standard medical record can be copied 100 times by everyone, and even the stupidest person can learn it.

In fact, there is nothing difficult about writing medical records, it is just careful. Large tertiary hospitals have fewer people and live more, and the medical records are not well written.

That's it, the root itself has nothing to do with it.

......

......

At night, the man with an ordinary appearance appeared in the Bajingzi Traditional Chinese Medicine Hospital again.

He said that he had a stomachache, so he asked the doctor on duty to prescribe a check-up, and he walked around the hospital with a list.

Internal medicine, surgery, and laboratory medicine, he is more familiar than ordinary Yaizi residents.

When he came to the outer department, the man glanced at the photo hanging on the big sign, and his gaze stayed on the face of the last, the youngest Xu Jia, for a few seconds.

"Nurse, where am I going to find out?" the man asked politely, bowing his head and his hat brim covering his face.

"It's not in the inpatient department, it's the laboratory on the first floor opposite, you can see it when you go to the courtyard. The nurse was fine, she was sitting in the nurse's station scrolling through her phone, and she showed the man the way.

"Thank you, thank you. Your doctors and nurses here are so kind. The man said, "I also had a stomachache a few days ago, and this doctor took care of it." ”

As he spoke, he pointed to the photo on the sign.

"Xu Jia, just graduated. ”

"I also want to thank him, may I ask him to be on duty that day?"

"Tomorrow. ”

"Thank you. ”

The man didn't linger much and turned away.

The nurse was scrolling through the short video on her phone, and she had no impression of what she had just done.