Doctor of Healing

Chapter 294 Drowsiness Caused by Grapefruit (Leader Blowfly plus more × 2)

What the hell does this mean!
Meng Qingfei looked at the phone in a daze.

Soon, he made another call.

"Hello, I am……"

"Telecom fraud, I know, get out!"

Beep beep~~~The phone was hung up immediately.

Meng Qingfei couldn't laugh or cry.

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

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

"Sigh." Meng Qingfei shook his head, so he got up and went to the nurse's station to make a call.

Ji Xiang followed Meng Qingfei to see how he would solve it.

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

"You can ask 114."

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

"I don't know either." Meng Qingfei said helplessly, "But I'm really a doctor in the emergency department of the Second Affiliated Hospital. This is our department's landline. Your father came to see a doctor. I have something to ask you."

There was silence on the other side of the phone for a few seconds, obviously a mental struggle.

"My dad is in good health. It hasn't been long since the physical examination." The family member of the patient on the other side of the phone replied hesitantly.

"Well, let me guess, and you verify it. If it's right, call me back on your cell phone. It's tiring to talk to you, as if I'm holding back my strength to cheat you of money."

Meng Qingfei complained.

"Say it." The other party said vigilantly.

"Is your father taking statins recently, and eating a lot of grapefruit in the fall? If so, call me immediately!"

Meng Qingfei spoke out his question as briefly as possible.

"That's it?"

"You think I lied to you that I don't know when the registered Jingjing Baitiao was used?" Meng Qingfei said contemptuously.

"Then let me ask, the Emergency Department of the Second Affiliated Hospital, right?"

"My surname is Meng, and I'm in the emergency department. When you come, call me directly." Meng Qingfei hung up the phone without any fuss.

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

"The recent fraudulent calls are all electronic voices. It may be that the scammers feel that the success rate is too low, so they started manual services." Meng Qingfei walked to the consulting room unsteadily, explaining to Ji Xiang as he walked, "Recently, I have received several calls. .”

"He said politely, Mr. Meng, is your ID card ending with ***?"

"Is the leakage of personal information so serious? Even the ID card is known." Ji Xiang was surprised.

"Have you never received a scam call?" Meng Qingfei was more surprised than Ji Xiang.

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

Meng Qingfei didn't understand, but he didn't want to understand, "After confirming, they continued to say that the IOU I registered a long time ago was stolen and I need to cancel my account. This trick is relatively simple. If you have downloaded Dongdong, it is very likely that you will Sign up for a white bar.

They will be rewarded for registering IOUs, cash or vouchers. It is estimated that many people have registered. "

"Well, I will forget what I did before." Ji Xiang said.

"But I never shop online, surely I don't." Meng Qingfei laughed.

"Liars are too rampant now." Ji Xiang said, "Teacher Meng..."

"Xiaoji, I want to test you. What do you think is the patient's condition?"

Meng Qingfei asked a little proudly.

After inquiring about the patient's situation just now, he knew everything in his mind, and everything was under control, which is a model of the combination of years of clinical experience and basic knowledge.

Ji Xiang shrugged his shoulders. He saw Meng Qingfei's mouth turned up, with a joking expression on his face, and he went to the operating room of the system in a heartbeat.

"If you can say it..." Meng Qingfei was stunned for a while, he thought about it carefully, but he didn't know what to give Ji Xiang.

If it were another Gui Peisheng, he would be grateful for letting them sew up the small opening, but Ji Xiang has started to do level [-] surgery so frankly, there is no way to reason.

"Mr. Meng." Ji Xiang was startled for a moment, then smiled, "Grapefruit contains nocoumarin compounds, which are active substances that are the main inhibitors of drug-decomposing enzymes in the human body.

Nonocoumarins can rapidly increase the concentration of statins in the blood in a short period of time, resulting in a doubling of the drug entering the blood, and inhibiting the decomposition and metabolism of the drug in the body, greatly increasing the accumulation and side effects of the drug. "

"!!!"

"When you asked about the medical history, I heard the patient say that he usually sleeps poorly and takes estazolam. Nocoumarins also have a strong effect on estazolam..."

"What?" Meng Qingfei was startled.

He knew about the first part, but he didn't know that nonocoumarins and estazolam also reacted.

"Some anti-anxiety drugs such as diazepam and midazolam cannot be taken together with grapefruit, because grapefruit will prolong the action time of such sedative hypnotics, causing dizziness and drowsiness."

"!!!" Another series of exclamation marks floated on the top of Meng Qingfei's head.

He was completely unaware that grapefruit and estazolam could interact.

"The patient's symptoms are very clear, that is, taking a large amount of grapefruit orally, leading to excessive intake of nonocoumarin compounds, and the usual oral drugs reacted."

"Then what did you diagnose?" Meng Qingfei asked.

"If the disease is mild, the patient will have sore limbs, but if the urine changes color, it is estimated that there has been rhabdomyolysis." Ji Xiang said calmly, "Mr. Meng, your clinical diagnosis and treatment are very good. Generally, rhabdomyolysis is prone to occur in people who suddenly exercise a lot. man, but..."

Meng Qingfei's expression was calm, but he stared at Ji Xiang in a daze, feeling astonished.

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

It's like solving a math problem. There are only a few formulas and theorems, and if you know it, you can solve it. That's a math genius.

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

Combined with the fact that the patient slept so soundly in the waiting hall before, it proves that what Jixiang said is correct.

Originally wanted to test Ji Xiang, but unexpectedly let Ji Xiang give a lesson. Meng Qingfei looked at this little guy curiously while listening to Ji Xiang's "lecture".

Really interesting young man.

The older the doctor, the more valuable it is because he has seen more and has rich clinical experience.Is Ji Xiang... an outlier.

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

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

The phone rang, and Meng Qingfei answered the call.

He communicated with the family members of the patient, firstly talking about the preliminary diagnosis and adding 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.

(End of this chapter)