Chapter 170: One In, One Out (Alliance Leader Lu Renyijia Bonus ×7)

"Clinical practice is just like this; let alone the fact that the average person's understanding of diseases and diagnosis is practically zero. Even for veteran doctors, what can they do? When things go wrong, they go wrong all the same," Meng Qingfei said.

"Teacher, is there anything else?"

"Of course, don't think you're very impressive," Meng Qingfei looked at Ji Xiang and said very directly, not feeling at all that Ji Xiang would overthink it.

Ji Xiang smiled.

The System NPC had said similar things before.

"A while ago... did you know the Pediatrics Department's emergency room in our hospital was shut down?" Meng Qingfei suddenly changed the subject.

"I didn't know, Meng Laoshi."

"There are fewer and fewer pediatricians; it's difficult enough to support a Pediatrics Department and a neonatal unit, so the Pediatric Intensive Care Unit was shut down—there was no other way. Having said that, there was a Family Member who brought a child in for treatment."

There was still a difference between Meng Qingfei and Zhao Zhe; although he would go off-topic, he always brought the conversation back immediately.

Aside from his White Uniform being filthy, everything else about this person was quite good, Ji Xiang thought.

"A 30-week neonate, sent by the county hospital below via an Emergency Vehicle. I wrote the admission order for immediate hospitalization, fearing that if something happened on the way and there were no doctors, it would be hard to explain, so I went along."

"What happened later?"

"A 30-week premature infant, the patient developed progressive dyspnea, grunting, cyanosis, and inspiratory three depressions sign within 4 to 12 hours after birth. Let me test you: what is the diagnosis?"

"Neonatal respiratory distress syndrome," Ji Xiang answered without hesitation.

"Not bad," Meng Qingfei nodded; Ji Xiang's basic knowledge was indeed very solid.

Although this was a simple question, it would be good if even half of the doctors who were not pediatric specialists could answer it.

"Treating neonatal respiratory distress syndrome requires a medication, Poractant Alfa; the trade name for this drug in our hospital is Curosurf, 5,300 per vial."

"Oh," Ji Xiang had no concept of money; whether 5,300 had one or two extra zeros didn't matter to him.

Seeing Ji Xiang's indifferent expression, Meng Qingfei was slightly taken aback, but he didn't think much of it.

"While I was sending the patient to the neonatal ward, I gave them a heads-up and mentioned this drug."

"You know, if doctors from two different systems say the same thing, the Family Member's acceptance will be a bit higher. This drug is too expensive, and actually, there's no real profit in it. We don't use much in a year, so the manufacturer just goes with natural flow."

Meng Qingfei explained, and Ji Xiang roughly understood what he meant.

"Did the family use it later? Did the child get better?" Ji Xiang asked.

He guessed that Meng Laoshi was sharing this clinical experience with him.

"No, the next day, before I had even finished my shift, the patient died."

"!!!"

"Because Curosurf is expensive, the Family Member discussed it. I don't know who they called—some idiot doctor—who told them directly that it was impossible for a hospital to have such an expensive drug!"

"So, it wasn't used?" Ji Xiang was surprised.

"Yeah, it wasn't used," Meng Qingfei said very calmly, "Just because of that one doctor's words, the Family Member refused the medication, and the patient died."

"The reason I'm telling you this is the same reason I don't remove stitches for patients," Meng Qingfei said very seriously, "Clinical departments are highly specialized now; 'different professions are like different mountains' doesn't even begin to describe it—separating by one department is like separating by a massive mountain. You understand, right?"

Ji Xiang felt a chill in his heart and nodded.

"That's roughly the meaning," Meng Qingfei laughed, "Not to mention anything else, how many newborns of our own hospital's nurses have had their jaundice delayed? And those were the nurses' own children."

"Meng Laoshi, I understand."

"Come by often when you're free; if you can handle some small Suturing, I'll let you do it first," Meng Qingfei felt he was doing Ji Xiang a huge favor and said very cautiously, "Once you're skilled, you can do it yourself."

Ji Xiang didn't explain how good he was at surgery; he bowed slightly to express his gratitude.

"Setting that aside, a few days ago I was off-duty and went to the Radiology Department for something, and they said something that left me completely confused."

"A graduate student in the Radiology Department, a doctor from our own hospital, I don't know whose connections they used to stay," Meng Qingfei said, "They've been trying to pass the Practicing Certificate for three years and haven't gotten it."

"Uh, that shouldn't be."

"The point that confused me is that I didn't know doctors in the Radiology Department also needed a Practicing Certificate. To have diagnostic authority, you need a Practicing Physician Qualification; otherwise, you're just in a technical position. Four-year medical imaging technology degrees can't take the Practicing Physician Examination, and five-year medical imaging degrees get a Clinical graduation certificate."

"..."

Ji Xiang was also a bit confused by the explanation.

It turned out that four-year and five-year medical imaging degrees were actually different.

"Furthermore, that kid could get into graduate school, yet they couldn't pass the Practicing Physician Examination. It's no wonder; graduate school might focus on imaging, while the Practicing Physician Examination is primarily based on Clinical practice."

"In short, you must be cautious," Meng Qingfei said very earnestly.

"Thank you, Meng Laoshi." Ji Xiang understood Meng Qingfei's convoluted explanation and knew it was for his own good; he sincerely thanked this Emergency Department doctor.

"Let me tell you another story."

There were relatively few patients in the Emergency Department today, and Meng Qingfei had gotten hooked on talking; his urge to play the teacher was quite strong.

"A buddy of mine, in the Imperial Capital," Meng Qingfei said with great interest, "When he was doing advanced studies in Cardiothoracic Surgery, he encountered a patient with postoperative intestinal gas, their belly swollen to the point of bursting."

"Due to the Anesthesia?" Ji Xiang asked.

"Listen to me," Meng Qingfei didn't answer Ji Xiang's question and continued, "They hadn't had a bowel movement for many days, and it definitely wasn't a mechanical Intestinal Obstruction. Hot compresses, massage, glycerin enemas, neostigmine, gastrointestinal decompression, rectal tube venting—they used every method possible, but it still had no effect."

"If it were you, what would you do?"

Go to the System Space and find the System NPC, Ji Xiang thought to himself.

The System NPC definitely had a way.

Meng Qingfei didn't wait for Ji Xiang's answer; he chuckled and said, "This illness, the hospital where he was doing his advanced studies was at a loss, and it left my buddy dumbfounded."

"Hmm? Why? I feel that even the top-tier Grade A Tertiary Hospital shouldn't be able to treat every single disease," Ji Xiang said after thinking.

"No, my buddy knew how to treat this illness; he thought it was very simple, so he didn't dare say a word of nonsense. Later, after waiting for a day, the director was so anxious that they were standing in the Doctor's Office cursing."

"He knew how?"

"Of course, there's even a mnemonic—one in, one out, move the medicine to clear the bowels."

"What kind of 'one in, one out'..." Ji Xiang felt like Meng Laoshi was making dirty jokes with him.

This is just too boring!

But there was no "men understand" smile on Meng Qingfei's face; instead, he said very seriously, "Neostigmine."

"Meng Laoshi, you just mentioned Neostigmine, and it seems the manufacturers don't produce this medicine anymore because it's too cheap," Ji Xiang said.

"There is still some, it's just relatively rare. Let me ask you, how is Neostigmine used?"

"Intramuscular injection or intravenous push are both fine, but it is mainly used for intramuscular injection."

"What about Zusanli injection?"

"..." Ji Xiang was taken aback.

He knew about Zusanli, but he had absolutely no idea what Zusanli injection was.

(End of chapter)