Chapter 295: Drowsiness Caused by Pomelo (Bonus chapter for Alliance Leader Blowfly)
What the hell is this supposed to mean!
Meng Qingfei stared blankly at his phone.
Soon, he dialed the number again.
"Hello, I am..."
"Telecom fraud, I know, get lost!"
Beep, beep, beep~~~ The call was immediately hung up.
Meng Qingfei didn't know whether to laugh or cry.
He hadn't expected the Family Member to think it was telecom fraud; their defensive awareness was just too strong.
Ji Xiang was usually quite serious, unless he couldn't help it, such as this time.
"Sigh." Meng Qingfei shook his head and had no choice but to get up and go to the Nurses' Station to make the call.
Ji Xiang followed behind Meng Qingfei to see how he would resolve it.
This time he used the department's landline. The other party's tone was slightly better, but upon hearing Meng Qingfei's voice, they wanted to hang up again. Meng Qingfei shouted out in the split second before they could.
"You can check with 114."
"Is 114 still around now?" the Family Member asked.
"I don't know either," Meng Qingfei said helplessly, "but I really am a Doctor from the Second Affiliated Hospital Emergency Department. This is our department's landline. Your father came in for treatment, and I have something to discuss with you."
The other side of the phone was silent for a few seconds, clearly struggling with the decision.
"My dad is in good health; he just finished a physical exam not long ago," the Family Member on the other side replied hesitantly.
"How about this, I'll make a guess, and you verify it. If I'm right, call me back on this phone. Talking to you is really exhausting, it's like I'm bracing myself to scam you out of money."
Meng Qingfei complained.
"Go ahead," the other party said guardedly.
"Has your father been taking statins recently, and did he eat a large amount of pomelo because it's autumn? If so, call me immediately!"
Meng Qingfei stated his question as briefly as possible.
"That's it?"
"Did you think I was going to scam you by saying I didn't know who used the JD Baitiao you registered for?" Meng Qingfei said with disdain.
"Then let me ask, Second Affiliated Hospital Emergency Department, is that right?"
"My surname is Meng, Emergency Surgery, come directly to me when you arrive." Meng Qingfei didn't waste words and hung up the phone directly.
"Meng Teacher, what is JD Baitiao?" Ji Xiang asked.
"Recent scam calls are all electronic voice recordings. Maybe the scammers feel the success rate is too low and have started using manual service," Meng Qingfei said, swaying as he walked toward the Consultation Room, explaining to Ji Xiang as he went. "I've received a few calls recently."
"They are very polite and say directly, 'Hello Mr. Meng, is the last digit of your ID card ***?'"
"Is private information leakage this serious? They even know the ID card number," Ji Xiang was surprised.
"You've never received a scam call?" Meng Qingfei was even more surprised than Ji Xiang.
"Hmm, never," Ji Xiang shook his head.
Meng Qingfei didn't understand, but he didn't want to understand either. "After confirming, they continue to say that a Baitiao I registered a long time ago was stolen and needs to be closed. This scam is quite simple; if you have downloaded JD. com, it's very likely you registered a Baitiao casually."
"They give rewards for registering Baitiao, cash or vouchers, I guess many people registered it on a whim."
"Hmm, people always forget what they did in the past," Ji Xiang said.
"But I never shop online, so I definitely don't have one," Meng Qingfei laughed.
"Scammers today are too rampant," Ji Xiang said. "Meng Laoshi..."
"Xiao Ji, I want to test you. What do you think the Patient's situation is?"
Meng Qingfei asked with a hint of smugness.
He had already figured it out in his mind after asking about the Patient's situation just now. Everything was under control; it was a model of combining years of Clinical experience with basic knowledge.
Ji Xiang shrugged. Seeing the corners of Meng Qingfei's mouth turn up in a playful expression, his heart stirred and he went to the System Operating Room.
"If you can say it..." Meng Qingfei was suddenly stumped. He pondered carefully but didn't know what to give Ji Xiang.
For other Standardized Training Students, letting them perform a small Suturing would make them weep with gratitude, but Ji Xiang was already doing Level 4 Surgery, so where was the logic in that?
"Meng Laoshi." Ji Xiang was slightly "startled," then smiled. "Pomelo contains furanocoumarin compounds. This active substance is an inhibitor of the main drug-decomposing enzymes in the human body."
"Furanocoumarin compounds can rapidly increase the concentration of statins in the blood in a short time, causing the amount of medicine entering the blood to multiply, and inhibiting the decomposition and metabolism of the drug in the body, greatly increasing the accumulation and toxic side effects of the drug."
"!!!"
"When you were asking about the medical history, I heard the Patient say that he usually doesn't sleep well and takes Estazolam. Furanocoumarin compounds also have a strong effect on Estazolam..."
"What?" Meng Qingfei was startled.
He knew the first part, but he didn't know that furanocoumarin compounds also reacted with Estazolam.
"Some anti-anxiety drugs like diazepam and midazolam cannot be taken with pomelo because pomelo will prolong the action time of these sedative-hypnotic drugs, thereby causing dizziness and lethargy."
"!!!" A series of exclamation marks floated above Meng Qingfei's head again.
He was completely unaware that pomelo and Estazolam could interact.
"The Patient's symptoms are very clear; it's that he ingested a large amount of pomelo, leading to an excessive intake of furanocoumarin compounds, which reacted with the medicine he usually takes."
"Then what is your Clinical Diagnosis?" Meng Qingfei pressed.
"If it's a mild case, the Patient will have soreness in the limbs, but the urine has changed color; I estimate there is already rhabdomyolysis," Ji Xiang said calmly. "Meng Laoshi, your Clinical Diagnosis and treatment are excellent. Generally, rhabdomyolysis is common in people who suddenly exercise heavily, but..."
Meng Qingfei's expression was calm, but he stared blankly at Ji Xiang, feeling astonished.
Many people might know that eating pomelo and lipid-lowering drugs causes a reaction, but few people in the complex Clinical field can reach the correct diagnosis.
It's like solving a math problem; there are only a few formulas and theorems. If you know them, you can solve it, and that makes you a math genius.
But Ji Xiang was different; he could even extend and expand it to Estazolam.
Combined with the fact that the Patient had been sleeping so soundly in the waiting hall earlier, it corroborated that what Ji Xiang said was correct.
Originally intending to test Ji Xiang, Meng Qingfei hadn't expected to be given a lesson by him instead; as he listened to Ji Xiang "lecture," he looked at this little fellow with curiosity.
Truly a very interesting young man.
Doctors become more valuable as they age because they have seen more and have rich Clinical experience. As for Ji Xiang... he is an anomaly.
"Meng Laoshi, do you think I am correct?" Ji Xiang asked after finishing.
Meng Qingfei smiled helplessly, "You are already certain you are correct yourself, so this last question is redundant."
A mobile phone rang, and Meng Qingfei answered the call.
He communicated with the Family Member, first stating the preliminary diagnosis and adding the matter of the interaction between pomelo and Estazolam that Ji Xiang had mentioned.
After a simple explanation, Meng Qingfei urged the Family Member to come quickly.
Rhabdomyolysis can be minor or major; it is absolutely not a disease that can be taken lightly.
(End of this chapter)
End of Chapter
