Sleepless Doctor

There was a mess in the meeting room.

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

"Death by yourself." Wu Mian sighed and shook his head slightly.

"Dean Zhou, this is the case." Chu Zhixi said Wenyan, "Dr. Yang has a problem with his heart rate and pulse, but other physical examinations did not look like myocardial infarction. My brother looked for the medicine on his body and found that he was carrying a lipid-lowering medicine. ."

"Uh……"

"The lipid-lowering medicine must be taken frequently, but there is grapefruit white flesh between his nails. It is estimated that it was glued when peeling." Chu Zhixi said.

"Doctor Chu, please tell me briefly, I am confused." Dean Zhou said.

"Grapefruit contains a substance called furanocoumarin. Its properties are generally similar to coumarin. It is soluble in solvents such as ethanol, ether, ethyl acetate, acetone, and insoluble in water; it is soluble in hot sodium hydroxide solution. The lactone ring is cracked and cyclized again when it encounters acid."

"..."

Dean Zhou couldn't understand even more.

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

"Uh...I'm done."

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

"Oh oh oh, look, blame me and blame me." Chu Zhixi suddenly realized that she was in Bajingzi, and said repeatedly, "Furacoumarin reacts with many drugs."

"Generally speaking, they are antihypertensive drugs."

"I really want to hear about this. It is said that antihypertensive drugs cannot be taken with grapefruit. I thought it was pseudoscience, but I didn't believe it."

After Chu Zhixi started to say "human" words, Dean Zhou finally understood one sentence, and he hurriedly said.

"The Canadian researchers said in the Bulletin of the Canadian Medical Association that it was 12 years... brother, when did it happen in 12 years?"

"November 26, 2012."

"Well, on November 26, 2012, Canadian researchers said that more and more drugs were found to cause adverse reactions when taken with grapefruit juice, and may even cause serious side effects such as sudden death. Researchers recommend that people take this type of drug. You should avoid drinking grapefruit juice, and do not eat grapefruit and other citrus fruits."

"I thought it was pseudo-science, it turns out that there is such a thing." 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 operation. You have been sitting on the bedside for 3 days and 3 nights, and took a good night's sleep. The patient is dizzy again. Let this happen!"

Dean Zhou was dumb.

Just say that the man in front of you has any abilities. He looks at the patient and he is fine, and the patient faints when he leaves. If there is nothing to say about this, he must not believe it.

"Don't talk about that." Wu Mian shook her head and said, "Dr. Yang is fine, blood pressure and lipid-lowering drugs and grapefruit cannot be eaten together. There are figs and Huangxin peppercorns, and you will be fine in the future. This is because there are lipid-lowering drugs, which is better to judge. If you encounter special circumstances, such as Huangxin pepper in the hot pot, and then eat grapefruit before and after the hot pot, you can’t find the cause of the illness."

Dean Zhou followed Wu Mian's thoughts, and that's the truth. But... the thought of Wu Mian's rebuke to Yang Lei just now made Dean Zhou a little frightened, but fortunately he didn't sneer.

"Xiao Wu, it's not easy for Doctor Yang, the family just had a second child." Dean Zhou was silent for a little while, and whispered.

Wu Mian glanced at Dean Zhou helplessly. Did he think he scolded him? Isn't that nonsense?

Those who can swear to death are basically patients with myocardial infarction. As soon as the blood pressure is high, the coronary artery spasm will cause the person to die immediately. I checked it by myself just now, and that's not the case with Doctor Yang.

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

Dean Zhou grinned, what else is going on? Just half an hour after the meeting, I lay down one. If you open it again, someone really has something good or bad, and you can't explain it yourself.

"If you don't open it, you can't open it," Dean Zhou said repeatedly, "Xiao Wu, go ahead."

"Okay." Wu Mian turned around, just about to take a step, and suddenly said, "Dean Zhou, the primary hospitals are not the same as the provincial and municipal tertiary hospitals. It is okay to be optimistic about the underlying disease. There is no need to get those. The doctor is tired and it's useless."

"..."

Dean Zhou watched Wu Mian drifting away in a white T-shirt, and a girl with double ponytails jumping around was standing in Shi's classroom blankly.

I'm kind, but Chief Wu just doesn't appreciate it.

...

...

"Brother, why didn't you let me say it?" Chu Zhixi smiled, "Don't let you talk about your embarrassment, you are so courageous and good-natured."

"It doesn't make sense, he doesn't understand it after you said it. Why are you talking about it."

"It's related. Grapefruit is not only related to antihypertensive drugs, but also related to anti-rejection drugs. Later, it was not you who observed and said that the patient got sick every time he ate grapefruit, and then I found a laboratory to study the drug reaction. The conclusion?"

"I don't want to think about it, it hurts."

Wu Mian strode back to the office and saw that the two elder sisters of the staff saw that his eyes were not right. He didn't care, sitting in a chair in a daze.

There are a lot of things in his mind, and Wu Mian needs to straighten out a little bit.

He was sitting on the chair, tapping his fingers on the armrest of the chair, as if he was tapping on the bamboo chair in the back of the old mountain.

The world finally calmed down, and Wu Mian felt that he hadn't had much fun with cursing today. The medical record was written as that virtue, and I asked myself to check it. This is the gradual increase in age, coupled with poor health, unwilling to make trouble.

If you are 20 years old, hang up all the doctors in the Bajingzi Hospital of Traditional Chinese Medicine for three days. The standard medical record can be copied 100 times by everyone, and even stupid people can learn it.

In fact, there is nothing difficult in writing medical records, it is just being careful. In large tertiary hospitals, fewer people live more, and medical records are not well written.

That's it, it doesn't matter to the root.

...

...

At night, the ordinary-looking man appeared again at the Bajingzi Hospital of Traditional Chinese Medicine.

He said he had a stomachache, so the doctor on duty gave him a check-up, and then took the bill and wandered around the hospital.

He is more familiar with internal medicine, surgery, and laboratory medicine than the average Bajingzi residents.

When he came to the First Department of Surgery, the man glanced at the photos on the big sign, and his eyes stayed on the face of the last and youngest Xu Jia for a few seconds.

"Nurse, can you ask me where to check this?" The man asked politely, lowering his head, with the brim of his hat covering his face.

"Not in the inpatient department, you can see the laboratory on the first floor opposite to the yard." The nurse is fine~www.wuxiaspot.com~ is sitting in the nurse's station and swiping the phone, she is showing the man the way.

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

With that, he pointed to the photo on the sign.

"Xu Jia, just graduated."

"I also want to thank him. May I ask him on duty that day?"

"tomorrow."

"thanks."

The man didn't linger much, turned and left.

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

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