Healing Doctor

Chapter 170 One In, One Out (Bonus Chapter by Alliance Leader Lu Renyi x7)

"That's just how clinical practice is. Let alone the average person, whose understanding of diseases and treatments is practically zero. Even experienced doctors, what can they do? Things can still go wrong," Meng Qingfei said.

"Teacher, is there anything else?"

"Of course, don't think you're so great." Meng Qingfei looked at Ji Xiang and said directly, without expecting Ji Xiang to overthink it.

Ji Xiang smiled.

The system NPCs have said similar things.

"Did you know that our hospital's pediatric emergency department was closed a while ago?" Meng Qingfei suddenly changed the subject.

"I don't know, Teacher Meng."

"There are fewer and fewer pediatricians. It's difficult to even keep a pediatric department or a neonatal department running. Pediatric intensive care has been suspended. There's no other way. On another note, a patient brought his child to see a doctor."

Meng Qingfei and Zhao Zhe are different. Although he sometimes goes off-topic, he always manages to bring the topic back on track as soon as possible.

Aside from his dirty white clothes, this person was otherwise quite nice, Ji Xiang thought.

"The newborn was born at 30 weeks gestation and was brought in by an ambulance from the county hospital. I got the admission slip and admitted the baby directly, because I was worried that if something happened on the way, it would be difficult to explain without a doctor. I went with them."

"What happened next?"

"A 30-week premature infant presents with progressive respiratory distress, grunting, cyanosis, and inspiratory retractions within 4-12 hours after birth. Can you diagnose this condition?"

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

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

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

"Treatment of neonatal respiratory distress syndrome requires a drug called porcine pulmonary phosphate injection. Our hospital's drug is marketed as Curesu, and it costs 5300 per vial."

"Oh." Ji Xiang didn't have much of a concept of money; it didn't matter whether 5300 was a few zeros more or less.

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

"While I was taking the children to the neonatal ward, I gave them a heads-up and told them about the medication."

"You know, if doctors from two different systems both say the same thing, the patient's family is more likely to accept it. This medicine is too expensive, and it doesn't really offer any benefits. You won't use much of it in a year; the manufacturer is just going with the flow."

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

"Did you use it at home later? Did the child get better?" Ji Xiang asked.

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

"No, the child died the next day before I even got off work."

"!!!"

"Because Gursu is expensive, the patient's family discussed it. They called some idiot doctor, and he just said the hospital couldn't possibly have such an expensive drug!"

"So, it's useless?" Ji Xiang asked in surprise.

"Hmm, it was no use," Meng Qingfei said calmly. "Just because of one sentence from that doctor, the patient's family refused to take the medication, and the child died."

"What I'm telling you is the same reason I don't remove stitches from patients," Meng Qingfei said very seriously. "Nowadays, there are many branches in clinical departments. It's not even an exaggeration to say that different fields are like different mountains. It's like crossing a mountain between different departments, you understand?"

Ji Xiang felt a chill run down his spine and nodded.

"That's roughly the idea," Meng Qingfei said with a smile. "Not to mention anything else, how many cases of neonatal jaundice caused by our hospital's own nurses giving birth have been delayed? And those are our own nurses."

"Teacher Meng, I understand."

"Come and check back often. If you can handle some of the small stitches, I'll teach you how to do them first." Meng Qingfei felt he had done Ji Xiang a huge favor, so he said very seriously, "Once you're skilled, you can sew on your own."

Ji Xiang didn't explain how well he performed the surgery, but bowed slightly to express his gratitude.

"Never mind that, a few days ago I was off work and went to the radiology department for something. They told me something that really confused me."

"A graduate student in radiology, a doctor from the same family, somehow managed to stay on," Meng Qingfei said. "He's been trying to get his license for three years without success."

"Uh, it can't be that bad."

"What confused me was that I had no idea that radiology doctors also had to take a medical licensing exam. To have the right to diagnose, you need a medical license; otherwise, you're just a technical staff member. Four-year medical imaging technology graduates can't take the medical licensing exam, and five-year medical imaging graduates only get a clinical diploma."

"..."

Ji Xiang was also a little confused.

Four or five years of imaging medicine are actually different.

"Furthermore, that kid was able to pass the postgraduate entrance exam, but failed the medical licensing exam. No wonder, the postgraduate exam was probably in radiology, while the medical licensing exam is mainly clinical."

"No matter what I say, you must be careful," Meng Qingfei said very seriously.

"Thank you, Dr. Meng." Ji Xiang understood Meng Qingfei's convoluted words and knew that he was doing it for his own good, so he sincerely thanked the emergency room doctor.

"Let me tell you another story."

There were relatively few patients in the emergency department today. Meng Qingfei said he's gotten addicted to it, and he's quite the know-it-all.

"A friend of mine is in Beijing," Meng Qingfei said with great interest. "When he was doing his advanced training in cardiothoracic surgery, he encountered a patient with postoperative intestinal bloating; his stomach was so distended it looked like it was about to burst."

"Is it related to anesthesia?" Ji Xiang asked.

"Listen to me," Meng Qingfei said without answering Ji Xiang's question. "I haven't had a bowel movement for several days, so mechanical intestinal obstruction is definitely out of the question. We've tried everything: hot compresses, massage, enemas, neostigmine, gastrointestinal decompression, rectal tube gas distension—we've tried everything, but nothing has worked."

"What would you do if you were in my shoes?"

Ji Xiang thought to himself, "I need to find the system NPC in the system space."

The system NPCs must have a way.

Meng Qingfei didn't wait for Ji Xiang's answer. He said with a smile, "The hospital where he did his training was completely stumped by this disease. It left my buddy dumbfounded."

"Hmm? Why? I feel that even the top-tier hospitals can't cure every disease," Ji Xiang said after thinking for a moment.

"No, my buddy knows how to treat this illness. He thinks it's very simple, so he doesn't dare to say a single word of nonsense. Later, after waiting for a whole day, the head doctor was so anxious that he stood in the doctor's office and started yelling at people."

"He can?"

"Of course, there's also a mnemonic: 'One in, one out, to promote the flow of medicine and clear the intestines.'"

"What do you mean by 'in and out'..." Ji Xiang felt that Teacher Meng was making a suggestive joke at his expense.

This is so boring!

But Meng Qingfei didn't have the knowing smile that most men have. Instead, he said very seriously, "New Smite."

"Teacher Meng, you just mentioned neostigmine, and it seems the manufacturer has stopped producing it because it's too cheap," Ji Xiang said.

"Also, there's a relatively small amount. Tell me, how is neostigmine used?"

"Both intramuscular injection and intravenous push are fine, but intramuscular injection is preferred."

"What about injection at Zusanli (ST36)?"

"..." Ji Xiang was taken aback.

He knew about Zusanli (ST36), but he had no idea what an injection at Zusanli was.

(End of this chapter)