Healing Doctor

Chapter 295 Drowsiness Caused by Grapefruit (Bonus Chapter x2 by Alliance Leader Blowfly)

What the hell does this mean?!

Meng Qingfei stared blankly at his phone.

He quickly made another call.

"Hello, I am..."

"Telecom fraud, I know, get lost!"

The call was immediately disconnected.

Meng Qingfei was both amused and exasperated.

He didn't expect the patient's family to think it was a telecom fraud; their awareness of prevention was too strong.

Ji Xiang is usually quite serious, unless he can't help it, like this time.

"Sigh." Meng Qingfei shook his head and had no choice but to get up and go to the nurses' station to make a phone call.

Ji Xiang followed behind Meng Qingfei to see how he would resolve the situation.

This time, the department's landline was used. The other party's tone was slightly better, but when they heard Meng Qingfei's voice, they wanted to hang up. Meng Qingfei shouted at the last second.

"You can ask 114."

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

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

There was a few seconds of silence on the other end of the phone; they were clearly having an internal struggle.

"My dad is in good health; he just had a check-up not long ago," the patient's family member on the other end of the phone replied hesitantly.

"Okay, let me guess, you verify. If it's right, call me back on my phone. Talking to you is exhausting, it feels like I'm plotting to scam you out of your money."

Meng Qingfei complained.

"Go ahead," the other person said warily.

"Has your father been taking statins recently, and has he been eating a lot of grapefruits this fall? If so, call me immediately!"

Meng Qingfei tried to keep his question brief.

"this one?"

"You think I lied to you and said that someone else used the Jingjing Baitiao account that I registered at some point?" Meng Qingfei said disdainfully.

"Then let me ask, the emergency department of the Second Affiliated Hospital, right?"

"My surname is Meng, I work in emergency surgery. Come directly to me when you arrive." Meng Qingfei didn't waste any time and hung up the phone immediately.

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

"The recent scam calls are all automated messages. Maybe the scammers think the success rate is too low, so they've started offering live human assistance," Meng Qingfei explained to Ji Xiang as he strolled towards the clinic. "I've received a few calls recently."

"They were very polite and said directly, 'Hello Mr. Meng, is the last four digits of your ID card ***?'"

"Is the leakage of private information this serious? They even know your ID card." Ji Xiang asked in surprise.

"You haven't received any scam calls?" Meng Qingfei was even more surprised than Ji Xiang.

"No, never." Ji Xiang shook his head.

Meng Qingfei didn't understand, but he didn't care to. "After confirming, they continued, saying that my old BaiTiao account had been stolen and needed to be closed. This scam is quite simple; if you've downloaded any apps, you're likely to register a BaiTiao account randomly."

They offer rewards for registering for JD Pay Later, such as cash or vouchers, so I guess many people have registered on a whim.

"Yeah, they all forget what they did in the past," Ji Xiang said.

"But I never shop online, so I definitely don't have any," Meng Qingfei laughed.

"Scammers are rampant these days," Ji Xiang said. "Teacher Meng..."

"Xiao Ji, I'm going to test you. What's the patient's condition?"

Meng Qingfei asked with a hint of smugness.

He had a clear understanding of the patient's condition after asking about it, and everything was under control. This was a model of combining years of clinical experience with basic knowledge.

Ji Xiang shrugged. Seeing Meng Qingfei's lips curl up in a mocking smile, he had an idea and went to the system's operating room.

"If you could tell me..." Meng Qingfei was stumped. He thought about it carefully, but didn't know what to give Ji Xiang.

Other resident trainees would be grateful to have their small incisions stitched up, but Ji Xiang is starting to perform level four surgeries. Where can you complain to him?

"Teacher Meng." Ji Xiang paused slightly, then smiled. "Grapefruit contains uracholine compounds, which are inhibitors of major drug-degrading enzymes in the human body."

Coumarin compounds can rapidly increase the concentration of statins in the blood within a short period, leading to a doubling of the amount of drug entering the bloodstream. They also inhibit the breakdown and metabolism of the drug in the body, significantly increasing drug accumulation and toxic side effects.

"!!!"

"When you took the patient's medical history, I heard him say that he usually has trouble sleeping and takes estazolam. Agoracoumarins also have a strong effect on estazolam..."

"What?" Meng Qingfei was taken aback.

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

"Some anti-anxiety medications, such as diazepam and midazolam, should not be taken with grapefruit, as grapefruit can prolong the duration of action of these sedative-hypnotic drugs, thereby causing dizziness and drowsiness."

"!!!" A series of exclamation marks floated above Meng Qingfei's head again.

He had absolutely no idea that grapefruit and estazolam could interact.

"The patient's symptoms were very clear: he had ingested a large amount of grapefruit, which led to an excessive intake of namocoumarin compounds, causing a reaction with his usual oral medications."

"Then what are you diagnosing?" Meng Qingfei pressed.

"In mild cases, patients may experience aches and pains in their limbs, but their urine will change color, which suggests they may already have rhabdomyolysis," Ji Xiang said calmly. "Professor Meng, your clinical diagnosis and treatment are excellent. Rhabdomyolysis is common in people who suddenly engage in strenuous exercise, but..."

Meng Qingfei's expression remained calm, but he stared blankly at Ji Xiang, feeling astonished.

Many people may know that eating grapefruit can cause a reaction with lipid-lowering drugs, but in the complex clinical practice, few people can make the correct diagnosis.

It's like solving math problems. There are only a few formulas and theorems. If you know them, you can solve the problem. That's what a math genius does.

But Ji Xiang is different; he can even extend his reach to estazolam.

The fact that the patient was sleeping so soundly in the waiting room earlier confirms that what Ji Xiang said was true.

Originally intending to test Ji Xiang, Meng Qingfei unexpectedly received a lesson from Ji Xiang. While listening to Ji Xiang's "lecture," Meng Qingfei curiously watched the little guy.

They are really interesting young people.

Doctors become more valuable with age because they have seen more and have rich clinical experience. Ji Xiangyao... is an exception.

"Teacher Meng, do you think I'm right?" Ji Xiang asked after he finished speaking.

Meng Qingfei smiled helplessly, "You're sure you're right, so this question is unnecessary."

The phone rang, and Meng Qingfei answered the call.

He communicated with the patient's family, first explaining the preliminary diagnosis and then adding the interaction between grapefruit and estazolam that Ji Xiang had mentioned.

After giving a brief explanation, Meng Qingfei urged the patient's family to come quickly.

Rhabdomyolysis can range from minor to severe, and it is definitely not a disease that should be taken lightly.

(End of this chapter)