Healing Doctor

Could Chapter 370 be "Irritability"?

Ji Xiang was taken aback; the patient seemed somewhat agitated.

You've already become agitated before even starting the stomach pumping?

The emergency room doctor also frowned as he looked at the patient, seemingly assessing the patient's compliance.

"Doctor..." The patient, somewhat embarrassed, quickly suppressed his discomfort and explained, "I feel terribly unwell, I'm so sorry, so sorry."

"Lie down, let me take a look." The emergency room doctor didn't argue with the patient and began the examination.

The patient's heart rate was 100 beats/min, blood pressure was 98/65 mmHg, the patient was alert, slightly agitated, had dry skin, and no abnormalities were found on auscultation of the heart and lungs.

The patient's medical history is clear: around 16 PM, after consuming approximately 300ml of floral water, they experienced symptoms such as nausea and vomiting.

The emergency room doctor instructed the nurse to connect the QZD-B fully automatic high-efficiency gastric lavage machine and perform repeated flushing with small volumes of fluid and low pressure.

After giving the medical orders, the emergency room doctor didn't even bother to look at the patient before turning and leaving.

For emergency room doctors, whether someone eats undercooked green beans or drinks 300ml of floral water, the treatment is the same.

Gastric lavage, fluid replacement, and vomiting up the "leftovers" from the stomach before arranging for observation; in severe cases, proton pump inhibitors are used—the procedure is simple and clear.

The emergency room doctor considered it routine, but Ji Xiang found it fascinating.

The patient who drank 300ml of floral water exhibited this behavior. Ji Xiang remembered this scene vividly, and he was certain that he would not panic if he encountered a similar patient in the future.

By the way, Ji Xiang took out his phone and searched for the effects of oral floral water.

"Old Meng, what are you doing?" The emergency room doctor walked out of the emergency room and saw Meng Qingfei, who had come out to check on the situation after hearing the patient's roar.

Meng Qingfei seemed a little slow to react. He hesitated for a moment, and Ji Xiang noticed that his gaze was fixed on the patient in the emergency room.

"Old Meng, what's wrong?" The emergency room doctor was also puzzled.

"No." Meng Qingfei subconsciously put his hands behind his back and wiped them on the back of his white shirt, as if he had just washed his hands.

"The patient may have poor alcohol metabolism; his body is flushed and hot, and he's acting crazy while drunk. What's going on?! I have to go now." The emergency room doctor hurriedly ran back to the examination room, where there were already signs of a large number of patients.

"Teacher Meng, what's wrong?" Ji Xiang asked.

"I've seen six patients who needed stomach pumping after drinking floral water, but this patient is different." Meng Qingfei looked at the patient who was about to have his stomach pumped with a serious expression, his eyes darting around.

"Different?" Ji Xiang asked in surprise. "The symptoms described during the consultation and physical examination are exactly the same as what Brother Zhao said."

Meng Qingfei thought for a moment, tilted his head as if pondering, but smiled helplessly a few seconds later.

"Maybe I'm just being paranoid."

He glanced at the patient's electrocardiogram monitor again, then turned and left with Ji Xiang.

"Xiao Ji, I ordered beef dumplings for you," Meng Qingfei said. "I saw you enjoying the braised beef dumplings you ordered last time."

"It doesn't matter what I eat," Ji Xiang said. "Professor Meng, what exactly do you think is wrong with the patient in the emergency room?"

Even if Meng Qingfei wanted to forget the uncomfortable feeling he had just experienced, he couldn't resist Ji Xiang's repeated reminders.

"I can't quite put my finger on it, but something just feels off," Meng Qingfei said, full of suspicion. "The patient's vital signs are stable, so there shouldn't be any problems..."

As he spoke, Meng Qingfei leaned forward, his feet firmly planted on the ground. If Ji Xiang hadn't reached out to steady him, he probably would have fallen flat on his face.

"Teacher Meng, be careful."

"Uh... hahaha, I guess I'm getting Alzheimer's, my hands and feet are uncoordinated," Meng Qingfei joked to himself.

"Ugh ugh ugh~~~" A violent retching sound came from behind.

Not to mention Meng Qingfei, even Ji Xiang was used to the sound of patients vomiting during gastric lavage in the emergency department.

Every shift has patients who need gastric lavage. It's okay at this time, but there are even more people who come to the hospital for gastric lavage and IV drips late at night after drinking too much.

"Dr. Lang! The patient is not cooperating, please take a look!" The nurse shouted angrily at the door of the emergency room.

Meng Qingfei shrugged. "Stomach pumping is so uncomfortable, it's no wonder people can't cooperate."

As he spoke, he glanced back again.

Ji Xiang also looked over. The patient's family members were pressing down on the patient's body, but the patient's hands were still waving, as if struggling.

The heart rate on the electrocardiogram monitor had reached 130 beats per minute, which was likely caused by the violent action of refusing gastric lavage just now.

"Xiao Ji, do you drink?" Meng Qingfei asked absentmindedly.

"I can drink a little, but I basically don't drink," Ji Xiang replied. "I'll have a couple of drinks during the family gathering every Chinese New Year, but that's about it."

"Drink less." Meng Qingfei returned to the emergency surgery clinic and almost bumped his head on the door as he turned around.

"Brother Meng, be careful, what's wrong with you?" Zhao Zhe asked in confusion.

Seeing that Meng Qingfei was restless, Ji Xiang thought of the elderly patient who had been taking estazolam for many years and had also eaten a lot of grapefruit.

If Meng Qingfei hadn't woken the patient up, the patient would have simply fallen asleep in the waiting room, and by the time rhabdomyolysis was discovered, it would have been too late to save him.

This was the old doctor's intuition. Ji Xiang felt it wasn't that simple, so he held his breath and entered the system space.

"Brother Meng, he should be fine. There's alcohol in the floral water, so it's probably just alcohol intolerance, like he drank too much," Zhao Zhe said. "I've seen similar patients before; they were so drunk that you couldn't stop them."

Once, traffic police were conducting a DUI checkpoint and pulled over a guy who was drunk for a blood test. That guy was really stubborn and refused to have his blood taken.

"They almost beat up the nurse in the treatment room. I quickly pulled her out, and then there was a lot of banging inside. In the end, that guy just wouldn't let them take his blood, and the traffic police couldn't do anything about it. It's true what they say: the tough are afraid of the stubborn, and the stubborn are afraid of the unlucky. That's how drunk people are; what if they really drink themselves into a stupor..."

Zhao Zhe was still rambling on when Ji Xiang suddenly looked serious and asked, "Professor Meng, could this patient's behavior be described as agitation?"

"Annoying?" Meng Qingfei's eyes lit up, but he immediately fell into deep thought.

Ji Xiang's words pointed out a direction: if the patient's agitation was not due to gastric lavage, but rather explained by restlessness, then perhaps more possibilities could be considered.

"Family members, hold him down!" came the voice of the emergency room doctor.

This is normal; when performing gastric lavage, it's often necessary to hold the patient down.

Meng Qingfei suddenly turned around, his "lack of coordination" vanished, and he jogged to the emergency room.

"Young man, don't remove the ECG monitor yet!" Meng Qingfei said.

"Ah, Lao Meng, what's going on?" The emergency room doctor was removing the electrode membrane, preparing to hold the patient down for gastric lavage. She looked up when she heard Meng Qingfei's words, looking at him with a puzzled expression.

"Let me take another look, let me take another look." Meng Qingfei didn't know why, but his intuition told him something was wrong. Especially Ji Xiang's question—"irritation"—was like a key that had already opened the door.

(End of this chapter)