Healing Doctor

Chapter 674 One wrong step leads to eternal regret; turning back reveals a century's worth of loss.

"And what happened? All that bullshit research and papers ended up giving rise to an entire industry chain," Meng Qingfei grumbled.

"Teacher Meng, do you really want to make money?" Ji Xiang asked.

Meng Qingfei waved his hand, "No need for you, you go ahead with your work. In research and papers, having your name on the paper is much more useful than giving gifts or treating people to meals. Remember, your department's head nurse and the nurses in the medication room should include your name whenever possible. It doesn't have to be high, just being among the top five authors is fine."

"Mm." Ji Xiang nodded vigorously.

He memorized every word Meng Qingfei said—no, he engraved it in his mind.

These seemingly minor details are very important; without someone knowledgeable to remind you, you definitely won't realize it.

By the time they realized it, many things were already irreversible.

"They can't write any papers or do any research, but the nursing department needs all this nonsense. Mentioning their names and giving them a chance to advance will benefit you later."

"I understand, Teacher Meng," Ji Xiang said humbly.

Meng Qingfei looked at Ji Xiang with eyes full of satisfaction at his potential.

But in an instant, the playfulness in his eyes disappeared, replaced by seriousness.

"That was my thought fifteen years ago. Guess what I think now?"

Ji Xiang also became serious.

Through empathy, Ji Xiang has experienced countless moments in life, and these moments have had various impacts on him.

But Ji Xiang was like a large water tank, filling it with all sorts of life fragments, and it didn't have a fatal impact on him.

This is also a kind of talent.

Now Meng Qingfei was about to impart his own ideas to Ji Xiang, and Ji Xiang listened attentively.

"Existence is its own justification. When I was young, I always wanted to change the world, but in the end, the world changed me instead," Meng Qingfei said. "Just write it if you're asked to. A few papers, what's the big deal?"

"For me, writing papers, doing research, copying and pasting data and making changes is a piece of cake. When I was younger, I was hot-blooded and couldn't bring myself to do it."

Meng Qingfei didn't say much, but beneath his simple words lay a deep sense of regret.

One wrong step can lead to eternal regret, but turning back can mean the passing of a hundred years. Ji Xiang felt that this was roughly the case.

"Meng'er, take a look at this for me." The emergency room doctor walked to the door, peeked in, and said to Meng Qingfei.

Meng Qingfei's skills are truly exceptional; even in the emergency department, he is widely recognized for them.

"What's wrong?"

"Here are the medical records. Take a look. I'm going to deal with the patients. I was just in the observation ward for a bit, and there are so many people there." The emergency room doctor muttered, tossing down the medical records before rushing back to his work.

The emergency internal medicine department was extremely busy today, but the surgery department was doing alright. With Ji Xiang assisting, Meng Qingfei was quite relaxed.

As Meng Qingfei and Ji Xiang reviewed the medical records, Meng Qingfei remarked, "I still vividly remember my first major emergency resuscitation."

When talking about emergency room resuscitation, Ji Xiang was very enthusiastic.

"Teacher Meng, tell me about it."

"A patient with cirrhosis, gastric varices, portal hypertension, and hematemesis was sent to the gastroenterology department. This was in the late 1990s, and hospitals were dilapidated back then. Do you know what the only good thing was?"

"There are no medical disputes," Ji Xiang said with a smile.

"Xiao Ji, you've made great progress; you even understand doctor-patient disputes."

"Two peaches kill three warriors, shifting the blame, I understand."

Meng Qingfei looked up and gave Ji Xiang a deep look, but did not comment on Ji Xiang's statement about "two peaches killing three warriors". Instead, he continued to look down at the medical record and the test results at the back of the medical record.

"At that time, we used a three-lumen two-balloon catheter for these patients. After inserting the catheter, the bleeding was temporarily relieved. Because the patient's condition was very serious, the on-duty third-line professor prepared thrombin. That stuff was very rare in the hospital at that time, and the few tubes we had were considered precious."

"After putting the medication into the dressing tray and adding saline, the professor reached out and handed me the tray. He prepared a syringe to draw up the diluted thrombin and then injected it through the gastric tube."

"As a result, a female student, who wanted to flatter the professor but didn't understand what he was doing, went up, picked up the dish, poured out the mixed medicine, and handed the dish to the professor."

"..." Ji Xiang's mind was filled with images, "Hahahaha."

"The professor was also helpless; he could only administer a saline solution mixed with adrenaline. He originally wanted to observe the effect of thrombin, but someone beat him to it and disrupted his plans."

"Later, this girl... still wanted to cause trouble. This illness is very strange. Xiao Ji, what are your thoughts?"

Meng Qingfei finished his conversation and returned to the medical record.

His thoughts jumped around, but Ji Xiang could keep up. Ji Xiang wasn't Zhao Zhe; he wasn't interested in these things. It was better to get down to business.

"When the patient first arrived, his liver function was slightly abnormal, but still within acceptable limits," Ji Xiang said, following the timeline. "After receiving famotidine intravenously, his liver function kept deteriorating, and my first thought was that it was caused by famotidine."

"Getting old," Meng Qingfei sighed, getting up from the treatment room and searching through the trash bag for a while before finally finding the famotidine instruction manual.

"Teacher Meng, it's on the computer," Ji Xiang reminded her.

"My eyesight is a bit blurry, and I can't see things clearly on the computer," Meng Qingfei said. "I still prefer to read the instruction manual."

The small print in the instruction manual was harder to read than the text on the computer screen, and Ji Xiang felt that Meng Qingfei had simply gotten used to it and didn't want to change.

Meng Qingfei took the famotidine instruction manual and began looking for side effects.

"A small number of patients may develop rashes or urticaria."

"Nervous/psychiatric system: Common symptoms include headache and dizziness, and may also include fatigue and hallucinations. If these occur, haloperidol can be used to control the symptoms."

"A small number of patients experience dry mouth, nausea, vomiting, constipation, and diarrhea. Occasionally, there are mild elevations in aminotransferases, and rarely, abdominal distension and loss of appetite."

"It's here!" Meng Qingfei frowned after finding it. "Occasionally mildly elevated transaminase levels. The instructions should say something like 'occasionally' or 'mildly' so it shouldn't be a big problem."

Ji Xiang and Meng Qingfei shared the same thought, believing there wouldn't be any major problems.

He held his breath and entered the system's operating room.

Meng Qingfei continued reading through the list, one by one.

I read through the instruction manual, then started looking at the medical records.

The logic is relatively clear; it should be caused by famotidine. However, the patient's transaminase levels are significantly elevated, which differs from the results observed in clinical practice.

"Teacher Meng, I have an opinion," Ji Xiang suddenly said.

"Tell me about it."

"Although famotidine is relatively safe, pharmacokinetics show that 20% of it is metabolized by the liver."

In cases of liver dysfunction, slow metabolism can easily lead to excessively high drug concentrations; 30% of oral doses and 65%–80% of intravenous doses are excreted through the kidneys, and there have been reports of liver and kidney damage caused by this drug.

"How about we stop famotidine and try a liver-protecting drug instead?"

(End of this chapter)