Healing Doctor

Chapter 694 Using Baidu for Medical Treatment (Part 2)

Ji Xiang roared as if he had discovered a treasure.

Meng Qingfei ran back quickly, saying as he ran, "Wait for me a moment!"

These words were spoken to the patient, who was presumably not in a very serious condition, so Meng Qingfei's first thought was to check the urine color change.

Upon arriving at the duty room, Meng Qingfei immediately noticed that the urine cup on the table was slowly changing color.

Just as the urine of porphyria patients turns red, the color of the apple juice coming out of the juicer in front of us is gradually changing.

It was as if a drop of black ink had been dripped into the urine; the black mass swirled and gradually dissolved, until the entire glass of urine turned black.

Meng Qingfei glanced at it and immediately took out his phone.

Ji Xiang was speechless.

The idea of ​​using Baidu for medical consultations was originally meant to be sarcastic, but unexpectedly, Professor Meng Qingfei took it to heart.

Shouldn't we just state the patient's problem directly to make it seem more sophisticated?

"Teacher Meng..." Ji Xiang said softly.

"Wait a moment, let me check! The urine is black, what kind of disease is this?" Meng Qingfei said.

"Urinary tract tumor? That shouldn't be the case, but we need to investigate further. This is really unreliable. Xiao Ji, you were in urology during your first residency, and now you're performing kidney cancer surgery. Have you ever seen black urine?" Meng Qingfei started making differential diagnoses while holding his phone.

Ji Xiang was both amused and exasperated. If he didn't know Teacher Meng Qingfei, he would definitely have thought he was there to make a joke.

"No, I guess it's dark red blood in the urine, which is described as black," Ji Xiang said helplessly.

"Yeah, so that's out of the question," Meng Qingfei muttered to himself.

"Eating too much red dragon fruit, which contains anthocyanins, can cause urine to turn red or black, changing the color composition of the urine. This can usually be alleviated by reducing the amount consumed," Meng Qingfei continued, using his phone to make a differential diagnosis.

"That doesn't seem right either. The patient ate dragon fruit for three years? That would take a lot of love. Besides, people who eat dragon fruit usually have red stools; it's rare to see black urine. This is questionable."

Ji Xiang found it very interesting to watch Meng Qingfei making differential diagnoses on his phone.

"Oral administration of drugs such as rhamnosus bark, senna leaves, artificial bezoar, metronidazole, sorbitol, and methylene blue contains specific substances that react with the body's tissues and organs, causing urine to turn black."

"Wait a minute, Xiao Ji, have you ever heard of cases where eating senna leaves caused urine to turn black?" Meng Qingfei pondered, resting his chin on his hand.

"No," Ji Xiang reminded her, "Teacher Meng, there are still patients outside."

Meng Qingfei slapped his thigh, reluctantly put his phone into his white coat pocket, wiped his hands behind his back, and turned to see the patient.

Ji Xiang recalled Teacher Meng's differential diagnosis from Baidu, and his feelings were inexplicably complicated.

But it seems that Teacher Meng has found a breakthrough. Ji Xiang recalled that the key to the problem was not to do differential diagnosis online, but that Meng Qingfei discovered the problem from the patient's underwear turning black, and then observed that the urine turned black.

Normally, urine is flushed away after urination, so no one can see that there is a problem with the urine. Unless you are hospitalized, have an indwelling catheter, or the urine has been stored in the urine bag for several hours, it is impossible to detect.

The whole process seemed easy, but Ji Xiang knew it was a chasm, which Meng Qingfei simply bypassed.

Without the preliminary steps, you might not find the answer even if you search through countless online document libraries.

Ji Xiang quietly pondered Meng Qingfei's diagnostic process. Compared to the almost superhuman intelligence of the system NPCs, Meng Qingfei seemed more like a living, breathing person, a living doctor.

A dozen minutes later, Meng Qingfei walked in excitedly.

"Xiao Ji! This is the first time I've heard that buckthorn peel is used in weight loss products!"

"Well……"

Ji Xiang saw Meng Qingfei scrolling through his phone, searching for information about buckthorn peel.

"Both buckthorn bark and senna leaves are medications that can cause diarrhea and may also cause urine to turn black. I haven't heard of this before, but if I encounter young women with similar problems in the future, I should consider buckthorn bark."

Ji Xiang didn't know how to evaluate Meng Qingfei's unconventional thinking.

"Also, metronidazole. I just asked, and the patient has no history of taking metronidazole orally."

"Teacher Meng, I have never heard of metronidazole causing urine discoloration."

"I couldn't find it either. Information on the internet is always a mix of truth and falsehood. If I can't find it, I'll just leave it there for now. Generally speaking, taking metronidazole will darken the urine, but turning it black is a bit much," Meng Qingfei said.

"One more thing - rare diseases such as hereditary methemoglobinemia, patients usually have black urine due to methemoglobinuria."

Meng Qingfei said something very difficult to understand, and then began to recite it.

Ji Xiang felt embarrassed and wanted to cover his face.

But Meng Qingfei didn't think there was anything wrong with it. After reciting a long passage about medical topics, he started logging into various professional websites to search for relevant information.

"Finally, I'm acting like a professional doctor," Ji Xiang thought to himself.

Because of constant interruptions from patients, it took Meng Qingfei nearly an hour to select two case reports.

Black urine arthritis!

A convoluted and rare diagnosis has surfaced.

Meng Qingfei excitedly slapped his phone in front of Ji Xiang, "Little Ji, look!"

His finger pointed to a passage, which Ji Xiang read carefully.

[In the middle and late stages, a large amount of alkali deposits in the tissues, resulting in widespread skin pigmentation, especially on the auricle, sclera, nose, and cheeks, where pigmentation may appear brown or bluish-black. In the terminal stage, osteoarthritis may occur.]

It took more than five hours from noticing the patient's doubts to finding the evidence.

In the stillness of the night, the logical loop was finally completed.

Although Meng Qingfei made extensive use of the internet for searching, Ji Xiang had a different understanding of his behavior.

"Teacher Meng, it really does look like melena arthritis, exactly the same as what we saw."

"The patient needs joint replacement surgery; there's precedent for it. Are you currently working under Deng Chaohong in the orthopedics department?"

"Yes."

"I'll talk to the patient's family tonight. If they agree to the surgery, I'll have the patient come to you tomorrow, and you can bring him to see Deng Chaohong."

"Okay." Ji Xiang simply replied to Meng Qingfei, whose dark white clothes seemed to be radiating light.

Meng Qingfei seemed very happy. He reached into Ji Xiang's pocket, took out a cigarette, and lit it with relish.

"Xiao Ji, I've noticed that your habit of carrying cigarettes is really good. I don't want to smoke too much, so I don't carry any myself. Taking cigarettes from your pocket is simple and convenient, and I feel a little embarrassed, so I smoke less."

Ji Xiang looked at Meng Qingfei, who had a beaming face. Ji Xiang couldn't see any embarrassment in him at all.

"Dr. Meng, do you often see patients like this?"

Meng Qingfei looked up at Ji Xiang and smiled slightly, "When masters clash, they can injure someone by plucking a flower. Don't get bogged down in every move; just watch and enjoy the spectacle."

(End of this chapter)