Qi Jing was still flipping through several infectious diseases magazines. He couldn't help but smile bitterly after hearing what he said: "These little guys are crazy. They are really desperate to die when they see the common bile duct."

"There is no way to use intestinal worms when gallbladder astrologies are painful." Ji Qing suggested, "Why wait?"

"You can't wait. The patient has a high fever. If you have obstructive cholangitis or just drill a hole, then the matter will be a big deal." Qi Jing shook his head, "You have to think of another solution."

The intern girl asked Fang Xiaoli to copy the prescription in her hand, and kept listening to the discussion in her ears, and her speech also adhered to her usual bold style: "If you don't have light jealous, then add less water. If you don't have it, give him a pure one! Just half a bottle will be enough."

"Pure? Half a bottle?"

"Why is there such a crazy girl from Corey?" Qi Jing was a little amused by her words.

This time, there was no need for the two of them to teach. Gao Jian immediately retorted: "If you don't add water, try drinking it on an empty stomach. What if you vomit and vomit, the gastrointestinal tract contracts sharply and stimulate the insects?"

"Will this happen?"

"What do you think..."

Qi Jing smiled and warned: "It's okay if the insects are crazy, but we doctors can't follow us and follow us."

Fang Xiaoli stuck out her tongue and continued to bury her head to copy her prescription.

Wang Ting looked at the teapot in a daze: "If you don't have it, you can only follow what you said just now and let Chen Xiao and Zhou Minhua take the duodenoscope to retrieve it. If it can be taken out, there is no need to worry about it."

Qi Jing passed through Chen Xiao's embarrassment in his head, sweating profusely, and there is no way to get the insects: "The insects are making trouble now, and it is difficult to catch them. Violently catching them can easily damage the intestinal wall."

It is really because the endoscopic technology and equipment are not mature now, and doctors do not have the concept of micro-surgery under endoscopy. It would be nothing if the roundworms were settled, just like a cattle and sheep. But now they are rushing into the common bile duct, and it will be more troublesome if they don’t catch it properly.

Moreover, the practice of changing the intestinal pH value has lost its effect, which means that there are very likely roundworms that have penetrated into the bile tract, but they have not caused obstruction. At that time, I spent a lot of effort to enter the duodenoscope, and it would be embarrassing if I didn’t see anything.

"If you really enter the biliary tract, you have to send general surgery to get the insects." Wang Ting said after taking a sip of tea, "This disease cannot be delayed, so you have to fight quickly."

"The bacterial infection has not been controlled yet, is the risk of surgery a little big?" Ji Qing was already very stable, and he was a little worried after hearing this.

"This needs to be evaluated by ordinary foreigners to know."

"It's a problem, it's been too long."

Qi Jing sighed, took a stack of prescriptions from the side, tore off one and placed it in front of him: "There is nothing to blame for yourself. I helped him hold on the plane for several hours, and it would be nice to be able to steadily go to the hospital."

"For general surgery, we have just passed the department, and I know all the surgeons there!" Fang Xiaoli got up and was about to get the phone: "Let them come down for consultation now?"

"No hurry, try using internal medicine methods. If it really doesn't work, it's called a general waiter."

Qi Jing took out his pen, wrote the medicine on the prescription, and said, "We should change our thinking. The bile flowing out of the bile is alkaline and will have a special liking for the bile. Then we just change the pH value of the bile and make it acidic."

"Force them to leave the bile duct?"

After he said this, Wang Ting, who had little knowledge of parasites, immediately thought of several drugs: "This is a good method, but choosing drugs is very important. We must ensure the ratio of biliary metabolism and the metabolism speed is fast enough."

“Yes, it’s important to choose medicine.”

Speaking of this, Qi Jing had finished writing the prescription and tore off the order and handed it to Wang Ting. Then he looked at the three people in front of him and smiled: "Come on, test you, what kind of drug is acidic after metabolism, and the metabolic pathway includes bile? Think about it quickly!"

Wang Ting naturally would not participate in such low-level teaching questions.

He looked down at the three medicines on the prescription list, thought about their specific effects, and then turned his back and secretly looked through his medication manual one by one to confirm.

Each drug has its own different mechanism of action. Even Wang Ting, who is very familiar with drug metabolism, cannot come up with this combination in a few minutes. Obviously, Qi Jing cannot do it.

This brat must have read from some old magazine.

The old man had no expression on his face. He took out his work stamp from his pocket with his stern face and typed the big words "Wang Ting" and "Danyang Hospital" on the paper. Then he got up and left the clinic, and sent the prescription to the patient's family.

"Have it!"

Gao Jian responded quickly and immediately replied: "Anti-inflammatory and anti-inflammatory drugs can absorb blood through the mucosa of the gastrointestinal tract, then enter the liver for further metabolism, and finally pass bile into the intestines and leave the body with feces."

"It's not bad, the basic skills are indeed solid." Qi Jing praised with a smile, but immediately said, "There are so many medicines for antipyretic and analgesic pain, so you have to choose the same one."

"this......"

After all, Gao Jian is a senior fifth intern who has just been internship for a short time. He has memorized pharmacology well, but he is a little confused when he actually takes medicine. Of course, with his diligent attitude, he had memorized various product names long before the internship, but it was still the same old question.

He can read textbooks and memorize textbooks, but he has not further broadened his horizons. He only has the usual medication guidelines in his eyes, but it cannot do it when there are special circumstances.

Ji Qing smiled and said, "You are too embarrassed for him. It would be good if you can tell the pharmacology."

"Don't stay aside and say sarcastic words." Qi Jing looked at the old friend, "Gao Jian spoke first. If you don't say something different, you will be embarrassed."

"Aspirin is enough to relieve fever and analgesic pain, and the most common side effects are the least." Ji Qing thought about it again and said, "Considering that the dosage of the medicine is too large, we can use vitamin K in combination, which can not only reduce the spasms of the intestinal smooth muscles, but also fight the problem of lowering prothrombin caused by aspirin."

After hearing this answer, Qi Jing had to applaud and encourage him: "Old Ji is still so experienced."

"Don't praise me, the prescription you gave must not be that simple, right?" Ji Qing was very self-aware. There must be something special about the medication list that Wang Ting could not find fault with.

"The main thing is that this triple drug has some dosage requirements."

"Three Links?" Ji Qing asked, "What else did you use?"

"It is ordinary vitamin C that can metabolize and enter blood into the liver with aspirin. When it is excreted through the bile duct, it acts as the Odilis sphincter on the common bile duct, and finally stimulates the gallbladder to contract."

After Qi Jing finished speaking, he smiled and made a fist clench: "The biliary system is already very narrow. Now, not only does it mean to make the house dirty, but it also specifically compresses the housing area. I see how these little guys live in it!"

"If you can say the dose together, it's perfect."

"Forget it, I'll take you, and the dosage..." Ji Qing looked up at the ceiling with his eyes, "This strange method of medication must be different from the ordinary usage. How could I know? I must be something I don't know where I see it."

"What does it mean to be blind? It's quite interesting."

"Senior Qi, what magazine is it?" Gao Jian was very curious, "I want to take a look, too."
Chapter completed!