This miracle doctor just wants to be fired!
Chapter 10 A Busy Night
The two rested for about ten minutes before the ambulance started moving again.
By this time, the night had grown even deeper.
The alleys in the old town are narrow, and cars can't drive in.
Zhou Cheng and Zhao Wenqi carried the first-aid kit and ran more than 300 meters before reaching the old man's house.
The 78-year-old man was sitting on the sofa, clutching his chest, his face pale.
Zhou Cheng quickly completed the electrocardiogram.
The electrocardiogram showed ST segment elevation in leads II, III, and aVF, which is typical of inferior myocardial infarction.
Zhao Wenqi established an intravenous access for the old man.
While calming the elderly man down, Zhou Cheng and Zhao Wenqi lifted him onto a stretcher and ran out of the alley.
For patients with myocardial infarction, every minute of delay increases the area of myocardial necrosis, so every second counts.
Later, Zhou Cheng encountered a man who was unconscious at home. When his family found him, he was already unconscious.
Upon arriving at the scene, Zhou Cheng smelled the strong odor of alcohol throughout the room.
The man lay on the sofa, unresponsive.
The man's family all thought he had drunk too much and had fallen asleep.
After Zhou Cheng arrived at the scene, he had Zhao Wenqi have her blood sugar tested immediately.
The result showed 2.1 mmol/L.
"Besides being drunk, there's also the severe hypoglycemia coma caused by alcohol," Zhou Cheng said in a deep voice.
When the body is hungry, maintaining normal blood sugar levels mainly relies on two functions of the liver: glycogenolysis and gluconeogenesis, the latter of which can convert non-carbohydrate substances into glucose.
Alcohol and its metabolites strongly inhibit these processes.
When the liver is busy metabolizing alcohol, its ability to produce and export glucose decreases significantly.
Alcohol may stimulate insulin secretion, and insulin is a hormone that lowers blood sugar.
Therefore, the phenomenon that excessive alcohol consumption leads to a drop in blood sugar is real and has scientific evidence to explain it.
Zhou Cheng immediately instructed Zhao Wenqi to administer hypertonic glucose.
On the way to the hospital, the man slowly regained consciousness.
……
In the first half of the night alone, Zhou Cheng encountered three patients with chest pain, two of whom had heart attacks and one had a perforated stomach.
There are two other comatose patients; besides the one with hypoglycemia, the other is in status epilepticus.
The most troublesome cases are those involving drunken disorderly conduct.
At 2 a.m., three drunk men were fighting outside a bar. One of them had a head injury and was bleeding, while the other two were also covered in injuries and were still pushing each other.
When Zhou Cheng and Zhao Wenqi arrived, they were almost accidentally injured by the drunkard.
In the end, it was only with the help of the police that the situation was brought under control, and Zhou Cheng was able to stop the bleeding and bandage the wound on the drunk man's head. The other two also received simple treatment for their wounds.
But the drunkard wouldn't let it go, pointing at Zhou Cheng and yelling that he was meddling. Zhou Cheng could only patiently explain, and only after he got the man into the ambulance did he realize that his white coat had been torn.
Just as dawn was breaking, they received their heaviest order yet.
A woman in an urban village attempted suicide by drinking pesticide. She was found unconscious by her family after half an hour.
When Zhou Cheng arrived, the woman still had the pungent smell of pesticide lingering in her breath.
He immediately inserted a gastric tube into the woman and repeatedly washed her stomach with saline solution.
While they were lavaging her stomach, Zhao Wenqi was asked to contact the hospital to make preparations in advance.
The patient's family could only cry and couldn't name the specific type of pesticide. They could only try to save the patient's life through gastric lavage and subsequent blood purification.
……
As the first hints of dawn appeared on the horizon, Zhou Cheng and Zhao Wenqi finally finished seeing off their last patient.
When I got back to the hospital, it was already 7:50 a.m., and the emergency room was already bustling with activity.
The emergency medical record book shows six cases of chest pain, three cases of unconsciousness, four cases of abdominal pain, four cases of alcohol-related injuries, and one case of pesticide poisoning in the past twenty-four hours.
The densely packed handwriting records the busyness of this night.
"Finally, the shift is over." Zhao Wenqi slumped into a chair, rubbing her slightly sore arms. "This day's work was more than my previous week's."
Zhou Cheng leaned back in his chair, let out a long sigh, and smiled. "It was quite fulfilling, but at least we made it through."
I wonder if Director Li's offer to fire him yesterday still stands?
He really never wants to work an emergency shift like that again!
To Zhou Cheng's disappointment, he attended the emergency department's morning meeting, where Director Wang Jianming was also present.
Although Director Wang noticed that he still looked unwell, he did not say anything about "dismissing" him again.
Zhou Cheng had been looking forward to it for a long time, and even went to the door of the director's office to wait.
Ultimately, Wang Jianming still made no comment.
"Forget it, let's go home and rest first," Zhou Cheng sighed.
The only advantage of working the emergency room ambulance shift is that you get two days off in a row.
However, even with the option to take two consecutive days off, not many doctors are willing to work such demanding shifts.
This is completely overworking yourself!
……
After Zhou Cheng and Zhao Wenqi finished handing over their duties to the medical staff who were on duty that day, they went home.
When I walked out of the doctor's office, the sunlight in the emergency room lobby was already quite dazzling.
Having not slept a wink all night, Zhou Cheng's steps were unsteady, and all he wanted to do was get back to his rented room and sleep for a day.
Zhao Wenqi followed behind him, smiling, and said, "Go back and get some sleep, so you don't get woken up to work overtime again tonight."
"Thank you for your kind words. I hope I can get a good night's sleep." Zhou Cheng waved his hand and turned to walk towards the hospital entrance.
He used to be afraid to turn off his phone when he slept, but today he just put it on airplane mode!
Nobody can wake him up!
Just as Zhou Cheng stepped out of the hospital's emergency department entrance, his phone rang.
The words "Su Yi" popped up on the screen.
Su Yi was his classmate in college. The two had a good relationship in college, and they went to internet cafes together and skipped classes together.
However, their circumstances upon graduation were completely different.
Su Yi's father was the director of a department at the Municipal People's Hospital. As an undergraduate, he naturally stayed at the hospital and became a full-fledged doctor.
Zhou Cheng, despite pursuing a master's degree, could only obtain a master's degree from a second-tier university. He faced numerous setbacks and finally managed to secure a trial work position in the emergency department of the Municipal People's Hospital.
Zhou Cheng answered the phone, yawning, "What's up so early in the morning?"
"Zhou Cheng, you keep yawning, are you off the night shift?" Su Yi's voice on the other end of the phone was relaxed, and the laughter of his colleagues could be heard in the background.
"It's even scarier than the night shift. I worked 24 hours yesterday and just got off work," Zhou Cheng said helplessly. "What important thing is it that you need so early in the morning?"
"Here's the thing, a few of us from this year's class are getting together tonight. I've asked you several times already, so don't refuse this time."
Zhou Cheng's voice was full of exhaustion: "We can't get together. I just finished a 24-hour shift and I'm going back to my rented room to sleep. I'll fall asleep the moment my head hits the pillow."
"Oh, that's such a pity! Do you know who's coming to this party? It's Lin Wei!"
"She happened to be at our hospital for a meeting today. It was quite a struggle for me to get her to come out. If you don't come, you'll miss your chance to see her."
Lin Wei?
A quiet figure flashed through Zhou Cheng's mind; she was also his classmate in their undergraduate year.
Unlike in TV dramas or novels, universities don't actually have pageants for campus beauties or anything like that.
In real university life, nobody actually does this kind of ranking.
Especially in professions like clinical medicine, university courses are comparable to high school life.
However, Lin Wei had good grades, a good personality, and was also good-looking, so many boys liked her back then.
She has always been quiet and reserved, and it seems she never had a romantic relationship in college.
After graduating from university, I heard that she was admitted to a graduate program at a major hospital in Kyoto, and then I heard nothing more about her.
In the past, Zhou Cheng might have hesitated if he heard that Lin Wei was also going.
But now, he felt no emotion whatsoever.
"Forget it, I'm really tired, I don't have the energy to go to the party." Zhou Cheng's tone was calm, without the slightest regret. "Just have fun."
Su Yi sighed, "Alright, I know you've had a tough time. Go back to sleep now, we can get together again next time."
"Okay, let's get together again next time."
Back at the rented room, Xiaobai immediately came up and rubbed against his leg.
Zhou Cheng picked up Xiaobai, gave it a good pat, and then fed it cat food and water.
Then, he collapsed onto the bed and fell into a deep sleep without even taking off his clothes.
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