This miracle doctor just wants to be fired!

After the morning shift handover ended, the office fell into a brief silence.

Director Wang didn't leave immediately. Instead, he walked to the center of the office, his gaze sweeping over the medical staff present before finally settling on Fang Hang: "Starting today, Fang Hang will officially begin rotating shifts in the department. Today, he'll first go to the emergency observation room to work the day shift, familiarize himself with the clinical procedures, and look at more actual cases. This will also help with future research."

After saying this, Director Wang turned to Zhou Cheng and said, "Zhou Cheng, you're on the day shift in the observation room today. Fang Hang will be with you so he can familiarize himself with the management procedures for patients under observation."

This wasn't extra work, Zhou Cheng nodded in agreement: "Okay, Director Wang, I'll coordinate with Senior Brother Fang Hang."

Actually, Zhou Cheng didn't quite understand.

It's understandable that someone with a master's degree from a second-tier university would work in the emergency department.

However, a PhD graduate like Fang Hang actually has a significant advantage in municipal hospitals, so his decision to come to the emergency department doesn't seem like a good choice.

However, Zhou Cheng didn't think too much about it. Maybe other people just like emergency room work?

After the morning shift handover, the medical staff dispersed.

Zhou Cheng walked up to Fang Hang and said, "Senior, let's go do our rounds first. There are five patients in the observation room now. Let me tell you about their basic situation."

"In the morning, we first check on the patients in the observation room. If their condition is stable, they can be discharged. If their condition is unstable, we may need to consult with relevant departments or admit them directly."

Fang Hang nodded and followed Zhou Cheng's steps.

……

Today, Zhao Wenqi is the nurse on the day shift in the observation room.

When Zhou Cheng and his companion arrived at the entrance of the observation room, Zhao Wenqi was taking a patient's blood pressure.

Seeing Zhou Cheng enter, her eyes lit up: "Dr. Zhou, you're on the day shift in the observation room today? What a coincidence!"

The two of them worked together well on the last trip.

Zhao Wenqi had a pretty good impression of Zhou Cheng.

Zhou Cheng smiled and nodded: "Besides me, there's also Senior Brother Fang Hang. We work the day shift together."

Zhao Wenqi nodded to Fang Hang, "Hello, Dr. Fang."

Fang Hang nodded in agreement.

Then, Zhou Cheng led him to bed 3.

This is a patient with acute gastroenteritis, a 20-year-old female college student.

I vomited and had diarrhea after eating unclean takeout last night, and I had to get IV fluids all night. I feel a little better this morning.

Zhou Cheng asked as usual, "How are you feeling today, classmate? Does your stomach still hurt?"

"I feel much better, but I'm still a little weak." The patient's voice was still somewhat weak.

Zhou Cheng glanced at the temperature chart from last night to tonight: "No fever, and the dehydration symptoms are better. I had a blood test done this morning. If the inflammatory markers come down, we can go home today."

After saying that, he turned to Fang Hang and said, "The observation of patients with acute gastroenteritis mainly focuses on the degree of dehydration correction and inflammatory markers. We also need to pay attention to whether the patient has electrolyte imbalance, especially young people, who recover quickly, but we must be vigilant for recurrence of the condition."

Fang Hang quickly jotted down notes in his notebook, then looked up and asked, "Do you need any more oral medication? Like probiotics to regulate gut flora?"

"It depends on personal preference. I can prescribe medication, but it doesn't need to be too complicated. The patient's symptoms have already been relieved, so simple symptomatic treatment is sufficient. Avoid overuse of medication," Zhou Cheng answered one by one.

Fang Hang has a high level of education, but his clinical experience is pitifully small. He looks like the kind of doctor who spends most of his time in the laboratory.

Next, the two went to bed 5.

This is an elderly man under observation after a fracture surgery. He just had internal fixation surgery on his ankle fracture last night. There are no beds available for him, so he is being temporarily placed in the observation room.

Zhou Cheng lifted the old man's blanket to check the dressing on his wound: "Sir, did your wound hurt badly last night? Did your foot feel numb or swollen more?"

"The pain is bearable, but my foot is still a bit swollen, so I don't dare to move it," the old man said, carefully lifting his foot.

Zhou Cheng pressed on the skin around the old man's ankle, and there was no obvious indentation after he released his hand.

"Swelling is a normal postoperative reaction. As long as it doesn't progressively worsen, it's fine. The nurse will change your dressing later and elevate your affected limb to help reduce the swelling."

He turned to tell Fang Hang about the key points of post-operative observation, but saw Fang Hang staring at the old man's wound, frowning as he said, "The wound dressing seems to be bleeding a little. Should we clean and suture it again?"

Zhou Cheng paused for a moment, then explained, "A little bleeding after surgery is normal. The dressing isn't soaked, so there's no need to re-suture it. Frequent manipulation can actually increase the risk of infection. We can just check the bleeding when we change the dressing and then decide what to do."

Fang Hang nodded slightly.

He had learned about the treatment of postoperative bleeding from books, but had never seen an actual case.

There's a tendency to treat any bleeding as soon as it occurs, ignoring the realities of clinical practice.

The two continued their rounds.

When we arrived at bed 7, the patient was a middle-aged woman who was kept under observation for "palpitations." She had an electrocardiogram and cardiac enzyme tests done the night before, which ruled out myocardial infarction. Cardiac neurosis was suspected.

They told her to go home and rest, but she was afraid that something might happen and she would have another attack at home, so Zhou Cheng couldn't send her away.

After only a couple of questions, the woman began to complain, "Doctor, I always feel palpitations in my chest. The medicine I took last night didn't help. Could it be a terminal illness?"

Zhou Cheng was somewhat helpless, but still patiently comforted her: "Auntie, your test results are all normal. You're just too nervous. Continue taking the medicine you took last night, and try to relax. Don't keep thinking about how uncomfortable you feel. The more nervous you are, the more obvious your symptoms will be."

The woman was still worried and asked a series of questions, which Zhou Cheng answered one by one.

Fang Hang stood aside, wanting to help but unable to get a word in edgewise.

He had never dealt with patients with anxiety before and didn't know how to communicate with them, so he could only watch Zhou Cheng handle the situation and felt a sense of admiration.

The remaining two patients were waiting for specialist beds. Zhou Cheng said a few words and then ended the morning rounds.

There are two computers readily available in the observation room, so doctors don't need to return to the main office to issue medical orders.

Just then, Zhao Wenqi walked in with a lab report: "Dr. Zhou, the blood test results for patient 3 are in."

Blood test results come out very quickly.

The emergency department has its own testing machines, and some blood test results come out very quickly.

Zhou Cheng took the test results. "Okay, thank you."

The white blood cell and neutrophil counts have decreased, and the inflammation is under control.

Zhou Cheng turned to Fang Hang and said, "Senior, you can take a look at this lab report and compare it with last night's results. You'll be able to see the changes in the inflammation markers directly."

Fang Hang immediately came over, picked up the test results and looked at them carefully, nodding as he read: "It has indeed decreased a lot, the anti-infection treatment is effective."

As the two were discussing, the call bell in the observation room suddenly rang.

The person who rang the bell was the old man in bed number 5.

Zhou Cheng and Fang Hang quickly walked over.

When I arrived at the bedside, I saw the old man frowning and clutching his ankle.

"Doctor, I was trying to turn over when I accidentally moved my foot, and it hurt terribly right away."

Zhou Cheng quickly lifted the blanket to check the dressing on the wound.

He breathed a sigh of relief when there was no new bleeding or worsening swelling at the wound.

"Sir, it's nothing serious. It's just that the nerves around the wound have been aggravated. If the pain becomes unbearable, I'll prescribe some painkillers for you."

Nearby, nurse Zhao Wenqi watched Zhou Cheng examining the patient and Fang Hang standing to the side, feeling a mix of emotions.

Both are on probation, but Fang Hang has a doctoral degree and, although his clinical experience is pitifully limited, he is definitely more likely to stay than Zhou Cheng.

However, in the emergency department, do they need people who write papers or people who do clinical work?