This miracle doctor just wants to be fired!

Zhou Cheng and Fang Hang had a brief handover.

Today they were all on the day shift in the observation room, so they worked together.

Zhou Cheng notified Zhao Wenqi, asking her to contact doctors from the respiratory and cardiology departments for a consultation and to admit the two patients who were staying in the observation room.

Both patients need to be hospitalized for various reasons, but there are no beds available in the specialist ward. Therefore, in order to avoid a sudden change in their condition, Zhou Cheng needs to admit them to the hospital as soon as possible.

"Dr. Zhou, why didn't you admit him directly to the inpatient department? Why did you have to ask them to consult?" Zhao Wenqi asked as she ran over after finishing her call.

"What if there are no beds available?" Zhou Cheng asked. "If a patient goes to the department and finds there are no beds available, wouldn't they argue with them?"

Zhao Wenqi said in a low voice, "Last month, a patient fell ill in the observation room and died suddenly. The family members argued with us, so now many doctors in our department are trying their best to avoid letting such patients stay in the observation room."

Get the patient out as soon as possible to absolve yourself of responsibility.

Zhou Cheng had also heard about this incident, and that the doctor on duty that day was Zhao Rui.

There were no beds available in the cardiology department at the time, so Zhao Rui left the patient in the emergency department observation room. Unexpectedly, the patient suddenly fell ill.

This incident didn't have a good impact, but Zhao Rui had a leader backing him up. His family made a fuss for a few days, but in the end, he was only fined a few hundred yuan, and the matter was dropped.

However, nowadays, emergency room doctors take such patients directly to their department.

As for whether there are beds available, let the inpatient department and the patients decide.

"Oh, forget it. We're all colleagues, there's no need to make a fuss about it," Zhou Cheng said. "We'll try our best to coordinate and keep as many beds as possible in the inpatient department so that the patient can be transferred out as soon as possible."

The emergency department doesn't have a good reputation these days.

The inpatient department calls the emergency department the "urgent transfer department," implying that the emergency department only thinks about quickly admitting patients to the hospital and neglects emergency treatment.

Zhou Cheng knew that he couldn't change anything on his own, and he was about to leave the hospital, so he could only do his job well and try not to cause trouble for his colleagues.

Zhao Wenqi was somewhat impressed by Zhou Cheng's words.

Other doctors would avoid him like the plague, but Zhou Cheng was able to follow the rules, which was truly remarkable.

……

About ten minutes later, the cardiologists and pulmonologists arrived at the emergency department.

Unexpectedly, the person who came from the cardiology department was Su Yi.

He walked into the observation room looking very annoyed, but his expression softened when he saw that the emergency room doctor was Zhou Cheng. "Old Zhou, what patient needs a consultation?"

Inpatient doctors dislike emergency department consultations the most, because the journey is long and most of it is unpaid work.

"See if we can admit your department's long-term patients." Zhou Cheng didn't expect it to be Su Yi.

Generally speaking, those who come for consultations are usually chief residents or senior doctors.

Perhaps noticing Zhou Cheng's confusion, Su Yi chuckled and said, "My superior was supposed to be here for a consultation today, but the department was too busy, so he asked me to come down."

"Alright, then see if you can put it away." Zhou Cheng nodded.

Su Yi glanced at the patient's medical record. "He is indeed a regular patient in our department, but we don't have any beds available right now!"

"No one was discharged today?" Zhou Cheng asked, puzzled.

"Yes, but they haven't been discharged yet."

"Then reserve a bed. Once the bed is available, give me a call and I'll take the patient up there," Zhou Cheng said.

"Uh, okay." Su Yi thought for a moment, "If it were someone else, I would definitely have to decline. When I came down from the department, my superiors gave me orders not to easily admit patients."

Zhou Cheng was also somewhat helpless.

It's probably because the emergency room doctors mistreated them by admitting patients who weren't affiliated with their department or were critically ill, causing headaches for the inpatient doctors when dealing with patients admitted by the emergency department.

"Don't worry, this patient is definitely a patient in your department," Zhou Cheng said. "Take him in, and your superiors definitely won't scold you."

"Okay, I'll call you if there's a spare bed." Su Yi added, "By the way, how did things go with Lin Wei last night?"

"Stop gossiping. After you left, I sent her back." Zhou Cheng asked Su Yi to write something in the consultation record to prove the completeness of the entire treatment process and to leave a corresponding written record.

"Hey, you really don't know how to seize opportunities." Su Yi looked at him with exasperation. "Anyway, Lin Wei will be staying in Beijing for a while, let's get together again next time."

The two chatted for a few more minutes before Su Yi left.

As for the respiratory specialists, they were quite direct: there are currently no beds available in regular wards, only in intensive care units for respiratory patients.

If we absolutely have to admit the patient, we can only admit them to the respiratory intensive care unit.

However, the cost of a respiratory intensive care unit is even higher.

There's nothing we can do; this is the current state of the emergency department.

After Zhou Cheng negotiated with the patient's family, the patient could only continue to stay in a regular ward, such as the emergency observation room.

……

After treating the patients left over from yesterday, Zhou Cheng had just taken a sip of water when Zhao Wenqi's voice came from the observation room door: "Dr. Zhou, Dr. Fang, come quick! Two new patients have arrived, both just transferred from the emergency room!"

Zhou Cheng and Fang Hang exchanged a glance, then immediately got up and walked towards the door.

In the corridor, two patients were being supported by their families. One was a young man in his twenties, thin with a flushed face, clutching his chest and occasionally gasping for breath.

The other was a middle-aged man in his forties, hunched over, his hands pressed against his stomach, sweat beading on his forehead, and his expression showing some pain.

"Dr. Zhou, this young man has a fever and palpitations. His temperature was 38.9℃ when he was taken at the outpatient clinic. His blood routine test showed that his white blood cell count was a little high. He wants to come here for an anti-inflammatory injection."

"This middle-aged man had acute abdominal pain. An abdominal ultrasound was performed at the outpatient clinic, but no obvious stones were seen. Acute gastroenteritis is suspected, and he also needs to be observed and given intravenous fluids."

Zhao Wenqi quickly reported the preliminary diagnosis results from the outpatient clinic.

Zhou Cheng glanced at the two patients' conditions and said to Fang Hang beside him, "Senior, you take care of the middle-aged man with abdominal pain first. I'll handle this young man with fever. We can communicate anytime if there are any problems."

Fang Hang nodded and helped the middle-aged man with abdominal pain into the observation room.

Zhou Cheng led the feverish young man to an empty bed by the window and asked him to sit down.

"Student, please sit down and rest for a while."

"Let me ask you a few simple questions first. How long have you had a fever?"

"Besides heart palpitations, are there any other discomforts? Such as headaches, sore throats, diarrhea, etc."

After the young man sat down, he took a soft breath, his voice still somewhat weak.

"I started having a fever yesterday afternoon. It started at 37.8℃ and rose to 38.5℃ in the evening. It came down a bit after taking antipyretics, but it went up again this morning. Now I feel very anxious and have some tightness in my chest. I don't feel anything else, but I just feel weak."

Zhou Cheng nodded. He glanced at the emergency room medical record, then picked up the stethoscope and listened to the patient's heart and lungs: "Your heart rate is a little fast, about 110 beats per minute. I didn't hear anything abnormal in your lungs. You mentioned wanting an anti-inflammatory injection; did the doctor prescribe any medication for you?"

"They prescribed cephalosporin and told me to come to the observation room for an IV drip." The young man took out the outpatient prescription from his pocket and handed it to Zhou Cheng. "I'm usually quite healthy, but this cold seems to be more severe than before. I've had a fever for two days and it hasn't gone down yet. I'm also feeling a bit unwell with heart palpitations."

Zhou Cheng glanced at the prescription. The outpatient diagnosis was "acute upper respiratory tract infection," and he was prescribed intravenous cephalosporin antibiotics.

His initial assessment was that the young man's fever was likely caused by a cold, accompanied by sinus tachycardia.

This is quite common and not serious. After receiving some anti-inflammatory injections and the fever subsides, the palpitations should be relieved.

However, the possibility of myocarditis should also be considered.