This miracle doctor just wants to be fired!
Chapter 19 Why is a CT scan necessary?
"I'll give you an IV drip prescription first. We'll see how it goes after the drip. If your palpitations haven't subsided, I'll do an electrocardiogram later."
As Zhou Cheng spoke, he turned around to write out a prescription.
After the IV needle was inserted, the young man leaned against the headboard and closed his eyes to rest.
A little while later, the young man's family arrived; it must have been his father. They brought him several bottles of mineral water and bread.
Zhou Cheng also explained the illness to the family again.
About ten minutes later, the young man's complexion improved slightly, his body temperature dropped a bit, and his palpitations were not as pronounced.
Zhou Cheng then said with relief, "You lie down and rest first. Call the nurse anytime if you feel unwell. I'll be near the observation room."
The young man nodded, then closed his eyes and went back to sleep.
Just as Zhou Cheng turned around, Zhao Wenqi rushed over again: "Dr. Zhou, another elderly lady with dizziness has been transferred to the outpatient department. We want her to be hospitalized, but she doesn't want to go. She wants to come to the observation room to get an injection first."
"Okay, I'm coming right away!" Zhou Cheng replied and quickly walked to the other end of the observation room.
……
The patients in the observation room are already quite numerous, and since Fang Hang is still figuring things out, he has to make several trips.
The dizzy old lady, 65 years old, was pushed in by her family in a wheelchair. Her face was pale and bloodless.
As soon as we entered the observation room, a family member next to the patient said, "My mother said she suddenly felt dizzy and the world was spinning after she woke up this morning, and she almost fell."
Zhou Cheng nodded: "Help him to bed first."
The family helped the elderly woman lie down, and Zhou Cheng began to carefully ask questions and examine her: "Auntie, did you feel nauseous or vomit when you were dizzy? Did you see things spinning?"
"It keeps spinning! It makes me want to throw up, but I can't." The old lady's voice was weak.
Zhou Cheng took her blood pressure again. The blood pressure on both sides was about the same, both at 150/90 mmHg, which was slightly high.
The physical examination did not reveal common signs of stroke, such as facial drooping, hemiplegia, and aphasia, and the muscle strength of the limbs was normal.
"Our initial assessment is posterior circulation ischemia, but we cannot rule out cerebral hemorrhage. We should do a CT scan first, and then administer medication," Zhou Cheng said.
The patient's family member frowned: "There shouldn't be a brain hemorrhage. Can't we give him the injection first and then do the CT scan later?"
Zhou Cheng shook his head: "Although the probability of a brain hemorrhage is small, it cannot be ruled out 100%, so it's better to be cautious."
The family members were displeased upon hearing this. "At the outpatient clinic, the doctor recommended hospitalization. Now that we're here, you've only glanced at us and ordered a CT scan. Does this mean the disease can't be treated without hospitalization and a CT scan?! Before we had this equipment, were you doctors unable to treat any illness?"
Upon hearing this, Zhou Cheng said with a helpless expression, "Things aren't like they used to be. Why not use this technology now? Your mother is already hospitalized; we definitely need to figure out her condition!"
"The more tests you do, the more commission you get, right?" The patient's family member scoffed. "Don't think I don't know your doctors' tricks. You probably get a commission for every hospital admission you get, right?!"
Zhou Cheng could only patiently explain: "The symptoms of cerebral hemorrhage and cerebral infarction are very similar. If doctors rely solely on clinical symptoms, they cannot distinguish between the two diseases. In the past, there were no CT scans, so doctors could only rely on their own experience to make a diagnosis. However, the treatment methods for these two diseases are completely opposite. Many patients with cerebral hemorrhage were treated as having cerebral infarction and died very quickly."
"That's because the doctor lacks experience," the patient's family member stubbornly retorted. "If you had sent a more skilled doctor, I refuse to believe that a brain CT scan was absolutely necessary today. Before, they just gave us injections, and we were fine after that. Why do they insist on a CT scan today?"
Zhou Cheng knew that when dealing with this kind of patient's family member, there was absolutely no way to reason with them.
The probability of cerebral hemorrhage is indeed low, but it cannot be completely ruled out.
In this situation, a non-invasive, simple cranial CT scan can completely rule out this possibility, so why not do it?
Seeing that Zhou Cheng remained silent, the patient's family member became even more arrogant, "Today I demand a direct injection of vasodilators, not a CT scan! If you can't prescribe it, I'll go to your director! I'm going to file a complaint against you!"
In the past, Zhou Cheng would have been genuinely worried about patients going to Director Wang, fearing he might cause some negative impact.
but now……
Zhou Cheng could only continue to insist on his opinion, "If you want to receive intravenous fluids here, you need to have a cranial CT scan first to rule out cerebral hemorrhage."
Upon hearing this, the patient's family members became furious and pushed the elderly woman out of the emergency observation room, threatening to go find the head doctor.
Zhou Cheng didn't stop her; he even gave her directions, "Auntie, turn right when you go out and keep walking. The director's office is at the end of the corridor."
……
Seeing this situation, Zhao Wenqi was very anxious, fearing that the family members would really file a complaint against Zhou Cheng.
"Dr. Zhou, let it go. No matter what, it's not good to take this to the director."
"It's okay, I didn't do anything wrong anyway." Zhou Cheng shrugged. "Even if the director comes, I won't prescribe any medicine for him."
"Sigh, this..." Zhao Wenqi felt like he was more worried than the emperor was.
Dr. Zhou is a good doctor, but he's too stubborn!
During this time, Zhou Cheng also went to check on another patient with abdominal pain.
Fang Hang had already started administering anti-inflammatory medication, but he was still hesitating by the bedside, holding the prescription for painkillers in his hand, his brows furrowed.
"Senior brother, what's wrong? Is the patient still in a lot of pain?" Zhou Cheng walked over and asked.
Fang Hang nodded, his tone somewhat conflicted: "He received an IV drip of anti-inflammatory drugs for half an hour, but he said the abdominal pain hadn't subsided and was still coming in sharp, intermittent waves. I wanted to prescribe some painkillers for him, but I was afraid of masking his condition. What if it wasn't gastroenteritis but some other acute abdominal condition? That would be troublesome."
Just as Zhou Cheng was about to offer his suggestion, he suddenly heard shouts coming from the other end of the observation room.
"Doctor! Doctor! Please come quickly and see my son! He's having terrible heart palpitations again!"
Zhou Cheng's heart tightened. He turned around and saw the young man who had arrived first, who was feverish and had a heart attack.
He ran over quickly.
At this moment, the young man was leaning against the headboard, his face even flushed redder than before, and his breathing becoming rapid.
"What's wrong? Are you suddenly feeling unwell?" Zhou Cheng hurriedly bent down and reached out to feel the young man's pulse. His heart rate was so fast that it was almost uncountable.
"I don't know, they were saying they felt better just now, but suddenly they feel even worse," the family member said anxiously.
As they spoke, the family members poured a glass of water for the young man and handed it to him.
The young man leaned against the headboard and reached out to take the glass of water.
He then noticed that the young man's right hand was trembling slightly and uncontrollably.
It wasn't due to weakness, but rather the rapid, irregular shaking.
Zhou Cheng's heart skipped a beat.
Fever, worsening heart palpitations, and trembling hands—these symptoms combined led to a terrifying thought in Zhou Cheng's mind!
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