This miracle doctor just wants to be fired!

At this moment, Fang Hang leaned over to take a look, his brows furrowing, but he was still somewhat puzzled: "If it's an infection, wouldn't D-dimer levels also be elevated? Acute gastroenteritis is an infectious disease, could it be caused by an infection?"

He had come across literature related to D-dimer during his research.

Infections and inflammation can both cause a slight increase in D-dimer levels, so I didn't pay much attention to this value.

"Infection levels can rise, but not this high!" Zhou Cheng frowned, his tone much more serious than before. "Generally, D-dimer levels caused by acute gastroenteritis only rise to a few hundred ng/mL at most, rarely exceeding 1000 ng/mL. Moreover, besides abdominal pain, he has no other obvious symptoms of infection, and his temperature is normal. This D-dimer level is abnormally high!"

A bad thought began to grow in Zhou Cheng's mind.

Abdominal pain and significantly elevated D-dimer levels: Could this be a detached deep vein thrombosis in the lower extremities causing mesenteric vascular embolism?

Although this disease is rare, it has a rapid onset and progression. If it is missed, the consequences are much more serious than those of acute gastroenteritis, and it may even lead to intestinal necrosis!

"Senior brother, we must be wary of this person's mesenteric vascular embolism!" Zhou Cheng said.

"Mesenteric vascular embolism?" Fang Hang realized what was happening and his face turned pale instantly.

He had only considered common acute abdominal conditions, such as gastroenteritis and appendicitis, and had not even considered thrombotic diseases.

"So what do we do now? What tests or confirmations are needed?"

"Arrange an enhanced abdominal CT scan immediately!" Zhou Cheng said quickly. "Only an enhanced CT scan can determine whether there is mesenteric vascular embolism."

Fang Hangdao said, "Okay, I'll arrange it right away!"

"By the way, senior, also have the nurse take the patient for a lower extremity vascular ultrasound to rule out deep vein thrombosis. If the abdominal pain is indeed caused by a thrombosis, anti-inflammatory drugs and painkillers will be useless. We must dissolve or remove the thrombus as soon as possible, or it will be too late!"

Fang Hang panicked and quickly nodded, "I'll go get the test results right now!"

I was just debating whether or not to take painkillers, and now I realize that I almost missed diagnosing a potentially life-threatening disease.

A cold sweat instantly broke out on his back.

Looking at Fang Hang's hurried back, and then at the middle-aged man still suffering from abdominal pain on the hospital bed, Zhou Cheng felt a wave of fear wash over him.

If I hadn't paid attention to the D-dimer level, or like Fang Hang, thought it was an increase caused by infection, delaying examination and treatment, the consequences would have been unimaginable!

Zhou Cheng walked to the middle-aged man's bedside and said slowly, "I'll do an abdominal CT scan and a lower limb ultrasound for you later to see the specific cause of your abdominal pain. Only after we find out the cause can we prescribe the right medication. Just bear with it a little longer."

The middle-aged man was in too much pain to speak, but he could only nod with difficulty.

Zhou Cheng then instructed Zhao Wenqi: "When you take the patient for the examination later, be sure to use a stretcher and let the patient lie down. Try not to move him too much, in case there is a blood clot, moving around could worsen his condition."

"Okay, Dr. Zhou," Zhao Wenqi replied quickly.

After arranging all this, Zhou Cheng finally sat down to rest in the observation room.

He took out his phone, glanced at the time, and realized there were still three hours until he got off work. He wondered if any unexpected situations might arise.

In the last few classes, he seems to have encountered a lot of acute and critical cases. Could it be that his luck has been bad lately?

"I just need to finish these last three months of shifts properly!" Zhou Cheng shook his head, temporarily suppressing the distracting thoughts in his mind.

No matter what, the patient's life safety is the most important thing. Even if you are to be dismissed, you cannot make mistakes at work.

……

Zhou Cheng had only been sitting in the chair for two minutes when his cell phone suddenly rang in his pocket.

The caller ID showed it was Li Qiang, the deputy director of the medical department.

Zhou Cheng gave a helpless wry smile before answering the phone: "Director Li, hello, this is Zhou Cheng."

"Where are you now?" Li Qiang's voice on the other end of the phone was clearly helpless and somewhat tired. "Another patient has complained about you. What's going on here?"

Zhou Cheng walked out of the observation room and onto the side of the corridor, whispering, "That old lady who's feeling dizzy?"

"Yes, it's that dizzy patient who just came out of the emergency room. She didn't go to see Director Wang, she went straight to the medical affairs department, saying you had a bad attitude, didn't take her condition seriously, and forced her to do tests." Li Qiang sighed, "Tell me, what kind of time is this? I told you last time, the tertiary hospital review is coming up soon, how come there's still this kind of complaint?"

"Director Li, please listen to me, this is what happened." Zhou Cheng recounted the whole story.

"I was very patient throughout the whole process, without the slightest impatience. There are surveillance cameras in the emergency observation room; you can check the footage. There was absolutely no situation where they were forced to undergo any tests."

He was clearly acting in the best interests of the patients, yet he was the one who was complained about.

However, given the current doctor-patient relationship, encountering such complaints is not uncommon.

There was a few seconds of silence on the other end of the phone, then Li Qiang's tone softened considerably.

"I understand. I have a general idea of ​​what you've said. Actually, when the old lady came, I asked her a few questions. She mainly felt that the doctor didn't take her seriously, and she was also worried about spending money on tests, so she came to complain."

Li Qiang himself has a medical background and knows that for patients experiencing dizziness, especially the elderly, it is essential to rule out cerebrovascular problems.

If it really is a brain hemorrhage and treatment is delayed, it won't be a simple complaint; it could involve medical malpractice.

Zhou Cheng said, "Thank you for your understanding, Director Li. I was just worried about missing a diagnosis, after all, the patient's safety comes first."

"Sigh, I know it's difficult to communicate with patients and their families these days, especially in the emergency room where the pace is fast and patients are prone to emotional outbursts. We have to understand the patients and their families," Li Qiang sighed again. "But since the complaint has already come, we still have to handle it properly."

Li Qiang paused for a moment, then continued, "After you get off work, write a detailed appeal and submit it to the medical affairs department. Write down the cause and effect of the matter, your handling process, and attach the relevant examination reports and medical records. This will help me explain to the old lady and her family."

"In addition, I have already spoken with the neurology department. They will send the old lady to the neurology outpatient clinic now so that they can give her a comprehensive evaluation. If she needs to be hospitalized, they will arrange a bed directly to avoid any further problems in the emergency department."

Before Zhou Cheng had any contact with the medical department, he always thought that the leaders were all incompetent fools.

However, after receiving two phone calls from Director Li Qiang recently, I suddenly realized that there are still some sensible people in the hospital's leadership.

Not all complaints are valid because the patient is right.

If doctors are punished for many unreasonable complaints, it could discourage them and even encourage patients to file complaints indiscriminately.

Before hanging up, Li Qiang added, "The review for the top-tier hospital is about to begin, and the hospital is keeping a close eye on it. We absolutely cannot let this kind of complaint affect the review results. You should also pay more attention and be more patient when communicating with the patient. Even if the family doesn't understand, don't get into conflicts with them."

"Okay, Director Li, I understand. I will write the appeal materials immediately after get off work and will definitely cooperate with the handling of the matter."

After hanging up the phone, Zhou Cheng leaned against the wall and sighed softly.

Today's day shift has just started, and we're already very busy dealing with patients with fever and abdominal pain.

Now there's another complaint, and it even involves the review of the top three hospitals. This is really a headache!

He wants to get through these three months as soon as possible, get the ten million, and make a quick getaway!