This miracle doctor just wants to be fired!

Just as Zhou Cheng returned to the observation room, the phone at the nurses' station rang.

A nurse in another observation room rushed forward to answer the phone. After listening for only a couple of sentences, her expression changed instantly, and she shouted in Zhou Cheng's direction, "Dr. Zhou, the CT room is calling! The enhanced abdominal CT scan of the patient with abdominal pain has reported critical values; it's a superior mesenteric artery embolism!"

Zhou Cheng's heart sank, and he abruptly stopped in his tracks: "Alright, bring the patient back immediately, directly to the emergency room, not back to the observation room!"

Although he had suspected mesenteric vascular embolism, he still felt a pang of anxiety when he received the critical value notification.

Superior mesenteric artery embolism is a critical emergency in the emergency department. After the blood vessel is blocked, the intestine will rapidly become ischemic and necrotic.

The golden treatment time is only a few hours; every minute of delay increases the risk to the patient.

It may even require the removal of the necrotic intestine, which can be life-threatening in severe cases!

On the other side of the observation room, when Fang Hang heard the words "superior mesenteric artery embolism," he almost dropped the examination report in his hand. His heart pounded, and his back was immediately soaked with sweat.

He quickly went to Zhou Cheng's side, his voice tense: "What do we do now? Do we need thrombolysis immediately?"

"Send him to the emergency room first, and wait for the senior physician to come and determine the treatment plan!" Zhou Cheng said, dialing the phone number of the senior physician, Li Degang.

Li Degang is the second-line doctor on duty in the emergency room today. He is very experienced, and Zhou Cheng must inform the senior physician about this kind of acute and critical illness.

As a mere resident physician, he was not qualified to lead the emergency treatment.

The moment the call connected, Zhou Cheng immediately said, "Teacher Li, the patient with abdominal pain who was just brought to the observation room for a CT scan has critical values; the CT scan shows a superior mesenteric artery embolism. The nurses are currently transferring the patient from the CT room to the emergency room. Please come quickly!"

"I'm coming right away!" Li Degang's voice was calm and composed, without the slightest hint of panic. Before hanging up, he added, "Go to the emergency room first to prepare the resuscitation equipment, and notify the nurses to establish dual-channel intravenous access and monitor vital signs. I'll contact the general surgery department right away, and also let Director Wang know!"

Zhou Cheng responded and hung up the phone.

He and Fang Hang walked quickly toward the emergency room.

……

In the emergency room, the nurses had already been notified and quickly prepared the ambulance and electrocardiogram monitor.

Less than two minutes later, Li Degang strode into the emergency room.

"How is the patient now? What are their blood pressure and heart rate? Are they showing any signs of shock?"

"It's on its way and should be arriving soon!" Zhou Cheng quickly reported.

Li Degang nodded, took out his phone, and dialed the numbers of the directors of general surgery and interventional radiology to quickly discuss consultation arrangements.

The moment I hung up the phone, the door to the emergency room was pushed open.

Zhao Wenqi and another intern pushed the hospital bed in.

"How are you feeling now?" Li Degang quickly stepped forward and asked, "Does your stomach still hurt?"

The patient lay on the transport bed, still pale, but conscious. After hearing Li Degang's words, he was able to barely speak: "It still hurts a little, but it's better than before."

Just as Li Degang was asking questions, Zhou Cheng stepped forward to quickly examine the patient, saying while checking the patient's vital signs, "Teacher Li, the patient's blood pressure is 105/65 mmHg, heart rate is 108 beats/min, and blood oxygen is 95%, which is about the same as before going to the CT room. About 250ml of fluids were given in the observation room."

Li Degang nodded and breathed a sigh of relief: "It's good that the vital signs are stable. First, connect the ECG monitor, then open an intravenous line to continue fluid resuscitation. We'll wait for the general surgeon to arrive so we can determine the treatment plan together."

The nurses in the emergency room also began to get busy.

……

Just then, Wang Jianming, the director of the emergency department, also strode into the resuscitation room.

As soon as Director Wang entered, he inquired about the patient's condition, then his gaze fell on Fang Hang, his tone much gentler than usual: "Dr. Fang, you were the one who first discovered this patient's condition, weren't you?"

Fang Hang paused for a moment, then subconsciously looked at Zhou Cheng, his eyes filled with hesitation.

He wanted to explain that Zhou Cheng had reminded him, but he swallowed the words back.

Zhou Cheng stood aside, pretending not to see Fang Hang's gaze, and looked down as he sorted through the patient's CT report and lab results.

He just wants to be fired as soon as possible; he'd rather have less of a presence.

"Director Wang, the patient's vital signs are currently stable, and he is conscious. The enhanced abdominal CT scan clearly shows a superior mesenteric artery embolism. He is currently receiving fluid resuscitation to maintain circulation, and we are waiting for a surgeon to come for a consultation," Li Degang added from the side, without specifically mentioning who first discovered the diagnosis.

He knew Director Wang's attitude towards Zhou Cheng, and there was no need to undermine him at this time.

Director Wang didn't detect anything amiss. Instead, he gently patted Fang Hang's shoulder: "Good! Fang Hang, you did a great job! Among young doctors these days, not many can think of mesenteric vascular embolism so quickly. This clinical acumen is better than many older doctors!"

He became more and more satisfied as he spoke, after all, Fang Hang was a doctor he valued, and his ability to make accurate judgments in critical and severe cases was a testament to the good leadership he had received from his department head.

Fang Hang smiled awkwardly, not daring to reply, but secretly glanced at Zhou Cheng.

Zhou Cheng heard everything clearly, but he was not particularly moved.

He no longer cared about these praises; more important to him than being recognized by Director Wang was whether he could leave work smoothly today.

……

About two more minutes passed.

The general surgery consultant finally arrived.

Li Degang immediately went to check on the patient: "Director Zhang, the embolism in this patient is located in the main trunk of the superior mesenteric artery. The patient's vital signs are currently stable, and he is conscious. What do you think we should do: interventional thrombolysis or surgical thrombectomy?"

Zhou Cheng stood aside and pulled up the patient's CT images on the computer.

Dr. Zhang, the head of general surgery, first glanced at the CT scan, then came to the bedside and asked, "Besides abdominal pain, are you experiencing any other discomfort? For example, nausea or the urge to have diarrhea?"

Just as the patient was about to answer, he suddenly frowned, pressed his hands hard against his stomach, curled up, and his face turned deathly pale, his lips turning purple.

Zhou Cheng's heart tightened, and he immediately stepped forward to press the button on the monitor to measure blood pressure.

At this moment, the patient's heart rate instantly soared to 135 beats per minute, and the electrocardiogram monitor began to emit a piercing alarm.

"Teacher Li, the patient's pulse is very weak, and I suspect his blood pressure is also low!" Zhou Cheng stepped forward and reached out to feel the patient's pulse.

As soon as he finished speaking, the monitor displayed the patient's blood pressure value: 72/40 mmHg!

"Oh no! The intestinal ischemia has worsened, and intestinal necrosis may have occurred, triggering shock!" Li Degang's expression changed drastically, and he immediately issued emergency medical orders: "Open another access channel, administer fluids at full speed, and give another injection of norepinephrine to raise blood pressure!"

The emergency room instantly tensed up as nurses began preparing resuscitation medications.

Fang Hang stood to the side, his face pale, and his hands were even trembling slightly.

His condition, which had been stable just moments before, suddenly deteriorated, leaving him somewhat at a loss.

Beside him, Director Wang stared at the monitor, his tone quite serious: "We must open the blood vessel immediately! Director Zhang, given the current situation, wouldn't surgical thrombectomy be a safer option?"

Without hesitation, Director Zhang of the General Surgery Department nodded immediately: "He's already in shock, and interventional thrombolysis is too late. We must operate immediately to explore the bowel. If we can remove the thrombus, we will. If there's necrotic bowel, we'll remove it during the operation!"

"Alright! Then get him to the operating room immediately!" Li Degang made a quick decision, turning to arrange, "Zhou Cheng, you come with me to take the patient, make sure to hand over the medical history and the emergency details. Fang Hang, you contact the patient's family as soon as possible and get them to the hospital."

"receive!"