This miracle doctor just wants to be fired!
Chapter 23 An Unusual Emergency Room Doctor
Zhou Cheng followed Li Degang as they wheeled the patient into the operating room.
He clearly explained the patient's medical history to the general surgeon, waited outside the operating room for a few more minutes to confirm that the patient had successfully entered the operating room, then breathed a sigh of relief and turned to walk towards the observation room.
……
When I returned to the observation room, it was busier than before.
Fang Hang was squatting in front of a new hospital bed, listening to the heart and lungs of an elderly person. His brows were furrowed, clearly still recovering from the tension of the previous emergency treatment.
The nurses in the observation room were also busy changing their dressings.
Zhou Cheng didn't bother Fang Hang, but went straight to the nurses' station in the observation room to ask about the young man with a fever.
Just as he reached the nurses' station, Zhao Wenqi approached and asked in a low voice, "Dr. Zhou, you just came back from the operating room? In the emergency room, Director Wang asked why Fang Hang discovered the superior mesenteric artery embolism. Why didn't you say anything?"
Zhou Cheng paused for a moment, then smiled, picked up the water glass on the table, poured himself a glass of warm water, took a sip, and said, "What's there to say? Anyway, the patient has already been taken to the operating room. As long as he can be treated in time, it doesn't matter who found him."
"How can it not be important!" Zhao Wenqi exclaimed anxiously, her voice rising slightly before quickly lowering again. "I saw the whole process. You were the one who noticed the abnormal D-dimer levels first, alerting Fang Hang to the possibility of mesenteric vascular embolism, and even arranged for an enhanced CT scan. How did he get all the credit?"
"Director Wang even praised him at the nurses' station, saying he had keen clinical skills. I felt so sorry for you!"
Zhao Wenqi had worked in the emergency department for a while and had seen too many doctors vying for credit and shirking responsibility. But Zhou Cheng, who had clearly made a contribution, was the first one to remain silent.
Moreover, she was well aware of Zhou Cheng's situation. Director Wang didn't really like him to begin with, and if Fang Hang took all the credit, it would be a pipe dream for him to stay in the emergency department in the future!
Zhou Cheng paused, a hint of helplessness flashing in his eyes, but he quickly regained his composure: "As long as the patients receive timely treatment, I can just finish my shift without worry."
He certainly didn't reveal the real reason.
He was hoping to be fired so he could get the system reward sooner.
Zhao Wenqi was unaware of these things and only thought that Zhou Cheng was selfless and did not care about personal gains or losses.
She looked at Zhou Cheng and suddenly felt a surge of admiration.
Any other doctor would have explained this to Director Wang long ago; they wouldn't be like him, only thinking about the patient!
Unbeknownst to Zhou Cheng, he had unintentionally gained a little fan in the emergency room!
Zhao Wenqi thought for a moment and said very seriously, "Honestly, it would be such a pity if you really left the emergency department. Look at you today, one minute you were handling a patient with fever suspected of having hyperthyroidism, and the next you discovered that a patient with abdominal pain had mesenteric embolism. You're more reliable than many senior doctors. If you were to leave like this, it would definitely be a loss to our department!"
Zhou Cheng listened to Zhao Wenqi's words with mixed feelings. He could only smile and change the subject: "Stop reminiscing, let's get back to work. By the way, how's that young man with the fever? Have the thyroid function results come back yet?"
Zhao Wenqi didn't say anything more, and handed the test results to Zhou Cheng: "The results just came out. TSH is extremely low, and FT3 and FT4 are both high. I've been diagnosed with hyperthyroidism. I've already contacted the endocrinology department, and they said they'll send a doctor over for a consultation to see if I can be admitted to the hospital."
"Okay, I understand. I'll go see him later." Zhou Cheng took the test results, glanced at them quickly, and felt a weight lifted from his heart.
The hyperthyroidism issue has made some progress; the next step is to wait for an endocrinology consultation and arrange hospitalization. It's not particularly difficult.
……
About ten minutes later.
Zhou Cheng saw a doctor with gray hair enter through the nurses' station. He was wearing a white coat and had a name tag that read "Zhang Jianjun, Department of Endocrinology" on his chest.
He was older, but in good spirits, and walked steadily into the observation room.
Zhao Wenqi recognized him at a glance and quickly went to greet him: "Director Zhang, why did you come for the consultation in person? The patient is over here, he's the young man with fever and palpitations."
Zhang Jianjun nodded and followed Zhao Wenqi to the hospital bed.
"You're a new doctor in the emergency department, right?" Zhang Jianjun walked up to Zhou Cheng. "I don't think I've seen you before."
Zhang Jianjun is a senior doctor at the hospital with 30 years of experience. He is highly respected in the field of endocrinology and rarely comes down for consultations himself. He usually asks the chief resident or attending physician to come for consultations.
Upon seeing this, Zhou Cheng quickly nodded: "Hello, Director Zhang, I am Zhou Cheng, and I just joined the emergency department this year."
Zhang Jianjun nodded slightly, took the test report handed to him by Zhao Wenqi, and looked down to read it.
Upon seeing the thyroid function test results, he raised an eyebrow, then looked up at Zhou Cheng: "Did you recommend this patient have their thyroid function checked?"
Zhou Cheng paused for a moment, then nodded: "Yes, Director Zhang. In addition to fever and palpitations, the patient also had symptoms of hand tremors, heat intolerance, and weight loss. I didn't think it was a simple upper respiratory tract infection, so I suggested checking thyroid function, and the results showed that it was indeed hyperthyroidism."
"Hmm." Zhang Jianjun put down the test report and carefully looked Zhou Cheng over.
The young man in front of me looked very young, and there were still some water stains on the cuffs of his white coat, obviously he had just finished working. But when he talked about the patient's condition, he was clear and his eyes were very determined.
Zhang Jianjun has worked in the hospital for thirty years and has seen too many emergency room doctors treat the symptoms rather than the root cause.
After all, the pace of the emergency department is fast, and doctors tend to treat the most obvious symptoms first.
It's quite rare to see cases like this where subtle symptoms are combined to proactively screen for rare diseases.
Thinking of this, Zhang Jianjun couldn't help but sigh, "You young man, you have a very sharp clinical mind. In the past, when the emergency department encountered patients with fever and palpitations, we would send them directly to the infectious disease department. If they had palpitations, we would send them to the cardiology department, and if they had dizziness, we would send them to the neurology department."
"I just happened to notice the patient's trembling hands, and after asking about his medical history, I considered hyperthyroidism," Zhou Cheng said with a modest smile.
Zhang Jianjun doesn't believe this is just luck.
He went to the bedside and gave the young man a physical examination.
When the thyroid area was pressed, the young man visibly frowned.
Zhang Jianjun straightened up and said to Zhou Cheng, "The patient has a slightly enlarged thyroid gland. Based on the symptoms and test results, he has been diagnosed with hyperthyroidism. This fever is likely due to an upper respiratory tract infection, which has worsened the hyperthyroidism symptoms."
He paused, then added, "However, it's good that you had your thyroid function checked beforehand. If you had been sent to the infectious disease department and treated for an infection, not only would your palpitations not have been cured, but it might have also delayed the treatment of your hyperthyroidism."
Zhou Cheng quickly replied, "It's mainly because the patient cooperated and was willing to undergo the examination."
If he encountered a patient like that dizzy old lady from before, no matter how capable he was, it would be of no use.
Zhang Jianjun, however, didn't pay attention to his modesty. Instead, he patted him on the shoulder and said, "Don't be modest. It's not easy to maintain such meticulous clinical thinking in such a fast-paced environment as the emergency department. I'll remember you, Zhou Cheng, right? Keep up the good work, you'll definitely have a bright future in clinical practice."
After speaking, Zhang Jianjun began writing a consultation opinion, recommending that the patient be admitted to the endocrinology department for inpatient treatment, first to control the infection, and then to use anti-thyroid drugs to adjust thyroid function.
After writing the consultation opinion, Zhang Jianjun said, "Talk to the family. If they agree to hospitalization, I'll have the department reserve a bed for them right now, and they can be transferred today."
"Okay, Director Zhang, I'll communicate with the family right away." Zhou Cheng took the consultation form and breathed a sigh of relief.
Upon hearing that the patient could be hospitalized and receive specialist treatment, the patient's family immediately agreed.
"Thank you so much, Dr. Zhou. If it weren't for your attentiveness, we wouldn't have known our child had hyperthyroidism. We thought it was just a common cold. Thank you so much!"
Zhou Cheng smiled and said, "Pack your things first, and the nurse will call you to complete the admission procedures later."
"Okay, thank you, Dr. Zhou."
At this moment, Zhao Wenqi leaned closer and whispered, "Dr. Zhou, even Director Zhang praised you! This isn't something an ordinary doctor could do. You're amazing!"
The little fangirl is beginning to take shape!
Zhou Cheng smiled and said, "I didn't expect you to be so familiar with these senior department heads so soon after you joined the hospital. Don't just keep praising me, hurry up and get the admission procedures done so the patient can be transferred to another department as soon as possible."
"Received, will get right on it!" Zhao Wenqi said with a grin and jogged off.
……
At this moment, Zhou Cheng felt a mix of emotions.
He originally just wanted to live a peaceful and easy life until the end of his probation period, but he didn't expect to handle several difficult cases in a row.
"If this continues, will we really be left behind?"
A thought suddenly popped into Zhou Cheng's mind, but he quickly shook his head.
No, he still has a three-month probationary period. As long as things proceed as normal, he should be able to be dismissed smoothly.
Zhou Cheng took a deep breath, cleared his mind of distractions, and turned to walk towards the next bed.
There were new patients waiting to be treated in the observation room, so he didn't have time to think too much and could only focus on doing his job well.
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