This miracle doctor just wants to be fired!

Hospital leaders intervened, arranged a time for the next meeting with the patient's family, and then they left with the banner.

Zhou Cheng, Fang Hang, and others returned to their posts.

Zhou Cheng is on the day shift in the emergency ward today, while Fang Hang continues to work the day shift in the observation room.

The emergency ward had only a dozen or so patients, most of whom were poisoned by rat poison, attempted suicide, or had burns.

After learning about the basic information of all the patients, Zhou Cheng returned to the doctor's office.

The second-line doctor on duty in the emergency ward today is Li Degang. If Zhou Cheng encounters a patient he cannot handle, or a critically ill patient, he needs to contact Li Degang immediately.

Just then, Zhou Cheng's WeChat notification sounded.

He took out his phone and saw that it was Su Yi who had spoken in the WeChat group he had created a few days ago.

"Holy crap, Zhou Cheng, you're amazing! Blindly puncturing the pericardium?"

These past few days, this newly created WeChat chat group has been exceptionally lively. Although the people in the group are different, it's even more lively than the class group.

Because we often get together, we are relatively familiar with each other.

However, Zhou Cheng is usually quite busy, so he rarely posts online.

Freckled-faced classmate Zhang Miaomiao also spoke up: "Is it a pericardial puncture?"

Su Yi continued, "That's right, our cardiology department just admitted a patient today who was brought in from the emergency room. He had a pericardiocentesis done in the emergency room yesterday. My supervisor said it was a blind pericardiocentesis done in the emergency room yesterday. I asked who was so skilled, and after asking around, I found out it was Zhou Cheng!"

We are all doctors from different departments. Although there are deep barriers between departments, everyone knows about pericardiocentesis.

Zhang Miaomiao: "Blindly tracing that way, that's really impressive. Was the situation very dangerous?"

Su Yi said, "It's cardiac tamponade. If we don't perform an emergency puncture, the patient will be in great danger."

At this moment, Zhou Cheng also chimed in: "I'm pretty lucky, but my superiors aren't around, so I have no choice but to give it a try."

Su Yi couldn't help but say, "Many doctors in our cardiology department are afraid to perform a biopsy, Lao Zhou, you're truly amazing!"

Zhou Cheng could imagine Su Yi's exaggerated expression in front of the screen. He just smiled and put down his phone.

Just then, Zou Qian, the nurse on duty in the emergency ward that day, hurriedly walked in.

"Dr. Zhou, the outpatient department called and said to bring the patient to the ward immediately. The condition is not good. Please come and take a look!"

Zhou Cheng was taken aback.

It's only been a short time since the shift started, the day has just begun, and they're already admitting patients to the ward so early?

He stood up, grabbed the stethoscope from the table, and walked out. "Okay, I'm coming now."

……

As Zhou Chenggang walked out of the office corridor, he heard the rapid sound of stretcher wheels scraping against the ground not far away.

He was all too familiar with that sound; it usually meant that a critically ill patient had been brought in.

He walked to the nurses' station and saw a nurse pushing a stretcher and walking quickly in, followed by a young man with a panicked look on his face.

The girl lying on the stretcher was as pale as a sheet of paper, her lips were pale and devoid of any color.

The most jarring sight was that the sheets beneath her were soaked in blood, which was still spreading outwards.

"Doctor! Come quick! This girl is 18 years old and is experiencing severe bleeding. She was just transferred from the emergency room! Her blood pressure was 85/50 mmHg and her heart rate was 120 beats per minute when she was in the outpatient clinic!"

Zou Qian's voice was urgent as she helped adjust the height of the stretcher while quickly reporting the situation.

"They're here!" Zhou Cheng strode to the stretcher. "Get them to the emergency room first, establish two IV lines, draw blood for preparation, and check their complete blood count, coagulation function, and HCG levels. Then contact the gynecology department for an emergency consultation!"

At this moment, the girl was curled up, her eyes unfocused, and her breathing was weak.

"Okay! Got it!" Zou Qian said a few words to the young nurse beside her, and then pushed the patient into the emergency room of the ward.

……

Inside the emergency room of the ward.

The young man standing next to the girl was so anxious that his eyes were red.

"Doctor, she was fine this morning, but suddenly she said her stomach hurt, and then she started bleeding, and the bleeding is getting heavier and heavier. She said it was her period, but this is so abnormal..."

Zhou Cheng nodded. "What's your relationship to her?"

The young man paused for a moment before saying, "Classmate, we are classmates."

Zhou Cheng continued, "Have you contacted her parents?"

The young man nodded: "I already called her on the way to the hospital, but her parents are out of town and can't get here anytime soon."

Zhou Cheng frowned, then looked at the girl on the hospital bed: "Don't be afraid, tell me, is your period the same as usual this time? Was it late? Do you have a boyfriend?"

He asked the question in a very tactful way, but it was also the key to judging the illness.

The girl's eyes darted away, her voice still weak: "Doctor, I... I'm not pregnant. This is just a normal period, it's just that the flow is heavier than usual..."

She was speaking when she suddenly winced in pain, her body trembling uncontrollably.

Zhou Cheng's heart sank.

The 18-year-old girl is experiencing severe vaginal bleeding, and her blood pressure is already low, putting her at risk of shock at any moment.

In addition to maintaining blood pressure, it is essential to find the cause of the bleeding as soon as possible.

Zhou Cheng's brain was like a high-speed machine, flashing through several possible causes of the illness in an instant.

Just like when I was reading English literature last night, the key points for diagnosing gynecological emergencies automatically came to mind.

The first suspicion, which is the most common and the easiest to think of, is a ruptured ectopic pregnancy.

When a fertilized egg implants in the fallopian tube, it can rupture and cause intra-abdominal bleeding, which is a common and fatal cause of severe vaginal bleeding in young women and must be ruled out as a priority.

The second is corpus luteum rupture. The corpus luteum formed after ovulation is fragile, and strenuous exercise or increased abdominal pressure can cause it to rupture and bleed.

The third is incomplete miscarriage, where retained products of conception affect uterine contractions, leading to persistent bleeding.

"We can't just wait for the gynecology department to come for a consultation; let's do a gynecological ultrasound first!" Zhou Cheng made a decisive decision, looking at Zou Qian beside him, "Sister Zou, call an urgent consultation with the ultrasound department and have them come to do a gynecological ultrasound."

If an ultrasound indicates intra-abdominal bleeding, contact the operating room immediately to prepare for emergency surgery!

Zou Qian nodded and instructed the young nurse next to her to go to the nurses' station to call the ultrasound department.

However, fearing that the young nurses might not be able to explain things clearly over the phone, she went to the nurses' station in person to give them a few more instructions.

Zhou Cheng didn't sit idle either. He re-examined the girl's electrocardiogram and then called Li Degang, the second-line doctor.

Even if he could handle such a critically ill patient, he would still need to report to his superiors first.

Li Degang replied on the phone, "Okay, well handled. Immediately administer fluids, find the cause of the bleeding, wait for the ultrasound results, and we also need a gynecological consultation. I'm currently dealing with a myocardial infarction patient and can't come over for the time being. Contact me anytime if there are any issues."

"Okay!" Zhou Cheng hung up the phone. At that moment, the ultrasound doctor arrived.