This miracle doctor just wants to be fired!

Zhou Cheng walked out of the doctor's on-call room and returned to the emergency ward.

Zou Qian is communicating with a patient in the ward about their condition.

The elderly man in bed 3 was still complaining of dizziness and wanted to have his blood pressure checked again.

The patient in bed 5, who was experiencing heart palpitations, was asking when the examination would be scheduled. He said there were no problems and he wanted to go home as soon as possible.

Zhou Cheng had a sudden thought: could he see the attribute panels of other people?

As he pondered, a virtual screen quickly appeared in his mind.

Name: Zou Qian

[Occupation: Senior Emergency Department Nurse (Head Nurse)]

Education: Bachelor of Nursing

Age: 37

[Department: Emergency Department, Jinghua City First People's Hospital]

Skills mastered: Venous puncture (proficient level), cardiopulmonary resuscitation (expert level), arterial puncture (expert level), sputum suction (proficient level), urinary catheterization (proficient level)...

[Status bar: Precision +10% (Can precisely puncture difficult blood vessels, such as elderly patients and children's small blood vessels), resulting in less pain for the patient)]

【Favourability: 42】

Zhou Cheng was somewhat surprised.

Zou Qian is already the most senior nurse in the emergency department, and her abilities are also the most outstanding in the department.

Even she doesn't have a single master-level skill!

It seems that this master-level skill is quite difficult to acquire.

But what about master-level coronary angiography?

In their emergency department, which is not the cardiology catheterization lab, they usually only perform cardiopulmonary resuscitation and pericardiocentesis. How often would they have the opportunity to perform coronary angiography?

Forget about master level, even god level skills are no different from useless skills here!

If the system were a little smarter, wouldn't it be great to give out cash rewards as a welcome gift for new players?

Even if it's only a few hundred yuan, it can help subsidize some of the rent!

"Is this favorability rating supposed to reflect my feelings for him?" Zhou Cheng wondered, looking at the favorability rating at the bottom. "Is 42 a high or low? What's the point of it?"

However, the system didn't give any hints this time, so it seems he'll have to figure it out himself.

……

Seeing Zhou Cheng return to the ward, Zou Qian finally breathed a sigh of relief. "Dr. Zhou, the old man in bed 3 said his dizziness has gotten worse. I just checked his blood pressure, and it's 155/100 mmHg, which is a bit higher than before."

"Okay, I'll be right there." Zhou Cheng nodded.

Dizziness is a common symptom among the elderly, and it is also one of the symptoms whose cause is difficult to determine clinically.

Zhou Cheng went to see the old man, conducted a simple physical examination, and temporarily ruled out an acute cerebrovascular accident.

"Sir, let's observe for another half hour. If your blood pressure still doesn't come down, we'll give you another half a tablet. Don't be nervous," Zhou Cheng reassured him. "The more nervous you are, the higher your blood pressure might go!"

The old man felt a little better after hearing Zhou Cheng's words of comfort.

Zhou Cheng then went to check on the other patients, and only after all the patients were settled did he return to his office.

He returned to his office, but instead of staying idle, he secretly peeked at the attribute panel of the doctor currently in the office.

The feeling of stealing is extremely strong!

First was his superior physician, Li Degang.

Li Degang is an attending physician in the Department of Emergency Medicine with over 20 years of clinical experience, and is considered a backbone member of the department.

Zhou Cheng discovered that most of Li Degang's skills were at the proficient level.

The procedures, including the three major punctures, cardiopulmonary resuscitation, electrocardiogram interpretation, and gastric tube insertion, are all performed at the proficient level, and none of them are at the master level.

Because they work in the emergency internal medicine department, they perform far fewer procedures compared to the emergency surgery department.

Another attending physician in the emergency internal medicine department, Zhang Biao, has similar skills to Li Degang. Most of his skills are at the proficient level, and a few are at the expert level, but none are at the master level.

Not to mention the other resident physicians, very few even have proficient skills.

Currently, master-level skills are very rare!

……

Just then, Fang Hang walked into the doctor's office.

Zhou Cheng greeted him and then saw his attribute panel.

Name: Fang Hang

[Occupation: Emergency Department Probationary Physician]

Education: Doctor of Clinical Medicine

Age: 30

[Department: Emergency Department, Jinghua City First People's Hospital]

Skills already mastered: Clinical research design (Master level), Academic paper writing (Proficient level), Cardiopulmonary resuscitation (Beginner level), Thoracentesis (Beginner level), Pericardiocentesis (Beginner level)...

[Status Bar: Research Thinking Ability +5% (Passive Buff): When faced with clinical problems, you can quickly identify research entry points and are adept at extracting research directions from clinical phenomena.]

【Favourability: 60】

Fang Hang's skill levels are extremely polarized.

They have high research skills, but their clinical skills are only at a beginner level.

It's worth mentioning that Fang Hang's clinical research design skills are actually at a master level!

Based on the information he had previously gathered, this master level was already incredibly impressive!

It seems that Fang Hang's decision to switch from scientific research to clinical practice was not a particularly good choice.

However, Fang Hang's favorability rating for him was 60, which was much higher than Zou Qian's.

You should know that he had only worked a shift with Fang Hang once, but he had been working with Zou Qian for two or three months.

Perhaps it was because they were on duty together yesterday that Fang Hang developed a good impression of him.

……

Just then, Fang Hang walked in carrying a stack of electrocardiograms, looking somewhat embarrassed.

When he saw Zhou Cheng, it was like finding a savior. He quickly walked over and said, "Junior brother, are you busy right now? Could you help me take a look at these electrocardiograms? I've been looking at them for a long time, but I still don't quite understand them."

Fang Hang's clinical skills are mostly at the beginner level. Interpreting electrocardiograms, which requires experience, is indeed difficult for him.

Zhou Cheng originally wanted to find an excuse to refuse, since his outstanding abilities would make it difficult for him to be dismissed.

But seeing Fang Hang's anxious eyes, and recalling the tacit understanding they had when they were on duty together yesterday, she nodded and said, "Okay, I'll take a look for you. Please have a seat."

Fang Hang quickly spread the electrocardiograms on the desk and pointed to the top one: "This is the electrocardiogram of the patient in bed 1 of the observation room. He said he had chest tightness, so I did an electrocardiogram for him. It looks like there are ST segment changes, but I can't tell whether it's caused by myocardial ischemia or electrolyte imbalance."

Zhou Cheng leaned closer, his eyes quickly scanning the waveforms on the electrocardiogram.

His electrocardiogram interpretation skills are at the proficient level.

Various data and waveform features are automatically categorized in the mind.

Heart rate 72 beats/min, regular rhythm, slight ST segment depression in leads II, III, and aVF, flattened T waves, no pathological Q waves. Considering the patient's history of hypertension, it is more likely to be mild myocardial ischemia rather than electrolyte abnormality.

"Senior, look here." Zhou Cheng pointed to the ST segment in lead II. "The ST segment depression is less than 0.1mV, the T wave is just flattened, not inverted, and the patient's electrolytes were normal just now. So it's more likely that the myocardial ischemia is caused by hypertension, not an electrolyte problem. You can have the nurse do another cardiac enzyme test to rule out the possibility of a myocardial infarction."

Fang Hang looked in the direction Zhou Cheng was pointing and suddenly realized, "Oh, I see! I only noticed the ST segment had changed, but I didn't look at the electrolyte results. What about this one?"

He handed over the second electrocardiogram, which belonged to a young patient.

"This patient complained of palpitations, and the test showed a fast heart rate. It looked like supraventricular tachycardia to me, but I wasn't sure."

Zhou Cheng took it and his gaze fell on the heart rate reading.

156 beats/min, normal QRS complex morphology, absolutely regular RR intervals, no P waves, instead retrograde P waves embedded within the QRS complex.

Zhou Cheng quickly concluded: "This is a typical atrioventricular nodal reentrant tachycardia, also known as supraventricular tachycardia."

"You see, the QRS complex is narrow, the heart rate is regular, and there are no obvious P waves, which is consistent with the characteristics of supraventricular tachycardia. You can first have the patient try methods to stimulate the vagus nerve, such as the Valsalva maneuver. If that doesn't work, then consider medication."

Fang Hang listened and took notes in his notebook, nodding frequently.

"No wonder it looked similar yet different to me; the key is the location of the P wave!"

"What about the third one? This patient came in with sudden palpitations and dizziness. His heart rate was frighteningly fast. I noticed that the QRS complex was a bit wide, and I couldn't tell whether it was ventricular tachycardia or supraventricular tachycardia with aberrant conduction, so I didn't dare to prescribe medication casually."

Zhou Cheng picked up the third electrocardiogram and his eyes instantly locked onto the key features.

"Senior, this is fascicular ventricular tachycardia, a type of idiopathic ventricular tachycardia, not supraventricular tachycardia with aberrant conduction. You can see that the QRS complex has a right bundle branch block pattern and the electrical axis is also deviated to the left. This is a typical manifestation of left posterior fascicular ventricular tachycardia. Moreover, the heart rate is fast but the rhythm is relatively regular, without the wide and narrow fluctuations of supraventricular tachycardia with aberrant conduction."

He paused, then pointed to leads V4-V6: "Look at these leads again. The T wave and QRS complex are in opposite directions, which is also an important characteristic of ventricular tachycardia. This patient needs immediate treatment. First, administer verapamil intravenously, and monitor blood pressure and heart rate at the same time."

Upon hearing this, Fang Hang immediately stood up in shock. "Ventricular tachycardia? Isn't that very dangerous?!"