This miracle doctor just wants to be fired!

Ventricular tachycardia and ventricular fibrillation are the most dangerous types of arrhythmias, and can lead to sudden cardiac death at any time.

Zhou Cheng quickly pressed down on Fang Hang's arm, signaling him not to get agitated: "Senior brother, don't panic. Branch ventricular tachycardia is different from other types of ventricular tachycardia. It belongs to the benign type of idiopathic ventricular tachycardia, and the risk is much lower than that of ordinary ventricular tachycardia."

Then, pointing to the QRS complex on the electrocardiogram, he continued to explain, "You see, its waveform is very regular, without any torsional or polymorphic changes at the tips."

"Moreover, the patient has no history of organic heart disease, so it is rare for it to directly develop into ventricular fibrillation. As long as verapamil is used to convert the heart rhythm in time, most patients can restore a normal heart rhythm and rarely have any sequelae."

"Really?" Fang Hang was still a little worried, so he leaned closer to the electrocardiogram and looked at it again. "I read in a book before that ventricular tachycardia is high-risk, and I thought all ventricular tachycardia cases required electrical cardioversion."

"It depends on the type." Zhou Cheng smiled and patiently added, "Ventricular tachycardia caused by myocardial infarction or cardiomyopathy carries a high risk, but this type of idiopathic fascicular ventricular tachycardia, especially in young patients, has a good prognosis as long as it is treated promptly."

"However, we cannot be careless. If the heart rate continues to exceed 180 beats per minute, it can lead to low blood pressure and heart failure over time. Therefore, we must take medication as soon as possible and not delay."

Fang Hang finally breathed a sigh of relief: "Okay, I'll go tell the nurses to prepare verapamil as soon as possible, and also to double-check the patient's medical history to make sure there is no organic heart disease."

……

Just then, a steady voice came from behind them: "That's right. Risk assessment for fascicular ventricular tachycardia does need to take into account waveform morphology and the patient's underlying diseases; it cannot be generalized."

Zhou Cheng and Fang Hang turned around at the same time and saw Li Degang standing at the office door at some point, holding a document in his hand.

Fang Hang was taken aback for a moment, then quickly greeted, "Teacher Li."

Zhou Cheng also stood up and greeted them.

"I just got to the door and heard you talking about fascicular ventricular tachycardia." Li Degang walked in, his gaze falling on Zhou Cheng, his eyes full of surprise. "Xiao Zhou, your judgment on the characteristics and risks of fascicular ventricular tachycardia is very accurate. You can even point out details like the regular waveform indicating a benign condition. Your ECG interpretation ability is much stronger than I expected."

Zhou Cheng's previous impression on everyone was that he was down-to-earth and hardworking.

As for his abilities, he was just a resident physician on probation, so people didn't know much about him.

Zhou Cheng wanted to say a few humble words to avoid his superiors remembering his electrocardiogram skills.

Li Degang pulled a notice from the documents in his hand and placed it on the table: "Perfect timing. The city is holding an electrocardiogram interpretation competition for young doctors next week. Each department in our hospital, cardiology and emergency medicine, must send at least one person to participate."

"Director Wang put me in charge of this matter. I was worried about who to send. Fang Hang has little clinical experience, and Zhao Rui had that incident. I wasn't confident about sending other young doctors either. Now it seems that you are the most suitable."

"Me?" Zhou Cheng was stunned. He subconsciously wanted to refuse. "Teacher Li, I can't do it. I've only been in clinical practice for a short time. I haven't mastered many types of electrocardiograms yet. It wouldn't be good if I embarrassed the department."

Zhou Cheng was extremely anxious.

If he wins an award in the competition, wouldn't that make it harder for him to be fired?

This is definitely not what he wanted to see.

Before Li Degang could even speak, a system notification suddenly sounded in his mind.

【Ding! 】

[The system has detected that the host is facing a normal work assignment (participating in a city-level electrocardiogram competition). According to system rules, the host cannot refuse this normal work task; otherwise, a task failure penalty will be triggered.]

Zhou Cheng's face stiffened, and he cursed the system inwardly.

Why can't I even refuse to compete?

All the reasons he had prepared for refusing stuck in his throat, and Zhou Cheng could only bite the bullet and change his words: "Teacher Li, well, I'm just afraid I don't have enough experience. If Teacher Li thinks I can do it, I'll give it a try."

Li Degang thought he was being modest and immediately laughed: "Don't worry, the ECGs you just interpreted are better than many doctors who have been working for many years. Many cardiology specialists can't even identify fascicular ventricular tachycardia."

"Take some time these next few days to review the atlas of difficult electrocardiograms. Ask me anytime if you don't understand anything. Try your best to get a good ranking and bring some honor to our emergency department."

Zhou Cheng thought for a moment and then asked, "Teacher Li, is this exam related to the probationary period assessment?"

Li Degang thought Zhou Cheng wanted to stay in the hospital's emergency department through this electrocardiogram competition.

He paused slightly before slowly saying, "Well, the hospital doesn't seem to have any specific regulations, but don't worry, winning an award will definitely help with the performance evaluation."

Zhou Cheng waved his hands repeatedly: "Teacher Li, I didn't mean that. I just wanted to ask. The competition is a competition, and the probationary period assessment is an assessment. They definitely can't be confused."

Li Degang was very pleased to see how cooperative Zhou Cheng was.

He secretly made a decision in his heart: if there was an opportunity, he would keep such an excellent young doctor as Zhou Cheng in the department.

Zhou Cheng simply nodded silently without saying a word.

He was afraid that the more he talked, the more mistakes he would make.

Li Degang gave him a few more instructions, telling him to prepare well, before leaving with the documents.

……

Zhou Cheng looked at the electrocardiogram on the table and sighed helplessly.

Since we can't refuse, we can only take it one step at a time.

He picked up the competition notice left by Li Degang, which stated that the competition included routine electrocardiogram, difficult arrhythmia, and myocardial infarction localization.

Scrolling down the notification, Zhou Cheng wanted to see the specific time and location of the competition, but his gaze suddenly stopped on the reward settings on the last page.

"First place: RMB 50000, and a certificate of 'City-level ECG Interpretation Expert'."

Second place: 30000 RMB.

Third place: 10000 RMB.

"Fourth to tenth place: Excellence Award, RMB 1000."

"Rewards will be issued on the spot, with no delay."

Zhou Cheng's eyes lit up instantly.

His current probationary salary is only a little over 3000 yuan per month. After deducting rent and living expenses, he is basically living paycheck to paycheck.

The main task of being dismissed will require at least three months of evaluation.

The prize for the competition is that if you participate in a match next week and finish in the top ten, you can receive the prize on the spot.

These are tangible benefits!

I don't need to get first place, just getting into the top ten will help supplement my living expenses.

After all, he has been studying for so many years, and now that he is working, it's still a bit embarrassing for him to continue asking his family for living expenses.

Of course, it's not bad if you don't get a good ranking, since it won't attract much attention and you can quietly pass the remaining three months of the assessment period.