This miracle doctor just wants to be fired!

In the emergency room.

Zou Qian also realized what was happening and immediately took out her phone to contact the radiology department.

"Hello, is this the radiology department? This is the emergency ward. We have a patient with nifedipine poisoning who urgently needs an abdominal CT scan. Could you please arrange it?"

The middle-aged woman looked at everyone busily working, her expression somewhat bewildered: "Doctor, will a CT scan be helpful? She's in so much pain right now, can she withstand a gastroscopy?"

"It's working!" Zhou Cheng quickly explained, "We've been using a lot of medication, but it hasn't been very effective. First, we need to rule out if there are any pills left in her stomach. If so, we need to expel them as much as possible. That way, we can control her blood pressure and heart failure, which is much more effective than just using antagonists!"

The middle-aged woman nodded, wiping away her tears: "Well, thank you, doctor. Please make the arrangements quickly!"

"Okay, the nurse is contacting them."

Not long after, the on-duty doctor in the radiology department replied that I could immediately go through the emergency channel to have a CT scan.

After receiving an affirmative answer, Zhou Cheng and nurse Zou Qian pushed the patient to the radiology department.

Li Degang was genuinely a little uneasy about having someone else take him to get a CT scan.

……

The patient's abdominal CT scan was completed quickly.

However, during the ten minutes of waiting for the results, everyone's hearts were in their throats again.

If the CT scan does not reveal any residual pills, and the family refuses to transfer the patient to the ICU, then the patient's condition will be even more dangerous!

Finally, the CT images and reports arrived.

The screen clearly shows multiple round, high-density shadows in the stomach cavity, blending into the food, which are likely undissolved drug residues.

"There really are so many residues!" Li Degang looked at the image on the screen, his expression quite excited. "There are indeed residual pills in the stomach. After communicating with the family, we need to arrange an emergency gastroscopy as soon as possible!"

"Received." Zhou Cheng also breathed a sigh of relief.

There really were some pills left, and judging by the amount, there were quite a few!

It's probably unrealistic to expect to remove the remaining pills through further gastric lavage.

Forced gastric lavage may cause side effects, making it a losing proposition.

In this situation, a gastroscopy can be used to directly clean the stomach contents.

After cleaning up all the remaining pills, the patient's condition may stabilize!

……

The middle-aged woman was sitting by her daughter's bedside, anxiously watching her pale face.

Seeing Zhou Cheng enter, he immediately stood up: "Doctor, how is it? Is there still medication in your stomach?"

Zhou Cheng handed the report to her, pointing to the small white dots on the image screenshot: "Look, these are the nifedipine sustained-release tablets that didn't wash out. There are at least dozens of them. They have been slowly releasing the drug, which is why your daughter's blood pressure keeps dropping and her chest tightness doesn't seem to be getting better."

"The only solution now is to perform an emergency gastroscopy to remove these remaining pills."

"A gastroscopy?" The middle-aged woman's face turned pale instantly. "She's so weak right now, how can she withstand such an ordeal? And...and isn't a gastroscopy very expensive?"

Zhou Cheng quickly pressed her hand down, his tone softening: "Auntie, don't panic. What we're going to do is a painless gastroscopy. We'll give the patient anesthesia, so she won't feel any significant discomfort. The whole process will only take about ten minutes, and it's much gentler than a regular gastroscopy."

"Moreover, the situation is urgent now. Every minute these pills remain in the stomach increases the risk."

"If the medication continues to be absorbed, even if we use more vasopressors, her blood pressure may suddenly drop, and then it will really be too late."

Zhou Cheng paused for a moment, then added, "Don't worry about the cost; emergency gastroscopy is much cheaper than ICU gastroscopy."

The middle-aged woman looked at Zhou Cheng, then at her daughter's pained expression, finally gritted her teeth, wiped away her tears, and said, "Okay... Doctor, I agree to have a gastroscopy. Please make the arrangements quickly."

Zhou Cheng immediately stood up and called to Zou Qian, "Sister Zou, prepare to take the patient to the endoscopy center. Notify the anesthesiologist to come over!"

……

Half an hour later, the patient was wheeled into the endoscopy center.

Under endoscopy, doctors removed dozens of undissolved nifedipine sustained-release tablets from the stomach, along with some fragments of the tablets stuck to the stomach wall.

When the patient was sent back to the ward, her heart rate had dropped to below 100 beats per minute, and her blood pressure had slowly risen to 100/65 mmHg.

In addition, the symptoms of chest tightness have been significantly relieved. Although she is still weak, she is now able to open her eyes and speak.

After the patient was returned to the ward, the readings on the monitor gradually stabilized.

The tense atmosphere in the ward finally eased.

Li Degang turned around and looked at Zhou Cheng with undisguised admiration in his eyes.

"Xiao Zhou, you've done a great job this time!"

Li Degang patted Zhou Cheng on the shoulder, a bit harder than usual, "If you hadn't thought about the residue in his stomach and insisted on having a CT scan, we might still be struggling with the continuously absorbed medication, and the patient's condition would only have gotten worse."

"Your clinical reasoning is better than many attending physicians who have been working for five or six years!"

He then looked at Fang Hang beside him, his tone tinged with emotion: "We deal with critical and severe cases every day in the emergency department. In the future, when you encounter complex cases, learn more from Zhou Cheng. Don't just focus on the medication in front of you; you have to find the root cause."

Zou Qian had just finished changing the IV set for the patient when she heard Li Degang's words and smiled in agreement: "That's right! When we were pushing the patient to the CT room just now, I was worried that it would be a waste of time, but after the CT scan, they removed more than thirty pills with the endoscopy, and now the patient's breathing looks stable!"

As she spoke, she picked up the patient's nursing records.

As the attending nurse, the happiest thing is seeing a patient go from critical to stable. This time, the accurate judgment of Zhou Cheng was indispensable in controlling the condition so quickly.

In the past, patients who had been poisoned and had their stomachs pumped rarely mentioned having an abdominal CT scan afterward.

Zhou Cheng's behavior clearly demonstrates his ability to think outside the box.

Fang Hang stood aside, inwardly marveling.

He was just lamenting that if the patient had to take these 1000 pills, it would take a long time. He didn't think of it like Zhou Cheng did, who had to go through a CT scan after having his stomach pumped.

Meanwhile, Zhou Cheng received another notification from the system.

【Ding! 】

[The system detected that the host successfully diagnosed and participated in the treatment of a patient with a highly complex drug poisoning, completing the hidden system mission—Emergency Detoxifier!]

[Quest Reward: Skill Level Upgrade Card (randomly upgrades a skill by one level, limited to skills below Master level). The card has been automatically sent to your system inventory!]

[If the host does not use the skill card in time, the system will automatically use it after 1 hour!]

Zhou Cheng was quite helpless.

If it were a regular system or game, completing the hidden quest would probably be quite difficult.

Why does it feel like there are so many hidden quests here?

And the rewards for this task seem like they were forced upon us by the system!

……

After everyone finished treating the patient and returned to the doctor's office, Fang Hang suddenly raised a question.

"Professor Li, since a gastroscopy can remove all the remaining pills, why not do a gastroscopy from the beginning instead of lavaging the stomach first?"

In the doctor's office, many doctors on duty heard Fang Hang's question and lowered their heads to think.

Could it be that this patient who swallowed 1000 nifedipine sustained-release tablets went down the wrong path in the initial treatment?