This miracle doctor just wants to be fired!

Zhou Cheng knew perfectly well that the current scene was exactly the "effect" he wanted.

He didn't compromise as usual; he just crossed his arms and spoke in a harsher tone than before.

"That's the standard treatment guideline. Painkillers should absolutely not be used until acute abdominal pain has been ruled out. This applies to every hospital and every department!"

This statement seems to have added fuel to the fire.

The man was in so much pain that sweat beaded on his forehead, but his anger flared up completely.

He slammed his hand on the edge of the examination bed, making the blood pressure monitor next to him shake. "What kind of attitude is this! I think you just don't want to get a proper medical check-up! What kind of stupid regulations are these? I think you're deliberately making things difficult for people! I'm going to file a complaint against you!"

His wife, standing beside him, also chimed in, hands on her hips, "Yes! We'll complain about you! We'll report you to the authorities! You've delayed my husband's medical treatment; what if something happens? Can you take responsibility?"

The two sang in harmony, their voices so loud that the entire observation room could hear them clearly.

Several patients who had been resting with their eyes closed sat up and started pointing and gesturing in this direction.

Zhao Wenqi quickly ran over, grabbing the man's arm and trying to calm him down, "Brother, don't get agitated, calm down, don't let your condition worsen!"

After saying that, she secretly tugged at Zhou Cheng's sleeve and said urgently in a low voice, "Dr. Zhou, should we call a senior doctor? Or should we give him some medicine first?!"

Zhou Cheng seemed not to hear, his face still cold as he looked at the patient: "It's your right to complain. But the principles of medication cannot be changed. If it's a perforated appendix or other serious acute abdominal condition, and painkillers are used to mask the symptoms now, it won't be time for surgery later."

His words hit the nail on the head. The man's voice subconsciously lowered a little, but he still craned his neck.

"I don't care! I'm in unbearable pain right now. If you don't prescribe my medicine today, I'll keep fighting with you!"

The patients' commotion quickly alerted Wang Jianming, the director of the emergency department, who happened to be passing by.

He was recently overwhelmed by Zhao Rui's situation. He had come to the department to pick up some things, but as soon as he entered, he saw this tense scene, and his brows furrowed instantly.

"What's all the noise about? What kind of order is this, crowding around like this!"

"Director Wang..." Many nurses greeted Wang Jianming when they saw him, and then lowered their heads.

The man, as if seeing a savior, immediately stepped forward and pointed at Zhou Cheng, complaining, "You must be the department head? Perfect timing! This doctor is outrageous! He won't prescribe any medicine for my stomachache. It's always the same old problem. At other hospitals, he just prescribes the right medicine, but here he makes me do a bunch of tests! What kind of doctor is this?!"

Wang Jianming's gaze swept over Zhou Cheng, his eyes filled with obvious displeasure.

He first reassured the patient, "Brother, don't worry. It's understandable that your stomach hurts. Dr. Zhou is young and speaks his mind, so please don't take it to heart."

After saying that, he turned to Zhou Cheng, his tone reprimanding: "Zhou Cheng, how do you communicate with patients? Do you have to be so confrontational?"

Zhou Cheng's face remained aloof, and he retorted stiffly, "Director Wang, I strictly followed the treatment guidelines."

"I know more about regulations than you do!" Wang Jianming said, suppressing his anger. "Can't you say a few nice things?"

Zhou Cheng frowned and stepped forward: "Director Wang, he has pain in his lower right abdomen, with obvious tenderness. We highly suspect an acute abdomen. Blindly using painkillers will mask the signs of peritoneal irritation. If it really is appendicitis with perforation, it will delay the timing of surgery."

"What do you mean by 'acute abdomen'?!" Wang Jianming waved his hand impatiently. "They already said it's an old problem. Let's give them some medicine first! If it's anything serious, there's still time for further examination!"

As he spoke, he immediately began writing a prescription for the man on the computer: "Go to the injection room first for an injection to relieve the pain. We can talk about the check-up later when you feel a bit better."

The man took the prescription, his face immediately breaking into a smile. He thanked Wang Jianming profusely, saying, "Director Wang, you're so understanding! Unlike some people, who are so rigid!"

His wife chimed in, "Exactly! Old doctors are definitely more reliable!"

The two men walked away, grumbling and cursing, and deliberately glared at Zhou Cheng as they passed by.

Watching the two figures walk away, Wang Jianming turned and glanced at Zhou Cheng again: "Learn from this! Doctors need to be flexible and adaptable, not just rigidly adhere to the textbook! Patient satisfaction is the most important thing!"

After saying that, he took his things and left without looking back.

Zhao Wenqi watched Wang Jianming's retreating figure, then looked at Zhou Cheng, and whispered, "Dr. Zhou, don't take it to heart, Director Wang..."

Zhou Cheng didn't speak, but looked at the man's basic information in the medical record, his brows furrowing even more.

He knew perfectly well that Wang Jianming's approach was a typical example of "appeasement-style treatment."

In order to avoid complaints, medical principles were sacrificed.

If there is pain in the lower right abdomen, especially if there is significant tenderness, it is highly likely to be an acute abdomen. Painkillers can indeed relieve the pain, but they can also make key signs such as abdominal muscle tension and rebound tenderness less obvious.

The consequences of delaying diagnosis are unimaginable.

In the past, he might have made the same choice as Director Wang: to comfort the patient first and then find an opportunity for the patient to undergo examination.

But things are different now!

"This patient still needs close monitoring. I'll order the abdominal ultrasound and blood tests first," Zhou Cheng said. "I'll urge him to get them done later."

Zhao Wenqi nodded: "I'll go give him the test results."

"By the way, please let me know as soon as there are any changes in his condition."

"receive!"

……

Zhou Cheng then examined a few other patients, all of whom had headaches and fevers. After confirming that there were no serious problems, he returned to the doctor's office.

Fang Hang, Cheng Peng, and the others had also heard the commotion in the observation room and immediately asked what was going on.

Zhou Cheng said a few words, and Fang Hang didn't say anything. He felt that Zhou Cheng had done the right thing.

Cheng Peng sighed and said, "Zhou Cheng, next time you encounter a patient like this, if all else fails, give him a painkiller injection to prevent him from arguing with you and eventually taking it to the higher-ups. In the end, you'll still have to give him the injection anyway."

Cheng Peng paused, then added, "We're not that unlucky; we can't always run into those dangerous acute abdominal conditions!"

Several young attending physicians nearby echoed Cheng Peng's words.

Everyone here has spent a considerable amount of time in the clinic, and you've all definitely encountered similar patients and situations.

In the beginning, everyone may stick to their own principles.

However, some patients have their own ideas or are unreasonable, disrupting the normal medical order.

If the argument eventually reaches the supervisor or department head, the patient will still have to be prescribed medication directly.

It would have been better to prescribe the medicine from the beginning to avoid alarming the leaders and leaving a bad impression.

Therefore, "appeasement-style" treatment has become prevalent throughout the healthcare system.

……