This miracle doctor just wants to be fired!

When Zhou Cheng arrived at the emergency room, there were already many patients sitting in the emergency room lobby.

The nurse on duty in the emergency room saw him today and said with a smile, "Dr. Zhou, the teaching secretary has arranged two resident trainees for you. They're waiting for you in the emergency internal medicine department. One is named Li Yang, and the other is Chen Xi. They are both second-year graduate students and this is their first time rotating through the emergency room."

Zhou Cheng nodded. "Okay, thank you."

When he came out of the ward, his superior, Li Degang, had already told him about it.

Logically speaking, someone of his level shouldn't be qualified to mentor resident trainees.

Generally, only associate senior level physicians or senior attending physicians are qualified to conduct teaching.

However, the emergency internal medicine outpatient clinic is usually quite busy, so they make an exception and arrange for two resident trainees to help out.

As Zhou Cheng entered the doctor's office, he saw two young doctors in white coats standing somewhat nervously by the table.

The boy was tall and wore black-rimmed glasses.

The girl had her hair tied in a low ponytail, and a hint of nervousness was in her eyes.

"Hello, Teacher Zhou!"

Upon seeing Zhou Cheng walk in, the two greeted him in unison, unconsciously straightening their posture slightly.

Zhou Cheng quickly waved his hand with a smile: "Don't call me teacher, it's too formal. I'm only three or four years older than you, and I haven't been working for very long. Just call me Senior Brother Zhou."

As he spoke, he gestured for the two of them to sit down.

I glanced at their name tags; the boy's name was Li Yang, and the girl's name was Chen Xi.

"Let's work together today. Li Yang, you help me with the test orders and medical records, and Chen Xi will be in charge of calling out numbers and assisting with the physical examinations."

"I want to emphasize that as long as it's within the rules and you can get the hang of it, I'll let you try it. If you don't understand something, feel free to ask, and we'll learn together."

These words startled both of them, and their tense shoulders visibly relaxed a bit.

Previously, when I encountered other emergency room teachers, they were all very serious. They basically only let them do the work and didn't let them learn on their own, under the guise of reducing risks.

Chen Xi was slightly taken aback, and whispered, "Senior, when we went out with Professor Zhang yesterday, he said that at the beginning, resident trainees can only take notes and cannot conduct physical examinations, because he was afraid that patients would object and there would be risks..."

"Risks are mitigated through regulations, and patients' opinions are resolved through communication." Zhou Cheng picked up the stethoscope on the table and gently handed it to Chen Xi. "For example, when listening to the heart and lungs, you'll never learn to distinguish between wet and dry rales if you don't touch the patient. When a patient comes in, you listen first, and I'll keep an eye on things. I'll take responsibility if anything goes wrong."

Chen Xi and Li Yang's eyes lit up instantly.

As resident trainees, they are not afraid of doing chores, but they are afraid that the teachers will only ask them to do simple things and neglect teaching.

At this moment, Zhou Cheng also had his own ulterior motives.

Other emergency room doctors don't let resident trainees handle these tasks because they're afraid of conflicts with patients and the potential risks involved.

But he wasn't afraid!

He can now allow students to get hands-on experience within the limits of the hospital and regulations.

This does not violate system rules, but it may increase the risk of patient complaints to some extent.

This was also the first countermeasure Zhou Cheng thought of before coming to the emergency room in case he was "fired"!

……

After Zhou Cheng was ready, Chen Xi immediately got up to call Patient No. 1 in, while Li Yang opened the electronic medical record system to prepare to record.

The patient was an elderly man with gray hair. He was helped into the examination room by his son and was clutching his chest when he sat down.

"Sir, are you feeling unwell?"

"Doctor, I started feeling pain this morning after I came back from grocery shopping. It comes in waves, like something is pressing on it."

"Where exactly is the pain located?"

"It's right there on your chest."

Is the pain continuous or intermittent?

"It hurts when I walk, but it gets better after I rest for a while if I don't walk."

"..."

After Zhou Cheng finished asking about the patient's medical history, he nodded to Chen Xi, who was standing to the side, and said, "You should first perform a heart and lung auscultation on the old man, focusing on the heart rhythm, murmurs, and lung breath sounds."

Chen Xi nodded and was about to approach the old woman when her son suddenly frowned and stopped her, saying, "Wait! You look so young, are you an intern? My mother's chest pain is no small matter. Can we let her listen to anything she hears? What if she misunderstands?"

Chen Xi's hand froze in mid-air, her face instantly turning red. She subconsciously took a step back and glanced at Zhou Cheng.

Li Yang also stopped typing on the keyboard to record the patient's medical history and watched this scene nervously.

Zhou Cheng quickly stepped forward and said in a deep voice, "Please don't worry. First of all, Dr. Chen is a graduate student in our hospital's standardized residency training program and has a medical practitioner's license. Performing basic procedures like cardiopulmonary auscultation is in accordance with regulations."

"Secondly, our hospital is a teaching hospital. It is clearly stated on the notice board at the entrance that resident trainees will participate in diagnosis and treatment under the guidance of their supervising teachers. By choosing to come to our hospital for treatment, you have implicitly agreed to this."

Zhou Cheng paused, noticing that the man's expression had softened somewhat, and continued, "I completely understand your concern about misdiagnosis. I will be present throughout Dr. Chen's examination, and I will double-check after she finishes listening. I will make the final diagnosis to ensure there will be no problems."

"Moreover, if we don't let these students get hands-on experience now, how will they learn? When they practice medicine independently in the future, how will they treat more patients? Giving them another learning opportunity today is actually laying the foundation for future medical quality."

The old man's son was silent for a few seconds, glanced at the nervous Chen Xi beside him, then at Zhou Cheng, and finally let go: "Alright."

Zhou Cheng nodded to Chen Xi, "Don't panic, just do as we said before."

Seeing this, Chen Xi walked over to the old man and said softly, "Grandpa, let me listen to your heart and lungs. It might be a little cold, please bear with it."

As Zhou Cheng instructed, she first listened to the murmurs in each valve area of ​​the heart, gently supporting the old man's shoulder with one hand to keep him steady.

Chen Xi slowly moved the stethoscope, listened for a while, and then looked up at Zhou Cheng and said, "Senior Brother Zhou, the heartbeat is a bit slow, about sixty beats per minute. I didn't hear any unusual noises, and I didn't hear any abnormalities in the lungs."

Zhou Cheng nodded, took the stethoscope and examined the patient again, then said to Li Yang, "When we encounter patients with chest pain in the emergency room, we must rule out myocardial infarction as soon as possible. We should first order an electrocardiogram and troponin test. Just do these two basic tests to rule out myocardial infarction. After the results come out, we can see if we need to do other tests or go to a specialist for further treatment."

Li Yang nodded quickly and then issued the examination and laboratory test orders to the patient.

After the elderly man left, Chen Xi breathed a sigh of relief and went to call the next patient.

The second patient was a woman in her twenties.

She walked into the examination room with a stooped posture, her face pale.

Just as Li Yang was about to order a routine abdominal CT scan, Zhou Cheng stopped him: "Dr. Chen, you should do the abdominal examination first, focusing on the abdominal signs. Dr. Li, you can watch from the side. You can do it next time."

This time, the patient didn't object, but frowned and said, "Doctor, my stomach hurts terribly, please hurry."

"Please bear with it, we'll get back to you as soon as possible." Chen Xi walked to the patient's side.

Following the physical examination procedure, when the abdomen was pressed and the lower right abdomen was touched, the girl suddenly cried out, "It hurts!"

Zhou Cheng reminded him from the side, "Slow down, now slowly release your grip and observe the rebound pain."

The moment Chen Xi released her grip, the girl on the examination bed winced in pain: "It hurts even more now!"

"McBurney's point tenderness with rebound tenderness strongly suggests appendicitis," Zhou Cheng told Li Yang. "Order an abdominal ultrasound, a complete blood count, and an HCG test. We don't need a CT scan yet. Ultrasound has a high diagnostic rate for acute appendicitis, and it doesn't involve radiation, making it suitable for women of childbearing age."

"Okay." Li Yang nodded.

Chen Xi and Li Yang both felt that Senior Brother Zhou seemed different from the other emergency room doctors.

When other emergency room doctors see patients, they might not even conduct a physical examination, but just ask a few questions before telling the patient to go for tests first and then see them after the test results come out.

However, Senior Brother Zhou not only let them perform the physical examination, but also gave a preliminary diagnosis immediately.

But just then, a discordant sound suddenly came from outside the emergency internal medicine outpatient clinic.

"Hurry up, doctors inside! The emergency surgery department has already seen four or five, why hasn't the second one come out yet!"