This miracle doctor just wants to be fired!

As soon as Wang Jianguo stepped out of the emergency room, Li Yang whispered to him, "Senior, the patient wanted to be admitted to the hospital. Shouldn't we just issue the admission certificate directly? It wouldn't cost us anything. Otherwise, it might upset him and he might complain about us."

Li Yang felt that Zhou Cheng was being a little too cautious.

Previously, every emergency room doctor he worked with was eager for patients to be hospitalized, so they wouldn't have to treat the patients and could just issue hospitalization certificates directly.

Zhou Cheng said calmly, "Emergency resources are very valuable. If we don't screen patients in the emergency department and just admit all these kinds of patients to the hospital, wouldn't the doctors in the inpatient department hate us?"

This is the explanation he gives on the surface, but in reality, Zhou Cheng is still hoping that the patient will go and complain.

"But, senior brother, you're really amazing. You found the possible cause of the patient's cough right away," Chen Xi suddenly said. "I glanced at his medical record, it's so thick. He's seen so many doctors, but they still couldn't find the cause."

"Because he always sees a respiratory physician," Zhou Cheng said. "Modern medicine is very specialized, with very fine classifications. When specialists see patients, they naturally think about diseases in their own department, so their clinical thinking may be limited."

"For example, for the same patient with chest pain, cardiologists might think of coronary heart disease, pulmonologists might think of pleurisy, thoracic surgeons might think of a fracture, and hematologists might think of leukemia..."

"However, when we are in the emergency department, we may need to think more broadly and not be bound by specialized diseases."

"Like the patient's cough just now, it is very likely a dry cough caused by ACE inhibitors."

Li Yang and Chen Xi nodded in agreement upon hearing Zhou Cheng's explanation.

They really felt that Senior Brother Zhou was different from other emergency room teachers. He was like a breath of fresh air. It turned out that there really were doctors like him who didn't order unnecessary tests or hospitalization certificates. He could find problems that others had missed just by being professional and conscientious.

At this moment, Zhou Cheng had no idea what the two students were thinking.

If he knew, he would only be dumbfounded. Right now, he just wants to get patients to complain about him as much as possible without violating medical ethics or actively provoking them!

……

He then treated two more patients with fever and palpitations, both minor ailments, and Zhou Cheng was unable to make any significant contribution.

"Next up, patient number 6!"

Soon, a middle-aged couple pushed open the door and came in.

The man, dressed in a presentable shirt, looked visibly impatient. As he walked in, he grumbled, "Why is it taking so long! I've been waiting for ages."

The woman was pale and unsteady on her feet, supported by the man. When she sat down, she clutched her stomach and frowned deeply.

After seeing the first few patients, Chen Xi had become familiar with Zhou Cheng's patient care routine and began to proactively inquire about the patients' conditions.

"Auntie, where do you feel unwell?"

Before the woman could speak, the man hurriedly said, "Doctor, my wife has had a stomachache, vomiting, and diarrhea for three days. She's been on IV fluids for three days at the community hospital for acute enteritis, but there's been no improvement. Please take a look at her quickly."

Chen Xi first looked at the patient: "Auntie, please don't panic. Tell me where it hurts? Does the pain come in waves or is it constant? What color is your vomit?"

"It hurts in the middle of my stomach, in waves, and when it hurts I break out in a sweat," the female patient said weakly. "I'm vomiting up what I ate before, there's no blood, and my diarrhea is watery, I have to go five or six times a day."

While gesturing for Li Yang to take notes, Zhou Cheng continued to press, "Have you eaten anything unclean in the past three days? Have you had a fever? Also, have you had any surgeries before?"

"I didn't eat anything special, and my family ate the same things without any problems. I also didn't have a fever." The patient paused, thought for a moment, and then said, "I had a uterine fibroid removal surgery at another hospital a week ago, and I started feeling unwell just a few days after being discharged."

"How is your recovery after the surgery? Have you experienced any abnormalities in passing gas or bowel movements?" Zhou Cheng asked with a more serious tone.

"I'm recovering okay, but I seem to be having fewer bowel movements and less gas these past two days," the patient added.

Zhou Cheng nodded, stood up and said, "I need to give you a physical examination, please cooperate."

After saying this, he winked at Chen Xi.

Chen Xi immediately understood and helped the patient to the physical examination bed behind the examination room.

This time, without Zhou Cheng's reminder, Chen Xi began to take the initiative to conduct physical examinations on the patients.

Chen Xi had the patient lie flat and lifted the corner of the patient's clothes.

Begin pressing on the abdomen, from the lower left to the lower right, with gentle and precise movements.

When Chen Xi pressed on the area around the navel, the patient cried out in pain and curled up involuntarily.

Chen Xi underwent a rebound pain test and then stood up straight.

Zhou Cheng immediately asked, "How is it? What illness are you considering?"

Chen Xi thought for a moment and slowly said, "Based on Auntie's symptoms, medical history, and physical examination, I suspect intestinal obstruction is the most likely cause. We may need to complete a full abdominal CT scan to make a clear diagnosis before targeted treatment."

No sooner had he said that than the man next to him erupted in anger, abruptly standing up and raising his voice.

"What kind of doctor are you?"

"This is clearly food poisoning, acute gastroenteritis. Do we really need a CT scan?"

He glanced at Chen Xi, then pointed at Zhou Cheng, "Why do we have to have an intern treat us?"

"I can understand blood tests, colonoscopies, or checking for poisoning, but what's the point of an abdominal CT scan for just a stomachache and diarrhea?"

The atmosphere in the consultation room instantly became tense, and both Li Yang and Chen Xi were stunned.

Zhou Cheng remained calm and said in a deep voice, "The patient had abdominal surgery a week ago. After the surgery, he experienced abdominal pain, vomiting, diarrhea, and reduced gas and bowel movements. These symptoms are typical of intestinal obstruction and are not simply acute gastroenteritis."

"A full abdominal CT scan can clearly show the condition of the intestines, determine whether there is an obstruction, the location and cause of the obstruction, which is crucial for subsequent treatment and cannot be omitted."

"I don't care about any obstruction!" The man wouldn't listen, becoming more and more agitated. "I know your hospital director very well, and I have relatives who are doctors. I already asked around, and he said it's just gastroenteritis, a few injections will do the trick, it can't be an intestinal obstruction! A CT scan is completely unnecessary!"

After saying that, he emphasized again, "It's not that I'm stingy with the money. I've already paid for the IV drip and the previous tests have been done. I just think that you, as a doctor, have questionable character and medical ethics. You're deliberately ordering unnecessary tests to rip people off! I'm going to report you to the disciplinary committee!"

He sized Zhou Cheng up and down. "You don't look very old, just over thirty, right? So young and already learning bad habits, all you do is swindle money from patients. What are you going to do in the future?"

As he spoke, he took out his phone, turned on the video recording function, and began filming Zhou Cheng and the environment in the clinic.