This miracle doctor just wants to be fired!

In the emergency room consultation room.

Li Yang and Chen Xi were both starting to panic.

Chen Xi subconsciously took half a step back behind Zhou Cheng.

Zhou Cheng remained calm, looking at the man before him, and said serenely, "I understand your concern for your family, but diagnosis must be based on the patient's symptoms and test results, not on guesswork."

"Let me explain again. The patient has a history of abdominal surgery. These postoperative symptoms indicate a high risk of intestinal obstruction. If a diagnosis is not made in time and treatment is delayed, it may lead to intestinal necrosis or even endanger life."

But the man wouldn't listen to his explanation at all, repeating the same few sentences over and over again.

"You have a problem with medical ethics!"

"I'm going to report you!"

"My relative is a doctor, so he must be right!"

Several patients had already gathered at the entrance of the clinic to watch the commotion, and the noise was growing louder and louder.

Zhou Cheng took a deep breath, raising his voice slightly, but still maintaining his composure.

He definitely can't argue with the patient; that would violate the system's rules.

Zhou Cheng remained calm and said indifferently, "You can complain or report if you want, I won't stop you."

"But the patient is still here, and the condition cannot be delayed. You have to wait for me to finish examining the patient, completing the examinations, and clarifying the diagnosis."

"Once all this is done, you can summarize my problems, and we can report them together and point out any flaws. I'll take it all on."

The man was taken aback by Zhou Cheng's attitude and paused in his filming.

The patient tugged at his arm and whispered, "How about we listen to the doctor and get it checked out? I'm in so much pain."

The man glared at the patient, hesitated for a few seconds, and ultimately stopped arguing. Still holding his phone, he said with a grim expression, "Fine, I'll do the test! I want to see what you can find! If you can't find any bowel obstruction, I'll definitely make you pay!"

Zhou Cheng didn't argue with him anymore. He turned around and gave Li Yang a look, signaling him to get a CT scan order.

Li Yang quickly lowered his head to operate the device, his hands still trembling slightly.

After the test order was issued, the man helped the patient to undergo the examination, and the examination room finally quieted down.

Chen Xi patted her chest and whispered, "Senior brother, that was terrifying. How could a patient be so unreasonable?"

"You may encounter all kinds of patients and their families in clinical work. The important thing is to stay calm and put the patient's condition first."

Zhou Cheng spoke calmly, as if the argument had never happened.

"I just asked you to pay attention to the patient's surgical history because intestinal adhesions and intestinal obstruction are common complications after abdominal surgery, especially around a week after surgery. If abdominal pain, vomiting, or abnormal bowel movements occur, this problem must be ruled out first."

"Remember, no matter what the family's attitude is, our diagnosis must strictly follow the treatment guidelines and we cannot be swayed by the family's emotions."

Li Yang and Chen Xi both nodded.

Regardless of the final abdominal CT results, Zhou Cheng's calm demeanor in the face of the patient had already earned the admiration of the two graduate students.

In clinical practice, many doctors are afraid of medical disputes when faced with such patients. They either follow the opinions of the patients and their families or they argue directly with the patients' families.

It's rare to find someone like Zhou Cheng who can stick to his own opinions and prioritize the patient's condition.

……

Zhou Cheng was not affected by the patient's family member.

He did what he was supposed to do, without violating medical ethics or the rules of the system.

As for the patient's family saying they would file a complaint against him, he couldn't be happier!

Just then, the elderly man who had just been to the doctor returned.

The family members held the newly completed electrocardiogram and the results of the rapid myocardial enzyme test.

Chen Xi took the electrocardiogram, glanced at it, and frowned, saying, "Senior, the patient's electrocardiogram shows no ST segment elevation, but there is myocardial ischemia, and the myocardial enzymes are normal."

Upon hearing this, the patient's family breathed a sigh of relief: "If the blood test is normal, does that mean there's no problem?"

Zhou Cheng casually took the electrocardiogram and glanced at it.

With just one glance, his brows furrowed immediately: "Although there's no obvious elevation, the T waves in leads V2 and V3 are symmetrically and deeply inverted—a classic sign of Wellens' syndrome!"

Not only were the patient's family members stunned, but Chen Xi and Li Yang were also dumbfounded, as they had never heard of this type of electrocardiogram syndrome before.

"This type of electrocardiogram is highly likely to progress to anterior wall myocardial infarction." Zhou Cheng immediately stood up and looked at the patient and family in front of him. "The patient cannot go anywhere now, and cannot get up or move around!"

After saying that, he looked at Li Yang beside him: "Dr. Li, go to the emergency room now and call the on-duty nurse to bring a stretcher. Remember to bring a defibrillator. The patient needs to go to the emergency room now, and then we need to call for a cardiology consultation. An emergency coronary angiography may be necessary!"

Upon hearing Zhou Cheng's instructions, Li Yang paused for a few seconds before reacting, then responded and quickly walked out of the emergency internal medicine clinic.

The patient and his family were also stunned by the doctor's strong reaction.

The family member, a middle-aged man in his forties, rushed forward and asked, "Doctor, are you sure you're not mistaken? My dad's blood tests are normal. How can you say it's a heart attack just from this one electrocardiogram?!"

The patient, an elderly man, frowned slightly and asked, "I'm not in much pain anymore, do I still need to go to the emergency room?"

Zhou Cheng looked at the patient and their family and explained, "Although the blood test results are normal, it only means there's no acute myocardial infarction right now. However, the electrocardiogram is of the high-risk type, and it could progress to a myocardial infarction at any time!"

"But no other tests have been done?!" the patient's son asked, puzzled. "No CT scan, no ultrasound, are you so sure it'll develop into a heart attack?"

Zhou Cheng was also quite helpless.

The previous patient didn't want to do the tests, but this patient thinks there aren't enough tests!

"Neither regular CT scans nor ultrasounds can diagnose an acute myocardial infarction," Zhou Cheng continued. "Now we need to go to the emergency room to monitor vital signs to prevent complications of myocardial infarction, such as malignant arrhythmias. Then we'll wait for a cardiologist to come and assess whether we should go directly to the interventional radiology department for coronary angiography."

"Does he need emergency surgery?" The patient's son couldn't understand.

He brought his father to the emergency room for chest pain, and the doctor glanced at the electrocardiogram and wanted to take his father for surgery.

This caught him off guard and even made him deeply suspicious of the doctor in front of him.

However, at this moment, Zhou Cheng and Zhao Wenqi, the nurse on duty in the emergency room, had already pushed the emergency stretcher over.

"Dr. Zhou, what's the patient's condition?" Zhao Wenqi pushed the stretcher into the emergency internal medicine clinic.

"This patient with high-risk chest pain is at risk of developing an acute myocardial infarction at any time!" Zhou Cheng explained the patient's condition in just a few simple words. "Get him to the emergency room immediately and have the on-duty doctor request an emergency consultation with the cardiology department."

"Okay!" Zhao Wenqi said seriously.

She was well aware of the seriousness of acute myocardial infarction.

The patient's son frowned as he looked at the scene before him. He could only say to his father, "Dad, listen to the doctor first. Let's go to the emergency room."

Unexpectedly, the patient shook his head upon hearing this: "I'm perfectly fine now, I don't have any chest pain at all. Why don't you prescribe some medicine for me, doctor? If that doesn't work, I'll go see a cardiologist."

The patient's son hesitated, looking at Zhou Cheng: "Doctor, how about we give him some oral medication first?"

Zhou Cheng shook his head: "No, medication can't solve any problems in this patient's condition. If I prescribe oral medication, it means I allow you to be discharged and go home to use oral medication for treatment."

"This..." The patient's son hesitated.

Looking at the row of patients outside the emergency room, Zhou Cheng said in a deep voice, "If you're not going to the resuscitation room, just sign your medical record."

He has already wasted a lot of time treating this patient.

Everything that needed to be said and done has been done.

The decision-making power should ultimately be left to the patients and their families.

The patient casually picked up a pen, signed his name on the medical record, and then walked out of the consultation room on his own.

The patient's son quickly helped him up and also walked out of the consultation room.

"Dr. Zhou, this..." Zhao Wenqi looked helplessly at the scene before her.

Zhou Cheng said apologetically, "I'm sorry to have made you come all this way for nothing."

Zhao Wenqi shook her head: "I'm fine with it, but what about this patient?"

"Nurse Zhao, please inform the head nurse and other nurses to report this patient to them." After saying this, Zhou Cheng looked at Chen Xi beside him, "Junior sister, please call the medical affairs department and report this patient's situation. If the patient stays in the hospital, have the medical staff keep an eye on this father and son."

Chen Xi nodded: "Okay."

Zhao Wenqi asked doubtfully, "Dr. Zhou, what if the patient and their family leave the hospital?"

"Then call the police, notify them, and report this situation to them," Zhou Cheng said without hesitation. "Let's also ask the patient's community to pay more attention."

Zhao Wenqi was taken aback: "Huh? We need to call the police? Is it that serious? What if the patient is fine? Wouldn't it be bad to make such a fuss?"

"It would be best if there were no problems." Zhou Cheng smiled gently.

When dealing with such a high-risk patient, reporting to the director and the medical affairs department is definitely not a problem.

As for whether the large-scale mobilization disturbed the leaders, that was none of his concern.

No, disturbing the leader is something he would be happy to see.