This miracle doctor just wants to be fired!

Emergency internal medicine outpatient clinic.

Upon hearing Zhou Cheng's analysis, a glimmer of hope appeared on the middle-aged woman's face.

She originally just wanted to get a hospital admission certificate and then go to the inpatient department for further examination, but she didn't expect that the emergency room doctor could directly analyze her condition.

"Doctor, which department do you work in? I'd like to be admitted to your clinic!"

The middle-aged woman's words stunned everyone present.

Zhou Cheng shook his head: "Auntie, this is the emergency department. You do not meet the criteria for admission to the emergency department. I suggest you go to the endocrinology department for further treatment."

"No, I've been to the hospital so many times, and the doctors still haven't been able to find out the specific cause." The middle-aged woman shook her head repeatedly.

It wasn't that she didn't trust other doctors, but rather that in all the time she had sought medical help, no doctor had ever been able to easily analyze her condition and symptoms.

Zhou Cheng's analysis just now gave her hope.

"Auntie, our emergency department is really not suitable for you, and I don't have a bed to manage right now," Zhou Cheng explained. "Even if you were admitted to the emergency department, I wouldn't be the one to manage your bed in the end."

Hearing Zhou Cheng's words, the middle-aged woman became somewhat anxious.

Is the hope we've just glimmered about to be extinguished?

However, Zhou Cheng continued, "Auntie, how about this, I'll order some tests and lab work first. You can get them done at the outpatient clinic first. If it's the same as my diagnosis, then you can go to the specialist clinic later."

"Okay, I'll do as you say." The middle-aged woman no longer wanted to be hospitalized.

Zhou Cheng asked Li Yang to order relevant tests for her, including thyroid function, electrolytes, and an adrenal CT scan.

The middle-aged woman took the test results and quickly left the emergency room.

……

Just then, the nurse at the triage desk hurriedly pushed open the door to the examination room.

"Dr. Zhou, there are still many patients we haven't seen. A patient just called the mayor's hotline to complain. Could you please speed things up a bit?"

Zhou Cheng's face lit up with joy; the complaint had finally arrived!

However, he remained calm and said slowly, "I've already been very fast, but the patients' conditions are quite complex, and I can't just focus on speed in treating them, can I?"

The nurse said with difficulty, "Dr. Zhou, it's been noisy outside for most of the day. Please hurry up. I'll call the head doctor and see if we can open another consultation room."

Zhou Cheng nodded, then continued to look at the patients at hand.

Chen Xi and Li Yang, standing to the side, began to defend Zhou Cheng.

They spent the entire morning by Zhou Cheng's side, and thus knew just how many patients his senior brother had helped solve their problems.

Previously, emergency room staff would either admit patients to the emergency room for observation or to the hospital, only treating the patients superficially and letting them leave the emergency department.

Zhou Cheng, however, was different; he truly delved into the analysis of each patient's condition.

"Someone actually complained! We haven't had a break all morning, and we haven't even been to the toilet once," Li Yang said indignantly.

"Yes, so many complicated and critical patients were cured by my senior brother, and yet he still gets complained about. I really don't understand." Chen Xi also pursed her lips, feeling indignant on Zhou Cheng's behalf.

Zhou Cheng smiled and shook his head: "Forget it, let them complain. No matter what others do, we just need to do our own thing well."

In the past, Zhou Cheng would definitely have complained a lot.

But now, let's just complain, the more complaints the better!

"Senior Brother Zhou, when will you be coming to the emergency room next?" Chen Xi suddenly asked.

"What's wrong?" Zhou Cheng asked, taken aback.

"I feel that I can learn a lot of clinical skills by following my senior colleagues," Chen Xi explained. "Other teachers don't let us do any hands-on work at all; they just give us test orders."

Zhou Cheng hadn't expected that he only wanted to increase the chances of patients complaining, which was why he let the two graduate students operate the equipment.

Unexpectedly, this actually earned them some goodwill!

"Our shifts are on a rotating schedule," Zhou Cheng said. "We really don't know when we'll be back at the clinic next."

"Alright then." Chen Xi said, somewhat disappointed.

Zhou Cheng was thinking to himself that the two graduate students were starting to get the hang of it, and they would definitely be very familiar with it next time.

If we let the two of them follow along, the chances of them making mistakes are slim!

No!

Next time, we should let a novice clinician teach it!

……

As lunchtime approached, the number of patients in the emergency room showed no signs of decreasing.

Just as Zhou Cheng finished organizing the medical records, a somewhat familiar voice came from the doorway of the examination room: "Dr. Zhou, my test results are in!"

Zhou Cheng looked up and saw that the middle-aged woman from before had come again.

She seemed to be in much better spirits and was walking in quickly with a stack of medical reports in her hand, followed by her family.

"Come in." Zhou Cheng gestured for her to sit down and reached out to take the examination form.

他先翻到电解质检查报告，目光落在关键数值上：血钾3.0mmol/L（低于正常範围3.5-5.5mmol/L），血钠128mmol/L（低于正常範围135-145mmol/L）。

It really is hypokalemia and hyponatremia!

Thyroid function is normal.

Next, we looked at the adrenal CT report, which showed "right adrenal microadenoma".

"Dr. Zhou, has something wrong been found?" The middle-aged woman looked at Zhou Cheng nervously.

Zhou Cheng put down the test results and nodded: "We found out. You have primary aldosteronism caused by a microadenoma in your right adrenal gland, which in turn caused low potassium and low sodium electrolyte imbalance. This is the root cause of your recurring dizziness and numbness in your limbs."

"Adrenal microadenoma?" The middle-aged woman was stunned, clearly having never heard of this condition before.

Zhou Cheng patiently explained: "The adrenal glands are important organs in our body that regulate hormones. Your microadenoma can cause excessive aldosterone secretion, which can lead to the excretion of large amounts of potassium and sodium, as well as symptoms such as dry mouth and frequent urination."

"Potassium and sodium are key to maintaining normal nerve and muscle function. If the levels are too low, you may experience dizziness, numbness in your limbs, and unsteady walking."

"Other hospitals didn't check the adrenal glands before, so they couldn't find the cause of the illness."

Li Yang and Chen Xi also came over to check the examination report.

After hearing Zhou Cheng's explanation, the middle-aged woman was quite excited: "Dr. Zhou, thank you so much! I finally know what disease I have! This period of suffering has been so unbearable."

"Now that the cause is clear, we have a direction for treatment," Zhou Cheng continued. "Treatment in the emergency department is definitely not suitable; you should see an endocrinologist."

"Okay! We'll do whatever you say!" The middle-aged woman nodded repeatedly, her previous fatigue and anxiety vanishing. "I've taken so many medications before, but none of them worked. Luckily, I met you, otherwise I really wouldn't know what to do."

The middle-aged woman thanked Zhou Cheng repeatedly before quickly leaving the consultation room.

Watching her departing figure, Chen Xi couldn't help but sigh, "Senior Brother Zhou, your previous judgment was so accurate. If I were treating this patient, I would definitely still be stuck in the misconceptions about cerebrovascular and cervical spine issues."

Zhou Cheng simply smiled and said, "This patient doesn't really have any difficult or complicated illnesses. It's just that some doctors are unwilling to think more deeply and limit their thinking to their own departments."