This miracle doctor just wants to be fired!
Chapter 78 The Initial Plan
Walking down the corridor to the emergency ward, Zhou Cheng's expression remained unchanged, but his mind was racing.
To be honest, he didn't want to attend this class at all.
If Su Yi and Lin Wei hadn't ruined his plans, he would be at home waiting for his dismissal notice, just one step away from the multi-million dollar bonus.
But since things have come to this point, there's no point in dwelling on it anymore; we can only look for a new breakthrough within the current situation.
However, Zhou Cheng's eyes flickered slightly when he thought of Chen Xi and Li Yang following behind him.
Just then, two students joined the group, and things started to get interesting.
He pondered carefully, realizing that getting the hospital to proactively dismiss him before the deadline, without violating the system's "no disclosure of existence and rules" principle or medical ethics, was actually quite difficult.
His initial idea was simple: to lie low, not to actively seek opportunities, not to deliberately perform, and to wait until the probationary period assessment. Among the three probationary doctors, the department would most likely not keep him.
But now that I have the task of mentoring, the situation is different.
Mentoring means that he has to teach some clinical work to his students and let them get hands-on experience.
This may seem like an increase in workload, but it actually hides new possibilities.
As students are new to the field and lack clinical experience, they are bound to make various mistakes when they start performing procedures. Even with someone supervising them, there are still risks involved.
These risks, for him, may be the opportunity to push forward the process of being "dismissed".
Of course, these risks must be within his control.
He cannot allow students to make mistakes that lead to medical accidents; that would not only violate medical ethics but could also break the law, resulting in more harm than good.
What he needed to do was to make these controllable oversights visible to the department leaders, so that they would voluntarily give up on him as a probationary doctor.
On the other hand, if Chen Xi and Li Yang can grow quickly through the mentoring opportunity and take on basic clinical work, his workdays will be much easier.
With this in mind, Zhou Cheng already had a rough idea of what to do.
He must be strict with his students Chen Xi and Li Yang.
This is both a teacher's duty and makes the subsequent "letting go" seem reasonable.
However, in practice, he should boldly let go and give the two more opportunities to practice. Even basic tasks such as writing medical records and collecting medical history should be completed independently by them, with him only providing simple guidance and corrections.
He knew very well that the growth of an excellent doctor would always be accompanied by various setbacks and oversights.
The mistakes that Chen Xi and Li Yang are making now are all necessary steps on their path to growth, and these "obstacles" can become stepping stones for them to achieve their goals.
Zhou Cheng suppressed his inner thoughts and walked without pausing, quickly reaching the door of the emergency ward.
……
"Alright. Let's start with the first ward. I'll demonstrate how to take a patient's history and conduct a physical examination first, and then it'll be your turn to do it."
Chen Xi and Li Yang immediately nodded: "Okay, senior brother!"
In fact, both Chen Xi and Li Yang were graduate students undergoing standardized residency training. Before entering the emergency department to be taught by Zhou Cheng, they had already rotated through other departments for a period of time. They had long been familiar with basic clinical work such as medical history taking and physical examination, so it was not unfamiliar to them.
It could even be said that the two of them were very familiar with these procedures, and they felt somewhat confident that they were just repeating the operations they were already familiar with.
But Zhou Cheng clearly had no intention of letting them pass easily.
He pushed open the door to ward number 1, where a patient in his sixties with acute bronchitis was staying.
The patient was leaning against the headboard coughing, his face flushed slightly from lack of oxygen.
Because there are no beds available in the respiratory department, patients will be temporarily placed in the emergency department ward.
Zhou Cheng tiptoed to the bedside and got straight to the point: "Uncle, I'm Zhou Cheng, the doctor on duty today. You can come to me if you need anything today. Now I'll check on you."
Upon seeing that it was a doctor, the patient quickly stopped coughing and nodded, "Okay, thank you, Dr. Zhou."
Zhou Cheng then turned to the side, gesturing for Chen Xi and Li Yang to come closer: "Look carefully, taking a medical history isn't just about asking 'Where do you feel unwell?' and the physical examination isn't just about mechanically following the procedure. Every detail may contain crucial information."
As he spoke, he turned back to the patient, slowing his pace and patiently guiding him: "Uncle Zhang, when did you start coughing? Was it a dry cough or was there phlegm at first? What color was the phlegm? Was there any blood or rust in it?"
The patient thought for a moment and replied, "I started coughing about three days ago. At first, I didn't have any phlegm, but my throat felt itchy. Yesterday, I started having phlegm, which was yellow, but I didn't see any blood."
"When you cough, do you feel chest pain or shortness of breath? Are you able to lie flat at night? Have you ever been woken up by coughing?"
Zhou Cheng continued to press on, asking questions that progressed step by step without omitting any crucial details.
"My chest doesn't hurt, but I get a little breathless when I cough badly. I can lie flat at night, but the cough gets worse in the second half of the night, and I have to sit up to catch my breath before I can fall back asleep."
The patients responded one by one.
Chen Xi and Li Yang stood aside, watching Zhou Cheng's actions intently.
At first, the two thought these questions were standard procedure and that they could ask them themselves, but as they listened, they noticed something different.
Zhou Cheng's questions were not only comprehensive but also precise. For example, when asking about sputum, he specifically pointed out specific symptoms such as "blood streaks" and "rust color" instead of asking in general terms, "Is there anything abnormal with the sputum?"
When asking about sleep, they also paid attention to whether the patient could lie flat and whether they woke up gasping for air at night. This is actually an indirect way of judging whether the patient's heart function is impaired.
The seemingly basic questions conceal a rigorous diagnostic and treatment logic.
After the medical history was collected, Zhou Cheng began to conduct a physical examination.
He took out his stethoscope, breathed on the diaphragm to warm it up, and then gently placed it on the patient's chest wall.
"When conducting a physical examination, it is essential to protect the patient's privacy and to use gentle techniques, especially for elderly patients, to avoid causing discomfort."
Zhou Cheng explained the precautions while demonstrating the procedure.
"When listening to the lungs, you can't just listen to a few routine areas. You have to listen from top to bottom and from left to right, and you have to listen to every lobe of the lungs. You also have to compare the breath sounds on both sides. Only in this way can you detect subtle abnormalities."
He moved the stethoscope around, pausing from time to time, and said to Chen Xi and Li Yang, "Listen, the breath sounds here are a bit coarse, and you can also hear scattered moist rales. These are typical signs of acute bronchitis."
As he spoke, he handed the stethoscope to Chen Xi: "Come here and listen to it, feel it."
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