This miracle doctor just wants to be fired!

Chen Xi quickly took the stethoscope and placed it on the patient's chest wall, just like Zhou Cheng had done.

At first, she was a little nervous, and her movements were a bit stiff. After listening for a long time, she still couldn't quite distinguish between normal breathing sounds and rales.

Zhou Cheng patiently instructed from the side: "Don't rush, put your ear close to the stethoscope, concentrate, and compare the sound difference between the healthy side and the affected side."

Under Zhou Cheng's guidance, Chen Xi finally caught the subtle creaking sound, and a look of sudden realization appeared on his face.

Li Yang watched intently from the side.

These seemingly simple basic operations actually have so many intricacies.

Leaving Ward 1.

Zhou Cheng turned to look at the two of them, his tone quite serious: "From now on, in ward number 2, you two will divide the work. One of you will be responsible for collecting medical history, and the other for conducting physical examinations. I will be watching from the side."

"Bed number 2 is a young male patient with acute gastroenteritis. He developed abdominal pain and diarrhea yesterday after eating something unclean. Please observe his mental state and dehydration."

"Okay, senior brother!" the two replied in unison.

Entering ward number 2.

The patient was a young man in his twenties, lying in bed playing on his phone. He looked a little pale, but his mental state was relatively good.

Chen Xi took a deep breath and walked to the bedside: "Hello, I'm the ward doctor for today, and I'm here to make my rounds."

Upon hearing this, the young man put down his phone and sat up.

Chen Xi began by asking questions: "When did you start feeling unwell yesterday? Where exactly did the pain occur? Was it intermittent or continuous?"

"It was around 8 p.m. last night when my stomach started to hurt. It was around my navel and it kept coming in waves. When it hurt, I felt like I needed to have diarrhea," the young man replied.

"How many times did you poop? What color and consistency was your stool? Did you have a fever, nausea, or vomiting? Did you eat anything unusual yesterday?"

Following the procedure she had memorized, Chen Xi pressed for answers step by step, speaking rather quickly and appearing somewhat nervous.

Zhou Cheng stood aside without saying a word, simply observing quietly.

He noticed that Chen Xi did not pay attention to the patient's dietary details when asking questions.

For example, information such as "whether the food was homemade or bought from outside" and "whether you ate with other people" is crucial for determining whether it is food poisoning.

Furthermore, when the patient mentioned abdominal pain, no further questions were asked, such as "is the pain bloating, cramping, or stabbing?" or "are there any factors that relieve or aggravate it?"

These details can all affect the diagnosis of the illness.

On the other side, Li Yang was already prepared for a physical examination.

He picked up the stethoscope and was about to put it on the patient's abdomen when Zhou Cheng stopped him in time: "Wait a minute. You need to wash your hands before the examination, and the stethoscope needs to be warmed up. Also, you need to make the patient relax first to avoid tension in the abdominal muscles, which could affect the examination results."

Li Yang's face stiffened, and he quickly put down the stethoscope and went to the sink to wash his hands.

These basic operations are actually known to everyone.

However, during routine ward rounds, no doctor ever fully complies with these guidelines.

When he was ready to return to the bedside and begin to palpate the abdomen, another problem arose.

His technique was too heavy; as soon as he pressed down, the patient frowned and couldn't help but groan.

"Be gentle. When palpating, start from the painless area and gradually move to the painful area. This will help you accurately determine the location of tenderness and rebound tenderness."

Zhou Cheng reminded him from the side.

Li Yang quickly adjusted his technique, softened the pressure, and began palpation again according to Zhou Cheng's instructions.

This time, the patient did not show any discomfort, and Li Yang was able to successfully locate the tender area in the patient's abdomen, which relieved him.

After the two finished their procedures and left ward number 2, Zhou Cheng began to give his comments.

"Overall, the process was completed, but there were quite a few problems."

"Chen Xi, when you were taking the patient's history, you missed asking crucial questions about the diet and the nature of the pain."

"The patient has acute gastroenteritis. The dietary history is directly related to the diagnosis. Whether it is simple indigestion or food poisoning, the treatment will be different."

"The nature of the pain and the factors that relieve it can help us rule out other acute abdominal conditions, such as appendicitis and ureteral stones, so we cannot be careless."

Chen Xi lowered her head and listened attentively, noting down the questions Zhou Cheng pointed out in her medical record folder: "Okay, senior brother, I've got it. I'll definitely pay attention to asking for details next time."

Zhou Cheng then turned to Li Yang: "Li Yang, your main problem lies in the standardization of your physical examination."

"Don't underestimate these basic steps, such as washing hands and warming up the stethoscope. They are necessary steps to protect both patients and yourself, and should not be omitted just because they seem simple."

"Excessive palpation can not only cause discomfort to the patient, but may also affect the accuracy of the examination results."

"These basic operations may seem insignificant, but each step has its significance and cannot be taken lightly."

"I understand, senior. I will pay attention to standardized operations in the future," Li Yang replied sincerely.

After this round of hands-on practice, the two of them finally realized that basic clinical work was not as simple as they had thought.

The more basic the procedure, the more it reflects the doctor's professional competence and sense of responsibility; even the slightest negligence can lead to mistakes.

Zhou Cheng nodded. "It's good that you know the problem. Next, in ward 3, you two switch roles and try again."

Next, Zhou Cheng led the two to visit several other wards.

The cases involved included various acute conditions such as acute pancreatitis, pneumonia, and arrhythmia.

For each case, he first had the two individuals attempt to complete the medical history collection and physical examination independently, and then provided feedback and supplementary information, pointing out their problems and explaining the underlying diagnostic and treatment logic.

When encountering typical symptoms, he would personally demonstrate them, allowing the two to experience them repeatedly to ensure they truly understood and mastered them.

The morning passed quickly, and Zhou Cheng had seen most of the patients in the emergency ward.

Chen Xi and Li Yang's medical record folders were filled with dense notes, mostly of the problems and guidance points pointed out by Zhou Cheng.

……

Although they felt a little tired, they felt incredibly fulfilled.

This is more effective than listening to countless theoretical lectures in the classroom; they have truly learned a lot of practical clinical experience.

Ward rounds completed.

As they reached the doctor's office, Zhou Cheng stopped and turned to the two people beside him, saying, "This is for our morning rounds. From now on, you'll follow this standard procedure for all new patients. Also, you'll need to start learning how to write prescriptions."

"Okay, senior brother." The two nodded, quite surprised.

Generally speaking, these resident trainees rarely have the opportunity to write medical prescriptions.

Firstly, they are not yet qualified to issue medical orders independently; secondly, while the students have time to write and revise medical orders, the supervising teachers have already written them.

Zhou Cheng walked into the doctor's office and had only rested for a few minutes when the nurse on duty in the ward came in.

"Dr. Zhou, the patient with hypertension in bed number 6 just said they felt a little dizzy. Their blood pressure was measured at 150/95 mmHg, slightly higher than this morning. Would you like to go check on them?"

Upon hearing this, Zhou Cheng immediately replied, "Okay, I'll go right away."

A thought struck him, and he said to Chen Xi and Li Yang beside him, "You two go and see if you can handle the patient's condition yourselves."