This miracle doctor just wants to be fired!

Chen Xi and Li Yang exchanged a glance, both looking somewhat nervous, and then walked out of the emergency room doctor's office together.

They are graduate students, but they don't have much clinical experience. They are fine with ordinary patients, but they are still somewhat afraid of patients in the emergency department.

"Senior brother, are you really letting go like this?" Li Yang whispered to Chen Xi beside him.

The two walked down the corridor of the emergency room ward, their pace slightly slower than usual.

"Yes, the other teachers are afraid we'll make mistakes." Chen Xi pursed her lips. "Senior Brother Zhou is different. You could tell from the emergency room that day. He teaches us a lot, but he also lets us practice."

"Sigh, actually I also want to just lie down and relax." Li Yang shrugged. "Many of my graduate school classmates are in other departments, and they're all doing very well."

"If you don't know anything now, aren't you afraid when you start working independently in the future?" Chen Xi frowned. "If you slack off now, you might have to pay a higher price later. Anyway, I think it's good to follow Senior Brother Zhou Cheng."

Li Yang nodded: "I was just saying that. Senior Brother Zhou Cheng is very good, but he's tiring."

The two chatted as they walked into ward number 6.

……

Upon opening the door, the two saw the patient leaning against the headboard, his face slightly pale.

Chen Xi stepped forward first and asked, "Mother-in-law, how are you feeling now?"

When did the dizziness start? Is it constant or comes in waves?

The old woman opened her eyes, her voice weak: "It started a few minutes ago. I've been feeling dizzy in waves, lightheaded, and a little nauseous."

Li Yang quickly took notes, while also asking follow-up questions: "Grandma, when you felt dizzy, did you see things spinning? Did you experience palpitations, chest tightness, or numbness in your hands and feet? Did you get up and move around just now?"

"There's no spinning, just a feeling of heaviness. I don't feel palpitations, and my hands and feet aren't numb."

The old lady thought about it.

"After the nurse came to check my blood pressure, I tried to sit up to drink some water, but I felt extremely dizzy as soon as I sat up, so I lay back down."

Chen Xi nodded, signaling Li Yang to prepare for the physical examination, while she first checked the patient's previous medication records.

"Grandma, what kind of blood pressure medication do you usually take? Did you take it this morning?"

"I took nifedipine sustained-release tablets this morning, the same amount as usual."

As soon as he finished speaking, Li Yang had already washed his hands and placed the preheated stethoscope on the patient's chest to listen to his heart.

"Grandma, let us check your blood pressure again first, and then we'll need to do a physical exam."

He skillfully wrapped the blood pressure cuff around the patient's upper arm.

"148/93 mmHg, that's still a bit high."

Li Yang reported the values, and Chen Xi immediately wrote them down in her notebook.

The two then divided the tasks of conducting the physical examinations.

Chen Xi is in charge of neurological examinations.

She gently lifted the patient's arm to check for any weakness in lifting it, and then lightly stroked the patient's sole with a cotton swab to check for any abnormal sensations.

Li Yang focused on examining the heart, lungs, and abdomen. After auscultating the heart and lungs and finding no abnormalities, he gently palpated the abdomen to confirm that there was no tenderness or rebound tenderness.

After the examination, Chen Xi asked, "Auntie, is your dizziness worse or less severe than before? Do you have any other discomfort?"

The old lady was getting a little impatient and gave a perfunctory reply: "It's a little lighter now, but I still don't have the strength."

Chen Xi noticed the patient's impatience, so she comforted her and told her not to get up and move around for the time being.

Then, she and Li Yang returned to the doctor's office.

……

Pushing open the door, I saw Zhou Cheng sitting by the window, flipping through medical records.

The two walked straight over.

Chen Xi spoke first: "Senior brother, the dizziness of the patient in bed number 6 started a few minutes ago."

Zhou Cheng looked up at Chen Xi.

Chen Xi continued, "The patient said he experienced intermittent dizziness, with a feeling of heaviness in the head and lightness in the feet, accompanied by mild nausea. He did not experience vertigo, palpitations, or numbness in his hands and feet. His symptoms worsened after he got up to drink water, but were slightly relieved after lying down."

"Anything else?" Zhou Cheng asked.

Li Yang immediately added, "The patient has a history of hypertension and has been taking nifedipine sustained-release tablets for a long time. He took his antihypertensive medication regularly this morning after waking up."

"The blood pressure was measured at 148/93 mmHg. The patient was conscious but slightly lethargic. Heart and lung auscultation revealed no abnormalities. The abdomen was soft and flat without tenderness. Neurological examination showed no positive signs."

"Furthermore, I just checked her hospital records. Her blood pressure was 180/105 mmHg when she was admitted yesterday. After treatment, it dropped to 135/85 mmHg this morning, but it suddenly rose just now."

Zhou Cheng nodded slightly: "Then what do you think should be done?"

Chen Xi frowned, pondered for a while, and then said, "I think it might be due to postural blood pressure fluctuations, coupled with the patient's unstable blood pressure control."

"It is recommended that the patient rest in bed immediately, avoid changes in position, and monitor blood pressure every 30 minutes."

"In addition, I think we need to adjust the dosage of antihypertensive medication. We don't need to rush to add other medications for now; let's observe the changes in blood pressure first."

Li Yang, who was standing nearby, chimed in, "I think we also need to pay attention to the patient's fluid intake and output to avoid affecting blood pressure due to excessive or insufficient fluid replacement."

Zhou Cheng listened to their reports with little expression on his face, simply nodding slightly.

"The general approach is fine, so we'll proceed as you suggested. You can write the prescriptions yourselves, and ask me if you have any questions. Also, monitor your blood pressure every 30 minutes, record the results, and let me know immediately if there are any changes."

Upon hearing this, the two breathed a slight sigh of relief; Zhou Cheng's ordeal was temporarily over.

As for Zhou Cheng, he certainly couldn't listen to the two students' reports completely, so he went to the ward alone and asked about the patient's medical history again.

He wants to let go, but not now; both of them need to grow up quickly.

Furthermore, he wants to keep the risks within a controllable range.

Zhou Cheng returned to the break room and sighed softly, "Although I can sneak in a rest, why does this feel even more tiring than working a regular job?"

But when he thought of the system's huge reward of 20 million, he could only silently accept it for the time being.

……

On the other side, Chen Xi and Li Yang began writing medical prescriptions on their own.

Writing medical prescriptions may not seem difficult, but beginners need time to familiarize themselves with the process in order to minimize errors.

Otherwise, the nurses who review and approve medical orders might keep giving you trouble.

Some supervising teachers are strict and don't allow students to touch medical orders; they just make them mechanically do things like writing medical records.

However, unlike surgery, internal medicine doctors cannot fully understand the patient's overall diagnosis and treatment process unless they proactively issue medical orders.

Chen Xi and Li Yang looked at the doctor's order form and immediately began to struggle.

Their previous instructors never let them handle medical orders.

What seems like a simple operation now turns out to be completely uninformed when it's your turn.