This miracle doctor just wants to be fired!

Fang Hang walked over to Zhou Cheng and couldn't help but say, "With this third-tier hospital review, our lives are even harder. We're forced to work overtime and study, and we already get off work late, now we won't get home until it's completely dark."

Zhou Cheng nodded, but didn't reply.

He thought that although being forced to work overtime was troublesome, it might also be an opportunity.

If you "deliberately" violate discipline during the learning process, such as being late or leaving early, not studying diligently and being caught by the supervisor, or even not working overtime at all, you might be able to speed up the process of being fired.

The thought flashed through Zhou Cheng's mind, and he secretly noted it down, intending to observe the situation further before taking any action.

At this moment, Chen Xi and Li Yang immediately surrounded Zhou Cheng and asked him about today's work arrangements.

Zhou Cheng took out the shift schedule, glanced at it, and said to the two of them, "Today is the day shift. Let's go do our rounds first and pay special attention to the patient with acute pancreatitis in bed 3 and the patient with gastroenteritis in bed 5. The nurse on the night shift said that the patient in bed 5 wasn't in good spirits this morning. We'll assess them carefully when we do our rounds later."

"After you finish your rounds, please complete the medical records for these two patients. We should be admitting new patients today, so you can learn from them."

"Okay, senior brother!" the two replied, then followed Zhou Cheng out of the doctor's office and headed towards the emergency room.

The emergency room corridor was still bustling with people, nurses hurriedly pushing treatment carts, and patients and their families stood waiting at the ward entrance.

The busy pace of the emergency room officially begins after the morning shift handover.

……

Zhou Cheng brought two graduate students to the emergency ward.

"Auntie, how are you feeling today?" Zhou Cheng walked to the bedside.

Chen Xi and Li Yang immediately stood by the bed, took out their notebooks to take notes, and stared intently at Zhou Cheng's movements.

"I still feel weak. I had some porridge this morning, but I threw up a little." The patient's voice was hoarse and tired. "My stomach doesn't hurt much anymore, but I still feel dizzy."

Zhou Cheng nodded, examined her eyelids and nail beds, then listened to her heart and lungs with a stethoscope, and pressed on her abdomen to ask if there was any tenderness.

He performed the entire physical examination smoothly and skillfully. After finishing, he turned to Chen Xi and asked, "How much fluid did this patient receive? What were the electrolyte test results?"

Chen Xi immediately pulled out her notebook, quickly checked the information, and replied, "After being admitted to the hospital last night, we administered 1500 ml of crystalloid fluid. The electrolyte results showed low potassium and low sodium, so we have already started administering potassium and sodium supplements."

"Then analyze why she's feeling so unwell and dizzy right now?" Zhou Cheng continued to press, his gaze fixed on the two of them.

Li Yang frowned, pondering before speaking, "Could it be that the dehydration hasn't been corrected yet? Although we've given her fluids, she lost a lot of fluid through vomiting and diarrhea, so perhaps we haven't replenished enough?"

"That makes sense, but there's one more thing," Zhou Cheng added. "Electrolyte imbalances caused by low potassium and low sodium can also lead to fatigue and dizziness, and her vomiting again this morning may have resulted in further loss of fluids and electrolytes."

After saying that, he turned to the patient's family and said, "Auntie is still a bit dehydrated and has electrolyte imbalance. We will adjust the rehydration plan, increase the amount of fluids, and continue to correct the low potassium and low sodium levels. Don't eat solid food today. Drink some lukewarm rice porridge or noodle soup in small amounts frequently to avoid further irritating your stomach."

The family members nodded quickly: "Okay, thank you, doctor. We will definitely be careful."

Zhou Cheng gave the nurses a few more instructions, telling them to closely monitor the patient's urine output and mental state, and to check the electrolytes again later.

The second patient on rounds was the same acute pancreatitis patient that Zhou Cheng had admitted a few days earlier.

Upon seeing Zhou Cheng enter, the patient couldn't help but groan, "Doctor, my stomach still hurts. I didn't sleep well last night."

"Is the location of the pain the same as before? Has it eased at all?" Zhou Cheng asked, while beginning the physical examination.

The physical examination of a patient with abdominal pain mainly involves pressing on the patient's upper abdomen and asking whether there is tenderness or rebound tenderness.

Chen Xi and Li Yang carefully observed and noted the changes in the patient's facial expressions.

"I still have pain in my upper abdomen, it comes and goes, it's a little better than before, but it's still uncomfortable," the patient replied.

Chen Xi proactively reported his condition, "Senior, the doctor on duty last night gave him painkillers and medication to inhibit pancreatic enzyme secretion."

Zhou Cheng nodded, then turned to the two men and said, "The key to treating acute pancreatitis is to withhold food and water, decompress the gastrointestinal tract, inhibit pancreatic enzyme secretion, and prevent infection. You need to pay close attention to his abdominal pain, vital signs, and changes in amylase levels."

He reached out and touched the patient's abdomen, but did not feel any abdominal muscle tension.

"You still need to strictly abstain from food and water, and continue using gastrointestinal decompression medication to reduce pancreatic juice secretion and relieve abdominal pain."

"We will continue to treat you with medication. If you are in severe pain, please let us know so we can adjust the pain management plan."

The patient nodded helplessly: "Okay, I'll listen to the doctor."

After checking those two beds, Zhou Cheng and the two quickly checked the other patients.

……

As I was leaving the ward, a nurse was just pushing a treatment cart over to draw blood from the patient in bed 5 to recheck their electrolytes.

Zhou Cheng stopped and said to the two of them, "Chen Xi, after the electrolyte results for patient 5 come out, please calculate the subsequent fluid replacement volume and potassium and sodium supplementation dosage based on her condition, and write a preliminary plan for me to see."

"Li Yang, please complete the patient's medical record, focusing on the changes in his abdominal pain, physical signs, and treatment measures."

"Understood, senior brother." The two quickly replied and wrote the task down in their notebooks.

Zhou Cheng glanced at the clock next to the emergency room nurses' station. It was already 9:30. The rounds had taken almost an hour.

However, this is considered a normal speed. When the director makes a major round of ward rounds, it might take another hour or more to finish.

At this time, the number of patients in the emergency room continued to increase, and there were even more people in the corridor.

……

Zhou Cheng was about to take Chen Xi and Li Yang back to the ward to write up the medical orders when he suddenly heard a series of urgent shouts as he passed the emergency room.

"His heart stopped again!"

"Push the defibrillator! Prepare for resuscitation!"

"Notify Director Wang, and also Dr. Li who is on duty!"

Zhou Cheng stopped abruptly, his expression turning serious.

Without thinking twice, he quickened his pace, pushed open the door to the emergency room, and rushed inside.

Chen Xi and Li Yang quickly followed them inside, their faces full of tension.

Upon entering the emergency room, he saw several nurses gathered around a hospital bed.

One of the nurses is performing chest compressions on the patient.

"What's going on?" Zhou Cheng asked in a deep voice as he rushed to the bedside.

Seeing a doctor enter, the nurses breathed a sigh of relief. One of the more senior nurses quickly said, "Dr. Zhou! This child was brought in last night. Since admission, his heart has stopped four times!"