This miracle doctor just wants to be fired!

Emergency Department Meeting Room.

Patients' test reports, examination reports, and imaging films were scattered on both sides of the conference table.

After listening to everyone's comments, Li Degang looked at Wang Jianming and said, "Director Wang, the opinions from each department are very insightful. The main focus of our investigation is now on autoimmune encephalitis, latent heart disease, endocrine and metabolic abnormalities, and systemic autoimmune diseases. What are the next steps?"

Wang Jianming did not speak immediately; he leaned back slightly in his chair, his brows furrowed.

His gaze slowly swept over the various documents on the table.

From the patient's initial medical records to the latest epileptic seizure resuscitation records, and then to the screening suggestions put forward by various departments, I quickly sorted out the diagnosis and treatment logic in my mind.

The patient's condition was far more complex than expected, and the involvement of multiple systems made every step of the diagnosis and treatment extremely difficult.

The critical stage of the tertiary hospital review cannot tolerate the slightest mistake; any delay or oversight may lead to unpredictable consequences!

After a silence of about half a minute, Wang Jianming said, "Based on everyone's opinions, we will proceed in two steps. First, we will complete the relevant examinations as soon as possible, including the autoantibody profile, and at the same time contact the laboratory to expedite these examinations and obtain the results as quickly as possible."

"Second, immediately coordinate the availability of beds in various specialties and transfer patients to these specialties as soon as possible."

"Zhou Cheng, you are responsible for compiling all the investigation items, issuing examination forms, and communicating with the family members about transferring to another department and further examinations."

"Old Li, you're in charge of coordinating bed availability and the coordination of examinations across departments."

Li Degang sighed softly to himself, his face remaining expressionless, but deep down he was already feeling uncertain.

He knew all too well the operating logic of each department in the hospital.

This patient's condition is complex and the cause is unknown. The risk of subsequent treatment is extremely high, and the cardiology department and ICU had previously refused to admit the patient.

Even if Director Wang gives instructions now, each department will most likely still find various excuses to shirk responsibility.

Now that things have come to this, he has no expectation that other clinical departments will willingly admit the patient.

He glanced at Zhou Cheng beside him. The young man's face still had a touch of immaturity, yet he had to shoulder such a thorny burden. Li Degang felt helpless. Right now, he could only trouble the young man in his department to bear the burden.

After all, the emergency room is the hospital's "last resort" department. The hot potato that no one else wants to take on often ends up falling on their shoulders.

……

After the hospital-wide consultation concluded, Zhou Cheng did not delay at all and immediately returned to the doctor's office to review and file all the examination items determined at the meeting.

Autoantibody profiles are key to screening for autoimmune encephalitis and systemic autoimmune diseases.

A full thyroid function test and adrenocorticotropic hormone (ACTH) test can rule out endocrine and metabolic abnormalities.

Holter monitoring and echocardiography are used to detect hidden heart diseases.

After verifying that each item was correct, he then entered them into the medical order system one by one.

It took Zhou Cheng a full half hour to enter all the examination items into the system and generate the examination report and blood collection order.

He printed out the examination form, checked it page by page again, and only after confirming that all items were accurate did he organize the examination form and put it into the patient's medical record folder.

After doing all this, he let out a long sigh of relief, leaned back in his chair, and rubbed his sore shoulders.

After resting for less than a minute, he got up, picked up his medical record folder, and strode towards the nurses' station.

"Sister Zou, the medical orders I just gave are all key items determined after the consultation. Please arrange for blood to be drawn as soon as possible, and emphasize to the laboratory department again that they must be given priority. Notify me as soon as the results are available."

"Don't worry, Dr. Zhou, I'll arrange it right away!"

Zou Qian also knew that Zhou Cheng was a patient who was now the focus of attention for the entire department and even the entire hospital.

At this moment, Fang Hang had just finished dealing with the patient he was dealing with. Holding a cup of milk tea, he quickly walked over and handed the milk tea to Zhou Cheng. "Junior brother, you've been busy all morning and noon. Have some water and rest for a while. The nurses are handling the examinations; there's no rush."

Zhou Cheng took the milk tea. "Thank you, senior. These tests are crucial; they determine the final diagnosis. I want the results as soon as possible."

Fang Hang leaned against the counter at the nurses' station, looking towards the emergency room, and sighed softly: "This child has really had a tough time. At the age of 14, he has such a complicated illness, affecting multiple systems. No family could bear it."

He paused, then turned to look at Zhou Cheng with a serious expression in his eyes. "But speaking of which, have you considered that if this case can be definitively diagnosed in the end, it will be of great value?"

Zhou Cheng paused for a moment, then looked at him with some confusion: "Senior brother, what do you mean by that?"

"Think about it," Fang Hang said, pointing out each point with his fingers. "The patient had a clear emotional stress trigger, and successively experienced mental abnormalities, cardiac arrest, delirium, visual hallucinations, and epileptic seizures accompanied by bradycardia. After consultation with multiple departments, several directions were identified, including autoimmune encephalitis. The entire course of the disease was full of ups and downs, involving multiple systems such as the nervous, cardiac, respiratory, and endocrine systems. Moreover, the results of various tests were intertwined, making it extremely unique."

At this point, Fang Hang's tone became more excited: "These rare and complex cases are highly sought after in medical papers."

"If we can fully record the entire diagnosis and treatment process, including the details of the rescue, the multidisciplinary collaborative approach, the final diagnostic basis and treatment plan, and compile it into a case report for publication, it will definitely be a strong contender for a high-scoring paper. This will be a huge boost to your professional title evaluation and career development."

Zhou Cheng paused slightly in the hand holding the milk tea.

He's the kind of person who slacks off and does nothing, so how could he possibly be thinking about his thesis?

Seeing Zhou Cheng remain silent, Fang Hang patted him on the shoulder: "I know you just started working and are still in your probationary period. You've been through a lot with this patient lately."

"But think about it, being able to lead the entire diagnosis and treatment of such a difficult case is a rare experience in itself."

"Once the patient's condition stabilizes and the diagnosis is clear, let's work together to review the medical records. I can help you organize the data and write the first draft."

Zhou Cheng slowly raised his head, looking into Fang Hang's sincere eyes, his heart filled with mixed feelings.

"Senior brother, I haven't thought about those things yet," Zhou Cheng said with a hint of apology. "Right now, I just want to wait for the test results to come out as soon as possible, make a clear diagnosis, and let the patient receive targeted treatment."

"That's right!" Fang Hang smiled, his tone relieved. "Focus on doing a good job with the current diagnosis and treatment; the thesis will come naturally. Don't worry, I'll definitely help you with organizing the medical records later."

He glanced at the clock on the wall and said, "I'll go to the observation room first to coordinate the patient handover details with the nurses. After you finish your milk tea, take a two-minute break and don't push yourself too hard."

After Fang Hang turned and left, Zhou Cheng stood there, still holding the cup of milk tea in his hand.

……