Super Doctor - Chapter 136

Under Director Qu’s watchful gaze, Xu Ze swiftly completed the ECG. The results were soon in hand.

Examining the tracings, Xu Ze noted ST-segment depression and T-wave inversion in leads V4–V6, along with a heart rate of 126 bpm. The diagnosis was now unmistakable: coronary heart disease with heart failure (NYHA Class IV).

With the confidence of a seasoned physician, he turned to the nurse waiting beside him—none other than Hu Xia, the same nurse he’d asked for directions that morning. Her eyes widened slightly in recognition. So this young man really is a doctor here?

Xu Ze rattled off his verbal orders without hesitation:

• • “250ml of 5% glucose with 25mg nitroprusside and 7ml potassium chloride, IV at 8 drops/min—adjust based on blood pressure.”

• • “20mg furosemide, IV push.”

• • “20ml of 50% glucose with 0.4mg cedilanid, IV push over five minutes.”

• • “Stat bloodwork: CBC, E4A, renal function, ABG…”

Hu Xia scribbled furiously, then instinctively glanced at Director Qu for confirmation. After all, this handsome new doctor’s credentials were still unverified. She bit her lip, worried. If Director Qu rejects his orders, it’ll be embarrassing for him…

But Director Qu’s reaction surprised her. The seasoned emergency specialist had already diagnosed the patient the moment he laid eyes on him. Xu Ze’s ECG findings and treatment plan—nitroprusside to dilate coronary arteries, furosemide for diuresis, cedilanid to strengthen cardiac output—were textbook perfect.

A pleased nod from Director Qu sent Hu Xia scurrying to prepare the medications.

…..

“You’ve done well, Xu Ze,” Director Qu said approvingly. “Keep this up during your rotation—it’ll serve you well in the future.”

Xu Ze smiled. He’d passed the test. “Thank you, Director.”

Outside the door, Qian Xuebin’s expression darkened at the praise. This rookie actually nailed a heart failure case on his first try? He gritted his teeth. I’ll have to keep an eye on him.

Back in the office, Xu Ze began transcribing the orders with practiced efficiency:

• • Internal medicine routine care, Level I monitoring, bedrest with assistance.

• • Low-salt, low-fat diet, continuous ECG/O₂ monitoring.

• • Strict I/O measurement, critical status documentation…

Director Qu scanned the neatly written orders, eyebrows climbing. Every line adhered to hospital protocols flawlessly. How does a third-year student with only clinic experience write like a seasoned resident?

Even the medication list—sustained nitroprusside infusion, followed by oral isosorbide dinitrate, furosemide, spironolactone, potassium supplements, aspirin, and simvastatin—aligned perfectly with modern cardiac failure management guidelines.

Signing off with a flourish, Director Qu handed the chart back. “Excellent work. Send this to nursing.”

Xu Ze wasn’t surprised. His training in the virtual space—coupled with Xiao Dao’s access to cutting-edge medical databases—had drilled these protocols into him. Unless Director Qu was a subspecialty expert, there’d be no improvements to suggest.

….

At the nurses’ station, Hu Xia’s eyes sparkled as she flipped through the chart. “You’re fast! Most new residents take ages to get orders right on the first try.” She grinned. “And Director Qu didn’t change a single thing!”

Xu Ze laughed. “Less admiring, more transcribing. I’ve got records to write.”

“So pushy!” She stuck her tongue out but promptly signed off on the orders. “Hurry up with that progress note—I need it for my nursing documentation!”

Back at his desk, Xu Ze drafted the admission note in under six minutes. Director Qu barely glanced at it before signing—another first for any rotating resident.

As Xu Ze left to deliver the completed chart, Director Qu turned to Dr. Zhang Qi beside him. “If I didn’t know better, I’d think Xu Ze trained here for years. His documentation rivals any of yours.”

Zhang Qi nearly dropped her pen. That kid? Really?

Meanwhile, Xu Ze flipped through other charts, pausing at Qian Xuebin’s “weakness of unknown origin” case. Scanning the lab work and medications, he suppressed a frown. Anticholinesterases and immunosuppressants might help marginally, but they’re not targeting the real issue—GBS.

Director Qu noticed his expression. “Something troubling you, Xu Ze?”

Xu Ze hesitated. Speaking up might ruffle feathers, but silence meant failing his oath. Steeling himself, he met Director Qu’s gaze.

“Director… have you heard of Guillain-Barré Syndrome?”