This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 204 All Green Lights!
After Tian Zhiliang and Lu Cheng transferred the patient to the vascular surgery and orthopedics departments, they returned to their office and began writing down the patient's basic information.

"Director Tian, ​​for this kind of surgery, our emergency department only needs to stop the bleeding. Should the subsequent procedures be handed over to the specialists?" Lu Cheng asked while watching Tian Zhiliang copy down the medical records.

The emergency department of Xiangzhou People's Hospital is very different from that of Longxian People's Hospital!
In contrast, this place is more like a large specialist referral center.

Especially in emergency surgery, apart from debridement and suturing, there are no other surgeries that need to be performed by the surgeons themselves.

Tian Zhiliang laughed, his tone amiable: "Is there something different about your hospital?"

Lu Cheng nodded: "We will be performing some surgeries now."

Although Tian Zhiliang was the deputy chief physician of the emergency department at the state people's hospital, he had heard about the emergency department in the county: "You guys are really bold."

"Our hospital's current practice is to strictly follow the division of responsibilities among departments. Our emergency department, for example, is responsible for handling emergency procedures."

"The patient's condition was treated simply, addressing only the key points."

"For example, debridement and suturing, endotracheal intubation, and tracheotomy. Other procedures, such as closed chest drainage, are all performed by thoracic surgeons."

"It's also to avoid trouble. Our emergency department already has enough troubles." Tian Zhiliang replied honestly.

Lu Cheng replied, "Director Tian, ​​this is fine too."

As he spoke, Lu Cheng saw his own control panel.

[Through effective hemostasis, the patient's active arterial injury was treated promptly, reducing the risk of shock and death to some extent. Skill point 5.3.]

In cases of active arterial injury, the most critical treatment is not suturing the blood vessel, but rather stopping the bleeding in time to save the patient's life.

Although Lu Cheng only performed the simplest hemostasis technique, the skill points he gained were comparable to those of a level three surgery, so the reward was not small!

Tian Zhiliang was carefully registering the patient's general information and basic circumstances upon admission. The patient had already entered the operating room, and the specialist doctor had arrived.

After the consultation, the patient is automatically transferred to the appropriate specialist. The emergency department's current task is simply to complete the basic medical records.

Lu Cheng simply watched quietly, offering no further advice of his own.

After writing down the corresponding medical history, Tian Zhiliang turned around and said, "Dr. Lu, the two procedures that our hospital's emergency department attaches great importance to are incision and hemostasis."

"These two procedures may seem unrelated, but they actually serve the same purpose: to save the patient's life as much as possible."

"These are the topics that will be tested in your practical exam."

"I've already finished writing the medical record's progress notes. Since you're here for the on-the-job assessment, you can write the admission interview record and the critical illness notification form." Tian Zhiliang still assigned Lu Cheng the task.

Lu Cheng nodded: "Okay, Director Tian. Shall I go and talk to the patient's family?"

Tian Zhiliang said, "No need. Just print it out and hand it over to the emergency operating room later. The specialist in the emergency operating room will have a follow-up conversation with the patient's family to get their signatures."

"We only talk to the patient if the specialist doctor doesn't arrive in time and the patient's condition is extremely dangerous."

As Tian Zhiliang was speaking, the call came from the on-duty doctor in the emergency surgery clinic: "Director Tian, ​​a patient with a ruptured tendon has come to the surgery clinic."

"There's bleeding, Director Tian. Could you ask Liang Jianhong to help with a temporary bandage? I have a few other patients here."

Tian Zhiliang turned to the side and shouted, "Liang Jianhong, go to the control room and give the patient a temporary bandage."

Liang Jianhong is a shift worker in the emergency surgery ward, mainly responsible for the daily work of patients in the observation ward.

Liang Jianhong immediately stood up: "Okay, Director Tian, ​​I'll go right away."

Tian Zhiliang explained to Lu Cheng: "Xiao Lu, here we usually have a three-level on-call system. Whether it's internal medicine or surgery, there will be an associate senior or senior attending physician leading the emergency room shift and the ward shift to work together."

Lu Cheng said, "Director Tian, ​​then you and Director Zhu have to be on duty every day?"

There are three senior professional titles in the emergency surgery department. Xiao Zhaoxi is the chief physician, while Tian Zhiliang and Zhu Yuanzhou are the other two associate chief physicians in the surgery department.

Tian Zhiliang said, "No, the second shift for deputy senior staff is a group of four: me, Zhu Yuanzhou, Director Xiao, and Cao Gui, who take turns on duty."

"Of course, Director Xiao only works one shift every two weeks. Usually, the three of us take turns on duty."

Lu Cheng acted quickly. The two documents that Tian Zhiliang mentioned could be easily created by simply setting up templates and making minor adjustments.

The emergency department of the state people's hospital has been operating for many years, and its templates are very mature. It's not something that Lu Cheng can easily find flaws to correct.

After Lu Cheng checked that the two templates were correct, he printed them out.

"Director Tian, ​​now that these are printed out, is there anything else we need to do?" Lu Cheng asked.

"I'll fill in the missing medical orders. You don't know our department's medical order template, and I'm too lazy to look for it." Tian Zhiliang had already filled in all the previous medical orders on another computer.

The main additions included routine medical orders such as oxygen therapy and blood pressure measurement, as well as emergency clinical procedures such as wound cleaning and hemostasis, all of which were billed separately.

After reviewing the medical orders, Tian Zhiliang turned around and asked, "Dr. Lu, did you often handle this kind of emergency resuscitation work when you were at Longxian People's Hospital?"

"I just watched your hemostasis technique, it was very skillful. Are you the only one handling these procedures at your hospital?"

Patients with arterial damage are certainly not only seen at the state hospital; they can also be found in the county.

However, patients with such arterial injuries have a much higher risk of death in county hospitals, as a ruptured femoral artery cannot be handled quickly and properly by just any doctor.

“We don’t encounter this kind of thing often in our hospital, and I’m not the only one handling it, Director Tian.”

“I’ll only deal with it when I encounter it while I’m on duty,” Lu Cheng said.

Arterial injury is an emergency, and even if Lu Cheng knew about it when he wasn't on duty, he wouldn't rush to the hospital.

In cases of arterial bleeding, the first few minutes are crucial. If the bleeding is stopped effectively, the patient can survive; if it is not stopped, there is basically no point in expecting a miracle.

When a patient enters the hospital, who is on duty and whether the on-duty doctor is skilled in handling active arterial bleeding is entirely up to fate.

This is something no one could have predicted in advance.

Zhang Tiesheng and others could also handle it, they just weren't as good as him.

"Oh, I thought you were eating alone."

“Just now, I heard the message and rushed out, and you had already stopped the bleeding. This operation definitely wasn’t overseen by Liang Jianhong.” Tian Zhiliang knew Liang Jianhong inside and out.

Lu Cheng joked, "Director Tian, ​​in this situation, even if the other big brothers wanted me to eat all the food myself, I wouldn't dare."

"This is truly like eating on the edge of a knife."

……

Lu Cheng worked the entire shift with Tian Zhiliang. After Tian Zhiliang finished his day shift, Lu Cheng went to rest.

The doctors who are shadowing patients are also human. Once a shift is selected, there is no need to create any further complications.

Tomorrow, Tian Zhiliang will be on the night shift, which will also allow him to observe Lu Cheng's basic abilities.

Furthermore, tomorrow during the day, the hospital's emergency department will arrange for someone to take Lu Cheng to the functional laboratory for a skills assessment.

It's a bit inhumane for Lu Cheng to stay up all night before taking the assessment.

It doesn't really matter. As far as Lu Cheng is concerned, there's only him. No matter what the results are, in the end, only Lu Cheng can be chosen.

Working with Tian Zhiliang was truly unremarkable; he was just a high-level referral worker.

Patients with kidney stones should consult a urologist.

Acute abdomen, please consult general surgeon.

You have a fracture. Please see an orthopedic specialist.

Dislocation, please consult an orthopedic surgeon.

The main principle is "please," meaning they only participate, not take responsibility or provide treatment. They only offer preliminary diagnosis, not final diagnosis.

Only clean the wound, no surgery.

……

In the afternoon, at 5:40, after Lu Cheng finished working with Tian Zhiliang, they both felt a bit bored.

Even as he left the emergency room, Lu Cheng was still wondering if it was really necessary to come to the state hospital.

A surgery without actual surgical procedures sounds rather ridiculous.

Lu Cheng had just finished get off work when Mu Leng called, inviting him to her house for dinner.

Lu Cheng had no other plans. After confirming with Tian Zhiliang that he would no longer need to work the night shift with Cao Gui, Lu Cheng agreed.

When Lu Cheng arrived at Mu Leng's house, he found that Xiao Zhaoxi, the director of the emergency surgery department, was also there.

Moreover, Director Xiao Zhaoxi even brought wine himself.

Upon seeing this scene, Lu Cheng raised his eyebrows and began to greet people: "Uncle Mu, Auntie, Director Xiao, Shudai."

Mu Nanshu came with Lu Cheng to participate in the training assessment this time, but Mu Nanshu only hitched a ride and did not stay at the hotel with Lu Cheng. Instead, she went directly back to Mu Leng's place.

"Xiao Lu, you're here. Please sit down. The rice is ready, and the last two dishes will be ready soon," Yan Sangyue greeted him politely. Mu Leng was chatting with Xiao Zhaoxi: "Xiao Lu, you've come at the right time. Hurry up and pour your director some wine."

Lu Cheng changed into a pair of slippers, washed his hands at the sink before approaching the dining table: "Director Xiao, I have a practical exam tomorrow, so I won't drink."

Xiao Zhaoxi said irritably, "You, aren't you being a bit too ruthless? You got rid of the other two people in this re-examination."

"So now you know you'll be doing an assessment? Assessing someone alone isn't fun or stressful, is it?"

Xiao Zhaoxi believes that Lu Cheng used his connections to eliminate the other two competitors through underhanded tactics.

Thanks to these two competitors for helping me meet the 'test requirements'!
Mu Leng's expression paused slightly: "Director Xiao, are you saying that only Lu Cheng went to your department today?"

"Oh right? You didn't know?" Xiao Zhaoxi looked at Mu Leng thoughtfully.

Mu Leng glanced at Lu Cheng and shook his head: "I didn't know about this matter."

Xiao Zhaoxi chuckled and said, "Then our little Lu is even more interesting, keeping it a secret even from you, his father-in-law."

Lu Cheng didn't offer much explanation, only stating formally, "Director Xiao, I don't know why the other two gave up either."

"His mindset is quite good, neither arrogant nor impatient." Xiao Zhaoxi liked Lu Cheng's personality very much; he wasn't ostentatious.

If someone were like that, they would definitely brag about how awesome they are and how they outsmarted others.

Mu Leng then changed the subject, saying, "Director Xiao, Lu Cheng's skills are alright, aren't they? At least they're not embarrassing, right?"

Xiao Zhaoxi shook his head: "There's no shame in it. Even the deputy chief physicians in our department are extremely wary of him."

"They complained to me about it around noon..."

"After all, he's a young man who can win awards in provincial competitions. We older generation are doomed." Xiao Zhaoxi's praise was very formal and serious.

Clearly, Tian Zhiliang's words left a deep impression on him and made him somewhat wary.

The competition focuses on individual skills, while Lu Cheng and Tian Zhiliang's class demonstrates comprehensive abilities.

Lu Cheng is not the kind of doctor who is all talk and no action, but a real clinician with his own expertise.

Mu Leng hurriedly said, "Director Xiao, if you put it that way, I'll take it as you thinking Lu Cheng is barely passable?"

"You can understand that."

Xiao Zhaoxi saw that Lu Chengzhen had emptied his glass: "You really aren't going to drink?"

"Director Xiao, maybe next time. I'm still on probation, and it wouldn't be good if I still smelled of alcohol tomorrow."

"I hope you can understand." You are responsible for your own affairs.

When you're in a formal job, drinking alcohol will always cause problems. If you're still in the 'selection exam' and you drink alcohol while doing your on-the-job assessment, it could be a fatal mistake.

Building a good relationship with Xiao Zhaoxi can create many opportunities.

Xiao Zhaoxi nodded: "Quiet enough. This is a very good quality of a clinician. He won't be easily swayed by appearances."

However, Xiao Zhaoxi changed the subject: "But, Xiao Lu, you have to drink this wine today, because I have something to ask of you."

After Xiao Zhaoxi finished speaking, he poured wine for Lu Cheng.

Lu Cheng looked puzzled and asked, "Director Xiao?"

Xiao Zhaoxi asked directly, "Xiao Lu, did you meet someone from the inspection team last time?"

"Your Uncle Xiao needs your help with something small."

Upon hearing this, Lu Cheng immediately calmed down: "Director Xiao, you've misunderstood."

“We’re not strangers. Your Uncle Xiao really does have something he needs your help with. We don’t need to be so formal.”

"The situation is this: I took a little bit, but not much."

“I donated all of this money, but I didn’t keep a record of it in time…”

Xiao Zhaoxi said, "Mu Leng and Xiao Mu are not outsiders, so I will speak frankly. What I mean is, if Xiao Lu, you really know the people above."

"Could you help me make the connection and explain this matter?"

Lu Cheng's expression grew increasingly serious: "Director Xiao, I can't do this. I don't know anyone here."

"You must have misunderstood."

Xiao Zhaoxi addressed him directly, her tone slightly cold: "Didn't you come to our hospital last time and have a spleen-preserving surgery?"

"You still want to play this 'blind spot' game with me?"

"Xiao Lu, I really had no other choice. Otherwise, I wouldn't have come here to beg you like this." Xiao Zhaoxi's tone was sincere, and his face trembled slightly.

Lu Cheng replied without hesitation, "Director Xiao, you've misunderstood. I just received a notice from my superiors asking me to come and help out."

"I don't know who performed the surgery, and no one has contacted me. I can't help you with that."

Even a fool would never help with something like this.

"Not giving me face?" Xiao Zhaoxi's eyes were almost icy.

"Mu Leng, your kid is really not giving me any face at all."

Mu Leng didn't know Xiao Zhaoxi's specific meaning either, and he didn't even understand why this scene was happening: "Director Xiao, is there some misunderstanding here?"

"Xiao Lu is just an ordinary doctor. How could he possibly know the person you want to know?"

Xiao Zhaoxi said, "He does know him, just ask him yourself."

Lu Cheng shook his head: "I don't know him, Director Xiao."

"Hypocrisy is meaningless!" Xiao Zhaoxi leaned back, putting at least two steps between herself and Lu Cheng.

Lu Cheng said, "Director Xiao, I'm telling the truth. If you don't believe me, there's nothing I can do, but I'm just stating the facts."

"When I came to Jilin last time, I just followed the leader's instructions and went to perform surgery. I knew nothing else."

"After the surgery, I went to the laboratory with Professor Chen from Xiangya No. 2 Hospital."

"I also had dinner with Professor Chen, and I still asked Uncle Mu which restaurant was good."

Mu Leng said, "That's right, that's what Xiao Lu told me back then too."

"Old Xiao? Are you sure you're not mistaken?" Mu Leng tried to smooth things over.

Xiao Zhaoxi was quite surprised: "They didn't contact you at all?"

Lu Cheng nodded: "Yes, Director Xiao!"

Xiao Zhaoxi narrowed his eyes and said, "Neither humble nor arrogant, with his own principles, his own ideas, and his own firm belief in his own will. He also has his own sense of right and wrong."

"Mu Leng, how about we really discuss this? You've broken up this couple, so why don't you give the place to my niece? My niece and Lu Cheng are a perfect match."

Just as Xiao Zhaoxi was speaking, Mu Nanshu walked out. Her hand, which was putting down the plate, froze slightly. She stared at Xiao Zhaoxi with wide, innocent eyes. Although she didn't put the plate down heavily, her questioning gaze was unmistakable.

What on earth is this person talking about?

Xiao Zhaoxi immediately said, "Niece, I misspoke, Mu Leng, I really didn't mean anything by it."

After apologizing to Mu Nanshu, Xiao Zhaoxi said to Lu Cheng, "Xiao Lu, you must memorize everything you said to me today. No matter who asks, you must give the same answer."

"understand?"

"I was just giving you a preview. The people who might come looking for you could be even more disgusting than what I just did."

Lu Cheng remained somewhat wary and dared not nod, because he really couldn't tell whether Xiao Zhaoxi was acting or continuing the previous topic.

As for the other Director Xiao, Lu Cheng hadn't had a chance to explain it in detail to Mu Nanshu yet, precisely because that "Director Xiao" had a special identity.

The atmosphere became a bit awkward for a moment.

Xiao Zhaoxi, however, was very good at livening up the atmosphere. He called out, "Don't stand there, Yan Sangyue, Xiao Mu, you've been busy all afternoon. Why don't you sit down? I'm going to start eating first!"

"Don't ask me why I did that just now. Just watch how Xiao Lu reacts."

Upon hearing this, Lu Cheng, not wanting the previous awkwardness to continue throughout the meal, said, "Uncle Mu, Aunt Yan, Shudai, please sit down and eat. Director Xiao just played a joke on me."

Lu Cheng's words were, in effect, an admission of certain things.

These things were brought to light by Xiao Zhaoxi's roundabout methods, but Lu Cheng did not admit it.

Everyone knew that this was something Lu Cheng couldn't bring himself to admit.

(End of this chapter)