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

Chapter 231 An Unexpected Show of Cool!
Lu Cheng did not embellish the story.

Lu Cheng's residency training specialty was trauma surgery. After completing his residency training, he actually applied for a job at the State People's Hospital. Lu Cheng remembered that the minimum requirement for applying to the State People's Hospital that year was a bachelor's degree.

After passing the preliminary exam, I learned that the hospital's minimum requirement was a bachelor's degree, but this was just to increase the number of applicants; they had actually already locked in several master's degree candidates.

That master's degree holder was someone they had to reject under the talent recruitment policy.

Wu Xiang looked at Lu Cheng carefully for a few moments: "So where did you go?"

"I went to Long County and only came back this year for the selection exam," Lu Cheng replied naturally.

After saying that, Lu Cheng pointed to the surgical field: "Teacher, let's do the surgery first. I'm doing quite well in the emergency department."

Lu Cheng is not a scumbag, and he doesn't like time management or enjoy being taken advantage of.

Making your stance clear and honest will avoid many misunderstandings.

Director Wu Xiang didn't say anything more. Lu Cheng had come before but wasn't selected, and now he didn't want to come anymore, so there was no point in saying anything more.

However, the remaining surgeries will not be a solo effort for Wu Xiang.

Wu Xiang immediately instructed someone to call the general surgery and vascular surgery specialists, asking them to come and handle the specialist issues as soon as possible.

After the bleeding was stopped, Lu Cheng did not cause any more trouble and dutifully performed his duties as an assistant.

Lu Cheng answered whatever Director Wu Xiang asked truthfully, since Director Wu Xiang's questions were nothing more than Lu Cheng's academic qualifications and the university he graduated from.

About half an hour later, Xiao Zhaoxi walked in from outside. After glancing at the scene on the stage, he smiled and said, "Director Wu, you finished handling this so quickly. Your speed is truly impressive."

"Then I'll take Xiao Lu from our department with me."

Wu Xiang had already asked Lu Cheng where he worked in the emergency department, so he said, "Director Xiao, your young Lu is a real expert."

"The fact that this patient was able to stop the bleeding so quickly is all thanks to Xiao Lu from your department."

"Director Xiao, you've done a great job."

Xiao Zhaoxi glanced at Lu Cheng. He had long anticipated Lu Cheng's abilities, but he was about to leave the state hospital and really didn't want Lu Cheng to cause any major problems in the department.

“Director Wu, Xiao Lu has only been here for twenty-odd days. What can I teach him? It’s all up to him to cultivate himself.”

"If it weren't for that, I wouldn't have called him over in such an emergency. Anyway, it's good that I didn't cause you any trouble, Director Wu."

Wu Xiang paused slightly in his work and said generously, "Director Xiao, I just scolded him and said some things without thinking. Here, in front of you, I apologize to Xiao Lu."

“But my intention wasn’t to make a personal attack,” Wu Xiang said in a kind voice.

Lu Cheng smiled and said, "Director Wu, it's alright. It's just that I didn't have time to explain the situation at the time."

Wu Xiang chuckled: "If your ability could be explained clearly, it wouldn't be considered a unique skill."

"Special skills must not be passed on to outsiders."

"It's hard to explain."

Xiao Zhaoxi probably understood Wu Xiang's meaning, and led Lu Cheng out. As they left, he patted Lu Cheng on the shoulder: "It's a good thing I let you stay home, otherwise, I don't know how many times I would have argued with the heads of surgery."

"What am I supposed to do if I fall in love with every girl I meet?" Xiao Zhaoxi's voice was clearly a joke.

Moreover, it was ironic; it wasn't that Lu Cheng fell in love with every woman he met, but rather that some people fell in love with Lu Cheng every time they met him. These were different people, and Xiao Zhaoxi couldn't be bothered to deal with so many of them.

“Director Xiao, I can refuse myself,” Lu Cheng said calmly.

Xiao Zhaoxi thought for a moment and said, "As a doctor, stability is the priority, and keeping the patient's life at risk is paramount!"

"Only on this basis can we seek to bring better treatment to patients."

"The surgery you want to have now, Mu Nanshu has also told me about it. It's very good, but it's not the best solution for our hospital at present."

"The actual clinical risks of these surgeries have not been thoroughly assessed. If you rush in, you might kill a patient who could have been saved."

"Even if there is only one case, your troubles will be considerable."

Lu Cheng understood Xiao Zhaoxi's meaning, which was also the fundamental reason why he wasn't in a hurry.

Before the clinical research project was approved and Lu Cheng obtained the authority to perform the new procedure, Lu Cheng had already successfully preserved the spleen in 999 cases. The one failure would have been enough to make Lu Cheng a target of the family's 'death'!
The survival rate of spleen removal surgery has been proven by history and countless colleagues, so why don't you have it done?
Is it more important to save your life or to save your spleen?

Any explanation from Lu Cheng would be futile!

At that point, it truly meant exceeding the scope of one's professional practice.

Before anything goes wrong, before the patient is harmed, things won't get complicated, and everyone can turn a blind eye.

But once something goes wrong, the intensity of the investigation changes.

Lu Cheng then said, "Director Xiao, hemostasis can be properly used in clinical practice, right?"

Xiao Zhaoxi said, "That's natural. Arterial bleeding, no matter who comes, has a certain mortality rate, it's just a matter of degree."

"The higher the mortality rate of a disease, the greater the individual's variable ability; even a young doctor just starting out in the hospital can fail to save a patient!"

Even a senior director can fail to save someone.

"Let's go check on room 8 together. The patient there is no ordinary patient either," Xiao Zhaoxi said, getting back to the main topic.

Lu Cheng washed his hands again outside the operating room and followed behind Xiao Zhaoxi.

After walking a few steps, Xiao Zhaoxi suddenly asked Lu Cheng, "Is it really impossible to teach hemostasis without a field of vision?"

Doctors at Longxian People's Hospital generally do not consider learning how to stop bleeding without a field of vision, but a few directors in prefecture-level city hospitals have this ability, which makes many people envious.

However, this ability is said to be something you are born with; you either know it or you don't, and it cannot be learned through repeated study!
Some people suddenly gain spiritual insight through intuition, but the chances are extremely small.

Lu Cheng shook his head and said, "Director Xiao, I don't know how I learned it either."

"Okay!" This wasn't the first time Xiao Zhaoxi had felt disappointed, so she wasn't too annoyed anymore.

"Our hospital's emergency surgery department's business is emergency rescue. Apart from that, the only tasks assigned by the hospital are minor debridement."

"It's like going to two extremes."

"But all things considered, the pressure is not small."

"Whether a hospital's mortality rate is high or not depends on the ICU and emergency department. In fact, the overall strength of a hospital also depends on the emergency department."

"At Peking Union Medical College Hospital, the mortality rate is two to three percent."

"So, you have to gradually get used to the patient's incurability." Xiao Zhaoxi slowly helped Lu Cheng prepare mentally.

The mortality rate at Peking Union Medical College Hospital is 2% to 3% of the number of patients seeking medical treatment.

The mortality rate at the state hospital is probably around 4% to 5%, but if we're unlucky, it could rise to 10% on any given day.

Lu Cheng remained silent.

The Xiangzhou People's Hospital is the highest-level hospital in Xiangzhou, and there is no opportunity for referral. Unlike the Longxian People's Hospital, patients who cannot be treated here have no chance to be referred.

Therefore, Lu Cheng has also encountered dead people while on duty.

There were dead people in the emergency room, and there were dead people on the gurneys. Some of them had undergone chest compressions by Lu Cheng, and some of them died at the entrance of the emergency department before Lu Cheng could even take a look.

If such a patient were at Longxian People's Hospital, the appropriate course of action would be: "We cannot treat this patient here; please transfer them to another hospital immediately."

The emergency department of the state's People's Hospital doesn't have this 'protective shield' anymore!

Lu Cheng silently followed Xiao Zhaoxi to room 8, and sure enough, he saw a group of people performing chest compressions.

But that was just symbolic chest compressions.

When the two entered, it was nearing the end of the event. A department head and an associate chief physician from the anesthesiology department announced in icy tones:

“2024年01月18日00:36分35秒，患者抢救无效死亡，死亡原因，创伤性失血性休克……”

The circulating nurse was quickly filling out death cards.

The anesthesiologist was calling the morgue to tell them to come and pick up the person at any time.

After the specialist doctor arrived at Xiao Zhaoxi's office, he said, "Director Xiao, the patient's resuscitation efforts have failed. Let's go outside together to talk to the family and explain the situation."

“Okay!” Xiao Zhaoxi nodded calmly.

But he still glanced at the patient's face out of habit; the patient's lips were completely bloodless.

The patient has died, and Lu Cheng was not the doctor on duty, so his task can be considered complete.

Lu Cheng and Xiao Zhaoxi went out together. Lu Cheng said, "Director Xiao, I have to be on duty tomorrow, so should I leave now?"

Xiao Zhaoxi nodded: "Okay, you go back and rest first. I'll handle things here."

Xiao Zhaoxi asked Lu Cheng to come and help with the emergency, not to handle the routine issues in the ward.

Of course, Lu Cheng was on standby today, so it was reasonable to call him over.

……

Nothing happened overnight. The next morning, Lu Cheng and Mu Nanshu both got up early, went out for breakfast together, and then drove to their respective 'work locations'!
“I’m on the day shift today, so I should be able to leave on time. I’ll go buy groceries, and you can take a break,” Lu Cheng said as they got into their cars.

"We'll see. Our workload isn't heavy today, so we might be off work by four." "There might be a team dinner today; I'll let you know the details later."

“Full-time research can be quite liberating at times,” Mu Nanshu said with a smile.

The so-called dinner was just a team-building activity for the research group. This is a perfectly normal arrangement, which can further deepen relationships and increase the tacit understanding in project collaboration.

"Which team is having a get-together?" Lu Cheng asked.

"Of course it's Professor Tong. Professor Chen Song is very busy," Mu Nanshu replied.

"Okay, sure!" Lu Cheng nodded.

When Lu Cheng arrived at the emergency department, it was already 7:50.

Although we arrived a little late, it wasn't considered late.

Lu Cheng works the day shift in the ward. Although he is responsible for writing medical records, he doesn't need to worry about the blood test results during ward rounds. The night shift doctor will follow up on all the test results and assist the senior doctor in conducting ward rounds.

Liang Jianhong and Tian Zhiliang were in the same clinical team, so Lu Cheng's job was simply to follow along and record the doctors' orders.

There are only three inpatients left in the surgical group, and they will all be discharged today.

After finishing his rounds, Lu Cheng laughed to himself: "If everyone is discharged today, it would be a loss for Kai Ge and me to switch shifts."

Lu Cheng was originally scheduled to work the day shift on Fridays, but he went to Shashi to attend a training course on Fridays, so he switched shifts with Xiang Kai.

"You have to prepare the discharge medical record for the patient. In a way, Xiang Kai is not at a disadvantage."

“There’s only so much to do on a day shift in the ward. We’re all brothers, it’s nothing.” After Liang Jianhong finished speaking, he looked at Tian Zhiliang and said:
"Director Tian, ​​Xiao Lu took off again last night."

"After Director Wu of the Orthopedics Department stepped down, he specifically asked me about him."

"What's the problem?" Tian Zhiliang asked with a smile.

Tian Zhiliang is on the second shift today, so he will stay in the department in case of emergency.

"I heard it was a pelvic hematoma. Dr. Wu from the orthopedics department couldn't find the bleeding point, but Lu Cheng took care of it all in less than five minutes."

"It was said by someone in the orthopedics department themselves, and of course, it's also being talked about in the operating room."

"So awesome! ~" Liang Jianhong said excitedly, as if he wasn't sleepy at all.

However, Liang Jianhong was indeed not busy last night. He was on the night shift in the ward, and as long as there were no accidents with the patients in the observation ward, he was the one who helped with the other conversations and signatures.

The shifts in the wards are relatively busier than those in the emergency room, but in the most extreme cases, they are only that busy.

The upper and lower limits are quite fixed.

For the emergency room team, the upper and lower limits are extremely extreme.

Every young doctor in the hospital has dreamed of taking off from their current position, crushing the department head, and shocking the hospital director.

However, I've almost never encountered this in real life; I can only see it in novels and TV dramas.

What Lu Cheng did last night was only slightly similar to these two labels, which was enough to make many people find it unbelievable.

After all, reality is not a novel; it can be fantastical, but it cannot be too bizarre.

Tian Zhiliang suddenly changed his tone: "It seems that we don't know enough about Xiao Lu, we haven't found the right place yet."

Liang Jianhong knew it was time to leave: "Then, Director Tian, ​​you can take your time to understand. I'll head back now."

"By the way, Director Tian, ​​you've had breakfast, haven't you?"

Tian Zhiliang said, "I've already eaten. What? You want to treat me to lunch?"

“That works too!” Although Liang Jianhong felt that Tian Zhiliang’s words were a bit too quick, he still agreed without hesitation.

"I'll make the arrangements for lunch."

Lu Cheng said, "No need, Brother Liang, I'll just order for myself at noon."

After exchanging pleasantries, Lu Cheng took his leave.

Issuing same-day temporary medical orders, discharge medical orders, and medication change medical orders, etc.

……

After writing the medical orders, Lu Cheng ordered himself a cup of coffee and read a book while waiting for the patient to come to the hospital.

However, Lu Cheng didn't get to see any "patients to be admitted" all morning, but he did get to see Director Wu Xiang.

Director Wu's eyes were bloodshot, his hair was messy, and his face was greasy.

After removing his mask, his gaze towards Lu Cheng became even more complex. But he stood silently in the emergency room doctor's office.

Lu Cheng asked with some confusion, "Director Wu? Are you still working on that surgery from last night?"

Upon hearing this, Wu Xiang scratched his head and said, "After you left, the general surgery team came. A young man who was a bit clumsy was helping out when he felt that a hemostat was obstructing his view, so he removed it."

"We almost sent the patient away, and we almost sent a few of us old guys away too."

"How did you manage to squeeze in from such a tricky angle?"

Wu Xiang's statement contained a lot of information.

Wu Xiang said this, and Lu Cheng didn't know which hemostat he used. In fact, Lu Cheng's hemostasis relied entirely on the temporary physical examination during the operation, and he couldn't accurately locate the bleeding vessel by looking at the blood turbulence.

Lu Cheng was momentarily at a loss for words: "Director Wu, you've worked hard. Would you like to sit down and rest for a bit?"

Wu Xiang is not young anymore. He has been fighting hard since yesterday morning and may not be able to keep up.

"I won't sit."

"Your Director Xiao also went into the operating room later, but it's still going on until now."

"It's a good thing you treated the other bleeding points beforehand, otherwise we could have left work earlier." Wu Xiang's voice was complex yet full of sarcasm.

Lu Chengdu couldn't tell whether he was praising him or scolding him.

However, Wu Xiang's meaning was very clear: they only realized belatedly how difficult it was for Lu Cheng to stop the bleeding in the first instance.

While the general surgeon was somewhat annoying, Lu Cheng was actually quite annoying too.

Without Lu Cheng, the patient might have passed away peacefully, and there would have been no need for further resuscitation.

It was because Lu Cheng stopped the other bleeding points that the patient continued to lose blood, yet remained steadfast...

It was as if this farce was created to prove Lu Cheng's awesomeness.

Of course, Wu Xiang also knew that Lu Cheng couldn't possibly be putting on an act.

"Director Wu, why don't you go back and rest first?" Lu Cheng said.

Wu Xiang nodded: "I should go back and rest, but I also talked to Director Xiao, and he said he's leaving soon."

"If you'd like, you can follow me."

"You can completely trust my relationship with Director Xiao!"

"If you don't believe me, you can ask Director Xiao directly. He told me everything about your situation."

“I could have called you, but I felt that it would be more sincere to come in person.”

Just as Lu Cheng was about to answer, Wu Xiang added, "Don't be in such a hurry to refuse. I know you prefer the emergency department, which is why I came to you."

“It’s okay. Our orthopedics department is planning to set up a trauma center in the emergency department, so you can still stay in the emergency department.”

"Take some time to think it over carefully. There's no rush to reply."

Wu Xiang left, and he left swiftly and decisively, without any lingering attachments.

Lu Cheng found Wu Xiang's words rather strange and didn't take them to heart.

Whether or not the orthopedics department sets up a trauma center or not seems to have little to do with him.

Lu Cheng refreshed the computer panel, but there were still no patients scheduled for hospitalization. Lu Cheng yawned and then called Director Tian Zhiliang to confirm that the other party also wanted to order food. After confirming that the other party also wanted to order food, Lu Cheng opened WeChat and asked a clay pot rice restaurant owner to send over two servings of clay pot rice.

After finishing these tasks, Lu Cheng checked the patient's 'medical orders' from last night!
Although medical orders are not emergency records or surgical records, they can 'show' a lot of things.

After midnight, he had more than two hundred more medical orders added to his medical record.

The person who started all of this was that novice in general surgery. But these things were definitely not told to the patient and his family.

When problems arise, they need to be solved. Lack of experience is a common problem for all newcomers. We shouldn't condemn someone just because they made a mistake.

He never imagined that a small hemostat would cause so much trouble.

Lu Cheng found it quite ironic after reading it.

He really didn't want to prove his skills were amazing to his peers in this way.

But no matter what, at least a few people will remember your name, which isn't necessarily a bad thing.

(End of this chapter)