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

Chapter 245 My Duty!

All procedures performed in the emergency room must be documented in the form of medical orders, which in turn must be recorded in the medical record.

Medical records are documents that are easy to access and are the sole factor in judging whether a doctor's, department's, or hospital's medical practices comply with 'principles'.

Lu Cheng wrote it quite carefully and meticulously. Although he didn't aim for perfection, it still had to be a means of 'defensive' medicine.

Defensive medicine is the general trend in the current environment.

Don’t seek merit but seek no fault.

After Lu Cheng finished writing, he stood up, stretched, and then waited for the printed medical records to be printed...

Mu Nanshu sent over a lot of photos of her daily life, which were pictures of her and Xie Yuan'an strolling around the ancient city of Qianzhou.

A few girls went shopping, and taking photos naturally became the main activity.

Mu Nanshu also generously posted photos of the other two people.

In terms of looks, Ni Xiexin is slightly inferior, but this girl has a good temperament and a simple and resilient spirit.

If someone who likes honest girls sees this, they'll be tempted.

Lu Cheng leaned against the table while editing the message: "Here's a fairly honest suggestion: to match this outfit, you could change your lipstick a bit."

"Which one should we switch to?" Mu Nanshu asked readily.

"Then I don't know. I'm just going by my gut feeling. I don't know if I'm right or wrong. I'm just going by my gut feeling," Lu Cheng replied.

Lu Cheng couldn't distinguish between the different lipstick models; he wasn't a professional salesperson.

“Then what you’ve said is essentially the same as saying nothing at all,” Mu Nanshu said.

"Never mind, you should just focus on your shift. We'll be back soon, and I'll come over right away to bring you some clothes," Mu Nanshu said.

"Okay!" Lu Cheng replied and put away his phone.

After separating and organizing the printed medical records, clip them together and place them at the nurses' station so that the attending nurse can take both sets of medical records to the emergency operating room.

Just as Lu Cheng was about to turn around, he received a call from Zhang Tiesheng.

Lu Cheng waited until he reached the break room before answering the call: "Brother Zhang, aren't you on duty today?"

After Lu Cheng left Longxian People's Hospital, he became unaware of Zhang Tiesheng's shift schedule.

"On duty, the night shift in the ward."

"Why did it take you so long to answer? I heard something big, so I had to tell you as soon as possible." Zhang Tiesheng's tone was a little anxious.

“Okay, you say it, Brother Zhang.” Lu Cheng’s expression turned serious.

Zhang Tiesheng said, "What was the name of the person you asked me to call last time? Oh, it was Dai Linfang."

"This forces him to resort to double-crossing?!"

Lu Cheng: "Brother Zhang, let's be clear, what does 'double-crossing' mean?"

"What 'double-crossing' means is that the person who originally wanted to join our group was another second-generation rich kid from the state. He asked Dai Linfang to pull some strings for him."

"As a result, Dai Linfang replaced him!" Zhang Tiesheng said.

Lu Cheng asked, "Who is it?"

“Dai Linfang?” Zhang Tiesheng replied.

"I mean, who was originally supposed to come in?" Lu Cheng asked.

"Let's not talk about this for now. What I mean is, we need to investigate Dai Linfang more carefully. His methods are a bit unethical."

Zhang Tiesheng spat on the other end: "You accept gifts and then return them."

Lu Cheng merely guessed: "Brother Zhang, does that mean the person who asked Dai Linfang to do the favor is someone you know?"

"Yes, I know him."

“If it’s him, I definitely wouldn’t recommend you let him in. This brother can be a brother, or a friend, but he absolutely cannot be a colleague!” Zhang Tiesheng expressed himself rather cryptically.

"That settles it. He couldn't have gotten in anyway. Dai Linfang's ability to get in is a testament to his skill."

Lu Cheng's mind raced, and recalling his encounter with Dai Linfang, he finally understood why Dai Linfang had called him.

When Dai Linfang called me, he was relaying a message that someone else had asked him to convey. It was only when Dai Linfang came to the department himself that he said what he wanted to say.

Thinking of this, Lu Cheng asked, "Brother Zhang, has your friend ever told you anything more in-depth?"

Did he ever say anything that would prevent our clinical research from proceeding?

There was a long silence on Zhang Tiesheng's end before he finally said, "You knew everything?"

"The reason I know all this today is because he found me and asked me to stop you in Long County, but I scolded him back."

"What kind of relationship do we have? Why would he want to overturn my table in Long County?"

After Zhang Tiesheng finished speaking, he added, "But my friend said that this Dai Linfang seems to have some ulterior motives."

"And they are very difficult to manage."

"We must be very careful."

Lu Cheng didn't conduct a background check on Dai Linfang, and Zhang Tiesheng didn't do much either, but that doesn't prevent them from gaining a deeper understanding of Dai Linfang as time goes on.

"Brother Zhang? Do you know something?" Lu Cheng asked.

"Well, my friend said that this Dai Linfang previously squandered a huge amount of research funding, probably eight figures."

"The money has been spent, but no results have been achieved."

"Because of this incident, a lot of people have been affected. If such people are allowed into the research group, it will be very difficult for them to apply for funding in the future."

“Lu Cheng, so I have to apologize for my reply to you last time. I didn’t understand him well enough.”

Zhang Tiesheng was not a 'victim' of Dai Linfang after all, so he didn't view it with prejudice: "However, from another perspective, the fact that this guy had the opportunity to waste tens of millions of yuan shows that he has a very solid foundation."

"If he can help in some way, it may not all be an obstacle when applying for funding."

The ease with which people obtain resources and the necessary resources they require vary from person to person.

"Tap tap tap!" Just as Lu Cheng was about to reply, there was a knock on the door.

"Okay, Brother Zhang, if there's nothing else, you can hang up now. We can talk about this later, I'm on duty too," Lu Cheng said.

"Alright then, I'm telling you this as soon as possible anyway, so you're aware of the situation." Zhang Tiesheng hung up the phone.

Lu Cheng pushed open the door and saw that the person knocking was Qin Xiaoli, the nurse on duty: "Xiaoli, has a patient arrived?"

Qin Xiaoli said, "It's not a new patient. The operating room called to say that the first patient they just brought in died despite all efforts to save him."

"The family members haven't arrived at the hospital yet. The operating room has asked our resuscitation room and emergency department to make the necessary preparations."

"The medical staff and the on-call staff will be here shortly."

Lu Cheng's eyelids flickered, and he replied, "Okay, I'll be right out."

“I just had Tan Yueyue take his medical records into the operating room. Call Tan Yueyue and tell her to remember to bring the medical records out with her.”

In an emergency, you can't wait for signatures before starting treatment. If there are no family members present, the only option is to proceed with treatment without a signature from the hospital's on-call supervisor. However, such treatment carries risks. If the patient doesn't survive, it may be necessary to work with the traffic police and public security departments to provide an explanation to the family.

This is only natural; you can't just send someone to the hospital and have them die without offering any explanation.

Qin Xiaoli replied, "Sister Lu has already called Yueyue. I just came to let you know that Director Chen of the internal medicine department is already looking at the medical records."

"Then I'll go find Director Chen." Lu Cheng immediately went out and headed towards the work computer in the direction of the emergency room.

Chen Changlin is a senior associate physician in the Department of Emergency Internal Medicine, and also the senior physician on duty in the resuscitation room today.

When Lu Cheng arrived, Chen Changlin was already reviewing the medical records and signed documents he had previously written. Lu Cheng called out, "Director Chen..."

Upon hearing this, Chen Changlin smiled and nodded: "Xiao Lu, your work is very meticulous. You've supplemented the medical record up to the last vital sign measurement before entering the operating room."

"Given the circumstances at the time, the patient met the criteria for emergency surgery that required treatment in the operating room."

Lu Cheng replied, "It's all thanks to the nurses' detailed records. I'm just recording what they wrote down as factual."

"And I also looked at the medical records of the internal medicine doctors, so I learned a bit."

Chen Changlin said, "It's good that you're even thinking about learning!"

"Anyway, the procedures we perform in the emergency room are all standard. What changes might occur in the operating room is a matter for the anesthesiology and surgical teams, which is beyond our reach."

"We just need to do our reporting work well."

“Okay, Director Chen.” Lu Cheng nodded.

While replying, Lu Cheng's phone rang again. It was the takeout that Liang Jianhong had ordered earlier. Lu Cheng answered it and asked him to put it on the food counter in the emergency department.

Chen Changlin said, "You should call Director Xiao right away. It's better to let him, a senior second-tier cadre, handle this kind of thing."

Today is Lu Cheng's night shift in the emergency room, and Xiao Zhaoxi's second shift.

Lu Cheng said, "I sent a message to Director Xiao when I came, and he has already replied."

"That's fine then." After saying that, Chen Changlin called out, "Zhou Xinghong, print out our operation records and medical records..."

……

Xiao Zhaoxi arrived around the same time as the on-duty officer and the medical department team.

However, when they arrived, they did not inquire about why the patient had died. If the patient had died in the emergency room, Lu Cheng and Chen Changlin would have needed to provide the reason. But since the patient had died in the operating room, the doctor who last treated the patient would be responsible for explaining the cause of death.

After recording the data from the emergency department, the on-call staff and the medical affairs department immediately went to the operating room.

Furthermore, the on-duty officer immediately contacted the 120 referral center to inquire where the patient had been brought from, because in such cases, traffic police might have to testify that the patient was already severely injured at the accident scene…

After the on-duty staff took away all the medical records prepared by Lu Cheng and Chen Changlin, Xiao Zhaoxi glanced at Lu Cheng casually and asked in a low voice, "The cause of death of this patient was shock due to active blood loss."

"If you were on the operating table, would he have been saved?"

The emergency room is not an operating room; it cannot completely stop the bleeding.

Therefore, the only thing that can be done in the emergency room is to stop the bleeding, specifically the bleeding from major arteries.

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

"There's no such thing as 'what if' when something hasn't happened."

Xiao Zhaoxi said, "But do you know that for patients like this, the transfer from the scene to the hospital is a palliative transfer, and the resuscitation in the emergency room is just for show?"

"In the past, there was basically no chance of entering the operating room."

Lu Cheng replied, "Director Xiao, when I was at Longxian People's Hospital, all such cases were transferred to higher-level hospitals. So I don't know much about it."

Xiao Zhaoxi shook his head and sighed: "Lu Cheng, it is undeniable that you are indeed very capable."

"But clinical practice is clinical practice, and rules are rules."

"You can break the rules as an individual, but the rules will not be broken because of you. So, we should still be tolerant."

"Our hospital's emergency room doctors don't handle many emergency surgeries, since there are specialist doctors available."

If it only happens once or twice, Xiao Zhaoxi thinks it's quite common, since it's always been like this.

But this was already the third one to pass through Lu Cheng's hands. Lu Cheng had already pulled his life back from the brink of death, only for him to slip away again.

Xiao Zhaoxi wasn't heartless, so he naturally felt a bit emotional.

Xiao Zhaoxi believed that if Lu Cheng could go into the operating room, not to mention all three could be saved, he could at least save one more.

Lu Cheng said, "Director Xiao, no matter how strong an individual's ability is, it cannot raise the average level."

"No matter how good the technology is at the state's People's Hospital, it can't raise the average level of the whole state by much. On the contrary, the average level is determined by the average level of most people."

"So, I'll just do my job."

……

About two hours later, the deceased patient's family finally arrived at the hospital. Upon hearing the devastating news, they instinctively questioned the emergency room staff about whether the treatment had been delayed.

Upon hearing that their family members had been taken to the operating room and had not been saved, they began to doubt whether the surgeon was incompetent.

The questioning was a bit abrupt, which made a deputy director of the trauma surgery department furious: "Not all diseases can be cured, and not all patients sent to the hospital can leave alive."

"After you arrived, you stopped blaming the person who caused the accident and started blaming us?"

"Huh? What? I wasn't on duty today, so I drove out and hit someone? Did I hit someone?" Nie Ping from the trauma surgery department sneered.

The patient's family member was quite angry after being confronted: "What kind of attitude is this? The fact that the person couldn't be saved is entirely due to your poor skills."

Nie Ping said, "My skills aren't good enough? Then call someone who is. My skills aren't good enough!"

"If you're so good at it, why don't you do it yourself?!"

One of the security officers quickly stopped Nie Ping and pushed him aside, then looked at the person on duty: "Old Tao, you explain things to the patient's family properly. I'll take Director Nie to calm down first."

"What kind of attitude is this?" A group of patients surrounded Lao Tao from the security office.

Tao Long smiled and said, "Director Nie is the associate chief physician of our trauma surgery department, so his technical skills are definitely top-notch!"

"The injuries were too severe. You can't expect every injury to be treatable. If that were the case, would people still die in car accidents worldwide?"

"There was a lot of blood loss on the spot, and more blood loss during transport and in the emergency room. By the time he entered the operating room, the chances of survival were already slim..."

Tao Long understands the Safety Office's approach. Orthopedic trauma surgery has the highest rate of medical disputes, but the rate of disputes involving physical contact is the lowest.

The root cause is that trauma surgeons have very short tempers and are physically strong; they might start fighting over a minor disagreement!

Nie Ping was able to become the deputy director of trauma surgery, so he must have been in quite a few fights.

"We didn't even see him, and he's just gone! How can we accept this?" the family continued to argue.

Fortunately, the hospital had already contacted the traffic police and public security department. A traffic policeman who had been at the scene earlier also came over to help explain, and the patient and his family were then taken to the security office.

The sound gradually faded...

All of this was irrelevant to Lu Cheng. He was simply in the emergency room, listening to the internal medicine doctors' efforts to save him, quietly flipping through a book amidst the noise.

Now, waiting for the emergency room and reading books are his duties.

(End of this chapter)