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

Chapter 253 Bring him along
"The blood transfusion has raised my blood pressure a little, so I'm not in such a hurry anymore." Hu Yaya finally sat down, but she didn't dare to take out her phone yet.

Zhang Zhong ignored the chatterbox. After the patient's condition stabilized temporarily, the emergency surgery was downgraded to a sub-emergency procedure, and the window for resuscitation had been extended: "Director Song, do you know anything about this Lu Cheng?"

Song Daoneng nodded and said, "Lu Cheng is someone I don't quite understand; his background is a bit complicated."

Zhang Zhong's gaze sharpened, then he smiled: "Brother Song, and people you also think have complicated backgrounds?"

The general surgery department is a large group. Zhang Zhong, who works in the gastrointestinal surgery department, is a few years younger than Song Daoneng. They often meet when they are on duty and have known each other for many years.

"It's really complicated. You might think he's just an ordinary attending physician, but damn it, professors from Xiangya No. 2 Hospital have all asked him to perform surgeries."

"If you're going to call him a hidden master, he's usually very proper and unhurried, he doesn't have that kind of hidden master vibe."

"From what I know, his personal abilities are very strong."

Zhang Zhong asked, "Brother Song, how strong can someone's personal abilities be? It can't be more exaggerated than in novels and TV dramas, right?"

Song Daoneng said, "That's not as exaggerated as it sounds."

"But he's much stronger than many people I've met."

“The surgery we performed in our department before was actually done by Lu Cheng.”

Upon hearing this, Zhang Zhong was speechless for a moment, and then stopped asking questions. Instead, he changed the subject and said, "I'll ask the urologist later how they can diagnose left renal artery bleeding on a CT scan."

"I just went to check, and I didn't see any hematoma."

The circulating nurse chimed in, "When Dr. Lu Cheng looked at the CT scan just now, he said it was delayed rupture and bleeding. He spoke very softly..."

"Huh?" Zhang Zhong and Song Daoneng both cast questioning glances at him.

The circulating nurse, who was in her thirties, was quite surprised: "Huh? Is it that difficult?"

Song Daoneng and Zhang Zhong fell silent after hearing the traveling nurse's words.

is it hard?
This was a rather unfriendly question, and the two of them decided not to discuss it with her, an outsider who was just watching the show.

"Why aren't you saying anything?" the circulating nurse asked again.

Zhang Zhong ignored her, but said with a slightly shocked tone, "Brother Song, I think you might be mistaken. This is a hidden big shot."

"It's just that we're keeping a low profile."

Song Daoneng didn't say anything. Just then, the on-duty doctor from the urology department arrived at the operating room.

After Song Daoneng relayed what the circulating nurse had said to him, the urologist immediately ran to the computer, looked at it for a while, and then began to doubt his life and start calling his superiors.

He really didn't understand why this patient had bleeding in the left renal artery.

If there is bleeding on these CT scans, then in past emergency cases, weren't there many deaths of emergency patients caused by misdiagnosis, or were these misdiagnoses exacerbated by the CT scan's incompetence, which prevented the CT scan from being detected?

This somewhat affected his commitment to being a doctor...

CT image interpretation (Specialization 20/20)...

When Lu Cheng came out of the operating room and went to the emergency room to fill in the emergency record, his eyes glanced at this skill item intentionally or unintentionally.

It just sat there without any fluctuation, falling a whole level short of expert level.

But when it came to actually using it, Lu Cheng felt that the word "specialized" alone was not enough to describe its "practicality"!
Perhaps I underestimated the level of proficiency at the specialization level.

The same applies to physical examinations and film readings.

When Lu Cheng arrived at the computer, he found that the emergency record for the patient named "Wang Hua" had been completed, with only the detailed surgical hemostasis procedure missing.

Lu Cheng immediately realized that it was Director Long Chunhua of the Internal Medicine Department who was helping him: "Director Long, thank you."

Long Chunhua was currently managing the airways of two other patients in the emergency room and didn't have time to talk to Lu Cheng: "You go ahead and finish, we haven't been able to contact the patients' families yet."

"We can only wait for the relevant departments to contact us again. The patient's ID card is from another region."

Lu Cheng continued to browse the emergency records, and then began to meticulously write down the surgical procedures and diagnoses during the exploration process, filling in any gaps.

After writing it down, Lu Cheng printed it out and signed his name.

After completing these steps, Lu Cheng immediately called the on-call supervisor to report on the procedures he had performed and the patient's current condition.

The on-call supervisor doesn't handle the specific surgical procedures; they simply ask, "How is the patient now?"

Lu Cheng replied, "Teacher, when I came out of the operating room, the patient's vital signs were stable and the bleeding was effectively stopped. The subsequent surgery was taken over by Director Song Daoneng of the General Surgery Department, Associate Chief Physician Zhang Zhong, and a teacher from the Urology Department."

"In Emergency Operating Room 3."

"Okay! I understand. Thank you for your hard work, Dr. Lu."

The person on duty urged, "This patient's basic information is a bit complicated. We can't contact the patient's family right now, so we can only try to contact their village committee. I have something else to do, so I'll hang up now."

Lu Cheng asked, "Okay."

Lu Cheng hung up the phone.

After completing these tasks, Lu Cheng opened the patient's CT imaging data and carefully reviewed it several times. Only after finding no other problems did Lu Cheng begin writing his duty log based on today's debridement operation record.

Nine wound cleanings, one abdominal incision for hemostasis in the emergency room, and another surgery in the emergency operating room—that's enough for Lu Cheng to write about for quite a while.

The main handover in the emergency room is handled by internists, but surgeons must also record their procedures.

After that, no more patients were brought in, and Lu Cheng was able to take a comfortable nap for an hour and a half.

At 7:35, Wang Yali woke Lu Cheng up: "Dr. Lu, you asked me to wake you at this time. It's time to order breakfast, and then you need to get ready to go to the ward for your shift."

Lu Cheng woke up rubbing his eyes, his mind a little foggy. He checked the time and forced a smile: "Okay, thank you, Yali."

"It's okay, I've already finished get off work."

"Dr. Lu, see you after the New Year," Wang Yali said.

After finishing their night shifts, nurses like Wang Yali get two days off. She's lucky; she can go home now and doesn't have to come back to work until the second day of the Lunar New Year.

"See you after the New Year." Lu Cheng waved to her.

After quickly ordering breakfast from a familiar restaurant owner via WeChat, Lu Cheng yawned and went into the bathroom to wash up.

"..."

The person on the second-line consultation shift with Lu Cheng was Xiao Zhaoxi. When Xiao Zhaoxi woke up, she found that it was almost eight o'clock.

He rubbed his face and walked over to Lu Cheng: "How was last night?"

"Director Xiao, it's alright, there are quite a few patients with minor debridement."

"A patient with acute abdominal pain arrived at 5 a.m. It was a rupture of the pancreatic hook. He has been taken to the operating room and his vital signs are currently stable."

"The urological and gastrointestinal surgeries are all done; only the pancreas needs to be treated. We'll prepare to transfer him to the ICU after the surgery," Lu Cheng reported truthfully.

Xiao Zhaoxi was taken aback by what he heard, and said, "It's really peaceful working with you."

"You have a day shift later, right?"

“Yes, Director Xiao,” Lu Cheng said.

"Thank you for your hard work." Upon hearing that there were nine wound cleanings, Xiao Zhaoxi knew that Lu Cheng had taken all of them by himself. "But next time, if there are so many trauma patients, we can send some to the specialist ward."

"Okay, Director Xiao, if we really can't handle it, I'll call a specialist for help. But yesterday the frequency of patient visits was relatively even."

Nine wound cleanings yielded a total of 8.5 skill points, one emergency surgery yielded 13.7, and in one night, a total of 22.2 skill points were gained!

This revenue is still much higher than that of Longxian People's Hospital.

It was a medium-sized trauma after all!

The emergency surgery department of Xiangzhou People's Hospital does not readily admit patients with minor injuries!
The average skill point gain for minor trauma ranges from 0.1 to 0.5, while for moderate trauma it's 0.5 to 1.0...

"Are there any hospitalized patients?" Xiao Zhaoxi asked.

“Two of them were admitted to the hospital yesterday. I’ll write their medical records later,” Lu Cheng said.

The night shift in the ward is not responsible for writing the medical records of patients.

After Lu Cheng finished speaking, Deng Duanmou unexpectedly said, "Little Lu, I've already written the medical records... Just write a ward round record before you leave work."

Lu Cheng hurriedly asked, "Brother Deng, didn't we agree that you'd write it during the day shift? You only need to write the full medical records."

Deng Duanmou laughed heartily, his slightly blunt, outward-curving mouthpiece softening his fierce demeanor as he smiled and said, "Isn't that perfect since nothing's wrong?"

Xiao Zhaoxi listened to their conversation and then left. The people in the department could get along quite harmoniously and politely, which made his job as the director much easier.

Of course, Xiao Zhaoxi understood that Deng Duanmou was helping him so much mainly because he saw how capable Lu Cheng was.

If even he couldn't hide Lu Cheng's brilliance, Deng Duanmou would be even less able to suppress it. It was only a matter of time before Lu Cheng rose to power.

Leaving aside the performance benefits brought by Lu Cheng's expansion of disease categories, for the special position of emergency department, it's a matter of whoever is more capable being promoted.

The emergency department is not like a specialist department; if things are not handled properly, people could die.

Even the most socially adept hospitals wouldn't joke around with the emergency department.

Otherwise, if the mortality rate is higher than that of other units of the same level, you'll just have to see if the higher-level supervisory departments come after you.

Ultimately, as long as no one dies, everything is fine.

But if someone dies, the nature of the medical treatment will be elevated several levels.

……

Deng Duanmou also finished his shift, and Tian Zhiliang, the deputy senior officer on duty, came to take over.

When Tian Zhiliang saw that it was Lu Cheng on duty, he immediately said, "Little Lu, it's your shift today. That's perfect. You do your own thing, I won't interfere."

Lu Cheng replied, "That's fine, Director Tian. If there's anything I don't understand, I'll ask you for help."

"Little Lu, Little Lu." Tian Zhiliang felt so comfortable being lifted up that he immediately went to slack off.

The patients hospitalized in the emergency surgery ward are all in relatively stable condition; they are all patients who have undergone debridement and suturing and are under observation.

A few IV drips and some antibiotics for preventative infection control should suffice.

Writing medical records is simple. Deng Duanmou completed them all. After Lu Cheng changed the dressing, wrote the doctor's order, and printed out the discharge record and disease diagnosis for the discharged patient, they could go to the rest room to catch up on sleep at 9:30.

Actually, Lu Cheng was just unlucky. Otherwise, he would most likely have taken a nap while on duty in the emergency room before doing these things.

Lu Cheng, who hadn't slept all night, slept until 1:20 pm before being woken up by the nurse.

There are patients who need to complete the procedures for hospitalization and observation.

Cao Gui was brought over from the emergency room.

When a patient arrived, Lu Cheng, disregarding the fact that he hadn't eaten lunch, quickly got up and began processing all the necessary paperwork...

The hospitalization procedures for this type of patient are also simple: order tests, have a consultation, get signatures, have the patient pay the fees, and get some medical advice.

After the medical record template was created, Lu Cheng started ordering takeout.

Just then, Lu Cheng overheard a conversation outside the emergency room. The voice sounded like Song Daoneng's: "Wang Hua's surgery is over. Whether he can survive the critical period depends on his recovery in the ICU."

"Okay, thank you very much, Director Song."

"You just came out of the operating room, right? You've worked so hard." The patient's family member was very polite.

"Yes, the surgery has just ended. Actually," Song Daoneng hesitated for a moment before saying, "the person you should thank the most is Dr. Lu Cheng from the emergency department."

“If it weren’t for him, Wang Hua might not have had the chance to go into the operating room. The situation was extremely dangerous at the time, and his blood pressure was less than 70.”

"We should thank everyone. We should thank everyone."

“My child and I are still at home waiting for him to come home for the Spring Festival. His phone is disconnected. We only found out about Wang Hua’s accident when our village secretary knocked on the door this morning.”

"My father-in-law and I chartered a car and rushed over right away," the woman said, explaining her difficulties.

"You've all worked hard. Now all you have to do is wait and get some rest. You'll still have a lot to do once the patient is transferred back to a regular ward."

“If the pancreas ruptures and heals well, all is well. But if it doesn’t heal well, it can easily lead to various complications such as pancreatic fistula, and you might have to be transferred to a higher-level hospital…” Song Daoneng said before leaving.

The woman and the elderly woman began asking around the emergency room where Dr. Lu Cheng had gone.

A short while later, Lu Cheng saw a middle-aged woman.

"Excuse me, are you Dr. Lu Cheng?" the woman asked after knocking on the office door.

Although Lu Cheng heard their conversation with Song Daoneng, he simply nodded and said, "I am Lu Cheng, and you are?"

"Dr. Lu, I am Wang Hua's wife. Thank you for saving my husband's life."

"The police had already contacted us, and I also saw the photos of my husband when he was taken to the hospital... Thank you so much..." The woman bowed to Lu Cheng as soon as she entered the room.

Lu Cheng stood up: "Big sister, please don't do this, please don't do this! I've felt and heard your gratitude!"

“Dr. Lu, thank you so much. I just spoke to him on the phone early yesterday morning. He said he had arrived in Hunan Province and was supposed to be home by four or five o’clock this morning.”

"My child and I are still waiting at home..."

"I told him not to drive for so long, but he just wouldn't listen... He's so insensible..." The woman cried, her voice filled with sadness, reproach, and love.

"Big sister, don't be upset, what's done is done."

"Just be more careful in the future. Blaming you won't help. Your older brother probably wants to see you too," Lu Cheng comforted him.

“The child misses him so much; he was so excited yesterday that he didn’t sleep until two or three in the morning.”

The woman said, "Now that's bad. My mother-in-law is coming to see him with the child later, so we'll have to spend the New Year away from home... I don't know if he'll make it through..."

Lu Cheng said, "It definitely will, eldest sister, you should calm down first."

"Go wait for news outside the ICU, I still have work to do here."

“Okay, Dr. Lu, thank you so much… I’ll bring Wang Hua with me when he wakes up…” the woman said.

“Okay!” Lu Cheng agreed with the woman.

(End of this chapter)