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

Chapter 255 Longing is Not By Your Side
"Doctor, are you going to order so many tests for me?" the young man asked after receiving his test results and noticing that a head MRI was included.
"Didn't you say you accidentally fell into the ditch? What if you had a head injury?"

“You’re all fully reimbursed, so just check one of your expenses,” Lu Cheng said.

The young man was taken aback for a moment, then joked, "Dr. Lu, you guys really know how to boost performance, don't you?"

He didn't pay much attention to it, he just said it out loud.

Lu Cheng thought for a moment before saying, "Brother, it's not really about focusing on performance. It's mainly because you just told me that you don't know how you fell down."

"Given my trust in the physique of you firefighters, I don't think you would have fallen into the ditch without a reason or knowing how."

"If we were to say that we went back several decades, it might be that we stepped on something soft. But you were so sure that you couldn't have stepped on something that broke down. I'm worried that you might be experiencing transient vertigo."

"But the doctors over there all said there's nothing seriously wrong?" The young man pointed in the direction of the surgical clinic.

"Wouldn't it be better if it wasn't a big problem? Minor issues can still be checked."

“Really, you believe me,” Lu Cheng said.

"Of course, if you insist on refusing inspection, you can just sign a document."

The young man shook his head: "No, no, Dr. Lu, it's the same for me whether I have an MRI or not. I just feel it's unnecessary."

"You want me to do it, so I'll do it?"

The young man was injured during the mission, even if he was wounded when the team was withdrawing. No matter how his captain scolded him, it was still a "work injury" and he would be fully reimbursed.

He doesn't have to pay for it himself.

……

The young man walked to get checked himself.

Lu Cheng took some time to call his parents, wishing them a happy new year and telling them to get some rest, as he would go back to see them the next day.

Afterwards, Lu Cheng checked the firefighter's medical records and went into the doctor's lounge to start a video chat with Mu Nanshu!
On Mu Nanshu's side, Mu Leng and Yan Sangyue stopped playing mahjong.

Instead, they snuggled together on the sofa and watched TV.

Mu Nanshu's gaze held a hint of envy: "How about I go back to our hometown with you tomorrow?"

“Sure, as long as my aunt and uncle agree, I’d be more than happy to do so,” Lu Cheng said.

Mu Nanshu then asked, "Mom and Dad, can I go back with Lu Cheng to see Uncle Lu and Aunt Lu tomorrow?"

"Why are you asking us when you go to see your in-laws?"

“Girls always side with outsiders,” Yan Sangyue replied from Mu Leng’s arms.

Mu Nanshu said, "Mom, if you don't want me to go, just say so. Why are you being so sarcastic?"

Yan Sangyue noticed that Mu Nanshu was still on video, so she immediately replied in a serious tone, "You can go if you want, but you have to go back to Long County tomorrow. We're going to visit your maternal grandmother the day after tomorrow."

"Xiao Lu, are you busy at work?" Yan Sangyue greeted Lu Cheng.

"It's alright, Auntie...did you win at mahjong just now?" Lu Cheng didn't dare to say he wasn't busy. Lu Cheng was now starting to believe the 'superstitions' circulating in the emergency department.

Yan Sangyue said, "We lost by a small margin."

"Come over for breakfast tomorrow morning, then you can go back."

“Okay, Auntie,” Lu Cheng said.

……

After chatting for a while, Lu Cheng hung up the video call, put on his white coat, and sat in the doctor's office.

Then I opened the MRI scanner I had just opened and started reviewing the images.

Upon seeing this, Lu Cheng knew that his guess was correct.

Sometimes, when someone with a strong physique or high level of expertise makes a basic mistake, it shouldn't be attributed to carelessness, but rather to underlying medical conditions.

A head CT scan is not a mandatory item in an annual physical examination, and this patient did indeed have an intracranial aneurysm.

In an emergency, if an aneurysm flares up temporarily, it can cause symptoms such as dizziness or leg weakness, which is extremely dangerous.

After my brother finished his tests, he went back to his hospital bed to get an IV drip. The emergency room doctor told him that he would have to wait two hours to get the results.

Lu Cheng obtained the result through his own review of the films.

Lu Cheng came to his bedside: "Brother, the film is out, I've seen it, you may need to call your family over."

He's married, and when he was video calling his wife and kids, he immediately put his phone away and asked, "Dr. Lu, is there a problem with my MRI?"

“There is a problem!” Lu Cheng nodded.

Intracranial aneurysm with a history of attacks is a serious problem.

This time it was just an "accidental" slip, but next time it could break.

"Dr. Lu, don't scare me." He immediately hung up the video call.

“Brother, why would I scare you? You and I are in the same special profession. When you're inspecting fire safety, if you actually find a problem, are you just trying to intimidate me?” Lu Cheng retorted.

"Does my wife really have to come over? At this hour?" the young man asked.

"It's best to come as soon as possible. Your situation is quite special, and it will be better to deal with it as soon as possible."

“Even if we don’t deal with it right now, we need to deal with it as soon as possible. I just took a good look at it, and that thing still needs to be dealt with properly.” Lu Cheng wasn’t exaggerating.

If the young person has never experienced an attack, it is an asymptomatic intracranial aneurysm and will not rupture.

However, given the history of attacks, no one knows when or if the rupture will occur.

Once ruptured, the consequences can range from death to paralysis.

Lu Cheng said, "Specifically, it won't be me talking to you. Later, doctors from the neurosurgery and neurology departments will come to talk to you. They are professionals."

"You should call your family members over as soon as possible. I'm really not trying to make things difficult for you."

"You can imagine that I'm just on duty in the ward, and the doctor who treats you is the one in the emergency room. If I wanted to shirk responsibility, I could have just ignored it."

"I'll prescribe some medicine and then you can go home."

“But I can’t do that.” Lu Cheng’s tone was very serious.

The young man thought about it carefully and said, "Dr. Lu, I'm sorry, I was offended by what I just said. You are a good doctor."

While saying that you need to achieve results is the 'truth,' it can still be offensive.

Lu Cheng explained the reason, and now that reason has come true, the young man is a little flustered, but also somewhat trusting of Lu Cheng's medical skills.

"It's good to make a decision sooner and start treatment sooner," Lu Cheng said reassuringly before heading straight back to the doctors' lounge.

Lu Cheng couldn't handle this kind of thing, but he could leave it to a professional doctor. What Lu Cheng could do was to find clues through his conversations and get to the bottom of it.

Once the diagnosis is confirmed, Lu Cheng is not currently responsible for determining the treatment.

But this timely discovery must be beneficial to him.

……

As soon as Lu Cheng returned, Chen Faming from the emergency surgery clinic rushed over. He glanced at Lu Cheng and stared at him, asking, "Lu Cheng, did you order that MRI of Liu Xiaoshuai's head?"

"Yes, it's me, Teacher Chen," Lu Cheng said.

"The on-call doctor at the emergency room MRI just called me and asked me to take a look, saying there are signs that it's about to rupture."

"I just glanced at it. Where is the patient now?" Chen Faming asked quickly.

Chen Faming is an attending physician in neurosurgery and is about to be promoted to associate chief physician. He only came to the emergency department for his rotation.

Hospital regulations stipulate that candidates for promotion to associate senior level must have experience working in rural areas and rotating through the emergency department. Chen Faming is a neurosurgeon; if a neurosurgical emergency case passed by in his hands but went unnoticed, it's possible that...

Even if Chen Faming bears too much responsibility, he will definitely be laughed at in the department and will be remembered for many years.

“In a hospital bed,” Lu Cheng said.

"I just had a consultation with neurologists and neurosurgeons."

"No need for a consultation. I'll call and arrange for someone to come and take him to the operating room right away. This needs to be dealt with immediately."

“If we wait any longer, we can still treat it through interventional methods, but if we wait any longer, we will have to have brain surgery,” Chen Faming said.

Lu Cheng said, "Teacher Chen, the patient's family members did not come."

Chen Faming said, "If the family member isn't here, then the person in question must sign, and the unit leader must also sign!"

After saying that, Chen Faming immediately ran over.

Seeing Chen Faming like this, Lu Cheng couldn't rest anymore and quickly followed him.

Thanks to Chen Faming's intervention, Liu Xiaoshuai's referral process went very smoothly. Although Liu Xiaoshuai was a little frightened, he didn't dare to risk his life at this point.

Soon, Liu Xiaoshuai was transferred to the neurosurgery department, while Lu Cheng began writing consultation and transfer records.

As I was writing this, Chen Faming quietly walked in and whispered, "Lu Cheng, thank you. If something really happens to Liu Xiaoshuai in the surgical observation ward, I'll be in big trouble."

Lu Cheng understood what Chen Faming meant.

Chen Faming was the first patient to see the patient. He was the on-call doctor in the emergency surgery clinic. You may not be able to treat intracranial hemangiomas, but you must be able to diagnose them.

Moreover, Liu Xiaoshuai has provided some crucial evidence.

Liu Xiaoshuai fell and has a clear history of trauma. You should have had a head CT scan done, but you didn't.

If a patient suddenly dies, how can that be explained?
Even if the cause of death isn't entirely attributed to Chen Faming, his promotion is probably in jeopardy.

"Teacher Chen, I was just being paranoid because I thought the patient was quite strong."

“When the inspection was conducted, Liu Xiaoshuai even said that I was trying to boost my performance,” Lu Cheng replied.

"Dr. Lu, thank you no matter what."

"It's best if nothing goes wrong."

Just then, the hospital leaders arrived for their rounds. After entering the emergency ward, they found three people and said with a smile, "Oh, are there three people on duty in the emergency ward?"

Dean Huang Chuntao, Vice Dean Xiang Kun, Vice Dean Yao Xin, and Chen Zhong from the Medical Affairs Department, among others, came in with red envelopes to express their condolences.

After meeting the group of people, Lu Cheng hurriedly said, "Dean Huang, Dean Yao, Dean Xiang, Dr. Chen is on duty in the surgical clinic."

“There was a trauma patient with an intracranial hemangioma just now. I asked Professor Chen to come over for a consultation and take a look at the scans. The patient had just been transferred away.”

Chen Faming quickly replied, "Dr. Lu, the patient has been taken away by our neurosurgery department. I need to go back to my post."

Lu Cheng has already given Chen Faming a way out, so there's no way he can refuse.

Otherwise, what would you say about leaving your post?
What Lu Cheng said is true, and these details will not be investigated!

Yao Xin then introduced, "Dean Huang, Dean Xiang, this is Dr. Lu Cheng from the Emergency Surgery Department. He was selected to join our hospital last month."

"He's a lively young man."

Xiang Kun then introduced Guo Lili, who was on duty in the internal medicine department.

"Thank you for your hard work, Dr. Lu, Dr. Guo. Happy New Year." Huang Haitao handed over two red envelopes.

This red envelope will not only be given to Lu Cheng and Guo Lili, but also to the inpatients and nurses on duty in the ward. It is 200 yuan per envelope, which is a token of the hospital's goodwill!
"Deans, you've all worked hard, thank you."

"We're having steamed buns and noodles tonight. The hospital ordered them. Everyone will get some," Dean Huang said before leaving.

They had many places to visit, basically every department, so they didn't stay long.

In Xiangzhou, there is no custom of eating dumplings during the Spring Festival, but some families do have the custom of eating steamed buns. Whether or not steamed buns are eaten at work depends on what the leaders think.

About half an hour later, Chen Faming called Lu Cheng and asked him to come to his surgical clinic.

Lu Cheng is the on-call doctor in the ward. He can run away, but he can't.

"Dr. Lu, after reviewing the scans, our chief surgeon has decided to perform the minimally invasive surgery for the hemangioma tonight to avoid any unforeseen complications."

Chen Faming laughed and said, "Of course, I was also pranked just now."

"Thank you for your hard work, Teacher Chen," Lu Cheng said politely.

"It's not hard work at all. It's mainly thanks to you. If it weren't for you, I would have definitely let this patient go."

“Next time, I’ll treat you to a meal. Don’t call me ‘teacher’ anymore. I’m only two years older than you. Call me Brother Chen,” Chen Faming said enthusiastically.

"Would you like something to drink tonight?"

"Brother Chen, all the takeout places are closed. If you want a drink, you'll have to wait until tomorrow," Lu Cheng said with a smile.

Chen Faming said, "Then tomorrow."

"Xiao Lu, you should go and rest first. I'll treat you tomorrow."

Lu Cheng explained, "No need, Brother Chen, I'm going home tomorrow... My hometown is Long County..."

Chen Faming said, "Oh, is that so? Then let's do it after the New Year. Anyway, there will be plenty of opportunities."

After saying goodbye to Chen Faming, Lu Cheng noticed that the research group's small group chat had also become lively.

It turned out that Xie Yuan'an, out of boredom, chatted for a few minutes in the group and then started sending out red envelopes to celebrate.

After Chen Song and Tong Yuan'an took the lead, Mu Nanshu and Xie Yuan'an also sent red envelopes, and everyone was urging Lu Cheng to send red envelopes as well.

Among them, Dai Linfang was the most aggressive in pressuring people.

Lu Cheng then gave out a bag worth fifty yuan.

Although the bag wasn't big, it still attracted a row of kneeling thank-you messages from the shop owner.

Lu Cheng laughed when he saw this and quickly swiped up to grab a red envelope, only to find that Tong Yuan'an and Chen Song were both very stingy, only sending red envelopes containing twenty yuan.

I don't know how they managed to do that, considering they are both professors.

Of course, Lu Cheng didn't care about all that.

Lying in bed, after seeing the notification "Skill Points +15", Lu Cheng said to himself:

Happy Chinese New Year! It's really 2024 now.

"New year, let's do our best. Strive for..."

Lu Cheng had only whispered halfway through his sentence when suddenly a series of heart-wrenching cries came from outside: "Mom...Mom..."

"mom."

"grandmother……"

Clearly, an elderly person couldn't be saved and passed away.

She passed away on the day of the Lunar New Year, a day when families were reunited.

In this world, wealth and status are beyond our control, but life and death are the things we have the least control over.

Lu Cheng didn't open the door to look, because it wouldn't make a difference. He slowly closed his eyes, hoping to fall asleep quickly and wake up so he could go home after work.

Lu Cheng could never fully empathize with the joys and sorrows of others; his thoughts were not with him at the moment.

(End of this chapter)