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

Chapter 272 The aroma of wine is not afraid of deep alleys
(After a trip to learn more and exchanging ideas with many author friends, I've decided to make some minor adjustments to my writing style. I hope you all like it.)

March 7th, the 3th day of the first lunar month, afternoon.

"Director Huang, I'm back to let you know I'm canceling my leave." Lu Cheng, carrying two boxes of pastries he brought from Kyoto, blocked the door to the director's office with his back.

Huang Haibo's office was not much different from when Xiao Zhaoxi was there, except that there were a few more blue folders.

Huang Haibo, with his large head but small eyes, stared at the box in Lu Cheng's hand with a sensitive gaze: "You've come here with me for all this nonsense?"

"Director Huang, there's an invoice inside, it's less than two hundred in total. Other guys in the department have them too." Lu Cheng smiled and put the box down.

"I've been taking a lot of leave lately, and I'm really grateful for the kindness of all the leaders and colleagues. This is just a small gift."

Huang Haibo had been in Xiangzhou for a week, but Lu Cheng took leave on the 4th and went to Kyoto.

The department's shift schedule is very structured, with each person having a specific role. Lu Cheng's leave means that someone else has to cover his shift, and Huang Haibo, the director, also needs to be aware of, coordinate, and approve it.

Huang Haibo glanced at the receipt and didn't refuse again, laughing, "Xiao Lu, actually I haven't figured out what your reason for asking for leave is all about."

"Director Huang, it's just about running around making some money." Lu Cheng knew Huang Haibo's character and needed to be clear when communicating with him.

Huang Haibo pulled open a drawer, ground some tea leaves, and pushed them towards Lu Cheng for self-service: "What kind of money requires you to personally go to Kyoto?"

"Isn't your business a bit too abstract?"

Most of the funding for the Xiangzhou People's Hospital comes from departments directly under the Xiangzhou government, while a few outstanding teams can receive funding from the province.

How many levels above me could I possibly go to Kyoto to lobby for funding?
Lu Cheng wasn't there to report to Huang Haibo about the trip to Kyoto, so he went straight to the point and asked, "Director Huang, Professor Tong Yuan'an contacted me a couple of days ago."

“I was in Kyoto at the time and didn’t pay much attention to it. It was only after I returned that I reported to you, Director Huang, as soon as possible.”

Upon hearing Lu Cheng mention Tong Yuan'an, Huang Haibo quickly composed himself: "Professor Tong has explained everything to you. What are your thoughts, Xiao Lu?"

After months of running around and surrendering, Huang Haibo finally convinced Tong Yuan'an to recommend him, and he looked at Lu Cheng with eager eyes!
“Director Huang, this is what I’m thinking. After all, you are now my direct supervisor, so it’s not appropriate for you to join the group. I also feel that it would be restrictive for you.”

"Of course, I also asked many teachers, and they all said that it would be best if a research group had a teacher who is proficient in legal matters."

"Therefore, my idea is that you register your name first, and we can discuss it at a later time..."

Huang Haibo interrupted, "Okay, okay, it's alright, it's alright."

"I'm happy to have my name listed as a co-author, and I'll continue to do so indefinitely."

Huang Haibo is not greedy. Coming from a county hospital, he was able to get into the research group to do some research and publish articles in order to retire as a senior professional!
Lu Cheng said calmly, "Director Huang, what I mean is that you might need to do some practical things, such as helping with patent registration or similar matters."

Huang Haibo's eyes flickered slightly, and he tapped the table lightly with his right index finger, speaking slowly: "Patent registration?"

"Does it have to be this high-end?"

Lu Cheng silently acknowledged it.

Huang Haibo's expression turned cold: "Okay, it seems these things are quite beyond my comprehension. I'll do my best."

Huang Haibo adopted a neutral stance: he simply tried to ride the coattails of the situation.

……

As Lu Cheng left his office and headed straight for the emergency room to rest, Tian Zhiliang caught him red-handed: "Lu Cheng, you've come at the right time. Come with me to the operating room and lend a hand."

"I thought Cao Gui had misread it."

Tian Zhiliang pulled Lu Cheng straight toward the operating room.

"Director Tian, ​​what's going on?" Lu Cheng immediately abandoned his leisurely attitude and suppressed his physical and mental exhaustion.

He had been in Kyoto for several days and his legs were about to give out; he really wanted to go back and rest.

"Acute abdominal pain, just transferred from the CT room to the operating room."

"To be on the safe side, you'd better come with me. The hospital leaders have already spoken to me five times this month."

"Let's talk as we walk." Tian Zhiliang's voice was low and weary, lacking the carefree demeanor of the newly appointed 'Chief of Surgery'.

There were no outsiders in the changing room of the emergency operating room. Tian Zhiliang took off his clothes first: "I only realized how amazing Director Xiao was after he left."

"Given my position, there are quite a few people eyeing me."

When Xiao Zhaoxi was in charge, he was responsible for both internal and external medicine. Now, Huang Haibo is in charge of internal medicine, and Tian Zhiliang is in charge of emergency surgery. They are each in charge of their respective areas.

Lu Cheng's eyes flickered slightly: "The hospital leaders are here to hold the emergency department accountable?"

Tian Zhiliang smiled bitterly: "To put it bluntly, when Director Xiao was in my position, there were very few people who could replace him."

"Me, Tian Zhiliang?" Tian Zhiliang's eyes were tightly closed, and his face was trembling.

Dissect your own 'incompetence' and clarify your own ordinariness.

When Xiao Zhaoxi was around, there were things that others couldn't do, and money that others couldn't hold onto.

Tian Zhiliang's abilities are average. What he can do, others can also do, so others can also get the money he gets.

Lu Cheng: "Director Tian, ​​what do the hospital leaders mean?"

Lu Cheng also thought that Tian Zhiliang's appointment as director of emergency surgery was somewhat "overqualified and incompetent," but Lu Cheng would not say such a thing.

"I don't know... I'll leave it to fate."

“If one’s virtue does not match one’s position, one will surely suffer the consequences. I haven’t slept well for five days.” Tian Zhiliang’s voice trembled. Although his back was not bent, Lu Cheng could feel that he was forcing himself to stay upright.

"..."

After changing his clothes, Tian Zhiliang resumed his role as 'Chief Surgeon,' and his tone when communicating with the operating room nurses and the anesthesiology team was exceptionally cold and precise:

"Go around and urge the gastrointestinal surgery and hepatobiliary surgery departments to conduct surgical consultations, ask them for their exact arrival time in the operating room, and whether the medical affairs department needs to arrange for someone to come forward."

"They've already started disinfecting, but the person hasn't even entered the operating room yet."

The circulating nurses had talked about Tian Zhiliang: "Director Tian, ​​I'll call right away."

Tian Zhiliang privately believes that the significant increase in the number of deaths in the emergency surgery department in the past month is due to the lack of cooperation from specialist emergency consultations, which has led to treatment delays.

Lu Cheng was meticulously reviewing the CT scan. Three minutes later, he had roughly determined the patient's diagnosis and approached the operating table to report: "Director Tian, ​​although this patient has an open wound, it does not involve any solid organs."

"There was no obvious vascular damage, so it's most likely intestinal damage and contusion. There's no need to rush."

Upon hearing Lu Cheng's words, Tian Zhiliang thought to himself, "Hmm, okay."

"Let's perform an exploratory laparotomy first. If there is bleeding, we'll deal with that first, and leave the rest to the specialists."

After becoming the director, Tian Zhiliang became increasingly grateful for the 'specialty triage' system, which alleviated the pressure on him to some extent.

Lu Cheng went out to wash his hands, put on his clothes and sterile gloves, and stood opposite Tian Zhiliang, ready to be his assistant.

Tian Zhiliang said in a low, trembling voice, "Lu Cheng, you do the abdominal surgery, I'll assist you."

"Huh?" Lu Cheng's voice was slightly surprised.

Could it be that Tian Zhiliang developed some kind of psychological trauma during the few days I was away?

Tian Zhiliang's eyes twitched slightly, and his voice tightened: "You drive."

"Okay." Lu Cheng took the scalpel without hesitation and smoothly cut open the patient's abdomen.

Emergency surgery requires speed and efficiency; time is life, and excessive delays are a waste of time.

Lu Cheng's incision technique is skillful; although he's not at the expert level in suturing (specialization 20/20), he can still outperform a large number of surgeons. Lu Cheng's incisions are decisive, and the exposure process is clear and crisp.

In order to perform the surgery more quickly, Lu Cheng even invested some more skill points, directly breaking through the basics of incision surgery to the 'expert level'!
In this way, Lu Cheng's incision and exposure process became much smoother, with minimal bleeding as he went deeper into the abdomen, resulting in a clean cut surface.

Even though the cut surface was clear, once the abdominal organs were exposed, there was still a lot of blood stasis. This is not something that can be corrected directly by basic surgical skills.

Lu Cheng immediately began cleaning up the blood clots.

This is the foundational skill of wound cleaning. Lu Cheng's ability is not bad either, still at (Specialization 20/20)!
"Director Tian? Give me a hand." Lu Cheng noticed that Tian Zhiliang hadn't kept up several times, so he called out to remind him.

As if he had been brought back to his senses after a daze, Tian Zhiliang's upper body trembled slightly: "Hmm, okay."

After Lu Cheng had roughly cleared away the blood clots and hematoma, he began to read the general condition of the injury: "The abdominal hematoma is from a contusion of an organ. The bleeding is not significant, just a small amount of oozing. There are focal bleeding points on the surface of the liver, and an unnamed blood vessel has ruptured..."

"Why were you so lucky when you had your abdomen opened?" Tian Zhiliang asked at the right moment, his voice resentful and his emotions slightly distorted.

Lu Cheng looked up again: "Huh?"

Tian Zhiliang gently shook his head: "It's nothing, you don't care about me."

"Okay." Lu Cheng replied after clamping the ruptured ends of the two brachiocephalic arteries with hemostatic forceps.

"Director Tian, ​​we don't have much to do in this surgery. We can leave the rest to the hepatobiliary surgery department."

"This is just a fairly common liver contusion."

Just then, Song Daoneng from the hepatobiliary surgery department entered the operating room, smiling and speaking in a gentle voice: "Dr. Lu, what can I do again?"

Lu Cheng replied with a smile, "Director Song, it's just a minor liver contusion with signs of bleeding on the surface, which is exactly what you specialize in."

"Please come and take a look. Once you've confirmed it, Director Tian and I will leave."

Song Daoneng immediately started putting on his clothes and sterile gloves, and then went to the operating table to carefully examine the patient for two minutes: "Well, thank you for your hard work, Dr. Lu and Director Tian."

……

As he left the operating room, Lu Cheng said with a smile, "Director Tian, ​​this patient could actually have been handed over directly to the hepatobiliary surgery department; we didn't need to operate on him."

Tian Zhiliang rubbed his face hard with his left hand and said truthfully, "I also gave one away like this on the 4th."

"The patient died from massive bleeding."

"Last night, I prescribed a CT scan, but the patient still died from massive bleeding. There was no obvious arterial rupture on the CT scan, so how could this happen?"

Tian Zhiliang's expression and eyes were filled with pain, as if he were questioning the meaning of life and feeling that he was being targeted at every turn.

Lu Cheng then understood why Tian Zhiliang was acting strangely.

Surgery is not an option, and not having surgery is also not an option.

Encountering a few cases like this can really cause psychological trauma.

When Xiao Zhaoxi was still alive, he took on the biggest responsibilities. If Tian Zhiliang encountered a case he couldn't handle, he could ask for help from others.

Now he is at the "top level" of the emergency surgery department. Lu Cheng has taken leave again, so in any unexpected situation, Tian Zhiliang can only grit his teeth and pretend to be "Xiao Zhaoxi" to put on a brave face.

The pressure in other professions is manageable, but medicine is a matter of life and death.

When a patient who wasn't diagnosed with an exceptional emergency condition dies, the medical affairs department and leadership won't listen to your many reasons during the death discussion.

"Director Tian, ​​medicine is disordered."

"What's past is past," Lu Cheng comforted him.

Since Xiao Zhaoxi was leaving because no suitable replacement could be found at the hospital, Tian Zhiliang had to step in.

Regardless of whether Tian Zhiliang's actual abilities are up to par, he is already among the top-tier combatants that the emergency surgery department can select.

"Lu Cheng, thank you so much, I'm sorry to have troubled you."

"Today is really troublesome." Tian Zhiliang knew that his current mindset and state of mind were problematic, but there was nothing he could do about it.

“It’s alright, Director Tian. Didn’t you say before that we’re all brothers? If you need any help when you’re on duty later, you can call me anytime,” Lu Cheng said.

Tian Zhiliang nodded, remaining silent for a single word: "Okay."

After saying that, Tian Zhiliang walked out of the changing room alone, wearing his scrubs and trousers. He did not get dressed and leave with Lu Cheng.

Lu Cheng doesn't need to be on duty, and he's not the director in charge of surgery, so he can rest directly, but he can't.

Lu Cheng stared at Tian Zhiliang's retreating figure thoughtfully for a while, his gaze lingering for a moment.

The Book of Changes, Appendix III: "If one's virtue is not commensurate with one's position, disaster will surely follow!"
……

When Zhang Zhong, a gastrointestinal surgeon, arrived at the operating room, Song Daoneng and his team had already almost finished the surgery.

"Holy crap, Brother Song, how did you do that so fast?"

"I just smoked one." Zhang Zhong hurriedly began to put on his sterile surgical gown.

Song Daoneng said, "This surgery today was arranged by Lu Cheng from the emergency department. Take a look at the surgical field."

"Is this an emergency surgery? This is just a simple elective surgery, okay?"

"Zhang Zhong, you'll be in charge of suturing the branches of the mesenteric artery in a bit."

Zhang Zhong, holding gloves, moved closer with crab-like steps, tilting his head to look at the surgical field of vision: "Lu Cheng has taken leave and is back?"

“Hmm!” Song Daoneng nodded.

Zhang Zhong nodded: "That's good. We're both lucky, so we won't be easily implicated."

"In the current situation, anyone who works in the same class as Tian Zhiliang is in deep trouble."

Song Daoneng: "Tian Zhiliang has had a tough time too, he's just had bad luck."

Zhang Zhong didn't kick him while he was down. After all, he was an associate chief physician and had seen and experienced quite a few accidents: "Luck is too mysterious. You can't rely on luck alone."

Looking back now, we were too naive.

"The emergency surgery department has already made progress; how could the hospital leadership easily allow it to revert to its original state?"

Song Daoneng thought for a moment and asked, "How's Brother Wei?"

The patient who underwent surgery alongside Tian Zhiliang, the deputy chief physician of gastrointestinal surgery, died on the operating table.

Zhang Zhong put on his gloves and began the surgery: "I'm feeling a bit down right now."

"Brother Song, please don't try to get information out of me. Brother Wei and I have a very good relationship."

Peng Weiyuan and Zhang Zhong are both associate chief physicians. Peng Weiyuan is currently feeling somewhat depressed, and Zhang Zhong absolutely cannot act too jokingly.

Competitors are competitors, but few practitioners in the medical field hope for their competitors to make mistakes so they can get promoted.

Zhang Zhong changed the subject: "Anyway, thinking about it, Lu Cheng is still pretty awesome."

Song Daoneng chuckled: "After all, he is someone Dean Yao has taken a liking to, so he must have some talent."

Zhang Zhong cautiously replied: "A great reputation is not undeserved. It's possible that Professor Chen Song didn't actually give Lu Cheng a kick that time."

(End of this chapter)