After being separated from my family, I became a darling of the military region thanks to my medical

"Teacher Ye!" Li Hong's cheeks flushed red, and her voice trembled with excitement. "You're finally back! Everyone's looking at the newspaper..."

"That's for laymen." Ye Zhen released her grip and strode towards the doctor's office, not even bothering to drink water. "Notify all trainees, including you interns, to assemble in the demonstration room in ten minutes. Bring all the surgical medical records and nursing records from this period."

Ten minutes later.

The interventional radiology department of the Beicheng Military Region General Hospital was completely silent.

The twenty trainees, along with interns such as Li Hong, Lin Yi, and Sun Jianjun, sat upright.

There were three thick stacks of medical records piled up on the podium.

Ye Zhen stood at the front of the table, not wearing a white coat, but only a slightly thin white shirt. She casually pulled out a medical record and opened it.

The rustling sound of pages turning clearly resonated in everyone's ears.

"Here!" In the corner, the thin Liu Xiaohe suddenly stood up, her hands pressed tightly against the seams of her pants.

Ye Zhen's gaze remained fixed on the patient's medical record: "Last Tuesday, bed 3, two-and-a-half-year-old with a ventricular septal defect. The surgical record states that the child's blood pressure plummeted before the chest was closed, and the heart rate dropped from 110 to 85. What was your reasoning at that time?"

All eyes immediately turned to Liu Xiaohe.

Liu Xiaohe swallowed hard and spoke rapidly: "Bedside ultrasound confirmed that the occluder is in good position and there is zero residual shunt. Mechanical cardiac obstruction and acute cardiac tamponade have been ruled out. I suspect it's vascular paralysis after cardiopulmonary bypass, coupled with the cumulative effect of anesthetic drugs, leading to severe peripheral vasodilation. Therefore, I didn't dare to blindly expand the volume and gave some norepinephrine to raise the blood pressure."

Ye Zhen raised her head and tapped the medical record twice with the pen in her hand.

"Why are you afraid to expand the capacity?"

"The preoperative ultrasound showed right ventricular enlargement. Blindly and rapidly expanding the volume would instantly increase the right preload, which could directly induce acute right heart failure and lead to cardiac arrest," Liu Xiaohe answered without the slightest hesitation.

Ye Zhen closed the medical record.

"Clear thinking and accurate judgment."

Just as Liu Xiaohe's tense shoulders relaxed, Ye Zhen suddenly changed the subject.

"But there's one thing to be aware of."

Liu Xiaohe was taken aback.

Ye Zhen picked up the chalk, turned around, and drew a simple blood pressure curve on the blackboard.

"The drop in blood pressure caused by vasoconstriction is stepwise. When you administered the medication, the blood pressure had just fallen below the lower limit of normal. At this point, you should first observe the bleeding in the pleural cavity and pericardial cavity. Only proceed with the administration of the medication after confirming that there is no active bleeding."

Ye Zhen turned around and looked directly at Liu Xiaohe.

"Do you understand?"

A fine layer of sweat appeared on Liu Xiaohe's forehead. He nodded emphatically, "Understood. Next time, I will definitely check the bleeding before taking any action."

Ye Zhen didn't say much, and pulled out the second medical record.

"lofty."

Gao Yuan immediately stood up, his posture as straight as a pine tree.

"Bed 4, sudden coronary artery spasm during surgery." Ye Zhen read the words from the record. "You resolved the crisis within four minutes. Nitroglycerin was used. But the record says that one minute after administration, you administered lidocaine. Why?"

Gao Yuan replied loudly, "After nitroglycerin dilates the coronary arteries, myocardial blood flow is reperfused. Frequent premature ventricular contractions (PVCs) have appeared on the electrocardiogram monitor. This is a typical reperfusion arrhythmia. I'm afraid the PVCs will develop into ventricular fibrillation, so I must suppress them with lidocaine."

"How was the dosage calculated?"

"Administer 1 mg per kilogram of body weight via a single intravenous injection."

Ye Zhen pushed the medical record aside.

"The action was decisive and not merely a matter of following the script."

Gao Yuan grinned.

For the next full hour, Ye Zhen reviewed more than a dozen key medical records.

Her tone was gentle yet extremely stern; she didn't yell, but every question she raised hit the nail on the head. She peeled away the layers of minor imperfections hidden beneath the surface of good post-operative recovery, layer by layer, using anatomy and fluid dynamics.

The trainees in the audience were sweating profusely, yet their pens were constantly scribbling. Lin Yi, Li Hong, and other interns listened so intently they barely dared to breathe, afraid of missing a single word.

Just as Ye Zhen was about to give her summary, Chen Feng, who was sitting in the second row, suddenly stood up.

The chair legs scraped against the floor with a screeching sound.

"Teacher Ye!" Chen Feng said, his face flushed and his neck stiff.

The demonstration room fell silent instantly.

During this period, Chen Feng watched as doctors like Liu Xiaohe from the county hospital performed more than a dozen surgeries on stage, while he could only do odd jobs, pull hooks, and write medical records offstage. The resentment in his heart had long been unbearable.

"You just praised Liu Xiaohe and Gao Yuan, pointing out only minor flaws. I admit they're both capable," Chen Feng said, staring intently at Ye Zhen on the stage. "But! We've been here for so long. All we've done is pull weeds, paint the walls, and watch instructional videos! Why are they the ones who can perform the surgery, while the eighteen of us haven't even had a chance to touch a knife?"

Although the other trainees didn't say anything, their eyes clearly showed their approval.

Ye Zhen wasn't angry.

She placed her hands on the podium and looked calmly at Chen Feng.

"You want to go on stage?"

"Yes!" Chen Feng puffed out his chest. "My theoretical foundation is second to none. I used to be an assistant surgeon in open-chest surgeries at the affiliated hospital. I believe I'm fully capable of performing routine surgeries!"

Ye Zhen turned around and walked to the pile of medical records, accurately pulling out a thin record book from it.

"You were the second assistant in the surgery performed by Gao Yuan yesterday afternoon, responsible for postoperative monitoring."

Chen Feng was stunned for a moment.

"After the child was brought back to the ward, you wrote down the urine output for the first three hours as 0.5 ml per hour." Ye Zhen's voice was flat. "Why didn't you report that at the time?"

Chen Feng frowned: "That's a normal postoperative stress response. The child's blood pressure has been very stable, and the heart rate is normal. I've reviewed the literature, and some patients experience transient oliguria after cardiopulmonary bypass."

"The literature doesn't teach you to interpret data in conjunction with medical history."

Ye Zhen stepped down from the podium and stood in front of Chen Feng's desk, an overwhelming sense of oppression pressing down on her.

"Preoperative ultrasound clearly indicated mild pulmonary hypertension in the child. After surgical repair of the defect, the right ventricle needs to adapt to the new pressure environment. In this situation, a sudden decrease in urine output is not a stress response, but rather an early manifestation of right heart failure and venous congestion!"

Chen Feng's face turned pale.

"Gao Yuan went for a follow-up examination half an hour later and found a problem. He immediately administered a diuretic." Ye Zhen stared into Chen Feng's eyes. "If you were the surgeon, and you had continued to wait based on your judgment, this child would have already been rushed to the emergency room this morning due to pulmonary edema."

The classroom was deathly silent.

Chen Feng's hand holding the booklet began to tremble.

"A score of 90 in theory won't save a life." Ye Zhen turned and walked back to the podium. "On the operating table, every tiny change in data is linked to a life. Do you think weeding and painting walls are manual labor? If you don't even have that much patience, how can you endure more than ten hours of complex surgery?"

Chen Feng lowered his head completely, his previous arrogance vanished without a trace.

Ye Zhen stood at the front of the stage, her gaze sweeping across the entire audience.

"Medicine allows no room for arrogance. This past month has been a time to hone your fundamental skills and a test of your character."

She paused for two seconds before finally announcing her decision.

"Liu Xiaohe, Gao Yuan."

The two immediately straightened their backs.

"You two have passed the assessment. Starting tomorrow, you will be officially included in the department's regular surgeon roster."

As soon as she finished speaking, Li Hong led the applause, and the entire demonstration room erupted in applause. Liu Xiaohe's eyes were slightly red, and Gao Yuan was so excited that he kept rubbing his hands together. This was not only a recognition of qualifications, but also the rise of a new generation of strength in China's medical community.

Ye Zhen raised her hand to suppress the applause.

She looked at Chen Feng and the remaining seventeen students.

"As for you."

Chen Feng closed his eyes in despair, thinking he was about to be sent back to his original unit.

"Starting from tomorrow morning's shift handover, the shift schedule will be re-arranged." Ye Zhen's voice clearly reached everyone's ears. "All eighteen of you will be included in the assistant list."

Chen Feng suddenly opened his eyes and stared at the podium in disbelief.

"I'll personally mentor them." Ye Zhen looked directly at the group of young people whose eyes had been rekindled with passion. "One session at a time. Real, hands-on practice. Anyone who makes that kind of basic mistake on stage will immediately go back to their ward and write in their medical record. Understand?"

"clear!"