When I'm on the night shift, all the department heads can't sleep.

Before the morning shift handover, no one in the emergency room was joking.

Xu Qing's ruptured ectopic pregnancy and Wu Hao's fulminant myocarditis—these two cases side by side are more effective than any lecture.

Jiang Peng handed Wu Hao's medical records to Sun Zhiqiang, his fingers still a little stiff.

After reading it, Sun Zhiqiang looked up and said, "The vital signs are clearly written, and the time of the phone call is also recorded. Not bad."

Jiang Peng was taken aback for a moment: "Thank you, Teacher Sun."

If this had happened yesterday, he probably wouldn't have thought much of a simple "not bad".

But Wu Hao's medical records were still under his hands, the edges of the pages crumpled from being squeezed.

Behind those two words lies every minute of the patient's journey from the emergency room to the pediatric intensive care unit.

Ma Hao leaned against the door, his playful smile gone.

He looked at Lin Ye: "Did you deliberately make Jiang Peng and me take on patients last night?"

Lin Ye was drinking the soy milk that Nurse Zhao had given him when he heard this, and nodded: "You should at least accept it."

"Aren't you afraid we'll leak?"

"Afraid."

Ma Hao choked: "You really don't know how to comfort people."

Nurse Zhao laughed from the side, "Why are you comforting me in the emergency room? Does comforting the patient make them safer?"

When Qin Hai walked into the office, the group of people immediately stood up straight.

He placed last night's medical records on the table: "There are three things I'll discuss at this morning's meeting."

First, women experiencing abdominal pain should not skip pregnancy-related examinations due to age, marital status, childbirth, or family attitudes.

Secondly, students' claims of faking illness or skipping class can only be used as background information and cannot replace vital signs and physical examinations.

Thirdly, trainees can make high-risk judgments, but they must have their superiors on-site to form a team judgment.

When he mentioned the third thing, he glanced at Lin Ye.

"Did you hear me?"

Lin Ye: "I heard you."

"I'm not just talking about you." Qin Hai glanced at Ma Hao and Jiang Peng, "I'm talking about you guys too. Don't treat Lin Ye like a spectacle. He can spot risks, so you should learn how to spot them, not how to pass on schedules."

Several people in the office lowered their heads.

Nurse Zhao leaned against the nurses' station, unusually remaining silent.

After the shift ended, she called Lin Ye aside.

"Will they speak to the family members?"

Lin Ye was taken aback: "Not bad?"

"You call that alright?" Nurse Zhao rolled her eyes. "You talk to family members like you're writing a medical record—there's evidence, but no warmth. You're alright with reasonable people, but with unreasonable ones, you explode after three sentences."

Lin Ye thought about Tongtong's father, Aunt Xu Qing, and Station Master Gao Lei.

indeed.

Nurse Zhao took out several old medical notices: "Look at these. There are three things family members fear most: not understanding, not being able to bear the responsibility, and being afraid that the doctor will lie to them. First, tell me what the most dangerous thing is right now, then tell me what we need to do, and finally tell me what will happen if we don't do it. Don't just throw out technical terms right away."

Lin Ye listened attentively.

She casually pointed to an old form: "For example, in the case of a heart attack, don't immediately say ST segment elevation. First, explain that the blood supply to the heart may be blocked, and that we need to open the blood vessel; otherwise, sudden death may occur. Wait until the family understands before discussing the necessary tests."

Then he pointed to another picture: "For example, someone like Xu Qing, don't ask about her private matters in front of seven or eight people. First, draw the curtain and block out those who might be swearing. You might think you're just asking about her medical history, but she might feel like half her life and half her face have been ripped off at the same time."

"And another thing," Nurse Zhao said in a low voice, "Don't ask girls like Xu Qing about their private matters in front of a bunch of people. If you can draw the curtains, draw them; if you can ask bystanders to leave, ask them to leave first. Saving lives is important, but you can't completely disregard your dignity."

Lin Ye nodded: "I'll remember."

Seeing his serious expression, Nurse Zhao softened her tone: "Emergency room isn't just about treating patients. If you really want to stay in emergency room, you'll have to learn to put out the fires first among a bunch of fires."

This statement sounds more like a teaching exercise than the risk warning sheet from the medical affairs department.

In the afternoon, Wu Hao's aunt came to the emergency room looking for someone.

Her eyes were red and swollen, and she held a certificate from the school in her hand: "Doctor, the child's parents couldn't get tickets, so they asked me to come first. The pediatric intensive care unit says he's still in critical condition, but he's already receiving treatment. Who insisted on sending him for emergency treatment yesterday?"

The homeroom teacher followed behind, looking haggard.

Jiang Peng stood up: "I was the one who saw the patient; Lin Ye was standing next to him."

The woman grasped Jiang Peng's hand, then looked at Lin Ye: "Thank you. The teacher said that when the child complained of chest tightness, they thought he was slacking off. We won't do that again."

The homeroom teacher lowered her head and said, "It's my fault."

Jiang Peng felt a little uncomfortable being held.

He glanced at Lin Ye.

Lin Ye simply nodded at him.

Jiang Peng looked down at the cuff of his sleeve that the woman had been clutching, then looked at Lin Ye's empty hand.

Lin Ye neither stole his patients nor his credit.

He simply stood by to prevent any patients from being missed.

Before the evening shift started, someone in the residency training group sent Lin Ye's emoji again.

This time, no one laughed too loudly.

Jiang Peng replied in the group chat.

[Don't just share memes; people really do die in the emergency room.]

The group chat was quiet for a long time.

After a long while, Ma Hao finally replied with a single word.

【Um. 】

No one is sending emojis anymore.

Night once again enveloped the area outside the emergency room.

Lin Ye hung up his stethoscope and had just walked to the nurses' station when Qin Hai came out of his office.

"You won't be seated alone at the front desk tonight."

Lin Ye nodded.

Before Qin Hai could finish speaking, a sudden screech of brakes came from outside.

Two men carried an old man in.

The old man's face was sallow, his mind was foggy, and he kept muttering, "Sugar... sugar..."

The family members shouted anxiously, "Doctor, he has low blood sugar again! Just give him some sugar!"

Lin Ye looked at the old man's thin, sunken face.

The light blue lettering lit up.

[Emergency room alert activated.]

[Patient: Liang Guoan, male, 71 years old.]

Symptoms: Recurrent hypoglycemia.

High risk: Potential insulinoma.

[Probability of misdiagnosis: 82%]

[Key abnormality: Recurrent hypoglycemia in non-diabetic patients, with brief relief after eating.]

[Risk warning: Recurrence is possible even after this correction.]

Lin Ye handed the glucose injection form to the nurse.

"First, collect a blood sample during the hypoglycemic episode, then correct the hypoglycemia. Act quickly."

The family member breathed a sigh of relief: "I told them to just give us some sugar."

Lin Ye looked at him.

"No, just adding sugar won't do."