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

10:00 AM, small conference room in the administration building.

Lin Ye sat in the last row, with his situation statement in front of him.

Qin Hai sat in the front row, next to Sun Zhiqiang. Liu Zhenhua sat in the main seat, and people from the Medical Affairs Department, Nursing Department, and Science and Education Department were all present.

The meeting was ostensibly a "debriefing of procedures for high-risk emergency cases".

But Lin Ye's name appeared more than a dozen times in the materials on the table.

Each time it appears, it is accompanied by a department: Cardiac and Vascular Surgery, Neurosurgery, Cardiology, Pediatrics, Otolaryngology, Obstetrics and Gynecology, and Thoracic Surgery.

Lin Ye looked at his name listed alongside these departments, and slowly leaned back in his chair. It didn't feel like an honor; it felt more like a string of phone records that could be questioned at any moment.

The teacher from the Department of Science and Education spoke first: "It's normal for resident physicians to participate in emergency care training, but recently, Lin Ye has been burdened with judgment pressures beyond his resident status in several cases. We are concerned that this is detrimental to resident training management."

She spoke softly, yet every word seemed to linger on her residency training file.

Lin Ye sat in the back row and could see "Third Year of Residency Training" next to his name. These words were usually just his name tag, but now they were like a line, clearly separating him from the director and attending physician in front of him.

The nursing department continued, "According to feedback from the nursing staff, Lin Ye's on-site risk warnings were timely, and there were no obvious problems with his cooperation with the nurses."

Another staff member from the medical affairs department flipped through the documents: "The problem is that the directors are frequently contacted directly at night, which can easily disrupt the consultation process."

Qin Hai remained silent.

It wasn't until that officer said, "I suggest the emergency department suspend the nighttime emergency care work at the front desk and return to the general observation area for standardized training first."

Lin Ye's fingers tightened.

Sun Zhiqiang also looked up at Qin Hai.

The air conditioning in the small conference room was very cold.

Qin Hai placed the thermos on the table and said in a low voice, "I disagree."

The officer frowned: "Director Qin, we're not denying the treatment results, it's from a risk management perspective..."

"Risk management," Qin Hai interrupted him, "Then let's talk about risks first."

He slammed a stack of photocopies on the table.

The first image is Chen Jianguo's aortic CTA.

"Type A aortic dissection, if you get it to the hospital too late, you'll die."

The second image is a CT scan of Liu Peng's brain.

"Epidular hematoma, observation until sobering up could lead to death."

The third image is Xu Desheng's electrocardiogram.

"Inferior wall myocardial infarction, waiting for troponin will lead to death."

The fourth image is Tongtong's emergency treatment record.

"Acute epiglottitis, including procedures such as tongue depression, lying flat, etc., can all be fatal."

The fifth image shows Zhao Qiang's tense pneumothorax.

"He suffered a chest injury in a car accident; he could die if a CT scan confirms it."

Qin Hai laid out the papers one by one, and no one in the conference room interrupted.

Finally, he looked up: "Aren't these risks?"

The medical affairs officer looked displeased: "It is a risk, but we are discussing the authority of resident physicians."

"What unauthorized operation did he perform?" Qin Hai asked.

The clerk flipped through the documents.

Qin Hai's voice became a little more serious: "Did he have open-chest surgery, intubation, go to the catheterization lab, or have surgery?"

The meeting room fell completely silent.

"He raised the risks, gathered evidence, called his superiors, and kept records." Qin Hai tapped his fingers on the table. "If this is considered non-standard, then let me ask you this: what exactly is the purpose of emergency room residency training? To learn to sit back and wait for patients to become critical?"

Sun Zhiqiang sat beside him, his fingertips slowly loosening.

He used to be afraid that Lin Ye would put everyone on the spot, but with those films and records spread out on the table, he couldn't utter a single word of "messing around".

Lin Ye stared at the films, his fingers resting on his knees, without moving.

The danger was first raised, and then the subsequent phone calls, consultations, and record-keeping followed one after another.

Liu Zhenhua spoke up: "Director Qin, no one said he couldn't raise the risks."

"Then don't remove him from the emergency room." Qin Hai looked at him. "You want procedures, and I've provided them. The supervising doctor was present, the head doctor was aware, consultations were registered, and medical records were kept. You want to transfer a resident who can identify high-risk patients to the observation area just for the sake of superficial safety? I don't agree."

He didn't slam the table this time.

The edge of the thermos cup was pressed against the table, and no one moved any more chairs in the meeting room.

The teacher from the Department of Science and Education softened her tone: "Can the Emergency Department guarantee adequate follow-up training?"

Qin Hai said, "Yes."

"Where is Lin Ye himself?" Liu Zhenhua looked at the back row. "What do you think?"

All eyes fell on Lin Ye.

Lin Ye stood up.

He didn't offer any flowery words, only saying, "I will report according to procedure and will not overstep my authority. But if I see a high risk, I will still speak up."

He paused, then added, "I will also explain the basis clearly. If it's unclear, I won't force it."

The science and education teacher looked up at him and his expression softened.

Liu Zhenhua stared at him for a long time.

Finally, he made a few notes on the material.

"Adjustments to the rectification plan: Lin Ye will continue to participate in the emergency resuscitation front desk rotations, but must be taught on-site by senior physicians; all interdisciplinary consultations must be properly recorded; the emergency department must submit weekly reviews of high-risk cases."

Qin Hai took the thermos back to his side: "Okay."

Liu Zhenhua looked at Lin Ye: "This isn't giving you special privileges. It's putting you under even stricter scrutiny."

Lin Ye stood in the back row, his fingers touching the seam of his trousers: "I understand."

After the meeting, several people walked out of the administration building.

Sun Zhiqiang let out a long sigh of relief: "Director, I almost slammed my fist on the table just now."

Qin Hai glanced at him: "You'll have to pay for it if you ruin it."

Lin Ye followed behind, still clutching the situation report in his hand.

Qin Hai suddenly stopped.

"Linye."

"director."

"From today onwards, you're considered one of the ER's own people. Being one of the own people doesn't mean you can just barge in; it means that before you do, you know there are people watching you and holding you back."

Lin Ye's throat tightened.

"clear."

Qin Hai took two steps and added, "Of course, you'll still write the report."

Sun Zhiqiang couldn't help but laugh.

Lin Ye looked down at the instruction sheet in his hand.

The paper was filled with his judgment criteria, process timelines, and improvement measures.

He folded the paper in half and stuffed it back into the medical record folder.

The paper was still the same paper, but the edges weren't as rough to the touch as when I first entered the meeting room.