100: Chapter 100 unlocks a new achievement: One needle to the rescue.
2:00 PM.
A new wave of patients arrived in the Red Zone.
One with alcohol poisoning, one with acute pancreatitis, and another who fell off an electric scooter.
None of them were particularly serious.
Lu Chen and Zhao Yaqin handled them separately, and the rhythm returned to its daily state.
By 5:00 PM.
It was time for the shift handover.
After the night shift team took over, Lu Chen returned to the Duty Room.
He first took out his notebook and, while his memory was still fresh, wrote down all the details of today's Pericardiocentesis procedure.
Findings from the ultrasound examination.
The position and size of the loculated cavity.
The basis for identifying the Puncture window.
The influence of the respiratory cycle on the window.
The choice of needle insertion path.
The depth and angle of needle insertion.
The drainage volume and the evaluation of the effect after drainage.
He wrote down three full pages.
This was the core material for the first draft of the paper.
He didn't know how to write the format of a paper, but he could write the procedure and clinical reasoning in more detail than anyone else.
Because he was the one who inserted that needle.
Every millimeter of advancement was clearly etched in his memory.
After finishing writing.
He put down his pen.
He closed the door.
He opened the system panel.
The familiar interface unfolded in his field of view.
[System settling...]
[Settlement complete!]
[Today's operation: Ultrasound-Guided Puncture for loculated pericardial effusion at the apex]
[Operation difficulty rating: SS Level]
[Operation completion: perfect level]
[Triggered leapfrog operation bonus! Host is currently a Resident Physician and independently completed an operation with a difficulty above deputy senior level. Experience acquisition multiplier: x12]
[Emergency Surgery Skill Enhancement Card bonus: x1.5]
[Comprehensive experience multiplier: x18]
Lu Chen gasped.
Eighteen times.
The twelve-fold leapfrog bonus multiplied by the one point five-fold enhancement card bonus.
This multiplier was the highest value since he started the job.
[Experience settlement details]
[Ultrasound-Guided Puncture (Master Level): Progress 0 / 100 → 38 / 100]
[Internal Medicine Diagnostics (Proficient Level): Progress 34 / 100 → 41 / 100]
[Basic Surgical Operations (Master Level): Progress 52 / 100 → 58 / 100]
[Basic Theory of Emergency Medicine (Skilled Level): Progress 31 / 100 → 36 / 100]
Ultrasound-Guided Puncture soared directly from zero to 38.
One operation increased the progress by 38 points.
The progress of Master Level skills is inherently very difficult to increase.
But this time, the SS level difficulty combined with the 18-fold experience multiplier pushed the progress to nearly 40%.
Lu Chen looked at the gratitude points again.
[gratitude points obtained: +480 points]
[Current total gratitude points: 1353 points]
1353.
Exceeded 1000.
He could draw a prize once.
And there were 353 left.
This patient's gratitude point output was extremely high, which should be related to his status and the severity of his condition.
He continued to look.
[Achievement prompt: New achievement unlocked!]
[Achievement: one needle to settle the world]
[Achievement condition: Complete all operation goals with a single Puncture and zero complications in an operation with SS level difficulty or higher]
[Achievement effect: When the host performs Puncture operations, the Puncture success rate is permanently increased by 8%]
A new permanent achievement.
Puncture success rate increased by 8%.
With this effect superimposed on the accuracy of the Master Level skill itself, it would be almost impossible for him to miss any Puncture operation in the future.
The corners of Lu Chen's mouth curled up slightly.
Today's harvest was too bountiful.
An SS level operation.
Ultrasound-Guided Puncture from zero to 38.
A permanent achievement.
1353 gratitude points.
And an opportunity for a paper.
He took a look at the complete skill panel.
[Host: Lu Chen]
[Identity: Resident Physician (Jiangcheng City Central Hospital · Emergency Department)]
[Skill Panel]
[Suturing (perfect level): Progress 87 / 100]
[Basic Surgical Operations (Master Level): Progress 58 / 100]
[Internal Medicine Diagnostics (Proficient Level): Progress 41 / 100]
[Manual Hemostasis (Master Level): Progress 58 / 100]
[Laparoscopic Appendectomy (Master Level): Progress 93 / 100]
[Basic Theory of Emergency Medicine (Skilled Level): Progress 36 / 100]
[Tracheal Intubation (Master Level): Progress 46 / 100]
[Closed Thoracic Drainage (perfect level): Progress 31 / 100]
[Comprehensive Trauma First Aid (perfect level): Progress 0 / 100]
[Ultrasound-Guided Puncture (Master Level): Progress 38 / 100]
[Current total gratitude points: 1353 points]
[Available lottery draws: 1]
[Title Column]
[Currently equipped: enemy of yama (Primary), newcomer: surgical blade, one needle to settle the world]
[Emergency Surgery Skill Enhancement Card activated, effect in effect, remaining time: 6 days 12 hours 35 minutes]
[Physical enhancement status: genetic enhancement serum (Primary) has taken effect, stamina limit +20%, energy recovery +15%, sleep efficiency +25% (permanent)]
The data on the panel all rose across the board.
The progress of Ultrasound-Guided Puncture was the most eye-catching.
But other skills were also steadily advancing.
Suturing was at 87; it would be full after another 13 points.
Laparoscopic Appendectomy was at 93, also almost full.
Comprehensive Trauma First Aid was still zero because it wasn't used today.
However, there was no rush; trauma scenarios happened every day in the Emergency Department, and there was no shortage of practical opportunities.
Lu Chen looked at the number of lottery draws.
Once.
But he decided to save it for now.
Wait until the gratitude points accumulated enough for another round, to see if he could do a consecutive draw.
He closed the system panel.
He took out his phone.
A few messages.
[Shen Xiaoning: "Dr. Lu! You were so handsome today!"]
[Shen Xiaoning: "No, you are handsome every day, but today you were especially handsome!"]
[Shen Xiaoning: "When that needle went in, my heart almost stopped!"]
[Shen Xiaoning: "Then I thought, if my heart stopped, could you save me too?"]
[Shen Xiaoning: "Hahaha, just kidding!"]
[Shen Xiaoning: "Have you eaten dinner? I brought you chicken leg rice from the Cafeteria! It's at the Nurse Station!"]
Lu Chen replied with a message.
[Lu Chen: "Ate, thanks"]
A second later.
[Shen Xiaoning: "Then I'll take the chicken leg rice, can't waste food!"]
[Lu Chen: "You eat it"]
[Shen Xiaoning: "Hehe, I actually haven't eaten yet, I originally wanted to eat with you"]
[Shen Xiaoning: "Then I'll go eat! Good night! See you tomorrow!"]
[Lu Chen: "Good night"]
He put down his phone.
He picked up the notebook again.
He flipped to the pages where he had written the operation records just now.
A paper.
He needed to learn the writing format and standards for medical papers.
This was a brand new field for him.
But he didn't resist it.
Because he knew very well that papers were an unavoidable hurdle on the path to professional title promotion.
Since Director Li Sen was willing to guide him in writing it, he couldn't let this opportunity slip by.
A Resident Physician publishing a paper in a core journal.
If it really succeeded.
Then his weight in the entire Jiangcheng City Central Hospital would rise to another level.
Money, sometimes, is not earned directly.
It's about raising your own value first, and then the money naturally follows.
Lu Chen opened the Emergency Medicine textbook.
He read for two hours.
Then he closed the book, turned off the lights, and lay down.
The ceiling remained quiet in the darkness.
He closed his eyes.
When he extracted those effusions from the loculated cavity today, he could feel the sense of fullness as the liquid surged into the syringe.
Every milliliter of liquid extracted meant a little more space for the heart to beat.
A little more chance to survive.
This feeling was more real than any reward the system gave.
The phone lit up one last time.
It was a photo sent by Shen Xiaoning.
She took a picture of the empty chicken leg rice box from today and added a line of text.
[Shen Xiaoning: "The chicken leg was delicious, but it would be even more delicious if I could eat it with you"]
Lu Chen took a look.
He didn't reply.
He placed the phone face down by his pillow.
And went to sleep.