155: Chapter 155 He Zhongfeng is repaying a favor
At six o'clock in the evening, it was time for the shift handover.
Lu Chen carefully handed over the details of Bed 1's condition to Sun Ji, who was on the night shift.
"The coagulation function is slowly improving, but it's still far from the safe range. The risk of bleeding remains very high, so keep a close eye on him tonight."
"Don't worry, I know the gravity of the situation."
"Suction the gastric tube every two hours; that's a hard rule. Call me immediately if there's any abnormality."
"Call you? Aren't you off duty?"
"I'll be in the Duty Room, on call anytime."
Sun Ji looked at him.
"Brother Lu, you watched over him all night yesterday and all day today. Aren't you going back to the dormitory to rest?"
"The Duty Room is closer than the dormitory."
Sun Ji didn't say anything more.
He knew he couldn't persuade him otherwise.
Lu Chen returned to the Duty Room.
He took a shower.
Then he sat on the bed.
Before he could open his phone, the system's notification sound rang out.
[System calculating...]
Lu Chen waited.
[Today's Work Summary]
[Routine Emergency Admissions: 8 cases (including 2 cardiovascular, 2 respiratory, 2 trauma, 1 digestive, 1 other)]
[Special Mission: Continuous monitoring and management of an S-rank critically ill patient (Decompensated liver cirrhosis with Multi-system dysfunction), Phase One assessment complete]
[Operation Rating: A-rank (Comprehensive management, no specific high-difficulty operations)]
He hadn't triggered a leapfrog challenge today, nor were there any high-difficulty operations, so the rating was A-rank.
This was normal; the routine stabilization of an S-rank patient wouldn't yield a very high rating for a single operation. The focus was on the accumulation of long-term management.
[Skill Experience Growth]
[Basic Theory of Emergency Medicine (Skilled Level): Progress 95/100 → 97/100]
[Internal Medicine Diagnostics (proficient level): Progress 71/100 → 73/100]
[Cardiopulmonary Resuscitation (Master Level): Progress 16/100 → 18/100]
[Tracheal Intubation (Master Level): Progress 62/100 → 63/100]
[Comprehensive Trauma First Aid (perfect level): Progress 46/100 → 47/100]
Emergency theory had increased by another two points, leaving it only three points away from the proficient level.
Cardiopulmonary resuscitation also saw a slight increase of two points, from 16 to 18.
Though slow, he was making steady progress.
This kind of daily accumulation was the most solid part of the system's design.
There were no shortcuts or critical hits, only the bit-by-bit stacking of experience points.
[gratitude points Settlement]
[gratitude points from routine admissions: +42]
[gratitude points from S-rank critically ill patient's family (continuously calculating): +35]
[Total gratitude points earned today: +77]
[Current total gratitude points: 429 points]
gratitude points had increased by another seventy-seven.
He was still five hundred and seventy-one points away from the next thousand-point lucky draw.
Keep up the good work.
Lu Chen finished looking at the system panel.
He picked up his phone.
A message from Director Li Sen.
[Director Li Sen: Today, He Zhongfeng held a small meeting with the Medical Affairs Department. The topic was re-standardizing the response time for cross-departmental emergency consultations. The requirement has been changed from the original flexible response to a mandatory 30-minute response, with a 15-minute arrival for special circumstances.]
[Lu Chen: He pushed for this himself?]
[Director Li Sen: He pushed for it proactively and even CC'd Vice President Zeng.]
Lu Chen looked at the message for a few seconds.
Section Chief He Zhongfeng was using actual actions to return the favor.
A mandatory 30-minute response time was a major benefit for the Emergency Department.
How many times had they suffered from late consultations from the Department of Thoracic Surgery or Cardiology Department?
If this regulation could really be implemented, the speed of consultations in future emergencies would be at least twice as fast.
[Lu Chen: That's a good thing.]
[Director Li Sen: I'm not sure if He Zhongfeng can maintain this attitude long-term, but at least for now, he's truly cooperating with us. That surgery you did wasn't in vain.]
[Lu Chen: Mm.]
[Director Li Sen: Alright, get some sleep early. You didn't close your eyes much last night, did you?]
[Lu Chen: I took a nap.]
[Director Li Sen: Your body is indeed more resilient than most, but don't overextend yourself. Make sure to rest.]
[Lu Chen: Okay, Director Li, goodnight.]
A message from Shen Xiaoning.
[Xiao Ning: Dr. Lu! Did you eat properly today?]
[Lu Chen: I did, thanks.]
[Xiao Ning: Do you still have to watch over that patient tonight?]
[Lu Chen: Sun Ji is on duty tonight. He'll call me if anything happens.]
[Xiao Ning: Then you can sleep well tonight?]
[Lu Chen: Mm.]
[Xiao Ning: That's great! You must get some good rest! You're not allowed to stay up late reading books anymore!]
[Lu Chen: Got it.]
[Xiao Ning: By the way, Dr. Lu, I read that journal again. I think that sentence you wrote in the discussion section is especially good.]
[Lu Chen: Which one?]
[Xiao Ning: It's the one that says, "Under conditions of complex adhesions, the operator's ability to dynamically interpret real-time ultrasound images integrated with fingertip tactile feedback is the core factor determining the success or failure of the puncture."]
[Xiao Ning: Although I didn't recognize many of the words, after looking them up in a dictionary, I think that sentence sounds incredibly impressive!]
Lu Chen looked at the message.
She actually went to look them up in a dictionary.
A twenty-one-year-old nursing student, using a medical dictionary to look up his paper word by word.
Just so she could understand it.
Lu Chen didn't know what to say.
He typed two words and sent them.
[Lu Chen: Goodnight.]
[Xiao Ning: Goodnight! Tomorrow, I'll make you fish-flavored shredded pork!]
[Lu Chen: Are you sure you know how to make it?]
[Xiao Ning: Not sure! But I can practice tonight!]
[Lu Chen: Just don't blow up the kitchen.]
[Xiao Ning: I won't! My cooking level is very stable now! Just wait and see!]
Lu Chen turned off his phone screen.
He read for half an hour.
The progress of his emergency theory crawled forward a bit more.
Then he turned off the light and went to sleep.
Before closing his eyes, he thought about his plan for tomorrow.
Continue monitoring the patient in Bed 1 and wait for the results of the coagulation function re-examination over the weekend.
Continue with routine admissions to grind for experience.
Emergency theory was only a few points away from the proficient level; he'd try to break through in the next couple of days.
And then there was the arrival of the provincial expert team next Monday.
The assessment for the Living Donor Liver Transplantation.
An eighteen-year-old boy was going to have a piece of his liver cut out to give to his father.
Lu Chen closed his eyes.
In the final moment before he fell asleep, the system issued a silent notification.
[Basic Theory of Emergency Medicine (Skilled Level): Progress 97/100]
Three points left.
Tomorrow.
He could break through tomorrow.
...
The alarm clock at seven in the morning rang on time.
The first thing Lu Chen did upon opening his eyes was to prick up his ears and listen for any unusual sounds from the corridor.
There were none.
It was quiet.
This meant nothing had happened to the patient in Bed 1 last night.
He got up, washed, changed into a clean white coat, and pushed open the door of the Duty Room.
An insulated bag was already sitting on the desk at the Nurse Station, with a sticky note that read: Fish-flavored shredded pork with rice! I didn't blow up the kitchen!
Lu Chen opened the insulated bag and took a look.
The food was hot, and the color of the fish-flavored shredded pork actually looked quite normal.
He took a bite.
The taste was surprisingly good.
After finishing breakfast, Lu Chen walked over to Rescue Bed 1.
Sun Ji was making the final notes before the shift handover.
"Brother Lu, nothing happened last night. The gastric tube was suctioned four times and it was all clear. Blood for the coagulation function was drawn and sent at six this morning. The blood pressure was at its lowest at four in the morning, 92/58, but we brought it back up with a dose of Albumin."
"Any change in the hepatic encephalopathy?"
"No, still Stage 2. Asterixis is positive, but he's conscious."
Lu Chen nodded.
"Good work."
"It's fine, but this patient really keeps you on edge. I didn't even dare go to the bathroom for too long last night."
Lu Chen walked to the bedside.
Wang Jianguo was awake.
His complexion was still sallow and his sclera jaundiced, but his mental state was slightly better than yesterday.
"Mr. Wang, how are you feeling today?"
"A bit better than yesterday, not as dizzy."
"Is your abdomen bloated?"
"It's still bloated, but it's lighter than before."
Lu Chen pressed on his abdomen; the Ascites was indeed a bit less than yesterday.
The Diuretics and Albumin were working.
"Good, keep it up. We'll continue with today's medication as usual. Press the bell immediately if you feel any discomfort."
"Thank you, Dr. Lu."
Wang Hui walked over from the family lounge, holding a cup of water.
His eyes were still red, but he looked better than when he first arrived the day before yesterday.
"Dr. Lu, is my dad's condition better today than yesterday?"
"Yes, it's improving, but it will still take time."
"When are the provincial experts coming?"
"Next Monday."
Wang Hui's lips twitched slightly.
"Five more days."
"Your father's condition is moving in a positive direction; you don't need to be too anxious."
Wang Hui nodded and walked back to sit by his father's bed.
Lu Chen turned back to the workstation and opened today's duty schedule.