156: Chapter 156 Mission Title: Twin Destinies

At 8:30 AM, Zhao Yaqin arrived.

After the shift handover, Lu Chen began handling daily emergency patients.

An elderly man who had fallen, with a distal radius fracture; after temporary stabilization, he was transferred to the Orthopedics Department.

A middle-aged woman with acute gastroenteritis; treated with fluid replacement and antiemetics.

A young man with chest tightness; normal Electrogram, normal myocardial enzymes, anxiety disorder, transferred to the psychology department.

Every case was adding bricks and mortar to the system's experience bar.

Just after nine o'clock, the results for the coagulation function came out.

PT 23 seconds, INR 2.1, fibrinogen 1.6.

A significant improvement from yesterday.

Looking at this set of data, Lu Chen felt a slight sense of relief.

The direction was correct.

As long as the coagulation function continued to improve, the risk of bleeding would continue to drop.

He recorded the results in the medical record and sent a message to Professor Feng Yuan.

Professor Feng Yuan replied quickly: Continue the current plan, I will come to take a look this afternoon.

...

11:00 AM.

While Lu Chen was handling a trauma Suturing, the system prompt suddenly sounded in his mind.

[Basic Theory of Emergency Medicine (Skilled Level): Progress 99/100]

His heart skipped a beat.

It was at 99.

Just one point away.

Lu Chen steadied his hand and finished the Suturing.

While finishing up, he reviewed the Emergency triage principles and Wound assessment process involved in handling this trauma in his mind.

Then, the prompt he had been waiting for for several days finally came.

[Congratulations, Host! Basic Theory of Emergency Medicine has broken through to the proficient level!]

[proficient level effect: The host has formed a complete and in-depth mastery of the theoretical system of Emergency Medicine. When facing complex emergency cases, the speed and accuracy of theoretical analysis and differential diagnosis are significantly improved. Key clues can be quickly extracted from a vast amount of clinical information, greatly reducing the rate of misdiagnosis.]

[Additional Effect: The proficient level emergency theory activates a passive gain; when the host reads medical literature and clinical guidelines, the efficiency of knowledge absorption is permanently increased by 20%.]

The corners of Lu Chen's mouth curled up slightly.

Finally broke through.

From joining the Emergency Department until now, this skill had climbed all the way from entry-level to the proficient level, through countless nights of reading until the early morning and the accumulation of innumerable clinical cases.

Solid, but worth it.

"Dr. Lu, what are you smiling about?"

Shen Xiaoning looked at him curiously from the side.

"Nothing, just thought of something happy."

"What happy thing?"

"Not telling you."

Shen Xiaoning pouted.

"Stingy!"

Lu Chen ignored her and continued to handle the next patient.

At noon, Shen Xiaoning's lunch box was delivered on time.

Today was braised fish chunks and tomato with scrambled eggs.

"Dr. Lu, what do you think of today's Yuxiang shredded pork?"

"Not bad, much better than the braised pork from last time."

"Of course! I practiced three times before I succeeded!"

"Three times? Didn't your roommates have any complaints?"

"They did. They said the smell of cooking oil wouldn't dissipate for three days. But when I told them I was making it for you, they stopped complaining."

Lu Chen's chopsticks paused.

"Why did they stop talking when you told them it was for me?"

Shen Xiaoning's face suddenly turned red.

"B-because they think you're worth it!"

"I'm worth them putting up with the cooking fumes?"

"Yes!"

Lu Chen didn't press further and lowered his head to eat.

Shen Xiaoning sat opposite him, stealing several glances when he wasn't paying attention.

After finishing the meal, Lu Chen returned the lunch box to her.

"Thanks. No need to bring dinner. I might have to work overtime tonight."

"Are you going to keep an eye on that patient again?"

"Yeah."

"Then I'll bring you a late-night snack!"

"No need. Go back and rest early after you get off work."

"But..."

"Be good."

Shen Xiaoning's ears turned red.

She lowered her head to pack the lunch box, mumbled something softly, and then walked away quickly.

...

1:30 PM.

Professor Feng Yuan arrived.

After checking the results of the coagulation function, he nodded.

"The improvement is very obvious. Continue with this plan and maintain it for another three to four days. The coagulation function should return to a relatively safe range."

"Professor Feng, how much has the risk of bleeding decreased now?"

"It's much lower than when he first arrived, but the Grade III varices in the lower esophagus are still there. As long as the portal vein pressure doesn't fundamentally decrease, the risk of bleeding won't be completely eliminated."

"Should we continue using Terlipressin?"

"Continue, don't stop. Once stopped, the portal vein pressure will rebound."

When Professor Feng Yuan finished his rounds and was about to leave, Director Li Sen also came over.

The two of them stood in the corridor and spoke in low voices for a few moments.

Lu Chen didn't approach, but from Director Li Sen's expression, they seemed to be discussing the arrival of the expert team next Monday.

Three minutes later, Director Li Sen walked over.

"Lu Chen, let me brief you on the situation for next Monday's evaluation."

"Okay."

"Three people will come from the Provincial Hospital. One is Professor Liu from the Department of Hepatobiliary Surgery, an authority in the field of transplantation; he will lead the pre-operative evaluation and the formulation of the surgical plan. The second is a senior anesthesiologist from the Department of Anesthesiology, and the third is an expert from the Department of Critical Care Medicine."

"The transplant surgery will be done here?"

"Tentatively here. The transplant ward at the Provincial Hospital is full, and this patient's condition isn't suitable for long-distance transport."

Lu Chen was silent for a moment.

"Does our Hospital have the capability to perform a Living Donor Liver Transplantation?"

“The hardware conditions are sufficient. Our Operating Room was just upgraded last year, and the equipment is among the top three in the province. The key is the people. The lead surgeon for the transplant will be Professor Liu from the Provincial Hospital, and we will provide the assistant team and post-operative monitoring."

"What is my role in this process?"

Director Li Sen looked at him.

"Before the surgery, you will continue to be responsible for the patient's life support and status optimization; this is your primary task. As for the surgery itself, you will participate as the representative of the Emergency Department on standby, mainly responsible for the emergency handling of any unexpected situations."

"Understood."

After Director Li Sen left, Lu Chen returned to his workstation.

Just as he was about to continue processing the next patient's medical record, a system prompt he had never heard before suddenly sounded in his mind.

It wasn't the usual ding-dong sound.

It was a low, continuous sound effect, long and solemn.

Then, a golden information box popped up on the system panel.

[Ding! Hidden task triggered!]

[Task Name: Twin Fates]

[Task Rank: SSS-rank (Epic)]

[Task Description: The S-rank critically ill patient currently under the host's care, Wang Jianguo, is about to undergo a Living Donor Liver Transplantation. The donor is his 18-year-old son, Wang Hui. This is a surgery involving two lives; failure on either side will lead to irreparable consequences.]

[Task Requirements: Participate in the entire process of the Living Donor Liver Transplantation surgery, ensuring that both the recipient (father) and the donor (son) survive safely.]

[Difficulty Assessment: Extremely high. Living Donor Liver Transplantation involves the precise excision and vascular handling of the liver on the donor's side, as well as the excision of the diseased liver and the Vascular Anastomosis and reconstruction after the implantation of the new liver on the recipient's side. The surgeries on both sides are interrelated; a mistake on either side could lead to life-threatening danger for both. It places extremely high requirements on the surgeon's skills in Vascular Anastomosis, Suturing, Hemostasis, and more.]