79: Chapter 79 This is the feeling of perfection.
6:00 PM.
Duty Room.
Lu Chen closed the door and sat on the edge of the bed.
The system panel in his mind unfolded.
"Ding! Today's operation settlement complete!"
"Closed Thoracic Drainage (perfect level): Progress 0/100 → Progress 19/100"
"Hint: The difficulty rating for this operation is S-level, triggering a tenfold experience critical hit! The Emergency Surgery Skill Enhancement Card effect is stacked, providing an additional 50% experience gain! Comprehensive experience multiplier: 15 times!"
15 times.
Lu Chen's eyes lit up.
The 10x critical hit plus the 1.5x coefficient from the enhancement card made a total of 15x.
One surgery went directly from 0 to 19.
It was so worth it.
Keep looking.
"Basic Surgical Operations (Master Level): Progress 18/100 → Progress 24/100"
"Suturing (perfect level): Progress 72/100 → Progress 74/100"
"Manual Hemostasis (Master Level): Progress 48/100 → Progress 49/100"
"Internal Medicine Diagnostics (Proficiency Level): Progress 23/100 → Progress 25/100"
"Basic Theory of Emergency Medicine (Skilled Level): Progress 18/100 → Progress 21/100"
"Tracheal Intubation (Master Level): Progress 45/100 → Progress 46/100"
Besides the huge progress in Closed Thoracic Drainage, other skills also grew to varying degrees.
The dozen or so patients treated this morning also contributed some experience.
Accumulating little by little.
Look at the gratitude points again.
"Current total gratitude points: 47 → 189 points"
The Zhang Ge case contributed the bulk of it.
The gratitude points contributed by a critically ill patient saved from a near-death state far exceeded those of ordinary cases.
Added to the other patients from this morning, it increased by a total of 142 points.
There was still a distance to the 1000 points required for the next draw, but judging by the rhythm of the Red Zone, he should be able to save up enough in two to three weeks.
Lu Chen closed the system panel with satisfaction.
He picked up his phone and saw a message from Director Li Sen.
"Director Li Sen: Write a detailed operation report for that case today and hand it to me tomorrow."
"Lu Chen: Okay, Director Li."
"Director Li Sen: Also, in the future, if you encounter a situation where a consultation from the Department of Thoracic Surgery is delayed, notify me immediately, regardless of whether I am in the Hospital or not."
"Lu Chen: Understood."
Lu Chen looked at the last sentence, and his brows moved slightly.
Director Li Sen's tone was not quite right.
He had sensed something.
But Lu Chen didn't overthink it.
He trusted Director Li Sen.
If there was anything he needed to know, Director Li Sen would tell him.
If Director Li Sen didn't say it, it meant he didn't need to know yet.
What he needed to do was keep improving himself.
Lu Chen opened the Basic Theory of Emergency Medicine textbook and turned to the chapter on chest trauma.
Today's hands-on practice gave him a deeper understanding of many theoretical concepts.
The line in the book "pleural adhesions may lead to difficulty in drainage" was just a line of text before today.
After today, it was a feeling his fingertips had truly touched.
The texture of those adhesion bands.
The change in resistance as the drainage tube slid through the safe channel.
The feedback when the pressure in the thoracic cavity plummeted and the patient's breathing improved instantly after the drainage tube was in place.
These things could not be taught by textbooks.
Only by doing it himself would he know.
He turned the page.
Kept reading.
The phone lit up again.
"Shen Xiaoning: Dr. Lu! Was the braised pork delicious today!?"
"Lu Chen: It was okay."
"Shen Xiaoning: You said it was okay again! Can't you use a different word!?"
"Lu Chen: It was passable."
"Shen Xiaoning: Passable is even worse than okay! You're doing this on purpose!"
"Lu Chen: Just kidding, it was delicious."
"Shen Xiaoning: Really!!"
"Lu Chen: Really."
"Shen Xiaoning: Then I'll make it for you again tomorrow! I'll make it myself this time! I won't let Sister Fang help!"
Lu Chen looked at this message and hesitated for two seconds.
Should he remind her that she made a plate of black charcoal last time?
Forget it.
What if she really improved?
"Lu Chen: Okay."
"Shen Xiaoning: Just you wait! Tomorrow I will definitely make you say the words 'super delicious'!"
"Lu Chen: Looking forward to it."
"Shen Xiaoning: Good night!"
"Lu Chen: Good night."
Lu Chen put down his phone.
He took one last look at the system panel.
"Host: Lu Chen"
"Identity: Resident Physician (Jiangcheng City Central Hospital · Emergency Department)"
"Skill Panel"
"Suturing (perfect level): Progress 74/100"
"Basic Surgical Operations (Master Level): Progress 24/100"
"Internal Medicine Diagnostics (Proficiency Level): Progress 25/100"
"Manual Hemostasis (Master Level): Progress 49/100"
"Laparoscopic Appendectomy (Master Level): Progress 93/100"
"Basic Theory of Emergency Medicine (Skilled Level): Progress 21/100"
"Tracheal Intubation (Master Level): Progress 46/100"
"Closed Thoracic Drainage (perfect level): Progress 19/100"
"Current total gratitude points: 189 points"
"Available draw attempts: 0"
"Titles"
"Currently Equipped: enemy of yama (Junior), newcomer: surgical blade"
"Emergency Surgery Skill Enhancement Card activated, effect in effect, remaining time: 10 days 0 hours 0 minutes"
Everything was rising steadily.
Lu Chen turned off the light.
Lay down.
Closed his eyes.
That patient today, the adherent thoracic cavity, the three-centimeter safe window, four minutes and thirty-eight seconds.
His hand still remembered that touch.
The moment the drainage tube slid into the thoracic cavity.
Steady.
Precise.
Not a millimeter off.
This was the feeling of the perfect level.
He clenched his fist silently in the dark.
Then relaxed and fell into a deep sleep.
...
Three days later.
Thursday, 8:30 AM.
Jiangcheng City Central Hospital, Administrative Building, fourth floor, large Conference Room.
President Sun Guofan sat at the head of the long table, wearing reading glasses, with a stack of materials in front of him.
Four vice presidents sat on both sides.
The directors of each department and the heads of administrative departments were seated in order.
This was a temporarily convened enlarged Hospital affairs meeting.
There was only one topic.
Regarding the management loopholes and rectification plan exposed in the recent adjustment process of the Medical Affairs Department's surgical scheduling.
Everyone could see who this topic was aimed at.
President Zeng Dayang sat in the first seat on President Sun Guofan's left, in a crisp suit, with a file bag in front of him.
His expression was very calm.
One could even say pleased.
Vice President Peng Zhao sat in the second seat on the right, holding a thermos cup, his gaze sweeping over President Zeng Dayang heavily.
The first fifteen minutes of the meeting were routine work reports from various departments.
No one cared about these.
Everyone was waiting.
Waiting for the second agenda.
Sure enough.
After President Sun Guofan finished reading the work report materials, he took off his reading glasses and rubbed the bridge of his nose.
"Alright, next topic."
"Regarding the temporary adjustment of the Department of Thoracic Surgery's surgical schedule last Thursday, the Medical Affairs Department will first provide a situation explanation."
Section Chief He Zhongfeng sat in the corner, his face a bit pale.
He stood up and cleared his throat.
"President Sun, the situation is like this."
"Last Wednesday afternoon, there was an elective surgery in the Department of Thoracic Surgery because the patient's preoperative examination results came out late."
"The surgery originally scheduled for Friday needed to be advanced. I comprehensively evaluated the scheduling situation and believed that adjusting it to Thursday morning was the most reasonable arrangement."
"The adjustment process fully complied with the procedures, with confirmation from the department and my signature."
After he finished speaking, the whole Conference Room was quiet for two seconds.
President Zeng Dayang smiled.
He opened the file bag and pulled out a few sheets of paper.
"Deputy Section Chief He, I have a complete record of the Department of Thoracic Surgery's schedule for last week in my hand."
"For that elective surgery you mentioned, the patient's preoperative examination report came out at 3:00 PM last Tuesday, so there was no issue of it coming out late."
Section Chief He Zhongfeng's face changed.
"In addition."
President Zeng Dayang pulled out another piece of paper.
"I also have a work log from the Medical Affairs Department. At 4:17 PM last Wednesday, you signed the surgical adjustment form, moving this surgery from Friday to Thursday morning."
"After the adjustment, the Department of Thoracic Surgery's Doctor on Duty for Thursday, Dr. Zheng Daan, was scheduled into the surgery, resulting in no senior doctor in the Department of Thoracic Surgery being able to respond to emergency consultations that morning."
"It just so happened that on the same morning, the Emergency Department admitted a critically ill patient with a fall injury, suffering from tension pneumothorax combined with extensive pleural adhesions, requiring an emergency Closed Thoracic Drainage."
"After the Department of Thoracic Surgery received the consultation request, they replied that it would take at least forty minutes to arrive."
"Forty minutes."
President Zeng Dayang said these words very slowly.
"A patient with tension pneumothorax, forty minutes."
"Deputy Section Chief He, have you studied clinical medicine? Do you know how long it will take for a patient to die if tension pneumothorax is not treated in time?"