Chapter 397: Chapter 222: The First Peaceful Night Shift! (Part 3)
"Write it honestly. Lu Cheng is already an employee of our hospital and has been scheduled for shifts at night. His practice rights registration in the medical department has been implemented," Xiao Zhaoxi instructed.
After giving these instructions, Deng Duanniu returned to the ward to continue writing medical records, while Xiao Zhaoxi took Lu Cheng back to the director’s office.
"Director Xiao, weren’t you going to the consultation meeting? Is it over?" Lu Cheng asked.
"That was the central ICU trying to avoid responsibility by calling more people. What could I do there? Whatever I can do, they can do too," Xiao Zhaoxi shook his head.
Xiao Zhaoxi promptly shifted the topic to the recent emergency rescue, saying, "You’re quite capable, aren’t you? You can even perform blind maneuvers to stop bleeding."
Xiao Zhaoxi noticed the details. When Lu Cheng was controlling the bleeding, the splenic vascular system was not thoroughly exposed at all.
Lu Cheng nodded, "A professor from Xiangya Second Hospital once visited Long County People’s Hospital, where he told me about a teacher who could perform blind arterial bleeding control."
"My physical examination sense is quite sharp, allowing me to feel the direction of turbulence, so I could roughly guess which particular blood vessel is bleeding."
Xiao Zhaoxi also acknowledged this capability, nodding, "This is a God-given talent, and it’s a skill others can’t easily learn."
"It’s alright, you did a great job, but I advise you not to do this method every time," Xiao Zhaoxi’s tone turned a bit cold.
Lu Cheng looked puzzled.
Xiao Zhaoxi explained, "If you can’t guarantee a 100% success rate when stopping bleeding, and you have no way to back up if it fails, then it’s best not to attempt such procedures rashly."
"Currently, in clinical practice, this method isn’t publicly endorsed, and it’s considered personal authorization by senior doctors!"
"It’s impossible to publicly endorse it because many people can’t learn this technique. Once it’s publicly endorsed, it’ll be like throwing more clinical doctors to the wolves."
"I can only say that only people with very strong abilities can do things not explicitly prohibited by the law."
Lu Cheng finally nodded, "Alright, Director Xiao."
Xiao Zhaoxi’s attitude was somewhat similar to that of Du Qiang. As a doctor, you must first ensure that your white coat stays on, relying on it securely to make a living rather than promoting personal heroism.
A single medical dispute could nullify decades of learning.
No law requires an emergency department doctor to master blind maneuvers to stop bleeding.
Active hematomas caused by open trauma can lead to death without accountability.
"What kinds of work were you mainly doing at Long County People’s Hospital?" Xiao Zhaoxi asked again.
"Director Xiao, aside from tendon injuries, splenic ruptures, and gallstones, everything else was regular referrals," Lu Cheng replied.
"For example, arterial dissections, gastrointestinal perforations, and cholangitis, among others, were all handled through referrals."
In clinical emergency medicine, most cases are quite common emergencies. The rare emergencies shown in TV dramas are rare cases published globally across hospitals, hardly encountered in reality.
Nowadays, the number of cases like extracting a light bulb from the mouth has dwindled.
Cases involving extracting a football from the lower body have almost disappeared.
"Well, in our hospital, aside from debridement and suturing, everything else requires referral to specialists, including tendon injuries. Do you understand?" Xiao Zhaoxi asked.
Lu Cheng laughed, "Director Xiao, if specialists can handle it, it surely should be rightly handed over to them."
Xiao Zhaoxi perceived the underlying meaning in Lu Cheng’s words, thought deeply for a moment, then said, "Xiao Shu told me about your ideas."
"If you really feel you can’t sit idle, you can choose to tackle some rather rare conditions that specialists avoid."
"I’ve found a few conditions related to you."
"They’re all sub-acute conditions."
"One is closed Achilles tendon ruptures, and the other is joint dislocations," Xiao Zhaoxi said.
Upon hearing this, Lu Cheng replied, "Thank you, Director Xiao."
"Don’t we have an orthopedic department handling joint dislocations? Why aren’t they tackling it?"
Xiao Zhaoxi replied, "It’s not that they don’t handle it, it’s just considered cumbersome. They usually refer the patient to the Traditional Chinese Medicine Hospital to avoid complications or recommend surgical reduction."
"Of course, for classic joint dislocations, you can always call for a consultation."
"Go familiarize yourself with our hospital’s medical record and order systems first. You’ve just joined the department, so you need to learn these gradually."
Lu Cheng nodded and took his leave.
Near dinnertime, when Lu Cheng proactively asked Xiao Zhaoxi what to eat for dinner, Xiao Zhaoxi had already ordered takeout and told Lu Cheng to wait and eat.
After the meal, Xiao Zhaoxi went to the doctor’s lounge, lay down, and fell asleep.
He was on standby for emergency consultations, not having to be on duty like internal medicine doctors.
Lu Cheng stayed in the emergency room for a while, noticing that most patients coming into the emergency room were for internal medicine-related emergencies.
For instance, carbon monoxide poisoning, snake bites, dog bites...
Lu Cheng’s job was to treat dog bite wounds, performing thorough debridement, hydrogen peroxide washing, suturing, and other procedures.
Other emergencies, like myocardial infarction, angina, pulmonary embolism, were the most common conditions in the emergency room.
Internal medicine doctors have to be constantly present.
After midnight, deputy chief physician Chen Changlin from the internal medicine night shift told Lu Cheng to rest, promising that he would call if a patient with major trauma arrived.
Lu Cheng accepted without hesitation.
Lu Cheng didn’t enter the lounge but lay down in a flat recliner in the small lounge of the emergency room and dozed off.
With the hospital providing heating during winter, Lu Cheng didn’t feel cold without a blanket.
When Lu Cheng awoke, it was already 6:30 am.
Leaving the lounge, he saw the internal medicine team was still resuscitating a myocardial infarction patient...
Seeing no urgent matters, Lu Cheng left the emergency room and went outside the surgical consultation room.
The attending in the surgical consultation room was an orthopedic surgeon on rotation in the emergency room, who was also dozing off, likely having not slept all night.
Meanwhile, on the internal medicine side, lines of patients with coughs and colds stretched long.
These were mostly ordinary cold patients without infectious diseases, checked in the fever clinic, some with diarrhea and some constipated...
On Lu Cheng’s first day on duty, it even felt somewhat quiet.
In fact, after completing the handover with Brother Cao Gui, the feedback was also ’quiet’!
Otherwise, Xiao Zhaoxi wouldn’t have dared to arrange a night shift in the emergency room for Lu Cheng’s first day.
The department also wouldn’t dare to arrange an irregular schedule of an emergency room night shift followed by a day ward shift.
After 8 a.m., Lu Cheng completed the handover and happened to see someone delivering a banner.
It was the wife of yesterday’s splenic rupture patient. Since the on-duty Liang Jianhong wasn’t present, she went straight to Xiao Zhaoxi. Xiao Zhaoxi politely received her but didn’t mention that Lu Cheng had completed the core rescue...
Of course, Xiao Zhaoxi also didn’t accept the banner and asked her to return it, which slightly surprised Lu Cheng.
