Chapter 60

Along the way, Director Pan and Xiao Chang chatted a few sentences.

This girl doesn't speak much and is also rather stiff. She doesn't shamelessly fawn over the new department head, but her evaluation of the Emergency Department is high; every sentence hits the point, making Director Pan secretly pleased.

Especially the two recent matters intervened by the Medical Department—laparoscopic retrograde appendectomy and nitrite poisoning—in Chang Yue's mouth became Director Pan's competent command, showing the bearing of a great general.

After finally getting someone, returning to the Emergency Department, Director Pan handed Chang Yue over to Zheng Ren, and instructed her to definitely listen to Zheng Ren's words and build up the Emergency Center and such.

Zheng Ren had just finished writing the post-op orders and needed to write the case record. Coincidentally, Director Pan sent over a little laborer, so he briefly explained the condition and tossed it to Chang Yue to do.

Chang Yue was neither impatient nor ingratiating; she did whatever was asked. She put down her bag, didn't even want a cabinet, called the family in to get a detailed medical history, then began writing the medical record.

Zheng Ren made a round of the wards; the wards of the Emergency Center and the observation wards of the Emergency Department are separate, and currently there is only one patient—an elderly person after gallbladder removal surgery.

The patient had woken up from general anesthesia, felt a bit nauseous, but had not vomited.

He felt the nasogastric tube was especially uncomfortable, and told Zheng Ren many times; finally Zheng Ren coaxed and persuaded him, which stabilized his emotions a bit.

This nasogastric tube goes in through the nose, passes the pharynx and esophagus to reach the stomach, and via negative pressure sucks out all the gastric fluid in the stomach.

When passing through the pharynx, the swallowing motion increases irritation of the pharyngeal mucosa, so the patient feels uncomfortable.

But there's really nothing that can be done about it.

After checking the post-op patients, Zheng Ren returned to the office, saw that Chang Yue had already finished writing the case record, and went downstairs to get the key from the Head Nurse.

Finished so quickly?

Zheng Ren first wondered if this young doctor was a bit irresponsible; if too irresponsible, then all the work would still have to be done by himself in the future.

He couldn't rest assured entrusting the writing of medical records to a careless person.

Although he had the System at his side, Zheng Ren had grown accustomed to handling every clinical matter with caution.

After all, if one is careless and a medical dispute arises, holding a messy case record, even if justified, becomes unjustified.

After a casual glance, Zheng Ren immediately looked at Chang Yue with new respect—this girl is capable!

The case record was simple, clean, and crisp. There wasn't a single useless word, nor any formatting errors, as if it had been ripped from the standards of medical record writing.

Looking closely, the medical history and physical exam points I told her—although only a few sentences—were fully reflected.

Moreover, she asked the patient's family and recorded more changes in the condition. The medical record level of surgeons forever lags behind that of internists, a difference determined by professional nature.

Just looking at this case record, one couldn't find a single flaw; everyone would think the patient must undergo surgery. If not, the condition would worsen, even leading to sudden death.

All right, Zheng Ren gained preliminary approval of Chang Yue through this case record.

Because there was only one post-op patient, the nurses were also relatively idle. The newly arrived Head Nurse was busy training the nurses, so that if a critical emergency suddenly came, they wouldn't fumble and delay resuscitation.

Chang Yue took the cabinet key, put her bag away, and returned to the office.

"The case record is well written."

"I once won the provincial case record competition championship." Chang Yue said.

Zheng Ren indicated that he had no idea what she was talking about regarding the case record competition.

But the level of this case record is still quite high; as for other things, they remain to be observed in the future.

As for myself, the first… should be the second colleague; the first forever belongs to Xie Yiren. As for the second colleague, Zheng Ren decided to ask Chang Yue about her demands and hopes for the future.

"I don't want to do surgery; I just want to be a good internist." Chang Yue said.

"Is it because you faint at the sight of blood, or something else?"

"No, I just like chatting with people."

After this simple exchange, Zheng Ren confirmed she had no interest in getting on stage to assist his surgery. However, being able to write case records and manage patients well is also important.

At the very least, dumping some miscellaneous tasks on Chang Yue would let him focus on surgery.

While they were chatting, the Emergency Department's phone rang, saying there was an acute appendicitis patient needing Zheng Ren to confirm the diagnosis.

Bringing Chang Yue, Zheng Ren went to the Emergency Department.

The patient was a young male, a college student, brought by his classmates.

The diagnosis was clear; he was admitted and prepared for surgery.

For Zheng Ren, appendectomy as a single skill has at least reached master level. If evaluated more objectively, he feels he is a grandmaster of the generation; although still some distance from the peak, he can completely crush all doctors in the province.

After seeing the patient, Zheng Ren then held a book and slowly ground skill points—more is better; having suffered hardship since childhood, he thought this way.

Communicating with the patient, coordinating, preoperative preparations, etc., were all handed to Chang Yue.

At that moment, a ding sounded, and the System suddenly issued a mission.

【Main Line Quest: Best Surgeon.

Quest content: To become the best surgeon, there is still a long road ahead. Completing every 10 surgeries, depending on completion degree, one can obtain system rewards.

This quest does not overlap with other quests.

Quest rewards: For each set of 10 level‑1 surgeries with 80% completion, gain 10 skill points and 1000 experience points. Level‑2 surgeries count as two level‑1 surgeries, level‑3 as four level‑1 surgeries, level‑4 as eight level‑1 surgeries. For higher‑level surgeries, the System will temporarily announce the calculation index.

Quest duration: Forever.】

This quest…… Zheng Ren pondered a bit; it should be encouraging him to do higher‑difficulty surgery. Since it's a long‑term main line quest, he will have continuous income.

Thinking of the just‑completed 49 appendectomies and 1 laparoscopic retrograde appendectomy, Zheng Ren began to feel heartache.

If the Main Line Quest had come out earlier, how great that would be—hundreds of Skill points, several thousand Experience Points; although compared to sudden quests it's not much, but after all it's something that appeared out of nowhere.

One and a half hours later, Chang Yue had made preparations, Zheng Ren brought the patient onto the stage.

Twenty minutes later, Chang Yue hadn't even had time to sit down and drink a sip of water, Zheng Ren had already brought the patient back.

This twenty-minute surgery time also includes the fifteen minutes of anesthesia time.

Zheng Ren looked at the newly received long-term Main Line Quest—under the best surgeon, it already had a 10% completion rate, and he felt delighted.

Chang Yue was somewhat surprised, but she did a good job of concealing her emotions.

Busy receiving patients, post-Shou Bing instructions. After Zheng Ren finishes writing the Shou Bing record, he then begins writing the post-Shou Bing record, etc.

After the tedious text work was handed over to Chang Yue, Zheng Ren felt refreshed.

Especially thinking that the Gallbladder Removal Surgery under the Laparoscope belongs to a grade-three Shou Bing, equivalent to 40% completion, he became even more spirited.

Unfortunately, on the first day of the emergency operating room's opening, only two surgeries were performed, leaving Zheng Ren somewhat dissatisfied.

In the evening, Chang Yue prepared to get off work.

Because the emergency inpatient ward lacked the appropriate doctor, Zheng Ren volunteered to stay on duty around the clock. He even considered whether to give up the apartment he shared with Xiao Zhao.

Originally, the Inpatient Chief was supposed to stay in the ward. Previously, in the Emergency Department, the situation was special.

It's very inhumane, but it's a fact.

This is only a temporary stopgap; later the emergency inpatient ward will surely be fully staffed, so Zheng Ren won't have to… but Zheng Ren still has to stay in the ward 24 hours a day, 7 days a week, 4 weeks a month, until the next Inpatient Chief appears.

Chang Yue was about to get off work when Director Pan returned happily, followed by two people who looked very familiar.

"Zheng Ren, I've brought back two more people for you."

"..." Upon approaching, Zheng Ren saw clearly that it was actually Chu Yanran and Chu Yan zhi.