Chapter 27: Doctor Lu Is In A Bad Mood!
“Young Master Kun… I’ve said it… if you’re unwilling to help with writing medical orders and patient records, you don’t have to.”
“I am currently the patient’s ward doctor, and this is the Emergency Department!!! Our Surgery Group doesn’t have that many patients, and I can manage taking care of them alone.” Lu Cheng sat in front of the computer, turning his head, his tone solemn and his expression serious.
Peng Kun was slightly stunned upon hearing this, the light from the computer screen causing the pimple on his right cheek to twitch slightly: “Brother, what did I do wrong this time?”
Lu Cheng said: “For this patient, omeprazole is sufficient, and furthermore, this patient is using antiarrhythmic drugs. Combining it with pantoprazole could interfere with cardiac conduction.”
“Omeprazole doesn’t have that risk.”
“Young Master Kun, next time you want to change medication, can you discuss it with me beforehand?”
“How many times has this happened already?”
Peng Kun listened, then doubtfully opened his mobile phone: “Really?”
“Brother Cheng, you said last time that pantoprazole has fewer side effects, so I thought you misspoke today and said omeprazole instead of pantoprazole.”
“Combining pantoprazole with antiarrhythmic drugs increases risk? But omeprazole doesn’t?”
Many doctors at the county hospital wouldn’t delve into the nuanced theories of surgical medication. However, Peng Kun had previously worked at Xiangya Second Hospital, where Professor Li and Professor Zhu of Sports Medicine were particularly meticulous about these matters, so he was attentive.
Peng Kun’s memory was certainly not as detailed as Lu Cheng’s. After reviewing the long instructions for pantoprazole, he indeed found a section on pantoprazole’s specific risks —
Caution is advised when combining with Class IA/III antiarrhythmic drugs!!
Lu Cheng remained expressionless and directly called the nurse station: “Sister Fang, please cancel the administration of omeprazole for bed 3. I’m changing the medication…”
Once a medical order is issued, the Nursing Department accepts and executes it. After the nurse confirms execution, the doctor cannot arbitrarily change it; it must be temporarily canceled.
“Oh… alright, slowpoke!” Zeng Huangfang was accustomed to Lu Cheng’s dawdling when they were paired together. However, since Lu Cheng was easy to talk to, she made a joke.
“Sorry to trouble you, Sister Fang. For the medical orders I’ve issued, please wait ten minutes before reviewing them. I might still need to consider them,” Lu Cheng said.
“Mmm, got it… My dear brother… I really don’t know why you fuss over so many details. Everyone else just uses them casually.”
“Are you making things too difficult for yourself?” Zeng Huangfang gestured.
Brother, you’re just doing a job. Following the guidelines for medication is enough. Why go through all these intricate details? The patients won’t thank you any more, and why tax your brain cells so much?
Lu Cheng did not reply, still meticulously pondering the medical orders. Ultimately, Lu Cheng’s pharmacology skills were only at a proficient level, so for some unfamiliar drug applications, Lu Cheng still needed to consult the drug encyclopedia…
After reading the instructions and confirming Lu Cheng’s statement, Peng Kun’s expression was conflicted as he asked: “Brother Cheng, have you memorized the instructions for several commonly used drugs word for word?”
“It’s important to memorize the commonly used ones, Young Master Kun. I’m not trying to nag.”
“It’s just that the instructions state that while pantoprazole has fewer side effects when combined with other drugs, once an issue arises, it becomes extremely troublesome to handle.”
“The guidelines haven’t even been updated. Although we won’t be blamed if something goes wrong, there’s no need for us to create such trouble for ourselves,” Lu Cheng explained.
Peng Kun got along reasonably well with him, and outwardly, they were always polite and respectful.
Peng Kun simply didn’t refuse the many good things Director Peng had arranged for him.
As the saying goes, one doesn’t hit a smiling person. As long as Peng Kun didn’t engage in any shady dealings, Lu Cheng wouldn’t mind having an extra ‘talking friend’.
As they were speaking, Lu Cheng’s phone rang —
“Lu Cheng, we have a case of multiple tendon ruptures. Come take a look…”
“Okay, I’m coming right over!~” Lu Cheng immediately responded after answering the phone, then quickly issued the medical orders he had prepared in advance to the patient one by one.
While these medical orders could still be refined further, and potentially fine-tuned, time was insufficient. The initially determined optimal solution was already the best Lu Cheng could achieve.
After submitting them, he gained another 0.4 skill points, meager gains but better than nothing.
…
Outside the Emergency Operating Room, warm water gushed from the sink, washing over the arms of Lu Cheng and Peng Kun before splashing outwards, the water droplets making a pattering sound.
Peng Kun eagerly and fawningly asked: “Brother Cheng, for this case of multiple tendon injuries, can I practice?”
Lu Cheng’s expression was stern, his tone cold: “These are all tendon injuries in the upper arm. You can’t handle them yet.”
“Once you improve your basic skills, you’ll be able to take over.”
Peng Kun continued: “My basic skills aren’t improving fast enough… I haven’t performed surgery in a long time, and I’m getting antsy. Honestly, it’s not that different.”
Peng Kun’s basic skills were still a step away from suturing and applying a tourniquet; just one final hurdle.
However, Peng Kun couldn’t clear this hurdle.
” ‘Not that different’ is still ‘different’… Young Master Kun, I can’t cover for you.”
“If you don’t want to go into surgery, I’ll call the surgery shift…” Lu Cheng’s voice was calm, showing no leniency. After speaking, he turned and stepped into the operating room.
Peng Kun was merely following along in the Emergency Department. Although he had the ‘title’ and surgical authorization for primary surgeon in tendon injuries, if he wanted to be the primary surgeon, Lu Cheng would definitely leave.
The surgery continued normally, with Lu Cheng meticulously standing at the chief surgeon’s position, leaving no room for Peng Kun to intervene.
“Brother Cheng, Brother Cheng… please be flexible. Next time, next time, I’ll just do half the suturing. Let me get a feel for it.” After the surgery ended and the patient was out of the operating room, Peng Kun hinted again.
Peng Kun had been trying to please Lu Cheng throughout the entire surgery, but Lu Cheng remained unmoved. Even the circulating nurse couldn’t help but comment: “Doctor Lu, you truly are stone-hearted…”
“Young Master Kun is begging you so much, and you won’t even let him do a few stitches? It won’t cause any harm, right?”
Lu Cheng turned his head and retorted: “Xue Xue, why don’t I just not come to the operating room next time, and let you and Young Master Kun operate alone?”
Xue Xue immediately fell silent, staring at Lu Cheng with wide eyes. It was only after Lu Cheng’s back disappeared for over ten seconds that Xue Xue blinked: “Is Doctor Lu heartbroken or did he eat gunpowder?”
“Why is he speaking so sharply? I was just making a suggestion.”
Peng Kun sheepishly scratched his head and said: “Xiao Xue, Lu Cheng’s mood hasn’t been very good lately. It’s probably his aunt’s time of the month, so you should provoke him less.”
“In the department, apart from Professor Chen and the patient’s family members, Lu Cheng has been speaking rather coldly lately.”
“Men, they have those few days every month…”
Xue Xue rolled her eyes at Peng Kun and said playfully: “Nonsense. Men don’t get their periods. I can confirm, Doctor Lu is definitely heartbroken.”
Peng Kun shook his head and said: “That’s impossible. Lu Cheng doesn’t have a girlfriend.”
Xue Xue thought for a moment, then asked somewhat hesitantly: “Young Master Kun, is tendon suturing that difficult?”
“He won’t even give you a chance when you beg him like this? Isn’t that too disrespectful?”
Peng Kun gave a helpless, wry smile: “My father gives me plenty of face, but if something goes wrong, the patient and their family won’t give face.”
“It’s not Lu Cheng’s fault…”
If Peng Kun hadn’t suffered a setback, he wouldn’t have spoken so humbly. But the tendon rupture incident on the operating table last time had caught his father off guard, forcing him to seek outside help and endure humiliation. Peng Kun had not yet completely recovered from the trauma.
Skill, skill. It’s valuable when it’s rare. Commonplace skills are just yarn skills, right? Commonplace skills are worthless.
