Chapter 203: This Is For The Internship Assessment?!
November 14th, Jishi City. Xiangzhou People’s Hospital.
When Lu Cheng reported to the Personnel Department of Xiangzhou People’s Hospital, he indeed found that only five people were left to participate in the follow-up assessment for the Emergency Department this time.
Originally, the Emergency Department had two positions, one in surgery and one in internal medicine, with a total of six people to participate in the follow-up assessment.
However, on the day Lu Cheng finished his written examination, he received a call from Qi Mu saying that one person had passively withdrawn from the follow-up assessment plan.
Of course, it was only after arriving that Lu Cheng learned that the Personnel Department had called Qi Mu to confirm in person that he would voluntarily give up the follow-up assessment.
As for Li Yuanlin, it was to confirm that Lu Cheng would attend the examination.
Otherwise, if Lu Cheng didn’t come and he also voluntarily gave up the follow-up assessment, wouldn’t that be a great advantage for the third person?
The Personnel Department was already sending the internal medicine-related personnel to the department for the follow-up assessment. Now Qi Mu and others had returned to prepare to send the surgery group into various specialty departments for a three-day internship assessment!
Lu Cheng and Li Yuanlin were not following Qi Mu, but another colleague from the Personnel Department.
The group first sent Lu Cheng and Li Yuanlin, as they were the only two in emergency surgery, and other surgical departments were in the surgery building.
In the Emergency Department, after the Personnel Department confirmed the candidates for the second round of the selection examination with Director Xiao, the Personnel Department representative said as usual: “Director Xiao, one more person has given up the internship assessment, and I have brought the other two to you.”
Director Xiao nodded with a smile: “Yes, thank you, Teacher Long. We will definitely make good arrangements.”
The comrade from the Personnel Department, surnamed Long, said: “Director Xiao, I still have others to send for the internship assessment, so I won’t disturb your work.”
Teacher Long had many others to escort, so he immediately withdrew and took his leave.
Director Xiao said: “Doctor Lu Cheng, Doctor Li Yuanlin, first of all, on behalf of our Emergency Department, I welcome you both for choosing our department.”
“Since you were able to pass the preliminary examination of the selection examination, you must both be among the outstanding surgeons in the prefecture.”
“Regardless of who stays in the end, I will be happy, but there is only one quota for the selection examination, and there are two candidates for the second round of examination. Although I want to keep both of you.”
“But I don’t have that many quotas from above, so I will have to reluctantly let one go.” Director Xiao said regretfully.
After Director Xiao finished speaking, Li Yuanlin scratched his ear, looked at Lu Cheng, and said softly: “Director Xiao, actually, I’m just here to make up the numbers today.”
“You saw the score sheet that Teacher Long from the Personnel Department gave you just now. I don’t plan to waste any more time. I’ll report in and then go back.”
Director Xiao was stunned for a moment, appearing somewhat ‘astonished’: “Doctor Li, the internship assessment hasn’t even started yet, and you plan to give up?”
“Director Xiao, everyone understands, you don’t need to say these pleasantries. Even if I participate in the internship assessment, you can’t pass me, can you?”
“If I had known this would happen, why waste my time? I might as well go back and do more shifts and honestly prepare for next year’s selection examination.” Li Yuanlin spoke very pragmatically.
“Director Xiao, I am very sure that I have made this decision voluntarily and independently. If superiors call later, I will also say this.”
Li Yuanlin, not realizing he had gotten a lucky break, decisively turned and left.
Instead of being exploited by the prefectural hospital through an internship assessment, it was better to go back early and handle some minor surgeries to increase his salary next month.
…
Morning, nine-thirty.
As soon as Lu Cheng arrived at the Emergency Department and began his internship assessment, he was the only one left for the follow-up assessment.
Director Xiao had not anticipated such a situation in advance.
However, Lu Cheng was indeed someone Director Xiao wanted to recruit, so Director Xiao directly took Lu Cheng to the surgery group’s office area and began introducing him to people.
“Director Tian, let me introduce you, this is Doctor Lu Cheng, who is here for the internship assessment for our department’s selection examination. He previously worked at Long County People’s Hospital.”
“Xiao Lu, this is Director Tian Zhiliang of our department, who will be your future leader in the surgery group.” Director Xiao said.
“Hello, Director Tian!” Lu Cheng greeted Tian Zhiliang with a smile.
Tian Zhiliang quickly shook hands with Lu Cheng: “Hello, Doctor Lu, I’ve heard your name for a long time, and there’s only one word for it: impressive!”
“Director Tian, you are too kind.” Lu Cheng smiled humbly.
Tian Zhiliang was bald, with a slightly strong “worldly” demeanor. He put his hands on his hips and said: “It’s not being polite, everyone in our hospital’s surgery department basically knows you, Xiao Lu!”
“That surgery last time, Xiangya Second Hospital.”
Director Xiao immediately coughed: “Director Tian, Xiao Lu is here for the internship assessment, don’t talk about things that shouldn’t be discussed.”
Tian Zhiliang immediately chuckled sheepishly: “Director Xiao, it’s my fault!”
“Xiao Lu, then you can follow Director Xiao for your internship. Are there any other colleagues?” Tian Zhiliang looked around.
Director Xiao immediately handed the preliminary score sheet from the Personnel Department to Tian Zhiliang.
Tian Zhiliang understood what was going on as soon as he saw it and gave a thumbs up again: “So, before it even started, Doctor Lu, you’ve already won the competition?”
“Then it’s settled, isn’t it?”
“Perfect, I’m off work tonight, let’s go for a drink.”
Director Xiao coughed again: “Tian Zhiliang, I’m just informing you of the situation, not asking you to take people out for drinks. Drinking is forbidden in our Emergency Department on weekdays.”
“Where is there a weekday in the Emergency Department? Director Xiao, just say no one can drink.”
“Speaking of weekdays, it’s the weekend today, is our department closed for rest?” Tian Zhiliang’s “social” aura was strong, and his voice was loud.
Director Xiao was too lazy to discuss this. Hospitals, as units that labor laws could not regulate, were only understood by those in the industry due to the long working hours. “Director Tian, Lu Cheng will follow you first.”
“Anyway, according to the rules, he needs to follow a Deputy Senior Physician and be on duty with you the whole time.”
“You will be responsible for the scoring then.”
Tian Zhiliang chuckled: “No problem, I can score it casually, I can do it now.”
Since Lu Cheng was the only one for the internship assessment, giving him a score of sixty or seventy points would be acceptable and not outrageous.
Anyway, it was just Lu Cheng competing by himself.
This is called exclusive enjoyment.
…
Of course, Lu Cheng not only found that his internship assessment was going very smoothly, but shortly after he reported for his internship assessment, Lu Cheng found that he had an extra work meal card.
This was directly obtained from logistics by Director Xiao, and even had his name engraved on it. After handing it to Lu Cheng, Director Xiao then handed over his own meal card and said: “Xiao Lu, you can take this meal card first, but don’t use it yet. You can use my card.”
“Although it’s not necessary to care about some details, it’s also not good to be too ostentatious.”
“We have also collected work clothes for you. You are not on duty for now, but the cabinets in the department have already been reserved for you.”
“The cabinet on the far upper left in the lounge is yours, and cabinet number four in the office is yours. You can put your personal belongings, toothbrush, toothpaste, shower gel, etc.”
Lu Cheng nodded upon hearing this: “Okay, Director Xiao.”
“Yes, there’s nothing else. Anyway, just follow whatever Director Tian does,” Director Xiao added.
Lu Cheng said: “Director Xiao, we don’t need this card either. When do we have time to eat in the cafeteria? We always order takeout.”
Director Xiao implied: “Just take it for now, you can buy drinks too. Anyway, you’re interning, you’ll have free time.”
Hearing Director Xiao say this, Lu Cheng immediately understood and immediately took Director Xiao’s card to the small shop downstairs and brought back seven or eight bottles of drinks.
Tian Zhiliang looked and exclaimed: “Lu Cheng, you’re trying to get us into trouble for corruption.”
Lu Cheng said: “Director Tian, it’s not that serious, just a few bottles of drinks are corruption? Then it’s over, we can’t audit everything.”
Tian Zhiliang wasn’t really going to get bogged down in every detail. He picked up a bottle of iced coffee, unscrewed the cap, and called out: “Brothers, Lu Cheng bought drinks, come and get them yourselves, no need for me to call out names.”
The Emergency Department at Zhou People’s Hospital was much larger than the team at Long County People’s Hospital, with seven or eight doctors on duty simultaneously every day.
There were a total of 16 doctors in the hospital, 31 nurses, and 11 senior professionals, including one Chief Physician and seven Deputy Chief Physicians!
While everyone was getting drinks, Lu Cheng also got to know a few people.
…
“You say that guy in surgery, does he have some powerful background? He’s the only one in the surgery group doing an internship assessment, it’s too obvious that he’s been pre-selected, right?” A nurse from the hospital gossiped.
In addition to Lu Cheng, there were also two female doctors and one male doctor from internal medicine coming to the Emergency Department for internship assessment. The three of them were forming a ‘healthy competition’.
In contrast, Lu Cheng was feasting and drinking with Tian Zhiliang, almost to the point of drinking and becoming sworn brothers.
“I did hear that Doctor Lu Cheng’s written examination score was too good, which made the other two feel dejected.”
“His written examination score was thirty or forty points higher than the second-place finisher,” a young nurse said.
Another older nurse’s expression was slightly exaggerated: “Impossible, right? How could there be such a big difference? Was there a leak?”
“I don’t know about that, Sister Zou.” The young nurse shook her head.
As the two were talking, Tian Zhiliang happened to pass by with Lu Cheng. They heard clearly, and Tian Zhiliang knocked on the nurses’ station: “What are you doing?”
“Haven’t you issued a medical order? Review it, we need to get a debridement kit.”
“Director Tian, I’ll get it right away.” The older nurse immediately put down her phone.
“Hurry up, I thought you were all ready and were just chatting here.” Tian Zhiliang’s tone was cold and warning.
Lu Cheng remained silent.
After the nurse brought the debridement kit, Tian Zhiliang said: “Xiao Lu, you are a mature doctor now. A debridement and suturing case will come in later, you can handle it.”
“This is the most routine work in our hospital’s Emergency Department. The other cases are all rather bizarre.”
“For example, removing light bulbs and tennis balls,” Tian Zhiliang joked.
Lu Cheng’s eyes flickered. He didn’t play along with Tian Zhiliang’s joke but instead asked: “Do we not perform appendectomies in our Emergency Department?”
Tian Zhiliang said: “We have plenty of surgeons. We can call for a consultation anytime.”
“If we can’t handle it, we won’t get it.”
“We are the real Emergency Department here.”
Tian Zhiliang knew that some county hospitals’ Emergency Departments would compete with specialty departments for surgeries, and they even succeeded.
However, the specialty departments at Zhou People’s Hospital were stronger, so the Emergency Department couldn’t compete.
Lu Cheng: “…”
“Director Tian, please watch by my side when I operate,” Lu Cheng said.
“Alright.” Tian Zhiliang didn’t dare to completely let go.
Although he knew Lu Cheng’s surgical skills were excellent, he was still evaluating Lu Cheng for the internship assessment.
Once Lu Cheng began, his movements were agile and his operation was skillful.
Tian Zhiliang only watched for a few moments before he started scratching his head.
After watching for a few more minutes, Tian Zhiliang turned and left the operating room, his jovial expression gone.
As he exited the operating room door, Tian Zhiliang was still mumbling, stroking his chin: “Is this Lu Cheng really here for an internship assessment?”
“Or is he here to stir up trouble?”
Amateurs watch the excitement, professionals watch the skill.
In Lu Cheng’s debridement and suturing, Tian Zhiliang not only couldn’t find any flaws, but at times, he even felt like Lu Cheng was performing, a standard debridement and suturing demonstration.
He rarely saw such basic skills in other directors at the hospital.
After thinking for a while, Tian Zhiliang recalled the recent gossip at the hospital, which further convinced him that there was no smoke without fire.
A great reputation is not without merit; Lu Cheng might indeed be very capable, otherwise, he wouldn’t have been able to perform surgery that even hepatobiliary surgery couldn’t handle.
And that was not hearsay or deliberate exaggeration.
After all, the nature of that surgery was exceptionally special, and no one would dare to collude with Lu Cheng in a staged performance.
Yet, Lu Cheng went on stage in such a situation and completed the surgery methodically.
With this in mind, Tian Zhiliang had a lot more to consider.
…
Lu Cheng saw Tian Zhiliang leave while he was operating but did not call him back.
However, the patient asked: “Doctor, why did Director Tian leave?”
“Your condition is relatively simple, it’s a common disease type. Director Tian is confident that I can handle it, so there’s no need to dwell on it.”
Lu Cheng continued to instruct: “Don’t move yet, just two more stitches.”
“Afterward, you’ll need to get a tetanus shot and some medication, and then you can go home.”
“The wound isn’t very large.”
The patient was an elder sister approaching forty: “Thank you, Doctor Lu. I just fell down the stairs and scraped myself on a nail.”
“Yes, I can see that.”
“Sister, in this situation, I do not recommend cosmetic suturing because the original wound is not even.”
“If cosmetic suturing is to be performed, it will require going to the operating room and performing an incision revision, increasing soft tissue damage, which is not cost-effective.”
“See, the effect of my suturing now is still quite good.” Lu Cheng intended to let the patient see.
However, her injury was on the outer-rear side of her right arm, directly in her blind spot, and she couldn’t see it even by turning her head: “Doctor, I can’t see.”
“It’s okay, I’ll have our hospital’s nurse take a picture for you, and you can look at it later.”
“In this situation, as long as your wound doesn’t get wet after surgery and doesn’t get inflamed, the prognosis will be quite good…” Lu Cheng said with a comforting smile.
Soon, Lu Cheng saw the patient off.
Afternoon, one forty.
While Tian Zhiliang was napping in the lounge, the lounge door was urgently knocked open.
“Director Tian, there’s a car accident victim. The accompanying doctor said there’s an arterial injury…” a nurse’s voice was urgent.
Upon hearing this, Tian Zhiliang’s scalp tightened. He rolled out of bed and, not even bothering to adjust his shoes, ran out quickly.
The Emergency Department does not perform specialty surgeries, but emergency hemostasis for femoral artery injury is one of the essential services that the Emergency Department must excel at.
This has a fatality rate, and it’s not a small one.
However, by the time Tian Zhiliang reached the resuscitation room, he found that Lu Cheng and a colleague on duty in the department were already standing on either side of the resuscitation bed.
His department’s attending physician was the assistant, and Lu Cheng was the primary operator, having stabilized the bleeding. Moreover, Lu Cheng had urgently separated the wound in the inguinal area and inserted a hemostat with great skill and steadiness.
The clicking sound of the hemostat closing seemed to forcibly shut the newly opened gates of hell.
After doing this, Lu Cheng checked again and said: “The bleeding from the femoral artery has been temporarily stabilized, but the abdominal situation still needs to be checked.”
“The patient’s vital signs are acceptable. After establishing an intravenous line, send him to the CT room, and then invite Vascular Surgery, General Surgery, and Orthopedics for consultation!”
“Brother Hong, what do you think?” Lu Cheng asked Liang Jianhong for his opinion.
Liang Jianhong was clearly a bit flustered at this moment, completely lacking his own judgment, and replied blankly: “I think this is fine.”
It was unclear whether he was scared or stunned by Lu Cheng’s operation.
Lu Cheng turned and saw Tian Zhiliang, and immediately made way: “Director Tian, you’re here, please take a look first.”
Tian Zhiliang naturally had to look; this involved the patient’s life and death.
The Emergency Department can have deaths, but dead people are also quite troublesome!
Tian Zhiliang put on sterile gloves and checked the wound four or five more times. He found that not only had the bleeding stopped, but Lu Cheng had also thoroughly cleaned up the previous bloodstains.
There was still some oozing from the current wound, but it no longer obscured the field of vision.
“What’s the blood pressure?” Tian Zhiliang asked.
“105/61!” a nurse replied, “Intravenous line established!”
Tian Zhiliang immediately replied: “Start infusing colloid.”
“Monitor at all times, send to the CT room, and invite General Surgery, Vascular Surgery, and Orthopedics for consultation.”
“Liang Jianhong, you go with the patient to the CT room for the examination. I’ll make some calls,” Tian Zhiliang added, not entirely at ease.
Liang Jianhong, who was looking for a phone, immediately put it down and quickly pushed the bed out of the resuscitation room with a nurse, while another nurse quickly went to clear the way.
Lu Cheng stood aside, slowly and deliberately began to remove his blood-stained gloves, and started washing his hands.
Tian Zhiliang looked at him with a complex expression. Lu Cheng’s expression remained unchanged, he simply explained dutifully: “Director Tian, there are four hemostats inside. Three are for stopping bleeding, and one is for separating tissues. I didn’t have time to remove it!”
Tian Zhiliang nodded, his expression and tone becoming serious, devoid of his previous boisterous demeanor: “Yes, I will inform the specialists later.”
“Doctor Lu, you should go rest for a while. I’ll handle the rest.”
As Lu Cheng was an intern doctor, he naturally wanted to find something to do and said: “Director Tian, I can help write the medical records and request consultations.”
“Alright!” Tian Zhiliang’s mind had completely calmed down, and he dared not underestimate Lu Cheng in the slightest.
Someone who could achieve such efficient hemostasis in such a short time could not be regarded as an ordinary subordinate doctor or a ‘connection doctor’!
Is this a candidate for the internship assessment?
Yes!
But he is also a master.
