Chapter 67: The Booming Skill Points!
Peng Haibo was returning from eating out. He originally planned to watch a movie with his wife, but suddenly felt unwell after receiving a call from Lin Qianlong.
He said, “Wife, you pick a movie showtime. I’ll call Tian Shan. If this continues, our department will have problems!”
“Okay, I’ll ask if our son wants to go.” Peng Haibo’s wife was very sensible.
She couldn’t help with the professional matters between Peng Haibo and Peng Kun, so she didn’t add to their troubles.
Peng Haibo walked to the windowsill, looking at the water marks on the glass that were blurred and broken by the fine rain. His voice was hesitant, “Tian Shan, Director Lin Qianlong from the Emergency Department just called. What’s going on with them dealing with fracture reduction and joint dislocations?”
Tian Shan said, “Director Peng, it’s like this. A patient with a fracture came in today. I was doing emergency debridement at the time, so I called the Emergency Department to have them open a hospital admission certificate for the Orthopedics Department.”
“The person on duty in the Emergency Department today was Tian Zhuang. Tian Zhuang didn’t understand the admission criteria for orthopedics, so he had Lu Cheng take a look.”
“After Lu Cheng examined the patient, he found it was a Type II radial head fracture according to Mason. He said surgery wasn’t necessary, so he applied a forearm sling to the patient and sent them back.”
“I told Peng Kun about this, and Peng Kun also checked. He said that the literature suggests that Type II Mason fractures do not require surgical treatment.”
“Brother Hua was unhappy, so he said if Lu Cheng wants to handle it, he can do as he pleases… he’s an adult too…”
“Director Peng, I was really in the operating room at the time!” Tian Shan replied earnestly.
Peng Haibo immediately frowned, “Why did Lu Cheng let our fractured patient go from the Emergency Department?”
“I don’t know either? Maybe, he knows too much, and it’s hard to make a choice.” Tian Shan explained.
Xiang Kuihua in the department specializes in trauma. The fact that Lu Cheng persuaded the fracture patient to leave made Xiang Kuihua very uncomfortable, feeling that persuading patients to leave was also part of the Orthopedics Department’s responsibilities.
“Actually, there’s no need to do it this way, is there? Lu Cheng is a newcomer after all. If something goes wrong, we’ll still have to clean up the mess?” Peng Haibo’s brows were deeply furrowed.
Peng Haibo understood Xiang Kuihua’s meaning. If you want to do it, go ahead and do it… You’re an adult, and if you court disaster without experience, who can you blame?
If Lu Cheng caused any medical disputes, he would be in trouble.
Tian Shan said, “Director Peng, if Lu Cheng truly lacks self-awareness, then it’s not entirely anyone else’s fault! Our Orthopedics Department doesn’t refuse to consult.”
“He’s an attending physician, not a newcomer to the hospital.”
“Director Lin called you like that, so let them handle it?”
Tian Shan suddenly added, “Oh, Lu Cheng is quite sensible. He sent a message saying there’s a tibial plateau fracture.”
“I’m going to handle the admission procedures, Director Peng.”
“Actually, it’s a holiday these couple of days, so if Lu Cheng wants to handle it, let him. The rest of us can relax a bit.”
“Lu Cheng is quite steady in his work.” Tian Shan suddenly felt a sense of anticlimax.
…
“Brother Lu, there’s a tendon injury, please come over. It’s Saturday today, and the Orthopedics Department isn’t on call…” At eleven o’clock at night, Lu Cheng was called out just as he opened a book.
“Brother Lu, another fracture patient has arrived.” At one o’clock in the morning, Lu Cheng hadn’t left the operating room yet when Tian Zhuang called.
“Brother Lu, a joint dislocation has arrived…” At half-past one in the morning, after Lu Cheng finished the plaster cast external fixation for a comminuted fracture, Tian Zhuang called again.
“Brother Lu, appendicitis…”
…
August 23rd, 11 AM.
The sky was overcast and gray, without rain.
Lu Cheng handed another hospital admission certificate for a fracture patient to the patient’s family member. After specifically instructing them to go to the Orthopedics Department for admission, he said, “Brother Zhang, I can’t anymore, I have to get off work.”
“If there are any more orthopedic patients later, call the Orthopedics Department directly. If they don’t come, have the patient transferred!”
Lu Cheng was truly exhausted.
It wasn’t that there were too many patients with the same condition; it was that the Emergency Department was admitting too wide a range of emergency conditions.
Joint dislocations needed to be handled, fractures required plaster casts or manual reduction, and appendicitis also needed to be dealt with. Lu Cheng was truly overwhelmed.
Lu Cheng had just looked in the mirror, and his eye bags had appeared from lack of sleep!
“Okay, no problem. I’ll communicate with the Orthopedics Department.”
“Thank you for your hard work, Xiao Lu.” Zhang Tiesheng adjusted his glasses and agreed to handle the matter.
However, under his black-rimmed glasses, Zhang Tiesheng’s gaze shifted, showing a bit of concern for Lu Cheng.
If Lu Cheng were smart enough, he would realize that the Orthopedics Department was deliberately “messing with you.” Wouldn’t it be better to just admit defeat obediently?
But Lu Cheng was stubbornly insistent, which was likely due to his unpleasant experience in the Orthopedics Department before.
Lu Cheng yawned, felt tired, yet was in a good mood.
Lu Cheng looked at his panel—
【Skill Point Balance 10.1! 】
In one day, he had gained 10 skill points. The number of joint dislocation and minor fracture patients in the Emergency Department was indeed significant.
Of course, it wasn’t just fractures and joint dislocations; there were also tendon injuries, debridement and suturing, and appendicitis patients, all interwoven.
In total, fifteen patients yielded 10 skill points, which wasn’t particularly high. The main reason was that Lu Cheng’s scope of accepted conditions had widened.
Lu Cheng, who hadn’t slept much, could only get off work.
He had a dinner with Tong Yuan’an and Professor Chen Song in the evening and really couldn’t stay up any longer.
…
Lu Cheng rode his electric scooter to his doorstep and ate a big bowl of rice. After returning home, he took a shower, set his alarm, and fell into a deep sleep, snoring loudly.
At 4 PM, Lu Cheng woke up on time, washed up again, and then drove his Buick sedan to Long County North Station to pick someone up.
The train arrived at 4:34 PM. Around 4:40 PM, Tong Yuan’an and Professor Chen Song disembarked together. Several drivers approached them before Lu Cheng, asking, “Need a ride? Need a ride, boss?”
Chen Song smiled and joked, clearly in a good mood, “Are you free? If not, I’ll take the free ones.”
“Someone’s picking you up?” The driver immediately realized they had an acquaintance coming to pick them up.
“Teacher Tong, Teacher Chen, this way…” Lu Cheng led them to the parking lot, and after they got in the car, he drove them to the Old Duck Restaurant for a welcome dinner.
After the three of them sat down and ordered, Chen Song sarcastically said, “Xiao Lu, I heard from people in the department that you were on duty until 11 AM yesterday?”
“You’re really something, aren’t you?”
Lu Cheng knew someone must have complained to Professor Chen Song, and he understood Chen Song’s implied meaning. He replied cautiously, “Teacher Chen, Teacher Tong, ignorance is no offense.”
“However, if one knows, one should live up to their knowledge.”
“If I hadn’t encountered it, it would be fine. But since I did, if it happened again, I would still recommend a forearm sling to the patient.” Lu Cheng replied.
This had nothing to do with social graces; Lu Cheng just wanted to be a good doctor, doing his best to provide the best advice for patients, regardless of anything else.
If someone from the Orthopedics Department had come, seen the patient, and recommended admission for surgery, Lu Cheng wouldn’t have said anything more.
