When the Doctor Uses A Hack

In the afternoon, a phone call summoned Chen Cang to the Emergency Department of the Provincial Second Hospital.

Shi Na was on the day shift on Sunday, and when she did the rounds today, she suddenly discovered that there were more than twenty patients in the entire Emergency Department in need of gallbladder surgery, some with very clear indications for surgery that couldn’t be delayed much longer.

This caught Shi Na completely off guard!

No one knew better than she the situation in the Emergency Department.

It could hardly accommodate so many cholecystectomy patients. Not to mention whether there were enough beds, since ordinary patients, if treated with laparoscopy, could generally be discharged the next day. But there was a serious issue to consider!

That was: who could perform the surgeries?

Who in the Emergency Department could perform cholecystectomy?

In Shi Na’s memory, there was only Chen Cang!

Could Chen Cang handle it all by himself?

More than forty people-Chen Cang, even if made of iron, would still need rest, wouldn’t he?

Besides, a single cholecystectomy would take at least an hour or two, he couldn’t complete them all without rest.

If the delays were too long and they missed the optimal window for treatment, resulting in a deterioration of the patients’ conditions, who could bear such responsibility?

Thinking of this, Shi Na became anxious.

The operating room had just been set up; it couldn’t withstand such a disturbance.

Fortunately, they had discovered this early, otherwise, if an issue arose when work resumed on Monday, the responsibility would be enormous.

It was only after asking the nurse that Shi Na found out Chen Cang had admitted many cholecystectomy patients yesterday.

Therefore, Shi Na immediately phoned Chen Cang’s mobile, calling him back to the Emergency Department.

Thinking there was some emergency, Chen Cang rushed in, panting and asked anxiously, “Teacher Shi, what’s happened!”

Shi Na sat in the office, looking at Chen Cang, “Did you admit yesterday s patients?”

Chen Cang was taken aback, “What patients?”

Shi Na picked up the registration list from the nursing station, “Take a look, are these the patients you admitted?”

Chen Cang took it and immediately frowned, “Why are there so many?

“I admitted six patients for gallbladder surgery yesterday, and together with the ones we already had, that made a total of just over ten, didn’t it? But… how come there are nearly thirty on the list!”

Chen Cang suddenly realized something was amiss.

If there were a dozen patients, scheduling eight surgeries a day, they could resolve it in two days.

But now what?

Nearly thirty patients, all needing surgery, especially some whose surgical window couldn’t be delayed, if the surgeries couldn’t be completed on time, it was certain to cause problems.

Shi Na frowned, “Are you saying? There weren’t this many patients yesterday?”

Chen Cang nodded!

Shi Na took a look at the duty roster, and last night’s surgical duty was Yuan

Fan.

With this in mind, she picked up the phone and dialed Yuan Fan’s number.

The phone rang several times before it was picked up, “Hello? Teacher Shi?”

Shi Na cut straight to the chase, “How many patients with gallbladder issues did you admit yesterday?”

The other party didn’t hesitate, “Hmm, 1 was on duty last night, and it turns out I got a bunch of gallbladder patients. I even wondered if there was a problem with the barbecue stand last night. What’s the matter?”

Shi Na was somewhat angry, “Didn’t you see there were already more than a dozen patients needing surgery in the department? With you admitting them like this, we simply can’t keep up. If the surgery time is extended, won’t that cause problems?”

Yuan Fan was taken aback, “Teacher Shi, aren’t we just a transfer station? When the time comes, we just hand the patients over to the surgical department, right? Hasn’t it always been like this?”

These words infuriated Shi Na so much that she hung up the phone.

What relation does the surgical department have with the Emergency

Department now?

Anyone with clear eyes can see it!

A surgical consultation request?

Isn’t this blatantly looking for trouble?

But now, if we don’t ask, there’s no other way, the patient’s life can’t be delayed. What if taking too long leads to some major issue, who would be responsible?

Shi Na sat there in deep thought for a long time before suddenly standing up and saying to Chen Cang, “Xiao Chen, go call general surgery and see who’s on duty today, have them come down for a consultation.”

Chen Cang nodded, picked up the phone and called the surgery department. The call was quickly connected: “Hello, general surgery.”

Chen Cang: “Hello, I’m from the emergency department. We have a patient who needs surgical assistance for a consultation.”

Upon hearing this, Duan Bo immediately offered a slight smile, his response was quite prompt, wasn’t it?

Did he discover that so quickly?

But still… Duan Bo said, “Okay, wait a moment, I’ll be right down.”

The required consultation still had to proceed. It was hospital policy, and if you don’t show up, you’d be responsible.

After hanging up the phone, Duan Bo headed downstairs.

After coming down, Shi Na saw it was Duan Bo and her expression changed slightly. She spoke seriously and earnestly, “Doctor Duan, hello, today we’ve received a few patients. Please take a look and see what their conditions are like.”

“Xiao Chen, grab the medical records. Doctor Duan, this way please.”

Chen Cang picked up the medical record file and followed behind.

Duan Bo was also very earnest, surprisingly not looking for faults but instead being very patient. After carefully analyzing the cases, he said to the patient: “You have acute cholecystitis. I’m worried that if it continues to drag on, it might become purulent. You need surgery!”

Upon hearing this, the patient quickly nodded: “Yes! Doctor, please do me a favor and schedule my surgery ahead of time!”

Duan Bo smiled and reassured, “Don’t worry, the emergency department has two operating rooms. Arranging surgery is not a problem at all, but… we can’t delay. The sooner the better, as the difficulty of the surgery will greatly increase if it gets purulent!”

Hearing this, the patient immediately felt much more at ease, knowing that they had two operating rooms.

But then, the nervousness set in again… They needed to get surgery as soon as possible!

He had to speak with the doctor about this. If… if the condition was delayed, it would be such a serious matter!

After making the rounds, Duan Bo was very serious and responsible, explaining the patients’ conditions with patience and attention to detail.

He was essentially forthcoming, telling the whole truth.

After seeing several patients, Duan Bo smiled at Shi Na, “Doctor Shi, with so many patients, you have even more than our general surgery department. I heard that Doctor Shi has become a team leader, congratulations!”

With a forced smile, Shi Na nodded, “1 can’t compare to Doctor Duan. Oh, you will soon be a deputy director, right? Afterward, we will have to call you

Director Duan.”

Duan Bo was very enthusiastic, anyone uninformed would think they were very good friends!

Duan Bo quickly waved his hand, “Our general surgery department has a relatively limited variety of diseases, unlike emergency, which has many types of diseases and many critical cases. Without real skill, you can’t handle such complex tasks.”

“This must be Chen Cang, Doctor Chen, right? You are really dedicated, working even on weekends!”

Chen Cang smiled: “Hello, Doctor Duan.”

Duan Bo nodded: “Hmm, I heard about you last time. If you can beat our department’s Xiao Zhou in surgery, you must have real talent. Impressive, younger generations can be daunting! In this day and age, to be appointed a permanent post at the provincial second hospital just after graduating with a bachelor’s degree, you are quite remarkable.”

Chen Cang shook his head: “It was luck, 1 just happened to be available for an appendectomy. If it were any other surgery, I certainly couldn’t compete with Doctor Zhou, after all, everyone has their specialities!”

Chen Cang’s response was water-tight, not giving Duan Bo any leverage, yet what he heard was a different message altogether.

Chen Cang’s experience was insufficient, his skills too singular!

After all, according to his information, in Chen Cang’s more than two years in the emergency department, he was mostly writing medical records, with surgery being just the occasional role of suturing and knotting. Only this year had he begun to engage in appendectomy procedures, with little experience in other surgeries.

Suddenly, Duan Bo smiled and said, “Young people need to get their hands moving, to learn more. The emergency department is the best platform, with many patients. You’ve got to try more, surgery isn’t that simple, practice a few times and you’ll get it.”

“As a surgeon, you’ve got to be bold! Doctor Chen, keep it up, I’m rooting for you!”