This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 275 is just keeping a low profile!
March 14, Emergency Department, Ward, Doctor's Office.

Lan Yuan, the on-call doctor in the trauma surgery department, approached Chen Fang: "Brother Fang, what's the situation with Lu Cheng in your department? Why did he handle the fractures in our department as well?"

Chen Fang was on the day shift in the surgical ward, writing medical records, when she turned to Lan Yuan, her classmate, and said, "Lan Yuan, I'm not quite sure either?"

"Lu Cheng also had surgery to fracture his bone?"

"That shouldn't be the case. Xiao Lu has always been very well-behaved. He wouldn't handle a disease that isn't under his jurisdiction."

"Let me ask for you," Chen Fang said, picking up the phone and making the call.

Lan Yuan moved closer, stopping Chen Fang's movement, and lightly scratched his head with his left hand: "Brother Fang, you don't need to make the call, I've already asked."

“Brother Zhou said that Lu Cheng had consulted with the hospital leaders, including Dean Yao, the medical affairs department, and Director Wu of our department. They all agreed that fracture patients are also considered trauma patients, and if Lu Cheng can handle it, he can handle it himself.”

"But the real Zhou Lü was still worried, so he called me immediately... I really didn't expect that your emergency department had such a skilled repositioning expert."

Zhou Lü is the on-call doctor in the emergency surgery clinic. He is a senior attending physician who is about to be promoted to associate chief physician in general surgery and is on rotation. He is more senior than Chen Fang and Lan Yuan.

"I don't know, Xiao Lu doesn't seem to have had manual reduction done before..."

Chen Fang frowned: "Did Lu Cheng do a good job of repositioning the body?"

Lan Yuan nodded: "That makes a lot of sense!"

"Anyway, when I saw the preoperative X-ray and heard the patient say that Lu Cheng had performed the repositioning, my heart skipped a beat."

"Of course, I also showed Dr. Lu Cheng the X-rays after the repositioning."

"Tsk tsk! They definitely put in the effort!"

"Who is this Lu Cheng?"

Lan Yuan sat down next to Chen Fang, covering her head with her right hand: "I think Director Wu's approval of Lu Cheng's manual repositioning might cause problems..."

Chen Fang's eyes flashed: "It can't be that bad, can it?"

"Xiao Lu is a very cautious person and has always kept a low profile."

Lan Yuan's expression remained unchanged, thinking to herself that Lu Cheng was really popular in the emergency department: "It wasn't your department that had an accident, it was our department that had an accident."

"You know the current situation; our trauma surgery department practically survives on emergency cases and fractures."

“Once this trauma center is established, following Lu Cheng’s approach.”

"This is a big problem," Lan Yuanju thought to himself, feeling uneasy.

Chen Fang understood what Lan Yuan meant: "It can't be that bad, can it? Lu Cheng definitely not be able to stop all the patients?"

"Even if a trauma center performs surgeries, it's done by sheer volume. They don't just perform fracture surgeries."

"Holy crap," Chen Fang suddenly exclaimed in a low voice.

"Huh?" Lan Yuan glanced at Chen Fang.

After thinking it over, Chen Fang said, "Lu Cheng's previous specialty during his residency was orthopedics, which I think is the same as your trauma surgery."

Upon hearing this, Lan Yuan's expression immediately changed, and he hurriedly got up and left.

This matter is very important, and he must report it to Director Wu Xiang immediately.

Lu Cheng stopping a few fracture patients in the emergency department to boost his performance doesn't affect the fundamentals of trauma surgery. However, if Lu Cheng were from a trauma surgery background, the situation would be different.

As soon as Lan Yuan left, he called Director Wu Xiang.

Wu Xiang was attending a meeting out of town. After listening to Lan Yuan's report, he said in a resentful tone, "You called me at this hour just to say this?"

"How many patients can Lu Cheng possibly stop? Use your brain, okay?"

“But, Director Wu, Lu Cheng is a resident in trauma surgery,” Lan Yuan said.

Wu Xiang was in a bad mood and retorted, "You're supposed to be a senior attending physician in trauma surgery... but I don't see you being able to shoulder any responsibility in the department."

Lan Yuan was speechless: "Director Wu, I just wanted to report this situation to you."

"Alright, stop making a fuss all the time. Learn something more." Wu Xiang hung up the phone unilaterally.

……

Emergency department, resuscitation room.

After completing the emergency hemostasis, Lu Cheng was on the phone with the on-call cardiac surgeon: "Yes, it was just a simple vascular injury, and the bleeding has been stopped."

"After the patient completes the CT scan, he/she will be taken to the operating room. It is relatively simple. Thank you for coming down to perform the surgery, doctor."

Xiangzhou People's Hospital does not have a dedicated vascular surgery department; it is currently classified under the cardiac surgery branch. The doctor on duty asked, "Who's on duty in your emergency department today? Could you call Lu Cheng?"

“It’s me, Lu Cheng,” Lu Cheng replied.

"So you're Lu Cheng? Okay, our director just said this morning that from now on, all traumatic emergencies in vascular surgery will be under the jurisdiction of your emergency department."

"This will help lighten our workload," the on-duty doctor said.

"Of course, if you can't handle it, you can call us. It's all for work, after all." The voice on the other end of the phone was exceptionally polite and friendly.

Unlike other specialties, cardiovascular surgeons would love for vascular surgeons to be separated from cardiac surgeons, as cardiac surgeons are already overwhelmed with aortic and aortic dissection surgeries.

For other minor surgeries, I dream of having someone else take over.

If Lu Cheng were to suddenly appear at this moment, wouldn't that be like walking right into a trap?

Cardiovascular surgery, just the diseases covered by cardiac surgery and great vessel surgery alone are enough to satisfy our needs.

Lu Cheng replied, "Teacher, it's like this, I'm on duty in the emergency room today, so it's not very convenient for me to go to the operating room."

"Just leave your phone number; there are people in the internal medicine department at the emergency room."

“You can do it,” the on-duty doctor said with a smile, offering advice to Lu Cheng.

Lu Cheng glanced at Dai Linfang, who was comforting the patient, and then nodded: "Alright then, teacher, I've already called to report to you."

Although Lu Cheng had visited the hospital office and discussed with hospital leaders the details of the trauma center's patient responsibilities, the trauma center had not yet been established.

The system in effect this month is still the specialist consultation system. If there is a corresponding emergency, a specialist consultation must be requested.

Lu Cheng has the authority to perform surgery, but not the first-priority right to perform surgery. After the other party notified him by phone and allowed him to perform the surgery, it was considered that the surgery was relatively simple, thus relinquishing his first-priority right.

After hanging up the phone, Lu Cheng walked out of the 'rest room'.

Dai Linfang approached, holding the medical record: "What did the cardiac surgeon say?"

“He told us to do it ourselves,” Lu Cheng said.

Dai Linfang blinked and laughed: "Okay then... If it's inconvenient for you, I'll come over."

Dai Linfang has also learned vascular suturing techniques. Although his proficiency is not yet as high as Lu Cheng's, his basic skills are good enough to handle this patient.

This is a good opportunity to put my new sewing technique to good use.

Lu Cheng nodded: "Then go ahead, but before you go, call Director Tian to let him know."

Dai Linfang is the attending physician and has Level II surgical authority. Ordinary vascular suturing is at most a Level II surgery.

"Great!" Dai Linfang excitedly ran out of the emergency room, about to begin his first vascular suturing surgery at the hospital.

Lu Cheng sat down, tapping the table lightly with his right hand, reflecting on recent events.

Then Lu Cheng stood up again, preparing to investigate the patient's CT scan.

To run a trauma center is not simply a matter of having a person in charge, leading a few people, and rushing off; it also requires having its own specific disease categories.

Otherwise, with barely any performance bonuses each month, those who follow you will eventually leave.

Doctors need medical ethics and compassion, but they also need to make a living and have their own lives.

Therefore, we can't just talk about sentiment. Lu Cheng immediately suggested to the hospital leaders that he should divide up several simple diseases from the specialties to increase the workload of the trauma center.

This includes, but is not limited to, open fractures, simple closed fracture reduction, and vascular injuries.

……

The trauma center does not have its own wards; postoperative patients still need to be transferred to the emergency surgery ward.

After finishing the surgery, Dai Linfang personally escorted the patient back to the ward!
Upon learning of this situation, Lu Cheng immediately went to the bedside to examine the patient.

Since it wasn't the surgery he performed, and he didn't have a deep understanding of Dai Linfang's actual procedures, Lu Cheng trusted what he saw and the results from the physical examination more.

"Doctor, is everything alright?" The patient and his family looked at Lu Cheng nervously.

"It's good. The pulsation of the terminal arteries is quite clear, which proves that the blood vessels were sutured very well."

"Next, you need to be careful to avoid strenuous activity. Otherwise, if the arterial suture tears the artery, it will cause a subcutaneous hematoma, which will be quite troublesome." Lu Cheng stood up, washed his hands with hand sanitizer, and gave instructions.

The patient patted his chest and said, "It's good that you're alright, Dr. Lu. You came in so suddenly, you really scared me."

Lu Cheng smiled and said, "Checking multiple times before and after the surgery is to be more cautious. It's not that there's a problem; being careful is never a bad thing."

"Okay, you guys get some rest, I'm coming over."

"If you need anything, you can call the on-duty doctor. We have an on-duty doctor in our ward."

"Be careful what you eat, avoid spicy food," Lu Cheng added a few more times.

Just then, Lu Cheng's phone rang again. It was Zhou Lü, who was on duty in the emergency surgery clinic.

"Teacher Zhou." Lu Cheng wasn't very familiar with Zhou Lü.

"Lu Cheng, we have a joint dislocation case here. Is this your responsibility or the trauma surgery department?" "The authority was suddenly transferred around the middle of this month, and I'm a bit confused."

The surgical clinic is responsible for receiving patients and then notifying specialists for consultation. Therefore, it is necessary to know which diseases belong to which department.

"Joint dislocation is a trauma surgery specialty. I currently only handle fractures, open fractures, open bleeding, and traumatic subcutaneous hematomas."

"Teacher Zhou, I'll come over and make a form for you myself later. Thank you so much for your help," Lu Cheng said quickly.

Lu Cheng's efforts to prepare for the trauma center and to pre-select some disease categories were certainly beneficial to himself, but they also caused trouble for the doctors on duty in the clinic.

The main issue is that this only started today, and Lu Chengdu hadn't thought of this point yet.

No one can be all things to all people and handle every little detail.

Zhou Lü replied, "These are all minor matters."

……

When Lu Cheng took the reports he had compiled to the surgical clinic to report to Zhou Lü, Zhou Lü's face was full of bitterness.

Zhou Lü pulled Lu Cheng closer and whispered, "Lu Cheng, the on-call doctor in the trauma surgery department might be a little angry. He doesn't want to come over. Tell the patient to go to the ward."

"What should we do with this patient? Should we send him directly to the trauma surgery department?"

Lu Cheng replied in a low voice, "Then let's call the patient to the ward. It's just a joint dislocation... most patients go to the ward on their own."

Lu Cheng understood what Zhou Lü meant; the on-call doctor in the trauma surgery department was angry.

Why is it that fractures are handled by Lu Cheng, while joint dislocations are handled by trauma surgeons?
Lu Cheng has made a mess of what the on-call doctors in the trauma surgery department should and shouldn't do.

If you're going to do it, then do it all; if you're not going to do it, then don't do it at all.

The mutually beneficial agreement reached between Director Wu Xiang and the hospital leaders has nothing to do with the lower-level doctors.

However, Lu Cheng cannot perform any unauthorized procedures. Unless the trauma surgery department directly returns the patient.

Zhou Lü then went out and spoke a few words to the patient with the dislocated joint.

In fact, most patients in hospitals are considered a "vulnerable group" and are generally quite compliant with medical advice; only a few are disobedient.

The reason doctors encounter this so often is because the patient population they deal with is so large.

A one percent chance, visible every day.

With a one in a thousand chance, encountering a few cases every month is unbearable for anyone, so no one dares to be careless anymore.

……

After the patient agreed, he went to the specialist department on his own. Lu Cheng then explained to Zhou Lü the type of disease that the hospital leaders had assigned to the trauma center, which is Lu Cheng's side.

"Teacher Zhou, that's about it. If there are any points that are difficult to define, we can discuss them together later."

"Thank you so much for your hard work, Teacher Chen and Teacher Lin," Lu Cheng said politely.

The establishment of the trauma center has absolutely nothing to do with the few people on duty in the emergency surgery clinic. It was purely a new area created by Huang Haibo and the hospital leaders to clean up their previous mess and to enhance the hospital's reputation.

Lu Cheng is the beneficiary, but the work procedures for Zhou Lü and others will become more complicated in the future.

"We must respect the decisions of the hospital leaders."

"Anyway, the three of us will only be around for a few days." Zhou and Lü only need to work in the emergency department for three months. Starting in April, the more complicated procedures will make them the next three victims.

Lu Cheng: "Thank you for your hard work, Teacher Zhou."

No matter how long Zhou Lü's trouble lasts, he has ultimately troubled others.

There were no emergency cases in the resuscitation room, and Zhou Lü didn't have any patients either, so Lu Cheng stayed and chatted with Zhou Lü for a while.

Unexpectedly, only half an hour later, the patient who had dislocated earlier returned.

"Dr. Zhou, Dr. Lan wants me to have surgery, otherwise I'll go to another hospital." The middle-aged man had his left hand in his right, looking bewildered.

Zhou Lü wasn't an orthopedic surgeon, so he naturally trusted Lan Yuan's judgment: "Dr. Lan wants you to perform the surgery?"

"Then you should have the surgery. It must be a dislocation that's difficult to reposition, which is why we're recommending surgery."

"I just fell down, and I still need surgery?" The patient was puzzled.

Zhou Lü said, "Or you could go to a traditional Chinese medicine hospital and see if the doctors there can put it back in place for you."

"Dr. Lan is a professional trauma surgeon, so his judgment is definitely very professional."

The patient looked somewhat disappointed, but after thinking for a moment, he still came in: "Dr. Zhou, please take another look at me. It's too outrageous to need surgery right now."

Zhou Lü said helplessly, "I don't know how to read orthopedic X-rays. Dr. Lan is the professional at reading orthopedic X-rays."

"Doctor, please take a look at me. If it's really not possible, I'll go to the Traditional Chinese Medicine Hospital." The middle-aged man grinned sincerely.

Seeing his expression, Zhou Lü couldn't refuse too bluntly, so he pulled out the video viewing system and showed the video: "Look, it's dislocated and needs to be reset. This is all I can see."

"I specialize in gastroenterology."

This patient wasn't under Lu Cheng's jurisdiction, so of course Lu Cheng wouldn't review the images beforehand.

Now that Lu Cheng has seen it, he also feels that this patient is quite unlucky, as it turns out to be a rare posterior inferior dislocation.

This is a type of irreducible joint dislocation. Lan Yuan chose not to perform manual reduction in order to benefit the patient, not to shirk responsibility.

"So you're saying surgery is absolutely necessary?" the patient asked.

Lu Cheng touched his head: "Your dislocation is very complicated. You can go to the Traditional Chinese Medicine Hospital to see a professional trauma doctor first. If they can perform manual reduction, you can choose to have it done there."

"If they also recommend surgery, it's better to have it done."

"That means surgery is needed. Sigh..." The patient sighed softly, his face full of bitterness.

Lu Cheng carefully considered for a moment before saying, "Actually, there is another solution. You can try a reset."

"If the repositioning was successful, that's good. If it wasn't successful, you can still go to the Traditional Chinese Medicine Hospital to have it repositioned."

"If the repositioning is still unsuccessful, then we'll choose surgical treatment," Lu Cheng explained the options clearly.

Lu Cheng had previously treated cases of failed repositioning at other hospitals, so he wouldn't mind transferring his own failed repositioning patients out again.

Lu Cheng wasn't actually confident, nor did he label himself as a perfect person.

"Doctor, is there still a chance to reposition it?" The middle-aged man's eyes lit up instantly.

Lu Cheng replied, "There is a certain chance, but the chance is not high. Your dislocation is very special. The most common dislocation of the shoulder joint is the anteroinferior dislocation, but yours is a posterior dislocation."

"A single word can make a world of difference in the difficulty of repositioning, so you shouldn't have too high hopes."

"Moreover, if you attempt to reposition it, you'll experience pain again."

Zhou Lü crossed his arms and looked at Lu Cheng. He noticed that Lu Cheng seemed like a completely different person today.

After the hospital granted Lu Cheng access, Lu Cheng was completely transformed, as if this was the right way to unlock his abilities.

"The fees will still be collected normally," Lu Cheng said.

The middle-aged man, his face filled with panic, exclaimed, "That's still better than surgery!"

"I just slipped and fell, and you're telling me I need to go into the operating room for surgery? I really can't accept that right away."

This is a mindset that many people have.

"Then come with me." Lu Cheng took the lead and went out the door.

……

Twenty minutes later, Zhou Lü heard the middle-aged man outside the door bowing deeply to Lu Cheng with profuse thanks.

Lu Cheng's voice was clear and crisp: "You should also go see Dr. Zhou to have the X-rays re-examined."

"I think it's highly likely that it has been restored, but we still need objective evidence to confirm it for the most rigorous assessment."

The middle-aged man was reluctant to spend the money: "Is it really necessary?"

Lu Cheng joked, "If you don't do it, I won't let you go. Unless you call the police, we can talk things out in front of them."

The middle-aged man immediately nodded: "Then let's do it."

"Thank you, Dr. Lu. I will definitely still trust you."

When the patient entered, Zhou Lü helped him order an X-ray for follow-up examination. The patient then left with the examination form.

Zhou Lü, on the other hand, clicked his tongue in amazement and pondered for a long time.

After the patient returned from the follow-up examination and showed the X-ray to Lu Cheng before leaving the emergency department, Zhou Lü still took the initiative to send the X-ray of the patient after repositioning to Dr. Lan Yuan, who was on duty in the trauma surgery department.

Lan Yuan called immediately, her tone incredibly incredulous: "Brother Lü? Is the photo you just sent me that of the patient who came to see me?"

"Yes, it was Lu Cheng who did it," Zhou Lü replied calmly.

"Holy crap...he has this skill too?" Lan Yuan's shock exploded through the internet:
"No? If that's the case, then he must have been incredibly low-key before."

Zhou Lü's voice was calm, but his eyes held a subtle glint: "So, Lu Cheng is just keeping a low profile. He's quite a remarkable person..."

Capable people, at Lu Cheng's age, usually find it hard to endure loneliness.

Lu Cheng is different.

Only someone who has suffered losses can remain so composed.

(End of this chapter)