After being separated from my family, I became a darling of the military region thanks to my medical

At 2:30 a.m., the incandescent light in the dean's office was blindingly bright.

Zhou Hai sat at his desk, with a newly printed surgical summary report in front of him.

The ink on the first line below the title is not yet completely dry.

[Sixteen cases of simultaneous scalpel procedures performed simultaneously, with zero deaths and zero accidents.]

This marks the first time since the establishment of the Beicheng Military Region General Hospital that a simultaneous automated surgery procedure in a dual-catheter laboratory has been successfully performed.

All sixteen critically ill children survived the surgery.

Once this report is submitted, it will be enough to elevate the reputation of the main hospital to the top of the country and completely confirm the independent operational capabilities of Ye Zhen's team.

Zhou Bai lowered the cap of his fountain pen, preparing to sign at the end.

The door opened.

Ye Zhen walked in, followed by Liu Xiaohe, Gao Yuan, Lin Yi, and Li Hong.

Several people had just come down from the catheterization lab.

Zhou Hai raised his head.

"How is the child?"

"Blood flow to the right lower limb has been restored, and motor and sensory responses are normal," Ye Zhen said calmly.

"Very good."

Zhou Hai pushed the report on the table forward.

"I'm preparing to report today's results to the Ministry of Health. All sixteen double-operation surgeries were successful. That's a solid number; the higher-ups can't find any fault with it."

Ye Zhen didn't reply, but took the report and glanced at it.

She casually pulled a red pen from Zhou Hai's pen holder.

The pen tip fell heavily.

With a ripping sound.

The words "zero accidents" were crossed out with a scarlet line.

She quickly filled in a line of text in the blank space below.

[A case of acute femoral artery thrombosis with severe postoperative complications was successfully treated with catheter-directed thrombectomy.]

Zhou Hai's hand froze in mid-air.

Director Sun of the Medical Affairs Department had just entered the room when he saw this scene, and his face turned pale.

Ye Zhen threw the report back onto the table.

"Dean, please report it this way."

Zhou Hai suddenly stood up.

"Xiao Ye, Zhang Xiaobao's leg has been saved! Thrombosis is a common clinical complication. With timely detection and proper treatment, strictly speaking, this doesn't count as medical malpractice at all!"

"I didn't write about an accident."

Ye Zhen snapped the cap back on the red pen with a click.

"I wrote about complications."

Zhou Hai walked around the desk.

"The Ministry of Health and foreign countries are all watching us! This report won't look good if we submit it!"

Director Sun quickly responded.

"Dr. Ye, Dean Zhou isn't covering up anything. Complications that result in successful resuscitation aren't listed separately in the overall report; that's standard practice in all hospitals. They're recorded in the detailed medical records, and nobody's accusing us of falsifying anything."

Ye Zhen turned around and met Director Sun's gaze.

"The detailed medical records are in the filing cabinet. Could you please remind the next doctor who will be seen on duty?"

Lin Yi stood at the very back, his head bowed low.

Director Sun is still struggling.

"Once the report is written out, those people outside won't care whether the rescue was successful or not; they'll only focus on the complications! The reputation that the main hospital has just built up..."

"Reputation can't supply blood to a patient's leg." Ye Zhen interrupted him, pushing the report back to Zhou Hai. "Report the facts as they are."

Zhou Hai stared intently at the red line.

Ten seconds later.

He pulled out his pen and signed his name under the revised text.

Report.

Director Sun was so anxious he was jumping up and down.

"Dean Zhou!"

Zhou Hai handed the document to his secretary, "Go to the fax room now and submit the original document. Don't change a single word!"

The secretary grabbed the documents and ran out.

Ye Zhen turned and walked towards the next room.

"Everyone, come into the meeting room to review the situation and find out the cause tonight."

In the small conference room.

The video recorder transferred from the international ward has been connected.

Gao Yuan stuffed the videotape of the No. 1 catheterization room into it.

The screen showed the scene of Zhang Xiaobao's surgery ending.

The catheter was withdrawn, and Lin Yi stepped forward to apply pressure to the puncture site. The digital clock on the wall ticked.

After the first playback, no one spoke.

"Go back and watch it again," Ye Zhen ordered.

The second time, it was played at the seventeenth minute.

"Stop," Ye Zhen called out.

The image freezes, showing Lin Yi pressing his right hand against the puncture site while his left hand checks for bleeding.

Ye Zhen pointed at the screen.

"The compression position was not off, and the proximal end was not blocked. The technique itself was correct."

Lin Yi looked up and took out a record sheet from his pocket.

"There's a timing issue."

The sheet was pushed to the middle of the table.

"The standard compression time is 20 minutes. At the 19th minute, the child struggled, causing secondary bleeding. I reset the timer, and the actual compression time was 23 minutes."

Zhou Hai stared at that number.

"Two more minutes would prevent a blood clot from forming."

"The rule is twenty minutes; exceeding that time is exceeding the limit." Lin Yi stood ramrod straight. "The responsibility lies with me."

Ye Zhen spoke in a cold voice.

"A delay of more than three minutes has little impact; continue the investigation."

Gao Yuan immediately pulled out several forms from the folder.

"I compared Zhang Xiaobao's indicators with those of the other fifteen children today. His routine coagulation tests were all normal, but he had a platelet aggregation test before the surgery, and the value was near the upper limit of normal."

Director Sun came over to take a look.

"This is not included in the high-risk screening, and the result is not above the standard."

"Looking at the data alone, it's not above the limit." Gao Yuan turned to another page, "But he had mild dehydration after admission, and his hematocrit was high. A small sheath was used during the operation, and the blood vessels were extremely thin."

"Dehydration, high aggregation tendency, and prolonged compression time—these three indicators combined double the risk of thrombosis."

Ye Zhen spread her hands.

Give me all the data.

She skimmed through the sixteen records at a glance.

Three children had platelet aggregation rates close to the upper limit, with Zhang Xiaobao having the highest. The other two were older, had wider blood vessels, and did not develop the disease.

Ye Zhen picked up the chalk, turned around, and listed the conditions on the blackboard.

Young age.

Small blood vessels.

Dehydration.

Platelet aggregation tendency.

Pressure exceeded the time limit.

"One of these alone won't cause any problems," Ye Zhen tapped the blackboard. "When all five are combined, the risk increases."

Lin Yi looked at the words on the blackboard.

"So, it's not entirely caused by oppression?"

"Yes." Ye Zhen turned to look at him. "You don't need to take the blame, but you have to take responsibility for the mistake of not proactively reporting and upgrading the patrol level after the overtime period."

Lin Yi clenched his back teeth.

"I admit it."

Ye Zhen took the blank paper and began writing a new postoperative management plan.

"Starting today, post-interventional limb circulation will be checked and classified into four risk levels."

"Level 1, adult, normal blood vessels, check every 30 minutes."

"Level 2, children under 10, once every 20 minutes."

"Level 3: Children under three years old, small blood vessels, dehydration, or prolonged compression. If any one of these conditions is met, check every ten minutes."

"Level 4: Two or more high-risk factors combined, requiring dedicated personnel to monitor the patient's bedside for three hours!"

Li Hong's pen flew across the paper.

"What are they checking for during the patrol?"

"Record the dorsalis pedis artery pulsation, skin temperature, skin color, and capillary refill time. Compare skin temperature bilaterally and record the pulse strength grade."

Liu Xiaohe added.

"If you can't feel the dorsalis pedis artery, just push the Doppler pulse directly."

"Yes." Ye Zhen emphasized the last stroke of the pen. "Confirm the cause within ten minutes, and determine the rescue plan within twenty minutes. Anyone who misses the investigation will be kicked out of the catheterization lab team."

At daybreak.

Thirty copies of the newly released "Post-Interventional Four-Level Limb Circulation Inspection System" were mimeographed.

Li Hong took the paste and pasted it all over the prominent places in the catheterization room and various nurses' stations.