When I'm on the night shift, all the department heads can't sleep.

When Qin Hai returned from the medical department, his complexion was even calmer than when he left.

The flatter the surface, the more it indicates that someone is about to suffer misfortune.

Nurse Zhao knew this expression best, so she didn't dare ask any questions when she poured him water.

Qin Hai slammed the risk warning sheet on his office desk: "From now on, Lin Ye must be present during his night shifts in the emergency room. For high-frequency departments such as pediatrics, ENT, cardiology, neurosurgery, and general surgery, the emergency department will reorganize its night consultation procedures."

Sun Zhiqiang tentatively asked, "What about the medical affairs department?"

"They want procedures, and I'll provide them," Qin Hai said. "But the fact that the person was rescued also needs to be written into the procedures."

Lin Ye sat in front of the computer and felt a slight stirring in his heart upon hearing those words.

Qin Hai looked at him: "And you too."

"director."

"Don't use the directors' private numbers as a shield. You're not anyone's protégé, so gather enough evidence before making the call."

"clear."

Qin Hai nodded: "You can rest tonight."

Just as he finished speaking, the phone at the nurses' station rang.

Nurse Zhao answered the phone, listened for a few seconds, and then frowned.

"Pediatric emergency room? Child has a high fever and seizures? On the way?"

Qin Hai closed his eyes.

Nurse Zhao put down the phone and looked at him: "The ambulance brought him here. He's three and a half years old. He's had a fever for two days and just had a seizure at home. He's not fully conscious right now."

Sun Zhiqiang immediately said, "A child experiencing febrile seizures?"

"Possibly," Nurse Zhao said, "but the family said the child's neck is a bit stiff."

Lin Ye had already stood up.

Qin Hai looked at him: "Aren't you resting?"

Lin Ye said in a low voice, "Let me take a look first."

The ambulance arrived quickly.

This time, a little girl was brought in. Her face was burning red, her eyes were half open, her father was holding her, and her mother was following behind, crying uncontrollably.

"Doctor, she has a fever of 40 degrees Celsius and just had a seizure. The community hospital said to come to a bigger hospital for a checkup."

The child's father had two buttons undone on his shirt, and the small blanket he was holding was soaked with sweat. The mother ran alongside him, holding a thermometer in her hand; the screen displayed "40.2".

"She had a fever and seizure once before," the mother said, crying. "That time the doctor said it was a febrile seizure, and it would be fine once the fever subsided. We thought it would be the same this time."

The head of the pediatrics department, Liang Xiulan, also arrived.

She saw Lin Ye standing beside the emergency bed, his expression somewhat complicated: "What are you doing here again?"

Lin Ye didn't respond to the joke; the pale blue text in his field of vision had already lit up.

[Emergency room alert activated.]

Patient: Yueyue, female, 3 years old.

Symptoms: Febrile seizures.

High-risk: Purulent meningitis.

[Probability of misdiagnosis: 72%]

[Key abnormalities: neck stiffness, poor mental responsiveness, and overlooked rash.]

[Deterioration window: 2 hours 17 minutes.]

Lin Ye bent down to examine the child's skin.

The little girl had a few dark red rashes on her calves, hidden above the sock opening, which were easy to miss if you didn't look closely.

"Director Liang, the child has neck stiffness, poor mental responsiveness, and a rash on his lower legs. We can't just treat it as a simple febrile seizure."

Liang Xiulan's expression immediately turned serious.

She examined the patient by hand, her movements were very gentle, but each one was very accurate.

"Prepare for lumbar puncture, draw blood for culture first, and don't delay in anti-infection treatment." She turned to look at the family members, "The child's condition is more severe than a typical febrile seizure; hospitalization is required, and the child may need to be admitted to the pediatric intensive care unit."

Upon hearing about the lumbar puncture, the child's father immediately panicked: "Spinous cord extraction? Will he be paralyzed?"

The mother also cried, "Can't we have a different test?"

Liang Xiulan patiently explained, "It's not a spinal cord extraction, it's a cerebrospinal fluid sample to determine the infection. We suspect meningitis now, and if we delay, it could lead to convulsions, shock, or even death."

The father still hesitated.

Lin Ye pulled the child's socks down a little so he could see the few rashes.

"Look here. This isn't just a normal fever; her body is already giving signals."

The man stared at the few red dots, his lips trembling: "They were there this morning. I thought they were mosquito bites."

The mother immediately covered her mouth: "I also applied floral water to her."

Liang Xiulan didn't blame the child, but simply pushed the signature board forward: "Now is not the time to pursue who is at fault. The child's mental response is poor, there is neck resistance, and the rash is present; all of these combined cannot be considered a common seizure."

She circled each of the words: "possible meningitis," "blood culture," and "lumbar puncture."

"It's okay if you don't understand the terms. Just remember this: we are looking for the source of infection, and the sooner the better."

Liang Xiulan continued, "Sign now."

This time, the family members didn't yell at them.

They were just afraid.

I was so afraid I couldn't even hold a pen.

After Yueyue was transferred to the pediatric ward for further treatment, Liang Xiulan stood at the door of the emergency room and rubbed her temples.

"Linye."

"Director Liang."

Send me a copy of your duty roster.

Lin Ye was stunned for a moment.

Liang Xiulan said expressionlessly, "I don't want to be startled awake by phone calls every time I go to bed. Knowing in advance which day you'll be there, I'll fully charge my phone before I go to sleep."

Nurse Zhao couldn't help but laugh from behind.

Qin Hai's face darkened: "Director Liang, is your pediatrics department getting involved in this mess too?"

Liang Xiulan glanced at him and said, "Director Qin, you guys started this commotion by having such a resident in your emergency room."

She walked to the door, then turned back and added another sentence.

"Also, Tongtong's medical record was well written. Not every young doctor knows that you can't just press down the tongue randomly in acute epiglottitis."

Lin Ye nodded: "Thank you, Director Liang."

Liang Xiulan waved her hand: "Don't thank me. I really can't sleep tonight."

Qin Hai watched her leave, then turned and stared at Lin Ye.

"Your rest plan is ruined again."

Lin Ye looked towards the emergency room lobby.

As soon as I dropped off my child, another line formed in front of the triage desk.

The phone at the nurses' station rang once, and Qin Hai hadn't yet put away the risk disclosure form on his desk.

The night in the emergency room wasn't over yet.