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

"Du Cheng'an, upper gastrointestinal bleeding, is still receiving the first unit of blood transfusion, and the gastroenterology department is arranging an endoscopy."

Lin Ye pushed the three bed records in front of the doctor on duty.

"The person hasn't moved yet, go to the bedside first."

The two walked to the third bed, one after the other.

Du Cheng'an leaned against the raised headboard, oxygen still being administered through a nasal cannula.

Dark red blood dripped from the transfusion set, while Nurse Zhu stood guard on the other side, having just recorded the newly measured blood pressure on a piece of paper.

"10466, heart rate 98." Nurse Zhu clipped the blood pressure record back to the board. "No more vomiting or new black stools before the shift handover."

The attending physician asked, "How did your blood pressure go?"

"It was 88.52 when it arrived at the hospital, and it's 104.66 now. Both access lines are working." Lin Ye turned to the last page of the emergency room record. "Next, keep an eye on blood pressure, consciousness, and rebleeding. The monitoring cannot be removed before the patient is transferred."

"How much longer do we have to wait at the endoscopy room?"

"A spot has been reserved. The gastroenterologist will transfer the patient as soon as he/she returns. If the patient's blood pressure drops again or he/she vomits blood again before the transfer, treat the patient at the bedside and report to Director Zhou. We will proceed once the condition has stabilized."

The incoming doctor added a line to his handover page.

A soft squeak of shoes scraping the ground came from outside the door.

Du Cheng'an's wife was still standing outside the cordon, switching the plastic bag in her hand from her left to her right, and then switching it back after a while.

There had been a slight noise on the bed, and she had been craning her neck to look inside.

"Dr. Lin," she said, waiting for them to finish their conversation before approaching, "He just called me and asked where we were. Is it any better than when we arrived?"

Upon hearing his wife's voice, Du Cheng'an's eyelids twitched, and his lips parted.

Lin Ye walked to the door: "It's a good sign that you can understand and respond now. But whether the bleeding has stopped can't be determined by just this one sound. We need to assess the blood pressure, the hemoglobin levels, and the findings from the endoscopy all together."

"Will he vomit again?"

"The risk remains. There are people monitoring the situation, and the blood has already been used. Once the gastroenterology department is ready, we will take him directly there."

She nodded, not pressing for the result, and simply took her coat out of the plastic bag and draped it over her arm.

The gastroenterologist returned from the other end of the corridor, followed by the nurse in charge of transporting patients.

A space has been reserved in the endoscopy room, and he will go there with the transfer bed.

The three beds immediately sprang into action.

After the transfer monitoring was connected, Nurse Zhu and the receiving nurse checked the blood bag, tubing, and remaining volume.

Lin Ye turned to the last page of the record and handed it to the gastroenterologist.

"Here are the most recent hemoglobin and coagulation results. Please write down any changes along the way."

After the gastroenterologist checked the records, the transport nurse put them into the transport folder.

Du Cheng'an's wife was about to follow, but then stopped at the foot of the bed: "Where can I possibly follow?"

"Follow me to the endoscopy room entrance," the gastroenterologist said. "Wait outside after we begin the procedure, and don't silence your phone. We'll come find you if we need to ask for more information about your medical history or ask for any signatures."

She quickly pulled out her phone and turned the ringer volume up to the maximum.

She followed at the foot of the transfer bed as it passed the door of the emergency room.

When she reached the bend, she slowed down and let the transfer nurse push the equipment over first.

With three beds available, Nurse Zhu did not immediately disconnect the monitoring line.

She completed the blood transfusion registration and transfer time information first before calling in the bed turnover nurse to tidy up.

The incoming doctor stood still and went through the records.

"If the gastroenterology department temporarily cancels the third bed, will it still be accepted as the original bed?"

"Bring him back for monitoring first. If there aren't enough beds, report it directly to Director Zhou. Don't let him wait in the corridor."

After paying for the three beds, Lin Ye turned over to the second bed.

The patient in the second bed was still leaning against the headboard, and the chest electrodes had not been removed.

The repeat ECG and the initial ECG were clipped together in the same transparent clip, with the troponin result placed at the back.

Lin Ye handed the clip to the doctor on duty.

"The follow-up examination showed no new ischemic changes, and the troponin level did not increase significantly in this round. The symptoms have improved, but we cannot release the patient based solely on this round of results."

The attending physician compared the two electrocardiograms against the light.

"Should we keep it for another round?"

"Yes, if you experience pain, sweating, shortness of breath, or changes in monitoring during the process, immediately redo the electrocardiogram and upgrade the monitoring results without waiting for the re-evaluation time."

The doctor on duty put the transparent clip back at the foot of the bed, walked over and asked the patient if he was still in pain.

The other person shook their head, saying that they only felt a slight tightness in their chest.

After Lin Ye and the other doctors on duty reconfirmed the symptoms, they handed over the handover sheet for the second bed.

The remaining beds do not pose a risk of needing to be upgraded on the spot.

Lin Ye checked the results that were still pending and the time for the next review before closing the handover page.

Zhou Min walked in from outside the emergency room, her phone still on the call screen for the on-call manager.

"Are there any items in the emergency room that haven't been handed over yet?"

"No. Bed 3 has already been transferred to the gastroenterology department; the transfer risks and blood transfusion arrangements have been settled. Bed 2 will remain under observation; the follow-up assessment has also been scheduled."

"OK."

Zhou Min put the phone back into her white coat pocket.

"If there are any problems after you take over, they can come directly to me. You can go home now."

The lights in the emergency room were still glaringly bright, and the replacement staff had already taken over from them and stood between the beds. The emergency room did not slow down at all because the day shift had ended.

When he went back to the locker room to change out of his white coat, Ma Hao was leaning against the locker door, stretching his shoulders.

After changing his clothes, Ma Hao rinsed himself at the sink for a long time.

The water stopped, so he brought his hand to his nose, smelled it, and frowned as he squeezed out the hand sanitizer again.

"Not clean yet?"

"I still feel like I smell of disinfectant on my body."

"When you get home, you might not even be able to smell the food."

Ma Hao shook the water off his fingers and pulled out a tissue to wipe his hands.

"Then we should eat now, while I still know I'm hungry."

Ma Hao closed the cabinet door.

"Is there anywhere left to sit and eat?"

"The cafeteria should still have meals available for those on duty at this time."

"Eating the shift meal after get off work is no different from not working at all!"

Ma Hao slung his backpack over his shoulder.

"Then let's find a place far from the hospital. Ideally, where we can't hear the phone or see the monitors."

The two walked out through the employee entrance.

People were still coming and going at the hospital entrance, and taxis stopped one after another.

As Ma Hao was looking down to find nearby shops that were still open, Lin Ye's phone vibrated in his pocket.

The department's work group sent out the schedule for the next round of day shifts.

His name was still written in the emergency area section, but a few more words were added after it: pre-hospital arrival report.

Ma Hao leaned over and asked, "What are you still looking at? Are you coming or not?"

Lin Ye locked the screen and put the phone back in his pocket.

"Let's go. We'll talk about it after work."