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

Lin Ye, carrying a heavy recovery kit, and Liang Shumin, the deputy director of the obstetrics and gynecology department, ran one after the other along the dark stairwell.

When we arrived at the fourth floor of the inpatient department, the heavy glass door had been pushed open completely, and heart-wrenching screams from family members could be heard from the wards deep in the corridor.

A young husband in a wrinkled shirt knelt at the door of the ward, frantically banging on the wall.

He scrambled forward, trying to grab Lin Ye's trouser leg, but Lin Ye deftly dodged him.

"Family members are waiting outside!"

Lin Ye pushed aside the chair blocking his way and stepped directly into the ward.

On the hospital bed by the window, a pregnant woman with a high, protruding belly was writhing in pain.

She gripped her hospital gown tightly with both hands, gasping for breath, her forehead completely soaked with cold sweat.

The on-duty obstetrician at Cangshan County Hospital stood by the bed, sweating profusely, her hands trembling as she prepared to administer medication.

Upon seeing Liang Shumin and Lin Ye, she grasped at Liang Shumin's sleeve as if it were a lifeline.

"Director Liang, General Manager Lin! She's pregnant with twins at 36 weeks, and has severe preeclampsia. She was just asleep in bed when she suddenly woke up gasping for breath, complaining of a tearing, excruciating pain in her right chest and back!"

The on-duty doctor pointed at the monitor that was alarming wildly, his breathing even becoming erratic as he read out the numbers.

"His blood pressure dropped from 160 to 60/40, he's in shock! His blood oxygen level plummeted to 70! Accompanied by chest and back pain and hypoxia, could it be a large-scale pulmonary embolism or aortic dissection? I've already started rapid rehydration, and the vasopressors have been drawn up, but I'm afraid to push them in."

Pregnant women in a hypercoagulable state, coupled with severe preeclampsia, are indeed at high risk for fatal vascular emergencies.

Lin Ye's gaze swept quickly over the monitor, and he was about to reach for the stethoscope when Liang Shumin beside him suddenly stopped.

The deputy director of the obstetrics and gynecology department at the First Municipal Hospital stared intently at the hospital bed, watching the pregnant woman lying perfectly flat on her back. Her tense shoulders instantly slumped, and a look of unbelievable absurdity flashed in her eyes.

"Put down the vasopressor you're holding and turn off the rapid IV infusion!"

Liang Shumin strode to the bedside and pushed away the on-duty doctor, whose face was filled with terror.

"Who taught you the common sense to make a 36-week pregnant woman carrying twins lie completely flat?!"

"what?"

The doctor on duty's hand holding the syringe suddenly trembled, completely caught off guard.

The patient is in shock and about to die, so why is Director Liang so concerned about sleeping positions?

Liang Shumin didn't bother to scold her at all. She grabbed the woman's right shoulder and hip with both hands and shouted at Lin Ye.

"Mr. Lin, give me a hand! Push it to the left!"

Upon hearing "lie flat," a look of realization flashed across Lin Ye's eyes.

He casually slammed the heavy recovery box to the ground, strode forward, and grabbed the bed sheet on the right side of the woman in labor.

"One, two, let's go!"

Working together seamlessly, the two women helped the woman, who was in extreme pain, roll to her left side, maintaining a standard left lateral decubitus position.

The ward was deathly silent.

The on-duty doctor stared intently at the monitor screen, his eyes widening.

The alarm, which had been frantically and urgently, miraculously subsided within twenty seconds after the woman turned over in labor.

监护仪上，血压数值在屏幕上飞速跳动：60/40……85/50……110/70！

At the same time, the blood oxygen saturation level soared from a dismal 70% to a steady 98%.

On the hospital bed, the woman who had been in so much pain that she was convulsing and struggling to breathe gradually calmed down.

She loosened her grip on her chest, exhaled a long breath, and her complexion visibly regained its rosy hue.

"No...it doesn't hurt anymore."

The new mother touched her chest somewhat blankly.

"It felt like a huge rock had hit my chest, and the muscles in my back felt like they were going to snap, but now I'm completely fine. Doctor, what kind of special medicine did you give me?"

The on-duty doctor stood still, the vasopressor in his hand still raised in mid-air, looking like a petrified statue.

"There is no specific medicine; it's all based on the most basic physical knowledge in obstetrics."

Liang Shumin's legs went weak, and she leaned against the bed railing. She took two deep breaths, her eyes filled with a helpless frustration as she looked at the doctor on duty.

"This is called 'supine hypotensive syndrome.' At 36 weeks gestation, the uterus, amniotic fluid, and fetuses together weigh nearly 20 pounds!"

Liang Shumin pointed to the pregnant woman's high bulge on her side.

"When she lay completely flat, the 20 pounds of sheer weight pressed directly onto the inferior vena cava in front of her spine. The inferior vena cava is the only channel for blood from the lower body to return to the heart. When the channel was compressed, the amount of blood returning to the heart plummeted instantly."

The on-duty doctor's expression was quite varied after hearing this, and then he was so ashamed that he wished he could disappear into the ground.

She frantically summoned experts and the on-call doctor from the First Municipal Hospital in the middle of the night, thinking it was a terminal illness, only to find out that they had simply helped the patient turn over.

Don't feel guilty.

Liang Shumin patted the doctor on the shoulder, her tone softening.

"Sudden onset of chest and back pain accompanied by shock in late pregnancy is the right thing to do. In a county hospital, it's better to make a big mistake than to miss a real emergency. The procedure you followed when you called us up here today was correct."

Lin Ye stood up and picked up the recovery box from the ground.

"The mother should remain in a left lateral position until dawn. We will intensify fetal heart rate monitoring. If everything is fine, we will leave."

3:40 a.m.

The emergency room was filled with the rich aroma of braised beef noodles.

Zhao Feng was sprawled out on the worn-out sofa, holding a paper bowl in his hand, slurping up instant noodles, with huge dark circles under his eyes.

Seeing Lin Ye and Liang Shumin push the door open and enter, Zhao Feng swallowed the noodles in his mouth and mumbled a complaint.

"You guys are finally safe. Just now, the walkie-talkie called for an emergency in the obstetrics ward on the fourth floor. I even had my scalpel ready, thinking I was going to have to do an laparotomy or a liver resection again. Tonight, my general surgery license was practically being tested on the line."

"Dream on. It's already unprecedented that we've allowed you to have brain surgery. If we make you have abdominal surgery, Director Liu of the Medical Affairs Department will hang you up at the entrance of the emergency department for public display tomorrow morning."

Lin Ye walked over, poured himself a large glass of warm water, and drank it all in one gulp.

Liang Shumin also pulled up a chair and sat down, rubbing her temples wearily, but a relaxed smile appeared on her lips.

"It was a false alarm on the fourth floor. It was just low blood pressure from lying on your back. Turning over was enough. It's a stroke of luck, otherwise the three of us would have really died on the operating table tonight."

"Turning him over to treat shock, amazing!"

Zhao Feng laughed, drank the noodle soup in one gulp, and let out a loud burp.

Just then, the door to the duty room was pushed open again.

Guo Shusen walked in.

He was carrying three plastic bags filled with steaming hot buns and freshly ground soy milk.

"Director Guo, checking up on things in the middle of the night?"

Zhao Feng quickly sat up straight.

Guo Shusen placed breakfast on the table, pulled out a chair, and sat down opposite Lin Ye.

"What are you checking? I just went to the breakfast shop on the street corner outside the compound and knocked on the door to ask them to steam a pot of buns in advance."

Guo Shusen looked at the three exhausted yet perfectly in sync young people in the room, a hint of warmth flashing in his eyes.

"Have something hot to eat. I was downstairs just now and I saw the remote assessment report that Chief Physician Luo Jianping of Neurosurgery sent to the Medical Affairs Department."

Guo Shusen's gaze fell on Lin Ye, his tone solemn.

"In his report, Director Luo gave the highest level of praise to our county hospital's emergency department for its identification and decisive intervention in the critical case tonight. The medical affairs department has already filed a record that Zhao Feng's blind drilling tonight was within the scope of remotely authorized emergency avoidance, and there will be no investigation for any violations."

Zhao Feng let out a long sigh of relief and slumped back into the sofa, his eyes slightly red.

Lin Ye picked up a steamed bun, took a bite, and said nothing.

Guo Shusen looked out the window, picked up his soy milk cup, and raised it to the people at the table.

"Eat your fill, so that during the big shift handover four hours later, we can show the whole hospital what the emergency department looks like now."