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

A blank template is hung on the projector.

The cursor is hovering after "Name" and flashing.

The young staff member's hand hovered over the keyboard, not daring to type first.

Chen Jianguo's follow-up form was pressed down next to the keyboard. The corner of the paper, which Zhou Mingyuan had just flattened, slowly curled up again.

Liu Zhenhua pushed the notebook to the center of the table.

"Record Chen Jianguo first."

The keyboard clicked once.

Name: Chen Jianguo.

Disease: Postoperative aortic dissection of type A.

Who to contact: Cardiac and vascular surgery outpatient clinic; emergency chest pain access at night or for chest tightness, back pain, sweating, or abnormal blood pressure.

When to return to the emergency room: worsening chest tightness, back pain, cold sweats, fainting, and significantly abnormal blood pressure.

How to ask about medication: Take your medication as prescribed after discharge. If you experience dizziness, miss a dose, or want to reduce your medication dosage, contact the Department of Cardiac and Vascular Surgery first.

Zhou Mingyuan stared at those few lines of text.

"Don't write that all patients with aortic dissection are the same. Just write it like Chen Jianguo's case."

The young officer stopped abruptly as he was about to strike.

Liu Zhenhua wrote down the five characters "Chen Jianguo's case" next to his name.

"Okay, keep the case details in the template, don't apply it to the entire hospital."

Qin Hai leaned back in his chair, his face still looking rather pale.

"It's starting already?"

Expert Du looked at him.

"Don't you want to do it?"

"I don't want the emergency room to become a telephone customer service center."

Qin Hai placed the transfer registration board on the table.

The two lines of Xie Guangyi and Shen Qingyuan's names are still on the board.

"The emergency room is overwhelmed with calls at night, and if the nurses have to follow up with each patient, they still can't catch up, and the blame falls on the emergency room."

Zhou Mingyuan sneered.

"If you don't chase after him, he'll feel a tightness in his chest in the middle of the night and still be sent to you."

Qin Hai looked at him.

"So don't write on paper as if your cardiothoracic surgery department has already handed it over to the emergency room."

Neither of them spoke loudly.

But the department heads at the table all stopped writing.

Chen Shouyi tapped the table.

"Let's not argue about ownership yet."

He looked at Liu Zhenhua.

"The tracking form isn't meant to make the emergency room bag a lifelong necessity. Its purpose is to prevent family members from running around between the triage desk, community clinic, outpatient department, and emergency room when they encounter danger again."

Liu Zhenhua nodded and pulled the template down.

"Who should be written as the second one?"

No one answered immediately.

There are many materials on the table.

Each one of them was once an emergency in the intensive care unit.

After the pages were laid out, no one at the table was in a hurry to turn to the next one.

Lin Ye sat in the back row, still holding the registration board in his hand.

The cursor hovered over the second line, as if waiting for someone to pick the name out of the pile of papers.

Expert Du suddenly turned around.

"Lin Ye, you speak."

Qin Hai's brow twitched slightly.

He sat in the back row.

"You can give your name even if you're sitting in the back."

Expert Du didn't look at Qin Hai, he only looked at Lin Ye.

"Don't talk about judgments, don't talk about solutions. Just talk about which ones are most likely to lead you back to the wrong place and you won't be able to find the right path."

Lin Ye turned the registration board to yesterday's page.

The edges of the paper were so soft from being turned over.

"Xie Guangyi."

Tang Zhendong was looking at his phone when he heard the name and looked up.

"The one about heart attacks?"

"Um."

Lin Ye pushed the transfer registration board over.

"He was originally scheduled for an abdominal ultrasound, but later experienced chest tightness, sweating, and collapsed. The ECG showed an abnormal ST segment in the inferior leads, so we went to the catheterization lab. The proximal segment of the right coronary artery was occluded, the guidewire was passed through, and blood flow was partially restored after balloon dilation."

Tang Zhendong placed his phone face down on the table.

"This is a follow-up visit to the cardiology department."

Qin Hai answered immediately.

"If you experience chest pain, sweating, or dizziness at night, you should still go through the emergency room's chest pain channel."

The young staff member started knocking.

Name: Xie Guangyi.

Disease type: Post-interventional treatment for myocardial infarction.

Who to go to: Cardiology outpatient clinic; for chest pain, sweating, fainting, or worsening chest tightness, go to the emergency chest pain channel.

Tang Zhendong looked at the screen and frowned.

"One more thing. Don't try to tough it out with medication on your own if you have chest pain, especially if you're sweating, have low blood pressure, or feel dizzy. Call 120 immediately."

The young staff member stopped halfway through typing.

"Families may not know about low blood pressure."

Tang Zhendong clicked his tongue.

"That person felt dizzy, their vision blurred, and they couldn't stand up."

Liu Zhenhua bowed his head and took notes.

"The family members can understand."

Tang Zhendong glanced at him.

"Now you're starting to write in a more human way."

Liu Zhenhua choked for a moment, and the tip of his pen almost crossed the lines.

Qin Hai gave a short laugh.

The tension in the meeting room eased slightly, only to quickly return.

The cursor appears on the third line.

Liu Zhenhua looked at Lin Ye.

"besides?"

Lin Ye's gaze fell on another line of the registration board.

Shen Qingyuan.

That night, the water-sealed bottle lay askew on the side of the bed, the chest tube was pressed under the bed rail, and the wheel of the spare oxygen cylinder scraped against the floor tiles.

"Shen Qingyuan."

The thoracic surgeon on duty had just been called in and was standing by the door.

Upon hearing the name, his shoulders stiffened slightly.

"Isn't he still under observation in the hospital?"

That's why I need to write it.

Lin Ye flipped the record to the corresponding time.

"Spontaneous pneumothorax, during transport after closed drainage, the chest tube was compressed, the water seal bottle was tilted, and the oxygen cylinder was almost empty, causing the blood oxygen to drop to 88. Later, bedside treatment was performed, the water seal was unobstructed, and the blood oxygen was 94. Continue to observe."

The on-call thoracic surgeon looked tense.

"This isn't a discharge follow-up photo; it's about intra-hospital transport issues."

Expert Du tapped his pen onto his notebook.

"The tracking report is not only for family members to see."

He looked at Liu Zhenhua.

"After the patient is transferred within the hospital, who confirms that the patient has arrived safely, who confirms that the tubing is still open, and who tells the patient and the ward 'If anything happens, we need to go back to the emergency room immediately'—that's considered a closed loop."

Liu Zhenhua opened the second page of the template.

"So, is this type of handover listed separately within the hospital?"

Qin Hai nodded.

"Put the chest tube first. Don't stuff the chest tube, urinary catheter, central venous line, and drainage tube all into a single sheet of paper."

The thoracic surgeon on duty did not refute this further.

He took his phone out of his pocket and pulled out a photo.

"These are the final photos taken later in the ward."

In the photo, the water seal bottle hangs on the side of the bed, and the tubing has been rerouted around the bed rail.

There is a crease on the edge of the tape that has been reapplied.

Lin Ye glanced at the crease, then turned his gaze back to the template.

The young staff member typed very slowly.

Name: Shen Qingyuan.

Disease: Spontaneous pneumothorax, after chest tube drainage.

Who to contact: Thoracic surgery ward or outpatient clinic; for chest tightness, shortness of breath, chest tube dislodgement, tube compression, or abnormal water seal, contact medical staff immediately or return to the emergency room.

When to return to the emergency room: difficulty breathing, decreased blood oxygen, worsening chest pain, or accidental dislodgement of the chest tube.

The on-call thoracic surgeon added in a low voice.

"Do not lift the water-sealed bottle yourself, do not place it upside down, and do not clamp the tube."

The young staff member added that sentence as well.

Qin Hai looked at the screen.

"This sentence is more useful than all the technical jargon in your medical records."

The thoracic surgeon on duty didn't argue back.

Fourth line.

Liu Zhenhua's pen stopped next to the list.

"What about the case of cerebrovascular disease?"

The meeting room quieted down a bit.

Luo Jianping was not there, so the neurosurgeon on duty answered the phone on speakerphone.

The first sound I heard through the receiver was the ward door closing.

Which case?

Liu Zhenhua observes the forest and fields.

Lin Ye turned the registration board to the page for women with headaches.

"A woman experienced a sudden, explosive headache, vomiting, photophobia, and high blood pressure. A head CT scan revealed hemorrhage, and vascular imaging suggested a possible aneurysm in the anterior communicating artery. After initial interventional treatment, she was transferred to the intensive care unit for continued monitoring."

The neurosurgeon on the other end of the phone answered quickly.

"This can't be written as a brain hemorrhage, okay?"

As he spoke, someone in the background called out a bed number.

He covered the receiver briefly, then came back.

"Write clearly: If you experience headache, vomiting, loss of consciousness, weakness in your limbs, slurred speech, or seizures, go directly to the emergency room. Also include the follow-up appointment time and outpatient appointment number. Take your blood pressure medication as prescribed; do not stop taking it on your own."

Liu Zhenhua told the younger staff to slow down.

Say it again.

The neurosurgeon paused for half a second.

"Are you really writing this?"

Qin Hai leaned back in his chair.

"If we don't write it down, the people behind us won't be able to find the door, and then you'll say the emergency room didn't explain it."

There was no sound on the other end of the phone.

Two seconds later, the neurosurgeon slowed down his speech.

"Follow-up appointment at the neurosurgery outpatient clinic. If you experience sudden, severe headache, repeated vomiting, decreased consciousness, weakness in one arm or leg, slurred speech, or convulsions, go directly to the emergency room. Take your blood pressure medication as prescribed; do not stop taking it on your own."

The sound of the keyboard clicking away fell one keystroke after another.

Lin Ye saw the words "Direct Emergency" appear.

He recalled the husband outside the door, clutching the signing board, asking, "Is everything alright?"

No one could give him peace then.

We can't give them this piece of paper now.

It can only tell him which door he can't go through next time.

Scroll down the list.

Zhou Hang.

Xu Jianmin.

Liang Shumin.

Lu Yifan.

Jiang Lei.

Gu Jianguo.

As names were added one by one, no one in the meeting room complained that it was just a form.

Behind each name lies an unfinished road.

When Zhou Mingyuan saw Zhou Hang, the pen on the table paused for a moment.

"Zhou Hang's case is different from Chen Jianguo's. He's younger, the post-operative time is shorter, and his parents from out of town haven't fully adjusted yet. You need to include his contact information and follow-up appointment dates, don't just write 'cardiac and vascular surgery'."

Tang Zhendong's expression darkened when he saw Jiang Lei.

"Jiang Lei's right coronary artery was opened, but his blood pressure and heart rate couldn't be relaxed for the next few days. After the heart attack, he experienced chest pain, palpitations, sweating, and dizziness, so he went straight back to the emergency room. Don't stop his medication."

When Han Qing from the endocrinology department answered the phone, a nurse could be heard reporting blood sugar levels in the background.

Liu Zhenhua asked Gu Jianguo how to write that example.

Han Qing only said one sentence.

"Sulfonylurea hypoglycemia doesn't end the problem even after the patient wakes up. Family members should know that if the patient is sweating, trembling, unresponsive, or talking incoherently, check their blood sugar first. If it's low, come immediately. Bring the medication kit with you."

When the young officer finished typing "Bring the medicine box along," his wrist noticeably slowed down a bit.

Lin Ye looked at the screen.

These sentences are not in the correct format.

But if the family members read it aloud, the doctor can understand it.

Chen Shouyi stood by the projector and didn't urge the format any further.

He stared at the increasingly long lines of white text.

Who ultimately sends this form to the family members?

The meeting room fell silent again.

Several pens stopped on the paper.

The emergency room staff said they were busy.

The specialist said the ward was busy.

The medical department stated that this cannot replace clinical interpretation.

The nurses said that with so many calls, they simply couldn't answer them during emergency care.

Liu Zhenhua bit the pen cap, then quickly realized it was inappropriate and took it off.

"Try three categories first."

He turned to a new page.

"Aortic dissection, myocardial infarction, cerebral hemorrhage. When discharged or transferred to another department, the attending specialist fills in the professional section; the emergency department is responsible for supplementing the conditions for returning to the emergency department at night; the medical affairs department is responsible for the template location and collection. Try it for a week first, don't apply it to the whole hospital right away."

Qin Hai looked at him.

"Who will cover the costs of returning to the ER at night?"

Liu Zhenhua looked at him.

"Your emergency department will assign personnel your own."

Qin Hai chuckled.

"Easy for you to say."

A shallow mark was pressed into the edge of the registration board in Lin Ye's hand.

Qin Hai turned his head and saw it.

"Don't look at him."

Before Liu Zhenhua could speak, Qin Hai interrupted him.

"Standardized trainees are not template administrators."

"Nobody told him to take charge."

Qin Hai had a cold face.

"If no one says anything, and no one fills out the forms, it will become like, 'Lin Ye, you're familiar with these cases, you fill them out first.'"

Several people around the conference table avoided eye contact.

There were a few pens lying on the table, and no one immediately objected.

Lin Ye, sitting in the back, didn't answer.

Qin Hai's words blocked his way first.

But those names on the screen were indeed patients he had seen, followed, and recorded the time points for.

The blue text frame briefly lit up at the edge of my field of vision.

Risk tracking: Not yet closed-loop.

[Source of risk: Information gaps after high-risk patients are discharged from the hospital.]

[Publicly disclosed evidence: Unclear access to follow-up appointments/No one to handle medication changes/Inadequate conditions for returning to the emergency room at night.]

Lin Ye turned his gaze back to the registration board.

No one in the conference room saw it.

Chen Shou pushed the teacup aside.

"Let's book for tonight first."

He looked at Qin Hai.

"The information already written today will not be expanded beyond the emergency room. Each case will only have one sentence added regarding how to get back to the emergency room at night. The day shift deputy director, Zhou Min, will lead the nurses' station to review it. Lin Ye will only provide the original time points and will not be responsible for distribution or follow-up calls."

Qin Hai's expression softened a little.

"Write it in the meeting minutes."

Liu Zhenhua immediately put pen to paper.

"Write."

Zhou Mingyuan added a sentence as well.

"For specialist cases, write down the department, not the individual's name. Don't let family members go around blocking a doctor with that paper."

Tang Zhendong nodded.

"The cardiology department agrees."

The call was answered quickly.

"The neurosurgery department agrees, but the follow-up appointment number must be clearly stated."

Another line appeared below the template.

The specialist is responsible for disease-related follow-up examinations and medication responses.

The emergency department is responsible for displaying emergency entrance information at night.

The medical affairs department is responsible for template location and tracking/recovery.

Lin Ye looked at that line of text.

It won't immediately raise anyone's blood oxygen level, nor will it allow the catheterization lab to open prematurely.

But those who had been pulled back from the brink of death finally had a line of words to continue.

Suddenly someone knocked on the conference room door.

Young cadres should go and open it.

Zhou Min, the deputy director of the day shift, was standing outside the door.

She was holding a stack of transfer registration copies that had just been printed from the nurses' station.

"Director Liu, the nurses' station has released the list of high-risk individuals who haven't been fully isolated since last night."

She put the paper on the table.

The top image has its upper right corner circled in red.

It's not Chen Jianguo.

It wasn't Xie Guangyi either.

It's Shen Qingyuan.

Next to the thoracic surgery ward, the tracking status column is empty.

Zhou Min showed that column to Qin Hai.

"The thoracic surgery department just replied that the patient's family asked if the water seal bottle could be emptied by themselves after the chest tube is taken home."

The thoracic surgeon on duty immediately changed his expression.

Qin Hai looked up.

"Has the person already been discharged from the hospital?"

Zhou Min shook her head.

"Not yet. It's just that the family asked in advance."

She pulled out the second piece of paper.

"There was also Xie Guangyi's family member who asked at the entrance of the catheterization lab, 'Now that the blood vessel is open, do we no longer need to take medication?'"

The silence that had just subsided in the conference room was broken again by these two sentences.

Liu Zhenhua looked at the blank template, his pen hovering over the "How to ask about medicine" section.

At the edge of Lin Ye's field of vision, the blue text box flashed slightly.

[Risk Monitoring: The risk continues to expand.]

This time, no numbers jumped down.

But the two sheets of paper on the table had already stopped several pens from moving.