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

After Zhou Min put down the two pieces of paper, the meeting room was quiet for two seconds.

After the chest tube is taken home, will the water seal bottle be able to empty itself?

Once the blood vessels are opened, is it okay to stop taking medication?

There were only two more lines of text on the paper, but Qin Hai's face darkened first.

He pulled out the paper from Shen Qingyuan.

Thoracic surgery.

The thoracic surgeon on duty had already walked to the table.

When he saw the line "Family members asked if they could pour water and seal the bottle themselves," his expression turned even more grim than before.

"Who told him it could collapse?"

Zhou Min flipped the printed telephone records from the nurses' station to the back.

"No one said it could be poured out. The family asked if the bottle contained water and if they would empty it themselves once it was full at home."

The thoracic surgeon on duty opened his mouth.

Qin Hai looked at him.

"Don't scold the family members."

The thoracic surgeon on duty swallowed his words.

He looked down at the paper.

"He hasn't been discharged from the hospital yet."

"So it's not too late to write it now."

Zhou Min handed over the pen.

"Write it in a way that your family can understand."

The on-call thoracic surgeon held his pen, the tip lingering on the words "thoracic tube" for a long time.

He wrote a sentence first.

The chest tube and water-seal bottle cannot be disposed of by the user.

Qin Hai frowned after reading it.

"Even after reading this, the family still doesn't know what they can't do."

The thoracic surgeon on duty took a breath.

"Then how do you write it?"

Lin Ye stood against the wall, holding Shen Qingyuan's transfer record in his hand.

He didn't respond directly.

Qin Hai turned his head and glanced at him.

"Original record".

Lin Ye opened the record.

"During the transfer, the water seal bottle tilted, and the tubing was crushed by the bed rail, causing the blood oxygen level to drop to 88. After it was re-secured and the water seal was confirmed to be unobstructed, the blood oxygen level returned to 94."

The thoracic surgeon on duty moved his pen slightly.

He crossed out the previous sentence and rewrote it.

When the chest tube is connected to the water seal bottle, do not pour the water out of the bottle yourself, do not raise the water seal bottle, do not clamp the tube, and do not place the tube under the bed rails or your body.

He paused, then added:

If you suddenly experience chest tightness, shortness of breath, or worsening chest pain, or if the water seal bottle has tipped over, the tube has come loose, or your blood oxygen level has dropped, immediately call a thoracic surgery nurse or return to the emergency room.

Zhou Min took the paper and read it aloud in a low voice.

"This sentence can be given to the family members."

The thoracic surgeon on duty still looked unwell.

"But this isn't the discharge instructions; the nurse will have to explain it again when you're discharged."

Chen Shouyi nodded.

Write it down.

The young staff member scrolled down the template and typed out a line.

This form does not replace discharge instructions; the discharge procedure will be reconfirmed by the specialist ward before discharge.

Qin Hai looked at the line of text.

"This sentence is also important."

Zhou Min put Shen Qingyuan's paper aside and put a small checkmark next to "chest tube/water seal" with a red pen.

The first cell was filled.

Tang Zhendong took the second piece of paper.

Xie Guangyi.

At the entrance of the catheterization lab, family members pressed for answers: now that the blood vessel is open, do we no longer need to take medication?

After reading it, Tang Zhendong's lips twitched downwards.

"If no one answers this question, the patient might actually stop taking the medication."

Liu Zhenhua moved the template to Xie Guangyi's row.

The disease category has been changed from "emergency interventional treatment for acute coronary syndrome" to "emergency interventional treatment for myocardial infarction".

Tang Zhendong took the keyboard directly.

He types slowly, but the keystrokes are very loud.

Having blood flow restored in the catheterization lab does not mean the disease is cured.

If you experience chest pain, chest tightness, sweating, palpitations, or fainting, go to the emergency room immediately or call 120.

You must take your medication as prescribed by your cardiologist after being discharged from the hospital. You cannot stop taking the medication on your own just because your blood vessels are clear.

Tang Zhendong stared at the screen for two seconds.

He added another sentence.

If you finish your medication, miss a dose, experience bleeding gums, black stools, or dizziness, contact a cardiologist first. Do not adjust the dosage yourself.

Liu Zhenhua looked up.

"You even write about black poop?"

"Write."

Tang Zhendong pushed the keyboard back.

"Families must be aware of the risks of bleeding associated with antithrombotic drugs. But don't write that you should stop taking the medication as soon as black stools appear; write that you should contact the doctor first."

The young staff member recited the sentence in a clear and logical manner.

If you experience black stools, bleeding gums, or significant dizziness, contact a cardiologist or emergency room for evaluation first, and do not stop taking the medication on your own.

Tang Zhendong then nodded.

Xie Guangyi's line was preserved.

Zhou Min paused her red pen next to "chest tube/water seal" for a moment, then moved it to Xie Guangyi's line.

With the two small hooks falling, the paper was no longer completely blank.

Just because something is written well doesn't mean the family members will understand it.

The call at the nurses' station was still going on.

The nurse accompanying the patient at the entrance of the catheterization lab was also waiting for a response.

When people are in a hurry, the problem tends to fall on the person closest to them first.

Zhou Min rearranged the stack of papers at the nurses' station.

"The problem now is, who will say these things?"

Qin Hai looked up.

"Didn't we just write down the division of labor?"

"I wrote it."

Zhou Min flipped the first sheet of paper back over.

"But writing it down on paper doesn't mean the family can repeat it. Shen Qingyuan's family just asked the nurse on the phone. Xie Guangyi's family asked the nurse accompanying the patient at the entrance of the catheterization lab."

Chen Shouyi took off his glasses and wiped the lenses.

"Don't cover the whole courtyard yet."

He put his glasses back on.

"Just these two cases. Zhou Min, take the nurses' station to review the script. Send one person each from thoracic surgery and cardiology to clearly explain the specialist part. The emergency room only covers how to get back to the emergency room at night."

Zhou Min nodded.

"Can."

Qin Hai added a sentence.

"Lin Ye won't send it."

Liu Zhenhua had just picked up his pen when he stopped.

Qin Hai looked at him.

"Write."

Liu Zhenhua added the following to the meeting minutes:

Linye only provides the original records and time points, and does not undertake the issuance, explanation, or telephone follow-up of tracking forms.

After he finished writing, he handed the notebook to Qin Hai to read.

Qin Hai glanced at it and said nothing more.

Lin Ye stood beside him, the edge of the transfer registration copy bent under his palm.

Zhou Min has already pulled out the two tracking slips.

"I'm going to the nurses' station."

The on-call thoracic surgeon followed.

"I'll talk about the chest tube."

Tang Zhendong picked up his phone.

"I called the entrance to the catheterization lab."

He dialed the number and the call was answered immediately.

In the background, there are hushed conversations outside the catheterization lab and family members asking questions in hushed tones.

Tang Zhendong put his phone on speakerphone.

Are Xie Guangyi's family members here?

The person on the other end of the phone was different.

A man's voice was strained.

"Director Tang? Has my dad's blood vessel cleared up? Does that mean he doesn't need to take so much medicine anymore?"

Tang Zhendong closed his eyes.

When she opened her eyes again, her voice was already suppressed.

"Listen carefully. The fact that some blood has flowed doesn't mean you're cured. You can't stop taking your medication on your own. Follow your cardiologist's instructions on how to take it after discharge. If you experience chest pain, chest tightness, sweating, palpitations, or dizziness, go directly to the emergency room or call 120."

He paused for a moment.

"If you experience black stools, bleeding gums, or dizziness, do not stop taking your medication on your own. Contact your doctor first."

There was a two-second silence on the other end of the phone.

"So you'll have to keep controlling it?"

Tang Zhendong looked at the tracking list on the screen.

"right."

He said.

"Once the blood vessels are open, the person still needs to be taken care of."

Lin Ye stood by the conference room door, and when he heard this, he gently pressed the copy of the transfer registration in his hand to his palm.

Zhou Min's voice could be heard coming from the direction of the nurses' station outside the door.

She is explaining to Shen Qingyuan's family.

"A bottle is not a water cup, so you can't pour it yourself. A tube is not an IV line, so you can't clamp it yourself. If you experience shortness of breath, chest pain, a bottle falling over, or a tube coming loose, call a nurse immediately if you're still in the hospital. If you've already gone home, call 120 or come to the emergency room."

The male voice on Tang Zhendong's phone was still asking about the medicine.

Outside the door, Zhou Min repeated the words "water-sealed bottle" again.

In the meeting room, Liu Zhenhua typed "verbally informed" into the remarks column.

The young staff member looked at the screen.

"Does this count as a closed loop?"

Qin Hai did not answer immediately.

He looked towards the door.

Zhou Min was still explaining in a low voice at the nurses' station.

Tang Zhendong's phone was still on speakerphone.

The on-call thoracic surgeon stood next to the nurses' station, holding the chest tube tracking form in his hand.

Chen Shouyi remained silent.

Finally, it was expert Du who put the pen cap back on.

"Count the first transaction."

He looked at the notes section.

"Don't tick the box yet. Have the family member repeat it. If they can't repeat it, it doesn't count."

Liu Zhenhua's hands stopped on the keyboard.

In the remarks column, the space after "verbally informed" is still blank.

When Zhou Min returned from the nurses' station, she put the paper with the chest tube back on the table.

The bottom right corner of the paper had an additional signature from a family member.

The handwriting is crooked.

There was also a note added by a nurse:

As stated: Do not pour water into the bottle yourself, do not clamp the tube, and call 120 or go back to the emergency room if you experience shortness of breath or chest pain.

Tang Zhendong's call also ended.

He placed his phone face down on the table.

"Xie Guangyi's family can recount the events. He couldn't stop taking the medication; he came back with chest pain and sweating; if there was bleeding, he should consult a doctor first."

The young staff member typed in two notes.

The cursor continues to jump down.

The next cell is still empty.

Liang Shumin.

Postoperative intensive care.

The section for family contact persons only listed "Son's phone number".

The follow-up status is empty.

Liu Zhenhua looked at that space but didn't type anything immediately.

The noise in the conference room gradually subsided.

At the edge of the forest's field of vision, the blue text box lit up again.

Risk monitoring: The process is not yet closed.

This time, the cursor stopped after the three characters "Liang Shumin".

No one urged them on.

But that blank space was even more glaring than before.