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

As soon as the urologist said "Prepare for drainage," the people in the emergency intensive care unit sprang into action.

Nurse Zhao fastened the bed rails and called out from behind.

"Keep the oxygen cylinders on, and don't let the monitoring cables get tangled in the bed wheels. Family members, stand back and don't reach out to hold the bed."

Feng Jianping's wife, holding the signing board, retreated to the wall.

She just asked if we couldn't wait.

Nurse Zhao simply raised her hand to block her back against the wall, and the stretcher was already being pushed towards the operating room.

The flatbed cart was pushed toward the operating room, and the wheels rolled over the floor tiles, making a series of short, sharp sounds.

Feng Jianping lay on the bed, his body still trembling under the thin blanket.

Blood pressure is 87-51.

Heart rate 142.

Body temperature 39.2 degrees Celsius.

Lin Ye wrote these values ​​into the transport record.

At the edge of my field of vision, the blue text box lit up.

[Source control process initiated.]

[Current risk: Progression of septic shock.]

[Public evidence: Decreased blood pressure, worsening chills, elevated lactic acid, and CT scan suggesting obstructive infection and possible perirenal abscess.]

[Stage goal: Relieve the obstruction and obtain evidence for drainage or puncture.]

Lin Ye looked at the four words "stage goals".

Lin Ye shifted his gaze from the blue text to the unopened drainage bag at the foot of the bed.

The senior urologist was waiting at the door of the operating room.

He was in his fifties, spoke softly, and moved his hands very quickly.

He watched the film first.

Then look at the people.

Finally, look at the signed form.

"Did the family sign it?"

The urologist handed over the signature board.

"Signed. Both the ICU and infectious disease departments are available, and I've also seen an anesthesiologist."

The senior doctor nodded.

"Then let's stop beating around the bush. Let's release the pressure on the right kidney first."

Upon hearing "right kidney," Feng Jianping's wife took a step forward.

Nurse Zhao reached out to stop her.

"Wait at the door. They need to put on sterile sheets inside. You won't be able to help if you go in, and you might even get dirty."

The woman clutched the medicine box, her voice strained.

"May I take a look?"

Qin Hai stood beside her.

"You can look, but don't go inside."

The door to the control room was not completely closed.

The lights inside suddenly turned on.

A white sterile sheet was laid out, its edges pressed flat by the nurse.

The smell of disinfectant seeped out from under the door.

The anesthesiologist stood at the head of the bed, watching the patient's breathing and blood pressure.

"His blood pressure is still low. Give him a light dose of pain medication, don't suppress it."

The intensive care doctor continued to report.

"Prepare a small dose of vasopressors. Don't rush the IV fluids; monitor urine output."

The infectious disease doctor stood by the door, holding medication records in his hand.

"The first dose has already been administered. Once the sample comes out, it will be cultured immediately, and the subsequent dosage will be adjusted according to kidney function."

"Know."

The senior urologist did not look up.

He put the probe on and first positioned it on his right lower back.

A black and white image popped up on the screen.

Lin Ye stood outside the door and could only see half of the screen.

He didn't try to squeeze in.

He wrote down the start time of the operation.

22:52.

The ultrasound-guided right renal pelvis puncture and fistula formation began.

Feng Jianping suddenly groaned.

"pain……"

The anesthesiologist lowered his head.

"Don't move. If it hurts, just say so. Don't be shy."

The voice of a senior urologist came from behind the mask.

"We're on the right track."

No one spoke for a moment in the control room.

Only the monitor kept beeping.

As the puncture needle was inserted, Feng Jianping's hand suddenly gripped the bed sheet.

Nurse Zhao stood at the door, preventing the family members from rushing forward.

Feng Jianping's wife stared intently at the crack in the door.

"Doctor, what's wrong with him?"

Qin Hai didn't let her guess.

"The procedure is in progress. The person is still under monitoring."

Soon, the voice of a urologist came from inside.

"Get the syringe."

The nurse handed over the sterile syringe.

Connect the syringe.

The talking at the door stopped, and several pairs of eyes were fixed on that section of transparent pipe.

At first, a cloudy liquid came out.

Then, the color became yellower and thicker.

The senior urologist glanced at it and his voice immediately turned somber.

"pus."

Outside the door, the medicine box in Feng Jianping's wife's hand fell to the ground with a thud.

The remaining few pills rolled to the side of the wall.

She bent down to pick it up, but her hands trembled so much that she couldn't hold it for a long time.

Nurse Zhao glanced at her, then bent down to help her gather the pills together.

"Now you know it's not an old problem?"

The woman's lips trembled.

"Is it really pus?"

Qin Hai looked at the tube of murky liquid in the control room.

"Um."

He didn't say a word more.

The woman didn't ask any more questions, her fingers digging into the wall, her knuckles turning white little by little.

The nurses inside had already packaged the drainage fluid.

"Sterile specimen tubes"

The infectious disease doctor took it and immediately labeled it.

"Culturing the pus and performing drug sensitivity testing, don't miss the time. Also, expedite the blood culture."

Lin Ye turned the record sheet to the next line.

22:56.

After right renal pelvis puncture and catheter placement, purulent urine was drained.

They have been reserved for further training.

Infection source control is incorporated into the treatment process.

He paused for a moment when he wrote the last sentence.

Lin Ye's pen stopped after "processing procedures" and then added the words "continued monitoring" to the next line.

Inside the operating room, the drainage tube was connected.

The turbid liquid slowly flowed along the tube into the drainage bag.

Feng Jianping's chills did not stop immediately.

Blood pressure didn't improve immediately.

Eighty-nine and fifty-three.

Heart rate 136.

Another drop of turbid liquid fell into the drainage bag, and the tubing was no longer empty.

The blue text frame lit up at the edge of the forest field's field of vision.

[Stage Feedback: The source of infection has entered the processing procedure.]

[Misdiagnosis corrected: Common kidney stone -> Obstruction, infection, and abscess.]

[Current Risk: The risk of sepsis has not been eliminated, and close monitoring is still required.]

Lin Ye turned his gaze back to the drainage bag.

Lin Ye ignored the blue text and focused only on the monitor.

The blood pressure reading is still at 89.53.

When the operating room door opened, the senior urologist removed his outer gloves.

"Drain some of the pyuria first, and leave the stoma in place. We still need to keep a close eye on it tonight, monitoring the drainage volume, temperature, blood pressure, and urine output; we can't let our guard down on any of them."

Feng Jianping's wife hurriedly asked, "Then is everything alright?"

The senior urologist glanced at her.

"no."

This time, she didn't argue.

The doctor spoke very frankly.

"We've only opened the door; the fire isn't out yet. The blood pressure is still low, and the kidneys need to be monitored. The person must be placed in intensive care."

The woman looked down at the few pills on the ground.

She squatted down to pick up the medicine, but after picking it up halfway, she looked up at the drainage bag again, where two more pills were still rolling against the wall.

The intensive care physician pushed the mobile monitoring frame closer.

"Go back to the emergency intensive care unit first. Beds are still being arranged; at the very least, you can't leave the intensive care unit."

Nurse Zhao immediately took over.

"Hang the drainage bag here, don't press on the tube. Family members shouldn't touch it, and if you want to look, stand back and look."

When Feng Jianping was wheeled out, his eyes were slightly open.

His voice was hoarse, like sandpaper had been rubbed against it.

"Are you out?"

Qin Hai walked beside the bed.

"Come out a little."

Feng Jianping took a breath.

"Is it kidney stones?"

Qin Hai glanced at him.

"The kidney stone is blocking the way, and it's already festering behind it."

Feng Jianping did not speak again.

His wife followed behind, no longer carrying the old film bag.

She only stared at the drainage bag.

The old film bag, tucked under her arm, was already bent at the corners. Her eyes followed the drainage bag as it moved.

Lin Ye made up for the extra time spent on the transfer.

11:01 PM.

After the puncture and fistula creation, the patient was returned to the emergency intensive care unit.

The stoma tube is in place.

The purulent urine sample has been cultured.

Blood pressure remains low; continue monitoring.

The infectious disease department continues to adjust medication based on renal function, culture, and infection markers.

The urology department will continue to assess the treatment of stones and obstruction.

The Intensive Care Unit continues to coordinate bed availability.

After he finished writing this string, Qin Hai reached out from the side and pressed down the notebook.

"Don't write 'peace'."

Lin Ye nodded.

"I know."

Qin Hai looked at the flatbed cart.

The thin blanket covering Feng Jianping finally stopped shaking so violently, but the alarm line on the monitor was still lit.

On the other side of the emergency intensive care unit, the access light for Liang Shumin's bed flickered on.

The nurse poked her head out from inside.

"Director Qin, Liang Shumin's family asked if the blood pressure medication has lowered the blood pressure at all."

At the other end of the corridor, a round-the-clock call came in from a patient with a dental infection.

Nurse Zhao looked at the two phones that lit up at the same time and couldn't help but mutter a curse under her breath.

"None of them can be taken easy."

Lin Ye looked up.

The drainage bag was gently swaying beside the bed.

The murky liquid inside was still flowing downwards.

The access control light was still on at Liang Shumin's place, and the phone was still ringing about the dental infection.

The drainage bag beside Feng Jianping's bed hasn't stopped either.

(Thank you everyone for the donations! I was stuck on a chapter yesterday, so I'm adding an extra chapter today. *sobs* Love you all!)