Chapter 16 — Emergency Night Watchman

At the same time—Trieu Due Minh, for violating the regulations on night shift management by attending doctors, was criticized and notified to the entire hospital, his status as an excellent reviewer for the year was revoked, and his teaching points were deducted. The day this notice was posted on the notice board, when I passed by, I often saw Trieu Due Minh standing in front of that piece of paper. His back stiffened. Shoulders are shaking a bit. I don't stop walking. Passing. 【Chapter 10】 January. New year. The fast track officially kicks off. I started preparing for the intense practice assessment—theory, skills, case defense, all three categories had to be passed by June. At the same time, data collection on the topic entered the final stage. After Chu Yen Binh saw my statistical results, he was silent for a full minute.
"LASSO screened four independent predictors—upper extremity blood pressure difference, D-dimer, tearing nature of chest pain, time from illness onset to medical examination. AUC 0.94."
"Yes."
“Shen Yen, do you know what 0.94 is?”
“It's okay.”
“Don't be modest.” He took off his glasses and rubbed the bridge of his nose, "If this model set is validated, it can be used as a scoring tool for early screening of aortic dissection in the emergency room. This is not about a paper—it is a tool for clinical application."
“So which magazine should we send?”
"First send short communication to European Heart Journal. If not successful, send to JACC." He looked at me, “You are the first author.”
My heart skipped a beat. EHJ. It is the leading journal in the field of cardiology. First-year attending physician, first author in a leading journal.
"Brother Chu... is this appropriate? I collected the data, I did the analysis, I wrote the first draft, but the topic design and instructions..."
"The design is mine, but the core innovation is the LASSO plan you proposed. There is no improvement on this method, this is just an ordinary retrospective analysis." He put his glasses back on, "The rule for academic enrollment is that contributions determine the order. Your contributions are worthy of being the first author."
I clenched my fist.
"Yes, thank you."
"Also—your poster at the national first aid conference in March was received. Phuong Chinh Thanh just told me."
One story at a time. The density of good news falling is too thick, making me feel unreal. Three months ago, I was still the invisible recursive doctor sitting behind the nurse's station adding medical records, being called "that person". Now— Learning the fast route. Top magazine articles are submitting. Poster presented at the national conference. Member of the research group of the head of the Department of Cardiovascular Surgery. True disciple of the head of the Department of Emergency Medicine. Notice of criticism of Trieu Due Minh. From the doctor who no one believed in the depths of the night, to Tham Yen who was known to the deans. It all happened so fast. So fast that sometimes when I wake up in the middle of the night, I have to look at my phone calendar to confirm I'm not dreaming. But I won't forget where these came from. Not luck. Not a relationship. It's that every time before counting down my life to zero, I made the correct choice. In those minutes of emergency care, I bet my entire recovery career. Others see "young and talented". Only I know—the price is every time I see the blood-red countdown, My heart almost stopped beating from fear. March. National emergency conference. Nanjing International Convention Center. Experts, scholars, residents and attending physicians specializing in emergency medicine from all over the country gather here. The poster display area is located on the east side of the third floor, with several hundred display boards stacked densely. My poster code is P-217.
“LASSO regression prediction model for early identification of aortic dissection in emergency chest pain patients.”
After the arrangement was complete, I stood next to it and waited for someone to come and see. Doctors' posters usually don't have too many people stopping by—people are more interested in the professors' display boards and large topic groups. Unexpectedly, after half an hour of deployment, seven or eight people stopped in front of my table one after another. Someone took pictures. Someone records the data. A gray-haired professor, whose name tag read "Beijing An Trinh Hospital affiliated with Capital Medical University", stood for a long time and finally walked up to me.
“Are you the first author?”
“Yes, hello teacher.”
“Which unit?”
“Emergency Department, Thanh Dong First People's Hospital, attending physician.”
His eyebrows raised: "Return doctor?"
"Yes."
“This model of yours—what is the AUC of the validation group?”
“0.91.”
“Not bad.” He nodded, "The sample size is a bit small, but the idea is very good. Who is your instructor?"
"Mr. Phuong Chinh Thanh provides clinical guidance, Mr. Chu Yen Binh guides the topic."
"Phuong Chinh Thanh? Chu Yen Binh?" When reading these two names, his voice carried a bit of surprise, "From a big temple. No wonder."
He took out a business card from his pocket and gave it to me.
"My name is Luc, from An Trinh. This direction of yours is very promising. After returning, if you want to expand the sample to do multi-center authentication, you can contact me. The data of the An Trinh emergency chest pain center is large enough."