Free Web NovelChapter 1463: Chapter 585: Thunder from a Clay Pot, Doctor Tang Backs Down (Part 2)
After studying for so many years, applying to college, applying for a master’s degree, applying for a doctorate, when was it ever not like an army crossing a single log bridge?
Spent so much time and money to improve academic qualifications, a diploma is definitely not just a piece of waste paper.
It is well reflected when looking for a job.
Tang Wannian, a postgraduate master’s student, is top-notch in both intellect and debating ability.
He is very confident that he can refute both Zhou Can and Dr. Xu.
Standing next to him are many other postgraduates and masters; don’t be fooled by their silence, none of them are easy to deal with.
Each can speak out several baskets worth of arguments.
Zhou Can is not afraid in the slightest in the face of a fierce debate with the scholars.
"Look, this surgery was performed by Dr. Xu, and the patient developed serious postoperative complications, wound infection, and suppuration, requiring a second surgery. Another surgery was performed by you, involving the debridement of a subcutaneous abscess, and postoperative edema appeared in the patient’s left lower limb to some extent. Judging by the severity of postoperative complications, Dr. Xu’s surgery was much more severe."
"However, from my perspective as Deputy Leader and a judge, Dr. Xu’s surgery is blameless, and Doctor Tang’s surgery deserves severe punishment."
Zhou Can ’casually’ picked two surgeries.
The two are in stark contrast and comparison.
"Why? Just because Dr. Xu is your mentor? Who can be convinced with such management?"
Tang Wannian immediately shouted angrily in dissatisfaction. frёeωebɳovel.com
"Don’t rush, listen to my analysis of the reasons and you won’t say that again."
Zhou Can calmly signaled Tang Wannian not to get agitated.
"In Dr. Xu’s surgery, there were no problems with tumor removal, suturing, or any other aspect of management. The reason for the patient’s wound infection and suppuration was his eagerness to have intercourse with his wife after discharge, which caused slight wound rupture due to aggressive actions. Additionally, sweat soaked the wound, resulting in an infection. Knowing that the wound had a mild rupture and was contaminated by sweat, the patient did not seek hospital treatment due to cost concerns and instead wiped it lightly with a damp towel himself."
"Nearly a week had passed before the wound infection became severe and suppurated, prompting the patient to finally come to the hospital for treatment. The responsibility for this case lies not with the doctor or nurse but with the patient himself. The medical staff is free from blame and naturally does not need to be punished."
After listening to Zhou Can’s analysis, although the crowd remained silent, their expressions showed agreement.
Tang Wannian also agreed with the outcome.
Despite his commotion, he certainly wasn’t unreasonable.
"Then why should I be severely punished for the debridement surgery I performed on the abscess?"
Tang Wannian’s mind was agile, realizing that Zhou Can’s analysis of Dr. Xu’s case gained everyone’s approval. He hurriedly shifted the focus to a topic more advantageous to himself.
"Good question! During your debridement surgery on the abscess, you accidentally damaged an important vein and used electrocautery for hemostasis. I believe your lecturer should have taught you that for major arteries and veins, after they are damaged, ligation or electrocautery for hemostasis is inadvisable as it disrupts blood supply and circulation, significantly affecting the patient."
"As a highly-educated master’s degree holder and a senior attending physician, even if you overlooked some principles in bigger classes, your abundant surgical experience must’ve told you that electrocautery treatment of that vein is improper. Directly ignoring the patient’s life and health, for the sake of convenience, disregarding the patient’s safety and interests, should such actions not be severely punished?"
"If it was accidental, then severe punishment is inappropriate. But for such deliberate violation, without severe punishment, how can justice be served? Without severe punishment, how can the patient’s anger be appeased? You keep emphasizing fairness and justice, so I’m telling you now that implementing severe punishment on you is the greatest justice. If you are not punished this time, that would truly be injustice, and the law will cease to function."
Zhou Can’s voice was as powerful as a thunderclap, leaving Tang Wannian speechless.
His face turned visibly red.
"I handled the patient’s vein electrocautery with the patient’s consent. It saved his medical costs and reduced surgery time, without being as egregious as you claim."
Tang Wannian began to argue after he recovered.
"Can such matters be left to the patient’s decision? Are patients more professional than you? Let me give an inappropriate example: for a myocardial infarction surgery, I deceive the patient during the operation, telling them that clearing the thrombus alone suffices, no need for a stent. It’s convenient and saves tens of thousands in costs. Would the patient listen to me? Surely, they would."
"But without placing a vascular stent, in a few days, the patient will experience a re-obstruction due to a narrow section in the blood vessel, with the underlying disease remaining. Who’s held accountable?"
Zhou Can ruthlessly refuted Tang Wannian’s defense.
"Every healthcare worker pledges upon entering academia, did you consider that oath as meaningless? Patients entrust their lives to you for surgery, trusting you. But you failed that trust for the sake of simplicity. If the department discovers your issues now and fails to punish, then it would truly be an injustice against heaven."
Instead of self-justification, Tang Wannian faced harsher criticism from Zhou Can following his arguments.
Managing such a large vein with electrocautery, is there any excuse?
"If you’re still unconvinced, it’s simple. I’ll directly submit this case to the Medical Department and Quality Control Office, letting them decide whether you are wronged by the department or whether they have maintained justice and fairness?"
Zhou Can once again threw out a tough move.
If this issue is handled within the department, no matter how severe the penalty is, it’s still mild.
But handing it over to the Medical Department and Quality Control Office is equivalent to sending Tang Wannian directly to the gallows.
This frightened Tang Wannian, his face instantly changed to pale.
"I am willing to accept departmental handling as a caution for the future. There’s no need to escalate this to the Medical Department or Quality Control Office."
Tang Wannian quickly expressed his willingness to accept punishment.
Seeing the biggest troublemaker concede and admit defeat, Dr. Xu also breathed a sigh of relief. freewebnovel.cσ๓
He was even more pleased with his disciple Zhou Can.
This young man is indeed impressive; he excels at surgery, adeptly diagnoses complex cases, and now also displays extraordinary wisdom and tactics in management.
It’s truly undeniable.
Going forward, entrusting the Emergency Department’s operating room management and hosting to this youngster is completely reassuring.
He might even outperform his mentor.
The decline in surgical quality in the operating room was also discovered by Zhou Can.
Initially, the other doctors were united, following Tang Wannian’s lead. Now that their leader has fallen, they naturally dispersed like monkeys leaving a tree, no longer daring to raise objections to surgical scoring and penalties.
If opposed, and submitted to the Medical Department for resolution, the outcome would be grimmer, suffering a worse fate.
"Tang Wannian exhibited serious negligence in multiple surgeries, non-compliant operations, resulting in forfeiture of all bonuses for the month, suspension of surgical privileges for half a month, and reassignment to managing inpatient wards. If he re-offends, he will be permanently expelled from the operating room."
With the situation settled, Dr. Xu seized the moment to announce punitive measures against Tang Wannian.
This punishment is evidently rather severe.
Suspension of surgical privileges for half a month implies a drastic reduction in income.
Being relegated to managing inpatient wards also means Dr. Xu will promote an outstanding doctor from the ward to partake in surgeries. This is akin to a demotion in position and authority for Tang Wannian.
Fortunately, this penalty is only for half a month; otherwise, as a senior attending physician, he would have been seriously compromised.
Attempts for advancement to associate senior title would be severely impacted.
Even though the penalty is temporary, there are ramifications on Tang Wannian’s effort to achieve associate senior title.
However, this situation is two-sided.
The department currently lacks associate and senior-level surgeons, making Level 4 surgeries unperformable. Tang Wannian is the most promising candidate to obtain an associate senior title, so the department will undoubtedly offer support.
