This doctor is already middle-aged, and he's only just started practicing medicine.
Chapter 80 Fearless and Unperturbed!
Chapter 80 Unfazed and Fearless!
Lu Cheng looked at Xiang Kuihua at eye level: "Director Xiang, you asked us to issue hospital admission certificates directly to the patients, but our on-duty doctors can't do it, so you asked me to go and check."
"I feel that if I can perform manual reduction, then I definitely will, right?"
"Manual reduction is only a Level 1 surgery, Director Xiang," Lu Cheng said with a smile, his tone calm.
Lu Cheng is an attending physician and can routinely perform level-two surgeries in hospitals; his practice authority is surgical.
There are no special restrictions on surgical authority within the county...
What nonsense are you trying to 'hold accountable'? Where are you even going with this? My manual repositioning was a perfectly legitimate procedure, okay?
At least 90% of emergency departments in China employ professional orthopedic surgeons. Is it your regulation that emergency departments cannot perform manual reduction?
“If something goes wrong, you’ll remember.” Xiang Kuihua’s eyes flashed with a sharp, aggressive light.
"That's alright, no need to worry about Director Xiang. If I fail to properly assess the surgical indications and contraindications, and the patient causes me trouble, that's my own fault."
"There's no need for you, Director Xiang, to trouble yourself with your guidance!"
Lu Cheng continued, "Furthermore, Director Xiang, I have also reported to Director Lin of our emergency department that for any patient with a fracture on a single day, we will first assess whether manual reduction can be performed."
"Then your orthopedics department will perform the fracture surgery. If you have any objections, you can go see Director Lin in our emergency department!"
"I'm just an executor, someone who gets things done."
Xiang Kuihua immediately coughed, his eyes bulging: "Are you fucking crazy?"
Xiang Kuihua was in charge of trauma and fracture surgeries in the department, sharing the surgical workload with Peng Haibo. He performed 4 out of 4 surgeries, while Peng Haibo performed 6 out of 4.
Most fracture patients come from the emergency room. There aren't many fracture patients to begin with, and traditional Chinese medicine hospitals also get a share of the patients.
If Lu Cheng continues to manually reduce the fractures of patients at the People's Hospital, he can foresee that he might not be able to perform more than ten surgeries a month in the future.
Lu Cheng looked around and, not finding anyone in the office, said, "Director Xiang, I know in my heart whether I'm crazy or not."
"Ultimately, I am responsible for treating patients myself. I didn't ask you, Director Xiang, to cover for me. If I can't handle it and patients cause me trouble, they can't complain to you, Director Xiang."
"Besides, it's not like I'm not an orthopedic surgeon..."
"I am a legitimate orthopedic resident, I just came to work in the emergency department, the hospital did not take away my surgical authority."
Xiang Kuihua slammed his hand on the table: "Lu Cheng, do you have to keep an eye on me like this?"
"Director Xiang, if you're going to misunderstand me like this, I have nothing to say. Did I really mean to target you?"
"I'm doing this for the patients, for their benefit. Some patients have limited financial resources and prefer cheaper manual reduction techniques..."
"Nobody in our hospital does this, does that mean I can't do it? That's not the reply the medical affairs department gave me." Lu Cheng replied very formally.
Xiang Kuihua didn't become deformed; instead, he smiled and gave Lu Cheng a thumbs up: "Not bad, not bad!"
"Xiao Lu, honestly, I admire you a little too."
"You're willing to do something so risky, knowing full well that manual reduction is a specialty of the orthopedics department at the Traditional Chinese Medicine Hospital. With such a clear comparison, you still insist on interfering."
"I admire your courage, but if you're so capable, then focus on perfecting and expanding the scope of manual fracture reduction. Otherwise, whether the reduction is done well enough and whether you should be held responsible is not something you can judge..."
Lu Cheng calmly said, "Thank you for reminding me, Director Xiang."
Xiang Kuihua turned and walked away, muttering under his breath, "Damn it, I really ran into an idiot..."
Despite his harsh words, Xiang Kuihua's reasoning was sound. If something went wrong with the repositioning procedure, Lu Cheng wouldn't be held responsible. Zeng Huanqi hadn't had a chance to speak after Xiang Kuihua arrived, and now that Xiang Kuihua was gone, Zeng Huanqi hadn't even seen him off.
He just stared at Xiang Kuihua's back and touched his chin with his right hand: "Is this Director Xiang this arrogant in the orthopedics department as well?"
"They even stormed into our emergency department to confront us. They're used to being arrogant, aren't they?"
Zeng Huanqi and Xiang Kuihua knew each other and had drunk together at a dinner party. They were polite to each other when they met on weekdays, but they were not actually close.
'Friends' are friends, and interests are interests.
Lu Cheng took a few calm breaths and replied, "Director Xiang's surgery was quite good."
Lu Cheng didn't criticize Xiang Kuihua for anything. Surgical quality is surgical quality, and human nature is human nature; they should be treated separately.
Performing manual reduction on himself would indeed greatly affect Xiang Kuihua's 'status' in the department.
It is difficult for an associate chief physician without a large number of patients to maintain his 'position in the department', and the others are happy to see Xiang Kuihua suffer such a setback.
"Xiao Lu, will you still do manual repositioning in the future?" Zeng Huanqi asked, squinting his eyes. He didn't dwell on Xiang Kuihua's character, but asked about Lu Cheng's choice.
Lu Cheng replied frankly, "Of course I'll do it. If I can do it, I'll do it; if I can't, then I won't!"
As the saying goes, within the system, if you don't want to be someone else's leader, then you are the leader of most people. Lu Cheng is now in an independent system from the orthopedics department.
Unless Lin Qianlong in the emergency department has lost his mind, he wouldn't allow Xiang Kuihua to act so arrogantly in the emergency department.
Before he added points and his abilities improved, he was simply incompetent and lacked strength. He had to admit that he was weak. Now that he had some ability, Lu Cheng had no doubt about the skills he had mastered.
Carefully monitor each patient you come into contact with, understand the indications and contraindications, and keep a record of conversations and signatures with the patients. It can be done based on the principle of voluntariness.
However, Lu Cheng still stated his position: "As long as the orthopedics department does not perform manual reduction, and there are diseases that are suitable for manual reduction, and the patient is willing to take the risk, I will do it."
Lu Cheng is, after all, a standard orthopedic resident. If Xiang Kuihua really studies closed reduction of fractures seriously, then Lu Cheng can give it up.
After all, fractures are a type of orthopedic disease and are classified accordingly.
After listening, Zeng Huanqi said meaningfully, "I'm afraid Xiang Kuihua will have the medical department intervene."
“But don’t worry, you’re from our emergency department, and we and Director Lin are here with you.” Zeng Huanqi laughed.
Regardless of whether Lu Cheng is a teacher or not, he can be considered a little money god.
Xiang Kuihua does have an uncle who is the deputy director of the state public security bureau, but that is his uncle, not Zeng Huanqi's uncle.
You think you can just casually become the 'top salesperson in the emergency room' based on this connection? Are you kidding me?
Lu Cheng replied with a smile, "If the leaders of the medical affairs department dare to issue an announcement, then I have no choice but to temporarily suspend my practice."
Zeng Huanqi immediately understood what Lu Cheng meant.
While the Medical Affairs Department is Lu Cheng's superior, things would get interesting if they dared to issue a notice suspending Lu Cheng's surgical privileges before he made a mistake.
There are rules within the system, and Lu Cheng is one of those people. You're making baseless accusations against Lu Cheng when he's not at fault. Doesn't that cross the line for most people?
"Brother Zeng, I'm going to read for a while. I'll call you when the takeout arrives," Lu Cheng said.
“Okay, I’ll call Director Lin again to report, just in case…” Zeng Huanqi nodded, indicating that Lu Cheng didn’t need to be too nervous.
(End of this chapter)
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