This doctor is already middle-aged, and he's only just started practicing medicine.

Chapter 81 No Way to File a Lawsuit!
As the sun was setting, even though Rizhao wasn't in the emergency department, the incandescent lights still illuminated the general ward brightly.

Zeng Huanqi, with his legs crossed, replied, "Okay, Director Lin, I'm in the department! ~ Xiao Lu himself said that the quality of his manual reduction technique is quite good."

"Furthermore, the X-ray examination results before and after the operation were photographed and organized, and the surgical records were written in great detail, leaving a very good record."

"Yes, the signed documents from the conversation have also been preserved."

“I also called the medical affairs department. In our hospital, the authority to perform manual reduction is routinely delegated to doctors in the orthopedics and emergency departments. Lu Cheng’s surgical authority list shows that he was authorized to perform this procedure the year he joined the hospital.”

"Okay, I understand, Director Lin."

……

At nine o'clock in the evening, the night was deep, but the cicadas outside the window were still chirping incessantly.

Xiang Kuihua logged into the emergency department's online system on his computer; it listed many different types of illnesses.

However, Xiang Kuihua's mouse was fixed on the patient's data for a midshaft fibular fracture.

Lu Cheng's diagnosis was very detailed.

Lower limb injury.

Midshaft fibula fracture (AO A1.2 type).

Treatment recommendations: 1. The fracture is displaced, indicating a need for surgery. Surgical treatment or closed reduction is recommended. After informing the patient of the detailed risks of surgery and closed reduction, the patient requested closed reduction.

2. Plaster cast external fixation was performed, followed by one month of complete rest.

3. Celecoxib 200mg once daily for analgesia and Daflon 300mg twice daily for swelling reduction.

4. Have a follow-up examination one month after the operation to determine the next steps of treatment based on the results.

5. Follow up if you feel unwell.

"Why did you try to manually reduce a displaced fracture, a fracture that warrants surgery? Lu Cheng, are you deliberately trying to make things difficult for me?" Xiang Kuihua's lips twitched...

After thinking about it for a while, Xiang Kuihua felt that continuing like this might cause problems, so he found Tang Zhongqi's phone number in his contacts and dialed it.

"Director Tang, it's me, Xiang Kuihua from the orthopedics department. I have something to report to you..."

……

At 10 p.m., Lu Cheng rubbed his eyes, closed Huang Jiasi's general surgery textbook, marked the reading page with a bookmark, and stretched in the doctor's lounge!
I must say, it felt really good to add points while reading.

Adding points to improve Lu Cheng's understanding can help him create many key points out of nothing. Rereading the text will allow Lu Cheng to discover many details and gain new insights.

Those who study medicine know that every time you read any textbook, you gain new understanding and insights. This kind of reading, which is not for exams but also for new experiences, is truly enjoyable.

After closing the book, Lu Cheng put on his white coat, prepared to do one more ward round, and then waited to go home at midnight.

However, just as Lu Cheng finished buttoning up his two buttons, the phone rang.

Lu Cheng took a few steps to the side, picked up his phone from the break room table, and smiled as he read the contact name: "Hello, Director Tang, this is Lu Cheng from the emergency department."

The caller was Tang Zhongqi from the Medical Affairs Department. Tang Zhongqi is the deputy director of the office, in charge of the hospital's physician registration and surgical authorization registration.

"Dr. Lu, I heard that you are now performing manual reduction of fractures in the emergency department. Isn't that a bit against the rules?"

"Stop messing around, fractures are a specialty of orthopedics." Tang Zhongqi's deep voice left no room for doubt.

"Director Tang, are you mistaken? Does our hospital have any special categories of diseases? During meetings, isn't the principle that those who are capable should do more?"

"In principle, as long as you are confident in your ability to handle diseases that other specialties don't handle, you can apply for authorization from the Medical Affairs Department, right?" Lu Cheng's tone was calm, and his memory was clear.

The county hospital doesn't have a large patient volume to begin with, and its departments aren't particularly specialized. The general surgery department, in particular, covers a wide range of diseases, including breast and thyroid surgery, vascular surgery, and hepatobiliary surgery.

Tang Zhongqi is treating Lu Cheng like a fool.

Tang Zhongqi was in the office and knew the usual rules: "Dr. Lu, there's really no need for this. You're digging up the root of the problem in the orthopedics department."

Tang Zhongqi dared not refute Lu Cheng's words because he was unsure whether Lu Cheng had recorded the conversation: "Our hospital doesn't have many fracture patients to begin with. If there are indications for surgery, you shouldn't perform manual reduction."

Lu Cheng replied with a smile, "Director Tang, if there is an absolute indication for surgery, our emergency department routinely consults with orthopedics."

"We will only perform manual reduction if there are indications for concomitant conditions, or if a detailed evaluation shows that manual reduction is an indication, after fully considering the patient's informed consent and at the patient's request."

"In our emergency department, we have always been extremely rigorous in recognizing and identifying the types of illnesses our patients suffer from."

Tang Zhongqi said, "If you do it this way, what are you going to do with the orthopedic surgeons? Aren't you just making trouble?"

Lu Cheng said, "Director Tang, how is this my doing?"

"It's very simple. If the orthopedics department wants to, they can set up an orthopedic clinic in the emergency department, or the orthopedics department can also perform manual reduction on patients, right?"

"Manual reduction isn't a procedure exclusively within our emergency department's surgical capabilities...!"

Tang Zhongqi said, "Dr. Lu, what you're doing is actually not good for harmony among your colleagues in the hospital. If you really won't listen to my advice, I'll have to suspend your manual repositioning practice."

After listening, Lu Cheng remained silent for a moment before replying, "Director Tang, you are the leader, and it is your right to suspend my techniques and reinstate my practice, but I need to see an official announcement first!"

"Whether it's in the internal group or on the official website, I need to know the specific reasons why the medical affairs department suspended my surgical license!~"

Tang Zhongqi's voice rose a few decibels: "Lu Cheng? You should be a smart person, don't you know how to go with the flow? Why do you have to make things so tense?"

Lu Cheng replied, "Director Tang, I've been doing my job conscientiously and diligently as an emergency room doctor. How am I being irresponsible?"

"How did things end up getting so bad?"

"Manual reduction is a consistent specialty of the orthopedics department at the Traditional Chinese Medicine Hospital. If the Traditional Chinese Medicine Hospital can do it, why can't our People's Hospital?"

"My stance is clear: if Director Tang wants to suspend my surgical license, I need to see the documents and the reasons, and I will demand answers every day!"

"Anyone who dares to suspend my practicing license without cause is violating the rules!"

Tang Zhongqi had clearly taken a biased stance, so Lu Cheng wasn't guilty. He wasn't targeting anyone, nor was he insulting Tang Zhongqi.

As long as Tang Zhongqi doesn't cause trouble, there won't be any problems with this matter.

If Tang Zhongqi really did something behind Xiang Kuihua's back because of his words, then Lu Cheng wouldn't mind having a gossip session with him.

"I told you to suspend your services, and you did. This was based on a comprehensive assessment by the medical affairs department."

"What announcement? I'm just letting you know, that's enough."

"Anyway, I've reminded you, you don't have the license to perform this surgery right now, so don't cause any more trouble!" Tang Zhongqi sternly warned.

Lu Cheng asked in return, "Director Tang? Who was the person who revoked my surgical license?"

"Lu Cheng? Are you disobeying orders?" Tang Zhongqi was getting annoyed that he couldn't control Lu Cheng.

Lu Cheng chuckled and hung up the phone: "I'll go ask the medical affairs department now; it should be handled by the on-call supervisor..."

"Lu Cheng!" Tang Zhongqi called out again, only to find that he had only called out to no avail.

Since Lu Cheng wasn't on the ward shift or the clinic shift, he was free to go directly to the medical affairs department.

(End of this chapter)