Surgeons (外科风云)

Lu Chen Xi, we're taking time out of our busy schedules for this emergency meeting

not so we will quarrel.

I hope to judge this case as it stands and settle this issue.

There are words written in this medical record that insult the patient

along with your signature.

How do you explain this?

It is my diagnosis. Is there a problem?

Lu Chen Xi, I'm warning you again.

If you continue to have no remorse whatsoever

you will have to bear the consequences!

Director Fu, you made it.

Allow me to introduce you.

This is Zhuang Shu, Professor Zhuang from the U.C. Medical Center.

Starting today, Professor Zhuang will be in my department

and will take over Lu Chen Xi's position as doctor in charge of Ward 1

as well as teaching supervisor.

Dr. Lu.

It's an honor to meet you, Professor Zhuang.

Congratulations, Chief.

You found a skilled clinician who won't make a mess of things.

He probably won't get in your way selling drugs and equipment

and will even help you send unprofitable critically ill patients

back to county hospitals.

He'll keep up appearances and shut others up.

Lu Chen Xi!

What nonsense are you saying?

Is it nonsense, Director Fu?

You suddenly called me to this meeting.

I haven't reviewed the two patients' medical records.

I don't know the whole story either.

If Thoracic Surgery is executing revisions to Lu Chen Xi's duties

it may be arranged for the time being.

However, I am reserving judgment as hospital director.

That's unnecessary, Director Fu.

Chief Yang just wants...

I've been busy the whole day and haven't had the chance to return this to you.

You don't need to return it to me. Just give it to Chief Yang.

Chief Yang has no intentions of kicking you out.

You don't need to do this.

And that kid's toy has been put together. There was no damage.

Dr. Lu.

You spoke of someone who will support Chief Yang in accepting commissions

for selling medical apparatus and oral medication.

Someone who would turn away patients who need surgery

to avoid nonpayment and hassles.

Am I that person?

It's not a baseless claim.

If it isn't you, there would just be another.

Dr. Zhuang, I treated a patient this morning in the ER.

Lung abscess as well as empyema and bronchopleural fistula

complicated by severe hemoptysis.

You can look at his records.

The diagnosis I made was to temporarily stop the bleeding

and operate when vitals are stable.

Is that right?

Or should I be like Chief

afraid the patient won't pay or afraid of trouble if the surgery fails

and let the patient sit in a coach bus for several hours

to return to a county hospital for surgery?

I've looked at this case.

Temporarily stop the bleeding and operate when vitals stabilize.

That was the right decision.

- Then shouldn't the surgery be done? - That's why

when the patient's condition was stable

I performed the radical surgery for him.

The surgery ended 20 minutes ago. It went smoothly.

At the moment, the patient is in good condition.

You did the surgery?

Chief Yang.

Diagnosing a patient and carrying out the necessary treatment

is a doctor's fundamental privilege.

Have I been stripped of this privilege in Thoracic Surgery?

Or is the specialist you hired the only one with this special privilege?

I never have double standards.

I respect a doctor's rights

but doctors must also respect the wishes of patients and their family.

The family's wish was to have the surgery done at a county hospital.

How come the specialist you hired could operate immediately?

Dr. Lu, I conducted the surgery

only after the patient's family understood all the risks

and agreed to sign the paperwork.

Procedure was strictly followed.

I'd like to ask Dr. Zhuang and Chief Yang what methods you employed

to make the patient's family sign the papers and replace me as surgeon.

Do you know why the patient's family previously hesitated to sign the papers?

They were afraid of complications even after paying the fees.

Chief Yang took advantage of that mentality and misguided them

adding to their indecision.

Did you hear what Chief Yang told them?

I...

I wasn't present at the time.

Then please do not treat your speculations as fact.

More so, you shouldn't use it to pass judgment on others' ethics.

There's one more very important reason why the family refused to sign.

They were afraid they wouldn't be reimbursed for surgery done here.

If this elderly patient didn't have surgery immediately

his life would have been in danger while transferring between hospitals.

Then would money be more important than his life?

Even if you offer the best treatment

it's meaningless if the patient can't use it.

What do you say?

Two months ago, newly revised insurance policy terms were released.

It is clearly stated that in the event of a life-threatening medical emergency

after acute care is received

a medical institution with appropriate standards should be selected

according to the patient's conditions, and medical treatment be continued.

In other words, this patient can be reimbursed for surgery at this hospital.

This stipulation was passed just two months ago.

And it varies across different regions.

Medical Affairs must still be researching the fine print

and hasn't yet arranged for all departments to study it.

Dr. Zhuang has explained very clearly the condition of the hemoptysis patient.

Next, let's discuss another complaint.

Mr. Zhao Wei Gang, who has esophageal cancer

has been unwell post-op.

His family demands a consultation from a specialist from another hospital

to ascertain there was nothing questionable about the surgery.

I did not violate any rules.

There's no problem with hiring an external consultant.

I'd like to ask a question.

Are all patients who feel unwell after surgery free to question us?

Will external specialists be hired every time?

The patient's family is most displeased that

other patients had the use of a surgical stapler

while their father did not.

Other patients did not appear to be unwell post-op.

So they believe your surgical technique is outdated.

Chief Yang, as a thoracic surgeon

do you think a 79-year-old who has had two major surgeries

and has various underlying illnesses

can have a comparable post-op recovery to a 30-year-old man?

The elderly recover slower than others. Is my surgical skill to blame?

Since you know he is an elderly patient

you should have made clear to the patient all unknown possibilities

to put an end to any misunderstanding.

However, you didn't even provide them with the choice of surgical staples.

Do you not know the quality of my handwork?

Do you not know the statistics of over 300 cases over the course of a year?

The choice I gave the patient is the fastest and most inexpensive method.

Is that wrong?

The problem lies in the fact you didn't give them a choice

resulting in their belief that you made a biased choice of surgical methods

for the benefit of your own personal interests

bringing about the patient's poor post-op condition.

You're saying I didn't let them use surgical staples for my own benefit?

That is how the patient's family sees it. I'm not the one saying it.

How come this patient's family's view is so much like yours?

Lu Chen Xi, what are you saying?

You went through all this trouble today just for one purpose: to make me leave.

You don't need to say the word. I'll leave myself!

I'm sorry, Director Fu.

I only know how to use a scalpel.

I'm not as eloquent as Chief Yang or Dr. Zhuang.

You don't need to rack your brains for a reason to make me leave.

I'll leave.

Lu Chen Xi, you stand right there!

You saw everything!

Where was I wrong today?

All right, it's on me that I was not aware of the insurance terms.

I also admit I was rude to patients.

However, I won't be using Yang Fan's medical apparatus now or in the future!

If you have an objection, you can bring it up directly

or report it to your supervisor.

Once you're hit with criticism, you pull a long face and act out?

For whose benefit?

Is Renhe Hospital a place you can just come and go from as you please?

Pick this up.

I was born in Renhe Hospital.

It's been almost 11 years now since my internship.

There are many mentors seated here who can say they watched me grow up.

I don't wish to leave either.

However, Renhe's Thoracic Surgery

is no longer the same as when you were chief.

I'm not the only one! There are many colleagues who feel just as woeful.

Even if I don't leave now...

I can't stay much longer anyway.

Don't stop me.

Dr. Lu.

You're all here.

I know you're all secretly annoyed at me and call me twisted.

Now your twisted teacher is getting out of here.

You can all relax now.

Nobody will nitpick and lecture you now.

Dr. Lu, we were afraid of you, not annoyed at you.

We also know you criticize and lecture us for good reason.

Dr. Lu, I was hoping to become your research student after graduating.

Dr. Lu, even my mom knows.

Ever since I started interning, I've mentioned you all the time.

Look, even my hairstyle is a copy of yours.

Is my hairstyle that ugly?

Thank you.

Do a good job.

[Doctor in Charge: Lu Chen Xi Primary Nurse: Liu Jing Fei]

In the beginning, we made an exception to promote Lu Chen Xi

because the circumstances were unusual.

Director Fu was seriously ill and needed surgery.

Several department chiefs had just retired.

There were no suitable clinical or managing personnel.

Dr. Lu had outstanding clinical standards.

Director Fu and I both believed she would grow with time