Surgeons (外科风云)

Doctor-patient relationships are sensitive and difficult to maneuver.

Lu Chen Xi is endangering the department by doing this.

What's your opinion on this?

May I take a look at the patient's medical records?

Sure.

I have a pulse.

How long has it been?

- Three minutes, 47 seconds. - Carry on.

The patient doesn't have a history of heart disease.

It's so scary that this suddenly happened.

Yes, the patient didn't recount any history of heart problems

but he had surgery to mend a perforated stomach

in our General Surgery department three years ago.

He went into V-fib during the surgery.

It's written in the General Surgery records.

Zhi Wei, expose the lymph nodes. Take care not to nick the trachea.

Okay.

Clamp.

Chu Jun is still new here.

She may not be familiar with our team's practices yet.

Dr. Lu has always requested we familiarize ourselves with

a patient's medical history before surgery.

Okay.

Besides history of V-fib in the patient's records

the patient complained of palpitations at 11:15 p.m. last night.

The nurse didn't notice anything abnormal with the bedside electrocardiogram.

However, we can't rule out the possibility of transient arrhythmia.

Dr. Chu, this was mentioned during the shift change this morning.

I heard it.

But... I thought it was a routine report.

Cleaning of lymph nodes complete.

In the medical field, all routine reports

are comprised from experience garnered from accidents and deaths.

They're matters that every doctor must take note of

and not just a mere formality.

Begin closing up.

Sutures.

You're not using the stapler?

Suturing by hand.

Do we need to ask Chief Yang for instruction?

If you want to report it, it's your business.

I am in command in the OR.

This is ER's Chen Shao Cong. Is Lu Chen Xi out of surgery?

- Not yet. - Not yet? When will she be out?

There's no saying. Do you need something?

Have her call me as soon as she's out.

All right.

Hold on! Dr. Lu is coming out.

Dr. Lu, a call for you.

Hello, this is Lu Chen Xi.

You're finally out.

Your hemoptysis patient is leaving.

Chief Yang, Wang Chen says you sent the hemoptysis patient back to the ER.

After Wang Chen explained to the patient

his condition and the complications of surgery

the patient decided not to go ahead with surgery.

He will be leaving after he is stable.

These are the patient's exams and medical history. Take a look.

He has such severe pulmonary lesions.

His life will be in danger if he bleeds again.

In my 11 years as a doctor

I've never seen someone in this situation fully recover without surgery.

I also don't believe a county hospital is capable of completing this surgery.

It is the decision of the patient's family.

What does the patient's family know?

Do they understand empyema and sepsis?

Do they know what will happen if the bronchial artery bleeds?

Dr. Lu, please mind your attitude.

Being an excellent surgeon isn't an excuse to be arrogant.

As a doctor, you must learn how to respect your colleagues and patients.

I don't respect patients?

Misleading patients into not selecting surgery

for fear of inconvenience or not being paid.

Is that how to respect patients?

Director Fu, are you busy right now?

I must take up a few minutes of your time today.

Keep a close eye on Observation Unit 2. Best to get another electrolyte panel.

And pay special attention to the severe hemoptysis patient.

If he insists on leaving, make sure he signs all the paperwork.

His blood gases are still low. He could bleed again at any moment.

Okay, got it.

Unit 6...

Who's that?

This big shaded area is an abscess.

This here is a blood vessel.

The abscess is so large, it may encroach on the blood vessel.

Moreover, a lung abscess is highly likely to lead to sepsis.

What's that?

It's like a pustule growing on the skin.

If treated early, you can heal from it completely.

But if you delay treatment

there'll be more rotten flesh and will be difficult to heal.

You'll have to cut it out.

Otherwise, if the infection cannot be controlled

bacteria will enter the bloodstream.

I understand now that you explain it this way.

It must be cut out.

It's like a coworker of mine who injured his leg.

He didn't get it treated in time and the wound was oozing pus and blood.

In the end, a large piece of rotten flesh was removed.

The doctor said if he waited any longer, he'd have to amputate the leg.

So does that mean you agree to surgery?

No, I don't.

Dr. Lu is a favorite pupil of yours, Director Fu.

It's not good for me to have too many disputes with her.

I'm afraid if I say the wrong thing, it would be a bad influence.

You can handle the doctors of your department as you see fit.

No need to put me into consideration.

All right, then. I'll say a few things to Dr. Lu in front of you.

First, you have a very poor attitude at work.

Yes, I was rude to Chief Yang just now. I apologize.

But you've looked at this patient's case, Director Fu.

From a professional point of view, was my decision wrong?

Dr. Lu, I'll remind you again.

We don't merely look at medical issues.

In today's case, it's not important what you decided on.

What matters is what the patient's decision is.

I request to speak with the patient again.

Lu Chen Xi.

Let Chief Yang finish.

Thank you, Director.

Where was I?

Attitude.

Yes, attitude. Poor attitude!

It's not just toward me.

Many patients and their family members have made this same issue known to me.

Second, this patient clearly stated he was not going ahead with surgery.

The patient's family came to this decision themselves.

Since I am chief

I require all my doctors to respect their patients' decisions.

They must not be so arrogant.

Who is arrogant? Who am I not respecting?

Since you are an employee in my department

then you should abide by the department's rules.

You can't disregard the rules just because you're a skilled surgeon.

And I accept your apology today.

I hope you will learn from this lesson and not make a similar mistake again.

Director Fu.

Let this patient go.

Unless he requests surgery himself, don't bring this up again.

Lu Chen Xi, go take a break.

Prepare for the afternoon's consults.

Director, I hope you won't blame me.

There really are too many colleagues and patients

who have expressed dissatisfaction with Dr. Lu.

I won't keep you any longer. I'll be going now.

Yang Fan.

Last month, you didn't provide any general outpatient services.

Is that true?

You're saying the same thing Chief Yang did.

Neither of you will guarantee the surgery will be a success.

What is your occupation?

I'm an electrician.

Isn't it true that when you connect a circuit, you can't guarantee

there won't be short circuits, open circuits, or other malfunctions?

Who would make that guarantee?

But the work of a highly experienced and skilled electrician

would have a considerably lower possibility of malfunction, right?

Yes.

Renhe Hospital does receive many more cases than a county hospital.

The doctors here also have much better training and experience.

The more difficult a surgery

the more reason it should be done at a big hospital.

What do you think?

There have been a lot of academic conferences lately

and my research obligations have been more pressing.

I've overlooked clinics for a bit.

That isn't an excuse.

Renhe Hospital is a clinical hospital first and foremost.

No matter what position you hold or how busy you are

providing clinic services to patients comes first.

You're right, Director.

I haven't been managing my time well.

Yang Fan, you've been chief for many years now.

You must take note to balance clinics, surgeries, research, and management.

Don't devote too much energy to procuring medical equipment and pharmaceuticals.

That shouldn't be your primary focus.

Director Fu.

Ever since your surgery two years ago

your chest pain hasn't gotten any better, has it?

I don't have any major issues.

It's very important to take care of yourself post-surgery.

If there are any side effects, they should be actively treated

and drug use should be controlled.

The pain shouldn't be so bad that you take excessive pain medication.

Even to the point that...

you take your medication with alcohol.

As director of the hospital, you have to manage day-to-day affairs

as well as perform general surgeries.

It is indeed quite taxing.

But as for mixing alcohol and medicine when you operate--

I do not!

I've never been on medication while in surgery.

Yes, yes.

I can't say that.

I know there is a difference between

normally overdosing on medication and drinking to excess

and taking medicine and alcohol after you're finished with surgery.

But would the media and reporters understand?

Would the public understand?