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

Chapter 246, Section 243: Expansion of the Source of Infection
The Security Office and the Medical Affairs Department are both places that handle medical disputes. The difference is that the Security Office focuses on handling disputes that are more related to medical conflicts.

Conflicts that require police intervention are generally handled by the security office.

After the traffic police and public security officers finished explaining, Yao Xin said, "After the patient was transferred to our hospital's emergency department by ambulance, our emergency department's resuscitation room immediately began resuscitation."

"In such an emergency, even with timely rescue and transfer to the operating room, the result would still be the same, if we had to wait for the family to sign the consent form."

"Comrades from the public security system, the two patients who were brought here don't need any follow-up care. Just take them to the morgue and that's it."

"If the rescue is not timely, it is an attitude problem. If the rescue is timely, but the ability is relatively limited, it is a regional problem. We can only do our best and give the best of our ability to the front-line and second-line doctors on duty that day."

"Therefore, the claims made by the patient and their family that the surgery was performed without proper consent or that the technique was inadequate are unfounded."

"Nie Ping, one of the few associate chief physicians in our hospital, is involved in surgeries in the trauma surgery subspecialty of orthopedics."

"In Xiangzhou, how many hospitals can have associate senior physicians on duty every day? As far as I know, only our hospital has such a reserve of doctors."

"Since the rescue was timely, and the level of the rescue personnel and surgeons was close to the ceiling of our hospital, the fact that they still couldn't save the patient only proves that the type of emergency patient sent to our hospital was beyond our hospital's emergency service capacity."

"The injury was too severe."

One of the patient's relatively young family members retorted, "Doesn't your hospital have chief physicians?"

"Director Wu was on the second shift yesterday. Several associate chief physicians and chief physicians in the trauma surgery department take turns on duty."

"Even donkeys need rest. We can't expect Director Wu, who's over fifty, to be on duty every day. He's risking his life, isn't he?"

“If we arrange it this way, our hospital will be without a chief physician for trauma surgery,” Yao Xin explained earnestly.

"What do you mean?" The patient's family member was very alarmed.

Yao Xin chuckled: "Every hospital is short of chief physicians, and many hospitals hope to poach them."

"If the on-call arrangements are too inhumane, wouldn't Director Wu, a doctor of such high standing, know to run away?"

The patient's family member said, "Now that my brother is dead, we can only accept our bad luck?"

Yao Xin said, "The responsibility lies with the perpetrator, or someone with equal responsibility, not with our hospital."

"Our hospital's on-call supervisor is legally authorized to grant surgical permission, and we granted that authorization immediately, without delaying the rescue..."

A police officer said, "Gentlemen, we understand that you are saddened by the unfortunate passing of your family members."

"This is something none of us wanted to see, but it has already happened and it's a fait accompli. The hospital has indeed done its best, and if the result is still the same, we can only accept it with our condolences."

"The hospital is quite busy. I just heard from Dean Yao that there is another person still in the operating room being treated at the scene of the car accident."

"There may be other patients coming, so let's not waste any more time."

The person who knew more was the deceased's younger brother, who was also the main person in charge of speaking this time: "I just don't accept this. Why is it that the other person who was brought in with my brother still has a chance to be saved, but my brother?"

"This? It's just a matter of luck choosing between two options?"

Yao Xin replied, "It wasn't a choice between two options, nor was it our choice. We did our best to save them. It was fate. If they couldn't be saved, they couldn't be saved. It's not a matter of luck, but rather a difference in their conditions."

"Our emergency department also has some relatively common, minor emergency cases. These are the ones that are relatively safe and reliable..."

After about ten minutes, the patient and his family were finally dismissed.

After the security office staff escorted the patient's family to the morgue to claim the patient and death certificate, Yao Xin rubbed his forehead wrinkles.

The medical staff and the on-duty personnel have not yet left.

He looked at Dou Haiqing from the medical affairs department and asked, "How many patients have we seen this month who were authorized for emergency treatment but failed? It seems like we've seen significantly more cases than before."

"Dean Yao, is this the third or fourth case?"

Dou Haiqing said, "I also asked some of my colleagues in surgery. According to them, the reason why the frequency of cases where the on-call authorized surgery but failed to save the patient has increased is that the frequency of extreme cases sent to the operating room from the emergency department has increased by at least one-third compared to before."

“In the past, some patients with these diseases would have died in the emergency room.”

"If the patient dies in the emergency room, the family will have fewer complaints, since we didn't do anything before the patient was gone."

"Once the patient enters the operating room, they lose both their life and their money. In principle, the patient's family will also have to pay a lot of rescue and surgery fees."

An administrative department like Dou Haiqing's is responsible for analyzing the core issues that lead to medical disputes.

If Dou Haiqing put himself in the patient's shoes, he could understand the patient's reluctance to accept the situation.

We arrived, our loved ones had passed away, and now the hospital is asking us to pay bills.

Am I going to buy a corpse with money?

However, the hospital will have to ask the family to pay this fee, because according to China's current medical payment system, if the patient's family does not pay, the cost may have to be shared by the clinical doctors!
Doctors paying out of their own pockets to save lives? How will they make a living then? Will they still be able to put in their best effort for future emergency care?
Of course, in the end, the money will definitely go to the responsible party, but the patient's family may face disputes and other problems.

Ultimately, it still comes down to money.

Yao Xin, who also holds a senior surgical title and works on second-line shifts, nodded upon hearing this: "To be precise, the emergency department's ability to escort patients with extreme conditions into the operating room has improved, but our surgical specialties haven't caught up in dealing with these extreme cases, right?"

Dou Haiqing's eyes flashed, and he smiled, "Dean Yao, it's not like that. It might just be a matter of probability."

Yao Xin is a surgeon and also the vice president in charge, so Dou Haiqing certainly wouldn't dare say that Yao Xin is incompetent.

“This isn’t about reporting to outsiders. We need to analyze the key issues and find the right solutions. Otherwise, we’ll just keep running around like this, which isn’t right.” Yao Xin gestured for Dou Haiqing to clarify his point.

Dou Haiqing said, "Dean Yao, I have also talked to many associate chief physicians on the second-line shift. They said that these relatively extreme diseases have rarely been able to be sent to the operating room in the past."

"Specialist clinics lack experience in treating such cases, and suddenly having to deal with this type of disease is indeed a bit unfamiliar."

The survival of a trauma emergency patient can be attributed to the many trials and tribulations they have endured.

Whether they died on the spot.

Will they die on the way to the hospital?

Will I die in the emergency room? Will I die in the operating room?

Are they going to die in the ICU?

Only by surviving can one truly come back to life.

Yao Xin then asked, "Dou Haiqing, has your medical affairs department spoken with the colleagues in the emergency department? What did the emergency department say?"

"Since specialists say there's been an increase in the number of people with extreme conditions being transferred from the emergency room to the operating room, there must be a specific reason why, right?"

Dou Haiqing exchanged a glance with the person on duty, scratched his head, and said with a wry smile, "Dean Yao, the situation is actually similar to the last time the leaders of the Health Commission came down for inspection."

"That is to say, Dr. Lu Cheng, who joined our hospital this year through the selection exam, has outstanding personal abilities."

"While he reduced the mortality rate of patients visiting the emergency surgery department, he also sent more patients to the emergency operating room."

Yao Xin frowned: "Why is it him again? We can't seem to stop talking about him lately, can we?"

"Our hospital is a unit. We shouldn't boast about individual abilities or promote individual heroism. We should be a large team."

Dou Haiqing smiled wryly and said, "Dean Yao, actually we didn't want to report this reason either, so we've been keeping it under wraps."

"But that's the truth. According to Xiao Zhaoxi, the director of the emergency department, Dr. Lu Cheng's hemostasis technique is very suspicious."

"Two important capabilities in emergency surgery are speed of opening and hemostasis."

"Dr. Lu Cheng has good abilities in both areas, so his skill level will be significantly different from others in emergency rescue."

"Although there is currently no official recognition of the technique of blind-vision hemostasis, a very small number of people do have this talent."

"Their existence is the core reason why emergency surgery mortality rates are reduced."

Dou Haiqing paused slightly at this point: "Specialist doctors find it a bit troublesome, but we don't even dare to go to Dr. Lu Cheng for any mediation."

"The emergency department is where patients whose lives are at stake are treated. Dr. Lu Cheng did not force himself to improve himself and engage in personal heroism. He was just doing his duty as an emergency room doctor."

"So, to correct the current situation, it seems we can only wait for our surgical colleagues to gradually get used to it and continuously improve their skills."

Yao Xin nodded slightly, and then asked, "Does that mean that if it weren't for the incompetence of specialists who increased the mortality rate of emergency patients, the overall mortality rate of emergency surgical diseases could be even lower?"

Dou Haiqing nodded: "Based on the data we have, this is indeed the case. When Dr. Lu Cheng is on duty, the number of special cases that can be sent into the operating room is at least one-third higher than when Director Xiao is on duty."

"This ability is just too unreasonable." Dou Haiqing laughed at himself.

no way.

If Lu Cheng takes the initiative to swap shifts with others, work extra shifts, or go outside the hospital to perform emergency rescues just to enhance his own reputation, then that reveals Lu Cheng's character and ulterior motives.

Lu Cheng didn't do any of those things. He just worked his shifts when he was supposed to, and when he wasn't on duty, he blended into the hospital atmosphere and slipped away faster than a rabbit.

Lu Cheng simply performed his duties diligently and to a high standard while on duty!
Even so, with Lu Cheng's current abilities, he can still create a 'relative imbalance in the system', so what can you do about it?

In such a situation, even if you don't want to promote individual heroism, you must still isolate this factor and explore solutions.

Otherwise, if the number of emergency surgeries authorized by the duty officer increases, the number of failures will also increase, and the leaders will have to come out to deal with the situation more often.

In the hospital, the on-call staff and the medical affairs department are just doing their jobs. But what if the vice president on duty gets angry when dealing with the situation next time?
The dean also has to be on duty, but the nature of their duty is different; it mainly involves handling major issues.

Yao Xin took a deep breath and said, "Then at the next weekly meeting of the college, we'll discuss this point separately and see if we can come up with a comprehensive solution from the other deans or directors."

"Dou Haiqing, do you have any good suggestions?"

Dou Haiqing glanced at Yao Xin, then at the sullen-looking duty officer, and cautiously said, "I just have an immature idea, which cannot be called a suggestion."

"Speak," Yao Xin said, raising her voice as if she were about to get angry.

"Granting Dr. Lu Cheng the right to follow up on surgeries in the operating room might solve the problem."

"Because according to the reports from the death case discussion records, more people died in the operating room this month, and the cause of death was hemorrhagic shock."

"Dr. Lu Cheng was able to fight for them in the emergency room. If Dr. Lu Cheng could go into the operating room, he might be able to give these patients another chance."

"However, Dr. Lu Cheng only has an intermediate professional title. Generally, those who can follow up from the emergency department into the operating room are participating in 'emergency consultations,' which requires an associate senior professional title."

"Or it might be a special approval from the Dean's Office, which is an agency authorized by Dean Yao and you."

Yao Xin said with difficulty, "Lu Cheng has just come to our hospital, and we want to promote his authority and benefits. I'm afraid other colleagues will have objections."

Yao Xin knew Lu Cheng, and from a personal standpoint, he was happy to do so. Because, if conditions allowed, he also wanted to invite Lu Cheng into the operating room to perform some 'new surgeries'!
But Yao Xin hasn't done that yet, because he doesn't want Lu Cheng to be unconventional, as that would make it difficult to win over the public.

Dou Haiqing said, "Personally, I think it's highly unlikely."

"The more you work, the more you earn."

"At least the associate senior surgeons who have participated in emergency surgeries won't have these thoughts. As long as the superiors in the emergency department don't object, there won't be a big problem."

"According to the current reformed salary system, more work means more pay. The comprehensive evaluation system for the emergency department includes the rescue rate, low mortality rate, and work efficiency. In addition, Dr. Lu Cheng has a long tenure and has been working for a long time to advance to the intermediate level."

"It will also win people's hearts."

"The question now is whether Dr. Lu Cheng himself is willing to do this."

"From what I understand, Dr. Lu Cheng is a relatively cautious and defensive person," Dou Haiqing said.

Yao Xin thought for a moment and said, "I'll talk to Dr. Lu Cheng about this privately. If this conflict can be resolved in this way, then let's resolve it as soon as possible."

Yao Xin's idea was that talent is talent.

In the medical field, as long as your clinical talent is high enough, you will never be overlooked.

The only thing that gets buried is that your personal abilities are not strong enough, not outstanding enough, and unable to create 'contradiction'!
(End of this chapter)