This miracle doctor just wants to be fired!

The whiteboard in the small conference room was already filled with writing.

Each word is connected by several lines, with question marks constantly appearing next to it.

Lin Feng stood in front of the whiteboard for a long time, then suddenly said, "Could it be that there's no common cause at all?"

The three students stopped what they were doing at the same time.

"What do you mean?" Li Mingyuan asked.

"Perforation is due to over-dilation, dissection is due to poor vascular conditions, poor stent apposition is due to insufficient imaging assessment, and acute thrombosis may be related to postoperative medication. It's just a coincidence that these four cases occurred within a month."

Zhao Sisi was the first to respond: "Statistically, it's not impossible."

What is the probability?

"We can't calculate it right now. There's no historical baseline, and we don't know the true complication rate of similar cases in Linjiang City before."

"They weren't this tall before."

"In the past, there were fewer cases, and the reports may have been incomplete."

Li Mingyuan frowned: "But the four operation paths are very similar."

"This technology has a fixed path," Lin Feng said. "As long as the same method is used, the video will naturally look similar."

Chen Yu remained silent.

She has already documented seventeen surgeries today, alternating between normal and complication cases, making it difficult to discern the differences from the written records.

All the surgeons were proceeding according to the procedure, and even Zhou Cheng's earliest cases did not deviate from this general path.

The difference seems to exist only in rhythm, but rhythm cannot be quantified.

She opened her notebook and saw the few sentences she had written that morning.

"After the first dilation, we paused for 32 seconds, then changed the angle after angiography."

"The assistant asked if they should continue, but the practitioner did not answer immediately. They proceeded directly to the next step, and the practitioner said, 'Let's do it one more time.'"

These texts are scattered across different cases, without forming a pattern.

What's more troublesome is that most of the videos in Linjiang City did not retain complete audio, so it is impossible to fully reconstruct what the surgeon saw at the time and why he decided to continue from the video footage itself.

She looked up at Zhou Cheng: "Teacher, why doesn't the surgical record record explain why each procedure was continued?"

This question came out of the blue.

Lin Feng turned to look at her.

Zhou Cheng didn't answer immediately, but instead asked, "Have you ever seen a surgical record written like this?"

"Never seen it before."

"Because conventional records mainly record what was done, what was used, and what the result was, it's impossible to record every single second of the practitioner's judgment."

"Will that be covered in the training?"

"meeting."

"To what extent?"

Zhou Cheng paused for a moment: "It will be discussed in the case discussion."

"What about hands-on demonstration?"

"Yes, it will too."

Chen Yu glanced down at the form.

"I watched these videos today. I can see what they did, but it's hard to know why they continued. In your earliest batch of cases, there were places where you would say 'wait a bit,' 'take another look,' or 'don't pursue it too much.' I rarely heard those words in the videos from Linjiang City."

Li Mingyuan said, "It's possible that the sound wasn't recorded."

"Maybe," Chen Yu said, not insisting. "I just don't know how to remember it."

Zhou Cheng walked to her computer and looked down at the table that already recorded seventeen cases.

Instead of classifying the instruments, Chen Yu broke down each surgery into a series of nodes. Each row included the pre-treatment state, the actions taken, the post-treatment images, the surgeon's next choice, and the time between the two actions.

The table is still very rough, with "cannot be determined" written in many places.

Zhou Cheng left most of the spaces empty, but after looking at it for a long time, he said, "Continue to memorize it this way."

"What to do with the empty spaces?"

"Empty."

"In the end, you might not be able to see anything at all."

That's the result too.

……

At 7 p.m., Zhou Cheng had the three students finish their work for the day.

This time, Li Mingyuan did not argue. He had been watching the angiography all day long, and even with his eyes closed, he could still see the guide wire and balloon moving in the black and white images.

Zhao Sisi backed up the database three times, while Chen Yu took the paper notes with her, preparing to go back and reorganize the table headers.

As they reached the elevator, Li Mingyuan suddenly asked, "Do you really think it's a problem with the decision-making process?"

Chen Yu shook her head: "I don't know."

"So you've been memorizing the pauses?"

"Teacher Zhou told me to write it down."

"How long can you stop taking medication, and what is the relationship between that and complications?"

"It's probably okay."

Li Mingyuan glanced at her: "These past two days, all you've said is 'I don't know' and 'maybe'."

"I didn't know."

Zhao Sisi stood to the side and pressed the elevator button. She chuckled when she heard their conversation.

"In this respect, she best meets Teacher Zhou's second requirement."

The elevator doors opened, and three people stepped inside.

Just as the door was about to close, Chen Yu glanced one last time at the small conference room at the end of the corridor.

Zhou Cheng was still standing in front of the whiteboard, while Lin Feng was tidying up the documents on the table. The two figures were cut in half by the door frame, but the arrows and question marks on the whiteboard were still clear.

……

That evening, Zhou Cheng did not continue watching the video from Linjiang City.

He retrieved all the earliest 30 surgical records and compared them one by one with the preoperative discussions and postoperative summaries from that year.

Lin Feng stood by the table and flipped through a few old records.

"These things were all mentioned back then."

"I have said that."

"Those who come for further training have also participated in surgeries."

"Um."

"Then you can't say you didn't teach them."

Zhou Cheng did not respond.

Raymond Lam put one of the papers down: "You're not starting to think it's your problem, are you?"

There is no evidence yet.

"Don't take the blame without evidence."

"I didn't take it."

"All you've been looking at these past few days are your own early surgeries."

"Because the control group is the most complete."

Lin Feng knew he had a point, but he was still a little worried.

"I'll just remind you of one thing. When complications arise after the technology is promoted, it doesn't mean all the problems can be traced back to the inventor. Expanding indications in primary care hospitals, insufficient use of imaging technology, and lack of experience among the team are all objective factors."

Zhou Cheng finally looked up: "I know."

"So what are you thinking about right now?"

"I'm wondering why they did everything right, yet they still ended up making a mistake."

The office fell silent.

There was no rain outside the window, and the lights in the distant buildings were going out one by one, but several floors of the inpatient department were still lit.

Zhou Cheng turned to the last page of an early surgical record, where he found a note he had written back then.

The lesion has been treated to meet the requirements for stent implantation, and no further expansion is needed.

There are no parameters, no specific thresholds, and no explanation of what constitutes "meeting the requirements".

That was just a comprehensive judgment made by the surgeon based on images, touch, blood flow, and the patient's reaction. Once it was written down, it was just a sentence that could not be copied.

……

By the end of the second day's debriefing, they still had no answers.

While the relaxation of indications is a real issue, it cannot explain all complications.

No common abnormalities were found in the instruments, pressure, or number of repetitions.

Small sample fluctuations are possible, but insufficient to support continued implementation.

The surgeon's actions appeared to follow the procedure, and it was precisely because they followed the procedure so closely that each mistake seemed difficult to spot.

They found more and more problems, but they couldn't find the real reason that linked the four cases of complications together.

In the spreadsheet that Chen Yu had not yet finished compiling, a discrepancy had already quietly appeared between the earliest thirty surgeries and the twenty-eight surgeries in Linjiang City.

In Zhou Cheng's early surgeries, there were many pauses that could not be categorized.

In surgeries in Linjiang City, almost every pause is immediately followed by the next procedure!