This miracle doctor just wants to be fired!

This mistake is not basic.

Even with all the past successful cases as a foundation, it is difficult to detect.

The fact that the technology is safe in the hands of Zhou Cheng's team does not mean that the technology itself is inherently safe. It only means that they have incorporated a large amount of undocumented clinical judgment during the execution process.

Once the technology is transferred to other hospitals, those implicit judgments are stripped away, leaving only what appears to be a rigorous and complete operating procedure.

The clearer the process, the easier it is for learners to faithfully follow it!

"Let's look at the four cases again," Zhou Cheng said.

This time, they stopped looking for equipment errors and stopped comparing pressure.

They only look at why the practitioner continues after the basic goal has been achieved each time.

In the case of perforation, the surgical record stated: "To achieve more adequate lesion dilation, additional high-pressure balloon treatment was performed."

In the case of the interlayer, the surgeon said in the recording, "Do it again according to the original plan."

In the case of poor stent placement, the assistant asked, "Can we still place the stent?" The surgeon replied, "There's one more step in the procedure; we'll place it after that."

In the case of acute stent thrombosis, before the final dilation, the surgeon said, "Since we're prepared, let's do one more step; the result will be more stable."

No one was reckless, and no one deliberately sought adventure.

They all believed that completing all the steps was the most faithful execution of the training.

After watching the last video, Zhou Cheng turned off his computer screen.

All that remained in the meeting room were the words on the whiteboard.

Indications, imaging equipment, pressure, number of sessions, and surgeon experience.

These factors still exist and still need to be addressed, but what truly connects the four cases of complications is something else entirely.

They taught the techniques as mere operations, but failed to teach the judgment aspect.

Zhou Cheng stood up, walked to the whiteboard, picked up a black pen, erased all the intersecting arrows in the middle, and finally wrote only one line.

When will it stop?

His handwriting wasn't very good; when he finished writing the last stroke, there were still traces on the whiteboard that he hadn't been able to erase completely.

"Notify Linjiang City, "We will hold a joint debriefing this afternoon."

Lin Feng looked at him, "Only operating in Linjiang City?"

"All hospitals that have already implemented this technology have been notified."

Zhao Sisi was somewhat surprised: "Teacher, are we notifying everyone now?"

"Now."

"The conclusions still need further verification."

"The specific level of risk needs to be verified, but the problem has been clearly identified."

"How should we present this to the outside world?"

Zhou Cheng looked at the four words on the whiteboard: "The training content is flawed."

No one spoke in the small conference room.

Li Mingyuan originally thought that they would eventually conclude that "the indications for treatment in primary hospitals are not strictly controlled", "the use of intravascular imaging is insufficient", or "the surgeon's experience still needs to be accumulated".

These statements are all correct and easily accepted. More importantly, they leave the responsibility to the execution stage!

However, Zhou Cheng did not do that!

He did not deny the existence of problems in grassroots hospitals, nor did he take full responsibility for the four complications; he simply stated the most crucial and most difficult-to-admit aspects directly.

The training content was flawed.

This means that past courses need to be redone, procedures need to be modified, and all trained doctors need to be re-evaluated.

This means that published and ongoing research needs to be supplemented with further explanation.

This also means that outsiders will question why a technology that has already been promoted was only found to have missed the stop judgment in the teaching process after serious complications occurred.

Lin Feng paused for a moment, then took out his phone and began contacting the heads of various hospitals. "What time is the meeting scheduled?"

Zhou Cheng said, "Four o'clock in the afternoon."

Lin Feng frowned: "If it's so urgent, not everyone can get there."

"Those who cannot come can watch the video. Related cases will be suspended for today."

There are a total of seventeen nationwide.

"Notify all."

"What's the name of the meeting?"

Zhou Cheng thought for a moment: "Safety review meeting for the treatment of calcified lesions."

Lin Feng nodded, walked out of the conference room, and made a phone call.

After the message was sent out, the hospitals responded faster than expected.

Within half an hour, all seventeen hospitals responded. Three of them had already scheduled related cases for that day, but immediately suspended them after receiving the notification.

Liu Tao from Linjiang City was the first to enter the online meeting room. When his camera was turned on, two attending physicians and a staff member from the medical affairs office were sitting behind him.

The group looked exhausted, clearly having not had a proper rest for several days.

……

The online meeting officially began at 4 PM.

There was no backdrop set up in the main venue, nor was there a host to start the event.

Zhou Cheng sat in the center of the conference table, while Lin Feng and three students sat to the side. The screen displayed images from different hospitals.

Some people were sitting in their offices wearing white coats, some had just come out of the catheterization lab and hadn't even taken off their lead aprons yet, and some had called all the relevant doctors in the department to the conference room.

There were more than a dozen people sitting in the frame.

Everyone knew that a serious complication had occurred in Linjiang City, but no one knew what conclusion Zhou Cheng's team had finally reached.

After the meeting began, Zhou Cheng did not introduce successful cases or review the achievements in promoting the technology.

He looked at the screen and said, "There will be no experience-sharing session today."

People who were talking quietly in the online meeting stopped talking as soon as they heard this.

"I'm here to correct a mistake."

Zhou Cheng displayed the basic information of the four cases of complications on the screen.

Instead of concealing or emphasizing the need for expanded indications and insufficient imaging in primary hospitals, the entire surgical process was presented, starting from the first case of perforation.

"These four cases revealed issues such as overly broad application of indications, insufficient use of intravascular imaging, and a lack of experience among primary care teams in handling complex lesions. These issues require rectification. However, after three days of debriefing, we believe that these issues alone cannot explain the four complications."

He switched to the next screen, which showed angiography of four surgeries when they first achieved the basic pretreatment goals.

"What they really have in common is that these cases continued to complete the planned procedures even after they had already achieved acceptable results."

On the screen, some people started taking notes, while others frowned, seemingly not fully understanding yet.

Zhou Cheng played the early cases from his team alongside those from Linjiang City.

In the video on the left, he re-images, waits, changes the angle, and sometimes cancels the original operation after each step.

In the video on the right, the surgeon proceeds step by step according to the procedure, rarely changing the plan.

"In the past, during training sessions, we spent a lot of time teaching people how to choose instruments, how to expand step by step, how to identify calcification, and how to obtain more adequate lesion pretreatment, but we didn't explain another thing clearly."

Zhou Cheng paused for a moment, and the images from the seventeen hospitals all fell silent.

"When should we stop?"

Liu Tao sat on the other end of the screen and slowly raised her head.