This miracle doctor just wants to be fired!

"The doctors in Linjiang City didn't operate arbitrarily, nor did they generally exceed our recommended pressure or instrument sizes. They did it very carefully, even more strictly than many others. That's precisely where the problem lies."

"They completed every single step."

"In my past training sessions, I showed everyone how I did things, but I didn't explain why I stopped at certain times."

At this point, Zhou Cheng did not turn the page again.

He looked at the doctors on the screen who had once come to their center to learn and who had expressed their trust in the technology at meetings, and his voice remained unchanged.

"This is a problem with the training design; the responsibility lies with our team."

After a long silence in the online meeting, Liu Tao from Linjiang City was the first to speak.

"Professor Zhou, we did relax the indications, and the imaging wasn't done according to the standard requirements. In that case of perforation, I judged that the first dilation wasn't enough, so I continued. We can't put all the blame on the training."

"It's not entirely our responsibility," Zhou Cheng said. "But if we only write about the broadened indications and insufficient imaging, the next hospital may still repeat the same problem with patients who fully meet the indications and have received imaging treatment."

Liu Tao did not speak.

"Why did you continue after your first expansion?" Zhou Cheng asked.

"The residual narrowing is still there."

"Is it possible to implant a stent?"

"able."

Is the blood flow stable?

"Stablize."

"Is there a hidden compartment?"

"no."

"Then why must we continue?"

Liu Tao opened his mouth, and after a while, he replied, "Because according to the training procedure, it should be done again."

After those words were spoken, several people in other hospitals simultaneously lowered their heads in the footage.

They had clearly made similar choices in their own surgeries.

Zhou Cheng opened the first page of the newly revised edition.

The original one-way flowchart, from assessment to pre-expansion, then to device upgrade and stent implantation, has been changed into multiple cyclical nodes.

After each treatment, blood flow, vascular wall response, and the benefits of further treatment must be reassessed. Only when the benefits of continuing the procedure clearly outweigh the risks should the next step be taken.

"Starting today, all hospitals that have already implemented this technology will suspend handling complex cases until they complete retraining and case review before resuming."

"Second, the indications for treatment have been tightened again, and borderline cases should not be performed independently in centers that lack endovascular imaging and surgical support."

"Third, the training content will include stopping procedures. In the future, demonstrations will not only show successful operations, but also cases of changing the plan midway, accepting imperfect results, and voluntarily stopping the procedure."

"Fourth, all centers review past cases, especially those involving repeated dilation, insufficient postoperative expansion, and vascular injury. Any problems must be reported immediately, and no responsibility will be pursued for delayed reporting."

Fifth, we will release the results of this review and revise the training recommendations that have already been published.

After the last point was made, someone in the online meeting visibly moved.

Publicly reviewing past events and internally rectifying them are not the same thing.

Once released to the public, peers will know that the technology has encountered serious complications during its promotion, and that the initial teaching system was incomplete.

Some might use this to question the entire technology, others might re-examine Zhou Cheng's past research, and some might even extend a single training defect into a denial of an individual's abilities.

A director of a provincial hospital spoke up, "Professor Zhou, shouldn't we complete more internal verifications first before releasing the data publicly? We only have twenty-eight cases so far; wouldn't it be too hasty to definitively conclude that the training is flawed?"

"The level of risk can be further studied," Zhou Cheng said, "but the fact that the decision to stop has not been adequately taught is already confirmed."

"If it is made public, the outside world may think that the technology itself is insecure."

"If a technology cannot be executed securely without our team, then it cannot be considered mature in the first place."

The meeting fell silent once again.

Lin Feng sat to the side, watching Zhou Cheng, without saying a word.

This is a very serious statement!

It's like putting all the past successful cases back into the evaluation criteria.

The fact that Zhou Cheng's team did a good job is not enough to prove that the technology has the value for widespread application.

Only when other hospitals can perform the procedure stably and safely after proper training will the technique truly belong to clinical practice, rather than just to a few surgeons.

The meeting lasted for more than two hours.

Seventeen hospitals reported on their past practices one by one. Three hospitals admitted that there had been cases of postoperative stent expansion that was not ideal, but it did not meet the criteria for serious complications, so they did not report it.

Both hospitals mentioned that after training, surgeons did tend to complete all recommended steps, believing that the more complete the steps, the more reliable the results.

Another hospital mentioned that they had to stop a surgery early due to a patient's chest pain, and later, during the review, they were worried that they had not followed the procedures properly.

These scattered pieces of information gradually proved that Linjiang City was not the only center where this misunderstanding existed; it was just that they were the first to experience serious consequences.

Before the meeting ended, Zhou Cheng looked at the screen again.

"The problem this time is not that anyone failed to follow the instructions, but that we have packaged clinical judgment into a process that appears to be completely replicable in the past."

"Processes can lower the learning threshold, but processes cannot replace the practitioner's ability to reassess after each step. All future training must prioritize this aspect."

He paused for a moment after he finished speaking.

"I've been teaching them how to do it."

Lin Feng looked at him, but the three students didn't move.

Zhou Cheng stared at the conference room in Linjiang City on the screen, his voice still steady, "But we forgot to teach them when to stop."

There was no applause online, and no one spoke immediately.

This wasn't a sharing of successful experiences, nor a launch of a new technology; no one should applaud at a time like this. But it was precisely because there was no applause that the words truly resonated with everyone.

Liu Tao sat on the other end of the screen, lowered her head, and wiped her eyes with her hand: "Let's learn it again."

It was already dark when the meeting ended.

Lin Feng turned off the projector, but Li Mingyuan remained seated.

Zhao Sisi backed up the revised database and meeting minutes.

Chen Yu walked to the whiteboard and looked at the four words that had not been erased, wondering when it would stop.

"Teacher," she turned and asked, "will you be able to teach me this later?"

Zhou Cheng was tidying up the documents on the table when he heard this, so he stopped: "It's impossible to teach them completely."

"Is the training still meaningful?"

"have."

"But judgment still relies on experience."

Zhou Cheng continued, "From now on, we won't just tell them that this one case has been stopped, but also what they saw at the time, what they gave up, and what risks they took. Then we'll find similar and contrasting cases and let them make their own judgments."

Chen Yu looked at the two lines of text: "It's possible that the judgment was wrong."

Of course.

"What should we do then?"

"We'll correct it after we find it." Zhou Cheng put the pen back on the table. "There's no set procedure in clinical practice that can guarantee we'll never make mistakes. What we can do is not hide our mistakes, nor take past successes as a reason to believe we won't need to question them in the future."

Lin Feng stood at the door, and after hearing this, he smiled and said, "Today's class is much more expensive than your three research group rules."

"Where is it expensive?"

"It came at the cost of four serious complications."

The atmosphere in the conference room fell silent for a moment, and Lin Feng also stopped smiling.

Zhou Cheng looked at the four medical records on the table. "So we can't just exchange them for nothing."