This miracle doctor just wants to be fired!

The following week, the team completed a new version of the training manual.

The original stopping conditions, which were only one page long, have been expanded into independent chapters. Instead of using vague descriptions like "sufficient," each observable metric has been broken down into its own section.

It was also clarified that once the basic conditions for stent implantation are met, no additional processing should be performed solely on the grounds of "completing the original procedure".

The teaching cases were also reselected.

In the past, during training sessions, people were more willing to demonstrate how complex lesions could achieve excellent results through step-by-step treatment.

However, among the new cases, Zhou Cheng added some cases where stent implantation could be postponed.

In addition, Linjiang City suspended the relevant technology for one month to review all 28 patients. Three patients were recalled in advance for re-examination, and one asymptomatic case of insufficient stent expansion was found and treated in a timely manner.

Liu Tao was not disciplined separately. The hospital characterized the problem as an incomplete technology introduction and training system, and tightened the admission criteria for cases.

……

From a clinical perspective, things had been gradually stabilizing.

The patient received follow-up treatment, the problem was made public, the training manual was revised, and the hospitals participating in the promotion began to relearn the stopping conditions and decision-making points.

Zhou Cheng even compiled the original videos of the earliest thirty surgeries, intending to include them, along with cases from Linjiang City, in publicly available teaching materials for other centers to review.

However, after this incident was reported, the public reaction did not subside after the rectification was completed.

Initially, there were only scattered discussions on industry forums.

Some have questioned whether Zhou Cheng's team promoted the technology too quickly, placing undue risks on grassroots hospitals before the technology's applicability was fully defined.

Some argue that county-level hospitals should not be performing surgeries for complex calcified lesions in the first place.

If problems arise, the so-called training deficiencies are nothing more than an excuse to take responsibility for the grassroots operators.

These sounds are not unexpected.

Any new technology that develops serious complications after its promotion will inevitably face scrutiny.

Zhou Cheng did not evade the question, nor did he wait for public opinion to fully develop before responding passively.

Instead, they proactively released a complete post-mortem report in the name of the team, listing four serious complications and the revised measures.

The report did not place all the blame on Linjiang People's Hospital, nor did it downplay the increased complication rate by using small sample size events.

The team made the anonymized case data available and invited external experts to participate in the review.

The report also explicitly states at the end that new rollout plans will be suspended until a multi-center safety assessment is completed.

However, the doubts from the outside world have not disappeared!

Some people believe this was a serious teaching accident.

Some have begun to re-examine the team's past case series, questioning whether early studies underestimated complications.

Some have also questioned why, given how important it is to stop making judgments, it wasn't included in standard training content at the beginning of technology rollout.

These questions, though pointed, still fall within the scope of normal academic discussion.

What truly made everyone feel something was wrong was a series of changes that began a week later.

……

On this day, the National Complex Coronary Intervention Training Course, originally scheduled for next month, sent an email informing Zhou Cheng's team that the calcification release session would be postponed.

The email was very polite, only mentioning that recent controversies had been taken into consideration.

To avoid confusion for participating doctors, it is recommended to wait until the safety assessment results are clear before resuming the course.

That afternoon, another cardiovascular interventional society had already confirmed that Zhou Cheng would serve as the co-chair of the complex lesion sub-forum.

The secretariat called at the last minute, saying that the meeting agenda needed to be adjusted and that he should participate online instead.

The following morning, an interventional quality control center in another province issued an internal notice recommending that hospitals "temporarily refrain from using calcification release techniques that have not been adequately validated through evidence."

Although Zhou Cheng's name was not mentioned in the main text, all the case and complication data cited came from the twenty-eight patients in Linjiang City.

……

After that, things began to escalate further.

A national cardiovascular academic organization suddenly issued an expert initiative emphasizing that the promotion of new technologies must "adhere to evidence-based practice and oppose excessive dissemination based on personal experience."

The initiative did not name names, but industry accounts that forwarded the document quickly placed Zhou Cheng's public review report at the end.

The two were discussed side by side, as if the initiative had been directed at his project from the very beginning.

Lin Feng printed out all the notices and spread them out on Zhou Cheng's desk, already unable to contain his anger.

"I can understand the first announcement to suspend training. The second announcement to adjust the meeting can also be seen as an attempt to avoid controversy. But the third and fourth announcements don't seem like normal reactions."

Zhou Cheng was looking at a post-operative follow-up form when he glanced up and asked, "What doesn't seem right?"

"The timeframe is too concentrated."

Lin Feng laid out several sheets of paper by date. "Within three days, four different organizations acted simultaneously, and their wording became increasingly strong. We proactively disclosed the issues, suspended promotion, and opened up the data; we did everything we were supposed to do. If they were only concerned about security, they should have contacted the team or participated in the review first, instead of directly labeling the technology as 'unverified'."

"This technology still needs more verification."

"But we can't say that we're over-spreading information based on personal experience," Lin Feng said. "Your past case studies, prospective cohorts, and multicenter data are all there. Now, a report on complications at the primary care level comes out, and all the previous evidence seems to have suddenly disappeared."

Zhou Cheng did not immediately refute.

Seeing his still calm demeanor, Lin Feng became even more anxious: "Don't you find it strange at all?"

"feel."

"Then why are you so calm?"

"Even if we're in a hurry, we won't make them withdraw the notice."

"At least a response is needed."

"The post-mortem report has already been responded to."

"They're no longer discussing those four cases of complications."

Zhou Cheng closed the follow-up form and finally looked seriously at the documents on the table.

Lin Feng is right.

The initial controversy revolved around training deficiencies and patient safety, but later documents gradually shifted the focus to the compliance of technology promotion, the team's research integrity, and Zhou Cheng's personal influence on industry resources.

Some people have started to dig up his international conferences, research projects, and awards over the past few years, suggesting that the fact that a young doctor has acquired so many resources in such a short period of time is itself worth re-examining.

Even more outrageous, a so-called "internal peer review" appeared on the forum, claiming that Zhou Cheng's early publications on calcification decomposition procedures were selectively reported.

The file has no original source, yet screenshots have been repeatedly forwarded by multiple accounts.

In the end, some people directly wrote "whether the complications were underestimated" as "concealing the complications".

Zhou Cheng opened the forum and looked at it for a while; new replies were still being added to the page.

Some are demanding the retraction of the paper, others are calling for his suspension from his academic society position, and still others are suggesting a special review of all related funding projects!

These demands go beyond the normal questioning of a technology.