Chapter 704: Taboo and Misdiagnosis!

"Professor Xiong, Professor Gong, Professor Yuan, allow me to briefly introduce this patient's basic situation on behalf of our group first." Qin Geluo stood at the front of the demonstration classroom, turning sideways to yield the space as the projector's page scrolled down and changed.

"Elderly male, 63 years old."

"Current primary diagnosis: bilateral lower limb post-traumatic sequelae stage. Post-cystectomy, post-urethroplasty; continuous stoma status post-rectal mangled injury surgery."

"Hemipelvic defect, bilateral femoral segmental defects, multiple soft tissue infections of bilateral lower limbs, multiple skin infections, fungal infection."

"Type 2 diabetes, hypertension, hyperlipidemia; post-coronary artery stent placement, post-abdominal aortic replacement."

"Lacunar cerebral infarction."

"What we mainly want to consult the professors about today is whether this patient is suitable for surgery? If surgical treatment is to be performed, which surgical treatments should be performed?" Qin Geluo finished his concise report in just over two minutes.

In the demonstration classroom, Yuan Weihong sat upright, eyelids drooping, gaze dim.

The corner of Fang Ziye's mouth also twitched uncertainly, right hand clenched into a fist, pressing on the metacarpophalangeal joint of his thumb with occasional cracking sounds.

There were quite a few people in the demonstration classroom: Gong Jiahe, Xiong Zhizhang, Yuan Weihong, Chen Fang, Peng Long, Qin Geluo, Li Nuo, Fang Ziye.

Nine people occupied the room yet it was utterly silent, a pin drop could be heard.

Qin Geluo paused for roughly half a minute and, seeing no one speak, steeled himself to continue: "There are some more minor examination results, I..."

Professor Xiong Zhizhang knocked on the table at this moment, cleared his throat, and turned toward Yuan Weihong: "Xiao Yuan, you directly tell this patient's background."

The four words "messy" were no longer sufficient to describe his current condition; "disastrous results" barely sufficed.

Yuan Weihong's right fingernail scraped his chin, the scrape marks turning pale gray: "Teacher Xiong, this patient has no special background; it's just that Urology's Director Wang pushed him over strongly after surgery."

Xiong Zhizhang withdrew the words that had reached his lips: "With the situation already this chaotic, what are his and his family's current demands?"

Yuan Weihong said: "The elderly man's children are quite filial, one son and one daughter, family conditions are pretty good; their current demand is simply for our hospital to try to find a way to treat him."

"No need to worry about medical expenses; the old man has commercial insurance, and after the insurance exceeds its limit, the children can also afford the sanatorium fees."

"I've already talked with the patient's family several times, but they just refuse to give up treatment."

Xiong Zhizhang continued asking: "Have they been to other hospitals?"

Xiong Zhizhang's thought was: this family can't possibly cling to Zhongnan Hospital alone and make us lose our hair, right?

Yuan Weihong knew this like the back of his hand: "The old man's son carried his medical records and visited almost every famous hospital nationwide; if not for the old man's own inconvenience, he'd probably have made the rounds already."

"Teacher Xiong, you surely know too: given the old man's current condition, no one wants to touch this bad-luck case."

"His injury occurred last November; at that time, surgery was performed right in our Zhongnan Hospital's emergency operating room; his lower limb limb salvage surgery was also personally performed by me as lead surgeon."

"Being able to save this life already exhausted all efforts."

"Later transferred to Urology; after surgery, he also continuously demanded further treatment."

"Since this January, Professor Wang Xinghuan of Urology has been insisting on transferring him to our Trauma Surgery."

"I used the reason that the patient's other specialty conditions were poorly controlled to refuse acceptance for nearly eight months straight."

"Mid-to-late this month, the patient's systemic infection was controlled; the patient requested treatment for bilateral lower limb multiple infections and bone defects; transferred to our Trauma Surgery."

"After transfer to our department, we originally planned to use the microcirculation instrument's microcirculation interruption surgery to treat the patient's bilateral lower limb infections, but the patient's vascular segmental sclerosis means he is currently unsuitable for microcirculation interruption surgery."

Hearing Yuan Weihong's long string of complaints, Xiong Zhizhang couldn't help but curse in a low voice: "Damn it, Wang Xinghuan will stop at nothing to climb up!"

Yuan Weihong had already tried his best to shirk, but with Wang Xinghuan constantly backing him, Trauma Surgery now had no choice but to accept this patient.

Now that the person has come over, Yuan Weihong also dared not act rashly: "After transfer to our department, I negotiated with the patient's family multiple times."

"The patient's family's minimum goal is to hope to resolve bilateral lower limb infections and bone defects, and restore normal limbs!"

"Otherwise, they demand to just stay hospitalized like this."

"Treat it as routine rehabilitation and maintenance."

A comprehensive hospital cannot arbitrarily refuse diagnosis, let alone expel people.

Unless it can be proven that the patient's condition has been cured.

But this patient is impossible to prove cured.

"It's because the family has a bit of money that they think to treat the hospital like an outside sanatorium."

After grumbling, Xiong Zhizhang said: "If the patient's family's attitude is truly resolute, Yuan Weihong, you just go through Medical Affairs and Security Office, recommend amputation and be done with it."

"If the patient and family forcibly refuse, then cite the family's refusal of treatment recommendations and have the hospital find a way to free up the bed."

"Given his current condition, recommending amputation treatment, no one would dare say a 'no'."

Professor Xiong Zhizhang was still very effective, immediately finding a suitable exit above the bottom line for Trauma Surgery.

In the hospital, the hospital's specialty can give very professional treatment recommendations, reflected in the medical record.

If the patient and family refuse treatment recommendations, they bear the consequences.

Yuan Weihong then said: "Teacher Xiong, if the family were willing to amputate, they could have done so long ago; they would have chosen that at the time of injury."

Gong Jiahe had remained silent, so his thinking stayed relatively objective; at this moment he spoke up to interrupt: "Director Yuan, when the patient was transferred to our department, did Professor Wang Xinghuan have any other specific instructions?"

Yuan Weihong shook his head: "Not that; he just said to let us think of more ways, everything centered on the patient."

Hearing this, Gong Jiahe immediately looked toward Fang Ziye's direction.

Fang Ziye's hands relaxed gently, and he slowly spoke: "Master, is Professor Wang testing us?"

Yuan Weihong and Xiong Zhizhang slowly turned their heads: "Testing us?"

Fang Ziye nodded: "My personal feeling is this: Professor Wang's thinking is to first send this patient to our department to see if we can actually perform expanded functional reconstruction surgery."

"For example, urinary function, bowel function, sexual function, etc."

"Of course, this is just my guess."

The reason Fang Ziye thought this way was largely thanks to Professor Lin Peng from China-Japan Friendship Hospital whom he met previously at Enshi Yangyuan.

This Professor Lin only talked dreams, never discussed how to implement them.

In his process of talking dreams, he mentioned taking limb functional reconstruction surgery as the center, expanding functional reconstruction surgery into a brand, including urinary and bowel function reconstruction.

Although Professor Lin Peng didn't discuss implementation, that doesn't mean his proposed idea was bad.

The dream of great harmony, universal prosperity, and highly developed productivity is naturally good, but for now it can only exist in dreams.

Fang Ziye continued: "Master, Professor Xiong, Professor Gong, discussing anything else right now is meaningless."

"Since the patient and his family have their own demands, let us first break down those demands and clarify which are feasible and which are beyond our department's current capabilities."

"After discussion, we will report back to the family and let them deliberate and decide."

"Just now, Master, you mentioned that the patient's family hopes to resolve the bilateral lower limb infections and bone defects, and restore normal limbs!"

"Restoring normal limbs is impossible; the directional requirement is to control infection and repair bone defects."

"Judging from the patient's current condition, at present, the multifocal soft tissue infections of the bilateral lower limbs are mainly caused by local blood supply damage, and the vascular wall structural integrity of the bilateral lower limbs is also damaged."

"With local blood supply damaged, even the best antibiotics cannot be delivered to the local area via blood circulation, and thus cannot exert their intended effect."

"And because the patient's vascular wall structure is poor, microcirculation interruption antibiotic shock therapy via the microcirculation instrument is also not feasible."

"Under such circumstances, how to bring the infection under control is a major difficult problem."

"As for the treatment of bone defects, relying on the blood supply factors analyzed above, achieving surgical healing is even more difficult."

"Without microvascular blood supply, even if bone defect reconstruction surgery is performed, the end result will still be nonunion, a state of fracture nonunion."

"So, the family's two simplest demands are both extremely complex and difficult to handle."

Fang Ziye had treated severe infections and complex bone defects before.

But the premise for those patients being solvable was that their objective conditions were still decent.

Now even the most basic conditions are absent; wanting to solve the problem is equivalent to having to conjure a treatment pathway out of nothing."

Yuan Weihong spoke upon hearing this: "Ziye, let me first say my view."

"The patient's current bone defects are a hemipelvic defect and bilateral femoral defects; handling them is extremely, extremely complex."

"Can we not set that aside for now, and just think of a way to address his infection?"

"That way we can give the patient's family an explanation, and also have a reply for Dean Wang Xinghuan, and then think of a way to send him away."

"Lest things become too deadlocked, provoke the family's resentment, and then they just won't leave!"

"Infection is the most superficial symptom; whether it's the patient's own feeling or the family's nursing care, both are extremely painful."

Surgeons find infection intractable, and the patient's family feels the same."

"The post-infection wound not only looks filthy, but also has a foul odor, and this isn't just for a day or two."

"If the infection cannot be controlled, it will remain so indefinitely."

Yuan Weihong's meaning was: if one type can be handled well, then we can negotiate discharge, hospital transfer, or other options with the family."

"Otherwise, in the current situation, letting the patient leave the hospital, the family truly wouldn't know where to dump the patient."

"Doesn't our hospital have an Infection Surgery Department?" Gong Jiahe suggested.

Gong Jiahe had previously worked with Fang Ziye at the Enshi Yangyuan treating severe osteomyelitis, and had also treated patients with severe osteomyelitis complicated by systemic infection.

During discussions at that time, transferring to Infection Surgery had been considered.

"This patient has combined bone defects, and moreover multifocal infections of both lower limbs; Infection Surgery definitely won't accept him."

"He has our Trauma Surgery's absolute disease type; we can't push him away either." Yuan Weihong spoke first to explain.

"If this patient didn't have bone defects, Infection Surgery would have to take over, and this patient wouldn't have come to Trauma Surgery."

"Zhongnan Hospital's Trauma Surgery isn't omnipotent either; when encountering a disease type that gives you a headache and makes you lose sleep, anyone's first thought isn't to show off, but how to shake it off."

Fang Ziye had thought so too, but after comprehensive analysis, there was simply no way to shake it off, so this line of thinking could only be temporarily shelved."

Fang Ziye said: "The principles of infection treatment are early diagnosis, rational anti-infection therapy, surgical intervention, nutritional support, and prevention of complications!"

"Now the infection has already developed to the following stage; early diagnosis is meaningless, and the patient's infection spectrum has long been recorded in the lab data."

"Based on our assessment of the patient's current blood supply situation, surgical intervention requires considerable caution."

"Given the patient's current blood supply status, if local debridement treatment is rashly performed, it can easily lead to local wound non-healing."

"If debridement must be done, then vascular reconstruction and vascular replacement must be performed simultaneously; the scope of the operation is sufficient for us to concurrently perform bone defect treatment as well."

"Therefore, caution is mandatory at present."

"Nutritional support and complication prevention must run sequentially throughout the entire course; singling them out now is meaningless."

"Then the only node we can currently choose is rational anti-infection therapy."

"During anti-infection treatment, selecting sensitive antibiotics based on drug sensitivity results needs no discussion; evaluating the course now is meaningless, it will certainly be done with full dose and full course."

"The only point we can discuss is the drug delivery method."

"Traditional drug delivery methods fall into two categories: oral and intravenous; but in reality, their anti-infection principles are the same — antibiotics are absorbed through the stomach or enter the blood via veins, then reach the whole body through blood circulation, arriving at the local site to achieve anti-infection effect."

"But the patient's local blood supply is very poor; even if the antibiotic dosage is increased, the drug concentration reaching the local area is very low, and may not reach the local area at all."

"So, the anti-infection delivery method we can use seemingly leaves only violent local drug administration."

"But a very thorny problem lies before us: how to administer locally."

"If only the superficial layer is treated, the deep infection remains — merely covering one's ears while stealing a bell; but to achieve precise local drug delivery like during debridement surgery, the scope involved is no less than performing bone defect reconstruction surgery."

"Cannot debride, cannot drain, cannot administer locally, systemic administration ineffective! This problem is almost unsolvable."

Fang Ziye, through extremely thorough theory, conducted a detailed breakdown of this patient's current situation.

Using treatment principles and logic, he determined the current situation.

Yuan Weihong's tone immediately sank: "Since there's no plan, then let things take their course; drag it out if we must."

"When the time comes, I'll go talk to the patient's family."

Yuan Weihong's interjection was decisive and swift, causing Xiong Zhizhang and Gong Jiahe to not react for a moment, each staring blankly for a while before looking dazedly toward Fang Ziye's direction —

The reason for the four words 'dead set' had already burst forth.

Gong Jiahe pressed his palms together before his abdomen and spoke cautiously: "Director Yuan, these matters can be discussed later; let us finish analyzing the case first."

"Although it may not actually solve this patient's problem, we can still build knowledge reserves through summary and analogy."

Gong Jiahe's words left a sliver of a gap for Fang Ziye to create a miracle.

Fang Ziye then continued: "Based on the patient's current status and diagnosis, the primary problem to solve is not infection."

"Rather, it's whether we can reach the transaction the patient's family wants — 'using money to buy life.'"

"Type 2 diabetes, hypertension, hyperlipidemia; post coronary artery stent placement, post abdominal aortic replacement."

"Cardiopulmonary insufficiency is inevitable."

"The patient was previously in the ICU due to bacteremia; although the infection focus has now localized, the infection could enter the bloodstream from the bilateral lower limbs at any time, causing bacteremia again."

"And given the patient's physical condition before transfer to our department, even if the infection is controlled, what he would get are merely bilateral lower limbs without any function."

"His overall baseline condition is extremely poor! ~"

"We should discuss with the family as early and as thoroughly as possible the question of 'wanting life' versus 'wanting treatment.'"

"At 63 years old, he is no longer young and robust; his body's inherent functions can no longer tolerate continuing on like this."

"One of the meanings of our Trauma Surgery's existence is indeed to preserve limbs for patients, but the prerequisite condition is still to preserve the patient's life — we should not disregard life or death for the sake of limb salvage."

"In the current situation, discussing infection treatment is meaningless!" Fang Ziye's voice was very calm, his attitude decisive.

Yuan Weihong frowned slightly upon hearing this and said, "If the patient's family agreed to amputation, they wouldn't have dragged it out until now!"

"Bringing it up now probably won't get the desired result either."

"What we may need to think about is how to first stabilize the patient's lower limb infection focus through anti-infection treatment means."

Although Yuan Weihong supported Fang Ziye, he also hoped to concretely solve part of the problem first, then communicate and explain with the patient's family.

He had more contact with the patient's family and understood their attitude more clearly.

Fang Ziye turned his head toward Yuan Weihong and countered, "This old man's children — are they filial in the name of filial piety?"

"To preserve the legs, they disregard even life and death?"

"Do they really think our Hospital's ICU is the strongest fortress? If something happens, send them to the ICU, and the bottom line is still saving a life?"

Old Professor Xiong Zhizhang spoke up: "Ziye, in this era of rapid development, people's mindsets and concepts have all changed slightly."

"There is a portion of people who, in pursuit of a higher quality of life, are willing to take a gamble."

"I feel that, perhaps for the old man himself, rather than living half-paralyzed, it would be better to die happily and freely."

"Although he is not that old, only in his sixties, his children have all achieved career success and established scale, and have enjoyed what they should enjoy..."

"Sometimes, the old man's only reliance is not wanting to become a burden."

Xiong Zhizhang used his own age as a starting point to analyze the old man's psychology.

Fang Ziye fell silent.

Although the world says 'a bad life is better than a good death,' this reasoning has long been outdated.

Rather than torturing the remnants, it truly is better to die happily and freely.

If this is the old man's own wish, then strongly demanding that the patient and family agree to amputation — I'm afraid it won't be negotiable.

In such a situation, if the family circumstances were average, they might still give up due to medical expenses, but the old man has commercial insurance and his own family circumstances are not bad — they definitely won't give up due to economic factors.

From the old man's injury to now, nearly a year has passed, and his attitude remains resolute.

The way to persuade the family to back down is also cut off.

At present, the predicament our Group faces is: either watch the old man die just like that, or find a way to first control the most direct and most fatal infection.

Thinking here, Fang Ziye used his right hand's thumb and index finger to pinch his brow bone heavily: "Then isn't this acting like a rogue?"

"Disregarding even life and death — then the meaning of our discussion here ceases to exist."

"Using life as a chip to coerce us. This is a different kind of moral kidnapping."

"Meaningless! ~" Fang Ziye's attitude was firm.

At present, this old man's situation is very thorny and complex; it can be said that throughout his whole body there is not a single point of entry.

"We just do our own duty properly, honestly follow treatment principles, give intravenous antibiotics for anti-infection treatment — is there really not a single bit of meaning?" Yuan Weihong, hearing Fang Ziye's firm attitude, offered a concessionary option.

Fang Ziye nodded: "The premise for intravenous antibiotic medication to be effective is that blood supply reserves are still above a threshold."

"For example, twenty percent to thirty percent of the drug amount can precisely reach the lesion site."

"But his baseline conditions cannot reach this step."

"If we perform a biopsy on his body surface tissue right now, we would definitely find large amounts of necrotic tissue inside!"

"Under bacterial erosion, these tissues have large amounts of inflammatory hyperplasia, putrefactive matter..."

"At present, these two legs merely retain the prototype of lower limbs; in reality they have long since necrosed — gangrene formation is only a matter of time! ~"

"This is already the terminal stage!"

"The remaining blood supply is only enough for a portion of the lower limb's cells to linger on their last breath; it can no longer carry anything else." Fang Ziye shook his head.

"There is only one path — amputation; we cannot expect any miracles."

"The effect of intravenous medication doesn't even amount to scratching an itch through a boot."

"If medication were truly effective, then during his ICU hospitalization, his infection should have been controlled long ago."

"Under such circumstances? Unless." Fang Ziye spoke to here, wanting to speak but stopping.

Yuan Weihong and Gong Jiahe both immediately had their gazes flash upon hearing this.

Gong Jiahe couldn't speak directly; Yuan Weihong asked, "Unless what? Ziye, if you have something to say, just say it clearly — at a time like this, what are you selling riddles for?"

Fang Ziye put down the hand pinching his brow bone and said, "Master, I said it — he can't wait for it either!"

"Speak! ~" Yuan Weihong might also have been tortured thoroughly by this case; his tone became stern.

"Active amputation first, then perform limb replantation surgery."

"For this kind of surgery to pass clinical approval, it first has to go through the National Health Commission's approval, layer by layer conducting animal trials and clinical trials."

"Just completing animal trials would take at least half a year."

"Even if he enrolled in a clinical trial at the first possible time, he still couldn't wait that long."

"Reference total lower limb bone tumor total bone inactivation replantation surgery." Fang Ziye looked at Yuan Weihong with a calm tone.

Yuan Weihong's feigned anger did not affect Fang Ziye's emotions.

Fang Ziye's proposal could be described as extremely bold.

Currently, Hand Surgery's limb replantation surgery is merely a 'stopgap measure' for Hand Surgery!

Those are some county hospitals and prefecture-level city hospitals that, due to limited capability, in order to save the patient's life, temporarily perform amputation to save life postoperatively, and use a microcirculation instrument to preserve the severed limb.

Then transfer it to a higher-level willing Hand Surgery to perform limb replantation surgery again.

The premise for carrying out this kind of surgery is that before the injury, the patient's four limbs were normal.

Fang Ziye's current idea is even bolder, wanting to process a single lower limb ex vivo for a period of time, and then replant it back.

This departs from the 'expediency in emergency' principle of limb replantation surgery.

The Ethics Committee's approval would stall you for half a year or even a year.

This is having thought of an extreme solution, yet completely not having thought of one.

After Fang Ziye finished speaking, the demonstration classroom instantly fell dead silent.

Orthopedics' Bone Tumor specialty's inactivation-replantation surgery, as orthopedic doctors, they themselves have heard of it, but to be able to associate it with the current case is also somewhat fanciful.

This requires extremely meticulous logical thinking ability and adaptability, and also the daring to think.

Professor Gong Jiahe's sharp intake of breath could not be concealed at all, becoming extremely piercing in the demonstration classroom.

But ultimately, Professor Gong Jiahe and Old Professor Xiong Zhizhang both did not speak again.

This kind of surgery has already departed from the most basic medical ethics, impossible to pass approval.

At least for now!

After Yuan Weihong calmed down, he also deeply knew that his emotions just now had already pushed Fang Ziye into a 'madness' realm, and hurriedly said: "Then forget it, I'll go discuss amputation with the patient's family."

"This surgical idea did not appear in our discussion this time."

Whether a patient can save a limb, compared to the entire hospital's development, has no comparability at all.

Even if Fang Ziye could find a way to obtain authorization, Yuan Weihong would not dare to gamble Fang Ziye's prospects and future.

Everyone else remained silent, not uttering another word.

Fang Ziye is a genius, but everyone knows there is only a hair's breadth between genius and madman; push further and it would no longer be a normal physician's path...

After ending the talk, Yuan Weihong led Qin Geluo away from the demonstration classroom.

Li Nuo also hurriedly caught up.

Old Professor Xiong Zhizhang did not move for the time being; after seeing Yuan Weihong and the others leave the demonstration classroom and close the door behind them, he turned his head and said: "Ziye, the surgery you just proposed, absolutely do not discuss it in other places."

Fang Ziye immediately nodded obediently: "Teacher Xiong, if it weren't for my teacher insisting I speak, I wouldn't have said it either."

"Mainly this patient's situation is too complex, and has now reached the terminal stage! ~"

"Reached the terminal stage, if we don't go extreme, then there's simply nothing that can be done."

After Fang Ziye finished speaking he stood up, actively approached Old Professor Xiong Zhizhang a few steps, and sat down beside him.

"That also cannot go this kind of extreme! ~"

"This is the bottom line we physicians must finally uphold." Xiong Zhizhang said.

This precedent absolutely cannot be opened; otherwise the medical system will certainly fall into chaos, the subsequent issues it involves are too many, too messy, too disordered.

It can be called a taboo.

The simplest point——

Lower limb allogeneic heterotopic transplantation surgery! ~

But one must admit, Fang Ziye's existence itself is a kind of taboo; when facing situations with no way out, Fang Ziye can always give you a 'miracle'.

Xiong Zhizhang then stood up and said: "This patient, since Dean Wang Xinghuan wants to treat him, let him find a way himself."

"I also haven't paid a visit to this dean in a long time; I'll go now and listen carefully to this dean's insights."

After speaking, Xiong Zhizhang glanced at Professor Gong Jiahe.

Gong Jiahe immediately understood and said: "Professor Xiong, I'm a person with the worst memory; rumors and hearsay, I never mention them."

"Group Leader Fang is someone who knows my character very well." Gong Jiahe immediately pulled Fang Ziye out as a shield; he didn't want to be targeted by such a venerable elder.

Although not afraid, it would definitely be extremely troublesome.

After speaking, Gong Jiahe and Fang Ziye stood up together and walked behind Xiong Zhizhang; the three each took off their white coats, then parted ways downstairs at the Orthopedics Building.

Old Professor Xiong Zhizhang still had business, so he strolled off toward the Urology Department direction; he didn't know where Wang Xinghuan was, so he had to go ask in person.

This kind of situation, neither Fang Ziye nor Gong Jiahe were suitable to follow along.

After parting with Xiong Zhizhang, Gong Jiahe looked at Fang Ziye with a complex gaze and gave a thumbs up: "Professor Fang! ~"

"Professor Gong, between you and me let's not play this commercial mutual flattery routine."

"I'm a person who speaks the truth; matters involving the bottom line, I absolutely will not touch."

"Otherwise, as long as there's any other way, I would make every effort to try."

"But right now, for this patient the best choice is amputation! ~" Fang Ziye also did not bring up his previous line of thinking again, but returned the topic to the patient's condition itself just discussed.

Gong Jiahe nodded calmly: "Although Zhongnan Hospital is the birthplace of limb salvage surgery, there's no need to hold onto an absolute no-amputation label and persona."

"Living like that is too tiring; after shedding this burden, everyone's mood will be much more relaxed, and starting on the road again will be more open-minded."

"Pretty good." Gong Jiahe saw a kind of mental state.

"Professor Gong, today was also hard work for you caring about our group's patient; why don't you go back and rest early?"

"I still have to go back later to organize and process data; it's nearly the end of the month, all this data has to be meticulously gone through one by one." Fang Ziye actively cut off the topic, not out of putting on airs.

"Alright! ~"

"You finish early on your end, so we can go to Enshi early."

"We can also start the next phase of clinical project early; Professor Zhang Yue has been urging me many times recently! ~" Gong Jiahe pressed his hand down, signaling Fang Ziye to feel free.

……

In the community elevator, after pressing the floor where his home was, Fang Ziye was still pondering the 'rationality' of that surgical proposal just now! ~

After roughly more than a minute, Fang Ziye finally shook his head and said: "No! ~ No. No."

Fang Ziye's current level of thinking is very high, so occasionally some "indescribably wonderful" research projects and surgical approaches will burst forth.

But these research projects and surgical approaches, wonderful as they are, are also somewhat too difficult to control; underneath lies a layer of high-voltage lines, the kind that absolutely cannot be touched.

Fang Ziye exited the elevator, opened the door lock with his fingerprint, and then settled on this thought, pressing this genius surgical approach deep into his heart and shelving it.

However, Fang Ziye hadn't even had time to sit down when his mobile phone rang.

Holding a water cup in one hand and answering the phone with the other, he walked toward the sofa but stopped halfway; Fang Ziye's neck leaned forward like a shrimp: "What?"

"Director Xiong, are you joking with me?"

On the other end of the phone was Director Xiong Hanzhong of Zhongnan Hospital's Medical Affairs Department.

"Professor Fang, with such a big matter, how would I dare joke with you?"

"Our Medical Affairs Department's subordinate 'Complaint Reception Office' did indeed receive a complaint about you."

"The first time after our Medical Affairs Department received the complaint, we immediately checked our hospital's registration system."

"It showed that the patient did indeed come to Professor Fang's outpatient clinic on September 21st of last month, and there is a record of your consultation."

"Then on October 15th of this month, the patient was found to have osteosarcoma, and has already been admitted to Peking Union Medical College Hospital's Bone Tumor Specialty for inpatient treatment, and underwent puncture biopsy on October 17th, confirming osteosarcoma."

"But in our hospital's outpatient record system, no relevant description by Professor Fang was seen! ~"

"Now the patient's family has come to complain that Professor Fang misdiagnosed." Xiong Hanzhong's tone was very calm; he did not blame Fang Ziye for this, merely stating a fact.

"Based on this, Professor Fang, would you like to come over personally? We can confront each other face-to-face in the complaint office."

"We also want to understand the course of events more specifically; we cannot just listen to one side's words."

Upon hearing this, Fang Ziye immediately nodded: "Okay, Director Xiong, I'll come over right away. Maybe I'll remember exactly which registered patient it is once I see the person."

After hanging up, Fang Ziye didn't dare delay; he downed the water in his hand in one gulp and then hurriedly ran out again.

When Fang Ziye arrived at the Medical Affairs Department's Complaint Management Office, the time had already reached 15:49 in the afternoon.

In the office, quite a few people were seated at this moment.

Fang Ziye recognized several; the leader was Director Xiong Hanzhong of the Medical Affairs Department; his prominent apple cheeks were very conspicuous in the crowd.

Next was Director Hu Liangpei of the Security Office; with his broad frame, he was currently patiently soothing the patient's family's emotions.

"Don't be anxious, we're sitting here to solve the problem. More scolding won't help, right?"

"Our hospital's Professor Fang is coming right away……"

Beside Hu Liangpei, three people in total: an old man about sixty years old, thin build; and a young couple about thirty years old, emotionally agitated, accusing Fang Ziye of his crimes.

"Such an obvious osteosarcoma, and your hospital's professor just let my mother go home?"

"If it's dragged out, and it recurs or metastasizes, how will you take responsibility?"

"Peking Union Medical College Hospital's professors all said there's already focal lymph node metastasis; if we went any later, it might become late-stage cancer."

Fang Ziye looked at the three, eyes narrowing slightly, because not a single person was familiar to him.

Seeing Fang Ziye arrive, Xiong Hanzhong hurriedly said: "Younger brother, you all stop arguing for now; our department's Professor Fang has already come over."

"Let's review in more detail what happened at the time, including some small details that occurred."

"On our side, we've already prepared some materials, including the electronic medical record Professor Fang recorded after the consultation at the time."

After Fang Ziye arrived, the old man stood up excitedly and pointed at Fang Ziye: "Professor Fang, you're so young and handsome, why would you harm us?"

"This uncle, please calm down first; my memory might not be very good! ~"

"Are you sure you recognize me?" Fang Ziye asked.

"Naturally. My wife is Liang Tengxiang; she had her outpatient visit here, I accompanied her; how could I not recognize you?"

"It's you! ~" The old man's tone was decisive.

"We came with the local hospital's films at the time, queued for a long time, and you even held them and looked for nearly twenty minutes."

"In the end you said my wife had no major problem! ~"

"Good thing we were cautious enough, felt the young doctor was unreliable, so we went to Peking Union Medical College Hospital to queue for a number."

"Otherwise?" The old man spoke with tears and snot running.

As the old man spoke, Xiong Hanzhong had already printed out the party's electronic medical record.

The patient's name, gender, native place and other basic information all matched; moreover, this medical record was indeed written by Fang Ziye.

Everyone has their own "routine" in the writing style of medical records; Fang Ziye knew at a glance.

The diagnosis written on the electronic medical record clearly recorded: Local Hospital Right Knee Joint MRI (film reading, no report) (2023-11-2) shows: Right Knee Joint Cartilage Damage.

Bilateral Lower Limbs Standing Position X-ray (film reading, no report) (2023-11-2) shows: Right Knee Joint Effusion Signal, Cartilage Abrasion Shadow.

At the same time, the other party also provided a Peking Union Medical College Hospital Diagnosis Certificate and puncture biopsy rapid result feedback materials.

All clearly pointed to the patient having osteosarcoma.

At the same time, the other party also produced a pile of relatively old imaging data films, including MRI and X-ray data.

Seeing this, Fang Ziye's brow furrowed.

"Director Xiong, these examination materials and results are all completely laid out here; this is your hospital's professor misdiagnosing!"

"Such an obvious misdiagnosis, almost caused my mom's tumor to metastasize! ~"

"Look at what opinion he wrote!" The young man's emotions were very agitated; he took out Zhongnan Hospital's medical record book.

"1. Pay attention to rest… MRI review when necessary…"

"2. Prescribe non-steroidal anti-inflammatory drugs for analgesia, prescribe Maizhiling for detumescence treatment."

"3. If symptoms not relieved in half a month, please return for review anytime."

"4. Follow-up for discomfort." He slapped the medical record book; the handwriting on it was also all Fang Ziye's.

However, Fang Ziye suddenly raised a doubt at this moment: "The time shown on this MRI report result is 20240812! ~"

"This is from this year?"

"Why isn't it reflected in my medical record?"

Hearing this, the young man flew into a rage: "You didn't reflect it, so you ask me? Are you the doctor or am I the doctor?"

"You ask me why you didn't reflect it?"

"You can't even diagnose a tumor; who knows how careless you are?"

"And how poor your technique is."

"Director Xiong, and all you hospital leadership, did you hear that? He asks me why it wasn't reflected?!"

"Is this professional?" The young man's voice was both angry and amused.

(Chapter End)