Surgery Godfather
Chapter 711 - 633: A Case Discussion Full of Controversy

Chapter 711: Chapter 633: A Case Discussion Full of Controversy

The case discussion was held in the meeting room of the Organ Transplantation Center.

By the time Yang Ping arrived, the meeting room was already full. He found a chair in an inconspicuous corner and sat down.

He scanned the room, a lot of unfamiliar faces met his gaze.

Undeniably, the unfamiliar faces were experts from other institutions. Yang Ping knew most of the Sanbo directors and experts level who could participate in such meetings.

When he got the call from the medical office, they mentioned inviting external experts, but he didn’t expect so many. It probably had to do with the efforts of that ’Surface Warrior’ campaign.

Currently, Sanbo Hospital is qualified to perform kidney, liver, pancreas, and small intestine transplants. Any organ transplantation must be endorsed by the Ministry of Health. At present, Nandu Affiliated Hospital One, Fuer, and Provincial People’s Hospital hold the highest qualifications for organ transplantation. They not only have qualifications for kidney, liver, pancreas, and small intestine transplants, but also heart and lung transplants.

The liver and kidney transplants for Qin Xiaowei and Li Jun fall within the qualifications of Sanbo Hospital and both of them are willing to have their operations at Sanbo. Thus, even if external experts were brought in, they would only be participating in the case discussion.

For large-scale case discussions, Director Zhao from the Medical Affairs Department must attend. He would preside over the meeting and also coordinate various aspects.

Currently, Qin Xiaowei is a celebrity. After successfully completing the climbing challenge, not only his number of fans skyrocketed, but he topped the trending topics list for a long time.

The stock of the outdoor sports brand ’Surface Warrior’ directly doubled and continued to rise. In response to the high social attention garnered by such a patient, the hospital naturally takes it seriously.

Not that other patients aren’t taken seriously, but other patients simply don’t attract as much pomp and circumstance as this.

Whether such ceremony is a good or bad thing is open to debate.

If the primary treating hospital lacks technical strength and the patient cannot be transferred, facing treatment difficulties, the consultation of experts from outside the hospital can be very helpful, making up for the primary hospital’s deficiencies. That’s a good thing.

In contrast, if the hospital has sufficient technical capabilities and the treatment is going extremely smoothly, too many external expert consultations can just add to the confusion. Doctors face pressure from all sides—the more grandiose the situation, the more cautious everyone becomes.

Thus, sometimes this level of attention can be a bad thing.

For example, a certain wealthy patient was admitted to the ICU of Nandu Affiliated Hospital One. After careful treatment, he was successfully transferred out of ICU. His family, believing that such a high-profile rich person shouldn’t receive the same treatment as ordinary people (which they deemed to lack prestige), invited over thirty experts from both domestic and international fields for multiple rounds of consultations.

In the end, everyone had different opinions and no one dared to take responsibility. The family was confused, sometimes they would listen to one expert and then another. Finally, they decided to follow the advice of an American expert and had the surgery done in the United States, but unfortunately, didn’t survive the procedure.

Sometimes in treating illnesses, one expert is enough. Too many experts and it can easily lead to mishaps.

It’s like going to war – one commander is sufficient. However, with a dozen commanders, one advocating attack, another defense, and yet another retreat, you hardly get into attack formation before receiving orders to retreat. Halfway through the retreat, another order arrives commanding you to attack. The troops are simply run ragged and are unable to fight effectively.

Yang Ping had seen too many of such cases.

Sometimes, if the family insists on inviting the experts, the hospital has no choice.

The ’Surface Warrior’, acting on behalf of Qin Xiaowei’s company, invited over thirty experts from Beijing, Shanghai, Nandu Affiliated Hospital One, Huaxi Hospital, and more. They did so to show their concern for Qin Xiaowei.

The large oval table in the meeting room was surrounded by people. The scale of this consultation was quite large.

"’Surface Warrior’ invited over thirty experts. More than ten of them haven’t arrived yet; we have only about twenty who have made it here for this batch," a director sitting nearby whispered to Yang Ping.

Yang Ping nodded in gratitude for this piece of information.

Director Zhao began the discussion of the case with his baritone voice. After a formal introduction, he handed over the floor to the attending physician to report the case.

The case materials of Qin Xiaowei and Li Jun were projected on the screen, with everyone listening to the case report attentively.

Director Liu and Director Li briefly talked about their next steps and the difficulties they were facing, hoping for assistance from the experts.

"There’s no way this surgery can be performed. The risk is far too high. Given their current conditions, any small complication could be fatal. Surgery is not a gamble. Whoever decides to perform this surgery is simply looking for trouble. If it were up to me, I definitely wouldn’t do it." A professor from Beijing stated his views blatantly.

"Looking for trouble? It isn’t that severe. If doctors don’t take risks, what kind of doctors are they? Isn’t every surgery risky? Performing a surgery is like dancing on the edge of a knife, we seek benefits within the risks. If we refuse all risky cases, what happens to the patients? We certainly can’t just do the safe surgeries; there is no such thing as a completely safe surgery. Are the patients with high-risk conditions just supposed to wait to die?" A professor from Shanghai won’t budge.

The case discussion commenced explosively with the disagreements between the professors from Beijing and Shanghai.

The academic world has its factions too, practitioners rarely bow to each other. During academic conferences, they argue heatedly, occasionally going so far as to roll up their sleeves as if ready to fight. It can be quite entertaining.

This cocktail of factions has resulted in many academic brawls at conferences. So, they are unapologetically combative, their metaphorical swords clashing at the first sight of each other.

"We’ve all seen cases where surgeries have been deemed successful, but the patient has died. Do you think some doctors don’t experience this often enough?"a Beijing professor sneered, his sarcasm not lost on anyone.

The Shanghai professor retorted, "It’s as if some people claim that organ transplants have a hundred percent success rate. I’ve never seen anyone who often walks by the river and yet never gets their shoes wet."

Seeing that the argument was escalating, a professor from Nandu Affiliated Hospital One quickly stepped in to defuse the situation.

"The cases of these two patients present quite a dilemma. The risks of operating are high, but if we don’t proceed, we might lose the opportunity to do so later. Take Qin Xiaowei, the effect of the artificial liver has not been good, and if we don’t proceed with the transplant, it could trigger a chain reaction leading to multi-organ failure and ensuing kidney failure. Not only would he be in danger, he wouldn’t be able to donate his kidney to Li Jun. For Li Jun, if we lose the arteriovenous fistula created for him, there would be no place for a new one. How then could he receive dialysis? We can’t afford not to act, but there are high risks involved. That’s why we’ve called upon all of you, the top experts, to discuss some plan of action that could potentially be beneficial for both patients. The silver lining here is that both are willing to undergo surgery and their financial conditions are good enough to withstand the expenses."

This professor had visited Sanbo Hospital a few times before and had a good relationship with the Sanbo Hospital, so he stepped into maintaining order.

With its own distinct academic community not inferior to Beijing and Shanghai, Nandu Medical University always occupied one corner of the national academic triangle.

And if the west was included, they formed one side of an academic quadrilateral.

With the professor from Nandu Affiliated Hospital One moderating the atmosphere, the professors from Beijing and Shanghai reluctantly stifled their altercation.

Actually, having arguments at an academic conference is not a bad thing, it’s quite the opposite. It shows that everyone can express themselves freely. In the past, when Yang Ping worked at the Municipal People’s Hospital, it was quite calm during the case discussion.

As soon as Director Wu spoke, everyone either remained silent or praised him enthusiastically.

Yang Ping clearly remembered a case discussion, a fifty-year-old male patient with an incomplete fracture of the left femoral neck, and no displacement. The standard treatment involved placing three hollow screws to fix the problem, which was everyone’s initial idea.

But Director Wu wanted to give the patient a total hip replacement surgery, even wanting to use the latest ceramic artificial joint. The cost of the joint alone amounted to hundreds of thousands.

As soon as Director Wu opened his mouth, Director Fu was the first to agree: "Director Wu’s ideas are insightful and enlightening, showing our need to enhance our learning. We lack the selfless concept of serving patients. That’s why we are limited to thinking about a few screws."

At that time, a doctor disagreed: for such a young patient, a Garden type I patient, it was absolutely unacceptable to replace the joint. We should first focus on internal fixation of the fracture. If that failed, then we could consider joint replacement. The failure rate of this approach is very low and the success rate is close to 100 percent. Even if we did not perform surgery and chose to treat the fracture conservatively, the success rate would still be very high.

Not long after, the doctor was cruelly eliminated from his position because he did not comply. Gradually, the case discussion sessions at the hospital became very peaceful. After Director Wu spoke, everyone would either express their agreement or remain silent.

So, witnessing such contentious case discussions today, filled with tension and heated debates, proved that these were true experts, engaging in genuine discussions.

"Everyone is entitled to express their opinions freely. Discussions involve debates. Professors, do you have any other ideas or opinions? Feel free to express them." Director Zhao did not want it to end; instead, he encouraged the two of them to continue the debate.

There wasn’t a clear winner yet; the quarrel had only just begun.

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