"Is splenectomy a surgery recomnded by the guidelines? Can it be routinely perford in our hospital?"
Upon hearing this, Lu Cheng's spine went cold!
Goodness, this is where the loophole is.
Spleen Preservation Surgery is different from Limb Replantation Surgery. In Limb Replantation Surgery, the standard is singular: replantation of the severed limb.
An important part of limb replantation is the suturing skill, so if you say you just did the suturing, making everything favorable for the patient temporarily, that's acceptable.
Otherwise, would you just amputate when encountering such cases?
That certainly wouldn't do.
But Spleen Preservation Surgery is different. The officially recomnded surgical technique is splenectomy; why would you suture it up?
Lin Qianlong, clenching his voice, said, "But we can't just watch the spleen, if there's a chance to save it, and let it be removed outright, can we?"
Tian Qi continued to question, "Why is there still a chance of saving it? How did you co to this conclusion? What's the professional standard?"
"According to which standard?"
"You say you assessed it independently? Director Lin, as far as I know, a Vice Director doesn't have this autonomy, right?"
Lin Qianlong fell silent again.
This was aid at him deliberately; they must have all kinds of evidence locked in. How could he get out of this?
Tian Qi continued, "Director Lin, do you know the basic qualifications required to conduct a new surgical technique? Related to our hospital's tier?"
"Firstly, there is one requirent: to pass a special training or further studies assessnt for the new technology."
"May I ask, where are the new technology training certificate and qualification assessnt certificate of your team? Show them to ."
Tian Qi continued reaching out, asking Lin Qianlong for the paperwork.
Lin Qianlong shook his head, closed his eyes, and replied, "Director Tian, that's not available either."
"During the operation, who were the participants?" Tian Qi continued the investigation, as if going through the motions.
Lin Qianlong replied quickly, "I was the primary surgeon, and everyone else were assistants."
This was recorded in the surgical notes; Lin Qianlong couldn't deny it. If he were to refute this, it would only create more trouble.
For instance, why would a Vice Director be operating while a resident surgeon isn't? Based on what considerations?
Tian Qi imdiately looked at Zhang Tiesheng: "Vice Director Zhang, you were also present at that ti. Are you aware of the formal procedures for implenting a new surgical technique?"
"If you were aware, why didn't you stop it in ti?"
Zhang Tiesheng, clueless, shook his head vigorously: "I hadn't thought of that; I didn't check that clearly before."
"Moreover, when the patient ca, everyone was in a hurry, so we didn't consider these details."
"What about Dr. Lu Cheng?" Tian Qi only ntioned Lu Cheng in passing.
With two Vice Directors present, Lu Cheng, being a resident surgeon, was the least relevant, but he also needed to be examined.
Lu Cheng also shook his head: "I'm not sure either."
There are too many dical regulations, so thick that few people can rember every situation clearly.
Moreover, Tong Yuan'an had given Lu Cheng a set of rhetoric, simplifying the surgery into sothing straightforward.
However, Lu Cheng didn't realize that this "rhetoric" only applied to Limb Replantation and couldn't be used to gloss over Spleen Preservation Surgery!
"So, Director Lin, you admit there were no violations in the unauthorized surgeries conducted in the operating room previously."
"Everything recorded here is authentic, not altered?" Tian Qi continued to ask.
Lin Qianlong thought for a mont, but still didn't nod: "Director Tian, I didn't violate the principle of non-maleficence; the patient's postoperative outco was excellent! Otherwise, the patient's family would have already complained."
Tian Qi said, "Yes, the patient's family didn't complain, but the problem now is that these surgeries have been uncovered."
"There are a few issues: First, the surgical costs for this patient were higher compared to similar conditions, despite no infections or complications."
"The proportion of insurance paynts was also higher than for other patients. What do you have to say about that?"
"Secondly, the hospitalization period for these patients was longer, with no explainable complications. When you report this data, doesn't it indicate special circumstances?"
"Thirdly, if you wish to implent these techniques, you truly did not report them, nor could we see a comprehensive departntal discussion record in the dical history, let alone a risk report from the dical Affairs Departnt."
Hu Qingshan heard this, scratched his head vigorously, and added, "Director Lin, the problematic point now is that the inspection team is focused on these dical records and has found logical gaps."
"They have mandated the State Health and Health Commission and the dical insurance departnt to conduct a thorough and strict investigation, not only into the financial aspects but also regarding procedural justice issues."
"Conducting a new surgical technique without reporting is mildly profiteering, but in severe terms, it's human live experintation!" Hu Qingshan emphasized.
Human experintation is one of the taboos of dicine; live human experintation is a major taboo among taboos.
Once it reaches this level, not to ntion a Vice Director, even a top professor can be utterly destroyed in minutes.
Lin Qianlong was very weary: "Director Tian, Dean Hu, my resignation is not to evade the responsibility of these surgical techniques, and you are welco to investigate my financials."
"Moreover, the patients had good outcos, and both family and patients were satisfied with the treatnt results."
Tian Qi cursed outright: "What qualifications and credentials do you, Lin Qianlong, have to conduct new surgical techniques? Especially without reporting them?"
"Where are your credentials? Show ! Use your head, will you?"
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