Lu Cheng and Xiang Kuihua stared at each other levelly: "Director Xiang, you asked us to admit the patient directly. We, the on-call doctors, can't authorize it, so let me take a look."

"Do you think I wouldn't perform a manual reduction if I could?"

"Manual reduction is just a Level 1 surgery, Director Xiang." Lu Cheng smiled, his tone calm.

Lu Cheng is an attending physician and can routinely perform Level 2 surgeries at the hospital, with a surgical license in the field of surgery.

There are no special restrictions on surgical authorization within the county...

What the hell are you questioning? Where are you taking this? Doing manual reduction is entirely legitimate, isn't it?

At least 90% of emergency departments in Hua Country recruit professional orthopedic doctors. Can emergency departments not perform manual reductions? Is that something you, Xiang Kuihua, can dictate?

"If something goes wrong, just remember the incident," Xiang Kuihua's eyes flashed with aggression.

"It's fine, don't worry, Director Xiang. If I can't properly evaluate the surgical indications and contraindications, it's my own fault for getting into trouble with the patient."

"No need for Director Xiang to go through the trouble of advising!~"

Lu Cheng continued, "Additionally, Director Xiang, I have already reported to our emergency department's Director Lin. Whenever there are fracture patients on the same day, we always first assess whether manual reduction is possible."

"Then we'll refer them to your orthopedics department for fracture surgery. If you have any objections, you can talk to Director Lin from our emergency department!~"

"I'm just an executor, the one doing the work."

Xiang Kuihua immediately choked, his eyes bulging: "Are you freaking crazy?"

Xiang Kuihua primarily handles trauma fracture surgeries in the department, sharing a 40/60 surgery volume with Peng Haibo; he has the 40, Peng Haibo the 60.

Most fracture patients come from the emergency room. There aren't many fracture patients to begin with, and the Traditional Chinese Medicine Hospital also takes a share.

If the fracture patients at Renmin Hospital are further reduced by Lu Cheng's manual reductions, he can foresee that he might not even have ten surgeries in a month in the future.

Lu Cheng looked around and, seeing no one else in the office, said, "Director Xiang, I'm fully aware of whether I'm crazy or not."

"In the end, treating illnesses is my own responsibility. It's not like I'm asking Director Xiang to cover for me. If I can't manage, and the patients come after me, they won't be going after you."

"Besides, you make it sound like I'm not an orthopedic doctor..."

"I am a properly trained orthopedic resident. I'm just working in the emergency department. The hospital hasn't revoked my surgical authorization."

Xiang Kuihua slammed the table: "Lu Cheng, are you just going to keep targeting me like this?"

"Director Xiang, if you misunderstand it that way, I have nothing to say. Am I really targeting you?"

"I'm serving the patients, for the sake of their good. Some patients' families have limited conditions, and they are willing to choose the cheaper manual reduction..."

"There's basically no one performing this in our hospital, so am I not allowed to do it? The medical department didn't reply to my inquiry that way." Lu Cheng answered formally.

Xiang Kuihua didn't become twisted but instead smiled and gave Lu Cheng a thumbs up: "Alright, not bad!~"

"Xiao Lu, really, I have a bit of admiration for you."

"Doing such dangerous things, knowing full well that manual reduction is the expertise of the orthopedics at the Traditional Chinese Medicine Hospital, with such clear comparisons, you still insist on intervening."

"I admire you for being a real man, but if you have the skills, build up the manual reduction expertise well. Otherwise, whether the manual reduction is done well will be judged by more than just you..."

Lu Cheng calmly said, "Thank you, Director Xiang, for the reminder."

Xiang Kuihua turned and left, cursing under his breath: "Damn, really encountered an idiot..."

Cursing aside, what Xiang Kuihua said was essentially true. If manual reduction caused issues, it wouldn't be Lu Cheng's place to evaluate the responsibility.

Zeng Huanqi hadn't had the chance to speak since Xiang Kuihua arrived, and now that Xiang Kuihua left, Zeng Huanqi didn't see him off either.

He just stared at Xiang Kuihua's back, rubbing his chin with his right hand: "Is Director Xiang always this domineering in orthopedics?"

"Charging into our emergency department to demand accountability, too, is also typical overbearing behavior, isn't it?"

Zeng Huanqi knew Xiang Kuihua, had drinks with him during gatherings, and usually exchanged pleasantries when they met, but they weren't really close.

'Friends' are friends, and interests are interests.

Lu Cheng took a few calm breaths and replied, "Director Xiang's surgeries are quite well-performed."

Lu Cheng didn't criticize Xiang Kuihua much. Surgery quality is one thing, personality is another; one shouldn't confuse them.

Doing manual reductions certainly greatly impacts Xiang Kuihua's 'position' in the department.

A deputy chief physician without the patient volume finds it tough to maintain their 'departmental status', and others in the department are quite content to see Xiang Kuihua struggling.

"Xiao Lu, so in the future, will you still do manual reductions?" Zeng Huanqi squinted his eyes, focusing on Lu Cheng's choice rather than Xiang Kuihua's character.

Lu Cheng replied candidly, "Yes, I'll do it when I can, and I won't when I can't!~"

Once again, in the system, if you don't want to be under someone else's leadership, you usually end up leading most people. Lu Cheng is currently part of an independent system from orthopedics.

Unless the emergency department's Lin Qianlong loses his wits, he wouldn't let Xiang Kuihua run the show in the emergency room.

Without added support and skills not yet elevated, one should admit incompetence in times of lacking ability, but now possessing certain capability, Lu Cheng doesn't doubt his mastery of techniques.

Carefully managing every patient, mastering the indications and contraindications, maintaining well-documented patient discussions and signed records, working on a voluntary basis allows the work to proceed.

Nonetheless, Lu Cheng expressed his stance: "As long as orthopedics doesn't perform manual reductions on cases subject to it, and if the patients are willing to bear the risk, I'll do it."

After all, Lu Cheng is a standard orthopedic resident. If Xiang Kuihua truly endeavors to learn closed manual reduction techniques for fractures, Lu Cheng isn't unwilling to step back.

After all, fractures are categorized as orthopedic conditions. 𝑓𝑟𝑒𝘦𝓌𝑒𝑏𝑛𝑜𝘷𝑒𝘭.𝒸𝘰𝑚

After hearing, Zeng Huanqi hinted, "I'm just afraid Xiang Kuihua will involve the medical office."

"But still, don't worry, you're part of our emergency department, and we have Director Lin with us." Zeng Huanqi smiled.

Lu Cheng, notwithstanding being a teacher, is quite something—a little treasure god, you could say.

Although Xiang Kuihua has an uncle who is a deputy director in the State Public Security Bureau, that's his uncle, not Zeng Huanqi's uncle.

With merely this connection, trying to casually oust the 'Sales Champion of the Emergency Department', are you kidding?

Lu Cheng laughed and replied, "If the medical office leaders dare to issue a notice, then I have no choice but to temporarily suspend my practice."

Zeng Huanqi instantly understood Lu Cheng's meaning.

The medical office is indeed Lu Cheng's superior, but unless he makes a mistake, if they dare issue a notice to suspend Lu Cheng's surgical privileges, then this matter becomes amusing.

There are rules within the system, and Lu Cheng is part of it. Wrongly handling Lu Cheng violates most people's bottom line.

"Brother Zeng, I'm going to read for a bit. Let me know when the takeout arrives." Lu Cheng said.

"Alright, I'll call Director Lin and report as well, better safe than sorry..." Zeng Huanqi nodded, signaling Lu Cheng not to be overly anxious.