Chiang puts this demand on himself: "At the very least patients on their first visit should not be allowed on the operating table." But as a result, some patients who want "secrecy, convenience and speed" make their way to the quacks 'clinics. The quacks may use a knife as skillfully as the certified surgeons.
蔣曉山要求自己「起碼不要讓病人一進門就上手術台」，但也因此嚇退一些只想「隱密方便、迅速了事」的患者，最後這些患者多半還是「流落」到密醫診所中。