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Chapter 146 Seems Not So Hypocritical (Please Subscribe)
The next patient Xue Tao called in was also an anterior shoulder dislocation; it was an older woman.

However, Fang Ziye still followed the procedures in a standard manner.

Busy, but can't be chaotic.

No matter how familiar one is with the surgical procedure, the repositioning cannot be completed before Xue Tao has finished the consultation and signed the consent form; this is the bottom line principle.

When Fang Ziye was assigned to a prefecture-level city hospital, his first bottom line was not to cause trouble.

First, don't cause trouble for others; second, don't allow others to cause trouble for you or disrupt your rhythm at will.

In clinical practice, informed consent and informed refusal are of equal importance. Fang Ziye himself knew this, and Professor Li Guohua had also mentioned it to Fang Ziye many times.

Keep this in mind.

Physical examination, reviewing X-rays, another physical examination, and then asking the woman who came in again what exactly happened...

There are many types of shoulder dislocations, including anterior dislocation, posterior dislocation, superior dislocation, inferior dislocation, and the extremely rare lateral dislocation. Anterior dislocation is the simplest of these.

Different types of dislocations have different degrees of severity, which is the level of professionalism and detail required. It is absolutely impossible for a single treatment method to solve all problems.

Of course, Fang Ziye could confirm that the aunt's dislocation was anterior anterior joint dislocation, and the degree of dislocation was mild. Mild anterior dislocation has a very low chance of causing soft tissue damage to the shoulder joint.

After the aunt had finished all the preparations, Fang Ziye saw that her family members had already signed their names.

Fang Ziye instructed the aunt to lie down first, and then easily resolved the dislocation problem using the traditional external rotation reduction method.

"Auntie, don't be nervous, it's okay, there will be only slight pain."

"Click!" As soon as Fang Ziye finished speaking, the sound of the dislocated joint returning to its original position rang out, exceptionally crisp.

Meanwhile, with Fang Ziye's reassuring words, the aunt's emotions gradually calmed down. She only tensed up slightly during brief moments of pain, but immediately felt the pain gradually ease from a slight relaxation during the traction to complete relaxation.

After feeling the pain completely subside, she asked with some skepticism, "Am I all better now?"

"Yes, Auntie, you can stand up and move around a bit to see if there's anything else that's bothering you." Fang Ziye still used the local term of address.

The entire reset process only lasted about a minute.

At this time, Xue Tao had just finished the diagnosis, went out to find the family to briefly explain the situation, and returned after signing the papers. He then turned around and saw that Fang Ziye had already completed the repositioning.

My heart sank—

What kind of PhD is this? I used to be his subordinate in the joint surgery department!

Currently, in the area of ​​joint reduction, apart from Director Zhang Mingcan, no one else's manual reduction technique, including Director Hongdu's team and Huang Kai, who is more senior than me, is as good as mine.

However, his own strength seemed somewhat insufficient in front of Fang Ziye.

But that doesn't make sense. When I went to Zhongnan Hospital for further training three years ago, the most skilled among the younger generation there was probably Yuan Weihong. But even then, Yuan Weihong's manual reduction technique wasn't this amazing.

This prescription is effective...

The training centers for students at Enshi Central Hospital are mostly Zhongnan Hospital and Hubei Provincial People's Hospital, since they are both affiliated with Wuhan University.

Xue Tao was doing his advanced training in the Department of Trauma Surgery at Zhongnan Hospital. At that time, he had never met Fang Ziye. He only knew that Yuan Weihong, the chief resident of the Department of Trauma Surgery, was a very capable person who was promoted to attending physician during his chief residentship.

Xue Tao's nostrils flared slightly, and her thick eyebrows were furrowed together...

Fang Ziye then said, "It's okay, Auntie. Don't be nervous. You look very nervous, but it's nothing. It's just a simple mild dislocation. You can just go out and get a forearm sling, okay?"

"Okay, thank you, doctor." The aunt nodded quickly after she felt no more pain!
I felt that this time the speed was a bit fast, and the process was also uneventful.

A good doctor is one who can solve problems.

"Thank you, doctor," she repeated to Xue Tao.

"It's all because you guys are so skilled." She also praised Xue Tao, thinking that Xue Tao was, after all, Fang Ziye's teacher...

Fang Ziye smiled happily. He felt that sometimes, the knowing smiles from patients were more valuable than a large amount of knowledge points.

Naturally, the combined knowledge points for these two dislocation reduction techniques amount to only 10 points, far less than half of the knowledge points for the previously difficult-to-reduce anterior hip dislocation.

This isn't even a mosquito bite; it's a small piece of meat that can slightly replenish your energy.

Fang Ziye didn't see Xue Tao tell him to stop, probably because he realized that if he treated the patient directly now, he could do so faster than Xue Tao.

Although Xue Tao looked at him with a scrutinizing gaze, Fang Ziye remained completely calm.

His manual repositioning technique had already reached level 3, which could be confirmed by Chief Resident Jin Hongzhou, so Fang Ziye is not afraid of it being upgraded to level 4.

It's not like there's no one who can prove it.

So Fang Ziye wasn't afraid of being looked at and scrutinized, and he went out the door and brought another patient in!
Xue Tao then tore open a standard manual reset consent form with a degree of appreciation. The reset method was handwritten, and the risks mentioned were purely formatted; there was no time to modify it.

"These are the risks. You should have heard them before: if it's back in place, we'll put on a cast; if it's not, we'll have surgery to reposition it." Xue Tao was even more concise this time, thinking to himself.

I'm having this conversation, so you can't possibly finish resetting my hand after I've finished signing the agreement, can you?

Fang Ziye did not, because the patient's dislocation was very complicated. Although it was a posterior dislocation of the elbow joint, it was a proximal, irreducible joint dislocation.

Fang Ziye believed that with his current abilities, he could handle the task without any problem, but he needed to think carefully about the diagnosis.

"Doctor, what about me?" The patient felt a little flustered when he saw that Fang Ziye had finished the physical examination and hadn't moved or spoken again.

After Xue Tao returned from her conversation, she saw Fang Ziye deep in thought. After a slight internal struggle, she stood beside Fang Ziye, her thick eyebrows furrowed, her demeanor as imposing as a mountain, as if she were giving Fang Ziye a message.

"Director Xue, reducing his elbow joint is a bit tricky. I suggest we do an MRI first to check for any damage to the radial and ulnar collateral ligaments, and then decide whether to perform manual reduction directly."

“I’m worried that this posterior dislocation of the elbow joint may be accompanied by ligament damage. If there is indeed ligament damage, it will be difficult to determine whether it was caused by manual reduction or by the original injury,” Fang Ziye explained to Xue Tao.

Upon hearing this, Xue Tao panicked.

Dude, don't be so technical, okay? Rear lateral dislocation?
Generally, it's either posterior or lateral dislocation, posterior-lateral?

Xue Tao, of course, couldn't be completely without skill. He carefully tapped the direction of the dislocation and found that it did indeed deviate from the typical posterior elbow dislocation trend, leaning slightly to the outside.

The patient was a young man in his thirties with a somewhat handsome face, but he looked troubled and said, "Do I still need to be examined? I think they don't need to do any of these examinations."

"Should we reset it first?"

He couldn't be sure if Fang Ziye was deliberately targeting him.

After thinking about it carefully, Xue Tao explained, "Brother, it's like this, there's no rush anyway. We're both young, so let's just say it directly."

"The extent of your dislocation is quite significant, which could lead to soft tissue damage. If we want to reduce it, we need to consider the indications. It's difficult to assess whether there is soft tissue damage on the X-ray right now."

"Why don't you go down and get an MRI, and then come right back up?"

He was secretly alarmed.

Previously, he didn't know exactly what made Fang Ziye so outstanding and capable, but now he vaguely guessed that Fang Ziye's understanding of image reading techniques and his grasp of diagnosis were incredibly profound.

Fang Ziye's skill wasn't so much in his technique, but rather in his more comprehensive and in-depth understanding, and his ability to read X-rays was also more profound.

Therefore, it was possible to manually reduce irreducible hip dislocations using unconventional reduction techniques that they could not quite understand.

In other words, Fang Ziye saw the problem even though they hadn't figured it out. Moreover, through the simple principle of contact and compression, he first transformed the irreducible joint dislocation into a common anterior hip dislocation before performing reduction.

Even though he understood it, Xue Tao was still somewhat shocked.

When Xue Tao went to study a few years ago, she felt that she had lived in vain in front of Yuan Weihong, who was already thirty-one years old at the time, almost thirty-two.

But now, in front of Fang Ziye, I have the same feeling. Yet Fang Ziye is only twenty-seven years old. What kind of life is this?

If all the young people in Zhongnan Hospital are like this, then when will outstanding talents in prefecture-level city hospitals like theirs ever get a chance to rise to the top? Will they never be able to?

This is Xue Tao's inner struggle.

When Xue Tao spoke, the weight of her words was completely different. The young man didn't hesitate and simply asked, "After my MRI, can I skip the queue outside?" "Okay, I'll go tell them," Xue Tao quickly replied, seeing that he was willing to cooperate.

"Patients queuing outside, please pay attention. If someone like him needs to undergo additional tests because the diagnosis can't be confirmed during the process, he can skip the queue and come in directly. He has already queued."

“I remember everyone, there won’t be any queue-jumping,” Xue Tao said.

Then he said to the young man, "Go to the nurses' station and ask the doctor to write a prescription. Just tell him you want an MRI. Come up directly after the MRI is done, don't wait for the results."

"You know the situation is special, and all the time wasted is everyone's time."

“We doctors are actually fine and don’t feel any pain, so it’s okay if we wait a little longer. But you’re all uncomfortable, so let’s not worry about it, okay?” Xue Tao’s words were relatively fair.

The young man quickly left.

Xue Tao pushed the informed consent form aside, glanced at Fang Ziye a few times, then saw Fang Ziye and brought in another patient.

This is also a joint dislocation, but he has no family members, and the dislocated joint is his right shoulder joint.

Unfortunately, car accident injuries are common. Many people grab onto something to avoid serious injury when a car accident is about to happen, and dislocations caused by the habitual violent pulling of the shoulder joint are quite common.

It looks like a type of damage, like something that happens during assembly line work.

However, after Fang Ziye brought the people in, he didn't start working on them again. Instead, he asked, "Teacher Xue, how about I have the conversation and sign the papers, and you can reposition the two of them?"

While in another hospital, it's best not to be too arrogant. Xue Tao symbolically gave him one or two opportunities to reposition the patient, which was enough. Greed will only lead to failure.

After going around in circles, you do one, I do one, everyone gets a sense of presence, and Xue Tao gets to showcase his skills.

This is at least a rational choice during the first time you get to know each other.

Let alone the first encounter with a stranger, even when interacting with a teacher, before a bond has been formed, you shouldn't overemphasize your presence and make your teacher feel completely frustrated.

Excellence without a foundation of emotional connection will make teachers feel frustrated rather than gratified.

This is a set of interpersonal skills that Fang Ziye has learned through trial and error. It may not be entirely correct, but based on his experience, it shouldn't be a big mistake.

Xue Tao nodded, finding Fang Ziye quite interesting.

He enjoys being around intelligent people.

Fang Ziye's interview signing process wasn't particularly complicated, but it was a little more detailed, mentioning a few specific risk points based on each person's different dislocation type.

For example, when the third patient requires cooperation.

"You have a hip dislocation. The rebound force during the reduction of a hip dislocation is relatively large. As the saying goes, you can't fight city hall. You should know better than me how strong the leg muscles are, especially someone as muscular as you."

"So during the reduction process, such a bounce carries a certain chance of causing a fracture, right?"

"So, too much exercise and overly developed muscles aren't entirely a good thing." Fang Ziye's approach, which was half-praise and half-explaining an exception, was very effective in making the patient feel comfortable.

Which fitness enthusiast doesn't like being told that they have strong muscles?

This conversational style and method was something Fang Ziye learned from a classmate in urology. His classmate had encountered an emergency patient who had taken medication and then scraped the corner of the bed, resulting in a cut. This was the method he used when speaking with and signing consent forms. It was an interesting case that his classmate shared with Fang Ziye during his rotation in orthopedics.

Fang Ziye naturally didn't collect any material to use as conversation starters later, but he did learn a subtle communication style.

"You've been doing this for a long time, and your skin has become rubbed raw. This is a unique characteristic of yours, and there's nothing we can do about it. You're the only one who has this kind of risk!"

Oh my, now that you mention it, that guy almost collapsed onto his back so that the other student could see him, proudly stitched up, without a shred of protest...

A man will fight for this pride until he dies.

If you say he can't do it, he might be unhappy. But if you say he can, especially if he's the same sex, he'll last at least thirty seconds, even if it's only three seconds.

The patient lay down on the operating table with a cheerful smile and asked, "Dr. Xue, is my fracture high-risk, or is it unique to me? Don't other people have this problem?"

"More or less." Xue Tao nodded heavily, a chill running down his spine.

"That's alright, there's nothing I can do about it. Once you build up your muscles, you can't go back to being soft. I accept it."

"Here, I'll sign." The patient lay down and wrote his name in large strokes.

Immediately afterwards, Fang Ziye and Xue Tao began manual reduction. Because it was manual reduction of a hip dislocation, an assistant was needed.

My brother also suggested that I should lend a hand, since my leg might be a little difficult to pull.

However, before he could finish speaking, he saw Zhang Jinchuan, who was actually very strong and powerful, and who had been summoned by Xue Tao with a phone call.

Upon seeing this, the patient sniffed shyly, head down, chin almost poking his chest, glancing at Zhang Jinchuan's figure from time to time, his eyes darting around.

After Zhang Jinchuan came in, with the combined efforts of the three people, a manual repositioning was completed in just two or three minutes.

Although the patient felt pain, he didn't utter a sound.

Based on the principle that although I'm not as old as you, I'm still a tough guy, emphasizing my ability to endure.

After everything was completed, the patient squeezed Zhang Jinchuan's arm as he got up.

"Bro, how did you train like that?"

"Swing a sledgehammer, lift the thigh, use techniques like this to reset the body." Zhang Jinchuan shared his knowledge without reservation.

"Farewell!" the patient said, bowing slightly as he limped away.

Damn it, I really got a lesson.

This is real, hard-earned muscle, not the kind you build with gym equipment.

Once you get here, the number of patients with dislocated joints queuing outside gradually decreases.

……

About half an hour later, the patients waiting in line for manual repositioning were cleared away by a few people.

After seeing the last patient off from the operating room, Xue Tao clapped his hands and said, "Let's go eat first. At this rate of patient visits, I think there might be another wave tonight."

"But after you finish eating, Dr. Fang, you should go and rest first."

"I'm really sorry to have made you come to work early today." Xue Tao's tone was formal, no longer treating Fang Ziye as someone who was just there for a career boost.

With Fang Ziye's abilities, if he still needs to be "gilded," then he wouldn't even deserve the title of "gilded one." Fang Ziye is someone who truly came to gain experience, revealing the true nature of the plan to conduct targeted exchange and learning below.

"Brother Tao, you're too kind. I wasn't much help. My teacher even told me not to cause any trouble."

"It's good that she didn't cause any trouble." After getting to know Xue Tao, Fang Ziye discovered that Xue Tao, despite her thick eyebrows, big nose, and big eyes, was actually warm-hearted despite her cold exterior.

I have no airs towards acquaintances or capable people.

However, if someone comes along and tries to show off or put on airs, he won't pay any attention to you.

"You see, this is the word that comes after humility: hypocrisy."

Xue Tao laughed and scolded, "What I hate most are hypocritical people like this."

“But Dr. Fang’s hypocrisy doesn’t seem so hypocritical.” Xue Tao acknowledged Fang Ziye’s strength, and was even a little shocked, so he added a sentence.

Amidst laughter and conversation, the group headed toward the doctor's office.

Several more patients came in from outside, and after seeing the doctor in the white coat, they asked how to proceed.

Xue Tao said, "I'm so sorry, could you please allow us ten minutes to eat? You can cook for us first, we're really too exhausted."

"It'll only take a dozen minutes," Xue Tao said in a very polite tone, offering the offer with both hands, making it impossible for the other party to refuse.

(End of this chapter)