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Chapter 154 It's Absolutely Ghostly (Please Subscribe)

Outside the control room, Huang Haitao asked Wu Guonan again, "Director Wu, you're not joking with me, are you? You really didn't know anything about Xiao Fang before?"

If Huang Haitao hadn't known Wu Guonan for many years, he would have had ample reason to suspect that Wu Guonan was deliberately setting a trap for him, and that the trap was so deep that it almost buried his 1.75-meter-tall frame.

Wu Guonan immediately understood: "Director Huang, so you mean that Xiao Fang's skill level is very high, especially in manual repositioning?"

"Yes, about that, but I can't comment on exactly how high it is yet, and he himself can't say for sure either."

"I originally thought he came from a family of traditional Chinese medicine practitioners and wanted to have a thorough discussion with him, but he didn't understand the concepts of skill and inherent strength, so he probably isn't a practitioner of traditional Chinese medicine."

"However, I can give it a try. As far as I understand it, the problem in bed 13 in your department can be solved by manual repositioning. But with my current skill level, I can't reach that point yet, but I can give it a shot."

"If Fang Ziye can complete the repositioning based on my description, then I can only congratulate you, Director Wu. Fang Ziye, the man beside you, is definitely a super promising talent," Huang Haitao said formally.

But Wu Guonan gave a wry smile: "Director Huang, you've misunderstood."

"Dr. Fang is only here for an exchange program in the countryside. He is not a staff member of our institute. He will have to go back in six months. It can only be said that he may have different ideas from Director Zhang, and ended up in our group by chance. That's how we met."

Wu Guonan made his point clear: if the person is his own, he doesn't mind listening to such flattery; if the person isn't his own, there's no need to cause any trouble.

This is an attempt, an attempt to test just how far Fang Ziye's operational skills have come.

Huang Haitao spoke with the patient personally and explained the specific situation.

"It's not certain, but we'll try our best to reposition it. Don't have too high hopes. Of course, if you don't want to, just pretend we didn't say anything. I just think it's a bit of a pity to go straight to surgery without giving any chance for conservative treatment," Huang Haitao said frankly.

Patients and their families are naturally happy about it.

I'm already in the hospital bed, just waiting for surgery. If the doctor doesn't say anything, then I'll have the surgery.

But for the sake of an opportunity, the doctor is willing to try a cheaper and more reliable manual reduction technique for you, which is a rare virtue in itself.

As for what to do if it fails, well, it just means another surgery.

Huang Haitao is quite well-known in the field of orthopedics in Enshi. However, the patient in bed 13 is from out of town and therefore does not know about him. Moreover, even for locals, it would be impossible to get into the Minzu University Hospital.

But the patient in bed 14 was a local, so he advised him, "This Director Huang is a highly skilled doctor. Many of us with fractures go to Minzu University Hospital to see Director Huang for treatment."

"The fact that Director Huang was able to take time out of Minzu University Hospital to come to Enshi Central Hospital this time means that all the patients referred from Minzu University Hospital have been treated, which is why he has time now."

"Big sister, you're so lucky!"

"Director Huang, this is..." Bed 14 took the opportunity to hope that Huang Haitao would glance at him.

Huang Haitao shook his head decisively: "If your fracture could be manually reduced, then sows would be flying. It's a pelvic fracture. You'd better just wait for surgery."

Upon hearing this, the patient in bed 13 nodded in agreement.

A few minutes later, Huang Haitao and Wu Guonan led bed 13 out of the operating room. Huang Haitao went in first to explain the situation to Fang Ziye, roughly how to disassemble the bed and how to reset it, and what conditions needed to be met for successful reset.

Outside, Wu Guonan continued to calm the patient and his family, explaining, "Wait a moment, Director Huang will be performing the procedure, and Dr. Fang from our department, the same Dr. Fang who performed the repositioning yesterday, will be assisting."

"Please don't misunderstand."

This is the form of expression, and it must be clearly explained, because the patient doesn't know whether the counter-traction force used by Huang Haitao for repositioning is the main operating force, or the traction force used by Fang Ziye for active traction is the main operating force.

However, once Huang Haitao took over, he was the main operator. For example, when Xue Tao and Fang Ziye reset their bodies together, it was Xue Tao who did the work.

This is what superiors are like; this is what people with high professional titles are like—they have to take the blame.

You won't even be able to defend yourself; even if you messed it up, you can say it was Fang Ziye who did it.

During the verification process, everyone will ask you, "Are you dead? How could you let a resident physician handle this alone? How dare you say something like that?"

……

A few minutes later, Fang Ziye nodded thoughtfully.

However, Fang Ziye understood Huang Haitao's meaning: "Director Huang, the operation you mentioned is quite difficult. Are you testing me?"

Huang Haitao, however, could not deny it: "Xiao Fang, this is not a test, it's just that you can't explain it clearly."

"To be able to master the hand repositioning technique and, if given the opportunity, to carry it forward, is my promise to my master and to my predecessors. I must do it."

"Abandoning sectarianism and passing on teaching knowledge is the first step for our traditional medicine to open its doors wide."

"Let's forget about tradition and lineage. Applying the wisdom of our ancestors to patients, whether they are ordinary people or high-ranking officials, is good technology as long as patients benefit from the wisdom passed down from our ancestors. It does justice to our long-standing culture," Huang Haitao said with emotion.

But he didn't continue to be sentimental.

The patient was called in.

This patient has a double fracture of the radius and ulna, and it is a rotational fracture of the radius and ulna. The fracture is located in the lower segment of the ulna and the upper segment of the radius. The principle of the fracture is actually the double fracture caused by the traction of the interosseous membrane.

The situation is very complicated, and there are also bone fragments, which increases the difficulty of both reduction and achieving a certain degree of fixation.

Huang Haitao explained the specific theories and basic structures that could achieve the desired effect to Fang Ziye. After thinking about it, Fang Ziye realized that he could indeed achieve this through his own operation.

The basic components of reduction are still traction and reduction. The only difference in traction is the application of force. Reduction involves either manually pressing the fractures together, or using prying to push the fractures together, or squeezing the fracture ends and fragments into place through the intermuscular spaces or soft tissues.

The forms of expression vary, but the elements involved are different, and the difficulty also varies.

After Fang Ziye started the traction, he felt a tightness in his scalp.

Reduction of double fractures is indeed not as simple as that of single fractures, mainly because the muscle activity models to be considered and their rotation angles are different.

Therefore, during repositioning, it is necessary not only to add continuous traction but also to add rotational traction that antagonizes muscle stretching, thereby counteracting the muscle retraction force that would otherwise generate rotational force and creating balance.

This requires sustained forces from multiple directions and dimensions during the traction process.

This is a bit of a mess.

Fortunately, Huang Haitao had previously shared some techniques.

Start from the bottom and then the top, from the outside and then the inside, gradually finding a balance point so that the muscles around the fracture are like a non-contractile cord-like structure before proceeding with the reduction.

Let the muscles return to their natural state—just muscles, not contracting muscles or stretching muscles. Once a balance point is found, the displacement of the fracture will naturally reshape and return to its original position.

Perhaps Huang Haitao has another, simpler way of describing it, but at least Fang Ziye knows that the principle behind Huang Haitao's description of the operation process is not simple.

After a full three or four minutes, Fang Ziye finally found a balance point. By applying force from the same point of contact, the resistance from multiple forces was increased, causing the patient's muscles to become somewhat limp, as if this was just an ornament.

Fang Ziye quickly seized the opportunity and began to rotate the object with a little force!

While single fractures can be reduced by prying, multiple fractures, especially those between several fracture ends, require a rotational reduction model to fully reposition and fix the fracture fragments.

It didn't take long, just a few seconds, before Fang Ziye saw that the two deformities that had previously existed had actually antagonized each other perfectly.

Moreover, because the muscles had been balanced into a limp state before, they became taut after changing direction. This tautness, though not strong, was just right to bring the radial and ulnar fractures together.

It's fixed; it seems to be finished.

Seeing this, Fang Ziye slowly released his strength, feeling only a slight soreness in his hands, a bit of confusion in his mind, and a slight improvement in his mood.

I watched my forearm with extreme tension after the force was released, fearing that the unstable fracture might become unstable again.

However, after several seconds, and then more than ten seconds, the deformity did not appear, and the patient did not feel any particular pain. He only felt Fang Ziye release the force and ask, "Director Huang, is my reduction done?"

He spoke in Mandarin, his eyes questioning. Huang Haitao relaxed his grip and began to examine the bones.

After touching him, Huang Haitao took a small step back, his face hidden by his mask, but his gaze, slowly moving toward Fang Ziye, was filled with shock and complexity.

The pupils gradually constricted, then slowly dilated, as if they had just experienced a life-or-death transition, like suffocation.

"Okay, let's put on a cast first, then go downstairs for a follow-up X-ray and see the results."

"If the repositioning is successful, you can be discharged from the hospital," Huang Haitao said with a smile.

Huang Haitao's heart was pounding with mixed feelings, a mixture of bitterness, envy, jealousy, and resentment, which he kept repeating to himself.

Fang Ziye's current skill level is at that level, absolutely at that level.

It's unbelievable that Fang Ziye could reach that level of skill simply by practicing without any theoretical support!
Master, didn't you say that only a very few professors, and some senior professors in modern medicine, can master the hand repositioning technique to that level? It requires a long period of practice.

This is totally unscientific.

What the hell is this?
Brute force, skillful force, and innate ability.

Huang Haitao couldn't believe that Fang Ziye had actually reached such an unbelievable level of skill in manual repositioning.

Moreover, Fang Ziye himself was unaware of this, or rather, he had no understanding of it. He was simply using this manual reduction technique to perform tasks listed in the guidelines of modern medicine regarding the indications for manual reduction.

This reminded Huang Haitao of a few disgusting words.

A golden rice bowl filled with excrement, a urinous Da Hong Pao tea, and thousand-year-old golden nanmu wood burned as firewood...

A waste of natural resources.

On Fang Ziye's side, after Huang Haitao had carefully examined the situation, he pondered it carefully. Based on his own understanding of the repositioning effect of the manual repositioning technique, the repositioning effect should be excellent on the surface.

It certainly cannot achieve anatomical reduction or near-anatomical reduction.

However, a lateral displacement of only two or three millimeters is harmless. Many surgical repositioning procedures involve some degree of displacement rather than absolute anatomical repositioning.

Seeing this, Fang Ziye was also quite shocked.

This was the first time he had experienced the power of traditional medicine. It turned out that traditional medicine really could achieve some therapeutic effects that modern medicine could not, just as rumored, but it required a high level of theoretical and practical skills to support it.

This kind of reset is not the kind of mass-produced reset method that some people spread randomly online.

A radial head subluxation was treated without a diagnosis and was regarded as a miracle. Every time Fang Ziye saw it, he didn't know whether to be happy or sad.

A common joint dislocation, such as a mild hip dislocation, is successfully reduced manually, and people brag about it.

Actually, which hospital hasn't performed hundreds or thousands of such reduction techniques? No one would dare to say that they performed one such reduction today and another such reduction tomorrow.

Only extremely rare, highly complex, and irreversible joint dislocations are cases that people dare to discuss publicly through writing; they wouldn't dare to mention them personally.

How big is your face?

But, this time is different.

Facts are facts.

Huang Haitao knew that some diseases that are contraindicated for manual reduction from the perspective of modern medicine could be treated with manual reduction, which is a prospect for guideline revision.

Or rather, manual reduction might be a basic disease that is worth developing, but few people have noticed it, or at present, no one is paying attention to such a point.

So, could I delve deeper into this area and acquire a wealth of knowledge through publishing articles, summarizing findings, and conducting clinical trials?
Am I qualified to participate in clinical research projects?
Knowledge Points +117!

The increase in knowledge brought about by this reassignment is explosive.

Previously, Fang Ziye only scored close to fifty points when diagnosing an osteosarcoma, which was already quite high. It was also the highest score he had ever received.

But in reality, Fang Ziye knew that the diagnosis of osteosarcoma had been thoroughly explored in clinical practice. No matter how well you did it, or how advanced the disease of osteosarcoma was, you couldn't come up with any new innovations.

so?
In clinical practice, the amount of knowledge gained depends on the degree of development in that area. If the development is more mature, for example, in suturing, even if your suturing technique is top-notch, it will only amount to a few points or even a fraction of a point in knowledge.

However, if there's no development in this area, for example, with occult abdominal aortic aneurysms, the diagnostic methods aren't particularly mature, and the summaries of physical examination techniques aren't very comprehensive either. So, what about the huge amount of knowledge involved?
Fang Ziye felt that his guess made a lot of sense.

Because joint dislocation is a Class I procedure.

Logically speaking, such an operation is at most equivalent to the level and difficulty of cyst removal surgery. However, removing a cyst can only yield 1 to 2 points of knowledge at most, while performing a manual repositioning procedure requires at least 5 points.

This is a problem in itself, but Fang Ziye doesn't have much reference material to summarize it.

Thinking, summarizing, and questioning everything, and dealing with the problems we encounter around us through relatively scientific methods, is what graduate students need to study and cultivate a questioning mindset.

Fang Ziye was still lost in thought.

After composing himself, Huang Haitao finished the plaster cast fixation surgery with Xue Tao and said, "Ziye, come with me later. I'd better hand over my collection of books to you as soon as possible."

"It's a pity you've already gone down the path of modern medicine; otherwise, I would definitely suggest you go to the Affiliated Hospital of Huaguo University of Traditional Chinese Medicine for further studies."

Huang Haitao has come to terms with it.

Although Fang Ziye's appearance was like seeing a ghost, talent is talent.

His teacher wanted to do something that involved setting aside the barriers between different schools of thought and between modern medicine and traditional Chinese medicine, and instead of actively protecting traditional Chinese medicine itself, he wanted to open it up and even cure deep-seated diseases.

Even their own teachers are more extreme.

Apart from legitimate and skilled practitioners of Traditional Chinese Medicine (TCM), all other charlatans who use the TCM banner to deceive and smear TCM should be placed in positions where they are provided with food and shelter...

Huang Haitao vaguely remembers that his master was always heartbroken and distressed whenever he saw small traditional Chinese medicine clinics in the town swindling people by advertising that they could cure all cancers.

However, the current policy is to provide absolute protection for traditional medicine, so even if it exists, it is still 'legal' and is not dealt with.

"Thank you for your generous gift, Director Huang." Fang Ziye was also very much looking forward to seeing what Huang Haitao could give him.

Fang Ziye's gaze was intense.

"Let's do things first."

"For all the fractures going to happen next, you, me, Xue Tao, and Director Wu, the three of us will each take one-third. No one should take more than their share," Huang Haitao said, dividing the assets.

Fang Ziye nodded.

Huang Haitao is protecting himself, trying to avoid drawing attention, otherwise Xue Tao and Director Wu will be completely invisible.

It's one thing to impress others when you're new here—it's a way of showing yourself off—but if you crowd others out and leave them no room to stand, how do you think they'll feel?
They may not know how, but they can learn.

If he didn't want to study, was Wu Guonan calling Huang Haitao to the department just to treat Wu Guonan to a meal?

"Director Huang, Director Wu, Brother Tao, I won't handle the rest; I'll take care of applying the cast." Fang Ziye raised his hand, offering his services.

You didn't learn the basics of repositioning, so you're completely unaware of the costs associated with getting a cast, right?

Hey, it's hard work, but it's still a small profit.

P.S.: This is a diagram illustrating the manual repositioning technique.

I've just figured out the image insertion function, so please bear with it. Feel free to leave a comment about what you'd like to see.

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(End of this chapter)