top student at medical school

Chapter 155 The Real Zhang Mingcan (Please Subscribe)

Intelligence determines a person's professional level to a certain extent, while emotional intelligence generally determines how far a person can go in their profession; this is the basic level a person can reach.

However, if the overall volume is to be increased, then opportunities, chances, and accumulation become topics on another level.

Fang Ziye was not overly modest, but he also did not intend to stand out from the crowd.

If your abilities have been demonstrated and others have seen them, then you should know when to stop. Otherwise, if you finish all the resets yourself, then Huang Haitao's trip here would just be a side job, a mere supporting role.
An associate chief physician, always playing second fiddle to a mere PhD, are you really that shameless?
The manual repositioning technique performed by Huang Haitao, Wu Guonan, and Xue Tao was naturally not one that exceeded several levels of contraindications for manual repositioning; rather, it was a slight leap.

It's just a tiny leap; this is a power unique to associate chief physicians.

For associate chief physicians, the health commission tends to delegate more leeway in surgical procedures.

Xue Tao and Wu Guonan are not completely without skill; they can both do it. However, in terms of proficiency, Xue Tao is probably around level 3 with less than 100 points, while Director Wu Guonan is around level 3 with about 200 points.

What the two couldn't do, Huang Haitao, whose repositioning technique was at almost max level (Level 3), filled in for them.

Based on his understanding and abilities, Huang Haitao had made ample preparations before the manual reduction procedure. Therefore, the subsequent manual reduction of the fracture was not as smooth as when Fang Ziye performed manual reduction before.

Despite some minor setbacks, the project was completed in a satisfactory manner.

However, when reviewing the postoperative X-ray results, Huang Haitao exclaimed, "Surgery is indeed still all about manual techniques. Director Wu, did you notice that the functional reduction achieved by Ziye's manual reduction technique is actually the critical point of anatomical reduction?"

"It's just that it doesn't achieve the absolute anatomical contact of open reduction. But whether it's lateral or anterior-posterior displacement, it won't exceed 3mm, which is an effect that many open reductions cannot achieve."

This is not an exaggeration.

Functional reduction simply means that it is more flexible than the standard of anatomical reduction. It does not mean that all open reductions achieve anatomical reduction. Professionals understand this, but they just won't undermine others' claims to a certain extent.

As for the treatment of fractures, it is not necessary to achieve 100% anatomical reduction. While anatomical reduction is certainly desirable, fracture rehabilitation is malleable.

Wu Guonan squinted his small, puffy eyes, a hint of smugness in his eyes: "Director Huang, Ziye's technique is quite good. If only you could break free from the constraints of conventional thinking like Director Huang."

Huang Haitao pondered for a moment: "Yes, ability is the prerequisite for breaking through cognition. Even if I hadn't appeared, Ziye would have gradually broken through in the future, it's just that there was no more systematic guidance."

"But it's okay. I'll have Xiao Fang come over to my place later to pick up a set of books. He can read them slowly. In a year at most, Xiao Fang will probably be a skilled doctor treating fractures."

"The manual reduction technique is excellent; it's very effective in both conservative and surgical treatments." Huang Haitao's gaze towards Fang Ziye was no longer one of shock, but rather one of admiration and anticipation.

If technology cannot be learned or taught, it is merely operation, not a systematic technology.

If a legacy cannot be passed down, it is a swan song, a fleeting moment, and a regret.

It was getting late, almost afternoon.

Knowing that a group of patients would be discharged today using manual repositioning techniques, Wu Guonan decisively postponed the surgeries until tomorrow.

He then said, "Director Huang, you've worked hard too."

"Thank goodness you came, which reduced the number of patients in our group by another third. It also lightened our workload. I won't say any more nonsense, next time, it'll all be over drinks."

"It's almost noon, let's go take a break..." Wu Guonan led Huang Haitao out of the control room, leaving Xue Tao and Fang Ziye behind.

After the two directors left, Xue Tao, with his thick eyebrows and big nose, quickly stuck his head out and then decisively closed the door.

When he turned back, he finally showed a look of shock: "Holy crap, Ziye, you're fucking awesome!"

"Did you notice Director Huang's expression just now? Do you know what Director Huang represents in the trauma surgery department of Enshi?"

"What else could it represent? God?" Fang Ziye said, using a joke as he took off his gloves to wash his hands.

Xue Tao chickened out at that moment. He dared not say those words to Huang Haitao, otherwise Huang Haitao would beat him up if he heard them.

"It's not quite divine, but it's definitely the pinnacle of manual reduction and fracture treatment in Enzhou."

"It's mainly because Director Huang has a good lineage. He studied under the old Chinese medicine doctor Chen and after joining Minzu University Hospital, both his surgical skills and reputation have risen steadily. Now, in the Department of Trauma Surgery at Minzu University Hospital, although he is not the ward director, his status is even higher than that of the ward director." Xue Tao was truly shocked.

Yesterday I only knew that Fang Ziye's manual reduction technique was very good and highly skilled. It's probably because he was trained by a group of professors at Zhongnan Hospital and became very proficient.

"Dr. Shen, who is paired with our hospital for assistance, was always outmatched by Huang Haitao in manual reduction techniques," Xue Tao added.

Dr. Shen is a senior attending physician at the Provincial People's Hospital. He is the same age as Fang Ziye's mentor and is someone who needs to gain grassroots work experience before being promoted to associate senior level.

However, Fang Ziye didn't know whether his master had Level 4 manual reduction techniques, nor could he comment on it. But Fang Ziye knew that his master must have several Level 4 surgical skills, otherwise Professor Deng Yong wouldn't have specially approved him to perform high-end procedures like bone transport.

I can understand that, actually.

Yang Wenzheng, a hand surgeon, is slightly younger than his master. His proficiency in suturing, a key basic operation in hand surgery, is close to level 3, with a score between 300 and 400.

My mentor may be more talented than Yang Wenzheng. He has several key basic trauma surgery operations at level 4, which are quite routine. However, manual reduction is not something I can comment on.

After exchanging pleasantries for a while, Xue Tao wanted to ask if there were any techniques for manual reduction, such as the tricks to reducing the difficult-to-understand fracture.

Fang Ziye was even more bewildered than Xue Tao: "Brother Tao, I wish there was one. Nobody ever told me about this."

Xue Tao thought about it and realized that Zhongnan Hospital rarely treated simple fractures and did not pay special attention to this aspect.

Otherwise, Fang Ziye would have been fully developed by the professors long ago.

It's okay if you don't know; take your time. That makes it less abnormal, and Fang Ziye, who is all-knowing and all-powerful, is more down-to-earth.

"Let's go, let's get some fun." Xue Tao put his arm around Fang Ziye's shoulder and headed for the corridor.

Fang Ziye said, "Brother Tao, I really don't know how to do this..."

Xue Tao frowned and said earnestly, "Xiao Fang, if you don't smoke, you'll miss out on a lot of opportunities."

"The bond forged through sharing cigarettes is something you can't understand."

Fang Ziye still refused. He wasn't against smoking, but he wouldn't offer to either.

Xue Tao went off to find her own little pleasures, while Fang Ziye returned to the doctor's office to begin processing the discharge procedures.

The patients he's currently managing, if they've had a successful manual reduction surgery and the follow-up results are reliable, of course they should be discharged. Otherwise, why would they stay in the hospital, wasting the patients' money and the beds?

Some patients, who are still in other departments, also need to be transferred back to the ward.

Patients needing surgery tomorrow will need to have a pre-operative consultation and sign consent forms. We'll also need to check their pre-operative preparations and draw physical landmarks to prevent things like cutting the wrong leg during surgery...

There are many things to do, and they are quite messy. There are also some medical records, and the prescriptions are not yet complete.

These are all knowledge points. If we can also recommend some new medical orders, we'll gain another wave of knowledge points.

Can you make eating more delicious with knowledge?

Go to hell.

Although Wu Guonan and Xue Tao both extended invitations, Fang Ziye insisted that he would go to the operating room after he had finished treating all the patients. He ate his dinner in the department first.

As a result, only Xue Tao and Wu Guonan remained to have dinner with Huang Haitao.

This is a necessary reception.

The department was indeed busy, and no one felt that Fang Ziye was being disrespectful. On the contrary, they felt that Fang Ziye had put himself in the right position and had the right attitude.

What kind of doctor is he who doesn't do his job properly and only thinks about flattering others and getting free meals?
After the others left, Wang Zhongxing took the initiative to gather Fang Ziye and Huang Yunxiao together to order boxed lunches.

Fang Ziye said, "Xing-ge, Yunxiao, how about I get some?"

As soon as his superiors left, Wang Zhongxing immediately revealed his loud voice: "Dr. Fang, are you looking down on me and not giving me face?"

This statement is direct, but also very damaging.

Fang Ziye silently put his phone away. "Order five dishes and four servings of rice. Let's eat as much as we want. Although it's not as good as what the directors eat, we won't treat ourselves badly." Wang Zhongxing was very generous. Although he had shaved his beard today, he almost had his desire to befriend Fang Ziye written all over his face.

After ordering the food, Fang Ziye didn't immediately start talking, signing documents, or writing medical records. He spent a little time reviewing his knowledge points gained over the past two days, and suddenly felt full of energy.

121.2昨天关节脱位的收入+62昨天那位大叔的收入、155，今天两个骨折手法复位的入账、117最后一个骨折的大额学识点到账、4.5今天查房后的病历以及医嘱的到账学识点。

459.7 knowledge points.

It lasted less than two days, and there were still evenings.

Current knowledge points balance: 807.8.
It originally brought over 1200 points, but adding two level 4 skills consumed nearly 900 points, leaving only 344.1. Now it's back to 800+, and the next level 4 skill will be ready soon.

Fang Ziye anticipates that the area he can add to his expertise is open reduction and internal fixation of fractures, a relatively specialized procedure in trauma surgery.

If manual reduction and experience in fracture instrumentation are considered basic, entry-level skills in trauma surgery, then open reduction and internal fixation of fractures is a specialized skill, a skill that can only be mastered by general attending physicians or even senior attending physicians.

Fang Ziye had given this idea carefully before adding it.

Osteotomy and reshaping definitely involve artificially creating a fracture, but it is not explicitly stated.

If you don't know how to perform open reduction and internal fixation for fractures, no matter how good your other skills are, if you only correct the shape but don't fix it, what's the point of correcting anything?

While writing the medical records, Fang Ziye discovered that Luo Tingzhu had started going online and sharing some experimental results images from overseas with him. Furthermore, Luo Tingzhu had also used his abilities to find other results images from within the research group.

A very simple set of pictures was sent to Fang Ziye.

Fang Ziye was so excited that he wanted to fly to Los Angeles immediately, show off, join the research group, complete a certain amount of work and make a certain contribution, and then take all the knowledge for himself.

How many people are in this lab, and how can it produce so much output in a day?

However, even after Fang Ziye finished reading it, his knowledge points only increased by 0.2!

Fang Ziye received only a small amount of knowledge points for the experiments conducted by Xiao Tingzhu, due to his early contributions.

But Fang Ziye's first thought was this, and he still thanked Luo Tingzhu very happily: "Thank you for your hard work. You've probably collected all the results from everyone in the lab by now, right?"

"Senior, we can only take a second photo remotely and blur the key results. The original data, the original image, and the key information all need to be hidden. I don't know if you want to see them."

"I love watching it!" Fang Ziye replied with a wry smile.

"Hehe~" Luo Tingzhu sent a cute emoji.

Fang Ziye then sent Luo Tingzhu the number of patients under his care, as well as the written and printed medical records.

Luo Tingzhu understood immediately, sent a thumbs-up emoji, and then a fighting spirit emoji.

Of course, Qian Qiaofeng and Duan Qingyun did not stop contacting Fang Ziye just because he left the laboratory, even though they did not gain any knowledge from Luo Tingzhu about the results diagram.

It's just that these past few days, we've only been in occasional contact, usually sending a batch to Fang Ziye every two to three days to satisfy his little quirk.

Knowledge Points +9!

The output of Associate Professor Hong Zili's research group is quite impressive.

With so many people, even in just two or three days, they can accumulate one or two workloads.

Fang Ziye, on the other hand, was experiencing both pain and joy as he worked, gaining a large number of knowledge points along the way, which was quite delightful.

……

In the evening, around 8:40 p.m., Fang Ziye finished signing the consent forms for the two patients who were scheduled to have surgery the next day, and updated all the patients' medical records.

Of course, Fang Ziye could handle it, but patients transferred from other departments were not under his jurisdiction and were taken over by Xue Tao, Wang Zhongxing, and Huang Yunxiao.

Fang Ziye neither competed nor showed off his own strength.

He then stretched.

Next door, Wang Zhongxing glanced uncomfortably at Fang Ziye and said, "Dr. Fang, you write medical records way too fast! I can't even keep up with you using a template!"

"Brother Xing, I also created my own template, so I sped things up a bit."

"Finally finished, I'll go back and rest now." Fang Ziye slowly stood up.

Luo Tingzhu was already immersed in the intensive experiments, while Fang Ziye had to go back to finish writing parts of his article. He had to make the most of his time, which was very fulfilling.

Wang Zhongxing and Huang Yunxiao both nodded.

Fang Ziye has finished all his work, and the quality is very high, so there is no reason for him to continue awkwardly accompanying the writing of medical records.

However, just then, Xue Tao returned to the department. Although he had eaten and drunk some wine, he still had to deal with the patients under his care and supervision, and the medical records and consultation signatures had to be completed.

This is the predicament of a deputy chief physician in a prefecture-level city: one must manage interpersonal relationships, oversee patients, and keep watch on duty.

Fang Ziye simply greeted Xue Tao and didn't offer to help her.

I still have things to do.

However, Fang Ziye did not expect that Wu Guonan would also return to the department. And coincidentally, Wu Guonan, unable to find Fang Ziye in the office, came straight for Fang Ziye, who was about to leave the doctors' lounge after putting down his white coat.

"Ziye, perfect timing, I need to talk to you about something."

"Is it convenient?" Wu Guonan asked.

Fang Ziye didn't dare to say that he was inconvenienced, although he really wanted to say that he had already compressed his four-hour writing schedule for the day into three hours.

So Fang Ziye followed Wu Guonan and went into the director's office first.

First, Wu Guonan expressed to Fang Ziye that the people in the group had a very high opinion of Fang Ziye's performance: "Dr. Fang, I think I have to thank you. Since you came, I have found that Xue Tao and the others have become much more proactive and enthusiastic. They are no longer just dawdling like before."

Fang Ziye hurriedly waved his hand and said he dared not: "Director Wu, Brother Tao and Brother Xing are all very hardworking."

"I called you here today mainly to talk about two things, so I won't keep you in suspense any longer."

"The first thing is that you'll be joining my team. I don't know what kind of arrangements the department will make for you, but I will definitely give you a little subsidy. It's not much, but it's a token of my appreciation."

"I was going to give you two thousand, but after thinking about it, two thousand is too little. I'll give you three thousand in cash. I don't know if you'll have to pay taxes later." Wu Guonan was very frank. Although he smelled of alcohol, what he said surprised Fang Ziye.

"Huh?" Fang Ziye was stunned; this was completely unexpected.

Wu Guonan smiled casually again: "The second thing is that I need to analyze Director Zhang's intentions for you. Director Zhang probably still hopes that you will conduct experiments for him. This basic point will not change."

"After all, he has said to his subordinates more than once that Dr. Fang's resume is not thick enough. He probably works at Zhongnan Hospital. He doesn't have many connections or resources, and he doesn't have much money, so he doesn't have many publications."

"He has money, he can definitely arrange for you to be put in the operating room."

"The methods and approaches may be beyond your imagination, but if I had to guess, it's nothing more than using the method of listing your name on an article to win you over and trick you."

"Actually, I shouldn't have said these things to you." After saying this, Wu Guonan sighed, his face full of hesitation, as if he didn't know whether what he did was right or wrong.

"Ah~~~?" This sentence shocked Fang Ziye even more.

Ah's speech was even slower.

Is Zhang Mingcan trying to manipulate and bestow titles upon himself by using the article as a fictitious author?

Fang Ziye could hardly imagine such a scene.

Popular Science: Subcutaneous tumors in nude mice.

(End of this chapter)