top student at medical school

Chapter 162 The Real Deal on Time Management… (Please Subscribe)
After Hongdu finished speaking, he looked at Fang Ziye and paid attention to the changes in Fang Ziye's expression.

Fang Ziye had never encountered anything like this before. To be honest, even when Luo Tingzhu asked him to teach her, she didn't give him anything.

Now it looks like an exchange.

However, teaching between people who are not in a master-disciple relationship or fellow students is always an exchange of human relationships and social interactions.

I am able to come to Enshi Central Hospital now thanks to the kindness of Professor Li Guohua.

"I hope this can help Senior Brother Wu. But since Senior Brother Wu is so outstanding, he probably doesn't lack guidance in this area."

"Director Hong, what brings this Senior Brother Wu to Minzu University Hospital?" Fang Ziye asked.

Hongdu then explained everything to Fang Ziye in great detail.

On the other side, Huang Kai instructed Zhang Jinchuan and Zeng Weihang, along with the circulating nurse, to escort the patient out of the operating room. After waiting for Nie Mingxian at the door, they then escorted the patient back to the ward together.

However, Cao Zhen, who seemed to know more about Wu Xuanqi, added, "Director Hong, I think I heard that this Dr. Wu has encountered a medical dispute."

"Then I took the blame for an old director at Tongji Hospital. Later, I experienced retrograde amnesia or something, and I became somewhat silent after my first year of professional graduate studies."

"Then he came to work at the Minzu University Hospital in Enshi. He didn't go straight to pursuing a doctorate, but only a year later, in other words, Dr. Wu not only made up for all the knowledge and skills he had acquired during his undergraduate studies in less than four years, but he is now pursuing a doctorate..."

Fang Ziye listened and found it quite legendary.

Speaking of Dr. Wu Xuanqi, he used to be the administrative director of the Department of Trauma Surgery at Tongji Hospital and a beloved student of Professor Duan. He was originally quite talented, but he encountered a medical dispute and was wrongly beaten, which caused him to suffer from rare retrograde amnesia.

Not only have I forgotten many of my experiences, but even the knowledge I gained during that time has become a blank.

This made things really difficult, so much so that this senior student, Wu, could only fill in the gaps in basic medical theory during his master's studies, and after another four years of accumulation, he barely reached the level required for doctoral admission last year.

That's really impressive.

Wu Xuanqi is technically a doctoral student in the same year as Yan Zhiming, but if we consider their master's degrees, he should be in the same year as Wang Yuanqi, only he took the exam for the second time.

Four years to achieve what others have accumulated over eight years—such a record forced Fang Ziye to consider that this Senior Brother Wu's talent was at least comparable to, or even better than, Luo Tingzhu's.

Luo Tingzhu is currently only a fifth-year student and hasn't finished her studies yet...

Meanwhile, let's talk about anesthesiologist Nie Mingxian.

Huang Kai blurted out, "Dr. Nie, who doesn't know him as the time management master in our operating room?"

Upon hearing the words "time management master," Fang Ziye immediately turned to look at Huang Kai, exchanging bewildered glances. He wondered if Huang Kai had found out something and was subtly hinting at something to him.

But actually, Fang Ziye had misunderstood.

Huang Kai immediately explained: "This Dr. Nie was originally a top student from Kyoto University with excellent qualifications. However, because his father was ill, his family didn't have much savings, so he had to work first, and then our Enshi Central Hospital picked him up by chance."

"Don't underestimate Dr. Nie. After Dr. Nie came to our hospital, his former doctoral supervisor even made a special trip to see him."

Upon hearing this, Fang Ziye raised his hand and gossiped, "Brother Kai, if I remember correctly, Director Hong said before that this Dr. Nie is on a seven-year program?"

"Yes, it's an eight-year program that becomes a seven-year program, and you graduate with a master's degree."

Fang Ziye: "..."

The geniuses in Kyoto University's eight-year medical program are truly formidable. The required scores have always been consistently high and have never decreased. If you don't get 680, you might as well keep dreaming.

However, of all virtues, filial piety is the most important.

For the first time, Fang Ziye felt that the world was vast and full of stories...

"Dr. Nie was originally going to join the trauma surgery department of our hospital, but the director of our department’s anesthesiology department discovered that Dr. Nie’s anesthesia skills were absolutely amazing, so he brought him over with a high salary."

"The emergency department can't compete with the anesthesiology department in terms of performance, so the head of the emergency department and the head of the anesthesiology department don't get along very well now..."

"Dr. Nie's anesthesia skills are truly top-notch. Under his teacher's arrangement, he graduated with a master's degree in both emergency surgery and anesthesiology."

"After entering the hospital, I took the time management model from a professor at Huazhong University of Science and Technology to the extreme. He said that anesthesia would last for an hour, but it would not last for an hour and ten minutes."

"The anesthesia is said to last four hours, but it won't be four hours and ten minutes. It's a one-time administration that serves the entire island. The surgery is almost over, and the patient can wake up in about five minutes, without needing to be sent to the post-operative anesthesia management room."

"That's impressive enough, but ever since Dr. Nie went to attend the anesthesiology department's annual meeting, he's now trying to take time management to the extreme. He can even control the off-duty time of everyone in our operating room. Isn't that amazing?"

Upon hearing this, Fang Ziye could only give a heartfelt thumbs up.

Controlling the time requires not only a sufficient understanding of the depth of anesthesia, but also time management of the clinical surgeon's skill level and the overall difficulty of the surgery.

This Dr. Nie has not forgotten his dream of becoming a surgeon...

Following that, Huang Kai and Cao Zhen and the others talked about Zhang Jinchuan and Zeng Weihang who had gone out, mainly to give the two a warning.

Even Cao Zhen would occasionally give Zhang Jinchuan, who was more senior than him, a sight that Fang Ziye found extremely strange!
……

Outside the anesthesia room, as Nie Mingxian led his intern out, he explained, "Let me tell you, no matter what major you pursue or where you study for your master's degree, you must manage this time very carefully and strictly."

"There are several advantages. First, you will feel more relaxed and be able to plan your time more meticulously, allowing you to set aside a lot of time for studying."

"For example, I can currently set aside at least two and a half hours every day: one and a half hours for reading and one hour for hands-on practice."

"So how do we manage the time?"

"In surgery, it's definitely about improving basic skills, ensuring surgical quality, speeding up the surgical pace, and ensuring timely anesthesia."

"For us anesthesiologists, it's important to assess the timing, for example, the number of fracture reduction procedures we'll be performing today."

When Nie Mingxian spoke so loudly, he suddenly noticed that outside the anesthesia room, at the junction of the operating room and the door, there were several people standing there, as if they were waiting for him.

This brought Nie Mingxian's voice to an abrupt halt.

Wang Zhongxing walked over: "Dr. Nie, we've been waiting for you. This patient is under nerve block anesthesia and doesn't need to wake up. Would you like to sign some papers and we'll send him directly back to his ward?"

When Wang Zhongxing said this, the little girl next to Nie Mingxian looked dazed.

Because, as Nie Mingxian had said before, based on the operating skills and capabilities of Chief Physician Hongdu's team, the manual repositioning operation on that side should be completed in about thirteen minutes, so they still had nearly six minutes to leisurely go through the process.

Unexpectedly, in less than seven minutes, the patient and the surgical team were already waiting at the operating room door.

"Oh, you've finished the repositioning?" Nie Mingxian quickly realized what was happening and showed no shock or embarrassment. He went straight to Wang Zhongxing, took the anesthesia form, signed his name, and then asked the patient.

"How are you feeling? Your legs are still a little numb, right? But it's okay. After you get back to your ward, you'll be able to move around a bit."

After signing his name, Nie Mingxian placed the medical record book directly on the hospital bed.

"Okay, thank you, doctor." The patient bowed slightly.

He was fully conscious during the nerve block anesthesia, and apart from feeling that it was a bit fast, he didn't have any other sensations.

"Okay, Dr. Wang, Sister Xia, please take the patient back to the ward. While you're at it, call the nursing assistant to take the next patient to the operating room and then to the pre-anesthesia room. I'll come over to administer the anesthesia in a bit."

"My patient here is under anesthesia and can be taken to the operating room immediately."

"Nerve block anesthesia generally does not involve vital signs. After returning, we can withdraw the anesthesia after a symbolic two-hour monitoring period. It mainly depends on the department's arrangements." Nie Mingxian carried out the handover work very calmly.

Wang Zhongxing and the others nodded in agreement.

At the same time, circulating nurse Xu Xia and Nie Mingxian headed towards the pre-anesthesia room.

In the operating room, the involvement of a circulating nurse is required to move a patient from the operating room door to the operating room, and also to move a patient from the pre-anesthesia room, waiting room, or doorway into the operating room. This is very clear; even the hospital director cannot simply drag a patient into the operating room.

Therefore, only two circulating nurses were assigned to the nine operating rooms in order to speed up the turnover.

After all, Chief Physician Hongdu has excellent surgical skills. In order to retain this orthopedic giant, the hospital and operating room have made special arrangements and taken good care of him.

On the way to the pre-anesthesia room to push the patient, Nie Mingxian asked in confusion, "Sister Xia, was the last patient repositioned so quickly? What happened?"

Nie Mingxian had already made a time plan in advance. Fang Ziye was an old classmate of his who asked Director Hongdu to mentor him, which led to today's special session on manual repositioning.

Otherwise, Wu Xuanqi would have come over himself today to perform the manual repositioning.

However, Nie Mingxian had clearly overestimated Fang Ziye's abilities, so he shortened the anesthesia time to fifteen minutes as much as possible, comparable to the level of Chief Physician Hongdu's direct operation.

Unexpectedly, there was still a tiny bit of imperfection.

Nie Mingxian was in a bad mood.

"Dr. Fang and Director Hong worked together so well. They finished explaining in about a minute, and then Dr. Fang finished the repositioning in a minute or two. Applying the cast was also quick, since we didn't have to wait for it to fully set." Xu Xia knew that Nie Mingxian was concerned about time because he had clinical research projects at the hospital.

Upon hearing this, Nie Mingxian fell silent.

After taking two more steps, he asked in surprise, "So before the repositioning, Director Hong explained it to Dr. Fang?"

A daze settled in my heart—

No, brother, old classmate?
What kind of person did you bring along? Don't make a complete disaster.

At this rate, Fang Ziye's strength may not be lower than yours.

What kind of mentoring are you?

"Yes, that's pretty much the idea."

Xu Xia pondered for a moment, then said, "I think this Dr. Fang's technique for repositioning has some of Dr. Wu's style—quick, decisive, and efficient."

"Similarly, the manual reduction technique is also very effective. According to Director Hong, it can be said that Dr. Fang's manual reduction technique is already very mature."

"Okay, thank you, Sister Xia. I understand." Nie Mingxian smiled and didn't say anything more.

That makes things easier. We can just give Fang Ziye the estimated time for Wu Xuanqi's next-level surgery, which should be about right.

However, in this case, one's own anesthesia technique becomes the most critical factor affecting the overall surgery time.

Damn it.

Nie Mingxian cursed under his breath.

Since arriving in Enshi, he has rarely encountered situations where he was the cause of delays in the surgery. Basically, it was only occasionally when Wu Xuanqi came that he misjudged the situation, which caused delays.

At other times, whether he is performing anesthesia for elective surgery or emergency surgery, he can basically complete the transition seamlessly.

In other words, as soon as a patient leaves the operating room, if there are enough circulating nurses, preparations can begin immediately for the next patient.

Of course, Nie Mingxian couldn't adjust the anesthesia time for the patient he was about to take to the operating room; it would definitely be a little longer.

Because he had previously estimated that it would take Director Hongdu about ten minutes, he included those ten minutes in the anesthesia duration.

It can't be that the medication is administered right after the procedure is performed here, can it?

Such an operation is only theoretical; it's impossible to achieve in reality. However, it's a small goal that can be pursued.

Nie Mingxian didn't pay too much attention to these things, and he and Xu Xia took the patient to the operating room again.

"Director Hong, this patient has also been anesthetized."

"Manual reduction is great. There's no need to tidy up the operating room or clean it up. It's basically a seamless transition."

"However, the turnaround time for the next patient will be relatively slow," Nie Mingxian said.

"It's nothing, it's nothing, thank you for your hard work, Teacher Nie." Hong Du continued to be friendly to Nie Mingxian.

Nie Mingxian frowned, but he was helpless. He had mentioned it to Hong Du many times, but Hong Du still did not change his form of address. He couldn't very well drag Director Hong Du up and beat him up.

However, Nie Mingxian did not leave during the entire manual repositioning process.

Sharpening the axe won't delay the work of chopping wood. He needs to thoroughly understand Fang Ziye's skill level before administering anesthesia again, so he can control the turnover of the next six or seven patients and then leave work early.

After observing the whole process, Nie Mingxian realized that Fang Ziye's comprehension was quite strong, not weak, so he basically understood Chief Physician Hongdu's analysis in one or two minutes.

However, this relatively simple repositioning technique can be adjusted three to five times in just two or three minutes by Fang Ziye. Adding the time for fluoroscopy and plaster application, the overall cost...

"Eight minutes."

"Wu Xuanqi's turnaround time is only five minutes, which means that Fang Ziye's skill level in manual reduction is not that far behind Wu Xuanqi's. At least in simple fracture reduction, that's the case."

"Well, Dr. Wu, you're in for a world of hurt." Nie Mingxian's mood improved again.

He was eager to see how Wu Xuanqi would manage to give first and take later once he knew Fang Ziye's current skill level.

What do you give to others? Are you lonely?

Currently, one of the few pleasures Nie Mingxian can find in clinical practice is managing his time and then watching his equally talented old classmate, who might only be slightly less gifted than him, make a fool of himself.

After reviewing the document, Nie Mingxian decisively signed and sealed it. Once he confirmed that Director Hongdu and others had indeed determined that the manual reduction technique was very effective, he instructed the circulating and resident physicians to send the patient back to the ward.

To be honest, these two have worked really hard. They just got back and then had to take patients away again. They didn't even have a chance to watch Fang Ziye and the others operate.

"Director Hong, I'll go administer anesthesia now. We should be able to admit two patients this time. At this rate, we should be able to finish all the manual repositioning procedures before 11 o'clock," Nie Mingxian said with a smile.

He already had a clear understanding of Fang Ziye's skill level, therefore, he felt that he could control the entire situation from then on.

Nie Mingxian returned to the pre-anesthesia room and notified two nursing assistants, who then brought two patients to the pre-anesthesia room one after the other.

After anesthetizing the first patient, Xu Xia was asked to take the patient into the operating room for manual reduction. Then Nie Mingxian said, "Even I made assessment errors before, which to some extent affected the start of the surgery."

"But, can we still manage our time under such extreme time constraints?"

"Yes, that's possible. We just need to estimate the overall duration of the surgery in advance, and then administer the anesthesia beforehand. This way, once the anesthesia is complete, we can go to the operating room, sign the consent form, and wait for the patient to leave the operating room."

"Then we go back to the pre-anesthesia room to pre-anesthesia the next patient."

"To achieve such control, the prerequisite is that one's anesthesia skills are high enough and the anesthesia speed is fast enough."

As Nie Mingxian explained, the little girl listened with eyes full of admiration.

"Yes, Professor Nie, you are really amazing. When I was working with other anesthesiologists before, none of them were as sensitive to time as you."

"It's alright! Don't believe the rumors circulating in the department, I'm just a regular anesthesiologist." After the anesthesia for the next patient was administered in the pre-anesthesia room, Nie Mingxian was heading out to the operating room again!
He discovered that the two unfortunate individuals, Zhang Jinchuan and Zeng Weihang, were once again pushing a cart to the corner outside the operating room, waiting for him.

It didn't turn out as he had imagined, where he could go directly to the operating room and pick up the patient.

Nie Mingxian's mind was filled with stars, while the intern next to him was practically dizzy with starlight, glancing occasionally at Teacher Nie, unsure of what to say...

(End of this chapter)