top student at medical school

Chapter 164 Fang Ziye's "Take First, Give Later" (Please Subscribe)

When Fang Ziye left the operating room, his heart was pounding. He couldn't believe he had brought so many things out of the operating room—

Current knowledge points balance: 1102.3!

That's all there is, and this is after Fang Ziye consumed over 500 knowledge points to upgrade the theory of manual repositioning to level 4, and then consumed 560 points in total.

It must be said that the knowledge gained from performing manual reduction despite the conventional understanding of contraindications for reverse manual reduction is simply terrifying.

It should be noted that Fang Ziye had only obtained this panel a little over eight months ago.

Over the course of these eight months, Fang Ziye's accumulated knowledge points were less than three thousand.

I added three level 4 skills, and that's it—

Basic cell experimental procedures, basic animal experimental procedures, and suturing techniques.

However, this is all the output from August of last year to March of today, which is considered regular output.

Upon arriving at Enshi Central Hospital, I encountered an unconventional procedure—an organic combination of advanced manual reduction theory and Level 4 manual reduction technique—which I came across by chance.

The result was obvious: Fang Ziye accumulated nearly two thousand skill points in just a few days.

Four days = seven months.

They should have been sent to clinical positions in prefecture-level city hospitals long ago.

That's not true. Without sufficient prior clinical skills and research experience, how could one possibly have such favorable conditions for being transferred to a prefecture-level city hospital so early?
After leaving the operating room, Fang Ziye did not leave the operating room.

The number of patients in the department is still quite large. The team led by Director Hongdu has cleared out the fracture reduction procedures, but there are still surgeries for fractures to be performed.

Naturally, the surgery that Fang Ziye was supposed to be performed by Director Wu Guonan's team was also in full swing.

These are all relatively simple cases of simple fractures. This time, I just happened to be there. How could I possibly have so many patients piling up in the hospital in the future, waiting for me to accumulate knowledge points?

That is impossible.

I also met two exceptionally talented people: Wu Xuanqi and time management master Nie Mingxian. Huang Kai is also a fairly outstanding person, to some extent.

However, compared to top-tier geniuses, Huang Kai may still fall short.

It must be said that, compared to a genius like Luo Tingzhu, with enough time to accumulate experience, the amount of ability she has developed is something that I cannot completely surpass in a short period of time.

Fortunately, Fang Ziye has saved up more than a thousand knowledge points. If he wants, he can quickly master two level 4 skills.

Even if Wu Xuanqi is considered a top genius, so what?

When Fang Ziye entered operating room 13, where Director Wu Guonan was operating, the surgery was proceeding smoothly.

When Fang Ziye entered, many people glanced at him, their eyes filled with surprise.

All the patients undergoing manual repositioning at Director Hongdu's side have been cleared out? It's only a little past 10 a.m., this is a bit outrageous.

But when they thought about the terrifying resources surrounding Director Hongdu, everyone felt relieved.

"Xiao Fang, you're here?"

"Shall I wash my hands before coming on stage?" Wu Guonan's eyelid swelling had completely subsided, and his fatigue had vanished.

Fang Ziye approached the operating table and found that the surgery was nearing its end. Two more screws would be inserted, and then an X-ray would be taken before the wound could be closed.

He humbly replied, "Director Wu, I won't waste my clothes going on stage. I'll come and help with the next surgery."

Having just acquired a huge amount of knowledge, Fang Ziye was no longer so interested in the meager 1-2 points that might come from subsequent suturing.

“Alright. Ziye, you must be tired too. Manual repositioning is a technical skill, and it's also physically demanding.” As Wu Guonan spoke, he also cautioned Xue Tao, “Be gentle. There's already a pre-drilled hole. Why are you using so much force when you're screwing in the screw?”

"Just stay calm..."

Upon hearing this, Xue Tao nodded and slightly reduced the force he used.

Fang Ziye was near the timer panel of the 13 operating rooms, scrolling through his phone. He saw Luo Tingzhu sharing the city night view from thousands of miles away. After glancing at the time, he felt a mix of emotions.

The world is still very big.

"Senior, I've read the document you sent me, but it seems rather difficult to understand."

"Indeed, the theories of traditional medicine rely entirely on intuition. It would be great if there were more objective data to illustrate this." Luo Tingzhu sent this regretful message about half an hour ago.

It must have been after Luo Tingzhu carefully read the document before cautiously revealing her true feelings.

He does not mean that.

Fang Ziye didn't know if Luo Tingzhu deliberately treated him as a blind spot in terms of resources because of Lan Tianluo's identity.

Upon hearing Luo Tingzhu's reminder, Fang Ziye's eyes lit up instantly.

Yes, there's a data expert in my team right now. Can he quantify these theories from a relativity perspective?
The process from data to statistics to theory is a one-way reasoning.

From theory to statistics and then to specific data, can we form another one-way reasoning?
Fang Ziye acts on his ideas!
He immediately sent the document to Luo Tingzhu and also made a copy for his junior brother, Lan Tianluo.

Naturally, Wu Xuanqi had explained that the document he provided contained the results of a clinical research project. Fang Ziye did not completely copy it, but rather, based on his own understanding, he roughly summarized some ideas about manual reduction and its connection with basic anatomy.

The text is not very long, only four or five hundred words, which is a condensed output.

Without specific fracture classifications to support it, this certainly doesn't constitute a leak of research findings.

However, based on Wu Xuanqi's theory, Fang Ziye made some simple speculations, namely, whether it is possible to demonstrate the feasibility of manual reduction to a certain extent by testing the maximum load-bearing force and maximum tensile force of each muscle, and calculating the angle between joints and fractures.

For example, the self-fixation step can be described using data. After self-fixation, when the muscles are stretched, approximately how many N of passive elastic force will be generated to achieve the self-fixation state of the fracture?

This is just one direction. Fang Ziye himself is a researcher, so it doesn't count as leaking questions or secrets.

After all, whether it's a general research project or a national key project like the 863 Program, the name of your project is the corresponding direction, which you can confidently state. What Fang Ziye added were just details you hadn't considered.

Lan Tianlu did not respond immediately.

Fang Ziye briefly explained his thoughts to Lan Tianluo, and after giving some guidance in a dozen sentences, he said, "Just evaluate it. This is only my one-sided consideration, and it may not be possible to do it. If it can't be done, then forget it."

After giving this reply, Fang Ziye chatted casually with Luo Tingzhu for a couple more minutes.

Luo Tingzhu told Fang Ziye that she had finally completed three tasks in the laboratory and was quite happy.

In a month, although she couldn't reach the maximum output of one work per week, Luo Tingzhu was already very strong in making up for it by familiarizing herself with the process while being able to run two programs simultaneously.

Luo Tingzhu's comprehension must be excellent.

Fang Ziye immediately understood her unspoken meaning: "Congratulations on making progress in basic experiments."

Fang Ziye was very clever. He estimated that Luo Tingzhu had been immersed in the laboratory for nearly half a year, and his basic experimental operations had finally reached the level he had when he first entered the laboratory, which was level 3 proficiency. He was at least not far from it.

Luo Tingzhu replied somewhat embarrassedly, "Actually, I don't know either. Basic experimental procedures are not like clinical procedures, which can be directly compared in the practice room."

"But I think the success rate has improved, probably because the workload is greater and the group discussions are more active, which is why the success rate is higher."

Luo Tingzhu sent two blushing emojis at the end.

Fang Ziye is still editing the information.

Wu Guonan then stepped down from the stage and went to the side of the stage:

"Yo!~"

"Ziye is still busy."

Fang Ziye quickly typed out the message, sent it, and then looked up and said frankly, "Director Wu, I was just chatting with my girlfriend."

Although Luo Tingzhu and he have not acknowledged their relationship, Fang Ziye now wants to confirm it.

"It's good to be young."

"So, how was it? Did you have your eyes opened after going to Director Hong's place?" Wu Guonan's eyes and tone were full of respect. Fang Ziye didn't awkwardly put away his phone. Instead, he typed a message to Luo Tingzhu that the operation was about to begin before replying, "Director Wu, you didn't even give me a heads-up beforehand. I only found out when I got to the operating room that Director Hong's team was full of geniuses like Director Wu."

"However, I learned a lot." Fang Ziye shared a little about what he had gained.

"There's nothing to explain here. Director Zhang and I were both brought up by Director Hong."

"Don't underestimate Director Hong. Although he's just a senior director at our hospital, he was classmates with Professor Duan from Tongji Hospital and Professor Ning from Union Hospital. He's a true graduate of Tongji Medical College," Wu Guonan said, giving a thumbs up.

Fang Ziye guessed that Director Hongdu's background was unusual, but he never expected that Director Hongdu would be from Tongji Medical College in his era.

After all, it wasn't difficult for undergraduates of his generation to stay at Tongji University.

I don't know why Director Hong ended up at Enshi Central Hospital by some strange twist of fate.

"Director Wu, what you're saying makes me a little uneasy. I've never dared to think that way before." Fang Ziye rubbed his nose.

He didn't even dare to underestimate Xue Tao, let alone a chief physician.

"How about coming up for the next surgery and having some fun? I thought your performance yesterday was pretty good," Wu Guonan suggested.

"Okay, thank you, Director Wu." Fang Ziye's face immediately lit up with a smile.

Don't let free knowledge be wasted when it's offered to you.

However, since he was going to perform surgery again, Fang Ziye spent over fifty knowledge points to upgrade his orthopedic internal fixation instrument operation experience to around level 3 with a proficiency of about 100, in order to avoid any accidents.

Experience in operating internal fixation devices—whether you add a little earlier or later, you'll eventually need to add some.

From now on, my daily routine will consist of fracture surgery and manual reduction of fractures, which will only be an occasional treat. So I still need to keep up with the schedule.

As Fang Ziye added these points, he discovered that his skill in open reduction and internal fixation of fractures, which was originally only level 2 with a score of 4/50, had reached level 2 with a score of 41/50 thanks to the advancement of his upstream skills.

Fang Ziye felt that this increase was still very scientific.

The treatment of fractures involves more than just manual reduction; surgery is also a very important component of the treatment and should not be neglected.

To say that one is fully capable of surgery simply by mastering manual reduction techniques and having experience operating orthopedic instruments would be to greatly underestimate the power of surgery.

However, Fang Ziye, who still has more than 1000 points, could not tolerate going on stage with a level 2 skill. He immediately added points to the overall skill of fracture open reduction and internal fixation to level 3 with a proficiency of 100/500.

It wasn't that Fang Ziye deliberately didn't want to upgrade it to level 4, but level 3 was enough.

The next surgery is just a comminuted fracture of the tibia. Manual reduction is absolutely impossible to succeed. At most, a bone grafting procedure will be added.

The thought of bone grafting made Fang Ziye feel particularly annoyed.

Bone grafting is actually a simple procedure, but the raw materials used in bone grafting are divided into allogeneic/biological bone grafting and autologous bone grafting.

If it's a biological bone material, then you can just take a bone material and perform bone grafting. If it's autologous bone, then bone harvesting and grafting, as well as bone reshaping, require more complex procedures.

This is equivalent to Fang Ziye needing to add three skill points before he can use them.

Naturally, it would be unwise to make another incision in the patient's own iliac bone for a simple minor fracture.

Based on the principle of "having enough food at home means you won't panic" and "not adding points to skills if you don't need them," Fang Ziye didn't bother with these things.

"Oh, right, Xiao Fang!"

"I almost forgot something." After seeing Fang Ziye agree, Wu Guonan couldn't find anything to talk about and fell silent for a while. But soon, he remembered—

“In May, our Enzhou will host the second quarterly X-ray reading meeting and youth skills competition of the Orthopedics Branch of the Hubei Provincial Medical Association. You should be able to participate.”

"Of course, the organizer is the Enzhou Medical Association, and it is co-organized by our hospital and Minzu University Hospital. There is a bonus to be won for this."

Fang Ziye wasn't particularly interested at first, but his eyes lit up immediately when he heard about the bonus.

Speaking of which, the Hubei Provincial Orthopedic Youth Skills Competition is usually held only once a year, in the middle of the year. This is to avoid scheduling conflicts with the provincial orthopedic annual meeting and the national COA meeting, which are both scheduled for the end of the year.

In the past, Fang Ziye would never have had a chance in such competitions.

However, Fang Ziye had heard that his junior classmate, Shu Lang, a second-year master's student, had won a third prize and received a reward of 1,000 yuan.

"Director Wu, what are the age limits for this youth competition?" If there's money to be made, of course I'd be interested.

This is a legitimate opportunity to make money.

Winning prize money in competitions is earning money through your own abilities. It's also a way for the Orthopedics Branch of the Medical Association to motivate young people, and there's nothing shameful about it.

So, this is how the bonus came about.

Since film screenings are academic conferences and registration fees are required, the organizers usually set aside a portion of the remaining balance after deducting fixed fees as a reward for young people.

A larger portion, of course, comes from the fees paid to the experts...

"Hey, this is actually a competition for young people. Although the age limit is 35, most of them are over 32. Even if they make it to the last round, they will voluntarily give up participating."

"So, Ziye, you actually have a great chance. If you only participate in the trauma surgery competition, you have a good chance of winning a second prize."

"There are only sixteen second-prize winners in total, and each person can get a prize of 3 yuan, which is still a good deal."

"There are eight first prizes, each worth around ten thousand yuan. I estimate the difficulty and competition are very high. Many young doctors who have just started working also want to earn some extra money to supplement their family income through this," Wu Guonan explained to Fang Ziye.

Fang Ziye nodded.

"Then I'll take a look and sign up."

No wonder Luo Tingzhu was able to earn money while studying; it turns out she had never explored ways to make money before.

Naturally, after winning such an award, the hospital and department will usually give you a small bonus, not much, but basically the same as the prize money you won in the competition.

After all, it brought honor to the hospital...

The following surgeries were actually not difficult.

The difficulty lies in handling it through manual reduction and external fixation with a plaster cast.

I opted for surgery directly. It was a fracture surgery, a minor trauma for the patient, which was a fairly standard procedure.

So Fang Ziye performed one surgery, giving the final suturing opportunity to Xue Tao, and then made an incision for another surgery, giving the opportunity to Wu Guonan and Xue Tao.

For the last machine, Fang Ziye simply supported his legs. Although he only managed to gain 0.2 knowledge points, he was still happy.

Because, on the last patient, Huang Yunxiao, a resident trainee, picked up a scalpel and became so excited that the whole room became a master of creating a powerful atmosphere.

Seeing his happy expression, Fang Ziye felt as if he were seeing himself in Zhongnan Hospital, and couldn't help but feel a little sentimental, while also being happy for Huang Yunxiao.

All surgeries have been completed.

Fang Ziye quickly rushed back to the ward with Huang Yunxiao and Wang Zhongxing to review the medical orders for the patients under their care.

Post-operative patients can have their medical orders written using a prescription kit, but this is too forceful; precise medication administration is still the better approach.

During this time, Fang Ziye encountered Zeng Weihang, who was from Director Hongdu's team, bringing patients back to get their medical prescriptions.

He quickly said, "Brother Hang, when you write the surgical record, remember not to write my name in the surgeon's position, please remember that."

"Also, tell Brother Chuan and Brother Kai about it."

Director Hongdu is in the operating room, so it's not his turn to operate. That's basic common sense, but I'm afraid his brain might freeze when he's writing the medical record.

The medical records will be sealed and stored. If there are no problems, that's fine. But if there are problems, then there will be trouble.

Upon hearing this, Zeng Weihang nodded: "Dr. Fang, Director Hong has already given instructions. You can rest assured."

"That's good." Fang Ziye quickly nodded in response, but in his heart he was thinking that he still needed to check it again himself tomorrow morning.

(End of this chapter)