top student at medical school

Chapter 167 Taking it One Step at a Time (Please Subscribe)

Outside the room where the first bed was located during rounds, Director Wu Guonan and Xue Tao were waiting for Shen Tao.

I already knew yesterday that Shen Tao and Fang Ziye's teacher have a very good relationship!

Knowing that Hong Du and Director Zhang Mingcan had some differences in their ideas, Shen Tao was not surprised at all when he saw Fang Ziye being given a task in the morning and pulled him aside to explain.

We are all adults, and we chose our own paths.

Fang Ziye followed behind Shen Tao, his expression remaining completely unchanged.

"Professor Shen, how about you do a ward round today, and we can all learn from you?" Wu Guonan said very politely.

"Director Wu, let's do it together. It's not a teaching round. We still have four surgeries to perform today, so let's just do a routine round."

"As for ward rounds, I'll make a fool of myself for Director Wu when I have some free time later." Shen Tao seemed to have lost interest, but as he spoke, he kept glancing in Fang Ziye's direction, clearly a little worried.

Upon seeing this, Wu Guonan immediately understood. Although Shen Tao had been making fun of Fang Ziye's mentor, Yuan Weihong, and even occasionally cursing him yesterday, they actually had a very good personal relationship. Shen Tao was still worried about Fang Ziye's situation.

Wu Guonan explained, "Teacher Shen, you don't need to take what I said this morning too seriously."

“The attending physician does not participate in direct on-call duties. Our hospital has never had such a setup. So whether Ziye goes to an emergency consultation or what he wants to do is not something the on-call doctor can control.”

What is a lackey? A lackey is someone who doesn't take shifts, isn't responsible, isn't proactive, and only goes whenever there's an opportunity. That's what a lackey is.

If the department has routine inpatient guidelines, then fine. But if not, Fang Ziye said he was too tired to go for an emergency consultation. Would you, the doctor on duty, go?
Wu Guonan knew Zhang Mingcan well, and naturally knew that Zhang Mingcan was nitpicking the words while simultaneously showing respect for the old director of Hongdu.

Upon hearing this, Shen Tao couldn't help but laugh after carefully considering it.

Well, he was too stuck in his old ways of thinking, so he simply assumed that Fang Ziye's assignment was the same as the senior resident stage he had experienced.

"Hey!" Fang Ziye wanted to curse as soon as he heard Wu Guonan and Shen Tao make a conclusion about his destination based on their own understanding!
"Let's go, ward rounds." Shen Tao put his arm around Fang Ziye and led him into the ward.

Fang Ziye could only shake his head with a wry smile, thinking to himself, "Sure enough, working in a prefecture-level city hospital isn't as easy or as free as working at Zhongnan Hospital."

Fang Ziye was thinking, "Can you two please stop overinterpreting my choice?"

What's wrong with following someone during hospitalization?

First of all, Fang Ziye had already tried performing open reduction and internal fixation of fractures in the operating room. This is a very mature and practically overdone procedure. Even if he performed the entire procedure himself, the knowledge he could gain would be quite limited.

It's basically in the single digits, right?

Okay, let's calculate it this way. Even if we do ten procedures a day, it might not be as effective as manually reducing a fracture that should fall within the scope of surgical indications.

Because this is a new treatment; others may not have tried it or even realized it.

In the past, Fang Ziye would have naturally felt that manual reduction was unreliable and that trying to force a manual reduction against the indications for surgery would be asking for trouble.

But things are different now. My theoretical knowledge and practical skills have reached a certain level. If all else fails, I can always add more.

Where will we find so many fracture patients in the department to perform manual reduction on themselves in the future?
And emergency consultations are the best raw materials.

If someone is admitted to the hospital by the on-duty doctor and then actively suggests manual reduction instead of surgery, wouldn't that be ridiculous?
It's like taking food from someone else's bowl and eating it yourself; that's bound to cause resentment.

After all, in reality, most people, even 99 percent of doctors, believe that surgery for fractures is not a problem, and that surgery can be used to increase surgical performance.

Fang Ziye wants to bring the patient in for manual reduction, isn't that taking away someone else's livelihood?
The best approach would be for me to be the first person to see a patient before they are admitted to the hospital, so that I have the autonomy to make choices and suggestions.

Good grief, do you really think you're being used as a pawn?

Fang Ziye still remembers what his teacher Yuan Weihong said.

Speak less, promise less, do more.

Fang Ziye had thought it through carefully. Now, Wu Guonan and Shen Tao were able to smooth things over and, according to their own understanding, make some "shady moves" to criticize his choices.

Forget it, there's no need to explain. Just follow your own path. If you can persuade them, then persuade them; if you can't, then at most you'll be a disobedient oddball.

Soon, all of Fang Ziye's random thoughts were overshadowed.

Shen Tao is the same age as Yuan Weihong, but one year younger because he took the doctoral entrance exam for the second time, but he is also extremely talented.

Fang Ziye was deeply impressed by the fact that he had been promoted to associate professor at such a young age, and his experience in both scientific research and clinical practice was truly remarkable.

Shen Tao's understanding of fractures, his grasp of theory, and his in-depth yet accessible analysis of the treatment of the disease immediately captivated Fang Ziye, making him feel as if he were face-to-face with his teacher and Professor Deng Yong. There was so much to ponder.

Moreover, after his mind cleared up, Shen Tao's mood improved, and he regained his cheerful demeanor. He spoke with a strong voice and occasionally joked with his patients.

"No, no, no, I'm not an expert from the Provincial People's Hospital. You're a VIP, that's why I came all the way to Enshi to serve you." With just a few words, Shen Tao made the patient, who had initially been praising him, feel comfortable and at ease.

The patient's family said, "Oh my, Professor Shen, you're so good with words, I wonder how many girls you've fooled."

Shen Tao said, "To be honest, sister, I've never pursued a girl before."

"Didn't you just say next door that you went home to see your kids a while ago?" The older woman was taken aback by this, not expecting that Shen Tao, an expert from the Provincial People's Hospital, would be so down-to-earth and approachable in his jokes.

"Really, sis? Have you ever considered that maybe because I'm so charming, my wife pursued me?" Shen Tao stood up straight, touching his hair as he did so.

The woman didn't know how to respond, and after a moment of hesitation, she finally nodded.

Shen Tao then said, "Okay, enough joking. My brother-in-law's situation isn't complicated. It's just a routine surgery, and the postoperative results are expected."

Seeing that the older sister was about to say something, Shen Tao said, "Surgery is necessary. Director Wu and Director Huang Haitao, who is the best at manual reduction in Enshi, have both been seen many times. You can put your mind at ease."

"Surgery isn't a demon, as long as it solves the problem..."

Compared to many people Fang Ziye had met before, Shen Tao's personality was relatively more unconventional, especially when communicating with patients. He would chat about everyday things and make a few jokes, which definitely created a better atmosphere.

These are all things that Fang Ziye can learn.

Then, during the ward rounds, Fang Ziye also discovered an interesting phenomenon: the newly arrived resident trainee, Mao Mao, indeed had a remarkably good memory.

Within ten minutes, he took over the care of six patients and knew their test results and data like the back of his hand, except for one wrong number in a test result.

Fang Ziye knew the number was wrong because Huang Yunxiao had specifically asked him about it yesterday, which is why Fang Ziye remembered it.

Of course, Fang Ziye didn't say it out loud, because a small indicator wouldn't affect the final result.

He's also a very interesting person.

……

When Wu Guonan and Shen Tao finished their rounds and returned to the doctor's office, they were the last to arrive, perhaps because Shen Tao and Wu Guonan had slowed down their pace.

Inside, Zhang Mingcan had already led the team to perform surgery; of the large group, only Guo Yunlei remained.

However, although Director Hongdu's team, including Huang Kai, had disappeared, Director Hongdu was still sitting in the doctor's office with his legs crossed, as if waiting for someone.

As soon as Fang Ziye walked in, Hongdu stood up with a smile and said politely, "Director Wu and Teacher Shen are back from their ward rounds."

Wu Guonan and Shen Tao both called out "Director Hong," while the others remained silent.

Hongdu had his hair slicked back today, but it still couldn't hide the white hair on his forehead. However, he looked much more energetic: "Director Wu, since Ziye has agreed to be the department's assistant, Director Wu, you should cooperate."

"Following a doctor is extremely beneficial to the development and progress of the department. I believe Dr. Fang can definitely manage the ward well. Let Ziye first establish some general rules for the attending physicians in the department before doing what he wants to do."

“Once it becomes a habit, Ziye won’t actually need to do much. What do you think?” Hong Du Shou was there, as if he had already guessed what Wu Guonan would say to Fang Ziye.

Hongdu smiled and looked at Wu Guonan.

As the saying goes, you can't hit a smiling face. Wu Guonan was mentored by Director Hongdu. When Wu Guonan came to work, Director Hongdu was already the old director. Now, seventeen or eighteen years have passed, but the friendship and respect are still there.

Although he didn't understand Director Hong's arrangement for Fang Ziye, he could only superficially agree: "Director Hong, okay, then let Dr. Fang try it first. Anyway, we have Teacher Shen to guide the surgery in our group now, and I can fill in as an assistant, so we're not short of manpower."

"Teacher Shen, you don't have any objections, do you?" Shen Tao didn't answer. As someone from a higher-level hospital, Hong Du still gave Shen Tao a lot of face.

"Director Hong, you're joking. To be honest, I'm just an outsider." Shen Tao had been in Hongdu Group for the past month, so he was very familiar with Hongdu and knew his own position. He had already told Fang Ziye what needed to be said and heard what he needed to hear from Wu Guonan.

As long as Fang Ziye isn't manipulated or exploited to some extent, that's inevitable.

"Teacher Shen is joking," Director Hong said.

"Director Hong, why don't you just call me Xiao Tao or Shen Tao? Otherwise, I'm afraid the old professors will beat me up when they find out," Shen Tao said.

Hong Du didn't say anything; once the matter was confirmed, that was a good thing.

Fang Ziye is just one factor. Hongdu certainly wouldn't place the absolute focus of building the trauma surgery department on Fang Ziye. Otherwise, the trauma center at Enshi Central Hospital would be out of the question.

After Director Hongdu said he was going to the operating room and left, Wu Guonan could only sigh slightly: "Ziye, then for today, you can just symbolically take a shift in the department. Based on your understanding, roughly standardize and summarize the medication and medical orders in the department."

"If anyone is disobedient or doesn't listen to instructions, just tell me and I'll handle it."

Although Hongdu Shou was giving Fang Ziye more responsibilities, Wu Guonan couldn't just stand by and watch Fang Ziye struggle alone in the department. That's not what a good superior should do.

"Thank you, Director Wu." Fang Ziye was delighted to hear this.

With this statement, Fang Ziye essentially had a powerful sword.

……

Soon, Fang Ziye watched Wu Guonan and Shen Tao leave the operating room with Xue Tao and the others, leaving only himself and the newly arrived resident trainee Mao Mao in the department to handle patients' medical orders, dressing changes, and other matters.

There are only five people left in the department now, and eight computers. If all else fails, there are three more in the associate professor's office next door, which Fang Ziye can use.

After Fang Ziye sat down, he sorted out the medical orders for the patients under his care and said, "Mao Mao, when you went downstairs just now, did Cao Zhen give you the medical orders for the patients under his care? Then I will only write the medical orders and change the dressings for the patients under Tao Ge's care."

But Mao Mao chuckled softly upon hearing this: "Brother Ye, how about this, I'll go change the dressing, and you can write all the doctor's orders, that way you'll have an easier time."

Mao Mao is very sensible. Although he seems like a homebody, he actually has some understanding of human relationships and social dynamics.

"That's fine too." Fang Ziye figured he would definitely be staying in the ward today, so he might as well put more effort into refining the medical orders for his team.

"Alright, I'll go change the dressing now." Mao Mao had already made this plan, so he recorded all the patients who needed their dressings changed in his notebook.

There were quite a few patients needing their dressings changed; there were eight in total.

That means there are only thirteen patients left who did not undergo surgery. Since a group of fracture patients were cleared out by manual reduction earlier, it is foreseeable that the pre-operative patients in the group will be cleared out in three or four days.

After Mao Mao left, Guo Yunlei from Director Zhang Mingcan's group said with a grin, "Brother Ye, what exactly does this chief resident do? If any of us brothers make a mistake, please be lenient with your words and don't report it to higher authorities."

Although I don't know what the chief resident is in charge of, the chief resident is the head of the resident physicians.

There are actually only four resident physicians in the department right now: Guo Yunlei, Mao Mao, and Li Ruokai, who was recently assigned to Director Hong's group.

Upon hearing this, Fang Ziye smiled wryly and said, "Xiao Guo, don't be nervous."

"What 'chief resident' or 'chief resident'? I'm just here to help you out. If there's an urgent consultation and you can't go directly there, just call me and let me take a look."

“As for the others, like Brother Cao Zhen, Brother Jin Chuan, and Brother Guang Shenqing, I dare not point fingers at them when they are on duty, but I dare not touch the patients under their care.”

In the department, only two people have already obtained the associate senior professional title: Huang Kai and Xue Tao. The other one, Li Yuanhong, is about to receive his associate senior title but is currently undergoing further training at Zhongnan Hospital; Fang Ziye has no contact with him.

The rest are mostly for treating specific conditions.

Can I manage Zhong Xuegao and Guang Shenqing from Director Zhang Mingcan's group, as well as Wang Zhongxing from my own group and Cao Zhen from Director Hong's group?

Who gave them the nerve?

Therefore, it was precisely because of this that Fang Ziye felt that it was perfectly fine for Zhang Mingcan to give him a follower, as he still had plenty of free time.

It's equivalent to only occasionally running to emergency consultations when Guo Yunlei, Li Ruokai, and Mao Mao are on duty. This will increase the efficiency of acquiring knowledge points. If you can perform a few special fracture reduction techniques, that would be a very considerable income of knowledge points.

For example, when the associate chief physicians and senior attending physicians are on duty, they will ask Fang Ziye to run consultations.

Wu Guonan was right about that; they probably wouldn't be able to bring themselves to do it.

For the first few days, Fang Ziye needed to go through a formality.

"Let me see your duty roster?" Fang Ziye asked.

The duty roster is available electronically in the duty group chat. Fang Ziye hasn't had time to join yet, so after Guo Yunlei added him to the group, there were no historical messages.

Guo Yunlei immediately sent the duty roster to Fang Ziye.

Fang Ziye discovered that the department had quite a few people, with as many as eight people participating in the regular ward shifts.

Apart from Li Ruokai, who does not have a practicing physician's license, and Associate Chief Physician Huang Kai, who is not on duty directly, everyone else, including Xue Tao, is on duty.

An eight-day cycle...

Xue Tao, Zhong Xuegao, Guang Shenqing, Guo Yunlei, Wang Zhongxing, Mao Mao, Zhang Jinchuan, Cao Zhen.

So, all I have to do is show up when Guo Yunlei and Mao Mao are on duty. Even if it's 30 days, I'll only need to make an emergency consultation every eight days at most.

There isn't much time, so it's relatively easy to schedule.

After reading it, Fang Ziye went back to managing his group's medical orders, while Guo Yunlei, the newcomers Li Ruokai, and Cao Zhen were each doing their own thing.

Time flies, and it was nearly ten o'clock when Fang Ziye finally finished organizing the medical orders for the more than twenty patients in his group.

Meanwhile, Li Ruokai and Cao Zhen next door were frantically processing their discharge medical records because Fang Ziye had been so effective yesterday, manually reducing eight fractures, and they could all be discharged today.

Fang Ziye did come back, but discharge medical records and discharge instructions still need to be issued. It's impossible for him to be discharged directly after the manual reduction yesterday.

Seeing everyone busy, Fang Ziye suddenly found himself with nothing to do.

However, Fang Ziye was not in a hurry. Seeing that his knowledge points had increased by three points again, reaching 1135.3, Fang Ziye felt much better.

No need to rush, just proceed step by step.

Guo Yunlei is on duty today, so Fang Ziye has to stay in the department and will probably have to stay for the next few days, so that Director Hong Du, who is Fang Ziye's assistant, can see him.

It wasn't until noon that Guo Yunlei received a consultation call from the emergency department.

After listening, he glanced at Fang Ziye, who was playing on his phone.

Fang Ziye understood and said with a smile, "Yun Lei, I'll go run that errand first..."

(End of this chapter)