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Chapter 180 One Hundred and Thirteen Yuan and Twenty-Seven Cents! (Please Subscribe)
"If both Director Wu and Teacher Shen agree, then I'll make a fool of myself," Fang Ziye said, looking in the direction where Wang Zhongxing and Xue Tao were.

Currently, the person in the department with the greatest need for practice opportunities in simple fracture surgery is Wang Zhongxing, followed by Associate Chief Physician Xue Tao.

Wang Zhongxing needs opportunities to practice and learn, while Xue Tao needs opportunities to gain teaching experience and learn advanced techniques.

After all, if Xue Tao is promoted to senior professional and leads a team in the future, he will have to start from scratch to lead the team, and his mentoring experience will be invaluable.

The key to fracture surgery is reduction. After a period of time, the team members gradually went from being shocked by Fang Ziye's superb manual reduction skills to accepting them!

Fang Ziye's manual repositioning technique is the pinnacle of skill within the group and even the department.

Even Shen Tao's manual repositioning technique is still inferior to Fang Ziye's, and he needs to consult him occasionally.

Naturally, if someone doesn't want to have surgery at any time, they can ask Fang Ziye to speed up the surgery process.

"Ziye, since we need to speed up the pace of the surgery while ensuring its quality, then you'll have to take charge." Xue Tao had no objections. His main task was to learn how to teach from Wu Guonan and Shen Tao, and then learn some procedures for handling complex fractures from Shen Tao, which he would study later.

Fang Ziye doesn't participate in every surgery, nor does he try to snatch every opportunity. He's a shrewd and perceptive person. He's not only a tremendous asset but also a friend worth having.

Although not yet fully mature, they are learning to integrate into the group's atmosphere, and this mindset is admirable.

Although Wang Zhongxing didn't say anything, he nudged Fang Ziye's arm with his fist and exclaimed in amazement, "Those triceps are really big."

The triceps brachii is located on the posterolateral side, while the biceps brachii is located on the anterior medial side.

"How about you guys have an arm wrestling match?" Shen Tao suggested.

To other surgical specialties, orthopedic surgeons may seem incredibly strong, but in reality, within orthopedics, no one competes to see who is the strongest. Orthopedics is actually a delicate specialty; it's just that strength is often needed to assist in surgery.

It can be used to add some flavor when playing around.

When there's a joke, everyone joins in the teasing.

Fang Ziye was also unconvinced and wanted to test Wang Zhongxing's big arm.

Soon, in the specially set-up smoking room on the secondhand floor above the operating room, the four people except Fang Ziye were surrounded by smoke. Fang Ziye was inhaling secondhand smoke, while Wang Zhongxing had a cigarette in his mouth, and the blood vessels in front of his ears were bulging.

Fang Ziye and Wang Zhongxing fought for nearly forty seconds, alternating between their left and right hands. Neither could gain the upper hand, so they shook hands and made peace.

After reading it, Wu Guonan laughed heartily: "Wang Zhongxing is quite strong, but it seems that the young people in our orthopedics department have all been fed and trained by their teachers or superiors to be extremely well-trained."

In other words, Fang Ziye's leg-raising technique is already very proficient.

Fang Ziye then praised, "I think Xing Ge might be in better shape than me. I'm so much younger than him. If I were Xing Ge's age, I might not have the strength I have now."

Wang Zhongxing understood Fang Ziye's driving commentary and felt slightly embarrassed.

But Shen Tao said, "Ziye, you don't understand. You're completely in a state that hasn't been developed yet."

Shen Tao made a hugging gesture, even though he had a cigarette between his right index and middle fingers. Those who knew what he meant understood and laughed.

“Uh…” Fang Ziye scratched his head.

This touched on his area of ​​ignorance, so I just smiled and agreed.

After joking around for a while, Shen Tao finally stubbed out his cigarette. After a couple of seconds of smoke coming out of his nostrils, he asked thoughtfully, "Ziye, is Professor Deng Yong particularly skilled in osteotomy and orthopedic surgery?"

Shen Tao was very familiar with Professor Deng Yong's name, but frankly, he didn't have a deep enough understanding of which column Professor Deng Yong was particularly good at. He was only an attending physician and hadn't yet reached the level of communicating with Professor Deng Yong on the same level.

They didn't dare to casually inquire about the big shots' areas of expertise.

It was only now, seeing that Fang Ziye was showing signs of developing in this direction, that he asked.

Upon hearing this, Fang Ziye's mind immediately tightened: "Yes, Professor Deng's current main focus is on osteotomy and orthopedics, so he also intends to give our team some pointers on the direction of business development, to move in that direction."

The focus of my own adjustments is all geared towards osteotomy and orthopedic correction.

Whether it's manual reduction or osteotomy, both are very important foundational skills in osteotomy and orthopedics. Although this was the direction that Professor Li Guohua pointed out to Fang Ziye, the pinnacle that Professor Li Guohua pointed out to the Department of Trauma Surgery at Zhongnan Hospital was the field of osteotomy and orthopedics.

If Professor Deng Yong wants to make further breakthroughs in his field, he can only continue to delve deeper into his work.

Professor Deng Yong himself is currently only an expert, but further collaboration from the team is needed. Within the team, Associate Professor Xie Jinyuan has already caught up with the pace in this direction, his mentor is halfway there, and even Qin Geluo has already embarked on the journey.

Therefore, Fang Ziye is not afraid that others will doubt his skills and areas of expertise.

"That's truly embarrassing. Manual reduction is something that someone your age can usually handle. But your skill in osteotomy has reached the point where you can even fight someone. That's something I never expected."

"Does your master know?" Shen Tao asked quickly upon hearing this, as if he had found a way to retaliate.

Fang Ziye occasionally calls himself "Uncle-Master," but Shen Tao has every reason to suspect that Yuan Weihong is unaware of Fang Ziye's current professional abilities, because it's easy to be blind to what's right under your nose.

The longer Fang Ziye stays by Yuan Weihong's side, the more likely Yuan Weihong will develop a fixed mindset, believing that Fang Ziye is more skilled in scientific research.

"Ah, you should know a little about this, but I don't have many opportunities to operate in the group."

“Currently, the person in our group who is more proficient in and primarily studies this area is Associate Professor Xie Jinyuan,” Fang Ziye explained in detail, not daring to ask his teacher for absolute lateral proof, because Yuan Weihong was unaware of it.

Moreover, Fang Ziye's explanation was reasonable.

That's true. Professor Deng Yong is pushing himself to the forefront of his field, while Associate Professor Xie Jinyuan has already completed relatively advanced surgeries such as bone transport and has a certain level of proficiency. It's only natural that he's following in Professor Deng Yong's footsteps.

My mentors, Yuan Weihong and Qin Geluo, are currently performing surgical procedures other than osteotomy and correction, such as bone transport and treatment of bone defects.

The reason why the team is so great is because of the clear division of labor, organic cooperation, clear task allocation and learning, and clear task focus.

For example, in the trauma surgery group of Zhongnan Hospital, you may not primarily treat fractures, but you cannot be incapable of treating minor conditions like fractures; it's the same principle.

Teacher Yuan Weihong has already completed the routine fracture surgery, while Qin Geluo is constantly looking for opportunities to make amends.

“Okay, I understand.” Shen Tao immediately got the message.

That makes things much easier.

Yuan Weihong, you just wait and see how I deal with you!
Shen Tao never doubted the clinical skills of professors at top-tier teaching hospitals like Zhongnan Hospital, nor did he doubt their research capabilities.

The conversation was never-ending. After Mao Mao sent a message that the next patient had been anesthetized and could be disinfected and draped, everyone began to move into the operating room.

Mao Mao was a resident inpatient, so she very thoughtfully washed her hands in advance, intending to be able to complete the disinfection work at any time. However, before that, she needed someone to support her legs to ensure the aseptic principle.

Seeing this, Fang Ziye took the initiative and said, "Mao Mao, you prepare the sterilized bowl and ovum forceps first. Tao Ge and I will try to perform a manual repositioning before sterilization."

Before cutting, a closed reduction can be attempted first, followed by internal fixation with an implant.

This patient has undergone a comprehensive evaluation. Even if manual reduction is possible, it is impossible to achieve a fixation effect through external fixation with a cast or self-fixation at the fracture site. Surgery is necessary.

Mao Mao, unsuspecting, walked to the operating table and asked the scrub nurse to prepare the necessary items for him. He simply waited to pick up the sterilization bowl and gauze to begin sterilization.

Meanwhile, Fang Ziye and Xue Tao stood in front of the image reader, discussed for a while, and then went to the operating table.

The patient has already received continuous spinal anesthesia, so no matter how much they move around, they will not feel pain, only touch. Therefore, there is no need to worry about the patient being uncooperative or experiencing severe pain.

Fang Ziye stood at the control position and communicated with Xue Tao: "Brother Tao, let's begin."

"Alright!" Xue Tao had already put on a pair of examination gloves and, in the fixed position for manual reduction, grasped the patient's lower limbs.

This is a comminuted fracture of the femur. The pelvis can be stabilized, and then lower limb traction can be applied, but it is difficult to stabilize it on its own.

Upon seeing this, Wu Guonan and Shen Tao both said that when they were inserting the intramedullary nail later, they would use a "golden hand guide" that could be directly inserted into the medullary cavity, making the surgery very fast.

Wang Zhongxing originally intended to learn by observing from the sidelines.

Suddenly, Wang Zhongxing felt himself being kicked.

It was the anesthesiologist who came from the operating room, not the previous one, but Nie Mingxian, the chief physician of Hongdu Hospital.

He came here to fill in for others and earn money; his purpose was very clear.

"Wang Zhongxing, didn't you say you were going to be the lead surgeon for this operation and ask for the surgery time to be extended? What's going on?" Nie Mingxian's gaze was intense.

That look sent a chill down Wang Zhongxing's spine. After recognizing the person, he said, "Isn't the anesthesiologist Brother Que? How come it's Teacher Nie?"

"Sparrow Bro" is the name of another anesthesiologist, who is currently also an associate chief physician. His face is covered with spots, resembling a sparrow, hence the nickname "Sparrow Bro".

Nie Mingxian doesn't usually come to Director Wu Guonan's operating room, does he? Wang Zhongxing was a little scared.

"Brother Que has gone out on business. I'll run errands for both sides."

"There's still 113.17 yuan in that plate, the usual?" Nie Mingxian asked, scrutinizing the plate.

Wang Zhongxing almost cried when he heard this.

"No, Teacher Nie, is it really necessary to be so petty?" Wang Zhongxing genuinely found Nie Mingxian extremely eccentric. How could he be so meticulous about a hundred-plus yuan, down to just seventeen cents?

Nie Mingxian hung out in the orthopedic operating room, and Wang Zhongxing often heard Huang Kai and others complain about him, but he never expected that Nie Mingxian would be so petty.

"I'm sorry, I'm very short of money. Even brothers should keep clear accounts."

"Once I've paid off all of my father's debts, I'll be as generous as I want, but I don't have that ability right now," Nie Mingxian said, stroking his chin.

Suddenly, I heard a soft clicking sound.

"Four hundred and forty-nine yuan and sixty-two cents, I can only find someone to break even with three hundred and twenty-three yuan and eighty-three cents, sigh!" Nie Mingxian's tone was particularly annoyed, and he tilted his head slightly as he looked in the direction Fang Ziye was operating.

Clearly, Nie Mingxian had a very strong memory of Fang Ziye, the surgeon who caused him to lose his salary.

He didn't intend to cause trouble for Fang Ziye, but he would cause trouble for those who asked him to slow down or extend the surgery time.

I cooperated with you to extend the surgery time, but you betrayed me by suddenly changing the surgeon. That's not because of my poor assessment.

There's no way around it; Nie Mingxian's money-making strategy is crystal clear.

Currently, anesthesia in the operating room is charged by the hour, but the requirement for the anesthesiology department is simply to coordinate the anesthesia precisely.

How you save costs is your business. If you don't anesthetize well and need to increase the dosage, or if you don't monitor the patient's vital signs in time and an accident occurs, that's your responsibility as anesthesiology department.

The anesthesiology department puts this pressure on the anesthesiologists.

Therefore, most people complain about this system, and each anesthesiologist has to contribute a small portion of their salary.

Nie Mingxian, however, through careful calculation, could earn nearly eight or nine thousand yuan more in performance bonuses each month through this system, and the anesthesia effect was also very satisfactory to all patients.

But that's it?
He's far too obsessed with money!
But Nie Mingxian felt that earning money through one's own abilities was a matter of course.

The reason the anesthesiology department has this rule is mainly to prevent corruption within the department. By charging by the hour, they can see if you still dare to use expensive drugs.

Wang Zhongxing understood Nie Mingxian's predicament: "Brother, let it go, I'll make it up to you. Just don't have a problem with our Dr. Fang, okay?"

Wang Zhongxing felt it was worth it to be on good terms with Fang Ziye for a few hundred yuan, since a few hundred yuan wouldn't be enough to pay for Fang Ziye to go out for a brothel.

"Brother Xing, I'm just short of money, not a beggar. Don't look down on me." Nie Mingxian put his hands behind his back, showing some principle, and smiled slightly.

It was as if they were just waiting for Wang Zhongxing to say those words.

He didn't even need to wait for the X-ray results to know that the repositioning was very effective, because Nie Mingxian was once an excellent surgeon.

Wang Zhongxing felt a little annoyed by Nie Mingxian's harsh yet righteous tone.

But after turning his head, he saw the complex look in Nie Mingxian's eyes—

It seems they didn't really care about the few hundred yuan they were pawning.

However, Nie Mingxian's gaze towards Fang Ziye was filled with complexity and anxiety, as if there was envy, a great deal of regret, and a tiny bit of expectation.

Something seemed to have been plucked in Wang Zhongxing's heart at that moment, and he asked, almost as if possessed, "Are you envious?"

Nie Mingxian turned his head to look at him, his eyes filled with complex emotions, and his eyes were already red, showing an unspeakable anger.

The mask seemed to be pushed up by the expression or mouth, and the folds were torn.

In the end, Nie Mingxian didn't say anything.

He stopped crossing his arms, turned to the anesthesia monitor, tilted his head slightly, and looked up at the ceiling.

Ask yourself this question: Am I envious?

Nie Mingxian knew the answer was envy. Once upon a time, he was also called a genius by others at the Third Affiliated Hospital of Kyoto University.

But filial piety is the most important virtue. My father is my own father, and he should be treated if he is sick. I have the ability to earn money, so I absolutely cannot watch him die because he has no money.

The cost of attracting talent, plus the borrowed money, was enough to keep the company afloat!

In the end, I didn't end up losing both my money and my possessions. Now I can happily find someone to call "Dad," which is a blessing from God.

What's a million or so?
Everyone's life is different. I'm content with a modest life; working here will at least keep me from starving...

But I'm still envious.

Nie Mingxian watched Fang Ziye and the others stirring up a storm on the operating table, and he was actually quite envious. But it was something he, a doctor who had switched from emergency surgery to anesthesiology to earn more money, could not envy.

Emergency surgeons can transfer to anesthesiology, but not to other surgical specialties because their expertise is not a good match!
A few years ago, Nie Mingxian treated whoever gave him money as his godfather.

Whether it's anesthesia, emergency care, or surgery, he goes to whoever pays the most.

Even now, Nie Mingxian doesn't feel he lacks manners at all.

My father is about to die of poverty and illness, and you want me to talk about manners?
Screw manners.

I only think about making money, and making it honestly and cleanly through my own abilities.

The surgery was completed quickly.

After a group of people left.

Nie Mingxian only brought up the matter of money with Wang Zhongxing again, but only by sending him a number via WeChat.

Wang Zhongxing transferred the money without hesitation.

Nie Mingxian received the payment directly.

The extension of anesthesia time was Wang Zhongxing's request, not his suggestion. If you don't notify me in time that the surgery time will be shortened, who will pay for the wasted medication if you don't?

The person who should be learning surgery is you, Wang Zhongxing, not me, anesthesiologist Nie Mingxian!
With his mind at ease, Nie Mingxian finished tidying up the operating room, whistling as he went out.

He had to rush to his next anesthesia appointment, which was to be administered in the operating room of a private hospital.

The money they paid was more than the labor fee paid by the anesthesiology department of the central hospital.

I was a bit tired.

But making money isn't shameful.

Only by earning enough money can he support his dream of quitting his job to return to college, and only then can his parents not feel guilty for burdening him, allowing them to enjoy their old age with sufficient financial means...

"Xuanqi, I think you might make a fool of yourself." On the way, Nie Mingxian sent this message to his old classmate.

Wu Xuanqi: "???"

“This Fang Ziye is so talented. What he gives back to you may not be what you or I want. Today he performed another manual reduction, not as the main surgeon, but it only took 23 minutes from start to finish,” Nie Mingxian said.

"Uh~~~"

"Let's just consider this as making friends."

"The two of us have absolutely no basic scientific research capabilities right now. In the current environment, even if we make the most amazing surgical innovations, it's impossible to achieve any significant scientific research results or gain recognition. The general direction is completely outside of this area."

"However, it's understandable. After all, the price paid for surgical innovation in the past was an exponential increase in the number of lives lost," Wu Xuanqi sighed.

"When can you go back to the surgery department?" Wu Xuanqi asked.

"I don't know, let's see when I can get the second professional license..." Nie Mingxian typed the message as he boarded the bus.

Taking the bus is just a bit slower, but it only costs 1.4 yuan, with a 30% discount. A transfer costs only 2.8 yuan. Taking a taxi would cost 19 yuan round trip, usually 9.5 yuan per trip. Nie Mingxian understood this perfectly...

(End of this chapter)