top student at medical school

Chapter 181: Was the reset successful? (6k update)

A few days later, on April 24th, in the afternoon.

Enshi Central Hospital, Emergency Department.

"Hello, Dr. Shen, I am a consulting doctor from the trauma surgery department." Fang Ziye introduced himself to the on-duty doctor in the emergency surgery department after arriving.

"Excuse me, which patient here has a dislocation?" Fang Ziye scanned the area but did not find any patients with joint dislocations nearby.

A typical joint dislocation will result in obvious deformity, either when the person is holding onto their hand or while lying down.

Fang Ziye then looked in Shen Shao's direction.

Fang Ziye is currently in the emergency surgery clinic. Shen Shao is a bit older, probably in his thirties, and is also bald.

However, it wasn't a completely bald head like Director Zhang Mingcan's; instead, it was a short buzz cut. It's just that his forehead was a bit high, and the receding hairline combined with the short buzz cut made it difficult to notice that he actually had hair.

"Hello Dr. Shen, I'm a consulting doctor from the trauma center. I just received a call saying there's a patient with a joint dislocation?" Fang Ziye said, scanning the emergency surgery clinic but not finding any patients with joint symptoms.

Upon hearing this, Shen Shao stood up, touched his receding hairline, and walked out, saying, "There are many patients here, and their conditions are serious. The patient is a student, so I had him wait in the operating room."

"Shall we go and see together, Dr. Fang?"

When Shen Shao passed by Fang Ziye, he stared at his name tag for a while.

Shen Shao didn't know Fang Ziye, but in the morning, he had called an acquaintance in the trauma surgery department because of his dislocated joint, and the doctor recommended by that person was Fang Ziye.

For this urgent consultation, he simply called and specifically asked Fang Ziye to come over.

Then Xue Tao told Shen Shao that Fang Ziye was not very old. To avoid any misunderstandings, Shen Shao even made a special inquiry in the emergency surgery department and found out that Fang Ziye was not only well-known in the trauma surgery department, but also in the emergency departments of other hospitals.

“Okay, teacher,” Fang Ziye followed closely behind.

The other person is about the same age as Yuan Weihong. Even if they are not, it's certainly not a loss to call someone "teacher" in the hospital.

Shen Shao tilted his head and explained to Fang Ziye, "Dr. Fang, the patient has his own films, but you can use your experience to see if any additional films are needed. The films are from our hospital."

Fang Ziye paused slightly, thought carefully, and then nodded.

Shen Shao then led Fang Ziye into the control room. Fang Ziye naturally went to the patient's family first to explain his identity before taking the initiative to ask to review the images.

The patient was a teenager wearing a middle school uniform, and the family member was a woman in her forties, presumably the child's mother. The other person was an elderly man in his sixties, but he seemed indifferent and stood some distance away.

He muttered to himself, "Such a young doctor?"

However, Fang Ziye's film review speed was not slow. His level 4 film review skills supported his rapid film review, and Shen Shao didn't even have time to react.

Fang Ziye looked in the direction of the patient and said, "Young man, I'm going to do a physical examination for you. It might be a little painful, so please cooperate."

But before Fang Ziye could finish speaking and even put down the film, the boy suddenly jolted awake.

His face showed fear, and he subconsciously took a few steps away from Fang Ziye, looking somewhat dumbfounded.

After leaning against the wall, she finally spoke, "Could you... please stop touching me?"

At that moment, the boy supported his left hand with his right, and his face turned several shades pale.

The middle-aged woman who had just complained said, "Doctor, we've already done the X-rays and developed them, so what else do we need to test?"

"You want medical records even if you don't have them, and you still need physical exams even if you have them? It's not that physical exams are useless without medical records, but that you don't need physical exams even if you have medical records?" She spoke very quickly, as if she were telling a stand-up comedy routine.

"My son is in a lot of pain right now, can you please not conduct any unnecessary examinations?" The woman's voice was forceful, but her eyes darted around.

After listening, Fang Ziye, with great experience, made a judgment, not looking at the middle-aged woman, but at the junior high school student: "Has someone touched you before?"

The boy nodded, then continued nodding vigorously.

He swayed his body slightly.

This wasn't the reaction I remembered from doctors in white coats, but it was a reaction that occurred within a short period of time.

Upon hearing this, the middle-aged woman's expression changed slightly, and she said, "Doctor, don't scare my son. We came here for treatment. Look at this X-ray, isn't it from your hospital?"

Fang Ziye turned his gaze to the basic information of the film: "Your film was released at 8:32 AM. It's 2:45 PM now."

"In our hospital's radiology department, it usually takes about an hour to get the plain film processing results."

"Teacher Shen, when exactly did he arrive at the emergency room?" Fang Ziye planned to break through by speaking to a doctor at the hospital.

Shen Shao was in a bit of a dilemma.

"I've already explained everything to you, why are you still asking so many questions? Do you even know how to do it? If you don't, just call someone more reliable to take a look." Her tone was urging, as if she was trying to hide something.

Fang Ziye only stared at Shen Shao. As the first attending physician, Shen Shao needed to explain himself based on the principle of first-visit responsibility.

Shen Shaoxian glanced at the old man beside him, and seeing that the middle-aged woman was about to speak again, he said, "Sister-in-law, this won't do."

"I've already told you, the people at our hospital are very professional."

The middle-aged woman's expression changed drastically upon hearing this: "Hey, Shen Shao, what do you mean? What exactly do you mean?"

The old man sighed and said, "Stop talking. Can you let Dr. Shen talk to the doctor?"

"If you hadn't been causing all this trouble, would we have needed to run so many laps?"

Shen Shao then said, "It's like this, Dr. Fang..."

Shen Shao explained the situation: the boy was his cousin, their relationship was neither close nor distant. Essentially, his father and the old man were brothers.

The child had previously sought treatment at the Central Hospital, but was later transferred to Enshi People's Hospital because the child's mother had connections there.

Fang Ziye's eyes immediately turned cold, and he smacked Shen Shao a few times before making up his mind.

Shen Shaolian is digging a hole even for people from his own institute!
Goodness!
If he hadn't discovered the clues, Shen Shao probably would have been able to feign death until he got into a medical malpractice dispute.

"You want the director to come and see, right?" Fang Ziye changed the subject after only a second of thought.

Upon hearing this, Shen Shao's expression immediately tightened: "No, no, no, Dr. Fang."

"We came to you for a consultation. Could you take a look at my nephew's current condition and decide whether manual reduction or surgery is more appropriate?"

If this matter were to reach Fang Ziye's superiors, the situation could become a big or small matter.

Moreover, in the field of trauma surgery, the most capable person Shen Shao knows is Fang Ziye, unless Xue Tao or Huang Kai both betray him.

"Dr. Fang, can you do me a favor?"

"Uncle, how many times has this child had manual reduction surgery at the People's Hospital?" Fang Ziye asked the old man directly, listing Shen Shao and the middle-aged woman as dishonest individuals.

He was also afraid that the child would lie.

"Are you even capable of treating this? What does it matter to you how many times you've had it repositioned?"

"If you can't handle it, then send your superior. Nobody will say anything to you if you're incompetent, right?"

"When we don't have the films, you doctors keep asking to see them. Now that we have the films, you keep asking all sorts of questions. Is this how you act as a doctor?"

Fang Ziye nodded and said, "Okay, I'll call my superiors right away. Please wait a moment."

Fang Ziye was already unhappy with Shen Shao's scheme, and with this attitude from you all, I'd love to have my superiors come and handle it.

Fang Ziye was eager to call Wu Guonan or anyone else from the institute over so they could talk to Shen Shao.

They grabbed the child, put him on the operating table, made an incision, and repositioned him.

In ancient times, there was a saying that one would not treat a patient who did not believe in medicine; today, patients have the right to informed consent.

"Dr. Fang, Dr. Fang..."

"Don't make the call yet," Shen Shao quickly advised.

If the orthopedic department's superiors find out about this, the head of the emergency department will definitely be cursing them out.

The director got his mother cursed at, does he expect to have a good life?
Shen Shao knew that the one who tied the knot must untie it:
"Sister-in-law, let me tell you the truth!"

"In our central hospital, Dr. Fang is the best at manual reduction of joint dislocations. Going to the head doctor won't help."

"If you want to see the director, you might as well go back to the People's Hospital."

"Hey, what do you mean?" The middle-aged woman's expression immediately changed.

"It means exactly what you think." Shen Shao was also furious.

His cousin's wife was unavailable in the morning, so his nephew was brought by his second uncle.

He had already made arrangements to make the call.

Before he could finish the call, his cousin's wife left with her entourage, and he had to apologize to Xue Tao before the matter was settled.

The funny thing is, they've come back again and are still giving themselves advice.

"Shen Shao? Whose side are you taking?" The middle-aged woman's expression and tone were both unpleasant.

“Sister-in-law, we have to be reasonable. This isn’t about taking sides,” Shen Shao replied.

Fang Ziye shook his head helplessly, but didn't say anything. He just looked in the direction of the child, unsure of what to do next.

Are they here to see a doctor for their child, or to have a fight?

However, Fang Ziye absolutely dared not perform a physical examination, much less a repositioning, until the family members' emotions were under control.

Furthermore, a physical examination must be performed before repositioning.

Fang Ziye didn't want to be a sucker, nor would he clean up the mess left by his colleagues in other hospitals.

"Say less!" the old man said.

"Xuemei, I respect your opinion on where you want to take Shen Zihao for treatment. If you don't trust Shen Shao, then don't bother him, and don't make a scene here, okay?"

"Take it wherever you want to see it?"

Han Xuemei tilted her head: "Dad, the person I found is my own uncle."

"Is the uncle closer to the father or the nephew?"

"And the Dr. Zhong that my uncle called also said that the Central Hospital can't handle joint dislocations. You heard that too, didn't you?"

The old man was immediately alarmed upon hearing this.

Did this woman never consider that Shen Shao is her own nephew?! He is Shen Shao's uncle.

"Me." The old man was speechless, not knowing what to say.

At this moment, a middle-aged man who bore a resemblance to the old man walked in.

Upon entering, he first bowed to Shen Shao and apologized, saying, "Shen Shao, I'm so sorry. I'll come to your house again in a few days to apologize to you."

"But now you have to help your nephew."

After saying that, he looked at his son with heartache, his eyes sweeping over his wife with an indescribable anger!
Can't you be a little more careful?

Either don't come to the Central Hospital, or don't come to the Central Hospital again, okay?

The middle-aged woman saw the middle-aged man and began to curse, "Where have you been? You're only coming now. I thought you'd died on the way here." The middle-aged man turned around, grabbed her hand, shoved her back, and shouted angrily, "If you can't speak, then be a mute!"

"If you don't know how to do things, go home!"

"Don't joke about your son, okay?"

The woman staggered a few steps, about to question her husband, but the middle-aged man's sudden outburst of anger terrified her!
Her eyes reddened slightly, a hint of grievance in them.

"Go back!" the man pointed towards the door.

"If you're tired, take a good rest. If you can't figure it out, think about it carefully. Reflect on all the stupid things you did today, and think about all the people you saw today."

"If you still feel wronged, just bear with it. Right now, I need to take my son to see a doctor."

The man's domineering attitude forced the woman to turn around and leave!

He was quite imposing, and he terrified the woman.

After that, the middle-aged man said to Shen Shao again, "Brother, no matter what your sister-in-law is like, I have to ask you to help your nephew find a way! I'll leave the rest to you. I'll try to appease Hao first."

The middle-aged man had a very mature demeanor and handled matters in an orderly manner.

However, as she walked toward her son, she quietly said sorry to her father.

The old man, who was comforting Shen Zihao, said, "I knew you couldn't teach your wife. You didn't believe me back then."

"Grandpa, don't say that about Mom," said Shen Zihao, the boy.

"Okay!" The old man and the middle-aged father and son both nodded.

Shen Shao then turned to look at Fang Ziye.

Fang Ziye wasn't really proud; instead, he proceeded very methodically: "Get an MRI to assess for soft tissue damage. If there isn't any, we can expect conservative treatment."

"If there is soft tissue damage, then surgery is still necessary."

Shen Dong nodded: "Okay, doctor, please order the tests. I'll just pay and sign the papers."

……

The middle-aged woman couldn't actually leave; she would wait outside.

After paying for the examination, Han Xuemei grumbled with a touch of heartache, "I didn't spend a penny on the repositioning treatment at the People's Hospital, but now I've paid so much for the examination..."

Shen Zihao was momentarily stunned and at a loss for what to do; he was already a teenager.

Shen Dong said, "Son, it's okay, your dad has money. Don't feel guilty."

"Injuries are very common during sports."

Shen Dong then looked at his wife: "Go back! Now, immediately, don't force me to call your father!"

Han Xuemei immediately shut up.

"Didn't you understand what Shen Shao meant?"

"Shen Shao said that Dr. Fang is the best doctor in the hospital at performing repositioning!"

Han Xuemei smiled dismissively: "The best doctor? How old is he? The best?"

"Shen Shao definitely doesn't want to help, so he's just giving you the runaround. The doctor my uncle found, Dr. Zhong, is the most senior doctor in their hospital!"

"If he's no good, this young doctor certainly won't be good either."

"Just you wait and see, you don't believe me."

"Shen Shao doesn't take you seriously!"

Is your pride acting up again?
"How inexplicable." Shen Dong's lips twitched for a moment, but he was too lazy to pay attention to her.

However, the fact that Han Xuemei had just mentioned Dr. Fang's age was indeed a major point of doubt in his mind.

Shen Shao claims to be the best manual reduction specialist in this hospital. Can that claim be reliable?

……

Because Shen Shao contacted someone he knew, the radiology department worked overtime to perform a plain MRI scan.

Shen Shao and Fang Ziye could see the results in the emergency room doctor's office without waiting for a printout.

Shen Dong and the others have not returned yet.

Shen Shao looked at Fang Ziye, touched his nearly bald head, and asked, "Dr. Fang, how are you?"

Fang Ziye turned his head and calmed down: "At present, the condition of the soft tissue is okay, and we can look forward to conservative treatment, that is, manual reduction."

"This is a difficult-to-reduce manual reduction. Although the previous reduction was unsuccessful, there was no accompanying damage. However, the chance of a successful reduction is probably not very high."

"But if we don't try, we'll just have to wait for surgery. The child is still young, so we can give it a shot."

"After all, if manual reduction fails, the worst-case scenario is that surgery is required."

Hearing this, Shen Shao breathed a sigh of relief.

Fang Ziye did not confirm whether the repositioning was possible.

However, Shen Shao knew that anyone who could guarantee the success rate of a certain operation was almost certainly a fraud!

As someone working at the hospital, and who had almost set a trap for Fang Ziye just now, it's perfectly normal for Fang Ziye to hold back.

Shen Shao then asked, "Is it more complicated than the situation on a flat film?"

Shen Shao pondered the terrible thing that had happened today and found it somewhat amusing.

My sister-in-law took the patient away halfway through my arrangements, took him to the People's Hospital, and before he was cured, he slunk back home.

"Teacher Shen, the types of examinations are different, so it's not easy to compare them," Fang Ziye explained, leaving virtually no evidence.

After all, Shen Shao is the kind of person who even cheats the doctors in our own hospital, so we can't be too careful.

"Don't worry, Dr. Fang, I'll go and discuss with my brother the possibility that the manual reduction might not be successful. I'll go and sign the papers and come back," Shen Shao said, forcing himself to speak.

“That won’t do, Teacher Shen. If I’m the one performing the manual reduction, then I should be the one to go and sign the consent form.” Fang Ziye’s face was full of wariness, which he made no attempt to hide.

Shen Shao's expression turned slightly unpleasant, but he was too embarrassed to explain anything further.

I can only hope to improve my relationship with Fang Ziye in the future. It's basically impossible to regain Fang Ziye's favor today.

During the conversation, Fang Ziye discovered that Shen Dong held an exceptionally strong position at home.

He suddenly began to understand Shen Zihao's mother's temperament and personality.

Extreme prosperity inevitably leads to its reversal.

After all, when Fang Ziye said he wanted to perform manual repositioning, Shen Zihao's grandfather's expression was unpredictable. He patiently asked several times if they should find a senior doctor to take a look, since they had failed before.

Shen Zihao's mother, Han Xuemei, coughed several times.

But Shen Dong readily agreed and signed his name without hesitation.

Fang Ziye obtained the signature, but still said, "The child has two guardians, the parents, but their opinions are not aligned."

"I have repeatedly warned you that manual reduction may not be successful. Do you still agree to perform manual reduction?"

"Surgical repositioning has a guaranteed success rate, and the child will not suffer from pain or discomfort during the repositioning process."

"Why don't you talk to the child's mother again?"

Manual reduction should not be performed on the patient if the family members disagree.

Because if things don't go smoothly afterward, your father might not bother you, but your mother might, and then you'll be in for a report and a lawsuit.

Fang Ziye had already prepared for this.

We need to make things clear, and luckily Shen Shao is here too.

Shen Shao said, "Dr. Fang, don't worry. Even if the repositioning is unsuccessful, I will take responsibility for handling this matter."

Fang Ziye ignored Shen Shao's assurances and continued to look at Shen Dong and the others.

He said, "Family members, it is possible to stop the manual reduction procedure before it is started, but this is a phased operation. Once it begins, there is no turning back."

"Moreover, you have many options. You can ask my superior to reset the hospital, or you can request to be transferred to another hospital."

"Informed consent and informed refusal are of equal importance."

"Do it!" Shen Dong glanced at Shen Shao, who was not approved by Fang Ziye, and insisted.

Feeling caught in the middle, Shen Shao touched his head.

Fang Ziye didn't trust him at all.

However, Shen Shao actually understood Fang Ziye somewhat. What if he and Fang Ziye switched places?
well! !

……

About ten minutes later.

When Shen Shao saw Fang Ziye come out of the control room, although he was extremely disappointed, he still went up to Fang Ziye and explained, "Dr. Fang, it's okay, I'll go over and explain the situation to my cousin."

He immediately stepped forward, somewhat disappointed, and asked, "Dr. Fang, can't it be repositioned?"

Then she immediately said, "I'll go explain to my cousin."

I tricked Fang Ziye once before, but a person can't ruin their reputation multiple times. One should have some principles and bottom line.

Fang Ziye intervened this time out of consideration for me; otherwise, given Fang Ziye's professional competence in negotiating and signing documents, he could have simply washed his hands of the matter.

They could tell themselves to find other people in the department, or say something like, "If other hospitals couldn't achieve the repositioning, we can't either. Let's just have surgery."

You can't even utter a fart.

This is an unspoken rule: generally, if a case has been treated unsuccessfully at another hospital and then transferred to another institution, hospitals of the same level will not accept it.

Unless the company calls to ask for help to resolve the issue.

Otherwise, who would clean up someone else's mess if they were not related to them?
Fang Ziye breathed a sigh of relief and turned his head to say, "Teacher Shen, the repositioning is done. If the repositioning had failed, it wouldn't have taken this long. We should have been out by now. The family members inside are waiting for the plaster to set."

"We'll have a follow-up X-ray later; there shouldn't be any problems."

"Let's charge for this manual reduction as if it were a moderate manual reduction. When you open a new department, could you please open a trauma surgery department?"

Fang Ziye slowly let out a sigh of relief.

"The reset was successful?" Shen Shao was taken aback upon hearing this!
Shen Shao looked at Fang Ziye with a complicated expression.

Fang Ziye had previously stated that the chances of repositioning the baby were slim, and that they could only hope for the best.

The chances of getting lucky are usually not high, right?
But clearly, that was Fang Ziye's way of dealing with himself.

(End of this chapter)