top student at medical school

Chapter 186 A Unique Faith (Please Subscribe)
Li Junfeng could hardly understand what it felt like for Director Wu Guonan to be subjected to military training by his subordinates, but as the director of joint surgery, he didn't like being subjected to such training; he only wanted to work on joints.

All four limbs were injured, with the lower limbs being more severely injured. If the lower limbs are saved in the end, the upper limbs will have to be amputated.

This is uncomfortable.

It's not scarcity that's the problem, but inequality. While it's possible to force an explanation that the symptoms and degree of damage vary from department to department, and that's a plausible explanation, and I'm not afraid of going to court, the main issue is that it's embarrassing.

Moreover, even if there is any responsibility, it is Wu Guonan who bears the responsibility.

Rather than making things awkward in front of the patient's family, it's better to put aside your pride and leave first.

"Thank you for your hard work, Director Li." Wu Guonan had no choice but to keep Li Junfeng. Even if they stayed, they would only be two more people helping out, and wouldn't be of any crucial importance.

……

After Li Junfeng and Wang Liang'an stepped down from the stage and left.

Fang Ziye then went to the right side and, together with Wang Zhongxing, who was still cleaning the wound, performed a thrombectomy on the right lower limb. Similarly, Fang Ziye also discovered that the thrombi in the posterior tibial artery were more numerous and thinner than those in the anterior tibial artery.

Furthermore, there were more blood clots on the right side than in the left lower limb.

After confirming the distal blood supply again with the syringe needle, Fang Ziye said, "Teacher Nie, it should be about right."

Nie Mingxian remained silent. He knew his position and that participating too much in guiding clinical doctors' surgeries was not a good thing.

Just as Fang Ziye was about to switch his focus to the upper body...

Then he asked, "Do you know anything about the upper limbs?"

These words immediately made Wu Guonan and Xue Tao tense up!
It's true that the types of surgical procedures for trauma are the same, but the anatomical structures are different depending on the location.

Anyone who dares to say that upper limb surgery and lower limb surgery are exactly the same will be condemned to death.

Are the muscles in the upper limbs and the muscles in the lower limbs the same?
Is there an analogy between the course of blood vessels?
Can Fang Ziye win this bid?
Upon hearing this, Fang Ziye didn't show off and said in a low voice, "We can give it a try."

"Wang Zhongxing, you go with Ziye. We'll talk about wound cleaning later. First, stop the bleeding and ensure blood flow to the limbs." Wu Guonan continued to find a little helper for Fang Ziye.

The layman looks at the excitement and the insider looks at the doorway.

At this point, Wang Zhongxing could only act as a tool, following Fang Ziye as he moved on to the upper body.

Although the brachial artery does not branch in the upper arm, it is not easy to find it so easily.

The brachial artery does not have branches, that's correct!

But its shape is distorted and messy.

It spins...

Li Junfeng and Wang Liang'an were only preparing for amputation, so they only located the area below the clavicle and clamped it to stop the bleeding.

Moreover, due to anatomical structure, the junction of the brachial artery and the axillary artery alone has three segments, which must be separated separately.

However, none of this deterred Fang Ziye, who claimed he was just giving it a try.

Fang Ziye is quite familiar with basic anatomy and surgical anatomy, and structures such as the brachial artery are also very important key structures in orthopedics. Remembering their anatomical locations is not difficult.

Furthermore, Fang Ziye's skills in incision and vascular incision are sufficiently high.

Therefore, even if it's a roundabout route, Fang Ziye can find it accurately.

Nie Mingxian watched the whole way, occasionally seeming to want to say something but then stopping himself, but he didn't interrupt.

If you're not performing the procedure yourself, you shouldn't talk too much and disrupt the surgeon's train of thought.

However, as Nie Mingxian pondered whether he could keep up with Fang Ziye's surgical pace, he realized that perhaps, due to his lack of skill, he might not be able to reach Fang Ziye's level of proficiency.

"Even if there are small thrombi in the brachial arteries, such as the radial and ulnar arteries, they can be left untreated during the operation and treated with postoperative thrombosis."

"Because the radial and ulnar arteries run side to side, not front to back, and they are connected distally, once you remove the thrombus in the brachial artery and see that the distal blood supply is good, you can leave it alone." Nie Mingxian realized that he couldn't give Fang Ziye any guidance during the operation, so he could only guide Fang Ziye in terms of direction.

"Okay!" Fang Ziye nodded in agreement.

However, after Fang Ziye traced the brachial artery all the way to the middle of the humerus and felt the pulse in the elbow artery, the effect of acupuncture and bloodletting at the finger points was not very obvious.

Therefore, Fang Ziye still began the open exploration of the radial and ulnar arteries.

The incision for this surgery was a bit too big.

But there's no other way. Since there's a blood clot and blood flow is obstructed, it means both arteries are blocked, so it still has to be removed.

Meanwhile, Wu Guonan's right lower limb had been stitched up, and he was still a little worried about Fang Ziye, so he went to the side to keep an eye on things.

I watched quietly as Fang Ziye painstakingly completed the tasks of locating and suturing the blood vessels, and then feeling the pulse of the artery...

This work was like an assembly line, and I could see the fine sweat on Fang Ziye's forehead!
Wu Guonan felt a little sorry for him and turned around to call out, "Circuit ward, wipe Dr. Fang's sweat!"

"Little Fang, you have to say something."

Actually, at this moment, neither Fang Ziye nor Nie Mingxian had time to manage the sweat on their foreheads; they were only thinking about the surgery ending quickly.

The circulating nurse then rushed over to help.

Hearing the sound, Peng Yuanming also raised his head. His liver debridement and lobectomy were not yet fully completed, while Fang Ziye's limb-sparing surgery was almost finished.

I checked the surgery time; it's only been a little over three hours!
The limb-saving surgery for three limbs was completed in just over three hours.

I also greatly admire Fang Ziye.

First, I admire Fang Ziye's speed; second, I admire his dedication.

This is non-stop, truly non-stop!
The kind of non-stop work where no one helps.

After the blood flow to his left upper limb had largely recovered, it was already past six, almost seven o'clock. Wang Zhongxing immediately began suturing the incision in his left upper limb.

Because the injury to the left upper limb was relatively minor, only minor cleaning and suturing were needed, unlike the more extensive treatment required for the lower limb, so it was simpler.

Wu Guonan sent Xue Tao to treat his right lower limb, and then followed Fang Ziye, saying, "Ziye, you can slow down a bit."

"If you're tired, it's okay to take a break. After all, we've already saved three limbs. We've exceeded our mission expectations."

Fang Ziye looked up and said, "Director Wu, there's only one last push left. After I remove the blood clot from my left upper limb, shall I rest for a while?"

"Director Wu, Teacher Xue, are you tired? Would you like to take a break?"

Fang Ziye countered with a question.

The key to the surgery is actually stopping the bleeding and saving the limb. The most important thing is stopping the bleeding, and then saving the blood vessels in the limb.

Once the task is clear, everything else can be done slowly. We can postpone it for an hour before cleaning and suturing the wound and finishing the surgery. This will not have a significant impact on the patient.

Xue Tao shook his head and laughed, "It's alright, I can handle it."

Wu Guonan showed no intention of stepping down and stayed by Fang Ziye's side the whole time.

Presumably feeling that Nie Mingxian had nothing more to say to Fang Ziye, Peng Yuanming, who was standing next to him, asked, "Dr. Nie, what should I do with this cystic artery here? Should I just ligate it, or suture it back up? Does the gallbladder need to be removed?"

"I'm not particularly clear about the surgical indications for cholecystectomy. I used to work in emergency surgery, where my main surgical focus was on vascular surgery and trauma surgery."

"The cystic artery is a single artery. To preserve the gallbladder, it must be kept unobstructed and have a smooth blood supply. If the gallbladder is removed directly, then it doesn't matter." Nie Mingxian's words were essentially meaningless, completely adhering to the principle of "if you don't understand, you don't understand."

Another general surgeon then asked, "What about the mesenteric artery?"

"Generally, the mesenteric artery is fan-shaped, so a segmental resection is sufficient." It seems Nie Mingxian knows a bit about this.

"Director Zhou, you've done an excellent job. I have no other suggestions." After saying this, Nie Mingxian slowly walked towards the anesthesia station.

Just then, the operating room door was kicked open, and someone said, "Director Huang, Director Nie, the patient's blood pressure is unstable again."

"Director Nie, would you like to come and take a look?" He called two people, but only called Nie Mingxian over, clearly indicating that he trusted the other's skills more.

"what happened?"

"This patient's condition is not particularly complicated. He has knife wounds on his limbs, which did not damage any important blood vessels or nerves, but his blood pressure is very unstable, which suggests that there may be occult bleeding."

"Director Huang from the orthopedics department over there suspects a possible hematoma in the pelvis. Director Hong is on his way to the hospital," the anesthesiologist reported.

"The patient's family member is still the same person outside."

"But the key to his treatment was still the people in this operating room," the short anesthesiologist across from him replied.

Upon hearing this, Fang Ziye looked up and added, "Director Huang, Teacher Nie, the Director Liu outside is the actual family member of the patient in the operating room next door. He's a family member, not a superior's family member."

buzzing.

Upon hearing this, almost everyone in the operating room shuddered, as if their souls had been violently shaken by a cool sensation.

Huang Qiaoshan and Nie Mingxian turned around at the same time, and Nie Mingxian asked in confusion, "Are you sure?"

"The patient in the operating room across the hall went into shock and had no heartbeat. That leader outside, who told us to absolutely resuscitate this person?"

Although in China, there is a saying called "righteous indignation".

Righteousness comes first.

But in reality, the scenario of abandoning one's own son to do something righteous is mostly seen in TV dramas. And generally, situations where one sacrifices their own family for the greater good are usually about trivial matters.

When faced with a life-or-death situation, people are inherently selfish.

"If the other party isn't lying when I go to talk and sign the documents, I can be sure of their honesty."

"Even knowing this, all we can do is try our best." After explaining, Fang Ziye buried himself in his work again. His hands were a little weak, and he also felt a bit dizzy.

To be honest, Fang Ziye still felt a bit overwhelmed by performing such a large-scale surgery in such a short period of time.

The main problem is that no one can replace me.

The last limb-saving surgery must be performed slowly and methodically. It's okay to go a little slower, but the quality must be guaranteed.

……

Nie Mingxian and Director Huang Qiaoshan both rushed to the other side.

Regardless, the father outside was prepared to sacrifice himself for others, and even if it was just an act, they were prepared to make his act fail.

Do your best.

Actually, you can find out by checking the name.

With Liu Linjie, Liu Chaodong, and Fang Ziye's hints, their identities are not hard to guess!
Not a son, but even a nephew.

Liu Chaodong is quite ruthless.

At the same time, Wu Guonan breathed a sigh of relief and said to Xue Tao, "Xue Tao, you can go out for a bit. The blood supply to the patient's lower limbs and left upper limb is still good. We can go and report to the family with some peace of mind. We can look forward to the conclusion that the limb can be saved."

Xue Tao nodded and agreed.

"Ask him about Liu Linjie's specific identity. If it's true, we should try our best to prevent him from succeeding in 'seeking fame and fortune.' After all, he's a respectable person," Wu Guonan instructed.

Xue Tao fell silent for a moment, then turned and walked out of the operating room.

Upon hearing this, another deputy director of the anesthesiology department quickly said, "Hey, wait a minute, I'll go with you."

"My vital signs have basically stabilized. This patient's family member isn't really a family member, and he's quite old, so I told him to go and rest early." Zeng Fanyi deliberately made up an excuse and walked out with Xue Tao.

After leaving the operating room, Zeng Fanyi asked, "Director Xue, your department's prescription is quite interesting."

Xue Tao nodded, then suddenly remembered Nie Mingxian.

He smiled and said, "Director Zeng thinks so too, right? I think it might be similar to what Director Nie Mingxian of your department thinks."

Zeng Fanyi is also an associate chief physician, with the same professional title as Nie Mingxian.

However, if it comes to comparing who is more capable, Zeng Fanyi knows that there is a certain gap between him and Nie Mingxian.

Zeng Fanyi knew that Nie Mingxian would go to the surgery department whenever he had the chance, instead of staying in the anesthesiology department forever.

Zeng Fanyi didn't see through Xue Tao's deeper thoughts, and just smiled and said, "Right? Director Wu said the same thing. I'd like to ask you, what kind of person is Fang Ziye usually?"

"Actually, it's like this, Director Xue, I have a cousin..." Zeng Fanyi actually started to subtly inquire about Fang Ziye's character.

I guess they also felt that Fang Ziye had a bright future ahead of him.

This question stumped Xue Tao, because he hadn't paid much attention to Fang Ziye before, so how would he know these things?
He replied, "I'm not sure about that. Maybe, maybe not. I think it's more likely."

"Look, he's handsome, writes a lot, is a good surgeon, and is quite mature in his speech and actions. I bet some bold girls have already made their moves."

"So that's the question you asked?"

Zeng Fanyi then understood that Fang Ziye was not familiar with Xue Tao at all. It seemed that he still had to ask Wu Guonan for more information.

……

After briefly acting as a matchmaker in front of Xue Tao, Zeng Fanyi arrived at the communication room of the operating room and met Liu Chaodong and others again.

This time, however, there was an extra relative. Upon inquiring about her identity, it turned out that the person who came was Zhang Yu's grandmother.

I just came from the countryside.

Zhang Yu is the name of the patient they performed limb-sparing surgery on.

Their expressions were all quite somber after Xue Tao arrived.

The old lady was supported by Liu Chaodong the whole time as she staggered to Xue Tao and Zeng Fanyi.

Her face was contorted with pain, and she broke down in tears, completely losing her composure: "My Xiaoyu just won't listen to me, he just won't listen to me!"

"His father is dead, his uncle is dead."

"If he doesn't survive now, even if I die, how can I face his grandfather?"

"Xiaoyu, why can't you listen to me?"

"He's the only one left in our Zhang family."

Her tears slid down her wrinkled face, her silvery white hair was disheveled, and her face was so wrinkled that it was impossible to tell whether it was from pain or simply old age.

But these words moved everyone present.

Peng Yuanming said that Liu Chaodong outside had said so.

The patient lying down, Zhang Yu, has no aunt.

My father and uncle both died in the line of duty, and the family received several plaques as compensation...

They can be described as a family of loyal martyrs.

Liu Chaodong then looked at Xue Tao and explained, "Doctors, my aunt is quite agitated. I hope you can understand."

“My eldest uncle, who is Zhang Yu’s grandfather, crossed the river and never came back…”

Xue Tao and Zeng Fanyi immediately stood up straight, becoming even more respectful.

Xue Tao immediately reached out and patted the old lady's hand. She was probably at least ninety years old this year, which is considered advanced age. For her, every extra day might be a torment.

If it weren't for her grandson, she would have no courage left to keep living.

Not daring to keep them in suspense any longer, she quickly said, "Grandma, you two family members, please calm down. The patient's condition has stabilized."

"And there was no amputation; we managed to save both hands and feet."

Not a single finger is missing.

Xue Tao rubbed her eyes as she spoke.

As soon as Xue Tao finished speaking, the old lady stopped crying instantly, then looked at Xue Tao and grabbed him with both hands.

The old man gripped Xue Tao's hand with extraordinary force, the veins on his hand bulging, like an iron clamp, as if he wanted to break Xue Tao's hand bones. It was a mystery where the old man got such strength.

She shook her hands and said, "Doctor, please don't lie to this old woman. My hands and feet are still there?"

"Then...then...what about the surgery?"

There was a faint white discharge at the corner of the old man's mouth, and saliva was splattering out...

Xue Tao didn't pull her hand away, nor did she seem bothered by the spit on it.

nod.

However, he remained rational and said, "We have done our best to save it for now. If there are no unexpected circumstances, we should be able to expect that amputation will not be necessary. But if any special circumstances arise, we will carefully adjust and consider the treatment plan then."

Limb-sparing surgery is a hopeful procedure; no one can be 100% certain whether the limb can be saved.

While there is now a greater than 70% chance that amputation will not be necessary, we cannot completely rule out the remaining unforeseen circumstances.

For example, if the artery becomes embolized again later, it's not good to give the patient's family too much hope.

but!
This is enough.

Even Liu Chaodong blinked rapidly, his eyes beginning to glisten.

In that case, he can be said to have done right by his old comrades and friends.

Only then did he have the mind to release all his emotions, laughing through his tears, his face a mask of indescribable feelings…

The old lady understood Xue Tao's words and said, "It's good that we've passed this hurdle, it's good that we've passed it."

"Doctor, don't worry, I'm fine with it."

"I've been waiting for my husband for ten years, but he hasn't come back. I've accepted it."

"Later, I waited for my youngest son to come back from Tielieketi, but he never returned. In the end, he returned with a plaque."

“My son got married late. Xiaoyu and I waited outside the operating room for his father, for my last son, but he never came out.”

"Later, I held Xiaoyu and waited for his mother, but she never came back."

"But at least one person can be brought back..."

"It must be because my old man couldn't bear to see their family line die out, and the ancestors of the Zhang family showed their spirits..."

The old woman withdrew her hands, clasped them together, and closed her eyes devoutly.

Although Xue Tao wanted to say that he didn't know whether the gods and Buddhas had appeared in the heavens, if Fang Ziye hadn't been there today, the amputation would have been done long ago.

However, he didn't try to break the old woman's inner faith; it was a lifetime that belonged solely to her, a lifetime without greed...

(End of this chapter)