top student at medical school

Chapter 187 Recovering a Large Amount of Blood (Please Subscribe)

Xue Tao first grasped the old woman's hand, and did not push her away despite her strong grip. Instead, he turned to Liu Chaodong beside him and said, "Family member, please take the elderly woman to the side to rest for a while so she can calm down."

"The elderly woman was quite agitated, which is not good for someone of her advanced age." According to the woman, she is already over ninety years old.

Liu Chaodong nodded upon hearing this: "Then when will we see the patient? He came out from here too, right?"

"No no no!"

"Patients who have just undergone surgery, even if the surgery is successful, will be transferred directly from the operating room to the ICU."

"We'll use the internal passage; we won't go this way."

"The patient will be sent to the ICU across the building in a little while. After they arrive at the ICU, follow the instructions of the ICU doctor. You should be able to go in and take a look while wearing protective clothing. However, you will have to wait for the ICU doctor to notify you when the patient will wake up."

"Okay, sure." Liu Chaodong nodded repeatedly.

After Liu Chaodong had the person accompanying him help the old lady out, he looked up and asked Xue Tao, "Thank you, doctors."

Liu Chaodong didn't recognize either Xue Tao or Zeng Fanyi, but the fact that he encountered so many unfamiliar doctors this time proved that the patient's condition was indeed very serious.

"Have you been able to contact this family member, the immediate family member of another patient? He has already undergone one emergency treatment, and his vital signs are currently unstable."

“You still need to pay more attention…” Xue Tao said, while observing Liu Chaodong’s expression.

"We've made contact, so don't worry! Do your best to save him first. The person you're operating on right now is Zhang Yu."

“He possesses very important intelligence and information, so…” Liu Chaodong continued rambling.

"The other person surnamed Liu, is he your son?" Xue Tao directly exposed the truth after hearing Fang Ziye's hint.

Liu Chaodong was taken aback upon hearing this.

She didn't refute him, but her eyes were red. After taking two deep breaths, she asked, "His injuries are less severe than Zhang Yu's. Although most of your doctors went to Zhang Yu's side, is there still... is there any hope for him?"

There were four people in total; one died on the spot, and another died on the way.

Xue Tao understood what Liu Chaodong meant, but could only say, "We will do our best, but when I went out, I took a look and the situation was not good."

"If it could be treated immediately, the chances of survival would be much higher. But now, it's hard to say."

"Actually, according to our hospital's regulations, we should try our best to treat patients with milder symptoms first..."

Liu Chaodong simply cupped his hands in greeting to Xue Tao, then turned and left, looking somewhat distressed.

It was as if she didn't want to hear anything more from Liu Chaodong.

……

As Zeng Fanyi turned and walked back into the operating room, he asked Xue Tao, "Director Xue, do you think the person we rescued earlier was the son of that bureau chief outside?"

Xue Tao shook her head and simply said, "I don't know either. I can only do my best and leave the rest to fate."

"When the plot of a TV series becomes a reality, I actually find it even harder to understand such a choice."

……

In the operating room, after Fang Ziye and Wu Guonan completed another 'simple limb-saving surgery' on the right upper limb, Fang Ziye felt his hip was almost stiff when he put down the scalpel and needle holder.

The immersive surgery kept Fang Ziye from moving much for five hours. The long period of standing felt like a stitch in his joint, and the pain caused his muscles to tighten reactively.

"Director Wu, I need to step down and rest for a bit," Fang Ziye offered.

To be honest, he has rarely been so immersed in surgery.

Previously at Zhongnan Hospital, when there were surgeries that lasted for such a long time, Fang Ziye was not the chief surgeon, but just an assistant. He didn't need to expend any energy on the surgery; he could simply be an assistant.

The pressure and mental exertion of the lead surgeon are incomparable to that of an assistant.

Every detail needs to be taken into account.

"Okay, Xiao Fang, you can go down and rest first! And get something to eat while you're at it."

"Leave the rest to us," Wu Guonan quickly told Fang Ziye to step down.

"Go around and help Dr. Fang untie the bandage."

There were two people on the circulatory system. One of them was opening something for the thoracic surgeon, and the other was rushing over to help.

Fang Ziye moved a few steps and felt the pressure in his hips ease considerably. After taking off his clothes, he breathed a sigh of relief and checked the time. It was already seven o'clock in the afternoon.

In other words, nearly six hours have passed since he entered the operating room in the afternoon, and during those six hours, Fang Ziye has been almost completely immersed in the operation for more than five hours.

With an empty stomach, Fang Ziye suggested, "Director Wu, the subsequent cleaning and suturing can wait a while. Shall I order some takeout to eat with you?"

“Alright, Wang Zhongxing and I will take turns going offstage for dinner later.”

"Xiao Fang, go and rest first. After you've rested, go to the operating room across the street and see what's going on."

"Logically speaking, the situation over there is less serious, and he should have stepped down long ago," Wu Guonan instructed as he continued to finish cleaning and suturing the wound.

"Send me the money for the food later."

Wu Guonan was only thinking about the limb-saving surgery and didn't even consider the fact that he hadn't eaten yet. In fact, he should have asked the nurses to help him order food long ago.

"It's alright, Director Wu." Fang Ziye had already unlocked his phone.

At the same time, I saw a message from Luo Tingzhu.

"We have a connection. You can treat me to dinner after you become my superior. This rule cannot be broken."

"Even if we're going to break it, we have to do it secretly." Wu Guonan's mood improved, and he started driving again.

Fang Ziye smiled in response and then asked, "Teacher Peng, Teacher Chen, would you like to have dinner together? I'll order something with you."

During the life-saving operation, none of the circulating nurses, who were usually the most proactive in eating, mentioned going to the operating room for meals. As a result, everyone in the operating room was hungry.

Hearing this, Huang Qiaoshan, who had just returned from the operating room next door, looked up and said, "Dr. Fang, you don't need to order anymore. I've already ordered twenty boxed meals to be delivered. They'll be placed in the meal room later."

"Director Huang is so generous. Thank you, Director Huang." Director Peng Yuanming raised his head slightly to express his gratitude.

Upon hearing this, Fang Ziye didn't say anything more.

Although the boxed meals are not expensive, if he pays for twenty boxed meals with his current savings, he will have a hard time getting by this month.

Fang Ziye didn't bother trying to compete with the director in treating everyone to meals.

He picked up his phone and walked out while chatting with Luo Tingzhu, without saying goodbye to anyone else.

He had two things to do first: one was to go to the toilet, especially since his bladder was very full, and the other was to drink some water.

For long surgeries, one of the most important abilities is the ability to hold urine, and this is why there are more male surgeons than female surgeons.

If you encounter a major emergency and the patient is already bleeding, what do you say to yourself: do you hold it in or not?
"In surgery, just finished a little while ago." Fang Ziye sent a short message to Luo Tingzhu, then went to the restroom to relieve himself.

With his eyes half-closed, Fang Ziye smiled the most charming smile.

Because, as this surgery was nearing completion, the knowledge he gained from performing the surgery had resurfaced on the panel that was barely visible.

"Knowledge Points +155!"

"Knowledge Points +111!"

"Knowledge Points +201!"

"..."

"Knowledge Points +3!"

"Knowledge Points +41!"

These points of knowledge may vary depending on the specific small steps Fang Ziye performs. The amount may differ!
However, the total amount, while not an enormous sum, still earned Fang Ziye a total of 1,183.7 knowledge points from this critical limb-sparing surgery.

"Current knowledge points balance: 1452.1!"

The knowledge points haven't been fully restored, but more than half, nearly 60%, have been recovered.

At the same time, Fang Ziye also obtained four level 4 skills, although they were all skills in different directions from trauma surgery and osteotomy and correction, and might not be useful for his future specialization development.

But for surgical patients, it's a salvation, and it provides a great sense of accomplishment.

Because of my existence, this person named Zhang Yu was supposed to have his limbs amputated, but now he doesn't have to. Although he didn't directly save his life because of me, he was able to benefit from my actions, and that's what I feel a sense of accomplishment.

Such gains are far more appealing than the mere thousand or so knowledge points one currently possesses.

"That felt good!" Fang Ziye pulled up his pants after he finished relieving himself.

When he opened his eyes again, he looked at Luo Tingzhu's chat box, but Luo Tingzhu had not replied to Fang Ziye.

Fang Ziye didn't urge him, but explained, "There's another patient. I'll go see what's going on first. You go to the lab or the outpatient clinic first, and we can talk again when you're at noon or in the evening."

Fang Ziye himself also needs to rest for a while and tidy up before going back to the operating room; otherwise, if he just rushes in like this, he won't be able to help at all.

A dozen minutes later, Fang Ziye lay down on a reclining sofa in the operating room's rest room, crossing his legs and rhythmically kicking his right foot up and down.

Dark green rubber slippers with round holes, hanging on the toes, about to fall off.

Fang Ziye was examining his own control panel at that moment.

At the same time, it consumes knowledge points while filling in the gaps in knowledge—

【医学基础理论：外科学3级0/500、骨科学3级0/500、创伤外科3级0/500、手外科学2级41/50、关节外科2级35/50、运动医学1级15/20……】

In terms of basic medical theory, there has been significant progress compared to when I first obtained the panel. This is thanks to Fang Ziye's reading of literature and accumulation of relevant theoretical knowledge.

However, today is the first time Fang Ziye has realized that his theory has become his biggest weakness.

Even in terms of the overall surgical procedure, I was slightly lacking.

Previously, Fang Ziye felt that he didn't need to rush. Why rush? In terms of theory, he didn't need to worry at all. With Professor Deng Yong and his mentor Yuan Weihong backing him up, he didn't need to put his mind to the principles and choices of treatment.

Therefore, Fang Ziye felt that he didn't need to waste his knowledge points to add more theory.

Theories are mostly used for the selection of surgical methods, reasoning in the surgical process, diagnosis of diseases, prognosis and medication, etc., and are collectively referred to as theories, which are comprehensive abilities.

But Fang Ziye doesn't need to use these abilities.

His knowledge base is quite limited. For a student like him, the necessary theoretical knowledge is sufficient; there's no need to be omniscient from the start and then be completely incapable of doing anything.

Such an abnormal structure.

On the contrary, many universities have shifted towards comprehensive development because they previously produced a lot of students who knew a lot but had little ability.

If you're not in the position of seeing patients in the outpatient clinic, handling emergency cases, or conducting urgent consultations, then trying to improve your theoretical knowledge is just pure nonsense.

But now it’s different…

Therefore, Fang Ziye upgraded his theoretical knowledge of surgery, orthopedics, and trauma surgery to level 3.

Theoretical improvement is a more intangible, gradual process than practical improvement. Fang Ziye did not feel any changes that could be immediately observed. He only felt that he had a clearer understanding of the diagnosis and treatment patterns for some common diseases in surgery, orthopedics, and trauma surgery.

But progress is good.

Fang Ziye didn't make any significant improvements in his basic theoretical knowledge for his major.

It's not that Fang Ziye doesn't want to add points, but he simply has too few knowledge points now, and he wants to use every point wisely.

If he could learn some freedom, Fang Ziye would love to max out all his skills, but the problem is, it's not enough.

Knowledge is far from enough, so surgical medical students should adhere to the principle of learning skills first, solving some small problems first, and taking on the role of basic clinical operation.

Basic medical operational skills are relatively advanced—

【医学基础操作技能：医学基础查体4级2/5000、缝合术4级4/5000、止血术4级1/5000、切开术3级141/500、清创术3级122/500、X线阅片术3级15/500、CT阅片术3级9/500、穿刺术2级14/20、打结术3级17/500、外科常规器械操作经验2级19/50、医学常规检查阅读经验2级43/50。】

Fang Ziye has just upgraded two of his basic skills to level 4: basic medical examination and hemostasis.

Upgrading the hemostasis technique only cost a little over 200 knowledge points, while upgrading the basic medical examination skill from level 2 required over 500 knowledge points.

Fortunately, he had already gained some progress in the previous hemostasis technique; otherwise, Fang Ziye's previous knowledge points would not have been enough to add skills such as vascular incision, thrombectomy, and vascular suturing.

This is because Fang Ziye just happened to perform manual reduction of a difficult-to-reduce joint dislocation and soft tissue injury today, which yielded nearly one hundred knowledge points.

The subsequent basic medical skills training seems somewhat unbalanced.

【医学专科基础技能：手法复位术4级28/5000、血管切开术4级0/5000、血栓取栓术4级0/5000、血管缝合术4级0/5000、按压止血术2级0/50、缝扎止血术2级0/50、神经缝合术2级2/50、四肢简单骨折切开复位内固定术3级0/500、肌腱缝合术2级3/50……】

【专科技能：截骨术3级200/500、取骨植骨术（打压植骨术）3级201/500……】

[Advanced skills for associate degree holders...]

[Cutting-edge Specialty Skill: Osteotomy and Orthopedic Surgery...]

【辅助技能：医学基础细胞实验技术4级45/5000，医学动物实验技术4级76/5000】

Looking at the densely packed skill pool, some parts lit up and others not lit at all, Fang Ziye immediately rolled his eyes.

At least I didn't shut myself off, otherwise, relying solely on my meager talent, it would be truly an impossible feat for a human to develop so many skills.

Sometimes, surgical talent is just unreasonable. For example, some people can improve their proficiency by 400 to 500 points in a month, while I can only improve by one point every two or three days.

This gap...

Naturally, only top geniuses like these could possibly raise their skills to level 4 or even 5 without cheating. Surgery is not something that ordinary people can handle.

Even with a massive supply of opportunities to perform, talent may become the upper limit. Some people may spend their entire lives and still not reach a level above level 4.

Fang Ziye imagined that if someone was less talented than him and could only improve their proficiency by one point every ten or even twenty days, then they would only gain twenty to thirty points a year. It would take a hundred years to accumulate five thousand points of proficiency.

Even if it were just me, at 10 points a month and 120 points a year, it would take me a total of 48 years.

A surgeon's career spans only about forty years!
Forget about that for now. I'll rest a bit more and then go check on that patient surnamed Liu to see what's going on.

Fang Ziye picked up the water glass and slowly took a small sip of water.

Fang Ziye then looked at the hug emoji message Luo Tingzhu had sent, but didn't reply.

About five or six minutes later, Fang Ziye's phone rang; it turned out the boxed lunch had arrived.

Fang Ziye rushed to the surgical lunch room, finished his takeout first, then grabbed a new hat and mask, put them on, and headed back toward the operating room.

After adjusting his hat and mask, Fang Ziye checked the time; it was already 7:50, almost 8:00.

As Fang Ziye was about to enter the operating room, he took a special look at the operating room where Zhang Yu was. Inside, Wu Guonan had already left the operating room to eat, while Xue Tao and Wang Zhongxing were still doing the finishing touches of cleaning, suturing, and placing drainage tubes!
At the same time, Peng Yuanming and the chief physician of thoracic surgery also brought good news.

Zhang Yu's vital signs have stabilized.

Fang Ziye smiled upon hearing this, silently left the operating room, turned around and walked to the opposite side, without disturbing the other doctors.

As soon as Fang Ziye entered the adjacent operating room 11, he heard two voices that were somewhat familiar to him.

"Brother Qi, of those two people from your hospital, did you only manage to save one?" The voice came from Nie Mingxian, who had returned to the operating room where Liu Linjie was.

Meanwhile, the surgeon performing the abdominal surgery on the stage included Huang Kai, whom Fang Ziye had called, and Director Hongdu, as well as Wu Xuanqi.

"Yes, we only managed to retrieve one. As for the other one..."

"Sigh." Wu Xuanqi didn't reply, but instead frowned deeply.

(End of this chapter)