top student at medical school

Chapter 19 Guarding the Horizon (Please add to your favorites and read on!)

September 15th, around noon.

Fang Ziye, who was on duty, was scrolling through his phone to order takeout.

Lan Tianluo, who was in charge of a separate bed, imitated Fang Ziye's habits. After tidying up all the medical records on the shelf and the discharge records, she took out her phone and sat down next to Fang Ziye, while touching her stomach: "Senior Brother Fang, the senior brothers in the department all say that the pretty senior sister is very capable."

"What do you mean 'pretty senior sister'? She has a name, Luo Tingzhu. You should call her Senior Sister Luo." Fang Ziye rolled his eyes at Lan Tianluo and corrected him.

Then he handed over his phone: "Here, let's order together and save on delivery fees."

Lan Tianluo was a little embarrassed: "Senior Brother Fang, shall I treat you?"

Last month, Lan Tianluo wasn't qualified to manage a patient's bed alone, and Fang Ziye paid for all her meals while she was on duty. Now, although Lan Tianluo is managing a patient's bed alone, she still can't work alone without a medical practitioner's license.

I'll continue to follow along; I'd feel bad if Lan Tianlu kept eating and drinking for free.

Fang Ziye put his phone away: "Tianluo, you got paid? You've become a big spender."

During the standardized residency training period, Zhongnan Hospital provides a subsidy of 5,000 yuan, while professional master's students who are incorporated into the standardized residency training receive a subsidy of 1,400 yuan.

Lan Tianluo immediately handed over his phone, puffed out his chest and pulled in his stomach with an air of confidence: "Just sent this morning, senior brother, pick whatever you like!"

"It's the same old story. It's better to eat out and have something delicious. It's not worth it to order takeout and spend too much money." Fang Ziye searched for a familiar barbecue restaurant and ordered a set meal for 15.99 yuan.

Lan Tianlu put his phone away, casually ordered a peppery roasted meat rice, and said, "Senior brother, I heard from Senior Brother Shulang that Senior Sister Luo had already passed all the first training rooms corresponding to the postgraduate and residency training stages when Professor Deng was recruiting students."

"Hey, how exactly did she practice her clinical skills?"

Professor Deng Yong's group in the second year of master's studies has two members: Shu Lang, who is Professor Deng Yong's student, and Gong Ziming, who is Associate Professor Xie Jinyuan's student.

Professor Deng Yong has master's students to supervise every year, while Associate Professor Xie Jinyuan and Dr. Yuan Weihong take turns taking on students. Originally, Fang Ziye had a senior graduate student under Associate Professor Xie Jinyuan, but he went to work after graduation. Now, Professor Xie only has Gong Ziming as his student.

"How would I know? Geniuses probably have genius ideas."

"The eight-year integrated undergraduate, master's, and doctoral program in clinical medicine at Wuhan University generally has admission scores that are no lower than the minimum admission score for Fudan University, and sometimes even allow admission to Tsinghua and Peking Universities," Fang Ziye objectively analyzed.

There is inherently a certain range of skill levels.

Fang Ziye's own qualifications are not too bad, otherwise he would not have been able to get into a small 211 university and beat a bunch of 985/211 universities to get into Zhongnan Hospital during his master's degree.

But Fang Ziye also knew that his qualifications were definitely not good enough to be a top star.

If we add the current points, that's a different story. However, the time gained is too short, and it may still take time to catch up. It's impossible to achieve success overnight.

Luo Tingzhu is only in her fifth year of university, which means she has only studied for four years.

Fang Ziye, at this age, is still a naive and inexperienced senior in college, so it's hard to understand.

"That's certainly a bother." Lan Tianluo felt a strange fear of people who could go to Tsinghua and Peking Universities but didn't.

“But Senior Sister is really pretty and outstanding.” Lan Tianluo’s eyes were slightly unfocused.

"I heard that Professor Deng Yong initially didn't want her to come to our trauma surgery department. He said that many professors in internal medicine, especially dermatology, had spoken on her behalf, saying that Senior Sister Luo Tingzhu had a very high talent in this area and hoped that she would pursue further studies in these directions..."

“However, Senior Sister Luo is more interested in surgery, so I don’t know why she chose trauma surgery.” “To each their own.” Fang Ziye stretched.

After lunch, patients start arriving at the department one after another. The Department of Trauma Surgery at Zhongnan Hospital generally does not accept trauma emergencies because most trauma emergencies are too simple.

More complex trauma emergencies involve patients who, after undergoing surgery at a higher level, are not transferred back to the ward; therefore, most of these patients are transferred from the outpatient department.

These patients scheduled for elective hospitalization have all been thoroughly examined by professors or attending physicians, who have determined them to be of relatively high quality before admitting them into the wards for treatment by the attending physicians.

Those who are more difficult to treat, or who are hesitant about having surgery, will be turned away at the outpatient stage.

Although patients like this have been scrutinized by superiors countless times and there is basically no further progress, Fang Ziye still works diligently, carefully checking medical orders and striving to discover minor diagnoses that the outpatient clinic staff have missed or overlooked.

Once these diagnoses are uncovered, they can be transformed into points of knowledge and absorbed by Fang Ziye...

Fang Ziye has already completed the hospitalization procedures for the two patients and finalized all the relevant preoperative medical orders. One patient has no chronic diseases, but the other has a history of thrombocytopenia, has been treated in the past, and is not currently taking any medication.

Therefore, Fang Ziye quickly had relevant laboratory tests for thrombocytopenia checked before the operation, such as coagulation, liver and kidney function, and complete blood count, etc.

"Brother Fang, we're in surgery. Isn't it too much trouble to routinely perform heart and lung auscultation examinations on patients during our shifts? After all, these organs aren't the patients' primary symptoms," Lan Tianluo asked while waiting for Fang Ziye to see his third patient.

"It's about honing your skills. We don't have many opportunities to perform these procedures anyway. Physical examinations are a routine procedure we do when we see patients, so we should cherish them even more." Fang Ziye naturally wouldn't tell Lan Tianluo, "Don't follow my example; I'm just trying to get something for nothing."

After reviewing the laboratory test results of the patients with thrombocytopenia and sending out the consultation request forms, Fang Ziye went to the operating room.

"I'm so sorry to have kept you waiting, ma'am. Have you finished the hospital admission procedures?" Lan Tianluo asked politely.

The woman who came was a middle-aged woman around forty years old. She had a slightly dark complexion, was not tall, and looked quite kind.

"It's alright, doctor, you're quite busy too," the middle-aged woman replied.

“I’m supposed to lie down, right?” she asked.

"Yes. Brother, help the older sister lie down. Then pull up her clothes to expose her lower abdomen." When examining a woman of the opposite sex, even an elderly woman, it is necessary to have someone witness it.

It's best to have a family member present; otherwise, a nurse is needed. Male doctors like Lan Tianluo are not suitable. This is a form of self-protection to avoid being falsely accused of assault. After all, these are lessons learned from the blood and tears of our predecessors. It's not that we necessarily have to encounter such situations, but it's better to be prepared.

Fang Ziye skipped the heart and lung auscultation and went straight to the abdominal examination.

Abdominal examination involves inspection, palpation, percussion, and auscultation. The patient presented with lower limb deformity and was scheduled for osteotomy. There were no prior medical history, and the abdominal examination, palpation, and percussion were all normal.

When Fang Ziye routinely listened to the abdominal blood vessel murmurs, he heard an unusual blowing sound.

Upon hearing this, Fang Ziye's expression changed drastically.

After switching from auscultation to palpation, no pulsation was detected, but the sound was present when auscultation was performed again.

This could be a vascular-related lesion; the blowing murmur is most likely a sign of a hemangioma.

Abdominal aortic aneurysm?
"Doctor, is there a problem?" the patient's husband asked when he saw Fang Ziye's expression suddenly change.

(End of this chapter)