top student at medical school

Chapter 284 Education is a Closed Loop (Please Subscribe)
Xiao He is currently the most prominent professor in the Department of Trauma Surgery, a student of Professor Han Yuanxiao and Zhang Zixi, who is now a second-year master's student.

Fang Ziye and Xiao He didn't have much contact in the past, and perhaps that's why Xiao He dared to make jokes about Fang Ziye, intentionally or unintentionally.

However, Xiao He was extremely nervous at this moment.

Since Li Nuo from the group transferred to spinal surgery, his teacher Zhang Zixi has become the mainstay of Professor Han Yuanxiao's group. In terms of scientific research, Associate Professor Peng Long is no match for his teacher.

Associate Professor Peng Long doesn't do scientific research. The reason he can supervise students is that he unintentionally submitted an application to the National Natural Science Foundation of China and won the bid. That is, he has been able to supervise master's and doctoral students for the past few years.

However, when it comes to scientific research, the name that Han Yuanxiao, the administrative director of the trauma surgery department, mentions most often in the research team and at the team meetings is Fang Ziye.

Even his own teacher would frequently mention Fang Ziye in real group meetings.

Sometimes, Zhang Zixi even wished she could become Fang Ziye...

Under these circumstances, Xiao He must understand that some people's jokes are acceptable, while others' jokes are not.

Everyone in Professor Han Yuanxiao's group knows that Han Yuanxiao and Zhang Zixi dream of poaching Fang Ziye to join their own group, so that Fang Ziye can continue to lead the team to shine, instead of staying in Professor Deng Yong's fading team.

"No way? I think it's great. Look, Senior Brother Zhuangding, isn't it a nice song?"

"Strongman, strongman?" Fang Ziye joked as he followed the on-duty doctor, Wu Chengwen, to the doctor's office.

Of course, after Fang Ziye finished speaking, everyone arrived at the door of the doctor's office.

Wu Chengwen then explained from the side, "Senior Brother Fang, some of these people want to be hospitalized, and some don't."

"I can usually handle the hospitalization myself if I want to, but I don't dare to make the decision on my own if I don't want to be hospitalized. However, Professor Qin Geluo is still on duty in the emergency room, so I can only trouble you, senior brother, to make the decision."

"The other senior brothers have mostly gone home..."

Fang Ziye looked into the doctor's office and saw a group of people who should have been enjoying themselves at home, cracking sunflower seeds and peanuts, drinking beverages and beer, eating dumplings and glutinous rice balls while watching the Spring Festival Gala.

Now, however, they are all sitting or lying down in the trauma surgeon's office, each with a different expression, and for a moment, no one knows what to say...

Fang Ziye had worked on New Year's Eve before. In the previous few years, he just happened to be unlucky enough to work on both New Year's Eve and the first day of the Lunar New Year. It was during his third year of master's studies that he was able to work on the second day of the Lunar New Year and go home for the New Year.

Even with Fang Ziye's incredible luck, this was the first time in recent years he had witnessed such a spectacle...

Those who suffered injuries including broken legs naturally accepted their fate, dared not move, and thought about staying in the hospital to rest, relieve pain, and reduce inflammation.

But some people who didn't injure their legs still said, "Doctor, please give me an answer. I need to get this treated temporarily so I can go back for the New Year's Eve dinner."

"I was just temporarily exiting the highway in Han City, planning to take the ring road to avoid the traffic jam, but I never expected this to happen..."

During the Spring Festival, people with regular jobs usually take a bus or drive home on the morning of New Year's Eve if they haven't been able to get leave.

The situation remains the same within the system; working days generally continue until the 29th day of the twelfth lunar month.

But everyone, regardless of their status, whether rich or poor, as long as they are Chinese and their families are relatively harmonious, has the desire to go home for the New Year.

The guy who was complaining was interrupted by Wu Chengwen halfway through his sentence, who said, "Don't be in such a hurry. You just came from the emergency room and saw that there were quite a few emergency patients today."

"Today is Chinese New Year, and many of our superiors have gone home. Currently, the only staff on duty in our department are us."

Whether you can be temporarily reset by manual repositioning depends on your specific situation and cannot be generalized.

“This is our senior brother; he has the authority to make the decision. My junior brother and I both have to listen to our more experienced senior brother.”

Wu Chengwen didn't immediately betray Fang Ziye, but continued, "If my senior brother is also unsure, then we can only wait for our superiors to arrive."

"You guys shouldn't rush us. Our superiors are having their New Year's Eve dinner, but they've probably already put down their chopsticks and are driving over here..."

Everyone celebrates the Chinese New Year.

Therefore, everyone can understand.

Upon hearing that a superior was also coming, the person who had spoken first quickly blinked and asked, "Can we wait until the superior arrives before we look at it?"

"I'm not going to be able to leave anytime soon anyway."

Everyone knew the ages of Fang Ziye, Wu Chengwen, and the others.

Fang Ziye's age is only about one year different from Wu Chengwen's, so there's no significant difference between them.
This guy was also afraid that Fang Ziye would only be using the title of senior brother, but his skills would actually be no different from Wu Chengwen's.

After all, according to what Wu Chengwen had said before, Fang Ziye had just started his doctoral studies, while Wu Chengwen was about to graduate with his master's degree.

What difference does it make whether it's fifty steps or sixty steps?

Upon hearing this, Fang Ziye first examined the type of fracture and then looked at the general condition. He concluded that there was no vascular damage as a result of the fracture and that compartment syndrome was unlikely. He then nodded and said, "You can wait. You have some choice in which to wait for your appointment."

"It's just that when you exercise your waiting option, your own waiting time will be longer."

After replying, Fang Ziye said to Wu Chengwen, "Chengwen, just get him admitted to the hospital, and then do a bone traction procedure later."

"In his case, conservative treatment may not be effective, and surgery will be necessary in the end."

"Even if he chooses to be hospitalized in another hospital, he should clearly state that hospitalization is recommended and have the patient and family sign it."

"Xiao He, go and get some plaster casts of various sizes and keep them in the operating room. They'll be useful later..."

Upon hearing that someone had given them instructions, Wu Chengwen and Xiao He immediately felt as if they had been granted a pardon and hurriedly began to do their work.

In such an emergency, what's truly frightening is having nothing to do and just sitting there awkwardly.

When the man heard Fang Ziye order him to be hospitalized, his eyes darted around slightly, and he glared at Fang Ziye, but he didn't say anything more. He was waiting for his superior to come.

After Fang Ziye asked his family to temporarily push him away towards Wu Chengwen, he quickly requested, "Don't order any tests yet. I'll decide whether or not to admit him to the hospital after your superiors have examined him. Let's avoid any misunderstandings."

"It's a waste of money and a hassle for everyone," the patient said.

Wu Chengwen wanted to say that it would be very difficult to treat this non-surgically, but since there were indications for hospitalization and surgery, those could be determined by referring to textbooks. Basically, arranging for your hospitalization would definitely not go wrong.

Fang Ziye then looked at the several fracture patients behind him.

These fractures were likely not screened or selected by Qin Geluo; otherwise, several of them could have been treated with manual reduction based on the current indications for manual reduction.

However, Qin Geluo didn't treat it immediately, probably because there wasn't enough time. Nevertheless, Qin Geluo still felt that he could do some minor operations while on duty on New Year's Eve, so he admitted these patients with fractures.

Of course, there were seven people in total. Apart from the one who initially requested the higher authorities to handle the case, there was another patient with a comminuted fracture of the radius and ulna in the left forearm that could not be manually reduced and required surgical treatment.

After reviewing the images one by one, Fang Ziye said, "Based on my diagnosis from the X-rays, the physical examination, and my analysis of the fracture classification, the fractures of the rest of you are currently classified as relatively well."

"What I mean by 'relatively good' is that we can expect manual reduction. In other words, after I reduce the fracture and apply a plaster cast for external fixation, you can go home to recuperate."

"But there are some risks involved, such as the fracture shifting again and the scar healing, which may result in the bone not being as well-repositioned as it was during surgery."

"You should seriously consider this."

"You have ten minutes to carefully review the risks associated with this manual reduction of the fracture, and then give me a definite answer." Fang Ziye skillfully printed out five almost identical standard informed consent forms and distributed them.

Fang Ziye's move not only left the five people opposite him looking at each other in bewilderment, but also surprised Wu Chengwen and Xiao He.

But Wu Chengwen ultimately dared not say anything.

Fang Ziye was called in by Qin Geluo for help; he was also Qin Geluo's senior brother.

Moreover, Wu Chengwen had long admired Fang Ziye's past achievements in the training room.

Therefore, even though Fang Ziye was very bold, Wu Chengwen didn't dare to say anything more.

This is not just a difference in status, but also a difference in absolute strength.

"No, young man. Oh no, Dr. Fang, are you sure you've made up your mind? Can we treat this with manual repositioning?" Among the five people, a woman in her thirties said with a kind smile.

Then she explained, "When I came in from the emergency room, Dr. Qin told me to be admitted to the hospital, didn't he?"

"He's your superior, you know."

The woman speaking was about thirty-one or thirty-two years old. Although her right hand was broken, her right hand, supported by her left hand and placed on her chest, was exceptionally soft and large.

The word "fully ripe" is the most fitting description for her.

"Yes, I know. Teacher Qin is my superior, and his opinion should be respected."

"But the fact is that Dr. Qin's consultation time is relatively short, and he may not have as much time as I do to carefully consider the alternative treatment options for the condition."

"The treatment I'm giving you is just a suggestion, and only a reference," Fang Ziye said, not daring to make any definitive statements.

Although Fang Ziye had no clinical experience for nearly six months after going abroad, it did not mean that he had completely forgotten clinical practice.

"You dare to give advice that differs from your superior's? Dr. Fang?" Fang Ziye's words successfully caught the attention of another person.

On the other hand, Fang Ziye's junior brother, Xiao He, had already finished editing the message and sent it out.

They were probably secretly complaining to Qin Geluo, hoping that Qin Geluo would speak up and stop Fang Ziye's nonsense.

Disagreeing with superiors' opinions is a major taboo, and Fang Ziye's current approach is taking too much risk.

Moreover, at this moment, Xiao He was actually complaining to Qin Geluo. He thought, "You're a chief resident, why don't you just give a personal opinion when you're writing an emergency consultation opinion?"

If hospitalization is required, you should just write a recommendation for hospitalization. If manual reduction is needed, you should just write a recommendation for manual reduction. You just send the child in without writing anything down. How can you be so lazy?

If you bring patients to the department like this, won't the patients just have their mouths touching?
Now, Fang Ziye has rewritten his opinion, and it's completely different from yours...

"Well, it's not exactly the same, but each doctor will give different treatment suggestions based on their own understanding and the different conditions."

"Moreover, my treatment recommendations involve some risks. For example, if manual reduction fails, we may have to switch to Professor Qin's treatment advice, which is surgical treatment."

"The chances are high, but what if there's an opportunity? So if you're willing to take the risk, you can still give it a try." Fang Ziye was very confident in his repositioning skills.

I estimate that my current skill level in manual repositioning is comparable to that of the old Chinese medicine doctor, Mr. Chen, at least within the province.

"Then I'll give it a try. Does it hurt? If I fail, will it hurt even more?" The second man who was interested in Fang Ziye spoke up first.

“It will hurt a bit, and it’s very likely to hurt more, but if it’s treated properly, you might still be able to go home in time for the New Year…” Fang Ziye analyzed cautiously.

It wasn't that Fang Ziye didn't want the patient to be hospitalized.

However, since they have come to the department, they should receive precise treatment based on their individual abilities.

Qin Geluo's treatment suggestions were correct, because he was not capable of performing manual reduction of certain types of fractures, but Fang Ziye could.

The elder brother and Fang Ziye entered the control room.

The other patients stood at the office door, looking at each other and whispering among themselves.

Wu Chengwen continued to calm everyone down and then directly issued two hospitalization certificates.

"Dr. Wu, who exactly is this senior of yours? How come a graduate student can disobey the attending physician?" The older woman, who was very familiar with him, asked in bewilderment after finding out that in a top-tier hospital like this, the attending physician could easily outmaneuver a doctoral student.

Wu Chengwen didn't know how to reply at this moment, so he just said, "Big sister, actually my senior brother is very powerful."

Before Wu Chengwen could finish speaking, Fang Ziye led the man who performed the manual reduction out of the control room with a grin on his face.

Fang Ziye explained to him, "Once the pain is relieved, as long as you don't move this hand carelessly, put weight on it, exert force on it, or squeeze it, the pain will basically continue to subside."

"But if you are injured, or if you sleep on it, then it won't work."

"Go for a follow-up examination first, and after that..."

"Okay, okay, Dr. Fang." The middle-aged man nodded hurriedly, while also calling out to his family members, who were his companions.

The guy also got a minor bruise, but it was just a superficial injury, so he was pushed in his wheelchair and taken down for an X-ray...

At this moment, as Fang Ziye continued to look at the other four people, Xiao He, who was currently a second-year master's student, walked out of the control room, scratching the back of his head as he did so, looking completely puzzled.

Before he could even process the logic behind how Fang Ziye had managed to reposition the fractured tibia so quickly, Fang Ziye had already sent everyone away for a follow-up examination without offering any explanation.

Xiao He could only look at his senior brother Fang Ziye in confusion...

(End of this chapter)