top student at medical school

Chapter 285 Fang Ziye in the Eyes of Others (Please Subscribe)

People tend to have a herd mentality.

Once the first person dared to let Fang Ziye try it, and the results after leaving the operating room were quite good, a second person was willing to sign and pay the fee, and agree to Fang Ziye's method of repositioning the patient. Those who wanted to go home quickly went home, and those who couldn't go home found a place to rest and waited for their families to come and pick them up.

During the Lunar New Year, not all patients visiting Zhongnan Hospital in Han City are locals.

Fang Ziye's current level of manual reduction is as high as 4+++, so if Fang Ziye determines that manual reduction can be performed, there will basically be no problems.

There are a total of five techniques for repositioning. Although two of them are a bit difficult, with the addition of the cast, it only takes about 40 to 50 minutes.

During this process, the patient and their family who were initially successfully repositioned and went for a follow-up X-ray have now returned. Naturally, they haven't received the printout of the follow-up X-ray yet, and Fang Ziye needs to review the images in the computer system.

But he didn't urge him.

Perhaps on New Year's Eve, many people will feel more empathy than usual, knowing that everyone is having a hard time, is in pain, and wants to go home for the New Year as soon as possible.

However, after waiting for Fang Ziye to finish performing all five manual reduction techniques, the other two family members of the patients who had already been admitted to the hospital quickly blocked Fang Ziye's path as he was leaving and asked, "Dr. Fang, Dr. Fang, we also want to have manual reduction performed. Is it convenient for you?"

"Everyone else has put their casts on to go home for the New Year, can you put one on me too?"

"Hey!" The older brother, who was waiting for Fang Ziye to see the results of his follow-up examination, exclaimed. Hearing this, he didn't dare to say that they should continue to cut in line.

In principle, he needed the results of the plain X-ray before he could see Fang Ziye for the follow-up examination, but Fang Ziye was still busy. Although he had finished his work, he still didn't know what to do with the other two hospitalized patients, so he couldn't be too selfish.

"This isn't about whether or not to use a cast, Auntie, Uncle," Fang Ziye said, wiping his water-soaked hands with a tissue.

"Dr. Fang, for you doctors, it's just the difference between putting on a cast and performing surgery, right? Could you pull it back a bit for us and reposition it?" The aunt Fang Ziye addressed even mimicked how Fang Ziye had just repositioned his leg, gesturing to him in this way.

They were afraid that Fang Ziye hadn't understood, or was pretending not to understand.

“Auntie, this isn’t about getting a cast. It’s like saying we can’t afford the tuition for Tsinghua or Peking University if we don’t go there. We need to determine whether we can go to such universities before we have the right to pay the tuition.”

"Aren't you right?" Fang Ziye explained to the aunt from the side.

The aunt can understand this analogy.

"If you didn't get enough points, of course you won't have to pay tuition." The aunt understood, nodded, and even joked back, "If you could get this many points, you could even ask for tuition fees."

Fang Ziye nodded: "That's right. When it comes to treating fractures, whether to choose surgery or manual reduction depends first on whether it's suitable."

"Only those who are suitable for manual repositioning can expect manual repositioning, just like you can only expect to apply to good universities if your score is high enough. If your score is not high enough, there is no need to expect anything, and you should honestly choose a school that matches your score."

“Now, the family members of both of you, who are the patients I recommended for hospitalization, have fractures that cannot be manually reduced. In the current public understanding, this is a contraindication for manual reduction. Manual reduction treatment is ineffective and may even worsen the condition.”

"So, you two can only hope for surgical treatment, so don't think too much about it. I still need to go and check the results of the follow-up X-ray..." Fang Ziye was about to send them away.

A voice came from afar.

"Dr. Fang, come here for a moment."

Upon hearing this, everyone turned and left.

"Dr. Qin."

"Dr. Qin..."

It was Qin Geluo. Standing next to Qin Geluo was another person in a white coat, who was turning to the side and saying something to Qin Geluo. Qin Geluo looked at Fang Ziye and the two people who had already had their casts put on and had completed their X-ray re-examinations, his face expressionless.

"Wu Chengwen, take these patients' families to the doctor's office first, I'll be right there," Qin Geluo instructed the doctor on duty.

Then, Fang Ziye took Xiao Hexian to the resident's on-call room, and followed them at a distance, smiling as he said goodbye to several patients and their families.

As soon as Fang Ziye was called away, the aunt and uncle who had intended to ask him to perform manual repositioning immediately disappeared.

It's quite obvious that Qin Geluo deliberately called Fang Ziye away at this time because he definitely felt that there might be a problem with Fang Ziye's treatment. Fang Ziye is still too young and therefore acted rashly.

The two of them are now looking for a solution.

The two middle-aged and young men who had been reinstated, along with their families, looked rather grim.

The family members asked with concern, "Are you feeling unwell anywhere?"

……

General Inpatient Office!

Xiao He was just dismissed by Qin Geluo.

After Fang Ziye pushed open the door and entered, Qin Geluo asked, "Ziye, why aren't you following the current treatment guidelines?"

"I sent seven patients to the department, five of whom required surgery. Only two of them could be treated with manual reduction, and even those were promising."

"Brother Luo, it's like this, based on our previous model research and published articles," Fang Ziye wanted to explain from a more professional perspective.

Qin Gelu interrupted directly: "Which is bigger, your published article or your guide?"

"Should the guidelines serve as the framework for diagnosis and treatment, or should the currently published SCI journals serve as the framework?"

"Fang Ziye?"

"Have you forgotten what the prerequisites are for developing new procedures, treatments, and methods?"

Upon hearing this, Fang Ziye swallowed the words that were on the tip of his tongue.

To develop new formation techniques and methods, one must hold a senior professional title or above, which is beyond Fang Ziye's reach.

Even within the group, new procedures that are routinely performed must be carried out by someone with an associate professor or higher title to comply with regulations; otherwise, the responsibility for any mishap will be very heavy.

Moreover, this time, at Zhongnan Hospital, it was very different.

None of the people on duty, including Yuan Weihong, currently hold a professional associate senior professional title.

In other words, even within the department, there is no leader capable of performing new procedures, which is different from the situation at Enshi Central Hospital, where there are quite a few associate senior doctors.

"Brother Luo, but?" Although Qin Ge Luo's words made sense.

But Fang Ziye himself knew that the best treatment for the patient was the right one based on their specific situation.

Moreover, according to Fang Ziye's previous research results, it can be confirmed that some types of fractures can be treated by manual reduction.

"No buts, Ziye."

"Scientific research serves clinical practice, and guidelines guide clinical diagnosis and treatment. Following the guidelines is the last resort."

"It is the minimum guarantee for patients to receive a certain quality of medical care, and it is also the minimum standard for us medical workers in the event of a medical dispute." "The best is not necessarily the most suitable. It is not that such a method is bad, but it depends on the time, the degree, and the appropriateness of the situation."

"Articles are articles, scientific research is scientific research, and clinical practice is clinical practice."

"Publishing a high-impact paper doesn't mean your professional ability surpasses most people's. You're still a doctoral student, at most a resident physician, and for a long time to come, you'll remain a resident physician..."

In principle and according to regulations, after graduating with a doctorate, as long as you have a standardized residency training certificate, you can apply for intermediate professional titles.

However, if you pass the intermediate professional title exam, the hospital may not hire you until you complete the chief resident position.

Therefore, your own professional title and the professional title recognized and appointed by the hospital can be different.

Upon hearing this, Fang Ziye was speechless.

Because Qin Geluo was telling the truth, Fang Ziye was doing a good deed, but if he didn't understand the context, he was just poisoning his own wine.

However, since the deed was already done, Fang Ziye could only look for ways to remedy the situation: "But, Brother Luo..."

"Manual reduction is a procedure that all resident physicians can perform. As long as our technique is of high quality, resident physicians are allowed to have a certain degree of diagnostic and treatment error."

"Furthermore, we also have the authority to consult with senior physicians at any time..."

If Fang Ziye can't handle it himself, he can find someone to take the blame, such as his mentor, Professor Deng Yong.

"When I heard that you were doing this in the department, I already notified Professor Xiong, and he said he would come over as well."

After saying this, Qin Geluo looked around again before saying, "Ziye, Professor Deng Yong is no longer the administrative director of the department. You must recognize this fact."

“Although Zhongnan Hospital uses a professor-led team system, we still need to give sufficient respect to the administrative director of the ward. Otherwise, if you ever come to power, you don’t want to encounter everyone who is rebellious.”

……

When Fang Ziye and Qin Geluo went out, they ran into Yuan Weihong and Professor Xiong in the doctor's office.

While Yuan Weihong was carefully explaining something to the patient, he was also discussing with Professor Xiong what kind of repositioning treatment was the best.

"Teacher Xiong, according to the assessment method for fracture treatment, on X-ray plain film, malunion, concealed fracture line, disappearance of anterior-posterior and lateral displacement of fracture ends, plaster cast in place, and good fixation are excellent indications for reduction."

"Hmm!" Professor Xiong nodded. After reviewing the images, he turned back to look at the patient.

"Now that the deformity has disappeared, how do you feel? Do you experience any particular pain or numbness?"

"Or is it more about the pain being relieved and the affected limb feeling more relaxed?"

The disappearance of deformity is immediately visible, but after the fracture displacement is reduced and the soft tissue compression deformity and torsion are reversed, the pain will be greatly relieved.

Of course, if the nerve is not properly repositioned, it may even cause increased pain or numbness due to nerve compression.

Patients may not understand what it means for pain to worsen or for a nerve to be compressed, so just ask them directly if they are in pain!

The patient shook his head, then carefully examined Professor Xiong's age, as if he had found a treasure: "Professor, isn't our treatment pretty good?"

He no longer seeks perfection, only that it be acceptable.

"Yes, the repositioning is good, it's visible on the X-ray. The symptoms are relieved well, you can feel it yourselves, the answer is already very obvious," Professor Xiong said, standing up and speaking frankly.

"Right? Your own feelings can't lie to you, can they? Don't worry, go home for the New Year. Just come back for a follow-up check-up when the time comes," Professor Xiong instructed.

Professor Xiong's short white beard alone was enough to inspire trust and respect.

Upon hearing this, the middle-aged man felt relieved and left with his family with a smile.

This professor is so old, he's probably a respected figure in the hospital. You might not even get a chance to see him normally. If he examined me and said I'm fine, then I'm definitely fine.

"Then it's my turn, Professor?" the second young man who came for a follow-up examination quickly asked.

"You know, I haven't even looked at your condition, of course I wouldn't know. If I were to make something up, wouldn't you think I'm lying to you?"

“We can’t just speak without any basis because of our age. We should be realistic and speak with evidence, right?” Professor Xiong used the most objective words to convince the young man completely.

Well, even though I'm old and have a lot of experience, I still need to be purposeful...

Finally, after a short while, the patients who had undergone manual reduction were all sent home.

Fang Ziye's manual reduction technique is undoubtedly of high quality and skill; he was able to reduce and dislocate even such a complex pelvic injury...

This is what little Karami is all about now.

However, after Professor Xiong had sent all the patients home, he carefully looked Fang Ziye up and down before saying to Yuan Weihong, "This Bubugao, is he your student, Yuan?"

"He looks handsome and sounds very skilled. He must be quite imposing to meet you!" Professor Xiong said, then stretched and walked out of the department.

Yuan Weihong and his group quickly saw them off.

After delivering the goods, Qin Geluo said, "Brother Wei, I'm going downstairs to perform surgery now. There are two emergency surgeries downstairs, and you'll have to come back and help out later."

"Putting aside other factors, the current technique used by Ziye to reposition the tissue is quite impressive."

After Qin Geluo finished speaking, he went down into the operating room, leaving only Fang Ziye and Yuan Weihong behind.

After that, Yuan Weihong only asked Fang Ziye one question: "Do you overestimate your manual reduction technique, or do you look down on the open reduction and internal fixation techniques of professors and associate professors?"

"Uh......" Fang Ziye's breathing became slightly disordered.

After a dozen seconds: "Master, manual reduction is simple, convenient, and inexpensive. It saves a lot of money, right?"

"Who asked you to save money? Did they ask you to? Huh?"

"You're a clinician. Your job is to make the most appropriate treatment plan for people. The most appropriate isn't the cheapest or the most cost-effective. Haven't I taught you that?"

"Can you guarantee that the results of your manual repositioning treatment will be better than surgery? Are you that confident?"

"Are functional reduction and anatomical reduction exactly the same in nature?" Yuan Weihong questioned Fang Ziye.

Fang Ziye was again unable to answer.

Did someone help him save money?

Not really!

(End of this chapter)