top student at medical school

Chapter 286 The Differences (Please Subscribe)
Yuan Weihong's Mediterranean syndrome is even more pronounced than it was two years ago in the Gregorian calendar.

On the lunar calendar, today is Lunar New Year's Eve, and since it's not yet the Spring Festival, we haven't celebrated the New Year yet. We can still say it's last year. But according to the Gregorian calendar, Fang Ziye's third year of professional master's studies was two years ago.

Looking at Yuan Weihong, who looked much more haggard than he had been in September of last year, Fang Ziye felt a lot of guilt: "Master, when I was in Enshi, I also had some manual repositioning done. Will there be any lingering problems?"

Practicing medicine may be a lifelong career for a person.

Upon hearing this, Yuan Weihong explained, "You've finally thought of this, haven't you? But if you think back carefully, you should realize that my good brother, your teacher Shen Tao, has cleaned up your messes many times, mostly in ways you didn't know about."

"Otherwise, if he dares to be nice to you and then takes your people away, I'll have to live in his house."

Upon hearing this, Fang Ziye's expression became even more rigid. He looked at Yuan Weihong, seemingly deep in thought.

Yuan Weihong then said, "Actually, the requirements for many things are different in a prefecture-level city hospital and in our hospital."

“In a prefecture-level city hospital, as long as you can get things done and there are no major problems, no one will pay special attention to the word ‘procedural fairness’.”

"Why is that?"

"Because the fact is that many municipal and county hospitals are implementing medical measures that are considered to be imperfect or even harmful in the current research frontier, but have not yet been summarized and included in the guidelines."

"And you can't expect all doctors to be proficient in reading literature and to have the time to read literature all the time, so their information acquisition will always be much later than that of top-tier hospitals."

"Furthermore, whether it's a municipal hospital or our hospital, there are some senior professors who still insist on their clinical experience from back then, without discussing so-called statistics or current scientific research frontiers."

"Therefore, under such circumstances, it's impossible to demand that all procedures at the prefecture-level city hospital be fair and all treatment processes be reasonable; that won't work..."

While Yuan Weihong analyzed the situation for Fang Ziye and reassured him, he also said, "However, these things are not allowed in our hospital."

"This is not only because our hospital is a top-tier tertiary hospital, but also because our hospital has a professor-led system, unlike the director-led system in prefecture-level city hospitals..."

Fang Ziye seemed to be deep in thought upon hearing this.

The only difference between the professor-led system and the department head-led system is the title.

But in reality, the differences between the two are worlds apart.

The director responsibility system means that non-directors are not responsible, but the director is responsible for many people in the department. Ultimately, the person who will be held accountable is the administrative director in power.

Under the professor-led system, the responsible party is the professor who led the group.

It seems that a professor-led system would be more humane and prevent the administrative director from being wrongly accused.

But in reality, this further segmentation of power and responsibility only encourages more 'petty tyrants'.

Even if a 'little tyrant' doesn't emerge, for example, Professor Deng Yong is currently leading Fang Ziye's group, but Professor Deng Yong is already going through a turbulent period, and is declining due to health reasons.

Many people in the department hope that Professor Deng Yong will voluntarily collapse, and then passively or actively take over the remaining talent in Professor Deng Yong's group!

At this critical moment, Fang Ziye unintentionally stabbed Professor Deng Yong in the back, which was absolutely adding insult to injury.

The current Professor Deng Yong is not the same administrative director of trauma surgery he was before. He is young and has a bright future.

"Don't just focus on the rebellious nature of your senior brothers; also pay attention to the context in which they lived."

"If, for example, Professor Deng Yong were to..."

“Then you and I might be your senior masters, the only difference being that our approach is relatively gentler, and we leave a little something out.” Yuan Weihong suddenly changed the subject.

Yuan Weihong's reminder sent a chill down Fang Ziye's spine.

This is not Yuan Weihong's alarmist talk.

Yuan Weihong's teacher, Fang Ziye's mentor whom he had never met, must have been a highly influential figure at Zhongnan Hospital, with a line of highly accomplished officials.

Even so, the tree fell and the monkeys scattered, making it impossible to continue the relay of the tradition.

So why can't this kind of thing happen again?
The work atmosphere is the work atmosphere, the work atmosphere. It doesn't affect anything. Other capable people, with a little help, can push you, whose ability is only comparable to theirs, off the narrow bridge.

In this day and age, achieving absolute dominance is extremely difficult.

To accomplish this, one needs even greater talent and more effort; this is the underlying helplessness in an era where academic qualifications are relatively saturated.

No matter how hard you work or how talented you are, if your talent and effort cannot completely overwhelm the abilities of the second generation and those with connections, then in reality, there is no difference in ability between you and them.

You have no right to feel compassion or to feel like your talents are going to waste...

Fang Ziye had considered what would happen if Professor Deng Yong were dismissed, and the other two professors were all smiles and said to him, "Come on, come work for me..."

Fang Ziye felt he was definitely going to run away.

"Master, Teacher Xie, were you assigned to the emergency room, or did you go there voluntarily?" Fang Ziye suddenly asked, seemingly out of the blue.

At first glance, it seems as if Associate Professor Xie Jinyuan was exiled to the emergency surgery department because he couldn't make it in trauma surgery; it's a form of punishment.

But what if Associate Professor Xie Jinyuan had already packed up and left? He felt that Professor Deng Yong could no longer lead him forward, and since he couldn't compete for a senior position in trauma surgery, he decided to go to the department with the best promotion opportunities—emergency surgery.

After being promoted to senior rank, will you come back to lead the team again?

"Once you understand how to think this way, the answer itself becomes less important."

"Let's go, we have an emergency surgery coming up, let's coordinate!"

“Perfect timing. Before you become a chief resident, I’ll teach you a universal surgical technique for treating open fractures.”

"Fracture reduction and external fixation, preparation for amputation."

"You'll need this surgery a lot in the future," Yuan Weihong said with a smile.

Fang Ziye nodded and smiled.

After suppressing all his emotions, he realized that the joy of life is actually finding fun: "Okay! Master."

Life is long and the journey is full of twists and turns.

Many things, many factors, can become Waterloo, leading to defeat and ruin.

It can be character, morality, physical health, or choice.

Of course, one's own abilities are still the most important part. However, no matter how strong one's abilities are, one must still act in accordance with one's identity and role to a certain extent. Acting too eccentrically will affect many people around you.

Fang Ziye followed behind Yuan Weihong, watching Yuan Weihong's back, thinking about Yuan Weihong's way of doing things, and recalling his master's quirky yet not quirky persona...

Sometimes, Fang Ziye seemed to understand Yuan Weihong's quality of finding joy in his own company.

Upon arriving in the operating room, Fang Ziye realized that it was a relatively simple open fracture of the tibial plateau.

Trauma surgery has two of the largest emergency surgical indications.

Open fracture, ischemic necrosis of the lower extremity.

The surgical procedure corresponding to an open fracture is surgical treatment of the fracture, and the surgical procedure corresponding to lower limb ischemia is amputation.

Disinfection of open fractures is not very particular; the first step is rinsing!
Of course, before rinsing, Yuan Weihong and Fang Ziye chose to first apply the tourniquet to the right lower limb.

After the tourniquet was applied, the bleeding in the open wound was significantly reduced.

Yuan Weihong calmly replied, "Ziye, you said your manual reduction technique is quite good. Well, coincidentally, your master also felt that his manual reduction technique was quite good during his time as a resident physician."

"Even some senior professors praised my manual repositioning technique. What do you think?"

While Yuan Weihong was still speaking, Fang Ziye, who had already understood what Yuan Weihong wanted to say, immediately took action. In just over twenty seconds, he had reduced the deformed and displaced joint fracture to about 70-80%.

The remaining 20% ​​are due to compression fractures between tibial plateau fractures. Compression fractures require lever reduction, which cannot be handled by manual reduction.

"Master, how is it?" Fang Ziye turned his head back, looked up with a smile, a smile that showed he was trying to make the best of a bad situation.

Fang Ziye felt that his expression just now was exactly the same as when he first met his master, with a feeling of pretending to be confused and even a little bit of acting stupid.

Fang Ziye felt that perhaps this was the kind of reincarnation that people talked about online, and the meaning of education.

Only when the bullet hits the center of the eye can one truly understand its meaning, and only then is the educational cycle truly complete.

"Gulp, gulp!" Yuan Weihong's Adam's apple bobbed up and down a few times.

But he still stubbornly insisted: "Not bad, you have some skill. No wonder Professor Deng Yong praised you so highly."

"I heard you can even break apart a pelvic fracture, or a broken bone fragment clamping an artery, without damaging it?"

Previously, Yuan Weihong still carried a hint of fighting spirit, but now he was just curious.

There's no way around it; students are apprentices, and apprentices are children. When children grow up and become independent, even if you're not happy, you can't be jealous.

Of course, Yuan Weihong wouldn't just admit that Fang Ziye was awesome; he would at least keep up the act for another ten or eight years before finally acknowledging his age.

"Master, 'no damage' is a bit of an exaggeration."

Seeing that Yuan Weihong breathed a slight sigh of relief, Fang Ziye added, "A more accurate description would be that it was almost completely undamaged!"

"Go and support my leg!" Yuan Weihong snapped.

Fang Ziye did not feel that he had suffered a loss or been punished. Did he think that if he did not joke with Yuan Weihong, Yuan Weihong would come to help him up?

This is absolutely impossible.

For the next period of time, Fang Ziye watched silently, acting as a student while Yuan Weihong taught him very meticulously and seriously, indulging in his passion for being a teacher.

Of course, this period of time did not last long, only about an hour or so.

Fang Ziye reached out and took the bone pry bar from Yuan Weihong's left hand, which he was using as a pry tool. He slightly adjusted the angle and force, and then pried open the compression fracture that Yuan Weihong had failed to pry open several times.

Yuan Weihong's expression froze.

She abruptly turned her head to look at Fang Ziye, as if he were a complete stranger.

Fang Ziye stood at attention, perfectly upright, as if he were trying his best to be an actor and cooperate with Yuan Weihong's performance.

Yuan Weihong was momentarily taken aback: "You can handle tibial plateau fractures and external fixation?"

"Mm." Fang Ziye nodded, no longer keeping anything to himself.

Yuan Weihong finally snapped: "You knew it, why didn't you say so earlier? You've wasted my time. Come here right now, let me see how well you've done it, and I'll help you fill in the gaps."

After speaking, he handed the tools of the chief surgeon to the other person, thus completing the role transition between chief surgeon and assistant.

Then, Yuan Weihong discovered that Fang Ziye's skill in treating fractures was truly extraordinary, unlike that of a complete novice. His proficiency was almost on par with his own.

Yuan Weihong was a little numb at that moment. He had gone through the training during the Great Injustice Cultivation period to reach this level, while Fang Ziye hadn't even started yet!

He asked, "Hey, what's wrong with you? At least give your master some face."

"It's one thing that you won the Youth Special Award last year, which your master won the year before, but when did you learn how to treat fractures? Did you learn it at Enshi Central Hospital?"

Yuan Weihong was genuinely shocked by the speed of Fang Ziye's improvement.

"Is this company so amazing? Should I go and learn from them?"

Fang Ziye finally shook his head and said, "Master, you need to calm down."

“The Central Hospital of Enshi has always been the same hospital, and there are students there... I learned a lot there because I was the one learning, not because the hospital was particularly good.”

"Hey!" Yuan Weihong's first reaction upon hearing Fang Ziye speak like that was, "Is this little brat Fang Ziye copying me?"

But then I saw that Fang Ziye spoke very seriously, as if it came from his heart, unlike himself, which seemed to carry a hint of pretense.

Yuan Weihong held back his urge to continue criticizing and continued watching Fang Ziye's actions.

Of course, after watching it all, Yuan Weihong still couldn't find any problems.

And the fact that this problem wasn't identified is actually the biggest problem.

Generally speaking, if you can't see many problems, it's either because the technology is close to or even surpasses that of the other party.

After the surgery, Yuan Weihong proactively notified the surgical team to take the patient back to the ward and write the postoperative instructions.

Just as she led Fang Ziye out of the operating room, she asked, "Want to come home with me for New Year's Eve?"

"Master, how about we don't go? I need to go back for the New Year." Fang Ziye shook his head and declined.

Yuan Weihong walked towards the parking lot with his hands behind his back, saying, "The kids are all grown up now, so all they think about is sour smells."

That's the difference.

Fang Ziye could only offer a silly smile.

Once children grow up, they become harder to manage; this is indeed a difference between being single and not being single.

(End of this chapter)