top student at medical school

Chapter 291 A Frenzy of Action (Please Subscribe)

The life of a resident chief is very monotonous.

It's so monotonous that, apart from feeling like a victim of a great injustice, everything else is irrelevant to you.

Let alone the Lantern Festival, even New Year's Eve might not make you feel that time loves you differently.

On March 1st, at 8:00 AM, after participating in the shift handover, Fang Ziye was officially appointed by Professor Han Yuanxiao, the current administrative director, as the assistant chief resident and concurrently the chief resident of the department.

The reason Fang Ziye is called the assistant chief resident is because he is currently a doctoral student, and the position of chief resident is for Fang Ziye to join the hospital before graduation, so he is a recent graduate.

Our graduating students can naturally enjoy some conveniences and benefits in advance.

After Fang Ziye took the old-fashioned cell phone from the chief resident, the handover procedure was essentially complete.

Qin Geluo didn't say much to Fang Ziye, only saying, "Ziye, you should focus on the emergency and routine consultations today. I'll take care of the other matters for now, and then gradually hand them over to you."

Fang Ziye didn't understand what "slowly" meant at first.

Around 8:20, Fang Ziye, who was accompanying Professor Deng Yong on rounds, was called away by an old-fashioned resident's cell phone.

During shift handover and ward rounds, no one is allowed to answer the phone, including the administrative director Han Yuanxiao; in principle, no one is allowed to answer or make phone calls.

But the chief inpatient is an exception.

Chief inpatients are permitted, in principle, to make calls using Bluetooth headsets at any time, even on the operating table.

Fang Ziye's departure did not surprise anyone.

Because that's how the previous chief resident also got through it.

During Jin Hongzhou's tenure as chief resident, Professor Deng Yong's team may not have experienced it firsthand, but wasn't Qin Geluo conscripted for a period of time...?

Naturally, Fang Ziye's non-participation in the ward rounds will not affect the progress of the ward rounds in the slightest.

Time passed quickly, and more than ten minutes went by.

Outside the emergency surgery clinic at Zhongnan Hospital.

A young man, holding a medical record in one hand and supporting his arm in the other, walked with Fang Ziye while turning to ask, "Doctor, my condition shouldn't be serious, right?"

"It doesn't look serious at first glance. We'll assess the situation based on the X-ray results..." Fang Ziye replied, taking the medical record and reviewing the brief medical history obtained from the emergency room staff while leading the young man toward the examination room.

What the young man really wanted to say was, why don't you find a more reliable director to come and take a look? But Fang Ziye didn't give him the chance at all.

Upon entering the consultation room, Fang Ziye quickly wrote a circle on the emergency room medical record book, and then began to operate the computer to print out a manual reduction consent form.

Before I could speak.

Fang Ziye frowned, because the siren of an ambulance was approaching again from afar!

Fang Ziye quickly said, "Your current condition is a shoulder dislocation. After reviewing the X-rays and assessment, I believe it can be manually reduced."

"However, if you want to rule out more detailed soft tissue injuries in advance, it is best to have an MRI. You can choose to have this MRI done before or after manual reduction."

"If you choose to do it before manual reduction, then it's to assess the absolute indications for manual reduction. If manual reduction is chosen at that time, then the reduction will be successful. Manual reduction is the treatment."

“If you choose to do it after manual reduction, you may still need surgery after the manual reduction. Manual reduction is just a temporary pain relief measure…” Although the sound of ambulances outside was intermittent, Fang Ziye still dared not be careless.

During the annual meeting two years ago, Fang Ziye served as an emergency room physician. At that time, Fang Ziye almost made a mistake, but fortunately he was careful enough and did not act carelessly or recklessly.

Nowadays, Fang Ziye would naturally not make such a basic mistake.

"In addition, manual reduction has a certain success rate, but it may also fail, so you should think carefully about whether you want to have it done at our hospital!"

"If you agree and can accept the outcome of unsuccessful manual repositioning, then sign here and we will proceed immediately!"

“If you’re hesitant, you can sit down and rest outside for a while, think it over carefully, or go to another hospital for treatment. I can then take care of the other emergency patients first,” Fang Ziye explained quickly.

"This? Dr. Fang, are you the only one in your department right now?" the young man asked.

"The other doctors in our department all have other patients to see, some are seeing patients in the outpatient clinic, some are performing surgeries in the operating room, and some have just finished their shifts!" Fang Ziye explained patiently and concisely.
Not a single word is wasted.

Informed consent requires that everything be clearly explained.

Fang Ziye briefly explained the current predicament and choices to the other party.

"If you really want to wait for your superiors to handle it, your current situation does not fall under the absolute indication for an emergency."

"In other words, the real emergency is not the emergency you understand it to be." Fang Ziye spoke in a more colloquial way because he saw that the other person was young.

This excuse is very common online.

Upon hearing this, the young man's expression turned bitter for a long while before he suddenly sighed and said, "I'll sign it! Sigh!"

After the young man signed the papers, Fang Ziye quickly wrote two medical orders for him: one for manual reduction of the dislocated shoulder joint, and the other for the cost of materials for a shoulder and forearm sling.

The price wasn't expensive, totaling one hundred and sixty.

Including the previous X-ray, the total came to 295 yuan. The X-ray cost 45 yuan per spot; he had his shoulder, chest, and abdomen scanned, and the cost was calculated for three spots.

Fang Ziye printed out the order and had him scan it.

He continued, "Our hospital does not offer online medical insurance reimbursement. If you have a balance on your medical insurance card or need to reimburse your employee medical insurance, you will have to go to the window outside to process it. However, if you can reimburse later, you can scan the code directly."

"Of course, you can also process the refund at the window after scanning the code."

"It's alright, I'll pay myself." After reading the contents of the signature, the young man signed his name, then looked up at the very young Fang Ziye with a resigned air before scanning the code to start the payment.

However, just as he was pressing the payment password with his left hand!
I felt a sudden, sharp pain as something pulled my right arm.

It was completely unexpected and caught him off guard.

In an instant, the pain intensified to its extreme, even exceeding the upper limit of his understanding of pain.

The sudden pain and the resulting fear made his whole body stiffen.

But soon, the young man felt his shoulder relax and the pain subside.

At the same time, a "click" sound rang out.

This startled him, his upper body trembled, and he looked at Fang Ziye, his eyes finally managing to contain the anger that had been simmering in his chest—

"What the hell?"

"No martial ethics?" The young man was furious. He took a few steps back, burning with rage, and felt an urge to hit someone.

If Fang Ziye gives the wrong answer, even if no family members are present, he will still rush in with Fang Ziye.

Fang Ziye said, "Brother, don't be so nervous. The key to manual reduction of joint dislocation is to be unexpected! That way, you can minimize the resistance caused by your self-protective instincts."

"Our repositioning process can be faster." "The manual repositioning is now complete; it's nothing fancy, and repositioning can be very quick!"

"If you frequently browse the internet, you'll know that resetting can actually be very quick."

"You can try moving it a little. It might hurt a little, but it won't hurt too much."

"Then you can rest for a bit and go get another scan. In the meantime, I'll go out and see the next emergency patient. Come back to me after you've had the scan, and I'll put your forearm in a sling!"

"So that no one is delayed?" Fang Ziye heard the increasingly loud sirens of the ambulance, but he still had to keep the young man calm!
Although there was another patient outside waiting for Fang Ziye to treat, that patient had a fracture, and after that patient, another ambulance arrived, Fang Ziye didn't know whether he needed to continue practicing.

Upon hearing this, the young man immediately tried to understand his own feelings, and the pain was indeed relieved a lot.

Then, after trying to twist his arm again, he had a look of astonishment and disbelief in his eyes.

Five seconds later, he finally reacted, his eyes widening in shock.

Is this good?

"Dr. Fang, what's wrong with me?" Looking at Fang Ziye's age, he couldn't reconcile Fang Ziye with the kind of master of repositioning techniques he saw online.

"Since you're feeling alright, go get checked out first, and then come back to me with the results later."

"As you know, I'm actually quite busy, and I don't have much free time to chat right now."

"You should pay this fee so that we can have your forearm sling put on later and check the effect of the reduction." After saying this, Fang Ziye walked out without looking back.

The young man watched Fang Ziye's departing figure.

Fang Ziye wasn't particularly broad-shouldered, but he seemed to be trying his best to carry something.

"Awesome!" The young man twisted around a couple more times, the pain disappeared, and he shouted those words crisply.

After paying the bill, he slowly turned around and went to the X-ray room, no longer daring to be disrespectful.

Regardless of Fang Ziye's age, he completed his consultation, examination, consultation, and treatment procedures in just a few minutes, with a swift and efficient demeanor.

Without the slightest hesitation or wavering.

He can't judge whether his skill level is good or not yet, but he's very happy right now.

The pleasure comes from the relief of the previous pain, and the comfort brought by this relief is no less than the relaxation of ejaculation...

Moreover, the fact that Fang Ziye doesn't take his current symptoms seriously shows that he's confident. If Fang Ziye were to stay by his side the whole time, constantly asking him questions, that would be troublesome.

Perhaps it's a case of skill breeds daring...

Just as Fang Ziye was about to go out to see the next fracture patient!

A trolley sped quickly towards the entrance of the emergency room.

The speed was so fast, at least fifty or sixty miles per hour.

"Has the scene been dealt with?" The man in the green shirt and the woman in the white coat were handing over the work. The woman in the white coat asked.

"The situation wasn't handled properly, the patient can't move, so I came here on dispatch," the man in green said quickly.

Upon hearing this, the doctor in the white coat said, "Please have a consultation with orthopedics, thoracic surgery, general surgery, and neurosurgery..."

"The chief residents of orthopedics and neurosurgery are both in the emergency department. Should we call them over immediately?" The question came from afar after the people in white coats and green uniforms pushed the trolley into the emergency room.

"Call first, it's an urgent consultation, and they'll arrange it immediately." A very experienced voice came from inside.

Fang Ziye was quickly performing a physical examination and asked, "Can you feel anything?"

Fang Ziye glanced at the patient and knew that the fracture patient had a simple fracture and dislocation of the upper limb, with dislocation being the most likely possibility. Someone on the scene had attempted to reduce it in an emergency, but failed, and the patient was then dragged over. The patient also had a closed fracture of the lower limb.

To everyone's surprise, this middle-aged man had a somewhat goofy side, speaking with a Sichuan accent: "I can feel it, your muscles are rock hard!"

"…………" Fang Ziye's lips twitched slightly.

"Vital signs are currently stable, there is no active bleeding, and the patient is conscious. Further examinations will be handled by you!" Another doctor in a white coat quickly handed the case over to Fang Ziye and then walked back.

Fang Ziye nodded and agreed, but at that moment, the female doctor in the white coat had already reached the trolley.

"Get a head, chest, and abdomen CT scan, plus a CT scan of the right humerus, then have blood drawn for preoperative tests. You'll need to go to the operating room. Dr. Fang, is there anything else you need to add?" She quickly asked after glancing at Fang Ziye's name tag.

They dared not delay at all.

Fang Ziye didn't recognize the woman, but he noticed her name tag: "I didn't add anything here. When you get the CT scan, please also scan my left shoulder joint and right tibia and fibula. Thank you, Professor Huang..."

The chief resident of neurosurgery, surnamed Huang.

Fang Ziye's current name tag is for resident physician; the name tag for chief resident physician has not yet been ordered and is currently in place temporarily.

"Just call me Huang Yan or Senior Sister Huang. I'll take the patient to the examination room first."

"Why don't you take care of that patient behind you first?" Huang Yan gestured towards Fang Ziye's back.

It was the same patient who had dislocated earlier, who had rushed back from the emergency X-ray room.

"Thank you, Senior Sister Huang!" Fang Ziye immediately turned around, still remembering that the patient with the dislocated shoulder joint hadn't even had his forearm sling put on yet!
When Huang Yan pushed the cart in again, the patient asked, "Doing so many CT scans at once must be very expensive, right?"

CT scans are expensive, so we got all of them done at once.

“You have a fracture, which proves that the violence was strong enough, and there is a high probability that you also suffered injuries to your chest, abdomen, and head,” Huang Yan explained.

Professionals can always provide professional explanations.

The order for examinations cannot be given arbitrarily just because someone walks in. Instead, it requires an assessment of the extent of violence the person suffered when they were injured, and a precise examination is necessary.

and!

If he were the only emergency patient, there would certainly be time to give him a thorough physical examination and then accurately screen for possible images based on the examination results. But at this time, time is precious.

Wasting time to save money on a few tests is not life-saving. When on duty in the emergency room, you must be prepared for the next patient to die at any moment!

While turning around, Fang Ziye immediately sent a message to his junior brother Jie Han, asking if he had any free time to come and help.

But the answer was no.

Furthermore, Fang Ziye's acquaintances, such as Luo Tingzhu, were mostly unavailable due to other commitments.

Although he didn't manage to find anyone, Fang Ziye still had to go over and put a forearm sling on the previous patient, and also prepare for an emergency consultation for the patient in the emergency room, as well as the fracture X-ray assessment for the patient who had just been taken out by the neurosurgeon...

Fang Ziye's first impression was one of being in a frenzy and disarray.

(End of this chapter)