top student at medical school

Chapter 297 Whose subordinate is this? (First update, please subscribe)
Fang Ziye's turn around was indeed very honest.

Although both were leaving, Fang Ziye's turn to leave at this moment completely lacked that arrogant and boundless aura.

Considering that the patient had been consulted by other specialists before being referred to the orthopedics department for surgery, Fang Ziye did not hesitate or make excuses and sent the patient directly to the operating room for emergency surgery.

Fang Ziye's actions at this moment will not arouse any malice from anyone.

Unless someone is mentally disturbed, they wouldn't feel wronged after "bullying" someone, or think that someone framed them.

Of course, after the reason was found out, many people's attention was not drawn to Fang Ziye who left, but to the senior attending physician from the vascular surgery department who came for consultation.

Abdominal aortic dissection falls within the scope of vascular surgery, and there is no question that can be explained.

The moment Zeng Quanming's gaze turned towards him, the senior attending physician in vascular surgery quickly said, "Professor Zeng, I'll call Professor Wu right away!"

Zeng Quanming sneered upon hearing this: "It's fine, it doesn't matter if you don't make the call, I've already made the call anyway!"

As Zeng Quanming spoke, he squeezed his thumbs together, making a cracking sound as he squeezed the knuckles and metacarpophalangeal joints.

Zeng Quanming didn't waste any more time. He looked at Qiu Yuxuan and said in a cold tone, "Director Qiu, do your best. If the patient develops symptoms such as shock or arrhythmia, please promptly request an emergency consultation with the head of the emergency department, the head of the ICU, and the cardiology and respiratory departments!"

Zeng Quanming's tone was extremely cruel, as if he didn't care about the patient's life at all.

But those who truly know the situation, such as other associate senior surgeons from general surgery or thoracic surgery who come for consultation, know that Zeng Quanming's attitude is the most responsible.

It was a hospital-wide consultation, and it even started from the operating room. The vascular surgery department only sent a senior attending physician.

This is unacceptable from any perspective.

The hospital requires that the attending physicians for hospital-wide consultations be at least associate senior physicians. If something really goes wrong, the associate senior physician on duty today will be in serious trouble.

It had nothing to do with the senior attending physician who came for the consultation; he was forced to come, and it was not his place to consult. He was filling in for someone else.

However, the associate senior professional title candidate for the large-scale consultation was absent.

Then, the person with even greater responsibility is the administrative director of vascular surgery...

The young vascular surgeons didn't even have time to refute or explain; they quickly called their department head.

The others, after carefully examining the patient's condition and relevant auxiliary examinations, still couldn't find any relevant procedures that needed to be handled by their department.

He explained to Associate Professor Qiu Yuxuan, "Professor Qiu, our neurosurgery department does not currently have any indications for an emergency consultation. However, we can have a head CT scan done in three days. Once the CT results are available, you can ask our department to follow up."

"I'm not going to stand here taking up space."

The neurosurgeons left first, followed by the thoracic surgeons and hepatobiliary surgeons.

Simply having everyone stand by and watch won't solve the problem!

Specialized treatment.

Abdominal aortic dissection is indeed very dangerous, but if it can be identified early, the treatment options may be better.

However, it is clear that this patient's aortic dissection is no longer in its early stages.

As people from other specialties continued to leave, people from the vascular surgery department arrived at the operating room one after another.

Surgery for abdominal aortic dissection is definitely not something one person can handle.

Moreover, the patient is currently in a near-shock state, on the operating table in the operating room, under anesthesia. At this point, it is definitely an emergency.

Soon, the biggest name in vascular surgery finally arrived.

Although Professor Zeng Quanming, the director of the Department of Anesthesiology, had called Wu Yong an idiot, Qiu Yuxuan, the deputy chief physician of the Department of Anesthesiology, was still very respectful when he saw Professor Wu Yong: "Professor Wu, you've finally arrived."

"Just recently, this patient underwent an abdominal ultrasound after debridement and exploration in the trauma surgery department. The ultrasound showed an increased diameter and width of the abdominal aorta, suggesting aortic dissection, so..."

Wu Yong is not tall and is thin. Half of his face is covered by a mask, only his eyes reveal the wrinkles that have accumulated over the years.

Professor Wu Yong, who appeared very serious and refined, interrupted Qiu Yuxuan's conversation with his actions as soon as he entered.

Wu Yong gently lifted the strap of Qiu Yuxuan's floral hat with his right hand, and even squeezed it, asking, "Professor Qiu, your hat is quite unique, and the material is also very good. Where did you buy it?"

Upon hearing this, Qiu Yuxuan's expression stiffened slightly beneath his mask, and he seemed momentarily at a loss for words.

Qiu Yuxuan knew that Professor Wu Yong, a vascular surgeon, was not only a senior professor in vascular surgery but also a strong contender for the position of vice president.

Neither the previous vice president nor the president lasted long after taking office.

Now, the new leadership team is about to be finalized.

Director Zeng of the anesthesiology department was angry at people like Wu Yong, who thought he was about to be promoted and felt he was too busy, so he shifted his focus away from clinical work. That's why he started criticizing Wu Yong.

The two people are quite different types.

"Professor Wu, this is just an ordinary hat I bought online..." Qiu Yuxuan had no choice but to answer Wu Yong's question.

"Professor Wu, the patient's preoperative CT scan results have been retrieved. Please take a look."

“It’s not that Liu Faming wasn’t careful enough,” Mi Qi explained to Wu Yong, pointing to the CT scans and CTA results.

CTA is the best examination for visualizing blood vessels and is the gold standard for many diagnostic tests.

There were no indications of arterial dissection on the CTA. Who would have thought that a patient who had almost ruled out the diagnosis of dissection would be diagnosed with dissection again?
Mi Qi was the senior attending physician from the vascular surgery department who came for the consultation immediately, and Liu Faming was the chief resident of the vascular surgery department.

"How long has Liu Faming been the chief resident?" Wu Yong asked after looking around at the examinations that Mi Qi was pointing to.

Hearing this, Mi Qi's heart sank even further: "Director, Liu Faming has been a resident for two and a half years, almost three years now, and he rarely makes any mistakes. This time? This..."

After considering it over, Mi Qi decided to plead with Liu Faming on his behalf. He had been hospitalized for so long, and even if he hadn't made any significant contributions, he had certainly put in a lot of hard work.

"Director Wu, although Liu Faming is Professor Deng's student, he is actually quite close to us. He takes good care of the students in our group and has a good reputation in the department."

The ward director has the absolute right to remove the chief resident and replace him/her. However, professors in the department can supervise and intervene, but they cannot arbitrarily remove someone else's chief resident.

However, in cases of basic misdiagnosis, the ward director can make the appointment of the chief resident unilaterally.

Upon hearing this, Wu Yong said, "Don't be nervous. I'm not saying Liu Faming is bad. What I mean is, he's been a chief resident for so long, it's time for him to step down."

"But as you know, the two people we've admitted to our department in the last two years are like gods. At least during my tenure, I wouldn't dare let them serve as chief residents."

“But? This one is good.” Wu Yong pointed to the computer screen.

"Huh?" Mickey didn't react for a moment. "To be able to read the risk and trend of aortic dissection from this CT scan, his theoretical knowledge is excellent. Let me explain, this involves relatively theoretical aspects of vascular surgery..."

"Many people actually feel..."

"You guys prepare for the surgery first." Wu Yong continued to explain to Mi Qi why Fang Ziye had predicted this aortic dissection in advance, while having people continue to prepare for the surgery.

This prediction was not only unbelievable to Mi Qi, but also to another associate professor who arrived at the scene. He felt that Wu Yong was probably the only person in the entire vascular surgery department who could diagnose an aortic dissection.

Wu Yong went on and on to explain before finally saying, "This kind of theory basically involves the turbulence and eddy currents of liquids, which is why these contents can be read on CT scans."

"These are things that weren't shown in the film, so I think this kid is good. Who is he on my side?"

"All I know is that it's orthopedics, so it should be trauma surgery, right?"

Upon hearing this, Mi Qi thought about it seriously for a moment: "It's possible that he's a student of Director Han from the Trauma Surgery Department."

While doctors like Mitch might not be recognized by everyone in other departments, the administrative directors of each subspecialty are certainly well-known to them.

If you don't even respect the administrative director of the subspecialty, and you end up pretending not to know them and causing an awkward situation, what will happen when you become the administrative director yourself? People might treat you the same way!
"Okay, I'll ask about it later."

"Is Professor Han willing to release the person? If he's willing to exchange, I'll switch with him..." Wu Yong said with a smile.

Upon hearing this, Mi Qi fell silent once more.

Professor Wu Yong's abilities are beyond question; he is second to none in vascular surgery in the entire province.

That's right. In recent years, after failing to make any further progress, he eventually became assimilated and started running some shady businesses, such as recruiting two new, amazing junior colleagues in the department.

Otherwise, Chief Physician Liu should have been replaced long ago, but...?
Professor Wu Yong also knew the capabilities of these two men; they were good at being incompetent and idle, but it was practically impossible for them to take on any real responsibility.

But now you want these two to replace that chief resident who just left? Isn't that just being foolish?
Let alone the possibility of failure, even if you succeed, won't the head of the trauma surgery department become your enemy?

Has Professor Wu Yong really been successfully brainwashed into believing that everything is an exchange of interests, and that if an exchange is not possible, it must be because the interests are not enough?
A perfectly capable technical expert is now about to transform into a master of interpersonal skills, and this is all thanks to his efforts in just over three years...

"Director Wu, is this Dr. Fang really that amazing?"

"The kind of aortic dissection you just mentioned, apart from CT scans, is there basically no other way to diagnose it? For example, even palpation doesn't work?" Mi Qi didn't care whether Wu Yong wanted to replace him or not.

Rather, they wanted to understand Fang Ziye's true strength, and they also felt unbalanced inside.

If what Wu Yong said is true, then it means that Dr. Fang, the trauma surgeon, is not only more capable than him, the attending physician in this specialty, but even Associate Professor Duan Yuanjiang might be a defeated opponent of Fang Ziye.

Fang Ziye is only a chief resident.

“Arterial dissection does not present with a pulsatile hematoma like an aneurysm.”

"Alright, stop guessing."

“I told you long ago that film reading techniques can also reveal more detailed information. You’ve never believed me. Just because Professor Deng didn’t reach that level doesn’t mean it doesn’t exist.” Professor Wu Yong said, then waved his hand slightly, signaling Mi Qi to go up on stage and help.

A short while later, Liu Faming, the chief resident of vascular surgery, arrived.

"Director, I just went to the geriatrics department for a consultation. They found several cases of venous thrombosis, one of which was in the lung, so it took a little while."

"Director, this patient, him..." Liu Faming wanted to explain a few things to himself.

"Yes, I know. When you saw this patient, there was no aortic dissection, only early signs of it, which you couldn't diagnose. That's not your fault."

"Liu Faming, you've been in this chief resident position for several years now, haven't you?" Wu Yong asked first, then replied, glancing at Liu Faming's hair from side to side.

The period of hospitalization is when gray hair is most likely to appear.

“Director, it’s been more than two years,” Liu Faming replied.

“It’s about time for a change of leadership. I’m thinking about when to hire someone suitable to take over for you,” Wu Yong said, standing up.

……

About twenty minutes later, after Liu Faming understood Wu Yong's plan, he immediately found out Fang Ziye's private mobile phone number.

Liu Faming is the chief resident, and a senior one at that. Many of the newly appointed chief residents in orthopedics are his younger brothers. Getting the phone number of an orthopedic resident is very easy.

However, after getting through, Liu Faming discovered that, hey, this guy's phone number had a previous call record with him, dating back to August of the year before last.

There are also call records?

When did this happen?
I have absolutely no recollection of Liu Haibo.

Then, using Fang Ziye's mobile phone number, I added Fang Ziye as a WeChat friend.

A dozen minutes later, Liu Haibo said to Wu Yong, who was skillfully operating on the operating table, "Director Wu, this Dr. Fang is a student of Professor Deng Yong in the Department of Trauma Surgery."

"Director Deng is currently the head of our surgical teaching and research department."

Deng Yong and Wu Yong differ by only one character.

But when Wu Yong heard the name Deng Yong, his scalp twitched violently.

"Is he a student of Brother Yong in orthopedics?" Wu Yong subconsciously called out the name he used for Deng Yong.

Upon hearing this, Liu Faming's heart skipped a beat.

Judging from Professor Wu Yong's words, it seems that his successor has no chance again.

"Yes, Director Wu." Liu Haibo replied, forcing a smile, without revealing his inner turmoil.

"Forget it then, we can talk about replacing him another time." Wu Yong immediately put the idea aside.

Just kidding, who would dare to mess with Deng Yong now?
I heard that Deng Yong was removed from many positions at the hospital, and almost all the people who filled those positions went to jail. I wonder if the departures of the former president and vice presidents are related to Deng Yong's absence as vice president...

P.S.: Dear readers, it's been almost a month since my surgery, and I feel I've recovered somewhat, so I've decided to update twice a week.

This is the first update. There should be another update this afternoon or evening!

Although I can't make 10,000 a day, I can make 8,000.

Men, you know, they all want more of that stuff, right...?

Also, please continue reading and vote for monthly tickets in March.

(End of this chapter)