top student at medical school

Chapter 301 A Useless Skill
Lan Tianlu smiled, realizing what her master meant, and also felt that Yuan Weihong was wronged.

Yuan Weihong's outpatient clinic is open all day Wednesday. Today is not Wednesday, otherwise Yuan Weihong would not have gone to the operating room this morning.

So Lan Tianluo playfully said, "Master, you'll get used to it anyway."

"What did you say?" Yuan Weihong's eyelids twitched immediately.

Jie Han's numerous problems and Fang Ziye's profound abilities made them formidable figures that Yuan Weihong dared not provoke. Fortunately, Lan Tianluo remained a dutiful and obedient man.

But ever since Lan Tianluo seemingly fell in love, he's become increasingly lively and mischievous...

"It's alright, Master. What I mean is, Senior Brother will definitely handle everything. He's one of us." Lan Tianlu then subtly conveyed another meaning.

It was only then that Lan Tianluo realized that chatting with his girlfriend was a skill that no ordinary activity could replace for improving his eloquence.

Just as Fang Ziye was about to give a training session, a commotion broke out outside.

As the noise grew louder, Fang Ziye could only go to the department to find out the specifics of Liu Haihua's situation. Then, he frowned and said, "Sister, please don't worry. Can you listen to me first?"

"Can't you treat the illness first? Look how much pain my mother is in." The middle-aged woman looked at Fang Ziye and, finding him more mature, believed him somewhat.

"Your mother's current condition may not actually be a simple shoulder dislocation."

"In order to make a clearer diagnosis, we need to take an MRI first to determine whether the muscle tissue around the shoulder joint is pressing on the humeral head."

"Only after a clear diagnosis and understanding of the situation can we know what kind of treatment to give."

"What Dr. Liu just said is correct. Shoulder dislocation can be reduced manually or surgically, with manual reduction being the preferred method!"

“You’ve looked these up, but there are some special cases where manual reduction is not suitable.”

Fang Ziye explained.

The visitors were an elderly woman and a middle-aged woman.

Both of them looked displeased after hearing this.

The patient's wife said, "But Dr. Liu just said that we can try manual repositioning first, and then do an MRI."

"What if it can be reset directly?"

"What if it's not a special type of joint dislocation? Then we wouldn't need to do an MRI, right?"

The old man didn't say anything, but he was a little afraid of his daughter-in-law.

But she was probably in too much pain, so she looked at Fang Ziye and said, "It hurts, doctor, can you give me some pain relief?"

Fang Ziye shrugged and continued, "This? Big sister. That's not how you understand it."

"We cannot pray for a miracle when we have the means; we can only try to seize the chance when we have no other options."

"But we are human beings, and human beings cannot just try things out casually."

"An MRI scan will give you results quickly; it won't take much time."

After speaking to the old lady's daughter-in-law, he turned to the old lady and explained, "Grandma, your pain is from a dislocated joint! Painkillers won't work unless the dislocation is fixed."

Fang Ziye actually discovered that the patient's anterior joint dislocation was quite complex by reviewing the X-ray images.

Although anterior dislocation is relatively simple among dislocations, there are still special cases!

Now, when asked to have the patient's family take the elderly woman for an MRI, the other party refused, which put Fang Ziye in a difficult position.

Even if Fang Ziye's current technique is at least level 4, close to level 5!
But he's not even level 5 yet, so Fang Ziye doesn't dare to be reckless.

To gamble on the odds.

This is not something a doctor should do.

The course and specific location of the biceps brachii tendon must be determined first.

The old lady sighed, her right hand stroking her left arm, and said, "Doctor, it hurts! Can you do a painless repositioning for me first?"

"Can I go for a check-up once the pain has subsided?" she pleaded.

"If it doesn't hurt anymore, then you're all better! There's no need for a checkup then." Fang Ziye's tone was slightly cold, as if he felt that his explanation wasn't clear enough.

"Wouldn't that be better, doctor? Doctor?"

"It's not really appropriate for us to go down for another check-up and then come back up. That's just too much trouble."

"Moreover, Dr. Liu just said that we should try manual reduction first, and only if that doesn't work should we consider surgery."

"Isn't this examination just preparation for surgery?"

She looked at Liu Haihua with a shrewd gaze. She mentally reviewed the information she had found online; hospitals were full of useless tests.

Many examinations should be avoided if possible.

Liu Haihua hurriedly retorted, "Sister, we were just discussing treatment. I said we could use manual reduction, but I didn't say we shouldn't get a diagnosis first."

"The purpose of the tests is for diagnosis!"

The patient's wife grew impatient and pulled out the X-ray report: "This report clearly states! Anterior shoulder dislocation, how much more can you tell?"

"Do you two young doctors even know how to treat this? If you don't, why don't you call your department head and your superiors?"

"They thought that the MRI could be removed without doing an MRI."

"Even someone like me who doesn't know anything can see that the diagnosis is clear! You still want to do more tests? Aren't you deliberately making things difficult for us patients?"

"If we're not good enough, we should just admit it openly?"

At this point, Fang Ziye immediately sighed and said, "Sister, let's not argue for now."

"There are many postoperative patients resting in the department, and it's not appropriate to disturb them."

"Our director isn't in the department right now, but you need it. And if you're worried about my suggestion, could you wait a moment while I call to let you know?"

"Go and call your director right now! You're wasting time here if you don't know how to treat patients."

"Don't you know any better?" The patient's wife impatiently snatched the films from Fang Ziye's hands.

Fang Ziye had no choice but to call his master.

……

Yuan Weihong happened to be leaving get off work at that time and hadn't gone far from the clinic.

After rushing back, he carefully reviewed the images and said, "Well, given your mother's current condition, it would be safer to have an MRI to confirm the diagnosis. We're worried about soft tissue damage, in which case she'll need to be transferred to sports medicine."

"To simply reset it would be highly inaccurate—"

The middle-aged woman started arguing: "You're all in cahoots, aren't you? I just heard him call you 'Master,' so you're here to back up your student, right?"

"I've been waiting for you for so long, and this is what you tell me when you get here?"

"Then you might as well not have come at all?"

The woman immediately took advantage of her home-field advantage, pointing at Liu Haihua first: "He said he could cure it in a little while, and then he came."

Pointing to Fang Ziye.

He said he wanted to get an MRI.

"He called you here, and you said the same thing. You're clearly defending him." Then she pointed at Fang Ziye.

"Do you really want us patients to undergo so many tests?"

Upon hearing this, Yuan Weihong chuckled: "Big sister, are you trying to ruin our students? But you should know that clinical students are allowed to make mistakes!"

"If he's wrong, of course I can correct him, and I can even fix him! Why let this mistake continue to persist?"

“You’re right? You know better than me, then your mother doesn’t need to come to the hospital for treatment.” Yuan Weihong readily admitted his mistake.

"Wait, ma'am, what procedure are you following? An emergency consultation should be in the emergency room, why are you in the ward?"

"Ziye? Has she registered?" Yuan Weihong suddenly realized something.

I just warned Fang Ziye today, so Fang Ziye is unlikely to make a similar mistake again.

Yuan Weihong looked at the report she was holding; it was from another hospital. He immediately pushed it aside and said, "You need to register first. She's just a student and doesn't have the authority to treat patients. Once you register, you can go through the emergency procedure."

"Since you haven't registered, we don't have a doctor-patient relationship. Who are you?"

“You’re in cahoots with him, it’s obvious. I heard it all. You’re in cahoots.”

“Hey, you…” the woman persisted: “The doctors in your department are all protecting each other, and everyone has a different opinion.”

"One doctor said manual reduction could be done, another said it couldn't be done and that an examination was needed first. Then another person came and also said an examination was needed."

"Whom should I listen to?" The middle-aged woman was quite shrewd, first mentioning Fang Ziye and Liu Haihua, as if she wanted them to be wrong.

"One says manual reduction is possible, while the other says it's not?"

"Why would he tell you that? Why are you making things up? Did you even register? Why are you saying this and that?"

"Come on, let me see your registration number?"

The middle-aged woman was taken aback by what she heard.

Yuan Weihong continued to push his luck: "You didn't even register, and we came to your door asking you how to get treatment? Are we despicable people?"

"You know what, we can't even write any tests or prescriptions. You should go to the emergency room right away..." "Doctor, how can you do this? You even have to mention the registration fee? It's obvious, you did mention it, how can you bully people like this?" The middle-aged woman's momentum was slightly diminished by Yuan Weihong's retort.

Yuan Weihong then said, "What would you say if I said I needed to have an MRI scan done now?"

“We are doctors and patients, treating patients, not doing business. We can’t just stick to one opinion. My student didn’t see it clearly!”

"We need to do tests now to confirm the diagnosis!"

"Are you going to get tested or not to get a diagnosis? If not, then stop arguing."

She paused, then murmured, "But? But?"

"It was clearly a misdiagnosis on your part."

"What did we misdiagnose? Did Dr. Liu say that your mother's condition is not anterior shoulder dislocation?" Yuan Weihong asked.

The middle-aged woman remained silent.

"Just because it wasn't anterior dislocation doesn't mean it wasn't a misdiagnosis."

"That's the situation right now. We need to get checked first, make a further diagnosis, and then discuss a treatment plan. Don't say too much."

"Do you want to get checked? Give me an answer." Yuan Weihong was no match for Fang Ziye and Liu Haihua; when he got tough, he was far more imposing than those two.

"Is this how you act as a doctor?" The middle-aged woman seemed unwilling to admit anything and took a few steps back.

Pointing at the crowd.

"You're all a bunch of despicable thieves, not a single one of you is good. All you think about is money, all you think about is inspection. Wolves in sheep's clothing, beasts in human form—"

"You are doctors, your job is to treat and save lives, not to make patients undergo this and that examination."

Fang Ziye then stepped forward and said, "Big sister, what do you think, is this alright?"

"You've come here with your mother for treatment. Since you don't trust our hospital, why don't you take your mother to another hospital for treatment? Is that alright?"

"Your mother looks quite unwell right now."

Upon hearing this, the middle-aged woman roared at Fang Ziye, "You have no right to speak. You can't even treat a patient properly, all you know how to do is spout nonsense."

“If it weren’t for your nonsense, and your director speaking up for you, my mother would have been cured.”

The middle-aged woman tilted her head: "You're doing this for the money, aren't you? How much can you get for an MRI scan?"

She took out her wallet: "How much money do you need? Can I just give it to you directly? Is two hundred yuan enough?"

She threw it at Fang Ziye's face.

"Can you please stop making things so complicated for us ordinary people?"

"Your teacher is unwilling to treat my mother's illness because she wants to protect you, speak up for you, cover for you, and save face for you!"

"He is the good doctor!"

"A good doctor is one who knows how to save money for ordinary people and has medical ethics." She looked at Liu Haihua aggressively.

Ok.

Fang Ziye immediately took his leave.

After being showered with praise by the middle-aged woman, Liu Haihua showed no joy whatsoever. Instead, he trembled with fear, glancing at Fang Ziye as if afraid of angering him.

Are you kidding me? How can you compare your medical skills to those of a professional physician?

Seeing Grandpa Hong constantly floating and landing around Fang Ziye, Yuan Weihong's face darkened, and he said, "So what do you want? Continuing to make a scene like this won't solve anything. Look at your mother, the dislocation is still there. Every minute you waste is time that will cause her pain."

"If you had done the tests in the first place, you would be fine by now."

"How much does a checkup cost?"

The noise from the middle-aged woman had actually drawn the hospitalized family members and patients to gather around.

Another patient spoke up: "Young lady, why don't you take care of the elderly first? The tests don't cost much. How about I pay for them for you? What about your mother?"

Her fellow patient's words immediately broke her down.

Pointing at Fang Ziye: "It's you. If it weren't for you interfering, my mother would already be cured, her illness completely healed."

"It was you who insisted on having tests done. You said the disease couldn't be cured without tests, but you didn't come, so you were cured!"

“I came to the hospital to get treatment. If you can’t treat me, then find a way instead of harming others, okay?” the middle-aged woman said.

"We've already spent so much money on this hospital, and we're not getting any better. This hospital wants us to do so many tests, and they'll only start treating us after we've gone bankrupt, right?"

"Our advice to you is to get checked out. Are you going?" Yuan Weihong asked loudly.

"The security department is here too."

"Why should I need a checkup? Are you doctors or just people who perform checkups? Is all you think about is checking up and checking up? You can't treat patients without checking up and checking up?" The middle-aged woman insisted on the fact that Liu Haihua had already talked to her about treatment.

Yuan Weihong said, "Ziye, write this down in the medical record. The patient strongly refuses to undergo further examination to clarify the diagnosis."

Fang Ziye nodded and was ready to carry it out.

The middle-aged woman immediately realized what was happening and snatched the medical record from Liu Haihua's hand.

And they tore off that entire medical record page.

"Is this the kind of professional conduct your hospital's doctors have?"

“You’re all making baseless accusations and insisting that I refused.”

"I want to expose you! I want to expose your actions—"

As she spoke, she raised her phone and began recording.

Seeing this, Fang Ziye said, "Madam, could you please put your phone down? You've come to the hospital to get your mother medical treatment, not to argue with us."

"If you feel that you are very emotional, could you please make a phone call to the patient's other family members and ask them to take the patient to receive proper treatment as soon as possible?"

"Then let's discuss in detail whose responsibility it is?"

"If you want to record this, then we'll record it too."

"What if your family sees that you're not taking your mother-in-law to see a doctor, but instead causing trouble here? What if your children see this video and what will happen to them?"

"None of us are responsible."

“But I have an obligation to inform you in advance,” Fang Ziye said patiently.

Arguing is pointless.

The middle-aged woman was stunned for a moment, her expression trembling with conflict.

After hesitating for a moment, it was as if Fang Ziye's words had crossed the most sensitive line in her heart.

He put down his phone, gritted his teeth, and said, "You are butchers who eat people without spitting out the bones and suck blood until they die. All you think about is money."

"If all doctors acted like this, there wouldn't be enough blood for all the patients to suck."

"The White-Clad Butcher".

Enraged, she pointed at the fellow patient who hadn't helped her: "You're the same. Do they have any medical ethics? You're even taking their side. You don't know how much money they've ripped off without even realizing it."

Upon hearing this, Fang Ziye and Liu Haihua first comforted the patient and returned to the ward.

Yuan Weihong patiently asked again, "Madam, let me confirm with you again. We all feel that your mother's current diagnosis is still unclear, based on very professional considerations."

"Further examinations are needed to clarify the diagnosis in order to determine and select the best treatment plan. Do you refuse further examinations?"

“We have surveillance cameras here. Our department can copy everything that happened today at any time.”

"If you..."

The middle-aged woman yelled and threw down her bag: "I'm not doing this anymore!"

"Would I be stupid enough to be ripped off by your heartless hospital?!"

"Mom, if we leave, they'll just want money."

"I won't do it!"

The middle-aged woman began to help the elderly man beside her walk out of the department.

Everyone has a bottom line and a defense line deep in their heart. If it is breached, there will be fear.

It wasn't much money in total, but I ruined it like this.

But she still needed a way to back down, and she really didn't understand why Zhongnan Hospital was so stubborn, making it impossible for her methods to be implemented...

Looking at the old man's trembling back, Fang Ziye's heart clenched.

Actually, given the elderly woman's condition, Fang Ziye could probably handle it without any problems if he took a more aggressive approach. Although her repositioning was unusual, Fang Ziye could mitigate the risks using his skills.

But this requires taking a gamble.

Fang Ziye always remembered one sentence.

In a hospital, unless it's a life-or-death gamble, gambling at any other time is just being a scoundrel!
(End of this chapter)