top student at medical school

Chapter 329 Even basic skills can be used to fight! (Please subscribe)

“Master, it’s alright! I don’t have any idol baggage.” Fang Ziye finally made this decision.

Fang Ziye understood Yuan Weihong's meaning: outsiders would think Fang Ziye was meddling.

Analogous to orthopedics, where the orthopedic surgeon recommends surgery, a vascular surgeon comes along and says they'll perform closed reduction and conservative treatment for the fracture, while the patient remains in the vascular surgery department...

What can you do if a vascular surgeon wants to perform manual reduction? You can't stop him from doing it. As long as he can take responsibility, he can perform internal fixation surgery on fractures without any problems.

Similarly, from the perspective of vascular surgeons, Fang Ziye's current need for limb-sparing surgery is based on a similar principle.

But after hanging up the phone, Fang Ziye still sent a message to Liu Faming in the vascular surgery department, explaining the situation briefly.

Liu Faming replied, "It's alright, Brother Ye. There's nothing to talk about. Everything is for the patient's sake. We'll try our best to save the limb if possible, but there's not much I can do to help."

His tone was polite and unambiguous, without any sarcastic remarks.

Fang Ziye breathed a sigh of relief and led the people into the operating room first.

Disinfect, drape, put on sterile surgical gowns and gloves, get the wound cleaning kit, and then slowly and meticulously design the overall surgical plan.

Fang Ziye did not rush to perform surgery, but first conducted a more detailed physical examination.

A physical examination, also known as a medical examination, is defined as a series of basic examination methods by which physicians use their senses and traditional or simple examination tools, such as thermometers, sphygmomanometers, percussion hammers, and stethoscopes, to objectively understand and assess a patient's physical condition.

This is content that every medical student must learn when they begin their studies in diagnostics.

Some positive physical examination results are often closely related to the diagnosis of a disease.

This is a fairly standard procedure used when a patient's proficiency in routine medical examinations is average.

However, after Fang Ziye reached level 4 in physical examination proficiency, he discovered that physical examination can not only reveal things in diagnosis, but also, through the operator's fine sensory organs, can feel subtle fluctuations such as vascular pulsation, thereby determining which areas have no blood supply and which areas still have blood supply.

Fang Ziye had previously used this skill to perform limb-saving surgery in Enshi. At that time, Director Zhang Mingcan was still in his position, and he almost had the opposite limb amputated.

Having prior experience in the field, Fang Ziye felt a sense of unfamiliarity when performing this skill again, but upon closer examination, he realized he still had the experience.

In this patient, there was blood pulsation from the external iliac artery down to the proximal edge of the femoral artery, but it seemed that the blood pulsation disappeared after reaching the middle of the femoral artery.

Conversely, the pulsation amplitude of the medial and lateral circumflex iliac arteries proximal to the femoral artery increases, which is a result of increased collateral circulation after the distal end of the artery is blocked.

"Give me a sterile marker pen," Fang Ziye instructed his assistant, Guo Ruodun, after completing the examination.

"Here you go, Brother Ye." Guo Ruodun changed his form of address again.

Guo Ruodun, belatedly realizing the situation, has now come to understand that Fang Ziye seems to be defending his thesis today. After the defense, he will end his student status and quickly become a full-time employee of the college.

The most obvious dividing line is the thesis defense.

There are advantages to graduating too; calling someone "brother" makes it seem more intimate.

"How many people have examined this patient for 5P syndrome before? Or is it because today's time is special that many people haven't come?" Fang Ziye asked after marking the information.

"Yes, Senior Sister Luo came, and Senior Brother Lan also came. Senior Brother Jin Huan just passed by and saw it once..." Guo Ruodun also remembered it quite clearly.

"Brother Ye, the other senior brothers are probably quite busy, and today's situation is rather special... so there are fewer people here."

"I know, I'm just taking this opportunity to defend my thesis today because it's a rare chance. I certainly won't hold anyone's mistakes against me or make a mental note of them."

"Do I look that fierce and heartless?" Fang Ziye asked rhetorically, forcing a smile.

Fang Ziye sometimes feels that he has really transformed into the 'evil dragon' he used to hate.

The problem with the "chief resident" position is not just about people, but about the position itself and the responsibilities it entails, which inevitably lead to a tendency towards being a "dragon."

"No, definitely not. Brother Ye, you're much better than Brother Luo," Guo Ruodun said directly.

Previously, Jin Hongzhou was dismissed, and Li Nuo went to spinal surgery, leaving Qin Geluo as the temporary chief resident.

Being conscripted for the second time in this position is even more painful than being conscripted for the first time. Qin Geluo didn't explode on the spot because he had a good mentality, which naturally led to some short-term psychological distortion.

"How well are you learning the basic operations?" Fang Ziye asked again.

He hadn't been to the practice room in a long time, and had also gone abroad recently, so he didn't know much about many of his junior classmates who were in their first year of graduate school.

Fang Ziye pays more attention to Liu Haihua and others in his own group, only comparing them to Guo Ruodun's level.

"Senior brother, I'm not very good at this. I can only suture the entire layer of orange peel, not even half a layer." Guo Ruodun was a little embarrassed and took the initiative to explain his suturing skills.

Knowing about incision and debridement techniques, even if Fang Ziye dared to let go, he wouldn't dare to perform them. The only skill he could be rewarded with was suturing, but his suturing skills were still a little short of the level required to break through the second training material of the orange peel.

Guo Ruodun's words seemed somewhat like self-recommendation.

Fang Ziye understood. Back then, Fang Ziye hadn't even fully mastered the orange peel technique by the time he was in his third year of graduate school, while Guo Ruodun, only a first-year master's student, had already completed the full-layer suturing of the orange peel by March of the new year. This proved that Fang Ziye would definitely master the orange peel suturing technique by the end of his first year of graduate school. This learning speed and talent were comparable to Shu Lang's back then, who broke through several small operations to the master's level standard in the late second year of graduate school. He might even have surpassed him.

“Okay, then wait a bit, I’ll watch you sew it up.” Fang Ziye was also very nonchalant.

Just as he was about to make his cut, he noticed that Yuan Weihong led his junior brother Jie Hanxu into the room, and both of them had already washed their hands.

Upon seeing the newcomer, Fang Ziye was taken aback. He paused his knife-wielding motion and lowered his voice considerably: "Master, weren't you drinking?"

Yuan Weihong wasn't the main person to accompany the drinks, but he definitely drank. If he went on stage again, Fang Ziye would definitely not let him be the one to do the drinking.

"Jie Han and I will lend a hand!"

“Although you are not concerned about saving face, I am your mentor and I can’t just stand by and watch you pack your bags from the very beginning of your career.”

"Go forward with confidence."

"I'll bear the bad reputation, and Professor Deng Yong will bear the good reputation." Yuan Weihong said, his tone still sober, using the most nonchalant words to state the most heartbreaking truth.

Is Yuan Weihong's reputation good?

It's a complete mess.

Beihai Yiye focuses on the wave and emphasizes the feeling of drifting.

If Yuan Weihong, a trauma surgeon, were to say that vascular surgeons are all his underlings, everyone would know, so don't panic. He's just a goofball; he's got some skills, so he's just a bit of a joker...

Only Fang Ziye knew whether his teacher was truly the goofball he appeared to be.

Jie Han seemed to not fully understand Yuan Weihong's 'madness', so after hearing this, he glanced at Yuan Weihong a few more times.

Given that he was on the same stage as Yuan Weihong, Fang Ziye could not possibly be the lead surgeon.

Even if the surgery fails in the end, Yuan Weihong can still say a few harsh words, such as that the old guy who ate too much is still the old guy, and that this thrombus removal surgery is really damn difficult. Then he can just openly amputate the limb, and it has nothing to do with Fang Ziye.

As Yuan Weihong spoke, he stepped onto the stage with an air of confidence and shouted, "Circuit, start timing, skin incision, prepare to suture the blood vessel, and give me a set of vascular surgery tools for thrombus removal and suturing."

"They're all on stage," the tour guide replied immediately.

"If you get one, get another one! I might have to operate both at the same time..." Yuan Weihong seemed to be issuing his orders.

Yuan Weihong laid the groundwork for Fang Ziye's subsequent actions.

Nowadays, Yuan Weihong doesn't need a good reputation. With his outstanding young talent and professional skills, being boastful won't be a fatal weakness. However, Yuan Weihong seems unwilling for Fang Ziye to directly confront the vascular surgery department.

Soon, Fang Ziye began to make the incision, and quickly found the corresponding blood vessel. After cutting it, he removed the blood clot. After suturing the blood vessel, Fang Ziye quickly found another blood vessel.

Yuan Weihong was drunk and dizzy, completely ignoring the progress of the surgery. He was just there to make up the numbers, to be used as the chief surgeon, and to be the cannon that charged forward.

Therefore, Yuan Weihong had no idea that Fang Ziye was now using his Level 4 surgical technique, which was extremely common and even routine in internal medicine, to achieve a complete cure in surgery.

"Senior brother, you can tell by feeling?" Jie Han felt a chill run down his spine.

Jie Han thought he was the person who understood Fang Ziye the most besides his master, after all, he was Fang Ziye's second junior brother!

However, there are no benchmark practice materials for basic physical examinations in the surgical training room, and surgeons rarely have the opportunity to apply basic procedures like basic physical examinations on the operating table.

Orthopedic physical examinations, which are frequently used in orthopedics, do not require a high level of proficiency.

Therefore, Fang Ziye could accurately feel the tiny pulsations in the blood vessels after a thrombosis had formed, a skill that was quite frightening.

Basic operations are fundamental skills, which are similar to internal energy cultivation in martial arts novels.

A casual touch is just a simple slap, not a real technique. Killing someone with internal energy is a very sophisticated way to kill, which is why it's so terrifying.

Fang Ziye is currently in this state.

For many surgeons, the most they can do is feel the pulsation of superficial arteries like the dorsalis pedis artery. Feeling the course and pulsation of large arteries is really hard to understand.
"You'll get the hang of it after you practice a lot." Fang Ziye glanced at his master, Yuan Weihong.

Yuan Weihong was drowsy and still felt nothing.

Seeing Yuan Weihong's composure, Jie Han felt a little flustered: "Master, did you know that Senior Brother's touch was so good?"

"Huh? Oh, um. Yes." Yuan Weihong had been drinking and was still a little sleepy.

Jie Han changed his words: "Master, the surgery is almost over."

Yuan Weihong was instantly jolted awake. After watching the surgical progress and clearly seeing Fang Ziye's operation, his scalp began to tingle.

His back began to sweat profusely due to the excitation of his sympathetic nervous system. As the sweating accelerated the dissipation of alcohol, Yuan Weihong became increasingly sober and realized that Fang Ziye's basic skills were now so good that he could actually use them to fight someone...

(End of this chapter)