top student at medical school

Chapter 330 The Hand of Blood Vessels (Second Update, Please Subscribe)
The surgery went very smoothly. Although Yuan Weihong is not a vascular surgeon, he found that the surgery was progressing quite quickly.

The thrombectomy performed by Fang Ziye was done in a crude and forceful manner, following conventional surgical thinking.

The simple logic of opening up wherever there is a traffic jam is something everyone can understand.

However, vascular surgery often involves specialized techniques, which make the procedure more professional and convenient.

Once you've gotten used to the techniques, trying to solve problems through simple surgical procedures with brute force seems extremely barbaric, and the operation becomes relatively more difficult, requiring a higher level of proficiency.

"You, you really got it done?" Yuan Weihong, whose mind was clearer, wanted to rub his eyes to witness the incredible scene before him, but his surgeon's instincts strictly bound him to the principle of aseptic technique, even when he was not particularly lucid.

"Master, it's not completely sorted out yet."

"Thrombectomy is only the first step in restoring blood flow; subsequent steps also depend on the distal blood flow..." Fang Ziye said, then called out to the audience, "Professor, please bring me a syringe needle."

Although his tone was humble, he was actually a little proud inside, hence the slightly lighter tone.

Being able to solve the problem of a limb injury that others cannot handle using non-amputation methods gives one an indescribable sense of accomplishment.

"Okay! Coming right away." But Fang Ziye's enthusiasm did not receive a response from the circulating nurse, who remained listless.

The nurse assisting with emergency surgery only knew that it was an operation; she didn't care whether it was vascular surgery or orthopedics.

What she cared about most was when the surgery would end, whether the next surgery could be skipped, and whether she could get some sleep...

In TV dramas, the characters are omniscient and omnipotent, displaying starry-eyed wonder at the incomprehensible nature of all surgeries and knowing that the surgeon has accomplished something incredible. This is simply impossible in reality.

The anesthesiologist craned his neck. Having spoken with the patient, he knew the difficulty of the current surgery. He looked thoughtfully at Fang Ziye for a while, then at Yuan Weihong, who was more experienced, and a hint of confusion flickered in his eyes.

When Yuan Weihong entered the operating room, he said that he would be the chief surgeon.

Now that Yuan Weihong has entered the operating room, he is basically in the position of an assistant. So, even for someone who hasn't been paying much attention to the progress of the surgery, it's hard to tell who is actually performing the operation.

All I know is that this is the only machine available. Patients and their families are complaining that many hospitals were saying that amputation was necessary, but it seems that the disastrous consequences of amputation have been avoided so far.

Of course, that was all he focused on. After a moment of thought, he asked, "Surgeon, when can I prepare to wake him from anesthesia?"

The anesthesiologist on emergency shift wasn't particularly senior or experienced. He knew almost everyone in the hospital's surgery department, but as a newly promoted attending physician, he wasn't familiar with most people.

Not only did he not know Fang Ziye, he also didn't know who Yuan Weihong was. He often worked the night shift in the emergency room.

"Wait a little longer, no rush." ​​Before Fang Ziye could reply, Yuan Weihong, who also didn't know the anesthesiologist's name, spoke up first.

Yuan Weihong felt he needed to be more alert.

The situation has changed—

My intention in coming here was to teach Fang Ziye a lesson, to show him that he must respect the opinions of other specialists and not act against their advice.

But now, things don't seem to be going the way they expected. The lessons I'm going to teach Fang Ziye are also going against the course of events. This might lead Fang Ziye further and further astray after he's tasted the sweetness of success.

"No rush, I was just asking casually." The anesthesiologist didn't urge him.

The surgery could be ended early, and he might be able to take a nap. Even if the surgery isn't ended early, he can still take a nap in front of the anesthesia machine.

The patient's vital signs are stable, so he doesn't care how things continue.

After Yuan Weihong 'took over' the surgery, all that was left was to poke the toes with a syringe needle.

The five toes are connected to the heart, but the ruthless Yuan Weihong spared none of them, using only a syringe needle to prick holes and bleed them out.

The incision in the toe was small, involving only arteries and veins, and given the previous ischemia in the lower limbs, there was no reaction.

"Master, the clamped artery hasn't been loosened yet." Fang Ziye understood Yuan Weihong's intention after watching Yuan Weihong's operation, and explained it this way.

I became increasingly certain that the hospital and department's regulations were correct.

Surgery is prohibited after drinking alcohol.

"Let go quickly." Yuan Weihong didn't have time to joke with Fang Ziye. After giving the order, Fang Ziye did as he was told.

Guo Ruodun, who was standing nearby, helped by squeezing a little and found that some blood was squeezed out. Although the color was a little dark, it was clear that there was blood flow.

Furthermore, after the proximal arterial clamp was released, the blood droplet volume slowly increased!

This is a very typical sign of good blood supply to the extremities.

With good blood supply to the extremities, it is assumed that blood flow within the proximal extremities is unobstructed, and the problem of thrombosis is completely resolved.

Fang Ziye did not use any specialized thrombectomy instruments from vascular surgery to achieve this; he relied entirely on a relatively simple vascular thrombectomy procedure.

During the segmental interval, Fang Ziye made four incisions and removed four thrombus strips of varying thicknesses and diameters. The long axis of each of the four incisions was not particularly long.

“Master, if there are no problems, I will have Jie Han and Guo Ruodun start sewing.” Fang Ziye began to delegate authority at the opportune moment.

Now that I'm the chief resident, my junior colleague is right next to me at the operating table. It's impossible for me not to let them have access to minor procedures.

Although these operations can help you acquire more knowledge, the current business model is not what it used to be; you must master all the operations you've learned.

"Sew it up, and once you're done, have them take the patient to the ward."

"Transfer to the trauma surgery ward." Yuan Weihong gave a more precise explanation of the patient's destination.

Then he patted Fang Ziye's forearm, the meaning was clear: you come down from the stage with me.

Fang Ziye listened and did as instructed, carefully considering the procedure for his surgery.

There's nothing wrong with it.

Fang Ziye clearly remembered that his senior brother Wu Xuanqi, who was from the Department of Trauma Surgery, had said that vascular incision is an interdisciplinary procedure between orthopedics and vascular surgery, and such a surgical division exists in both disciplines.

It is an ambiguous procedure, so it is not against regulations for Fang Ziye to perform such a procedure.

As for the consultation opinion of the chief resident of vascular surgery, Fang Ziye was at the same level as him. He recommended amputation. As the chief resident of orthopedics, it was Fang Ziye's duty to do his best to save the limb for the patient.

As Yuan Weihong led Fang Ziye out of the operating room, before he could even speak, he saw Liu Faming passing by the door, looking slightly hesitant, as if he was wondering whether to come in and take a look.

Fang Ziye went outside and ran right into Liu Faming. Recognizing him, he said, "Brother Ming, what are you doing here?"

Dr. Liu Faming is the chief resident of vascular surgery.

Liu Faming saw Yuan Weihong next to Fang Ziye. Having been introduced to the legendary orthopedic figure by Brother Mi Qi, Liu Faming recognized Yuan Weihong.

"Hello, Teacher Yuan!"

Not daring to hide anything, he quickly told the truth: "Brother Fang, I heard that you were going to perform limb-sparing surgery on that patient. I happened to be passing by and hesitated whether I should come in and learn from you."

"I didn't expect you to have finished so soon after we got to the door."

After saying that, Liu Faming smiled kindly at Yuan Weihong, as if afraid that Yuan Weihong might misunderstand something.

Upon seeing Liu Faming, Yuan Weihong roughly guessed his identity, but swallowed the words of rebuke he was about to utter for Fang Ziye: "Well, the surgery is progressing quite well, and it's almost finished. I'll be leaving now."

"It's getting late, I'll head back first. You don't need to go to the banquet hall later, it's already closed." Yuan Weihong instructed Fang Ziye as he walked towards the dressing room.

Fang Ziye didn't say goodbye to his teacher. Since there were outsiders present, who were considered guests, Fang Ziye smiled and greeted them, saying, "Brother Ming, you're too kind. I actually consulted with you beforehand."

Fang Ziye pointed out, "I really double-checked your department's consultation opinions. You suggested amputation, and you said you had no objection to my limb-sparing surgery. You said that, so don't go back on your word."

Liu Faming always gets admitted to the hospital earlier than Fang Ziye, so his emotional intelligence and IQ must both be online: "Brother Fang, you've misunderstood me."

"Our department head said that Fang, your skills must be very high. If you have a foundation in vascular surgery, your future prospects will definitely be bright."

"I was curious about what kind of person could earn such high praise from Professor Wu Yong, and I was also a little resentful."

"Now I realize I was wrong about the person. Brother Fang, you're practically family to us in vascular surgery," Liu Faming said earnestly and ingratiatingly.

If Fang Ziye's first recognition of the early symptoms of abdominal aortic dissection was luck, and his second successful hemostasis with hemostatic forceps was an accident, then this time, Fang Ziye's use of his basic skills to remove multiple arterial thrombi once again is absolutely convincing proof of his fundamental skills.

Liu Faming himself was a graduate of vascular surgery and had studied diligently for more than ten years, yet his basic skills were still not as solid as Fang Ziye's. Feeling resentful, he couldn't help but think to himself.

Are Fang Ziye's hands truly the hands of blood vessels, or were they fed by the very ancestor of vascular surgery?

"Ming-ge, are you busy? If you're not, how about we grab some coffee or a late-night snack to kill some time?" Fang Ziye offered.

“Sure. I’ll order.” Liu Faming immediately pulled out his phone, not giving Fang Ziye, who had made the suggestion, any time to react.

Seeing Fang Ziye belatedly pull out his phone, Liu Faming felt a little better: "Don't bother, what you pull out might not be as big as mine."

There's always a way when you reach the mountain, and there's always a speed boost when things are quiet.

Liu Faming's words had a double meaning; the first part, "maybe not," left Fang Ziye with only this one sentence: "Big or small isn't the key; length is also very important, right?"

Liu Faming turned to look at Fang Ziye and said as he walked, "This is interesting, isn't it?"

As the two were about to go downstairs, Liu Faming spotted a familiar face hurrying up from the locker room: "Brother Chaoyang?"

"Perfect timing, you can come with me." The newcomer recognized Liu Faming and assumed that Fang Ziye was also from the vascular surgery department. He waved and led him back to the operating room without stopping.

(End of this chapter)