top student at medical school

Chapter 362 Who doesn't have some talent? (Please subscribe)

Deng Yong then walked to the sterile surgical gown bag, picked up the gown while putting it on, and asked the surgical nurse to help him tie the collar. He said very cautiously and seriously, "Professors, directors, of today's six surgeries, two are level two surgeries ahead of us."

"This is a decision made after careful discussion within our department. There is no other reason than to avoid wasting the professors' time. If Fang Ziye cannot even perform a level-two surgery proficiently, or if he does not perform it smoothly enough, then there is no need to disturb your time."

"Surgical authorization must be done gradually. We in the Department of Trauma Surgery have always strictly followed this principle. If this situation hadn't been so exceptional, we wouldn't have invited all the directors and professors to come despite their busy schedules..."

After carefully reviewing the images, Fang Ziye turned his head and saw that his master, Deng Yong, had already put on a sterile surgical gown. He was very certain of the current diagnosis of the patient in this surgery: comminuted fracture of the distal fibula, type B2.2.

The fracture diagnosis was straightforward and did not involve any other hidden injuries.

He slowly exhaled and walked to the side of the operating table: "Professor Deng, circulating surgeon, anesthesiologist, let's record the time together: 08:32:45 AM, the surgery officially begins!"

"The current planned surgery is closed reduction and Kirschner wire fixation for fibular fracture, with open reduction and Kirschner wire fixation as a backup."

"Okay, let's begin! You can take charge of the surgical procedure yourself." Upon hearing Fang Ziye speak, Deng Yong stopped exchanging pleasantries and began to approach the operating table.

The pre-operative surgical application form was something Fang Ziye specifically instructed his subordinates to prepare. This was also part of the performance evaluation.

A surgeon cannot perform surgery without knowing what kind of surgery to perform, or even whether surgery is necessary at all!
The assessment of surgical authority involves not only surgical skills but also related theoretical knowledge.

Theoretical knowledge is mostly demonstrated during the perioperative period.

Today's surgical patients were chosen by Deng Yong. The first two surgeries were not difficult and were relatively simple Level II surgeries. This was partly to give Fang Ziye practice and warm-up so that he could gradually get into the swing of things.

Secondly, it is hoped that these two minor surgeries can give Fang Ziye some confidence.

"The patient's first choice is closed reduction, the preoperative diagnosis is clear, and the surgical indications are clear. Let's do fluoroscopy first!" Fang Ziye said.

The assessment is different from a simple surgical procedure. In surgery, you can just walk through the room and everyone is a team and quite familiar with each other. But in an assessment, you need to explain your purpose.

In fact, Fang Ziye had already confirmed the diagnosis and could proceed directly with manual reduction without needing fluoroscopy. However, procedures are procedures, and no amount of caution is excessive. There was no need to skip the procedures just to show off and then step into the abyss.

With the help of professionals, Ning Xiong, a professional craftsman, was already waiting eagerly by the side.

Today, his only task is to work in the trauma surgery operating room. He is not allowed to answer any calls from other operating rooms. This is a special order given by Professor Deng Yong. Such a special order can only be given by a professor-level person under special circumstances!
The group left the operating room and went to the adjacent X-ray isolation room.

The results of fluoroscopy are generally the same as those of X-ray films, but the results of fluoroscopy show the real-time state.

After carefully glancing at the content on the display screen, Fang Ziye voluntarily walked back from the next room.

The tone and address became more formal: "Professor Deng, Dr. Yuan, thank you both for helping me stabilize the patient's upper IUD position, one in the pelvis and the other in the mid-thigh. I will perform manual reduction first."

"Mr. Xiao Xiong from the Equipment Department, the C-arm machine doesn't need to be pushed very far."

Internally, they are addressed by their professional title, but there is no formal mentor. Externally, they are addressed as "teacher" to show respect.

If someone can't even adjust their mindset from that of a surgeon to an assistant, and keeps dawdling, they won't be able to get to the battlefield of the operating table.

Upon hearing Fang Ziye's words, Yuan Weihong and Deng Yong felt slightly uncomfortable, but they knew that this was in front of outsiders and they had to put on a show for others. As assistants, they had to obey the chief surgeon's orders to avoid making a fool of themselves in front of outsiders!

Next door, Professor Ni Yaoping, a hand surgeon, tilted his head slightly and whispered, his professional voice kept low: "Professor Duan? The difficulty of manual reduction for a simple fibular fracture should be higher than that of a double tibia and fibula fracture, right?"

The tibia and fibula are parallel bones of the lower limb; the tibia is robust, while the fibula is slender. The tibia is the main supporting bone.

Theoretically speaking, if pain is not taken into account, a fibular fracture does not actually affect a patient's walking or lower limb motor function!
The tibia is long and rigid enough to support normal walking. Some patients undergo fibular osteotomy to preserve their knee joint, which is based on this theory.

For this reason, simple fibular fractures lack plasticity and displacement characteristics, which actually increases the difficulty of manual reduction.

Duan Hong nodded in acknowledgment, remaining very calm and silent.

A true gentleman observes the art but remains silent.

But this level of difficulty is for the average person.

Fang Ziye's understanding of manual fracture reduction is at level 5, a level that can be considered national master level. This national master level is not only a "relative national master" level after some ancient secret techniques of manual fracture reduction have been lost. When Fang Ziye was in Enshi, his reduction technique at level 4, with a score of 4000/5000, made the famous traditional Chinese medicine doctor Chen, who was known for his manual reduction techniques, feel that Fang Ziye was comparable to his peak level.

Fang Ziye naturally didn't find it difficult.

Closed reduction and internal fixation with Kirschner wires for fractures is a standard level II orthopedic surgery.

After the three of them took their positions—

Fang Ziye immediately began the resetting process.
The standard three-piece set for manual fracture reduction.

Continuous traction – corrective displacement –

Keep the traction position temporarily fixed.

After pulling with both hands for a while, Fang Ziye gently bent the patient's ankle joint towards the inner ankle.

With the left hand applying continuous traction, the right hand immediately and decisively reached the patient's fracture site, beginning to palpate and stroke it up and down.

Fang Ziye's basic physical examination skills are also at level 4!
After pacing his right hand up and down for about ten seconds, Fang Ziye quickly turned around and shouted, "Medical equipment teacher, bring the Kirschner wire and the electric drill!"

"Circuit doctor, call the department and prepare to take the next surgical patient from the operating room!" Fang Ziye's order was crisp and decisive.

"Huh?" The nurse's hand trembled, the phone dancing between her knuckles for two seconds before being pinched by her thumb. Her upper body jerked, and she couldn't react in time.

Dr. Huang Xiru, an anesthesiologist, dropped her phone while playing on it.

"Holy crap!" Zeng Quanming, an anesthesiologist, couldn't help but jolt upright from his burly chair. His head swayed from side to side like a child's Transformer toy, and his eyes were filled with confusion and curiosity as he looked at the people in the operating room.

I wonder if others are confused, and whether they all understand it.

Zeng Quanming discovered—

The examiners watching were so shocked that their legs trembled and they could hardly move.

Liu Yan, the scrub nurse at the operating table, is a highly professional orthopedic specialist nurse. She is also the leader of the trauma surgery specialist nurse team.

Liu Yan was very calm. Although she was also a little flustered after hearing the sound, she quickly followed Fang Ziye's instructions and handed the Kirschner wire with the electric drill to Fang Ziye.

At the same time, Liu Yan glanced at the timing panel in the operating room. With her excellent memory, she clearly remembered that Fang Ziye had everyone start timing before the C-arm fluoroscopy.

After the C-arm fluoroscopy, I entered the operating room, and the time on the operating room timer panel showed 00:01:34!

管C臂机的肖雄彻底撤出C臂机的时间是00:01：59.相当于方子业几人，是在00:02:00左右接管了手术台。

The current time is 00:02:23!

In other words, it took Fang Ziye, Deng Yong, and Yuan Weihong only 23 seconds to officially take over the patient and begin the surgical procedure!
Fang Ziye didn't care about everyone's reactions. At this moment, he was completely focused on this one surgery and this one patient.

After receiving the Kirschner wire with the electric drill, I immediately aimed at the protruding part of the lower segment of the fibula, which is the lateral malleolus that all of us ordinary people can touch.

"Buzz! Buzz buzz buzz!~"

Fang Ziye's first Kirschner wire was inserted at a very precise point slightly lateral to the lateral malleolus, with the insertion direction being obliquely upward.

By crossing the fracture line diagonally in this way, the two ends of the fracture can be strung together like candied hawthorns on a stick, achieving a fixation effect.

The Kirschner wires are brand new and very sharp, the drill battery is new, and the motor makes an exceptionally crisp and loud sound!

The Kirschner wires were inserted smoothly, achieving temporary fixation very easily.

"Teacher Xiao, could you please push the C-arm machine a little harder and take a lateral view of the lower leg?" Fang Ziye released the electric drill and made a request to Xiao Xiong.

He then handed the electric drill to the scrub nurse, Liu Yan.

"Wait a minute! I'm on the phone. It's not connected yet." The circulating nurse thought they were about to start the X-ray and began to slow down the pace of the surgery.

As Xiao Xiong pushed the C-arm machine to the operating table, he began to adjust it, saying with a smile, "Don't worry, Nurse Du, we'll definitely wait until you come out before we do the X-ray. We'll take our time and there's no rush."

When Xiao Xiong started pushing the C-arm machine, Wen Dongfang and the others naturally stood up, including Hu Wei and Liang Xiaoqing.

Because in the detailed surgical procedure printed by Deng Yong, there is a section that does not include a score. This is to accommodate people from the administrative department who are not trauma surgeons and may not be able to keep up with the pace of the surgery. So, they found a blank space without a surgical score section.

Just make sure you catch up with the pace of the surgery.

This thoughtfulness mainly stems from Fang Ziye's speed and solid fundamentals, so that things don't get messed up later. For example, after Fang Ziye finishes his surgery, Hu Wei and Liang Xiaoqing's evaluation lists are still on the first page, which would be deliberately making things difficult for them.

Zeng Quanming glanced at his student Huang Xiruo, who showed no reaction whatsoever and hadn't even picked up her phone. He patted her shoulder lightly and reminded her, "Little Huang, you can see through things! Try to stay calm."

Zeng Quanming knew her student well. Deep down, she secretly compared herself to Fang Ziye to see who was better. However, she found that she hadn't even understood Fang Ziye's actions, while Fang Ziye had already finished his entire routine and called it a day.

A genius is kind to another genius, but when geniuses are with each other, they are actually proud inside.

Damn, everyone has some talent, who's afraid of who?
(End of this chapter)