top student at medical school

Chapter 363 Things Are Getting Interesting (Please Subscribe)
Many talented people will think of this.

When Lao Tzu stays up all night, she's a woman of steel, her blood and sweat are precious, and she's a valiant heroine!

The students might be a little confused right now, after all, their horizons are too narrow, hence their limited knowledge. They might even turn their criticism into favor. Hmm?

Favor...

Zeng Quanming rarely assisted in the trauma surgery department before, so he was unaware of the department's personnel structure and, naturally, the existence of a genius girl in the department.

In Zeng Quanming's mind, if Huang Xiruo and Fang Ziye were to be paired up, they would actually be a perfect match.

The competition for degrees in anesthesiology is not as fierce. Almost 100% of the anesthesiology PhDs at our hospital stay on if they wish.

After the circulating nurse, Du Yali, ended her call, Huang Xiruo picked up her phone and left the room, at which point the lead-plate door to the operating room closed.

The group entered the isolation room, once again separated by a lead door. Xiao Xiong pressed the remote control to activate his X-ray vision.

Results in seconds!

After reading it, Deng Yong and Yuan Weihong merely narrowed their eyes, their expressions remaining unchanged. Fang Ziye performed as expected.

Professor Xiong Zhizhang, who always remained silent and very composed, and who seemed as calm as still water, couldn't help but open his mouth, unlike the surprised Professor Wen Dongfang beside him.

"Ugh! ~ Hmm! ~ Ah! Ha!" My mouth is itchy, it's really itchy, even itchier than my heart.

Curiosity, shock.

As a trauma surgeon by training, he was well aware of the high quality of the manual reduction technique Fang Ziye had just performed. This quality was almost incomprehensible; it was something many of them had discussed and hoped to achieve, but in reality, there was no such level of skill to guide them on how to reach it…

In other words, at this moment, Fang Ziye has lifted the ceiling of manual repositioning techniques, and in his own room, he is probably standing at the highest point in the country, looking down.

There may be a gap in the transmission of techniques in manual fracture reduction, and many genuine skills have been lost.

Professors Wen Dongfang and Ni Yaoping, both from the Department of Hand Surgery, rubbed their eyes in disbelief and turned to look at Deng Yong and Xiong Zhizhang.

I'm starting to doubt if I'm going blind—

After closed reduction of a fracture, the Kirschner wires used for temporary fixation are there, but what about the fracture line?

If the fracture line has been removed, how can the existence of a fracture be confirmed?

He stared at it for a while, then turned his head to look at Xiong Zhizhang.

If Old Xiong had this skill before, he would have gone out and shown off long ago. What happened?
Then he looked at Fang Ziye.

If we include his undergraduate and post-retirement outpatient work, Wen Dongfang, who has been immersed in clinical practice for four or five decades, is constantly scrutinizing Fang Ziye.

Xiao Xiong was initially startled, but since he was in charge of C-arm machine equipment management and had nothing to do with medical work, even if he was shocked, he still had to get the lateral radiographs taken first.

The reason Fang Ziye and others are still standing is that they are waiting for the results of the lateral radiographs.

Upon entering the operating room, the angles of the instruments were adjusted.

Duan Hong, from the Department of Trauma Surgery at Tongji Hospital, was the first to violate the rules with a serious expression. As the deputy leader of the assessment team and an absolutely professional reviewer, he should not have asked questions outside the assessment procedures during the assessment process.

But Duan Hong still asked, "Dr. Fang's manual repositioning technique is quite advanced, isn't it? Has he completely inherited the true teachings of our old TCM doctor Chen from Hubei Province?"

Fang Ziye tilted his head, his eyes filled with doubt.

Duan Hong shouldn't have asked a question at this moment; it would have made him seem unprofessional. So, to avoid making Duan Hong appear unprofessional, Fang Ziye nodded slightly, a small gesture, pretending that Duan Hong had spoken!
Duan Hong then fell silent as well.

Be professional in your work, at the right time, and ask the right questions.

Soon, Xiao Xiong came out, and the results of the lateral radiograph were also available.

The result was excellent!

Seeing this, Fang Ziye examined the situation carefully for three seconds and said, "Professor Deng, Dr. Yuan, and the rest of you, please do not enter the operating room yet. The current repositioning is progressing well."

"I went in alone to complete the cross fixation of the other Kirschner wire. Then, with C-arm fluoroscopy in anteroposterior and lateral views, the surgery can be completed."

After saying this, Fang Ziye left without hesitation! He didn't wait for permission; he was the chief surgeon, in charge of everything, including the surgical rhythm and progress. His explanation was solely to inform them of the surgical schedule, nothing more.

He proactively stepped open the lead-plate sensor door of the operating room, strode to the instrument nurse's station, found the Kirschner wire, inserted it into the electric drill, and locked the drill with a lock.

Finding the right crossing angle, the second Kirschner wire was quickly inserted, achieving a more stable fixation.

Cross-fixation is more secure than parallel fixing; triangles are stable!
Fang Ziye walked out of the isolation room again, and Xiao Xiong began the second C-arm fluoroscopy.

The results were still very good...

Fang Ziye breathed a sigh of relief amidst the tense atmosphere and said with a smile, "Teacher Deng, Teacher Yuan, I'll go up on stage to complete the Kirschner wire stump treatment, sterile dressing, and plaster cast fixation. You can go down and rest now."

As they followed Fang Ziye into the operating room, Deng Yong and Yuan Weihong, both fully armed, twitched at the corners of their mouths.

I glanced at the timer panel in the operating room.

00:04:42!

Four minutes and forty-two seconds.

This is the total time spent on four fluoroscopic views (two rounds of frontal and lateral views) and Fang Ziye inserting two Kirschner wires. Fluoroscopy requires waiting, and walking takes time.

In other words, Fang Ziye's actual operation time was probably less than a minute!

During this process, Deng Yong and Yuan Weihong's tasks included stabilizing the pelvis and the proximal femur, and standing outside the operating room.

The two exchanged a glance and gave each other a helpless, bitter smile.

Tool man Shi Hammer.

Surgery is over!

Then Deng Yong and Yuan Weihong were surrounded and asked questions one after another, but the primary right to speak belonged to Professor Wen Dongfang and Professor Xiong Zhizhang.

Fang Ziye was still the lead surgeon, finishing up the last steps on the operating table; we couldn't disturb him...

Seeing that he didn't have time to interject, Duan Hong turned to Zheng Tonghui and asked, "Director Zheng didn't say a word during the assessment. Could it be that you already had an idea of ​​Ziye's abilities?"

Zheng Tonghui shook his head violently and lowered his voice: "No, Professor Duan, it's just that Fang Ziye is too strange. I'm afraid of making a mistake."

During Fang Ziye's master's thesis defense, Zheng Tonghui became so engrossed that he mistook Fang Ziye's identity and asked the wrong questions. As a result, he was directly kidnapped by Deng Yong and others for a long time.

On one occasion, the conflict even escalated to involve professors from other provinces and colleges, leading to a direct confrontation.

Therefore, before coming here today, Zheng Tonghui wished he could take a dose of promethazine to calm himself down.

So throughout the whole process, he kept telling himself to stay calm, not to ask too many questions, and not to say too much...

"What happened?" Duan Hong asked curiously. Zheng Tonghui then recounted all his mistakes and painful experiences.

But instead of receiving pity from Duan Hong, he laughed and scolded, "You deserve it. If someone else hit your master's student like that, you would also have a problem with it. We're all mentoring students."

"I know, Professor Duan!"

"But didn't you almost speak just now because you were too engrossed in your work?" Zheng Tonghui retorted.

Duan Hong looked around as if his tail had been stepped on, his eyes flashing slightly. He raised his chubby hand, stretched out his chubby neck, and said with a smile, "Almost, but still not quite!"

Then make a pleading gesture with both hands.

Although this matter won't have a huge impact, it's still not a good thing!
……

On the other side, Hu Wei from the medical affairs department was a little confused when he saw Deng Yong taking off his clothes. Looking at the score sheet in his hand, he felt like it was a hot potato: "Professor Deng, how exactly should this be scored?"

"I feel like I haven't caught up even with the scoring guidelines in hand."

Liang Xiaoqing simply followed the scoring method of Duan Hong and others, barely deducting one point and giving it a score of 99. Then, she secretly and forcibly deducted one point from the aseptic principle section.

After listening, Deng Yong looked at the scoring details and scale that Hu Wei had brought and explained, "Director Hu, the surgical procedure we are currently performing is not open reduction and intramedullary nailing for fracture, but closed reduction and Kirschner wire fixation for fibular fracture."

"Intramedullary nailing is a level 3 surgery; you should get a separate scoring guideline."

Hu Wei's eyes widened, overwhelmed with shame.

I cursed inwardly, "Orthopedic surgery is just too damn convoluted..."

At this moment, Du Xinzhan, having been asked by someone, spoke up to explain: "Director Hu, Dean Liang, actually, although the closed reduction and internal fixation of fibular fractures is a simple procedure, it is actually one of the more difficult types of closed reduction and internal fixation procedures for similar complex fractures."

"It belongs to the most difficult level II surgery. Although there are simple fibular fractures that can be treated with closed reduction and Kirschner wire fixation, simple diagnosis is the simplest procedure."

"When faced with complex fibular fractures, few hospitals currently choose to perform closed reduction because they cannot properly control the degree of reduction."

Although Du Xinzhan, as the chief physician, is not from a trauma surgery background, he still has a certain degree of authority to speak on the matter.

Then, perhaps to accommodate Hu Wei and Liang Xiaoqing, he pointed to the C-arm fluoroscopic display screen that Xiao Xiong had pushed into the operating room and explained to Hu Wei, "Section Chief Hu, you see, to assess whether our fracture reduction and fixation are good or not, we mainly look at the degree of fracture line closure and the degree of displacement reduction."

"As we can see, the previous lateral displacement has been basically restored."

Upon hearing this, Hu Wei asked in confusion, "Director Du, is this just the most basic standard? What are the better standards?"

Hear this.

Du Xinzhan fell silent, looked at Hu Wei, and almost choked on his own words.

I'm not a peddler, so I don't sell melons. I was being polite, and you pulled this trick on me?
At this point, it was time for the senior professor to step forward. After seeing many people silent and at a loss, Xiong Zhizhang said to Hu Wei, "Director Du said that he had basically recovered, but that was just a polite way of putting it."

"It's actually very difficult to make it any better."

"Is that right, Professor Duan?" Xiong Zhizhang pulled Duan Hong in to confirm the truth of what he said.

Professor Duan nodded in agreement.

In terms of manual reduction techniques, Fang Ziye's current level is truly unparalleled. At least now, no one in the operating room can achieve such a level of alignment of fracture lines solely through manual reduction techniques.

Seeing that the experts from Tongji Hospital were all nodding, Hu Wei immediately shut up, secretly thinking, "Well, I knew today's job wouldn't be easy. This kind of special authorization can't be done without something."

Generally speaking, even when professors are exchanging pleasantries, they don't offer much encouragement to their juniors, lest the juniors become arrogant.

Unless, of course, the other party is rebellious by nature, extremely tall, and has driven the senior to a dead end.

I was so stupid to ask that question; it just exposed my lack of professionalism.

It seems we still need to?
Hu Wei looked at Zheng Tonghui, who remained silent and composed.

Well, less talk, less mistakes...

Actually, Hu Wei didn't do anything wrong. He just subconsciously asked Du Xinzhan how well the surgery was done and whether it could be done better.

Unexpectedly, Du Xinzhan also couldn't answer, and Wen Dongfang and the others felt quite embarrassed.

Hu Wei just wanted to find a topic to talk about, but who would have thought that the ceiling would be right here, and that it would come from such a young person, and that everyone would be so used to this result.

Did I forget to check the almanac before going out today? I've seen a ghost!

On Fang Ziye's side, after the plaster cast external fixation was completed, the patient was finally transferred to the operating room transfer bed. Dr. Yan Zhiming, a senior doctor, escorted the patient to the operating room door, and then a junior master's student was randomly selected to take the patient back to the ward and complete the postoperative medical instructions.

Fang Ziye greeted the crowd with great humility.

There are breaks during exams, so it's perfectly acceptable to greet the examiner outside of exam time.

The first surgery couldn't be done because the time allotted for the first surgery was too short, and we needed to save time.

"Teacher Wen, Teacher Xiong, Master, Professor Duan, Professor Zheng..."

Fang Ziye was like a lamb entering a tiger's den, willingly surrendering himself to the powerful figures, who immediately opened their mouths and swallowed him whole.

"Ziye, come here quickly, Professor Xiong has a lot of questions to ask you." Professor Du Xinzhan took the initiative to hand over the right to speak to Professor Xiong Zhizhang, who was trained in trauma surgery.

"Manual repositioning technique, is there something unique to it?" Xiong Zhizhang asked.

Fang Ziye nodded and admitted frankly, "Some are my own, and some are from my TCM teacher..."

"That's great. Keep developing in this direction. Manual reduction is a fundamental skill in our orthopedics department, and it has a wide range of potential for expansion..." Xiong Zhizhang encouraged him directly, not taking Hu Wei and the assistant dean of the medical affairs department seriously at all.

The two were also helpless. In fact, Hu Wei and Liang Xiaoqing both knew that it was very difficult to be a small figure in the administration of a place like Zhongnan Hospital.

Professors are not to be offended, and older professors are even more so.

……

"Dr. Fang, I'm Huang Xiruo from the anesthesiology department. Can we add each other on WeChat?" During the transfer between surgeries, Huang Xiruo from the anesthesiology department boldly squeezed out a crack and asked Fang Ziye this question.

Huang Xiruo's boldness surprised everyone.

Deng Yong and Yuan Weihong, who were sitting obediently next to the operating room timer panel, saw that Luo Tingzhu's smile had indeed stopped and she had straightened up.

Professor Duan Hong and the others unconsciously glanced between Fang Ziye and Huang Xiruo, their eyes seemingly playing matchmaker.

Fang Ziye narrowed his eyes, nodded, but didn't reply.

Luo Tingzhu extended her slender, fair right hand, patted Huang Xiruo, and took the initiative to speak first: "Senior sister, let's add each other on WeChat..."

Things suddenly became interesting.

(End of this chapter)