top student at medical school

Chapter 367 Even Master Can't Afford to Play This Game! (Please Subscribe)
After completing the preoperative preparations for the fourth surgery, Fang Ziye habitually prepared to take the lead in the operating room once again.

Deng Yong immediately coughed and said, "What do you want to do? Rebel?!"

Fang Ziye's eyes darted around, and he realized what was happening. He quickly explained, "Master, I thought today's surgeries were all for the assessment, so the responsibility of performing the surgeries naturally fell to me. I didn't realize the examiners had left."

At Zhongnan Hospital, objective rules are paramount.

Fang Ziye previously had temporary surgical privileges, which was granted through an exceptional application. After all, if Fang Ziye wasn't allowed to perform Level 3 surgeries, how could we be sure he had the ability?

But things are different now. The assessment is over, and ending it early is still the end.

Fang Ziye's temporary surgical authorization expired due to the departure of the assessment team!
If Fang Ziye were to take the lead in surgery at this point, and the patient were to experience even the slightest problem, tracing back to the previous level would result in a charge of performing surgery outside his purview, potentially leading to his downfall.

If there were any minor issues with the previous surgery, it wouldn't matter, because the hospital has standard filing procedures and an assessment team to supervise the process. The hospital would handle the situation and wouldn't implicate Fang Ziye. At most, the department would take the blame...

Rules are a form of protection for doctors, and also for patients.

Upon hearing this, Yuan Weihong followed Deng Yong's example, coughed twice, and took Fang Ziye's assistant position, saying, "Ziye, the greater the joy, the less you should let your mind wander; on the contrary, you should stay clear-headed."

"What's the rush? The surgical authorization process has already reached this point. It'll only take three to five days at most. After three to five days, you'll be back in the surgeon's position as usual. Who can say anything about that then? Right?"

A teacher is one who imparts knowledge, teaches skills, and resolves doubts!

Upon hearing this, Fang Ziye quickly nodded, indicating that he was aware of it.

Similarly, Deng Yong scanned the other people in the operating room one by one, and after seeing everyone nodding frequently, this impromptu educational lesson came to an end.

Even a genius like Fang Ziye, who is outstanding, must abide by the rules when it comes to principles. Therefore, everyone must adhere to the rules even more closely in order to ensure the healthy development of the department.

"Round blade, prepare intramedullary nail fixation instruments."

Deng Yong sat down at the surgeon's chair, gave the scrub nurse some instructions, and then said, "Today our department has accomplished a great feat. As a resident physician, we were granted Level 3 surgical authority, which is unprecedented in the hospital."

"Whether or not anyone comes depends on how you little guys perform. We superiors are very happy to see that you have the ability and strength to obtain exceptional authority."

"To celebrate and inspire, Yuan Weihong and I personally performed an open reduction and intramedullary nailing surgery for a fracture. It had been a long time since I'd done such a minor level-three surgery, and it felt quite unusual!"

Deng Yong's words were somewhat arrogant, but he certainly had the right to be. This type of open reduction and intramedullary nailing for femoral fractures was indeed a routine surgery he performed a long time ago, when he was younger than Yuan Weihong.

It must have been more than a decade since then.

Soon, Deng Yong began to explain in detail while starting to operate the machine.

"For fractures of the midshaft of the femur, the first choice is intramedullary nailing. Intramedullary nailing, like plate and screw fixation, focuses on reduction."

"It's just that the fixed format is different."

"The treatment principle for fractures can be summarized in six words: reduction, fixation, and rehabilitation!"

"You can see that intramedullary nailing is the most routine surgery in many prefecture-level city hospitals, but it is not easy to perform well."

"Its lower and upper limits are both extremely high. If the reduction can be completed well before inserting the guide needle, the operation of inserting the guide needle will be particularly convenient, for example, like this..." Deng Yong said as he and Yuan Weihong completed the manual temporary reduction of the femur.

It seemed as if Fang Ziye had been deliberately pushed aside and ignored.

The two quickly completed the manual reduction and seemed quite satisfied with the result.

Upon examining the femur, the deformity caused by fracture displacement had disappeared. This proves that the fracture reduction and repositioning were performed exceptionally well, thus eliminating any further fracture displacement.

But the two had just finished and were about to get up to have someone look through their eyes.

Fang Ziye said softly, "There's still some displacement, the fracture line hasn't closed properly, it should be..."

Deng Yong swallowed back the words that were on the tip of his tongue, turned and glared at Fang Ziye, hesitating to speak.

If it were any other surgery, Fang Ziye really wouldn't complain, because he didn't know enough about it.

Fang Ziye is familiar with open reduction and internal fixation of fractures: "Master, really, it can be reduced again. After traction, reduce it about 0.5cm more inward so that the medullary cavity of the femur can be better aligned."

"And the bone fragments in the middle of the femur..."

Upon hearing this, Deng Yong's smile instantly froze, his mouth twitching, but fortunately, most of his expression was hidden by the corners of his mouth, so no one else could tell.

Fang Ziye spoke very softly, right next to Deng Yong's ear, so that no one else could hear him.

"Let me give you a heads-up!" Deng Yong said with a dark face, displaying the authority of the professor leading the team and the chief surgeon.

Yuan Weihong didn't hear him and ordered everyone, "Go, go, go back out first, let's see through it."

……

Xiong Ge quickly pushed the C-arm machine into the operating room. After fluoroscopy, the C-arm machine screen displayed the result of the femoral reduction, operated by Deng Yong and assisted by Yuan Weihong. The reduction was quite good, with almost no displacement, which far exceeded the functional reduction of a fracture.

Just as Fang Ziye had said before, the distal end of the fracture was slightly offset to the outside, but not by much. Sure enough, the bone fragments between the proximal and distal ends of the fracture were still playing next door... Every word Fang Ziye said was correct.

This effect is already quite good.

However, the results on the C-arm monitor after manual reduction of similar fractures today are just too perfect, according to the principle that there is no harm without comparison.

The manual reduction technique performed by Professor Deng and Yuan Weihong, who haven't performed fracture surgery in a long time, is truly appalling in its results.

Everyone fell silent.

The isolation room was completely silent.

Huang Xinuo, a naive young anesthesiologist, asked her teacher Zeng Quanming after watching the scan, "Teacher, the scan doesn't look as good as before."

This sound was like a thunderclap hitting the sea, stirring up huge waves and truly startling everyone.

Everyone, including Zeng Quanming, looked at Huang Xinuo.

But Huang Xiruo is in the anesthesiology department. Anesthesiology and orthopedics are parallel departments. Even if she offends someone, it doesn't matter. No one will interfere that far.

Huang Xinuo quickly realized her mistake: "I'm an amateur, I don't understand it either."

Deng Yong broke down, his face darkening: "Ziye, go in and investigate."

Damn it, even a layman can see that my repositioning technique is far inferior to Ziye's.

OMG!

Why did they leave? Why did they leave halfway through? Why didn't they stand for the whole time? If they had stayed until the end of all the assessments, this wouldn't have happened.

Duan Hong did it on purpose, that fat old sly fellow did it on purpose, he must have thought of this.

He left early, so Fang Ziye's temporary surgical authorization would expire, and then either he or someone else would have to take the stage. Once on stage, the difference in skill would become apparent.

Therefore, Duan Hong's idea was clear: everyone was in the same boat, and no one should have an easy time.

With just one move, it appeared to be a defeat, but in fact it was a strategic retreat followed by a final, ultimate move: the Great Shift of Heaven and Earth!

Because, at least Duan Hong didn't share the operating room or perform similar surgeries with Fang Ziye. Without comparison, there's no harm done!

That's it!

Because Duan Hong himself possesses a 'national master' level technique, he can understand how big the difference is between these two techniques!

Moreover, Deng Yong also realized that the reason Duan Hong left at this time was because he was sure that he would be cautious enough to temporarily strip Fang Ziye of his chief surgeon authority.

Furthermore, Zhongnan Hospital has certainly not performed routine fracture surgeries for a very long time, nor has it admitted any routine fracture patients.

The exceptional assessment for surgical authority can end, but the surgeries scheduled for today must be completed. If Deng Yong doesn't finish, someone else will.

The damage from this comparison will be immense!
Soon, Fang Ziye and Yuan Weihong went into the operating room to adjust their technique for repositioning the tumor.
After going outside, Xiong Ge pressed the camera button again.

Instantly, the content displayed on the screen became more comfortable.

The displacement was reversed, and the fracture fragments were somehow bounced back to their original positions by Fang Ziye through the contraction of muscle tissue. Although there was a fracture line, it was almost invisible!
This is a good example of manual reduction technique. Professor Deng Yong's previous operation was indeed of high quality, and he was even good enough to use it for live surgery broadcasts to "show off".

It is easy to go from frugality to extravagance, but difficult to go from extravagance to frugality.

Having just witnessed the masterful manual repositioning techniques of a national-level expert, how could I possibly be interested in the few minor, amateurish attempts that Deng Yong made!
After reading it, Deng Yong quickly nodded and said, "Not bad, very good!"

"As I just mentioned, the key to fracture surgery is reduction. Now that the reduction is done like this, we can say that the key has been achieved. Yuan Weihong, you will guide Xiao Fang to complete the subsequent intramedullary nailing procedure."

Deng Yong gave instructions, then said, "The next two surgeries are just fracture surgeries, neither of them are difficult. You should be able to handle them with ease. I have some things to attend to here, so I'll leave now."

As Deng Yong spoke, he rushed into the operating room, taking off his sterile surgical gown and gloves amidst the stunned expressions of everyone present. He then picked up his phone from the shelf next to the operating room's timer panel and walked out of the operating room, looking at the group of people who were still in shock.

Deng Yong, holding his phone in his right hand, called out, "Get moving, everyone! What are you looking at me for?"

Yuan Weihong's eyes and eyebrows twitched instantly, and he couldn't utter a single word. His blank stare betrayed a hint of existential doubt.

Deng Yong not only learned his temper, but now he even has to hand over the responsibility of taking the blame to himself!

Yuan Weihong looked at Fang Ziye again, and it seemed as if the words "betraying one's master and ancestors" were written all over his body.

Looking at Deng Yong, who left so nonchalantly, it's as if his entire back screams "I can't take a joke!"
(End of this chapter)