top student at medical school

Chapter 385 The Classroom Was Blown Up (Please Subscribe)
"The 'expert from another hospital' that Xie Gaofeng mentioned, are you?" In the skills training room 1802 of Xiangya Hospital, a middle-aged man in a white coat was looking thoughtfully at the motionless anesthetized rabbit inside the enclosure. However, when he saw Xie Xin leading a little boy into the room, his brows furrowed.

Xie Gaofeng is Xie Xin's father's name. He is a professor, chief physician, and department head in the internal medicine department of Xiangya Hospital. With such a position, it's impossible for him not to have a good network of connections within Xiangya Hospital.

Professor Xu Long had a mole on the corner of his right eyebrow that was throbbing. Out of respect for the visitors from other departments, he looked at Xie Xin and criticized his own people: "Niece Xie, we can joke around, but don't be naughty with your Uncle Xu, okay?"

"I'm very busy now."

Even professors in the same hospital may have different relationships.

If Xu Long and Xie Gaofeng weren't sworn brothers, Xu Long would never have agreed to the 'absurd' idea of ​​an expert from the outer academy coming to substitute for him.

What is this all about? I started a private tutoring class, and now someone wants to replace me as their private tutor.

Fang Ziye was dressed in casual clothes, a short-sleeved plaid shirt, and dark suit trousers. To appear formal, he also wore a pair of leather shoes.

After entering, he bowed slightly and spoke in a very formal tone: "Hello, Professor Xu. I am Fang Ziye from the Affiliated Zhongnan Hospital of Wuhan University. I apologize for disturbing you this time."

"I have two main purposes for coming here. First, to learn. Second, I encountered some problems in clinical practice. After consulting with the anesthesiology teachers in our hospital, I still have doubts. Therefore, I came here to ask for some advice after being recommended by the teachers in our hospital's anesthesiology department."

Before coming, Fang Ziye had naturally done his homework. The private training class that Professor Xu Long was going to attend this time was on advanced techniques in the Department of Anesthesiology, namely motor-sensory separation block anesthesia, which has very high requirements for operation.

However, it is obvious that if a part of the surgery only anesthetizes sensory function while preserving motor function, it is extremely beneficial for postoperative rehabilitation.

Especially in orthopedics, if patients with good medical compliance can interact with the surgeon in real time during the operation, and the patient's active motor function can be observed at the end of the operation, it is extremely beneficial for the assessment of the quality of the operation.

After Fang Ziye explained his purpose and thoughts, Xu Long narrowed his eyes slightly, and the mole on his eyebrow twitched:

"Your hospital's anesthesiologist? Who is that?"

"hiss……"

But what Xu Long was thinking was, would the Department of Orthopedics at Wuhan University Zhongnan Hospital really take on such clinical cases? Nobody in the Department of Orthopedics at Xiangya Hospital was handling such extreme cases.

Most injuries can be saved if possible; otherwise, amputation is necessary, leaving the rest to fate.

The Department of Anesthesiology at Xiangya Hospital has a closer relationship and more frequent interactions with Tongji Hospital and Union Hospital due to the proximity of Hubei and Hunan provinces.

Occasionally gaining points at Xiangya-affiliated hospitals will not affect interpersonal relationships within the discipline system.

"Professor Du Yuanxian." To show his respect, Fang Ziye used the title of Professor Du from the Department of Anesthesiology, whom he had only recently met.

Xu Long smiled awkwardly after hearing this. Wearing a mask, he was nudged a few times, probably not knowing who Du Yuanxi was: "Well, how about this, since you're already here, and your idea deserves the title of 'ingenious'."

"Professor Xie has already spoken up, so it wouldn't be appropriate not to give you a chance."

"However, to achieve the anesthesia plan you want, there are two things you must do first. First, your puncture technique must be very proficient; you must be able to insert the needle in the correct direction. This is the most basic requirement."

"Secondly, you need to be very familiar with anatomical structures, especially the anatomical structure and branches of nerves. You may also need a lot of experience in constructing the separation nodes of sensory nerves and motor nerves."

"You're in anesthesiology, you know what I mean, right?"

The anatomy that Xu Long talks about is not quite the same as simple surgical anatomy.

In surgical anatomy, it is only necessary to know where there are nerves, but it is not necessary to know in great detail the muscles innervated by a particular nerve or even the detailed segments of the muscles innervated.

After all, surgery mainly focuses on the direct nerve connections that control muscles.

However, the anatomy in anesthesiology is different from that in surgery. Anesthesiologists need to clearly identify a series of anatomical innervation areas of a nerve and, based on these innervation areas, accurately perform anesthesia.

When Xie Xin heard Xu Long say that Fang Ziye was an anesthesiologist, she hesitated to speak, but fortunately Fang Ziye spoke first: "Professor Xu, I know, thank you for giving me this opportunity."

"But what does this have to do with you becoming a substitute teacher?" Xu Long keenly grasped the key point.

Fang Ziye pursed his lips slightly and said, "Teacher Xu, as the saying goes, one of the best ways to learn is to force yourself to teach a class and be a teacher of a lesson."

"Professor Du thought the same way, and wanted to use this to motivate my learning and unleash my potential, so he assigned me this task."

“Otherwise, Ms. Xu, even if you gave me ten lives, I wouldn’t dare to be so presumptuous. I might not even know that such a private tutoring training class exists.”

Fang Ziye speaks fluently and his analysis of the underlying reasons is quite clear.

"So what are you going to say or do?" Xu Long asked.

Fang Ziye quickly said, "Teacher Xu, perhaps Senior Sister Xie didn't express herself clearly. I'm not going to give a lecture; I just want to be your assistant. Please tell me what you want to teach in advance, and I'll see if I can handle it."

"If you can complete it, it will save you a lot of trouble and effort, Teacher Xu. If you can't complete it, it will be the best example of what not to do."

"Teacher Xu, Professor Du also said that as long as you are bold enough and don't care about losing face, you will always be able to learn something."

These are the truth; Fang Ziye has always thought this way.

Whether Du Yuanxian said these words or not is irrelevant. Xu Long wouldn't go to the Department of Anesthesiology at Zhongnan Hospital to follow up, would he?

This is impossible.

"Alright then, the content of my lecture tomorrow is somewhat related to your ideas, and it's also an operational topic related to the separation of feeling and motion."

"Of course, I may be limited in my abilities and cannot reach the ingenuity of Dr. Fang. At present, I can only perform partial limb anesthesia on rabbits, and after anesthetizing their sensory function, I can still maintain a small amount of motor function."

"To achieve what you, Dr. Fang, is thinking, there will be a lot of precise operations to be performed. First, we need to locate the corresponding anatomical nerves and separate the nerves and sensory branches."

"After anesthesia, the anesthetic drug must not diffuse and infiltrate into the motor function branch. This is not only a test of puncture technique, but also requires careful consideration of the dosage."

"Of course, I've already calculated some parameters in detail, such as the dosage, but..."

Xie Xin listened for a while, then felt sleepy.

She had already achieved her goal, so while Professor Xu was still speaking, she took the opportunity to slip away: "Professor Xu, Dr. Fang, you two continue chatting. It's getting late, I'll go back and rest first."

"Teacher Xu, thank you so much for helping me."

Xu Long looked at Xie Xin and nodded: "Go home early, or your dad will have to call again if he can't find you."

Upon hearing this, Xie Xin, who had already started walking, turned around and said, "Uncle Xu, I'm already thirty years old. My dad hasn't called me in a long time. All he thinks about every day is kicking me out of the house..."

"What age do you still remember me from?"

Upon hearing this, Xu Long's eyelids twitched slightly: "Yes, you're already thirty years old..."

After Xie Xin left, Xu Long reviewed the relevant knowledge with Fang Ziye once again. After Xu Long finished speaking, he said, "Dr. Fang, since you're already here and in the training room, why don't you give it a try?"

"Although Xiangya Hospital is poor, it can still afford a few rabbits and some supplies for practicing nerve blocks." In any case, Fang Ziye's effort to come and seek advice so late at night is commendable.

Although it would be better to come back at a different time to study, Xu Long is not able to sleep well these days.

If you're going to offer a private tutoring class, you have to make sure it's worth the money the students spend and that they learn something.

Otherwise, if Xu Long wants to make a living in the industry in the future, he may be ridiculed by others for being a predator.

"Thank you, Teacher Xu. I'll give it a try."

"As I operate, Teacher Xu, please guide me from the side. To put it simply, what we're going to do this time is to block the sensory function of the rabbit's right leg through nerve block anesthesia, but ensure that its motor function remains intact. Right?" Fang Ziye tilted his head slightly and spoke earnestly.

He came to substitute teach.

But as Professor Xu Long continued speaking, Fang Ziye suddenly felt that the reasons he had made up actually made sense in theory.

The reason why the surgery performed on Michi today was such a cruel and brutal operation is fundamentally because the anesthesia technique could not reach its theoretical maximum value, while Michi himself had too high expectations for the residual function of his hand. There was a rather intense contradiction between these two factors.

……

Around 11:30, after Fang Ziye successfully performed the anesthesia block on the rabbit's anterior tibial nerve again, the rabbit's skin was cut open. However, the rabbit did not cry out in pain and hopped around with blood on its body.

The entire practice room fell silent...

Xu Long's eyes were practically bulging out, and the mole at the corner of his eye trembled like a sieve, looking as if it was about to fall off his eyebrow.

After his explanation, Fang Ziye not only successfully performed sciatic nerve block anesthesia, but also completed the block anesthesia of the tibial nerve, a branch of the sciatic nerve, and once again completed the block anesthesia of the anterior tibial nerve.

Xu Long simply couldn't believe what he was seeing.

This was the nth time I'd seen Fang Ziye, and I was wondering if this young man was there to cause trouble and deliberately embarrass me.

“Teacher Xu, can I? I’m free labor…” Fang Ziye volunteered himself.

"Why?" Xu Long frowned, looking at Fang Ziye with great confusion.

Hey, he'd never heard of any expert from another department being willing to come and serve as their servant for free.

Such a master is someone he can't usually invite even if he tries.

“Professor Xu, I don’t take on a job I’m not qualified for. I have some basic knowledge, and I heard from Professor Du that you are doing research in this field and have a deep understanding of it, so I came to bother you.”

"But to be merely a commoner and to presume to visit would be truly foolish!" Fang Ziye explained softly.

Xu Long dared not speak loudly, for fear that if he did, the large mole in his eyebrow would fall off.

Xu Long tapped on the control panel: "What I mean is, with your skills already at this level, what are you doing here?"

"Is the Professor Du you mentioned here someone to learn from, or someone to teach?"

Xu Long was devastated.

Where the hell did this bunch of immortals come from? I've never heard of them before.

Xu Long dares to guarantee that if anyone in the field of anesthesiology could accomplish this, it would have already become an SCI article and been published in a top or second-best journal in the field of anesthesiology.

But I didn't hear a word about it.

“Yes, we have both, Teacher Xu. Didn’t I say that we can have classes…” Fang Ziye subconsciously only understood one layer of the meaning, but he immediately understood the whole thing.

"Teacher Xu, you misunderstood me."

Fang Ziye wasn't there to lecture Xu Long.

The two words "class" can have vastly different true and ambiguous meanings!
Upon hearing this, Xu Long's eyes darted around, and he asked, "Have you ever administered anesthesia to patients in your clinical practice?"

"Come on, come with me to the anesthesiology department. We'll give two injections together. There must be quite a few patients like this in our hospital's emergency operating room..." Xu Long grabbed Fang Ziye's hand and was about to set off.

However, when he tried to pull, he couldn't move Fang Ziye.

"Professor Xu, let's skip the anesthesiology department. I'm here to learn, so this time I'm only going to anesthetize laboratory animals like rabbits or mice."

"Furthermore, I don't have the license to practice medicine," Fang Ziye replied cautiously.

Xu Long continued, "No rush, I can help you with the license issue. I'll just give you the authorization. Come on, let's go take a good look..."

"It would be a real waste to use your current skills only on rabbits and mice."

"Your teacher already said you came here to learn from me, so why are you still so hesitant!"

"Be a little bolder."

"You have to go to the anesthesiology department today, whether you want to or not."

"Jesus has arrived... cough! cough cough!~" Xu Long seemed to have Fang Ziye completely under his control, smiling as if he were looking at a priceless treasure.

He pulled Fang Ziye with his left hand and patted Fang Ziye's shoulder with his right, his voice becoming domineering yet kind.

Fang Ziye said, "Professor Xu, I am an orthopedic surgeon, not an anesthesiologist."

"Cough cough cough cough!" Xu Long choked, his mouth wide open as if he was about to suffocate.

After coughing for a good seven or eight seconds, Xu Long's expression became thoughtful.

The statement I just made, that even if Jesus came, it would be useless, sounds like a joke.

How do orthopedic surgeons perform anesthesia-related procedures? Aside from local anesthesia, which can be performed by interns, orthopedic surgeons cannot perform other types of anesthesia.

Xu Long glanced at Fang Ziye, sighed softly, and said quietly, "Alright, I think I understand what you mean. You think I'm not good enough to run this class, so you found it funny when you saw it and came to ask me to suspend the class early, to avoid misleading students, right?"

"Okay, I'll call right away and get a refund!" Xu Long seemed quite nonchalant. After saying that, he made a phone call and left the control room.

Fang Ziye's scalp tingled slightly: "Eh... Professor Xu, I, I didn't mean that... Professor Xu..."

Fang Ziye quickly chased after him.

Damn it, I wanted to become a teacher, but I haven't even started classes yet, and I'm already blowing up the classroom?

(End of this chapter)