top student at medical school

Chapter 396 Ah? (Please Subscribe)
Nie Mingxian composed himself slightly, his broad face showing a hint of conflict: "Ziye, are you starting to flaunt your relationship too?"

When Nie Mingxian was in Enshi, Wu Xuanqi stuffed dog food into his dog basket, causing him to have a painful digestive tract. He has a kind of stress response to similar words.

"Brother Xian, I was just asking casually," Fang Ziye quickly explained.

"By the way, Xian-ge, have you found a place to rent near Zhongnan Hospital yet? If not, can we share a two-bedroom apartment?"

“I terminated my lease on my previous apartment more than two months ago, and I still have nowhere to put my luggage.”

Looking at Fang Ziye's face, Nie Mingxian's face became increasingly contorted. Knowing that Fang Ziye had a girlfriend, he quickly shook his head, his tone changing: "Bro, are you going to make me your roommate to make us a couple?"

What exactly did Wu Xuanqi teach you after that?

Nie Mingxian left Enshi slightly earlier than Fang Ziye, and now he looked fearful, as if he mistook Fang Ziye for Wu Xuanqi.

Fang Ziye pursed his lips: "Brother Xian, let's not talk about this anymore. I didn't mean it that way."

Heaven have mercy, Fang Ziye wanted to share a rental with Nie Mingxian because he wanted to ease Nie Mingxian's financial burden, right?
Although Fang Ziye didn't help Nie Mingxian when she needed help the most, and had no reason to help, Fang Ziye's wallet is now a little fuller, and it's not good for him to always be hospitalized and stay in the ward all the time.

Judging from Deng Yong's words, he might not need to take on emergency consultation duties starting next month or even this month.

Then my task will be to handle routine consultations and emergency surgeries.

In this situation, I really need a place to put my luggage.

Even if this house is empty, it's still slightly better than openly squeezing into Luo Tingzhu's suite.

Seeing Fang Ziye's somewhat cautious expression, Nie Mingxian relaxed and said, "Actually, I had a girlfriend, but I don't anymore. She got married the year before last."

"So, I'm still a bachelor."

Immediately, Nie Mingxian gave Fang Ziye a heads-up: "But Ziye, don't even think about introducing me to a girlfriend. I'm dirt poor right now. My first love and I have been together for eight years, and we were planning to get married right after graduation."

"But they separated due to a variety of practical reasons."

“I graduated from the eight-year program early and became a master’s student. I worked for a few years, but I basically spent all my time on my father. I can’t see any future ahead of me. I don’t even dare to make empty promises.”

"I am thirty-three years old this year. Fifteen years have passed since I was eighteen. My ex-girlfriend and I were together for eight years. It seemed like we had survived the seven-year itch, but in the end, we still couldn't continue."

"She was probably thirty-one years old when she got married very quickly."

“I also gave them a wedding gift…” Nie Mingxian laughed as he spoke, but then his eyes reddened.

Fang Ziye couldn't understand Nie Mingxian's helplessness—the desire to pursue someone, yet the fear of doing so.

Just then, the takeout arrived, and Fang Ziye quickly went to the door to pick it up, giving Nie Mingxian a few minutes of alone time.

By the time Fang Ziye brought in the barbecue, Nie Mingxian had already composed himself.

"Brother Xian, we're here! We can start eating now. Let's chat while we eat. I have to hurry." Fang Ziye was just opening the takeout he had ordered, about to start eating with Nie Mingxian.

"Drip drip drip!"

"Drip drip drip!"

The old-fashioned hospital chief's cell phone vibrated so hard that Fang Ziye's buttocks twitched three times from side to side.

Nie Mingxian glanced at Fang Ziye and gave him a pitying look.

After Fang Ziye answered the phone, he heard a cheerful voice on the other end: "Hello, is this the chief resident of trauma surgery? There are two patients with fractures here. Would you like to admit them and treat them, or should I send them to another place?"

"Thank you, Sister Liu, I'll be right there." Fang Ziye stood up as he smelled the aroma of barbecue.

Nie Mingxian also stood up and said, "Ziye, can you find me a white coat? I'd like to see how you handle emergency consultations."

“I spent a long time in the anesthesiology department before, and after returning, I didn’t do much clinical work. After arriving in Wuhan, I hardly went to any emergency consultations with Professor Liu…”

“They’re all wrapped in tin foil anyway,” Nie Mingxian said.

"Row."

"..."

When Fang Ziye brought Nie Mingxian, who was wearing a white coat but had removed his name tag, to the emergency surgery clinic, Liu Guo was patiently explaining to two fracture patients: "Our hospital specializes in treating specific diseases. The emergency room you are in now is not one of those particularly dangerous or life-threatening emergencies."

"Therefore, I will not provide you with unprofessional and hasty treatment. Our hospital has professional trauma surgeons..."

As Liu Guo was speaking, she saw a figure flash past the doorway: "They're here."

As Fang Ziye walked in, he saw two groups of patients' families. He casually approached them and asked, "Which of you arrived first? I'll see whoever arrived first."

“We, we’ll go first,” a middle-aged woman pushing a wheelchair quickly said.

"My husband slipped and fell off the stool while installing light bulbs at home, and he braced himself with his right hand..."

The middle-aged man in the wheelchair was deathly pale, his left hand supporting his right elbow, his right hand trembling slightly.

While the middle-aged woman was recounting her medical history, Nie Mingxian whispered, "Colles fracture."

Colles' fractures are mostly caused by falls on flat ground, with the palm landing on the ground and the wrist joint in a dorsiflexed and forearm internally rotated position, resulting in the force being concentrated on the cancellous bone of the distal radius and causing a fracture.

"Okay, I understand the general situation. I'll have a physical exam first. Have you gotten the results of the X-rays?" Fang Ziye asked as he walked to the middle-aged man's side.

"I had the X-ray taken, but I haven't received the results yet. Dr. Liu said I can come over and see them directly." The middle-aged woman stepped aside slightly to make room for Fang Ziye.

Liu Guo said, "Dr. Fang, I have already retrieved Jiang Dong's films from the film viewing system."

After hearing this, Nie Mingxian walked over and bent down to move the mouse.

Liu Guo then suggested, "Doctor, you can sit down while you watch..."

Nie Mingxian turned his head and smiled: "It's okay, I'm just looking around."

After sliding the camera up and down twice, and then zooming in and out on the fracture line, Nie Mingxian tilted his head and told Fang Ziye, "It should be a fairly typical Colles fracture."

"Yes, this is consistent with the findings from the physical examination. However, you may need surgery, and you may need to go to a hospital that can perform this type of fracture surgery."

"Because in addition to the fracture, you also have ligament and intra-articular fractures, manual reduction alone cannot achieve reduction and fixation."

In fact, the type of fracture in this patient is not simply a Colles fracture, but an intra-articular fracture of the distal radius in the AO classification of fractures. However, since Nie Mingxian used this term first, Fang Ziye did not need to argue with Nie Mingxian.

Nie Mingxian is not an orthopedic specialist, so it is understandable that he is not very professional in the classification of fractures.

"Doctor, do I need surgery?" the middle-aged man asked, somewhat frightened.

"Yes, if the fracture reaches the joint surface, surgery is absolutely necessary. Otherwise, joint stiffness will develop later, which would not be worth it."

“However, our hospital rarely performs this surgery, and beds are in short supply. So, to make it easier for you to receive treatment as soon as possible, you can consult with other hospitals.” “Do you have a medical record?” Fang Ziye asked again.

“No, I only have electronic medical records. I have already collected the medical history,” Liu Guo said proactively.

Fang Ziye nodded: "Then I'll print out an electronic medical record for you. Your fracture needs surgery as soon as possible."

Soon, Fang Ziye arrived at the computer, logged in with his employee ID and password, found the patient's appointment number in the outpatient system, directly copied the corresponding medical history that Liu Guo had previously registered, and then filled in the review results in the examination results report column...

After printing it out, when it was handed to the middle-aged couple, they were still somewhat conflicted.

I thought it was just a simple fracture that I could just put on a cast and go home, but I didn't expect that after arriving at Zhongnan Hospital, I would have to go back for surgery.

"Doctor, do we really need surgery? A friend recommended that there is a very good doctor at Zhongnan Hospital who can treat fractures without surgery."

"It seems his surname is Fang? Should you ask him about it?" the middle-aged woman asked suspiciously.

Fang Ziye wrote his signature again in the signature area of ​​the medical record: "Sister, I am currently the only doctor with the surname Fang in our trauma surgery department, and I do indeed frequently perform manual reduction of fractures."

"But this really can't be done for you. No matter which Dr. Fang you call, he can't do it. I'm not lying to you."

Liu Guo nodded: "This is Dr. Fang from the trauma surgery department. Many people know that he is most skilled in manual reduction of fractures. He said that since you need surgery, you shouldn't waste time going to other hospitals. Just choose surgery."

The middle-aged couple then pushed the wheelchair away.

Nie Mingxian had already stood up, looking in Fang Ziye's direction, hesitant to speak.

Yet, I occasionally feel a surge of emotion within me.

There are still skill gaps between specialties. I used to be a vascular surgeon and then a hand surgeon, and I mainly read MRI images. So my level of expertise in reading X-ray images is not as professional as Fang Ziye's.

However, Nie Mingxian thought again, Fang Ziye has never seen the X-ray, how does he know it is a fracture of the articular surface, and also knows that there is ligament damage?
Of course, you can't just bring up your doubts and ask them on the spot.

Fang Ziye then looked at the next patient. The family members also stepped aside and looked at Fang Ziye with nervousness and fear, afraid that Fang Ziye would also announce that they needed surgery.

After Fang Ziye's consultation this time, Nie Mingxian stopped talking, afraid that he might make a mistake again and require Fang Ziye to go around in circles.

"You can try manual reduction. Only if manual reduction fails will surgery be necessary."

"Of course, if you want a treatment with guaranteed quality, surgery is the most appropriate option!" Fang Ziye suggested.

Patients have the right to choose their treatment method.

Even childbirth is no longer forced to be vaginal or cesarean. In the treatment of fractures, even if manual reduction is possible, if the patient is afraid of pain or has a strong desire for surgery, Fang Ziye cannot perform manual reduction just for the sake of performing manual reduction.

"Dr. Fang, reset it, let's reset it."

“We came here specifically for you. Our community hospital doctor said that the first step in fracture treatment is to come to Zhongnan Hospital to see Dr. Fang.”

"We thought you were an old professor, but we didn't expect you to be so young, Dr. Fang." The patient quickly nodded in agreement.

His gaze swept over Fang Ziye.

"So young. If Dr. Du hadn't been so clear about his position, we really wouldn't have believed that Dr. Fang could be so young."

"Then let's pay the fees, there are three."

"Manual repositioning technique, using gypsum polymer material."

"The total should be 375.4 yuan. Do you want to pay by scanning the QR code or by cash?" Fang Ziye printed out his electronic medical record.

……

Fifteen minutes later.

When the patient and his family came out of the operating room, the patient, who had suffered a double fracture of the radius and ulna, already had a cast on his hand. As he left, he turned back and said, "Dr. Fang, your skills are truly miraculous!"

"It didn't hurt at all; in fact, it felt quite comfortable during the repositioning process."

“I thought that manual reduction of a fracture would at least make me scream in pain a few times.”

"Dad, how about now? Does it hurt?" the patient's daughter asked.

"It doesn't hurt much, just occasional, dull throbbing pain, very mild."

The patient, nearly sixty years old, was a bit talkative: "I told you before, I have a very good relationship with Dr. Duan at the health center, he would never lie to me..."

"Dr. Fang, thank you."

After saying that, he went to the surgical clinic and said, "Dr. Liu, thank you..."

Upon reaching the entrance, I thanked the cashier and the nurses who came to my appointment several times before leaving very politely.

Inside the control room, Fang Ziye and Nie Mingxian were cleaning up the remains of the control room.

Cut plaster casts, bandages, disposable mattresses...

Nie Mingxian tilted his head: "Ziye, you've already made quite a name for yourself around here? You're making good progress!"

"It's already good enough if the doctors at the community hospital can remember the professor's name."

Community hospitals and top-tier hospitals are not part of the same system, and top-tier hospitals have many doctors and professors, so community hospitals may not remember the names of some department professors.

While washing his hands, Fang Ziye turned to the side and explained, "It's possible that a doctor at a community hospital once said that there's a type of fracture that can't be successfully reduced manually, but I met a fellow patient here who's quite interesting. He said he insisted on taking it back to him to see..."

"I haven't done any free clinics at the community hospital either, mainly because the current level isn't high enough."

“Anyone who can go to a free clinic without a chief physician title feels ashamed! But Brother Nie, you can take me with you in the future.” Fang Ziye steered the conversation back to Nie Mingxian.

Nie Mingxian's professional title is quite high; he is an associate chief physician, which is even higher than Yuan Weihong's!
Nie Mingxian raised an eyebrow: "Get lost, we weren't in the same system before, are you mocking me?"

"How about you take me to a free vascular surgery clinic?"

"Or how about organizing free anesthesiology clinics?"

Fang Ziye listened, his eyes darting around, and then joked again, "Actually, that works too!"

"Huh?" Nie Mingxian paused as he was about to wash his hands.

But to his surprise, Nie Mingxian then gasped sharply, "Hiss! I get it."

Then her expression returned to calm, and she didn't find Fang Ziye's words particularly strange.

(End of this chapter)