top student at medical school

Chapter 397 Show

"Brother Xian, I was just bragging." Fang Ziye chuckled awkwardly after seeing Nie Mingxian readily agree.

But Nie Mingxian said, "Aside from bragging about their looks, length, and duration without any reason, men are very cautious even when they brag about other things."

Nie Mingxian's tone was very serious, and although he was driving at a high speed, there was not a trace of mockery in his words: "Ziye, you dare to ask questions and are willing to lower your guard, so you must have extra confidence when you brag about your professional expertise."

"It must have at least one strength, right?"

After Nie Mingxian finished speaking, he glanced at Fang Ziye.

Nie Mingxian was older than Fang Ziye, and he was neither Fang Ziye's subordinate nor junior brother. He had a higher professional title and a broader perspective, so when he made action jokes, he looked extremely serious.

Fang Ziye's eye twitched, but he couldn't utter a single word.

As a man, you have to accept such a joke even if you have to bite the bullet!
"Dr. Fang, does my husband really need surgery?" The middle-aged couple from before walked to the door again, still unwilling to give up, and asked this question.

Fang Ziye quickly changed the subject, nodding first and speaking seriously: "Big brother and sister, I have no reason to lie to you."

“I have already performed manual reduction on this patient. Performing another manual reduction procedure will not take much time.”

"But if it can't be done, it simply can't be done."

"It's like asking me to jump high, about one meter is within the human range, but asking someone to fly more than twenty meters into the air is impossible. At least with the current level of technology and skill, we can't reach that height." Fang Ziye's last sentence was slightly joking.

The other person then nodded seriously and left.

"Thank you, Dr. Fang...sigh..."

……

"Brother Xian, after you finish eating, do you want to go and rest first?" After saying goodbye to Liu Guo in the emergency surgery clinic, Fang Ziye asked, turning his head as he walked back from the emergency department to the orthopedic building.

"Well, let's talk about it later." Nie Mingxian's expression and emotions remained quite stable.

He wasn't particularly handsome, but his calm demeanor possessed a unique and indescribable charm. Naturally, Fang Ziye's gaze towards Nie Mingxian was tinged with regret.

After Nie Mingxian noticed this, he said, "For a period of time, I felt very guilty and useless."

“After all, we don’t have money. Sometimes I even think that if I could make a fortune, my father’s medical expenses wouldn’t be a financial burden for the family, and he could receive treatment without worry.”

"But for ordinary people at an ordinary age, the accumulation of knowledge and wealth, and even the speed at which they make money, are limited."

"Later, after my father passed away, I also went through a long period of depression, and I also hoped to numb myself by working constantly and immersing myself in work."

“But just last month, I suddenly realized that I was being too selfish. I seemed to have overlooked a very important issue: my mother is still alive, and it seems that her world now only consists of me.”

"So we still have to live our lives well, like normal people."

Nie Mingxian paused, as if he were many, many years older than Fang Ziye, and sighed softly, "Looking back, there are regrets, but no guilt. No remorse."

"Most people standing on the ground are mortals, and all living things standing on the ground will eventually return to dust..."

To be honest, Fang Ziye felt that Nie Mingxian's words had a certain flavor, but Fang Ziye himself found it difficult to truly empathize with that flavor at the moment.

Compared to Nie Mingxian, what were my own experiences and 'helplessness' back then?
Don't persuade others to be kind to others without suffering.

Similarly, if you haven't experienced someone else's suffering, don't accuse them of pretending.

“Brother Xian, my personal cultivation is insufficient, so I don’t know how to comfort you. But if you need a drink or a dining companion, I’m always ready to accompany you,” Fang Ziye said.

"Let's skip the alcohol and have some barbecue when we get back."

"After finishing the barbecue, I need to go back and do some research so that I won't have to spend a long time doing nothing when I join the research group."

……

The two finished their meal and chatted, and went to lie down in the doctors' lounge and the chief resident's office at 11:45.

This time, Fang Ziye told Deng Yong the famous saying he had previously told Fang Ziye: "Eat when you can, sleep when you can, and poop when you can..."

Nie Mingxian did not go through the chief resident stage, and he should not need to go through this stage again in the future.

Because Nie Mingxian already held the title of associate professor before pursuing his doctorate, his title would not be downgraded when he looked for a job after graduating with his doctorate.

Of course, if Nie Mingxian wants to work at a top-tier teaching hospital, he still needs to obtain his doctoral degree before the age of thirty-five.

After Nie Mingxian left, Fang Ziye lay quietly on the bed, gazing at the dark night sky, feeling exceptionally relaxed.

If nothing unexpected happens, tonight will be his last emergency consultation shift. From now on, trauma surgery emergencies will be taken over by the trauma center.

It was something that Deng Yong and Professor Han Yuanxiao had planned six months ago.

"Of course, from today onwards, the pressure and burden on my shoulders will become heavier and heavier!" Fang Ziye murmured softly in the night.

Hospitalization is always tough, but the hard work is all in terms of actions and movements, such as immediate on-call duty and surgery, which is called emergency surgery.

But from now on, Fang Ziye will only be busy with a few emergency surgeries, followed by routine consultations, handling patient records and medical orders in the wards, and archiving medical records...

These tasks can be done by the attending physicians, and Fang Ziye's only core skill is handling emergency surgeries that Ping Huizhen and others cannot manage, which will significantly reduce the workload in the emergency department.

However, Fang Ziye will face even greater pressure.

Fangziye's main business includes advancing research and treatment of destructive diseases, bone transport surgery, osteotomy and correction surgery, and treatment of bone defects.

Is that all?
No, Fang Ziye still has some minor burdens—

For example, promoting surgical techniques such as limb transplantation, providing emergency care training to former classmates Xiong Jinhuan and Li Yuanpei, and managing and improving the professional skills of junior students...

Fang Ziye is now slowly experiencing the feeling of insignificance: "A single tree cannot make a forest, a single thread cannot make a line, and even if you are made of iron, you can only hammer a few nails."

How should one be a doctor?
The most basic requirement is that you can cure your own illnesses, and you can cure illnesses that others cannot cure. That's what makes you awesome.

Going a step further, it is to teach one's students so that they can also treat and cure diseases, master advanced surgical techniques, and make their own contributions.

Training a skilled doctor is equivalent to being able to treat an unknown number of more patients.

Going a step further, it involves teaching other colleagues so that they can gradually treat unfamiliar diseases according to the standards.

This reflects an individual's professional competence, teaching ability, and research capabilities.

"Take it slow... Focus on doing your best first." Fang Ziye murmured to himself before quickly falling asleep.

Nie Mingxian was woken up by Fang Ziye at 2:15 a.m., and Xiong Jinhuan also woke up at the same time. Xiong Jinhuan was Fang Ziye's assistant from number 1 to 10 and worked in the emergency room.

However, after seeing Nie Mingxian, Xiong Jinhuan could only silently give up the learning opportunity she had been hoping for.

He slept on the top bunk of the bunk bed, watching Fang Ziye and Nie Mingxian leave with a look of envy in his eyes, but then he silently yawned and went back to sleep.

At Zhongnan Hospital, opportunities are relatively limited.

As Nie Mingxian followed Fang Ziye toward the emergency department, he asked, "What's the situation at the emergency department this time?"

"I heard it's multiple injuries."

"But Fang didn't have time to say exactly where the injury was located," Fang Ziye replied.

Upon hearing this, Nie Mingxian narrowed his eyes—

Fang Ziye quickly explained, "Our emergency department operates on an eight-hour shift system. Dr. Liu, who was on duty earlier, finished his shift at 12 o'clock."

Nie Mingxian nodded: "Oh, I think the Peking Union Medical College Hospital where I worked before had a six-hour shift system. I didn't know the specifics."

The first thing to do upon arriving at the surgical clinic.

Fang Songlin said, "Ziye, you need to go to the emergency room right away. I still have patients here. The patient with multiple injuries has already been taken to the emergency room."

Fang Ziye immediately followed Nie Mingxian and rushed towards the emergency room.

As soon as I entered the emergency room, the people inside, while assisting with thoracentesis, endotracheal intubation, and establishing intravenous access, asked, "The bleeding won't stop. Have the general surgery and trauma surgery personnel arrived yet?"

Where are the vascular surgeons?

"The general surgery and trauma surgery departments just called. Dr. Liu from vascular surgery is on the operating table. He has an abdominal aortic dissection. I have already notified the ward and asked the nurses' station to notify the higher-ups, but it will take some time for them to get here..." As soon as Fang Ziye and Nie Mingxian arrived, they quickly grabbed their examination gloves and rushed inside.

"Director Huang, what's going on here?"

At this juncture, Nie Mingxian appeared more mature and composed than Fang Ziye, approaching him while asking, "Damage to the abdominal aorta?"

The man called Director Huang glanced at Fang Ziye, then looked past the unfamiliar Nie Mingxian: "Dr. Fang, you've come at the right time. You were injured in a car accident and have damaged blood vessels in your abdomen. You were temporarily given pressure to stop the bleeding during transport and just arrived at the emergency department."

He glanced at the time: "Five minutes have passed. Two intravenous lines have been established, and norepinephrine is being continuously pumped in, but the blood pressure still hasn't risen."

"We dare not open the abdominal wound rashly."

"The vascular surgeons are still on their way."

Seeing that Nie Mingxian had already moved closer to the patient's right side and begun examining him through gloves, Fang Ziye also approached and asked, "Any auxiliary test results?"

“The ambulance that transported us happened to have an X-ray machine, but we only have one plain abdominal X-ray at the moment.”

As Director Huang was speaking, Deng Zhi, the chief resident of surgery next to him, had already picked up the abdominal X-ray and placed it in front of Fang Ziye.

Fang Ziye and Nie Mingxian looked up at the same time and saw that the contents of the X-ray were a mess. It was probably taken after the blood was temporarily packed to stop the bleeding. The contrast marks of the gauze made most of the field of vision inside the abdomen messy.

Even with Fang Ziye's Level 4 X-ray reading skills, no information could be read.

"Get him to the emergency operating room and start emergency surgery under anesthesia immediately," Fang Ziye said.

“Let’s perform an exploratory laparotomy…” Nie Mingxian’s words were even simpler. He spoke at the same time as Fang Ziye, but Fang Ziye stopped midway through his sentence.

"Rush her to the operating room immediately!"

Director Huang instructed the others in the emergency department: "Contact the operating room and activate the green channel for multiple injuries. The preoperative emergency blood test has already been sent away, and we can only wait for the results during the operation."

"Contact the blood bank, request consultations from cardiology, cardiac surgery, and thoracic surgery, and also request a consultation from neurosurgery..."

Director Huang then looked at Fang Ziye.

Fang Ziye said, "There's no time to open the abdomen again to temporarily stop the bleeding. The gauze has been packed in the abdomen, which has already had a temporary hemostatic effect. We'll go into the operating room immediately."

Fang Ziye watched as the emergency department team began to move along with the gurney, and he pulled back Nie Mingxian, who wanted to follow them directly.

"Let's go to the operating room and wait! We'll start stopping the bleeding as soon as the patient is brought into the operating room."

Nie Mingxian paused, his steps decisive and swift.

On the way to the emergency operating room with Fang Ziye, Nie Mingxian said, "We need to locate the distal and proximal ends of the inferior vena cava and abdominal aorta as soon as possible for this patient."

"After temporary clamping, we try to secure relatively more intracranial blood supply for the patient."

"The time for ischemic necrosis in the head is very short."

"Okay!" Under these circumstances, Fang Ziye didn't have time to discuss it with Nie Mingxian and nodded in agreement.

After taking off their shoes at the door, the two jumped straight in, quickly found a pair of slippers, grabbed a pair of hand-washed clothes, and rushed into the changing room without even putting anything down.

In just three minutes and twenty seconds, Fang Ziye and Nie Mingxian arrived at the emergency operating room. Before the patient even entered, Fang Ziye quickly told the circulating nurse, "Get the trauma surgery lower limb kit, and the vascular surgery aorta and venous kit."

"Prepare several more wound cleaning kits!"

The circulating nurse immediately took stock of the items according to Fang Ziye's instructions and then rushed downstairs to check for any omissions or deficiencies.

At 4 minutes and 1 second, the patient had entered the operating room and was being transferred from the bed to the operating table.

"Can the clothes be cut off? Have you asked the patient's family?" Fang Ziye asked the anesthesiologist.

"There are no family members here at the moment. The person accompanying us outside is a friend of a colleague who can't sign anything, but the on-call supervisor has authorized it," the anesthesiologist said as he began connecting the monitor.

Fang Ziye and Nie Mingxian simply cut the patient's clothes open from both sides, then removed only the front half of the body and the pants before quickly and easily disinfecting the area.

"Let's stop the bleeding and save the life first. The current disinfection methods are not up to standard, so this is the only way."

"If this continues, the patient's life will be in danger."

At approximately six minutes and twenty seconds, Fang Ziye and Nie Mingxian appeared on the stage wearing sterile surgical gowns. They then quickly laid out a large sheet and filled it into the existing incision in the abdomen.

"Equipment technician, could you please come over and help with the hook?" After Fang Ziye and Nie Mingxian divided the work, they found that they still didn't have enough manpower.

However, just then, Dr. Chen Hongxing, the chief resident of the gastrointestinal surgery department, walked in. He was already putting on gloves when he told the scrub nurse who was about to move, "You continue passing the instruments. I'll go up to the table to retract the hook right away. I've brought someone with me."

The doctor's orders were extremely chaotic, but the scrub nurse could understand. In such a super emergency, someone could die at any moment. Everyone was rushing over, so there was no time for handover or preoperative discussion.

Soon, Chen Hongxing went on stage and used both hands to bend over and pull Fang Ziye's hands to help him, but Nie Mingxian on the other side still had to use one hand to pull.

However, after seeing that Chen Hongxing's hook had a wide enough range, Nie Mingxian pressed down on the near end of the hook with his abdomen, forcibly released his hands, and then began to probe inside.

"Who is this guy? He looks unfamiliar." Chen Hongxing frowned as he looked at Nie Mingxian's brows.

Neither Nie Mingxian nor Fang Ziye replied.

Just as Nie Mingxian, who was dealing with the major artery, removed the third piece of gauze, Fang Ziye saw the pool of blood gushing out on the opposite side, quickly put down what he was doing, and then turned to help.

Before Nie Mingxian could utter a single word, Fang Ziye had already used the hemostat in his hand to bypass the gauze, penetrate the abdominal aorta from behind the intestines, and quickly clamp it shut.

After a snap, the gushing blood flow immediately stopped, but a trickle continued, indicating damage to a small or medium-sized artery.

Nie Mingxian glanced at Fang Ziye.

Fang Ziye said, "My position is slightly more advantageous."

"I'm going to deal with the inferior vena cava..."

Nie Mingxian remained silent and continued the surgery. As a professional vascular surgeon, he used a lot of knowledge that even he himself didn't fully understand to meticulously examine and fill in any gaps in the diagnosis of active arterial bleeding in the following stages...

On Fang Ziye's side, the inferior vena cava was not actually damaged; the damage was to the internal iliac artery, and the location of the injury was slightly higher, not affecting the pelvic area. The bleeding further down was from the femoral artery and the front of the thigh.

These localized areas can be addressed later.

"What's the patient's condition now?" Five minutes and forty seconds after Fang Ziye and Nie Mingxian started their work, Associate Professor Chen Minghao from the Department of Vascular Surgery arrived late, having rushed over from home.

Although the time limit was exceeded, the vascular surgery emergency room, Michie, was put on leave due to a surge in patients. The vascular surgery department did not have enough staff and had to close in May.

Since Chief Resident Liu Faming cannot be in two places at once, an associate professor or attending physician has to step in.

An associate chief physician in the anesthesiology department looked at the monitoring panel: "It seems that the blood pressure has stabilized for the time being."

"Are the two vascular surgeons on stage quite professional?"

Upon hearing this, Chen Minghao's face twitched slightly: "Huh?"

"They're vascular surgeons? What am I doing here?"

The deputy director of the anesthesiology department looked at Chen Minghao blankly.

During emergency surgery, he's only concerned with raising blood pressure, administering medication, checking electrolytes, and correcting imbalances. Who cares who the surgeon is?
Chen Minghao immediately saw Fang Ziye looking up, breathed a sigh of relief, and looked at the confused, conflicted, shocked and frightened deputy director of the anesthesiology department, saying, "It's okay, it's okay, there are people from our vascular surgery department on stage."

Chen Minghao had already treated Fang Ziye as half a vascular surgeon, and was forcibly taking over his responsibilities.

Fang Ziye has the authority to dispose of blood vessels in the limbs, but he does not have the authority to dispose of blood vessels in the abdomen.

After the anesthesiologist's expression softened, he pointed to the anesthesia machine.

Chen Minghao quickly went out to wash his hands again.

However, after Chen Minghao washed his hands and went up to the operating table, looking at the surgical field where only a few small arteries and veins remained for suturing, he felt confused...

He glanced at Fang Ziye, then hesitated, as if he wanted to say something but stopped himself.

This genius is truly unreasonable. Based on the amount of work Fang Ziye has handled, it would take Chen Minghao at least an hour to complete it himself. Yet Fang Ziye was able to finish the battle in just a few minutes. This is ridiculously overpowered!

Chen Minghao had no idea that Nie Mingxian, who was sitting opposite Fang Ziye, was a super helper...

(End of this chapter)