top student at medical school
Chapter 423 A New Definition of Superior!
Chapter 423 A New Definition of Superior! (Please Subscribe)
The work of seeing patients in the emergency room of a trauma center is relatively monotonous and boring.
The tasks are very simple: receive emergency patients, call for surgery, and be called for emergency consultations; it's all just short-distance running.
These days are much more relaxed than before when I had to perform emergency surgeries.
June 8th, the first day of the National College Entrance Examination (Gaokao).
After Fang Ziye entered the clinic carrying a bag of takeout food, he first handed Nie Mingxian a cup of coffee: "Brother Xian, here's your latte."
Nie Mingxian didn't stand on ceremony. He raised his right hand, tilted his head to stretch his neck, and then said, "You've only rested for a few hours?"
"Can't sleep?"
Fang Ziye nodded: "I've found that people are inherently fickle. When they're exhausted to the point of death, they crave leisure. But once they actually have some free time, their hands start itching again, and they always feel like they can't stay idle."
Nie Mingxian picked up the coffee on the table: "An hour ago, Director Han personally went to the surgical clinic and got the patient into the operating room."
"The doctor on duty in the ward said that the patients and their families who are scheduled for elective surgery are a bit noisy."
Nie Mingxian smiled, not mocking, but with a hidden meaning.
Fang Ziye's eyes darted around, and he immediately understood what had happened.
When Wang Yuanqi was in Fang Ziye's current position, all that was needed was emergency consultations and referrals for surgery, which was naturally simple, and the essential difference between Fang Ziye and Wang Yuanqi could not be seen.
After the two switched places, Fang Ziye remained firmly in the emergency trauma center clinic, while Wang Yuanqi couldn't hold on any longer.
Fang Ziye put down the straw, sipped his coffee, and finished it: "Brother Xian, there's no need to seek out this kind of amusement. Senior Brother Wang Yuanqi had no choice either; it was Director Han who arranged all of this."
"Director Han personally handles all emergency surgeries; such character is worthy of our admiration and emulation."
"For junior doctors like us, having two elective surgery days a week is already very, very good. Look at my mentor, look at Professor Deng and Professor Liu, they only have two surgery days a week."
Nie Mingxian smirked: "Ziye, you're the one who's acting like a prostitute and the one who's pretending to be virtuous, so I'm just a slut who's wavering between the two sides, right?"
Fang Ziye quickly replied, "Brother Xian, I was just stating a fact. How am I contradicting myself?"
"Having an itch to have surgery and actually having surgery are two different things, right?"
Nie Mingxian knew that Fang Ziye was an employee of the institute, so he had to be careful with his words to avoid suspicion. For the time being, Nie Mingxian was still a free man, and he could speak out directly when he saw injustice.
Just as Nie Mingxian was about to reply, Fang Ziye's phone rang.
Fang Ziye first reached out to stop Nie Mingxian, then took out his phone and paused after seeing the caller ID: "It's Director Han."
Nie Mingxian quickly put the coffee on the table, put his hands behind his back, and started eating melon seeds.
"Director Han! This is Fang Ziye." Fang Ziye answered the call.
"Is there anyone else in the trauma center's emergency room besides you?" Han Yuanxiao asked a little urgently.
Fang Ziye glanced at Nie Mingxian and shook his head: "No. Professor Xie is resting."
Fang Ziye did not mention Nie Mingxian's matter.
Nie Mingxian is not a physician of this hospital. At most, he is an exchange physician. Non-medical staff of this hospital are not allowed to hold outpatient clinics, except for experts and professors.
"Then call Xie Jinyuan and ask him to see patients at the trauma center for a while. You come to the operating room," Han Yuanxiao instructed.
"Okay, Director Han." Fang Ziye agreed without asking what he was going to do.
Han Yuanxiao is not someone who doesn't care about his reputation. He was able to call for help despite pressure from all sides, and the person he called was himself, which proves that Han Yuanxiao has broken through his inner barriers.
Upon hearing this, Nie Mingxian's eyes lit up: "Please tell me in detail what happened later!"
After saying that, Nie Mingxian signaled to Fang Ziye that he could leave, and that he would handle the matter of Associate Professor Xie Jinyuan.
Fang Ziye nodded.
Before leaving, he cautiously said, "Brother Xian, you should still call Teacher Xie to let him know. That would be more prudent."
If Xie Jinyuan authorized Nie Mingxian to run outpatient clinics, then even if something unexpected happens, he will definitely have to step up.
Otherwise, either Xie Jinyuan himself will come, promising to take responsibility but then breaking his word. This is not a place for Xie Jinyuan to make his own decisions. Just the accountability of Liu Huanglong alone is enough to give Xie Jinyuan a hard time.
Not to mention Nie Mingxian's other identities.
……
When Fang Ziye arrived at the operating room, he found that there were only two things to do.
One thing Professor Du Yuanxian suggested was that Fang Ziye come over and help administer anesthesia, so that he could interact with the surgeon during the operation.
The second thing is that I hope Fang Ziye can come and help me with a wound cleaning!
These are two separate matters, and also matters concerning two patients.
Both patients were brought in by Nie Mingxian from the trauma center clinic...
Professor Han Yuanxiao and his team are cleaning the damaged area.
In the past, if it were Zhongnan Hospital, and the wound cleaning was ineffective and a lot of necrotic tissue was found, they could have advised the patient to have an amputation.
However, the trauma surgery department has not performed amputations for a long time now. Han Yuanxiao was envious of Deng Yong's group's limb-sparing surgery for severe injuries and insisted on trying it himself, which led to him getting into an awkward situation halfway through.
At this point, he either had to "lost face and have his leg amputated" or swallow his pride and "ask for help." Fortunately, Han Yuanxiao was a man of flexibility and chose the latter.
After Fang Ziye nodded in agreement, he was first taken to receive anesthesia.
Patients who are anesthetized have multiple soft tissue injuries in their feet and need to have their tendons sutured by a hand surgeon.
Upon arriving at the adjacent operating room, Fang Ziye saw two familiar faces.
Senior Brother Wang Yuanqi and Senior Resident Zhu Hui of Hand Surgery.
The anesthesiologist was Professor Du Yuanxian, who had completed the pre-anesthesia drug preparations and was now just waiting for Fang Ziye to arrive.
"Dr. Fang, you've arrived! You've come at the perfect time. I encountered a very special case today. It looks like the injury covers a wide area, but actually, the area of his injury is just right for peripheral nerve block anesthesia." Du Yuanxian smiled brightly.
No sooner had Professor Du Yuanxian finished speaking than Zhu Hui, a hand surgeon, chimed in, "Ziye, you not only single-handedly improved the quality of emergency surgery, but you also improved the quality of anesthesia!"
Although Zhu Hui's words sounded a bit sarcastic, everyone at the moment thought they made a lot of sense.
"Brother Hui, I've been taken advantage of like this. Aren't you even a little bit sorry for your brother?" Fang Ziye replied with a wry smile.
Fang Ziye received anesthesia, but the anesthesia fee wasn't collected by the orthopedics department, so no matter how hard Fang Ziye worked, he didn't get a single penny.
According to Chinese law and the principle of distribution according to work, Fang Ziye was simply taken advantage of.
It's not appropriate to discuss money directly with patients, so Fang Ziye expressed himself rather cryptically.
This is neither the first time nor the second.
If Fang Ziye remembered correctly, this was the ninth time Professor Du Yuanxian had asked him to administer anesthesia!
Of course, despite the complaints, Fang Ziye still very honestly put on gloves and then began to carefully examine the patient.
Whether or not nerve block anesthesia is suitable is ultimately determined by the anesthesiology department, but as a trauma surgeon, Fang Ziye also needs to assess the course of the wound.
Upon hearing this, Professor Du Yuanxian said, "Ziye, as long as you are willing to come to our anesthesiology department, it's not a problem."
Du Yuanxian rubbed the distal joint of his right thumb against the distal joints of his index and middle fingers.
Fang Ziye doesn't care about such things.
After the assessment, under the guidance of Professor Du Yuanxian, the key point for nerve block anesthesia was found, and then the anesthetic infiltration range was controlled within an appropriate range with an "unbelievable" puncture technique.
After administering the anesthesia, Fang Ziye asked the patient, "Are you still in pain?"
"Hey, it seems much better."
"No, it doesn't hurt anymore." The anesthetic takes effect very quickly.
Even if it's just a local anesthetic.
It completely cured the pain.
Fang Ziye completed all of this in just over a minute. After removing the needle, he stood up decisively.
"Professor Du, this anesthesia should last for about two hours."
"If the surgery isn't finished yet, you'll need to be under general anesthesia."
“Okay!” Du Yuanxian nodded.
"Thank you for your hard work, Dr. Fang."
Du Yuanxian looked at Fang Ziye with eyes full of envy and longing.
Immediately afterwards, Fang Ziye left the operating room in a very open and easy manner and walked to the operating room next door.
After Fang Ziye left, Zhu Hui, who was relatively older, asked, "Professor Du, I think Ziye only lasted about a minute. You guys couldn't do that yourselves?"
Du Yuanxian turned his head and glanced at Zhu Hui.
Zhu Hui immediately started shouting: "Get to work, get to work! Start disinfecting and laying out the towels right away..."
Can the difficulty of operation be simply assessed based on the length of time it takes?
When Fang Ziye arrived at the adjacent operating room, everyone inside had stopped their procedures, their faces filled with confusion and helplessness.
The reason why catastrophic damage is defined as catastrophic damage is that it loses its activity after being injured, and according to the current understanding, it should be removed.
To reverse damage through skillful manipulation, one either needs incredible basic debridement techniques or a specific method.
This conclusion was reached by Professor Han Yuanxiao, Associate Professor Peng Long, Associate Professor Chen Fang, and several others after nearly a week of work.
Since Wang Yuanqi and Fang Ziye switched positions, all emergency surgical tasks have naturally been transferred to Professor Han Yuanxiao's team, including those involving trauma.
This is the second damaged machine that our department has taken on.
Fang Ziye operated the first machine himself, and Professor Han Yuanxiao felt that it wasn't too difficult, so for the second machine, he thought he would try it himself.
However, we have still ended up in this awkward situation.
Fang Ziye had already washed and disinfected his hands before entering the operating room. He walked into the operating room with his hands clasped together in a "devout" manner. After changing into a sterile surgical gown and putting on sterile gloves, he slowly moved to the side of the operating table.
Seeing this, Associate Professor Peng Long very sensibly gave up his position as the first assistant, and then Han Yuanxiao's position as the chief surgeon and Fang Ziye's position as the first assistant were transferred to each other.
However, before the surgery officially began, Fang Ziye had to carefully reread the surgical field of the wound.
After all, this wasn't the first surgery Fang Ziye treated.
While Fang Ziye was reading the surgical report, Han Yuanxiao explained what he had done: "Ziye, when this patient was admitted, he had a severe injury to the knee joint, and the area of the injury was from the lower third of the thigh to the middle of the calf."
"We discovered this during the debridement process..."
Damage to the joints is definitely a major undertaking.
After reviewing the document, Fang Ziye nodded: "Yes, Director Han, as you can see, the patient currently has erosions of varying degrees in the peroneal nerve, femoral artery, popliteal artery, and tibial nerve."
"The proximal ends of the muscles originating from the medial and lateral condyles of the femur are also almost necrotic..."
"Was the distal femur and tibial plateau of this patient missing on the spot?" Fang Ziye asked, looking up.
Damage also varies in difficulty.
The simplest injuries are to the mid-thigh and mid-calf, which are purely destructive.
The most complicated issue is damage to the hip joint.
Even more complex is purely localized destruction, which is almost unsolvable...
For example, if a finger has been crushed into a pulp, even Fang Ziye could not rebuild it.
The less soft tissue remains, the less likely reconstruction is to be possible.
"Yes, when the patient was admitted to the hospital, the skin was already damaged, and the distal femur and proximal tibia and fibula, which make up the patella and knee joint, were missing."
"The femoral artery was clamped at the time..."
"I temporarily used an artificial blood vessel to bridge the distal blood supply, but I don't know what to do about this soft tissue."
"The origins of so many muscles that originate from the medial and lateral condyles of the femur have nowhere to attach..."
Muscles have origins and insertions, and generally, the origin and insertion points are located at the bone.
If the bone at the origin of a muscle is missing, it's as if the muscle has become a child who has left home, with nowhere to be found.
Without roots, it is difficult to settle down, and it will be extremely difficult to rebuild its function later.
So much so that even Han Yuanxiao, as a professor, no longer knows how to proceed with the wound cleaning.
If we follow the traditional concept of debridement, the procedure would involve direct amputation and suturing from the mid-thigh.
After examining the patient, Fang Ziye said, "This patient is actually quite lucky. There is still local blood supply in the soft tissue layer behind the popliteal fossa, and the condition of the skin and soft tissue is also excellent."
"In this case, we can start the debridement process from there."
"Before cleaning the wound, it's best to restore blood flow first. This is mainly to make it easier to find and preserve tissue with blood supply during the cleaning process, right, Director Han?" Fang Ziye looked up and asked with a smile.
That's giving Han Yuanxiao plenty of face.
However, Fang Ziye kept referring to Han Yuanxiao as "Director Han," which made Han Yuanxiao feel particularly uncomfortable at that moment.
This proves that Fang Ziye is infinitely moving away from his state.
However, Han Yuanxiao couldn't say that Fang Ziye was wrong to call him Director Han; according to the current internal hospital culture, a director is a director.
Since you're in a superior-subordinate relationship, and others respectfully address you as "Director," what more do you want? This is simply following the crowd.
As for whether or not to call you Teacher Han, let's stick to one point: have you ever taught others?
If you don't have that title, what more do you want? Do you expect others to call you "Dad"?
In the hearts of Chinese people, the word "master" is often inseparable from their teacher.
"Improving blood circulation sooner can also reduce the chance of secondary tissue necrosis." Han Yuanxiao nodded in reply, then opened his right hand again, giving Fang Ziye more room to maneuver.
"Ziye, you can continue. There's no need to waste time explaining too much." Han Yuanxiao still had some pride and didn't want Fang Ziye to have to come back and waste a lot of time teaching surgeries after he had taken him out of the department.
"Okay, Director Han." Fang Ziye politely began his operation, no longer distracted.
Seeing that Fang Ziye had relaxed and his operation became smoother, it was clear that his wound cleaning technique was indeed different from his own.
People with different levels of basic skills will have different understandings of damage and destruction.
Aside from being a little difficult to understand.
While Han Yuanxiao was assisting, Associate Professors Peng Long and Chen Fang were also diligently reading through Fang Ziye's operating procedures.
Some aspects are understandable, and they know what Fang Ziye wants to do. However, the results Fang Ziye achieves contradict their understanding of the effectiveness of wound cleaning techniques.
This is Fang Ziye, this is the damage Fang Ziye dealt with, and this is Fang Ziye's true strength.
Fang Ziye is also a free agent.
Fang Ziye is an exceptionally talented individual.
When Fang Ziye was still in the trauma surgery department, Han Yuanxiao didn't think much of him, believing that the reason Fang Ziye's team was so great was because the team was strong enough.
However, only a week after Fang Ziye left, Han Yuanxiao finally realized that he had underestimated Fang Ziye.
Fang Ziye's position within the team is almost irreplaceable.
This was also one of the bottom lines that Deng Yong insisted on upholding when he was battling with Fang Ziye: Fang Ziye had to come to the trauma surgery department for elective surgery, otherwise, you shouldn't touch him.
Deng Yong made Han Yuanxiao the ward director because he was afraid of Han Yuanxiao.
Now, Han Yuanxiao himself is starting to regret it.
Actually, Han Yuanxiao's decision to have Fang Ziye leave the trauma surgery department wasn't specifically aimed at Fang Ziye, but rather he wanted to build a more complete and orderly platform for himself.
Han Yuanxiao has a master's degree, a doctorate, is a chief resident, an attending physician, and two associate professors. Is that a complete setup?
全!
That's how Deng Yong got up before.
At that time, Professor Deng Yong was not yet the chief resident.
However, Han Yuanxiao now feels that his decision was simply digging a hole for himself.
During the few months that Fang Ziye served as chief resident, he single-handedly raised the quality standards for emergency surgeries in trauma surgery.
March, April, and May—a quarter.
The trauma surgery department only performed three amputations.
Although Fang Ziye personally performed all these amputations, it was still a 'miracle' for Zhongnan Hospital.
After Wang Yuanqi took over as chief resident, he performed two amputations within a week.
Fang Ziye was only responsible for assessing whether emergency patients needed surgery, while Wang Yuanqi was responsible for assessing what kind of surgery to perform.
As the chief resident, why aren't you conducting an assessment?
Since you're in this position, you have to fulfill your responsibilities and do this job.
Whether you choose limb preservation or amputation is your choice.
From a guidelines and medical perspective, the amputation performed by Wang Yuanqi was 100% appropriate. Even if you had a team of experts from Peking Union Medical College Hospital, Jishuitan Hospital, and Huashan Hospital to assess the indications for amputation surgery.
They didn't dare utter a single fart!
Not all hospitals in China are top-tier hospitals like Jishuitan Hospital or other top-tier hospitals. Therefore, according to the guidelines, the indications for amputation can only be broader than those in these top-tier hospitals.
However, since the patient was fine, the hospital's medical affairs department discovered something was wrong during their investigation, so they called Han Yuanxiao to find out what was going on.
Amputation, death, and paralysis are all diseases that are close to being 'terminal'.
If a similar patient appears in the hospital, the medical affairs department will definitely need to investigate.
In particular, regarding death cases, whenever there is a death case, a departmental discussion on the death case must be held; this is the most basic medical procedure.
If the frequency of amputations increases, the hospital will definitely have to investigate.
Therefore, Han Yuanxiao had to take the lead again and begin to treat the damage, hoping to avoid amputation.
However, for the first surgery, Fang Ziye was called in.
For the second surgery, Fang Ziye was called in again...
"Huh? This?~" Peng Long and Associate Professor Chen Fang both gaped in astonishment.
I stared in disbelief at the scene before me.
Muscle tissue that was previously determined to have no blood supply was miraculously given blood supply through Fang Ziye's manipulation!
Is this something fabricated out of thin air?
Or was I just blind before?
They knew that Professor Deng Yong's group was working on limb-sparing surgery for severe injuries, but Peng Long and others basically never went to see it.
Deng Yong has no shortage of people!
Even if you only glance at it once or twice, do you think you can learn it? If you can't learn it, then joining in the fun is just asking for trouble.
……
As Fang Ziye continued his operations, everyone gradually became numb to it.
That's perhaps the difference.
Although Fang Ziye was young, his talent was high enough that he was able to reach that incredible level.
Although Deng Yong never openly publicized this matter in the department, it was unnecessary. Fang Ziye's abilities did not need Deng Yong to boast in order to elevate Fang Ziye's status.
The time on the operating room timer panel ticked away.
At two hours and forty-three minutes, Fang Ziye put down the knife in his hand.
The surgery was not yet complete, but Fang Ziye had already finished the debridement. The remaining issues were the bone defect and the treatment of muscle attachment.
This is not under Fang Ziye's jurisdiction. Although Fang Ziye could do it, there is no need for him to.
Professor Han Yuanxiao can lead a group independently and handle these issues, so there's no problem.
So, after putting down the knife, Fang Ziye looked up and asked with a smile, "Director Han, I've finished the wound cleaning. The rest will require Director Han, Professor Peng, and Professor Chen to come in person."
Upon hearing this, Han Yuanxiao took a deep breath.
"You've worked hard, Ziye."
"You'll still be on duty in the emergency trauma center clinic, right?" Han Yuanxiao asked.
It's really just giving yourself a way out.
Fang Ziye was willing to give him a way out, nodding and saying, "Yes, Professor Xie is seeing patients now. I'm afraid if I go back late, he'll scold me."
"No problem, I'll call Xie Jinyuan later to explain."
As the director, Han Yuanxiao couldn't possibly remain silent.
Fang Ziye looked around and, seeing no one blocking his way, stood up, silently took a few steps back, and then began to take off his gloves and loosen his clothes.
The circulating nurse also took the initiative to help Fang Ziye loosen his collar.
-
After Fang Ziye left the operating room, Associate Professor Peng Long sighed: "Director Han, what if Ziye hadn't been kept in the hospital, and had been recruited by Peking Union Medical College Hospital or Tongji Hospital?"
"I simply can't imagine what kind of situation our department will be in over the next few decades."
Han Yuanxiao didn't speak, but was processing the rough embryo of the surgical field that Fang Ziye had polished.
After carefully examining the extent, length, and width of the bone defect, he said, "No matter what Ziye chooses, we will definitely not let him go."
"Professor Deng will not agree, Professor Dong will not agree, Professor Li will not agree, and Professor Du Xinzhan will not agree either."
"Dean Wang would never agree to that!" Han Yuanxiao gave a series of examples.
After saying that, Han Yuanxiao looked up and said, "Don't forget what happened at our hospital last year."
"Ziye has now reached the point where he has connections at higher levels."
As soon as Han Yuanxiao spoke, everyone fell silent.
How could they be unaware of that matter?
Because of Fang Ziye, Deng Yong joined a project team, but was ultimately rewarded without his consent. In turn, the person who rewarded him was punished.
This matter has not yet been definitively resolved; the cause remains unknown.
But no one can ignore this matter.
However, upon hearing Han Yuanxiao mention this, Peng Long and the others became puzzled again.
If that's the case, Director Han, why are you still trying to remove Fang Ziye from his position? Aren't you just asking for trouble?
……
Fang Ziye finally got to experience being in charge again.
The feeling of having surgery is very good.
If only we could have one surgery like this every day, that would be wonderful.
Fang Ziye found himself somewhat "obsessed," actually enjoying the "pleasure" of being both tired and busy.
Moreover, how can a doctor expect to have surgery performed?
Of course, Fang Ziye quickly calmed down.
Some surgeries don't prevent the patient from being harmed if the surgeon doesn't perform them; in fact, without the surgeon's intervention, there might be more limbs that need to be amputated.
After Fang Ziye returned to the emergency trauma center clinic, Associate Professor Xie Jinyuan and Nie Mingxian discussed the issue of manual reduction.
Xie Jinyuan was the one doing most of the talking, while Nie Mingxian listened and occasionally offered his own ideas.
Upon seeing Fang Ziye, Xie Jinyuan joked, "Look, the top expert in manual repositioning has arrived. You can chat with him."
Nie Mingxian asked, "Ziye, have you eaten?"
"Not yet, the surgical meal room isn't open yet," Fang Ziye replied after glancing at the time.
"Perfect timing, let's order takeout together..."
"Teacher Xie, would you like to eat with us?" Nie Mingxian turned to look at Xie Jinyuan.
"I won't get involved. I'm going home to have dinner with my son." Xie Jinyuan said with a smile, his face full of happiness.
Since Fang Ziye arrived, Xie Jinyuan has had an incredibly easy time; he's practically a figurehead manager.
Nie Mingxian could only feel envy and began ordering food.
……
In the afternoon, around four o'clock.
As Fang Ziye and Nie Mingxian were each scrolling through their phones in the consultation room, the door was pushed open.
The two instinctively put their phones away and then sat up straight.
They assumed it was a patient and their family members who had come.
Unexpectedly, it was Han Yuanxiao who entered, carrying a fruit platter. He smiled and said, "Ziye, Dr. Nie."
"Director Han!" Fang Ziye stood up, paused for a second, and then quickly offered his chair.
"Why are you here?"
After entering, Han Yuanxiao put down the fruit plate and said, "There isn't a single outsider here. You're not even calling me Teacher Han anymore, are you? Ziye, do you have a big problem with me?"
Fang Ziye shook his head: "Director Han, I'm just afraid that if you're too nice to me, I'll become embarrassed and won't know how to handle different situations in the future."
"In my heart, Director Han and Teacher Han are the same."
Nie Mingxian immediately went over to make tea and soon brought over disposable cups.
"Director Han, this is Professor Xie's stock. It's still a little hot." In the trauma center's consultation room, it's a blessing to have a cup of tea; it certainly can't compare to what's in the director's office.
After Nie Mingxian put down his water glass, Han Yuanxiao said thank you, then looked at Fang Ziye with a complicated expression and said, "Ziye, are you adjusting well to the trauma center?"
"Thank you for your consideration, Director Han. It's just that the working hours are a bit longer, but the workload is actually much lighter."
"I'm sorry to have troubled you, Senior Brother Wang." Fang Ziye dared not fail to express his gratitude.
For Fang Ziye, Han Yuanxiao's arrangement reduced his burden while increasing his performance coefficient, which was a win-win situation.
“Wang Yuanqi will always have to serve as the chief resident! He has to be on duty morning and night.”
"Ziye, don't worry. I arranged for you to come to the trauma center clinic so that the department can work together for a while longer."
"As you know, after Professor Dong left, our department has not yet found a very suitable person to lead the group. The three groups have been merged into two groups, and we need to work on the coordination from top to bottom."
"Taking advantage of this adjustment period, let Ziye get away from the chaos of emergency surgeries and move forward with peace of mind. That's what both Teacher Deng and I hope to do."
"But this requires some groundwork."
"As you know, you had emergency surgery and elective surgery last month. That must have been exhausting. I heard that you even had a muscle spasm on the operating table once," Han Yuanxiao explained in a very kind and approachable manner.
Fang Ziye smiled and said, "Thank you for your concern, Director Han. I am indeed a little tired."
"right?"
"Sigh!" Han Yuanxiao sighed deeply as he finished speaking.
Then he said, "Ziye, do you think I transferred you from the department to the trauma center for a sinecure just for my own sake?"
Fang Ziye immediately shook his head, and Nie Mingxian also shook his head in agreement.
But Han Yuanxiao wasn't a three-year-old child; how could he be fooled by Fang Ziye's shaking of his head? "That's not how it is."
"It's because the personnel structure in our department needs to be reorganized and refined."
"According to Professor Deng, your research on damage has been basically completed in the early stages. Although the number of clinical cases accumulated so far is not large, the theoretical accumulation has been completed in a preliminary form. All that remains is to accumulate more cases."
"In this situation, Professor Deng's team should take on more responsibilities and shift the focus of their work to make trauma a specialty of our hospital. As for me, I will have to lead the other people in the department to take over some of the existing cases and try my best to digest and process them well."
"The trauma center's emergency room will become a green channel for trauma patients. As long as the medical consortium is willing to accept patients, they can go through the referral process of the medical consortium. There is no need to worry about not having a bed. They can be admitted directly, orderly and rationally."
"We will try our best to arrange the surgery as soon as possible after the patient is admitted to the hospital."
"So, under this plan, Ziye, do you think it's appropriate for you to remain as the chief resident in the Department of Trauma Surgery?"
"Here, if any potential medical disputes arise in the department, there are emergency surgeries that only you can perform!"
What will you choose?
"But in this situation now, you don't have to make a choice."
"Relative freedom requires the freedom of time."
"Isn't that right?" Han Yuanxiao said, then put down the fruit plate and left the trauma center's consultation room, his back view looking slightly lonely.
After Han Yuanxiao left, Nie Mingxian clicked his tongue in amazement and said, "Those in power are indeed those in power, leaders are indeed leaders. Every time they do something, they leave themselves eight hundred ways out."
"If it weren't for the several cases of severe damage that confirmed we wouldn't get a share of the profits, Director Han probably wouldn't be here saying all this, right?"
have to.
Han Yuanxiao's earnest preamble of seven or eight minutes was shattered by a single sentence from Nie Mingxian.
Upon hearing this, Fang Ziye said, "Brother Xian, there's an old saying that goes, 'If you see through something, don't say it out loud.' If you say it out loud, it loses its meaning."
“My mentor and Professor Liu are not pushovers; they’ve already made arrangements. Why are you fixated on Director Han?”
Nie Mingxian, however, spoke very formally.
"No, I have to keep focusing on this point. I need to understand exactly how you and Director Han will differ in the future."
"Otherwise, I'd rather run away sooner. Why would I follow you around?"
"Leftovers are never really that tasty," Nie Mingxian said to Fang Ziye, tilting his chin to indicate that he was a free adult, not a three-year-old.
Damn it, if you give me a little something sweet, I'll smile at you for two hours and follow you around all day.
Fang Ziye's smile gradually faded.
Looking at Nie Mingxian's expression, a string in my heart unconsciously tugged at my heartstrings.
At that moment, Fang Ziye seemed to understand Professor Han Yuanxiao's predicament a little.
Even if Nie Mingxian was joking, Fang Ziye felt that Nie Mingxian was a very unstable factor. He might leave at any time. He was not part of his team; he was just a passerby.
This was merely a joke by Nie Mingxian.
But between myself and Han Yuanxiao, there has never been a joke.
"Brother Xian, who are you implying, or am I?" Fang Ziye pointed out.
Nie Mingxian shook his head: "I'm not being sarcastic or critical of anyone; I'm just enjoying this world."
"By the way, Ziye, I need to ask you for leave. It doesn't matter whether you approve it or not, but I have to go home for the Dragon Boat Festival."
"I miss my mother." Nie Mingxian quickly changed the subject, his tone serious and formal.
“I miss my parents too, but I can’t leave,” Fang Ziye replied.
“I’ll go check on your aunt and uncle for you, give me the address…” Nie Mingxian suddenly moved two centimeters closer to his ‘brother’.
This gave Fang Ziye a deeper understanding of the word "superior".
(End of this chapter)
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