top student at medical school
Chapter 461 No wonder it was hard to explain
Chapter 461 No wonder it was hard to explain (Please subscribe)
"Dr. Fang, have you had breakfast yet?" When Fang Ziye was sent by Liu Huanglong to call Deng Yong, he passed by a ward and an auntie who was going out to get water asked him very warmly.
Fang Ziye remembered her; her daughter had been in a car accident a few years ago, and her lower limbs were stiff and her nerve function was damaged. It was his master, Yuan Weihong, who admitted her to the hospital.
Fang Ziye even watched her daughter's film.
"She's already eaten. How is Liao Yue's recovery going? Is she still afraid to get out of bed?" Fang Ziye asked while searching through his contacts.
Fang Ziye has been receiving a lot of phone calls lately, so he needs to search for the teacher's number.
"She's still a little timid; she's always been timid. But she's much better than before. She can now practice the rehabilitation exercises you've instructed her to do normally in bed."
"They said it hurts a lot."
Fang Ziye replied, "There might be a little, but we must persevere."
"I'm going to make a phone call, Auntie, you go ahead with your work." Fang Ziye knew she was going to get hot water.
"Dr. Fang, let me get you some fruit." The woman turned around.
"No need, thank you Auntie. I'm going out of the operating room soon and won't have time to eat. Please eat more..."
After saying goodbye to the polite aunt, Fang Ziye called both his teachers, Deng Yong and Professor Han Yuanxiao, to talk about the "medical touts".
"Okay, Ziye, you don't need to worry about this. The hospital has a special department to handle similar situations."
“There was a crackdown for a while before, but it hasn’t happened for a long time,” Deng Yong replied.
“Okay, then thank you for your hard work, Master,” Fang Ziye said.
Deng Yong replied with a mixture of resentment and indulgence, "What can I do? Who told me to be your master? Haven't you caused me enough trouble and hardship?"
Fang Ziye thought for a moment and chuckled.
"Master, I'm going to get busy..."
Is Deng Yong a good person? He is really too good. He always takes the blame without complaint.
In the past, whenever Yuan Weihong had something he couldn't handle, he would just push it onto Deng Yong. Deng Yong would never shirk responsibility, and no matter how embarrassing the situation, he would take it on.
When asked if he learned Fang Ziye's manual repositioning technique from him, Deng Yong nodded in agreement.
Anyway, don't ask. If you do ask, all of Fang Ziye's basic skills came from Deng Yong. It's just that Fang Ziye has surpassed his teacher.
"Master, will you be back in October?" Fang Ziye asked again, reluctant to hang up the phone.
"We'll see. If you come to the hand surgery department, I won't go back yet. But if you still don't come, I'll have to go back no matter what."
"Where would I be so dedicated to supporting the hand surgery department that I neglect my own family?"
“However, Han Yuanxiao might not be coming back,” Deng Yong hinted to Fang Ziye.
Deng Yong was simply implicated. Director Du's "targeting" of Deng Yong was because Deng Yong was incompetent, failing to even properly protect his own students. Han Yuanxiao, on the other hand, was purely stirring up trouble.
“Master, many patients here miss you. Many people have asked why they haven’t seen Director Deng even though they were admitted to the hospital.”
"Even Professor Liu can't handle this kind of problem. After all, you are the most professional in trauma surgery."
“Recently, Professor Liu also talked to me. He said that since he is a hand surgeon, he can’t stand to see hand surgery decline anywhere. So it’s best for professionals to do what they do best.”
"But the premise is that he has to do what he's supposed to do."
"However, Professor Liu made a request, hoping that I would serve in two departments simultaneously... This is something that has never happened before in the department or the hospital, except for the head of the department," Fang Ziye replied to Deng Yong.
Deng Yong laughed and scolded, "Just tell me the last sentence, otherwise Professor Du will definitely say that you are turning against the Heavenly Gang. After all, Director Du is still the director, and Director Du's character, skills and abilities are top-notch."
"He is also very broad-minded. You've been causing trouble in the orthopedics department for so long, but he has never interfered with your growth. That alone speaks volumes."
"If you encountered someone else, you would probably have to choose between trauma surgery and joint surgery."
After finishing his call with Deng Yong, Fang Ziye felt much more at ease. He returned to the ward round team, finished his rounds, and went straight to the operating room to begin his day of hard work.
Both surgeries are now routine procedures in the department.
However, even in the standard way, it is still tiring, mentally taxing, and laborious to operate.
Thanks to the hard work of Associate Professor Chen Fang, Professor Liu Huanglong, and others, who have made progress and are able to help more and more, and the newly arrived Wu Xuanqi is also outstanding, Fang Ziye's workload has been reduced to only two-thirds of what it was before.
After the second surgery was halfway through, Fang Ziye and Wu Xuanqi went offstage to have dinner.
Wu Xuanqi followed behind Fang Ziye and said with emotion, "Ziye, although I knew you were making rapid progress back in Enshi, looking back, it's only been a little over a year and you've already reached your current level."
"Although some people occasionally praise me as a little genius, I can only admire them."
"Working behind closed doors is not advisable. My mentor, my team, and I have been pondering this for many months, but our progress has been limited."
"But after seeing your entire surgery today, and combining it with the theory you sent me yesterday, I have a sudden realization."
"I feel very strong! Very, very strong!"
Wu Xuanqi is very talkative, and he blends respect, communication, friendship, and internet memes perfectly.
Fang Ziye was also aware of this joke: "Brother Qi, so I can go home in peace now, and you can take over the rest of the surgeries, right?"
"Haha, that makes sense."
Wu Xuanqi smiled knowingly: "One day, I will say those words."
"Ziye, look, I've already infiltrated the team. Can you give me more resources for animal testing?" Wu Xuanqi was the kind of person who would climb any ladder he saw and leave any way out he found.
"Oh, Qi-ge, you should talk to your best buddy Xian-ge about this."
“Currently, he has the management rights to this resource.” Fang Ziye didn’t reply. After washing his hands, he dried them with a towel while waiting for Wu Xuanqi to finish washing his hands.
"fart."
“Nie Mingxian didn’t get involved in this matter.”
"It may seem like he manages this resource, but in reality, he's delegated authority to Lan Tianluo and Li Yuanpei in your group. Nie Mingxian is very sensible; after all, he's still considered an outsider at the moment."
"Li Yuanpei and Lan Tianluo don't care about me, so Ziye, you'll have to say a few words for your brother."
"Not many, just two or three more each week will do." Wu Xuanqi rubbed Fang Ziye's shoulder after washing his hands.
Fang Ziye couldn't help but sigh inwardly, thinking that with Wu Xuanqi's talent and shamelessness, it would be an injustice if he weren't awesome.
Upon hearing this, Fang Ziye said, "Brother Qi, why don't you ask Brother Xian how it's made? Tongji Hospital isn't far from here. After your surgery tonight, you can go straight back to your hospital's animal lab to make it."
“That works too!” Wu Xuanqi nodded after drying his hands.
It is better to teach a man to fish than to give him a fish. Fang Ziye was willing to generously share his model-making methods, and Wu Xuanqi was naturally willing to learn.
There are a lot of people in the hospital who want enough resources to practice.
A gentleman's friendship is as pure as water.
Fang Ziye also showed sufficient respect for Tongji Hospital and trusted the character of his team. Therefore, Wu Xuanqi certainly wouldn't do anything inappropriate.
After the two finished getting their food, it looked like two small mounds of dirt, both of them sticking out.
"That's right, Ziye, your taste is just what I like."
“Surgery is both physically and mentally demanding, so you need to eat more,” Wu Xuanqi said, picking up another chicken leg for Fang Ziye.
Fang Ziye looked around and, seeing no one objecting or glancing in his direction, quickly walked to an empty seat at the dining table.
The number of chicken legs in the operating room is limited.
Regardless of how good the taste is, it's definitely more delicious than ordinary vegetarian dishes. It would be a bit inhumane for one person to eat two or three of them.
During the meal, Wu Xuanqi started talking about something else entirely.
“Ziye, although you may be wary, or you may think I’m being unnecessary, I still have to give you my advice.”
“In our department, the current average length of hospital stay and recovery period is too long,” Wu Xuanqi said, referring to our department.
Fang Ziye's mouth was full of rice and vegetables. He didn't have time to reply. After chewing a few times and swallowing, he asked, "Brother Qi? What did you say?"
“Ziye, actually my master has also done a few cases of damage. Technically, there may be some gap between what you did, but in terms of quality, he should be almost the same as Nie Mingxian. Even if there is a gap, it is within a controllable range.”
"However, the average hospital stay for trauma surgery at our hospital can be strictly controlled to within ten days."
"But here, I asked briefly, and it's around thirteen to eighteen or nineteen days."
"This is enough to prove that the epidermal growth factor at our department's clinical trial site can promote wound healing and shorten the average length of hospital stay for patients."
“Good things should be used, not just routinely. You can apply to become an expanded clinical trial.”
Fang Ziye gently raised his head.
Nie Mingxian had also brought up this topic yesterday, but his enthusiastic recommendation made Fang Ziye a little uneasy, since this was an area he was unfamiliar with.
If the hospital stay can be shortened by five or six days, the department's turnover rate can be increased by 60%, allowing more patients to be admitted.
“Ziye, I don’t know if you understand, but many domestic original pharmaceutical companies are always being watched. They will use all sorts of meticulous methods to make them die in the womb.”
"Due to the gap between domestic and foreign medical device and pharmaceutical industries, it is very difficult to produce original domestic products," Nie Mingxian said.
Fang Ziye nodded: "Brother Xian, that thing is actually a bit expensive."
"The clinical trial is paid for by the company, and patients do not have to pay. They just need to agree to have their data collected."
“I understand your concerns, but our department has been using it for almost half a year, and the postoperative follow-up data are all quite good.”
"This is a double-blind procedure. We are only responsible for using it, not for data collection or follow-up. However, we can see the data reports and decide whether to stop the medication at any time."
"It can also reduce the degree of scar hyperplasia to some extent."
"Of course, it's not a miracle drug; it won't eliminate scars after use," Wu Xuanqi said objectively.
Fang Ziye then said, "Brother Qi, didn't you say yesterday that I didn't need to know these things so early?" Wu Xuanqi smiled and said, "After thinking about it all night, I feel that you, Ziye, are already qualified to know these things."
"Ziye, think about it. The reason why the cost of many fracture surgeries in our orthopedics department has been able to come down is because of centralized procurement and the emergence of domestically produced medical devices, which have broken the monopoly."
"In terms of promoting wound healing, if we want to capture the market and lower prices, we can only rely on original domestic products."
"Either focus on volume or focus on price."
"But in our domestic market, we can absolutely focus on price. The use of drugs can improve patients' treatment experience and reduce complications, which is a win-win situation."
Fang Ziye said, "Brother Qi, why don't you go talk to our director about this? He has a broader perspective than I do."
"Once you convince Professor Liu, everything will be fine."
Wu Xuanqi shook his head: "Bullshit."
"Don't think I don't know. If you just disagree, even Professor Liu will respect your opinion."
"After all, this drug once capsized your ship. If I don't convince you, nothing else will work."
"In the hospital, as long as you are outstanding enough that nothing else can overshadow you, you are the boss. This has little to do with professional titles."
"Moreover, you have impeccable political background. Both your teacher and your mentor are renowned professors at Zhongnan Hospital. Here, you are at the center of the storm." Wu Xuanqi's analysis was very insightful.
"I need to see the raw data first, and we may need to do a second analysis," Fang Ziye stated as a condition.
Following the crowd blindly is the beginning of idiocy.
If the original data is fabricated, it is easy to detect.
Even if the person opposite him was Professor Duan Hong, Fang Ziye would still have some skepticism. He believed in the facts, not in one or two individuals.
Unless it's someone you absolutely trust.
Wu Xuanqi is clearly not one of them.
"Okay! I'll get it for you right away."
"Another thing is that Mr. Chen hopes you can be listed as a part-time engineer in drug development and medical device development, so that you can help take a look when certain problems arise."
"No contract is signed, it's just a verbal agreement, and there are no restrictions on your personal freedom."
"Boss Chen values talent very much, and the monthly allowance he gives is quite substantial, at least no less than your monthly salary. All you need to do is offer a few suggestions occasionally."
“These are Mr. Chen’s exact words,” Wu Xuanqi added.
Fang Ziye refused without even thinking: "Brother Qi, I can't agree to this for now, at least not until I become the chief physician."
"Because I don't have that much time."
"Do what you are capable of, do what you are paid for. I don't like to take advantage of others. I'm unhappy when others take advantage of me, and I won't take advantage of others."
Those who take people have short hands and eat people with soft mouths.
The sweet words of money are useless. Fang Ziye loves money, but he has now temporarily solved his financial burden and is no longer the Fang Ziye who needed to rely on Alipay to make ends meet.
Who wouldn't love earning hundreds of thousands a year?
But once you've taken the money, you have to do the job.
"Deal! Even if you're promoted to professor instead of chief resident, Boss Chen would still welcome you. He likes you as a person, not your title."
"Of course, Mr. Chen also hopes that you can promote the various techniques of damage as soon as possible. He has said that he will fully fund any similar lectures and training courses you conduct in the future."
“You can’t refuse this. You’ll give this money to whoever gives it to you. Boss Chen wants to see the medical conditions in our province become more and more advanced.”
"He is from Hubei Province, so he will inevitably favor Hubei Province first, and then consider other provinces."
"And I can tell you very clearly that the reason why patients in Enshi have lower medical costs than those in other prefecture-level city hospitals is because they have driven down the prices!" Wu Xuanqi emphasized again.
Fang Ziye remained silent.
Fang Ziye witnessed that incident firsthand when he was in Enshi.
Boss Chen may have squeezed the cost of medical equipment and medicines in Enshi too much and failed to provide sufficient financial support to his employees, which led some people to take drastic measures.
People from the same company, working in different places, can receive vastly different salaries, which will inevitably lead to internal imbalances.
After Fang Ziye didn't reply, the two of them started eating voraciously...
After finishing their meal, the two washed their hands, got dressed, and went on stage.
Then Liu Huanglong and Associate Professor Chen Fang will step down to have lunch, allowing the surgery to continue uninterrupted.
Of course, after returning to the operating table, Wu Xuanqi still watched the surgery as an assistant and observer, and didn't have many opportunities to participate.
However, Wu Xuanqi clearly observed more carefully and attentively than the others, and was able to understand more details and doubts.
This gave Fang Ziye a rough idea of Wu Xuanqi's skill level.
He's probably slightly below Lan Tianluo in skill, but far superior to Jie Han, Liu Haojiang, and others. And this is despite Wu Xuanqi not receiving formal training; such talent is still incredibly formidable.
Wu Xuanqi has a deeper professional background, so his learning rate curve is definitely faster than Lan Tianluo's.
As the surgery neared its end, the patient was returned to his ward by the attending physician.
Liu Huanglong and Associate Professor Chen Fang also left one after another.
Fang Ziye didn't rush to leave this time.
He had nothing to do today, so he waited for Luo Tingzhu to go back together.
No one in the operating room dared to object to this.
Luo Tingzhu and Fang Ziye are now the standard "perfect couple" in the operating room; either of them is a talented and good-looking individual.
After more than two months of immersion, Luo Tingzhu has now barely grasped the basics of sensorimotor separation anesthesia, and Professor Zeng Quanming no longer needs to be by her side to provide guidance.
Furthermore, Luo Tingzhu also has the drug dosage calculation formula given to her by Lan Tianluo, and with Fang Ziye's real-time corrections and guidance, Luo Tingzhu is now a special presence in the field of nerve block anesthesia in the Department of Anesthesiology.
Of course, she also tried her best...
After packing his personal belongings, Wu Xuanqi invited again, "Ziye, Tingzhu, are you really not going out to eat together today?"
“Actually, Tingzhu and my wife Tang Yue have a lot in common. She was also very interested after hearing about local sensory-motor dissociation anesthesia.”
After Luo Tingzhu finishes her surgery, she needs to take the patient back to the operating room. After that, she also needs to clean the anesthesia table and equipment, so Fang Ziye will have to wait a long time.
"Brother Qi, we're really not going today."
"Let's wait until the weekend. We have other plans today. Sorry," Fang Ziye said.
Tonight, Luo Tingzhu plans to take Fang Ziye to her roommates' dinner party.
This was the first time Fang Ziye had appeared in her roommates' circle as her boyfriend.
Although Luo Tingzhu didn't have a good relationship with her roommates and always kept to herself.
However, the camaraderie in university dormitories is ultimately a special kind of relationship, and on the surface, everyone still has to maintain a facade of harmony.
"Then next time."
"However, Ziye, since you have some free time, I still want to ask, after damaging the hip joint, is the treatment of the joint surface completely different from the treatment of soft tissue?" Wu Xuanqi was genuinely seeking advice.
Fang Ziye nodded upon hearing this: "That's right. The difficulty of damage that crosses the joint surface is actually quite different from that of damage that does not cross the joint."
"As you know, joints involve multiple bones..."
The distinctions between different types of diseases are quite significant.
Each of these could be taken out and given a simple lecture, which is the fundamental reason why Fang Ziye couldn't cover professional operations in a single lecture before.
Trying to express too much at once, mixing it all together, will only confuse the audience more. It's better to keep it simple and pure.
Ten minutes passed.
Wu Xuanqi sighed, "There are so many things, it's definitely not something that can be explained in just one or two hours. No wonder it's hard to explain. It's not that you can't explain it, but that the subtle changes are too great, so it can't be discussed in a systematic and generalized way."
"That's interesting. The more difficult the mountain, the greater the sense of accomplishment after climbing it."
"Ziye, I suddenly had an idea. I'll think about it carefully when I get back before bringing it up, so as not to make a fool of myself."
"If you're not going out to eat, then I'll be going now," Wu Xuanqi said, standing up and patting his butt.
"Brother Qi, you and your wife should enjoy some time alone together," Fang Ziye said with a sly smile.
Upon hearing this, Wu Xuanqi instantly understood Fang Ziye's meaning, and grinned, saying, "That damn Nie Mingxian is so petty. He has to make a big fuss about such a small thing in front of the whole world..."
After Wu Xuanqi walked out, his voice grew softer and softer.
Luo Tingzhu finally returned, and Fang Ziye went up to listen to Luo Tingzhu's instructions and help.
Fang Ziye didn't understand anesthesia, and his knowledge wasn't as comprehensive as Luo Tingzhu's, so he didn't know how to handle the situation.
After everything was packed up, Luo Tingzhu picked up her phone and replied, "Coming, coming, our surgery just ended."
"We should be there in about twenty minutes." Luo Tingzhu's tone was becoming more and more down-to-earth.
It was as if Fang Ziye, this toad, had pulled the swan back to the human world, thus giving her more and more of a down-to-earth quality.
This time, after leaving the operating room, Luo Tingzhu took Fang Ziye's hand and led him to the side of the road, her face radiating youthful energy, as if her adolescence had just begun...
The whole world is light and joyful.
(End of this chapter)
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