top student at medical school

When the three of them arrived at the department, the barbecue they ordered had just arrived.

The portion was too large, so it was delivered to three people. The owner even came personally to deliver extra drinks.

"Doctors, if you'd like some late-night snacks in the future, feel free to message us anytime. You're welcome to come to the store for a trial; the food tastes even better in person than takeout," the owner said to the crowd.

There were quite a few people gathered, and the doctors and nurses ate separately, not in the doctors' offices, but in the doctors' lounge.

The space was relatively enclosed, filled with the aroma of cumin and barbecue. A cacophony of sounds mingled together.

As Fang Ziye pushed open the door and entered, Wang Zongkai said, "Our boss is here, Mr. Fang, come and settle the bill!"

Fang Ziye urged Lan Tianluo and Feng Junfeng to find a place to eat.

After scanning the code, the shop owner said, "It's 3,100 in total. Boss, you give me 2888 to make it an auspicious number."

The department has a total of 36 or 37 doctors and nurses, averaging nearly 100 yuan per person, which is well within Fang Ziye's budget.

The shop owner voluntarily lowered the price, and Fang Ziye didn't offer any additional compensation: "Thank you for your hard work, boss."

"Thanks to you guys for supporting my business! After seeing the order on WeChat, I didn't take any more offline orders for over an hour!"

"Ordering via WeChat doesn't incur platform fees, and the prices are the same as offline. If you need anything in the future, just send me a message anytime." The owner smiled happily.

In just over an hour, the turnover reached nearly 3,000, which is considered a surge in orders.

……

It's impossible for a group of grown men not to brag when they're sharing a late-night snack.

Li Nuo, sitting calmly in his home turf, looked at the group of graduate students and doctoral students and said, "Can you believe it? Fang Ziye was not even twenty-five years old six years ago."

"Now, he's already a 31-year-old associate professor! That's the difference."

Upon hearing this comparison, everyone's pupils instantly turned fiery red.

The orthopedic specialist asked, "Professor Li, Professor Fang, at our age, isn't he incredibly skilled?"

Upon hearing this, Li Nuo glanced at Fang Ziye with some difficulty, and then shook his head: "To be honest, at your age, he's even less capable than most of you."

"He took off suddenly."

"But it wasn't sudden. Around the age of twenty-six, Professor Fang gradually perfected his skills, starting from the basics, and progressed step by step from master's to doctoral degrees..."

"So, you all need to work hard too. Maybe you'll be the next Professor Fang or Director Fang," Li Nuo began to paint a rosy picture for the young master's students.

However, everyone knew that Li Nuo was joking.

If it were really that easy to get a prescription, Li Nuo would be more than just an associate chief physician.

But this did not affect Fang Ziye's existence, and it brought back the scene from the dream in everyone's minds.

Young and promising!
Zhu Quanlin, a hand surgeon, took over the conversation: "Professor Fang's growth was not without roots; he used to work much harder than most of you."

"Of course, I'm working even harder than most of you now."

"Don't just daydream and do nothing."

Wang Zongkai said, "Zhu Quanlin, I heard that when Professor Fang came to our department for rotations, he was working under you? How come you didn't discover Professor Fang's potential sooner?"

"If this were a professor in our hand surgery department, you and I would have already taken off."

Zhu Quanlin lowered his head slightly: "Brother Kai, if I had such insight, I would have made a name for myself long ago."

"Besides, this is Brother Wei's top disciple. Even if I could figure it out, I still couldn't beat him."

Fang Ziye's performance during his rotation in the hand surgery department was not particularly outstanding.

“Look at Wei Ge’s vision. Zi Ye, Jie Han, and Tian Luo, which one of them is a normal person?”

"Of course, Brother Wei isn't a normal person either." Zhu Quanlin's face was full of envy, jealousy, and hatred.

The hand surgery department did try to outcompete Fang Ziye, but by the time they realized Fang Ziye's excellence, he had already made a name for himself in the trauma surgery department and was already on the radar of the senior professors.

If a fight really breaks out, the old professors will be in complete chaos, which would be pointless.

Zhu Quanlin said, "Brother Kai, I called Professor Wen, the advisor, right away, but it was still no use."

Wang Zongkai said, "That's still useful. At least Professor Fang is very close to our hand surgery department."

"Director Fang, you'll have to mentor us brothers more often in the future, right?"

“Before, we were in separate departments. You were high and mighty, and we didn’t even have a chance to flatter you. Now that we have the chance, we’re all very open.”

"Picking up a bar of soap is no big deal." Few people in orthopedics are vegetarians; their jokes are always laced with risqué humor.

Upon hearing this, Li Nuo laughed and said, "Brother Kai, Ziye's wife is so beautiful, how could you possibly turn him gay? Well then, I'll be impressed."

"How will you know if you don't try?" Wang Zongkai said, giving him a flirtatious look.

Then, Wang Zongkai lowered his voice again: "Actually, without the older generation of professors around, we can have more fun."

"Although Teacher Zeng is quite young, he is still out of touch with reality. I think having some barbecue here is much more comfortable than yesterday's dinner."

"By the way, Ziye, why didn't Brother Xiao come today?" Wang Zongkai asked quickly.

Su Xiao was only one year younger than Professor Zeng Duoqin, and Wang Zongkai seemed to be quite familiar with him.

"Brother Xiao and Senior Brother Sun Shaoqing have been taken away by the training office for a field training exercise. They won't be back until next Monday after they finish in two or three days," Fang Ziye said.

"This year's New Year's Day is quite special, after all."

When Fang Ziye replied, he raised his phone and took a picture.

Wang Zongkai enthusiastically made a "V" sign and said in the voiceover, "Working overtime makes us happy!~"

Wang Zongkai's proactive and supportive gesture made Fang Ziye feel a little embarrassed.

"Professor Wang, please don't do this, I can't handle it." After sending the video to Luo Tingzhu, Fang Ziye put his phone away.

"Pshaw, what's so special about that?"

"Even if you're out having fun, your brothers will cover for you. That's the unspoken understanding between men."

As Wang Zongkai finished speaking, he saw Lan Tianluo look up at him.

He immediately realized that Fang Ziye's wife had a very important mole inside her, and it was impossible for her to be involved in any gambling schemes with Fang Ziye.

"Of course, we're all decent people. Even if we're going out to relax, it'll be a proper massage or something!" Wang Zongkai said in a serious tone.

"Brother Kai, you look like someone who buys tickets often."

"When will you take the brothers out to broaden their horizons?" Li Nuo said.

How could Li Nuo possibly be a match for Wang Zongkai? "Sure, why don't you invite your father-in-law along? He's even more fun than me."

Li Nuo: "..."

Li Nuo's father-in-law is living a very wild life. After his first wife passed away, he had been quiet for almost ten years, but suddenly he seems to be giving up, indulging in a life of debauchery every day, with his main goal being to never remarry!
The topic suddenly shifted to something else.

Fang Ziye didn't interrupt the laughter and conversation. It was only when the barbecue was almost over that Fang Ziye said, "Jokes aside, doing a good job in clinical practice is our duty."

"This is also our most basic moral principle: being responsible to our patients!"

"Although the new hospital campus hasn't set up practice rooms for you, I've already rented two rooms and bought some basic surgical instruments, so if you want to practice your basic skills..."

"I'll give you the password later."

“Since you’ve come to the new campus with your teachers, older brothers, and me, I won’t let you suffer any losses.”

"Moreover, in our new campus laboratory, our orthopedics department has a permanent position, so if you want to do basic research, you are eligible."

"The premise for doing all this is that we must do our clinical work well."

"If you do your clinical work well, you can joke with me, chat with me, or play games with me, it's all fine."

"But if you don't even finish your basic work, then I might turn my back on you."

“Go back to where you came from.”

Wang Zongkai's master's student, Xiao Jinqiang, asked, "Professor Fang, if we make progress in the practice room, can we also exchange it for operation opportunities?"

"Or, Professor Fang, could you give us a few private lessons? Give us some extra help?"

"Yeah, yeah!" The others looked over expectantly as well.

Fang Ziye replied, "Why must there be progress?"

"In the future, we will have many more opportunities for teaching rounds and basic skills demonstrations in our ward."

"However, I want to remind you that the building we rent for orthopedics is not a practice room, so please remember to take all the materials you bring in with you, and make sure to clean all the instruments and put them in the sterilizer."

"I can reimburse you for the cost of the materials! But if there is any damage to the equipment due to your carelessness, don't blame your senior brother Fang for being ruthless."

"Also, if you perform well enough here, you might be able to handle some emergency procedures during your master's studies!"

"You can come directly to me to redeem your rewards, and you'll get tons of gold coins!"

Fang Ziye skillfully adopted the approach of giving a stern warning followed by a sweet treat, beginning to establish his authority.

When leading a department, you can't be too serious, but you also can't be too casual, lest everyone become completely informal and disrespectful.

The mention of exploding gold coins immediately piqued everyone's interest.

They began to look at each other in bewilderment.

"I'll share the detailed plan in your group later!"

"I won't tell you the specifics today, lest I make too many empty promises and get full before I even get a taste."

"The general ward doctors and surgical team doctors will stay; everyone else, go back and rest."

"Now that the new campus is officially open, we need to be ready to face the challenge."

"Rest when you should, and get things done when you should."

"Let me emphasize again: I strongly support you doing basic research part-time or full-time, but it's best to inform them in advance!"

"After all, we have too few people here, so I need to plan ahead."

"But in the first month, we will not accept anyone's part-time or full-time leave; everyone must concentrate their energy on clinical work."

"None of you are third-year master's or doctoral graduates. I specifically selected you because you don't have to face doctoral entrance exams or job hunting, so you have no other reason to slack off!"

"As for the chief resident and assistant chief resident, they will be under the overall management of Lan Tianluo, assisted by Tian Yao and Feng Junfeng."

"Xie Zhouzhou, if you're also willing to join the emergency department, you can discuss it with them. However, you're Professor Zeng's doctor, and your main profession in the future will be an orthopedic surgeon, so I won't force you," Fang Ziye said calmly.

Although Fang Ziye's voice is not yet mature, it is beyond question.

“Okay, Brother Ye!” Xie Zhouzhou boldly called Fang Ziye “brother”.

"Alright, Ziye, stop with the manipulation. Everyone did a great job today, they were all excellent. Let's eat." Wang Zongkai picked up where Fang Ziye left off, and started playing the good cop.

The group started eating, drinking, and chatting. Apart from the lack of alcohol and being a bit tired, there were no other unpleasant incidents.

Fang Ziye watched this scene with a knowing smile that deepened, just as his phone rang!

"Hey!~" Fang Ziye's voice was cheerful.

Fang Ziye accepted the answer with a smile.

But her smile quickly froze!
The voice immediately became deep and muffled: "The patient who just underwent emergency surgery died? Or was it due to shock?"

clap clap clap!

Everyone shuddered.

The barbecue skewers bounced and fell to the ground...

Lan Tianluo instinctively jumped up on the spot and then quickly rushed out the door.

Fang Ziye also jumped up on the spot and quickly walked outside.

"The sutures in the femoral artery have ruptured?" Fang Ziye asked coldly as he left the doctor's lounge, his mind racing.

The heat from eating barbecue is instantly washed away by the coolness, leaving you feeling refreshed all over.

When he ran to the elevator, Lan Tianluo was already blocking the elevator door.

Fang Ziye quickly replied, "Okay, Director Zheng, I'll be right there!"

After the elevator doors closed, only Lan Tianluo and Fang Ziye were inside. Lan Tianluo asked, "Senior brother? Is he really dead?"

Fang Ziye nodded: "The call from Director Zheng of the Medical Affairs Department is unlikely to be a lie, but whether the cause of death is real or not, we will only know when we go to the scene."

"Director Zheng said on the phone that the people in the operating room speculated that the patient's shock was caused by blood loss due to the femoral artery sutures coming loose."

Lan Tianluo said, "That's impossible. You personally sutured the femoral artery, Senior Brother. You've sutured so many cases without it ever coming loose. Why is it that the sutures on this patient's body have come loose?"

“Once something has happened, we can’t rely on past experiences as evidence; we need to focus on substantive evidence,” Fang Ziye reassured him.

"Tianluo, there's no need to be in such a hurry. After all, we haven't even arrived yet!"

Fang Ziye's mind was racing.

Clinical practice is a big melting pot, and when faced with a problem, everyone's instinctive reaction is to shirk their responsibility.

Especially when faced with a death case, everyone's first thought is that their diagnosis and treatment must be fine!

Fang Ziye, on the other hand, was thinking in the opposite direction: whether he had actually made a mistake that caused the sutures in his femoral artery to come loose or to rupture.

According to Fang Ziye's own recollection of the surgery, the chances of this happening are very small, but nothing is absolute.

If it's truly a one in ten thousand chance, or even a lower one, that I've encountered, then if we trace the responsibility for the deceased patient back to myself, I would bear a great deal of responsibility.

When the two returned to the operating room, chest compressions were still ongoing.

Many specialists came to the operating room, including some very old professors who were invited from their homes.

At the same time, staff from the medical department and the security office also arrived at the operating room wearing protective gowns.

The circulating nurses, scrub nurses, and anesthesiologists each went about their tasks, but the anesthesiology and operating room staff were all reviewing the records from the surgical procedure.

"The trauma surgeon closed the surgical incision and left the operating room half an hour ago," said the head nurse of the operating department, standing next to Director Zheng of the Medical Affairs Department, pointing out the most unusual factor.

Seeing that Fang Ziye had already reached the operating table and showed no sign of moving, Lan Tianluo took the initiative to say, "The disease related to our trauma surgery is pelvic hematoma."

"After we cleaned up the hematoma, we only completed the femoral artery suturing related to our orthopedics. The rest of the vascular suturing was handed over to the cardiovascular surgery department in accordance with the hospital's regulations."

"That's Dr. Wang Qiang from the cardiovascular surgery department!"

Director Zheng was previously the deputy director of the medical affairs department, but became the director of the medical affairs department after arriving at the new hospital: "Currently, anesthesiologists and other surgeons have determined that the patient's cause of death was shock."

"Initial investigation revealed that the sutures in the femoral artery had come loose, and the patient went into shock due to excessive blood loss from the femoral artery."

"The surgery wasn't completely over, and your trauma surgery team left the operating room?" Director Zheng asked without any emotion, simply stating the facts.

"At that time, we had already dealt with all the patient's vital signs and other issues that the trauma surgery department needed to address."

"The handover has been completed. We can't just ignore everything else and stay here to guard every single moment, can we?"

"I'm the chief resident, and there's a ton of work to do in the department, plus dozens of new patients," Lan Tianluo said.

Director Zheng's expression froze, and his tone became erratic: "Does your department have dozens of new patients today?"

"Yes, we could have filled all the rooms, but considering the surgeries couldn't be scheduled, we sent everyone else back first. Anyway, it's an elective surgery, so it's fine to postpone it and come back later," Lan Tianluo said truthfully.

“The affairs of the department are important, but emergency surgery is equally important. Your unauthorized departure is not in accordance with medical procedures…” Even though the number of inpatients in the trauma surgery department is large, Director Zheng did not dare to show favoritism and still did not make any subjective assumptions.

Fang Ziye stood beside the operating table, observing the patient's resuscitation efforts while examining the patient's abdomen.

The patient's lower abdomen was not closed. Although some of the surgical instruments had been removed, hemostatic forceps could still be seen in the surgical incision.

The suture site on the patient's right femoral artery has been opened! ~This perfectly shows the sutured femoral artery rupture, which has been clamped again with hemostatic forceps to stop the bleeding.

At the site of the femoral artery rupture, there was still a blood clot, and the size of the clot indicated that the bleeding was not small! ~The blood loss was at least 800 ml. "The patient's heart rate has recovered again, but the blood pressure is too low!" The anesthesiologist, who had been watching the monitor, spoke up to remind the patient and immediately started turning on the intravenous pump to adjust the dosage of vasopressors.

The person performing chest compressions immediately released their hands and looked towards the patient's monitor.

"Put on ECMO!" Upon seeing this, Fang Ziye made the suggestion without hesitation.

"We can't get him in; Professor Du from the emergency department is still in the intensive care unit and can't come out."

“Otherwise, we would have already started,” the anesthesiologist interrupted coldly.

No doctor wants a patient to die, let alone an emergency surgery death on the very first day a new hospital opens.

However, medical care is not an objective fact that can be changed according to human will.

People die every day in any hospital, even on the first day it opens.

The number of doctors allocated to the new hospital area is definitely not as abundant as that of the original hospital.

"Wang Qiang! You come up here, I'll be your assistant," Fang Ziye immediately shouted.

Wang Qiang was an attending physician in Professor Liu Linhao's vascular surgery group at this hospital. After coming to the new hospital, he merged with the cardiac surgery group to become the cardiovascular surgery group.

Within the surgical system, only they have the authority to operate ECMO; Fang Ziye has not yet been granted the authority to operate it.

"Put on ECMO!" Wang Qiang, a vascular surgeon, knew that Fang Ziye wasn't there to shirk responsibility, but to solve the problem.

"Prepare a transfer bed. After this patient is put on ECMO, transfer him to the interventional operating room."

"Wang Qiang, call Liu Faming and tell him to come over quickly and start putting filters on the patients."

"Prepare for a color Doppler ultrasound of the arteries and veins in the limbs!" The patient's heartbeat has been restored, but it is very likely that the sinus rhythm will be lost again soon, so there is no time to lose it.

Since the patient is not completely dead yet, tracing the specific cause of death is not the primary task at present.

Wang Qiang didn't have that many hands, but Zheng Jiong, the director of the medical department, had time. He immediately found Liu Faming's phone number and dialed it.

Step back two steps and start the phone call.

Fang Ziye didn't even have time to go out and wash his hands. He had someone spray his hands with hand sanitizer, rub them together, and then started putting on a sterile surgical gown!
Although Wang Qiang couldn't operate the entire ECMO process, he wasn't a slacker. He roughly knew which segments to select, so he quickly prepared the positioning for Fang Ziye.

After quickly dressing and putting on gloves, Fang Ziye immediately went to the operating table. After opening the abdominal incision, he immediately saw that the inferior mesenteric artery and the retroperitoneal hematoma had been opened!
"Damn it, idiot." Fang Ziye cursed under his breath, but didn't show any emotion.

Saving lives is the priority!
ECMO is an emergency procedure that requires speed and precision. Placement can be completed in three to five minutes, but Fang Ziye only took three minutes to complete the placement.

As the ECMO machine was activated, the patient's blood began to circulate normally again.

Liu Faming, a vascular surgeon, arrived at the operating room at that moment.

Meanwhile, after the patient's circulation recovered, bleeding in the lower abdomen resumed. Even local blood clots could not cover it up.

"Liu Faming, you place the carotid artery filter and the right inferior vena cava filter! Dr. Wang Qiang, let's work together to remove the hematoma and stop the bleeding in the lower abdomen." Fang Ziye began to give instructions like a senior vascular surgeon.

Upon hearing this, Lan Tianluo immediately said to Director Zheng Jiong, "Director Zheng, I'll report later. The surgery has already begun; I'll go up and help out!"

"Okay!~"

"Everyone else, step back and be ready to take over the surgery at any time. Focus all your efforts on the rescue."

"Call the blood bank and tell the emergency department to prepare blood! Send it up immediately!" Zheng Jiong, who worked in the administrative department, didn't say anything more.

He called Fang Ziye for two reasons: first, the patient's suspected cause of death was related to trauma surgery; and second, he hoped Fang Ziye could step in to solve the current problem.

Before he came to the new hospital, someone told him not to simply view Fang Ziye, a surgeon, as a simple orthopedic doctor.

That's why he called Fang Ziye immediately.

After Fang Ziye quickly put the ECMO machine on, the cardiology professor in charge of the consultation in the operating room couldn't help but exclaim from the bottom of his heart: "This is simply a technology born for emergency cases!"

"If we could stay in the ICU of the emergency department, the mortality rate in the emergency department could definitely be reduced by about 10%."

This kind of praise has nothing to do with social etiquette; it is simply a pure feeling of admiration and appreciation.

Now that people are close to death, no one will deliberately flatter another person at this time. Flattery at the wrong time is not flattering the horse's hooves, but flattering the horse's hooves, and it will be a fight to the death.

When the professors from this hospital came to see Fang Ziye's hemostasis technique, they all found it amazing and couldn't understand how the hemostasis technique could be performed to such an extent.

At this moment, all Liu Faming and the others knew was that Fang Ziye had stopped the bleeding and cleaned up the hematoma.

How was it done? What was the purpose of the operational details? Why was it done this way? I can't keep up at all.

On the contrary, Lan Tianluo, who had worked with Fang Ziye for a long time, was better able to understand Fang Ziye's meaning. After getting close to the operating table, he took over the work of Dr. Wang Qiang's assistant.

With three people operating the equipment, two were in charge, and Wang Qiang participated like a slacker. In less than eight or nine minutes, the somewhat messy bleeding points were all cleaned up.

Most of the blood clots that had formed after the bleeding were removed.

After the procedure, Wang Qiang was still in shock when Fang Ziye had already tossed the hemostat and tweezers into the dish and quickly turned his head: "Anesthesiologist, how are the patient's vital signs?"

"His condition is special; he needs to be transferred to the interventional operating room immediately. He likely has a myocardial infarction!"

"Keep turning, things have come to this point already." The anesthesiologist felt a terrible headache coming on!
Share!

"Come help with the transfer." The operating room instantly transformed from a chaotic atmosphere to one of unified purpose.

Regardless of how responsibility is assigned, there's still hope for recovery, and nobody wants to be labeled as a negligent culprit!
……

The interventional operating rooms in the new hospital area are located within the main operating room and are not separated.

Therefore, the turnover distance is not far, only about a hundred meters.

With Fang Ziye's prior notification, the operating room staff had already prepared the interventional operating room, including pre-angiography preparations, monitoring screens, and operating instruments.

There aren't many surgeries today. If these all take up time, then there's no point in continuing to operate the new hospital's surgical department.

After the patient was transferred to the interventional operating room, Liao Jiayuan, the director of the new hospital, also arrived in a hurry.

"How is the situation?" he asked Zheng Jiong immediately, without losing his temper.

Those who actually reach the position of vice dean are not brain-dead; when faced with a problem, they think of getting angry to solve it.

"Dean Liao, we're currently on ECMO, but there's still an embolus. Professor Fang and Dr. Wang Qiang from the cardiovascular surgery department plan to remove the embolus via interventional procedures," Zheng Jiong said.

"Has Professor Tang from the Department of Cardiac Surgery arrived yet?" Liao Jiayuan remained remarkably calm.

“I called. Professor Tang is in the next operating room. It’s an aortic dissection,” Zheng Jiong replied.

"Okay!" Liao Jiayuan stopped arguing and instead looked at the operating room monitor from inside the isolation room.

The isolation room has a large display screen, while the operating room has a small display screen for the surgical team to operate on the operating table.

After Fang Ziye and Wang Qiang quickly completed the angiography, Fang Ziye swiftly advanced the catheter and guidewire into the left anterior descending branch of the heart. Once the guidewire touched the thrombus, he said, "Professor Bao, you can remove the thrombus now!"

Fang Ziye is not currently qualified to perform thrombectomy. Based on the current angiography results, the patient's condition is not so urgent that he will immediately face death again.

Therefore, Fang Ziye can afford to wait.

Bao Qisong is a professor in the Department of Cardiology. After Fang Ziye's angiography was completed, he had already put on a sterile surgical gown.

Currently, interventional treatment for cardiac embolism is handled by the cardiology department, so it is reasonable for him to perform the thrombectomy.

However, his operating speed is definitely not as fast as Fang Ziye's. Fang Ziye has already brought the food to his mouth, and he only needs to open his mouth to eat it.

This skill made Bao Qisong, an internal medicine doctor, lament the abundance of surgical workers, while his expression darkened slightly: "Okay! I'll be there right away."

Bao Qisong quickly removed one embolus, making the left anterior descending artery unobstructed. Fang Ziye then took over the catheter and guided the guidewire to the location of another embolus.

Bao Qisong was just a simple tool for removing thrombi.

The difficulty in thrombectomy is not in the thrombectomy itself, but in the positioning.

Fang Ziye completed the difficult procedures; the rest could be performed by any attending physician in cardiology.

There are only two emboli in the heart, which may not sound like much, but the human heart is so fragile that sometimes even one emboli can be fatal.

After the thrombectomy was completed, Fang Ziye inserted the catheter into the retroperitoneal branch vessel and said to Wang Qiang, "Dr. Wang, this patient has a lot of bleeding in the lower retroperitoneal space. Let's perform local embolization to stop the bleeding."

"Or you could ask the general surgeon for their opinion."

The patient's most critical condition had passed, and only then did Fang Ziye start bringing up past grievances!
This patient's shock was definitely not due to a simple rupture of the femoral artery suture. Rather, it was because the general surgeons themselves accidentally overturned the retroperitoneal hematoma.

Then immediately pack the wound with sterile cotton pads to stop the bleeding.

Although the bleeding was partially stopped, the sudden bleeding caused a rapid change in the patient's blood pressure.

Therefore, the general surgeon suspects a ruptured femoral artery with bleeding!
Although a small amount of blood leakage occurred during the blood pressure fluctuations, it would have been impossible to rupture the blood vessel wall without opening the skin layer of the femoral artery and removing the sutures that Fang Ziye had treated!
If anyone sutures a blood vessel, how could the suture not cut and rupture it if someone forcefully pokes at it a few times?
“Let’s throttle it!” The attending physician from the general surgery department quickly agreed.

He just didn't dare to shoulder this responsibility alone, fearing that his future would be ruined, so he thought of taking someone down with him.

If both parties share the responsibility equally, it won't be as if the hospital has to unilaterally dispose of him.

At that time, Wang Qiang from the vascular surgery department was on the stage. He could only drag one more person into the mess, and he was certain that his operation was very discreet.

Others cannot discover it, nor is it possible for them to discover it. Nor can they trace back their own actions.

Furthermore, he immediately clamped the wound to stop the bleeding, thus avoiding causing further harm to the patient!
The current situation is much better than expected.

The patient did not die!
Although there were setbacks and shock, these are common complications during surgery, and the hospital and medical affairs department cannot reduce their responsibility simply because of intraoperative complications.

If the patient survives, the surgery can continue. Even if there is no merit, there is no fault, and it will not affect one's promotion prospects.

Zhan Zhongyuan was meticulously calculating in his mind, remaining calm at all times.

After hearing the response from Zhan Zhongyuan, a general surgeon, and glancing at Fang Ziye, Wang Qiang opted for local hemostasis via embolization.

Many blood vessels in the human body are not actually that important. For example, in cases of severe uterine bleeding, embolization can be used to stop the bleeding and provide emergency treatment.

After Wang Qiang finished his procedure, Fang Ziye said, "Dr. Wang, could you check again to make sure there's no more embolus?"

"To my eyes, the intracranial blood vessels are open, and the patient doesn't have many emboli."

"The larger bleeding points have been treated, and the smaller bleeding points will be treated gradually."

Wang Qiang nodded upon hearing this, his voice trembling slightly: "Yes, yes!"

Fang Ziye spoke earnestly, and he and Professor Bao Qisong of the Department of Cardiology performed their procedures with ease and grace.

But he knew very well that all of this was thanks to Fang Ziye's support.

Fang Ziye quickly completed temporary hemostasis, then put the patient on ECMO to ensure that the patient's blood pressure did not deteriorate further. He then quickly transferred the patient, performed intervention, angiography, thrombectomy, and embolization to stop the bleeding.

Every step was meticulously prepared and fed to him, so he and Bao Qisong didn't feel any pressure.

Even the procedures currently left to Zhan Zhongyuan in the general surgery department can be done slowly, such as intestinal repair and intestinal suturing.

But if they had done all of this themselves from the beginning, the patient probably would have died.

Without ECMO, there are many risks involved in transshipment.

Without thrombectomy, the heart's vitality won't be restored, and without cardiopulmonary bypass, a person can die completely in five minutes!
"Then you can proceed with the rest. Our trauma surgery department doesn't have any more procedures needed for the time being. I'll wait for your good news." Fang Ziye began to retreat from the stage.

Wang Qiang and Zhan Zhongyuan instinctively wanted to keep Fang Ziye on stage.

But it seems there's no reason to keep Fang Ziye around.

Just then, someone stepped open the operating room door, and Zheng Jiong from the medical affairs department called out the person's identity: "Professor Gu!"

The visitor was Gu Junfeng, a specialist in gastrointestinal surgery.

"How is the situation now?" Gu Junfeng arrived at the operating table immediately, without giving Zheng Jiong a special response or even greeting Dean Liao.

"His vital signs have stabilized again, but he went into shock before, so we don't know if he suffered any intracranial ischemic injury," the anesthesiologist said frankly.

"The bleeding is under control now," Zhan Zhongyuan quickly replied.

Bao Qisong, a cardiologist, said, "The situation is relatively good at the moment. The angiography can be cancelled for now. However, to be on the safe side, a follow-up angiography will be needed after the procedure, depending on the situation."

"Okay!" Wang Qiang didn't dare to express his opinion and simply nodded like a robot.

……

After the surgery was completed, Fang Ziye first asked Lan Tianluo to leave the operating room.

"Senior brother?" Lan Tianluo hesitated for a moment, worried that Fang Ziye might suffer a loss.

"It's okay, you go back first. Call me later, I'll head back as soon as I'm done here."

"We still have regular ward rounds tomorrow, and it's getting late," Fang Ziye reassured the other person.

After Lan Tianluo left, Dean Liao Jiayuan looked around at everyone in the operating room, then at Zheng Jiong from the medical affairs department, whispered a few words in his ear, and then walked out.

Clearly, he won't handle the situation here on the spot.

But we won't ignore it either.

Associate Professor Tang Xiaoping from the Department of Vascular Surgery also arrived at the interventional operating room. After seeing Fang Ziye sitting under the timing panel, he approached him. Unsure of the situation, he simply smiled and shook hands with Fang Ziye.

The surgery proceeded smoothly, and after about forty minutes, Lan Tianluo had made two phone calls to Fang Ziye before the surgery finally came to an end...

Associate Professor Gu Junfeng of the Department of General Surgery finally breathed a sigh of relief: "The patient's intestines have finally been repaired."

“The situation is not good right now, let’s transfer him to the ICU!” Gu Junfeng suggested to the professor of anesthesiology.

"I have already contacted the ICU, and I can be transferred there at any time."

"Dr. Wang from the vascular surgery department just spoke with the patient's family again, and they have agreed to admit the patient to the ICU!" The anesthesiologist proactively started a conversation, taking advantage of the subtle atmosphere in the operating room.

Gu Junfeng wasn't stupid; he knew that the vascular surgeons and orthopedic surgeons staying here meant there was something else going on.

He smiled and said, "Professor Tang, Professor Fang, thank you for your hard work. This patient's rescue was all thanks to you!"

"Especially Professor Fang, his rescue skills are truly worthy of his reputation." Gu Junfeng gave a thumbs up.

Zhan Zhongyuan did not say it directly, but he hinted to Gu Junfeng that Professor Fang from the orthopedics department might be angry.

Fang Ziye didn't bother with formalities and directly pulled back the fig leaf: "Professor Gu, you can clean up the hematoma in your lower abdomen, but why are you opening up our femoral artery suture site?"

"When did our general surgery department start taking on the role of autopsies?"

If Zhan Zhongyuan doesn't open it, Fang Ziye won't need to come down at all.

Upon hearing this, Gu Junfeng's eyes darted around rapidly, almost without pausing: "Professor Fang, you flatter me."

"In urgent situations, we have to act quickly. Dr. Zhan from our department only opened it to take a look because he was worried that there might be bleeding in other places."

"If there is bleeding, stop the bleeding."

"In the face of emergency, we should lend a hand and not just stand by and do nothing. I've been thinking a bit too much, but after all, I'm not professional enough!" Zhan Zhongyuan and Gu Junfeng had to be protected.

Zheng Jiong wasn't stupid; he understood what Fang Ziye meant.

Fang Ziye was called to the emergency room this time because the general surgery department was meddling in his affairs, and they did it just to drag someone down with them.

In order to avoid punishing the majority.

"While it's true that one should act expediently in times of emergency, such actions that exceed the scope of authority, are not reported, not filed, and are unauthorized must be explained!" Fang Ziye couldn't openly say that Shi Zhanzhongyuan had severed the femoral artery to take someone down with him.

"Professor Fang, this is an emergency!" Gu Junfeng prompted.

The current situation isn't causing you much harm, and the medical department won't pursue it. There's really no need for us to take it so seriously!

It's easy to talk about in private.

“But this is the operating room, not the emergency room!” Fang Ziye sat up straight, head held high.

"Does that mean that in the future, for diseases related to your trauma surgery, even if the patient dies in front of us, we won't care?" Gu Junfeng preemptively asked.

"Did you manage it?" Fang Ziye raised his voice and retorted.

"When did you ever manage this?"

"Who's been in charge?" (End of Chapter)