top student at medical school

Chapter 73 Belief or disbelief, it's all natural (Please add to your favorites and read on)
Xiao He is currently a first-year professional master's student. He started managing patients in the department in August, and it has been less than three and a half months since then.

I'm quite adept at dealing with patients and their families scheduled for elective surgery, but I lack experience in negotiating with emergency patients and their families.

Xiao He's build wasn't considered thin in the crowd, but at 1.75 meters tall, he was quite short among orthopedic doctors; Fang Ziye was at least a size bigger than him.

He wasn't exactly trembling with fear, but he was somewhat helpless as he explained to the crowd surrounding him, "I understand your anxiety, but right now, all the senior doctors in our department are busy with surgeries and emergency consultations."

"Could you please wait a little longer?"

“We’re in the emergency room too, so there should be a first-come, first-served principle, right?” Xiao He’s explanation had no effect whatsoever.

Fang Ziye wasn't there to watch the show, so he didn't want to make things difficult for Xiao He. He pulled his mask up and said in a deep voice, "Xiao He, what's going on here? Didn't they say there were two emergency patients in the department?"

Upon hearing Fang Ziye speak, Xiao He quickly turned around, his face beaming with joy.

He instinctively called out, "Senior Brother Fang, the emergency patient is right here."

The five people turned around in response, and when they saw Fang Ziye wearing a sterile surgical gown from the operating room and walking with a steady gait, they stopped for a moment.

Upon closer inspection, Fang Ziye discovered that the two patients were a man and a woman. The man was a young man in his thirties, and the person accompanying him was likely his friend. Both of them were looking Fang Ziye up and down.

The female patient is a woman in her fifties, and the people accompanying her are presumably her husband and children, but their exact identities are still under discussion.

"Doctor, I was here first," the woman replied, supporting her right elbow with her left hand.

Although not a medical professional, anyone with a little common sense knows that green uniforms are worn during surgery, and doctors don't wear name tags. Fang Ziye should be a senior physician, at least more reliable than the on-call doctor here.

"Hello, my name is Fang Ziye. I just saw your Dr. Jin. He is currently in the emergency department and has encountered an urgent consultation for a major trauma case. He is temporarily unable to leave, so he asked me to go back to the ward first and help you deal with it."

"Which of you two arrived first? Have you finished your check-up?" Fang Ziye walked to the front or back of the crowd, asked casually, and then sat down in front of the computer with a slightly old-fashioned air.

Fang Ziye knew that in such emergencies, you shouldn't explain too much. If you can handle it, just talk to them directly about the problem. This is the best way to calm the patients down.

Before the woman could speak, her daughter asked, "Doctor, are you Dr. Kim's superior?"

At the same time, his eyes flickered, as if he were gauging the age difference between Fang Ziye and Jin Hongzhou.

"Dr. Jin is my superior, but manual reduction of joint dislocation is relatively simple and does not necessarily require a senior physician to perform it."

"What's your medical record number?" Fang Ziye asked again, skipping ahead.

First, a diagnosis is made. After confirming the diagnosis, the indications for manual reduction are assessed. This is the initial consultation procedure. Once it is determined that manual reduction is feasible, treatment can then be discussed.

"You must still be a student, right?" the woman's husband suddenly blurted out.

Hearing the patient's family say this, Xiao He chimed in, "This is my senior colleague, who is more experienced than me."

"What are you doing, a student? Where's Dr. Jin? Where are your superiors in the department?"

"Such a big hospital, sending a student like you to treat patients?" After confirming Fang Ziye's identity, the patient's husband seemed to feel more confident and began to question him.

Fang Ziye replied, "It's currently the annual orthopedic conference, and most of our orthopedic professors are attending academic conferences, which has been approved by the hospital." "The other superiors are all in the operating room and can't leave for the time being. Dr. Jin is having an urgent consultation. Auntie, if you're in a particular hurry, I can take a look at you first."

“If you’re willing to wait a bit, I’ll take a look at this gentleman first. There’s no point in you making a scene here. Dr. Jin is on duty for emergency consultations in our department, but there are priorities in emergency cases.”

"A joint dislocation like yours is considered a sub-emergency case, I hope you can understand..."

Fang Ziye made it clear: even if the professors were here, they wouldn't handle such a small case like yours, let alone if they were. You would still have to wait, especially since you can't leave now.

Hearing Fang Ziye say this, the two young men behind him guessed that they had other things to do, so they asked, "Sister, do you want to see Dr. Fang first? If you don't want to, should I go first?"

The young man who spoke was the patient. What he was really thinking was that this was, after all, a top-tier tertiary hospital, and no matter how busy he was, the hospital wouldn't send an unreliable doctor.

Students are students, but a master's student, no matter how bad he is, is at least a senior master's student, or even a doctor. It's not difficult for him to be out of position, so it's not unreasonable for him to be dealt with.

The woman and her husband, along with their daughter, remained silent, seemingly acquiescing to the young man's decision to cut in line.

After the young man gave Fang Ziye his medical record number from the QR code, Fang Ziye was able to find his X-ray film.

Joint dislocation needs to be diagnosed through X-ray and physical examination.

However, Jin Hongzhou had already conducted a physical examination and strongly suspected dislocation. Fang Ziye did not need to correct the physical examination that Jin Hongzhou had already conducted. He only needed to review the X-ray to confirm the diagnosis and assess whether it was suitable for manual reduction.

The humeral head dislocates from the shoulder socket, which is a typical anterior shoulder dislocation.

After carefully examining it for more than forty seconds, Fang Ziye said to Xiao He, "Xiao He, go and print out an informed consent form for a manual reduction procedure for joint dislocation."

Then, looking at the young man and referring to the emergency room medical record written by Jin Hongzhou that Xiao He had shown him, he said, "Brother, your condition is a typical anterior shoulder dislocation. The first choice of treatment is manual reduction, but manual reduction has a certain success rate."

"The success rate is generally around 70%. If multiple attempts at manual reduction fail, surgical reduction may be necessary."

Would you like to try manual reduction?

"Can it be put back in place?" the young man asked Fang Ziye.

Fang Ziye took the pen from Xiao He's chest, added the X-ray examination results to the emergency room medical record, and added a note recommending manual reduction surgery, with surgical reduction if necessary. The forearm was then immobilized with a sling.

"If the manual reduction works, then it works; if it doesn't, then we may have to wait for a higher-level doctor or have surgery to reduce it. But at least it's an attempt."

“Nothing is 100% certain. If it were 100% certain, then I’m definitely lying to you,” Fang Ziye said patiently as he wrote, glancing at him.

Although Fang Ziye also wanted to gain knowledge points through practice, and had already leveled up his Hand Reset Technique to level 3 for this opportunity, he still dared not skip the steps or boast for the sake of practice.

Making grandiose claims for the sake of making a statement is not a minor mistake; it reflects a complete mismatch between one's own thinking and intelligence.

Whether a patient trusts themselves or not is understandable and natural.

The young man hesitated for half a minute, but seeing that Fang Ziye remained calm, composed, and unhurried, he nodded.

(End of this chapter)