top student at medical school

Chapter 81 Seeking Stability and Refinement (Seeking First Subscription)

If Jin Hongzhou is willing to provide himself with enough dislocation reduction techniques, his knowledge points will increase rapidly.

[Current knowledge points balance: 138.2!]

It's back to 130+, even higher than yesterday before the added manipulation and repositioning technique.

Fang Ziye carefully considered it—

When performing the manual reduction technique, the learning points were 125, and 66 points were consumed, leaving only 59. Yesterday, 47 points were gained, this morning's ward rounds added 0.2 points, writing medical orders added 12 points, and the two reductions just now added 20 points.

That's exactly 138.2!

Whether to save these knowledge points to upgrade skills to level 4, or to temporarily develop other new skills, is still uncertain.

At the very least, having some knowledge and skills can give you more opportunities!

Fang Ziye confirmed this yesterday.

While directly adding skill points to improve skills is good, it's not conducive to long-term or sustainable development.

If Fang Ziye hadn't stored up the knowledge points yesterday, he wouldn't have been able to learn how to manually reduce a dislocated joint, and he wouldn't have had this opportunity today.

The skill of staring blankly is something that can be learned without any knowledge points.

"Be more careful, don't learn this from Brother Wei." Jin Hongzhou suddenly remembered something and said this.

Fang Ziye quickly explained to his mentor, "Brother Zhou, my master is actually very steady, isn't he? It's just that he expresses it differently. I don't think my master has ever had any accidents, has he?"

Upon hearing this, Jin Hongzhou's pupils suddenly contracted, and he turned his head to look at Fang Ziye with a completely different gaze.

"This?" Jin Hongzhou suddenly realized.

It seems that Yuan Weihong, despite his nickname "One Leaf of the North Sea," has never actually gotten into any trouble.

Is it too wise to be foolish?

Jin Hongzhou realized this too late.

I took a careful look at Fang Ziye and then examined his performance.

As the saying goes, actions speak louder than words. The personality of a medical student is more or less related to his or her mentor.

Yuan Weihong may seem a bit reckless, but he's actually incredibly steady by nature.

This is what instilled in Fang Ziye a cautious habit, and only then can this be understood.

However, Jin Hongzhou still joked, "You and Brother Wei are somewhat similar in some ways, both of you are known for being steady and shameless."

Fang Ziye didn't catch the joke: "Thank you for the compliment, Brother Zhou."

Jin Hongzhou instantly felt bored: "You really don't have your master's talent."

……

The boy's elbow dislocation was manually reduced, and he then requested an emergency MRI before returning to the department.

Jin Hongzhou has gone to the emergency department for another consultation, picking and choosing some minor surgeries and cases to send to the emergency operating room, trying to give people like Luo Tingzhu, who spend time in the emergency operating room, some operating opportunities.

Fang Ziye first sent a message to Jin Hongzhou to report the information about his return from the follow-up examination, and after reporting the medical record number to Jin Hongzhou, he decided to review the images himself first.

Naturally, Fang Ziye's current level in MRI image reading is only level 2, so he needs to temporarily upgrade his MRI image reading skills to level 3 using knowledge points.

A tiny bit of my knowledge points have been cleared again.

"Don't rush into it. Whether the ligaments are injured or not, we can't just guess; we need sufficient evidence. Without enough evidence, all suspicions are just guesses."

“The child is still young, so we should be on the safe side. Even if it’s a ligament injury, it’s not a serious problem. If a cast is needed, we’ll put it in; if surgery is needed, we’ll have it done, right?” Fang Ziye reassured him.

After Fang Ziye's MRI scans reached level 3, he indeed saw an anterior bundle tear of the ulnar collateral ligament at the elbow joint, with an inconsistent course, indicating a rupture.

Even with the hope that moderate to severe posterior elbow dislocations will not be accompanied by ligament damage, such hope still belongs to waiting for a miracle.

In reality, there aren't that many miracles.

Fang Ziye used the mouse to point to the broken area: "Sister, this situation is the same as what we deduced from the X-ray images before."

"Anterior bundle rupture of the ulnar collateral ligament is a very common complication of moderate to severe posterior elbow dislocation. The risk of injury is very high."

"This was not caused by our repositioning. As you know, if the repositioning caused the ligament to rupture, the child would definitely not be able to withstand such force during the repositioning process."

"As you saw during the repositioning process, from the moment we started traction, your son felt his pain immediately relieved by more than half. This proves that our traction process was to alleviate his pain, rather than causing further compression and other forms of violence."

"After the reduction, his pain was relieved, the deformity disappeared, and he regained some active and passive motor function. However, the anterior bundle injury still exists and still needs to be treated."

"However, in your case, you need to see a sports medicine specialist. I'll make a consultation call with our orthopedic sports medicine department later. As for further treatment, it's best to consult a professional doctor!"

This is the benefit of theory and cognition.

Given the severity of the injury, it can be inferred that there is a possibility of collateral ligament damage. This is theoretical.

According to statistical analysis of big data, the probability of collateral ligament damage after moderate to severe injury is as high as 90% or more. This is a recognized fact.

Therefore, before the repositioning was completed, Fang Ziye had already made it clear that this was just confirmation. Although the woman's eyes suddenly reddened, she did not break down.

Medical communication, to a certain extent, depends on the doctor's ability to understand and control the disease.

With everything explained upfront, even if a relatively unfortunate accident occurs, the patient's family will not immediately break down or be unable to accept it.

If it were unexpected, the situation would definitely be different now.

The woman wiped away the tears from her left and right eyes with her left hand and asked, "Doctor, even though you say that, I still feel a little sad. I hope you can understand, after all, it was my child who was injured."

"That's possible! Maybe it's not your loved ones who are hurt, so you can't truly empathize with them."

Fang Ziye nodded: "Sister, I can definitely understand what you mean. I may not be able to empathize with you, but as a doctor, I also have parents."

“I know that as a doctor, I’m making it clear to you in advance that many things have nothing to do with us doctors. You might think I’m not empathetic or that I’m shirking responsibility.”

"But if you put yourself in their shoes, if your child were to become a doctor in the future, would you let him take on everything without explaining things clearly? At least when my parents talked to me about the principles of being a doctor, they were always being cautious."

"They want me to be safe and sound, and to make everything clear at work, and to be as safe as possible."

Fang Ziye also spoke with great sincerity.

Fang Ziye learned these words from Yuan Weihong. At that time, Yuan Weihong was just a junior attending physician who had only recently been transferred to the general ward. Someone in the department also told Yuan Weihong that the injured person was not his family member, which is why he was so indifferent.

Yuan Weihong said, "Yes, the injured person is not my family member, but similarly, the doctor who treated you is not your relative, your child, or your parents. Of course, you would expect the doctor to take care of everything for you."

But how would you feel if your relative took on everything and recklessly rushed forward without respecting objective facts?

To put it simply, if your child were a police officer, would you instruct him to rush forward without hesitation when encountering a situation? It's just a simple analogy.

Fang Ziye found these words excellent and kept them firmly in mind.

This is the benefit of having a teacher who imparts knowledge and skills. Many clinical medical communications are actually a form of inheritance and a technical skill. Although patient conversations can be tricky, experienced superiors know how to interpret and analyze them.

Before the woman could reply, Jin Hongzhou called.

After Fang Ziye took it, he said, "Sister, there's really no point in arguing about this. If you put yourself in our shoes, you'll realize that we doctors want all the patients who come to our ward to leave safely and happily."

"We absolutely do not want to leave any sequelae, or to have any misdiagnosis or missed diagnosis, and then have them come looking for trouble with us."

"Dr. Jin from our department has already contacted the chief resident of sports medicine. He will come down to our department in a little while to take another look at your child's MRI. After the diagnosis, he will give you a very professional treatment opinion."

“When we encounter a problem, we must first solve it. After all, ligament damage will affect the child, but it doesn’t mean that the impact is untreatable,” Fang Ziye continued to reassure the other party.

After Fang Ziye said those words, the other party didn't say anything more.

After making one more phone call, the woman's husband, upon learning of the child's current injuries, decided to rush to the hospital immediately to proceed with the necessary hospitalization or surgery procedures.

……

About ten minutes later, Dr. Mao, the chief resident of sports medicine, came down to the trauma surgery department. After just one glance, he said, "The anterior horn of this collateral ligament is torn and needs to be reconstructed. This requires surgery."

"Is it possible that this was broken during repositioning?" the woman asked.

Dr. Mao replied with considerable experience: "Sister, you didn't suspect the violence of the fall, but you suspected the slight force intervention of the manual repositioning procedure?"

"You're blaming Dahai for losing your wallet, aren't you?" Dr. Mao joked.

"Huh?" The woman didn't understand what Dr. Mao meant.

"They're completely unrelated. Let me put it this way: if you keep five dollars at home and your husband takes it and spends it, you can say it's because the police are not doing a good job of maintaining order, and that's irrelevant."

"Manual reduction does have a certain chance of causing ligament damage, but such force is generally only something a layperson could do. You still don't trust your colleagues at the hospital enough."

"Let me put it this way, any old man like that wouldn't be allowed to live peacefully here in our hospital. The doctors who have stayed have all been tested and certified by professors in terms of their skills." Dr. Mao was quite reliable and had great trust in the doctors at his hospital.

The woman didn't reply.

As Dr. Mao led the two of them out, he said, "Look around, isn't every one of them a PhD graduate who started working? With so many years of experience, they're not the kind of people who are particularly impulsive."

"And as you just mentioned, Dr. Jin and Dr. Fang had already foreseen the ligament injury. So even if it wasn't repositioned, it was still torn. And if it were repositioned later, your child would suffer for a long time!"

"Using repositioning to relieve pain in advance is a more scientific approach, wouldn't you agree?"

"..."

After the patient left, Fang Ziye lay down for a short while before resuming his work.

Although the child had ligament damage, Fang Ziye's reduction procedure did not provide any life-saving effect; it only relieved the pain.

However, Fang Ziye's cautious and meticulous operational skills earned him Jin Hongzhou's recognition and great trust.

There was no other reason than that within an hour and a half after the mother and child left, three more patients with dislocated joints entered the department.

Joint dislocations need to be differentiated according to their degree and type, and a consultation and signature are required before treatment can begin.

You can't just come in and start snapping things back together; that's not a proper medical procedure.

I just repositioned the third patient and reviewed the follow-up X-ray of the second patient. I also sent the X-rays before and after repositioning back to Jin Hongzhou as photographic information.

Jin Hongzhou called back with a voice message, asking, "Xiao Fang, can you handle this? It's raining outside today, and there are quite a few people falling. I also have a hip dislocation and a finger joint dislocation. Can you handle them?"

"If they can't solve it, I'll just do it for them from the control room here."

Upon hearing this, Fang Ziye realized that the reason there weren't so many minor dislocations in the department during his usual shifts was either because Jin Hongzhou refused to admit them due to a lack of beds, or because they were treated in the emergency room's operating room.

The reason there are so many today is because Jin Hongzhou's current proficiency in manual repositioning techniques is already evident. Simply repeating the movements mechanically may not be able to improve his skills further, so this gives him such a good opportunity to practice repeatedly.

"Thank you for your help, Brother Zhou. I think I can give it a try. If it can't be reset, you're still here, Brother Zhou, aren't you?" Fang Ziye didn't refuse.

Just kidding. With your superiors backing you up, if you're capable enough and still not bold, are you waiting to start taking risks and breaking through barriers after you start practicing on your own?

"Okay, I'll bring it over to you. After this batch, the next batch will be Luo Ge from your group. He'll cover for me while I go deal with a couple of minor open fractures. Hehehe."

Of course, after saying that, Jin Hongzhou still gave Fang Ziye a few more hints: "Brother Luo has a good impression of you. If you know what I mean, then give him a nudge in private."

Fang Ziye certainly understood.

He quickly replied, "Brother Zhou, I'll send the follow-up results of the dislocations to Brother Luo later. Don't worry about it."

"Excellent!" Jin Hongzhou immediately felt that Fang Ziye was someone worth looking forward to.

With just a few words of guidance, it became clear that what he meant was for Fang Ziye to let Qin Geluo know about Fang Ziye's ability to restore the original state and the implications of his methods by having Qin Geluo review the results of the restoration.

"Brother Zhou, you almost gave me a piece of your mind. If I don't understand, I'll be letting you down." Fang Ziye used messages to make Jin Hongzhou feel comfortable.

Jin Hongzhou will surely understand that even when the senior doctors return, we can still cooperate happily when Fang Ziye is on duty.

Give me a chance, and I'll f***ing, I'll tell you a 'story' and f*** you a few times...

Fang Ziye felt that this was not vulgar, but rather a necessary social etiquette and a form of interaction with others.

As the chief resident, Jin Hongzhou had no obligation to treat Fang Ziye's emergency dislocation; he owed him nothing. Moreover, Jin Hongzhou himself would have to take responsibility for the treatment.

Given this premise, if you want others to give you opportunities, you have to make others see something about you, right?

"Enough talk, let's get to work!"

"Got it!" Fang Ziye gave another OK sign.

A short while later, a patient with a dislocated interphalangeal joint entered the department. Fang Ziye had just finished reviewing his X-ray film when the patient who had previously undergone joint reduction and was now undergoing a follow-up examination came in.

Fang Ziye thought for a moment and then said, "Miss, this is the follow-up result after the manual reduction of the joint dislocation. I'll just take a look, at most a minute."

"After you've seen this old man, you can go home. Could you please give me a minute?" Fang Ziye asked, slightly clasping his hands.

According to the medical procedure for receiving patients, since the young girl with the dislocated interphalangeal joint arrived on a first-come, first-served basis, he had to be responsible for completing her entire diagnosis, consultation, and treatment process before he could proceed with other work.

Of course, this will take up a lot of people's time. If she is willing to wait a minute, others can leave.

The girl was accompanied by her boyfriend.

The other patient and their family were a middle-aged couple, around sixty years old. They also had kind faces.

Her boyfriend, while blowing on his hands, advised, "Baby, why don't we wait a little longer?"

The girl glanced at the elderly couple a few times, and the elderly couple looked back at her with expectant expressions.

The girl nodded and said, "Doctor, please hurry, it hurts so much here."

"Phew, baby, let me blow on it, it doesn't hurt so much anymore..."

Fang Ziye was too lazy to pay attention to the lovey-dovey young couple who were almost about to have sex on the spot, and he sighed inwardly at how the days were getting shorter.

Quickly open the X-ray images of the elderly couple after their repositioning.

……

It was 3:02 PM.

Fang Ziye saw another man in his forties who also had a shoulder dislocation. When the dislocation was anteroinferior, he saw a muscle shadow around the neck of the humerus.

If Fang Ziye's X-ray reading skills hadn't reached level 3, he would have completely ignored this afterimage and directly taken him to the control room to reset it.

Thinking of this, Fang Ziye broke out in a cold sweat.

Turning to the middle-aged man, she said, "Uncle, your dislocation is a bit complicated. I think it will require the help of our senior doctors. I can't handle it myself."

Without a doubt, this is an irreducible anteroinferior shoulder dislocation where the biceps tendon has wrapped around the neck of the humerus. This is beyond my ability to handle.

There's no need to even try.

Upon hearing this, the uncle was slightly taken aback: "Dr. Fang, I just saw you reduce two dislocations like this. You're not trying to scare me, are you?" Fang Ziye shook his head and tore up the prepared consent form for the consultation: "Uncle, there's no such thing as scaring you. As doctors, we generally wouldn't admit that our abilities are limited unless it's absolutely necessary."

"As you can see, I did the relatively simple dislocation that I could do. I certainly wouldn't target you, would I? We have no grudges against each other."

“But in your case, it’s definitely not something I can handle. This is a non-reducible anterior inferior shoulder dislocation. I need to ask our senior physician to handle it for you. You will definitely need to go into the operating room and be anesthetized before the procedure!” Fang Ziye said with great certainty.

In theory and cognition, one must know what one can do and what one cannot do; this is true maturity.

With my current skill level, I can't handle such a dislocation.

Fang Ziye's admission of defeat was quite cautious and authentic. Seeing that Fang Ziye was young, the uncle didn't say much, but secretly groaned.

Fang Ziye, although he only has a master's degree and is about to pursue a doctorate, is still very good at getting people to talk to.

Because in the hospital, the less skilled you are, the more readily people will come when you call.

As soon as Fang Ziye explained the uncle's situation and his own guesses, Li Nuo, who was currently replacing Jin Hongzhou on the emergency room shift, rushed back from the emergency department.

After taking a few careful glances, Li Nuo once again used the Great Summoning Spell to call Qin Geluo from the operating room to the ward where he had temporarily left the operating room.

It was finally determined that it was indeed an irreducible anteroinferior shoulder dislocation.

Fang Ziye was still in charge of the interview and signing. However, after Qin Geluo finished reading, he went up on stage again. But Li Nuo, the attending physician, directly invited Professor Li, the former director of the Department of Trauma Surgery, who was supposed to be seeing patients in the outpatient clinic, to the ward. Professor Li was already 78 years old this year.

The old man had age spots all over his face, but he was very healthy and tall.

Once inside, he looked around, looking here and there.

Finally, he asked Li Nuo, "Who are you?"

Yes, when Li Nuo entered the hospital to pursue her master's degree, Professor Li had already retired.

Of course, when Professor Li asked "who are you?", he meant whose student you are.

Li Nuo quickly and respectfully replied, "Professor Li, my name is Li Nuo, and I am a student of Professor Han Yuanxiao and Professor Dong Yaohui."

"Oh, Xiao Xiao is already supervising doctoral students? When I retired, he was still an attending physician." Professor Li blinked, looking around with his hands behind his back.

Han Yuanxiao is the youngest full professor in the department. Professor Li retired at the age of sixty, but led a research group in the department for five years before retiring more than ten years ago.

It's possible that when Professor Li retired, Han Yuanxiao was still a student. After his re-employment ended, Han Yuanxiao was just a junior attending physician.

"But now, I've become a professor," Professor Li said in a pretentious tone.

Upon seeing Professor Li, a professor of similar age, the middle-aged man instantly felt reassured: "Professor, is it possible for me to avoid going into the operating room?"

Professor Li merely glanced at him and retorted without giving him any face: "You can go home if you don't want treatment, as long as you want."

"Anyway, no one will die or anything."

The man was completely dumbfounded.

"Yes, you could be dislocated for fifty years and it wouldn't pose a threat to your life."

That's the situation.

“We need to go into the operating room and have the muscles relax before we can reposition the meat. You insist on not going into the operating room. Pork outside is now more than ten yuan a pound, but you insist on telling the butcher that you bought it in the 1980s for three cents a pound.”

"Then you can only buy it in the 80s? That's disrespectful to the facts." Professor Li's logic was clear, and his rebuttal was very sharp.

The middle-aged man immediately backed down, realizing that the old man was even more formidable: "Professor, I'll listen to you."

"I can listen to you too."

"The right to informed consent and the right to informed refusal are equally important! More important than the dean's, even more important than Academician Gui in our infectious disease department." Professor Li said playfully while doing chest-expanding exercises.

While saying this, Li Nuo and Fang Ziye could only force a smile throughout.

Fang Ziye then continued talking to the patient and getting them to sign the consent form.

Perhaps it was because Fang Ziye's presence was a little too noticeable when he was talking and signing the document that Professor Li recognized him immediately.

He interrupted again, pointing at Fang Ziye, but not recognizing the name, he asked, "You, you, you're the one from BBK?"

Fang Ziye was slightly annoyed. Why did you interrupt me when we were talking and signing the papers?
Interruption is one thing, explaining my name is another, but what the hell is this "BBK"?

"Professor Li, my name is Fang Ziye, and I am a student of Professor Yuan Weihong." Fang Ziye dared not be careless and still had to reply, and he had to reply respectfully.

"Yuan Weihong?"

"Never heard of you, but I know you!"

"I've seen you in the practice room several times, improving step by step, very impressive..." Professor Li said.

Upon hearing this, Li Nuo glanced at Fang Ziye in surprise, then asked, "Professor Li, what do you mean?"

Professor Li, when he's not busy, usually has two tasks: one is seeing patients in the clinic, and the other is being a materials master in the practice room, distributing practice materials to students.

“Many of us have watched him grow up so much, he looks several times a day. He’s a very good kid,” Professor Li said, before adding, “Stop chatting, let’s talk and get the signatures first.”

"This dislocation is quite troublesome. The biceps tendon is wrapped around the back of the neck. It will take some strength to untangle it."

"Li Nuo, call someone else to help."

Li Nuo quickly called someone.

Fang Ziye, meanwhile, was informing the middle-aged man of the risks while secretly alarmed.

Is Professor Li some kind of supernatural being?
Fang Ziye had indeed been gradually improving his skills in the training room, adding points little by little. He originally thought that no one would notice, and that he would rise step by step like this.

At least naturally.

Fang Ziye's approach at the time was to add a little bit in the morning, and then a little bit every two hours, without making a sound.

However, to my surprise, these old professors discovered what I was doing.

Are your eyes poisoned?
But it doesn't really matter. Generally speaking, I'll gradually improve my skills step by step. It's better if someone notices it, but if no one notices it, that's something you haven't seen.

Experience points are gradually added in the training room at a rate of two or three days. This way, others will only think that you are improving step by step while practicing, having sudden insights, and progressing gradually.

If someone sees this, it will further prove that I'm... well, a pretty good genius...

……

Fang Ziye finally finished the conversation and signed the consent form. The patient was then taken into the operating room by Li Nuo and Professor Li. Hearing that Professor Li was there to perform manual reduction, Qin Geluo sped up the surgical process, taking a small debridement and suturing procedure to the extreme in terms of speed.

Then, Fang Ziye didn't have the chance to stand by the stage and watch in person because he had to be on duty.

However, apart from Fang Ziye, Jin Hongzhou from the Department of Trauma Surgery, his doctoral senior Gu Yi, Luo Tingzhu, and others rushed to the operating room from various places to catch a glimpse of the operation.

Fang Ziye didn't have the chance to see it. He could only perform the remaining manual reduction techniques in the department, feeling both happy and slightly pained. Actually, Fang Ziye also wanted to see it.

Such an old professor's skills are absolutely superb. He may not be as strong as before, but his precision in operation and control of timing are definitely not lacking.

After Fang Ziye finished repositioning all the dislocated patients in the department and checked the results of the follow-up examinations, it was already 4:30.

It was already past four o'clock.

Jin Hongzhou and others will no longer be actively recruiting patients, and Li Nuo and Qin Geluo will no longer be able to replace Jin Hongzhou on duty. It is estimated that there will be no more patients with dislocations to supply Fang Ziye for treatment.

Even so, Fang Ziye performed as many as 14 manual repositioning procedures today.

Besides the two machines in the morning, there were twelve other people.

Furthermore, the knowledge points gained from the ten manual reduction techniques averaged as many as seven points each, totaling eighty-four knowledge points.

However, the benefits of acquiring knowledge points go far beyond that.

The remaining two cases are: one is the little boy who was transferred to the sports medicine department for a tendon injury, who gained 15 knowledge points during the reduction procedure; the other is Fang Ziye, who diagnosed the anterior horn injury of the collateral ligament and recommended transfer to another department, also gaining 20 knowledge points.

The other task was lateral reduction of the elbow joint, which was quite difficult. Just by completing the reduction, Fang Ziye earned a huge amount of knowledge points, 30 points.

Meanwhile, Fang Ziye, the middle-aged man, earned a whopping 20 knowledge points by diagnosing Fang Ziye's irreducible joint dislocation, even without participating in the treatment.

This wealth of diagnostic knowledge is second only to Fang Ziye's previous diagnosis of asymptomatic abdominal aortic aneurysm and that one osteosarcoma patient.

于是，当前的学识点余额就变成了：20+30+20+84=154+138.2=292.2！（注解，138.2点学识点时，就包含了给上午肘关节后脱位患者手法复位治疗助手的15点，因此不能重复计算。）
Fang Ziye thought this was the end.

Unexpectedly, after Jin Hongzhou took over the general ward duty at 4 p.m., because Fang Ziye was reliable today, Jin Hongzhou continued to transfer patients with joint dislocations to Fang Ziye throughout the afternoon and evening.

If they are found, they are all admitted. Moreover, because it is nighttime, raining, and visibility is poor, the probability of trauma is higher.

Around midnight, Fang Ziye's hands were sore.

Fang Ziye immediately begged for mercy: "Brother Zhou, I'm tired, I can't do it anymore."

Fang Ziye is truly unable to continue.

Manual reduction surgery, anyone who's done it knows, is very strenuous.

Jin Hongzhou replied, "Not bad. From 4 p.m. until now, you've done 20 units, which is equivalent to three units per hour."

"The speed is still commendable."

"Thanks for the feeding, Brother Zhou, but I'm really exhausted. Thank you for your hard work, Brother Zhou." Fang Ziye looked at his remaining knowledge points, which had reached 501.4!

Although I really want to learn more, I just don't have the energy.

At this moment, Fang Ziye just wanted to lie down and rest for a while, and kept rubbing his wrists.

"Okay, the key to surgical procedures is precision, not quantity, and stability, not speed."

"Professor Li has nothing but praise for your clinical talent."

"Get some rest, you've worked hard today."

"Okay, thanks, Brother Zhou. Good night. Take a rest when you have time," Fang Ziye replied.

It's hard to say where Jin Hongzhou is resting. He might be in the emergency department's rest room, the ward's rest room, or the operating room's rest room, sleeping whenever he has a spare moment.

Jin Hongzhou did not reply.

Then, Fang Ziye massaged for a full ten minutes before he felt the soreness and swelling caused by the lactic acid buildup in his wrist and elbow joints subside a little.

In this way, Fang Ziye's accumulated knowledge points broke through the 500 mark for the first time.

This progress is very encouraging.

Aside from being a bit tiring to handle.

In this way, Fang Ziye felt that he could look forward to meeting the requirements for breaking through the barrier.

Examine it carefully.

Such large-scale operational opportunities will likely be quite rare in the future. Once the superiors return, Jin Hongzhou certainly won't dare to recklessly occupy the department's beds.

They don't dare to admit patients indiscriminately; they have to reserve beds for major outpatient diseases scheduled for elective appointments.

As a result, the department's diagnostic and treatment tasks involve major diseases and major surgeries.

In cases where there aren't many minor procedures, the most opportunities for master's and doctoral students to perform procedures are actually suturing.

Moreover, on Fridays and Saturdays and Sundays, the clinical practice opportunities no longer belong to Fang Ziye and Luo Tingzhu's group.

Gu Yi is going to the outpatient operating room.

They were all PhDs and Masters students who stayed at home, so Fang Ziye and Luo Tingzhu wouldn't treat them any differently and would completely feed them.

In addition, there are also PhDs like Lu Zhefu in the hospital, so it is only right to give them some opportunities to practice.

For example, tomorrow, Jin Hongzhou might practice manual reduction of Lu Zhefu's dislocated joint, while Gu Yi and Dr. Fan Yantong from Dong Yaohui's group will handle the emergency surgery.

Fang Ziye, Luo Tingzhu, Shu Lang, and Lan Tianluo, along with several members of Professor Deng Yong's group, will have to step down a bit.

From Wednesday to Friday, a total of five days, it would be good if Professor Deng Yong's group of students could work on it for one or two days, but they should be given equal attention.

Fang Ziye muttered to himself: "The requirements for a doctor to complete the seclusion include the ability to suture ashes, the ability to dissect and separate the muscles, tendons, blood vessels, nerves, and fascia of pork, the ability to clean and grind the muscles of crushed pork, and the ability to stop bleeding at a rate of 60 times per minute."

"Specialty requirements for trauma surgery also include muscle suturing, osteotomy, manual reduction of fractures, as well as bone defect repair, osteoplasty, and bone flap design."

"My manual reduction technique is basically up to standard. There is no fundamental difference between manual reduction of joint dislocation and manual reduction of fracture; only the presentation is slightly different."

"Professor Deng once said that during his master's studies, his main task was to perform basic operations such as suturing, debridement and hemostasis. He would gradually relinquish his expertise in basic orthopedic skills such as manual reduction, muscle suturing, osteotomy and bone defect repair during his doctoral studies."

"You have to walk one step at a time, and you have to eat one bite at a time."

"Wound cleaning, suturing, hemostasis, and incision are the skills I have the most opportunity to learn right now. So, my next goal is to learn suturing, specifically how to suture jelly."

When you don't have a lot of knowledge points, you must be careful about the order and process of adding them.

If you add points but can't apply them clinically, the skill will just sit idle for now. It's relatively unscientific for a skill to generate knowledge points in a continuous cycle without being applied to other skills.

"I wonder if Professor Deng could give me more opportunities to perform suturing if my suturing skills are outstanding among my juniors?" Fang Ziye hesitated.

In elective surgeries, the only thing to look forward to is the suturing; the rest will be done by others, who will also need to practice, such as their own mentors or Dr. Qin Geluo.

Everyone needs to grow; it's impossible to only criticize yourself.

If we compare ourselves to our fellow PhD students, Yan Zhiming, a first-year PhD student in our group, is at a similar level to me, while Gu Yi, a second-year PhD student, is better than me in debridement, and Wang Yuanqi is better than me in suturing.

Although Senior Brother Sun Shaoqing is better than me in every way, he is only a third-year doctoral student, so his operations will inevitably take priority.

Then there's Luo Tingzhu.

Currently, Luo Tingzhu is only more advanced than me in suturing in clinical practice, but I am definitely ahead of her in manual reduction techniques.

He even surpassed Senior Brother Sun Shaoqing. Senior Brother Sun Shaoqing's manual repositioning technique could not compare to the doctor's training room exit technique.

So, if I can improve my suturing skills to level 4, wouldn't that mean I've moved up a little bit in the group and am now on par with Luo Tingzhu?

Yes!

Fang Ziye analyzed it and found it made sense.

Level 4 suturing skill, let's get started!
After adding the supplement, Fang Ziye happily put his hands behind his head, swayed from side to side to adjust his sleeping position, then stretched out his hands and slowly drifted off to sleep.

Silent all night.

Fang Ziye appeared twice, both times because patients in the department cried out in pain and needed an extra injection of painkiller. Fang Ziye had to write a prescription on behalf of the medical department before the nursing department could carry it out.

He didn't sleep well, but after finishing his shift, Fang Ziye still looked on with envy at his fellow junior brothers and senior brothers, who were all taking their places, while he could only rush to the training room to kill time...

(End of this chapter)