Chapter 10: This Time's Awesome Wasn't Bought by the Teacher (Asking for Favorites, Asking for Follows)
The Trauma Surgery outpatient clinic had no shortage of rare disease types, but since his own teacher's title was already Attending Physician, and he also shared the same clinic day as Professor Deng Yong, no rare disease patients came for consultation.
Another plantar fasciitis patient arrived; Fang Ziye conducted history-taking and physical examination, ruled out fracture, and also felt no distinct hard lump. Based on the symptom of pain worsening upon stepping on a protruding hard object, he could almost confirm the diagnosis.
He instructed in advance to first buy a pair of shoes with softer soles and sent him off to get an X-ray to screen for a suspicious "tumor" lesion, which also brought this patient's consultation to a conclusion.
When seeing outpatients, one must never be careless! Not thorough enough.
Fracture can be basically ruled out through physical examination, but a mass cannot.
At least Fang Ziye's physical examination skills had not yet reached such depth.
Yuan Weihong watched Fang Ziye, who had followed him in outpatient clinic for two years and already bore quite the air of a young physician, still pacing about in the ward, even after Fang Ziye finished seeing the last patient, one with chronic ankle joint pain.
He simply pressed down on his hand: "You stay there and wait; later when patients come for follow-up to review films, you take a look for them first, then write out the medical orders yourself. If there are errors or improprieties, I'll point them out."
"Pity I didn't bring tea."
Fang Ziye was instantly delighted upon hearing this, committing the matter to heart: "Master, next time it can be arranged."
Yuan Weihong returned a smile.
He too had come up through such an age as Fang Ziye's, knowing that young physicians of this age see their theory gradually mature, and wanting to get a taste of being a doctor — that too was understandable...
However, once Yuan Weihong delegated authority like this, Fang Ziye, by reviewing films for subsequent patients and carefully pondering medical orders, saw his knowledge points increase as if gone mad — in merely one hour's time, they grew by thirty-nine points!
This frenzied rate of increase was who knows how many times greater than the knowledge points gained from honestly staying in the ward writing orders, taking detailed histories, and scrutinizing every detail.
Appropriate initiative is very useful for one's own growth.
After work, Yuan Weihong still planted both feet on the ground and straddled his electric scooter, gazing at Fang Ziye smiling like a "eunuch's face," and asked: "The sense of achievement from independently running outpatient clinic, feels great, right?"
Fang Ziye nodded steadily: "Thank you, Master, for giving the opportunity."
Yuan Weihong twisted the throttle and rode two steps, then used both feet to back up two steps: "Is it that without the pressure of writing papers locking you down, your whole mindset has become much more relaxed?"
"You've improved a great deal recently."
Fang Ziye was Yuan Weihong's first student; having stayed by his side honestly for over two years, Fang Ziye's progress Yuan Weihong naturally saw all in his eyes.
Fang Ziye immediately shook his head.
The teacher had given him a Zone 1 SCI in the "Super Master Natural Domain"; how could Fang Ziye say writing papers was bad? It was merely that his own ability was insufficient. If he could sustainably produce such high-quality papers.
Forget pursuing a doctorate; even in the department, bantering with an Associate Professor occasionally, the other party would have to take it.
Doing research is not merely a shortcut to a doctorate; it is also a shortcut to promotion.
Because in clinical work one only converses with patients, but research results are a dialogue with the whole world, delivering your personal voice and the voice of your unit to the entire world.
The difficulty is also completely different.
Yuan Weihong then rode off on his bike...
However, by the next day, when Yuan Weihong saw Fang Ziye again, Fang Ziye seemed like a changed person. From eight in the morning to twelve noon, he soaked in the ward, for the three patients under his charge, starting from physical examination all the way to finishing writing the medical records, meticulous, striving for zero flaws.
Every word and sentence seemed carefully weighed, scrutinizing every detail.
For every medical order used, Fang Ziye even fetched articles for support, and whenever modification was needed, he would first consult Yuan Weihong on whether this usage was acceptable, whether it counted as armchair strategy.
And Fang Ziye's such conduct, such chain of evidence, such cautious behavior — even Fang Ziye's teacher, Yuan Weihong, felt deep pressure.
Not daring to say others' published articles are absolutely useless, but he felt that just to lower the complication probability of an extremely small data set, switching to a drug unrelated to pain or itch was actually completely unnecessary.
But adhering to the principle of caution, since the two drugs' mechanisms of action were completely identical, Yuan Weihong authorized the correction.
Yuan Weihong also heard his current youngest student Jie Han report that his Senior Brother Fang Ziye, after soaking four hours every afternoon in the training room, would inevitably go into the vegetable market to buy many one or two catties of meat to take home, not knowing what he was doing.
And when on duty, unable to go to the training room, what Fang Ziye did was treat every newly admitted patient as if facing a great enemy, striving for extreme meticulousness.
The duty doctor's task is to properly handle new patient admission acceptance.
What needs to be responsible for is establishing medical record templates, opening preoperative orders. Then the next day, letting the bed-managing doctor take over.
However, because the first consultation right for newly admitted patients on duty days belongs to the duty doctor, Fang Ziye unhesitatingly charged up, asking history in such detail, physical examination so comprehensive, even to the point of not hesitating to bring the Diagnostic Medicine Textbook into the operating room to compare and check item by item...
But such serious behavior, while looking rather strange to outsiders, actually cannot be considered strange.
When truly doing scholarship, many operations, examinations, or diagnoses inevitably originate from textbooks but surpass textbooks; treating patients a bit more carefully is not something shameful.
Finally, on this day, August 20th, five days after the last outpatient clinic.
Fang Ziye's accumulated knowledge points finally reached fifty, enough to add points to a Basic Medical Skill to Level 3, very likely allowing an operation to pass the training room's requirements.
After careful deliberation, Fang Ziye chose to add points to Suturing Technique.
The department was all major surgeries; the only operation a young doctor could take on was suturing. No matter how good your other operations were, superiors would not assign them to you; you could only posture in the training room and eat dust.
But Suturing Technique was different; perhaps if others looked favorably on you, knowing your suturing skill had improved, they would bestow one or two opportunities.
Training Room.
The third suturing material for Suturing Technique is tofu. For Trauma Surgery doctors, as long as Suturing Technique can achieve not tearing the tofu when suturing it, needle exit like needle on tofu, and during knot tying no bias holes produced.
And suture knots must not loosen, suture depth cannot exceed 5mm, left-right needle span cannot exceed 5mm — then it counts as passing the test.
As everyone knows, tofu is not harder to suture the more you suture it; moreover, the shallower the suture, the harder to suture.
Fang Ziye carefully operated twenty-four stitches along the tofu's elongated opening; the result leapt onto the training platform — stitches fine and dense, knots steady and firm, as if measured by a ruler and pasted on.
Around the training platform, not only did Fang Ziye's fellow trainees come to watch in astonishment, not only did his classmates find it hard to believe, even the doctoral senior brothers who happened to be in the training room were quite amazed.
"Could this be the real Little Fang performing normally after not writing papers?"
Fang Ziye felt at ease inside, raised his head to look at everyone, a smile on his face.
This time's awesome — wasn't bought by the teacher; it was self-grown.
(Chapter End)
End of Chapter
