Chapter 154

Outside the operating room, Huang Haitao asked Wu Guo Nan again: "Director Wu, you're not joking with me, are you? This Little Fang, you really didn't know him before?"

If it weren't for their many years of friendship, Huang Haitao would have had ample reason to suspect Wu Guo Nan was deliberately setting a trap for him, and the depth of that pit was just shy of burying his five-foot-nine frame.

Wu Guo Nan immediately caught on: "Director Huang, so you're saying this Little Fang's operation level is very high, especially in manual reduction?"

"Right, more or less, but specifically how high, I can't comment on for now, and he himself can't explain clearly either."

"I originally thought he was from some Traditional Chinese Medicine family, wanting to exchange and communicate a thing or two with him, but he doesn't understand clever force or innate force, so he shouldn't be a practitioner of our Traditional Chinese Medicine."

"However, I can try. Your department's Bed 13, according to my understanding, can have the problem solved through manual reduction, but with my current operation level, I haven't reached that step yet, but an attempt can be made."

"If Fang Ziye can complete the reduction through my description, then I can only congratulate you, Director Wu. This Fang Ziye by your side is absolutely a super potential stock." Huang Haitao spoke rather formally.

But Wu Guo Nan smiled wryly: "Director Huang, you misunderstand."

"Doctor Fang is only here for a rural rotation exchange, not our hospital's staff. He has to go back in half a year. One can only say he might have a difference in philosophy with Director Zhang, and by a twist of fate ended up in our group. That's the fate between us."

Wu Guo Nan laid it out clearly. If the person was his own, he wouldn't mind listening to such flattery. Since the person wasn't his, there was no need to stir up any trouble.

This was an attempt, an attempt to test just what level Fang Ziye's operation skills had reached.

Huang Haitao personally spoke with the patient, explaining the specific situation.

"Not certain, but we'll try our best to attempt reduction. You shouldn't hold too much hope either. Of course, if you're unwilling, just pretend nothing was said. I just feel that going straight to surgery without giving conservative treatment a chance is a bit of a pity." Huang Haitao laid it out clearly.

The patient and family were naturally willing.

Already admitted to the hospital bed, just waiting for surgery. If the doctor said nothing, they'd naturally just go to surgery.

But for a chance, the doctor was willing to come try a cheaper and more reliable manual reduction. This was originally a rare virtue.

As for what if it fails, failure just means surgery again.

Huang Haitao still had some reputation in Enshi's orthopedics field, but Bed 13 was from out of town, so they didn't know. And even if they were locals, going to Minzu University Hospital was an impossible matter.

But Bed 14 was a local, and he persuaded: "This Director Huang, his medical skill is superb. Many of our fractures go to Minzu University Hospital to find Director Huang for treatment."

"This time Director Huang could spare time to come from Minzu University Hospital to Enshi Central Hospital, representing that the patients transferred to Minzu University Hospital have all been handled well, only then is there free time."

"Big Sister, your luck is good."

"Director Huang, my..." Bed 14 took the opportunity to hope Huang Haitao would look at him.

Huang Haitao decisively shook his head: "If your fracture can be manually reduced, then sows would climb trees. Pelvic fracture, just honestly wait for surgery."

Hearing this, Bed 13 nodded in agreement.

A few minutes later, Huang Haitao and Wu Guo Nan brought Bed 13 into the area outside the operating room. Huang Haitao went in first to explain the situation to Fang Ziye, roughly breaking down how the reduction should be done later, what conditions needed to be met for the reduction to succeed.

Outside, Wu Guo Nan continued soothing the patient and family's emotions, explaining: "In a bit, it'll be Director Huang operating. Our department's Doctor Fang, that's the Doctor Fang who did the reduction yesterday, will assist."

"You mustn't misunderstand."

This was a matter of form. It had to be made clear. Anyway, the patient wouldn't know whether the counter-traction force from Huang Haitao's reduction was the main operating force, or the traction force from Fang Ziye's active traction was the main operating force.

But once Huang Haitao put his hands on, the main operator was Huang Haitao. Just like if Xue Tao and Fang Ziye did a reduction together, it would be Xue Tao doing it.

This is what a superior is. This is what a person with a higher title is. The pot they should carry.

You can't even argue. Even if it's botched, you say Fang Ziye operated.

During review, others would ask you: Were you dead, letting a resident physician operate alone? Would you have the face to say that?

……

A few minutes later, Fang Ziye nodded thoughtfully.

However, Fang Ziye also understood Huang Haitao's meaning: "Director Huang, the operation difficulty you speak of is not small. You're testing me, aren't you?"

Huang Haitao neither confirmed nor denied: "Little Fang, this isn't a test. Mainly because you can't explain clearly either."

"Being able to do manual reduction well, and if there's a chance to promote and glorify it, this is my promise to my Master, and also a promise to the predecessors. I must do this."

"Discarding sectarian prejudice, passing on teaching, is the first step for our traditional medicine to open its doors wide."

"Let's not talk about inheritance and sects. Using the ancestors' wisdom on patients, whether common people or high officials, as long as patients benefit from the wisdom passed down by ancestors, it's good technique, not letting down the culture of many years." Huang Haitao said with emotion.

But he didn't continue being sentimental.

Called the patient in.

This patient had a radius and ulna double fracture, and a rotational fracture of the radius and ulna. The fracture location was at the lower segment of the ulna and upper segment of the radius. The fracture principle was actually the interosseous membrane's pull causing the double fracture.

The situation was very complex, and there were fracture fragments. Whether the difficulty of reduction or the difficulty of achieving a certain fixation effect through reduction, both climbed step by step.

But Huang Haitao analyzed the specific theory and the basic structure that could achieve fixation effect for Fang Ziye. Fang Ziye pondered a moment, and if he operated himself, he could indeed achieve this step.

The basic composition of reduction is still traction, reduction. Traction at most differs in force allocation. Reduction is either using technique to press the fracture together, or prying to prop the fracture together, or through muscle gaps or soft tissue, squeezing the fracture ends and fragments in.

The forms of expression vary, but the participating elements differ, and the difficulty is also different.

After Fang Ziye started traction, he felt his scalp tighten.

Double fracture reduction was indeed not as simple as single fracture. Mainly, the muscle activity models to consider and their rotation angles were different.

Therefore, during reduction, not only must continuous traction force be added, but also rotational traction force stretching the antagonist muscles must be added, counteracting the recoil force of muscles that would produce rotational force, creating balance.

This requires, during the traction process, continuous force in multiple directions, multiple dimensions.

This had a bit of a tangled mess meaning.

But fortunately, Huang Haitao had explained certain techniques earlier.

Lower first then upper, outer first then inner, bit by bit searching for a balance point, making the muscle forces around the fracture seem like cord-like non-contractile structures, then proceeding with reduction.

Let muscles return to their true nature, just muscles, not contracting muscles, not pulling muscles. After finding a precise balance point, the fracture displacement would naturally form and reduce to its original position.

Perhaps Huang Haitao had another simpler description method, but at least Fang Ziye only knew that Huang Haitao's description of the operation process principle was not simple.

A full three to four minutes passed before Fang Ziye finally found a kind of balance point, and through the same point of application, multi-directional forces simultaneously adding counter-force, making the patient's muscles become soft and limp to a certain degree, as if they were mere ornaments.

Fang Ziye hurriedly seized this opportunity, began to slightly exert force and rotate!

Single fracture reduction can be done through prying, but multiple fracture reduction, especially reduction between several fracture ends, wanting to reduce all fracture fragments and fragments and achieve fixation effect, must be handled through a rotational reduction model.

Not long, just a few seconds, Fang Ziye saw that the two previously existing deformities had actually counterbalanced each other perfectly.

And because the muscles had been balanced into a soft limp state before, now having changed direction, they actually became taut. This taut force wasn't strong, but perfectly held the radius and ulna double fracture together.

Fixation, it seemed to be completed.

Seeing this, Fang Ziye slowly released his strength, only feeling his hands a bit sore, his mind a bit chaotic, his mood slightly better.

He watched the forearm after the release of force with particular tension, afraid that this unstable fracture would truly become unstable again.

However, after several seconds, then another ten-odd seconds passed, no deformity appeared, and the patient also had no particular feeling of pain, only feeling Fang Ziye release force and ask: "Director Huang, is this reduction of mine done well?"

He spoke Mandarin, his gaze carrying inquiry.

After Huang Haitao also relaxed his strength, he began to perform palpation diagnosis.

After palpating, Huang Haitao's whole person stepped back half a step, his face blocked by the mask, but his gaze slowly moving toward Fang Ziye was already extraordinarily shocked and complex.

Pupils gradually constricted, then slowly dilated, as if in an instant experiencing a life-and-death format conversion like suffocation.

"Alright, apply a plaster cast first, then go down for a flat film recheck, look at the results."

"If the reduction effect is worth anticipating, you can be discharged." Huang Haitao laughed like this.

But in Huang Haitao's heart, he was constantly beating a drum, not knowing if it was sadness, or envy jealousy hate, just silently repeating.

Fang Ziye's current operation level, is that realm, absolutely that realm.

Fang Ziye actually, without theoretical support, purely trained the operation to that realm, this is too unbelievable!

Master, didn't you say, only an extremely small number of professors, and some old professors of modern medicine, can train manual reduction to that realm? This requires a long time of grinding.

This tm is unscientific.

What on earth is this ghost?

Brute force, clever force, root force.

Huang Haitao really couldn't think of it, Fang Ziye would actually touch the inconceivable realm of root force in manual reduction operation.

Moreover, Fang Ziye himself didn't realize it, or rather, he didn't have this aspect of recognition, he just used this kind of manual reduction technique, to do the things in the manual reduction indications marked out by the guidelines in modern medicine.

This made Huang Haitao recall several nauseating sentences.

Golden rice bowl holding shit, urine bubble big red robe, thousand-year golden silk nanmu burned as firewood...

Wasteful destruction of heavenly gifts.

On Fang Ziye's side, after Huang Haitao seriously finished examining, he also carefully pondered, through his own understanding of manual reduction technique reduction effect, from the surface look, this reduction effect, should be extremely good.

Definitely cannot reach anatomical reduction and near-anatomical reduction.

But only lateral translation of two or three millimeters, this is harmless, many surgical reductions also have a certain degree of translation malunion, not absolute anatomical reduction.

Seeing this, Fang Ziye's heart was also quite shaken.

This is the first time he felt the power brought by traditional medicine, turns out, traditional medicine, really as rumored, can achieve some treatment effects modern medicine cannot achieve, only needing profound theory and operation level to support.

And this kind of reduction, is not the street-goods reduction technique that some people on the internet blindly spread.

A radial head subluxation, treating without diagnosis, regarded as a miracle, every time Fang Ziye sees it, he doesn't know whether to be fortunate or sad.

An ordinary joint dislocation, for example mild hip joint dislocation, after manual reduction is good, they show off greatly.

Actually, this kind of manual reduction, which hospital hasn't done thousands of cases, all have no face to say outside I did this kind of reduction today, that kind of reduction tomorrow.

Only especially typical, super high difficulty, difficult reduction joint dislocations, dare to speak out through writing papers, all dare not personally hang on their mouths.

How big a face?

But, this time is not the same.

Fact is fact.

Huang Haitao just knows, some from the modern medicine angle, belong to manual reduction contraindication disease types, can be treated through manual reduction, this is a guideline correction prospect.

Or rather, maybe manual reduction, is a basic disease type worth developing, and very few people notice, or rather, currently speaking, no one goes to pay attention to such a point.

Then, can I go deeper, and then, through paper publication, summary, clinical trial methods, obtain large amounts of knowledge points?

Clinical project, do I have qualification?

Knowledge Points +117!

This reduction's brought knowledge point growth, is explosive.

Fang Ziye before, diagnosing an osteosarcoma, only got nearly fifty points, this was already enough. Also the most once.

But actually, Fang Ziye knows, osteosarcoma diagnosis, basically in clinical has already been done rotten, no matter how well you do, osteosarcoma disease type no matter how premium, you also can't make out what kind of innovation.

So?

Actually in clinical, the knowledge point gain amount obtained, lies in this direction's development degree? If developed more mature, for example suturing technique, even if your suturing technique goes to heaven, it's only a few points or even zero-point-something knowledge points.

But, if saying not developed, for example hidden abdominal aortic aneurysm, in diagnosis aspect, not yet especially mature, or in physical examination aspect summary, also not that mature, so it's huge knowledge points?

Fang Ziye feels his guess very reasonable.

Because, joint dislocation disease type, belongs to level one operation.

According to reason to speak, this kind of operation, at most is equivalent to cystectomy level and difficulty, but removing a cyst, at most only gets 1 to 2 knowledge points, doing a manual reduction, at least 5 points starting.

This itself is a problem, just Fang Ziye doesn't have too much reference material, no way to summarize.

Think, summarize, doubt everything, through relatively scientific methods, go handle problems encountered around, is what graduate students need to research, also the critical thinking to cultivate.

Fang Ziye still immersed in the midst.

Huang Haitao tidied up emotions, while with Xue Tao completed plaster external fixation surgery, while said: "Ziye, you wait a moment come with me a trip, I still early hand over my those book collections to you."

"Only pity you already walked onto modern medicine this road, otherwise, I certainly would suggest you go to Eastern Han TCM University Affiliated Hospital to further advanced study."

Huang Haitao saw open.

Although Fang Ziye's appearance like saw a ghost, but talent is talent.

Abandon sects between, abandon modern medicine and TCM between barriers, not actively protect TCM itself, instead want to open self, even chronic ills must remove, is what his teacher wanted to do.

Even, his own teacher even more extreme.

Except orthodox, capable TCM, others waving TCM banner swindling, giving TCM black name swindlers, all should enter pipe-eat-pipe-live extent...

Huang Haitao vaguely still remembers, his master every time seeing inside small town, some small TCM clinics, waving can treat all cancer signs and slogans, there swindling, then very heartbroken and anxious.

But the current policy is to absolutely protect Traditional Medicine; even such an existence remains "legal" and is not dealt with.

"Thank you, Director Huang, for your generous gift." Fang Ziye was also full of expectation, wondering what kind of thing Huang Haitao would give him.

Fang Ziye's gaze was burning.

"Let's get to work first."

"All fractures from now on — you, me, Xue Tao, and Director Wu — the three of us, one third each, no one take more than their share." Huang Haitao divided it up like this.

Fang Ziye nodded.

Huang Haitao is protecting himself, making sure I don't keep stealing the spotlight; otherwise Xue Tao and Director Wu would have zero presence.

I've just arrived; flashing their eyes once to show myself is one thing, but crowding them out so they have no foothold — how do you think they'll handle themselves?

Although they don't know how, they can learn.

If they're unwilling to learn, did Wu Guo Nan call Huang Haitao into the Department just to treat Wu Guo Nan to a meal?

"Director Huang, Director Wu, Brother Tao, I won't handle reductions from now on; I'll be responsible for plaster casting." Fang Ziye raised his hand, volunteering to surrender that role.

Didn't get the Knowledge Points for reduction, but the wool from plaster casting — you fundamentally don't realize it exists, do you?

Hey, it's tiring work, but it's still mosquito meat.

PS: Popular science — Manual Reduction Diagram.

Just figured out the Image Illustration Function; everyone make do, you can leave comments on what you want to see.

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(Chapter End)