Chapter 162

Hong Du finished speaking and looked at Fang Ziye, watching for changes in Fang Ziye's expression.

Fang Ziye had never encountered such a thing; to tell the truth, even Luo Tingzhu, when she originally hoped he would teach, didn't give anything either.

Now it's like this, making it seem like a kind of exchange.

However, teaching between those who are neither in a master-disciple relationship nor a senior-junior brother relationship — where is it not exchange and human relations?

My being able to come to Enshi Central Hospital now is because Old Professor Li Guohua put his reputation on the line.

"Hope it can help Senior Brother Wu, but if Senior Brother Wu is already this outstanding, he probably doesn't lack guidance in this area either."

"Director Hong, this Senior Brother Wu, coming to Minzu University Hospital — what is the reason, exactly?" Fang Ziye asked.

Hong Du explained to Fang Ziye in thorough detail.

On the other side, Huang Kai had Zhang Jinchuan and Ceng Weihang, together with the circulating nurse, send the patient out of the operating room; they waited at the doorway for Nie Mingxian, then together sent the patient back to the ward.

However, as if "Lustrous Hair" Cao Zhen understood Wu Xuanqi better, he added: "Director Hong, I seem to have heard that this Dr. Wu encountered a medical dispute."

"Then he took the fall for an old director at Tongji Hospital; afterward, whether it was retrograde amnesia or what, he became somewhat silent after the first year of professional master's program."

"Then he came to work at Enshi's Minzu University Hospital, didn't go straight for a PhD, but after just one year — meaning this Dr. Wu, in just under four years more, not only made up all the knowledge and operations from his undergraduate period, but now is even pursuing a PhD again……"

Fang Ziye listened and found it quite legendary.

Speaking of it, Dr. Wu Xuanqi was formerly the Trauma Surgery Administrative Director at Tongji Hospital, Professor Duan's beloved disciple; his natural talent was originally good, but he encountered a medical dispute, was wrongly beaten, and suffered rare retrograde amnesia.

Not only did he forget many experiences, even the knowledge he had learned during that period became blank.

This made things really difficult, to the extent that this Senior Brother Wu could only fill the gaps in medical basic theory during his master's stage, and only after four years of accumulation did he barely reach PhD admission standard last year.

This is extremely impressive.

Wu Xuanqi, counting it up, is in the same PhD cohort as Senior Brother Yan Zhiming in the department, but actually counting from the master's stage, he should be in the same cohort as Wang Yuanqi, just that he retook the exam for one year.

Four years' time, matching others' eight years of accumulation — such a record makes Fang Ziye have to consider that this Senior Brother Wu's qualification is at least on par with Luo Tingzhu, perhaps even better.

Luo Tingzhu is currently only in her fifth year of undergrad, not even finished……

At the same time, speaking of anesthesiologist Nie Mingxian.

Huang Kai blurted out: "Dr. Nie, the Time Management Master of our operating room — who doesn't know?"

Hearing the words "Time Management Master," Fang Ziye couldn't help but immediately look sideways, exchanging glances with Huang Kai. He thought Huang Kai had found out something and was hinting at him here.

But actually, Fang Ziye really had misunderstood.

Huang Kai also immediately explained: "This Dr. Nie was originally a top student at Jingdu University Medical School, his qualification is also very good, only because his father fell ill, his family currently has no savings, so he could only work first, and then our Enshi Central Hospital picked up a bargain."

"You mustn't underestimate Dr. Nie; after Dr. Nie came to our hospital, his PhD supervisor from back then even specially came to see him."

Fang Ziye heard this, raised a hand, and said gossipingly: "Brother Kai, if I remember correctly, Director Hong said earlier that this Dr. Nie is a Seven-Year Program student?"

"Right, Eight-Year Program switched to Seven-Year Program, graduated with a master's."

Fang Ziye: "……"

A genius from Jingdu University Medical School's Eight-Year Program — truly not to be trifled with; the score needed has always been that high, never dropped; if you don't have 680, you might as well just dream on.

But filial piety comes first among all virtues.

Fang Ziye felt for the first time that this human world is vast, with many stories……

"Dr. Nie was originally going to join our hospital's Trauma Surgery, but our department's Anesthesiology Director discovered Dr. Nie's anesthesia technique was simply good to the point of explosion, and recruited him with high salary."

"Emergency Department and Anesthesiology Department comparing performance — Emergency definitely can't compare, so now the Emergency Director and Anesthesiology Director don't get along so well……"

"Dr. Nie's anesthesia level is truly top-tier. Under his teacher's arrangement, he graduated with a Double Sub-specialty degree in Emergency Surgery and Anesthesiology."

"After entering the hospital, he took a professor from Huazhong University of Science and Technology's time management model and pushed it to the extreme; it's said that for one hour of anesthesia, he won't go to one hour ten minutes."

"Say four hours of anesthesia, won't go to four hours ten minutes; single-dose medication, serving the whole platform; surgery just about ends, patient just happens to wake up in five minutes, and doesn't need to be sent to the Post-Anesthesia Care Unit."

"This is already strong enough, but ever since this Dr. Nie went to an Anesthesiology annual meeting, now he even wants to push the words 'time management' to the extreme; he can even control the off-duty time of everyone in this operating room — you say, impressive or not?"

Fang Ziye hearing this could only sincerely give a thumbs-up.

Controlling time requires not only sufficient understanding of anesthesia depth oneself, but also time-management control over the clinical operating doctors' level and the surgery's overall difficulty.

This Dr. Nie hasn't forgotten his surgical dream……

Immediately after, Huang Kai and Cao Zhen and a few others chatted a bit about Zhang Jinchuan and Ceng Weihang who had gone out, mainly to knock some sense into these two.

Even Cao Zhen occasionally has to knock some sense into Zhang Jinchuan who has older seniority than him — making Fang Ziye feel extremely strange!

……

Outside the Pre-anesthesia Room, Nie Mingxian, leading his intern follower, walked out while still explaining: "I'm telling you, no matter what specialty you go into later, where you read your master's, this time — you must grasp it well, manage it strictly."

"There are several benefits: first, you yourself will be relaxed, your own time planning will be more meticulous, you can free up a lot of time for learning."

"For example me, I currently can leave at least two and a half hours every day, one and a half hours reading time, one hour operation practice time."

"So how to control time?"

"For surgery, it's definitely increasing basic skills, guaranteeing surgery quality while speeding up surgical rhythm, anesthesia not dragging."

"For us anesthesiologists, it's doing good time assessment — for example today's several fracture closed reductions."

When Nie Mingxian spoke this loudly, he suddenly discovered that at the junction of the operating room and doorway outside the Pre-anesthesia Room, several people were standing there, as if waiting for him.

This made Nie Mingxian's voice come to an abrupt halt.

Wang Zhongxing walked over: "Dr. Nie, we were just waiting for you? This patient is nerve block anesthesia, no need to wake up; you see, why don't you sign, and we'll send directly back to the ward?"

When Wang Zhongxing said this, the little girl beside Nie Mingxian's face showed a dazed expression.

Because, before this, Nie Mingxian had said that according to Director Hong Du's physician team's operation technique and strength, it should take about thirteen minutes to complete the closed reduction on that side, so they still had nearly six minutes to walk over leisurely.

But unexpectedly, in less than seven minutes, the patient and the surgical team were already waiting at the operating room doorway.

"Oh, you've finished the reduction?" Nie Mingxian quickly reacted, without shock or embarrassment, directly went toward Wang Zhongxing, took the anesthesia record while signing his name, and asked the patient.

"How does it feel? Leg still a bit numb now? But it's fine, after you return to the ward for a while, you'll be able to move a little."

After Nie Mingxian signed his name, he put the medical record book directly on the hospital bed.

"Okay, thank you, Doctor." The patient slightly cupped his hands.

With nerve block anesthesia, he was awake the whole time; aside from feeling it was a bit fast, there was no other sensation at all.

"Alright, Doctor Wang, Sister Xia, you two take the patient back to the ward. On the way, call the orderly to bring the next patient in for consultation, send them to the pre-anesthesia room, and I'll come over to do the anesthesia in a bit."

"My patient here is already anesthetized and can be sent to the operating room right away."

"Nerve block anesthesia generally doesn't involve vital signs. After going back, just monitor symbolically for two hours and then it can be removed; mainly depends on the department's arrangement." Nie Mingxian handled the handover very steadily.

Wang Zhongxing and the others nodded in agreement.

At the same time, circulating nurse Xu Xia began walking toward the pre-anesthesia room with Nie Mingxian.

In the operating room, to receive a patient from the operating room doorway into the operating room requires the circulating nurse to participate; to receive a patient from the pre-anesthesia room or waiting room or doorway into the operating suite requires the circulating nurse to participate.

This point is very clear — even the dean cannot directly drag a patient into the operating room.

That's why the nine operating rooms arranged for two circulating nurses — to speed up turnover.

After all, Director Hong Du's surgical skill is very good; to retain this orthopedic master, the hospital and the operating room both made special arrangements and accommodations.

On the way to the pre-anesthesia room to fetch the patient, Nie Mingxian asked puzzledly, "Sister Xia, the previous patient was reduced that fast? What happened?"

Nie Mingxian had already done advance time planning. Fang Ziye was entrusted by his old classmate to have Director Hong Du mentor him, which is why today's manual reduction special session happened.

Otherwise, today Wu Xuanqi would have come directly to do the manual reduction himself.

But Nie Mingxian had clearly already overestimated Fang Ziye's capability, so he shortened the anesthesia time as much as possible to fifteen minutes, benchmarking against Director Hong Du's direct operation level.

Unexpectedly, there was still a little bit of imperfection.

Nie Mingxian's mood was a bit not relaxed.

"Doctor Fang and Director Hong cooperated too well. Basically in one minute they finished explaining, then Doctor Fang completed the reduction in one or two minutes. The plaster casting was also fast; anyway, no need to wait for the plaster to fully set." Xu Xia knew Nie Mingxian cared about time because he had a clinical project at the hospital.

Hearing this, Nie Mingxian fell silent.

After walking two more steps, he asked in shock and doubt, "So before the reduction, Director Hong still explained to Doctor Fang?"

Stunned inside——

No way, brother, old classmate?

What kind of person did you bring, tm? Don't let it become your Waterloo, eh.

At this speed, this Fang Ziye's strength is not necessarily lower than yours.

What the hell are you mentoring.

"Yes, that's about the meaning of it."

Xu Xia pondered a moment, then said, "I feel this Doctor Fang, his manual reduction has a few points of Doctor Wu's style — very fast, very decisive, also very clean."

"Likewise, the manual reduction effect is also very good. According to Director Hong's words, basically it can be said Doctor Fang's manual reduction operation is already very mature."

"Okay, thank you Sister Xia, then I know." Nie Mingxian smiled and didn't say much more.

Then that makes it easy — just directly estimate Fang Ziye's time according to Wu Xuanqi's next-level surgery time, should be about the same.

But if so, my own anesthesia operation becomes the most critical factor affecting the overall surgery time.

Holy crap.

Nie Mingxian cursed softly in his heart.

Since coming to Enshi, he rarely encountered himself being the factor delaying the surgical rhythm. Basically only occasionally when Wu Xuanqi came, he misjudged and caused a delay.

Other times, whether doing elective surgery anesthesia or emergency surgery anesthesia, he could basically achieve seamless connection.

That is, this patient just left the operating room, if there are enough circulating nurses, the next one can immediately start preparing.

Of course, for the patient about to be received into the operating room, Nie Mingxian's anesthesia time definitely cannot be corrected in time, and will definitely be slightly longer.

Because he previously estimated that Director Hong Du's side would take ten-odd minutes, and he factored those ten-odd minutes into the anesthesia duration.

Can't be that just as the operation starts here, the medicine is given exactly then, right?

That kind of operation is only theoretical; actual operation definitely can't reach it — it's just a small goal to pursue.

Nie Mingxian didn't pay too much attention to these things, and together with Xu Xia, once again received the patient into the operating room.

"Director Hong, this patient is also fully anesthetized."

"Manual reduction is good — no need to organize the operating room, no need to clean, basically seamless connection."

"Just that the next patient's turnover will be relatively a bit slower." Nie Mingxian said.

"No problem no problem, hard work Teacher Nie." Hong Du continued to show goodwill to Nie Mingxian like this.

Nie Mingxian's brows furrowed tightly, but he was helpless. He had already mentioned it to Hong Du many times, yet Hong Du still didn't change the address. He had no way — he couldn't exactly drag Director Hong Du out for a beating, right?

Just, throughout this entire manual reduction, Nie Mingxian did not leave.

Sharpening the knife doesn't delay chopping wood — he wanted to thoroughly understand Fang Ziye's level first, then go do anesthesia again, strive to get the subsequent six or seven patients' turnover under control, and then get off work early.

After observing the whole process, Nie Mingxian knew Fang Ziye's learning ability was quite strong, not too weak. So Director Hong Du's analysis, he basically got in one or two minutes.

However, for this not-too-complex manual reduction operation, Fang Ziye basically could adjust three to five times in two or three minutes. Add in the fluoroscopy time and plaster casting time, total calculation comes out to……

"Eight minutes."

"Wu Xuanqi's turnover only needs five minutes. That is to say, Fang Ziye's manual reduction technique level differs from Wu Xuanqi's not especially far. At least in simple fracture reduction, it's like this."

"Alright then, Old Wu Doctor, you're the one receiving it." Nie Mingxian's mood turned good again.

He was very much looking forward to: if Wu Xuanqi knew Fang Ziye's current operation level, how would he still manage to do "first give then take"?

What would you give to others, loneliness?

Currently, Nie Mingxian's few clinical joys are managing time, and then watching that old classmate with equally good talent — possibly only a little bit worse than himself — make a fool of himself.

After watching, Nie Mingxian decisively "signed and sealed," and after confirming Director Hong Du and the others had indeed judged the manual reduction effect as very good, he again had the circulating nurse and resident physician send the patient back to the ward.

Speaking of it, those two are also quite hardworking. Just got back, and have to send the patient again — didn't even get a chance to watch Fang Ziye and the others operate.

"Director Hong, I'll go do anesthesia first. This time should be able to directly receive two patients in succession. At this speed, estimate before eleven o'clock, hope to have all manual reductions processed." Nie Mingxian smiled and said.

He already knew Fang Ziye's level clearly in his heart, therefore he felt he could control the whole scene subsequently.

Nie Mingxian returned to the pre-anesthesia room, and simultaneously notified two orderlies, who brought two patients to the pre-anesthesia room one after another.

After completing the first patient's anesthesia, he had Xu Xia receive the patient into the operating room for closed reduction, and then Nie Mingxian said again: "Before, it was me too, assessment errors would exist, so they would affect the operating room turnover to a certain extent."

"But, in such extreme time, can we still do time management?"

"It is possible, we only need to estimate the overall duration of this surgery in advance, and then after preparing the anesthesia in advance, accelerate our own operation speed, this way, after we finish anesthesia here, we can go out the door to the operating room, sign and wait for the patient to come out of the operating room."

"Then we return to the pre-anesthesia room, and do pre-anesthesia for the next patient."

"To achieve this kind of control, the prerequisite condition is that one's own anesthesia level is high enough, and the anesthesia speed is fast enough."

Nie Mingxian explained while on the side the young girl listened with eyes full of stars.

"Yes, Teacher Nie, you are really powerful, when I followed other anesthesia teachers before, there was never anyone like you who was so sensitive to time."

"It's alright! You mustn't believe those rumors circulating in the department, I am just an ordinary small anesthesiologist." After the next anesthesia was completed in the pre-anesthesia room, Nie Mingxian went out the door again preparing to go to the operating room!

He discovered, the miserable Zhang Jinchuan and Ceng Weihang, the two of them, were again pushing a cart and waiting at the operating room doorway's corner area for him.

It did not become as he had imagined, that he could go to the operating room and directly receive the patient out.

Nie Mingxian's brain was full of stars at this moment, the intern small physician beside him was almost star-dizzy, side-eyeing and occasionally glancing at Teacher Nie, not knowing what to say...

(Chapter End)