Chapter 163

In the process of Hong Du continuously feeding him, Fang Ziye suddenly discovered that in his skill pool, downstream from Orthopedics Basic Theory, a branch theory had appeared.

(New) Bone Setting Basic Theory Cognition Level 1 1/10!

Huh?

Upon seeing this new theory pop up, Fang Ziye's heart tightened.

Could there be theories even this panel hasn't collected?

Fang Ziye felt it was still possible.

Because the meaning of research lies in uncertainty, in exploring the new and seeking knowledge.

If this panel were omniscient about all skills, then it should display mature surgical procedures from hundreds of thousands or even hundreds of millions of years in the future, or the advanced medical technology of that time, projected onto the panel.

That would be great.

However it seems this panel only manifests as mature branches based on his own cognition and understanding of the medical field, or the current society's recognized understanding and cognition.

In terms of theory, Medical Basic Theory is Internal Medicine, Surgery, Gynecology, and Pediatrics.

Specialty Basic Theory refers to larger branches like Orthopedics, Neurosurgery, Thoracic Surgery, etc.

Then, downstream from Specialty Basic Theory, there is Specialty Theory.

This is no longer just Specialty Basic Theory, but formal Specialty Theoretical Knowledge, belonging to a relatively deep level of learning.

If truly broken down layer by layer, perhaps Medical Basic Theory just tells you what diseases exist in medicine and roughly how to diagnose and treat them.

While Specialty Basic Theory gives you how to precisely diagnose these diseases, and gives you some relatively vague treatment opinions.

For example, in General Surgery, for a Femoral Neck Fracture, it might just be one sentence: recommend Total Hip Arthroplasty or Cannulated Screw Internal Fixation.

Just that simple a sentence. As for how to diagnose, it's a brief summary based on X-ray general presentation, clinical symptoms, etc.

However, in Orthopedics professional textbooks, diagnosis would be refined; for instance, on X-ray, seeing Shenton's line discontinuous, one can consider Hip Joint Dislocation and Femoral Neck Fracture, and also how to look at fracture lines, at most letting you consider classification.

Only in Trauma Surgery professional textbooks would it tell you under what circumstances to do joint replacement, under what circumstances cannulated screw internal fixation can be done, and moreover, how to perform such surgery.

Difficult?

Difficult.

Medical students, even a specialist doctor's specialty textbooks, if you swing them and smack a person, basically no one can withstand it.

Theory is what guides why and how to do something.

For example, many people know hypertension needs blood pressure lowering, and know which antihypertensive drugs exist, so why can't they be doctors?

Because you not only need to know it has a hypotensive effect, you must clearly understand the mechanism of hypertension, know when this drug can be taken, how much to take, when to stop the medicine — that's what's difficult.

Otherwise Internal Medicine doctors wouldn't have many operations to become clinical substitutes, wouldn't that make them not valuable?

Absolutely not.

Then, after seeing this new theory appear, Fang Ziye naturally lit it up; the points invested weren't high, just reaching Level 3 proficiency.

However, even so, when Director Hong Du analyzed the third Fracture Reduction for him, Fang Ziye was actually able to answer, and even tried to analyze why it was possible and how to do it.

After listening, Director Hong Du could only indicate shock through silence, incidentally his pupils constricted; he nodded at Fang Ziye, letting him perform the reduction, then leaned against the operating room's Timing Panel and began to suspect life and contemplate life.

He expected Fang Ziye's operation level to be very powerful, his talent possibly very high.

But he absolutely never expected that with just a few pointers from himself, Fang Ziye could start designing on his own.

Damn, he and Doctor Chen discussed theory for so many years, is it just not worth anything, so easily learned?

Why? Hong Du himself couldn't answer.

But, at Fang Ziye's age, to possess such superb Manual Reduction Technique, this is already beyond the general understanding of genius; in Zhongnan Hospital, he would definitely be a top-tier genius.

Although Zhongnan Hospital is just a Han City University affiliated hospital, can you look down on it?

Dare you say it's good-for-nothing?

Anyway, whether others would get angry, Hong Du wouldn't be sure, but at least, the currently youngest professor at Huake Affiliated Union Hospital Hand Surgery would definitely give you a beating.

What about Zhongnan Hospital? Han City University offended you? He's from Zhongnan Hospital.

Although Liu Huanglong couldn't study for a PhD at Zhongnan Hospital, that doesn't mean he has particularly strong hostility toward Zhongnan Hospital; on the contrary, at times he's even grateful for Zhongnan Hospital's cultivation and not forcing him to stay.

Moreover, many alumni seniors who came out of Zhongnan Hospital have reached the level of national specialty giants.

"Director Hong, starting C-arm Fluoroscopy!"

Although Huang Kai also found Fang Ziye's talent hard to believe, he was actually already numb to it.

In the operating room, above there's Old Director Hong Du's operation knocking him down, to the side there's the pervert Wu Xuanqi from Minzu University Hospital crushing him, behind there's the Anesthesiologist Nie Mingxian in the operating room squeezing him.

He's long been numb to the existence of geniuses.

Let alone one more Fang Ziye, even if there were a Du Ziye, a Zhang Ziye, he wouldn't suspect life at all.

Hearing this, Hong Du, although a bag of old bones, still wanted to live a few more years, do a bit more for patients; there was no need to not eat the radiation just because he'd eat radiation.

He followed out together.

After one fluoroscopy, the Circulating Nurse corrected the photo direction again.

The AP and lateral imaging results displayed on the Display Screen.

This was the Manual Reduction plan Fang Ziye deduced based on his own understanding, the reduction result mapped out through his technique.

That is to say, this entire Manual Reduction process was all secured by Fang Ziye himself, without anyone's help.

"Also very perfect. Director Hong, what do you think?" After Fang Ziye looked and nodded slightly, Huang Kai asked Director Hong Du's opinion on behalf of the third party.

Hong Du nodded, turned his head to look at Fang Ziye, his face revealing a complex expression.

Finally he sighed: "A person, still can't refuse to accept old age."

Fang Ziye knew Director Hong Du was praising him, so he said: "Director Hong, you're not old, you're in your prime."

"At your age, it's precisely when the grasp of theory and operation is at its most peak."

Fang Ziye wasn't flattering; it really was like this.

Today's Hong Du is just approaching sixty, has no hidden physical ailments; although his strength might not be that great anymore. But his understanding, control, and grasp of technical operations is precisely at its best.

There are such people in Zhongnan Hospital as well.

The reason re-employment exists is because the period from fifty-five to sixty-five years old is actually the most comfortable peak period for a surgeon.

While the period from forty-five to fifty-five years old is the peak of physical strength and energy.

However, their understanding of some complex difficult and miscellaneous diseases is not as good as that of the old professors between fifty-five and sixty-five years old.

After that, the body goes downhill.

"Knowledge Points +134!"

Compared to the 66 and 81.1 from the previous two, this is fifty or sixty points more.

As Fang Ziye spoke, he watched the Knowledge Points on the panel increase, and his heart rate immediately accelerated in frequency and intensity.

This damn trip to Enshi absolutely hit the motherlode of Knowledge Points.

The Manual Reduction Technique he took over was entirely new stuff, so the Knowledge Point gains were incredibly strong.

And this kind of Manual Reduction Technique that goes against modern medical clinical guidelines, which hasn't even been systematically organized in traditional medicine as Manual Reduction Theory, is simply too easy to use.

Every move and action brought new Knowledge Point increases!

Hong Du looked at the films, found no issues, and said: "Then let's put on a plaster cast! ~"

"Director Hong, then I'll go help out over here." Fang Ziye needed some time to slightly organize his mood.

Through this experiment, Fang Ziye understood another thing.

That is, when new theory increases, it might make the Manual Reduction operation more systematic, and this can drive all-around development of clinical operation and theory — this is entirely new stuff.

So, the deeper he goes, the Knowledge Point increases brought might be super huge.

Fang Ziye originally thought that coming to Enshi Central Hospital, he'd just do skin incisions, sutures, cut some small lumps, do some fracture internal fixation, and getting some Knowledge Points would be enough.

As long as he could guarantee about four hundred Knowledge Points per month, that would be completely sufficient.

But unexpectedly, after coming, he actually stumbled upon a shortcut that outsiders find hard to understand and Fang Ziye dare not imagine.

This trip to Enshi was absolutely the right call.

As the saying goes, sharpening the knife doesn't delay the woodcutting.

Since higher theory means more Knowledge Points gained, Fang Ziye doesn't mind directly adding theory to Level 4.

So, in the next moment, Fang Ziye's (new) Manual Reduction Theory went from Level 1 straight to Level 4.

The total Knowledge Points consumed was 560 points.

Level 1 to 2 is 10 points, Level 2 to 3 is 50 points, Level 3 to 4 is 500 points.

Actually, Fang Ziye isn't sure if adding points to Level 4 might instead reduce Knowledge Points, but Fang Ziye feels that since there's such a good opportunity to make his Manual Reduction Technique thoroughly prop up, this opportunity must not be missed.

Then this opportunity cannot be missed.

After putting on the plaster cast, Fang Ziye originally proposed sending the patient out of the operating room himself, and by the way, letting Hong Du take Huang Kai and the others to also do Manual Reduction.

Enjoying alone is not as good as enjoying together.

But unexpectedly, Huang Kai and the others directly refused: "No no no, Doctor Fang, you just stay here."

"We'll go do these things."

The speaker was Cao Zhen, whose 'fine hair' flowed but was all covered under his cap; respect was fully revealed in his words.

In prefecture-level city hospitals, nobody respects or worships papers — at most they're just water publications. What's the big deal.

But surgical technique, manual technique — these are what people admire and respect the most.

With capability, in a prefecture-level city hospital, you can thrive.

Hong Du said: "Doctor Fang, come sit a bit, you're our group's guest after all."

His words also carried a few more points of politeness, appreciation, and gratification.

Regardless, Fang Ziye isn't his student, but at least a junior; Hong Du likes to promote juniors, otherwise he wouldn't have brought Fang Ziye straight to the operating room just because Wu Xuanqi mentioned him once.

Huang Kai is Deputy Director, so he doesn't have to do things either.

Curling his mouth open like a hooked fish's mouth, he smiled and said: "Director Hong, I feel you should say a word to Director Zhang and Director Wu."

"Doctor Fang has such good technique, you should think of us too."

Huang Kai wanted Hong Du to transfer this genius Fang Ziye to his own group.

Hearing this, Hong Du looked at Huang Kai and said: "Huang Kai, in your heart, am I that kind of person?"

Huang Kai hurriedly waved his hands: "No, Director Hong."

"I of course know that Director Zhang and Director Wu respect you so much because you single-handedly promoted them and gave them many opportunities."

"But, there's no seniority among students, we're all your students too."

"Doctor Fang is such a teacher, just lend him for a while to benefit us a bit."

Huang Kai was certain that Fang Ziye's talent and qualification were not less than Wu Xuanqi's.

Considering that in Minzu University Hospital, those in Trauma Surgery who followed Wu Xuanqi and those who didn't follow Wu Xuanqi had different progress and speed of improvement.

Huang Kai felt his proposal, though a bit shameless, was also understandable.

Hong Du hit Huang Kai once and said: "Ziye isn't suitable to be Chief Resident, his time here is only this long; you're making so many demands, if you want to learn, come learn from me."

"And Ziye won't run away, can't you ask on WeChat?" Hong Du had already affectionately changed to calling him Ziye.

Hearing this, Huang Kai laughed and said: "Director Hong, this is words and deeds, the law isn't passed to six ears, face-to-face teaching is the true meaning."

Huang Kai has ambition and also the motivation to learn.

But Fang Ziye wouldn't have listened anyway; once he heard Hong Du say this, he instead became puzzled: "Director Hong, you said Chief Resident?"

"Enshi Central Hospital doesn't seem to have a Chief Resident, right?"

Hearing this, Hong Du clapped his own two hands: "Look at me, only knowing my mouth is fast."

"It's like this, Doctor Wu Xuanqi at Minzu University Hospital is the Trauma Surgery Chief Resident, and newly appointed at that. I just thought of a genius and thought of the Chief Resident matter."

"Of course, Chief Resident is very tiring..."

As Hong Du spoke, the foot pedal sensor door of the operating room was stepped open once again.

Immediately after, Nie Mingxian entered from outside the operating room, bringing his students along, interrupting Hong Du's words.

However, Nie Mingxian's gaze kept sweeping over Fang Ziye.

Fang Ziye also met his gaze levelly; his gaze held no provocation, but rather called out with slight respect: "Teacher Nie, hello."

He stood up at the same time, intending to give up his seat to Nie Mingxian.

A flash of light appeared in Nie Mingxian's eyes; he restrained all his complex emotions and said: "Director Hong, Doctor Fang, I came over to explain a bit — you guys are too impressive; on my end, the anesthesia... the turnover can't quite keep up."

"It might delay your time a bit."

Hearing this, Hong Du laughed lightly: "Oh my, Teacher Nie, this is quite rare — could it be that Ziye can even make you unable to control and manage things?"

Hong Du has some grasp of just how formidable Nie Mingxian is; Nie Mingxian's true strength is not less than an associate professor in a top-tier hospital, and in certain specialties is even comparable to some professors — he merely lacks experience and accumulation, not talent.

Therefore, being able to make Nie Mingxian say such feigned-weakness words shows that Fang Ziye's talent already counts as top rank within the province.

With such talent, growing into a provincial heavyweight later on would be completely without pressure.

This gets interesting.

Originally thought Wu Xuanqi was a sure thing as the next generation's rising star in trauma surgery; now another Fang Ziye pops up — so later on, who exactly will be the helmsman of Hubei Province's trauma surgery, there's something to watch.

Moreover, Hong Du himself can still see it happening.

Of course, Hong Du also doesn't dare completely confirm it's just one of these two; Wu Xuanqi is from Tongji, Fang Ziye is from Zhongnan.

Before the Provincial People's Hospital and Peking Union Medical College Hospital have spoken, no one dares be certain who it will be — perhaps later becoming the top discipline leaders will be a parallel blossoming, a hundred flowers in bloom.

And such an era is one Hong Du is very willing to see.

Nie Mingxian extended his hand, shook with Fang Ziye, and said quietly: "Ziye, that stinky idiot Wu Xuanqi from Minzu University Hospital — I've long found him unpleasing."

"It's just that our specialties don't align; he always postures sideways in front of me — you help me teach him a good lesson."

"You teach him once, I'll treat you to one meal; teach him a thousand times, I'll treat you to a thousand meals."

When Nie Mingxian spoke to here, he suddenly burst forth with a youthful spirit, full of playful relish.

Fang Ziye withdrew his hand at once, scratched his temple hair: "This... Teacher Nie, might not be doable."

"Look at you being a coward — just hit him hard professionally, that's all." Nie Mingxian wore a face of dislike toward Wu Xuanqi.

Hearing this, Fang Ziye felt a bit of envy toward the relationship between Nie Mingxian and Wu Xuanqi.

The harsher the harsh words, the more casual they are — this represents the better the relationship between the two, or friends, even brothers not from the same family.

"Teacher Nie, let's still have mutual exchange."

"Senior Brother Wu is still very formidable; I watched his closed reduction yesterday, I feel... I can't beat him." Fang Ziye admitted defeat verbally first.

But inside, his fighting spirit rose.

Senior Brother Wu Xuanqi, huh — not that a battle is impossible, but it won't be a declaration of war.

Deep in Fang Ziye's heart, he's very interested in swapping out a 'bone' knocked down from Peking Union Medical College Hospital's Liu Huanglong for himself.

Not a real fight, but to make a bone's position yield on the other person, make him recognize oneself — this is a saying Yuan Weihong told Fang Ziye.

How a great man should stand in the world: one, his own bones are hard.

【152】 Two, make others become hard-boned because of your existence!

The second is to make others become hard-boned and upright because of your Exist!

Nie Mingxian didn't say much more; he soon had someone bring the next closed reduction patient into the operating room.

He, too, didn't continue watching Fang Ziye's operations and theory; he simply treated Fang Ziye entirely at the same level as Wu Xuanqi.

Only pursuing the limit — on the basis of guaranteeing patient safety and anesthesia effectiveness — pursuing the limit of anesthesia turnover.

This is the greatest meaning of his clinical project.

Fang Ziye, for his part, didn't excessively show off in front of Hong Du either; after getting the theory, Fang Ziye still wanted to know if Director Hong Du had any new insights that could let him grow a new skill branch or the like, listening attentively.

Although there weren't any — that's his own greed not being satisfied — it was already enough.

At 10:44 AM, Fang Ziye alone completed all the closed reductions; Director Hong Du firmly backed Fang Ziye completing them solo.

After Fang Ziye finished, Director Hong Du smiled warmly, looked at Fang Ziye, and said softly: "No matter what, our Central Hospital now also has a hard bone!"

(Chapter End)