Chapter 164: Fang Ziye's

When Fang Ziye left the operating room, his heart was pounding, completely unable to believe he had actually brought this much out of the operating room —

Current Knowledge Points Balance: 1102.3!

That was how much there was, and this was even after Fang Ziye had consumed over five hundred Knowledge Points to raise Manual Reduction Theory to Level 4, consuming 560 points in the process.

It must be said, performing manual reduction against the conventional understanding of contraindications for manual reduction brought Knowledge Point gains that were simply terrifying.

You have to know, the time Fang Ziye had obtained this panel was only a little over eight months.

During these eight months, the Knowledge Points Fang Ziye had accumulated totaled less than three thousand points.

He added points to 3 Level 4 skills, and that was it —

Cell Basic Experimental Operation, Animal Basic Experimental Operation, and Suturing Technique.

However, this was all the output from last August to this March; this belonged to routine output.

After arriving at Enshi Central Hospital, the non-routine output was this organic combination of high-end Manual Reduction Theory and Level 4 Manual Reduction Technique that he had unintentionally come into contact with.

The result was obvious: in just a few days, Fang Ziye had farmed skill points to nearly two thousand points.

Four days = seven months.

He should have gone down to the prefecture-level city hospital for clinical work long ago.

That wasn't necessarily true either; if there hadn't been sufficient prior clinical skill accumulation and research accumulation, how could he have given himself such generous conditions to go down to the prefecture-level city hospital early?

After leaving the operating room, Fang Ziye did not leave the operating suite.

The patient volume in the department was still considerable; Director Hong Du's group's manual reduction cases had been cleared, but there were still fracture surgeries to be done.

Naturally, the surgeries of Director Wu Guo Nan's group, to which Fang Ziye originally belonged, were also proceeding in full swing.

These were all relatively simple simple fracture cases; this time he just happened to catch this wave, but in the future inside the hospital, how could there possibly be such a large volume of patients piled up waiting for him to accumulate Knowledge Points?

That was impossible.

Incidentally, he got to know two especially outstanding people: one was Wu Xuanqi, one was the Time Management Master Nie Mingxian; the other, Huang Kai, also barely counted as a relatively outstanding person.

Just, compared to top-tier geniuses, Huang Kai might still be lacking a bit.

It must be said, talent analogous to a genius like Luo Tingzhu, given sufficient time for accumulation, completes capability reserves that are not something one can completely catch up to in a short time.

But fortunately, Fang Ziye currently had over a thousand Knowledge Points saved up; if Fang Ziye was willing, he could still furiously grind out two more Level 4 skills, and thus.

Even if Wu Xuanqi was considered a top-tier genius, so what?

When Fang Ziye entered Operating Room 13 where Director Wu Guo Nan was, the surgery inside was advancing in an orderly fashion.

When Fang Ziye entered, many people looked at him, their eyes projecting surprise.

All of Director Hong Du's manual reduction patients have been cleared? It's only just past ten in the morning; that's a bit outrageous.

But thinking of those terrifying resources gathered around Old Director Hong Du, everyone also felt relieved.

"Little Fang, you're here?"

"Scrub in?" Wu Guo Nan's eyelid swelling had completely subsided today, and his fatigue had also been swept clean.

Fang Ziye approached the operating table and discovered this surgery's progress was already nearing the end — just two more screws to drive, then a fluoroscopy check, and the wound could be closed.

So he replied modestly: "Director Wu, I won't waste a gown scrubbing in for this one; next surgery, I'll come help again."

Having just gotten a huge amount of Knowledge Points, Fang Ziye wasn't that interested in the measly 1-2 points suturing might bring anymore.

"Works too. Ziye, you're probably tired too; manual reduction is a technical job, and it's also a physical job." Wu Guo Nan spoke while admonishing Xue Tao: "Lighten up; the guide holes are already there, why are you using so much force driving the screws?"

"Just hold it steady……"

Xue Tao nodded at the words, reducing the force of his hand a little bit.

Fang Ziye leaned near the Timing Panel under Operating Room 13, swiping his phone on one side, seeing Luo Tingzhu share a city nightscape from ten thousand li away, then glancing at the time, feeling quite overwhelmed with emotion.

The world is still very big.

"Senior Brother, that document you sent me, I've read it, and it feels rather difficult to understand."

"As expected, traditional medical theory relies entirely on insight; it would be nice if there could be a more objective form of data manifestation." Those were Luo Tingzhu's regretful words sent about half an hour ago.

It should be that Luo Tingzhu had read it carefully before cautiously voicing her inner thoughts.

The speaker had no intention, but the listener took it to heart.

Fang Ziye didn't know if Luo Tingzhu deliberately treated him as a resource blind spot because of Lan Tianluo's identity.

With Luo Tingzhu's reminder, Fang Ziye's eyes instantly lit up.

Right, there's still a data god in his own group; could he, from a relatively rational science angle, data-ize these theories?

Data to statistics to theory is a one-way deduction.

From theory to statistics to concrete data, can it form another one-way deduction?

Fang Ziye thought of it and did it!

He immediately took that document Luo Tingzhu had sent him and also copied a share to his fellow trainee Lan Tianluo.

Naturally, Wu Xuanqi had instructed that the document contents belonged to clinical project results; Fang Ziye did not copy it entirely, but based on his own understanding, roughly summarized a bit of thinking on manual reduction and connections to basic anatomy.

Not many words, just four or five hundred characters, a kind of condensed output.

Without specific fracture classification support, this definitely didn't count as leaking project results.

Just, on the basis of Wu Xuanqi's theory, Fang Ziye made some simple conjectures: whether one could test each muscle's maximum load-bearing force, maximum tensile force, calculate the angles between joints and fractures, and to some extent, through data-ization, elaborate the feasibility of manual reduction.

For example, the self-fixation step could be described through data: after self-fixation, when muscles fix and stretch, roughly how many newtons of passive elastic force would form, just enough to bring the fracture to a self-fixation state?

This was just a direction; Fang Ziye himself does research, and it doesn't count as leaking questions or secrets.

After all, whether it's a general project or an 863 National Key Project, the project's name is the corresponding direction, which can be openly spoken about; what Fang Ziye supplemented were merely details you hadn't considered.

Lan Tianluo also did not reply at the first moment.

Fang Ziye then explained his idea to Lan Tianluo roughly, guiding the direction through a dozen or so sentences, then said: "Just evaluate it; this is only my unilateral consideration, not necessarily doable; if it can't be done, forget it."

After replying like this, Fang Ziye chatted a couple of casual sentences with Luo Tingzhu again.

Luo Tingzhu told Fang Ziye that she had finally completed three workloads in the lab, and was a bit happy.

In one month, although she didn't reach the maximum output of one workload per week, with Luo Tingzhu familiarizing herself while simultaneously running two tracks, making up an extra workload was already very impressive.

Luo Tingzhu's aptitude must be excellent.

Fang Ziye immediately caught her implication: "Congratulations, happy to gain a Basic Experiment improvement."

Fang Ziye is so quick-witted; he estimated that Luo Tingzhu had been immersed in the lab for nearly half a year, and her basic experimental operations had finally reached the step he was at when he first entered the lab — that is, Level 3 proficiency, at least not far off.

Luo Tingzhu replied somewhat embarrassedly: "Actually I don't know either; basic experimental operations aren't like clinical operations where you can directly analogize them in the Training Room."

"But I feel the success rate has improved, probably because the workload is relatively large and the small group discussions are also more active, so the success rate is a bit higher."

Luo Tingzhu finally sent two blushing emojis.

Fang Ziye was still editing the message.

Wu Guo Nan stepped down from the platform to the side:

"Yo! ~"

"Ziye still busy."

Fang Ziye hurriedly finished typing this paragraph, sent it, then looked up openly and said: "Director Wu, just chatting with my girlfriend."

Although Luo Tingzhu and he hadn't acknowledged the relationship, Fang Ziye now had to cement this point.

"Youth is good."

"How was it, a trip to Director Hong's side — did you feel your horizons broadened a bit?" Wu Guo Nan's eyes and tone both carried respect.

Fang Ziye didn't awkwardly put away his phone, but typed a message to Luo Tingzhu saying he was going on stage, then replied: "Director Wu, you didn't give me a heads-up beforehand; I only found out in the OR that Director Hong's team are all gods clashing like you, Director Wu."

"But I learned a lot." Fang Ziye still shared a bit of what he gained.

"There's nothing to give a heads-up about; me and Director Zhang, we were both brought up single-handedly by Director Hong."

"You mustn't underestimate Director Hong; although Director Hong is just our hospital's Old Director, he and Professor Duan of Tongji Hospital, Professor Ning of Peking Union Medical College Hospital, are undergraduate classmates, genuine Tongji Medical College alumni." Wu Guo Nan spoke while giving a thumbs-up.

Fang Ziye guessed Director Hong Du's background was unusual, but never expected Director Hong would actually be from Tongji Medical College of that era.

After all, undergraduates of that era wanting to stay at Tongji — the difficulty wasn't great.

Just don't know why Director Hong ended up at Enshi Central Hospital by some twist of fate.

"Director Wu, you're making me a bit uneasy saying it like that; I never dared have such thoughts." Fang Ziye rubbed his nose.

He didn't even dare underestimate Xue Tao, let alone a Chief Physician.

"Next surgery, want to get on stage and try? I saw your operation yesterday was pretty good too." Wu Guo Nan suggested this.

"Sure, thanks Director Wu." Fang Ziye instantly beamed.

Knowledge points delivered to your mouth — don't take them for nothing.

Just, since he had to get on stage for surgery again, Fang Ziye still spent fifty-plus Knowledge Points on Orthopedics Internal Fixation Instrumentation Operation Experience, adding points to bring it to around Level 3 100 proficiency, to avoid accidents.

Internal Fixation Instrumentation Operation Experience — early or late, points must be added eventually.

Future daily routine is fracture surgeries; fracture closed reductions can only be occasional big meals, so still need to catch up.

And with Fang Ziye adding points like this, he discovered that the originally Level 2 4/50 Fracture Open Reduction Internal Fixation Surgery, under the push of its upstream skill, reached Level 2 41/50 proficiency.

This kind of increase, Fang Ziye felt, was very scientific.

Fracture treatment is not just closed reduction, not just fracture reduction; surgery is also a very important participating component of treatment, cannot favor one over the other.

If just mastering closed reduction and orthopedic instrumentation operation experience meant completely mastering surgery, that would be too much underestimating surgical operations.

But now, Fang Ziye with still over 1000 points, how could he tolerate going on stage with a Level 2 skill? Immediately added points to the holistic skill Fracture Open Reduction Internal Fixation Surgery to Level 3 100/500 proficiency.

Not that Fang Ziye deliberately didn't want to add points to Level 4; Level 3 is enough.

Next surgery is just a tibial comminuted fracture; closed reduction is absolutely impossible to succeed; at most add a bone grafting procedure.

Thinking of bone grafting, Fang Ziye felt especially pained at this moment.

Because bone grafting is actually a simple operation, but bone grafting raw materials are divided into allogeneic bone/biological bone grafting and autologous bone grafting.

If it's biological bone material, just take a bone material on stage and graft; if it's autologous bone, then Bone Harvesting and Grafting Technique and Bone Plastic Surgery must be ready.

This equals Fang Ziye having to add points to three skills at once to use it.

Naturally, for a simple small fracture, cutting another incision on the patient's own iliac bone is definitely not worth it.

Following the principle of "with grain in storage the heart doesn't panic; skills not used, temporarily don't add points," Fang Ziye didn't mess with these things.

"Oh, right, Little Fang!"

"Almost forgot one thing." Wu Guo Nan, after seeing Fang Ziye agree, couldn't find a topic for a moment and fell silent for a while, but soon remembered —

"In May, our Enzhou is undertaking the Hubei Province Medical Association Orthopedics Branch's second quarter film reading meeting and youth skills competition; you should be able to participate."

"Of course, the organizing unit is Enzhou Medical Association, co-organized by our hospital and Minzu University Hospital; there's prize money to be won."

Fang Ziye originally didn't have much interest; hearing there was prize money, his eyes instantly lit up.

Speaking of it, Hubei Province's orthopedics youth skills competition is generally held once a year, in mid-year. Because at year-end, the provincial orthopedics annual meeting and the nationwide COA are imminent, avoiding time conflicts.

Before, such competitions — where would Fang Ziye have a share?

But Fang Ziye had heard that his fellow trainee, Master's Year 2 Shu Lang, had won Third Prize, rewarded with 1000 yuan.

"Director Wu, how is the age limited for this youth competition?" Money to be won, definitely interested.

This is an open and aboveboard money-making opportunity.

Competition prize money is earning money by skill; it's also the Medical Association's Orthopedics Branch's incentive for young people — not shameful at all.

Speaking of it, this prize money comes from this.

Because the film reading meeting is an academic conference requiring registration fees, the organizing unit generally takes the surplus after deducting fixed costs and puts out a portion as incentive prize money for young people.

A larger portion, of course, goes to paying expert labor fees...

"Hey, this is actually a young people's competition; although the age limit is thirty-five, most over thirty-two, even if they reach the final round, will voluntarily withdraw."

"So actually Ziye your chances are big; if only competing in Trauma Surgery, getting a Second Prize isn't impossible."

"Second Prize only has sixteen slots total; individually you can get 3k prize money; still very worthwhile."

"Eight first prizes, about ten thousand each. The difficulty and competition coefficient are estimated to be very high. Many young doctors who just started working also want to rely on this to earn some extra income to subsidize their families." Wu Guo Nan explained this to Fang Ziye.

Fang Ziye just nodded.

"Then I'll keep an eye on it and sign up."

No wonder Luo Tingzhu could earn money during her studies. It turns out I simply never opened up the way to earn money before.

Naturally, after winning such an award, the hospital and department will basically give you a small bonus too. It won't be much, basically adding up to be on par with your competition prize money.

After all, it's bringing glory to the hospital...

The subsequent surgeries were actually not difficult.

The difficulty lay only in having to handle them through closed reduction and plaster external fixation.

Directly choosing surgery, fracture surgeries are just small trauma patients, actually all routine and standard.

So, Fang Ziye served as lead surgeon for the whole process on one, gave the final suturing opportunity to Xue Tao, then made the incision for another surgery and let Wu Guo Nan and Xue Tao have the opportunity.

For the last one, Fang Ziye simply just held the leg. Although he only brushed up 0.2 knowledge points, Fang Ziye was still happy.

Because, on the last one, Huang Yunxiao, this standardized resident, held a scalpel once, and got so excited that for the whole surgery he became an atmosphere master.

Watching his happy appearance, Fang Ziye seemed to see himself at Zhongnan Hospital, and couldn't help but feel a bit sentimental, while also feeling happy for Huang Yunxiao.

After all surgeries ended.

Fang Ziye hurried back to the ward with Huang Yunxiao and Wang Zhongxing, the three of them, to clear medical orders for his managed patients.

Postoperative patients, although medical orders can be opened via medical order templates, that is ultimately too forceful. Precise medication is still needed.

During this period, Fang Ziye encountered Ceng Weihang from Director Hong Du's group returning to write medical orders after patient transfer.

He hurriedly said: "Brother Hang, when writing the surgical record later, remember not to put my name in the lead surgeon position. You must remember."

"By the way, tell Chuan Ge and Kai Ge too."

Director Hong Du was right in the operating room. No matter what, it wouldn't be my turn to operate primarily. This is basic common sense, but I'm just afraid that when writing the medical record, my brain might crash.

Once the medical record is sealed, if there's no problem it's fine. If there is a problem, then there will be trouble.

Hearing this, Ceng Weihang nodded: "Doctor Fang, Director Hong already gave instructions earlier. You can rest assured."

"That's good." Fang Ziye hurriedly nodded in response, but in his heart he thought: I still have to verify it myself again tomorrow morning.

(Chapter End)