Chapter 167: Step by Step, Establishing a Position (Asking for Subscriptions)

Outside the room where the first bed on the ward round was located, Director Wu Guo Nan and Xue Tao were both waiting for Shen Tao.

Since yesterday he had known that Shen Tao had an extremely good relationship with Fang Ziye's teacher!

So it came as no surprise at all that Shen Tao — who knew there was a certain degree of divergence between Hong Du's and Director Zhang Mingcan's thinking — would pull Fang Ziye aside for some explanation and clarification after seeing him saddled with a task that morning.

Everyone is an adult; the path is chosen by oneself.

Fang Ziye followed behind Shen Tao, and the expression on his face did not change in the slightest.

"Teacher Shen, today, how about Teacher Shen conducts a teaching ward round, and we all follow along to learn?" Wu Guo Nan said very politely.

"Director Wu, let's do it together. It's not a teaching ward round either. We still have four surgeries to do today, so let's just do a routine ward round."

"If it's a teaching ward round, when there's free time later, I'll make a fool of myself for Director Wu." Shen Tao seemed uninterested, and as he spoke he kept glancing in Fang Ziye's direction, clearly a bit worried.

Seeing this, Wu Guo Nan immediately understood. Although yesterday Shen Tao had kept teasing Fang Ziye's master Yuan Weihong, even cursing him occasionally, their private friendship was actually very good, and Shen Tao was still worried about Fang Ziye's situation.

Wu Guo Nan explained: "Teacher Shen, you needn't take this morning's words too seriously."

"A follow-up resident doesn't participate in direct duty shifts; our hospital has never had such a configuration. So whether Ziye goes to the emergency consultation or wants to do something, it's not something a duty doctor can dictate."

What is a follow-up? A follow-up means no duty shifts, no responsibility, no initiative — you go up when there's an opportunity, you go if you want to. That's exactly what a follow-up is.

If the department had a regular chief resident it would be fine, but if it doesn't, and Fang Ziye says he's tired and won't go to the emergency consultation — will you, the duty doctor, go or not?

Wu Guo Nan knew Zhang Mingcan so well that he naturally understood Zhang Mingcan was nitpicking wording on one hand while expressing respect for Old Director Hong Du on the other.

Hearing this, Shen Tao, after carefully savoring it, couldn't help but laugh.

All right, it was him being too stuck in fixed thinking, so he had directly treated Fang Ziye's assignment as the chief resident stage he himself had gone through.

"Hey!" The moment Fang Ziye heard Wu Guo Nan and Shen Tao finalize his destination based on their own understanding, he wanted to curse in his heart!

"Let's go, ward round." Shen Tao put his arm around Fang Ziye and led him into the ward.

Fang Ziye could only smile bitterly and shake his head, thinking to himself: As expected, in a prefecture-level city hospital it's not as easy to get by, not as free as at Zhongnan Hospital.

What Fang Ziye was thinking at this moment was: Can the two of you not over-interpret my choice?

What's so bad about being a follow-up resident?

First, Fang Ziye had already tried doing open reduction and internal fixation of fractures in the operating room. This is a super-mature technique, basically done to death. Even if he were the lead surgeon for all of them, the knowledge points he could gain would be quite limited.

Basically single digits, right?

Fine, let's calculate it that way. Even if he does ten a day, it still might not catch up to the knowledge points from using manual reduction technique to reduce one fracture that originally falls within the surgical indication range.

Because this is a new therapy — others may not have done it or realized it.

In the past, Fang Ziye would naturally feel that manual reduction was unreliable, and forcibly going against surgical indications to do manual reduction — wouldn't that be asking for trouble?

But now it's different. His theory and operational proficiency have both arrived. At worst he can still add points.

In the future, where in the department will there be so many fracture patients for him to do manual reduction on?

And the emergency consultation is the best raw material.

If, after the duty doctor admits the patient, he then actively proposes manual reduction instead of surgery — isn't that talking nonsense?

Equivalent to scooping rice out of someone else's bowl and eating it yourself — that would incur hatred.

After all, in the real-world understanding, most people, even ninety-nine percent of doctors, think fracture surgery is fine, so they can get more surgical performance metrics through surgery.

Yet Fang Ziye wants to pull patients to do manual reduction — isn't that smashing someone's rice bowl?

The best way is actually before the patient is admitted: I am the first-point-of-contact doctor, then I have the autonomy to choose and the autonomy to advise.

Good fellow, really thought he was being completely used as a gun?

Fang Ziye has always remembered his teacher Yuan Weihong's words.

Speak less, promise less, do more.

Fang Ziye had thought it through carefully. Now he let Wu Guo Nan and Shen Tao smooth it over, and based on their own understanding they again made a few meddling "tricky moves" on his choice.

Forget it. No need to explain. I'll walk my own path. If I can persuade them, I'll persuade them; if not, at worst I'll just be a disobedient oddball.

Very quickly, all these messy thoughts of Fang Ziye were covered over.

Shen Tao, same age as Yuan Weihong but one rank lower, because Shen Tao took two attempts at the PhD entrance exam, but his talent is also extremely good.

To reach deputy chief physician at this age — whether in research or clinical accumulation — is something Fang Ziye finds staggering.

Shen Tao's understanding of fractures, his grasp of theory, his in-depth yet accessible analysis of disease types — instantly immersed Fang Ziye, as if facing his teacher and Professor Deng Yong in person, with a great many things to ponder carefully.

Moreover, after becoming transparent, Shen Tao's mood improved, and he once again wore his cheerful face. He spoke with more vigor, and occasionally joked with patients.

"No no no, I'm not an expert from the Provincial People's Hospital. You're the benefactor. That's why I came all the way to Enshi — specially to serve you." With a few sentences, Shen Tao made the patient who had been flattering him feel perfectly comfortable.

The patient's family member said: "Oh my, Professor Shen, you're so smooth-talking — who knows how many girls you've charmed."

Shen Tao replied: "To tell the truth, Sister, I've never pursued a girl."

"Weren't you just saying next door that you went home to see your kid recently?" The big sister was stunned, not expecting this expert from the Provincial People's Hospital to have no airs at all, joking in a very down-to-earth way.

"Is that so, Sister? Have you ever considered that maybe because my charm is great, it was my wife who pursued me?" Shen Tao straightened his posture, stood ramrod straight, and even touched his own hair.

The big sister didn't know how to respond. After pondering a moment, she finally nodded.

Only then did Shen Tao say: "All right, no more jokes. Brother-in-law's situation isn't complicated either — just routine wait for surgery. Post-op results are also predictable."

Seeing the big sister still wanted to say something, Shen Tao said: "Not doing surgery won't work. Director Wu and your Enshi's own Director Huang Haitao, who does manual reduction the best, have both looked many times. You — just put your mind at ease."

"Surgery isn't a demon either. As long as it solves the problem..."

Compared to many people Fang Ziye had seen before, Shen Tao's personality was relatively more unconstrained, especially when communicating with patients — household chatter, cracking a few jokes — the atmosphere was indeed better.

These are all things Fang Ziye can learn.

Then, during the ward round, Fang Ziye also discovered an interesting phenomenon: the newly arrived standardized resident Mao Mao actually has a remarkably good memory.

Within ten minutes he took over six patients, and could recite their examination results and data like family treasures — only one specific examination figure was wrong.

The reason Fang Ziye knew this figure was wrong was because Huang Yunxiao had specially consulted him about it yesterday, so Fang Ziye remembered it.

Of course, Fang Ziye didn't point it out, because a tiny indicator doesn't affect the final outcome.

He's also a quite interesting person.

……

After Wu Guo Nan and Shen Tao finished their ward round and returned to the doctor's office, it was perhaps because Wu Guo Nan and Shen Tao's ward round rhythm had slowed slightly, so they were the last to arrive at the office.

Inside, Zhang Mingcan had already led the team down to surgery; in a whole big group, only Guo Yunlei was left.

But Director Hong Du's group, Huang Kai and the others were already gone, yet Director Hong Du was still sitting in the doctor's office with his legs crossed, as if waiting for someone.

As soon as he saw Fang Ziye walk in, Hong Du stood up with a smile and said politely: "Director Wu and Teacher Shen have returned from the ward round."

Both Wu Guo Nan and Shen Tao called out "Director Hong" respectively; the others did not speak.

Hong Du had slicked his hair back today, but still could not hide the white hair on his forehead; he just looked much more spirited: "Director Wu, since Ziye has agreed to serve as the department's assistant chief resident, Director Wu, you should cooperate."

"An assistant chief resident is extremely beneficial to the department's development and advancement. I believe Doctor Fang can definitely manage the ward well. Let Ziye first establish a general set of rules for the bed-managing doctors in the department, then do what he wants to do."

"Once the habit is formed, Ziye won't actually have that many things to do. What do you think?"

Hong Du stood guard here, as if he had already guessed that Wu Guo Nan would say something to Fang Ziye.

Hong Du smiled and looked at Wu Guo Nan.

As the saying goes, you don't hit a smiling face; Wu Guo Nan was brought up single-handedly by Old Director Hong Du. When Wu Guo Nan came to work, Hong Du was already the old director. Now seventeen or eighteen years have passed, and both affection and respect remain.

Although he did not understand Old Director Hong Du's arrangement for Fang Ziye, he could only comply on the surface: "Director Hong, alright, then let Doctor Fang try first. Anyway, now our group has Teacher Shen to guide surgeries, and I can fill an assistant position, so we are not short on manpower."

"Teacher Shen has no objection, right?" Shen Tao did not answer. As someone sent down from a superior hospital, Hong Du still gave Shen Tao a lot of face.

"Director Hong, then you're joking. Speaking of it, I'm just an outsider." Shen Tao had been in Hong Du's group last month, so he was very familiar with Hong Du, and also knew his own positioning. He had already told Fang Ziye what needed to be said, and what needed to be heard, he had also heard from Wu Guo Nan.

As long as Fang Ziye isn't used as a gun by others, being utilized to a certain extent is inevitable.

"Teacher Shen is joking." Director Hong said.

"Director Hong, you'd better call me Xiao Tao or Shen Tao, otherwise I'm afraid when I go back, those old professors will find out and beat me up." Shen Tao spoke like this.

Hong Du didn't say anything more; confirming this matter was a good thing.

Fang Ziye was only one factor; Hong Du naturally could not possibly put the absolute focus of building the trauma surgery department on Fang Ziye, otherwise Enshi Central Hospital's trauma center might as well not bother.

After Director Hong Du said he was going to the operating room and left, Wu Guo Nan could only sigh softly: "Ziye, then today you just temporarily stay on symbolic duty in the department for now, and according to your understanding, roughly standardize and summarize the department's medication and medical orders."

"If there's anyone disobedient or who doesn't listen, you just tell me directly, I'll handle it."

Although Hong Du stood guard here to burden Fang Ziye, Wu Guo Nan also could not possibly not help Fang Ziye at all, and just watch Fang Ziye fight alone in the department; that is not what a good superior should do.

"Thank you, Director Wu." Fang Ziye was delighted to hear this.

With this sentence, Fang Ziye was equivalent to having a Shangfang Baojian.

……

Soon, Fang Ziye watched Wu Guo Nan and Shen Tao, leading Xue Tao and several others, go down to the operating room, leaving only him and the newly arrived standardized residency trainee Mao Mao to handle patients' medical orders, dressing changes, and other matters in the department.

The department now had only five people left in total; there were eight computers, and at worst, the deputy chief physician's office next door had three more, which Fang Ziye could go use.

After Fang Ziye sat down, while clearing his assigned patients' medical orders, he said: "Mao Mao, when they went down just now, did Cao Zhen hand over the medical orders for the beds he manages to you? Then I'll only open the medical orders and dressing changes for Tao Ge's managed patients."

But Mao Mao smiled quietly upon hearing this: "Industry Brother, how about this: I'll go do dressing changes, you just open all the medical orders, that way it's easier for you."

Mao Mao was very sensible; although he looked like a shut-in, he actually had a bit of understanding of human relations.

"That works too." Fang Ziye felt he would definitely be guarding the ward today, so he simply decided to put more effort into scrutinizing the group's medical orders.

"Eh, okay then, I'll go do dressing changes." Mao Mao had planned this long ago, so he had recorded the patients needing dressing changes in his notebook.

The number of dressing change patients was not small; there were eight in total.

Equivalent to non-surgical patients, only thirteen remained, because a batch of fracture patients had been cleared out earlier by closed reduction, so it could be foreseen that in three or four days, the group's pre-operative patients could be cleared out.

After Mao Mao left, Guo Yunlei from Director Zhang Mingcan's group said with a grin: "Industry Brother, what exactly will this chief resident manage? In the future, if we brothers have any mistakes or omissions, you must be lenient with your words and absolutely don't report us."

Although he didn't know what the chief resident would manage, the chief resident is the head of the resident physicians.

The truly resident physicians in the department right now are actually four: him Guo Yunlei, Mao Mao, and the newly assigned Li Ruokai in Director Hong's group.

Fang Ziye smiled wryly: "Xiao Guo, don't be nervous."

"What chief resident or not, actually I'm just here to cooperate with you. If there's an emergency consultation, and you can't go directly, call me to take a look."

"As for others, like Brother Cao Zhen, Brother Jin Chuan, and Brother Guang Shenqing, when they're on duty, how would I dare point fingers? Their managed patients, I also wouldn't dare touch."

In the department, those who currently hold the deputy chief title are only two: Huang Kai and Xue Tao. And there's Li Yuanhong who is about to get deputy chief, studying at Zhongnan Hospital; Fang Ziye has no contact with him.

The rest are basically all attending physicians.

Director Zhang Mingcan's group's Zhong Xue Gao, Guang Shenqing, and his own group's Wang Zhongxing, Director Hong's group's Cao Zhen — are those people he can manage?

Who gave him that face?

So, precisely because of this point, Fang Ziye felt that Zhang Mingcan letting him be an assistant chief resident was no problem; his free time was still very ample.

Equivalent to only needing to occasionally run an emergency consultation when Guo Yunlei, Li Ruokai, and Mao Mao are on duty; this would increase his efficiency in gaining knowledge points. If he could do a few special fracture closed reductions, that would also be a very considerable knowledge point income.

And for instance, when deputy chiefs and senior attendings are on duty, would they let Fang Ziye run consultations?

They probably can't bring themselves to do it; on this point, Wu Guo Nan wasn't wrong.

Just for the first few days, Fang Ziye needs to go through a formality.

"Let me see your duty roster?" Fang Ziye called out.

The duty roster is in the duty big group as an electronic file; Fang Ziye hasn't had time to join yet, so after Guo Yunlei pulled him into the group, there were no history messages.

Guo Yunlei immediately sent the duty roster to Fang Ziye.

Fang Ziye discovered that the department's manpower was actually not small; the number of people participating in general ward duty was actually eight.

Besides Li Ruokai who has no medical license, and Deputy Director Huang Kai who does not participate in direct duty, everyone else including Xue Tao is on duty.

Eight-day rotation...

Xue Tao, Zhong Xue Gao, Guang Shenqing, Guo Yunlei, Wang Zhongxing, Mao Mao, Zhang Jinchuan, Cao Zhen.

So calculating like this, he actually only needs to step in when Guo Yunlei and Mao Mao are on duty; even in thirty days, at most eight days would require running an emergency consultation.

Not much time, still relatively easy to schedule.

After reading it, Fang Ziye continued managing his group's medical orders, while Guo Yunlei and the newly arrived Li Ruokai and Cao Zhen each did their own things.

Time flows like water; it was nearly ten o'clock before Fang Ziye finished organizing the medical orders for the twenty-plus patients in the group.

At this time, Li Ruokai and Cao Zhen next door were still frantically processing discharge records, because yesterday Fang Ziye was too powerful, performing closed reduction on eight fractures, all of which can be discharged today.

Fang Ziye simply patted his buttocks and came back, but discharge records and discharge orders still have to be written, and it's impossible to discharge directly after closed reduction yesterday.

Seeing everyone busy, Fang Ziye instead idled down.

However, Fang Ziye wasn't anxious either; looking at his knowledge points, which had risen another three points to reach 1135.3, his mood became much better.

No need to rush, step by step, just take it one step at a time.

The person on duty today is Guo Yunlei, so Fang Ziye has to stay in the department, and estimates the next few days will also require staying, staying to show Director Hong Du as the attending chief resident.

Until noon, Guo Yunlei received a consultation call from the Emergency Department.

After listening, he glanced at Fang Ziye who was playing on his phone.

Fang Ziye understood, laughing as he said: "Yunlei, let me go run a trip first..."

(Chapter End)