Chapter 18: Guarding the View (Asking for Favorites, Asking for Follows)

September 15th, approaching noon.

Fang Ziye, on duty, was scrolling through his phone to order takeout.

Lan Tianluo, managing beds alone, imitated Fang Ziye's habit, neatly filing away both the current and discharged medical records, then also took out his phone and sat beside Fang Ziye, rubbing his belly: "Senior Brother Fang, the Senior Brothers in the department all say the pretty Senior Sister is extremely formidable."

"What do you mean 'pretty Senior Sister'? She has a name, it's Luo Tingzhu. You should call her Senior Sister Luo." Fang Ziye rolled his eyes at Lan Tianluo and corrected him.

Then he handed his phone over: "Here, order together, save on delivery fees."

Lan Tianluo was a bit embarrassed: "Senior Brother Fang, let me treat you?"

Last month, Lan Tianluo wasn't qualified to manage beds alone; when he was on duty with Fang Ziye, Fang Ziye paid for meals. Now although Lan Tianluo can manage beds alone, he doesn't have a Licensed Physician Qualification Certificate, so he still can't be on duty alone.

He continues to shadow; Lan Tianluo feels bad eating and drinking for free.

Fang Ziye put his phone away: "Tianluo, you got paid? Then you're a big spender now."

During standardized training, Zhongnan Hospital gives a subsidy of five thousand; for Professional Master's Students incorporated into standardized training, the subsidy is one thousand four.

Lan Tianluo immediately handed his phone over, puffing out his chest and sucking in his stomach grandly: "Just got paid this morning, Senior Brother, order whatever!"

"Same as always, spending more to eat out tastes better; eating takeout too expensive isn't suitable." Fang Ziye searched a familiar barbecue rice shop, ordered a meal set, fifteen yuan ninety-nine cents.

Lan Tianluo took his phone back, also casually ordered a pepper-flavored barbecue rice, then said: "Senior Brother, heard Shu Lang Senior Brother say, Senior Sister Luo had already cleared all the First Training Rooms corresponding to the Graduate Student and Standardized Residency stages during Professor Deng's recruitment assessment."

"Hey, how on earth did she train her clinical operations?"

Professor Deng Yong's group, second-year Master's students, has two people: one is Shu Lang, Professor Deng Yong's student; Gong Ziming is Associate Professor Xie Jinyuan's student.

Professor Deng Yong has Master's students to supervise every year; Associate Professor Xie Jinyuan and Attending Physician Yuan Weihong take turns accepting students. Originally Fang Ziye also had a third-year graduate Senior Brother under Associate Professor Xie; after graduation he went to work, so now Professor Xie only has Gong Ziming as a student.

"How would I know? Geniuses probably have genius ideas."

"Han City University's Clinical Medicine Eight-Year Program, admission scores generally no lower than Fudan's minimum admission line, sometimes even enough for Tsinghua or Peking University." Fang Ziye analyzed objectively.

This thing called aptitude inherently has a certain gap between high and low.

Fang Ziye's own aptitude isn't too bad; otherwise he couldn't have entered a small 211, and in the Master's stage beat out a bunch of 985/211 graduates to get into Zhongnan Hospital.

But Fang Ziye also knows his aptitude absolutely has no connection to the top tier.

If you add the current Add Points, that's another calculation; just the time gained is too short, catching up may still need time, impossible to achieve overnight.

Luo Tingzhu, counting from entering university, is only in her fifth year, equivalent to only four years of university so far.

At this age, Fang Ziye was still a foolishly cute fourth-year intern; naturally hard to understand.

"That's truly disturbing." Lan Tianluo has an inexplicable awe for someone who could go to Tsinghua or Peking University but didn't.

"But the pretty Senior Sister is really quite pretty, and also very outstanding." Lan Tianluo's gaze was slightly dazed.

"Heard Professor Deng Yong initially didn't want her to come to our Trauma Surgery, said many Internal Medicine professors in the hospital, especially Dermatology professors, had put in a word, saying Senior Sister Luo Tingzhu has extremely high talent in that area, hoping she would further advance in those directions……"

"But Senior Sister Luo is more inclined toward Surgery, for some reason she still chose Trauma Surgery."

"Everyone has their own aspirations." Fang Ziye stretched lazily.

Once lunch was eaten, patients would start arriving one after another in the department; Zhongnan Hospital's Trauma Surgery generally doesn't accept trauma emergencies, because most trauma emergencies are too simple.

And the not-simple trauma emergencies are operated on by superiors, and mostly not transferred back to the wards; therefore most are patients sent in from the Outpatient Clinic.

These elective admission patients have all been gnawed over countless times by professors or superior attending physicians, deemed relatively high-quality, only then admitted to the wards to be handed to the bed-managing doctors for consultation and handling.

The more difficult ones, or those with hesitant surgical intent, are all turned back at the Outpatient Clinic stage.

Although such patients have been gnawed over countless times by superiors and basically won't yield new findings, Fang Ziye still works diligently, carefully verifying medical orders, and strives to discover small diagnoses the Outpatient Clinic teachers missed or didn't pay attention to.

Once these diagnoses are unearthed by himself, they can be converted into Knowledge Points, pocketed by Fang Ziye……

Fang Ziye had already completed admission procedures for two patients, and perfected all preoperative medical orders; one has no chronic diseases, but the other has a history of Thrombocytopenia, treated before, currently not continuing medication.

Therefore, Fang Ziye hurriedly checked the corresponding laboratory tests for Thrombocytopenia, such as Coagulation, Liver and Kidney Function, Blood Routine, etc……

"Senior Brother Fang, we're Surgery; during duty, routinely doing cardiopulmonary auscultation and such for patients, isn't that too troublesome? After all, these organs aren't the patient's chief complaint symptoms." Lan Tianluo asked while waiting for Fang Ziye to consult the third patient.

"Exercise one's own abilities; we originally have few operation opportunities, physical examination is a routine operation we can do when consulting patients, naturally we should cherish it more." Fang Ziye naturally wouldn't tell Lan, don't follow my example, I'm doing it to farm wool.

Fang Ziye finished reading the Thrombocytopenia patient's laboratory test results, and sent out the Consultation Requests, only then walked toward the Operating Room.

"Sorry, Big Sister, made you wait long. Admission procedures all done?" Lan Tianluo asked politely.

The visitor was a middle-aged woman around forty, complexion slightly dark, not tall, looked quite honest and thickset.

"No matter, no matter, Doctor, you're busy too." The middle-aged woman replied like this.

"I need to lie down, right?" She asked.

"Right. Big Brother, help Big Sister lie down. Then pull up the clothes, expose the lower abdomen." When examining the opposite sex, even elderly women, a witness must be present.

Family is best; otherwise a nurse is needed. A male doctor like Lan Tianluo won't do either. This is self-protection, to avoid being falsely accused of molestation; after all, these are the bloody lessons of predecessors. Not saying it must happen, but better safe than sorry.

Cardiopulmonary auscultation, Fang Ziye skipped, directly started the abdominal physical examination.

Abdominal physical examination emphasizes Inspection, Palpation, Percussion, Auscultation. The patient came for Lower Limb Deformity, to do Osteotomy Correction. No past illnesses; abdominal Inspection, Palpation, and Percussion all normal.

But when Fang Ziye routinely went to listen for Abdominal Vascular Murmur, he heard an abnormal Blowing Bruit.

Hearing the sound, Fang Ziye's face abruptly changed.

Switching from auscultation to palpation, he felt no pulsation, but the sound was still there on auscultation.

This could be a vascular-related lesion; Blowing Bruit, mostly points toward Hemangioma——

Abdominal Aortic Aneurysm?

"Doctor, is there a problem?" The patient's husband saw Fang Ziye's face abruptly change, and asked.

(Chapter End)