Chapter 180

"If Director Wu and Teacher Shen both agree, then I'll make a fool of myself." Fang Ziye looked toward Wang Zhongxing and Xue Tao.

Currently, the person in the department with the greatest demand for simple fracture surgery practice opportunities was Wang Zhongxing, followed by Deputy Director Physician Xue Tao.

Wang Zhongxing needed practice opportunities to get started in learning, while Xue Tao needed opportunities to gain teaching experience and learn high-end surgical techniques—

because after Xue Tao was promoted to Chief Physician and began leading a group, he would have to start from scratch in leading a team; teaching experience was also extremely precious.

The key to fracture surgery is reduction. After spending some time together, everyone in the group slowly went from being shocked that Fang Ziye possessed such superb manual reduction techniques to accepting it!

Fang Ziye's manual reduction technique was a fact that represented the operational ceiling even within the department.

Even Shen Tao's manual reduction technique was like a younger brother compared to Fang Ziye's, occasionally needing to ask for advice.

Naturally, if at some point someone didn't want to perform surgery, they would have Fang Ziye speed up the surgical progress.

"Ziye, since we need to speed up the surgical rhythm while ensuring surgical quality, then it's still up to you to step forward." Xue Tao had no objections; his main task was to follow Wu Guo Nan and Shen Tao to learn how to teach, and then follow Shen Tao to learn some complex fracture treatment processes, saving them to ponder slowly later.

Fang Ziye didn't participate in every surgery, nor did he fight for every surgery; he was tactful and perceptive. He was both a super assistant and a friend worth making.

Not yet mature, but learning to integrate into the group's atmosphere; having such thoughts made him worthy of appreciation.

Although Wang Zhongxing didn't speak, he also bumped Fang Ziye's arm with his fist, clicking his tongue in amazement: "Your triceps are really big."

The triceps is on the outer rear side, while the biceps is on the front inner side.

"Want to arm wrestle?" Shen Tao suggested.

In the eyes of other surgical specialties, orthopedics seemed to have everyone possessing immense strength, but actually within orthopedics, no one competed to see whose strength was greater; orthopedics was actually a delicate specialty, it just often required strength to assist surgery.

It could add some flavor when joking around.

With jokes, everyone would join in the fun.

Fang Ziye wasn't convinced either; he wanted to try Wang Zhongxing's big arm.

Soon, in the specially designated smoking room on the half-floor above the operating room, besides Fang Ziye, the other four were surrounded by smoke; Fang Ziye was inhaling secondhand smoke while Wang Zhongxing had a cigarette in his mouth, the blood vessel at his temple in front of his ear bulging.

Fang Ziye and Wang Zhongxing swapped left and right hands and fought for nearly forty seconds; neither could do anything to the other, so they shook hands and made peace.

Wu Guo Nan laughed heartily after reading: "Wang Zhongxing's strength is indeed not small, it just seems our orthopedics young people have all been trained extremely well by their respective teachers or superiors."

In other words, Fang Ziye's leg-lifting business was already very proficient.

Fang Ziye then praised: "I think Brother Xing might be in better shape than me; I'm so much younger than him, if I were at Brother Xing's age, I might not have the current strength."

Wang Zhongxing understood Fang Ziye's driving content and felt a bit embarrassed.

But Shen Tao said: "Ziye, you don't understand this; you're completely in a state that hasn't been developed yet."

Shen Tao made a hugging gesture; although his right index and middle fingers were both holding a cigarette, those who understood did understand, and they laughed.

"Uh..." Fang Ziye scratched his head.

This touched his knowledge blind spot, accompanied by a smile.

After the jokes, Shen Tao extinguished his cigarette butt, and after his nostrils smoked again for two or three seconds, he pondered and asked: "Ziye, is Teacher Deng Yong more skilled in osteotomy correction?"

Shen Tao was especially familiar with Teacher Deng Yong's name, but as for which specific field Teacher Deng Yong excelled in, to be honest, Shen Tao's understanding wasn't deep enough; he was only an attending physician and hadn't reached the level of communicating on par with Teacher Deng Yong.

Nor did he dare to casually inquire about the big shots' specialties.

It was just that now, seeing Fang Ziye had a trend of developing in this direction, he asked.

Hearing this, Fang Ziye's mind immediately tightened: "Yes, Teacher Deng's current main research direction is osteotomy correction, so he also intends to guide our team's business development direction toward this aspect."

His own focus of adding points was all leaning toward osteotomy correction.

Whether manual reduction or osteotomy, both were very important basic skills for osteotomy correction; although this was the direction Old Professor Li Guohua pointed out to Fang Ziye, the peak that Old Professor Li Guohua pointed Zhongnan Hospital Trauma Surgery toward was the field of osteotomy correction.

If Teacher Deng Yong wanted to make further breakthroughs in his profession, he could only continue to deepen and refine.

Teacher Deng Yong himself was currently just proficient, but also needed further team collaboration. In the team, Associate Professor Xie Jinyuan had already caught up with the rhythm of this direction, his own Master was halfway there, and even Qin Geluo had already gotten on track.

Therefore Fang Ziye wasn't afraid others would doubt his skill specialty direction.

"That's truly embarrassing; after all, manual reduction is something you, Ziye, at your age, can often come into contact with. But your attainments in osteotomy have started to be able to beat people; this is something I never expected."

"Does your Master know?" Shen Tao asked hurriedly upon hearing this, as if he had found a direction to counterattack.

Fang Ziye occasionally called him Uncle Master, but Shen Tao had every reason to suspect Yuan Weihong didn't know Fang Ziye's current professional capability was this awesome, because it was easy to have a blind spot right under one's nose.

The longer Fang Ziye stayed by his side, the more Yuan Weihong might form his own set thinking, feeling Fang Ziye was even more skilled in research.

"Ah, this, he should know some, right? I don't have many operation opportunities in the group."

"Currently in our group, the one more skilled and mainly learning this aspect is Associate Professor Xie Jinyuan." Fang Ziye explained meticulously, not daring to let his teacher give himself absolute side proof, because Yuan Weihong didn't know.

And Fang Ziye's explanation was also reasonable.

Indeed it was so; Teacher Deng Yong was rushing toward the professional frontier, while Associate Professor Xie Jinyuan had already completed relatively high-end surgeries like bone transport surgery and had a certain proficiency, currently closely following Teacher Deng Yong's footsteps, which was only natural.

His own teacher Yuan Weihong and Qin Geluo, their current clinical task was to take over other surgical techniques besides osteotomy correction, such as bone transport surgery, treatment of bone defects, etc.

The reason the team was awesome was because of clear division of labor, organic cooperation, clear task allocation and learning, and clear task focus.

Just like the trauma surgery group of Zhongnan Hospital, you can choose not to mainly do fractures, but you can't not know how to do fractures such a minor disease type; it's the same.

Teacher Yuan Weihong had already completed routine fracture surgery operations, while Qin Geluo was constantly looking for opportunities to fill in.

"Okay, I understand." Shen Tao immediately grasped it.

Then this was easy to handle.

Yuan Weihong, you wait for me, see how I deal with you! ~

Shen Tao would never doubt the clinical level of professors in a top teaching hospital like Zhongnan Hospital, nor would he doubt the research ability of professors at such a level.

Chatting could never end; after Mao Mao sent news that the next patient had finished anesthesia and could begin disinfection and draping, everyone began moving toward the operating room.

Mao Mao was a resident in standardized training, so he very sensibly washed his hands in advance, planning to complete disinfection work at any time, but before that, someone was needed to hold the legs to ensure the sterile principle.

Seeing this, Fang Ziye said very actively: "Mao Mao, you first prepare the disinfection bowl and oval forceps; Tao Ge and I will try to do a manual reduction before disinfection."

Reduction can first attempt closed reduction before incision, then perform internal fixation with internal fixation implants.

And this patient had already undergone comprehensive assessment; even if manual reduction was possible, fixed effects couldn't be achieved through plaster cast external fixation or the fracture's own self-fixation between the fracture, so opening up was necessary.

Mao Mao had no doubts and walked toward the operating table, letting the instrument nurse prepare things for him; he only waited to pick up the disinfection bowl and gauze to start disinfection.

Meanwhile, Fang Ziye and Xue Tao stood before the film viewer, and after a brief discussion, they proceeded to the operating table.

The patient had already received continuous spinal anesthesia; no matter how much manipulation was performed, there would be no pain sensation, only tactile sensation, so there was absolutely no need to worry about the patient being uncooperative or experiencing severe pain.

Fang Ziye took the operating position and coordinated with Xue Tao: "Brother Tao, we're starting."

"Got it!" Xue Tao had already put on a pair of examination gloves, and at the fixation point for closed reduction, he grasped the patient's lower limb.

This was a comminuted fracture of the femur; the pelvis could be fixed, then lower limb traction applied, but it was very difficult to self-fix.

Seeing this, Wu Guo Nan and Shen Tao both directly discussed whether, when the intramedullary nail was placed later, the "Golden Finger Guide Needle" could be inserted directly into the medullary cavity, which would make the surgery extremely fast.

Wang Zhongxing had originally been maintaining a learning attitude, observing from the side.

Suddenly, Wang Zhongxing felt as if he had been kicked.

It was none other than the anesthesiologist who had entered the operating room — no longer the previous one, but Director Hong Du's personal anesthesiologist, Nie Mingxian.

He had come to cover a shift to earn money, his purpose very clear.

"Wang Zhongxing, didn't you say you would be the lead surgeon for this operation and asked to extend the surgery time? What's going on?" Nie Mingxian's gaze was burning.

This look sent a chill down Wang Zhongxing's back; recognizing the newcomer, he said: "Wasn't the anesthesia Que Ge? How come it's you, Teacher Nie?"

Que Ge was the name of another anesthesiologist, currently also a Deputy Director; his face was full of spots, like a sparrow, hence the nickname Que Ge.

Nie Mingxian generally doesn't come to Director Wu Guo Nan's operating room, does he?

Wang Zhongxing felt a bit apprehensive.

"Que Ge had something come up and left. I'm running both sides."

"There's still one hundred thirteen yuan one mao seven fen in that tray, same old rules?" Nie Mingxian examined and asked back.

Wang Zhongxing nearly cried upon hearing this.

"No, Teacher Nie, is it necessary to be this calculating?" Wang Zhongxing truly felt Nie Mingxian was a weirdo to the extreme — over a hundred yuan, calculated down to one mao seven fen???

Nie Mingxian hung around the orthopedics operating rooms; Wang Zhongxing often heard Huang Kai and others complain about him, but he never expected Nie Mingxian would be calculating to this extent.

"Sorry, this old man is very short on money; even close brothers settle accounts clearly."

"After I finish repaying all my father's debts, I'll be as generous as I should be, but right now I don't have that ability." Nie Mingxian said, touching his chin.

Suddenly a faint cracking sound was heard.

"Four hundred forty-nine yuan six mao two fen, I can only find someone to break even at three hundred twenty-three yuan eight mao three fen, sigh!" Nie Mingxian's tone was exceptionally vexed; he looked toward the direction of Fang Ziye's operation, tilting his head slightly.

It was very obvious that this Nie Mingxian had a very deep memory of Fang Ziye, the surgeon who caused his wage loss.

He never thought of making trouble for Fang Ziye, but he would make trouble for those who asked him to slow down and extend the surgery time.

I'll cooperate with you to extend the surgery time, but you screw me over by suddenly switching the lead surgeon — that's not my assessment failure.

No way around it; Nie Mingxian's money-making logic is crystal clear.

Currently, anesthesia fees in the operating room are charged by the hour, but the requirement for the Anesthesiology Department is simply to precisely coordinate the anesthesia well.

How you save costs is your business; if you anesthetize poorly, need to increase drug dosage, or fail to monitor the patient's vital signs in time, and an accident occurs, that's also your Anesthesiology Department's own responsibility.

The Anesthesiology Department passes this pressure onto the anesthesiologists' heads.

So most people complain bitterly about this system; every anesthesiologist subsidizes a bit of their own salary.

Only Nie Mingxian, through precise calculation, can earn nearly eight or nine thousand more in performance pay each month through this system, and the anesthesia effect also makes all patients very satisfied.

But still?

He is too obstinately obsessed with money!

Yet Nie Mingxian feels that earning money through real ability is perfectly justified.

The reason the Anesthesiology Department has this rule is mainly to avoid 'corrupt' behavior within the department — charging by time, let's see if you still dare use expensive drugs.

Wang Zhongxing knew Nie Mingxian's difficulties: "Brother, forget it, I'll cover it for you; don't have opinions on our Doctor Fang, okay?"

A matter of a few hundred yuan; if it could get on good terms with Fang Ziye, Wang Zhongxing felt it was very worth it — after all, if he wanted to invite Fang Ziye out for a meaty foot wash, a few hundred yuan wouldn't solve it.

"Brother Xing, I'm just short on money, not a beggar. Don't look down on me." Nie Mingxian crossed his arms, quite principled, the corner of his mouth curling in a faint smile.

As if he had only been waiting for Wang Zhongxing to say this line.

He didn't even need to wait for the X-ray film results to know the reduction effect was excellent, because Nie Mingxian had once also been an excellent surgeon.

Hearing Nie Mingxian's harsh yet righteous tone, Wang Zhongxing felt a bit irritable.

Just turning his head to the side, looking at Nie Mingxian's complex gaze at this moment —

It seemed he didn't really care about this few hundred yuan matter.

Only, in Nie Mingxian's gaze toward Fang Ziye, there was full of complexity and anxiety, as if there was a look of envy, also a great deal of regret, and even a tiny bit of expectation.

A certain string in Wang Zhongxing's body seemed to be plucked at this moment; he asked almost involuntarily: "Envious?"

Nie Mingxian turned his head to look over, his eyes full of complex colors, and his eye rims visibly reddening, carrying indescribable angry emotion.

The mask seemed to be propped up by his expression or mouth, the folds cracking open.

But in the end, Nie Mingxian didn't say any words.

He lowered his crossed arms, turned to the anesthesia monitor, tilted his head back slightly, and looked at the ceiling.

He asked himself this question: Envious?

Nie Mingxian himself knew the answer was definitely yes; once upon a time, in Kyoto University Affiliated Third Hospital, he was also called a genius by others.

But filial piety comes first among all virtues; his father is his real father, sick and needing treatment — since he already had the ability to earn money, he absolutely could not watch him die for lack of money.

The talent introduction fee plus borrowed money fulfilled the mission of prolonging life!

In the end, he didn't end up penniless; he can still happily find someone to call Dad — that's Heaven's care for him.

What's a million-plus yuan?

Life encounters differ for everyone; being modestly well-off is peace — working here, he won't starve to death...

But he still envies.

Nie Mingxian watched Fang Ziye and the others at the operating table stirring up a storm; in truth, he envied intensely, yet as a doctor who switched from Emergency Surgery to Anesthesiology for the sake of earning money, it was an envy he could not attain.

Emergency Surgery can transfer to Anesthesiology, but cannot transfer to other surgical specialties, because the specialties don't match well!

As for Nie Mingxian years ago, whoever gave money was his Dry Father.

Whether it was Anesthesia, Emergency, or Surgery, whoever paid more, he would go there.

Including now, Nie Mingxian doesn't feel he lacks Demeanor at all.

My dad is about to die of poverty and illness, you want me to talk about Demeanor?

To hell with Demeanor.

I only think about Earn Money, by my own ability, earn Clean money.

The Surgery ended very quickly.

After a group of people left.

Nie Mingxian only then brought up the money matter with Wang Zhongxing again, but only through WeChat, sending him a number.

Wang Zhongxing also transferred the payment over without any Hesitate.

Nie Mingxian directly Acceptance——

Extending Anesthesia time was Wang Zhongxing's Requirement, not his Suggestion to Wang Zhongxing, your side didn't Notify me in time that Surgery time would shorten, that wasted Medicine money, if you don't pay who will?

The one who wants to Study Surgery is you Wang Zhongxing, not me Anesthesiologist Nie Mingxian!

Nie Mingxian's Thought Penetration, after tidying up the operating room, whistling, he went out the door.

He still had to Chasing toward the next Anesthesia, that was giving Anesthesia in a private hospital's operating room.

The money given, was a bit more than the Labor Fee given by Central Hospital Anesthesiology Department.

Although Tired is a bit Tired.

But Earn Money, Not Awkward.

Because only Earn Money enough, can bear the Dream of resigning and returning to his original Specialty, and only then can his parents, Not Too Tired because of burdening themselves with Guilt, let them have enough Economic Conditions to enjoy their old age……

"Xuan Qi, I feel you might Make a Fool of Yourself." On the road, Nie Mingxian sent a message to his old classmate like this.

Wu Xuanqi: "???"

"This Fang Ziye's talent is Too Good, maybe what he gives back to you, Not Necessarily what you and I want. Today he did another Closed Reduction, not Lead Surgeon himself, but from Operating Room Turnover to end, only Twenty-Three Minutes." Nie Mingxian said.

"Uh~~~"

"Then just treat it as making a friend."

"Us two, current basic Research Achievement can completely be said to be none, current this Environment, Even If Surgical Innovation done however spectacular, also Impossible to have any high Research Achievement and recognition. Big Direction Root not in this area at all."

"But also understandable, After All once, because of Surgical Innovation the price paid, was exponential life numbers." Wu Xuanqi Sigh.

"When can you return to Surgery?" Wu Xuanqi asked like this.

"Don't Know, depends on when can Gain Second Practice Authorization……" Nie Mingxian while Editing Information, while boarded the Bus.

Bus travel, just time Slow a bit, but Only Need one yuan forty cents, thirty percent off, transfer once Bus only two yuan eighty, taxi there, Round Trip need nineteen yuan, generally nine yuan five one trip, Nie Mingxian Mirror Heart……

(Chapter End)