Chapter 181

A few days later, on the afternoon of April 24th.

Enshi Central Hospital, Emergency Department.

"Hello, Teacher Shen. I'm a consulting physician from Trauma Surgery." After arriving, Fang Ziye identified himself to the duty doctor of Emergency Surgery.

"May I ask which patient here has a dislocation?" Fang Ziye scanned the area but saw no patient with joint dislocation nearby.

For a typical joint dislocation, either the hand is supported by another hand, or there is obvious deformity while lying down.

Fang Ziye then looked toward Shen Shao.

The place Fang Ziye was currently in was the Emergency Surgery Clinic; Shen Shao was slightly older, probably in his thirties, and also bald.

However, it was not the pure baldness of Director Zhang Mingcan, but a short buzz cut. His forehead was just a bit high, with Mediterranean baldness combined with short hair, making it not easy to notice that he actually still had hair.

"Hello, Teacher Shen. I'm a consulting physician from the Trauma Center. Did someone just call from here saying there's a patient with joint dislocation?" Fang Ziye said while scanning the Emergency Surgery Clinic once, finding no patient related to joint symptoms.

Hearing this, Shen Shao stood up, touched his Mediterranean baldness, and walked out while saying: "There are many patients here, and the conditions are serious. The patient is still a student, so I had him wait in the operating room."

"Shall we go take a look together, Doctor Fang?"

As Shen Shao passed Fang Ziye, he deliberately stared at his name badge for a while.

Shen Shao did not know Fang Ziye, but earlier that morning, because of a joint dislocation, he had called an acquaintance in Trauma Surgery to ask, and the doctor recommended was precisely Fang Ziye.

For this emergency consultation, he simply called and directly requested Fang Ziye to come over.

Then Xue Tao, who was on the call, told Shen Shao that Fang Ziye was young; to avoid misunderstanding, Shen Shao also specifically inquired in Emergency Surgery and only then learned that Fang Ziye was not only somewhat famous in Trauma Surgery, but even the Emergency Department of the brother hospital knew Fang Ziye's name.

"Alright, Teacher." Fang Ziye followed closely behind.

The other party was around the same age as Yuan Weihong; even if not, in the hospital, calling someone Teacher would certainly not result in a loss.

Shen Shao tilted his head and explained to Fang Ziye: "Doctor Fang, the patient already has films, but you can decide based on your own experience whether any additional ones are needed; the films are from our hospital."

Fang Ziye paused slightly, thought it over carefully, and nodded.

Only then did Shen Shao bring Fang Ziye into the operating room; Fang Ziye naturally first explained his identity to the patient's family member before actively requesting to read the films.

The patient was a teenager in his teens wearing a middle school uniform; the family member was a woman in her forties, likely the child's mother. The other was an old man in his sixties, but he seemed not to be in charge and stood farther away.

At this moment, he muttered in a low voice: "A doctor this young?"

However, Fang Ziye's film-reading speed was not slow; his Level 4 Image Reading skill supported his rapid film reading, and Shen Shao hadn't even had time to react to anything yet.

Fang Ziye then looked toward the patient and said: "Young man, I need to give you a physical examination; it might hurt a little, so please cooperate."

But who would have known that before Fang Ziye had even finished speaking, and before he put down the films, the boy suddenly shuddered violently.

A look of fear appeared on his face; subconsciously, he dodged several steps away from Fang Ziye, looking somewhat dumbfounded.

After leaning against the wall, he finally spoke: "Can you... not touch me?"

At this moment, the boy supported his left hand with his right hand, and his face turned instantly pale.

The middle-aged woman who had just been making sarcastic remarks said: "Doctor, the films have already been taken and developed; what else is there to examine?"

"You want films when there are no films, and when there are films, you still want a physical examination? It's not that physical examinations are useless without films; with films, can't you skip the physical examination?" She spoke very quickly, as if performing crosstalk.

"My son is in great pain right now; can you not examine him randomly?" The woman's voice was very intense, but her eyes darted around.

After listening, Fang Ziye, very experienced, determined that he should not look at the middle-aged woman but instead look at the middle school student: "Has someone else touched you before?"

The boy nodded, then continued nodding vigorously.

His body swayed slightly.

This was not the white coat reaction from memory, but also a white coat reaction within a short period of time.

Hearing this, the middle-aged woman's expression changed slightly as she said: "You doctor, don't scare my son. We came here to see a doctor; look at this film, is it from your hospital?"

Fang Ziye shifted his gaze to the basic information of the plain film: "Your film was taken at 8:32 this morning. It is now 2:45 in the afternoon."

"In our hospital's Imaging Department, plain film development results are usually available in about an hour."

"Teacher Shen, when exactly did he come to the Emergency Department?" Fang Ziye intended to make a breakthrough starting with the hospital's own doctor.

Shen Shao was somewhat caught between a rock and a hard place.

"I've already explained everything clearly to you, so why are you asking so many questions? Can you actually read them or not? If you can't read them, just call someone more reliable to come look?" Her tone was urging, as if trying to cover up something.

Fang Ziye only stared at Shen Shao; Shen Shao, as the first-consultation doctor, based on the First-Consultation Responsibility System principle, needed to explain.

Shen Shao first looked at the old man beside him, then saw the middle-aged woman wanted to continue speaking, so he said: "Sister-in-law, you can't do this."

"I've told you, our hospital's people are all very professional."

Hearing this, the middle-aged woman's expression changed instantly: "Hey, Shen Shao, what do you mean? What exactly do you mean?"

The old man at this moment sighed and said: "Stop talking. Can you let Doctor Shen talk to the doctor?"

"If it weren't for you messing around, would we need to run around in such big circles?"

Only then did Shen Shao say: "It's like this, Doctor Fang..."

Shen Shao explained the situation: this teenager was his cousin once removed, not close but not distant. Roughly speaking, his father and this old man were biological brothers.

He had previously come to the Central Hospital for treatment, and then transferred to Enshi People's Hospital because the child's mother had connections at People's Hospital.

Fang Ziye's gaze immediately turned somewhat cold; he glanced at Shen Shao a few times and silently decided in his heart.

This Shen Shao was even digging pits for people from his own hospital?

Good fellow! ~

If he himself hadn't noticed the clue, Shen Shao probably could have played dead until he got himself into a medical dispute.

"You want the Director to come look, right?" Fang Ziye only thought for a second before changing the subject.

Hearing this, Shen Shao's expression immediately tightened: "No no no, Doctor Fang."

"We came to see you for treatment; you see my nephew's condition now—is closed reduction suitable or is surgery suitable?"

If this matter reached Fang Ziye's superior, it could become big or small.

Moreover, in Trauma Surgery, the most awesome person Shen Shao currently knew was Fang Ziye; unless Xue Tao or Huang Kai also screwed him over.

"Doctor Fang, help us out, okay."

"Uncle, this child has undergone closed reduction several times at People's Hospital." Fang Ziye asked the old man directly, listing Shen Shao and the middle-aged woman as untrustworthy people.

He was also afraid the child was lying.

"Can you treat him or not? What does having undergone reduction several times have to do with you?"

"If you can't treat him, let your superior come. If you lack capability, no one will say anything about you, right?"

"When there were no X-rays, you doctors chased after them to see them; now that there are X-rays, you ask this and that. Is this how you practice medicine?"

Fang Ziye nodded and said, "Medicine Does Not Knock: Fine, I'll call my superior right away. You wait a moment."

Originally Shen Shao had given him the cold shoulder, and Fang Ziye was already unhappy; with this attitude, he couldn't wait for the superior to come and deal with it.

Fang Ziye couldn't wait to call Wu Guonan or someone else from this hospital over to talk to Shen Shao.

Grab the child onto the operating table, make one incision, complete the reduction, and be done with it.

In ancient times, those who did not believe were not treated; today, patients have the right to informed consent.

"Doctor Fang, Doctor Fang……"

"Don't call yet." Shen Shao hurriedly advised.

If this were known by the Orthopedics Department's superior, the Emergency Department's director would definitely be cursed at.

If the director was cursed at, would he have good days?

Shen Shao knew that to undo the bell, one must find the one who tied it:

"Sister-in-law, I'll tell you the truth!"

"At our Central Hospital, when it comes to closed reduction for joint dislocation, this Doctor Fang does it best. Finding the director is useless."

"If you want to find the director, you might as well go back to People's Hospital."

"Hey, what do you mean?" The middle-aged woman's expression changed immediately.

"Exactly what you understand." Shen Shao was also full of resentment.

This morning his paternal cousin's wife had no time, and his paternal cousin's son was brought by his own second uncle.

He had already arranged to make a phone call.

As a result, the phone call wasn't finished before his paternal cousin's wife directly took people away, and he had to apologize to Xue Tao before it was over.

But what was funny now was that they had turned back and returned, still giving him advice.

"Shen Shao? Who are you speaking for?" The middle-aged woman's expression and tone both looked unpleasant.

"Sister-in-law, we must talk reasonably. It's not about speaking for someone." Shen Shao replied.

Fang Ziye shook his head helplessly, but said nothing, only looking toward the child's direction, not knowing how to proceed next.

Was this really to treat the child's illness, or to quarrel?

But before the family member's emotions were controlled, Fang Ziye absolutely dared not perform a physical examination, let alone a reduction.

And, the physical examination must come first, then the reduction.

Fang Ziye didn't want to be the one taking over the burden, nor would he casually clean up the mess for colleagues from other hospitals.

"Say a few less words!" The old man spoke.

"Xuemei, you take Shen Zihao wherever you want to seek treatment; I respect your opinion. If you don't trust Shen Shao, then don't trouble him, and don't quarrel here, okay?"

"You want me to take him wherever I want?"

Han Xuemei tilted her head: "Dad, the person I found is my own uncle."

"Is the uncle closer or the nephew closer?"

"And that Doctor Zhong my uncle called also said that Central Hospital can't handle joint dislocation. You heard that too, right?"

Hearing this, the old man immediately felt terrible.

Did this woman not think that Shen Shao was his own nephew?! He was Shen Shao's uncle.

"Me." The old man was speechless at the moment, not knowing what to say.

At this time, a middle-aged man who resembled the old man somewhat walked in.

After entering, he first cupped his hands to apologize to Shen Shao: "Shen Shao, I'm sorry. In a few days I'll come to your home to apologize."

"But now you have to help your nephew."

After speaking, he looked at his son with heartache, his eyes sweeping over his wife, indescribably angry!

Can't you use a bit more common sense?

Either don't come to Central Hospital, or don't come to Central Hospital again, okay?

The middle-aged woman saw the middle-aged man and started cursing: "Where did you go? You're only coming now. I thought you died on the road."

The middle-aged man turned around, grabbed her hand in one go, pushed her backward, and shouted angrily: "If you can't speak properly, then be a mute!"

"If you don't know how to do things, go home!"

"Don't joke about our son, okay?"

The woman staggered a few steps, about to question her husband, but the middle-aged man's sudden rage scared the middle-aged woman enough!

Her eye rims turned red with some grievance.

"Go back! ~" The man pointed to the door.

"Rest well if you're tired. Think it over if you can't figure it out. Recall all the dogshit things you did today. Recall who you saw today."

"If you still feel aggrieved, just endure it. Now, I'm taking our son to see a doctor."

The man ordered around, directly forcing the woman to turn around and leave!

Quite imposing, and it scared the woman enough.

After this, the middle-aged man then said to Shen Shao: "Younger brother, no matter how your sister-in-law is, I must beg you to help your nephew think of a solution! Other matters I'll leave to you. Let me soothe Zihao first?"

The middle-aged man's temperament was very mature, handling things in an orderly manner.

Only, when walking toward his own son, he softly said sorry to his old father.

The old man comforting Shen Zihao said, "Just knew your wife is someone you can't teach; back then you wouldn't listen."

"Grandpa, don't talk about Mom like that," the youth Shen Zihao said.

"Good!" The old man and the middle-aged father and son both nodded.

Shen Shao then turned his head to look at Fang Ziye.

Fang Ziye wasn't actually very proud, but rather very procedural: "Get an MRI, assess whether soft tissue injury exists; if it doesn't exist, conservative treatment can be expected."

"If there is soft tissue injury, then surgery is still surgery when needed."

Shen Dong nodded: "Okay, Doctor you order the exam; I only pay and sign."

……

The middle-aged woman couldn't really leave; she waited outside.

After paying the exam fee, Han Xuemei muttered with a bit of heartache: "I went to People's Hospital for reduction treatment and didn't spend a penny; now doing exams I paid this much money……"

Shen Zihao blanked for a moment, at a loss; he was already a youth.

Shen Dong said: "Son, it's fine, your dad has money. Don't feel guilty."

"Getting injured at a sports meet is a very common thing."

Shen Dong then looked at his own wife: "You go back! Now, immediately, at once; don't force me to call your dad!"

Han Xuemei shut up at once.

"Did you not understand Shen Shao's meaning?"

"Shen Shao said it: this Doctor Fang is the best doctor in the hospital at reduction!"

Han Xuemei sneered: "Best doctor? How old is he? Just best."

"Shen Shao definitely doesn't want to help, so he's fobbing you off. My uncle found Doctor Zhong; he's the doctor with the oldest seniority in their hospital!"

"Even he was no use; this young doctor definitely won't be any use either."

"Just you wait and see; you don't believe me."

"Shen Shao doesn't take you seriously at all!"

Self-esteem acting up again?

"Inexplicable." Shen Dong's mouth corner twitched for a while; couldn't be bothered to deal with her.

However, the matter of Doctor Fang's age that Han Xuemei just spoke of was indeed a major doubt in his heart.

Shen Shao said he is the one in this hospital who does closed reduction the best; can this point be relied on?

……

Because Shen Shao stepped in and found an acquaintance, the Imaging Department worked overtime temporarily to do an MRI plain scan.

No need to wait for printed results; Shen Shao and Fang Ziye could view it right in the Emergency Department's doctor's office.

Shen Dong and the others hadn't returned yet.

Shen Shao looked at Fang Ziye, touched his own near-bald head, and asked: "Doctor Fang, how is it?"

Fang Ziye turned his head, calm and composed: "Currently, soft tissue situation is okay; closed reduction can be expected, which is manual reduction."

"It belongs to difficult-reduction manual reduction; the previous reduction, though unsuccessful, had no accompanying injury. Only the probability of reduction success may not be very high."

"But if we don't try, we can only wait for surgery; the child is still young, we can give it a shot."

"After all, worst case after failed manual reduction is just re-surgery treatment."

Hearing this, Shen Shao let out a breath of relief.

Fang Ziye didn't confirm whether reduction can be done.

But Shen Shao knew, people who can guarantee a certain operation's success rate are almost all frauds!

He himself is hospital staff; just now he nearly dug a pit for Fang Ziye; Fang Ziye keeping reservations is perfectly normal.

Shen Shao asked again: "Is it somewhat more complex than the X-ray situation?"

Shen Shao pondered in his heart today's terrible affair, finding it a bit funny.

This sister-in-law of mine, halfway through my arrangements, took the patient away directly, then went to People's Hospital, still didn't cure it, and came slinking back.

"Teacher Shen, exam types differ, not good to compare." Fang Ziye explained, basically leaving no handle.

After all, Shen Shao is someone who even pits this hospital's own doctors; one cannot be without a guard against others.

"Doctor Fang rest assured, I'll go communicate with my brother about the possibility of failed manual reduction, I'll go sign and come back." Shen Shao said, hardening his scalp.

"That won't do, Teacher Shen; if I'm the one doing manual reduction, then I should be the one to do the informed consent signing." Fang Ziye's face was full of wariness, not concealing it in the slightest.

Shen Shao's expression was slightly ugly, but he also had no face to explain further.

Could only hope to patch up relations with Fang Ziye later; today wanting to recover Fang Ziye's impression points was basically impossible.

During the talk, Fang Ziye discovered that Shen Dong's status at home was exceptionally firm.

He suddenly understood Shen Zihao's mother's temper and personality a bit.

Prosperity to the extreme inevitably reverses.

After all, when Fang Ziye said he would do manual reduction, Shen Zihao's grandpa's expression was unpredictable, asking patiently several times whether to find an old director to come see, after all it had failed before.

Shen Zihao's mother Han Xuemei coughed several times more.

But Shen Dong agreed in one breath, signing his name generously.

Fang Ziye got the signature, still said: "The child's guardians are both parents; now the guardians' opinions are not unified."

"I've already reminded many times: manual reduction may not succeed; do you still agree to proceed with manual reduction?"

"As for surgical reduction, the success probability can be absolutely guaranteed, and the child won't suffer the pain of reduction."

"Do you want to discuss with the child's mother again?"

When family opinions are not unified, manual reduction cannot be performed on the patient.

Because afterward, once failure appears, the dad may not trouble you, but the mom may come trouble you; then just wait for whistleblowing and lawsuits.

Fang Ziye had anticipated this in his mind.

The matter must be explained clearly, and Shen Shao happens to be here as well.

Shen Shao then said: "Doctor Fang, rest assured, even if the reduction fails, I will take responsibility for handling this matter."

Fang Ziye directly ignored Shen Shao's guarantee, still looking at Shen Dong and the others.

He said: "Family members, closed reduction can be called off before the operation begins, but this is a stage-by-stage operation; once it starts, there is forever no turning back."

"Moreover, you have many choices; you can request my superior to perform the reduction, or request a hospital transfer to other hospitals."

"Informed consent and informed refusal are equal."

"Do it!" Shen Dong glanced at Shen Shao, who was not recognized by Fang Ziye, and insisted.

Shen Shao, caught in an awkward position, touched his own head.

Fang Ziye doesn't even trust him.

However, Shen Shao actually understands Fang Ziye a little. If he and Fang Ziye swapped positions?

Sigh!!

……

About ten minutes later.

Shen Shao saw Fang Ziye walk out from the operating room; although his face was extremely disappointed, he still went up to explain to Fang Ziye: "Doctor Fang, it's fine, I'll go explain the situation to my cousin."

He immediately stepped forward with some disappointment and asked: "Doctor Fang, can't reduce it?"

Then he immediately said: "I'll go explain to my cousin."

He had let Fang Ziye down once before, but a person cannot betray character many times; being a person also requires having some principles and bottom line of one's own.

The reason Fang Ziye took action this time was also for the sake of his face; otherwise, with Fang Ziye's professional capability during the informed consent signing, he could have directly washed his hands of it.

Just let himself and the others go find someone else in the department, or say 'other hospitals failed reduction, we also fail reduction, let's just do surgery directly.'

You can't even fart out a single one.

This is an unwritten rule; generally, cases that have been diagnosed and treated at other hospitals and failed, when transferred to other units, peer-level hospitals usually won't take them over.

Unless the unit made a phone call over there, requesting help to resolve it.

Otherwise, with no kinship or friendship, who would wipe someone else's ass?

Fang Ziye then let out a breath of relief, tilted his head and said: "Teacher Shen, the reduction is already finished; if the reduction had failed, why would it need this long? It should have come out long ago; inside the family members are waiting for the plaster cast to set."

"Wait a moment to review the flat film; there should be no problem."

"The fee for this closed reduction, just charge it according to medium closed reduction; hard work, when you open the execution department, open Trauma Surgery."

Fang Ziye slowly let out a breath of relief.

"Reduction successful?" Shen Shao heard this and was stunned!

Shen Shao's gaze at Fang Ziye was complex.

The previous Fang Ziye clearly said the probability of reduction was not high, it could only be an expectation.

The probability of expectation is generally not high, right?

But obviously, that was Fang Ziye's wording to deal with him.

(Chapter End)