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Chapter 254

~10 min read 1,820 words

"What are you all doing?" Fang Ziye looked at the department; so many people had suddenly poured out that he found it a bit baffling.

"Aren't we waiting for Doctor Fang to start the lecture?" Wang Zhongxing started the jeering.

After Fang Ziye won the Special Prize, Director Wu Guo Nan required him, every week, to learn from Shen Tao and make a teaching PPT.

What he taught didn't matter, what Fang Ziye did didn't matter; anyway, there just had to be this formality.

Fang Ziye had already given a lecture once, but at that time he spoke about research-related topics, not daring to speak about clinical ones, because Fang Ziye himself had encountered too few cases and didn't have many clinical patients as teaching examples.

"Brother Xing, this misunderstanding is a bit big; how did it get dragged into giving a lecture?"

"My fellow trainee and I came over to collect some clinical material; Brother Xing, you wouldn't think I came to perform a manual reduction, with the patient still waiting, would you?" Fang Ziye asked.

Then he looked at his fellow trainee Lan Tianluo, as if confirming that the two of them really hadn't said anything about performing a manual reduction.

"Senior Brother, you didn't say that, did you? You only said the two of us would take the films to have a look!" Lan Tianluo helped corroborate as a witness.

With Lan Tianluo and Fang Ziye putting it that way, Guan Hongming, who was on duty, immediately grew nervous: "Senior Brother Fang, you took the films to look at them, wasn't it because you wanted to operate yourself?"

"I thought?"

"Then what do we do now? I told the patient and family that it was you, Senior Brother Fang, who would perform the manual reduction for them." Guan Hongming was very nervous.

He had only just transferred from Zhang Mingcan to Wu Guo Nan's tutelage, and was now only muddling through clinical work as a Professional Master's Student; his experience was certainly not rich.

But even not knowing the situation, he knew that the actual primary operator differing from the one who did the informed consent would be very troublesome.

"What else can we do? Let Doctor Fang demonstrate the manual reduction technique for us?" Wang Zhongxing hurriedly said.

Also joining in the spectacle, Guang Shenqing and Zhong Xue Gao chimed in agreement.

Fang Ziye, who didn't want to shirk anyway, went with the flow into the operating room and, in front of everyone, performed a manual reduction technique.

During this process, the one acting as assistant was Lan Tianluo.

Of course, for a manual reduction technique, whoever acts as assistant actually gets no attention; they only watch the primary operator.

So almost everyone only saw Fang Ziye quickly finish handling the fracture's manual reduction—

Deformity returned to normal, the patient's pain relieved, bone alignment restored.

Therefore, while Fang Ziye and Lan Tianluo were completing the plaster external fixation, Zhong Xue Gao even joked in front of the patient: "Doctor Fang, with this technique of yours, if you wanted to latch onto a rich woman, you'd definitely stand out very fast."

"Then there'd be no fun left?" While fastening the outermost fixation bandage of the plaster, Fang Ziye turned his head to look at Zhong Xue Gao, doing his best to banter back and forth with him.

Zhong Xue Gao hadn't even managed to reply when the patient spoke up first, very satisfied: "It doesn't hurt that much anymore, it hardly hurts at all."

"Doctor Fang, your technique is really good; you becoming a doctor is the right path." He gave Fang Ziye a thumbs-up with his healthy hand while shaking it.

Afraid that Fang Ziye, with this face that looked born to be a rich woman's boy-toy, would actually go and do that kind of thing, causing the medical world to lose a young outstanding doctor.

"Go get a follow-up X-ray, check the reduction result; if the result is good, you can go home to recuperate."

"If the result isn't good, you might still need to wait for surgical treatment." Fang Ziye didn't get carried away and make guarantees just because of the patient's praise, still respecting the objective fact that failure might exist.

Actually, Fang Ziye himself was a bit worried and uncertain; when would that failure rate actually appear? Because ever since he added points to bring this skill to Level 4, there had never been any mention of failure.

But Fang Ziye knew he certainly couldn't succeed at reduction a hundred percent of the time; he just didn't know when it would happen to be the one time the reduction went badly.

"That definitely won't happen; Doctor Fang's technique is this good." The patient kept praising Fang Ziye.

However, Fang Ziye then said something Zhong Xue Gao and the others hadn't expected, smiling: "Good technique can still fail; if you don't reduce well, it won't be the first time I've failed to reduce well."

This sentence from Fang Ziye directly left that uncle speechless.

His mouth opened and closed for a long while without a word. Then, honestly, accompanied by his family, he went for the follow-up.

On the way out, the two of them were still saying something to each other, mostly about whether Fang Ziye was still too young and such.

"Doctor Fang, when have you ever failed a manual reduction? I don't remember any such big thing happening." After the patient left, Zhong Xue Gao asked very calmly.

Wang Zhongxing and the others also looked over curiously.

Fang Ziye immediately caught the drift—his opportunity had come—and said: "There'll be a first time for everything, but if you pretend it's not the first time, you can openly act like a rogue."

Fang Ziye's words had a double meaning; the so-called rogue, one really couldn't tell if it meant acting roguish between men and women or Fang Ziye acting roguish when doing informed consent with patients.

If Fang Ziye really wanted to undermine his own credibility in the patient's heart by deliberately saying he had a precedent of failure, you really couldn't say anything.

No examples of failure—that's a god.

……

Facing such a Fang Ziye, Zhong Xue Gao, Wang Zhongxing, and the others instantly felt that Fang Ziye's defensive ability and wariness were really too strong!

At Fang Ziye's age, to dare to actively admit insufficiency to lower possible medical disputes is actually not an easy thing.

After all, in many young people's view, youth should be a bit reckless.

Fang Ziye's behavior was even more steady than an old person's, which made Zhong Xue Gao and them feel a bit scared, even instinctively feeling such a person should be avoided.

Too rational; dealing with him, you definitely won't get any benefit.

Of course, Fang Ziye's character is trustworthy; you also won't be taken advantage of by him.

……

After Fang Ziye left the department with Lan Tianluo, on the road back to the community, Fang Ziye asked: "Tianluo, how do you feel?"

"When we just did the manual reduction, the actual muscle contraction compared with the simulation in the model—is it still not quite the same?" Fang Ziye asked.

Fang Ziye and Lan Tianluo's previous analysis of fracture basic data and models had naturally reached a conclusion, and they had already started writing the paper.

But obviously, such analysis is only the beginning of this string of research.

This is just basic data, objective, under static conditions.

There's still a lot that can be analyzed. For example, movement, changes during the reduction process, what kind of changes the fracture might undergo after movement.

"There's still a certain difference."

"Current understanding of human muscle anatomy all comes from cadaver dissection, not living body dissection."

"So this is perhaps the difference between living body and cadaver, or perhaps the difference between active and passive movement." Lan Tianluo recalled while telling Fang Ziye his experience.

This feeling of constantly researching and broadening one's cognition, constantly exploring, is really too good.

However, Lan Tianluo was also curious about another matter and asked directly: "Senior Brother, your status in Enshi Central Hospital is very high now?"

"I feel that you're currently basically on equal footing with the Deputy Directors here."

Based on this doubt of his, Lan Tianluo had come along because today Fang Ziye merely brought him over to collect some patients' X-ray plain film basic data.

As a result, so many people in the department defaulted to the fact that Fang Ziye would perform closed reduction.

Such default assumption certainly stemmed from Fang Ziye's ability, and also Fang Ziye's influence in the department.

"This, today there might be some small misunderstanding; you didn't see, when we just got back, Wang Zhongxing said we would conduct teaching closed reduction technique."

"Their original understanding meant that I would have you operate this closed reduction, but because time was delayed for a long time, so I operated myself instead."

"This is obviously a message-passing problem that turned into a rumor, or else it's that Guan Hongming, this on-duty doctor, had a case of self-generated brain-filling." Fang Ziye shook his head.

How could he possibly have such high status? That was still a bit of an exaggeration.

However, being comparable to some Attending Physicians, and even Attending Physicians giving him face, that was still relatively objective. If Fang Ziye truly regarded himself as a Deputy Chief Physician, then Fang Ziye would be the one who lost.

"Senior Brother, the teachers here seem to have a kind of obsession with closed reduction technique? Am I mistaken?" Just as they were about to enter the community elevator, Lan Tianluo reached out to hold the elevator door, letting Fang Ziye enter first, while asking again.

"Mm, the Trauma Surgery of a prefecture-level city hospital, the main disease type is fractures; fracture treatment is surgery, so what everyone competes in is fracture open reduction internal fixation surgery — that is, the superiority or inferiority of closed reduction technique level."

"As for internal fixation surgery beyond that, who can really do it better than whom, and by how much?" Fang Ziye spoke relatively objectively, stating his analyzed reasons.

"Oh, that's right." Lan Tianluo quickly nodded!

"However, if one's lifetime of surgeries are all fractures or fracture variants, these days would be a bit too boring after all." Lan Tianluo sighed first.

Immediately after, the elevator arrived at the floor the two were on; the two had only walked two meters out of the elevator when Lan Tianluo took back the words just at his mouth: "It seems we can't be bored anymore, Senior Brother."

Lan Tianluo, also a bit nervously, leaned toward Fang Ziye's back.

Very obviously, Lan Tianluo recognized the comer; the comer was precisely the one his own Master Yuan Weihong, using the 'target someone' method Yuan Weihong had encountered, had also recruited Teacher from his original unit.

(Chapter End)

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