Chapter 285

Xiao He is currently the most prominent group leader professor in Trauma Surgery, a student of Professor Han Yuanxiao's attending physician senior brother Zhang Zi Xi, and is already in his second year of Master's studies this year.

Fang Ziye previously had little contact with Xiao He, and perhaps precisely because of this, Xiao He dared to intentionally or unintentionally joke with Fang Ziye.

However, Xiao He is extremely nervous at this moment.

Ever since Li Nuo in the group transferred to Spine Surgery, his own teacher Zhang Zi Xi became the pillar of Professor Han Yuanxiao's group, and if discussing research, Associate Professor Peng Long completely cannot compare with his own teacher.

Associate Professor Peng Long does not do research; the reason he can supervise students is that he accidentally applied for a National Natural Science Foundation grant and won the bid, so for the past several years he has been able to supervise Master's and Doctoral students.

But when it comes to research, currently, Han Yuanxiao, as the Trauma Surgery Administrative Director, mentions Fang Ziye's name the most in the research group and at group meetings.

His own teacher's actual group meetings also frequently bring up Fang Ziye.

Sometimes even Zhang Zi Xi himself hopes to become Fang Ziye...

Under such premises, Xiao He must understand that some people's jokes can be made, and some people's jokes cannot be made.

In the current Professor Han Yuanxiao's group, who doesn't know that Han Yuanxiao and Zhang Zi Xi both dream of poaching Fang Ziye to their own group, then letting Fang Ziye continue leading the team to shine, rather than continuing to stay in the previous Teacher Deng's Sunset Team.

"Don't ah? I think it's pretty good, look, Senior Brother Zhuang Ding, sounds so nice."

"Zhuang Ding, Zhuang Ding Ding?" Fang Ziye made a joke while following duty doctor Wu Chengwen on the way to the doctor's office.

Of course, after Fang Ziye finished speaking, everyone arrived at the doorway of the doctor's office.

Wu Chengwen explained on the side: "Senior Brother Fang, inside there are those who want to be hospitalized and those who don't want to be hospitalized."

"Those who want hospitalization I can basically handle myself, but those who don't want hospitalization, I dare not decide on my own, but Teacher Qin Geluo is still on duty in Emergency, so I can only trouble Senior Brother you to come decide."

"The other senior brothers have mostly all gone home..."

Fang Ziye looked at the doctor's office, a group of people who should have been at home enjoying family harmony, cracking melon seeds and peanuts, drinking beverages and beer, eating dumplings and Glycogen while watching the Spring Festival Gala.

Now however they are each with different complexions in the Trauma Surgery doctor's office, some sitting some lying, for a moment not knowing what to say...

Fang Ziye has not never been on duty on New Year's Eve; in Fang Ziye's previous few years, he happened to have bad luck and drew New Year's Eve and the first day of Lunar New Year, that was during his Master's third year, only on the second day of Lunar New Year did he draw duty, allowing him to go home for the New Year.

But even with such luck, this is the first time in recent years Fang Ziye has seen such a scene...

Those with injuries including broken legs naturally resigned themselves to fate, dared not move, thinking to stay hospitalized in the hospital for rest, pain relief "anti-inflammatory".

But some who didn't injure their legs still said: "Doctor, give me a word, if you can temporarily handle it, I still have to rush back for the reunion dinner."

"I just got off the highway from Han City temporarily, planning to take the ring road to bypass the traffic jam, didn't expect this kind of thing to happen..."

During Spring Festival, generally those with formal jobs, without approved leave, on the morning of New Year's Eve, take transport home or drive home.

The system is the same, workdays generally continue until the 29th of the twelfth lunar month.

But everyone, regardless of identity, regardless of rich or poor, as long as they are Eastern Han people, as long as family harmony is passable, all have a heart set on rushing home for the New Year.

The guy speaking and complaining spoke halfway before being interrupted by Wu Chengwen: "Don't rush, you just came from Emergency and saw, today's Emergency patient count is not small."

"Today is the New Year, many superiors have gone back, currently the department's duty personnel are just us."

"Whether you can have closed reduction temporarily handled to go back, still depends on your actual situation, cannot be generalized."

"This is our senior brother, only he has the permission to handle it, me and this fellow trainee both have to listen to the more experienced senior brother."

Wu Chengwen spoke to here, also did not directly sell out Fang Ziye, continued: "And if my senior brother is also unsure, then we can only wait for superiors to rush over."

"You all also don't rush, our superiors are eating reunion dinner, but estimate they've already put down bowls and chopsticks, driving over this way..."

New Year is something everyone must celebrate.

Therefore everyone can understand.

Just hearing there are still superiors coming, the person who spoke first hurriedly blinked: "Then can we wait until superiors come to look again?"

"I can't leave for a while anyway."

Fang Ziye and Wu Chengwen and others' ages, everyone knows in their hearts.

Fang Ziye's age difference with Wu Chengwen is just about one year, where is any particularly big difference?

This guy is also afraid that when the time comes Fang Ziye only hangs a senior brother title, but his actual ability is actually no different from Wu Chengwen.

After all, hearing Wu Chengwen speak before, Fang Ziye just entered Doctoral studies, while Wu Chengwen is about to graduate from Master's.

Fifty steps laughing at a hundred steps, what difference can there be.

Fang Ziye hearing this, first looked at his fracture type, then looked at general condition, felt no fracture combined with vascular damage, also basically would not develop compartment syndrome, then nodded: "Can wait, you can have a certain triage choice right."

"Just when you exercise your triage choice right, your own waiting time for consultation will be even longer."

Fang Ziye finished replying, still said to Wu Chengwen: "Chengwen, you directly process a hospitalization procedure for him, then later do a skeletal traction."

"His situation, conservative treatment probably won't work, ultimately will need surgical intervention."

"Even if he chooses to go to another hospital for hospitalization, must write clearly, recommend hospitalization treatment, let patient and family sign."

"Xiao He, you go get various sizes of plaster casts, prepare in the operating room, for later use..."

Wu Chengwen and Xiao He hearing someone order them, immediately as if granted amnesty, hurriedly scurried to do tasks.

In such an emergency scene, what's feared is having nothing to do, just sitting there awkwardly.

That person hearing Fang Ziye order him to be hospitalized, eyeballs slightly turned, glared at Fang Ziye, but didn't say much, he was waiting for superiors to come.

Fang Ziye had family temporarily push him toward Wu Chengwen's direction, then he hurriedly requested: "Don't order exams yet, wait for your superiors to look, then I'll decide whether to hospitalize, don't make a mess in the end."

"Wastes money, and troubles everyone." The patient spoke like this.

Wu Chengwen wanted to say, your wanting non-surgical treatment is very difficult, but there are hospitalization indications and surgical indications, that can be determined through textbooks, basically arranging you for hospitalization definitely won't be wrong.

Fang Ziye then looked at the few fracture patients behind.

These few fractures should be ones Qin Geluo did not screen and pick, otherwise a few of them, according to current closed reduction indications, should be able to be handled with closed reduction.

But Qin Geluo did not handle immediately, estimate it was not enough time.

However, Qin Geluo still felt New Year's Eve duty could do some small operations, so he admitted these few fractures.

Of course, seven people total, removing the first one demanding superior handling, there is also one left forearm radius and ulna comminuted fracture patient who cannot have closed reduction, needs surgical handling.

Fang Ziye looked through each one, then said: "Based on my film reading diagnosis, physical examination, and reasoning of fracture classification, your fractures currently have relatively good classification."

"Relatively good classification means, can anticipate closed reduction, that is to say, after I reduce the fractures and apply plaster external fixation here, you can go home to recuperate."

"But there's some risk: the fracture could displace again, and the fracture scar might heal in a way that doesn't achieve the same quality as surgical reduction."

"You need to seriously consider this point."

"I'll give you ten minutes to carefully review the corresponding risks of this fracture closed reduction again, then give me an accurate answer." Fang Ziye printed out five nearly identical standard consent forms very skillfully, then distributed them.

Fang Ziye's action not only left the five people opposite him looking at each other in dismay, but even Wu Chengwen and Xiao He were stunned.

But Wu Chengwen ultimately dared not say anything.

Fang Ziye was called in by Qin Geluo to help, and was also his Senior Brother.

Moreover, when Fang Ziye had cleared levels in the Training Room before, Wu Chengwen had envied him for a long time.

So even though Fang Ziye was very bold, Wu Chengwen didn't dare press him too much.

This was not just a matter of status, but an absolute gap in strength.

"No, young man. Oh no, Doctor Xiao Fang, are you sure? You've looked it over properly? Our case, can it be handled with closed reduction?" Among the five people, a woman in her thirties, comparatively kind-hearted, smiled and said after a pause.

She then explained: "When I came in through Emergency, that Doctor Qin said I should be hospitalized?"

"He is your superior, after all."

The woman speaking was probably thirty-one or thirty-two; although her right hand was fractured at this time, her right hand, supported by her left hand and placed on her chest, was exceptionally soft and large.

Describing her as fully ripe was the most suitable.

"Mm, I know, Teacher Qin is my superior, his opinion needs to be respected."

"But there is one fact: Teacher Qin's consultation time was relatively short, perhaps he doesn't have as much time as I do to carefully study alternative treatment plans for the condition."

"The treatment I'm giving you is just a suggestion, and just one kind of reference." Fang Ziye didn't dare to put it too strongly.

Although after going overseas, nearly half a year without contact with clinical work, it doesn't mean Fang Ziye had completely forgotten clinical work.

"You still dare to give different suggestions from your superior? Doctor Fang?" Fang Ziye's words successfully drew another person's attention.

In contrast, Fang Ziye's Fellow Trainee Xiao He had, at this moment, shockingly already finished editing the information, and had already sent it out.

He should be secretly telling on Qin Geluo, hoping Qin Geluo would speak up and stop the reckless Fang Ziye.

Being inconsistent with a superior's handling opinion is a major taboo in such a situation; Fang Ziye's current approach is a bit too risky.

Moreover, at this moment, Xiao He's heart was actually complaining bitterly about Qin Geluo: you say you're a Chief Resident, when writing emergency consultation opinions, why don't you just directly make a definite decision?

If hospitalization is needed, just directly write suggested hospitalization treatment; if closed reduction is needed, just directly write closed reduction treatment; you just send them in and write nothing at all—where is there such laziness as you?

You send the patient to the department like this—isn't it just the patient's upper and lower mouths clashing?

Now it's fine; after Fang Ziye rewrote the opinion, it is completely at odds with yours...

"Mm, it's not exactly different; it's just that every doctor, according to their own understanding and depending on the condition, gives different treatment suggestions."

"And my treatment suggestion will involve some risks; for example, if closed reduction fails, then we turn to Teacher Qin's treatment opinion, which is surgical treatment."

"Perhaps the probability is quite high, but what if there's a chance? So if you're willing to take a risk, you can still try it." Fang Ziye was very confident in his closed reduction level.

His current closed reduction level was estimated to be, at least within the Province, only that Old Chinese Doctor Chen could be on par with him—

"Then let me try it; does it hurt? If it fails, will it hurt even more?" The second Big Brother interested in Fang Ziye spoke first.

"It will hurt a bit, and it's very possible it will hurt even more, but if handled well, Big Brother, you might still be able to go home in time for New Year's Eve..." Fang Ziye was also analyzing cautiously.

It wasn't that Fang Ziye was unwilling to let the patient be hospitalized.

It's just that since they came to the department, treatment should be precisely tailored according to personal ability.

Some of Qin Geluo's treatment suggestions were correct; because of his ability, he couldn't perform closed reduction for some types of fractures, but Fang Ziye could.

Big Brother and Fang Ziye entered the Operating Room door.

The other patients were all standing at the Office doorway looking at each other in dismay, and muttering something in low voices.

Wu Chengwen continued to soothe everyone's emotions, and directly issued two Admission Certificates.

"Doctor Wu, what exactly is the background of your Senior Brother? How can a Graduate Student not heed the Attending Physician's call?" That fully ripe Big Sister, after figuring out that in such a Grade-A Tertiary Hospital, an Attending Physician could keep a Doctor hanging, asked so incomprehensibly.

Wu Chengwen couldn't respond well at this moment, just saying: "Big Sister, actually my Senior Brother is very powerful."

Wu Chengwen's words had just finished when Fang Ziye brought the Big Brother who had undergone closed reduction out; the Big Brother walked out of the Operating Room with a silly grin.

Fang Ziye explained to him on the side: "The pain has been relieved; as long as you don't move this hand randomly, bear weight, exert force, or let it be squeezed afterward, the pain will basically continue to be relieved."

"But if you get injured, or press on it while sleeping, then it won't do."

"Go for a re-examination first; after the re-examination, then..."

"Okay okay okay, Doctor Fang." The middle-aged man nodded hurriedly, and also greeted his family member, namely the brother traveling with him.

That brother had also gotten some color, but it was a scalp laceration, so he pushed a wheelchair and went downstairs first for an X-ray...

At this moment, when Fang Ziye continued to look at the other four people, Xiao He, currently a Master's Year 2 student, walked out from inside the Operating Room, and while walking out, was still scratching the back of his head, full of confusion.

How Fang Ziye had so quickly reduced that tibia fracture just now—he hadn't even sorted out the logic clearly yet, and Fang Ziye had already sent the person off for re-examination, with no intention of explaining.

Xiao He could only look at his Senior Brother Fang Ziye in confusion...

(Chapter End)