Chapter 286: Fang Ziye in Others' Eyes (Requesting Subscription)

People relatively all have a kind of herd mentality.

With the first person daring to let Fang Ziye try, and the result after leaving the Operating Room being not bad, there was a second person, willing to sign and pay, and agree to Fang Ziye's closed reduction, then hurry home if they could go home, or find a place to rest if it was inconvenient to go home, waiting for family to come pick them up and take them home.

During the New Year period, the patients who arrived at Hanzhong Nan Hospital were not necessarily all locals of Han City.

Fang Ziye's current closed reduction skill level is as high as Level 4+++, therefore, those Fang Ziye determines can undergo closed reduction basically will not have any mishaps.

A total of five closed reductions, although two were slightly more difficult, plus plaster casting it was just a matter of forty to fifty minutes.

In this process, the patients who had successful reductions initially and went down for follow-up X-ray plain films, as well as their family members, have already returned; naturally they have not yet waited for the printed results of the follow-up X-ray plain films, requiring Fang Ziye to review the films in the computer system.

But he did not urge them either.

Perhaps because it was New Year's Eve, many people's empathy would become more intense than usual, knowing everyone has it hard, everyone is in pain, everyone wants to go home early for the New Year.

Just, that Big Brother waited with difficulty until Fang Ziye finished all five closed reductions; the family members of the other two patients who had already been admitted, hurriedly took advantage of Fang Ziye stepping out to block his way and ask: "Doctor Fang, Doctor Fang, we also want closed reduction, do you think it's convenient?"

"Since everyone got plaster casts and went home for the New Year, you give me one too?"

"Eh! ~" The Big Brother who was originally waiting for Fang Ziye to check the follow-up results let out an "eh"; hearing the sound, he then felt it was not good to say they would continue queue-jumping.

Because in principle he actually needs to get the plain film results before finding Fang Ziye to check the follow-up results; right now Fang Ziye is still busy. Although he finished being busy, the other two admitted patients still don't know how they will be handled, so he also cannot be too selfish.

"This really isn't a matter of whether to cast or not, Auntie, Uncle." Fang Ziye heard this, while using a tissue to wipe his hands full of water stains.

"Doctor Fang, to you doctors, isn't it just the difference between a plaster cast and surgery? You give us a pull like that too, do a reduction..." The Auntie Fang Ziye addressed even deliberately mimicked Fang Ziye's reduction movements just now, gesturing to Fang Ziye like that.

Afraid Fang Ziye didn't understand, or pretended not to understand.

"Auntie, this really isn't a matter of casting; this is like, the reason we don't go to Tsinghua and Peking University — is it because we can't afford Tsinghua and Peking University's tuition? One must first distinguish whether one can get into such a university, before having the right to pay tuition."

"You agree, right?" Fang Ziye turned sideways and explained a sentence to the Auntie.

The Auntie could understand this kind of analogy.

"If you didn't score enough, of course they won't let you pay tuition." The Auntie understood, nodded and even cracked a joke back: "If you could score that many more points, you could even beg for tuition and get it."

Fang Ziye nodded: "That's right then; this fracture treatment, whether to choose surgery or closed reduction, first must look at whether it's suitable."

"Those suitable for closed reduction can expect closed reduction, just like if your score is high enough, you can expect to fill in a good university. If your score isn't enough, there's no need to expect it; honestly choose a school matching your own score."

"Right now your two family members, the patients I recommended for admission, their fracture conditions are exactly those that cannot undergo closed reduction; currently in public understanding, they belong to contraindications for closed reduction; closed reduction treatment would be ineffective, and might even worsen the condition."

"So you two can only expect surgical treatment, don't think too much about it, I still have to go check the follow-up plain film results..." Fang Ziye was about to send the people away when.

From the distance, a voice came.

"Doctor Fang, you come over for a bit."

Everyone heard this, turned their heads and looked.

"Doctor Qin."

"Doctor Qin..."

It was none other than Qin Geluo; beside Qin Geluo stood another White Coat, currently turning sideways saying something to Qin Geluo; Qin Geluo looked at Fang Ziye and the two who had already been casted and finished plain film follow-up, expressionless.

"Wu Chengwen, you take these patient friends' family members to the Doctor's Office first, I'll be right over." Qin Geluo instructed the Duty Doctor.

Then taking Xiao He he went to the Inpatient General Office's On-call Room first; Fang Ziye smiled and bid farewell to several patients and family members and followed from afar.

And once Fang Ziye was called away, the Auntie and Uncle who had planned to demand Fang Ziye do closed reduction instantly slipped away.

Very obvious, Qin Geluo at this time point specially called Fang Ziye away; this absolutely means he feels Fang Ziye's treatment might have problems; Fang Ziye is still too young, so he acts rashly.

The two are going to find a solution.

The other two middle-aged and young adults who had already been reduced, and their family members, faces turned a bit ugly.

Family members even more worriedly asked: "Do you feel any discomfort anywhere?"

……

Inpatient General Office!

Xiao He had just been sent out by Qin Geluo.

Fang Ziye pushed the door and entered; Qin Geluo asked: "Ziye, why didn't you treat according to current guidelines?"

"I sent seven patients to the Department, among them five needed surgical treatment, only two could expect closed reduction treatment, and that is 'could expect'."

"Brother Luo, it's like this, according to our previous model research and published papers." Fang Ziye wanted to explain a few sentences from a more professional angle.

Qin Geluo directly interrupted: "In the end, is your published paper bigger or the guidelines bigger?"

"In the end, are the guidelines the outline for diagnosis and treatment, or are currently published SCIs the outline for diagnosis and treatment?"

"Fang Ziye?"

"Did you forget what the prerequisite conditions are for launching new surgical techniques, new treatments, new methods?"

Fang Ziye heard this, and swallowed back the words that had reached his lips.

To launch new surgical techniques, new methods, one must have Associate Senior Title or above; this is not something Fang Ziye can reach.

Even within the Group, routinely launched new surgical techniques must be operated by people with Associate Senior Title or above to comply with regulations; otherwise, once any mishap occurs, the responsibility to be borne would be very heavy.

Moreover, this time, inside Zhongnan Hospital, it is very different.

The people on duty, including Yuan Weihong, currently none have professional Associate Senior Title.

That is to say, even the Department hasn't yet had a lead person who can do new operations appear; at this time it differs from Enshi Central Hospital where Associate Senior Titles are not few.

"Brother Luo, but?" Although Qin Geluo's words make sense.

But Fang Ziye himself knows clearly, what the situation is, how to treat, is best for the patient.

Moreover, according to Fang Ziye's previous research results, it can prove some fracture types can be treated through closed reduction.

"No buts, Ziye."

"Research serves clinical practice, guidelines guide clinical diagnosis and treatment. Treating according to guidelines is the final bottom line."

"It is the minimum guarantee for patients to obtain medical care of a certain quality, and also the bottom line for us Medical Practitioners when Medical Disputes occur."

"The best is not necessarily the most suitable; it's not that such a method is bad, but one must distinguish the occasion, know the measure, look at the timeliness."

"Papers are papers, research is research, clinical is clinical."

"Publishing a high-scoring paper doesn't mean your professional ability has surpassed most people. You're still a doctoral student, at most a resident physician, and for a long time to come, you'll remain a resident physician……"

According to reason and regulations, actually after a PhD graduates, as long as they have the Standardized Residency Training Certificate, that is, the training certificate, they can apply for an intermediate professional title.

But if you pass the intermediate professional title, as long as you haven't taken up the Chief Resident position, the hospital can choose not to hire you.

So, your own professional title and the title recognized and hired by the hospital within the hospital can be inconsistent.

Hearing this, Fang Ziye had nothing to say.

Because what Qin Geluo said were all truths, Fang Ziye was doing a good deed, but if he didn't distinguish the occasion, it was like adding poison to his own wine bowl.

It's just that the matter had already happened, so Fang Ziye could only look for a remedy: "But, Brother Luo."

"Closed reduction is an operation that we resident physicians can all perform. As long as our operation quality is good enough, resident physicians are allowed to have certain diagnostic and treatment errors."

"And we can also request permission to consult superior physicians at any time……"

Fang Ziye couldn't handle it himself, but he could drag someone else to take the blame, for example, Teacher Deng Yong.

"When I heard you were operating like that in the department, I had already notified Teacher Xiong Lao, and Teacher Xiong Lao said he would come over too."

Saying this, Qin Geluo then looked around the surroundings, and only then said: "Ziye, Teacher Deng Yong is no longer the Administrative Director of the department anymore. You must recognize this fact."

"Although Zhongnan Hospital operates under the professor-led group responsibility system, we still must give sufficient respect to the Administrative Director of the ward. Otherwise, if you come to power one day, you wouldn't want everyone to be rebellious."

……

When Fang Ziye and Qin Geluo went out, they happened to meet Yuan Weihong and Teacher Xiong Lao together inside the Doctor's Office.

Yuan Weihong was carefully explaining something to the patient while discussing with Teacher Xiong Lao there what kind of reduction treatment would be very good.

"Teacher Xiong, according to the assessment method for fracture treatment, on an X-ray Plain Film, if deformity has healed, the fracture line is hidden, the anterior-posterior and lateral displacement of the fracture ends has disappeared, the plaster cast is in place, and fixation is good, these are excellent signs of reduction."

"Mm!" Teacher Xiong Lao nodded. After reading the film, he turned back to look at the patient.

"The deformity has disappeared. How do you feel yourself? Do you have any particularly painful or numb symptoms?"

"Or, is there more of a feeling that pain relief has occurred and the affected limb feels lighter?"

The disappearance of deformity can be seen directly, but after the fracture displacement is reduced, once the soft tissue compression deformity is reversed, the pain will be greatly relieved.

Of course, if the reduction is not done well, there may even be symptoms of increased pain and nerve compression causing numbness.

Patients may not necessarily understand what increased pain or nerve compression means, so simply ask them directly if it hurts!

The patient shook his head, carefully looked at Teacher Xiong Lao's age, as if he had found a treasure: "Professor, is our treatment like this considered not bad?"

He no longer sought to be cured, just hoped it would be not bad.

"Mm, good reduction can be seen on the film. Good symptom relief, you can feel it yourselves. The answer is already very obvious." Teacher Xiong Lao said standing there, openly and aboveboard.

"Right, your own feeling won't deceive you, right? Rest assured and go home for the New Year. Just come for a follow-up examination and consultation in time then." Teacher Xiong Lao instructed.

When Teacher Xiong Lao spoke, just that white short beard of his was enough to make people trust and recognize him.

Hearing these words, that middle-aged person was relieved and left smiling with his family member.

Such an old professor, estimated to be a Mount Tai and Big Dipper of the hospital, normally one might not even get to see him, but he looked and said it was fine, so it must be fine, right?

"What about me, Professor?" The second young person for follow-up examination hurriedly asked.

"You, ah, I haven't even looked at your situation, so I definitely don't know. If I talked nonsense, wouldn't you think I'm deceiving you?"

"We can't just speak without basis because we're old. We still need to seek truth from facts and speak with basis, right?" Teacher Xiong Lao, using the most objective words, made this young man completely convinced.

Sigh, although I'm old and have seniority, I still need to be targeted……

Finally, after a while, several patients who had undergone closed reduction were all sent away.

Fang Ziye's quality and proficiency in closed reduction were definitely no problem. Back then, even such a complex mangled extremity of the pelvis, Fang Ziye could reduce and reposition……

Now this was just small fry.

It's just that, after Teacher Xiong Lao sent all the patients home, he carefully sized up Fang Ziye from top to bottom, and then said to Yuan Weihong: "This Step by Step High is your student, Xiao Yuan, right?"

"Looks handsome, sounds highly skilled. Meeting in person, isn't it full of vigor?" After Teacher Xiong Lao finished speaking, he stretched a lazy stretch and walked toward outside the department.

Yuan Weihong and the others hurriedly saw him off.

Only after seeing him off did Qin Geluo say: "Brother Wei, I'm going downstairs to surgery first. There are two emergency surgeries below. You'll need to come help out later."

"Leaving other factors aside, Ziye's current closed reduction technique is indeed impressive."

After Qin Geluo finished speaking, he went down to the operating room. Only Fang Ziye and Yuan Weihong were left.

After the others left, Yuan Weihong just asked Fang Ziye one question: "Do you think too highly of your own closed reduction technique, or do you look down on the open reduction internal fixation of professors and associate professors?"

"Ugh~~~…" Fang Ziye's breathing became slightly disordered.

After more than ten seconds: "Master, closed reduction is simple and convenient, and it's also cost-effective. At least it saves a lot of money, right?"

"Who asked you to save money? Did they ask you to? Huh?"

"You are a clinical physician. What you need to do is provide the most suitable treatment plan choice for people. The most suitable is not the most money-saving and cheapest. Haven't I taught you that?"

"Can you guarantee that the effect of your closed reduction treatment is better than surgery? Do you have such confidence?"

"Is the nature of functional reduction and anatomical reduction exactly the same?" Yuan Weihong questioned Fang Ziye like this.

Fang Ziye had no way to answer again.

Did anyone ask him to save money?

Really no!

(Chapter End)