Chapter 287

Yuan Weihong's Mediterranean hairline was even worse than two years ago on the solar calendar.

On the lunar calendar, today is New Year's Eve; since the Spring Festival hasn't arrived yet, it can still be called last year, but on the solar calendar, Fang Ziye's third year as a Professional Master's Student was already two years ago.

Looking at Yuan Weihong, who appeared much more haggard compared to last September, Fang Ziye felt considerable guilt: "Master, when I was in Enshi? I also performed some closed reductions; would that have left any trouble behind?"

Practicing medicine alone can be a lifetime matter.

Upon hearing this, Yuan Weihong explained: "You finally thought of this now, right? But if you recall particularly carefully, you should discover that my good brother — that is, your Teacher Shen Tao — wiped your ass many times, mostly in ways unknown to you."

"Otherwise, if he dared to curry favor with you and then poach your people, I'd have to go live at his house."

Fang Ziye's expression grew increasingly stiff upon hearing this, looking at Yuan Weihong as if carefully pondering something.

Yuan Weihong then said: "Actually, in prefecture-level city hospitals and in our hospital, the requirements for many things are different."

"In prefecture-level city hospitals, as long as you can get things done and no major problems arise in the results, no one will specially pursue the term 'procedural fairness.'"

"Why is that?"

"Because a current fact is that many diagnostic and treatment measures carried out in prefecture-level city hospitals and county-level hospitals are actually measures that the current research frontier considers insufficiently perfected, even harmful, but which simply haven't been summarized into guidelines yet."

"And you can't demand that all doctors possess the ability to proficiently read literature and always have time to read literature, so their information intake is always much later than top-tier Grade-A hospitals."

"Furthermore, whether prefecture-level city hospitals or our hospital, there are some old professors who still insist on their own clinical experience from back then, setting aside so-called statistics and the current research frontier."

"So under such circumstances, you cannot completely demand that all procedures in prefecture-level city hospitals must be fair, all treatment processes must be reasonable; that won't work……"

While analyzing for Fang Ziye and putting his mind at ease, Yuan Weihong also said: "But these things don't fly in our hospital."

"This isn't just because our hospital is a top-tier Grade-A hospital; there's also the fact that in our hospital, it's the professor responsibility system, not the department director responsibility system found in prefecture-level city hospitals……"

Fang Ziye listened, thoughtful.

The professor responsibility system and the department director responsibility system actually differ by only a single title.

But in reality, the difference between the two is worlds apart.

The department director responsibility system means non-directors need not bear responsibility; the director must answer for many people in the department, and ultimate accountability falls on the administrative director in power.

The professor responsibility system means the accountability falls on the group-leading professor.

Seemingly, the professor responsibility system would be more humane, preventing the administrative director from being wrongly blamed.

But in reality, this is just power further subdivided, responsibility further subdivided, which only urges more 'petty tyrants' into being.

Even if no 'petty tyrants' emerge — for instance, Fang Ziye's current group-leading professor is Teacher Deng, but the current Teacher Deng is already in a time of troubles, going downhill due to health reasons.

Many in the department hope Teacher Deng collapses on his own, so they can passively or actively take over the talents currently remaining in Teacher Deng's group!

At this time, Fang Ziye unintentionally stabbing Teacher Deng in the back is absolutely adding insult to injury.

The current Teacher Deng is no longer the previous Trauma Surgery administrative director, young in age and with boundless prospects.

"Don't just see your uncles' rebellious psychology; also pay attention to the background they were in at the time."

"If, say, Teacher Deng once……"

"Then you and I might just be your uncles, the only difference being our methods would be relatively gentler, leaving a little something behind." Yuan Weihong suddenly changed the subject.

And Yuan Weihong's reminder instantly sent a chill down Fang Ziye's spine.

This isn't Yuan Weihong's alarmist talk.

Yuan Weihong's teacher, Fang Ziye's grand-master whom he had never met, having reached the professor position at Zhongnan Hospital back then, was certainly a towering tree laden with abundant fruit.

Yet even so, the tree fell and the monkeys scattered, unable to continue the inheritance relay.

Then why could such a thing not repeat itself?

Work atmosphere is work atmosphere; work atmosphere does not affect, in the slightest, other capable people using a helping hand to squeeze you — a person of merely equivalent capability — off the single-plank bridge.

Achieving absolute capability suppression in this era is extremely difficult.

Accomplishing this requires higher talent, more effort; this is a latent helplessness in an era of relatively saturated education —

Even if you work harder, have more talent, but your talent and effort cannot achieve capability suppression over second-generation elites and connected insiders, then there is actually no capability difference between you and them.

You want to lament the world and pity mankind, feel unrecognized despite your talent — you don't even have the qualifications……

Fang Ziye had thought: suppose Teacher Deng gets forced out now, and the other two professors beam at him saying, come, come to me, follow me……

Fang Ziye felt he would definitely run for it.

"Master, was Associate Professor Xie arranged to go to the Emergency Department, or did he go voluntarily?" Fang Ziye suddenly asked, seemingly non-sequitur.

At first listen, it seems Associate Professor Xie was exiled to Emergency Surgery, couldn't hack it in Trauma Surgery anymore — a punishment.

But what if Associate Professor Xie jumped ship early? He felt Teacher Deng could no longer carry him forward, and the Chief Physician competition wasn't favorable in Trauma Surgery, so he simply went to the fastest promotion track — Emergency Surgery.

Wait until he makes Chief Physician, then circle back to lead a group?

"As long as you understand to think this way, the answer itself isn't that important anymore."

"Let's go, there's an emergency surgery downstairs; let's scrub in together!"

"Perfect, before you start as Chief Resident, I'll teach you a universal technique for handling open fractures."

"Fracture reduction with external fixator fixation, standby amputation."

"You'll use this surgery a lot in the future." Yuan Weihong said with a smile.

Fang Ziye nodded with a smile.

Having reined in all his emotions, feeling that life's joy is actually finding amusement: "Great! ~Master."

Life is long, the road winding.

Many things, many factors, can become the Waterloo where you fall and sink into the sand.

It can be character, morality, health, or choices.

Of course, one's own capability is still the most, most, most important part, but to some extent, no matter how strong your capability, you must still act in accordance with your identity positioning; overly willful conduct will affect many around you.

Fang Ziye followed behind Yuan Weihong, watching Yuan Weihong's back, thinking of Yuan Weihong's handling style, recalling his master's goofy-yet-not-goofy persona……

Sometimes, Fang Ziye seemed to understand Yuan Weihong's quality of self-amusement a little.

Arrived at the operating room.

Fang Ziye took one look and realized this was a relatively simple open fracture of the tibial plateau.

Trauma Surgery has two emergency surgery indications with the largest quantity.

Open fracture, lower limb ischemic necrosis.

The surgical procedure corresponding to open fracture is surgical treatment of the fracture; the procedure corresponding to lower limb ischemia is amputation.

Disinfection for open fracture is not too particular; first, start irrigation!

Of course, before irrigation, Yuan Weihong and Fang Ziye still chose to first apply the tourniquet on the right lower limb.

After applying the tourniquet, they saw the bleeding volume in the open wound decreased a great deal.

Yuan Weihong then said unhurriedly: "Ziye, you say your closed reduction technique is not bad; coincidentally, your Master here, during my Chief Resident period, also felt my closed reduction technique was not bad."

"Even some Old Professors praised my closed reduction technique as well done; what do you think!"

While Yuan Weihong was still speaking, Fang Ziye, who had already read what Yuan Weihong wanted to say, directly went hands-on; in just a few moves, in under twenty-odd seconds, he reduced the deformed and displaced joint fracture by seventy to eighty percent.

The remaining twenty percent was because there was a compression fracture between the tibial plateau fractures; compression fracture requires levering reduction, not something closed reduction can handle.

"Master, how was it?" Fang Ziye tilted his head back, face upturned and smiling, the smile not without a touch of finding joy in suffering.

Fang Ziye felt his expression just now was no different from when he first met Master — a kind of feigning ignorance, and even a slight vibe of playing the fool on purpose.

Fang Ziye felt, perhaps this is that kind of reincarnation spoken of online, the meaning of education.

Only when the bullet hits squarely between the brows can one understand the meaning within; the closed loop of education is only truly complete then.

"Gurgle gurgle!" Yuan Weihong's Adam's apple bobbed up and down a few times.

But his mouth was still hard: "Not bad, has some Kung Fu; no wonder Teacher Deng praises you endlessly."

"Heard you can even pry open the fracture fragment clamping the artery in a pelvic mangled extremity without damage?"

The previous Yuan Weihong still carried a trace of fighting spirit; now it was pure curiosity.

No way; student is Disciple, Disciple is child; when the child grows up and wings harden, even if you're not gratified, you can't be jealous.

Of course, Yuan Weihong also couldn't just admit Fang Ziye is awesome like that; at minimum he'd have to keep his mouth hard for ten or eight years, then finally concede to age.

"Master, 'without damage' is a bit of an exaggeration."

Fang Ziye saw Yuan Weihong relax slightly, then added: "A more accurate description is, almost approaching without damage!"

"You go hold the leg!" Yuan Weihong got angry.

Fang Ziye didn't feel he was losing out or being punished; if he didn't joke with Yuan Weihong, would Yuan Weihong be the one holding the leg?

This is absolutely impossible.

For the next period of time, Fang Ziye just silently watched, acting as a student, letting Yuan Weihong teach very meticulously and seriously, indulging his Teacher Career itch.

Of course, this period didn't last long; roughly an hour or so.

Fang Ziye proactively reached out, picked up the bone lever Yuan Weihong was using as a prying tool in his left hand, slightly adjusted the angle and force, then pried open the compression fracture that Yuan Weihong had demonstrated several times but failed to lift.

Yuan Weihong's expression froze right then.

He sharply turned his head, looking at Fang Ziye, as if looking at a stranger.

Fang Ziye stood perfectly at attention, at attention so very routinely, as if striving to be a good actor, striving to cooperate with Yuan Weihong's performance.

Yuan Weihong instantly felt a bit broken: "You know how to do tibial plateau fracture and external fixator too?"

"Mm." Fang Ziye nodded, no longer hiding anything.

Yuan Weihong finally got angry: "You knew and didn't say so earlier, wasting my feelings; hurry over, let me see how you do it, check for gaps and fill them."

Finished speaking, he handed the Lead Surgeon's tools to the opposite side, completing the role swap between Lead Surgeon and Assistant.

Then, Yuan Weihong discovered Fang Ziye's fracture handling level and skill really were out of the ordinary, not like a pure novice at all; this proficiency really was nearly on par with him.

Yuan Weihong was a bit numb at the time. He only achieved this level after experiencing Big Fool period training; Fang Ziye hasn't even started yet?

He opened his mouth to ask: "Hey, what's your deal? At least leave your Master some face."

"Getting the Youth Special Prize last year that Master only got two years ago is one thing, but this fracture handling — when did you learn it? Also at Enshi Central Hospital?"

Yuan Weihong was truly shocked by Fang Ziye's improvement speed.

"Is this unit that magical? Do I need to go learn there too?"

Fang Ziye finally shook his head and said: "Master, you need to calm down."

"Enshi Central Hospital has always been that hospital; there are students there too... I learned more there because the learner was me, not because the hospital is great."

"Hey!" Yuan Weihong's first reaction hearing Fang Ziye speak like this was: is this brat imitating me?

But looking again, Fang Ziye spoke very seriously, as if from the heart, not like himself, who more or less carried a trace of pretense.

Yuan Weihong then held back the urge to keep complaining, and continued watching Fang Ziye's operation.

Of course, in the end after watching, Yuan Weihong couldn't see any problems either.

And this not seeing problems is actually the biggest problem.

Generally speaking, not seeing especially many problems means either skills are close, or even surpassed, only then would one not see problems.

Surgery done, Yuan Weihong proactively notified the Surgical Team to receive the patient back to the Ward and write Postoperative Orders.

Only then did he bring Fang Ziye out of the OR and ask: "Come back with me for New Year's Eve?"

"Master, how about not going; I still have to go back for New Year's Eve." Fang Ziye shook his head in polite refusal.

Yuan Weihong with hands behind his back, shuffling his buttocks toward the Parking Lot, said: "Kid's grown up, so now only thinks of that sour stench."

"That's where the difference lies."

Fang Ziye could only accompany with a silly laugh.

Grown child not under control; this indeed is the difference between single and not.

(Chapter End)