Chapter 292: Chaotic and Flustered (Seeking Subscriptions)

The Chief Resident's life is extremely monotonous.

So monotonous that besides feeling the days of a Big Fool, everything else has nothing to do with you.

Let alone the Lantern Festival, even New Year's Eve probably wouldn't make you feel time treats you any differently—

March 1st, 8:00 AM, after Fang Ziye participated in the handover, he was formally recognized by the current Administrative Director, Professor Han Yuanxiao, as the Department's Follow-up Resident concurrently holding the Chief Resident position.

The Follow-up Resident identity is because Fang Ziye is currently a PhD student; the Chief Resident position is because Fang Ziye is slated to join this hospital and is a graduating student before graduation.

This hospital's graduating students naturally can enjoy some conveniences and benefits in advance.

After Fang Ziye took over the Chief Resident's old mobile phone, it was actually considered the handover procedures complete.

Qin Geluo didn't say too much to Fang Ziye, just said: "Ziye, you run emergency consultations and routine consultations today, other matters I'll shoulder first, then slowly hand over to you."

Fang Ziye originally still hadn't understood what "slowly" ultimately meant.

Right around 8:20, Fang Ziye, who was following Professor Deng Yong on rounds, was called away by the old Chief Resident phone—

During handover rounds, no one is allowed to answer calls, including Administrative Director Han Yuanxiao, in principle no one is allowed to make or receive calls.

But the Chief Resident is the sole exception.

The Chief Resident, in principle, is allowed at any time point, even on the operating table, to use a Bluetooth headset for calls.

Fang Ziye's departure didn't make anyone feel surprised.

Because the previous Chief Resident came through exactly like this.

During Jin Hongzhou's tenure as Chief Resident, maybe Professor Deng Yong's Group people hadn't experienced it firsthand, but Qin Geluo wasn't he pressed into service as a coolie for a period...

Naturally, Fang Ziye's non-participation in rounds also wouldn't have the slightest impact on the rounds' progress.

Time quickly passed ten-odd minutes.

Zhongnan Hospital, outside the Emergency Surgery Clinic.

A young man cradling his hand with one arm, holding a medical record book in the other, walked alongside Fang Ziye while turning to ask: "Doctor, my situation shouldn't be serious, right?"

"Visually not serious, specific situation pending X-ray result assessment..." Fang Ziye replied, taking the medical record book while reading the simple medical history the Emergency Department people had asked, simultaneously leading the young man toward the consultation room.

Actually the young man wanted to say, why don't you find a more reliable Director to come take a look, but Fang Ziye simply didn't give him the chance.

Entering the consultation room, Fang Ziye quickly wrote a round on the emergency medical record book, then started operating the computer to print out a Manual Reduction Consent Form.

Before he could even speak.

Fang Ziye's brow furrowed, because there was still a 120 ambulance siren approaching from afar again!

Fang Ziye quickly said: "Your current situation is a shoulder dislocation, I read the film, assessment says manual reduction is possible."

"But if you want to rule out more meticulous soft tissue injury in advance, best to do an MRI. This MRI, you can choose to do before manual reduction, or choose to do after reduction."

"If you choose to do it before manual reduction, then it's assessing the absolute indication for manual reduction, when the time comes choosing manual reduction, then reduction succeeds. Manual reduction is the treatment."

"If you choose to do it after manual reduction, then after manual reduction you might still need surgical treatment, manual reduction would just be a temporary pain relief measure..." Although the ambulance sounds outside flickered uncertainly, Fang Ziye still didn't dare be negligent.

During the annual meeting two years ago, Fang Ziye had once concurrently served as Emergency Physician, at that time Fang Ziye nearly stepped on a landmine, fortunately he was careful enough, and wasn't negligent or reckless.

Today's Fang Ziye naturally wouldn't commit low-level errors either.

"Also manual reduction has a certain success rate, and may also fail, so you think clearly whether you want to be treated at our hospital!"

"If you agree, and can accept the result of manual reduction failure, then sign, we'll operate immediately!"

"If you want to hesitate, you can go outside and sit down to rest temporarily, think carefully, or go to other hospitals for consultation. Then I can see the next emergency patient first." Fang Ziye rapidly explained the situation.

"This? Doctor Fang, is your department just you alone right now?" The young man asked.

"Our department's other doctors all have other patients to see, those sitting outpatient clinic sit outpatient clinic, those doing surgery in the operating room do surgery, those just off shift just got off shift!" Fang Ziye patiently and crisply explained!

Not wasting a single word.

Informed consent, must make everything clear and explicit.

Fang Ziye concisely gave the other party the current predicament and choices.

"If you really want to wait for a Superior to handle it, your current situation doesn't belong to absolute emergency indications."

"That is to say, a true emergency isn't the emergency you understand." Fang Ziye saw the other party was young, so spoke relatively more colloquially.

This rhetoric is very common online.

Hearing this, the young man's expression turned bitter for a good while, then he heavily sighed, saying: "I'll sign for treatment! Alas!"

After the young man finished signing, Fang Ziye's side quickly wrote two medical orders for him, one for the shoulder dislocation manual reduction technique, the other for the shoulder dislocation forearm sling material cost.

Price not expensive, total 160.

Plus the previous X-ray, total 295 yuan. X-ray cost is 45 per site, he shot shoulder, chest and abdomen, calculated as three sites.

Fang Ziye printed out the bill, let him scan it.

Then said: "Our hospital hasn't opened online medical insurance reimbursement, if you have medical insurance card balance or need to reimburse employee medical insurance, you have to go to the outside window to handle it, but if you can reimburse later, you can just scan the code."

"Of course, after you scan the code, you can also go to the window to handle refund procedures."

"No matter, I'll pay myself." The young man, after reading the signing content clearly, signed his name while at it, resignedly raised his head to glance once more at the very young Fang Ziye, finally scanned the code and started entering payment password.

But right when his left hand was pressing the payment password!

He only felt some force on his right arm yank violently, severe pain ambushed him!

Completely beyond his expectations, caught him unprepared.

In an instant pain intensified to the extreme, even exceeding the upper limit of the pain range he understood.

The fear brought by the ambush pain made his whole body stiffen.

But quickly, the young man immediately felt his shoulder relax accompanied by pain relief.

Simultaneously, a "Click" sound rang out.

This made him directly shudder, upper body tremble, look at Fang Ziye, eyes finally managing to carry the anger in his chest—

"You tm?"

"No martial virtue?" The young man's anger flared, retreated several steps, burning with rage, had a strong urge to hit someone.

But if Fang Ziye answered incorrectly, even if he himself had no family members present, he would still rush in with Fang Ziye.

Fang Ziye said: "Brother, don't be so nervous. The closed reduction of joint dislocation relies on the element of surprise! Only then can the antagonistic force generated by your self-protection awareness be maximally reduced."

"Our reduction process can be a bit faster."

"The closed reduction is already finished, and there's nothing fancy about it; reduction can also be very fast!"

"If you often go online, you'd know that reduction can actually be very fast."

"You can try moving it a bit; there might be some pain, but it won't be particularly painful."

"Then you rest a bit, go re-examine an X-ray. During this gap, I just happen to go out to see the next emergency patient. After you take the X-ray, come find me, and I'll put a forearm sling on you!"

"That way no one is delayed?" Fang Ziye heard the siren of the 120 ambulance growing louder in his ears, but he still had to stabilize this young man's emotions!

Although, outside, there was another patient waiting for Fang Ziye to handle; that patient was a fracture patient, and after this patient, another 120 ambulance arrived. Fang Ziye didn't know if he needed to continue practicing medicine.

Hearing this, the young man immediately assessed his own feeling; the pain had indeed decreased a lot.

Immediately after trying to twist his arm again, came that surprised expression and an expression of disbelief.

Five seconds later, he finally reacted, his eyes widened, looking extremely shocked.

Is that it?

"Doctor Fang, what about me?" He looked at Fang Ziye's age and simply couldn't associate this Fang Ziye with those closed reduction experts online.

"Since you feel fine, go get checked first, and bring the results to find me later."

"You also know that I'm actually quite busy; I don't have any free time to chat for now."

"You still need to pay for this; only then can we proceed with the forearm sling and the re-examination to see the reduction effect." After saying this, Fang Ziye walked out and did not look back.

The young man watched Fang Ziye's back as he left.

Fang Ziye's build was not particularly broad, but it seemed as if he was hard at work carrying something.

"Awesome!" The young man twisted his arm twice more; the pain disappeared, and he crisply shouted these words.

After settling the bill, he slowly turned and went to the X-ray room, no longer daring to look down on him.

Regardless of Fang Ziye's age, in just these few minutes, he had completed his reception, examination, conversation, and treatment operation—this crispness and efficiency were like flowing clouds and running water.

Without the slightest hesitation or vacillation.

Whether his skill was good or not, he couldn't judge for now, but he felt very satisfied right now.

The satisfaction came from the previous pain relief, and the comfort brought by such relief was no less than a release of relaxation...

Moreover, Fang Ziye didn't take his current symptoms seriously; that was what gave him peace of mind. If Fang Ziye had really stayed by his side the whole time, constantly asking him questions, that would have been troublesome.

Perhaps it was the case that great skill breeds great boldness...

Fang Ziye was just about to go out again to see the next fracture patient!

At the doorway of the Emergency Department's Emergency Resuscitation Room, a stretcher rushed in quickly.

The speed was fast, at least fifty or sixty yards.

"Was it handled on the scene?" The person in green clothes and the person in a white coat were doing a handover. The person in the white coat asked.

"Not handled well; the patient cannot move. I followed the dispatch and came here." The person in green clothes said quickly.

Hearing this, the person in the white coat said: "Let's consult Orthopedics, Thoracic Surgery, General Surgery, and Neurosurgery..."

"The Chief Residents of Orthopedics and Neurosurgery are both in the Emergency Department; do we need to call them over immediately?" After the person in the white coat and the person in green clothes pushed the stretcher into the Resuscitation Room, a reply came from afar.

"Call first, emergency consultation, the other party will arrange it immediately." A very experienced voice came from inside.

Fang Ziye was currently performing a quick physical examination and asked: "Do you have sensation?"

Fang Ziye took one look and knew that this fracture patient's condition was a simple fracture of the upper limb with dislocation; considering the possibility of dislocation was high, someone had performed an emergency reduction on the scene, but it hadn't been reduced back in, and then he was dragged over here; additionally, his lower limb had a closed fracture.

Who knew this middle-aged man also had a bit of a funny attribute, with a Sichuan Province accent: "I can feel it, your muscles are rock hard!"

"........." Fang Ziye's mouth corner twitched slightly.

"Vital signs are currently stable, no active bleeding, consciousness is clear; further examination is handed over to you!" Another person in a white coat quickly handed over to Fang Ziye, then walked back.

Fang Ziye nodded in agreement, but at this moment, the female doctor wearing a white coat had already arrived at the stretcher.

"Take a head, chest and abdomen CT plus a CT of the right humerus, then draw blood for preoperative examination, and go to the operating room. Doctor Fang, do you see anything else to add?" She glanced at Fang Ziye's name badge and asked quickly.

He absolutely dared not delay time.

Fang Ziye didn't know the other party, but saw her name badge: "I have nothing to add on my end; when taking the CT, add the left shoulder joint and right tibia and fibula. Thank you, Teacher Sang Yuerue..."

The Chief Resident of Neurosurgery, surnamed Huang.

Fang Ziye's current name badge was still Resident Physician; the Chief Resident Physician's name badge had not yet been made, and he was temporarily in position.

"Call me Huang Yan or Senior Sister Huang. I'll send the patient to the consultation room first."

"You handle that patient behind you first." Huang Yan gestured with her chin toward the person behind Fang Ziye.

It was none other than the previous dislocation patient, who had already rushed back from the Emergency X-ray Consultation Room.

"Thank you, Senior Sister Huang!" Fang Ziye immediately turned around, but still remembered that the previous shoulder joint dislocation patient hadn't even gotten his forearm sling yet!

When Huang Yan pushed the stretcher in, the patient asked: "I did so many CT scans all at once; is it very expensive?"

CT scans are not cheap; they were all done at once.

"You have a fracture, proving the violence was strong enough; the probability of chest, abdomen, and head injuries is very high." Huang Yan explained this way.

Professionals can always give professional explanations.

What examination orders to issue is not done randomly just because someone walks in; one must assess the magnitude of the violence encountered during the injury and perform precise examinations.

And!

If there were only this one emergency patient, there would definitely be time to give him a systematic physical examination, and then based on the physical examination findings, precisely screen the images. But at this time, time is precious.

Wasting time to save a few examination fees has no life-saving benefit; being on duty in the Emergency Department means being prepared for the next patient to die at any moment!

Taking advantage of the time to turn around, Fang Ziye immediately sent a message to his fellow trainee Jie Han, asking if the other party had free time to come help.

But the answer received was negative.

And Luo Tingzhu and the others Fang Ziye was familiar with basically had no time, all having other arrangements.

Although he had recruited no help, Fang Ziye still had to go apply a forearm sling for the previous patient, and also prepare the emergency consultation for the patient in the Emergency Resuscitation Room, as well as the fracture X-ray evaluation work for this one just now, who had been taken out by the neurosurgery physician...

Busy and flustered was Fang Ziye's first feeling.

Chapter End