Chapter 330

"Master, it's fine! I don't have any idol baggage." Fang Ziye ultimately still decided this way.

Fang Ziye heard Yuan Weihong's meaning clearly; it was nothing more than outsiders would think Fang Ziye was a busybody.

Analogous to Orthopedics Department, Orthopedics Department here suggests surgical treatment, a Vascular Surgery person runs out saying they want to do closed reduction conservative treatment for the fracture, the patient is temporarily still in Vascular Surgery...

Vascular Surgery people want to do closed reduction what can you do, you can't tie them up and not let them do it, as long as they can undertake responsibility, they do fracture internal fixation surgery it's also no problem.

Similarly, in Vascular Surgery's eyes, current Fang Ziye wanting to do limb-salvage surgery, is similar reasoning.

But after hanging up the phone, Fang Ziye still sent a message to Vascular Surgery's Liu Faming, explaining slightly.

Liu Faming then replied: "No problem Industry Brother, what's there to say about this, everything for the patient's consideration. Can salvage limb we try our best to salvage limb, just I can't help much."

Tone was proper and conventional, not sarcastic at all.

Fang Ziye relaxed a breath, first brought people into the operating room.

Disinfection, draping, putting on sterile surgical gown, putting on sterile surgical gloves, taking debridement kit, then carefully and slowly designing the overall surgical plan.

Fang Ziye did not rush to cut, but instead, first, did an even more meticulous physical examination.

Physical examination also called physical check, definition refers to physician using their senses and aided by traditional or simple examination tools, such as thermometer, sphygmomanometer, percussion hammer, stethoscope, objectively understanding and assessing patient physical condition a series of most basic examination methods.

This is every medical student entering diagnostic learning must learn content.

And some positive physical examination results, often with a disease's diagnosis, are closely related.

This is medical routine physical examination proficiency general situation under, comparatively routine use.

But physical examination proficiency reached Level 4 after, Fang Ziye discovered, physical examination actually not only can examine out diagnostic learning things, but through operator's subtle receptors, can feel vascular pulsation and other subtle fluctuations, thereby determine, exactly what position has no blood supply, what position still has blood supply.

Fang Ziye previously already applied this kind of ability, in Enshi did limb-salvage surgery, that time, Zhang Mingcan Director still at Director position, he almost just amputated the contralateral limb.

Had corresponding operation experience, therefore, Fang Ziye once again wielding this kind of skill, although had unfamiliar feeling, but careful exploration down, still had experience.

This patient's vascular pulsation, from external iliac artery downward to femoral artery proximal end, all have blood pulsation, but seemingly reached femoral artery middle segment after, similar blood pulsation disappeared.

Instead, femoral artery proximal end's circumflex iliac inner and outer sides arteries pulsation amplitude would increase, this is arterial distal end blocked after, collateral circulation blood supply intensification result.

"Sterile marker pen, give me one." Fang Ziye finished this kind of exploration after, ordered Assistant Guo Ruodun.

"Here, Industry Brother." Guo Ruodun again changed address.

Slow-to-realize Guo Ruodun, now already realized, Fang Ziye today seems like thesis defense, thesis defense ends after, will end student identity, then quickly become this hospital's formal employee.

This boundary, comparatively obvious is thesis defense.

After graduation also has benefits, calling Brother appears more intimate.

"Before had several people explored this patient's 5P syndrome? Or because today's time point comparatively special, many people didn't come over?" Fang Ziye marked finished, asked like this.

"Hmm, Senior Sister Luo came over, then also Senior Brother Lan came over, others are just Senior Brother Jinhuan passed by looked once..." Guo Ruodun also remembers comparatively deeply.

"Industry Brother, other Senior Brothers might be comparatively busy, today's situation again comparatively special... so people coming just? fewer some."

"I know, today thesis defense, I just feel this opportunity comparatively rare, definitely won't record everyone's faults or mentally note a little notebook."

"Do I look this fierce and this unreasonable?" Fang Ziye counter-asked, hard squeezing out smile.

Fang Ziye sometimes feels, himself sometimes really transformed into that year hated 'evil dragon'.

'Chief Resident' this evil dragon, not merely person's problem, but this position, this position needs to undertake responsibilities, destined to have 'evil dragon' tendency.

"No, definitely no, Industry Brother you compared to Brother Luo better many." Guo Ruodun very directly said.

Before, Jin Hongzhou sent down, Li Nuo went Spine Surgery, only left Qin Geluo temporarily undertaking Chief Resident position.

This position, being second-round conscripted more difficult than first-time conscripted, Qin Geluo didn't explode on spot is mindset good, naturally would have some short-term psychological distortion.

"Your basic operations learned how?" Fang Ziye again asked.

He long time didn't enter training room, and previously went overseas a trip, towards Master's First Year many Fellow Trainees understand not much.

Own group inside Liu Haihua etc., Fang Ziye instead would pay more attention, only this kind compared to Guo Ruodun's level.

"Senior Brother, I'm terrible, roughly can only suture full-layer orange peel, still cannot complete half-layer orange peel suture." Guo Ruodun somewhat embarrassed, actively explained suture technique level.

Knowing incision technique, debridement technique etc., Fang Ziye even if dares let go, he also doesn't dare operate, only can be bestowed is suture technique, and his suture technique level, distance orange peel second training material passing still slightly lacking some fire candidate.

Guo Ruodun these words have some self-recommendation suspicion.

Fang Ziye understood, that year Fang Ziye, Master's Third Year start orange peel still not completely passed, Guo Ruodun only Master's First Year, cross year only March, already can complete orange peel full-layer suture, proves he Master's First Year end inevitably will pass orange peel suture.

This learning speed and talent, comparable to that year Shu Lang, in Graduate Student Second Year later period, already broke through several small operations to Master's passing standard. Even would be slightly superior.

"Okay, then later, watch you suture once." Fang Ziye also very carefree.

Just about to cut, discovered outside, Yuan Weihong leading Fellow Trainee Jie Hanxu walked in, and both already washed hands.

Seeing arrivals, Fang Ziye a daze. Paused cutting posture, especially lowered voice: "Master, you didn't drink alcohol?"

Yuan Weihong not main accompanying drink, but definitely drank, then on stage, Fang Ziye absolutely not good let lead surgeon.

"Me and Jie Han two people play assistant!"

"You although bad face, but I am your Master, cannot watch you from start work just carry baggage."

"You rest assured walk forward."

"Bad reputation I carry, good reputation Teacher Deng carries." Yuan Weihong tone not drunk, using most carefree words, saying most heart-shattering facts.

Yuan Weihong's reputation good?

A complete mess good.

North Sea One Leaf, main plays one unrestrained, particular about one arrogant.

If Trauma Surgery's Yuan Weihong opens mouth says Vascular Surgery all his little brothers, everyone knows, please don't panic, this is just a joker, just has some strength, so comparatively mouthy only...

Only Fang Ziye knows, his own teacher, ultimately is not a surface-looking joker.

Jie Han also seemingly towards Yuan Weihong's 'crazy crazy' understand not thorough enough, therefore heard these words, more looked Yuan Weihong several eyes.

With Yuan Weihong same stage, Fang Ziye impossible is lead surgeon.

Even if finally surgery fails, Yuan Weihong can also drop few harsh words, for example say ate more rice old guy still old guy, this thrombectomy really tm difficult, then generously amputate, with Fang Ziye not one cent relationship.

Yuan Weihong saying, generously on stage, roared once: "Circulator, start timing, cut skin, prepare suture blood vessel, that, Vascular Surgery take thrombus and suture blood vessel tools all give me one set."

"Tai Shang has them." The circulating nurse replied immediately.

"Since they're there, bring another set! I might need to operate on both sides simultaneously..." Yuan Weihong acted as if he just needed his orders carried out.

Yuan Weihong laid the groundwork for Fang Ziye's subsequent operations.

The current Yuan Weihong no longer needed any good reputation; with an Outstanding Youth Fund grant to his name and professional skills in hand, big words wouldn't be a fatal weakness, but Yuan Weihong seemed unwilling for Fang Ziye to directly face off against Vascular Surgery.

Very quickly, Fang Ziye started the incision, and very quickly found the corresponding blood vessel, cut it, removed the corresponding thrombus, and after suturing the blood vessel, he very quickly found the corresponding blood vessel again.

Yuan Weihong had drunk alcohol and was dizzy, completely ignoring the surgery's progress; he came merely to make up numbers, treated as the lead surgeon, a cannon rushing forward.

So, Yuan Weihong didn't know at all that Fang Ziye, relying on Level 4 — a technique extremely common, even routine, in Internal Medicine — was bringing shock by sweeping through Surgery.

"Senior Brother, you can feel that?" Jie Han felt his scalp go numb.

Jie Han thought he was the person who understood Fang Ziye best besides Master; after all, he was Fang Ziye's Second Junior Brother!

However, in Surgery's training room, there were no practice materials for benchmarking basic physical examination; on the operating table, surgeons rarely had the opportunity to apply basic physical examination, this basic operation.

Orthopedics Department's more commonly used specialty physical examination didn't have such high requirements for proficiency.

Therefore, Fang Ziye's ability to accurately feel the subtle pulsations of blood vessels after thrombus formation — this kung fu was very scary.

Basic operations belong to basic skills; basic skills are similar to internal strength in wuxia novels.

Touching randomly belongs to casually striking moves; it fundamentally doesn't count as a move; killing with internal strength is a very high-end killing method, so it's very scary.

The current Fang Ziye was in this kind of state.

For many surgeons, at most they just feel the dorsalis pedis artery's pulse, this kind of superficial artery; feeling the large artery's course and its pulse truly is a bit difficult to understand?

"Touch it more and you'll get it." Fang Ziye glanced at Master Yuan Weihong.

Yuan Weihong was drowsy, still without much reaction.

Seeing such a calm Yuan Weihong, Jie Han felt a bit panicked: "Master, you also know Senior Brother's hand feel is this good?"

"Ah? Oh, hmm. Yes." Yuan Weihong had drunk alcohol and was still slightly sleepy at this moment.

Jie Han changed his wording: "Master, the surgery is almost done."

Yuan Weihong instantly startled, then looked at the surgery's progress; after seeing Fang Ziye's operation process clearly, his scalp began to feel hidden numbness.

His back began constantly sweating due to sympathetic excitation; as sweating accelerated alcohol metabolism, Yuan Weihong also began waking up more and more, and only then realized that Fang Ziye's current basic skills — many were in a state where they could strike a person...

(Chapter End)