Chapter 363: Who Doesn't Have Some Talent? (Asking for Subscriptions)

Deng Yong walked straight to the sterile surgical gown package, putting on his clothes while having the surgical nurse help tie his collar straps, and said very cautiously and solemnly: "Professors, Directors, today's six surgeries have two Level 2 surgeries scheduled first."

"This is a decision made after careful internal discussion within our department; there is no other reason — to avoid wasting the professors' time, if Fang Ziye cannot proficiently complete even a Level 2 surgery, or cannot complete it smoothly enough, then there is no need to trouble everyone further."

"Surgical authorization must proceed step by step; our Trauma Surgery department has always strictly followed this. If this situation were not truly special, we would not have asked the Directors and Professors to come amidst their busy schedules..."

Fang Ziye finished reading the films carefully, turned his head and saw Master Deng Yong had already put on the sterile surgical gown, and felt absolutely certain about the current diagnosis of this surgical patient: distal fibula fracture, comminuted fracture type B2.2.

The fracture diagnosis was very simple, with no other hidden injuries involved.

He exhaled slowly, walked to the table side: "Professor Deng, Circulating Teacher, Anesthesia Teacher, let us record the time together. 08:32:45 AM, surgery officially begins!"

"Proposed current surgery: Closed reduction and Kirschner wire internal fixation of fibula fracture, with open reduction and Kirschner wire internal fixation of fibula fracture as backup."

"Hmm, begin! You control the surgical procedure yourself." Hearing Fang Ziye speak, Deng Yong stopped exchanging pleasantries with others and started approaching the operating table.

The preoperative surgical application form was something Fang Ziye specifically instructed his subordinates to prepare. This was also part of the assessment.

A surgeon doing surgery cannot only know how to operate, but not know what kind of surgery to do, or even not know whether surgery should be done at all!

The assessment of surgical permission is not just about surgical operation, but also surgery-related theory.

Theoretical level is mostly reflected in the perioperative period.

Today's surgical patient was chosen by Deng Yong; the first two surgeries were not very difficult, they were relatively simple Level 2 surgeries — one was to let Fang Ziye warm up and gradually enter the state.

Second, he hoped these two minor surgeries could give Fang Ziye some confidence.

"Patient's first choice is closed manual reduction; preoperative diagnosis is clear, surgical indication is clear. Fluoroscopy first!" Fang Ziye spoke the words aloud.

Assessment differs from pure surgical operation; in surgery you can just proceed, everyone is a team and quite familiar, but assessment requires stating the purpose aloud.

Actually Fang Ziye had already confirmed the diagnosis and could go straight to manual reduction without fluoroscopy, but procedure is procedure — no matter how cautious it is not excessive; there is no need to skip procedure just to show off and then step into the abyss.

Fluoroscopy has professionals; Ning Xiong, this professional master, was already waiting by the side.

His task today was only the Trauma Surgery operating room; calls from any other operating room could be ignored. This was a special order from Professor Deng Yong; such special orders can only be issued by Professor-level personnel under special circumstances!

Everyone left the operating room and went to the fluoroscopy isolation room next door.

The fluoroscopy results were generally no different from the X-ray plain film results, but fluoroscopy shows real-time status.

Fang Ziye looked seriously at the display screen content, then actively walked back from next door.

Tone and address became formal: "Professor Deng, Doctor Yuan, trouble the two of you to help me fix the patient's upper ring position — one at the pelvis, one at the mid-thigh. I will perform manual reduction first."

"Instrument Teacher Xiao Xiong, the C-arm doesn't need to be pushed far."

Internally, address by title, no Master. Externally address as Teacher, to show respect.

As lead surgeon, if even the Teacher acting as assistant cannot switch mindsets and drags their feet, they have no business on the operating table battlefield.

Hearing Fang Ziye's words, Yuan Weihong and Deng Yong were actually slightly unaccustomed, but they knew this was in front of outsiders and had to be done for others to see; their current identity was assistant, so they had to obey the lead surgeon, lest they become a laughingstock before outsiders!

Next door, standing Hand Surgery Professor Ni Yaoping tilted his head slightly and whispered in a very professional voice kept very low: "Professor Duan? Pure fibula fracture — shouldn't the difficulty of manual reduction be higher than tibial-fibular double fracture?"

The tibia and fibula are parallel lower limb bones; the tibia is thick, the fibula slender. The tibia is the main weight-bearing bone.

Purely theoretically speaking, if pain factors are not considered, a fibula fracture actually does not affect the patient's walking and lower limb motor function!

Because the tibia's length and hardness are sufficient to support a person's normal walking. Some patients undergo fibula osteotomy correction to preserve the knee joint — this is that theoretical support.

Precisely because of this, a pure fibula fracture lacks plasticity and displaceability, which instead increases the difficulty of manual reduction.

Duan Hong nodded in acknowledgment, very calm, not speaking.

Observing surgery without speaking — a true gentleman.

But this difficulty is for ordinary people.

Fang Ziye's understanding of fracture manual reduction is — Level 5; such a level can be called National Treasure Doctor level, and this National Treasure Doctor level is not merely a part of the manual reduction technique where ancient secret methods were lost — the 'Relative Master Level'; when Fang Ziye was in Enshi, his reduction technique at Level 4, 4000/5000 proficiency, already made Old Chinese Doctor Chen, renowned for manual reduction, feel Fang Ziye was comparable to his peak level.

Fang Ziye naturally did not find it very difficult.

Closed reduction and Kirschner wire internal fixation of fracture is a standard Orthopedics Level 2 surgery.

The three stood at their respective positions —

Fang Ziye immediately began the reduction operation,

The standard fracture manual reduction three-piece set.

Sustained traction —

Correction of displacement —

Maintain traction position for temporary fixation —

Both hands sustained traction for a while, then Fang Ziye gently bent the patient's ankle joint toward the medial malleolus direction.

Left hand continued forceful traction, right hand immediately reached the patient's fracture site cleanly and neatly, and began palpating up and down.

Fang Ziye's basic physical examination skills are also Level 4!

Right hand hovered up and down for slightly over ten seconds, then Fang Ziye hurriedly turned his head and shouted: "Instrument Teacher, Kirschner wire with electric drill!"

"Circulating Teacher, call the department, prepare to receive the next surgical patient into the OR!" Fang Ziye's orders were crisp and decisive.

"Huh?" The circulating nurse's hand trembled; the mobile phone danced between finger joints for two seconds, then was pinched by the circulating nurse's thumb, upper body jerked, unable to react in time.

The mobile phone of Anesthesiology Doctor Huang Xiruo, who was playing on her phone, fell to the ground.

"Holy shit!" Anesthesiology's Ceng Quanming couldn't help but jolt upright from the anesthesia old-grandpa-style chair, straightening his waist. Head swaying left and right like a kid's Transformers toy, his gaze toward everyone in the OR was full of bewilderment and curiosity.

Curious whether others were also bewildered, whether they also understood.

Ceng Quanming discovered —

The observing examiners were also startled into soft trembling with legs unable to close.

The instrument nurse Liu Yan on the operating table is a very professional Orthopedics specialty nurse. She is also the Group Leader of the Trauma Surgery specialty nurse group.

Liu Yan's mindset was very steady; although her heart also surged upon hearing the command, she hurriedly listened to Fang Ziye's instruction and handed the Kirschner wire with electric drill to Fang Ziye's hand.

At the same time she glanced at the surgical timer panel in the OR; Liu Yan with her good memory clearly remembered that Fang Ziye had everyone start timing before C-arm fluoroscopy.

After C-arm fluoroscopy and entering the operating room, the time on the surgical timer panel reached 00:01:34!

Xiao Xiong, who operated the C-arm, completely withdrew the C-arm at 00:01:59. Equivalent to Fang Ziye's group taking over the operating table around 00:02:00.

The time now was 00:02:23!

In other words, the time from when Fang Ziye, Deng Yong, and Yuan Weihong formally took over the patient and began the surgical operation was a mere 23 seconds!

Fang Ziye did not care about everyone's reactions; at this moment he was fully focused, there was only this one surgery, only this one patient.

After taking the Kirschner wire with the electric drill, he immediately aimed at the protruding position of the lower segment of the fibula, which is also the lateral malleolus needle entry point that all of us ordinary people can touch.

"Whir! Whir whir whir! ~"

Fang Ziye's first Kirschner wire selected the needle entry point at the slightly outer side of the lateral malleolus with great meticulousness, and the needle direction was obliquely upward.

Passing obliquely through the fracture line in this way can string up the two ends of the fracture like a candied hawthorn skewer, achieving a fixation effect.

The Kirschner wire was brand new, extremely sharp; the electric drill's battery was new, and the sound of the motor turning was exceptionally crisp and intense!

The Kirschner wire went in very smoothly, achieving the temporary fixation effect with great fluidity.

"Teacher Xiao, trouble you to push the C-arm over and take an AP and lateral of the lower leg! ~" Fang Ziye let go of the electric drill and requested of Xiao Xiong.

And he conveniently handed the electric drill to the instrument nurse Liu Yan.

"Wait a sec! I'm making a phone call. Haven't gotten through yet." The circulating nurse thought fluoroscopy was about to start and spoke up to slow the surgical rhythm.

While pushing the C-arm to the operating table, Xiao Xiong began adjusting it and said with a smile: "Rest assured, Nurse Du, we'll definitely wait for you to come out before doing fluoroscopy; take your time dialing, no rush."

When Xiao Xiong started pushing the C-arm, Wen Dongfang and the others all naturally stood up, including Hu Wei and Liang Xiaoqing.

Because in the detailed surgical procedure document Deng Yong distributed, there was this clause: it carried no score, simply to take care of the people from the administrative department; they weren't trauma surgery specialists, so they might not keep up with the surgical rhythm — then they could find a blank slot, a column without a surgical score.

Catching up to the surgical rhythm in time was fine.

Such thoughtfulness mainly came from Fang Ziye's speed and basic skills being too solid, so as to avoid a situation where Fang Ziye finished the surgery but Hu Wei and Liang Xiaoqing's score sheets were still on page one — wouldn't that be deliberately making things difficult for them?

Ceng Quanming glanced at his student Huang Xiruo, who surprisingly had no reaction and hadn't even picked up her phone; he lightly patted her shoulder to remind her: "Little Huang, fluoroscopy! ~ Mindset better."

Ceng Quanming knew his student; deep down she was secretly competing with Fang Ziye over who was more excellent, but she discovered that before she could even understand Fang Ziye's operation, he had already finished a whole set of moves and wrapped up.

The attitude between geniuses is amicable, but when geniuses interact, deep down they are actually proud.

Damn, who doesn't have a bit of talent? Who's afraid of whom?

(Chapter End)