Chapter 364

Those with a bit of talent all tend to think this way.

When I pull an all-nighter, it's iron bones and clanking steel — blood and sweat; it's a heroine's dashing grace!

The students' minds might be a bit chaotic right now; after all, their horizons are too shallow, hence their knowledge is superficial. They might even turn a blow into favor, hmm?

Favor...

Ceng Quanming rarely came to assist in Trauma Surgery before, so he didn't know the personnel structure of Trauma Surgery, and naturally didn't know there was a genius girl in Trauma Surgery.

In Ceng Quanming's view, if he paired Huang Xiruo and Fang Ziye, it would actually be a match of talented man and beautiful woman.

The academic competition in Anesthesiology isn't that cutthroat; the hospital's Anesthesiology doctors, if willing, almost one hundred percent stay at the hospital.

After Circulating Nurse Du Yali finished her call, Huang Xiruo picked up her phone and left; the operating room's lead door closed.

Everyone came to the isolation room, separated by the lead door once more. Xiao Xiong pressed the fluoroscopy start button on the remote.

Results in seconds!

Deng Yong and Yuan Weihong, after reading the film, merely narrowed their eyes, expressions unchanged. Fang Ziye performed normally.

The ever-silent, extremely composed, seemingly imperturbable Professor Xiong Zhizhang couldn't hold back. Unlike Professor Wen Dongfang's astonishment beside him, Xiong Zhizhang opened his mouth.

"Ugh! ~ Mmm! ~ Ah! Ha!" His mouth itched, truly itched, even more than his heart.

Curiosity, shock.

As someone from Trauma Surgery, he deeply knew the height of the quality of the manual reduction Fang Ziye had just performed. This height was even difficult to comprehend. It was a level many of them had discussed before, hoped to reach, but in reality there was no such realm for them to reference on how to achieve it...

In other words, at this moment Fang Ziye lifted the ceiling of manual reduction technique, standing alone in a class of his own, possibly at the nationwide highest height, looking down from above.

Manual reduction of fracture may have a generational gap in technical transmission; many true skills have been lost.

Professor Wen Dongfang of Hand Surgery and Professor Ni Yaoping rubbed their eyes in disbelief, tilting their heads to look at Deng Yong and Xiong Zhizhang.

Suspecting their own eyes had gone blind—

After manual reduction of fracture, the Kirschner wires for temporary fixation were there, but where the hell is the fracture line?

The fracture lines are all gone; how to prove the fracture existed?

Staring wide-eyed, watching for a good while, tilting their heads again to look at Xiong Zhizhang.

If Lao Xiong had this skill before, he'd have long since gone out to show off. What's going on?

Immediately they looked at Fang Ziye.

Counting his undergraduate years and post-retirement outpatient clinic, Wen Dongfang, who had been immersed in clinical practice for forty or fifty years, scrutinized Fang Ziye up and down incessantly.

Xiao Xiong was also startled at first, but he manages the C-arm equipment, unrelated to medical work. No matter how shocked, he had to get the lateral film taken first.

The reason Fang Ziye and the others were still standing there was precisely waiting for the lateral film results.

Enter the operating room, begin adjusting the instrument angles.

Duan Hong of Tongji Hospital Trauma Surgery, face stern, violated protocol first. As the Deputy Group Leader of the assessment team, the absolute professional evaluation reviewer, he shouldn't ask questions beyond the assessment procedure during the assessment process.

But Duan Hong still asked: "Doctor Fang's manual reduction skill is extraordinary. Has he completely inherited the absolute true transmission of Old Chinese Doctor Chen from our Hubei Province?"

Fang Ziye tilted his head, eyes full of puzzlement.

Duan Hong shouldn't be asking questions now; it would make him look unprofessional. So, to avoid Duan Hong being unprofessional, Fang Ziye nodded lightly, a small amplitude, pretending Duan Hong hadn't spoken! ~

Duan Hong immediately fell silent as well.

Doing things requires professionalism; at professional time points, ask professional questions.

Soon, Xiao Xiong came out; the lateral film results were out too.

Results very good!

Seeing this, Fang Ziye examined carefully for three seconds, said: "Professor Deng, Doctor Yuan, and the rest of you, don't enter the operating room for now. The current reduction status is good."

"I'll go in alone to complete the cross fixation of the other Kirschner wire. Then C-arm fluoroscopy AP and lateral cycles, and this surgery can come to a conclusion."

Finished speaking, Fang Ziye left without hesitation! Didn't wait for permission. He is the lead surgeon, he controls everything, including the surgical rhythm and progress. His explanation was only to inform the surgical rhythm, nothing else.

Actively stepped on the operating room lead sensing door, strode to the instrument nurse station, found the Kirschner wire himself, loaded it into the electric drill, locked the drill with the chuck.

Found a suitable cross angle, quickly completed the second cross Kirschner wire, achieving more stable fixation.

Cross fixation is more secure than parallel fixation; triangles possess stability!

Fang Ziye walked out to the isolation room again, and Xiao Xiong began the second C-arm fluoroscopy.

Results still very good...

Fang Ziye looked, amid the tense atmosphere, let out a light breath of relief, smiled: "Teacher Deng, Teacher Yuan, I'll go up to handle the Kirschner wire end trimming, sterile dressing bandaging, and plaster external fixation. You go down and rest first."

Simultaneously following Fang Ziye into the operating room, the fully gowned Deng Yong and Yuan Weihong's mouth corners twitched at once.

Glanced at the timing panel in the operating room.

00:04:42!

Four minutes forty-two seconds.

This still includes two rounds of AP and lateral fluoroscopy four times, Fang Ziye going in and out placing two Kirschner wires' total time. Fluoroscopy needs waiting, walking takes time.

Meaning Fang Ziye's own operation time might be less than one minute!

During this process, Deng Yong and Yuan Weihong's task was to fix the pelvis, fix the femoral neck, stand outside the operating room and wait.

The two looked at each other, smiled wryly helplessly.

Tool person — hammered.

Surgery ended!

Then Deng Yong and Yuan Weihong were surrounded, questions coming one after another, but the primary right to speak could only belong to Professor Wen Dongfang and Professor Xiong Zhizhang.

Fang Ziye is still the lead surgeon, still at the operating table finishing closing operations, cannot be disturbed...

Duan Hong, seeing he had no chance to interject, actively looked at Zheng Tonghui: "Director Zheng said nothing during the assessment. Could it be you anticipated Ziye's strength?"

Zheng Tonghui shook his head vigorously like a rattle, lowered his voice: "No, Professor Duan. It's that this monster Fang Ziye is too bizarre. I'm afraid of making a mistake."

Back at Fang Ziye's Master's thesis defense, Zheng Tonghui got immersed and mistook Fang Ziye's identity, asked the wrong question. The direct consequence was being kidnapped by Deng Yong and the others for a long time.

Among them, once he even dragged in a professor from an out-of-province outside hospital, directly facing a conflict.

Therefore, today's Zheng Tonghui, before coming, wished he could give himself a shot of promazine to calm down.

So, throughout the whole process, he kept silently chanting: stay calm, stay calm, don't ask more, don't speak out of turn...

"What's going on?" Duan Hong asked curiously.

Zheng Tonghui then poured out his own mistakes and painful experiences entirely.

But he didn't get Duan Hong's pity; instead, laughing, he scolded: "You deserve it too. If someone treated your little master's student like that with a club, you'd have objections too. We're all supervising students."

"I know, Professor Duan!"

"But just now, weren't you also so immersed you almost spoke up?" Zheng Tonghui retorted.

Duan Hong, like a cat whose tail was stepped on, looked left and right, his gaze flashing lightly, raising his chubby hand, stretching his chubby neck, laughing: "Almost, but that still means I didn't! ~"

Then he put his hands together in a pleading gesture.

Although this matter won't have a huge impact, ultimately, it's not a good thing!

On the other side, seeing Deng Yong take off his clothes, Hu Wei from the Medical Affairs Office was a bit dumbfounded, looking at the scoring sheet in his hand as if it were a hot potato: "Professor Deng, how exactly is this to be scored?"

"I feel like even holding the scoring criteria I can't keep up."

Liang Xiaoqing directly copied the scores given by Duan Hong and the others, barely deducting one point, giving a 99, then at the sterile principle section, sneakily forced a one-point deduction.

After listening, Deng Yong looked at the scoring criteria scale Hu Wei brought, and explained: "Director Hu, the surgical procedure currently being performed is not an open reduction and intramedullary nail internal fixation for fracture; it is a closed reduction and Kirschner wire internal fixation for fibular fracture."

"Intramedullary nail internal fixation is a Level 3 surgery; you should be using a different scoring criteria."

Hu Wei's eyes widened, feeling deeply ashamed.

He cursed inwardly: Orthopedic surgical methods are really too damn convoluted...

At this time, Du Xinzhan, asked by someone unknown, spoke up to explain: "Director Hu, Dean Liang, actually, although the closed reduction and internal fixation for fibular fracture has simple steps, it is actually a type with higher difficulty coefficient among similar complex fracture closed reduction and internal fixation procedures."

"It belongs to the type of Level II surgery with the highest difficulty coefficient. Although simple fibular fractures can also use closed reduction and Kirschner wire internal fixation, simple diagnosis is the simplest operation."

"Facing complex fibular fractures, currently very few hospitals would choose to carry out closed manual reduction, because they can't grasp the degree of manual reduction well."

As the Chief Director, Du Xinzhan, although not from a trauma surgery background, still had certain say.

Immediately after, perhaps also to take care of Hu Wei and Liang Xiaoqing, he pointed at the C-arm fluoroscopy display screen Xiao Xiong was pushing into the operating room, and explained to Hu Wei: "Director Hu, look. Whether our fracture assessment of reduction and fixation is good or not mainly depends on the degree of fracture line closure and the degree of displacement reduction."

"We can see here that the previous lateral displacement has been basically reduced."

Hu Wei listened, then asked doubtfully: "Director Du, this is only the most basic? Then what is the standard for better?"

Hearing these words.

Du Xinzhan fell silent, looked at Hu Wei, almost choked to death by Hu Wei's words.

I'm not Wang Po, so I don't sell melons; I'm just being polite, and you pull this stunt on me?

This is when an old professor needs to step forward. Xiong Zhizhang, seeing many people silent and at a loss, said to Hu Wei: "Director Du saying 'basic reduction' is actually just being polite."

"This actually can't get much better."

"Right, Professor Duan?" Xiong Zhizhang, to verify the truth of his words, pulled Duan Hong in.

Professor Duan listened, and also nodded.

In terms of manual reduction technique, Fang Ziye's current height is really hard to improve further. At least now, wanting anyone in the operating room to rely solely on manual reduction technique to oppose the fracture lines to this level, no one can do it.

Seeing the Tongji Hospital experts all nod, Hu Wei immediately shut up, feeling bitter inside: Okay, just knew today's errand wouldn't be easy. With this kind of special authorization, how could there not be something to it?

Generally speaking, professor-level even if it's commercial mutual flattery, they wouldn't encourage juniors too much, lest the other party become proud.

Unless the other party has a rebellious streak, super tall, forcing all the seniors into a dead end.

My question just now was really stupid; it exposed my unprofessionalism.

Looks like I still have to?

Hu Wei looked at Zheng Tonghui, who sat firmly on the fishing terrace without saying a word.

Mm, speak less, make fewer mistakes...

Actually Hu Wei didn't do anything wrong; he just subconsciously asked Du Xinzhan how the completion degree of this surgery was, whether it could be better.

Just didn't expect Du Xinzhan couldn't answer either, and Wen Dongfang and the others also felt quite awkward.

Hu Wei just wanted to find a topic; who could have guessed the ceiling was right here, and came from such a young person's hands, and such a result, everyone actually took it in stride.

Didn't check the almanac before going out today, ran into a ghost!

On Fang Ziye's side, after completing the plaster external fixation, he finally transferred the patient onto the surgical transfer bed, escorted to the operating room doorway by Doctor Yan Zhiming Senior Brother, then randomly called a master's student fellow trainee to send back to the ward and complete postoperative orders.

Fang Ziye faced the crowd, quite humble.

Exams have mid-breaks too; during non-exam periods, greeting an examiner isn't wrong.

The first station didn't work because the first surgery's start time was tight, needing to save time.

"Teacher Wen, Teacher Xiong, Master, Professor Duan, Professor Zheng..."

Fang Ziye walked into the tiger's mouth, voluntarily throwing himself in, and in one go was swallowed whole by a crowd of big shots opening a mouth.

"Ziye, you come over quick, Teacher Xiong has a lot to ask you." Professor Du Xinzhan actively handed the right to speak to Old Professor Xiong Zhizhang from trauma surgery.

"Manual reduction technique, a bit of something uniquely your own?" Xiong Zhizhang asked.

Fang Ziye nodded, candidly: "I have my own, and also from the TCM teacher..."

"Good, develop well in this direction. Manual reduction technique is our orthopedics specialty's basic skill, and its expandable prospects are also very broad..." Xiong Zhizhang directly encouraged, not putting Hu Wei and the Medical Affairs Office's vice president in his eyes at all.

The two were also helpless. Actually Hu Wei and Liang Xiaoqing both knew, in a place like Zhongnan Hospital, being small fry in administration is also very hard.

Professors can't be offended; old professors even more so.

"Doctor Fang, I'm Huang Xiruo from Anesthesiology. Can I add your WeChat?" During the surgical transfer period, Huang Xiruo from Anesthesiology squeezed out a gap rather boldly and asked Fang Ziye this.

Huang Xiruo's boldness made everyone freeze for a moment.

Deng Yong and Yuan Weihong unconsciously turned toward the direction of Luo Tingzhu, who was sitting obediently by the surgical timer panel, and saw that Luo Tingzhu's eyes had indeed stopped crinkling with laughter, her body straightening up.

Meanwhile, Professor Duan Hong and the others' gazes unconsciously shifted between Fang Ziye and Huang Xiruo, their eyes carrying the intention of a matchmaker weaving connections.

Fang Ziye narrowed his eyes, nodded, but had not yet replied.

Luo Tingzhu extended a fair, slender right hand, patted Huang Xiruo, and took the initiative to speak first: "Senior Sister, let's add each other on WeChat too..."

The situation had suddenly become interesting.

(Chapter End)