Chapter 365: Being Yuan Weihong Feels Great! ~ (Asking for Subscriptions)

Fang Ziye understood that Luo Tingzhu might be a bit guarded, but the proud Luo Tingzhu, tilting her head to look at Fang Ziye, her gaze said: you don't need to explain your identity.

After Luo Tingzhu blinked lightly to signal, Fang Ziye introduced: "This is also our Trauma Surgery's Junior Sister Luo; perhaps you'll have more to talk about."

"Senior Brother Fang, add WeChat too?" Huang Xiruo seemed to have read something, but still insisted.

Excellent people, good-looking people, charming people — they are resources, and resources must be actively pursued.

Hearing this, Fang Ziye, facing the burning gazes of the surrounding professors, could no longer refuse easily, and proactively presented his QR code to be added.

Afterwards, Huang Xiruo, acting as if nothing had happened, turned around and also added Luo Tingzhu's WeChat; after the friend request was accepted, she didn't immediately start chatting with Fang Ziye or Luo Tingzhu.

Contact information secured — that counted as hooking the person; what came next: one look at fate, two look at whether they clicked. Huang Xiruo, already in her late twenties, deeply understood this principle...

The second surgery started on time at 8:54 AM.

The first surgery started at 8:29 AM and ended around 8:34 AM!

Twenty minutes to efficiently complete patient turnover and the new patient's anesthesia — speed worthy of wind-fire wheels. But the root cause was sacrificing little sister Huang Xiruo's operating opportunity; Ceng Quanming directly took over, full firepower!

Deng Yong, who understood surgery comparatively well, to avoid the awkwardness of Professor Duan Hong breaking rules and speaking up during the previous surgery, simply didn't scrub in, but instead provided commentary from below.

"This second surgery is a lateral malleolus fracture; this surgery is a standard open fracture reduction and internal fixation..."

"The backup surgical plan is right here in the second option: a locking plate must be placed on the lateral side."

"This time, these scoring details will come into play."

Du Xinzhan was mainly explaining to Medical Affairs' Hu Wei: "This surgery is a routine Orthopedics surgery, even more routine than the previous one; it is currently already one of the very mature surgical methods."

Hearing this, Hu Wei finally breathed a sigh of relief.

But still replied without changing expression: "Mm, actually it's still mainly based on the review opinions of the various professors and directors."

"I'm a layman." Hu Wei found his position, showed weakness first, to avoid getting a 'pretending to understand' social-death label.

Clinical-born, he knew the meaning of specialty division, but likewise serving in the Medical Affairs Office, the Medical Affairs Office's supervision was also the necessity of medical procedural justice.

Deng Yong originally had no reception duty, but this kind of assessment, because of the previous surgery's completion speed, the necessity for a commentary was very strong.

At this moment, those completing preoperative preparation — including disinfection and draping — were Fang Ziye, Yuan Weihong, and Yan Zhiming.

When Fang Ziye was at the lead surgeon position, he saw Luo Tingzhu slowly moving toward the Anesthesiology direction where Ceng Quanming and Huang Xiruo were; he smiled at Luo Tingzhu, but Luo Tingzhu didn't look at the operating table, instead going toward the anesthesia machine.

Softly and sweetly she asked: "Senior Sister Huang, what are all these anesthesiology instruments..."

Soon, Luo Tingzhu and Huang Xiruo hit it off, looking quite harmonious...

Everything pending.

Deng Yong actively stood up: "Various directors, various professors, please."

"Given that habits differ among brother hospitals, I'll briefly explain our hospital's surgical sequence, habits, etc."

"For the rest, no special guidance will be given."

Duan Hong and the others nodded, and walked toward the operating table together with Deng Yong once more.

"Anesthesia teacher, circulating teacher. Start surgery! Pay attention to timing! ~" Fang Ziye actively called out, actually also signaling Master and Senior Brother Yan Zhiming.

As first assistant, Yuan Weihong was now coordinating with Yan Zhiming to expose the patient's lateral malleolus position, and very professionally yielded the direction and position suitable for Fang Ziye's incision to Fang Ziye's side.

This is called professionalism.

However, after Fang Ziye picked up the scalpel, he actually put the round knife down again, and pondered the fracture type a bit more!

Fang Ziye then called to circulating nurse Liu Yan: "Instrument teacher, give me Kirschner wire with electric drill first!"

Liu Yan stared blankly at the words. Stiffened for a full two seconds, even glancing toward Professor Deng Yong below the stage.

Preoperatively she had discussed the surgery with Professor Deng Yong and others; the general sequence and flow was: incise first, then use Kirschner wire for temporary fixation, then put on the plate!

Fang Ziye said: "Instrument teacher, electric drill, with Kirschner wire."

Liu Yan hurriedly complied, handing the electric drill and Kirschner wire to Fang Ziye.

To the side, Deng Yong also noticed the surgical flow had slightly changed, and hurriedly gave an understanding explanation: "Our hospital, for special fracture types, will choose to use Kirschner wire for temporary fixation first, then make the incision along the Kirschner wire's entry point, which can more precisely reduce the patient's plate incision..."

Deng Yong's voice was very meticulous, basically controlled at a volume that wouldn't reach the lead surgeon on the operating table...

Immediately after, Fang Ziye, without much hesitation, along one direction, from lateral inferior to medial superior, drove the Kirschner wire in!

Immediately after, Fang Ziye said again: "Yan Jie, give me the other Kirschner wire too!"

Liu Yan this time didn't doubt further, and passed the Kirschner wire over...

Seeing this, Professor Duan Hong was also slightly stunned.

This case wasn't handled by him, so there was no preoperative discussion, so no surgical plan rehearsal. But initially looking at this fracture type, the preferred choice should be lateral malleolus plate internal fixation plus posterior malleolus screw internal fixation.

This is a standard Level 3 surgery, matching today's surgery theme.

But now, it seemed Fang Ziye's surgical method choice had even this trauma surgery expert Duan Hong a bit stunned.

Looking at Deng Yong, he found Deng Yong's brows relaxing now, very clearly he had anticipated this long ago, perhaps he had done full preoperative preparation, but was now keeping them in suspense!

Deng Yong had said, he would only interpret the general surgical flow, and would not explain surgical details, disrupting the surgical rhythm.

Deng Yong you old procuress!

Duan Hong's heart tightened, immediately after, he started flipping through the materials in hand.

Sure enough, upon opening, Duan Hong saw Professor Deng Yong and others' backup surgical plan 3 for this patient's fracture type: minimally invasive locking screw internal fixation...

"Hiss—" Duan Hong sharply inhaled a breath of cold air.

Ankle joint fracture fixed with screws is nothing rare. For the pursuit of small trauma, small incisions, trauma surgery predecessors explored many times!

Many posterior malleolus fractures are fixed with screws; lateral and medial malleolus fractures occasionally can also be fixed with screws.

But this is common knowledge; Duan Hong knows, this applies to some special, simple, fractures with very smooth fracture lines, that generally use screw fixation; but this one now?

Not all lateral malleolus fractures are suitable for screw fixation!

Deng Yong's team is showing off, using Fang Ziye's hands to announce to everyone that he is about to 'rise'.

No other reason, because Fang Ziye's current manual reduction technique level is too high!

Fang Ziye's current fracture manual reduction not only can go beyond manual reduction, he can even use his own hands to push some fracture fragments during the gaps of driving Kirschner wires, letting them complete reduction!

Fang Ziye could even use Kirschner wires to accomplish the prying reduction in open fractures that ordinary surgeons perform.

The treatment of fracture surgery has already become very mature.

Only the result is looked at, only the method of internal fixation is looked at, only whether internal fixation is achieved is looked at. As for how you achieve reduction and internal fixation, no one has ever imposed restrictions again.

By the time Fang Ziye was nearly finished, Deng Yong then said: "Using headless compression screws to fix the lateral malleolus. This is our team gradually learning to make the surgical incision smaller."

"This method, currently in trauma surgery, belongs to the relatively cutting-edge nature of small-incision surgery. Many hospitals are carrying it out."

Deng Yong's tone was very calm.

Only the two professionals next door, Duan Hong and Zheng Tonghui, had very messy moods.

Hand Surgery's Wen Dongfang and Ni Yaoping and others, including Orthopedics' Chief Director Du Xinzhan, at this moment all had flickering expressions between their brows.

Although they don't fully understand trauma surgery, they also don't not understand it, and they can't be easily fooled.

So, those who listened and nodded were the two administrators from non-orthopedic backgrounds: "Minimally invasive is good, small-incision surgery conforms to current aesthetics."

"Teacher Xiao, trouble you to push the C-arm." Fang Ziye, in the lateral malleolus fracture, learning from the previous pattern of fibula fracture closed reduction internal fixation, instructed Xiao Xiong.

Xiao Xiong was only responsible for instruments, therefore he did not understand the degree of shock in the hearts of truly knowledgeable people like Professor Duan Hong at this moment.

When walking out, Professor Duan Hong "violated rules" once again, but this time, he interrupted Deng Yong: "You guys really have big guts! You guys really have too much free time! ~"

"You guys don't respect basic skills enough! ~"

"For this kind of ankle joint fracture, to simultaneously complete manual reduction during the process of driving Kirschner wires, requires extremely high proficiency in fracture manual reduction technique and puncture technique."

"In the very short time when the fracture displacement is reduced, using Kirschner wire puncture to select a good angle and transversely penetrate the fracture fragments, this surgical technique is also only applicable to a very small portion of lateral malleolus fractures."

"For this amount of surgery, wasting so much time and effort, is it worth it?"

Deng Yong the "Old Professor" felt very refreshed in his heart at this moment. Duan Hong was his good friend, but Duan Hong was the provincial trauma surgery boss, the current number one. Deng Yong retorted: "Would the wasted time be a lot? Doesn't seem like much."

Duan Hong's mouth corner propped up the folds of the disposable surgical mask into more curvature, very obviously cursing the street, yet silently cursing.

In his heart he was angry: I finally understand Deng Yong's mood when facing Xiao Wu.

Really want to poach him, really want to transfer affections, really want to be a "scumbag Director"...

But Professor Deng Yong's posturing, however, was real-name system, made with sound.

After everyone withdrew, Xiao Xiong then completed the ankle joint AP and lateral X-ray photos...

Immediately discovered, in the films, the lateral malleolus comminuted fracture unsuitable for manual reduction, after Fang Ziye extended his own arm, using Kirschner wire with electric drill to replace his arm, actually miraculously reduced the previously separated and severely displaced fracture.

Even found an exceptionally tricky angle, piecing it together.

Hu Wei, previously taught how to evaluate the pros and cons after fracture temporary fixation, at this moment easily and comfortably nodded, very appreciative, fundamentally not understanding the stormy waves in the hearts of Duan Hong and others.

Both AP and lateral films came out.

Deng Yong pinched his throat and hmmed a sound.

Then Yuan Weihong and Fang Ziye both also pursed their throats, each returning a "Mm-hmm"!

Immediately after, Fang Ziye then said: "Doctor Zhu, Doctor Yan, after I go in and drive in the locking screws for fixation, this surgery of ours can also be completed, you don't need to come in!"

Fang Ziye went alone, once again charging into the operating room, leaving Yuan Weihong and Yan Zhiming outside the operating room door, as if going to complete a legendary achievement.

Finally, Duan Hong could hold back no longer, directly stuffing the scoring details in his hand into his bosom without any demeanor, slanting his eyes to look at Deng Yong: "Deng Yong, you speak directly, how was this done, I'm convinced! ~"

"I dare guarantee, if you don't explain, not a single person present can understand the logic of this surgery."

"If you don't explain, I'll veto it with one vote." The surgery about to end, chubby-faced Duan Hong started acting fierce, not cute at all.

"Mm-hmm! ~" Hearing this, Old Professor Xiong Zhizhang also felt good and raised his voice to remind.

Zhongnan Hospital's people are still here, not dead yet! ~

Current Hubei Province Provincial Trauma Surgery Association Director Committee Member, you don't be too high-profile okay? Those few words "one-vote veto" still don't speak randomly.

Fang Ziye operating inside, the outside sounds couldn't affect him, therefore not particularly a violation, nor particularly lacking quality.

And Duan Hong, realizing he misspoke, like a "cat" retracting his fat claws, became proper and asked: "Professor Deng, your group's currently conducted this surgery, contrary to the routine treatment method selection for lateral malleolus comminuted multi-segment separated fractures, what is the reason?"

You have your clever plans, have old professors, I have my ladder over the wall. My current identity is Chief Examiner, if you don't persuade me, I have the right to put a question mark.

Of course, Duan Hong actually knew asking this was walking into a trap.

Without waiting for Yuan Weihong and others to reply, Deng Yong enthusiastically took the initiative to introduce: "Professor Duan, it's like this, according to our group's past research results, for this fracture's surgical classification, we made another level of definition."

"You also know, our research group is doing the trauma surgery and fracture line basic classification research project, and has already published articles in BMJ..."

"According to our preliminary research results, combined with our group's comprehensive capabilities, for example my experience, Xiao Lan's data analysis ability, Xiao Fang's manual reduction level and puncture technique precision."

"And Yuan Weihong's posturing."

The "bi" character not yet out, Deng Yong hurriedly corrected: "Extensive reading volume of professional literature, careful examination and decision, for this routine fracture, giving 'unconventional' internal fixation method."

"The reason for selection, relies on documents issued by the National Health Commission and Hubei Province Provincial Health Commission, document number..."

Duan Hong turned and left.

Even, the trauma surgery Old Professor next to him, Xiong Zhizhang, also fell silent!

This posturing is a bit too big, right?

But Deng Yong felt, Deng Weihong's mood right now was very refreshing, as if venting all the resentment encountered in front of brothers in previous years in one go.

Youth compare writing, middle age compare martial, temples speckled white, age already high, this isn't comparing children's ages now?

Two chapters eight thousand words, feeling still a bit tired.

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(Chapter End)