Chapter 367: They Can't Take It! (Second Update, Asking for Subscriptions)

When Duan Hong and Zheng Tonghui reached the corridor leading from the operating room to the changing room, Zheng Tonghui turned his head and asked, "Professor Duan, you're not going to watch to the end either? Signing that Surgical Permission Exception Assessment Evaluation Form means bearing responsibility!"

Zheng Tonghui was merely an Attending Physician and Professor at Hubei Province Third Hospital, not a bigwig like Duan Hong. Having just followed Duan Hong out of the operating room, he thought for a while but still felt it had been somewhat rash.

"Professor Zheng is worried? If you're worried, by all means go back up and watch the entire surgery." Duan Hong took off his mask and cap, revealing a pale, chubby face and a fat neck; once his whole demeanor relaxed, he still looked simple and honest.

Zheng Tonghui had seen plenty of stern professors, but professors who could be both simple and solemn — he rarely encountered.

To avoid this bigwig Duan Hong misunderstanding, Zheng Tonghui, deeply versed in the ways of social intercourse, said: "Professor Duan, how could that be? You said it's fine, so it's definitely fine."

After thinking carefully, Zheng Tonghui still expressed his own view: "In my opinion, this young Fang possesses such basic skills that even if he knows nothing about the subsequent surgical operations, the bottom line he can achieve would still meet the quality standards for routine fracture surgery."

"Surgical skill levels vary; there's no need to lock the standard dead on a single line — if it passes, it passes."

"If we nitpick too much, then all those doctors in county hospitals and prefecture-level city hospitals, wouldn't they..."

Zheng Tonghui didn't spell it out completely.

In Eastern Han, the gap between the ceiling and the floor tiles of medical technology is enormous.

Town hospitals also have surgery departments, but the surgical techniques they can provide are at most open reduction and internal fixation for fractures, and limited to simple fractures.

If you take the current top-tier level and benchmark it against the surgical level in town hospitals, that's a bit like picking bones from an egg.

"Right, Professor Zheng. Our country's most cutting-edge medical technology isn't non-existent; it's just that, looking at the baseline, there's still a very long way to go to solidify the foundational level of grassroots medical institutions."

"I remember one time very clearly — when I was promoted to Deputy Chief Physician back then, I went down to the grassroots to a town hospital. After arriving, I was only an Attending Physician at the time, my surgical volume accumulation wasn't large, yet still."

Speaking here, Duan Hong didn't boast about himself, but said: "Resources in town hospitals are still insufficient — no training rooms for practicing surgery, no teachers to guide, and even less surgical volume to accumulate; one can only rely on further training, rural rotations, and targeted support physicians for teaching."

"If the level of grassroots medical institutions all uniformly rises, then our country's comprehensive medical strength will truly rise a big chunk — after all, the floor is high."

Zheng Tonghui instantly understood Duan Hong's true intent: "Professor Duan, you mean the higher the basic skills, the higher a person's average level, rather than the higher a person's high-end operational level, the higher their level?"

Truthfully, for a very long period, Zheng Tonghui hadn't properly honed his basic skills; Zheng Tonghui felt that no matter how awesome basic skills are, they're still just basic skills.

But to gain status, respect, patient sources, and patient recognition in a hospital, one still has to rely on medical skill, on technique.

"Entry into mathematics is very simple, but high-end mathematicians are very few, and every single high-end mathematician is one of the nation's most precious treasures."

"Why is that?"

"Because a foundational discipline like mathematics — every step of progress drives a great leap in other disciplines that take it as their cornerstone; you can actually regard a person's most basic skills as their most grassroots structure."

"Take young Fang's Manual Reduction Technique — at that level, if he simply uses plaster external fixation, an average orthopedic doctor using open reduction and internal fixation comparing treatment quality with him might just suffer a crushing defeat!"

"If your reduction isn't that good, no matter how well you fixate, it's all in vain."

"Reduction is the most core, most critical, most surgery-quality-affecting part of fracture treatment."

Speaking here, Duan Hong sighed: "Now young Fang possesses Debridement Technique and Suturing Technique, plus Manual Reduction Technique — treating ordinary fracture patients is simply wasting this fine resource."

"What he should be treating are mangled extremity limb-salvage surgeries, high-end osteotomy corrections, pelvic reconstructions, large-segment bone defects — those barrier-type surgeries..."

Zheng Tonghui understood Duan Hong's meaning: "But his age?"

"Don't mention age anymore! ~ Go home." Duan Hong interrupted again, like an irresponsible man, putting on his clothes and ready to leave.

At this moment, Trauma Surgery Associate Professor Peng Long finally appeared, and hurriedly arrived at the operating room changing room, saying amiably: "Professor Duan, Professor Zheng, why did you decide to leave just like that?"

"Professor Deng has a mission today and couldn't see you off personally; he temporarily entrusted me..."

"What are you here for? Looking for a scolding?" Duan Hong didn't know this Associate Professor Peng Long, and cursed him bluntly without a good tone!

Peng Long's steps faltered, then he continued smiling like a flower, very cunningly saying: "Professor Duan, look at what you're saying — getting scolded by you a few sentences is also a rare form of guidance."

"Professor Duan, you said it, Professor Zheng, you bear witness for me — Professor Duan said he'd scold me..."

Peng Long hooked his leg, actually directly interpreting Duan Hong's scolding as guidance, and once again propped Duan Hong up on the moral high ground.

Duan Hong directly exploded: "Your Zhongnan Hospital, when did it become this virtue?"

Duan Hong directly aimed the muzzle at an entire hospital, not just limited to an individual!

Inside the operating room.

Seeing Duan Hong and Zheng Tonghui leave, Fang Ziye felt a bit baffled inside; he didn't understand Duan Hong's inner drama, nor did he know what his own teacher had told Duan Hong, so he glanced at Deng Yong.

"Mm-hmm, continue the operation. Although Professor Duan and Professor Zheng signed for you, the assessment is still ongoing; there are still examiners here, our hospital's leaders — they represent the hospital, and from a procedural level, they're supervising whether your assessment process is rigorous..." Deng Yong explained solemnly.

Fang Ziye then continued the surgery.

Although this was a complex fracture, Fang Ziye was leading the team performing open reduction and internal fixation; in reality, Fang Ziye's Complex Fracture Internal Fixation proficiency was Level 4, and now added with three Level 5 skills.

Doing it could only be described as "effortless" — doing it casually, the final quality could still be guaranteed to be very high.

This time it was debridement first; Fang Ziye's Debridement Technique level was very high.

Unlike some professors' performative Incision Technique — say cutting eight sheets of paper, not nine and not seven.

Fang Ziye's current Debridement Technique is exactly like that: I said only debride necrotic tissue, then not a bit of healthy tissue gets taken; said to polish and shape local soft tissue, then absolutely not one extra cut or one less cut.

The surgical field after a fracture is actually relatively complex, mainly complex because of blood clots and bloodstains, affecting vision.

And Fang Ziye's debridement targets precisely these blood clots and bloodstains, peeling them out almost from the inside in full layers; the shape is extremely intact, similar to duck blood clots condensed by special utensils.

Such Debridement Technique thoroughly demonstrates Fang Ziye's absolute control over every incision depth, incision width, every operation's force, and stress area during the debridement process.

Suturing Technique, for Hand Surgery, manifests different levels at different proficiencies.

This basic skill of Debridement Technique is the same!

Duan Hong and Zheng Tonghui only watched these parts, then left.

Then, the subsequent surgery with Fang Ziye and Yuan Weihong as assistants became a standardized, procedural routine.

Reduction, internal fixation, suturing!

Then the quality floor of this surgery is: Debridement 'National Treasure Doctor' level, Reduction 'National Treasure Doctor' level, Suturing 'National Treasure Doctor' level.

Complex long bone fracture open reduction and internal fixation — isn't it just these few things?

Outside experts all left; Wen Dongfang and the other old professors, however, persisted until they finished watching this surgery, then took Xiong Zhizhang and left.

When going out, Hand Surgery's Wen Dongfang specially asked Xiong Zhizhang a sentence, voice not concealed: "Lao Xiong, does your Trauma Surgery want to snatch the Chief Director position? You never mentioned it to me?"

This sentence blatantly entered the ears of Du Xinzhan, the current Orthopedics Chief Director next door, but Du Xinzhan didn't dare develop it.

Who becomes Chief Director isn't determined by who fights well, nor is it solely about surgical skill; surgical skill is admittedly important, but the main thing is whether one's team possesses potential.

Whether the team leader possesses the ability to lead and guide a major discipline forward in development — how is this ability manifested?

By judging a single surgery alone?

That definitely won't work; Joint Surgery's surgeries belong to Joint Surgery, Trauma Surgery's belong to Trauma Surgery.

In short, it's about comparing the awesomeness of a major team; if my Trauma Surgery has better development prospects than your Joint Surgery, then you yield the Chief Director position, and our hospital's main important breakthrough going forward will be Trauma Surgery.

If your Joint Surgery has even more awesome development prospects, then your Joint Surgery continues to hold it.

Joint Surgery has already held the Chief Director position for two consecutive terms, precisely because Zhongnan Hospital's Joint Surgery ranks among the top three in Hubei Province...

The specific ranking is: Union Hospital first, Provincial People's Hospital second, Zhongnan third! (All rankings in this book are purely fictional)

Then, if Trauma Surgery's development potential is even greater, this most veteran department would truly regain vitality.

Du Xinzhan looked again, Ni Yaoping also looked again, and the two could no longer see anything; they left in silence.

A department's comprehensive professional strength actually doesn't require looking at that many things.

The expert reviewers all signed and left; Hu Wei from Medical Affairs and Liang Xiaoqing from the Hospital Director's Office could only "sound the retreat," otherwise what would they do staying in the OR — dry stare?

After all outsiders were cleared from the OR, Deng Yong started swearing: "Today we specially prepared six surgeries to complete the Surgery Authorization Assessment, only the third one, and they all left. They can't take it!"

Obviously, after being 'depressed' for a long time, many times treated merely as a stepping stone, Deng Yong vented this time, but still hasn't fully cleared the air.

Everyone in the OR smiled knowingly.

But apart from Yuan Weihong, who realized Deng Yong was imitating him, keeping a stern face: "Teacher Deng, keep a low profile!"

"Yuan Weihong, you can't take it either?" Deng Yong glared at Yuan Weihong on the stage, voice extremely loud! ~

Fang Ziye and Yuan Weihong both just lowered their heads and continued the surgery.

Seeing no one speaking anymore, Deng Yong, satisfied with his status as group's number one, roared: "Tonight banquet! ~ Everyone included! ~ Anesthesia teachers and OR nurses all included."

"Except Fang Ziye." Being cautious, Deng Yong still excluded Fang Ziye.

Fang Ziye raised his head slightly, Adam's apple moved, but couldn't say anything.

After all, he's a big fool.

Eating a banquet has nothing to do with you; would you have the nerve to let Qin Geluo cover your shift while you go attend a celebration banquet that 'belongs to you'? Embarrassing.

"Fang Ziye pays." Deng Yong said again.

"Okay Master!" Fang Ziye screamed internally, fine, I accept it!

(Chapter End)