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Chapter 368

~10 min read 1,932 words

After all preoperative preparations for the fourth surgery were completed, Fang Ziye habitually intended to stand at the lead surgeon position once again.

Deng Yong immediately coughed: "What are you trying to do? Rebel?!"

Fang Ziye's eyeballs rolled around nimbly, he reacted, and hurriedly explained: "Master, I thought today's several surgeries were all for the assessment preparation, so the lead surgeon authority naturally belonged to me, just now I didn't react that the examiners had left."

In Zhongnan Hospital, objective rules are as great as heaven.

Previously Fang Ziye possessed temporary surgical permission, which was obtained through an exceptional application for surgical permission, so he gained temporary authorization; after all, if they didn't let Fang Ziye take charge of Level 3 surgeries, how could they confirm Fang Ziye had such capability.

But now it's different, the assessment ended, ending early is still ending.

Fang Ziye's temporary surgical authorization lost its validity due to the assessment team's departure!

If Fang Ziye went on stage as lead surgeon at this time, if the patient had even a little bit of problem, tracing back upward, it would be a cross-level surgery hat, which could overturn Fang Ziye.

And if the previous surgeries had some minor flaws, that didn't matter, because the hospital had routine filing procedures, and with the assessment team supervising on the side, the hospital would step in to calm things down, and it wouldn't implicate Fang Ziye, at most the department would come out to take the blame...

Rules are a kind of protection for doctors, and also a kind of protection for patients.

Yuan Weihong, hearing this, also learned from Deng Yong's example, coughed twice, snatched Fang Ziye's first assistant position, and said: "Ziye, the more great joy is before you, the more your mind must not be chaotic, on the contrary the more you must be clear-headed."

"What's the rush? The surgical authorization procedure has reached today, at most it's three to five days' matter, three to five days later, you stand at the lead surgeon position routinely again, who can say anything about you? Right?"

A teacher, is one who transmits the Dao, imparts knowledge, and resolves doubts!

Fang Ziye, hearing this, hurriedly nodded, indicating he had already understood.

Similarly, Deng Yong swept his gaze over everyone else in the operating room, and after seeing everyone nodding frequently, this instant education lesson came to an end.

Excellent as Fang Ziye such a "genius", in front of principles must still be proper and rule-abiding, everyone can only guard the rules even more strictly, only then can the department develop healthily.

"Round knife, prepare intramedullary nail internal fixation instrumentation."

Deng Yong sat at the lead surgeon position, after instructing the instrument nurse like this, he said again: "Today our department counts as completing a feat, with resident physician identity, exceptionally crossing two levels to obtain Level 3 surgery surgical permission, this is unprecedented in the hospital."

"But whether there will be successors, depends on you little guys' performance, we superiors are all very willing to see you have capability and strength to win exceptional permission."

"To express celebration and encouragement, me and Yuan Weihong two will personally lead surgeon a fracture open reduction intramedullary nail internal fixation surgery, haven't done such a small Level 3 surgery for a long time, still feel quite unaccustomed! ~"

Deng Yong's words are a bit "arrogant", but indeed have arrogant capital. This kind of femoral fracture open reduction intramedullary nail internal fixation surgery, indeed was a long time ago, when Deng Yong was even younger than Yuan Weihong, a routine lead surgeon surgery.

From now, definitely a full ten-plus years have passed.

Soon, Deng Yong began explaining in detail while starting to operate.

"Femoral midshaft fracture, first choice is femoral retrograde intramedullary nail internal fixation surgery, and intramedullary nail internal fixation surgery, actually is the same as plate and screw internal fixation surgery, the key content is reduction."

"Just the fixation form is different."

"Fracture treatment principle, six words briefly summarize but encompass everything: reduction, fixation, rehabilitation!"

"You can discover, intramedullary nail internal fixation surgery, is the most routine surgery in many prefecture-level city hospitals, but to operate well is not easy."

"Its lower limit and upper limit are both extremely high, before advancing the guide pin, if able to complete reduction relatively well, then the guide pin operation will be especially convenient, for example like this..." Deng Yong spoke while cooperating with Yuan Weihong to complete the femoral manual temporary reduction surgery.

As if deliberately squeezing Fang Ziye to the side and ignoring him.

Soon, the two completed manual reduction, and also seemed quite satisfied with the reduction result.

Looked at the femoral morphology, the deformity caused by fracture displacement had already disappeared. This proves the fracture alignment reduction surgery was done extremely well, so there was no longer fracture displacement.

But the two had just finished, about to stand up and have someone come for fluoroscopy.

Fang Ziye said in a soft voice: "Still a bit of displacement, the fracture line convergence wasn't done well, should be..."

Deng Yong's words that reached his throat were instantly swallowed back, he turned his head and glared at Fang Ziye, wanting to speak but stopping.

If it were other surgeries, Fang Ziye would really not chatter, because not knowledgeable enough.

But fracture open reduction internal fixation surgery, Fang Ziye is familiar: "Master, really, can reduce again, after traction, reduce medially roughly 0.5cm more, then the femoral medullary cavity can only then align better."

"And the femoral middle bone fragments..."

Deng Yong listened, smile instantly stiffened, corner of mouth twitching, fortunately expression mostly covered by mouth corner, so not known by outsiders.

Fang Ziye's voice very small, spoken right at Deng Yong's ear, actually others couldn't hear.

"Fluoroscopy one first! ~" Deng Yong with a black face, displaying the group leader professor, lead surgeon physician's authority.

Yuan Weihong also didn't hear, instructed everyone: "Go go go, withdraw first, fluoroscopy fluoroscopy."

Xiong Ge quickly pushed the C-arm to the operating room, and after completing fluoroscopy, the C-arm display screen showed the femoral reduction result image operated by Deng Yong as main operator, Yuan Weihong as assistant.

Reduction quite not bad, basically no displacement, this already far exceeds fracture functional reduction.

Also exactly as Fang Ziye said before, fracture distal end slightly deviated laterally, amplitude not large, fracture distal and proximal ends' bone fragments indeed still playing next door... word for word, all hit the mark by Fang Ziye.

This effect is already not bad.

But, today similar fracture manual reduction after C-arm display screen internal result is really too perfect, according to no comparison no harm principle.

Now Deng Professor and Yuan Weihong two who haven't done fracture surgery for a long time operated manual reduction surgery, the reduction effect is indeed a bit eye-stinging.

Everyone fell silent.

Isolation room utterly silent.

Anesthesiology unworldly little girl Huang Xiruo looked and asked her teacher Ceng Quanming: "Teacher, the film looks like not as good as before."

This sound, like giant thunder entering sea, stirred up shocking waves, truly made everyone's hearts startled.

Everyone, including Ceng Quanming, looked toward Huang Xiruo.

But Huang Xiruo is Anesthesiology, Anesthesiology and Orthopedics are parallel departments, even if offended people, doesn't matter, no one would stretch hand this far.

Huang Xiruo quickly also realized her mistake: "I'm just a layman, I also can't understand."

Deng Yong's psychology collapsed, face turned black: "Ziye, you go in and adjust."

Damn, even layman can see my manual reduction is quite a bit worse than Ziye's.

My god!

Why did they leave, why did they leave midway, why didn't they stay for the whole field, if they continued until all assessments ended, this wouldn't have happened.

Duan Hong did it on purpose, this fat old yin bi did it on purpose, he definitely thought of this layer.

If he leaves in advance, Fang Ziye's temporary surgical authorization will become invalid, and then either myself or another person will have to step up; once on stage, the gap will surface.

So, Duan Hong's thinking is obvious: everyone is the same bird, no one should think they'll have it easy.

Just a single move, appearing to be defeat, is actually retreating to advance, unleashing a ultimate finishing move — the Great Shift of Heaven and Earth!

Because, after all, Duan Hong didn't share the stage or the operating room with Fang Ziye before and after, performing similar surgeries. Without comparison there is no hurt!

It is exactly so!

Because Duan Hong himself holds a 'National Treasure Doctor' level technique, he understands how vast the gap between these two techniques is!

Moreover, Deng Yong also thought of this: Duan Hong left at this time precisely because he calculated that Deng Yong would be cautious enough to temporarily strip Fang Ziye of his lead surgeon permission.

And, Zhongnan Hospital certainly hasn't done an ordinary fracture surgery in a very, very long time, nor admitted ordinary fracture patients.

The exceptional assessment for surgical permission can end, but the surgeries scheduled for today must be finished. If not Deng Yong finishing them, it will be someone else finishing them.

The hurt from this comparison will be eaten to the full! ~

Soon, Fang Ziye and Yuan Weihong entered the operating room and adjusted the manual reduction! ~

After exiting again, Xiong Ge pressed the photo button once more.

Instantly, the content on the display screen became comfortable.

The displacement was reduced, and the fracture fragments, for some unknown reason, were bounced back by Fang Ziye through muscle tissue contraction to their original proper positions; the fracture line existed but was almost hidden!

This is the manifestation of a very good manual reduction technique; the previous Teacher Deng's operation quality was indeed high, even enough to do a surgery live broadcast 'showing off'.

Going from frugality to luxury is easy, from luxury to frugality is hard.

Having just witnessed a National Treasure Doctor level manual reduction technique, how could one possibly still look favorably on those few little 'nest-nests' of Deng Yong's that merely entered the hall!

Deng Yong finished watching, reacted quickly and nodded: "Not bad, very good!"

"I just said, for this fracture surgery, reduction is key; now that reduction has reached this level, it counts as completing the key part. Yuan Weihong, you bring Little Fang to complete the subsequent intramedullary nail internal fixation operation."

Deng Yong instructed, then said: "The two surgeries after are also fractures, neither difficult; you should handle them with ease. I have some matters here, so I'll step down first."

As Deng Yong spoke, he rushed toward the inside of the operating room, and amid everyone's petrified expressions, took off the sterile surgical gown, took off the sterile surgical gloves, then picked up his mobile phone from the storage shelf beside the surgical timer panel, and walked out of the operating room again, looking at the stunned crowd.

Deng Yong, holding the phone in his right hand, called out: "Everyone get moving, what are you staring at me for?"

The skin at Yuan Weihong's eye corners and eyebrows instantly twitched a few times, unable to utter a word. In his blank gaze, there was a bit of suspecting life.

Deng Yong not only learned his temper, now even the inheritance of taking the blame has to be handed over to him!

Yuan Weihong looked at Fang Ziye again, his whole body seemingly written with the four characters "Deceive Master Destroy Ancestor".

Looking again at Deng Yong departing coolly, his whole back written with the three characters 'Can't take losing'! ~

(Chapter End)

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