Chapter 398

Nie Mingxian composed himself a little, his expression on his broad face slightly conflicted: "Ziye, have you learned to rub it in like this too?"

When Nie Mingxian was in Enshi, he was force-fed dog food by Wu Xuanqi's dog basket until his digestive tract ached, and he had a conditioned stress response to similar words.

"Brother Xian, I was just asking casually, wasn't I?" Fang Ziye hurriedly explained.

"Right, Brother Xian, have you found a place to rent at Zhongnan Hospital yet? If not, how about we share a two-bedroom apartment?"

"I gave up my previous lease, it's been over two months, and I still don't have a place to put my luggage."

Nie Mingxian looked at Fang Ziye's face, his own face twitching more and more. Knowing Fang Ziye had a girlfriend, he hurriedly shook his head, his tone changing: "Brother, you still want to turn me into a roommate to rub it in?"

"What exactly did Wu Xuanqi teach you afterwards?"

Nie Mingxian left Enshi slightly earlier than Fang Ziye; at this moment his face showed fear. As if he were treating Fang Ziye as Wu Xuanqi.

Fang Ziye pursed his lips: "Brother Xian, then let's not talk about this topic. I didn't mean it that way."

Heavens have mercy, Fang Ziye wanting to share a rental with Nie Mingxian was to consider reducing Nie Mingxian's economic pressure, okay?

Although Fang Ziye didn't help when Nie Mingxian needed help most, and had no pretext to help, now Fang Ziye's wallet was slightly bulging, and staying in the department like a Chief Resident wasn't a long-term solution either.

Judging by Deng Yong's meaning, he himself would likely not need to undertake emergency consultation duties starting next month, or even this month.

Then his task would be: routine consultations and super-emergency surgeries.

Under such circumstances, he really still needed a place to put his luggage.

Even if this house sat empty, it was still slightly better than openly squeezing into Luo Tingzhu's suite.

Nie Mingxian looked at Fang Ziye's somewhat cautious expression, his face relaxing: "Actually I've had a girlfriend, but not anymore. She already got married two years ago."

"So, I'm still a lone bachelor."

Immediately, Nie Mingxian directly gave Fang Ziye a preventive inoculation: "But Ziye, don't you start thinking about introducing a girlfriend to your brother here. I'm currently poor as a church mouse. I ran with my first love for eight years, originally planning to marry upon graduation."

"But we separated because of various realistic reasons."

"I graduated early from the eight-year program and became a Master's student, worked a few years, basically all used on my father. Looking ahead, I basically see no prospects. I don't even dare to paint a rosy picture."

"I'm thirty-three this year. From eighteen to now, fifteen years have passed. I was with my ex-girlfriend for eight years. Seemed like we got past the seven-year itch, but ultimately, we still couldn't continue."

"Probably around thirty-one, she got married in a flash."

"I even went and gave gift money..." Nie Mingxian spoke and started laughing, laughing until his eyes reddened.

Fang Ziye couldn't relate to that kind of helplessness Nie Mingxian had — wanting to chase but not daring to.

Coincidentally the takeout arrived. Fang Ziye hurried to the doorway to get it, giving Nie Mingxian a few minutes alone.

When Fang Ziye brought the barbecue in, Nie Mingxian had already composed his emotions.

"Brother Xian, it's here, it's here. We can eat now. Let's chat while we eat, I need to be quick." Fang Ziye was just opening the takeout, about to dig in with Nie Mingxian.

"Beep beep beep beep!"

"Beep beep beep beep!"

The old-style Chief Resident mobile phone vibrated, making Fang Ziye's buttocks twist left and right three times.

Nie Mingxian glanced at Fang Ziye, casting a pitiful gaze.

Fang Ziye answered. He heard a hearty voice on the phone: "Hello, is this the Trauma Surgery Chief Resident? There are two fracture patients here. You see — do you admit and handle them, or do I send them elsewhere?"

"Thank you, Sister Liu. I'm coming right away." Fang Ziye smelled the barbecue aroma and stood up in one motion.

Nie Mingxian also stood up, saying: "Ziye, help me find a white coat. Perfect chance to see how you handle emergency consultations."

"I stayed in Anesthesiology for a long time before. After returning, I didn't do much clinical work. After arriving in Han City, following Professor Liu, I hardly ran any emergency consultations either..."

"Everything here is wrapped in foil anyway." Nie Mingxian said.

"Fine."

"..."

When Fang Ziye brought Nie Mingxian — wearing a white coat but without a name badge — to the Emergency Surgery Clinic, Liu Guo inside was patiently explaining to two fracture patients: "Our hospital treats specific diseases specifically. Your current emergencies aren't that kind of critically dangerous, life-threatening emergency."

"So I won't unprofessionally give you simple treatment. Our hospital has professional Trauma Surgery doctors..."

As Liu Guo spoke, he saw a figure flash at the door: "They're here."

Fang Ziye walked in and saw two groups of patients' family members. He walked over and asked: "Which of you two came first? Whoever came first, I'll see first."

"We, we came first." The middle-aged woman pushing the wheelchair hurriedly spoke.

"My husband was installing a light bulb at home, accidentally slipped, fell off the stool, braced with his right hand on the ground..."

The middle-aged man sitting in the wheelchair was pale at this moment, left hand holding his right elbow, right palm trembling slightly.

While the middle-aged woman gave the history, Nie Mingxian said in a low voice: "Colles fracture."

Colles fractures mostly result from ground-level falls, palm on ground, wrist in dorsiflexion and forearm internal rotation, concentrating violence on the distal radius metaphyseal bone causing fracture.

"Good, I roughly know the situation. I'll examine first. You got the X-ray results?" Fang Ziye walked to the middle-aged man's side and asked again.

"Took X-rays, but haven't got results. Doctor Liu said we can come directly to view them." The middle-aged woman stepped aside a few steps to make room for Fang Ziye.

Liu Guo said: "Doctor Fang, Jiang Dong's films I've already pulled up in the film reading system."

Nie Mingxian heard this, walked over, leaned forward moving the mouse.

Liu Guo suggested: "Doctor, you can sit and view..."

Nie Mingxian turned his head, smiled: "No matter, I'll just take a casual look."

Scrolled up and down two rounds, then zoomed in and out on the fracture line area. Nie Mingxian tilted his head and told Fang Ziye: "Should be a fairly typical Colles fracture."

"Mm, this matches the physical exam signs. But yours may need surgical treatment. You may need to go to a hospital that can do this fracture surgery."

"Because besides the fracture, you likely also have ligament and intra-articular fracture. Closed reduction alone cannot achieve reduction and fixation."

Actually this patient's fracture type no longer simply applies to Colles fracture, but applies to AO classification distal radius intra-articular fracture. But since Nie Mingxian said that term first, Fang Ziye had no need to argue with Nie Mingxian.

Nie Mingxian ultimately isn't Orthopedics specialty, so his fracture classification not being that professional is understandable.

"Doctor, mine still needs surgery?" The middle-aged man was a bit afraid.

"Yes, fracture reached the joint surface, 100% needs surgical treatment. Otherwise later will form joint stiffness, then it's not worth it."

"But our hospital basically doesn't do this surgery, and beds are tight, so for the convenience of you getting treatment as soon as possible, you can also go consult elsewhere."

"Do you have a medical record book?" Fang Ziye asked again.

"No, only electronic medical records, I've already collected the medical history." Liu Guo said proactively.

Fang Ziye nodded: "Then I'll print a copy of the electronic medical record for you, your fracture needs surgery as soon as possible."

Soon, Fang Ziye reached the computer, logged in with his employee ID and password, found the patient's visit number in the outpatient system, directly copied the corresponding medical history Liu Guo had previously registered, then filled in the film reading results in the examination results report column...

After printing it out, when he handed it to the middle-aged couple, they still seemed conflicted.

They originally thought this was just a simple fracture, a plaster cast would let them go home, never expected coming to Zhongnan Hospital would mean going back for surgery.

"Doctor, do we really need surgery? We heard from a friend that Zhongnan Hospital has a very good doctor who can treat fractures without surgery."

"Seems to be surnamed Fang? Why don't you consult him?" the middle-aged woman asked suspiciously.

Fang Ziye wrote his signature again by hand at the signature spot on the medical record: "Big Sister, our Trauma Surgery currently only has me as a doctor surnamed Fang, and I indeed frequently do manual reduction for fractures."

"But yours really can't be done, whichever Doctor Fang you call, they can't do it either. I'm not lying to you."

Liu Guo also nodded: "This is Doctor Fang from Trauma Surgery, many people know, his manual reduction for fractures is the most skilled, he says yours needs surgery, you shouldn't waste time going to other hospitals to toss about, choose surgery."

Only then did the middle-aged couple push the wheelchair and leave.

Nie Mingxian had already stood up, looking in Fang Ziye's direction, wanting to speak but stopping.

Yet his heart occasionally surged.

There are still skill gaps between specialties, I was previously in Vascular Surgery, and before that Hand Surgery, both relied more on reading films and MRI, so for X-ray film reading, I can't reach Fang Ziye's level of professionalism.

However, Nie Mingxian thought again, this Fang Ziye didn't read the film either, how did he know it was an articular surface fracture, and even know there was ligament damage?

Of course, doubts definitely couldn't be brought out to ask on the spot.

Fang Ziye then looked at the next patient, the family members likewise stepped aside, their gazes at Fang Ziye nervous and afraid, fearing Fang Ziye would also announce they needed surgery.

After Fang Ziye finished questioning this time, Nie Mingxian stopped speaking, afraid he'd speak wrong again and need Fang Ziye to go south when heading north to circle back.

"Yours can try manual reduction first, only if manual reduction fails would you need surgical treatment."

"Of course, if you want a treatment method with quality assurance, directly choosing surgery is the most appropriate!" Fang Ziye suggested.

The patient's treatment method is their choice.

Even childbirth nowadays doesn't force vaginal delivery or C-section, for fracture treatment, even if manual reduction is possible, if the patient fears pain or has strong surgical intent, Fang Ziye also can't do manual reduction just for the sake of doing manual reduction.

"Doctor Fang, reduction, we'll do reduction."

"We came specifically for you, our community hospital doctor said, the first stop for fracture treatment now, come to Zhongnan Hospital to see Doctor Fang first."

"We thought it was an old professor, didn't expect Doctor Fang you're so young." The patient hurriedly nodded in agreement.

His gaze scanned over Fang Ziye.

"Truly young. If not for Doctor Du's attitude being very clear, we really wouldn't dare believe Doctor Fang can be this young."

"Then pay the fees, three fees."

"Manual reduction technique, plaster cast high-polymer material."

"Total should be three hundred seventy-five yuan four jiao. Look, will you QR code pay or go out for cash?" Fang Ziye still printed out his electronic medical record.

Fifteen minutes later.

When the patient and family walked out of the operating room, this radius and ulna fracture patient's hand already had a plaster cast, walking out while turning back: "Doctor Fang, your technique really deserves to be called Divine Doctor?"

"Not painful at all, instead during the reduction process, it was even somewhat comfortable."

"I thought fracture manual reduction would at least hurt enough to make me yell a few times."

"Dad, how about now? Painful?" The patient's daughter asked.

"Not too painful, just occasional hidden throbbing pain, very slight."

The patient approached, I have a very good relationship with Old Doctor Duan from the health center, he definitely couldn't possibly lie to me..."

"Doctor Fang, thank you."

Finished speaking, he went to the surgical clinic again, said, "Doctor Liu, thank you..."

Reached the doorway, toward the billing direction and the attending nurses said a few more thanks, then left very politely.

In the operating room, Fang Ziye and Nie Mingxian were organizing the operating room's remnants.

Cut plaster casts, bandages, disposable mattress pads...

Nie Mingxian tilted his head: "Ziye, you've made quite a name for yourself nearby? Your progress speed is pretty good?"

"A community hospital doctor remembering a professor's name is already not bad."

Community hospitals and top-tier Grade-A hospitals aren't the same system, and top-tier Grade-A hospitals have many professor doctors, community hospitals don't necessarily remember some department professors' names.

Fang Ziye washed his hands while turning sideways to explain: "Maybe before a community hospital doctor said there's a fracture that's impossible to manually reduce successfully, but I encountered a patient friend here, he was interesting, he said he insisted on taking it back for him to see..."

"I also haven't gone to community hospitals for free clinics, mainly because my current rank isn't enough."

"Those who can go to free clinics, without an attending physician title, all feel it's losing face! But in the future Brother Nie you can take me." Fang Ziye steered the topic back to Nie Mingxian.

Nie Mingxian's professional title isn't low, Deputy Chief Physician, even higher than Yuan Weihong!

Nie Mingxian raised an eyebrow: "Go to hell, we weren't in the same system before, you're mocking me right?"

"How about you take me to do vascular surgery free clinics?"

"Or go do anesthesiology free clinics?"

Fang Ziye heard this, his eyeballs rolled around, joked again: "Actually that works too! ~"

"Ah ha?" Nie Mingxian's steps forward preparing to wash hands paused.

But unexpectedly, Nie Mingxian immediately gasped sharply: "Hiss! ~ I understand."

Then his expression returned to calm, and he didn't feel Fang Ziye's words were too strange.

(Chapter End)