Chapter 399: Show Field

"Xian Ge, I was bragging." Fang Ziye saw Nie Mingxian accept it calmly, and first gave an embarrassed laugh.

But Nie Mingxian said: "Apart from bragging without reason about their looks, length, and stamina, men are very cautious even when bragging about other aspects."

Nie Mingxian's tone was very serious, the car speed not low, yet there was not a trace of jest: "Ziye, you dare to ask, dare to put down your pride, then when you brag about professional matters, you definitely have extra confidence."

"At least one strong point, right?"

After Nie Mingxian finished speaking, he scanned over Fang Ziye.

Nie Mingxian was older than Fang Ziye, and was not Fang Ziye's subordinate or fellow trainee, his title was higher than Fang Ziye's, his vision also more broad, therefore, when making action jokes, he looked serious to a messy degree.

The corner of Fang Ziye's eye twitched, and in the end he couldn't squeeze out a single word.

As a man, facing this kind of joke, even biting the bullet he had to admit it!

"Doctor Fang, my husband's case, does it really need surgery?" While the two were joking, that middle-aged couple earlier walked to the doorway again, still unwilling to give up asking this sentence.

Fang Ziye hurriedly changed the subject, first nodded, tone serious: "Big Brother Big Sister, I have no need to deceive you."

"This patient's closed reduction I've already done, doing one more closed reduction surgery also won't take much time."

"But can't do means can't do."

"For example, you ask me to high jump, jumping around one meter is within human range, but you want a person to fly up twenty-odd meters out of thin air, this is impossible, at least current technology level and skill cannot reach this height." The latter half of Fang Ziye's words carried a slight joking intent.

The other party only then nodded seriously and left.

"Thank you, Doctor Fang... sigh..."

"Xian Ge, after you finish eating later, do you want to go rest first?" After Fang Ziye and Nie Mingxian parted with Liu Guo in the Emergency Surgery Clinic, on the way from the Emergency Department back toward the Orthopedics Building, Fang Ziye tilted his head and asked.

"En, let's talk about it later." Nie Mingxian's expression and mood were both quite stable.

His looks were not high, but his steady mood had an indescribable charm. Naturally, Fang Ziye's gaze toward Nie Mingxian carried a sigh.

Nie Mingxian caught this, and said: "There was a period before, I would feel very guilty, very useless."

"After all no money, sometimes I even thought, if I could get a windfall, my father's medical expenses wouldn't have to make the family struggle, he could accept treatment with peace of mind."

"But ordinary people at ordinary ages, knowledge accumulation and wealth accumulation, even money-making speed are all limited."

"Later, after my father passed away, I also had a very long period of low spirits, I also hoped through constant work, immersive work to numb myself."

"But just last month, I suddenly discovered, being like this is a bit too selfish, I seemed to have overlooked a crucial problem, that is my mother she is still here, and her world now seems to have only me left."

"So, we still have to live well, like normal people."

Nie Mingxian paused his steps, as if he had aged many many years more than Fang Ziye, lightly sighed: "Looking out, there are regrets, but no guilt. Also no regrets."

"Those standing on the ground, most are mortals, all creatures standing on the ground, ultimately will return to dust and soil..."

Truthfully, Fang Ziye felt Nie Mingxian's words had a certain flavor, but this flavor, Fang Ziye himself currently found hard to empathize with.

Compared to Nie Mingxian, what did his own past encounters, 'helplessness' count for?

Not having suffered another's pain, don't persuade them to be good.

Similarly, not having suffered another's pain, don't say they're pretending.

"Xian Ge, my personal cultivation is insufficient, don't know how to open my mouth to comfort you. But if you need to drink, or find a meal companion, I'm available anytime." Fang Ziye said.

"Won't drink, go back and eat the barbecue?"

"After eating the barbecue, I have to go back and check some materials properly, lest when I enter the research project group, I have to experience a long period of having nothing to do."

The two finished eating, finished chatting, each went to the Doctor's Rest Room and Inpatient General Office to lie down at eleven forty-five.

This time, it was Fang Ziye telling Deng Yong the famous saying Deng Yong previously told Fang Ziye: "Can eat then eat, can sleep then sleep, can shit then shit..."

Nie Mingxian had not experienced the Chief Resident stage, and in the future probably also wouldn't need to experience this stage.

Because Nie Mingxian before going to study for a doctorate, had already reached Deputy Chief Physician title, in the future after doctorate graduation, if going job hunting, this title won't drop.

Of course, if Nie Mingxian wants to join a top teaching hospital, still needs to get doctorate degree and diploma before thirty-five years old.

After Nie Mingxian left, Fang Ziye quietly lay on the bed, gazing at the pitch-black night curtain, mood exceptionally relaxed.

If no accident, tonight will be his last Emergency Consultation shift, from now on the Trauma Surgery emergencies will be taken over by the Trauma Center.

Just something Deng Yong and Professor Han laid out half a year ago.

"Of course, from today onward, the pressure and burden on myself, will also become heavier and heavier! ~" Fang Ziye murmured in a low voice in the night.

Chief Resident is very hard, but the hard parts are all behaviors and actions, are immediate on-duty and surgeries, called emergency surgeries.

But in the future, what Fang Ziye will be busy with, only a few emergency surgeries, then routine consultations, ward medical records and orders, record filing...

These things, Follow-up Resident's doctorate can also do, Fang Ziye's only core is routine consultations and emergency surgeries Wang Yuanqi and them can't handle, emergency workload will be much smaller.

However, Fang Ziye's pressure, will become greater.

Mangled Extremity disease type treatment research advancement, Bone Transport Surgery; Osteotomy Correction, Bone Defect treatment and other high-difficulty surgical methods, are all Fang Ziye's most main business.

Is that all?

Not, Fang Ziye still has some small burdens —

For example, advancing Replantation and other surgical methods, Emergency teaching for former classmates Xiong Jinhuan and Li Yuanpei, professional capability improvement control for fellow trainee...

Current Fang Ziye, has slowly come to realize: 'Lonely tree no forest, single thread no line, whole body iron how many nails can strike' sense of insignificance.

How to be a doctor?

Most basic is to be able to treat disease oneself, treat diseases others can't treat, this is called awesome.

One step further is teach one's students, let them also treat disease, and cure disease, master proficient surgical techniques, exert their light and heat.

Cultivate out a mature doctor, equivalent to can treat don't know how many more patients.

Further still, is teach other colleagues, let them also gradually be able to treat strange disease types according to standards.

This is individual professional ability, teaching ability, research ability's corresponding manifestation.

"Take it slow... first do well oneself." Fang Ziye murmured this in a low voice, then hurriedly fell into sleep.

Nie Mingxian was woken up by Fang Ziye at 2:15 in the early morning; actually, Xiong Jinhuan also woke up along with him. Xiong Jinhuan was on the 1-10 shift with Fang Ziye in the Emergency Duty Shift.

However, after seeing Nie Mingxian, Xiong Jinhuan could only silently give up the learning opportunity he had been looking forward to.

He slept on the upper bunk of the bunk bed, watching Fang Ziye and Nie Mingxian leave. A look of envy flashed in his gaze, but he just silently yawned and went back to sleep.

At Zhongnan Hospital, opportunities are relatively limited.

As Nie Mingxian followed Fang Ziye rushing toward the Emergency Department, he asked: "What's the situation at the Emergency Department this time?"

"Heard it's polytrauma."

"But the specific locations of the damage, Brother Fang didn't have time to say." Fang Ziye replied.

Upon hearing this, Nie Mingxian's eyes narrowed slightly—

Fang Ziye hurriedly explained: "Our Emergency Department here uses an eight-hour shift system. Doctor Liu, who was on duty before, got off work at 12 o'clock."

Nie Mingxian nodded: "Oh, the Union Hospital I was at before seemed to use a six-hour shift system. I didn't understand the specifics either."

First thing upon reaching the Surgical Clinic.

Fang Songlin said: "Ziye, you hurry to the Resuscitation Room. I still have patients here. That polytrauma patient from before has already gone to the Resuscitation Room."

Fang Ziye immediately turned around with Nie Mingxian and rushed toward the Emergency Department's Resuscitation Room.

Just as they entered the Resuscitation Room, the people inside were coordinating chest puncture, endotracheal intubation, and venous access while asking: "The bleeding won't stop. Have General Surgery and Trauma Surgery people arrived?"

"What about Vascular Surgery people?"

"General Surgery and Trauma Surgery just got a call. Vascular Surgery's Director Liu is in the operating theater — it's an abdominal aortic dissection. I've already notified the ward to have the Nurse Station notify the Higher Level, but it will take some time for them to arrive..."

The moment Fang Ziye and Nie Mingxian arrived, they immediately grabbed examination gloves and rushed inside.

"Director Huang, what's the situation here?"

At this time point, Nie Mingxian appeared more mature and steady than Fang Ziye. While approaching, he asked: "Abdominal aorta damage?"

The person called Director Huang tilted his head and merely glanced at Fang Ziye, then skipped over the unfamiliar Nie Mingxian: "Doctor Fang, you've come at just the right time. Car accident injury, abdominal vascular damage. Temporary compression hemostasis was performed during transport. Just arrived at the Emergency Department."

He tilted his head to check the time: "Five minutes. Established two venous accesses. Under continuous norepinephrine infusion, blood pressure still hasn't risen."

"We don't dare rashly open the abdominal wound."

"Vascular Surgery people are still on the way."

Fang Ziye saw Nie Mingxian had already approached the patient's right-hand side and, through the gloves, had already started the physical examination. Fang Ziye also approached and asked: "Any auxiliary examination results?"

"The transporting 120 happened to have X-ray. Currently there's only one abdominal X-ray."

As Director Huang spoke, the Chief Resident Deng Zhi beside him had already picked up the abdominal X-ray and placed it in front of Fang Ziye.

Fang Ziye and Nie Mingxian both raised their heads to look. The contents of this X-ray were a mess — presumably taken after temporary packing for hemostasis. The gauze's radiographic markers occupied and obscured most of the intra-abdominal field of view.

Even with Fang Ziye's Level 4 X-ray Reading Technique, he couldn't read any content.

"Push to Emergency Operating Room. Immediate emergency surgery under anesthesia." Fang Ziye said.

"Open abdominal exploration..." Nie Mingxian's words were even simpler. They spoke simultaneously, but seeing Fang Ziye speak, he stopped halfway.

"Push to Operating Room immediately! ~"

Director Huang instructed the other Emergency Department people: "Contact the Operating Room. Polytrauma Green Channel. Pre-op emergency blood draw has been sent. Can only wait for results during surgery."

"Contact Blood Bank. Request Cardiology, Cardiac Surgery, and Thoracic Surgery consultations. Request Neurosurgery consultation..."

Director Huang then looked toward Fang Ziye again.

Fang Ziye said: "No time for temporary hemostasis by opening abdomen now. Gauze packed in abdomen already has temporary hemostasis effect. We go to Operating Room immediately."

Fang Ziye watched the Emergency Department team already pushing the bed and starting to walk. He pulled back Nie Mingxian who was about to follow directly.

"We go to Operating Room and wait first! ~ The moment the patient enters the Operating Room, we start hemostasis immediately."

Nie Mingxian paused his step, not dragging his feet at all.

Jogging with Fang Ziye toward the Emergency Operating Room, Nie Mingxian said: "This patient needs to find the distal and proximal ends of the inferior vena cava and abdominal aorta at the first moment."

"After temporary clamping, strive for relatively more intracranial blood supply for the patient."

"The head's ischemic necrosis time is extremely short."

"Good! ~" In this situation, Fang Ziye also didn't have time to discuss with Nie Mingxian. He nodded in agreement.

The two took off their shoes at the doorway and jumped straight in, then quickly found a pair of slippers, grabbed scrub clothes and pants, didn't press anything at all, and rushed straight into the Changing Room.

In just three minutes twenty seconds, Fang Ziye and Nie Mingxian arrived at the Emergency Operating Room. The patient hadn't entered yet. Fang Ziye quickly told the Circulating Nurse: "Get the Trauma Lower Limb Pack, Vascular Surgery's Aortic Pack and Large Vein Pack."

"Open a few more Debridement Kits!"

The Circulating Nurse immediately counted one-two according to Fang Ziye's words, then started rushing downstairs to check for omissions and fill gaps according to Fang Ziye's instructions.

At four minutes one second, the patient had already entered the operating room and began being transferred onto the operating table.

"Can the clothes be cut? Asked the patient's family?" Fang Ziye asked the Anesthesiologist.

"No family for now. The companion outside is a friend who came with them. Can't sign. On-duty Director authorized." The Anesthesiologist said while starting to connect the Monitor.

Fang Ziye and Nie Mingxian directly cut open the patient's clothes from both sides, then only removed the upper body and pants, and began rapid simple disinfection.

"Stop bleeding and save life first. Current disinfection is non-standard but can only be like this."

"Drag on any longer, and the patient will likely be in mortal danger."

Around six minutes twenty seconds, Fang Ziye and the other two appeared on the table wearing Sterile Surgical Gowns. Then Fang Ziye and Nie Mingxian urgently laid the large drape and went inside the abdomen's existing incision.

"Instrument Nurse, trouble you to come retract." After Fang Ziye and Nie Mingxian divided the work, they found manpower still insufficient.

However, right then, Gastrointestinal Surgery's Chief Resident Chen Hongxing came in from outside, already at the gloving stage. He said to the Instrument Nurse about to step aside: "You continue passing instruments. I'll get on the table to retract right away. I brought someone too."

The doctor's orders were exceptionally chaotic, but the Instrument Nurse could understand. In such a super emergency, one slip and someone dies. Everyone rushed over front and back. Where would there be time for handover and pre-op discussion?

Soon, Chen Hongxing got on the table. Using both hands simultaneously, he leaned over to retract and assist, freeing Fang Ziye's hands. But on the opposite side, Nie Mingxian still had to retract single-handedly.

However, seeing Chen Hongxing's retraction range was large enough, Nie Mingxian directly used his abdomen to pin the proximal end of the retractor, forcibly freeing his own hands, and then began probing inside.

"Who's this brother? Looks a bit unfamiliar." Chen Hongxing looked at Nie Mingxian's brow, frowning tightly.

Nie Mingxian didn't reply. Fang Ziye also didn't reply.

Just as Nie Mingxian, who was handling the large artery, took out the third piece of gauze, Fang Ziye saw the blood pool on the opposite side gushing, and hurriedly put down the operation in his hand, then turned to help.

"I—!" Before Nie Mingxian could utter a single word, Fang Ziye had already used the hemostat in his hand, bypassed the gauze position, penetrated from behind the intestinal tubes in the abdominal cavity to above the abdominal aorta, and quickly clamped it shut.

With a click sound, the gushing blood flow speed immediately halted, but there was still a trickle, likely damage to a small or medium artery.

Nie Mingxian glanced at Fang Ziye.

Fang Ziye said: "My position here is slightly more advantageous."

"I'll go handle the inferior vena cava……"

Nie Mingxian still didn't speak, continued the surgery. Nie Mingxian is a professional vascular surgeon, so in the subsequent steps, he used a lot of knowledge Fang Ziye didn't particularly understand, conducting gap-filling one by one for the arterial active bleeding……

On Fang Ziye's side, the inferior vena cava actually had no damage; the damage was from the internal iliac artery, the damage position was also slightly higher, not damaging the pelvis position, and the bleeding further down was the femoral artery and thigh anterior laceration damage.

These local areas can be handled later subsequently.

"What's the patient's condition now?" Fang Ziye and Nie Mingxian had already opened the operating room for five minutes forty seconds when Vascular Surgery's Associate Professor Chen Minghao arrived late; he rushed over from home.

Although the time was overtime, the vascular surgery emergency clinic's Mi Qi was hacked into sick leave status by a patient, vascular surgery lacked sufficient manpower, and could only be shut down in May.

Chief Resident Liu Faming couldn't split himself, so it could only be the associate professor or attending physician topping up.

An Anesthesiology Department deputy director physician looked at the monitoring panel: "Temporarily it seems blood pressure has stabilized."

"The two vascular surgeons on the operating table are still relatively professional?"

Chen Minghao heard this, his face twitched: "Ah?"

"They're vascular surgery's? Then what did I come for?"

The anesthesiology deputy director looked at Chen Minghao blankly.

During emergency surgery, he only managed to raise blood pressure, use medication, check electrolytes, correct the disordered balance; who would care who specifically was doing the surgery?

Chen Minghao immediately saw Fang Ziye raising his head, sighed in relief, looked at the blank, struggling, shocked, terrified anesthesiology deputy director, and said: "It's fine, it's fine, there are our vascular specialty people on the table."

Chen Minghao had already treated Fang Ziye as half a vascular surgeon, forcefully allowing bottom.

Fang Ziye has disposal authority over limb vessels, but for abdominal vessel disposal authority, Fang Ziye doesn't have it.

The anesthesiologist's expression eased, then pointed at the anesthesia machine.

Chen Minghao hurriedly went out to wash hands again.

However, by the time Chen Minghao finished washing hands and got up on the table, looking at the surgical field that only left him a small amount of small artery and small vein suture operations, his mood became chaotic/messy……

Looked at Fang Ziye, hesitant to speak.

TM's genius is really unreasonable ah. Based on the workload Fang Ziye handled, if Chen Minghao completed it himself, at least one hour would be needed, yet Fang Ziye actually solved the battle in minutes. This TM open cheat can't be this perverted ah?

Chen Minghao couldn't know, Fang Ziye's opposite Nie Mingxian is a super helper……

(Chapter End)