Chapter 4: Clinical Daily Life (Please Collect, Please Continue Reading)

After Fang Ziye graduated with his master's degree, spending some time at a prefecture-level city hospital to secure a formal position and a small amount of talent introduction funding was not difficult.

Han City University Affiliated Zhongnan Hospital, though not a top-tier hospital, carried the Han City University brand—a long-standing 985 institution—making it highly competitive for finding work at some prefecture-level city hospitals domestically.

But continuing to climb higher was not easy.

Pursuing a doctorate wasn't something you could just do if you wanted to!

This opportunity to study was extremely precious!

To study well, write papers, and read literature, Fang Ziye, like other students, moved out of the dormitory.

When staying up late to read literature, others might be too tired from finishing their shifts to sleep.

That simply wouldn't work together.

Having personal time was extremely important for studying.

——

【Note: Free Knowledge Points can be used to actively add points for skill upgrades. Knowledge Point acquisition is generated based on the weight of the physician in the diagnosis and treatment process. Knowledge Point earnings details: +0.5, +0.2, +0.1……+0.1】

【Current Knowledge Points Balance: 0.1!】

Fang Ziye looked at his only 0.1 free Knowledge Points discretionary balance, deep in thought.

This was the output from his skill training in the Training Room, and the efficiency seemed slightly faster than before; previously it took about two hours to produce 0.1, but today one hour produced 0.1!

In the ward, pondering patients' medical records and revising medical orders could also yield a small output.

But the largest output was once when he followed his supervisor in surgery; when the teacher let him cut out a lesion, the output was higher—a huge 0.5!

Fang Ziye had had this panel for about half a month, and through various methods, he had accumulated his Knowledge Points to 5 points.

Through observation and statistics, he found that the earning efficiency of Knowledge Points was Clinical > Medical Records > Outpatient Clinic > Training Room direct operation.

"If only there were a few more lesion removals." Fang Ziye muttered softly to himself.

But he quickly shook his head.

His teacher's surgeries in the department were nothing more than minor surgeries; although he was called a senior Attending Physician, the surgeries he had the right to perform were just slightly simpler bone defects.

Of course, these slightly simpler bone defects were also ones that directors in prefecture-level city hospitals dared not touch much.

Other more difficult surgeries were performed by Associate Professors, and those of higher difficulty required Professors to finish them.

When the Professor went on stage, the Associate Professor acted as assistant, and his own teacher could only snatch a few opportunities. Below that, Attending Physicians and doctoral Senior Brothers fought fiercely for chances...

The next day.

After handing over the shift, Fang Ziye's teacher, Yuan Weihong, went to teach class; he was now a functional experiment teacher for undergraduates at Han City University's Second Clinical College, needing to teach three small classes, spending most of his time on teaching matters.

And during ward rounds, Fang Ziye was just a little lackey!

Fang Ziye and his supervisor Yuan Weihong's superior was Professor Deng Yong.

Professor Deng Yong led the way, Associate Professor Xie Jinyuan followed closely behind; although his own teacher wasn't there, there was also Attending Physician Qin Geluo, smiling cheerfully as he stepped up to replace his own teacher's position and take the scolding.

Professor Deng Yong's two doctoral Senior Brothers hurriedly followed behind a group of big shots, beginning to explain the patients' basic conditions—one a second-year doctoral student, one a third-year doctoral student. They were the group's Chief Residents.

Fang Ziye and Li Yuanpei were slightly older in seniority; because the third-year Senior Brothers had left, they were qualified to follow behind the doctoral Senior Brothers.

Behind the two were second-year master's students Shu Lang and Gong Ziming, and first-year master's students Jie Han and Zhu Yunwen.

Plus the little postdoctoral researcher and tail-following worm Lan Tianluo behind Fang Ziye.

A group of twelve people could be said to have gathered all the basic elements of the surgical team except for interns.

What Fang Ziye had to do was report detailed data of the patients under his charge, record some medical orders to be changed, listen to Professor Deng Yong and Associate Professor Xie Jinyuan discuss some complex cases, and also make things a bit difficult for Professor Deng Yong's two doctoral Senior Brothers by selecting one or two disease types for them to report on the current research progress of treatment for those disease types.

Yes, for master's students like Fang Ziye and Li Yuanpei, the question professors asked most was about current treatment principles.

Treatment principles and treatment research progress were two different fields.

One was existing treatment methods, the other was forward-looking new treatment plans that could be expected...

Professor Deng Yong had a well-proportioned figure, with a not-small mole on his chin; after hearing his doctoral student finish reporting, he nodded: "You've read some books, but your understanding of treatment progress is still not thorough enough."

"The treatment of bone defects, although bone transport surgery is a relatively hot topic, nowadays there is a new type of material appearing that might allow bone cells to crawl and regenerate within the material, to replace traditional bone transport surgery..." Professor Deng Yong said as if counting his own treasures...

Fang Ziye didn't understand it as if listening to heavenly scripture, but was half-confused.

In clinical practice, understanding the diagnosis of a disease type was not easy; it required solid basic skills, then deeply understanding current treatment principles and treatment methods, which was also painstaking work—only after roughly understanding all treatment methods in the current world would one be qualified to look forward to research progress.

The complexity of the medical knowledge system.

Could be summarized in eight characters.

Persuading someone to study medicine invites heavenly thunder and retribution!

After finishing rounds, Fang Ziye acted as a little follower and welcomed his 'Life Peak'; the new resident physician Lan Tianluo hurriedly and actively said: "Brother Ye, I'll go change dressings first, you go back and write medical orders."

"Today isn't surgery day; shall we go to the Training Room earlier?"

Fang Ziye nodded in agreement.

After Lan Tianluo ran away, Yuan Weihong's first-year master's student beside him, namely Fang Ziye's direct junior fellow trainee, also said somewhat hesitantly: "Senior Brother Fang, can you help me change a medical order? My aunt came for an outpatient visit; I'll take her to see the outpatient clinic..."

Jie Han was Fang Ziye's junior fellow trainee, just starting his first year of master's this year, entering the clinic on the same day as Lan Tianluo, but because Jie Han was a master's graduate student and also Yuan Weihong's student, the Chief Resident assigned him two beds under his charge.

Large teaching hospitals were like this; not to mention operation opportunities in the operating room, even clinical beds under one's charge were coveted, with too many monks and too little congee, far from enough to go around. If you weren't willing to do the work, there were plenty of people to take over what you were supposed to do.

And the beds under one's charge were actually your only opportunity to become an assistant in the operating room.

The more times you became an assistant, the more the superiors looked favorably on you, the more solid your basic skills became, and the superiors might bestow upon you one or two suturing and skin-cutting opportunities, which would count as truly entering the threshold.

Even as a professional master's graduate student, with a Medical License, one could independently take night shifts and manage beds, but the authority over medical orders still lay with the superiors; resident physicians and little master's students only needed to change the medical orders according to the superiors' wishes.

Unless there were some special circumstances—

For example, his junior fellow trainee Jie Han transferred his patient Bed 11 to him.

The superior's instruction was for him to stop the postoperative painkiller for Bed 11 and change it to oral Celecoxib. The postoperative anti-infection drugs were also completely stopped, and the postoperative anticoagulant drugs were changed from Low Molecular Weight Heparin Sodium to Rivaroxaban for prophylactic anticoagulation treatment.

However, Fang Ziye at this moment, after carefully looking at the patient's corresponding blood test results, discovered that the painkiller and anticoagulant could be stopped, but this antibiotic not only could not be stopped, but needed to be upgraded!

But even with this discovery, Fang Ziye did not dare to independently prescribe medication; instead, he reported it—

"Brother Luo, come take a look. This is Bed 11, the patient who had bone transport surgery last Friday. Her blood test indicators this morning are not good, and her white blood cell count suddenly spiked to 23."

"Should we ask the Pharmacy Department to come for a consultation?"

Brother Luo was Qin Geluo, an attending physician in the department, whose seniority was lower than his own teacher Yuan Weihong.

Qin Geluo heard this and ran over to take a look.

The blood test results came out at 8:40 AM; during ward rounds it had not yet reached 8:40, and the previous inflammatory markers were approaching normal, not because Jie Han was negligent and careless.

Qin Geluo immediately made a phone call. While connecting: "Ziye, go check the wound condition, immediately send a bacterial culture and drug sensitivity test, and also send a pus cell smear examination to see if there are pus cells locally!"

"Also ask the patient if she has had a high fever period, and hand over with the duty doctor. If there is a high fever, do a temporary blood culture!"

Infection is the greatest enemy of surgery, and everyone fears it, because once postoperative infection occurs, it will make the treatment procedure very troublesome.

……

(Chapter End)