Chapter 44

On the way to the department, Fang Ziye had nothing better to do, so he benchmarked his knowledge point count and basic skill progress, and conveniently spent his knowledge points again, raising CT Reading Technique from Level 2 to Level 3.

Mainly, keeping some knowledge points currently had little use for Fang Ziye, and there was no urgent need for them, so he might as well steadily add points to improve his diagnostic ability first.

The panel thus became.

【Physician Level: Resident Physician.】

【Medical Basic Theory: Surgery Level 2 15/50, Orthopedics Level 2 22/50, Trauma Surgery Level 2 35/50...】

【Specialty Basic Theory: Trauma Surgery Postoperative Medication Experience Level 2 45/50, Infection-related Medication Experience 33/50, Perioperative Diagnosis and Treatment Experience 37/50...】

【Medical Basic Operational Skills: Incision Technique Level 3 2/500, Suturing Technique Level 3 2/500, Debridement Technique Level 3 1/500, Hemostasis Technique Level 3 0/500, X-ray Reading Technique Level 3 1/500, CT Reading Technique Level 3 0/500, Puncture Technique Level 1 6/10, Knot Tying Technique Level 2 4/50, Medical Basic Physical Examination Level 2 4/50, Surgical Routine Instrument Operation Experience Level 2 4/50, Medical Routine Examination Reading Experience Level 2 4/50】

Medical basic skills were just like this; except for Puncture Technique, which Trauma Surgery rarely contacts, unlike Joint Surgery, Sports Medicine, and Bone Disease Specialty, the others were all middling, basically what Professional Master's Students can reach in their second year of graduate school.

Otherwise they couldn't have come to Zhongnan Hospital.

The subsequent specialty basic skills were a bit too shameful to look at.

【Medical Specialty Skills: Four Limbs Simple Fracture Open Reduction Internal Fixation Technique Level 1, Manual Reduction Technique Level 1, Tendon Suturing Technique Level 1...】

There was simply no opportunity to operate; superiors would never let a master's graduate student like Fang Ziye complete such operations — Zhongnan Hospital isn't short of people. These things have to be practiced in the Second Practice Room; only after practicing well can one obtain ordinary Surgical Permission, to be used when becoming Chief Resident.

If you don't stay at the hospital, superiors and the hospital simply don't give a damn about you; go to your unit and study on your own.

【Current Knowledge Points: 1.】

Stretched thin, stretched thin.

Knowledge points aren't enough; if I could just get ten thousand points directly, I could use them all up properly.

Fang Ziye was having a beautiful dream.

Upon arriving at the department, first his fellow trainee Jie Han, and Lan Tianluo who had previously followed him and now already independently managed beds, leaned toward him as if they had found a backbone.

Just like other master's graduate students respectively leaning toward their senior brothers.

"Senior Brother Fang, my Suturing Technique." Jie Han immediately gave Fang Ziye a piece of good news.

He didn't finish speaking, but he also made a thump-thump-thump sound, waving his hands.

A week had passed since last time; he could finally suture rubber skin well, and next he would be able to practice on orange peel.

This operational talent was also slightly decent.

Jie Han had no pressure now; maybe treating him to a meal would make him happy all day.

Fang Ziye gestured a thumbs-up at his own chest, believing Jie Han had already understood that emoticon, which was very popular on WeChat.

"Bingo!" Jie Han swayed left and right.

No matter what, he might not be able to compare with his senior brother, but Jie Han now, in terms of papers, had already thrown his classmates far behind; his operational advancement put him at the forefront of the same cohort of master's students; looking around, he only wanted to say.

Who else?

This many papers?

But he definitely couldn't be this arrogant.

Lan Tianluo was slightly more apprehensive: "Senior Brother Fang, I'm just one last tremble away, one final push, from getting in."

Lan Tianluo adjusted his mindset; after all, those who can get into graduate school, their previous efforts are no less than his own.

Same effort time, better aptitude, more progress — isn't that very normal?

Those who don't work hard but have some talent were all killed by him.

Don't think Han City University undergraduates can steadily become Zhongnan Hospital's standardized trainees; if you don't work hard, who gives a damn about you? If you work hard and have capital, others will look at you.

Ah, Han City University, 985, not bad, accepted.

This is human world reality, the great waves wash away the sand.

"Where do you want to go? Throat or chest?" Fang Ziye was now the leader of this trio; speed, direction — Fang Ziye was the helmsman.

This is jianghu status.

"Both work. Like throat-heart or whatever." Lan Tianluo responded at a very steady pace, demonstrating solid basic skills.

Fang Ziye then stopped bantering with the two and began checking the patients they managed and their medical record writing.

This was actively requested by the two; otherwise Fang Ziye couldn't be bothered to manage — whether you manage beds solidly, whether problems arise, whether you get chewed out by Jin Hongzhou directly to the teacher or sent to the Residency Training Office — what does that have to do with me, Fang Ziye?

I'm too lazy to even review for you.

Naturally, the fellow trainees had this request, hoping Fang Ziye could help a bit, and they were usually honest and got along well; as a senior brother, Fang Ziye was still willing to guide them.

After all, when Fang Ziye first arrived, he had no direct-line senior brother; the bitterness of sucking up to Teacher Deng's master's senior brothers back then isn't something ordinary people can understand.

Whether standardized trainees in Zhongnan Hospital or Professional Master's graduate students, superiors' default standard and requirement for you is: write medical records well, manage beds well, practice basic skills well.

As for how to achieve it, that's for you to figure out; this is the most basic.

Whether you go for outside group training, have a senior brother guide you, or just try taking the beating the Chief Resident gives you, others won't bother explaining these most basic contents to you.

"No major errors, but medical record writing — avoid colloquial language."

"What's 'anterior side'? Does a hand have anterior and posterior sides? Be more academic — it's dorsal side and palmar side; read others' medical records more in the future, learn some academic language."

"Standardize a bit."

"Compliance, Continued Observation!"

"You already operated, so what Continued Observation? The template is for convenient medical record writing, not for direct copy; if you operated, don't write Continued Observation, unless the front reflects a need for Continued Observation, then write it."

"Otherwise change it to: Compliance, Follow-up Examination — isn't that better?" Fang Ziye gave slight corrections; these were all low-level mistakes he himself had made when first entering clinical practice.

Although he wasn't dissed by the then Chief Resident, now Attending Physician Li Nuo, he was explained to in detail by his senior brother.

Then handover and ward rounds began.

Just that, for some reason today, Teacher Deng remembered Fang Ziye existed, so he had Fang Ziye do a full case report for a managed patient.

Deng Yong is the clinical boss; since he ordered the report, Fang Ziye complied one by one, starting with medical history, then through preoperative examination, physical examination findings plus X-ray and CT image reading details, he elaborated the diagnosis and diagnosis classification one by one in detail.

And some details, too, all leapt vividly into the X-ray reading detail indicators.

Although this bit of skill doesn't look high-end — attending physicians can more or less all do it — the obvious improvement in X-ray and CT reading level is also there for everyone to see.

Superiors like Deng Yong, Xie Jinyuan, Yuan Weihong, Qin Geluo, and Doctors like Sun Shaoqing, Wang Yuanqi, and Luo Tingzhu all looked on with side-eye, as if their eyes had something to say.

"So postoperatively, our medication plan is still analgesia-focused, to facilitate the patient's functional training, supplemented by anti-infection, detumescence, prophylactic anticoagulation, nutritional support, and other treatments."

"Currently the patient's postoperative surgical wound is clean and dry, no red swelling heat pain, healing well; postoperative follow-up X-ray plain film shows the bone flap transplant is in position, fixation good, patient pain relief..."

Fang Ziye spoke while unveiling the patient's gauze: "The patient has already been crutch walking out of bed, ankle joint plantarflexion and dorsiflexion function differs from the healthy side by only about 10°, prognosis can be expected. Elective discharge is possible."

Fang Ziye finished his report, looked at Teacher Deng, and from the corner of his eye glanced at Yuan Weihong, as if saying, letting you not praise me earlier.

(Chapter End)