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Chapter 464

~19 min read 3,694 words

July 31st, Tuesday.

In the Trauma Surgery doctor's office, Liu Huanglong sat in the Director's seat, holding this month's surgical volume report, flipping through it while waiting for the duty doctor to finish the handover.

Head Nurse Liu Suning sat beside Liu Huanglong with a pensive expression, her complexion looking very poor.

After the duty doctor finished the handover, Liu Suning spoke: "Tomorrow is August 1st, the start of a new month. Let me briefly report again the content from last week's hospital weekly meeting relevant to our Nursing Department."

"After this month ends, there will be certain personnel changes in our Trauma Surgery Nursing Department. Please, all sisters at Nurse Level and above, prepare for task handover."

"Starting next month, Joint Surgery's Head Nurse Cao Fang will come to our Trauma Surgery to take over as Head Nurse. Head Nurse Cao Fang is an extremely excellent Head Nurse, having won the Excellent Head Nurse honor multiple times in our hospital's Head Nurse evaluations..."

Liu Suning's tone carried a hint of regret.

Even a dog could see Trauma Surgery was about to take off, yet under Liu Huanglong's forceful intervention, she was directly transferred away by the Nursing Department to other places.

And Head Nurse Cao Fang would very likely use Trauma Surgery as a stepping stone to eventually hold a real-power position in the Nursing Department concurrently.

Director Liu Huanglong, within one month, refused to yield to soft or hard tactics, with a tough attitude.

Liu Suning did her work well and Liu Huanglong praised her, but wanting to continue staying on was impossible — there was no room for negotiation on this matter; even the Nursing Department's intercession wouldn't work.

After the Nursing Department and Medical Affairs Department communicated for a while, the Hospital Director's Office directly intervened in the end...

"The Medical Affairs Department and Nursing Department highly affirmed our Orthopedics and Trauma Surgery work quality. This month our department achieved the hospital's highest active approval rate."

"One hundred percent medical quality satisfaction rate, thirty percent inpatient experience... Regarding this point, the hospital also hopes our department can fully consider the difficulties of patients and family members..."

After Liu Suning rattled on a whole bunch, her speech gradually neared its end.

Then, Liu Huanglong took over Liu Suning's words with official rhetoric:

"Many thanks for the sincere cooperation in July between our department's Nursing Department and our medical staff, enabling patient satisfaction to reach the hospital's highest."

"With a super-high one hundred percent medical nursing quality rate, ranking first."

"Hospital leadership fully affirmed our work quality and proposed a temporary 0.1 performance bonus increase for all medical and nursing staff in the department — this is the result of our collective effort."

Speaking here, Liu Huanglong led the applause.

Hospital performance pay goes through multiple allocations. After the hospital collects fees, the Financial Department allocates funds to the specialty, then the Director and Head Nurse redistribute according to different performance coefficients.

With everyone increased by 0.1, the performance bonus allocated from the hospital to the specialty becomes more; each person gets at least 1000+ more.

Matters related to bonuses, no matter how small, are always pleasing.

After everyone finished applauding, Liu Huanglong spoke again: "There's a competition in the hospital — comparing silk banner quantities between departments — and it's stipulated that each banner directly adds 200 performance points to the individual."

"But our July banner count was only three. It's not that our department doesn't receive them; it's the result of us clearly informing patients in advance not to send banners."

"Everyone, don't think receiving more banners affirms our work quality."

"Making banners costs money too, but everyone earns money with difficulty. We hope patients and families spend money where it counts, and absolutely avoid creating a follow-the-trend atmosphere of sending banners."

Liu Huanglong spoke to here, put down the files in hand, raised his head: "However, our department received the most pen bouquets in July."

"I took a look — every person in our department has their chest pocket stuffed full of fountain pens. And there are leftovers too..."

Everyone laughed at this, glancing at the corner of the doctor's office, where the pen bouquet holders piled up at least several hundred fountain pens.

So-called pen bouquets use pen holders to arrange fountain pens into flowers — generally ten to twenty pens, varying in size.

Unknown which patient's family got a strategy guide online; after the duty doctor enthusiastically accepted and thanked them, it spiraled out of control.

Heard that in July one online shop's order volume increased by dozens of orders because of our department.

Families sent them, visiting friends and relatives sent them too — nearly piling up the office desks.

"Pens are relatively practical items, and also one of our department's highest consumables. Though not expensive, we should still try to suppress this trend."

"Otherwise we could all moonlight wholesaling fountain pens to sell after work."

Liu Huanglong's joke was very down-to-earth.

Actually, having many pens is no worry at all — they'll all get used up. But if they keep being sent like this, they'll definitely occupy more space, which is unsuitable, so the bed-management doctors must be made to suppress it.

"Next, are some good internal data we can be happy about behind closed doors."

"Yan Zhiming, lock the doctor's office door. Director Yuan, delaying your group's surgery day by ten-odd minutes — next I'll report our department's overall July surgical volume..."

"In the whole of July, our department completed a total of fifty-seven surgeries."

"This surgical volume, though far less than June's ninety-four, everyone must note: among these fifty-seven surgeries, fourteen were actually mangled extremity cases, thirty-two were functional reconstruction surgeries, leaving only eleven as fracture-related surgeries."

"To speak a boastful word: fracture surgeries can be done anywhere, but mangled extremity limb-salvage surgeries and functional reconstruction surgeries are currently our department's unique specialty."

"Departments capable of performing such surgical procedures — looking nationwide, there aren't many. That is to say, at least forty-six people, because of our whole department's sincere collaboration, went from unable to move to being able to get out of bed and walk on their own — incredible."

"Next are some related detailed data — among them, joint range-of-motion improvement and muscle strength improvement are our department's main achievements..."

"Yes, that IS our achievement." Liu Huanglong spoke with head held high.

Beside him, Liu Suning, under this head-held-high tone, became more and more like an ostrich.

The better Trauma Surgery's results, the more it might be her eternal pain. Yet what she originally sought was so-called illusory personal connections.

"That concludes all content. All brothers and sisters worked hard in July — let's applaud ourselves once, then end the handover..."

Thunderous applause, beaming smiles.

Actually, doing something everyone elsewhere cannot accomplish — that sense of achievement runs from top to bottom.

Even bed-management doctors, when communicating with patients, now have a certain confidence.

Surgery or not is entirely up to freedom; you can also refuse surgery — but sorry, I temporarily cannot give you any other place that can replace our department.

Of course, you can also go elsewhere for hospitalization and recuperation.

The right to informed consent and the right to informed refusal are equal.

After the handover, Fang Ziye and Yuan Weihong didn't dare delay even a quarter hour — quickly finished rounds, then immediately went to the operating room to start surgery.

Yet saying they went to the OR for surgery, Fang Ziye actually didn't scrub in at all.

Today's functional reconstruction involved a relatively simple scope, and his own Master Yuan Weihong, under his feeding, had already touched the corresponding threshold of functional reconstruction basic skills.

Plus Lan Tianluo and Wu Xuanqi with their excellent basic skills helping out, Fang Ziye now merely needed to provide key technical guidance.

It was also during these recent few collaborations that Fang Ziye learned Wu Xuanqi's attainments in nerve anastomosis, vascular anastomosis, and other aspects were comparable to a professional hand surgeon, yet he was genuinely a trauma surgery-trained doctor.

Nie Mingxian also came down to watch the excitement.

And he pointed at Wu Xuanqi on the platform, saying in a low voice: "Ziye, I told you before, right? Wu Xuanqi this dog prodigal (dog bastard), his talent is very good. His accumulation in orthopedics is not the least bit inferior to my attainments in vascular surgery."

"His basic skills are good enough, so his learning curve can compare to Teacher Yuan."

"Teacher Yuan Weihong is because he reached a certain level, so he doesn't have that much sufficient time to practice. Now he is no longer in his golden age for learning, so his progress looks slower than Lan Tianluo's."

Fang Ziye naturally knew clearly that his Master's many basic skills had also improved by now.

They had all reached around Level 4 3000/5000, and even a portion had reached Level 4 4000/5000.

After all, he was someone who had won the Special Prize in the Young Physician Grand Competition two years ago.

Yuan Weihong now has to lead a group, sit in outpatient clinic, and has a family and children. He certainly cannot practice operations single-mindedly like Lan Tianluo and the others.

"Actually I really want Qi Ge to join the group too, but I also know this is wishful thinking." Fang Ziye discovered he had also contracted a disease.

That is, seeing excellent talent, he wants to stuff them into the group.

However Wu Xuanqi is completely different from Nie Mingxian. Wu Xuanqi has always been following Duan Hong. No matter how great Fang Ziye's charm, he cannot pry him loose.

Just as Wu Xuanqi also cannot pry Fang Ziye loose.

However, Wu Xuanqi will certainly be a very good technical promotion master in the future. Once he takes the technology to Tongji, Fang Ziye can similarly obtain massive knowledge points.

"You really dare to think." Nie Mingxian's eye corners twitched as he rolled his eyes.

"Wu Xuanqi also told me many times. He even wants to use unscrupulous means to poach both you and Yuan Weihong into Tongji."

"Haha, just thinking about it." Fang Ziye laughed softly.

Just as he was laughing, Fang Ziye hurriedly stood up and coughed loudly once.

The few people on the operating table heard Fang Ziye's cough and immediately tacitly stopped the operations in their hands.

Everyone had long agreed in private: if Fang Ziye felt someone else's primary operation content was too outrageous in his vision, he would cough loudly once, then begin taking over.

"I'm going up. Xian Ge you continue resting." Fang Ziye knew he should go up; otherwise Yuan Weihong and the others would cause problems.

It wasn't that their operation techniques were wrong, but their techniques temporarily could not handle this patient on the table.

Knowing and not knowing, proficient or not, are two different categories of content.

Surgery paused. Fang Ziye moved toward the operating table like a master of controlling the scene.

Master Yuan Weihong very proactively yielded the primary operator position, moved to the third assistant position, and did not deprive Wu Xuanqi and Lan Tianluo of their first and second assistant positions.

Only Senior Brother Yan Zhiming, who was originally at third assistant, stood a bit pitifully in the corner, casting resentful glances.

"Master, for this kind of localized stiffness caused purely by tibialis anterior nerve damage, we don't need to go posteriorly to release. Because the mobility of the posterior tibial muscles is smooth and doesn't need correction."

"Actually, just releasing anteriorly is enough."

"This old lady doesn't have stiffness of the entire ankle joint. If opened to the posterior, it would instead increase her rehabilitation burden..."

Surgical release is not the wider the better, but the more suitable the better.

Yuan Weihong said: "Then that previous tibialis anterior nerve damage patient? Why was it all opened and released?"

Same symptoms, same diagnosis, surgical method must have differences.

"Family circumstances differ. This old lady preoperatively underwent many years of very formal rehabilitation training and massage techniques, preserving most of the posterior tibial muscle group's mobility."

"Only due to dorsifoot muscle adhesions, leading to inability to move."

"This old lady's inconvenience in movement is actually just inconvenience putting on socks. Her walking etc. are actually not affected..." Fang Ziye replied.

"How do you know she experienced formal massage techniques?" Yuan Weihong continued puzzled, as if his student was like a master, unfathomably deep.

Fang Ziye really wanted to say: Master, if I quit being a doctor and did foot massage, I'd absolutely be the technician with the best business.

Of course, such words were absolutely impossible to say.

Fang Ziye immediately followed with another very formal teaching, meticulous and comprehensive.

"Master, the document I sent you before, seems like in the forty-nine or forty-seven cases, there was an introduction." Fang Ziye said.

Yuan Weihong immediately shut his mouth.

At this time, Lan Tianluo and Nie Mingxian's gazes carried vinegar intent.

Liu Huanglong had recommended, letting Fang Ziye slightly adjust his explanation method: specialized teaching according to each person's characteristics.

Very obviously, Lan Tianluo had been categorized into the second batch. Fang Ziye shifted the focus of the first wave of organized teaching plans onto Master Yuan Weihong.

Nie Mingxian below and Lan Tianluo above were both the first batch to hear this news — the batch temporarily abandoned. How could they not be jealous?

But, they dare be jealous but dare not speak.

Wu Xuanqi said: "Ziye, you still have secrets you won't pass on?"

"No, Qi Ge. The content is all the same, just the form of expression differs." Fang Ziye hurriedly explained, but the movements in his hands did not stop.

Around 4 PM, the second surgery reached its finale.

The two functional reconstruction surgeries' average time had been narrowed by the team to around four hours, and this was without Fang Ziye being on stage for a long time. Such progress was still very, very considerable.

Past 4:05, Fang Ziye looked at the operating room's timing panel, then looked at his Master and explained: "Master, I have to go to the research department later. The research department teachers contacted me many times, all wanting me to concurrently serve on the hospital's youth research forum lecturer team."

"And there are also some hospital colleagues inviting me. I just don't know how to decline."

Yuan Weihong smiled and said: "Go! We can handle the rest."

Yuan Weihong had long known that the things Fang Ziye could accomplish were things he himself had no way to accomplish.

To participate as a youth research forum lecturer, one needs to have published multiple high-score articles at minimum.

Yuan Weihong has already passed his most golden age.

Fang Ziye's JAMA manuscript, though not yet formally published in a journal, the news of its acceptance had actually long spread in the hospital.

Articles of this caliber — not many teams in all of Han City University can publish journals of this specification. Fang Ziye published one, plus his previous foundation. Wanting not to stand out in the youth physician team is impossible.

Moreover, now Fang Ziye directly reports to 'Dean Wang'. With such a person backing him, others are naturally willing to pull him up and give him some good-looking titles.

After Fang Ziye left, Yuan Weihong only then discovered that the people who cast the same extremely envious and jealous gazes as himself were only him, Yuan Weihong, and Yan Zhiming, that Doctor.

The other people in the operating room, surprisingly, didn't have much fluctuation in their gazes and expressions.

This let Yuan Weihong's inner self slightly break down its defenses.

It seems, this Wu Xuanqi, Nie Mingxian, and even his own "too similar" student, are all the kind of people who don't take this kind of level seriously.

Of course, Yuan Weihong also quickly collected his own emotions.

No matter how impressive the Youth Research Forum's lecturers are, can they be as impressive as my 'Outstanding Youth Fund'?

Ai, thinking like this, Yuan Weihong's mood got a little better again, although Yuan Weihong also knew that him being able to get that honor was also closely related to his own students.

But who let his luck be good, to be able to meet these several students?

After Fang Ziye arrived at the Research Department, he discovered that in the Research Department Director's Office, there were still another two people, one male and one female.

Their ages were a few years older than his own, but they were just about in their early thirties.

"Hello Director Fang, Critical Care Medicine Department, Liang Quyuan." The male student's skin was bronze-colored, and his eyes wore dark circles.

Zhongnan Hospital's Critical Care Medicine Department is a First Echelon existence nationwide, one of the first batches of National Key Clinical Specialties, its strength is extremely robust, doing research definitely also has a set of methods.

"Hello Brother Liang, I'm called Fang Ziye, from Orthopedic Traumatology." After Fang Ziye reached out and shook hands with him, he tilted his head and asked: "How should I address this Sister?"

The young woman opposite had fair skin, a thin figure, just a bit short, height not reaching 1.6 meters, the whole person looked thin and small, face also very small, wearing a pair of glasses, making the whole person look even smaller.

"Xie Xiao, Sister Xiao, Rheumatology and Immunology's great god, don't know if you've heard of her." Liang Quyuan proactively helped introduce.

Xie Xiao also smiled shallowly, extended her right hand and said: "Hello Director Fang, I'm called Xie Xiao, currently Rheumatology and Immunology's Attending Physician."

How could Fang Ziye not know her, she is Luo Tingzhu's idol plus the target she wants to surpass, several years ago she already published a JAMA journal, got the hospital's top-tier Talent Introduction Funds.

Currently already a Master's Supervisor, and directly got the National Research Grant. Absolutely a super research seed-level player in the hospital.

"Hello Sister Xiao, Fang Ziye, please guide me more in the future." Fang Ziye also busily said.

"Director Fang, 'guide' is a bit too humble, you're also too busy, busy to the point of being quite hard to make an appointment. I also only managed to contact you through Director Xiao." Liang Quyuan politely put a high hat on him.

Fang Ziye understood the other party's meaning: "Brother Liang, mainly my seniority is shallow, research is also profound, I don't dare act rashly, to avoid sitting in a well and talking about the vast sky."

These people's research accumulation was previously far deeper than his own, he now counts as having caught up to them, but to say guide, Fang Ziye is just afraid that at that time he won't be able to say anything substantive.

Moreover, many things in this world are fair, however much capability you have you do however much things.

You don't have the accumulation to be a teacher, others behind your back not spitting you to death would be strange.

Of course, if you published many Nature-type journals, even if you spoke wrong, others would all think, is what you said correct, did they misunderstand.

After all, journals like Nature fundamentally don't lack high-quality articles, picking the taller ones among tall people, wanting to stand out among all global research teams, without capability is definitely nonsense.

"Research itself is right and wrong, there's also no such thing as speaking wrong, mainly it's just exchanging and communicating methodology. Also good for mutual learning."

"We're also all crossing the river by feeling the stones, heard about Director Fang your many matters, so very sincerely hope you can join, more discussion and exchange in the future, who knows, we might also strike some sparks?"

"Moreover, the surgical team's comrades have long hoped for a surgical teacher to come over and share how to balance research and clinical..." Liang Quyuan is very good at talking.

Xie Xiao is just a girl with a personality leaning towards quiet.

After several people chatted for a while, Director Xiao only then rushed back from outside the office: "I went to the main campus for a meeting this afternoon, sorry, made everyone wait long."

"This should be our General Surgery's Doctor Fang Ziye, Director Fang right? Truly both talented and beautiful..." Director Xiao Kaifa politely said.

Actually Fang Ziye and Xiao Kaifa have met before.

Fang Ziye also couldn't be bothered to complain in his heart, sometimes some polite words are very necessary.

Afterwards, Director Xiao Kaifa and the others exchanged with Fang Ziye about the Youth Research Forum lecturer's obligations and benefits.

Obligations are occasionally needing to give lectures, give lectures to the hospital's Master's students, Ben Yuan physicians, especially newly promoted Ben Yuan physicians.

Benefits are, in the future when Fang Ziye and the others go through the Research Department's many processes, they can get green lights all the way, even just say hello, and the Research Department side can help solve it.

The Research Department's meaning of existence is to support more research personnel to develop Ben Yuan's research level.

Fang Ziye this bit of Youth Research Department not attaching importance, who would attach importance?

Naturally, when the hospital internally allocates research funding, the money Fang Ziye and the others can get will also be slightly more.

There are pros and cons!

Reaching this step, Fang Ziye seemed unable to refuse either.

The hospital gave you importance, you not putting in some effort, seems also not too suitable. And it's just letting you do some lectures, as long as you squeeze out a certain amount of time.

Afterwards, Fang Ziye was pulled into the Lecturer Team, the people inside weren't many, just a dozen or so, but the rest of the members were all old seniors.

Currently active Lecturer Team only has five people, Fang Ziye greeted them one by one, the group symbolically welcomed a round, and this matter was thus settled, also no contracts or other hard constraints...

But when Fang Ziye was pulled into another Youth Physician Research Forum, the group's active atmosphere, only then let Fang Ziye feel the surgical 'jianghu aura'.

(Chapter End)

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