Chapter 69

Jin Hongzhou was busy but orderly; he knew Luo Tingzhu was a Doctor and her skills in the training room were not weak, more proficient in fundamentals than Fang Ziye, so he arranged for Luo Tingzhu a relatively larger trauma in the Emergency Surgery Ward, with partial muscle damage requiring suturing.

While Fang Ziye went alone into the Orthopedic Operating Room of the Surgical Building, the surgery about to start was an incision about six centimeters long; the preoperative informed consent had already been arranged by Jin Hongzhou to be completed, so Fang Ziye only needed to enter the operating room and act as an operator.

When Fang Ziye entered the operating room fully equipped, there was only one circulating nurse, who brought the debridement kit, opened the outermost packaging, and then hurriedly left: "This is a small surgery; in five minutes I'll come back to open the suture thread for you. The lidocaine and the normal saline for dilution are already opened, on that stretcher over there."

"The sterile syringe is already on the surgical drape; after you put on your gown, pay attention! If you need anything else, call me in the operating room next door."

The surgery was too small; even the circulating nurse looked down on it. After casually dealing with a few things, she went to the operating room next door — it should be a relatively large surgery — and she could only leave temporarily.

Although the trauma was small, Fang Ziye did not dislike it either.

Such a small debridement and suturing might only yield three to five knowledge points after treatment was completed, but it was still better than nothing.

The patient was a big brother in his thirties, skin slightly dark, wearing a mask, complexion slightly flustered.

Simple bandaging had been completed in the Emergency Department; now lying on the operating table, seeing Fang Ziye in green clothes, he couldn't help but alternately arch his legs up and flatten them, venting nervousness: "Doctor, this wound of mine hanging open, the doctor downstairs said I must go into the operating room for surgery; is it nothing serious?"

"Doctor Jin said your damage is not serious; as long as it's sutured up it'll be fine. But we still need to look at the small wound first, do irrigation and debridement. When the local anesthesia is given later, it'll hurt a little; you endure the first needle and it'll be much better." Fang Ziye proficiently put on examination gloves and began removing the bandaged gauze and absorbent cotton pads.

At the same time he was still assessing; it should be a smooth wound caused by a sharp instrument, belonging to the offset type.

Different from the vertical incision caused by surgery, the sharp instrument should have formed an angle with the skin, causing the skin break to have offset coverage; therefore after temporary bandaging, there was not much bleeding.

"Was this scraped by a nail or something?" Fang Ziye asked after opening it up and wiping the surface bloodstains with gauze.

"I don't know either, Doctor. I was riding an electric vehicle, passed an intersection, looked like there were no stairs, and when I rode over I just crashed directly."

"When I stood up, I found my foot a bit wet and painful; one wipe had blood. I hurriedly rode the electric vehicle to the nearby hospital. I was injured on the bridge in front of Han Street!"

"After coming to the hospital I only cared about calling to report insurance; what exactly scraped me, I didn't pay attention." The patient should be a takeout delivery guy, also not very clear on his own injury mechanism.

"Mm, no matter. We'll irrigate first, give a local anesthetic, suture it up and it'll be fine."

"The wound is a bit long but not deep; should only involve the subcutaneous layer." After Fang Ziye threw away the gauze cotton pads in his hand, he sequentially used normal saline, povidone-iodine, and normal saline for irrigation and disinfection.

After irrigation was done, Fang Ziye said: "I'll go wash and disinfect my hands, put on the surgical gown. Don't move this foot of yours; even if a little blood comes out it's fine, it won't be much. After suturing, the subcutaneous oozing will stop. Since you're in the hospital, don't worry yourself."

"Okay, Doctor." The takeout delivery guy heard Fang Ziye's voice — although young, it was steady and unhesitant — and his heart gradually calmed down.

If Fang Ziye had let out a "holy shit, how could this happen" right now, he would be scared.

Disinfection and draping for this kind of small trauma doesn't need to be as wide as for elective surgery; only twenty centimeters above and below the surgical field vicinity is needed.

After putting on the sterile surgical gown and sterile gloves, the circulating nurse arrived very experiencedly, opened the suture thread, and helped Fang Ziye hold the normal saline and lidocaine to aspirate into the syringe, poured povidone-iodine into the sterile tray, and also opened gauze, cotton pads, and other items.

Only then did she say: "Wait for me ten minutes then come back; if anything, call me anytime."

Fang Ziye hurriedly nodded and said thanks.

The other party had calculated the corresponding process times extremely precisely; obviously a very seasoned circulating nurse. Fang Ziye dared not ask for too much.

……

After disinfection and draping were completed, the local anesthesia around the wound was also by the book. Except for the takeout delivery guy who had always thought he could endure pain letting out an "aiyo" at the first needle of local anesthesia, the other operations were all uneventful.

And after lifting the skin, Fang Ziye said: "The wound isn't very deep; the deepest part only reaches the fat layer. No foreign objects inside; should have scraped something relatively clean. Your pants should be torn, right?"

"Torn a hole." The patient replied.

"Mm, since we don't know what it is, we still have to handle it according to tetanus protocol; otherwise the wound isn't big, but if tetanus occurs it'll be bad. After suturing is done later, you go to the Emergency Department and find an Emergency Surgery doctor for a tetanus shot." Fang Ziye explained to the patient while starting to suture.

"The doctor on duty there has already issued the medical order; you all say to get the shot, so it must be necessary."

"Doctor, you're not that old either, right?" The patient felt bored, looking at the shadowless lamp above, and started chatting.

"Turning the year I'll be twenty-seven; eating twenty-eight-year-old rice." Fang Ziye replied.

"At such a young age you can do surgery alone? I heard before that doctors inside Zhongnan Hospital are at least thirty years old." He raised his head slightly, looking surprised.

Eighteen enter university, five years undergraduate twenty-three, three years master's three years doctorate, twenty-nine; if normal employment, it's about the same as saying thirty.

"Your surgery is simple; otherwise it wouldn't fall to us graduate students to do."

"But rest assured, Big Brother; this kind of wound, I've sutured many, many times." Fang Ziye smiled and explained, understanding the patient's implied meaning.

The other party was just afraid he lacked experience and would become a guinea pig.

The patient was slightly embarrassed: "From your tone of voice one can hear it — steady, confident."

"Much better than that doctor I ran into the last time I bumped myself."

"You're a Doctor, right?"

"Mm, almost; not yet right now." Fang Ziye truthfully replied……

Seven or eight minutes later, Fang Ziye finished cutting the last suture. And used sterile gauze and cotton pads to cover the patient's wound, stuck the adhesive tape, then said: "Done, suturing finished. In a bit me and the circulating nurse will push you to the doorway; are you walking back to the Emergency Department yourself, or do you have family?"

"I walked here by myself." The takeout delivery guy was slightly embarrassed.

"Remember you must go to the Emergency Department for the shot; absolutely don't skip the trouble." Fang Ziye very patiently repeated……

As they spoke, a prompt for Knowledge Points +3 floated up.

(Chapter End)