Chapter 71: Believe or Not, Both Are Natural (Asking for Favorites, Asking for Follows)

Xiao He is currently a Professional Master's First Year student; since he entered the department in August and started managing beds, counting generously, it has still been less than three and a half months.

He is already quite familiar with 'going head-to-head' with elective surgery patients and their families, but he still has no experience negotiating with emergency patients and their families.

Xiao He's build, placed in a crowd, is no longer considered thin, but a 1.75-meter beanpole, among orthopedic doctors, is truly a shorty; Fang Ziye is at least one size more robust than him.

Right now, not to say he was trembling with fear, but he was also somewhat helplessly explaining to the crowd surrounding him: "I understand your anxiety, but currently, our department's senior physicians are all in surgery and running emergency consultations."

"Can you wait just a little longer?"

"We're emergency cases too; there has to be a first-come, first-served principle, right?" Xiao He's explanation had absolutely no effect.

Fang Ziye wasn't here to watch the show, so he didn't let Xiao He struggle further; he just pulled his mask up and said in a deep voice: "Xiao He, what's going on here? Didn't they say two emergency patients came to the department?"

Hearing Fang Ziye speak, Xiao He hurriedly turned his head, his face full of delight.

Subconsciously he shouted: "Senior Brother Fang, the emergency patients are right here."

The five people also turned their heads at the sound; seeing Fang Ziye dressed in the operating room's sterile surgical gown, walking with steady steps, they quieted down for a moment.

Fang Ziye walked over and looked, discovering the two patients were one man and one woman; the man was a thirty-something youth, his companion should be his friend, both were sizing Fang Ziye up and down.

The female patient was a fifty-something auntie; her companions should be her husband and child, but their specific identities are still pending verification.

"Doctor, I came first." That auntie, left hand supporting her right elbow, responded a step ahead.

Although not medical professionals, anyone with a bit of common sense knows green clothes are worn for surgery and don't wear name badges; Fang Ziye should be a senior physician, at least more reliable than the duty doctors here.

"Hello, I'm Fang Ziye. I just took over from your Doctor Jin. Currently, there's a major trauma emergency consultation in the Emergency Department that I can't leave, so he entrusted me to return to the ward first to help you handle things for now."

"Which of you two came first? Exams done?" Fang Ziye walked to the front of the crowd, asked in a very natural tone, then sat down at the computer with a somewhat old-fashioned, overbearing air.

Fang Ziye knew, with this kind of emergency, you don't explain so much; if you can handle it, just directly dialogue the problem with them, that way you can best soothe the patients' emotions.

The woman hadn't spoken yet when her daughter asked: "Doctor, are you Doctor Jin's superior?"

At the same time her gaze flickered, as if weighing Fang Ziye's and Jin Hongzhou's ages.

"Doctor Jin is my superior, but closed reduction of joint dislocation is relatively simple; there's no need for it to be handled by a senior physician specifically."

"What's your medical record number?" Fang Ziye skipped ahead again and asked this.

Diagnose first, confirm the diagnosis, then evaluate the indications for closed reduction; this is the admission procedure. Confirm closed reduction is possible, then discuss treatment.

"You should still be a student, right?" The woman's husband blurted out a sentence.

Hearing the patient's family say this, Xiao He chimed in: "This is my senior brother, and he's more experienced than me."

"What can a student handle? Where's Doctor Jin? Where are your department's seniors?"

"Such a big hospital, sending a student to receive patients?" The patient's husband, having confirmed Fang Ziye's identity, seemed to gain confidence and began questioning.

Fang Ziye replied: "Currently it's during the Orthopedics Annual Conference; most of our orthopedics professors have gone to academic meetings; this was hospital-approved."

"The other seniors are all in the operating rooms, temporarily unable to leave. Doctor Jin is in an emergency consultation. Auntie, if you're especially anxious, I can take a look at you first."

"If you're willing to wait a bit, I'll look at this big brother first. Making a scene here is useless. Our department's emergency consultation duty is Doctor Jin's duty, but emergencies also have degrees of urgency."

"Like your joint dislocation, it counts as semi-emergency; hope you can understand..."

Fang Ziye made things clear; never mind that the professors aren't here, even if they were, for small cases like yours they wouldn't come out to handle them, you'd still have to wait, let alone the current situation where they can't leave.

And hearing Fang Ziye put it this way, the two youths behind him probably had other things to do, so they asked: "Big Sis, are you letting Doctor Fang look first? If you're not, how about I go first?"

The speaking youth was the patient; he actually thought, this is a top-tier Grade-A hospital after all, no matter how busy, the hospital wouldn't send out an unreliable doctor.

Student is a student; a Master's senior brother, no matter how bad, is at least a Senior Master, maybe even a Doctor; dislocation isn't difficult anyway, letting him handle it is fine.

The woman, her husband, and their daughter all stopped speaking, as if tacitly accepting the youth cutting in line.

The youth reported the medical record number from his QR code, and Fang Ziye pulled up his X-ray plain film.

Joint dislocation requires diagnosis through film reading and physical examination.

However, the physical exam, Jin Hongzhou had already done in advance, fully suspecting dislocation; Fang Ziye didn't need to re-verify the physical exam Jin Hongzhou had already done, only needed to read the film to confirm diagnosis and evaluate whether it meets criteria for closed reduction.

The humeral head dislocated from the shoulder glenoid cavity — a typical anterior shoulder dislocation.

He looked carefully for forty-odd seconds, then said to Xiao He: "Xiao He, go print a Closed Reduction of Joint Dislocation Informed Consent Form."

Immediately looking at the youth, and combining the emergency medical record written by Jin Hongzhou that Xiao He presented, he said: "Old brother, your situation is a typical anterior shoulder dislocation; the first-choice treatment is closed reduction, but this closed reduction thing has a certain success rate."

"The general success rate is around seventy percent; if multiple closed reduction attempts fail, surgical reduction may be needed."

"Want to try a closed reduction?"

"Can it be reduced?" The youth countered Fang Ziye.

Fang Ziye took the pen from in front of Xiao He's chest, added the X-ray film reading results to the emergency medical record, and added a sentence: recommend patient undergo closed reduction treatment; surgical reduction if necessary. Forearm sling fixation after reduction.

"If closed reduction works it works; if it doesn't, you may need to wait for a senior or surgical reduction, but it's at least an attempt."

"Nothing is one hundred percent; if it's a one hundred percent probability, that's definitely a scam." Fang Ziye wrote while looking at him, explaining patiently.

Although Fang Ziye also really wanted to gain Knowledge Points through the operation, and for this opportunity had even upgraded the Manual Reduction Technique to Level 3, Fang Ziye still didn't dare skip the procedure and boast for the sake of the operation.

Boasting for the sake of the operation isn't a small error; it's a neural pathway and IQ completely inconsistent with his own cognition.

Whether the patient trusts him or not, both are understandable, and natural.

The youth hesitated for half a minute, saw Fang Ziye calm and unruffled, not panicked, not rushed, and still nodded.

(Chapter End)