top student at medical school

Chapter 71 The Implied Meaning (Please add to your favorites and read on)
Jin Hongzhou was busy but not chaotic. He knew that Luo Tingzhu was a doctor and that her skills in the training room were not weak. She was more proficient in the basics than Fang Ziye. Therefore, he arranged for Luo Tingzhu to be placed in the emergency operating room for a relatively large wound with some muscle damage that required suturing.

Fang Ziye rushed into the orthopedic operating room in the surgical building alone. The surgery he was about to perform involved an incision of about six centimeters. Jin Hongzhou had already arranged for someone to complete the pre-operative consultation and signing. Fang Ziye only needed to go into the operating room and act as an operator.

When Fang Ziye entered the operating room fully equipped, there was only one circulating nurse. She brought the wound cleaning kit, opened the outermost packaging, and then hurriedly left: "This is a minor surgery. I'll come back in five minutes to remove the sutures. I've already opened the lidocaine and the saline solution for dilution; they're on the trolley over there."

"The sterile syringe is on the sheet. After you're dressed, please keep an eye on it! If you need anything else, call me from next door."

The surgery was too minor; even the circulating nurse didn't bother with it. After quickly grabbing a few things, she went to the next operating room, which must have been a more major surgery, so she had to leave temporarily.

Although the trauma was minor, Fang Ziye did not mind.

Such minor debridement and suturing may only yield three or five points of knowledge after the treatment, but it's better than nothing.

The patient was a man in his thirties, with slightly dark skin, wearing a mask, and looking somewhat flustered.

After receiving simple bandaging in the emergency room, she was now lying on the operating table when she saw Fang Ziye in a green coat. She couldn't help but arch her legs back and forth alternately to relieve her tension: "Doctor, the doctor downstairs said that I need to have surgery in the operating room for this incision. Is it serious?"

"Dr. Jin said your injury isn't serious; it just needs to be stitched up. However, we still need to check the small wound first, and do some rinsing and cleaning. When you get the local anesthesia, it will hurt a little, but you'll feel much better after the first stitch." Fang Ziye skillfully put on his examination gloves and began to remove the bandages and absorbent pads.

At the same time, the assessment suggests that it is a smooth wound caused by a sharp object, belonging to the category of offset edges.

Unlike vertical wounds caused by surgery, sharp instruments are angled to the skin, resulting in staggered coverage of the skin laceration. Therefore, after temporary bandaging, there is not much bleeding.

"Did you get this scratched by a nail or something?" Fang Ziye asked after opening the package and wiping the blood off the surface with gauze.

"I don't know either, doctor. I was riding my electric bike and passed an intersection that looked like it had no steps. I just hit it when I went over."

"When I stood up, I found my foot was a little wet and painful, and there was blood when I wiped it. I quickly rode my electric bike to the nearest hospital. I was injured on the bridge in front of Han Street!"

"After arriving at the hospital, I was only focused on calling my insurance company, so I didn't pay attention to what exactly caused the scratches." The patient was probably a food delivery driver and wasn't very clear about the mechanism of his injury.

"Hmm, it's okay. We'll rinse it first, give it local anesthesia, and then suture it up."

"The cut is a bit long, but not deep. It should only have damaged the subcutaneous tissue." After throwing away the gauze pad in his hand, Fang Ziye proceeded to rinse and disinfect the wound with saline solution, iodine tincture, and then saline solution in sequence.

After rinsing, Fang Ziye said, "I'll go wash and disinfect my hands and put on my surgical gown. Don't move your foot around. It's okay if there's a little bleeding. It won't be much. After the stitches are done, the subcutaneous bleeding will stop. Once we get to the hospital, you won't have to worry about it."

"Okay, doctor." The deliveryman heard Fang Ziye's voice and demeanor. Although he was young, he was experienced and decisive. The deliveryman gradually calmed down.

If Fang Ziye were to say something like "Holy crap, how could this happen?" right now, that would be when he would be scared.

For minor surgical procedures, the disinfection area does not need to be as wide as that for elective surgeries; it only needs to be within 20 centimeters above and below the surgical field.

After putting on sterile surgical gowns and gloves, the circulating nurse, with great experience, came over, opened the sutures, and helped Fang Ziye hold the saline and lidocaine to draw them into the syringe. After pouring iodine into the sterile tray, she also opened the gauze, cotton pads, and other items.

He said, "I'll be back in ten minutes. Please call me anytime if you need anything."

Fang Ziye quickly nodded and said thank you. The other party had calculated the time for each process very precisely, clearly a very experienced tour operator, and Fang Ziye didn't dare to ask for too much.

……

After disinfection and draping were completed, the local anesthesia around the wound was administered as usual. Except for the delivery guy, who always thought he could tolerate pain, who groaned a little at the first injection of local anesthesia, everything else went smoothly.

After lifting the skin, Fang Ziye said, "The wound isn't very deep, only reaching the fat layer at its deepest point. There were no foreign objects inside; you must have scraped something relatively clean. Your pants must be torn, right?"

"It's broken open," the patient replied.

"Well, if you don't know what it is, you still need to treat it as tetanus. Otherwise, if the wound isn't big and tetanus develops, it won't be good. After you finish suturing, go to the emergency department and find an emergency surgeon to give you a tetanus shot." Fang Ziye explained to the patient while starting to suture.

"The doctor on duty there has already written a prescription. Since you all said you wanted to get the injection, it must be necessary."

"Doctor, you're not that old, are you?" The patient, feeling bored, started chatting while looking at the operating light above his head.

"Next year I'll be twenty-seven, and I'll be eating the food of a twenty-eight-year-old," Fang Ziye replied.

"At such a young age, you can perform surgery on your own? I've heard people say that doctors at Zhongnan Hospital are at least thirty years old." He looked up slightly, surprised.

I started university at eighteen, completed a five-year undergraduate degree at twenty-three, a three-year master's degree and a three-year doctorate at twenty-nine, and if I start working normally, I could say I'm around thirty.

"Your surgery is simple, otherwise it wouldn't be our graduate students' turn to perform it."

"But don't worry, brother, I've stitched up this kind of wound countless times," Fang Ziye explained with a smile, understanding the patient's unspoken meaning.

The other party was afraid that they lacked experience and would become a guinea pig.

The patient was slightly embarrassed: "I can tell from your tone of voice that you are calm and confident."

"It's much better than the doctor I encountered when I had a minor accident before."

"Are you a PhD?"

"Yes, it will be soon, but not yet," Fang Ziye replied truthfully.

Seven or eight minutes later, Fang Ziye finished cutting the last stitch. He then covered the patient's wound with sterile gauze and cotton pads, and after applying the adhesive tape, he said, "Okay, the suturing is done. In a bit, the circulating nurse and I will push you to the door. Are you going to walk back to the emergency room by yourself, or will you have a family member with you?"

"I walked all the way here myself," the delivery guy said, slightly embarrassed.

"Remember to go to the emergency room for your injection; don't try to avoid the hassle," Fang Ziye repeated patiently...

As they spoke, a notification appeared indicating +3 knowledge points.

(End of this chapter)