top student at medical school

Tuesday, October 5th.

After having breakfast in the department, Fang Ziye, as usual, took Hu Qingyuan towards the outpatient clinic.

As they walked down the elevator to the second floor and into the outpatient corridor, Fang Ziye asked, "Qingyuan, what do you think of that Li Qixi?"

"She seems quite unassuming right now, nothing special. Maybe she's just relatively honest, considering she didn't have any experience with basic research during her undergraduate studies."

"She's very studious. She reads all the materials I send her carefully. She's a good reader. In just a few days, she's already started culturing cells and is currently learning scratch assays..." Hu Qingyuan reported Li Qixi's progress very clearly and in detail.

Upon hearing this, Fang Ziye nodded slightly: "What about other aspects? You two are not much different in age, have you asked about that?"

Hu Qingyuan thought for a moment and gently shook his head: "Master, after you gave me some pointers, I didn't ask about it. Instead, she brought it up herself, saying that she had been looking forward to this kind of atmosphere for a long time."

"She also said that she didn't want to take a purely research-oriented path. If she had the chance, she would still like to go to the practice room with me."

"The prerequisite is that she can gain our approval!"

Fang Ziye said, "I'm asking you other questions, like about family."

Hu Qingyuan nodded again: "We haven't talked about family matters, but she told me about the incident where she hit someone before."

“When she was on duty, a rich young man would sneak into the nurses’ break room. Everyone in the department was angry but dared not speak out.”

"She still occasionally calls and harasses me."

"The reason why Li Qixi withdrew from the residency training program was not only because she wanted to study, but also because she wanted to get rid of this harassment. It's too difficult for a girl to be out there alone."

After Fang Ziye understood these things, he said no more.

When Fang Ziye and Hu Qingyuan arrived at the familiar clinic entrance, they both stopped and stared in astonishment at the crowd of people in front of them.

There wasn't even a place for him and Hu Qingyuan to pass by.

Wheelchairs, crutches, and a cacophony of noise mingled together.

The irritable voice of Tang Wan, the triage nurse, came from inside: "Line up, line up! Even for extra numbers, you have to line up. If you don't line up, you won't get a single number. I said I wouldn't give you any, and I mean it!!"

"I was here first, nurse, I was here first."

"I arrived in Han City yesterday."

"They're talking about who came to the clinic first, and who asked when you came to Wuhan. Well, I came fifty years ago."

"I'll be there first!"

The voice of Tang Wan, the triage nurse, was instantly drowned out.

The disgruntled voices of patients who had already registered could be heard from behind: "You can add more patients, but don't block the door! We patients who have registered need to wait in line..."

But nobody paid any attention to him. The crowd remained in a semi-circle, talking amongst themselves, making it more chaotic than a vegetable market.

The hospital treated Fang Ziye very well. After Fang Ziye agreed to join the department ahead of schedule, they did not add any extra outpatient shifts for him.

Fang Ziye was newly married and naturally wouldn't deliberately "work overtime," as the number of patients he had accumulated over the past month was somewhat excessive.

It's possible that Tang Wan called the security office in advance, because Fang Ziye happened to see several colleagues from the security department walking in in uniform.

"Mind your manners! What are you doing?" The leader shouted as he approached, his voice so loud that it temporarily silenced the crowd.

The people surrounding Tang Wan included not only her family members, but also patients, wheelchair users, and people with mobility issues.

Even colleagues from the security office dare not approach easily; if someone bumps into them and gets hurt, who will be responsible?
Seeing this, Fang Ziye took a deep breath and, taking advantage of the moment when everyone was quiet, raised his hand and said, "Fellow patients and their families, could you please make way for me?"

Fang Ziye's registration system is public, and his photo is displayed on it.

Those who came for treatment had all heard of Fang Ziye's reputation and knew him, so they recognized him at first glance.

"Professor Fang, I couldn't get an appointment, could you please add me to the list?" A person at the back of the crowd asked with a broad smile.

Seeking medical help—it seems to have become a tangible reality now.

Upon hearing this, Fang Ziye's heart stirred: "Adding a number is one thing, but you still have to let me in first, right? Besides, there has to be an order to the numbering."

"How about this? I'll arrange a priority order: seniors over 65 and children under 15. After I've checked all the morning appointments, I'll add you to the schedule."

"For those outside this age group, I'll add you to the appointment list this afternoon. Please line up separately and don't worry too much about who arrives first."

"I promise I'll show it to everyone who comes here now, okay?"

"Squeezing around like this isn't a good solution."

Fang Ziye's daily workload at the outpatient clinic is actually quite heavy, with fifty patients a day.

In a normal eight-hour workday, it would take one hour to see six patients for their initial and follow-up visits, meaning only about ten minutes could be allocated to each patient.

"But I'll go first!" someone said, displeased.

Fang Ziye replied domineeringly, "I know you arrived first, but you didn't get an appointment. I'm working overtime to see you all. Let's be magnanimous and not get so hung up on the details, okay?"

"There should be an order and rules for seeing a doctor. Patients who have already made an appointment should be seen first, because they have already lined up in advance."

"You can either do as I say, prioritizing the elderly and children, or you can ask other professors or go to other hospitals..."

You're here to get a number, but you want to cut in line?
As soon as Fang Ziye spoke, everyone fell silent.

They must have some complaints, but everyone knows that the reason so many people are piling up now is because Fang Ziye hasn't opened his clinic for too long.

Not everyone checks the hospital's official outpatient duty information before seeking medical treatment; some people just come and wait for their turn.

Upon arriving in Han City, they discovered, oh dear, Fang Ziye wasn't scheduled for outpatient shifts this month; the medical affairs department had already issued a notice...

Since the hospital doesn't know who will come for treatment, they can simply announce it on their official website. They can't possibly notify you individually...

"Professor Fang, I think this is a good idea." While some were dissatisfied with the proposal, others were satisfied.

Fang Ziye continued, "The best way is to queue in order so that everyone can see. I don't know anyone, so I can only follow the principle of giving priority to the elderly and children."

"Let's all try to be understanding of each other..."

"Then, after this point, if any more patients come to add appointments, Tang Wan, you should just refuse them. I can't add any more."

"Let them come back next week."

There are at least forty patients gathered around, conservatively estimated. It's impossible for Fang Ziye to add that many more patients.

In this way, the crowd parted to make way.

The crowd began to disperse and form queues.

Some are very intelligent.

Tang Wan said, "Give me your ID card."

I am sixty-eight.

"Give me your ID card. Don't waste everyone's time anymore, and don't try to be clever. Professor Fang agreed to give you extra appointments, which means he won't be taking a break!"

"You're 68 years old, can you show me your ID card?"

The "old man" has passed away.

After Fang Ziye and Hu Qingyuan entered the consultation room, they immediately began calling out numbers for consultations.

Hu Qingyuan was already familiar with the order of consultations, and he immediately began asking questions: "Hello, who is the patient? Where does it feel uncomfortable?"

With his own teacher supporting him and helping him fill in the gaps in his knowledge, he can fully utilize his 'knowledge system'. If he makes a mistake, someone will correct it, and he can grow through making mistakes. This is the confidence that Fang Ziye gives him.

……

"Director He, why did you come here in person? Oh wow, such a long line? Who's seeing patients inside?" A surgical professor stopped in his tracks with curiosity after seeing He Qianyong from the security office.

He Qianyong replied, "Director Li, the doctor on duty inside is Professor Fang Ziye from the Department of Orthopedics. I'm a little confused too."

"I was just about to leave work when the triage nurse called to say she was surrounded and asked me to bring people over to maintain order."

The man called Director Li clicked his tongue in amazement and said, "Good heavens, so it's Fang Ziye from the orthopedics department. No wonder."

"Oh dear, that old saying is still true: comparing people will only make you miserable, comparing goods will only make you want to throw them away." Director Li looked at the few people queuing outside his clinic, then at Fang Ziye's clinic, and thought to himself, "Wow."

Director Li is an associate chief physician in geriatric surgery. He recently changed his outpatient days to Tuesdays. Although both are associate chief physicians, he is older than Fang Ziye, less famous, and now even his reputation among patients is...

“Director Li, it’s no exaggeration to say that someone like Professor Fang is one in a million. You are truly outstanding,” He Qianyong said.

As He Qianyong was speaking, he suddenly noticed someone making things difficult for Tang Wan, so he immediately stepped forward and scolded, "Do you want to go inside the police station to talk?"

"I've made it clear to you that hospitals are public areas, and the order of outpatient visits is a matter of special public order!"

"If you cause trouble and don't listen to orders, then I'll have the police stationed nearby talk to you!"

"My mom and I really came to line up first!" The man was young, only in his twenties, and tried to appeal to his emotions.

A kind-hearted person nearby nodded in agreement: "This leader did indeed arrive first. He's a young man, a graduate student, and it's not easy for him to take care of his mother all by himself!"

He Qianyong did not doubt the man's statement and said, "The proper order of seeing a doctor is registration, which is recognized by law!" "Whether to add appointments is the personal choice of the attending doctor, and the order in which appointments are added is also the personal freedom of the attending doctor."

"Since priority has been given to the elderly and children, you can refuse to be added to the schedule and choose not to queue, but you can't break the rules of the doctors on duty."

"is not it?"

"If you get a number, there will be a queue order."

“There’s no such thing as a first-come, first-served rule for plus signs,” He Qianyong said.

"But I don't have that much time. I only asked my teacher for half a day off. I have to go back to the lab tonight."

"My mother is too old. Can she go to the doctor by herself this afternoon?" the man asked, arguing.

“I know this, so I got up at five o’clock and brought my mother here to wait at six-thirty.”

"I don't want to either..."

"Mom, don't pull me!"

"I'm fine, I won't argue anymore..." The man said, but then felt extremely aggrieved and quickly turned around to comfort his mother.

Whenever someone gets sick, or whenever there's a sick person in the family, everyone inevitably faces their own difficulties.

He Qianyong was also a little helpless. Looking at the long line of patients, he had no idea what to do.

Fang Ziye certainly couldn't care less about the unspeakable troubles of the person outside the door. Having worked in the security office for a long time, he knew that if it came to unspeakable troubles and difficulties, nine out of ten people caught in the outpatient clinic and wards would have their own grievances.

However, the man's situation was indeed quite special. After glancing at him, He Qianyong asked, "Did you bring test results from other hospitals?"

"We do have the test results, but will your hospital accept them?"

He Qianyong whispered to the man, "Take your mother to the orthopedic ward, and look at the photos on the wall. Look for doctors who are relatively young and in the same group as Professor Fang."

"Have him give your mother a preliminary look at the test results first."

The man was somewhat confused upon hearing this: "I came to see Professor Fang at his clinic!"

He Qianyong continued to lower his voice, growing anxious: "They're in the same group as Professor Fang. If they don't understand something, don't they know to ask their teacher?"

"You're a graduate student too. When others ask you questions about your major, if you don't understand something, don't you ask your advisor?"

The man's eyes lit up: "What if they don't want to watch?"

He Qianyong said irritably, "Then I'll personally carry our aunt to find the dean to intervene?"

I've already given you directions, why do I need to guide you?
Don't you know how to find a solution?

I just don't understand how junior doctors can pull in patients at top-tier hospitals, it's really something!

Upon hearing this, the man immediately pushed his mother away.

Some people did hear what He Qianyong said afterward, but some thought that He Qianyong was arguing with the man.

Someone else inquired, "Boss, what good idea did you give that young man?"

"I don't have any ideas, you can take your time to line up." He Qianyong didn't dare to let too many outpatients into the ward, as that would definitely cause trouble.

……

When Fang Ziye received the message from his junior apprentice Lin Fangzhong, Hu Qingyuan was seeing a new patient.

After reading the information, Fang Ziye said, "In that case, have Teacher Li Nuo write a hospitalization certificate, but don't write today as the date."

"This spinal cord injury is indeed quite typical. If there is a strong desire for hospitalization, we can admit the patient."

“Okay, Senior Brother Fang,” Lin Fangzhong replied politely.

Fang Ziye wasn't pretending to be high-minded. Someone who could directly find the ward and even get treatment from Lin Fangzhong and others must have received guidance from a "master".

Moreover, the other party did indeed put in a lot of effort to persuade Dr. Zhang Wenlin, the attending physician in the department, to help with the diagnosis.

After sending the message, Fang Ziye interrupted, saying, "No, Hu Qingyuan, his condition is not a spinal cord injury, but rather a spinal nerve root injury."

"You're a doctor, so you can't use such a certain tone when describing things in the future. Have you seen the MRI? Are you just making a sure thing based on your experience?" Fang Ziye criticized.

Hu Qingyuan quickly corrected himself: "Well, based on the current examination results, nerve root damage cannot be ruled out in your case, but we still need to do an MRI to make a further diagnosis."

"Your symptoms have persisted for so long, you've probably seen many doctors, so you must know that a very detailed diagnosis is needed before there's any chance of treatment..."

Hu Qingyuan is very good at talking to patients.

He was Fang Ziye's student. If Fang Ziye criticized him, it wouldn't make the patients think that Hu Qingyuan was unreliable. On the contrary, it would make the patients think that Fang Ziye was strict.

A strict teacher produces good students.

In fact, Hu Qingyuan's statement was too certain and not rigorous enough; he did not gather more evidence.

Making a diagnosis for spinal cord injury without a clear diagnosis is no joke.

……

Fang Ziye and Hu Qingyuan only had a quick lunch break, finishing in less than six minutes, then drinking some water and going to the toilet.

Under the watchful eyes of many patients in line, the two only rested for thirteen minutes before continuing to "work".

Patients come and go, come and go.

Later on, some patients even noticed that Fang Ziye and Hu Qingyuan had foam at the corners of their mouths from talking so much that they didn't even realize it...

But we still have to watch it.

Fifty registered outpatient appointments, and fifty-three additional appointments! None of these are particularly simple minor ailments; my orbicularis oculi muscle in my mouth is practically cramping up…

At 7:40 p.m., another patient came in carrying two boxed meals and two bottles of Oriental Leaf Tea.

She said with some concern, "Professor Fang, doctor, why don't you wait a moment before seeing the doctor and have something to eat?"

Fang Ziye said, "We've already eaten. There shouldn't be many patients outside, right? Let's finish seeing them as soon as possible and get some rest."

"If I remember correctly, you are a first-time patient. I'm really sorry, but the tests we ordered for you may not be available until tomorrow."

"I'm so sorry."

The people who came in were a middle-aged couple in their fifties. The patient was the wife, who said with particular concern, "Sigh, my son is also a doctor and has to work in the outpatient clinic."

"However, since he works in another city, I don't know if he sees patients in the same way you do, Professor Fang."

"My husband and I arrived at 2 p.m. and have been waiting at the door ever since."

"I'm getting restless just sitting here waiting, Professor Fang..." The aunt hesitated, unable to finish her sentence.

"It's okay, I'm used to it."

"There are just more patients being added to the schedule today," Fang Ziye said. "Auntie, are you feeling unwell?"

Hu Qingyuan was crippled!
Consulting a patient is not a matter of just a few words. The ordeal of consulting seventy or eighty complicated outpatients has left Hu Qingyuan with a tongue that is almost too sore to speak.

"..."

Nine-thirty.

The latest Fang Ziye ever left work at the outpatient clinic was when he left.

Three senses.

First, my buttocks were soaked with sweat.

Secondly, my buttocks hurt a little.

Thirdly, I don't want to talk.

Fang Ziye looked at Hu Qingyuan, and Hu Qingyuan looked at Fang Ziye. The two, master and apprentice, fell silent and stopped talking. They walked away from the clinic together.

The triage nurse, Tang Wan, left early today and did not wait for the two of them to get off work.

It wasn't until he was leaving the outpatient clinic that Hu Qingyuan said, "Master, I'll take your white coat back to the ward for you. You should go back and rest first."

After all, Fang Ziye was the mentor and Hu Qingyuan was the student. Even if Hu Qingyuan did more and more physical work, it was his turn to run away at this moment.

"Okay! Get some rest early." Fang Ziye was a man of few words and didn't like to talk much.

Fang Ziye strolled leisurely to the parking lot, let out a long sigh of relief, and then got into his car and drove out of the parking lot.

However, what Fang Ziye didn't know was that somewhere in the parking lot connected to the outpatient corridor, Tang Wan stood there, staring at Fang Ziye in a daze.

Only after Fang Ziye drove away did she say, "Professor Fang, goodbye. But I'm sure you won't mind a lowly triage nurse like me."

"I'm going back to my hometown..." (End of Chapter)