top student at medical school

The first workday after May Day, the first day of outpatient service, left Fang Ziye feeling exhausted.

After returning home, Fang Ziye first sent a message to the research group to report that he could no longer go to the animal laboratory.

After taking a shower and sending a few messages to Luo Tingzhu, I lay down and went to bed.

“Seeing patients at the clinic is tiring too. You should rest first, senior brother,” Luo Tingzhu said.

"If it were a simple outpatient visit, doubling the number wouldn't be a problem. The key issue is that all the patients we've accumulated today have complex and difficult-to-treat conditions!"

"I only encountered a dozen or so that didn't require much brainpower. Sigh..."

"I'll never add so many accounts again, even if you kill me." Fang Ziye felt a bit overwhelmed and pressed his temples after sending the message.

“Senior, this is how it should be. You’ve already completed more work than other professors before, and you couldn’t possibly finish it even if you worked your hardest.”

"Our Professor Fang should take good care of his health."

"Senior brother, you should rest first. Get a good night's sleep, and your head won't feel so swollen anymore."

"This is due to overworking the brain."

"I'm not going back, goodnight," Luo Tingzhu said.

……

Fang Ziye intended to get some rest, and after ending the chat, he quickly fell asleep.

However, whether it was bad luck or something else, Fang Ziye was woken up by the phone ringing at three in the morning.

When I picked it up, I saw that it was Professor Wang Xinghuan calling again.

Taking a deep breath, suppressing his impatience, he calmly replied, "Dean Wang..."

"Ziye, come to this hospital area right away. There's an emergency here, and you need to come and take charge."

"Your orthopedic department directors, Du Xinzhan, Deng Yong, and Gong Jiahe, all said that only with your arrival can this emergency case be handled more smoothly."

At first, Fang Ziye didn't seem angry, but as he heard the rest, his tone became strange: "Not a life-threatening emergency patient?"

Wang Xinghuan should have seen the message he posted in the research group!
"This emergency patient is somewhat special. It was originally a life-threatening emergency, but it has now been converted into a regular emergency."

"Well, the two master's students from our general surgery department and your orthopedics department are off today, so we made plans to go to the movies together."

"After we finished our consultation, we encountered a car accident emergency. Both of us were skilled enough to stop the bleeding on the spot."

"But in the rush, we cut into some things that shouldn't have been cut... Now, although we've saved our lives, the cleanup is quite difficult."

"You know Gong Luoyuan, right? I think he's also a master's student in your trauma surgery department."

"So, Professor Fang, although you might be a little tired, in order to encourage our hospital staff to take action in critical moments instead of avoiding them, I had no choice but to call you," Wang Xinghuan explained in detail.

After hearing this, Fang Ziye's anger completely subsided.

Of course he knew Gong Luoyuan; he was Deng Yong's student and his direct junior.

My junior colleague and his classmates from general surgery went to see a movie together. After the movie, they encountered an emergency and had to cut something they shouldn't have cut to save their lives. I should clean up their mess.

"Dean Wang, I'm coming right away!" Fang Ziye rolled over and sat up immediately.

I slept for less than six hours, but I still felt quite refreshed.

Fang Ziye didn't bother brushing his teeth or washing his face. After changing his clothes, he casually rubbed his face and then went downstairs to hail a taxi.

Fang Ziye was still a bit tired and didn't want to drive while fatigued, so he decided to take a taxi, which would be safer.

After getting in the car, Fang Ziye said, "Driver, please drive a little faster. I need to perform emergency surgery to save a life."

Seeing that Fang Ziye was not very old, the doctor asked suspiciously, "Are you the one performing the surgery, or are you the one being operated on?"

"I perform surgery on others, and it's quite urgent."

Upon hearing this, the driver laughed and said, "Doctor, we're not that old, so let's not act like old men. Safety should be our top priority when driving."

He didn't believe that Fang Ziye, at his age, could have such a high level of skill.

Fang Ziye simply used his special skill: "Drive faster, and I'll give you an extra hundred yuan. If you don't drive fast, you won't get any more."

"Really? Please don't report me, okay?" The master was tempted.

"The whole thing was recorded. If I report you and you post a short video of it, won't I be in a lot of trouble?"

“Of course it’s true. I can scan it for you first!” Fang Ziye said.

Upon hearing this, the driver stepped on the gas pedal slightly to accelerate: "You're willing to pay extra to get there, so even if you're not going to save a life, you're definitely going to help."

"Even though we have a tough life, we can't earn this kind of money."

"Let's forget about the extra money."

……

When Fang Ziye arrived at the operating room, Yuan Weihong immediately approached him and explained the current situation in detail.

The patient was thrown from the building and scraped against a tree branch on the side of the road; the situation was extremely critical.

Seeing that there was a lot of blood loss, Gong Luoyuan and Wang Maobi, a master's student in general surgery, found alcohol and a knife nearby and cut open the blood vessel in order to stop the bleeding.

In an emergency, one must act expediently. Emotional management in an emergency is certainly not as effective as in the operating room, where one might sever a patient's nerves!

Actually, if it's just to save a life, cutting a nerve is fine, it's not that big of a deal.

But now that they've come to Zhongnan Hospital, and it was done by a master's graduate from our hospital, that's a good thing.

Therefore, the finishing touches should be handled even more perfectly.

Liu Huanglong, a hand surgeon, is skilled in nerve suturing. However, after performing the procedure for a while, he assessed that he might also experience sequelae after suturing.

Since we've already used the 'Great Summoning Spell,' let's make it even more perfect.

In teaching hospitals, interns are better at recruiting than attending physicians!

Fang Ziye entered the operating room after washing and disinfecting his hands. He listened and nodded, asking, "Master, are your vital signs alright now?"

"He received a blood transfusion and is currently in a stable condition."

"The problem is that retroperitoneal hematoma is quite troublesome to treat. After Professor Deng Haibo and Professor Wu Yong of the Department of Vascular Surgery examined it, they both felt it was quite difficult to handle."

"The previous one-way valve high-speed hemostasis technique isn't working very well!"

"But the good thing is that it's not an active hematoma, so we don't need to treat it for now," Yuan Weihong replied quickly.

As they were talking, the tall Gong Luoyuan walked in, his eyes filled with remorse.

Before he could speak, Fang Ziye reassured him, "Luo Yuan, it's alright. It's good that you dared to step in when you encountered an emergency. Your senior brother applauds you."

Gong Luoyuan said softly, "It's still because my basic skills aren't good enough. Otherwise, I wouldn't have bothered you and so many other teachers to rest."

He was a little flustered because so many people had come over because of him.

Fang Ziye replied, "It's alright. Everyone learns their skills gradually. If you were born with them, then there would be no such thing as learning."

Isn't the learning process about gradually growing from troubling others to no longer troubling them?

"I just took a quick look, and it's not a big problem."

In fact, Liu Huanglong could have handled it well, but everyone wanted the matter to be resolved perfectly, so they called Fang Ziye over.

They didn't want Gong Luoyuan, as a student, to get into trouble after doing a good deed.

Zhongnan Hospital is affiliated with Wuhan University and has always been very good to its students.

After Fang Ziye took over the operating table, the surgery progressed rapidly.

Watching Fang Ziye operate the equipment as skillfully as if it were his own home, Wang Xinghuan's voice faltered slightly as he asked Liu Huanglong, "Director Liu, is this operation really that difficult?"

Liu Huanglong felt uneasy after hearing this, but considering that Wang Xinghuan was not a hand surgeon, he didn't get angry: "Dean Wang, is it possible that Fang Ziye's development is too abnormal?"

"Not to mention me, even if Professor Zhong Junyu from Peking Union Medical College Hospital came, he wouldn't dare say he could perform the procedure better than Professor Fang."

"If it's also based on a more cautious approach, and there's an opportunity to call Professor Fang, then we will."

If Fang Ziye were not at Zhongnan Hospital, but rather an employee of another hospital, Liu Huanglong certainly wouldn't bother him for such a trivial matter.

Fang Ziye was also unwilling to come.

It was precisely because Fang Ziye worked at Zhongnan Hospital and Gong Luoyuan was also a graduate student at Zhongnan Hospital that this "mass mobilization" was possible!
"Dean Wang, since Professor Fang is here, then Professor Wu and I will take our leave. We have an emergency case of abdominal aortic dissection in our department." Deng Haibo, now the administrative director of vascular surgery, said with relief.

Wang Xinghuan said, "Then let's do it together. With Professor Fang taking over here, there's definitely nothing else to do."

Wang Xinghuan then looked at Deng Yong: "Director Deng, your department is still as daring and enterprising as ever!"

To see the whole leopard from a single spot.

Without Deng Yong and his colleagues' usual 'authorization' and hints, would a mere master's degree holder dare to step forward in such an emergency?

You might get extorted for helping someone, and if you start performing procedures on a patient, even with emergency avoidance laws, you could still get into trouble.

Clearly, since its development, orthopedics has gained more confidence and has become bolder in its teaching.

Deng Yong smiled apologetically and said, "Thank you for your trouble, Dean Wang. I'm just an ignorant student who has caused you trouble." "Director Deng, Director Wu, let's have a drink together sometime later." This time, Deng Yong didn't call Deng Haibo by his nickname.

The group filed out.

The operating room was instantly left with only the orthopedic team responsible for the final cleanup.

As soon as the outsiders left, Deng Yong's expression immediately turned serious. He took a deep breath, causing his chest to heave violently, before suppressing his emotions and asking, "Gong Luoyuan, can you tell me the specific details of what happened back then?"

"How did it get like this?"

"That's really unprofessional!"

If you're going to cut, why did you have to sever the nerve? Couldn't you have been a little more careful?
This is incredibly embarrassing.

Gong Luoyuan replied, "Master, the situation was really urgent at the time. As you can see, there were multiple ruptures in the branches of the femoral artery in the lower part of the thigh."

"The popliteal artery and posterior tibial artery on the right side are also damaged."

"Under the circumstances, I couldn't be very certain, so I could only think of ligating the femoral artery first."

"I tried applying pressure to stop the bleeding immediately, but applying pressure to both sides was definitely ineffective."

"I could only think of bandaging to stop the bleeding, but after I opened the groin, I found a hematoma in the pelvis, which was active bleeding from the internal iliac artery."

“If I didn’t…” Gong Luoyuan explained all the considerations he had at the time.

Gong Luoyuan bears no responsibility whatsoever. After all, he is just a student, and even if he has a medical practitioner's certificate, he is only a master's student in surgery.

But even if the patient is moved, without comprehensive rescue efforts, they will still die.

When an emergency patient suffers an open wound, it may only take one small cause to die, but dozens of causes may need to be addressed to save them!

Liu Huanglong advised, "Director Deng, please don't blame Gong Luoyuan. This patient's condition was indeed special. Under the circumstances, it was quite remarkable that Xiao Gong was able to take the patient away."

"It's because you taught so well. Anyone with a slightly lower skill level would still have the patient die on the spot, even if they tried to treat him."

"This level is quite good."

Deng Yong wasn't blaming Gong Luoyuan, but said in a low voice, "I naturally wish I could have done better. As an orthopedic surgeon, severing the femoral nerve is really embarrassing to admit."

Fang Ziye advised, "Master, actually, the approach Gong Luoyuan chose is already closest to the optimal solution. In an emergency, given his age, his theoretical knowledge is insufficient, so his performance is already quite prudent."

"The remaining problems are not difficult either."

“By the way, Master, this retroperitoneal hematoma is quite interesting. Why don’t you come and try your hand at it?” Fang Ziye changed the subject, giving Deng Yong the opportunity to demonstrate his ‘national-level’ debridement skills.

Deng Yong was very interested when he heard this.

Since his skills improved, he has been showing off in the department to the fullest. Apart from the Gong family and the professor, he is undoubtedly unique in the orthopedics department.

However, Deng Yong was more interested in gaining Fang Ziye's approval.

……

"Master, senior brother, your skills are truly amazing! I really want to learn them." Gong Luoyuan was very tall, and he spoke with a slight hunch, his tone full of envy.

Deng Yong drawled, "Want to learn?"

"It's good to want to learn, but it's not easy to learn to this level. Even your teacher only reached this level this year."

"take it easy."

"No matter what, Gong Luoyuan, you have made your master proud."

After saying that, Deng Yong turned his head slightly and asked, "Ziye, are you interested in Luo Yuan? If you are, your master will give it to you."

Fang Ziye was taken aback upon hearing this.

Oh!
By the way, more than two years have passed. Gong Luoyuan, who was once my follower, has grown up to be about to finish his second year of master's studies and is about to graduate, facing the stage of taking the doctoral entrance exam.

He's no longer Gong Luoyuan's junior brother; he'll be called Gong's senior brother by another group of junior brothers...

After Gong Luoyuan joined the department, Fang Ziye became the chief resident, and then went to Enshi. Two years passed in this way...

"Luo Yuan, what's your choice?" Fang Ziye asked.

Judging from Gong Luoyuan's emergency operation techniques and theoretical strategies, his skill level is quite good, ranking among the excellent levels in his cohort.

Compared to his own class, he might be a little better than Li Yuanpei, but slightly worse than Xiong Jinhuan.

Not everyone is exceptionally talented, and I cannot use Xiong Jinhuan as the bottom line for accepting students.

Upon hearing this, Gong Luoyuan first glanced at Deng Yong: "Senior brother, Master has been very good to us. He told us that whether we choose you, Teacher Yuan Weihong, or him, it's all the same."

"If the opportunity arises, I would like to continue my doctoral studies under your guidance, senior brother." Gong Luoyuan also had some ambition.

"Master, are you willing to part with it?" Fang Ziye asked Deng Yong again, his tone serious.

"There's no such thing as being willing or unwilling. Children will always grow up, and when they grow up, they have to go out on their own and start their own businesses."

"If Gong Luoyuan can be favored by you, it is his good fortune."

Fang Ziye nodded and said, "Luo Yuan, you can report me then. However, as your mentor and senior brother, I won't go easy on you. On the contrary, I will be even stricter with you."

"You better be prepared!"

Fang Ziye would certainly disagree if Gong Luoyuan were to give up.

Gong Luoyuan's eyes lit up as he replied, "Senior brother, I will definitely work hard to change your status from senior brother to master!"

"Then you should go and rest. You must be tired after traveling for so long," Fang Ziye said.

Upon hearing this, Gong Luoyuan instinctively wanted to shake his head, but realizing that Fang Ziye might have something to say to Deng Yong, he said, "Okay, senior brother, master, goodbye!"

Gong Luoyuan quickly walked away first.

Deng Yong deliberately slowed his pace, and only asked after Gong Luoyuan's figure disappeared, "Is there something you want to tell me?"

Fang Ziye nodded: "Yes, Master, I may have to disappoint you and never reach that point again."

Upon hearing this, Deng Yong paused slightly, his expression shifting between conflict and confusion.

After a good ten seconds, his voice suddenly became hoarse: "If we can't get there, we can't get there. That kind of thing depends on fate."

"Opportunity is the most elusive thing."

"However, Ziye, if you don't even have the chance to take that step?"

"Ugh……"

"Just how good would it be to have that title?" Deng Yong exclaimed.

He did not blame Fang Ziye, nor did he ask why.

If you can't get there, you can't get there; the reason doesn't matter.

Fang Ziye was his student, and he was proud of Fang Ziye's existence; that was enough.

If I were that hat, who would dare say Fang Ziye had no chance?
If someone insists on getting stuck in a circle they themselves can't even get into, then they're not a teacher, but an obsession.

"I don't know, but it should be really, really good."

“Master, your skill level has stabilized now, and you can gradually start some new explorations in clinical practice. Let’s start by working on a few small projects related to debridement.”

"With your skill level, it shouldn't be difficult for you to improve and redefine some techniques," Fang Ziye suggested to Deng Yong.

At this point, it's difficult to define who is whose teacher.

Deng Yong was not bothered by this, believing that scholars need not be inferior to their teachers, and that there is a sequence in learning the Way.

Deng Yong nodded and said, "That's what I was planning to do too. Now that we've come this far, wouldn't it be a waste of time if we didn't enjoy the pleasure of improving the technique?"

"Ziye, you don't need to feel pressured."

“You have always lived up to the expectations of our hospital and our department. Yuan Weihong and I have nurtured you. Now, our hospital’s orthopedics department is proud to have you as a student and as an employee.”

Fang Ziye said, "Master, this is home, this is our foundation... there's no such thing as honor or disgrace..."

Aren't your parents proud of you?

After saying that, Deng Yong laughed and said, "Now is probably the time for you to lay the foundation for the other younger generation to a certain extent."

"It's not just Gong Luoyuan, there are other 'Luoyuan's' too!"

"We are both superiors and teachers, and we have to shoulder this responsibility."

Deng Yong may not be a good leader, but he is definitely a good teacher. He is quite doting on his students.

“Master, I still stand by the answer I gave you when I asked your question.” After explaining, Fang Ziye walked away first.

Deng Yong watched Fang Ziye's retreating figure, watching him take off his scrubs and put on his own clothes.

He watched Fang Ziye leave the locker room until he was completely out of sight.

"Academician...the people..." Deng Yong murmured softly. (End of Chapter)