top student at medical school

When Fang Ziye saw Zeng Duoqin, Zeng Duoqin had an ice pack on the back of his hand and wrist, his expression was heavy, and his eyes were helpless.

"Professor Zeng, how could you be so careless?" Fang Ziye patiently stepped forward and removed the ice pack, seeing that Zeng Duoqin's hand was swollen like a steamed bun.

"Sigh... I was so busy looking at my phone when I went to get the car, who would have thought there was a watermelon rind in the aisle?"

"If I had known it would turn out like this, I would have preferred to have a head injury." Zeng Duoqin's lips twitched.

The current examination results have confirmed that it is a wrist fracture.

Wrist fractures are not scary or fatal, but they can easily cause stiffness or limited movement in the wrist joint.

Zeng Duoqin is right-handed, and the dexterity of his right hand is his ability to lead his team to success, as well as the full expression of his surgical skills.

"Professor Zeng, let's try our best to get it. I'll go take a look at the film first," Fang Ziye reassured him.

Tang Yi arrived at the department immediately and said, "If we hadn't known that you would be back today, Ziye, we would have already driven in."

"Actually, it's like this: even Professor Deng hasn't performed such a minor surgery in many years..."

"Hmm, it's alright, it shouldn't be a big problem."

Because Zeng Duoqin was a colleague in the department and very familiar with Fang Ziye, Fang Ziye's 'conversation' was a bit bolder: "There won't be too many effects after the surgery."

"However, Professor Zeng, you will need to rest for several months."

Zeng Duoqin is currently in his prime, with his academic and professional abilities at their peak. If he had no other choice, he would not want to take a break at this time.

“Then you’ll have to take the leave of absence. It’s considered a work injury anyway.” Zeng Duoqin joked, “Ziye, you’re both young. Taking care of an elderly person shouldn’t be a burden.”

Zeng Duoqin clearly fractured his bone on his way to work, which is a work-related injury.

If you are on leave due to a work injury, your performance evaluation should not be reduced.

Fang Ziye smiled and said, "Professor Zeng, if we're really talking about retirement, Professor Xu should be very willing."

“Right, Teacher Xu?” Fang Ziye looked in Xu Gongming’s direction.

Xu Gongming has been promoted from attending physician to associate chief physician and has been given the title of associate professor.

Xu Gongming, thin and with a restrained expression, shook his head: "Director Fang, don't try to backstab me. I never thought that way."

"Without Director Zeng in our group, it will be very difficult to carry out our work normally."

Zeng Duoqin said, "Xu Gongming can complete most of the surgeries in the group, but he still needs more experience in some of the more delicate surgeries."

"After I rest, I will definitely need to trouble Director Fang again."

"Our group's platform is only in its initial stages right now. I hope Director Fang won't refuse it?"

Fang Ziye shook his head: "No way!"

Fang Ziye then asked, "Is everything ready in the operating room?"

"Everything is ready. Director Liao Pei is already in the operating room, ready to start anytime Professor Zeng comes down," Xu Gongming replied.

"Teacher Zeng, let's go set up the stage and get the problem resolved quickly so everyone can get some rest later," Fang Ziye said.

Mao Bi received an urgent consultation call. After whispering a few words of agreement in a corner, he stepped forward and said, "Professor Zeng, I have an urgent consultation and can't get into the operating room."

“It’s alright, Xiao Mao, you’re the head of the department now, you have more freedom than us, we can’t afford to delay your work.” Zeng Duoqin said sincerely.

The chief resident may not have a high rank, but the responsibilities are significant.

It can be said that no one, from top to bottom, dared to delay the chief resident's urgent consultation work, and no one dared to refuse the chief resident's request for a consultation.

It was tiring, but the favoritism I received from the department was genuine.

He didn't take the calligraphy brush seriously, made a few perfunctory laughs, and then hurriedly left...

Wrist fractures are not difficult to treat. With Fang Ziye's current skill level, without needing to open the wound, after Zeng Duoqin administered anesthesia, he completed the surgery using only manual reduction techniques, puncture techniques, and temporary fixation with Kirschner wires.

However, Fang Ziye was not satisfied with the degree of repositioning after the first 'surgery', so he went back for a 'second surgery'!
"Okay, Professor Zeng. Take a look for yourself."

"The Kirschner wire fixes the fracture by using the skin and hamate, but it doesn't penetrate other bones. This way, the fracture surface won't slip when you move, and you can still complete flexion and extension exercises during the fixation period," Fang Ziye said.

Zeng Duoqin is not a trauma surgeon, but when he looked at the back of his hand and then at the postoperative images of the fracture revealed by the C-arm fluoroscopy during the operation, he burst out laughing.

"Director Fang, isn't it a bit of a waste of your talents to have you use such skills on my minor fracture?"

"These few precise puncture and reduction techniques are enough to perform a few orthopedic and spinal cord injury surgeries, right?" Zeng Duoqin couldn't find a way to describe how good the surgery was.

It's hard to call it perfect, because it's definitely beyond the realm of perfection that most people understand.

Tang Yi said, "Professor Zeng, now Director Fang no longer performs surgery on patients with low spinal cord injuries in our group."

"It's only when there's spinal cord injury in the thoracic segment and part of the lower cervical segment that Director Fang comes over to teach a few procedures."

Hearing Tang Yi's silent praise, Qin Geluo professionally and meticulously concluded the topic: "Professor Zeng, Director Fang achieved soft fixation by utilizing the shearing force between the Kirschner wire and the soft tissue."

"This technique is essentially to reconstruct the ligaments that fix the free bones, such as the wrist bone, so that the free fracture is suspended in the body."

"After the fracture ends are tightly closed, there will be no pain during functional rehabilitation, and there is no stiff tension like in plate and screw internal fixation. This treatment is very beneficial for postoperative recovery."

"Of course, our team rarely performs this type of surgery... It was Director Fang who said that if we want to pursue faster functional recovery, we can keep this in mind when performing other complex fracture surgeries..."

Zeng Duoqin was taken aback: "Ligaments? Can Kirschner wires be used to support ligaments?"

"Director Fang, your way of thinking is a bit unconventional."

"I don't recall you discussing this kind of thing in the department before. Are you planning to secretly pursue this kind of research even if I hadn't been injured this time?"

Fang Ziye had determined that Zeng Duoqin's fracture had been treated to the best of his ability, so he began to step back and let Qin Geluo complete the postoperative dressing and bandaging for Zeng Duoqin.

"I'm not doing it secretly; I just haven't thought about doing it yet. There are many aspects of this project that need optimization, but even if we optimize them, it won't have much impact on the patient's recovery."

"To be precise, it is a wasteful and wasteful project. It can only be undertaken when the country becomes particularly wealthy in the future."

“In the last few decades, we haven’t needed to invest this money,” Fang Ziye said, shaking his head earnestly.

“As long as the research is good for the patients, it shouldn’t be considered a waste of time and money, right?” Zeng Duoqin said in a low voice.

Fang Ziye's statement is somewhat generalized. If we follow Fang Ziye's understanding, then most of the projects funded by the National Natural Science Foundation of China have no actual clinical significance and only serve to demonstrate my country's scientific research capabilities.

Many research groups flock to projects that merely explore the unknown and don't actually impact clinical practice. But for Fang Ziye, are projects that genuinely benefit patients but have low cost-effectiveness considered "a waste of time and money"?
"Director Zeng, that's not what I meant. It's just my personal understanding."

"It would be better to choose some research topics with a higher cost-performance ratio."

“There’s nothing wrong with doing research projects for the sake of publishing papers; someone always has to be the stepping stone,” Fang Ziye said.

Fang Ziye spoke calmly, and his expression was calm as well. He was not being arrogant or self-admiring; he was simply stating his position.

Fang Ziye can't control how others choose, and they aren't him, so he won't impose his standards on them.

Asking a master's student or a recent PhD graduate to work on a research topic with "extremely high" cost-effectiveness is just asking the impossible.
However, Fang Ziye has accumulated enough experience, so when selecting research topics, he considers not only the 'practical clinical significance' but also the cost-effectiveness.

If we can get a 10 million yuan research project and produce a more cost-effective one, it would save other people some research funding.

……

The next day, when Fang Ziye returned to the ward, Zeng Duoqin, who was not hospitalized, was already flexing and extending her wrists in the doctor's office.

The morning sun blazed like fire, and the rosy clouds hung high in the sky.

Qin Geluo shouted, "Professor Zeng, Professor Zeng, be more civilized! This is only your first day after surgery. You'll break your ligaments if you exercise like this."

Zeng Duoqin's right hand was not in a cast, and it was bent like a bow at this moment.

Zeng Duoqin, who was in his fifties, scolded Qin Geluo like a five-year-old child who had found an interesting toy: "Qin Geluo, don't touch me."

"I told you, it doesn't hurt."

"Even if it doesn't hurt, you can't treat yourself like this, Director Zeng!"

As Qin Geluo was speaking, he saw Fang Ziye and quickly said, "Director Fang, look at Professor Zeng, he doesn't respect your hard work and is just messing around here."

Zeng Duoqin turned his head and saw Fang Ziye, then quickly straightened his hand.

Then, somewhat guiltily, he said, "Come on, put the cast on..."

Zeng Duoqin, who has been a chief surgeon for many years, hates two types of people the most: those who don't listen to his instructions and do things randomly, and those who question his rehabilitation training and are self-righteous.

Do not do to others what you would not have them do to you; he himself had both.

Fang Ziye was the chief surgeon, so Zeng Duoqin felt a little guilty.

Fang Ziye's forehead wrinkles deepened at this moment: "Professor Zeng, even though it doesn't hurt, rehabilitation training still needs to be done step by step."

Fang Ziye said with a forced smile, "You must have said this to your patients many, many times: too much of a good thing is bad."

"Actually, I can understand you. When I injured my tendon back then, I was also afraid that my hand function would be damaged."

"But there's no need to rush."

Zeng Duoqin said, "I know, I know, then I'll go back."

Fang Ziye then asked, "Professor Xu, have you called Professor Zeng's wife yet?"

"We must make sure Professor Zeng's wife keeps a close eye on him."

Zeng Duoqin's expression suddenly turned panicked; "You..."

Fang Ziye smiled and said, "Teacher Zeng, as I said, I've been through this before, so I have a backup plan for whatever you're thinking."

“Dai Zhusheng, your task recently is to take good care of Professor Zeng. If he overdoes his functional exercises and you don’t report it, I’ll dislocate your joints.” Fang Ziye’s tone was serious.

Fang Ziye used every single method that others had used to complain to Luo Tingzhu and coerce him back then on Zeng Duoqin.

It's definitely a good thing!
Otherwise, Fang Ziye, being a fellow surgeon and having injured his own hand, could truly understand Zeng Duoqin's current state of mind.

"Damn it...you guys have no respect for your seniors at all."

“I already said it doesn’t hurt, I know what I’m doing,” Zeng Duoqin emphasized, adding that he is an orthopedic surgeon.

"Professor Zeng, you are now a patient, not a professor of orthopedics. I am your surgeon and attending physician, so you have to follow my instructions."

"Forget about your arrogance..."

After Fang Ziye finished speaking, he clapped his hands and said, "Dai Zhusheng, please ask Teacher Zeng to go back. Everyone else, take your positions and start the handover. After the handover, we will begin preparations for the surgery."

"Head Nurse, call the medical affairs department again and ask them to issue a notice explaining Professor Zeng's situation and then suspend Professor Zeng's outpatient services."

After Zeng Duoqin realized that he was being monitored and had nowhere to escape, he obediently followed Dai Zhusheng out the door.

After leaving the house, Zeng Duoqin asked, "Little Dai, your master treats you very well, right?"

Dai Zhusheng said, "Master, don't think so much. Professor Fang's skills are good, and the surgical results are unbelievable, but your body is your own."

"There's no rush."

“Otherwise, if you get injured a second time, it will be even more difficult for us students to get along. So I must keep a close eye on you, otherwise it will be hard to explain to the senior students and teachers.” Dai Zhusheng spoke in a businesslike manner.

Zeng Duoqin sighed helplessly, looking at his right hand: "Success and failure both stem from Fang Ziye."

"Why would he do the surgery like that?"

"Even though I don't feel any pain after the fracture, why won't you let me intensify my rehabilitation exercises?"

Zeng Duoqin is an orthopedic surgeon, but he couldn't believe that after undergoing surgery for a wrist fracture, he could move around normally the next day without experiencing any pain.

According to the limits of orthopedic rehabilitation exercises, the main goal is to avoid pain, right?

But how could a typical fracture patient not experience pain after surgery?
"Master, Director Fang has given in, he just wants you to not be so extreme..."

Dai Zhusheng continued, "Currently, everyone's understanding of post-fracture rehabilitation is limited to pain, but Director Fang's post-operative rehabilitation limit is limited to a range."

"That's the difference in skill level."

"Master, how can Senior Brother Fang be so freakish? He can make such a simple fracture surgery into so many complicated things..."

"The next day, wrist fracture, intra-articular fracture, normal movement?" Dr. Dai Zhusheng's knowledge system was crushed into pieces.

Textbooks, papers, and literature cannot find a single sentence that can explain Zeng Duoqin's current "feelings." What does this mean?
Then, according to Director Fang, this kind of surgery was not cost-effective and was a waste of resources and manpower.

From small things, one can see the big picture. (End of this chapter)