top student at medical school

Chapter 315 On Approximately the Dao (First Update, Please Subscribe)
"I think I heard Dr. Chen, who was on duty in the surgical clinic, call him Dr. Fang. I only know that he is the chief resident of trauma surgery," a doctor in a white coat in the emergency room replied.

Then, after a slight hesitation, he asked, "Is this alright, Dr. Mi?"

Looking at the patient's monitor, the blood pressure has risen by 3 mmHg after hemostasis and intravenous colloid infusion.

I don't mind if it's not enough.

He felt fortunate as long as his condition didn't continue to drop below the shock threshold like before.

The doctor in the white coat on duty in the emergency room knew that the hospital had a vascular surgery specialist on duty, and that Mi Qi was about to be promoted to associate senior physician. After rotating through the department for several months, he proved to be quite reliable.

If the patient's condition hadn't been so dire, where a few more seconds could have cost him his life, he might not have agreed to Fang Ziye directly opening the package and taking out the hemostat to "insert it."

“Fang Ziye, I know him.” Mi Qi immediately recognized Dr. Fang’s identity.

Although Mitch was on duty in the emergency department, he was a young doctor who had taught the vascular surgery resident, including himself, a real lesson. How could he not remember him?

Director Wu Yong said that the early signs of abdominal aortic dissection on that patient's CT scan could only be read with very advanced image interpretation skills.

Later, Director Wu Yong took a liking to her, and as a result, she went to Professor Deng Yong of the Trauma Surgery Department to inquire about her.

But then I heard Professor Deng Yong from the Department of Trauma Surgery was really uncouth. He berated Professor Wu Yong, whose name is only one character different from his own, saying that Wu Yong had eight hands, too many hands to keep still, and was always reaching out here and there...

"There's definitely no problem. Let's not waste time talking nonsense, get him to the operating room first!"

"Emergency surgery preparations, blood matching, drawing coagulation function electrolytes, we can't wait for the results, whatever the result, we have to go on stage to save lives!" After giving the order, Mi Qi quickly moved aside to make a phone call.

He was a vascular surgeon assigned to the emergency department to work the emergency shift. He worked two shifts with another colleague, and usually only one person was in the hospital at a time, so he was not allowed to leave his post.

Once the indications for emergency surgery are determined, the case should be promptly transferred to the chief resident or another physician for emergency surgery.

Although he can perform the surgery, he can't go to the operating room to do it himself now. Otherwise, if another patient with abdominal aortic dissection comes in at any moment, there will be no one to treat them in the short term, and the other doctors in the emergency department are not particularly professional, so he will have to call for a consultation.

Then the purpose of an emergency surgery clinic would be pure nonsense.

When a hospital is large and has a relatively sufficient number of staff, the primary principle is to ensure that procedures are stable and orderly.

Mi Qi quickly arranged for a second shift to operate, mainly because Chief Resident Liu Faming was already on the operating table and unable to leave.

However, the inability to leave the hospital is not a reason for vascular surgery to avoid performing emergency surgeries.

Unless everyone in the department is available and there is truly no one else available, we cannot stand by and watch a patient die from a vascular surgery emergency. This is a principle that the department has always adhered to.

After doing all that, Mickey didn't go back to the lounge, but went to the surgical clinic instead.

Upon entering the consultation room, Mi Qi indeed found Chen Jiameng, who had already changed his clothes.

Mi Qi was very familiar with all of them, who were about to be promoted to associate senior level and belonged to the same large surgical circle.

As soon as he entered, Mi Qi greeted him, saying, "Professor Chen, I knew Dr. Fang was here with you."

Chen Jiameng is a geriatric surgeon. To be promoted to associate professor in geriatric surgery, one needs to have experience rotating through the emergency department. However, the hospital would not be so absurd or extravagant as to set up a dedicated geriatric surgery emergency department.

So Chen Jiameng was on duty in the emergency surgery clinic.

Chen Chia-meng was supposed to be promoted but didn't, so Mi Chi's words had a slightly sarcastic tone. Chen Chia-meng retorted, "Academician Mi Chi from vascular surgery has come to guide our work!"

"Xiao Fang, stand at attention and greet them!" Chen Jiameng shouted in a serious manner.

Fang Ziye stood up upon hearing this, but he didn't actually stand at attention and bow. Instead, he simply called out "Teacher Mi" in a natural and respectful manner.

In the hospital, whether you know their name or not, it's always right to call them "teacher".

"Get lost, don't corrupt the kids." Mi Qi rolled her eyes at Chen Jiameng and casually took a bottle of Wahaha mineral water that Chen Jiameng had just taken from under the drawer.

He looked at Fang Ziye and said, "Xiao Fang, don't listen to his nonsense. I'm a few years older than you, but we don't have a master-disciple relationship. Just call me Brother Mi or Brother Qi; it sounds more comfortable that way."

"Besides, we have a deep connection, and I need to find a proper opportunity to thank you."

Fang Ziye's connection with vascular surgery is indeed deep. Not only was he able to lend a helping hand immediately this time, but more importantly, after being sidelined last time, he was not angry. Instead, after noticing that the patient might have abdominal aortic dissection, he quickly had someone make an emergency consultation call.

In the end, the patient received proper treatment.

It's not that Mitchell couldn't take responsibility for not being able to detect a hidden CT scan showing early signs of aortic dissection in the upper abdomen; Mitchell certainly could.

Everyone has limited skills and needs to grow.

This film has an extremely high viewing threshold. Mickey considers himself to be of average skill level compared to his peers, but compared to professors, there is definitely a significant gap between them.

However, it is impossible for a large teaching hospital like Zhongnan Hospital to have abundant resources to place a professor in the emergency vascular surgery clinic to specialize in emergency diagnosis.

This is extravagance and a waste of talent. Even if such a brilliant professor were at Zhongnan Hospital and made this arrangement, others might not be willing to work overtime in the emergency department. Wouldn't it be better to be a top expert at another tertiary hospital?
Mitchell was just an attending physician; an attending physician isn't a god. It's understandable that he couldn't make an extremely difficult diagnosis.

At most, he'll get a disciplinary action.

But who would want to create unnecessary trouble if it could lead to a happy ending for everyone?
Mi Qi's half-finished sentence naturally left Chen Jiameng completely bewildered. However, after noticing Chen Jiameng's confusion, Mi Qi simply recounted what had happened.

Upon hearing this, Chen Jiameng immediately said, "Of course we should thank you properly. At the very least, we should have a full-meat Haidilao meal."

Chen Jiameng's specialty isn't Haidilao, but rather its all-meat dishes.

As everyone knows, Haidilao doesn't sell taste, but rather service and price.

Fang Ziye smiled and said, "Brother Qi, you're too kind. I was afraid you'd think I was being a little presumptuous."

"When you encounter something like this, even if it's just a suspicion, you still have to be bold and ask the other doctors in the vascular surgery department to help."

"I'll definitely need your help, Brother Qi and Brother Meng, in the future."

Fang Ziye's words were neither cloying nor deliberately humble, making them rather pleasant to listen to.

"Want to grab some late-night snacks?" Mi Qi suggested.

Fang Ziye said, "Brother Qi, you and Brother Meng eat. I just got a free barbecue from Brother Deng Zhi in the emergency room..."

"Haha, shall we grab something to eat together? You know, when you're on duty, you can't even get a proper night's sleep. If you don't have a late-night snack, you just don't feel like you can stay awake, and you can't sleep soundly either..." Mi Qi suggested to Chen Jiameng.

Mickey's smile was a bitter smile.

In a place like Zhongnan Hospital, anyone below the rank of principal officer is treated like a beast of burden.

Associate professors are slightly better off, as they only need to work second-line shifts. Even during their previous term as attending physicians, they had to work first-line shifts, which were for handling cases that couldn't be handled by the inpatient department.

Fang Ziye also felt that even if he went back, he might not be able to sleep well, as it was already close to four in the morning.

If the opportunity arises later, I'll find a place where Chen Jiameng or Mi Qi is resting, lie down for a while, and then buy a bowl of hot dry noodles around seven o'clock before returning to the department for the morning shift handover.

Mi Qi then started ordering late-night snacks, while confirming with Fang Ziye again whether she really wouldn't eat anymore.

Miqi had just finished paying for her takeout and hadn't even had a chance to switch back to her home screen from the WeChat payment page when she received a phone call.

Mi Qi looked and saw that it was another colleague from the department calling.

He then asked, "Chaoyang, what's wrong? Haven't you gone on stage yet?"

"I was just about to go on stage, and I had already disinfected my hands. Liu Faming had just finished his previous surgery, so he came over to do an incision and exploration first. Guess what? After I saw it, I couldn't help but pick up my phone and have to complain to you."

"What's wrong with this trauma surgeon? Is he using X-ray vision cheats?"

“He just happens to be…” the doctor named Chaoyang complained, his shocked tone sounding particularly jarring in the dead of night.

When Mi Qi saw Fang Ziye standing right beside him, he quickly interrupted, "What are you talking about? Speak politely. Those who understand will know we're talking about Dr. Fang. Those who don't might think that all we vascular surgeons know about are lumbar tubes."

To avoid further embarrassment, Mi Qi simply used a tire to flatten Chen Jiameng and Fang Ziye.

In surgery, it's not just trauma surgery and orthopedics that have high-speed F4 (fast-paced) procedures; anyone can speed.

Upon hearing this, Lu Chaoyang immediately understood: "Brother Qi, this is a misunderstanding. It's just too shocking!"

"Dr. Fang's hemostat was inserted blindly, and it clamped the main trunk of the proximal branch of the artery perfectly, and it didn't even clamp a major branch like the common iliac artery!"

"Such skill is truly amazing if it's not due to some kind of X-ray vision cheat."

Lu Chaoyang's tone was much calmer, but the content was still unbelievable. In the end, he blurted out something he shouldn't have, and like a scholar during a "literary inquisition," he quickly changed his words: "Such skill is almost the Tao."

As Mi Qi listened to Lu Chaoyang's words, he couldn't help but glance at Fang Ziye several times, his eyes filled with shock and disbelief. However, at the end, Mi Qi's words once again steered the entire atmosphere away from the right path.

"You'd better clarify whether this 'near' means 'approaching' or 'entering'."

"Otherwise, the error will be too great."

Having understood Mi Qi's meaning, Lu Chaoyang had nothing more to say. "Brother Qi, I'm hanging up now and going on stage."

Then he unilaterally hung up the phone.

Mi Qi then looked at Fang Ziye and Chen Jiameng and said, "Sorry, this young man in our department has a slightly higher level of driver's license."

Chen Jiameng's lips twitched for a while, and his eyes seemed to say, "Something's wrong with you, isn't it?"

What have you done to the concept of "almost the Tao" from Lao Tzu's "Tao Te Ching"?
(End of this chapter)