top student at medical school

Chapter 322 The Practice Room (Please Subscribe)
"You're really quite the flirt!" Yuan Weihong said recklessly, turning his head as he led Fang Ziye away from the emergency department.

Fang Ziye had long since developed a resistance to Yuan Weihong's flirtatious advances, so he asked, "Master, this surgery itself isn't difficult, so why are you being so cautious?"

Yuan Weihong won the top prize in the Young Doctors' Skills Competition two years ago. Based on the average level of top competitors when he participated last year, Yuan Weihong shouldn't be below level 4 proficiency!
Such a reaction is really making a mountain out of a molehill.

Yuan Weihong watched Fang Ziye hesitate and struggle for a while before changing the subject, his tone calm: "Ziye, how much skill did you have back then when you were an undergraduate?"

Fang Ziye thought for a moment, pinched one percent of the volume of his index finger with his thumb, and said in a very calm tone: "I estimate less than one percent."

"I thought you had ten times your current strength back then!"

“Ziye, you’ve already graduated. In your first year of study, I was the chief resident.” Yuan Weihong used this analogy to explain that he wasn’t an unreasonable fool.

Fang Ziye understood the reasoning in an instant.

Correct!
The Yuan Weihong of last year and the year before was just the Yuan Weihong of the present, not the Yuan Weihong of many years ago. At that time, Yuan Weihong did not yet have the Level 4 incision technique as his foundation.

"So? Master, did you call your superiors back then?" Fang Ziye carefully considered the difficulty of similar surgeries and thought of Yuan Weihong's only solution at the time.

If he doesn't ask for help, Yuan Weihong might lose face.

This feeling of being unable to back down is not just about being unable to back down in the traditional sense.

"Yes, back then, I called on the second-tier class, who is now Professor Han Yuanxiao, and that solved my urgent problem."

"It was only when I consulted Professor Han that I learned that exposing a broken needle requires certain special techniques, which are different from regular surgeries."

"The surgical exposure is relatively fixed. The lesion is exposed as a large, three-dimensional mass, but what about a broken needle?"

Yuan Weihong gestured with the length of a finger, then pinched a piece: "That's all there is, and the radial direction of the broken needle is difficult to determine..."

"therefore?"

"Of course, I'm telling you all this not to tell you to pay attention to this surgery and this type of disease, but to pay attention to this type of disease."

"You must control your limits when it comes to anticipation!!!"

Upon hearing this, Fang Ziye's expression gradually turned serious.

Teach by precept and example.

Even though the teacher was experienced, it was difficult to tell Fang Ziye all the details he needed to pay attention to; he could only say what he could think of.

"In other words, you need to know your bottom line, or your limits, and then know when to back down."

When Yuan Weihong got to this point, his tone relaxed: "We're just chief resident doctors, not people who have all the money in the world. There's no need to make things difficult for ourselves. If we can't think of a solution, we have to keep trying."

"To force yourself to do something you clearly find difficult, and to let go in time, is a bold sign of maturity."

Even if the patient loses their life because you let go, it's still the same.

"When you reach your limit, or are close to it, you must let go at the right time." Yuan Weihong spoke in a relaxed tone, but the content he was conveying was very heavy.

"Master, how can I roughly know the limits of my abilities?"

"Or how do you find out for yourself?" Fang Ziye asked again.

Yuan Weihong said matter-of-factly, "That's easy, just go to the training room!"

“I noticed that you’ve been going to the practice room much less since you returned to China, so I came to remind you.”

“The training room is not just a basic training room like 801. There are also training rooms for chief resident and attending physician. You are still far from it. You haven’t even obtained the surgical authority for level three surgery yet.”

"You still have a lot of practice!!!"

Fang Ziye rolled his eyes and nodded: "Master, it's not that I don't want to go, but I'm just too busy. Maybe I haven't found a more comfortable rhythm yet."

"I feel like I'm constantly on the go during my final hospital stay."

"It's only been a little over half a month, but it feels like almost half a year has passed."

Less than half a month has passed since Fang Ziye took office as the chief resident, and his first pre-defense has not even started yet, but Fang Ziye has encountered a lot of things, in addition to the aftereffects of 'memory confusion'?
Fang Ziye felt that his total hospital stay would eventually take more than a century.

"It's not that I haven't found a more comfortable rhythm, it's just that I've been unlucky."

“If you’re unlucky, the patient is unlucky too.” Yuan Weihong only spoke of the true meaning of the Great Way, revealing the real reason why Fang Ziye had this realization—unlucky.

Luck is something you can't control.

Fang Ziye responded calmly.

The mentor was invited to the "doghouse" that belonged exclusively to the chief resident.

After entering, Yuan Weihong took a deep breath and said, "There's less of that smoky smell in here now compared to when I was here..."

"Master, did you smoke back then?" Fang Ziye asked.

Fang Ziye remembers that Jin Hongzhou smoked during his hospital stay.

"Go ahead and smoke, why don't you? How can you manage without smoking?"

"But I quit as soon as I was discharged from the general ward."

"You? It's up to you. But when we need you, you have to be on your toes."

"Because no matter what mental state you are in when you see a patient, the final outcome of the treatment is the responsibility of the orthopedics and trauma surgery departments... But I've gone off on a tangent again."

“Ever since you took office as chief resident, I’ve been nagging a bit, because all I’ve done is nag,” Yuan Weihong said.

"Master, that's not true..."

"Among my fellow disciples, Master, your reputation remains as high as ever. But for me, you will always be my guiding light," Fang Ziye said.

"Shall we just enlighten him for now?" Yuan Weihong pressed.

"Otherwise it would be black, right?" Fang Ziye asked in a rapid-fire question-and-answer format, just like in a thesis defense.

Yuan Weihong laughed, his mood improving considerably: "Getting back to the point, yes, the training room. Do you know what the original purpose of setting up the training room was?"

"It's for the emergency department!"

"You'll find that many things change drastically once they involve emergency care or resuscitation."

"Simple and brutal!"

"Simply put, emergency resuscitation falls under the category of emergency avoidance. Whether a professional or a non-professional, chest compressions performed for the purpose of resuscitation are not subject to liability."

"Surgical procedures performed for emergency resuscitation purposes can be temporarily performed without prior authorization..."

"Is that right?" Yuan Weihong asked Fang Ziye.

“Yes, that’s right.” Fang Ziye had no way to refute it.

"So, the principle is the same. In a rescue, as long as you can save a life, you can do anything; no special skills are required." "For example, hemostasis, or incision..."

Yuan Weihong took a bottle of Red Bull from the shelf next to Fang Ziye's inpatient duty room and explained to Fang Ziye the underlying logic of basic skills and the training room.

With a "click," Yuan Weihong opened the sealing ring.

In conclusion, Yuan Weihong said that the simpler the operation, the more basic the skill, such as incision, suturing, hemostasis, and wound cleaning.

However, in many emergency surgeries, the most essential life-saving procedures are actually the simplest and most direct ones, such as stopping the bleeding and clearing the wound.

This aligns with Fang Ziye's clinical understanding.

"Master, what happened next?"

"Later, because basic operations simply couldn't fully meet the treatment requirements of even the emergency department, the training room evolved into various types, such as 802/803..."

"Changes between practice rooms and variations in the exercises involve some underlying logic, which you'll need to work through on your own."

"Also, I can tell you a secret: the person who set up this training room has a peculiar habit. The main training room is not just for the main practitioner."

"The training room of a deputy senior officer isn't just for deputy senior officers, nor is it something that a deputy senior officer can easily break into..."

"What do you mean, Master?" Fang Ziye asked.

It seems there are melons in here, and some are even quite large ones that you can eat.

"What do you mean? It means that you will find that Professor Deng Yong, Professor Han Yuanxiao, and Professor Dong, among others, no longer come to the practice room. In fact, 805 is the practice room they are benchmarking against."

"But in reality, they rarely even go to 803." Yuan Weihong's smile was hard to tell whether it was genuine joy or lewdness; in any case, he was thoroughly enjoying himself.

"Master, since you rarely go there, what is the point of your existence?" Fang Ziye thought about it and realized that it was indeed true.

The trauma surgery department has a total of 5 practice rooms, each supposedly corresponding to a different level of difficulty.

806 is the first training room for hand surgery, and 806-10 are the five difficulty levels corresponding to hand surgery.

However, Fang Ziye often saw that only 801-802/806-807 were open!

How could Fang Ziye have possibly considered the deeper reasons in the past?

"The reason why it exists is that if someone goes there frequently, they may discover an extraordinary fortune."

"The reason we rarely go to the practice room is twofold: firstly, because the projects are difficult, and secondly, because the projects are quite unique, many of which are innovative projects that explore new materials, new processes, and new techniques for student training."

"Therefore, we orthopedics staff rarely go to these training rooms, but we frequently visit the teaching and research offices of basic disciplines such as surgery and anatomy."

"Of course, there's something to keep in mind here. The 803-805 practice rooms are currently only functional in our hospital. Their actual function is completely different from what you'll experience later." Yuan Weihong brought up the practice rooms again to Fang Ziye, his voice filled with mixed emotions.

Yuan Weihong couldn't help but remember; it was about one year and seven months, or nineteen months ago, in August.

At that time, Yuan Weihong thought that Fang Ziye's attempt to secure a doctoral spot by passing the training room was a luxury and basically impossible.

However, now that so much time has passed, Fang Ziye has not only surpassed the practice room standards benchmarked at the master's level, but also at the practice room standards benchmarked at the doctoral level.

Now, she has even been granted a place to stay in the hospital.

Of course, at this point, Yuan Weihong still needed to explain the training room to Fang Ziye again...

"Thank you, Master. I understand. After my pre-defense and formal defense, I will improve my basic skills and surgical techniques and strive to meet the breakthrough standard required for the second training room."

"We will also strive to obtain the routine authorization for Level 3 surgeries in the end," Fang Ziye said.

"Master, it's getting late, you should go and get some rest."

“Okay! Let’s spar privately sometime, without an audience.” Yuan Weihong suddenly shrugged, his eyes filled with anticipation.

"Huh? This? Isn't that inappropriate?" Fang Ziye felt a strange sense of amusement upon hearing this.

Master, you can't just bring me a pillow when I'm already sleepy.

In fact, wanting to surpass one's teacher is a dream that every student has had and thought about.

Very few actually achieve this because there's no way to evaluate them longitudinally.

"What's wrong with that? I already said I'm refusing to speak to the audience."

“Your master is a very open-minded person.” Yuan Weihong was quite unique, seemingly not caring about face or anything like that, or perhaps he just wanted to give Fang Ziye a bowl of vegetables.

"Ziye, don't think you're guaranteed to win or lose," Yuan Weihong warned again.

"Master, I wouldn't dare..."

After seeing his mentor Yuan Weihong off from the department, Fang Ziye couldn't help but feel a little melancholy.

But after washing away these feelings of melancholy, Fang Ziye realized that his teacher was a living, breathing person, mostly serious and occasionally silly.

One day, he will descend from his lofty position back to earth.

And one day, he will find that he is once again high and mighty in the eyes of others, and humble as if he were in an unreal world.

Yuan Weihong left the department close to nine o'clock, and he was in excellent spirits when he left.

That night, Fang Ziye had a wonderful dream.

And this pleasant dream just happened to last quite a while.

I slept in luxuriously from 11 a.m. to 7 a.m. and didn't receive a single consultation call, which is truly a hard-won miracle.

The area around the hospital is quite long, safe, and trauma-free, which is what Fang Ziye hoped for.

"Ah!!~" Fang Ziye yawned as he got up from the inpatient ward and quickly washed up, while sending Luo Tingzhu a message with breakfast.

Fang Ziye's good dream last night did not lower his guard.

The first thing to do when you get up is always to think about your personal hygiene and food. Otherwise, if you can't take care of your personal hygiene or breakfast, you deserve it. No one will care, and no one will even care.

"I'm already downstairs, let me order one for you, senior brother." Luo Tingzhu arrived too early, so she probably didn't bother to run back again.

Immediately afterwards, Luo Tingzhu asked, "Senior brother, are you free to come to the practice room today?"

A year later!
Fang Ziye finally saw that familiar sentence again, asking him to go to the training room to be a spectator.

The last time was in late February of last year, because Xiao Nuomi went abroad in March of last year.

This time it was mid-March, because Xiao Nuomi returned to China at the end of February this year. After returning, she continued to display her genius!
"I'll come whenever I have time, but I don't have any plans at the moment."

"We'll talk when we meet."

(End of this chapter)