top student at medical school

Chapter 364 It's so great to be Deng Weihong! ~ (Please subscribe)

Fang Ziye understood that Luo Tingzhu might be a little wary, but the proud Luo Tingzhu turned her head and looked at Fang Ziye with a look that said, "You don't need to explain your identity."

After Luo Tingzhu blinked gently in acknowledgment, Fang Ziye introduced her, saying, "This is also our junior sister Luo from the Department of Trauma Surgery. Perhaps you two will have more to talk about."

"Senior Brother Fang, can we add each other on WeChat too?" Huang Xiruo seemed to understand something, but still insisted.

Excellent people, good-looking people, and charismatic people are resources, and resources are something you have to actively strive for.

Upon hearing this, Fang Ziye, facing the intense gazes of the professors around him, could no longer refuse and proactively added his QR code.

Then, Huang Xinuo acted as if nothing had happened and added Luo Tingzhu on WeChat as well. After becoming friends, she did not immediately start chatting with Fang Ziye or Luo Tingzhu.

Having found their contact information meant they'd essentially rescued them. The next step depended on fate and whether they clicked. Huang Xinuo, already in her late twenties, understood this principle well…

The second surgery started promptly at 8:54.

The first surgery started at 8:29 and ended at around 8:34!

The team efficiently completed the patient turnover and anesthesia of new patients within twenty minutes, a speed that was nothing short of phenomenal. However, the fundamental reason for this was that they sacrificed Huang Xinuo's opportunity to operate, allowing Zeng Quanming to take over directly and go all out!

Deng Yong, who was quite familiar with the surgery, decided not to go on stage to avoid the embarrassment of Professor Duan Hong breaking the rules and opening his mouth during the previous surgery. Instead, he provided commentary from below the stage.

"This second surgery is for a lateral malleolus fracture. This surgery is a standard open fracture reduction and internal fixation procedure..."

"The second surgical option is here, which requires placing a locking plate on the outside."

“This time, these scoring details will come in handy.”

Du Xinzhan mainly explained to Huang Wei from the medical department, saying, "This surgery is a routine orthopedic procedure, even more routine than the previous one, and it is now one of the most mature surgical methods."

Hu Wei breathed a sigh of relief upon hearing this.

But he still replied calmly, "Well, actually, we should mainly rely on the review opinions of the professors and directors."

"I'm an amateur." Hu Wei knew his place and first showed weakness to avoid being labeled as 'pretending to know what you don't.'

With a clinical background, he understood the significance of specialization, but he also worked in the medical affairs office, where oversight was essential for ensuring procedural justice in healthcare.

Deng Yong wasn't originally assigned to greeting people, but given the speed at which the previous surgery was completed, the need for someone to provide explanations was very strong for this assessment.

At this moment, Fang Ziye, Yuan Weihong, and Yan Zhiming are completing the preoperative preparations, including disinfection and draping.

When Fang Ziye was in the operating room, he saw Luo Tingzhu slowly moving towards Zeng Quanming and Huang Xiruo from the anesthesiology department. He smiled at Luo Tingzhu, but Luo Tingzhu did not look at the operating table, but went towards the direction of the anesthesia machine.

She asked softly and sweetly, "Senior Sister Huang, what are all these instruments in the anesthesiology department...?"

Soon, Luo Tingzhu and Huang Xinuo became fast friends, seemingly enjoying each other's company...

Everything is pending.

Deng Yong stood up voluntarily: "Distinguished directors, distinguished professors, please."

"Given the different practices among our hospitals, I will briefly explain our hospital's surgical procedures and practices."

"No special guidance will be given to the rest."

Duan Hong and the others nodded, and together with Deng Yong, they walked back towards the operating table.

"Anesthesiologist, circulating surgeon. Begin surgery! Keep an eye on the timer!" Fang Ziye called out, actually signaling to his master and senior brother Yan Zhiming.

As an assistant, Yuan Weihong had already worked with Yan Zhiming to expose the patient's lateral malleolus and professionally guided Fang Ziye to the appropriate direction and position for the incision.

This is called professionalism.

However, after Fang Ziye picked up the knife, he put it down again and thought about the type of fracture for a moment!
Fang Ziye then shouted to the circulating nurse Liu Yan, "Instrument technician, please bring me the Kirschner wire and the electric drill!"

Liu Yan was taken aback upon hearing this. She froze for a full two seconds, even glancing towards Professor Deng Yong in the audience.

Before the surgery, she discussed the procedure with Professor Deng Yong and others. The general order and process were: first, make an incision, then temporarily fix it with Kirschner wires, and then put on a steel plate!
Fang Ziye said, "Equipment teacher, electric drill, with Kirschner wires."

Liu Yan quickly did as she was told, handing the electric drill and Kirschner wire to Fang Ziye.

Deng Yong, who was standing nearby, also noticed the slight change in the surgical procedure and quickly explained, "In our hospital, for certain types of fractures, we choose to temporarily fix the fracture with Kirschner wires first, and then make an incision along the insertion point of the Kirschner wires. This allows us to more precisely reduce the incision needed to place the plate..."

Deng Yong's voice was very delicate, and he basically controlled the volume so that it wouldn't reach the surgeon on the operating table...

Immediately afterwards, Fang Ziye did not hesitate for long before inserting the Kirschner wire in one direction, from the bottom outside to the top inside!

Immediately afterwards, Fang Ziye said, "Sister Yan, give me the other Kirschner wire too!"

This time, Liu Yan didn't suspect anything and handed over the Kirschner wire...

Professor Duan Hong was slightly bewildered when he saw this.

This case wasn't handled by him, so there was no preoperative discussion and the surgical plan wasn't refined. However, based on the initial assessment of this fracture type, the preferred approach would have been internal fixation with a plate on the lateral malleolus combined with internal screw fixation on the posterior malleolus.

This is a standard Level III surgery, which aligns with today's surgical topic.

But now, it seems that Fang Ziye's choice of surgical method has left even Duan Hong, a trauma surgery expert, somewhat bewildered.

Looking at Deng Yong, I noticed that Deng Yong's eyebrows were relaxed at this moment, which clearly indicated that he had expected it. Perhaps he had made sufficient preparations before the operation, but he was keeping me in suspense at this moment!

Deng Yong stated that he would only provide a general overview of the surgical procedure and would not explain the details of the surgery, thus disrupting the surgical rhythm.

Deng Yong, you old brothel madam!
Duan Hong's heart tightened, and then he began to look through the materials in his hand.

Sure enough, upon opening the document, Duan Hong saw Professor Deng Yong and others' alternative surgical plan for this patient's fracture type, option 3: internal fixation with locking screws via a small incision...

"Hiss!" Duan Hong gasped for breath.

Ankle fractures are often fixed with screws, which is not uncommon. In pursuit of minimal trauma and small incisions, pioneers in trauma surgery have explored various methods extensively!
Many posterior malleolar fractures are fixed with screws, and fractures of the lateral and medial malleoli can occasionally also be fixed with screws.

But this is common sense, Duan Hong knows. Only special, simple fractures with very smooth fracture lines are usually fixed with screws. This one?
Not all lateral malleolar fractures are suitable for fixation with screws!
Deng Yong's team is putting on airs, using Fang Ziye to tell everyone that he is about to 'rise to power'.

There's no other reason than that Fang Ziye's manual reduction technique is now at an extremely high level! Fang Ziye's manual reduction technique for fractures is not limited to manual reduction; he can even use his hands to push some fracture fragments during the intervals between inserting Kirschner wires to complete the reduction!

Fang Ziye can even use Kirschner wires to perform the lever reduction that ordinary surgeons would use in open fractures.

Surgical treatment of fractures is now very mature.

We only look at the results, the method of internal fixation, and whether internal fixation is used. No one has ever imposed restrictions on how you achieve repositioning and internal fixation.

When Fang Ziye was almost finished, Deng Yongcai said, "We used headless compression screws to fix the lateral malleolus. This is how our team has gradually learned to reduce the size of the surgical incision."

"This method is currently considered a relatively cutting-edge small-incision surgery in trauma surgery. Many hospitals are performing it."

Deng Yong's tone was very calm.

However, Duan Hong and Zheng Tonghui, two professionals from the next room, were in a very confused state of mind.

Wen Dongfang and Ni Yaoping from the Department of Hand Surgery, along with Du Xinzhan, the head of the Department of Orthopedics, all had furrowed brows at that moment.

Although I don't know everything about trauma surgery, I'm not completely ignorant of it, and I'm not easily fooled.

So, the two administrators who didn't have an orthopedic background nodded in agreement: "Minimally invasive surgery is good; small incisions are in line with current aesthetic standards."

"Teacher Xiao, could you please push the C-arm machine?" Fang Ziye instructed Xiao Xiong, following the pattern he had used for closed reduction and internal fixation of fibular fractures during his lateral malleolus fracture surgery.

Xiao Xiong was only in charge of the equipment, so he did not understand the extent of the shock felt by Professor Duan Hong and others who were truly knowledgeable about the field.

As they were leaving, Professor Duan Hong "broke the rules" again, but this time, he interrupted Deng Yong, saying, "You guys are really bold! You have so much free time!"

"You don't respect the basics enough!"

"Such ankle fractures require highly skilled fracture reduction techniques and puncture skills to simultaneously perform manual reduction while administering Kirschner wires."

"In a very short time after the fracture displacement is reduced, the fracture fragment is pierced through at a well-chosen angle using a Kirschner wire. This technique is only applicable to a very small number of lateral malleolar fractures."

"Is it worth wasting so much time and effort for such a large number of surgeries?"

Professor Deng Yong was in a good mood. Duan Hong was his friend, but Duan Hong was the top trauma surgeon in the province, the current number one. Deng Yong asked in return, "Will it waste a lot of time? It doesn't seem like much."

Duan Hong's lips twitched, making the wrinkles of the disposable surgical mask even more pronounced; he was clearly cursing, but it was a silent curse.

I thought to myself, I finally understand how Deng Yong felt when he was facing Xiao Wu.

I want to steal him away, I want to fall in love with someone else, I want to be a 'scumbag director'...

But Professor Deng Yong's pretentious behavior was done under his real name and made his voice heard.

After everyone left, Xiao Xiong completed the anteroposterior and oblique X-ray images of the ankle joint...

Then it was discovered that the comminuted fracture of the lateral malleolus, which was not suitable for manual reduction, was successfully reduced by Fang Ziye after he extended his arm and replaced it with a Kirschner wire and an electric drill.

They even found an unusually tricky angle to piece them together.

Hu Wei had been taught how to assess the pros and cons of temporary fixation surgery for fractures, and he nodded with ease and appreciation, completely unaware of the turmoil in Duan Hong and the others' hearts.

Both the orthogonal and oblique positions are out.

Deng Yong gave a soft "hmm" in a high-pitched voice.

Then Yuan Weihong and Fang Ziye both cleared their throats and each replied with an "Mmm!"
Immediately afterwards, Fang Ziye said, "Dr. Zhu, Dr. Yan, after I go in and drive in the locking screws to fix it, this surgery can be completed. You don't need to come in!"

Fang Ziye single-handedly stormed into the operating room once again, leaving Yuan Weihong and Yan Zhiming outside the operating room door, as if he were going to accomplish a legendary feat.

Finally, Duan Hong couldn't hold back any longer. He rudely stuffed the scoring details into his pocket and glanced sideways at Deng Yong: "Deng Yong, just tell me, how did you do this? I'll admit defeat!"

"I guarantee that without your explanation, no one here will be able to understand the logic behind this surgery."

"If you don't explain, I'll veto it." As the surgery was about to end, Duan Hong, with his chubby face, started to act fiercely, looking anything but cute.

"Hmm!~" Upon hearing this, Professor Xiong Zhizhang also chimed in with a cheerful voice.

The people from Zhongnan Hospital are still here; they're not dead!
As the current chairman of the Hubei Provincial Trauma Surgery Association, don't be too high-profile, okay? Don't casually use the phrase "veto power."

Fang Ziye was operating inside, and the noise from outside didn't affect him, so it wasn't considered particularly irregular or lacking in manners.

Realizing he had misspoke, Duan Hong withdrew his chubby paws like a cat and asked respectfully, "Professor Deng, what is the reason for the surgery your group is currently performing that deviates from the standard treatment for comminuted multi-segment fractures of the lateral malleolus?"

You have Zhang Liang's strategies and an old professor, and I have my own ways to overcome obstacles. Now I'm the chief examiner, and if you can't convince me, I have the right to question you.

Of course, Duan Hong knew that asking this question was like walking into a trap.

Without needing Yuan Weihong and the others to reply, Deng Yong enthusiastically took the initiative to introduce: "Professor Duan, it's like this, based on our group's previous research results, we have made another level of definition for the surgical classification of this fracture."

"As you know, our research group is working on the basic classification of fracture lines in trauma surgery, and we already have articles published in BMJ..."

"Based on our preliminary research findings, and combined with the comprehensive capabilities of our team, such as my experience, Xiaolan's data analysis skills, Xiaofang's manual reduction skills, and the precision of the puncture procedure."

"And Yuan Weihong's attire."

Before the word "force" could be uttered, Deng Yong quickly changed his tune: "After extensive reading of professional literature and careful review, we decided to use an 'unconventional' internal fixation method for this routine fracture."

"The rationale for this selection is based on documents issued by the National Health Commission and the Hubei Provincial Health Commission, document number..."

Duan Hong turned and left.

Even Xiong Zhizhang, the elderly professor of trauma surgery standing next to him, fell silent!

Isn't this a bit too much?
Deng Yong, however, felt that Deng Weihong was in a great mood at the moment, as if he had vented all the resentment he had felt in front of his brothers in the past few years.

Young people compete in literature, middle-aged people in martial arts; with graying temples and advanced age, isn't it time to compete with children?
Two chapters, eight thousand words in total, still feel a bit tiring.

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(End of this chapter)