top student at medical school

Chapter 366 They Can't Afford to Play This Game! (Second Update, Please Subscribe)

As Duan Hong and Zheng Tonghui walked through the passageway leading to the changing room from the operating room, Zheng Tonghui turned his head and asked, "Professor Duan, aren't you going to finish reading this? You've signed the surgical authorization exception assessment form; you'll have to take responsibility!"

Zheng Tonghui was merely a chief physician and professor at the Third Hospital of Hubei Province, not a big shot like Duan Hong. After following Duan Hong out of the operating room, he thought about it for a while and still felt that he had been somewhat reckless.

"Professor Zheng, are you worried? If you're not, you can always go up and watch the whole surgery again." Duan Hong took off his mask and hat, revealing his chubby face and thick neck. His demeanor relaxed, and he still looked endearing.

Zheng Tonghui had met many serious professors, but he rarely encountered one who was both amiable and stern.

To avoid any misunderstanding from the bigwig Duan Hong, Zheng Tonghui, well-versed in social etiquette, said: "Professor Duan, how could that be? You said it can be done, so it definitely can be done."

After careful consideration, Zheng Tonghui still expressed his opinion: "In my opinion, with such basic skills, even if Xiao Fang knows nothing about the subsequent surgical procedures, the minimum level he can achieve can meet the quality requirements of routine fracture surgery."

"Surgeons have varying skill levels, and there's no need to rigidly adhere to a single standard. If it's passable, then it's passable."

"If we're too meticulous about every little detail, wouldn't all the doctors in county hospitals and prefecture-level city hospitals be..."

Zheng Tonghui did not say it was very transparent.

In China, the gap between the ceiling and the floor tiles of medical technology is enormous.

The town hospital also has a surgery department, but the most surgical techniques it can offer are open reduction and internal fixation of fractures, and only for simple fractures.

It would be nitpicking to compare the current top-level surgical techniques with those in a town hospital.

"Yes, Professor Zheng, our country does have the most advanced medical technology, but on average, there is still a long way to go in terms of strengthening the basic level of basic medical institutions."

"I remember one time very clearly. When I was promoted to associate professor, I went to work at a town hospital. At that time, I was only an attending physician and didn't have many surgeries. But I still did."

At this point, Duan Hong did not boast, but said, "The resources in the town hospital are still insufficient. There is no training room for practicing surgery, no teachers to guide us, and no amount of surgery to accumulate. We can only rely on doctors who have gone on to further studies or provide counterpart support in rural areas to teach us."

"If the level of basic medical institutions is standardized, our country's overall medical strength will rise significantly, since the safety net is high."

Zheng Tonghui immediately understood Duan Hong's true intention: "Professor Duan, do you mean that the higher the level of basic skills, the higher a person's average level, rather than the higher a person's level of advanced operations, the higher their overall skill level?"

To be honest, for a long time, Zheng Tonghui hadn't properly honed his basic skills. He felt that no matter how good the basic skills were, they were still just basic skills.

However, to gain status, respect, patients, and recognition in a hospital, one still needs medical skills and expertise.

"Mathematics is very easy to learn, but there are very few high-level mathematicians, and each high-level mathematician is one of the country's most valuable assets."

"why is that?"

"It is because every step forward in a fundamental discipline like mathematics will drive a great leap forward in other disciplines that are built upon it. You can actually think of it as a person's most basic skills, which is their most basic structure."

"Take Xiao Fang's manual reduction technique as an example. With his level of skill, if he simply uses plaster cast external fixation, even an average orthopedic surgeon using open reduction and internal fixation would likely be defeated in terms of treatment quality!"

"If you can't reset it perfectly, then even if you fix it perfectly, it's all in vain."

"Reduction is the most crucial and critical aspect of fracture treatment, and it has the greatest impact on the quality of the surgery."

Duan Hong sighed as he said this: "Now, Xiao Fang's debridement and suturing skills, along with manual reduction techniques, are simply a waste of such a valuable resource when treating ordinary fracture patients."

"He should be treated for barrier-type surgeries such as limb-sparing surgery for severe injuries, advanced osteotomy and correction, pelvic reconstruction, and large segmental bone defects..."

Zheng Tonghui understood Duan Hong's meaning: "But how old is he?"

"Don't bring up age anymore! Let's go home." Duan Hong interrupted again, acting like an irresponsible man, and started to get dressed and leave.

At this moment, Associate Professor Peng Long from the Department of Trauma Surgery finally appeared and rushed to the changing room of the operating room, saying kindly, "Professor Duan, Professor Zheng, why did you decide to leave at the last minute?"

"Professor Deng has duties to perform today and cannot personally see me off, so he temporarily entrusted me with this task..."

"What are you doing here? Looking for a scolding?" Duan Hong didn't recognize Associate Professor Peng Long and cursed him rudely!
Peng Long paused, then smiled broadly again, saying very cleverly, "Professor Duan, look at what you're saying. Even getting a few words of criticism from you is a rare form of guidance."

"Professor Duan, you've made a promise, Professor Zheng, you'll be my witness! Professor Duan said he'd scold me..."

Peng Long crossed his leg, unexpectedly interpreting Duan Hong's scolding as guidance, once again placing Duan Hong on a moral high ground.

Duan Hong exploded: "When did your Zhongnan Hospital become like this?"

Duan Hong directly pointed his gun at a hospital, not just at individuals!

……

In the operating room.

Fang Ziye was slightly puzzled when he saw Duan Hong and Zheng Tonghui leave. He didn't understand Duan Hong's inner thoughts, nor did he know what his teacher had said to Duan Hong. He glanced at Deng Yong.

"Okay, let's continue. Although Professor Duan and Professor Zheng have signed off on your work, the assessment is still ongoing. There are still examiners and leaders from our hospital here. They represent the hospital and are supervising the rigor of your assessment process from a procedural standpoint..." Deng Yong explained earnestly. Fang Ziye then continued the surgery.

Although this surgery involved a complex fracture, and Fang Ziye was leading the team in performing open reduction and internal fixation, his proficiency in complex fracture internal fixation was actually only level 4, and now he had added three level 5 skills.

It's so easy to do that I can do it effortlessly and still guarantee very high quality.

This time, the first step was debridement, and Fang Ziye's debridement skills were extremely high.

It could be similar to a cutting technique performed by a professor, for example, cutting eight pieces of paper instead of nine or seven.

Fang Ziye's current debridement technique is just like that. When I say I will only debride necrotic tissue, I will not take away any good tissue. When I say I will reshape the local soft tissue, I will definitely not make an extra or missing incision.

The surgical field after a fracture is actually relatively complex, mainly due to the presence of blood clots and bloodstains, which affect the field of vision.

Fang Ziye's debridement only targets these blood clots and stains, almost peeling them off completely from the inside, leaving them with a perfectly intact appearance, similar to duck blood clots that have been coagulated using a special instrument.

This debridement technique fully demonstrates Fang Ziye's absolute control over the depth and width of incisions, the force of each operation, and the area of ​​application during the debridement process.

In hand surgery, suturing skills are demonstrated at different levels depending on the level of proficiency.

The same applies to the fundamental skill of debridement!
Duan Hong and Zheng Tonghui left after seeing all of this.

Then, the subsequent surgeries performed by Fang Ziye and Yuan Weihong, their assistants, became a standardized procedure.

Reduction, internal fixation, suturing!

The minimum quality guarantee for this surgery is that the debridement is performed at the national level, the reduction is performed at the national level, and the suturing is performed at the national level.

Open reduction and internal fixation for complex long bone fractures—isn't that all there is to it?

The experts from other hospitals had all left, but Professor Wen Dongfang and others stayed until the surgery was finished before leaving with Xiong Zhizhang.

As they were leaving, Wen Dongfang from the hand surgery department made a point of asking Xiong Zhizhang a question, his voice revealing nothing: "Old Xiong, is your trauma surgery department trying to steal the position of chief surgeon? You didn't mention it to me before?"

This remark blatantly reached the ears of Professor Du Xinzhan, the current head of orthopedics, next door, but Du Xinzhan dared not pursue the matter further.

Who is the chief surgeon is not determined by fighting skills, nor solely by surgical skills. While surgical skills are certainly important, the most crucial factor is the potential of the team they belong to.

Does the leader of the team have the ability to lead and guide a major discipline to move forward and make progress? How is this ability demonstrated?
Is it just about a single surgery?
That's definitely not possible. Joint surgery is for joint surgeons, and trauma surgery is for trauma surgeons.

In short, it's about how great a large team is. My trauma surgery has a better future than your joint surgery, so you should give up your position as the head of the department. Our hospital's major breakthrough for future development will be trauma surgery.

If your joint surgery department has a brighter future, then you should continue in that role.

He has been re-elected as the chief surgeon of the Department of Joint Surgery for two consecutive terms, because the Department of Joint Surgery at Zhongnan Hospital ranks among the top three in Hubei Province...

The specific ranking is as follows: Peking Union Medical College Hospital first, Hubei Provincial People's Hospital second, and Central South University Hospital third! (The ranking in this book is purely fictional.)
However, if the development potential of trauma surgery is even greater, this oldest department could truly be revitalized.

Du Xinzhan looked again, and Ni Yaoping looked again, but they couldn't figure it out anymore, so they left in silence.

To assess the overall professional strength of a department, there aren't actually that many things to look at.

The review experts had all signed and left, so Hu Wei from the medical affairs department and Liang Xiaoqing from the dean's office had no choice but to "call it quits." Otherwise, what would they do in the operating room? Just stare blankly?

After everyone outside the operating room was emptied, Deng Yong started cursing: "I specially prepared six surgeries today to complete the surgical authorization assessment, and they all left after only the third one. They can't handle this!"

Clearly, Deng Yong, who had been 'frustrated' for a long time and had been used as a stepping stone many times, finally vented his anger this time, but he wasn't completely satisfied yet.

Everyone in the operating room smiled knowingly.

But Yuan Weihong, realizing that Deng Yong was imitating him, said with a serious expression, "Teacher Deng, let's keep a low profile!"

"Yuan Weihong, you can't take a joke either?" Deng Yong glared at Yuan Weihong on the stage, his voice booming!
Fang Ziye and Yuan Weihong simply lowered their heads and continued with the surgery.

Seeing that everyone had fallen silent, Deng Yong, satisfied with his status as the top leader in his group, roared, "We're having a get-together tonight! Everyone gets to have dinner! The anesthesiologists and the nurses from the operating room all get to have dinner!"

"Except for Fang Ziye." To be on the safe side, Deng Yong still excluded Fang Ziye.

Fang Ziye raised his head slightly, his Adam's apple bobbing, but he couldn't say anything.

After all, he's a great victim.

What does this meal and gathering have to do with you? How dare you ask Qin Geluo to cover your shift while you go to your own celebratory dinner? Sorry.

"Fang Ziye will pay," Deng Yong said again.

"Yes, Master!" Fang Ziye shouted inwardly, "I accept it, I accept it all, okay!"
(End of this chapter)