top student at medical school

Chapter 381 The Professor's Punishment by Standing! (Please Subscribe)
"Ziye, don't talk nonsense. Professor Du is a professor of vascular surgery, and you, an orthopedic surgeon, can't just cause trouble in our hand surgery department." Professor Ni Yaoping was the first to speak up and stop him.

Fang Ziye is a trauma surgeon, belonging to the Department of Orthopedics. Although Fang Ziye's level in the field of hand surgery is also extremely high, he is both loved and hated by Ni Yaoping.

I love Fang Ziye, but I hate Deng Yong to death!

However, the difference between orthopedics and anesthesiology is quite significant.

Liu Huanglong glanced at Mi Qi a few times, his small eyes and short eyebrows furrowing: "Ziye, don't be ridiculous!"

However, at this moment, Mi Qi, who was only thinking about preserving the function of his hand, began to complain: "Dr. Fang, do you know how? If you do, then you should go."

"Professor Du, don't let Dr. Fang's background in trauma surgery fool you. His fundamental skills are incredibly solid. Many of us in vascular surgery, including myself, have stood guard next to Dr. Fang."

"Dr. Fang's talent and aptitude are actually quite high..."

Mi Qi's words struck a chord with Liu Huanglong. He slowly turned to look at Fang Ziye, thinking to himself—

A vascular surgery associate professor was forced to stand in the corner and dared not go on stage? You've actually done that before?
Although Mi Qi's words might seem like a desperate attempt to find a way out, the fact that he said such a thing means that he really did suffer a loss at Fang Ziye's hands.

Mi Qi hissed softly in pain again and said, "Yes, Teacher Liu, Ziye has done it more than once. So, I believe Ziye!"

"We'll try anything, even if it's a long shot. If that doesn't work, we'll switch to nerve block anesthesia..."

Mi Qi also knew that Professor Du Yuanxian had already made up his mind, and if he didn't agree with his idea, his surgery would not be able to proceed.

If Du Yuanxian forces himself to undergo general anesthesia, the surgery will be relatively smoother, but there will be no real-time interaction, and the functions of his own hands will be affected.
Therefore, Mickey took a step back first, using retreat as a means of advancement!

"You really dare to try? This puncture is no joke. The local anesthesia we're going to administer now isn't the kind you usually do for cleaning and suturing." Du Yuanxian was half convinced.

Fang Ziye took a light breath and said, "Professor Du, I'll give it a try. Even if it doesn't work, I won't lose anything, and at least it won't harm Professor Mi!"

Fang Ziye adhered to the principle of not causing harm, and thus replied.

"Alright then, damn it, the world has changed!" Du Yuanxian subconsciously wanted to touch his head. Because he was in the anesthesiology department, he usually didn't wear sterile surgical gowns.

Naturally, Du Yuanxian was only given this thought when the reality of the situation brought him back to his senses. Looking in Fang Ziye's direction, he was filled with turmoil.

To be honest, after spending a long time in the clinic and at Zhongnan Hospital, Du Yuanxian had never seen anyone particularly daring. Would anyone actually dare to demonstrate puncture techniques in front of him?

There's only one anesthesiology department!
There are vascular surgeons, but they're not from the same system. Now a young trauma surgeon has appeared, and he's trying to show off in front of me.

If he hadn't seen it with his own eyes, Du Yuanxian himself would have found it hard to believe.

When did anesthesiology professors become so worthless?
Then, Du Yuanxian looked at Lan Tianluo.

This oddball, whoever appeared out of nowhere, not only started calculating as soon as he walked in, but also didn't seem to take himself, the professor, seriously at all.

It's as if everyone is at the same level.

Even though he was shocked, after Fang Ziye took away his personal syringe, Du Yuanxian calmly said, "Dr. Fang, I don't know what your skill level is, but when performing local anesthesia on the palm, you must not aim at the direction of the nerve."

"Especially the palm..." Du Yuanxian actually started explaining to Fang Ziye what nerves were in the palm, their general paths, and the distances between them.

After about half a minute of this, Liu Huanglong couldn't take it anymore and spoke up at the right moment: "Professor Du, if you're not too worried, the anatomy of this hand falls under orthopedics, and trauma surgery also deals with bone defects in the palm..."

The implication is that you can overlook Fang Ziye's lack of experience, but you can talk to him about orthopedic anatomy, which is a fundamental skill in trauma surgery and is how he makes a living.

It's somewhat insulting.

Fang Ziye was not annoyed. After nodding repeatedly, he looked at Lan Tianluo and said, "Tianluo, report the data again!"

Although Fang Ziye's piercing skill had just been upgraded to level 5, he didn't remember the data that Lan Tianluo mentioned very clearly.

"Needle angle...insertion distance...dosage...injection speed...interval time, each anesthesia session lasts approximately four minutes. After four minutes, doctor-patient interaction can be completed," Lan Tianluo precisely stated the relevant data.

Fang Ziye inserted the needle without hesitation. The tendon to be sutured this time was one of the flexor digitorum superficialis tendons of the index finger. Therefore, the range of local anesthesia had to be quite appropriate.

After administering the medication, Fang Ziye breathed a sigh of relief and turned to the circulating nurse: "Circulating nurse, start the timer. Three minutes and thirty seconds later, the surgery will be over."

"As Dr. Lan just said, after three minutes and thirty seconds, the anesthetic effect of the drug will decrease to the level that produces the pain threshold."

After saying that, Fang Ziye turned his head without hesitation and looked at Shuye.

Then, Fang Ziye noticed that neither Ni Yaoping nor Liu Huanglong dared to insert the needle easily; instead, they handed the two handles of the needle holder to Fang Ziye.

"Ziye, why don't you sew it?" Liu Huanglong's tone carried a questioning tone, even a request for permission.

As we all know, surgery is a discipline that relies on absolute skill. Surgical techniques, once they reach a certain level, are clearly tiered, like a pyramid.

Fang Ziye's suturing skills are ridiculously professional, reaching an unbelievable level. Neither Ni Yaoping nor Liu Huanglong dare to let Fang Ziye stand guard in front of them! What if Fang Ziye is hiding something else, not only is his suturing skill amazing, but his tendon suturing skill is also incredibly powerful?

What if?
Fang Ziye didn't actually want to take it over, because if he did, he would have to clear most of his knowledge points and also level up his tendon suturing skills in order to maximize the suturing effect.

In fact, the suturing techniques of Professors Liu Huanglong and Ni Yaoping were already sufficient. Otherwise, the hand surgery department of Zhongnan Hospital would not have reached its current level.

"You sew it up, Ziye!" Even though Professor Ni Yaoping felt that Fang Ziye was a hidden gem in trauma surgery, he was certain that Fang Ziye's current suturing technique was almost against the rules!
There is a sequence to learning the Way, and those who are enlightened are our teachers.

Fang Ziye's talent was somewhat of a curse, and it wasn't just one aspect that caused the problem, so Ni Yaoping couldn't really question it.

Suturing is, after all, one of the basic skills of surgery. Fang Ziye's other medical skills can reach the level of a national master, and so can his suturing skills.

Upon hearing this, Fang Ziye had no choice but to upgrade his tendon suturing skill to level five as well.

He took the needle holder, then took Liu Huanglong's place, and picked up the toothed forceps on the microsurgical instrument operating table, taking a deep breath.

Look at your level 5 skill on your panel.

[Debridement, puncture, hemostasis, manual reduction, vascular surgery theory, basic animal experimental techniques, tendon suturing, CT scan interpretation, manual massage]

Damn it, a proper trauma surgeon has had his Level 5 skill level and plaques completely distorted due to various events!
However, there was nothing that could be done. These skills were basically acquired by Fang Ziye in emergency situations. Things happened suddenly, so there was nothing that could be done.

Du Yuanxian was stunned when he saw Fang Ziye sit down at the suture position.

He asked Ni Yaoping and Liu Huanglong softly, "Aren't you going to stitch them up anymore?"

The two pointed in Fang Ziye's direction. Ni Yaoping acted as an assistant, watching Fang Ziye's operation through the eyepiece, while Liu Huanglong observed carefully with his eyes.

We strive to leave no detail overlooked!
Just kidding. How could you understand the subtle procedures involved in a Level 5 suture without carefully reading and understanding the surgical procedure?

Even with a microscope, it's not very clear; you still have to see the final result!

Fang Ziye's suturing skills remained swift, with each stitch inserted precisely and each knot tied perfectly.

Fang Ziye's suturing technique is not fancy; it even has a sense of returning to simplicity.

However, once Fang Ziye began suturing, Liu Huanglong and his colleague immediately recognized the technique: "Tang method suturing?!"

Fang Ziye didn't reply and continued to sew carefully and slowly.

Naturally, Liu Huanglong and Ni Yaoping didn't need Fang Ziye to explain the suturing method; they were certainly able to determine the suturing technique themselves. They were just surprised that Fang Ziye, who wasn't a hand surgeon, knew so many fancy and subtle techniques in tendon suturing.

There are many ways to suture tendons, such as the Kessler method, the modified Kessler method, and the Tang method.

Among them, the Tang method of suturing is the most complex, while the Kessler and modified Kessler methods are the most commonly used. The Tang method is the most difficult, and it doesn't make a significant difference in the improvement effect on tendon suturing, so few people deliberately learn it.

When performing surgery, the surgeon will not speak or become distracted unless it is a non-critical operation.

Fang Ziye knew that his operation was not just about suturing a few tendons, but about saving a surgeon's hand.

This surgeon was tortured for hours by the people in the operating room in order to save the function of his hand, and it was Mickey who asked for the torture!
No surgeon would willingly give up their hand, just as no teacher would willingly leave the classroom.

Fang Ziye did not reply, but that did not affect Ni Yaoping and the other man's viewing and reflection.

"Cut the thread!" Liu Huanglong was so engrossed in his work that Fang Ziye tapped the thread cutters he was holding with the needle pliers.

"Okay, okay!" Liu Huanglong nodded quickly, then cut the thread!
Fang Ziye continued suturing...

"Three minutes and thirty seconds are up!" The circulating nurse, watching the timer, reminded her precisely on time.

Fang Ziye stopped suturing three seconds earlier, because he had already finished treating the tendon.

As time continued to pass, Fang Ziye tapped Mi Qi's hand with the needle holder and asked, "Dr. Mi, how is it? Can you bend your index finger?"

Mickey's index finger twitched, and the twitch was ridiculously large.

Startled, Fang Ziye quickly used his needle-holding pliers to stop him: "Stop, stop, stop!"

Ni Yaoping, who lived across from Fang Ziye, trembled with shock, his eyes wide with astonishment and confusion—a national-level suturing technique, such a dimensional attack.

Startled, Liu Huanglong stood up abruptly, staring at the ceiling, questioning his life, doubting the genius title others had given him, and doubting the empty reputation of being the number one hand surgeon under forty.

Of course, anesthesiologist Du Yuanxian wasn't idle either. He couldn't hold back any longer and raised his voice, like an old eunuch: "Holy crap! You can do sensory-motor dissociation under local anesthesia?"

(End of this chapter)