September 15th, approaching noon.
Fang Ziye, on duty, was scrolling through his phone to order takeout.
Lan Tianruo, now managing patients independently, had adopted Fang Ziye's habit. After neatly filing away both active and discharge medical records, he pulled out his phone and sat next to Fang Ziye, patting his stomach. "Senior Fang, everyone in the department says the beautiful senior sister is incredibly skilled."
"What do you mean 'beautiful senior sister'? She has a name, it's Luo Tingzhu. You should call her Senior Luo." Fang Ziye corrected Lan Tianruo with a roll of his eyes.
He then handed over his phone. "Here, let's order together and save on delivery fees."
Lan Tianruo felt a bit embarrassed. "Senior Fang, let me treat you this time?"
Last month, when Lan Tianruo wasn't qualified to manage patients independently, Fang Ziye always paid for meals during their shifts. Now, although Lan Tianruo could manage patients on his own, he still couldn't take shifts independently without a licensed physician qualification.
Continuing to follow Fang Ziye and freeloading made Lan Tianluo feel uneasy.
Fang Ziye put his phone away. "Tianruo, did you get your paycheck? You must be rolling in it now."
During the standardized training period, Zhongnan Hospital provided a subsidy of 5,000 yuan, while professional master's degree students incorporated into the training received a subsidy of 1,400 yuan.
Lan Tianruo immediately handed over his phone, puffing out his chest and sucking in his stomach confidently. "Just got paid this morning. Senior, order whatever you like!"
"Let's stick to the usual. If we're going to splurge, we might as well eat out for better taste. It's not appropriate to spend too much on takeout," Fang Ziye searched for a familiar barbecue rice restaurant and ordered a set meal for 15.99 yuan.
Lan Tianruo took back his phone and casually ordered a pepper-flavored barbecue rice. He then said, "Senior, I heard from Senior Shu Lang that Senior Luo had already cleared the first training room for both graduate studies and residency stages during Professor Deng's recruitment assessment."
"Hey, how do you think she practiced her clinical skills to reach that level?"
In Professor Deng Yong's group of second-year master's students, there were two people: Shu Lang, Professor Deng's student, and Gong Ziming, who was Associate Professor Xie Jinyuan's student.
Professor Deng Yong could take on master's students every year, while Associate Professor Xie Jinyuan and Attending Physician Yuan Weihong took turns accepting students. Originally, Fang Ziye had another senior, but after graduation and starting work, Professor Xie now only had Gong Ziming as a student.
"How would I know? Geniuses probably have their own methods," Fang Ziye replied.
"The eight-year combined bachelor's, master's, and doctoral program in clinical medicine at Hanshi University usually has an admission score no lower than Fudan University's minimum admission line, sometimes even reaching Tsinghua or Peking University levels," Fang Ziye analyzed objectively.
Talent, after all, had its tiers.
Fang Ziye's own aptitude wasn't too bad, otherwise, he wouldn't have been able to enter a small 211 university and then beat out a bunch of 985/211 graduates to enter Zhongnan Hospital for his master's degree.
But Fang Ziye also knew that his aptitude was far from top-tier.
If you factor in his current skill points, that's a different story, but he had gained them too recently. Catching up might still take time; it couldn't happen overnight.
Luo Tingzhu was now only in her fifth year since entering university, equivalent to having studied for just four years in college.
At this age, Fang Ziye was still a naive fourth-year intern, so it was naturally difficult for him to understand.
"That's indeed impressive," Lan Tianruo felt a kind of inexplicable awe towards someone who could go to Tsinghua or Peking University but chose not to.
"But the beautiful senior is really pretty and exceptional," Lan Tianruo's eyes were slightly dreamy.
"I heard that Professor Deng Yong initially didn't want her to come to our trauma surgery department. Apparently, many internal medicine professors in our hospital, especially dermatology professors, had put in a good word, saying Senior Luo had extraordinary talent in these areas and hoped she would further her studies in those directions..."
"But Senior Luo was more interested in surgery, and for some reason, she chose trauma surgery."
"To each their own," Fang Ziye stretched lazily.
After lunch, patients would start trickling into the department. Zhongnan Hospital's trauma surgery department generally didn't accept emergency trauma cases, as most of them were too simple.
More complex emergency trauma cases were usually handled by senior surgeons and weren't transferred to the ward afterward. Therefore, most patients came from outpatient referrals.
These elective hospitalization patients had been thoroughly examined by professors or attending physicians multiple times and were considered relatively good cases. Only then were they admitted to the ward and handed over to the ward doctors for reception and treatment.
More challenging cases or those with hesitant surgical intentions would be turned away at the outpatient stage.
Although such patients had been examined countless times by senior doctors and were unlikely to yield new findings, Fang Ziye still diligently double-checked the medical orders and strived to discover small diagnoses that the outpatient doctors might have missed or overlooked.
Once uncovered by himself, these diagnoses could be transformed into Knowledge Points, which Fang Ziye could add to his repertoire...
Fang Ziye had already helped two patients complete their hospitalization procedures and had finalized all pre-operative medical orders. One patient had no chronic diseases, but the other had a history of thrombocytopenia, previously treated but currently not taking any medication.
Therefore, Fang Ziye quickly checked the relevant laboratory tests for thrombocytopenia, such as coagulation, liver and kidney function tests, complete blood count, and so on...
"Senior Fang, we're surgeons. Isn't it too troublesome to routinely perform cardiac and pulmonary auscultation for patients during our shifts? After all, these organs aren't related to the patient's main complaints," Lan Tianruo asked while waiting for Fang Ziye to admit the third patient.
"It's a chance to hone our skills. We already have few opportunities for hands-on practice, so physical examination is a routine operation we can perform when admitting patients. Naturally, we should cherish it more," Fang Ziye replied, not telling Lan Tianluo his true motive of maximizing every opportunity.
After reviewing the laboratory test results for the patient with thrombocytopenia and sending out consultation request forms, Fang Ziye finally walked towards the procedure room.
"I'm sorry for the wait, ma'am. Have you completed the hospitalization procedures?" Lan Tianruo asked politely.
The newcomer was a middle-aged woman in her forties, with slightly dark skin, short in stature, and looking quite stout.
"No worries, doctor. I can see you're busy," the middle-aged woman replied.
"I should lie down, right?" she asked.
"That's right. Sir, could you help the lady lie down? Then pull up her clothes to expose her lower abdomen," Fang Ziye instructed. When examining patients of the opposite sex, even elderly women, someone needed to be present as a witness.
Preferably a family member, otherwise, a nurse would be required. Male doctors like Lan Tianruo weren't suitable. This was a form of self-protection to avoid false accusations of misconduct, lessons learned from the bitter experiences of predecessors. While it might not always be necessary, it was better to be safe than sorry.
Fang Ziye skipped the cardiac and pulmonary auscultation and went straight to the abdominal examination.
Abdominal examination involved inspection, palpation, percussion, and auscultation. The patient had come for a lower limb deformity consultation and was scheduled for osteotomy and correction. She had no previous medical history, and the abdominal inspection, palpation, and percussion were all normal.
However, when Fang Ziye routinely listened for abdominal vascular murmurs, he heard an unusual wind-like murmur.
Fang Ziye's expression changed abruptly at the sound.
Switching from auscultation to palpation, he couldn't feel any pulsation, but when he listened again, the sound was still there.
This could be a vascular-related condition. A wind-like murmur often pointed towards a vascular tumor—
An abdominal aortic aneurysm?
"Doctor, is there a problem?" the patient's husband asked, noticing Fang Ziye's sudden change in expression.