Translator: imperfectluck Editor: Kurisu
Zhang Fan continued to study hard even though he was now formally a doctor. He would study together with Shao Hua whenever he had free time. She studied accounting, while Zhang Fan constantly practiced English speaking and vocabulary. He would also take walks together with her. Shao Hua and her parents did all of the chores in the home. They would never let Zhang Fan be bothered by such trifling matters. In fact, Shao Huaâs parents even argued much less with each other than before, not wanting to bother Zhang Fan.
Every week, as long as Zhang Fan wasnât busy, he would always call his parents together with Shao Hua, as well as call his younger sister Jingshu. If Zhang Fan didnât have the time, Shao Hua would always call on behalf of him. Thus passed Zhang Fanâs days, which were quite plain, just like chicken soup. The flavor was light but nutritious. Zhang Fanâs chicken soup days were filled with bliss.
It was now Zhang Fanâs medical teamâs turn to accept patients for today. Two days ago, the emergency department had already sent them two patients even though it wasnât their turn. However, the emergency department had especially requested Zhang Fan, so the other doctors didnât say anything. One patient had a closed fracture of the collarbone, while the other had a closed fracture of the ankle joint. Both patients were given one day to rest and recuperate so that the swelling could go down as well as for pre-surgery checkups. Thus, these two surgeries were scheduled for today.
Zhang Fan was on a 24-hour work shift today. One person in his medical team would need to stay in the department for the entire day to be in charge of hospitalization and discharge paperwork. That was because patients might be sent over to them at any time from the outpatient services section.
âYanan, Brother Xue, which one of you two will stay in the department today?â
âMe!â Xue Fei was more than happy not to have to do any surgeries. Working on surgeries for an entire 24-hour work shift would likely result in no longer being able to feel oneâs legs anymore.
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âAlright, Iâll work on the surgeries with Yanan then. Doctor Li, would you prefer to participate in the surgeries or write the medical reports today?â Zhang Fan asked the female rotation doctor who had been assigned to his team. Zhang Fanâs medical team was basically custom-made for him as the attending physician ranked higher than him was the lazy type, while resident doctor Wang Yanan was his disciple.
Doctor Li hesitated for a moment, and then answered, âIâll write the medical reports, Teacher Zhang.â She was shorter than Wang Yanan, and also on the weaker side. Thus, she didnât intend to join a surgical department in the first place.
Zhang Fan had originally wanted to do a 70/30 income split for the surgeries vs. writing the medical reports. However, he then calculated it and found that it was rather high for just writing the medical reports. Xue Fei and Wang Yanan also objected to paying so much for the medical reports. In the end, Zhang Fan set the medical report payment at 30 yuan per medical report completed. Separate medical reports were required for hospitalization and discharging a patient, so young Doctor Li would be really busy.
âAlright. You can stay in the department and write the medical reports then. This is my cafeteria card. Buy anything that you like for lunch with it.â Zhang Fan handed Doctor Li his cafeteria card.
âI have my own card, Teacher Zhang. Thereâs no need.â She felt rather awkward.
âYour money is yours. Youâre working in our team and for our sake, so itâs only normal that we should pay for your meals. Donât be shy.â Zhang Fan handed his card to Wang Yanan, who unhesitatingly stuffed the cafeteria card into Doctor Liâs white doctorâs jacketâs pocket.
âDonât be shy, take it! You donât have any bonus money, so you should save as much money as you can,â Wang Yanan told Doctor Li.
âThank you!â Doctor Li replied with a red face.
âOkay! Begin the surgeries.â Zhang Fan entered the operating room.
Xu Xian and Li Yuze, the two graduate students in the department, had been trying to learn what they could about Zhang Fan. But even though they learned of his reputation, they had never seen Zhang Fan in action before, so they didnât really believe Zhang Fanâs reputation.
Xu Xian and Li Yuze also had their own surgery to work on. Xu Xian made up his mind that once he finished with his surgery, he would go over to observe Zhang Fanâs surgery.
The ice and snow were beginning to melt as it was spring. Due to governmental support for the border province, many major construction projects were beginning with the spring thaw. In the past, most orthopedic injuries had been due to accidentally falling over, especially for older people who then fractured a bone. Although older people injuring themselves was still common, this type of orthopedic injury had already decreased to become only the third most common type of orthopedic injury.
The number one most common type of orthopedic injury was due to car accidents, especially in the city. Even though it wasnât possible to drive that quickly in the cities, a car accident would easily cause a shattered bone. The second most common type was due to an accident at work.
All three orthopedic departments had their own operating rooms, although the anesthesiologists and operating room nurses were shared. Still, the operating room head nurse really favored Zhang Fan, so she would always arrange things especially quickly for him.
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âHey, Zhang Fan, youâve finally escaped the internal medicine departments. Now that youâve been permanently assigned, you havenât even treated me to a meal?â The operating room head nurse greeted Zhang Fan from far away when she saw that he had changed into surgical attire and entered the operating room.
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âHello, head nurse. As you know, I have many surgeries. I figured that Iâd treat all the operating room nurses to a meal during some weekend,â Zhang Fan responded with a smile. Although he was wearing a surgical mask, the head nurse still felt really comfortable because she could tell from his eyes that he was smiling.
âWhat, who among my nurses have you fallen in love with? Tell me in secret. Iâll definitely help you conquer her.â The head nurse then intentionally came over right next to Zhang Fan. The distance between them seemed like she was touching him, but there was still a tiny bit of distance. However, Zhang Fan could smell the fragrance on her body and see her white neck up close, and even saw a faint hint of her cleavage. It seemed like she was wearing a black bra!
âHaha, I really havenât. I already have a girlfriend!â Zhang Fan took a small imperceptible step backwards! He really couldnât handle the head nurse! He could only be defeated by a mature woman like her who had high emotional intelligence. If he didnât retreat, the head nurse would surely laugh at him forever!
âItâs not like youâre married yet. Besides, those who are married might also get divorced. Honest, the girls working under me are all really nice. You should get some more experience while youâre still unmarried. Otherwise, youâll regret things.â
âZhang Fan!â Wang Yanan finished changing and exited the womenâs changing room. She went over to the operating room already, but saw that Zhang Fan hadnât arrived yet. She then came over to see that Zhang Fan was chatting with the head nurse, so she called out to him, which ended up rescuing Zhang Fan.
âHead nurse, Iâm going to a surgery now.â Zhang Fan was about to slink away along the wall.
âHaha, go! Your little disciple is getting jealous!â the head nurse said this as if she was a cat!
âHaha!â Zhang Fan didnât dare to reply anymore.
He entered the operating room only to receive a glare from Wang Yanan. âYouâd better stay away from her. Otherwise, Iâll definitely report you to Shao Hua.â
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âWhat are you even thinking? Hurry up and wash your hands and disinfect.â Zhang Fan didnât care at all. Wang Yanan was too young to understand still, but Zhang Fan understood quite well. The head nurse definitely had no romantic interest in him. This was simply her way of interacting with others.
âHmph! Do you think that sheâs only passionate towards you? She treats all the slightly more skilled doctors the same way. Iâve seen it several times,â Wang Yanan whispered to Zhang Fan. She was whispering because the operating room nurse and anesthesiologist had already arrived. She really had matured. If this had been before, she would have said such things out loud!
âKeep blabbering. Hurry and wash your hands. Otherwise, Iâm going to start without you.â Zhang Fan was unable to explain it as Wang Yanan still wouldnât understand. Although Wang Yanan was only one year younger than he was, Zhang Fan was mentally around a 40-year-oldâs age!
Zhang Fan washed his hands, disinfected, and draped. In the operating room, everything required standardized movements. Nobody was allowed to talk loudly. This was in order not to bother others, and also because the louder one spoke, the more likely it was for spit to fly out from oneâs mouth and contaminate the surgery area.
Handwashing would require washing all the way up to the elbows. After the handwashing was finished, the doctor would need to keep his hands and arms straight in the air in order to ensure they were sterile. Requirements were even higher for the doctorâs hands. Rings, watches, and so on were all forbidden. If the doctorâs hands had any open wounds, then the doctor would be completely forbidden from performing surgery!
There were usually three layers to draping. The three layers added together would be about four centimeters. The specialized drapes would cover the patientâs entire body. Only the part of the body for the surgery would be revealed.
The surgery began. The first patient was the one with a collarbone fracture. This was easy, incredibly easy for the current Zhang Fan. There was zero difficulty in this surgery for him now. However, even if it wasnât difficult at all, Zhang Fan was still highly vigilant. No matter how small or major the surgery, it would be important to treat them all the same. Otherwise, a medical incident would occur sooner or later.
Wang Yanan wanted to perform the surgery, but she saw that the bone had been shattered severely, so she didnât request to be the primary surgeon.
âHere, touch this location. The collarbone is slightly curved. Also, look at this broken portion. This is the most fragile part of the collarbone. When you put a metal plate here, you absolutely need to adjust the metal plateâs shape. Otherwise, it wonât adhere tightly to the bone. In that scenario, either the metal plate will break or the bone wonât fix itself properly in a few months from now.â
Zhang Fan kept explaining the important points to Wang Yanan as he performed surgery. Firstly, Wang Yanan was really respectful towards him. Any teaching doctor would like such a student regardless of gender. Secondly, Zhang Fan and Shao Hua getting along so well was also thanks to Wang Yanan helping out at the beginning. Back then, Zhang Fan had said that he would definitely help Wang Yanan secure her position in orthopedic department #1. Thirdly, she truly was treating Zhang Fan as her teacher. This was a way of helping each other out!
About half an hour later, the first surgery concluded successfully and the anesthesia ended.
The medical equipment nurse and operating room nurse hurriedly cleaned up the medical equipment and all the drapes on the ground. They then placed everything in a tube that led to a room for cleaning this equipment.
The hospital had special employees who would clean up all the medical equipment used in operations. They were waiting behind that tube. They would take away all of the contaminated medical equipment.
Around 15 minutes later, the anesthesiologist announced, âLetâs wash our hands!â Wang Yanan washed her hands and disinfected.
They were sent a constant stream of patients. Three car accident victims arrived with open fractures. There was also a construction worker who was injured at a work site with a foot fracture that was also an open fracture. Near the end of the work shift, yet another open fracture arrived.
What was an open fracture vs. a closed fracture?
This was quite simple. An open fracture would be an injury where the bone was showing. This type of injury would require surgery as quickly as possible in order to prevent osteomyelitis. The longer before a patient received injury, the higher the chance of osteomyelitis.
Meanwhile, closed fractures were broken bones that didnât penetrate the skin. These usually required the swelling to go down before a surgery could begin. If there was too much swelling, the surgeon wouldnât be able to sew up the skin after the surgery! This would be even more so for places where the skin was thin. The swelling would absolutely have to go down first. This was why some patients would only receive surgery around three to four days, or even a week, after being hospitalized. This wasnât because the doctor was waiting for a red packet. It truly wouldnât be possible to do the surgery!
Wang Yanan began to have a hard time after completing four surgeries. She really was tired after working for the entire day. Her back and legs were really sore. She was getting slightly hunched over after the fourth surgery ended. However, there were still more patients. The emergency department had already called to tell them that a hip bone fracture patient was soon arriving.
âYou should go get some rest and tell Xue Fei to join me,â Zhang Fan told her.
âItâs fine. I can still go on.â Wang Yanan felt that she could still keep going because Zhang Fan was still persisting.
âListen to me. Surgery isnât something that can be done by doing as much as possible in a single day. Go get some rest!â
âBut why arenât you getting any rest?â
âIâm one year older than you. Hurry and go get some rest.â Zhang Fan definitely wouldnât say something like âbecause Iâm a man.â Otherwise, Wang Yanan would absolutely refuse to leave.
âOkay, Iâll go get some rest.â
Meanwhile, the day shift had already ended in the department. âHow come you havenât left yet?â Xue Fei was playing on his cell phone while eating a boxed lunch as he said this to Xu Xian, who still hadnât left.
âAh, Iâm in no hurry. I still havenât finished writing my medical reports.â Xu Xian and Zhang Fan had both finished their surgeries at the same time. Xu Xian needed to write medical reports and offer medical advice to the patients, which was why he didnât have the time to observe Zhang Fanâs surgery, even though he had really wanted to. There was an especially high number of patients today, so he was waiting for Zhang Fan to ask for his help so that he could go and compare himself to Zhang Fan.
This was a common problem to those who were really smart. They would be unwilling to submit to others. There was nothing wrong with this. If you wanted to make progress, you would need to have an attitude and spirit that werenât submissive.
Orthopedic department #1âs nurse station didnât seem like it was time to get off work at all. There were so many patients today that the day shiftâs nurses were working overtime even though the night shift nurses had already arrived.
The orthopedic department #1 head nurse Lian Juan didnât leave, either. There were too many new patients hospitalized today. She needed to watch over things, otherwise there would easily be an incident.
âDoes patient #8 still have fluids? He rang his bell!â Liao Juan commanded the nurses from the nurse station.
âHead nurse, this patient has two sets of medicine. This set is vitamins. Please help me change it as thereâs too much for me to do alone!â a nurse requested.
âYou only know how to order me around!â Although Liao Juan was complaining, she still instantly went over to help change the medicine.
âSigh! Xue Fei, your Zhang Fan really is like a maneki neko. He has so many patients when itâs his shift,â Liao Juan commented to Xue Fei after she finished changing the medicine. She saw that he was idly eating his food while playing on his cell phone.
âHave you eaten yet? Come eat with me if you havenât,â Xue Fei offered.
âYouâre only calling me after you leave nothing but leftovers? Thereâs no sincerity in your offer at all. Weâre ridiculously busy. None of us nurses have gotten to eat dinner yet. Go buy some Kentucky Fried Chicken for us.â
Xue Fei was just about to find some excuse not to do anything when Wang Yanan dragged her leaden body into the department. âGo to the operating room. Thereâs yet another patient for us. Itâs a hip bone fracture.â
âHey! Why is it so busy today?â Xue Fei remarked as he got up to go to the operating room. If he still didnât do any work now, that would really be considered shameless of him.
Rotation doctor Little Li was both in pain and happy. No other department would give a rotation doctor any money for writing medical reports. That was work that you were supposed to do regardless! But in Zhang Fanâs medical team, he paid her money as well as paid for her meals. It was just that there were so many medical reports. She had barely gotten up from her chair all day. Still, she was happy that she had earned over 100 yuan today already.
Xu Xian glanced at Wang Yanan, but didnât say anything. âThatâs five surgeries youâve worked on. You probably wonât be able to take any more even if youâre as strong as a bull!â
Another car accident occurred during rush hour. The ambulance brought over two more bone fracture patients. Then, it became 11:00 p.m., yet Zhang Fan was still busy performing surgeries. Xu Xian had been waiting in the department for all this time for Zhang Fan to ask for his help. The end result was that Wang Yanan had a meal, took a nap, and then returned to the operating room. However, Zhang Fan didnât come out at all.
Xu Xian checked the time again. It was almost 1:00 a.m. now. Zhang Fan had been performing surgeries nonstop since about 9:00 a.m., which caused Xu Xianâs face to pale. No matter what Zhang Fanâs surgery skill level was like, Xu Xian could only admit that he didnât have as much stamina as Zhang Fan. Surgery, especially orthopedic surgery, was a physically demanding job!
Meanwhile, Little Li who was writing medical reports no longer felt any happiness. She only felt pain!
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