top student at medical school

Chapter 342 Playing in the Operating Room (Second Update, Please Subscribe)
Xiong Jinhuan knew that Fang Ziye had gone to the hand surgery practice room after leaving. However, Xiong Jinhuan had not yet found out exactly what Fang Ziye did there.

The people in the hand surgery department were all busy gossiping; how could they possibly have had the chance to notify Xiong Jinhuan?
After Fang Ziye finished the procedure and ran away, he immediately took Xiong Jinhuan to the emergency operating room in the emergency department.

Xiong Jinhuan went to print out the template for the informed consent form for the patient with aggravated injuries and asked the patient's family to sign it. Fang Ziye then asked the emergency department to prepare the preoperative medical orders for the emergency surgery.
After the consultation, it was found that the patient's condition was indeed only concentrated on the severe damage to the lower right leg, with no damage to major arteries or the chest and abdomen.

After CT scans and other examinations were completed, and consultations with various specialists were conducted, the diagnosis was clear. There was no doubt that emergency surgery was indicated.

However, just as Fang Ziye was preparing to write the preoperative medical orders for emergency surgery, the patient pushed his wheelchair closer to Fang Ziye and asked, "Doctor, is amputation the only option for me?"

The girl, around sixteen or seventeen years old, had a pale face and slightly furrowed brows. Her skin was fair, and her figure was slender, even thin. Her arms and wrists were like bamboo poles, long but fragile, as if they would break at the touch.

She was wearing a dance student's practice clothes, with a jacket over them. Her right lower limb, wrapped in gauze, was swollen like a sac! Fresh blood seeped through the gauze, making it look as if her foot was a bamboo skewer, skewering an irregularly shaped, large, spicy, meat-filled bun...

Fang Ziye glanced at her, feeling touched, but dared not reply.

A young girl, in the prime of her life, an art student, was on her way to practice when her right lower limb was crushed by a bicycle. The crushing point was above the ankle.

"Doctor? Can I not have my leg amputated? I'm going to school, I'm taking the college entrance exam next year. I've been practicing dance since elementary school. I don't need extra points, I don't need to practice dance anymore..." The little girl sobbed.

Fang Ziye turned around and said, "Don't cry yet, you're almost an adult now."

“We’re not children anymore; we have to start facing reality.”

Whether or not amputation will be necessary is still uncertain. We can only say that, given your current injury, it's highly likely that amputation will occur.

The girl didn't hear what Fang Ziye was saying at all, and continued to sob with her head down, her shoulders, back, hands, and feet trembling...

At this moment, the girl's mother, who was talking to Xiong Jinhuan, came closer and glanced at Fang Ziye!
Fang Ziye quickly said, "As her parents and guardians, you should talk to her a little about her emotions. I need to prepare the details of the surgery."

"The longer the delay, the later the surgery will be, which will be more detrimental to postoperative recovery."

There aren't that many miracles in the world.

Limb sabotage is currently considered incurable both domestically and internationally. Zhongnan Hospital does not have the capacity to provide limb-sparing treatment for every limb sabotage patient.

The orthopedics department at Zhongnan Hospital is quite strong.

So the middle-aged woman hesitated and asked, "Doctor, even if the professor intervenes, there's nothing he can do about my daughter's condition?"

"If there's an opportunity, it's okay to spend more money."

"Our requirements are not high, we just want to keep our legs and preferably be able to walk."

She held her daughter close, doing everything she could to give her a chance to live.

"Sister, I'm not exaggerating or trying to scare you, but the request you're making is quite high, even a bit unreasonable."

“I told you it was a crush injury, and you must have searched it on Baidu and seen what crush injury means. With current medical technology, it is almost impossible to save a limb in a crush injury that can be called a crush injury.”

"Although some people are exploring this direction, they are mobilizing the nation's top professors and bringing them together to do it only once or twice."

"However, the results of such resource concentration are mixed, to the point that currently, there is no standardized limb-sparing surgical technique or procedure developed worldwide..."

"Therefore, the optimal solution for causing further damage is still amputation!" Fang Ziye naturally felt sorry for the little girl.

But it wasn't just the little girl who was pitiful; the boys we encountered before, and the men in their thirties and forties who were the breadwinners of their families, were also pitiful.

The professors couldn't figure it out, so they asked Fang Ziye to come up with a solution. Isn't that like urging a man to have a baby or a rooster to lay an egg?
“Immature limb-sparing techniques can eventually lead to limb necrosis. When the necrotic limb seeps into the bloodstream, it can even cause bacteremia, electrolyte imbalance, and even endanger life.”

"So, no matter what level of expert you consult, the answer you get will definitely be the same as mine!" Fang Ziye still had this professional confidence.

Naturally, if a top-tier institution like Peking Union Medical College Hospital or the Mayo Clinic says they can try limb-sparing surgery, Fang Ziye would believe it.

But not everyone has Peking Union Medical College Hospital or Mayo Clinic right next to their home!

“I sent photos of my daughter to many friends and consulted many doctors.”

"But I still hope for a miracle, I'm sorry, doctor..." the woman said, hugging her daughter, her eyes red but not crying.

She was heartbroken, but she was no longer young, and she was still a mother, so she didn't have the right to cry in front of her child and could only pretend to be strong.

Fang Ziye could only continue to persist in his cold-blooded ruthlessness.

Promising others a future in a deceptive way is tantamount to killing their hopes for the future.

……

Soon, Xiong Jinhuan came in, looked at the girl who had stopped crying but was still very pretty, and sighed: "Brother Ye, she has signed the papers and paid the fees."

"Okay, get ready to take him to the operating room. Call in today's emergency team," Fang Ziye instructed.

Xiong Jinhuan is also a PhD and a senior resident assistant. He has many resources and rights, so Fang Ziye doesn't need to handle some things personally.

Just as Fang Ziye finished giving his instructions, Guan Qiquan and Professor Liu Huanglong arrived at the surgical clinic of the emergency department. Fang Songlin, who was on duty inside, did not recognize Guan Qiquan, who was two years ahead of him, but he did recognize Liu Huanglong, a legendary figure in orthopedics from the same year as him.

"Liu? Brother Long?" Fang Songlin changed the two titles, finally choosing the more fitting Brother Long.

Liu Huanglong was actually from the same era as Yuan Weihong. However, Liu Huanglong was far more talented than Yuan Weihong; he was a true genius…

It seems that Liu Huanglong is not familiar with Fang Songlin.

Liu Huanglong nodded to Fang Songlin, waved, and then looked at Fang Ziye and said, "Ziye, you ran away from the training room. I'm really in a bad mood about this. I really need to learn from you today."

"Uh~"

"Who is this girl? Is she a trauma patient?" After greeting Fang Ziye, Liu Huanglong looked at the patient Fang Ziye was currently treating and his expression tightened.

"Yes, Professor Liu, it's a crush injury below the mid-to-lower tibia. We've only seen a general outline so far. It's also a degloving injury of the right foot..." Fang Ziye explained to Liu Huanglong.

Upon hearing this, Liu Huanglong immediately bared his teeth slightly.

Upon learning that Liu Huanglong was a professor, the family immediately asked, "Professor Liu, is it possible to avoid amputation for my daughter's condition?"

Liu Huanglong shook his head: "This request is a bit difficult!"

“Even with fusion surgery, there is a risk of postoperative limb necrosis and infection after ankle and foot injuries. The statistical probability of subsequent amputation after limb-sparing surgery is as high as 95% or more.”

"The remaining few percent will mostly result in stiff feet in the end."

"It has the form but no function."

Fang Ziye continued to explain to the family: "This family member, I'm not exaggerating, but this disease is so devastating that with the current level of treatment, almost no team can overcome it."

"So, it's really not that I'm unwilling to find a solution for you."

"Professor Liu is a professor at Peking Union Medical College Hospital, and also a professor in our orthopedics department. He is a senior chief physician."

The family members fell silent again, and the girl in her arms trembled slightly.

"Dr. Fang, you should go to the surgery first. Professor Guan and I will go to the operating room first..." Liu Huanglong is a very mature adult and would not make any promises on a whim.

But these words actually hint at something.

Professor Liu Huanglong is a professor of hand surgery. He has unique experience in hand surgery, particularly in the replantation of severed fingers and the treatment of soft tissue defects, vascular and nerve defects.

"Okay, Professor Liu." Fang Ziye took two steps to see him off, then turned back.

Then, seeing that the family had searched online for hand surgery experts at Peking Union Medical College Hospital, he nodded and said, "Yes, it's Professor Liu. He looks just like in the photos. He's here to visit our hospital and serve as a mentor."

"I just happened to be passing by, but he was having a limb replantation procedure. This kind of destructive injury falls under the category of trauma surgery."

"Alright, Dr. Fang, we agree to the amputation."

"But I beg you, if, just suppose, there is any hope of saving my daughter's limb, even if it's only one percent, please come out during the surgery and tell us."

"Even one percent is acceptable. As long as there is a glimmer of hope and our lives are not in danger, we are willing to gamble until we are in dire straits."

"She's still young..."

Fang Ziye had already answered in his heart that most of the trauma patients he encountered were very young. Because older trauma patients had already undergone amputation in lower-level or prefecture-level hospitals.

But even after they arrive, amputation will most likely still be the result.

Even with the combined efforts of these top trauma surgeons in Hubei Province, none of them have been able to successfully rescue a patient with severe trauma. Even Dr. Huang Kai, an associate chief physician specializing in orthopedics, still relies on a wheelchair…

This disease is a sudden emergency; it doesn't discriminate between people.

"Okay!" Fang Ziye nodded in agreement.

"I'll go to the operating room with Dr. Xiong to prepare. You can also prepare yourselves mentally and have the nurse insert a catheter."

"Because you have a particularly strong request for limb preservation, you need to be prepared for the surgery to take longer."

Fang Ziye left after giving his instructions.

On their way to the emergency operating room with Xiong Jinhuan, Fang Ziye indeed encountered Professor Liu Huanglong. At this moment, Liu Huanglong had transformed into a very serious professor, discussing with Guan Qiquan the interpretation and treatment principles of hand injuries.

Upon seeing Fang Ziye enter, Liu Huanglong politely asked, "Dr. Fang, I actually had some ideas about limb destruction before, but since I am a subspecialty of hand surgery, I haven't had the opportunity to implement them. I wonder if I'm lucky enough to be invited by you to come up on stage and we can perform an amputation or limb-sparing surgery for limb destruction together?"

Liu Huanglong has developed a strong interest in Fang Ziye. He's no longer content with just playing around in the practice room; he wants to play with Fang Ziye on stage as well.

(End of this chapter)