top student at medical school

Chapter 343 The Founding Master Chases After Me to Feed Me (Please Subscribe)

As Fang Ziye approached, Liu Huanglong greeted him politely: "Brother Guan, please don't make any more jokes about geniuses in the future, or you'll make a fool of yourself."

Liu Huanglong rubbed his hair, completely lacking the rigorous demeanor of an academic at this moment.

Liu Huanglong is not good-looking. He has a long face, a thick nose, small eyes, and short eyebrows. At first glance, he can be described as having shifty eyes and a rat-like appearance.

However, Professor Liu Huanglong no longer needs to be described as handsome; his dashing appearance is beyond words.

A professor at Union Hospital affiliated with Huazhong University of Science and Technology, only 37 years old this year, is a chief physician, professor, and researcher. That alone is enough to demonstrate his exceptional talent.

Guan Qiquan, Associate Professor of Hand Surgery and Associate Chief Physician at Zhongnan Hospital, is 38 years old.

From an ordinary person's perspective, Guan Qiquan is already an exceptional individual. For an ordinary person to reach such a level, their ancestors' graves would have to be incredibly lucky.

The title of associate professor of hand surgery alone is enough for Professor Guan Qiquan to support his family and make their living standards reach the level of a moderately well-off family.

Guan Qiquan's lips twitched for a moment, then he nodded and formally introduced Fang Ziye to Liu Huanglong: "Professor Liu, this is Ziye from our hospital's trauma surgery department, Wei Ge's student."

"You may not be very familiar with Brother Wei. Brother Wei's fame spread far and wide during his doctoral studies, which was when you had already gone to Peking Union Medical College to pursue your doctorate..."

Guan Qiquan was one year ahead of Liu Huanglong, and Professor Liu Huanglong was one year ahead of Yuan Weihong.

Therefore, during Yuan Weihong's doctoral studies, when he was acting arrogantly and cocky, Liu Huanglong had already left Zhongnan Hospital. Otherwise, Yuan Weihong might not have dared to be so arrogant and would have been completely suppressed by Liu Huanglong.

Liu Huanglong laughed upon hearing this, his tone neither confirming nor denying: "Brother Wei? Hmm, I've heard Dong Dongsheng mention him; he's a very interesting person!"

Yuan Weihong certainly has the qualifications to be arrogant to a certain extent, and he is even quite famous across three generations of trauma surgeons.

Associate Professor Dong Dongsheng of the Department of Trauma Surgery at Peking Union Medical College Hospital is in the same graduating class as Liu Huanglong. However, within the hospital, when facing Liu Huanglong, he would respectfully address him as "Brother Liu" or "Professor Liu."

Of course, although Dong Dongsheng is excellent, he would still find it difficult to suppress Sun Wukong when facing Yuan Weihong, who is one or two years younger than him. Dong Dongsheng might not be able to handle the potential that Yuan Weihong unleashes, so they are at roughly the same level.

It's like Dong Dongsheng: you might dislike Yuan Weihong's jumping, but you can't stop him from jumping in front of him. You can't fight back, and you're about the same age, so what can you do?
Guan Qiquan and Liu Huanglong discussed Yuan Weihong, but Fang Ziye didn't dare to join in. However, he still felt he had to explain the previous topic: "Teacher Liu, we meet again."

"Teacher Guan."

"This is Professor Han Yuanxiao's doctoral student, my classmate, Xiong Jinhuan," Fang Ziye said, introducing Xiong Jinhuan to the person beside him.

These two may not recognize the name Xiong Jinhuan, but they will certainly know something about Professor Han Yuanxiao.

"Yeah, Xiao Fang, I was originally planning to write a historical account, but you sent me a pornographic film instead. How could I not come?" Liu Huanglong, who is now the most senior and has complete control over the car's speed and direction, joked as he asked about Fang Ziye's background.

Just kidding. I tried to drag someone down with me to avoid getting into a small, insignificant place, but ended up getting myself stuck at the entrance, unable to get out, and not wanting to go in either.

It's like being constipated and having to use a stool clamp until you can put your pants on and leave the toilet.

Xiong Jinhuan's expression was conflicted; she was completely bewildered by the current situation.

Fang Ziye continued not to respond, but changed the subject, saying, "Professor Guan, I just heard Professor Liu discussing the treatment of this destructive injury. He probably wanted to join the discussion and give me some pointers, right?"

Guan Qiquan nodded: "You're like Sun Wukong, you've inherited your master's true skills. Now you're trying to have your cake and eat it too!"

"You let Professor Liu's promise be torn down by Professors Wen Dongfang and Zhu Weiguo, didn't you know?"

"I really don't know?" Fang Ziye said innocently.

“Teacher Liu just happened to mention my name before. We students all grew up hearing Teacher Liu’s name, so I thought it was going to be a great learning opportunity.”

"Professor Guan, didn't you say before that I'm half a hand surgeon, and if I wanted to learn suturing, I could always step over with one foot in? I took it seriously..."

Fang Ziye continued to give irrelevant answers.

"Alright, stop joking. Let's discuss it together."

"To be honest, I'm really curious, kid, how did you manage to get to this level of proficiency in suturing?" Liu Huanglong first broke the awkward silence and steered the conversation toward the surgery itself.

"Curiosity is curiosity, but work is work, and work must take precedence over everything else."

"Of course, it is precisely because of your proficiency in suturing that I have the opportunity to verify my conjecture about the treatment guidelines for this type of traumatic injury."

“Destructive injury is actually an enhanced version of limb amputation. Limb amputation is a part of destructive injury. Do you think we are wrong to understand it this way?” Liu Huanglong discussed conceptual issues with Fang Ziye in the most formal tone.

Limb amputation is easy to understand; it simply means that the continuity between two segments of a limb has been severed.

Of course, simple limb amputations are usually caused by sharp objects, and the cut edges are relatively regular and smooth. However, destructive injuries are not necessarily so. The term "destructive injury" implies that the violence suffered is immense, the damage is uncontrollable, and it destroys everything—soft tissue, bones, muscles, blood vessels, nerves, etc.

Fang Ziye nodded. Although he hadn't carefully considered the difference between the two definitions, he could understand: "Yes, Professor Liu..."

"So in my opinion, at least from the perspective of hand surgery, the treatment of destructive injuries can perhaps be divided into two stages."

"First, debridement is performed on the damaged segment, specifically the proximal and distal ends of the damaged segment, to restore it to a state that approximates the concept of limb amputation."

"Using the concept of limb replantation, the patient's limb continuity and functional continuity are restored through techniques such as suturing and implantation."

"Or to put it another way, first use debridement to change the damage from an unsutureable state to a sutureable state, and then use suturing to reverse it from a necrotic state to a viable state."

"Then correct it from a 'survival' state to a 'living' state."

"This is the flexible application of basic surgical procedures in specialties and undetermined diseases."

"In the 1950s and 60s, before the concept of limb replantation surgery was fully established, limb replantation was considered inconceivable and incurable. The most original form of limb replantation was actually limb suturing..."

"It then evolved into vascular suturing, vascular-nerve bed suturing, nerve suturing, fracture fixation and reduction, and so on, step by step..."

Upon hearing this, Fang Ziye nodded slightly: "Teacher Liu, I think what you said makes sense, but I have never dared to think about the origin and development of a mature technique from this perspective."

Fang Ziye had never thought of it that way, because his level, status, and identity did not support him in tracing the origins of a technique.

"Of course, you're still a resident physician, at most a chief resident. If you're only thinking about developing new surgical techniques and improving existing ones, then what are the rest of us doing here?"

“When I was your age, I was thinking about how to graduate with a doctorate!” Liu Huanglong said with a smile, feeling that Fang Ziye’s thoughts were perfectly normal.

Of course, after saying that, Liu Huanglong noticed that Fang Ziye's expression was slightly awkward, so he stopped criticizing Fang Ziye's age and qualifications and instead said, "Because we are going to deal with this kind of damage, we need to have a clearer understanding of its treatment principles and the development of new techniques."

"It's like this: the earliest surgical procedures only included incision, suturing, and debridement. These are the most basic skills now, but they were the most advanced surgical techniques more than a hundred years ago."

"At that time, amputation to save lives was like a salvation for many patients."

"Otherwise, before the 1980s, damage to the lower limbs meant death."

"Furthermore, suturing evolved into specialized suturing techniques such as tendon suturing, nerve suturing, vascular suturing, and cardiac suturing, each with its own specific techniques..."

"Therefore, if we want to seek limb-sparing surgery, the first problem we need to solve is to clean and polish the damaged area as much as possible through debridement, so that it can be sutured and blood flow can reach the area to be preserved."

"If the situation doesn't allow, we might even have to perform vascular reconstruction surgery. Only after the blood vessels are sutured can we consider whether this part of the limb is still alive."

"It's a pity that there aren't currently any specific operational standards, operational details, or scope of debridement techniques for destructive injuries..."

"There is no one who is also very good at vascular suturing and other basic skills. At present, my expertise is not in reconstructing blood supply, but in the reconstruction of nerve anatomy and function. If I encounter special situations, I always ask Professor Zhong for cooperation."

Liu Huanglong's words were merely a humble statement.

The Department of Hand Surgery at Union Hospital has become the top department in Hubei Province and the undisputed number one in Wuhan. Professor Liu Huanglong's expertise in neuroanatomy and functional reconstruction is absolutely indispensable to its success.

After all, a few years ago, although the hand surgery department of Union Hospital was also very good, it was not yet at the point of being absolutely the best in Wuhan.

Fang Ziye was secretly delighted upon hearing this.

Fang Ziye knew that this time, he might have suffered another theoretical blow; the difference in understanding of trauma surgery and hand surgery regarding destructive injuries was too great.

Fang Ziye only thought that he was a trauma surgeon, so he thought that he had enough trauma surgery theory to do his job well.

But to do a better job, one's vision and perspective should not be too limited.

After reviewing his remaining knowledge points, Fang Ziye felt that his current proficiency level in routine operations was sufficient, so he asked, "Professor Liu, if I were to say that my debridement and suturing skills are about the same?"

"Do you think we can expect to survive this leg, regardless of its function for now?"

Fang Ziye used the most understated words and the most ignorant attitude to say the most awesome things.

"You still?" Liu Huanglong was speechless and distressed: "Me."

He looked at Guan Qiquan: "Him?"

Guan Qiquan's eyes were as big as an ox's, while Liu Huanglong's small eyes were wide open as if they were about to burst, almost causing his outer and inner canthi to rupture.

(End of this chapter)