top student at medical school

Chapter 344 Too Late to Combat My Emotions! (Please Subscribe)

Liu Huanglong and Guan Qiquan stared at Fang Ziye's expression for a full half minute, but they didn't see any evasive or joking expressions from him, only a slightly embarrassed one.

They knew that Fang Ziye wasn't joking with them, nor was he deliberately showing off; Fang Ziye genuinely possessed such a high level of proficiency in wound cleaning techniques.

"Is the true patriarch chasing after me to feed me?"

“Talent is something…” Liu Huanglong, who always called himself a genius, was clearly jealous of the unfairness of fate at this moment.

Guan Qiquan was even more uneasy at this moment, not knowing what to say, so he simply raged in a helpless manner as the biggest loser: "Yeah, talent is the most unreasonable thing ever."

Guan Qiquan was just short of roaring and going berserk.

Liu Huanglong is younger than him, currently a full professor, and possesses superb surgical skills that inspire envy.

To catch up with Liu Huanglong's current level, Guan Qiquan would need at least four or five years, or even seven or eight years.

A 45- or 46-year-old professor with a senior professional title, approaching the pinnacle of hand surgery in Hubei Province—is that slow?
In fact, from the perspective of a simple hand surgeon's career development, a 45-year-old senior surgeon is not considered slow at Tongji Hospital in Central South University.

This is precisely when a person reaches their peak.

Liu Huanglong moved this timeline forward by eleven years!
Do you want to be reasonable?

They don't reason with each other.

Of course, now an even more unreasonable one has emerged.

The level of skill in suturing is beyond comprehension, a level that is difficult to describe. You could say it is very stable, or you could say it involves a wide range of skill levels. Nationwide, only those with exceptional talent can reach this level.

Professor Liu Huanglong has longed for a state of being that he cannot yet attain, but Fang Ziye has achieved it, and may even have two more...

But if you say the world is absolutely unfair, that's not necessarily true.

Living a long life and having broad knowledge, one can roughly understand the breadth of his knowledge, the level of his insight, and the depth of his theories just from his conversation with Fang Ziye.

Even a very ordinary senior attending physician in trauma surgery might be better off than an associate professor of trauma surgery. Their understanding and knowledge would be far more thorough than Fang Ziye's.

Both theory and practice rely on accumulation in the early stages. Only in the later stages does it depend on pure talent, no longer on hard work. If you don't have enough talent or the right opportunity, you may never be able to overcome it in your lifetime.

Liu Huanglong suddenly realized that he had stepped on Guan Qiquan's long-hidden "jealousy" and quickly changed his words: "No matter what, Brother Guan, let's have some fun with Xiao Fang today."

"Think about it, the chance to get these top professors to work for you is a rare one, one less you can have," Liu Huanglong said, gesturing for Guan Qiquan to quickly change his mindset.

Guan Qiquan nodded...

The little girl was quickly taken into the operating room after being under general anesthesia.

The anesthesiologist had just asked the young woman what kind of anesthesia she needed, which was actually asking Fang Ziye whether he planned to have an amputation or a limb-sparing procedure.

Amputation can be performed under spinal anesthesia, but the duration of limb-sparing surgery is currently difficult to estimate, so spinal anesthesia is definitely not suitable.

Once a patient is admitted, a clinician needs to take over.

This was an emergency surgery, so there certainly wasn't enough time for a more thorough preoperative discussion.

Even with imminent destruction, they still have to get on stage first.

The little girl was very thin, and she looked even thinner during the pre-operative preparation phase, giving off a frail and delicate feeling.

With her delicate and fair skin, she should be a lively and lovely teenage girl, but the large "gauze blob" detracts from her overall appearance.

"Jinhuan, let's apply a tourniquet first and do some initial disinfection and rinsing. Professors, please take a rest." Fang Ziye quickly made these arrangements.

Guan Qiquan offered, "Brother Liu, take a break. I won't rest. Let's get started as soon as possible."

Liu Huanglong's tone was serious at this moment. He said, "You all do your own tasks first. We'll find our places and each do our part. Let's get started."

"Tourette, rinse and scrub the wound three times..."

Liu Huanglong is a professor and the head of the team. He has led countless surgeries. How could Fang Ziye possibly take over the overall command and rhythm of the surgery?

Of course, in such situations, having someone instruct you to keep a close eye on the overall surgical procedure is a good thing for Fang Ziye, as it saves him a lot of trouble.

After hearing this, they did as instructed and quickly got to work...

Twenty minutes later, Fang Ziye and the other three were fully equipped, wearing sterile surgical gowns and gloves.

Fang Ziye has now upgraded his wound cleaning skill to level 5.

The main problem is that Fang Ziye searched for a long time but couldn't find the entry for debridement techniques related to damage. He didn't know if it didn't exist at all or if the prerequisites hadn't been met.

Regardless of the outcome, it's a last resort now; even if only the limb's shape is preserved and it loses function, it's still better than amputation. During the procedure, Fang Ziye, who was in charge of debridement, took over the surgical rhythm.

At first, Liu Huanglong would give some pointers, but soon he noticed something was wrong. Fang Ziye's micro-operations in debridement and the progress of debridement and destruction of the wound were more mature than his own understanding.

“Ziye, your micro-operations are definitely fine. It looks very comfortable. The thickness and force of each debridement are exactly what I understand. It’s just right. This is your personal micro-operation, but what about the rhythm and sequence of your debridement?” Liu Huanglong, with his sharp eyes, noticed something he didn’t understand and asked.

Level 5 proficiency in debridement is considered micro-management, but how to proceed with debridement, how to choose the appropriate thickness of the debridement, and what degree of residue is most appropriate all require a deeper theoretical knowledge.

"Professor Liu, when Professor Deng and Professor Qi were performing debridement for aggravated injuries, I was observing them. I heard that Professor Qi Qiaowen's debridement skills were excellent, so I learned a bit from him." Fang Ziye continued his operation, using the scalpel in his right hand to the fullest extent of his debridement skills.

Debridement relies not only on cutting with a scalpel, but also on various techniques such as scraping, picking, and rotary digging, all of which are applied in debridement.

Of course, there are many tricks, such as making vertical cuts on a portion of the rotten muscle. If the force of the vertical cut is well controlled, the blade can be precisely controlled to break through the rotten layer of muscle. If it is a normal muscle fiber bundle, it will not break when pressed with such force.

This kind of extreme micro-control of force is absolutely impossible at level 4 proficiency. Even Professor Dong Dongsheng, who previously demonstrated the incision technique in Enshi, making several cuts into the blood vessel wall without breaking the blood vessel, could not do it.

Professor Liu Huanglong suddenly realized what he meant.

Professor Qi is the most outstanding expert in trauma surgery at Peking Union Medical College Hospital. It is said that he is extremely skilled in debridement. Sometimes, when Professor Zhong of hand surgery encounters a difficult debridement procedure, he will call Professor Qi Qiaowen for help.

Professors of this level possess not only proficiency in debridement techniques but also profound theoretical knowledge. Having reached this level himself, Liu Huanglong knew of senior professors like Qi Qiaowen!
Unless one has exceptionally limited talent and has risen through the ranks based on seniority, the depth of their accumulated experience will be very substantial.

"Wound cleaning is still a fundamental skill for your trauma surgery department. How to perform it is up to you. I think you're doing an excellent job right now." Liu Huanglong's delegation of authority to Fang Ziye was, in effect, returning it to Fang Ziye.

Debridement and hemostasis, like suturing in hand surgery, are two of the most fundamental skills in trauma surgery.

This fundamental skill is not only reflected in operation, but also in thinking, in-depth understanding and other aspects.

……

"Good, very good! Excellent, that was a brilliant move, really?"

Even Liu Huanglong, a professor in his thirties, couldn't help but be amazed and applaud Fang Ziye's subtle techniques on the operating table.

Naturally, every time Liu Huanglong spoke, it was during a break in Fang Ziye's actions: "Little Fang, really, this is truly worthy of being called a realm of profound mystery by the old professors, a realm that belongs to the national masters in China."

"This micro-management is unimaginable!" Liu Huanglong, like a child eyeing someone else's toy, kept praising how fun the toy was, his eyes fixed on Fang Ziye's hands, as if he really hoped Fang Ziye would lend him those hands to play with.

Fang Ziye doesn't make a living with this kind of 'skill', so of course he wouldn't lend it. He tilted his head slightly and said, "Right, Professor Liu? I think so too."

“After I went abroad, I saw professors there perform such high-level debridement techniques. At that time, I didn’t have the opportunity to go on stage, so I could only watch from the sidelines. Then I had to practice in the training room, but I couldn’t achieve that level.”

"After returning to China, I crossed that threshold by chance."

After Fang Ziye finished speaking, he continued his work, thinning out the damaged skin, subcutaneous tissue, tendons, and muscles of the foot layer by layer.

This procedure, at first glance, makes the feet of already thin girls appear even more slender, almost like foot binding.

But there's nothing we can do; this is destructive damage. Anyone who knows the definition of destructive damage knows that surviving a locally damaged area is a miracle, at least a miracle that is unimaginable with current technology.

Currently, this is a disease for which we cannot rely on any technological products, but only on the hands of doctors to fight for a chance of survival.

Gradually, Professor Liu Huanglong and Professor Guan Qiquan finally calmed down.

Naturally, Xiong Jinhuan's ears quieted down.

Although my mind was still in turmoil, damn it, I accompanied my classmate to have emergency surgery, and there was a professor and an associate professor next to me who were constantly fawning over my classmate. How uncomfortable was that feeling?
Xiong Jinhuan was so jealous that she was unrecognizable, her heart was twisted with malice, and she even wished she could stab her classmate in the hand and cripple Fang Ziye!

Look at you guys licking it.

Of course, such mindless actions, stemming from extreme jealousy and destructive thinking driven by anger, are unlikely to actually be done.

Without the "sycophant" providing commentary, the surgery finally became much quieter, and Xiong Jinhuan could now focus on learning medicine. This was his best friend, and as long as they remained close enough, Fang Ziye's students would have to take a backseat.

Mentoring students and mentoring brothers are two different concepts, right?

At this moment, the operating room was quiet and silent.

The foot-operated automatic door to the operating room was opened, followed by a fawning, ingratiating voice: "Professor Liu, Professor Guan, hello there, it's me, Xiao Yuan!"

While Yuan Weihong was praising Fang Ziye, he saw Fang Ziye's subtle actions and was so frightened that he couldn't walk. His upper body moved forward, his legs froze, and he just fell down like that.

Fortunately, Yuan Weihong reacted quickly enough that he only landed on all fours before getting up. Without even bothering to clean up his disheveled state, he looked directly at Fang Ziye, his voice trembling slightly: "Zi... Ziye, was it you who did it just now?"

Excitement, complex emotions, joy, and awe intertwined like a ball of yarn at this moment.

(End of this chapter)