top student at medical school

Chapter 393 The Three Who Dismantle the Beef Legs (Second Update, Please Subscribe)

"Tianluo, did you buy this mini-fridge?"

"How much is it?" Fang Ziye asked, turning his head as he sorted through the gift boxes brought by the little girl named Xiaolizi.

In a corner of the general inpatient office, there has been a small refrigerator with both freezing and refrigeration functions.

Lan Tianluo was taking out a large bottle of Oriental Leaf Oolong Tea from inside, and turned his head: "Senior brother, you don't need to transfer it to me. Didn't Master just give me a payment for my services? This refrigerator is cheap too."

"The patients in the ward are all using refrigerators, so it's not against the rules to have one in our small office. Besides, we might need one ourselves in the future."

"Here you go, senior brother!" Lan Tianlu handed Fang Ziye a bottle.

It was really hot in Wuhan during the May Day holiday. Even though there was air conditioning in the ward, having an iced drink would have made you feel much cooler.

As for health, if a young man like Fang Ziye starts focusing on health, then he'll have no hobbies in his life.

"Tianluo, here's a piece of advice: relationships are a combination of factors, not just data collected and accumulated."

“Sometimes I see you using a scale to score Tingzhu, which is inappropriate.” After careful consideration, Fang Ziye still chose to be frank with Lan Tianluo.

Lan Tianluo quickly shook his head: "Senior brother, I didn't...you've misunderstood."

"The scale I got was to measure whether being nice to my senior sister or being nice to my senior brother would increase her favorability. I only took the test four times."

"That was the end of it."

Fang Ziye could only sigh inwardly.

Some people turn mathematics into a life of confusion, while Lan Tianluo can turn most aspects of life into mathematics, making him both loved and hated.

"And what was the result?" Fang Ziye was also a little curious.

"1.21:0.96! Approximately 1.26:1!"

Lan Tianluo's eyes were filled with envy, jealousy and hatred: "Senior brother, your importance in senior sister's heart is almost as much as senior sister's own."

“I treat myself well, but her favorability index increases by less than one percent.”

Fang Ziye rolled his eyes: "This is a invalid experiment!"

Are you kidding me? If you treated yourself better, you could increase Luo Tingzhu's affection for you? Are you kidding me?
"Senior brother, an invalid experiment must be tested first before it can be considered invalid. Without trial and error, how can there be success?"

"That feels great." Lan Tianluo took a sip of his drink, feeling refreshed all over.

Perhaps it was because the incision technique he had been honing in the practice room today was finally proving useful in clinical practice that Lan Tianluo's excitement reached a level he had never shown before. His eyes were shining, his left hand was holding a drink and his fingers were lightly tapping, while his right hand was constantly grasping and squeezing.

This is the kind of restlessness where someone feels invincible as soon as they have a little skill, and their hands are itching to get started.

"Feeling good? Keep practicing. I'm the chief resident now, and you'll have plenty of opportunities in the future."

“Jie Han was admitted to the hospital in the same year as you, but his basic skills seem to have improved a little more than yours. Otherwise, you would be the one who usually works with me, not him,” Fang Ziye encouraged.

Lan Tianluo and Jie Han entered Central South University in the same year. The difference is that Jie Han became a professional master's student in his first year, while Jie Han only became a professional master's student again in his second year and was reinstated into the standardized training program.

Lan Tianlu put down his drink, his restless right hand stroking his chin: "Senior Brother Fang, you have to give your senior brother some face. If I put all my time and energy into clinical work, I'm afraid Senior Brother Jiehan will become even more withdrawn."

"The current senior brother Jie is showing some autistic tendencies."

After Lan Tianlu finished speaking, he leaned back, adopting a relaxed "Ge You slouch".

Fang Ziye looked Lan Tianluo up and down: "You're very confident, aren't you?"

"So how do you compare to Tingzhu?"

Upon hearing this, Lan Tianluo sat up abruptly, his eyes darting around in a wide arc before turning slightly again: "It should be about right."

"My senior colleague has been working in clinical practice for seven years."

"I'm just..." Lan Tianlu grinned, not flustered at all.

"As for her senior, it doesn't matter if I go a little slower. Anyway, I'm feeling very fulfilled right now."

Fang Ziye immediately wanted to call the police.

What the hell is this talent?
If I didn't have this panel, I would bury my head in the sand for at least ten lifetimes in front of Lan Tianluo.

Soon, Jie Han walked in from outside, carrying a bag in his right hand containing drinks.

Upon entering, while putting drinks into the refrigerator, I took out a bottle of chilled beverage.

Lan Tianluo very considerately closed the door as a junior brother.

Jie Han asked, "Senior brother, are you done with your surgery? You won't be leaving anytime soon, will you?"

Fang Ziye straightened up. Just as they started talking about Jie Han, Lan Tianluo was worried that Jie Han might become withdrawn and had such tendencies, so he nodded and said, "Yes, the surgery is over. Next, Professor Liu and my master will be finishing up the surgery."

"Qin Geluo is covering my shift, so he's free right now."

“After we finish talking, I’ll go take over Qin Geluo’s shift.”

With Lan Tianluo around, Fang Ziye couldn't easily replace Qin Geluo with "Brother Luo." This was to prevent the already arrogant Lan Tianluo from secretly indulging in fantasies and becoming even more frivolous.

Lan Tianluo is alright. Last time he performed local anesthesia on Mi Qi, he didn't even give face to the professors at the hospital.

Jie Han opened his drink, took a sip, and then sat down on a red plastic stool with silk flowers. As he watched Lan Tianluo sit down, he said, "Senior brother, I've found a very interesting direction."

"It's called limb transplantation."

"Limb transplantation is different from limb replantation, and the concept and principle of limb transplantation are almost parallel and consistent with the research on damage we are currently doing. I think it is very promising."

"And coincidentally, this is exactly what Professor Liu wanted to do before, but couldn't get through."

Fang Ziye was somewhat confused after hearing this.

"Etc., etc……"

"Stop, stop, stop."

"Is there any difference between finger replantation and limb transplantation?" Fang Ziye's expression stiffened slightly.

Limb replantation is a very mature surgical procedure. In 1961, Academician Chen and his team successfully performed the first limb replantation surgery in my country, and the technology in this area remains world-leading.

Jie Han lived up to his reputation as a troublemaker; his question left Fang Ziye completely bewildered.

Of course, this is a very valuable asset in the field of scientific research.

There's a famous saying: the difficulty lies not in solving problems, but in raising them.

Jie Han straightened up, glanced at Lan Tianluo, and said, "Senior brother, these are words that my junior brother and I came up with on purpose."

"Finger replantation is a surgical procedure that reconnects a severed limb to its original position after it has been severed due to injury or other reasons."

"The fundamental point is that limbs are originally continuous..." "While limb transplantation is based on this principle, it can be continuous or not."

"Senior brother, have you thought about this question?"

"The most standard treatment for traumatic injuries is still amputation. Therefore, doctors in lower-level hospitals cannot perform standard treatments for traumatic injuries for a certain period of time. In certain situations, in order to save lives and reduce blood loss, amputation may be necessary."

"Amputation is usually performed."

"But what if, senior brother, we can establish a complete tertiary hospital referral loop, forming a complete referral chain with several designated hospitals?"

"For example, in a prefecture-level city hospital, after performing hemostasis by ligating the major artery to stop the bleeding, the patient is directly transferred to us. We handle the subsequent treatment."

"Or, for some patients, due to special reasons, amputation was performed on-site, and the amputated limb exceeded the necrosis time defined by the current world, and we still implanted it back into the body."

"This is limb transplantation surgery..."

“Senior brother, if this technique can be successfully created, Professor Liu will definitely keep a very low profile in our group in the future,” Jie Han said earnestly.

It seems that keeping Liu Huanglong low-key is simply his duty.

Fang Ziye looked at Jie Han and cursed inwardly, "What the hell are you thinking?" Then he looked at Lan Tianluo and realized that the two of them were in the same toilet, taking their shits in the same direction.

Fang Ziye stared intently at Lan Tianluo. Lan Tianluo lowered his head slightly and explained, "Senior brother, it's not that I want to target Professor Liu, but I hope that Master can stand up for himself in the group."

"Currently, Professor Liu Huanglong's most profound achievement lies in his scientific research. Professor Liu has also independently developed original surgical techniques."

"As for our master, there are currently no original achievements in clinical research. If our small team continues to be suppressed like this, it won't work."

"Whether you're a professor or a recipient of the Outstanding Young Scientist award, ultimately, what everyone is supposed to do is be a doctor. When you come together as a team, what you'll be doing is either clinical or basic research."

After listening, Fang Ziye nodded seriously: "Your idea is very good. Master does need something to establish himself in the group."

"But this proposed limb transplantation shouldn't just be empty talk, should it?"

"These planted limbs aren't for growing vegetables, are they?"

"After limb amputation, the distal part is often necrotic."

Jie Han immediately raised his hand: "Some senior brothers, even with the current first version, will incur extremely high costs, and our small team will need to specifically treat the amputated limbs!"

“However, such a procedure might require your personal intervention, senior brother. You and Master Yuan Weihong will work together to perform this limb replantation surgery…” Jie Han first kept everyone in suspense, then specifically emphasized the words “Yuan Weihong and senior brother.”

After amputation, if the residual limb can be replanted onto the patient.

Once this technique is developed, it will be far more practically significant than any reconstruction of damaged tissues.

If this technology is successfully developed, it will further reduce disability rates in orthopedics and could save countless families.

“Tell me in detail…” Fang Ziye pointed to Jie Han.

Upon hearing this, Jie Han and Lan Tianlu simultaneously rolled over behind their backs and each pulled out a laptop.

Their computers had been brought to the chief resident's office beforehand, indicating that the two young people had prepared the necessary plans and theoretical knowledge in advance.

"..."

About half an hour later.

Lan Tianlu reported: "Based on the above treatment, theoretically speaking, the amount of necrotic material in the local soft tissue after surgery will be much lower than that in normal necrotic tissue."

"The functional recovery rate can be at least 40%."

"Senior, for patients who have undergone amputation to have limbs still surviving and retain at least 40% of their original function is already extremely high, even a miracle!"

Fang Ziye looked at Lan Tianluo's emphasis and said, "I know, you don't need to remind me."

"But there's a problem with your plan. This kind of treatment is very expensive in the early stages of clinical practice. Almost every patient will spend at least 200,000 yuan for one treatment session."

"But it's okay, senior brother. We can conduct animal experiments first. Animal experiments are cheaper because domestic pigs or rabbits are cheaper to sell, and the dialysis equipment they use is also cheaper. So we can keep the cost of each animal experiment under 30,000 yuan."

"If you can find someone you know, or get a discounted price, you might be able to get a limb transplant for 25,000 yuan."

"Even if we do 80 limb transplants, the cost would only be around two million."

“Senior brother, two million for such a research project is a steal…” Lan Tianluo said.

After saying that, Lan Tianluo closed the computer case and took a deep breath: "Moreover, for this project, we can ask Senior Sister Luo to play the role related to anesthesiology, and Senior Brother, you can play the role of vascular surgery yourself."

“I asked my senior, and she said she can do partial dialysis well.”

"Our master is in charge of overall theoretical guidance, and Brother Jiehan is responsible for summarizing the theory in real time. Our internal processes are all fully booked, and every aspect of the entire project is arranged clearly."

"Even if Professor Deng Yong wanted to get involved, he could only do so nominally."

"This research topic is related to the functional reconstruction of damage. After the preliminary preparations are completed, Professor Liu can then be involved in the clinical practice."

"It's not like I offended anyone."

Upon hearing this, Fang Ziye grinned and looked at Lan Tianluo, his tone strange: "Oh, Professor Lan, you also know how not to offend people?"

"Limb transplantation, strictly speaking, is a surgical technique in hand surgery, and it is currently the most cutting-edge barrier that is difficult to overcome."

"Are you trying to embarrass Professor Liu or your colleagues in hand surgery by conducting such a maverick clinical research project in the field of trauma surgery?"

Lan Tianluo scoffed at this, saying, "The subject matter is a gift from heaven, and a stroke of genius is all it takes."

"No one has stipulated that only hand surgery can conduct research on hand surgery topics. Otherwise, 90% of the research teams in orthopedics would go out of business. Tumor-related research is the exclusive domain of orthopedics."

"It's like how no one says that if I don't have a first degree in clinical medicine, I can't study for a master's degree in clinical surgery."

Jie Han promptly reminded them: "There really is a rule. In principle, our clinical medicine master's program does not accept applications from undergraduate students who are not in clinical medicine."

Lan Tianlu waved his hand: "That's their food."

"Senior brother, do you think this theory is worth a try?"

"The main problem is that neither my senior brother Jiehan nor I can operate it. Otherwise, we could have made an example in advance."

"Professor Liu came to the Department of Trauma Surgery in search of a breakthrough. If he sees that we have brought our hand surgery research to the Department of Trauma Surgery and achieved a certain level of success, that would be quite a sight to behold."

"I can't stand arrogant people the most."

"Ouch, ouch, ouch... Senior brother, you really kicked me?" Lan Tianluo felt pain on the outside of his ankle and began to twist.

Fang Ziye rolled his eyes: "Me too."

Lan Tianluo is such a character; he perfectly embodies both the lovable and the hateful aspects of the character.

The first meeting of the "Three-Man Team for Unloading Beef Legs" has come to an end.

(End of this chapter)