top student at medical school

Chapter 454 Setting Off (Please Subscribe)

While Fang Ziye was still in the car, he received a call from Wang Yuanqi: "Ziye, the emergency department here has received a patient with severe burns and crush injuries to his right upper limb."

"The burn unit's consultation opinion is direct amputation. But the patient's family strongly wants to save the limb. Do you want to come back and take a look?"

Upon hearing this, Fang Ziye asked, "Burns and compression? What happened?"

"Fire." Yan Zhiming only mentioned two words and did not say anything more, not wanting to morally blackmail Fang Ziye.

"Has it been sent to our trauma center? Could you send me a photo?" Fang Ziye asked.

"No, the patient's current problem is the burns. Although there are wounds and defects in the skin, the blood vessels inside have been burned and congealed, so there is no bleeding."

"This is not under the jurisdiction of our trauma surgery department."

"We were just asked to consult."

At this point, Wang Yuanqi moved his phone away slightly and asked the family member in a very low voice, "Is it permissible to take photos? I'd like to take some pictures for the other doctors in our department to see."

"You can take pictures!" Wang Yuanqi guessed that it was Gong Ziming, a student of Associate Professor Xie Jinyuan, who was directing.

"Ziye, Gong Ziming has already sent it over. Get me a reply later. If it's not good, then it's not good, so I can write my consultation opinion directly," Wang Yuanqi said.

"Okay!" Fang Ziye nodded and ended the call.

When Fang Ziye saw the photo, his brows furrowed deeply.

In the photo, the patient's right upper limb is burned black, even the bone is blackened. The wound from the impact is charred.

Part of his work uniform had been cut off, but the rest was still on his body. Just as Fang Ziye had guessed, he was a firefighter.

"Brother Qi, write your opinion. I suggest amputation immediately! Start emergency resuscitation." Fang Ziye sent this message very decisively.

It wasn't that Fang Ziye didn't want to save him, but the limbs were definitely burned beyond repair, with blood vessels and nerves burned. The upper limbs were definitely beyond saving.

For him now, the most important thing is not saving his limbs, but saving his life.

"Okay," Wang Yuanqi replied immediately.

Not all limb-sparing surgeries are successful. To save a limb, certain prerequisites must be met: the soft tissue must at least possess a certain degree of viability.

"Ziye, what's going on?" Deng Yong asked from the front seat.

“Master, he is a firefighter with severe burns on his right upper limb. His ulna is blackened and the wound is charred.”

“The family wanted to save the limb, so Brother Wang asked me about it. I suggested amputation and that we should quickly try to save other functions,” Fang Ziye said.

"Oh," Deng Yong replied with only a single syllable.

……

When Fang Ziye got home, it was already eight o'clock.

Luo Tingzhu had changed into her pajamas and was in the study, organizing data while enjoying the air conditioning.

After Fang Ziye entered, he washed up and went to the room next to Luo Tingzhu. After watching what Luo Tingzhu was doing, he began to browse the first drafts of the articles that Lan Tianluo and Jie Han had sent him.

Fang Ziye read it once and realized that it was not a first draft at all; Lan Tianluo and Jie Han must have revised it at least two or three times.

Otherwise, they certainly wouldn't be this mature.

Fang Ziye had just finished reading the statistical analysis when his phone, which was on the table, rang. He opened it, read the contents, and then fell silent for a long time, massaging his tired eyelids with his elbows.

After noticing Fang Ziye's mood, Luo Tingzhu from next door clicked on the screen to take a look, and then also fell silent.

"Ziye, that firefighter just passed away despite all efforts to save him."

Luo Tingzhu also saw the pictures sent by Wang Yuanqi and comforted him, saying, "Senior brother, not all diseases in this world can be cured."

"Not all traumas can be resolved amicably, which is why your research on destruction is so significant."

"Such severe burns and trauma are beyond the capabilities of current technology to reverse."

"Yes, I know." Fang Ziye nodded.

Fang Ziye looked at Luo Tingzhu and then said, "When I attended Professor Dong's funeral today, Professor Dong's son, Uncle Dong, said that Professor Dong hoped that Professor Deng Yong could provide more services to patients in the future, and even save them."

"The desire for redemption, though only two words, is incredibly difficult to achieve. Let's start by being the best version of ourselves."

“That’s right, senior brother.” Luo Tingzhu smiled and bumped fists with Fang Ziye to show her encouragement.

……

Time flies, and more than a week has passed in the blink of an eye.

July 13th was another Friday.

Fang Ziye noticed that medical records for functional reconstruction surgeries were gradually piling up in the department.

More and more elderly people with mobility issues are appearing in the wards.

Fang Ziye did his own calculations. Based on his own practice of treating 14 patients a week, it would take nearly a month of non-stop work to finish treating all 50 patients in the department.

"Teacher Liu, did all these patients come in line?" Fang Ziye asked as he entered Liu Huanglong's office.

Liu Huanglong was flipping through the elective surgery registration book at the moment, and nodded: "Yes, they are all being arranged in order."

"Moreover, I already have more than two hundred patients booked in my notebook, and it's still increasing by about twenty a day."

"Ziye, our department is currently unable to admit any more fracture patients, and we basically dare not accept patients with bone defects either."

Patients with bone defects certainly cannot make appointments and wait two or three months.

If this trend continues, functional reconstruction surgery will be the focus of the department's surgeries for at least the next few years.

Fang Ziye smiled upon hearing this: "Teacher Liu, do you think we should be happy, or stressed?"

"The large number of patients proves that they are increasingly trusting the new surgical techniques and technologies we have developed."

"But the problem is, with these patients lining up, it will be very difficult for ordinary people to get an appointment at the hospital."

This is true at any point in time and in any era.

Whether you play by the rules or not, those who can usually succeed are the powerful and influential.

They can wait in line normally, they can afford to wait, and none of these people are short of money.

Fang Ziye clearly noticed that none of the hospitalized patients in July had any fees that needed to be collected.

These people seemed to know all the fees in advance, and they usually paid between 100,000 and 150,000 yuan, mainly because they were not short of money.

Fang Ziye also heard from the attending physician that when these patients were discharged, those who paid 100,000 yuan would get 90,000 yuan back, and those who paid more than 100,000 yuan would also get more than 100,000 yuan back...

Their reimbursement rate is very high. Except for a very small number of non-reimbursable expenses, they basically don't have to spend any money. Moreover, each patient usually has a caregiver and a family member.

Fang Ziye also discovered that these people were quite well-mannered. Whether it was because they dared not make a loud noise or for some other reason, most of them only appeared in the department during visiting hours.

“Ziye, have you noticed? Our department’s afternoon visiting hours are like a relatively high-end club.”

"There were groups of people standing there, chatting. Most of them had business cards."

"Moreover, many people are particularly concerned about the recovery of other postoperative patients."

Upon hearing this, Fang Ziye said, "Teacher Liu, shouldn't we be paying attention to these patients' registered addresses?"

Fang Ziye's words silenced Liu Huanglong.

In just a few months, the number of inpatients at Zhongnan Hospital has increased from Duhan City to Du'e Province, and now the registered addresses of patients are becoming more and more diverse.

"Sigh!" Liu Huanglong knew about this but there was nothing he could do.

After sighing, he said, "Let's take it slow. I reckon in a while, we'll be getting code."

The code means that all information is kept confidential, even gender is kept secret in the medical record system and replaced with a numerical code.

This is a very common occurrence in the VIP wards of Zhongnan Hospital. However, it hasn't happened in the orthopedic ward yet.

Liu Huanglong then spoke in a serious tone: "Ziye, no matter what, we can now officially announce that the functional reconstruction technique in our department is on the right track."

"Not only functional reconstruction after traumatic injury, but also functional reconstruction of peripheral nerve injury has been put on the right track."

"Based on my observation, most of the patients we operated on this month are now able to get out of bed and start walking slowly with the help of a walker."

"Patients with pre-existing nerve damage and localized stiffness have experienced a certain degree of improvement in lower limb function after our intervention techniques, nerve transplantation, or nerve transfer."

"This is a very big step forward."

"Furthermore, Ziye, we can now publicly announce that Nie Mingxian in our department has the ability to handle most of the damage on his own."

"Lan Tianluo can handle moderate to less severe damage. Your teacher, Yuan Weihong, can also handle simple damage."

"As for me, I can barely handle moderate damage and 40% functional reconstruction." Liu Huanglong said, sounding a little embarrassed at the end.

In fact, Liu Huanglong was able to be on par with Lan Tianluo entirely because of his early skill accumulation.

If it's on the same level as Lan Tianluo, it's definitely still a bit risky.

Upon hearing this, Fang Ziye asked, "Professor Liu, do you know who that expert in animal testing models that Brother Xian invited is?"

"He managed to recreate the damaged animal model in just one week. That really shows he's a specialist in his field!"

Fang Ziye wanted to keep this expert around.

However, the other party took the money and left, informing the research group that if Fang Ziye could compile the animal experiment model of destruction into an article, his name could be included.

Fang Ziye could focus his efforts on developing animal experimental models, and he could produce them, but he certainly wouldn't be able to address clinical needs.

"Ziye, don't even think about having a master like that. It's impossible."

“If someone wanted a team, they could easily join a large team that’s on par with ours. He just wanted freedom, so he moved between different pharmaceutical companies and chose to become a freelancer,” Liu Huanglong said.

There is a group of people in this world who dislike constraints and are not interested in fame or fortune.

All they want to do is make money, then travel, and when they run out of money, they make more.

Despite all this misery, they still have a very large sum of money in savings, enough to live comfortably for the rest of their lives. They came into this world not for any responsibility or for any great cause, but simply to enjoy life.

Their main contribution to society is paying taxes and then paying taxes again through consumption.

Fang Ziye didn't feel embarrassed that Liu Huanglong had seen through his thoughts.

Fang Ziye now understands why many professors want to recruit talented people when they see them.

The feeling of having so many talented people around you is simply wonderful.

Fang Ziye said embarrassedly, "Teacher Liu, this is only human nature, but since you said not to covet it, I won't think about it too much."

"I can't handle someone like that, and I don't think I could become one myself."

Everyone has their own preferences!
Fang Ziye's pleasure is seeing patients with happy smiles on their faces as they leave the hospital, allowing him to enjoy a little bit of his own life.

"Oh, right, Ziye," Liu Huanglong suddenly said, changing the subject.

"At the invitation of the Hubei Provincial Medical Association, some colleagues in the province hope that you can hold a special academic conference on trauma and injury at our hospital, with the aim of thoroughly explaining the basic principles and development prospects of trauma and injury."

"Naturally, in this process, you'll need to analyze the technical difficulties, key points, and recommended team configurations in detail!"

"Another point is that the Trauma Surgery Society hopes that our hospital can provide teaching materials or finished products for animal testing models for a fee, so that more people can participate in the treatment of traumatic injuries."

"This is a big deal. You should prepare well."

"If things go well, Hubei Province will establish a special research fund committee for limb-sparing treatment of traumatic injuries, providing our team with tens of millions of yuan in research funding."

"This is also a major project that Professor Deng and I jointly applied for through the hospital's research department, to Wuhan University, and then through Wuhan University's research department to the Hubei Provincial Department of Science and Technology!"

"Although it's only nominally a provincial-level project, the amount of funding it receives is comparable to a national-level key project like the 863 Program!" Liu Huanglong steered the conversation to something more important.

Upon hearing this, Fang Ziye immediately perked up: "There are so many?"

Tens of millions, not ten million.

The amount that can be called a number is at least more than two. Fang Ziye's expectation is only 15 to 20 million, which is still an astronomical sum.

"Of course! Everyone's not stupid!"

"Do you think the higher-ups can't see such a big topic as damage and such a big project as functional reconstruction?"

"What Hubei Province can do, other provinces cannot do; this is the progress of science and technology."

“Projects in Hubei Province are unique to Hubei Province; no other province has them. That’s what makes them special.”

“Every province hopes that its medical technology is among the best in the country, and this is true for every province.”

"As long as you are capable enough to reach the top of the industry, people will start to support you. If not, it must be because the scale of your work is not large enough, or the results are not impressive enough..."

"it."

At this point, Liu Huanglong picked up his teacup and said, "Forget it, let's not talk about the direct reasons. Let's just get to the point."

"Someone has recognized your potential and hopes that you can further expand the current trauma surgery department of the hospital and establish the largest, most official, and most authoritative limb salvage and functional reconstruction center in Central China, even the whole of China, and even the whole of Asia."

The breadth of information Liu Huanglong revealed in a single sentence was quite astonishing to Fang Ziye.

Speaking of the whole city and the whole province, Fang Ziye has at least seen the whole province, and he even went there to show off a bit.

Central China, the whole country?
Fang Ziye has not yet come into contact with such a level.

Every province is full of talented people. Only by stepping out of your own province can you have the opportunity to broaden your horizons to a wider region.

You've never even left the town, yet you claim to be the best in the entire county. What else can you call that but arrogance and ignorance?
When it comes to the word "center," Fang Ziye first found it interesting at Enshi Central Hospital, where the trauma surgery department was the trauma center.

"Don't worry, Ziye. Your teacher Liu may not have many other abilities, but he does have some talent in route planning."

"To establish limb preservation centers and functional reconstruction centers, the key lies in maintaining stable staffing levels, and secondly in developing professional capabilities."

"One is depth, and the other is breadth."

"Breadth is easy to understand: limb salvage surgery for the upper and lower limbs. Functional reconstruction surgery, especially hand function reconstruction surgery, which is extremely complex and difficult."

"The function of the hand is the most complex."

"Depth means that at every level, we need to further cultivate and refine our work."

"Limb salvage surgery should be developed in a wider range of areas, not just limited to severe injuries, but also for other types of limb salvage that require amputation. We should also develop limb salvage techniques to improve their quality. This is what we mean by intensive and meticulous work."

"Functional reconstruction techniques also need to be further explored, such as reconstructing the function of the toes."

"Patients' demands are limitless, and we need to further expand the scope of satisfying these demands and 'desires' of patients; this is development."

"Of course, the functional rehabilitation you wish to implement can also be carried out simultaneously."

"We can discuss the detailed plan later."

"You must believe that Wuhan and Hubei Province have the ability, resources, and opportunity to support you in expanding nationwide, throughout Asia, and even the world."

"Even if things don't go well, we still have our motherland behind us!" Liu Huanglong's words resonated deeply.

Upon hearing this, Fang Ziye said, "Teacher Liu, aren't we looking a bit too far ahead right now? Shouldn't our focus be on resolving the problems of the patients in our department first?"

"The key is to complete this batch of functional reconstruction surgeries with high quality. The next step is to optimize the capabilities of our department's staff."

"The cases have shifted, and our teachers and our junior colleagues all need to adapt..."

Fang Ziye was naturally envious of Liu Huanglong's empty promises.

But merely imagining plums to quench thirst is ultimately futile; it may provide a brief period of high spirits.

However, how can such a march be as good as having plenty of food and drink at every step?
True stability comes from taking things one step at a time, being grounded and practical.

Liu Huanglong laughed and said, "Not bad, Ziye, you've already started to develop your own roadmap and vision."

"This is good. We won't be easily swayed by rumors and go too far in one step, which could end up hurting ourselves and others."

"What I'm telling you is actually because someone wants to accelerate our development, which will eventually lead to an unbalanced development situation and turn us into something that's neither fish nor fowl."

"Our goal is to establish large-scale limb-saving centers and functional reconstruction centers, but we must not take too big a step. Steady progress is the key, rather than being overly ambitious."

Fang Ziye replied in a low voice, "Teacher Liu, I come from a small place, and I have never achieved success overnight."

"So, I don't think I can take so many steps in one go."

“But you’re skilled, aren’t you?” Liu Huanglong said.

"Regardless of whether it has been recognized or not, regardless of your current professional title, Fang Ziye, you are now an absolute master in the Department of Trauma Surgery in Hubei Province."

"However, Teacher Liu still wants to remind you that even if you walk fast, don't forget the little things you promised yourself."

"That's about the teaching class on manual reduction of fractures."

"Now, many people from prefecture-level city hospitals are eager to come here for further training and learn from you the new concepts in fracture treatment that are most relevant to them."

"You have to remember to fill the hole you dug yourself."

Fang Ziye nodded upon hearing this: "Yes, I remember. Teacher Liu."

Liu Huanglong smiled and drank another cup of tea.

Fang Ziye also imitated Liu Huanglong, taking a sip of tea in a very professional manner.

"What was your performance bonus last month?" When Liu Huanglong's gentle voice pierced Fang Ziye's ears, Fang Ziye's nerves were immediately activated.

My whole body tensed up involuntarily.

"Teacher Liu, wasn't it you who reported the performance-based pay? You should know about it, right?" Fang Ziye asked, feeling a bit guilty.

Fang Ziye's performance in March and April was 16,000, and it improved slightly in May, reaching 18,000!

After being promoted by 0.5 in June by Han Yuanxiao, Fang Ziye thought his monthly performance bonus was around 21,000.

But in fact, Fang Ziye received a salary of 3.9 yuan in July, and with the basic salary added, it actually came to 4.3 yuan!

After tax!

That's a bit scary.

As the saying goes, people die for wealth, and birds die for food.

With this financial incentive, Fang Ziye's work enthusiasm increased by three points this month.

"How could I remember so many details? I just signed off based on the performance coefficients allocated to me. Why would I care about the specific numbers?"

"However, giving you high performance ratings will help you make fewer mistakes."

“Otherwise, if you’re willing to take ‘red envelopes,’ given how well-off patients’ families are these days, you could definitely get ten times your salary,” Liu Huanglong carefully warned.

"Teacher Liu, that won't do."

"Enough for a meal!"

Fang Ziye immediately corrected him: "I'm not that greedy, as long as I can live a comfortable life."

You shouldn't accept red envelopes.

If his economic problems are investigated, not only will everything be confiscated, but he might also be imprisoned. Fang Ziye is not stupid.

With annual research awards of several hundred thousand yuan and a salary of several hundred thousand yuan, a total annual income of six or seven hundred thousand yuan would allow him to live quite comfortably in Wuhan.

If you've earned enough honest money, why think so much more?
For the rest, just go for it.

"Teacher Liu, let's go to the surgery." Fang Ziye checked his phone; it was already 8:35, so he made this suggestion.

“Alright, I’ll take a good look and see how your teamwork with your master and fellow disciples differs from the other groups.” Liu Huanglong also stood up.

They took Fang Ziye out of the operating room!
Of course, Liu Huanglong didn't know that he regretted it as soon as he entered the operating room today...

(End of this chapter)