top student at medical school

Chapter 457 A Truly High-Level Game (Please Subscribe)

The lecture was scheduled to start at 7:00 p.m., but Fang Ziye, Yuan Weihong, and others arrived at 5:40 p.m., more than an hour early.

Even so, the number of big names who have already come to the academic lecture hall this time is not small.

Fang Ziye himself knew a large number of them...

The first thing Yuan Weihong did when he led Fang Ziye into the venue was to walk towards a group of familiar senior figures!
"Thank you for your hard work, teachers. This is Fang Ziye, and I am Yuan Weihong. I've come to say hello to you all." Yuan Weihong bowed as he walked in.

Actually, it would have been better if Deng Yong had brought Fang Ziye along, but Yuan Weihong was Fang Ziye's mentor. When Fang Ziye took the master's entrance exam, he barely made it into Central South University with the lowest score of his year and was handed over to Yuan Weihong.

At the time, everyone just regarded Fang Ziye as an "ordinary student" and assigned him to an ordinary master's supervisor. No one expected that Fang Ziye would get to where he is today.

Fang Ziye then called over a group of familiar professors one by one. Fang Ziye had clearly felt the favoritism and affection these professors showed him in the practice room.

Professor Xiong Zhizhang, a senior surgeon in trauma surgery, smiled the most contentedly. He was the senior fellow student of Professors Dong Yaohui and Chu. When Dong Yaohui took power, he had already entered a state of retirement.

Therefore, he felt most prominent at this moment, and stood up confidently from the group of elderly people, patting Yuan Weihong and Fang Ziye on the shoulders: "Speak well and boldly later."

"Also, please say hello to your teacher and the other teachers."

Fang Ziye and Yuan Weihong both nodded with smiles and walked up to the senior members of the institute one by one.

Apart from Professor Li Guohua and Professor Zhu Weiguo of the Department of Hand Surgery, who were unable to attend due to "other commitments," the rest of the people sat amiably in front of Fang Ziye to support him.

Wen Dongfang from the Department of Hand Surgery, Li Dongqing from the Department of Orthopedics, Han Shan and Zhu Kewei from the Department of Sports Medicine, and Qi Wenshan and Dong Wensheng from the Department of Joint Surgery.

When Fang Ziye and Yuan Weihong walked up to Qi Wenshan, the old professor Qi Wenshan shook hands with Fang Ziye and said to him in a veiled way, "Ziye, don't be afraid or impulsive. If anything happens in the future, just tell us."

"If there's something in the department that you can't understand, we'll help you explain it. If there's something in the hospital that you can't explain, we'll also help you explain it."

As Qi Wenshan spoke, he turned to look at Professor Du Xinzhan of the Joint Surgery Department and said, "Others may be very busy, but we don't have much to do right now."

Fang Ziye was taken aback upon hearing this. Considering Dean Wang's personal intervention some time ago, he realized that this might be inextricably linked to the group of senior professors.

In top-tier tertiary hospitals, the influence of each senior professor is undeniable. They may not have real power, but precisely because they lack power, they can be even less fearless.

At worst, you can just remove me from the re-employment list. What else can you do?

"Thank you, Teacher Qi." Fang Ziye nodded gently, then slowly released his hand.

Upon seeing this, Yuan Weihong said, "Dear teachers, let's go over and greet the teachers from our brother hospitals. We are all guests."

These senior professors were there to support Fang Ziye; if anything went wrong and Fang Ziye lost control, they would definitely step in to help him out.

At least, if someone tries to take advantage of their age?
From old folks in their seventies to young talents in their thirties, everyone can step forward and argue.

Although you may never encounter such a person, it's good to be prepared for any eventuality.

As Yuan Weihong led Fang Ziye away, he turned to Fang Ziye and said, "Even when Professor Du holds small lectures or private classes, he can't get such a large group of senior professors. It seems you are quite favored by them in the practice room."

“These senior professors have a lot of authority. The hospital tacitly allows them to have the power to make recommendations to the ward directors and the chief administrative officer of orthopedics.”

"The reason why Professor Deng Yong stepped down from his position as the chief administrative officer of the Department of Trauma Surgery was because of these senior colleagues."

"Of course, you don't need to worry about these people colluding to target any one person. At their age, they have nothing else to ask for; they just want something to do..."

"To reach an agreement, it is basically only possible to take sides when the bottom line is crossed."

Fang Ziye nodded, but kept these words in mind and did not reply.

Afterwards, Yuan Weihong took Fang Ziye to meet a group of directors of various specialties in his hospital.

Du Xinzhan, Department of Joint Surgery; Du Yingshan, Department of Orthopedics; Ni Yaoping, Department of Hand Surgery; Professor Tu Kun, Department of Sports Medicine; Liu Huanglong, Department of Trauma Surgery…

These are the leading figures in various specialties at Zhongnan Hospital. If Fang Ziye wants to leave Zhongnan Hospital, he must become familiar with these people and even gain their support in order to receive some assistance.

Although orthopedics has become a specialized department, once it leaves Zhongnan Hospital, it essentially represents the "label" 'Zhongnan Hospital'.

Although several department heads from our hospital came, the participants from other hospitals were mostly top experts in trauma surgery.

Professor Duan Hong of Tongji Hospital and his team, including Zhong Wenyuan, Long Yuan, Wu Xuanqi, Song Yi, Chen Tailin, and Guo Haichao.

This is also a super team that brings together a large number of experts.

In addition to Duan Hong, the Department of Trauma Surgery at Tongji Hospital also has two other professors: Xue Yuhui and Tao Cheng.

However, Professor Xue Yuhui was too old, being the same age as Professor Dong Yaohui, so he did not attend in person. But his associate professor, Hu Xiaoshan, still brought his team to see what was going on.

Fang Ziye only had time to pay attention to these more important people. The others, such as Professor Qi Qiaowen, Professor Liu Bo, and Professor Duan Yun from Peking Union Medical College Hospital, were also giants in the province.

Their team is definitely stronger than Han Yuanxiao's team, and even slightly better than Professor Dong's team.

In the team from the Provincial People's Hospital, Fang Ziye also saw familiar faces like Professor Shen Tao and Zeng Tai. However, they were squeezed next to the big names like An Luming, Liao Hangkong, and Professor Ding Pu, making them seem rather inconspicuous.

Even so, Shen Tao still punched Yuan Weihong and Fang Ziye once each: "You little brat, you old codger."

In front of his friends, Yuan Weihong abandoned his previous demeanor in front of his professors, and with his hands on his hips, said, "Call me Dad."

That's a joke!

Those who are really close, like roommates in the same dormitory, or even older brothers, will generally not get angry over jokes between them.

"Get out!"

"Okay." Yuan Weihong quickly escorted Fang Ziye back to Deng Yong's side, because the people Fang Ziye was going to meet next were beyond his reach.

Don't force yourself to squeeze in before you've climbed that step.

Deng Yong was chatting with Duan Hong, and Fang Ziye and Yuan Weihong didn't have time to hear what they were saying, but they could tell that Professor Duan Hong's expression wasn't very good.

When Fang Ziye and Yuan Weihong arrived, Wu Xuanqi greeted Fang Ziye very politely, calling him "Ziye" in a very affectionate way.

Upon seeing Fang Ziye arrive, Deng Yong said, "Professor Duan, could you introduce those three professors to your nephew?"

"You should be familiar with Professor Zhang Yue from West China Hospital, Zheng Haidong from Shanghai Sixth People's Hospital, and Professor Wang Cheng from Xiangya Hospital, right?"

Duan Hong crossed his arms and turned his head with a smirk: "Professor Deng just called me by my name, and now he's calling me Teacher Duan?"

"He's a professor, after all. Can't he at least control his attitude a little?"

Deng Yong turned around and pushed Fang Ziye to the side: "If your teacher Duan is unwilling to help you, we'll just have to bite the bullet and scrape together the money ourselves."

Upon hearing this, Duan Hong rolled his eyes, muttered "shameless bastard" under his breath, and then stood up, his previous arrogant demeanor completely gone.

……

Fang Ziye thought that meeting these professors was the end of it, but to his surprise, Professor Deng Yong also took Fang Ziye to meet the teams of some of the stronger provincial and municipal hospitals, including the Provincial Center, the Provincial Cancer Center, the First Municipal Hospital, Yichang Central Hospital, and Xiangyang Central Hospital.

When Fang Ziye finished walking around and then "lost in thought," his mind was a little fuzzy. It was really not easy for him to remember so many people.

What Fang Ziye felt guilty about was that the depth of his memory was related to the other party's fame.

I can recognize most professors like Professor Zhang Yue, Professor Zheng Haidong, and Professor Wang Cheng, but I can't recall titles like "Director," "Associate Professor," or "Associate Chief Physician"...

Fang Ziye could only apologize to them silently in his heart.

Hubei Province is very large, with many hospitals and a wealth of talent.

Fang Ziye finally learned how many levels he had traversed to reach his current position.

These professors and department heads are now sitting in the lecture hall, listening to Fang Ziye give a "lecture-style" lecture.

……

After completing the rounds, it was already 6:47 PM, less than 15 minutes before the lecture officially began.

Fang Ziye finally returned to the podium.

The projector in the lecture hall of the School of Basic Medical Sciences is frequently used, so it undergoes daily self-inspection.

Fang Ziye only needs to test whether his computer can be connected to the projector via a Type-C adapter.

If it were an old computer, it could naturally connect directly, but at the end of last month, which was the beginning of July, Fang Ziye received a 'gift'—a fruit-themed computer that Luo Tingzhu bought for him.

To be fair, when it comes to handling office software, Apple computers are indeed slightly easier to use than Windows computers.

After Fang Ziye projected his PPT onto three screens (one large and two small), he fixed the content on the first page.

Title: "Personal Reflections on the Definition and Treatment Principles of Destructive Injuries"

This topic requires very careful consideration.

Although the team has a mature concept, it has not been published as a paper, so it is not an experience sharing.

Even if a case report is published, it is still a personal experience and cannot be directly generalized to universally applicable, nor can one directly claim to have a very mature theory to share.

Since the corresponding principles have not been published in writing, they can only be described as personal experiences.

Of course, insiders know that all general treatments for injuries begin with such sharing of personal experiences.

Compared to having principles and definitions, figuring things out on your own will be much slower.

The prospects for the field of damage research are enormous. Therefore, the earlier one gets involved and enters this field, the more one can enhance the overall strength of one's department. This is a new battlefield.

At 6:55, the sounds in the lecture hall gradually faded away.

Many people politely remained silent and took out their recording and teleprompter equipment so they could review or listen to them again later.

Fang Ziye remained standing on the podium, silently watching the countdown on the computer screen, a countdown visible only to him.

He was mentally organizing some basic information. At this moment, Fang Ziye suddenly saw Luo Tingzhu's graceful figure walk in from the left rear passage, wave her left hand at Fang Ziye from a distance, and then she did not approach, but found a gap in the last row.

He took out the snacks from his "snack bag," grabbed a trash bag, and started munching on them.

Seeing this, Fang Ziye couldn't help but laugh, and his nervousness completely dissipated.

It was exactly seven o'clock.

Fang Ziye then walked to the center of the lecture hall, bowed slightly, and walked back.

"Dear seniors, teachers, and colleagues, good evening. It is a great honor to be invited to stand here and share with you some summaries of our team's case studies and personal insights."

"Similarly, I am also sorry to be gathering with all of you seniors and colleagues at such a special time."

"I was invited rather hastily, and my preparation was insufficient. The content was not refined enough, and the explanation was incomplete. I have wasted everyone's time and let down the enthusiasm of all the teachers and seniors. Please forgive me."

"Now, I'll formally share our team's definition of damage."

"I mentioned this definition once before at our mid-year academic conference in Hubei Province. This time, our team has made some optimizations to it..."

"Diagnosis is the prerequisite for treatment!"

"If we understand 'destructive injury' as 'destructive injury,' that's definitely not right. For example, if the lower limbs have become a round, pancake-shaped mass of flesh, the nerves and blood vessels have been severed beyond recognition, and the bones of the entire lower limbs are severely shattered."

"Our team still recommends amputation. This is a devastating injury, not a catastrophic injury."

Fang Ziye first narrowed his team's definition of damage, stating that not all mangled legs can be saved.

This situation is commonplace for most large trucks, having been driven through both front and rear wheels.

"As for the treatment principles..."

(The relevant content has already been mentioned in the previous meeting and will not be repeated here.)
Fang Ziye slowly and methodically explained each point.

This is a lecture for a wide audience, and we should try to take everyone into consideration, so we cannot omit anything that has already been covered.

If it's omitted, then those who haven't heard it before will be completely lost.

The lecture lasted two and a half hours. Fang Ziye's presentation was substantial, and the time was relatively ample.

"I may have wasted nearly forty minutes of your time listening to me explain the basic principles, but I believe that the above groundwork is very important."

"In our current understanding, the principles of trauma treatment remain unchanged. However, the specific forms of treatment will change."

"We need to further narrow down the definition of these small operations."

"For example, we might define debridement as destructive debridement, and suturing as destructive suturing, and so on."

Why define it this way?

"I believe that all the teachers here have more clinical experience than I do."

"I've had more patients cleaned than I have, but the simple debridement techniques we used to perform are not suitable for destructive damage."

"According to the traditional definition of debridement, the result of treating destructive injuries is amputation..."

"But here, I don't have enough time to explain clearly what debridement and suturing of lesions actually are, and how they should be performed."

"Because we have some follow-up issues to discuss, and due to time constraints, they will not be covered in today's sharing and discussion."

"I'd like to report on several cases of destructive injuries that our team has handled, and their outcomes!"

"To clarify, our team has inquired about the patients' personal wishes, and they are willing for us to display their images for teaching and clinical communication."

"But their request is that these pictures are only for use by our team. Therefore, we hope that you will not take photos or videos and use them for dissemination."

"This is a patient with a foot and ankle injury, which is also one of the relatively simple cases of injury that our team has treated so far."

"Given our team's limited technical expertise at the time, her treatment was delayed for nearly two months."

"But in the end, the result was good."

Fang Ziye pressed the next page: "This is her range of motion when she was discharged from the hospital."

Next page.

The functional rehabilitation progress of Yan Chu's outpatient follow-up examination was also presented to everyone.

Yan Chu's functional rehabilitation is certainly not the best among orthopedic patients.

But considering her original injuries, the fact that she could recover to such a degree is nothing short of a miracle at the time!
"After careful summarization, our team has now streamlined the standard treatment process for destructive injuries to about five hours."

"Some patients who would otherwise require a second surgery can now be treated in a single stage."

"Furthermore, based on the analysis of individual postoperative functional rehabilitation, no difference has been found between the first-stage and second-stage surgeries."

"These data represent only the postoperative recovery data of a small number of individuals and do not represent the final statistical data. Therefore, I hope that all colleagues will strictly follow the guidelines when first encountering trauma treatment..."

Fang Ziye's sharing session brought the time to around 8:30.

Fang Ziye concluded his lecture on the title page.

Note: Due to time constraints, please leave your email address if you are interested in learning more about the basic principles and specific surgical procedures for treating ablation injuries.

Fang Ziye said, "Time is limited. It's not that I'm deliberately making things difficult for you, but it's unrealistic to explain everything clearly from beginning to end in just two hours."

"Of course, our team won't keep you in suspense. There are some things within our team that we can disclose about the theories, operating principles, operating details, and operating techniques."

"Professors, please leave your email addresses with all of our staff. We will send the relevant content and some teaching videos to you by tomorrow night at the latest."

"Finally, if any teachers have any questions, we can discuss them together and fill in any gaps in our knowledge."

"Thank you, that concludes my presentation for today."

Fang Ziye was very grateful. The audience members who came to listen to the lecture today were all very interested in the treatment of traumatic injuries, so they were not affected in any way during the lecture.

This allowed Fang Ziye to smoothly continue the content he had prepared.

However, when Fang Ziye walked to the center of the academic podium and bowed, thunderous applause immediately rang out from below the stage.

The applause lasted for about half a minute.

The silence and focused attention in the room, devoid of any accompanying praise, were the best compliment, proving that what Fang Ziye said had struck a chord with them; otherwise, they wouldn't have been so attentive.

After the applause ended, Deng Yong stood up and, while selecting those who had raised their hands, instructed the staff to pass the microphone to them.
"Please pass the microphone to Professor Zhang Yue of West China Hospital," Deng Yong said.

After getting the microphone, Zhang Yue said, "Dr. Fang, your team distinguished between destructive injuries and traumatic injuries. Did you perform limb-sparing surgery on destructive injuries in between?"

Zhang Yue was smiling, but the questions he asked were particularly tricky and had nothing to do with his expertise.

"I have encountered it, but I did not go on stage."

"Professor Zhang, the concepts of destructive damage and destructive injury are actually quite easy to understand."

“For severe injuries, patients can bring their feet to the hospital; for mild injuries, patients can leave the soft tissue at the scene or bring it in a bag.” Fang Ziye handled these situations with ease.

It was something I'd never done before.

Each person has only one chance to ask a question, no matter how high their position is.

“Professor Zheng.” Deng Yong stood on one side of the lecture hall and gestured for Zhang Yue to hand the microphone to Zheng Haidong.

Zheng Haidong stood up and asked, "Dr. Fang, Professor Deng, did your team encounter any unexpected emergencies during the treatment of abrasive injuries?"

"If so, could you share how we should avoid it?"

Deng Yong then looked at Fang Ziye.

Fang Ziye nodded and said honestly, "Professor Zheng, your question is excellent. I remember this unexpected situation very clearly."

"That's because I'm too tired, so tired that my hands cramp."

"That time, there were two destructive surgeries, one after the other. I performed high-intensity micro-operations for seven consecutive hours. On the operating table, my hand just started to twitch as I held the scalpel."

"Fortunately, no irreversible damage was caused at the time, nor was any harm done to the patient."

"I took a break after stepping down from the stage for a while before going back on stage."

"So if I were to give advice, it would be to pay attention to rest and to train at least two relatively mature chief surgeons."

“One surgery a day is enough,” Fang Ziye replied.

Performing surgery to the point of hand twitching, especially during the procedure, is something many people have never experienced, but they can certainly imagine how exhausting it must have been.

"Professor Wang!" Deng Yong reached out, intending to call the next person.

Unexpectedly, Zheng Haidong was still reluctant to pass the microphone and asked Deng Yong directly, "Professor Deng, let me ask you a question directly: when do you plan to send Dr. Fang to the Chinese Society of Trauma Surgery?"

"Such a good topic and content should be presented at a national conference?"

Upon hearing this, Deng Yong's expression changed slightly.

Duan Hong and the others' expressions hardened, and they became somewhat uneasy.

To join the Chinese Society of Trauma Surgery, you must first become a member of a provincial-level Trauma Surgery branch!

(End of this chapter)