top student at medical school

Chapter 481 Being Beyond the Scope is Home Ground (Please Subscribe)

After Fang Ziye stepped down, Wu Xuanqi did not make any moves.

However, Duan Hong, Zhong Wenyuan, and Long Yuan all stepped down from the stage.

Professor Song Donghai and Professor Zhao Le from the Department of Hand Surgery exchanged a glance and then stepped down from the stage.

"Dr. Fang, there's an anesthesiology demonstration room downstairs. It's quiet and has a professional film viewing projector." Zhong Wenyuan, who was closest to Fang Ziye, immediately explained the place he could go.

Fang Ziye expressed his gratitude, saying, "Thank you, Teacher Zhong!"

He then explained, "Teacher Duan, I'm not very familiar with this case, so I'm sorry to take up your time."

Duan Hong's voice remained honest and simple: "Before performing surgery, we definitely need to understand the patient's basic information. It was our oversight that we didn't consider this thoroughly."

"Ziye, over here..."

After washing their hands again, the group headed in an orderly fashion towards the anesthesiology demonstration room downstairs.

The anesthesiology department's demonstration room has a computer connected to the hospital's film reading system, as well as a projector.

Long Yuan jogged to the demonstration room first. By the time Fang Ziye, Duan Hong and others arrived, Long Yuan had already retrieved the MRI and CT scan pages.

There was also a touchpad with remote Bluetooth connection, which Longyuan placed in front of Fang Ziye and explained in a low voice how to use it.

Seeing Long Yuan's condition, Fang Ziye thought of what his master had to do when he invited top experts from other hospitals for consultations.

At that time, I didn't have the authority to help. My mentor, Yuan Weihong, handled all the details. This was a way of showing respect to the experts from other institutes.

It's not just about treating guests as guests, but also about respecting technology!

Surgery is one of the most technically demanding medical disciplines!

While Fang Ziye was slowly reviewing the images, Zhong Wenyuan and Long Yuan were still professionally supplementing the patient's medical records.

Supplementary information is not about dumping all the medical history data at once, but rather about presenting the necessary medical history and physical examination results, which are related to imaging data, in a very rhythmic manner.

This requires a very high level of knowledge!

Long Yuan is the same age as his mentor, but a year older than Yuan Weihong and about the same age as Liu Huanglong. He is currently only an associate professor.

However, Long Yuan's knowledge accumulation is comparable to that of Zhong Wenyuan, a veteran associate professor, which is quite impressive!
There's nothing we can do; this is Tongji Hospital.

Tongji Hospital has priority in recruiting almost all the geniuses in Hubei Province!
Just like top hospitals like Peking Union Medical College Hospital have priority in admitting the most outstanding geniuses, those who can stay here are basically not ordinary people.

While listening to the two people's explanations and reports, Fang Ziye carefully observed the patient's brachial plexus and its complex branches, and then looked at the continuation of each nerve and the smaller branches.

At this point, Duan Hong and the others did not present their film review results to interfere with Fang Ziye's thinking.

Instead, they waited patiently for Fang Ziye to finish reviewing the film before offering their opinions when it was their turn to speak.

This is a proper preoperative and intraoperative discussion, not some kind of formalistic one.

For such extremely difficult and complex diseases, preoperative discussions are not just necessary once, but ten or eight times!

Finally, after reviewing the last CT scan and the results of the 3D reconstruction, Fang Ziye said, "This patient's preoperative condition was very complicated."

"If we want to consider the full recovery of hand function, my suggestion is to perform this surgery in two stages."

"The first stage is to rebuild the function of the elbow and forearm!"

"I suggest that the function of the fingers and wrist joints be addressed in the second phase, so as to avoid a heavy functional rehabilitation burden for the patient."

"Recovery from illness is a slow and gradual process, and one cannot rush it..."

"Lower limb functional reconstruction surgery can be performed in one stage because the function of the lower limbs is relatively simple, and the range of motion is relatively limited."

"Teacher Duan, what do you think?" After sharing his thoughts, Fang Ziye still politely asked Duan Hong for his opinion.

After hearing this, Duan Hong took the initiative to introduce him, saying, "This is Professor Song Donghai from the Hand Surgery Department of our hospital!"

Previously, Guo Haichao had only told Fang Ziye that Song Donghai and Zhao Le were on stage, but Fang Ziye did not know who was who.

Previously, Fang Ziye spent most of his time studying. Apart from a few well-known experts in trauma surgery, he didn't know any professors in other subspecialties.

"Hello, Teacher Song!" Fang Ziye greeted her with a slight bow.

Song Donghai realized that Duan Hong wanted him to take the lead, since the main business of functional reconstruction surgery was still handled by hand surgery.

“Functional rehabilitation burden, that’s a very good description.”

"Ziye, do you mean that the reason we didn't know how the surgery should proceed before was because we were considering too many factors at the same time, which affected the rhythm of the surgery?"

"Shouldn't we consider rebuilding all the functions in one go?"

After analyzing the content within his own professional field, Song Donghai asked questions cautiously.

Fang Ziye nodded: "Yes, I personally think we should proceed step by step; we can't bite off more than we can chew."

Professor Song Donghai, being a professional, immediately replied, "But Dr. Fang, what if we don't perform the first-stage reconstruction, and during the second-stage functional reconstruction, we find that some of the patient's functions are completely beyond reconstruction? What should we do then?"

"At that time, it was too late to take all the factors into account."

Professor Song Donghai's words certainly make sense; modern medicine is increasingly taking holistic factors into account.

While staged reconstruction may gradually reduce the difficulty of the surgery, the final surgical quality will certainly not be as smooth as a one-time procedure.

"Teacher Song, I agree with what you said, but I personally still think..."

"When we consider the patient's condition, we should take into full account their preoperative condition, rather than just focusing on the word 'best'."

"For a patient who has no function at all, the fact that he has only elbow function is a huge improvement."

"Only for patients with minor functional impairments is it required to restore their function to its pre-impairment state."

"I just listened to the preoperative examination by Teacher Long and Teacher Zhong. This patient clearly has neurodegenerative disease. His upper limb function is almost completely lost now, with only some of the flexor tendons in his fingers having grade II muscle strength."

"This patient's treatment request certainly doesn't involve having him do delicate work."

Upon hearing this, Song Donghai paused for a moment, then made up his mind before decisively asking, "But I remember that Dr. Fang, the lower limb function reconstruction surgeries you performed before seemed to have resulted in quite good postoperative recovery."

"Does Dr. Fang think that because this patient is from our hospital, he's settling for a less desirable option?"

After asking the question, Song Donghai realized that his question had been a bit too pointed.

Then he said, "Dr. Fang, we can chat about this casually. Knowledge should not be shared with everyone, and rumors stop with the wise." "I didn't mean anything by it."

Fang Ziye shook his head and said, "Teacher Song, I would never dare to have such a thought."

After speaking, Fang Ziye's tone became somewhat cold: "Moreover, I understand Professor Duan and Teacher Song's thoughts, and similarly, I can do something similar."

"If I were truly confident in performing upper limb reconstruction surgery, why did I delay having the procedure done at Zhongnan Hospital?"

"It's not that I wanted to hold back or seek fame by deliberately delaying the surgical process for this type of disease; it's that I myself haven't fully organized the corresponding surgical rhythm and operational theory."

"Professor Song, you are a professor of hand surgery. You should know that there are more details to pay attention to in upper limb surgery than in lower limb surgery, especially in the treatment of peripheral nerves."

Upon hearing this, Duan Hong quickly tried to smooth things over with a chuckle: "Professor Song, Dr. Fang is definitely not the kind of person you're describing."

"Ziye's character is beyond doubt."

"The focus of our discussion now should be on how to perform this surgery better, preserving more of the patient's function while making the surgery proceed more smoothly."

"Everything else is irrelevant."

Duan Hong immediately asked Song Donghai, but he was afraid that Fang Ziye would not understand.

The Department of Hand Surgery at Tongji Hospital has never been very prominent, and it lags slightly behind that of Union Hospital.

However, Fang Ziye's sudden leap forward had a limited impact on trauma surgery, but a greater impact on hand surgery.

The current reality is that if hand surgery and functional reconstruction surgery were to be combined into one department someday, then the overall strength of Zhongnan Hospital would definitely rank ahead of Tongji Hospital.

Being second best for so long is frustrating enough, but now I can't even hold onto that position anymore.

This surgery wasn't actually initiated by Duan Hong at Song Donghai's suggestion; rather, it was Song Donghai who instigated Duan Hong, hoping to achieve a shortcut to success.

However, Song Donghai knew that he couldn't call anyone to help him because of his relationship with Fang Ziye, so he asked Duan Hong to bring Fang Ziye over.

Naturally, Fang Ziye, as an outsider, was unaware of these matters.

“I still stand by my idea. If Professor Song and Professor Duan think we should rebuild all the functions in one phase, we can try to work together.”

“But I still don’t recommend doing that!” Fang Ziye could only deduce based on his own understanding.

Just now, Fang Ziye spent over 10,000 knowledge points, which was used to upgrade the basic theories of functional reconstruction and hand surgery to level 5.

Last time, after Fang Ziye completed the skill point allocation, new skills were unlocked and named.

New skills await unlocking, new skills await naming, new theories await exploration...

Fang Ziye didn't unlock or name it at the time because of limited resources and the urgency of the situation! (See Chapter 445 for details)
Later, when Fang Ziye went to explore it, he named it Functional Reconstruction Science and Functional Reconstruction Technique.

This is the name of a subspecialty, no longer just the name of a surgery, which means that once it is promoted, it is enough to become a separate department.

This department is currently a blank area in all countries and hospitals, and the potential number of patients is countless.

One eats a certain kind of food and does a certain kind of work.

Fang Ziye is a doctor, so he can only think about reducing the suffering of his patients. As for whether their income can be increased or whether their living standards can be improved, he doesn't care.

Honestly, Fang Ziye couldn't have considered all that.

Similarly, Fang Ziye is a trauma surgeon, so he can only help trauma surgery patients suffer less pain. As for cancer or other specialties, Fang Ziye can only participate appropriately.

Fang Ziye could not do the kind of thing where he would spare no effort to save a life, even going to the emergency room just to save a life!

Individual abilities are quite limited, and even with external help, the limitations remain.

Another reason is that working in the emergency room is exhausting!

Even if it is noble, if the price of nobility is to sacrifice one's body or life, Fang Ziye would rather not be so noble.

However, when it comes to diseases within his area of ​​expertise, Fang Ziye is willing to share more of his knowledge!

Even if it's just to solve a very small problem for them.

Because this is Fang Ziye's profession!
Moreover, Fang Ziye's current knowledge points income is stable at 1,500 per day, which is 40,000 to 50,000 per month. That's why Fang Ziye dares to set his sights on major orthopedic diseases.

Do what you are capable of. Fang Ziye must first be worthy of the patients he has encountered before he can think about being worthy of the more patients who come to the hospital for treatment!
Seeing that Song Donghai was still hesitating, Duan Hong took the initiative to say, "Professor Song, listen to Ziye. Ziye is the expert in functional reconstruction! We are all newcomers."

A teacher need not be more virtuous than his student, nor a student need to be inferior to his teacher.

Every school of thought has a hierarchy of origin. Trying to argue with someone who pioneered functional reconstruction and did it so well, by trying to force a debate about the specific theories of their field, is just pointless.
Looking at Fang Ziye's unhurried, humble, and unhurried attitude, Song Donghai felt as deflated as a punctured balloon.

A strange sense of loss welled up inside me: "Dr. Fang, I'll listen to you too!"

"After all, once you've gone beyond the scope of the curriculum, you're in control, and I'm the outsider!"

In life, one will inevitably encounter many times the maturity and growth required to acknowledge that one is just an ordinary person.

Such growth has nothing to do with age or gender, but is closely related to one's own experiences.

For most of his life, Song Donghai refused to admit that he was inferior to Zhong Junyu of Xiehe Hospital. In fact, Song Donghai felt that his overall abilities were in no way inferior to Zhong Junyu's.

It's just that my team wasn't as lucky as Professor Zhong Junyu's, and wasn't as comprehensive or of such high quality.

However, at this moment, Song Donghai felt as if he had aged, and he had been defeated by an 'outsider'.

Of course, at this moment, Song Donghai also realized something.

The so-called title may not be that important.

Truth is the only direction to move forward. The purpose of learning is not to be better than anyone else, but to make yourself less ignorant.

“After going beyond the scope of the curriculum, Dr. Fang, you’re in charge.” Song Donghai repeated, his voice, expression, and eyes becoming increasingly calm.

After he calmed down, Fang Ziye felt that Professor Song had suddenly undergone some kind of transformation.

However, this was not the time to pursue the matter further. Fang Ziye needed to clarify his views and break down the line of thought he had just straightened out before facing the true masters of hand surgery…

There's a saying circulating in the hand surgery department of Hubei Province.

Peking Union Medical College Hospital is first, Provincial People's Hospital is second, and there is no third. (This statement is purely fictional and should not be taken seriously.)

Fang Ziye knew that Tongji University was very angry.

(End of this chapter)