top student at medical school

Chapter 482 The Debate on Hand Trauma (Please Subscribe)

Fang Ziye quickly said, "Professor Song, the terms 'expert' and 'layman' are too harsh."

"In terms of seniority, I am a junior, and I lack experience. I just happened to get lucky. I dare not call myself an expert. Let's get back to this case."

Regardless of whether Duan Hong and Song Donghai's statements were meant to be overly flattering, Fang Ziye wouldn't be arrogant enough to think that the surgery wouldn't be possible without him.

In fact, given Tongji Hospital's established reputation, even without Fang Ziye's involvement, the quality of surgeries they would produce would still be at least ten years ahead of most top-tier hospitals in China.

"My idea is still to first perform functional reconstruction of the upper arm and forearm, and focus the main surgical reconstruction on the elbow and shoulder joints."

"The second stage of surgery will depend on the situation at that time. There are some specific details involved, and we need Professor Song to make a final decision."

“During our usual surgeries, I occasionally handle the details of the reconstruction, but Professor Liu is responsible for the overall direction…” Fang Ziye said modestly.

Professors Song Donghai and Duan Hong invited me to perform the surgery in order to improve the quality of the procedure, which shows their responsibility to the patients. There is no need for them to be arrogant at this time.

Of course, the idea that Liu Huanglong controlled most of the reconstructive surgeries at Zhongnan Hospital, as Fang Ziye mentioned, was from the past.

Now that Fang Ziye has added points, his theoretical knowledge of hand surgery has also improved. If he returns to Zhongnan Hospital, he can now battle Liu Huanglong on the rhythm.

Fang Ziye's theories and surgical designs related to trauma surgery can be described as his sole authority.

Level 5 skills are still useful.

This is true across the country, even at Shanghai's Sixth People's Hospital!

The reason Fang Ziye didn't upgrade his hand surgery skill to level 5 beforehand was mainly because he didn't want to be the sole decision-maker in all operations.

To spread one's own skills, the process of discussion is also a form of dissemination and teaching. If one can handle every aspect well, then others will have no room for thought.

There's a saying that goes, "The best way to get someone to learn something is to let them be the teacher of that lesson!"

But that was in the past.

Fang Ziye isn't here to teach; he's here to treat patients and expedite the surgery.

Therefore, after Professor Song Donghai put forward his relevant ideas, Fang Ziye was always able to find a suitable angle to optimize and correct them.

"Professor Song, I have an idea, but I don't know if it's appropriate. I'm not a hand surgeon, but it's about the reconstruction of the humeral segment of the ulnar nerve..."

"Professor Song, I have another idea, though I'm not a professional in this field..."

"Professor Song." Fang Ziye said, not knowing how many times he had expressed his opinion.

Song Donghai was completely dumbfounded, and decisively took a step back: "Ziye, don't pretend you're not a professional, just tell me directly!"

“Trauma and hand surgery used to be inseparable.”

Song Donghai's true thoughts at that moment were, "Go to hell! You're not even a professional? Who are you trying to embarrass?"
Fang Ziye is not only professional, but ridiculously professional.

A meticulous approach, extensive knowledge, a unique system belonging to Fang Ziye, and a corresponding theoretical system structure specially designed for functional reconstruction techniques.

Song Donghai gained no advantage from clashing with Fang Ziye's own theoretical system.

Fang Ziye couldn't say that Song Donghai was wrong, but he had a better way to resolve the situation.

Fang Ziye, without any modesty, said, "Then Professor Song, let me share my thoughts. In the first phase of the surgery, the most important thing we need to address is the functional problems of the ulnar nerve, brachioradialis muscle, subscapularis muscle, and other functional muscles."

"From the MRI and the preoperative physical examination, we can see that these muscles have some neurogenic atrophy. And through the MRI scan, we can find that the branch structures that innervate these nerves do not have anatomical problems."

"So, their problem lies in the superior neural tissue."

"Through a plain MRI scan of the cervical spine, we can see that the anatomical structures of the proximal segments of the brachial plexus are intact, and the electromyography shows..."

Fang Ziye, unhurried and composed, outlined the overall surgical plan.

Surgery is not child's play. When discussing surgery, we must never stray from the theory and ramble on.

In medicine, any procedure that cannot be clearly explained by theory is mostly due to a lack of theoretical knowledge and understanding.

Medicine is not about taking risks. Theoretically, procedures that cannot be clearly explained on the human body should not be performed, because the harm and benefits are unknown.

The human body should not be the primary cost of trial and error for any procedure or drug!

"After going through this process, we can see that the techniques we need to perform are now clear."

"Segmental transection and artificial nerve bridging."

"Tendon transfer, tendon transplant, nerve transplant, nerve-tendon reconstruction, nerve sheath, tendon sheath reconstruction."

"Finally, depending on the circumstances, we can also perform a muscle removal and muscle transplantation surgery. This involves a wide range of muscles and nerve segments, and the surgery is expected to take quite a long time..."

Hearing this, Song Donghai nodded: "That's no problem. If you need manpower, I can call people over anytime."

"But before that, I have a very important question to ask you, Dr. Fang. This question is extremely important!" Song Donghai pushed up his glasses, his tone formal, his eyes steady, as if it were a momentous event.

Upon seeing this, Fang Ziye, Duan Hong, and the others all sat up straight.

“I’ll give you five million directly, and you can choose any other conditions. Tongji Hospital is a platform that’s at least two levels higher than your Zhongnan Hospital. Are you coming?” Song Donghai asked.

Fang Ziye: "..."

Duan Hong: "..."

Long Yuan: "..."

Even the lips of several associate professors in hand surgery twitched.

Fang Ziye genuinely believed that something very important had happened, but he never expected Song Donghai to start talking nonsense at this time.

Upon hearing this, Duan Hong waved his chubby hand directly towards Song Donghai: "Professor Song, it's not time to sleep yet, please bear with it for now."

"If there's even a crack in Ziye's business, do you think I can't squeeze through?"

"You're even trying to poach our trauma surgeons."

What a joke! If Fang Ziye ever had the thought of leaving, he would be a member of our trauma surgery team.

What are you meddling in here for?
Upon hearing this, Song Donghai said, "Perhaps Professor Duan, you're not delicate enough?"

Upon seeing Duan Hong's size, Song Donghai immediately retorted.

"Trauma and hand surgery are one and the same. What trauma surgery and hand surgery? We're both orthopedics. Don't believe me? Go ask around."

"Even if the bone is broken, the tendons are still connected..."

Duan Hong nodded vigorously: "Ah, yes, yes, yes! You're absolutely right."

"Ziye, let's go to the surgery first. Professor Song, you can compare the small incision first." Duan Hong stood up and, together with Zhong Wenyuan and Long Yuan, escorted Fang Ziye out of the demonstration room.

Upon hearing this, Song Donghai retorted, "What do you mean by 'fine'? What do you mean by 'compare to a small hole'?"

"Duan Hong, explain yourself clearly."

Duan Hong pushed Fang Ziye out, urging Zhong Wenyuan to quickly leave with his men: "Oh right, I won't go into details anymore, okay?" Song Donghai: "..."

This playful banter ended as everyone headed up to the operating room, concluding with Song Donghai's silence.

After everyone washed their hands and went on stage again, Fang Ziye did not stand on ceremony and stood directly in the main position. Opposite him stood Song Donghai, with Professor Duan Hong as his second assistant, Professor Zhao Le as his third assistant, and Zhong Wenyuan as his fourth assistant.

This configuration is arguably the pinnacle of the entire Hubei province; any one of them would be among the top tier.

Before Fang Ziye arrived, the debridement and release had already been completed. The next step was to reiterate the surgical approach that everyone had "discussed" earlier, which was actually recommended by Fang Ziye.

Fang Ziye didn't stand on ceremony. He immediately and accurately peeled away the diseased epineurium and then began to search for the lesion.

Of course, Fang Ziye's speed this time was very fast, and it did not cause any discomfort to anyone. It was only natural that Fang Ziye's operation was very smooth.

Because this is Tongji Hospital, people often see top-level skills being performed here, so it's not surprising.

Fang Ziye's operation was very smooth, and it was no longer a closely guarded secret.

Of course, although the operation itself was not strange, seeing such an operation concentrated on Fang Ziye alone made everyone on the operating table fall silent.

Everyone held their breath and dared not speak; the atmosphere was terrifyingly oppressive.

The circulating nurse sensed something was off about the atmosphere and asked, "Why aren't you all saying anything?"

"This surgery isn't life-threatening, is it? Could it be—"

Before the tour had finished speaking, Long Yuan, who was sitting in the audience and hadn't gone up on stage, moved in that direction and said, "Sister Nan, don't talk. Everyone is watching and learning about the surgery."

"This is no time for jokes..."

"The patient's vital signs are stable, and even the anesthesiologist isn't panicking, so why are you in such a hurry?"

"I feel a bit depressed," Xun replied in a low voice.

“Then hold it in for a while…” Long Yuan said, then quickly ran to the side of the operating table, silently simulating Fang Ziye’s operation while reading the surgical plan.

Reading surgical procedures is a skill, and also a training method for retrieving and utilizing one's own knowledge reserves.

Once you reach a certain level of technical proficiency, you must integrate your existing knowledge base into your learning process, rather than simply repeating exercises...

The tour operator was disappointed, but he didn't say anything more, just stared curiously at the operating table.

The operating room in the orthopedics department of Tongji Hospital usually has a pretty good atmosphere, but today it seems a little different.

The silence on the operating table, accompanied by the ticking of the operating room timer panel and the occasional beeping of the anesthesia equipment, formed the main melody.

"Adjust the shadowless lamp." At some point in the early morning, Fang Ziye broke the silence.

Behind Fang Ziye, Long Yuan immediately adjusted the position of the shadowless lamp to make the surgical field clear again.

The surgery proceeded slowly and silently.

This was actually a result of the surgeon's unfamiliarity with the other assistants, because Fang Ziye was not familiar with anyone and did not know what to talk about.

It seems inappropriate to talk about anything other than surgery.

Similarly, this idea also applies to Duan Hong, Song Donghai, Zhao Le, and the others.

Finally, at 4:21 a.m., the surgery came to an end.

After Fang Ziye finished suturing the last muscle, he used tweezers to lift it up and look it over twice before raising its neck, swaying it from side to side, and making two clicking sounds.

Upon seeing this, Professor Zhao Le and Professor Song Donghai next door immediately gestured for an associate professor in the audience to come up on stage: "Ding Gong, come up on stage and handle the follow-up."

The person giving the instructions was Song Donghai, while Professor Zhao Le said, "Ziye, you must be exhausted. Go back to the operating room and rest. The postoperative recovery from this surgery is something to look forward to."

The layman looks at the excitement and the insider looks at the doorway.

Fang Ziye is not only theoretically systematic and meticulous, but he can also reconstruct all the thought processes through his own actions.

This demonstrates hand-eye coordination, unlike the theoretical type who is all talk and no action.

Such talent is what everyone loves most, but unfortunately, they can't have it!
Fang Ziye did need to rest for a while. When he moved his feet, he found that his hip and knee joints were a little stiff.

Just kidding, if you stand like that, half-bent over, for four or five hours, anyone's joints will stiffen.

Fang Ziye placed his hands together in front of his chest and slowly moved backward. Only after he had moved out of the crowd around the operating table did he begin to move his shoulder and hip joints.

While smiling, she looked at Professor Duan, who was also tilting his head and twisting his waist as he walked off the stage, and said, "Professor Duan, do you think we'll become frequent visitors to the spinal surgery department in the future?"

Surgeons are prone to lumbar and cervical disc herniation because their surgical posture can cause excessive damage to these joints.

"I don't know! Anyway, you should pay more attention to exercise and rest."

"Today's surgery took too long." Duan Hong, with his chubby neck, swayed back and forth, completely disregarding his professorial demeanor.

The same applies to Fang Ziye.

After his shoulder and hip joints became a little more flexible, he began to cooperate with the circulating nurse to remove his sterile surgical gown and gloves. Then, Fang Ziye crossed his hands and thoroughly stretched his waist joints.

Then he immediately went to the shelf under the operating room timer panel, took out his phone to check unread messages.

Fang Ziye set his messages to Do Not Disturb mode, but his phone was on the highest ringing mode, since he was the chief resident and would definitely have to answer emergency calls.

However, if it's just information, then you can ignore it.

Unless the subordinates in the department are completely stupid and think that making phone calls is too expensive, they would only send a message and not make a phone call in a very urgent situation.

Song Donghai then took off his "suit" and walked over with a smile: "Dr. Fang, what do you think of the suggestion I gave you last night?"

"The price is negotiable!"

Song Donghai couldn't talk to Fang Ziye about feelings or ideals; all they could talk about was money.

Upon hearing this, Fang Ziye glanced at Professor Duan Hong and then said, "Professor Song, thank you for your attention and kindness, but I think trauma is quite good. My own workplace is also quite good."

"It's getting late, Teacher Song, you should all get some rest. I need to go back to my duty."

"Chief Resident, I can't be away from my post for too long!"

"I'm familiar with Han City, so there's no need to see me off any further," Fang Ziye said before taking his leave.

However, even though Fang Ziye said he didn't need a ride, Duan Hong gave him a look and two people personally took him out to hail a taxi. One of them had called a ride-hailing service in advance, but when they got out, they saw that the taxis were not available.

Guo Haichao then put Fang Ziye in the car, told the driver the location, and said, "Driver, please make sure to get Dr. Fang safely to your destination."

"Thank you, Senior Brother Guo." Fang Ziye sat up straight in the back seat and waved goodbye to Guo Haichao.

"Brother Ye, let's keep in touch later!" Guo Haichao's face was full of smiles, showing his enthusiasm.

(End of this chapter)