top student at medical school

Chapter 501: Why are you pretending to be noble?

"If there are some people in China who can transcend the constraints of reality and achieve relative academic freedom, they are one of them."

“Basically, most professors at this level, if not all, feel that fame and fortune are just fleeting things.” Liu Huanglong drew another line for Fang Ziye based on his own understanding.

Fang Ziye seemed to be deep in thought upon hearing this.

Back then, Deng Yong once gave him a piece of advice: it was uncertain whether he would become an academician.

The character 悬 (xuán) means to hang, as in the case of a sharp sword hanging over one's head.

"Thank you, Teacher Liu, I understand."

"This incident happened suddenly, and I just received the information. It wasn't intentional, Teacher Liu," Fang Ziye explained.

Liu Huanglong was Fang Ziye's superior and teacher, and he was very kind to Fang Ziye, giving him a lot of convenience.

Since Liu Huanglong arrived, Fang Ziye has basically never faced financial difficulties again.

Although his master bore the brunt of the pressure, it all started with Liu Huanglong's words: "If you need funding, just let me know." This transformed Yuan Weihong, the "One Leaf of Beihai," into a male tyrant from Sichuan and Chongqing.

In order to make money, he transformed into Yuan Weihong, who would stop at nothing.

"I understand. You can go ahead. Leave the animal testing lab to us for now."

"But Ziye, you must be careful. If you don't appear on camera during the interview, some people might use that to sow discord between us and say that we are taking credit for your work."

"You can't let yourself be led astray," Liu Huanglong reminded him.

After Fang Ziye hung up the phone, he felt as if an icy spring had been poured over his body!

What makes Liu Huanglong so strong? Fang Ziye used to think that Liu Huanglong's talent was average, but he had a good father-in-law.

After all, Liu Huanglong's qualifications were only slightly better than Yuan Weihong's.

But now, in his interactions with Liu Huanglong, Fang Ziye has discovered that Liu Huanglong's early warning capabilities are far too strong.

To prevent the trauma surgery hospitalization queue from being disrupted, he pre-recorded a live video stream of the queuing process and posted it online, telling patients to remember their numbers.

In this way, even if someone wants to buy or sell, they will have to think twice.

This time, Liu Huanglong also gave an early warning.

After hanging up the phone, Fang Ziye called Wang Yuanqi again: "Brother Qi, are you on duty now? Or is Brother Jin Hongzhou on duty?"

The situation was sudden, and Fang Ziye had to leave, and there was a possibility that he wouldn't be able to return for a while.

Therefore, Fang Ziye had to ask someone to stay in the ward and guard him to the death!

It wouldn't be an exaggeration to owe someone a huge favor.

Normally, Fang Ziye's travel range only needs to be within the 'required' of getting to the emergency department within fifteen minutes.

But during this special time, Fang Ziye felt he needed to do even better than usual, so he stayed in the department.

"It's Zhou Ge's shift today. I just got off at eight in the morning. What's wrong?" Wang Yuanqi probably hadn't slept well last time, as he kept yawning and even talking in his sleep.

"Brother Qi, I'll have to trouble you today. You can go to the chief resident's office in the trauma surgery department to sleep. I'll have the chief resident's phone with me, and I'll let you know immediately if anything happens," Fang Ziye said formally.

"Is it that important?" Wang Yuanqi perked up a bit upon hearing this.

Fang Ziye rarely asked him for favors, but now that he had explained that he didn't get off work until eight in the morning and even asked him to sleep in the chief inpatient's office, it must be something very important.

“Yes, Brother Qi!” Fang Ziye walked to the outside of the emergency department and was already preparing to ride a shared electric scooter.

"Okay, I can get to the department in a few minutes. You can go ahead."

"Don't worry, I'll take care of things in the department." Wang Yuanqi didn't waste any words, just saying "I'll take care of things" to promise everything.

"Thank you," Fang Ziye said.

"You're too kind, brother."

After hanging up the phone, Fang Ziye finally set off. He first went to the emergency department, put down his white coat, and then completed a standard surgical handwashing procedure.

Looking in the mirror, I shook the water off my hands, feeling a bit disoriented.

Fang Ziye has met many professors, including many national-level professors, including but not limited to Professor Duan Hong.

However, throughout Fang Ziye's decades-long academic career, academicians have always been idols and the ultimate hall of fame in the academic and scientific communities.

It's no wonder Fang Ziye was so excited to meet two senior academicians at once...

As I turned the valve on the electric scooter, the heat, which had been blowing without wind, hit my face and felt slightly dry.

Fang Ziye has completely stopped thinking about Teacher's Day.

Even though his fellow students had been preparing for a long time, without exception, this year's Teachers' Day gathering could not proceed as planned.

In just six minutes, Fang Ziye got off the electric scooter.

After following the navigation for another four minutes, Fang Ziye arrived at the address that Teacher Zu had sent him.

After taking the elevator for another minute and walking for half a minute, Fang Ziye arrived outside the private room.

Just as he was about to knock on the door.

The phone rang again.

Fang Ziye picked it up and saw that the takeout had arrived.

Fang Ziye's heart trembled slightly. Today, he was indeed a little unstable in his mindset due to the bombardment of several phone calls.

I took a few steps back and answered the call: "Hello, please leave it at the department entrance, thank you, I'll come out and get it in a bit."

It was a braised chicken dish, and Fang Ziye remembered that he also added wood ear mushrooms and enoki mushrooms...

"Knock knock knock!" After hanging up the phone, Fang Ziye knocked on the door of the private room 'Hanyang'.

"Please come in!" a voice said from inside.

Fang Ziye slowly pushed open the door and entered, his upper body first, bowing slightly. Then, five or six old men and one middle-aged man came into Fang Ziye's view.

When Fang Ziye looked at the crowd, they all turned their gazes toward him, looking thoughtfully in his direction.

"Dr. Fang, you've arrived." The middle-aged man stood up immediately and walked towards the door.

Teacher Zu is now middle-aged, but he looks a bit thinner than he did a year ago.

His smile still carried a hint of seriousness, but the curve of his lips was a sign that he had restrained his imposing manner and authority to the greatest extent possible.

After confirming that he had not entered the wrong private room, Fang Ziye pushed open the door and squeezed in, then bowed slightly and said, "Hello, Teacher Zu, hello, teachers."

Fang Ziye didn't know anyone, but as he said before, if you don't know a senior, you should respectfully call them "teacher," even if they are your grandmaster's generation, it's not considered calling them the wrong person.

"Director Zu, Dr. Fang looks very young!"

“It’s hard to connect the authors of the materials you showed us,” said a gaunt old man.

The old man who spoke had a heavy Beijing accent. He was thin, with a slightly pointed chin, and a long beard that made his face look very long.

"Anyone who didn't know better would think he was the young man from next door who had wandered in by mistake."

"But his spirits are quite good." No one responded to him; he could speak four sentences by himself, even in this situation.

Zu Haiguo immediately introduced Fang Ziye to everyone: "Professors, experts, this is Dr. Fang Ziye, whom I have told you about many times."

"He's also from your orthopedics department; he saved someone's life before!"

Zu Haiguo no longer possessed his usual imposing presence; his tone was quite amiable.

I don't know if it's because I'm no longer working, or because of the different people I'm dealing with.

Immediately afterwards, Zu Haiguo introduced Fang Ziye to the six people opposite him one by one.

The first person I'll introduce is Academician Gu Yuandong from Huashan Hospital. Academician Gu Yuandong is from Shanghai, while Zu Haiguo is from Beijing. Since we are guests, we'll introduce them first.

Academician Gu Yuandong had his hair parted to the side, his ears stood up, his earlobes were large, his features were regular, and he had a slightly heroic air. His voice was also very kind.

After Fang Ziye followed Zu Haiguo to call for people, Gu Yuandong said enthusiastically, "Not bad young man. He came to Shanghai to cause some trouble a while ago."

Fang Ziye knew that Gu Yuandong was referring to Fang Ziye's visit to the Sixth Affiliated Hospital of Shanghai University, so he smiled and explained, "Professor Gu, I was fortunate enough to be invited by Professor Zheng Haidong to come to Shanghai."

"Professor Zheng Haidong was invited by Professor Duan Hong of Tongji Hospital in Hubei Province to attend an academic conference, which is how we met once."

"Duan Hong didn't invite me either," Gu Yuandong said with a slightly sour tone.

Fang Ziye thought to himself, "Professor Duan would like to invite you, would you come?"

Yes, Professor Duan Hong didn't invite you, but Professor Zhong Junyu from the Department of Hand Surgery at Peking Union Medical College Hospital did send you an invitation, but you declined.
You might think that to yourself, but you certainly wouldn't say it aloud: "It's because I'm not destined to receive your guidance, Teacher Gu."

Zu Haiguo interjected, "This is Professor Qiu Zhenghua from Peking Union Medical College Hospital."

Fang Ziye looked in the direction Zu Haiguo was pointing and saw a very down-to-earth old man sitting there quietly.

Professor Qiu Zhenghua has a full head of gray hair, a round face, slightly thick lips, dark skin, and raised eyebrows. Although he wears gold-rimmed glasses, he is very down-to-earth.

"You have delicate features, but you don't look like someone who would seriously pursue academics. Don't you have any girls around you trying to distract you from your studies?" Qiu Zhenghua chuckled and leaned back, asking a question that had nothing to do with academics.

"Teacher Qiu, good looks aren't worth much these days," Fang Ziye joked.

Immediately afterwards, Zu Haiguo introduced Fang Ziye to several other people.

They are both senior figures: Professor Zhou Yuan, a former professor at the Third Affiliated Hospital of Kyoto University, and Professor Huang Guoqing, a former professor at Peking Union Medical College Hospital.

Professor Ryū Rakuzan of Kyoto University First Hospital and Professor Tsien Lin of Huashan Hospital.

It's fair to say that if these individuals were to form a team, they would be one of the most professional expert groups in the country. Other teams could only match their level of expertise but could never surpass it.

“Professor Zu, fellow teachers, when I received the call just now, Professor Zu did not instruct me to bring any teachers along, so my teachers said that it was inconvenient for them to be disturbed.”

"If there has been any inadequacy in our hospitality, please forgive us, teachers," Fang Ziye nodded.

Before understanding the purpose of these people's visit, Fang Ziye naturally had to explain on behalf of his superiors. Otherwise, it would be bad if one of them felt that Zhongnan Hospital was too arrogant and a misunderstanding arose. Guests from afar are to be treated poorly; that would be a grave offense.

Of course, Fang Ziye also stated that he had already told the teacher about this matter.

"It's good that we didn't bring anyone. If there were too many people, the taste would be different."

"Ziye, please sit down. We can talk more slowly after you sit down." Professor Gu Yuandong's eyes shone brighter as he looked at Fang Ziye. Seeing that Fang Ziye was still standing and replying, he gestured for him to sit down.

Fang Ziye did as instructed.

Director Zu Haiguo then formally explained his purpose: "Dr. Fang, I'm here for a personal matter, but we're here for official business."

“Your school’s Science and Technology Development Institute submitted a document to the Ministry, and this document eventually ended up with me. After reading the document, I found it very interesting.”

"Considering that you are also an acquaintance of mine, right? So I randomly distributed these materials to real experts in the relevant fields."

"For example, Academician Gu, Academician Qiu, and several other professors."

"But to my surprise, these professors were very interested in you and even offered to come and investigate in person, so that you could provide evidence and provide supporting details."

"Before that, we approached you privately, Dr. Fang, to discuss something mentioned in the materials your school submitted."

"Your unit's amputation rate is now almost zero, and this statistic includes all emergency room patients?"

What statistical method is used?

Zu Haiguo gave a hint.

The amputation rate is zero. If it's a conditional statistical finding, hospitals like Peking Union Medical College Hospital and Huashan Hospital can all provide this data by adding a limiting condition.

Or, to put it another way, it could be refusing treatment to some patients.

"Professor Zu, our current statistics are limited to emergency trauma patients. Patients undergoing elective surgery, diabetic foot, bone tumors, etc., are not included in the statistics."

"The amputation rate for elective surgery is already very low. Patients with diabetic foot and bone tumors do not meet the definition of destructive injury, which is in line with the experimental scope of our research at the beginning."

"Our statistics on emergency trauma patients are limited to cases of devastating injuries; some simple traumas are excluded from the statistics," Fang Ziye explained.

Then he said, "However, as for what you said, Teacher Zu, I don't know exactly which month the materials the school submitted to you were from."

"However, according to our team's statistics, we have treated a total of 93 patients with severe injuries, except for one patient who chose amputation due to personal financial reasons."

"The prognosis for the remaining 92 patients is very promising."

Talking about his profession is Fang Ziye's only way to relax right now. Otherwise, he doesn't know what to talk about with them.

Liu Huanglong once said that one should not boast, but one should not be overly modest either. Everything Fang Ziye said was based on facts.

Preoperative gross images, various imaging data, postoperative functional rehabilitation videos, corresponding rehabilitation data, and walking video data are all recorded in the raw data.

There are several reasons for doing this.

First, it facilitates communication among colleagues who are interested in learning.

Secondly, to avoid some misunderstandings and disputes.

For example, if a patient can walk with a walker when discharged from the hospital, but then develops a fracture or becomes paralyzed after a period of time, they can no longer simply refuse surgery at Zhongnan Hospital.

In real-world clinical practice, there are cases where, some time after surgery, someone falls and breaks the internal fixation device or something else, and then claims that the surgery was not done properly.

The family members failed to provide adequate care, but were unwilling to admit their shortcomings, so they resorted to extortion.

In such cases, preserving sufficient evidence from the postoperative period is a good risk mitigation measure.

After listening, Professor Zhou Yuan stroked his long beard and chuckled in a Beijing accent, "Ziye, is this surgery a type of trauma surgery or hand surgery?"

"It sounds like it's hard to tell the difference."

"Are hand surgeons the ones who mainly perform limb-sparing surgeries these days?"

After Zhou Yuan finished speaking, Qiu Zhenghua glanced at him, but Zhou Yuan was not afraid and still stood up straight.

Fang Ziye could only say, "Professor Zhou, hand surgery and trauma surgery are from the same source, there's no need to make a clear distinction. We're both in the same orthopedics field."

Fang Ziye had absolutely no interest in the subspecialty debate.

Professor Gu Yuandong sat upright, touched his earlobe with one hand, and continued the conversation: "Dr. Fang, I did a little more research before I came."

"I heard that your department's main procedure now is functional reconstruction surgery?"

"Most functional impairments caused by peripheral nerve injuries in the lower limbs and some functional losses caused by peripheral nerve injuries in the upper limbs can be restored by 70% to 90% after treatment?"

"is this real?"

Gu Yuandong himself is a top expert in hand surgery, and his treatment of peripheral nerves can be said to be among the first in China.

The treatment of peripheral nerve injuries in hand surgery today is based on his research.

Now, Fang Ziye's team has suddenly surpassed its predecessors, which greatly surprised Gu Yuandong.

"Teacher Gu, we are currently exploring this area, and the relevant data has not yet been organized and summarized into a system."

"However, considering only a few individual cases, the postoperative functional recovery rate is still very considerable."

Fang Ziye continued to explain: "Professor Gu, the reason why our team can do functional reconstruction so well is thanks to Professor Liu Huanglong from the former Union Hospital affiliated with Huazhong University of Science and Technology, who worked with us to sequentially perform functional reconstruction surgery after limb salvage surgery for traumatic injuries."

"Then we broadened the indications for the surgery, expanding it to elective diseases based on the advanced concepts learned from Professor Liu." Fang Ziye's answer was very professional.

Every sentence contains professional content to facilitate communication.

No special explanation is needed, because everyone will definitely understand.

"The younger generation is truly formidable!" Gu Yuandong nodded after digesting the information for a while.

Then he nodded again and didn't say anything more.

If Fang Ziye dares to brag in front of him, the more he enjoys bragging now, the more unpleasant he will be later!

Just kidding, if you try to play mind games with him, he'll never give you a second thought.

While it won't completely ruin your reputation, it will certainly put a bad impression on you if you want to develop your career in the industry.

Professor Qiu Zhenghua then asked another question: "Ziye, have you thought about any further expansion of this topic?"

"I mean, excluding the lower and upper limbs."

Qiu Zhenghua is a senior academician with very sharp scientific thinking.

Fang Ziye's current treatment is limited to peripheral nerve injury. So, could it be expanded to include functional reconstruction surgery after spinal cord injury?
If this can be done, then the significance of this research topic will be ten or even dozens of times greater than it is now.

Worldwide, only one-tenth, or even less than one-tenth, of patients with functional impairment due to simple nerve damage are paralyzed or have incomplete function due to spinal cord nerve damage.

Once it can be expanded, it will be a boon for tens of millions or even hundreds of millions of patients worldwide!

Qiu Zhenghua is only offering guidance at this point, hoping that Fang Ziye can think in this direction.

Fang Ziye then remembered Liu Huanglong's words about not needing to be deliberately modest, and nodded: "I have had some ideas, and we are currently working on them."

"In addition to limb-sparing surgery for severe injuries to the upper and lower limbs, and functional reconstruction surgery after severe injuries, what we are currently doing is functional reconstruction surgery for elective diseases of the upper and lower limbs."

"This is a lateral expansion of a single surgical procedure."

"In addition to that, we have also considered vertical expansion such as functional rehabilitation."

Horizontal expansion increases the scope of surgical adaptation, while vertical expansion delves deeper into the quality and depth of a surgical procedure.

Everyone nodded without speaking, signaling Fang Ziye to continue.

"Some patients, in addition to the desire for a normal life, also have the desire for personal fulfillment. For example, athletes, police officers, and other special professions. Even migrant workers need a certain amount of physical strength to work again after an injury."

"Functional rehabilitation aims to restore more than 90% of the original physical strength. At present, this is just a concept."

"In addition, our research group has another direction of horizontal expansion, which is to ensure that patients with severe injuries can receive the best possible limb-sparing treatment."

"In order to break the limitations of time and space, we believe that if we can improve an extracorporeal circulation device, we can extend the survival time of amputated limbs."

"In this way, the reach of our top-tier hospital's medical resources will be greatly expanded!"

"Originally, it could only guarantee that the limbs would not die for six hours. After being processed by this miniature circulation device, the preservation time can be extended to sixty hours or even two hundred hours."

"Then these patients can be referred in a tiered manner, first having their limbs amputated in a prefecture-level city hospital, and then coming to a top-tier tertiary hospital for finger replantation."

When Fang Ziye got to this point, everyone's expressions were different.

After all, Fang Ziye's ideas were very pure and naive.

Are you kidding me?
You can only say that being young is good; you haven't experienced the harsh realities of society yet.

Academician Gu Yuandong, a specialist in hand surgery, smiled and brought a cup of tea to his lips, then paused in front of him: "Ziye, your idea is very good, it's alright, please continue."

"Only with ideals can there be technological progress."

On the other side, Professor Tian Lin and Professor Long Leshan took out cigarettes and put them in their mouths.

"Our team has already built this miniature circulatory device, and we are currently conducting final equipment debugging!"

After a slight tremor in one hand, Academician Gu Yuandong, due to his long-standing surgical skills and subconscious adherence to aseptic principles, threw the teacup in his hand into the deserted area.

The large dining table that seats fifteen people was only used by eight people, leaving almost half the space empty!

Water spilled on the table, and a teacup fell to the floor. There was a carpet on the floor, so the "clatter" wasn't very loud.

However, everyone froze in their tracks.

Professor Tian Lin's cigarette was blackened by smoke, but his lighter was still lit. Professor Long Leshan's lighter failed to ignite on the first try, and gasoline kept escaping!
You can hear the needle drop!

Twelve old eyes stared at Fang Ziye's entire body, as if trying to pierce through him!

Everyone was free of airs and arrogance.

(End of this chapter)