top student at medical school

Chapter 507 The Veteran's Mishap (Please Subscribe)
"Senior brother, what do you want to say?" Lan Tianluo was very curious about Fang Ziye's idea.

Fang Ziye then whispered something in Lan Tianluo's ear.

Lan Tianluo, who had been bowing and listening attentively, gradually tensed up as Fang Ziye's voice was released, his expression a mixture of fear and bewilderment!

After Fang Ziye finished speaking, Lan Tianluo's shoulders and face involuntarily twitched—

"Senior brother, this, this, this, will this work?"

“Currently, there’s a complete blank in this area domestically.” Lan Tianluo’s tongue trembled slightly.

"It's all up to human effort! Currently, there is a global shortage of relatively mature bone-inducing materials."

"I don't know if you remember the patient who had extensive bone loss in both lower limbs and chose amputation because the price was too high," Fang Ziye said.

The clinical research on the miniature circulatory device involves simulation, accumulating experience, and developing a small device based on the simulation of artificial extracorporeal lung circulation and artificial extracorporeal heart.

It is currently applicable to limb-sparing surgery for both lower limbs. As for its significance, it is certainly a revolutionary breakthrough for orthopedics.

But in the context of medicine as a whole, what does limb-sparing surgery count for compared to life-saving surgery?

The advent of the artificial extracorporeal cardiac circulation device has enabled the perfect implementation of open heart surgery, truly achieving the goal of saving lives with happiness.

Since its development, it has saved at least hundreds of thousands, or even millions, of heart disease patients.

Although in recent years, with the development of interventional procedures for heart valve diseases, the proportion of interventional minimally invasive surgery in clinical surgeries has been increasing, while the proportion of traditional open surgery has been gradually decreasing.

However, it is undeniable that in those years, and even now, it has had a transformative impact on the development of human healthcare.

While imitation and improvement is certainly a form of innovation, it is far superior to original creation.

Lan Tianluo nodded upon hearing this: "Senior brother, I agree with what you said. It's not impossible to test the waters with artificial bone induction materials."

"But don't you think minimally invasive limb-sparing surgery is a bit of an exaggeration?"

"Is it really possible to perform minimally invasive limb-sparing surgery through a small incision?"

"If this could be made, wouldn't that be amazing?"

Upon hearing this, Fang Ziye rolled his eyes at Lan Tianluo: "You didn't mention a single word of the preconditions I mentioned?"

"What's the point of talking about minimally invasive limb-sparing surgery when it involves serious damage? The trauma itself is already a mess. What I mean is, for patients with diabetic foot, we can consider minimally invasive limb-sparing surgery."

"I do have some ideas about the corresponding clinical procedures, but they haven't been theoretically validated yet. We can first look up the relevant materials and make plans for the future!"

"After all, the theories of limb salvage and functional reconstruction are now mature, and the next step is to collect clinical data and make improvements."

"Wouldn't it be so boring if we didn't use our free time to think?"

Limb salvage surgery for severe injuries is divided into upper and lower limb surgery, and functional reconstruction surgery can also be divided into upper and lower limb surgery. With the improvement of Fang Ziye's expertise, these two types of surgery have gradually formed a systematic theoretical framework.

Although there is not enough clinical data to support limb-sparing surgery, the results of the few surgeries that Fang Ziye has performed so far are quite good!
These can all be gradually supported by clinical data.

Collecting clinical data is a repetitive task, and Fang Ziye currently has a research assistant who specifically does this, so Lan Tianluo and others don't need to spend too much time on it.

This is a long clinical waiting period. During this time, a group of people can take a short break and then begin the next theoretical research project. This is a good period of rhythm.

"When should we start? I was planning to take a trip during the National Day holiday," Lan Tianluo asked.

He has devoted so much time and energy to it. Since the end of the year, Lan Tianluo has hardly rested, except for a trip home in the middle of the year.

The rest of the time, Lan Tianluo was either processing data or participating in the development of a micro-circulatory device. He also had to learn limb-sparing surgery while performing emergency surgeries for severe injuries.

Lan Tianluo had already become half a chief resident, while the other half of the damaged chief resident was Yuan Weihong.

Of course, Fang Ziye wasn't just playing around. Currently, apart from Fang Ziye, Liu Huanglong is unable to perform functional reconstruction surgery and upper limb functional reconstruction surgery normally, and occasionally he still needs Fang Ziye's assistance and help.

"Then let's do it after National Day!"

“We’ve been training intensively for so long, it’s time for us to take a short break.”

"From now until National Day, after I finish handling all the elective surgeries in the department, I plan to take a break during the National Day holiday."

"Except for emergency surgeries that cause serious damage, we do not perform any other elective surgeries."

Fang Ziye continued his analysis: "Furthermore, Professor Liu will take the functional reconstruction surgery after October to the hand surgery department, and he will also bring the microcirculation device with him..."

“Our department only accepts emergency cases of traumatic injuries in October, plus traditional trauma surgery procedures, so it’s very easy. We can take advantage of this time to refine the relevant theories of limb-sparing surgery for diabetic foot.”

"It would be best to use interventional methods to perform the limb-sparing surgery. We'll do what our interventional radiology department is too lazy to do ourselves." Fang Ziye smiled innocently.

Lan Tianluo, however, seemed to like Fang Ziye's 'bad boy' side, as he himself was not a traditional rule-follower.

"Senior, are you really going to torture all the other specialized schools before you're satisfied?"

"By the way, senior brother, let me tell you something funny."

"Our team has completed the improvement and development of the miniature circulatory device. As for the vascular surgery department, the one-way valve applied to hemostasis, which you have already demonstrated once before, is still not finished in the vascular surgery department."

"Last night, Professor Deng was chatting with me on WeChat, asking if I was hiding any side projects!"

Lan Tianluo then chuckled and said, "Their own theories are not deep enough. Just as you said, they either have to force someone to work on their theories, or they'll just stare blankly at each other."

The essence of a machine is a tool, and how a tool is used depends on how the person uses it.

For example, MRI and CT scans are powerful diagnostic tools, but the amount of information they provide can vary greatly depending on the doctor.

Different levels of image reading skills can lead to vastly different diagnoses.

Reading medical images is very simple; anyone with eyes can do it, and even patients can read some themselves. If they learn it on their own, they can be called medical enthusiasts.

However, the same tools, in Fang Ziye's hands, can unleash a completely different kind of energy.

The use of one-way valves, in particular, depends on the user's skill level.

“Everyone has their own tasks. We are in orthopedics, and we can’t go against the general direction.”

"Unless we reach the associate professor level, then we can really explore the entire general surgery department. For now, let Professor Deng and his team proceed slowly."

"Even without a particularly complete system, the one-way valve treatment for giant hematomas can still support Professor Deng in publishing several articles."

Fang Ziye knew all this because Professor Deng Haibo included Fang Ziye's name in his article.

Months ago, Fang Ziye was very cautious about nominating his published papers, and not just anyone could casually add his name to them.

Otherwise, if someone tries to sabotage you by putting your name on a low-quality article, and you get retaliated against after the submission is successful, you'll have no recourse.

However, when you are the first author or corresponding author, the editorial office will usually send you a message, and you can unilaterally inform the journal that you are not the owner of the article...

This is one of the reasons why Fang Ziye needs to clean up his email frequently, even though there is no precedent for such a 'framing'.

However, many retired professors have had their reputations ruined because of their role as "corresponding author".

Fang Ziye also discussed the third clinical research project with Lan Tianluo, but this project is still too far off and is not in the near future plans.

……

Time flies, and the Mid-Autumn Festival is here before we know it!

This year, the Mid-Autumn Festival and National Day are very close together, falling on September 27th.

The Department of Trauma Surgery at Zhongnan Hospital was unable to properly celebrate Teachers' Day due to the visit of a reporter from Longtai and the unexpected intrusion of two academicians.

Therefore, Yuan Weihong and Deng Yong chose September 27th to invite their respective students over.

Fang Ziye could only celebrate virtually with his two teachers. Now, he would never again hire someone to replace his chief resident and then casually go out to eat.

Other offers, such as invitations for consultations and surgeries from the Sixth People's Hospital of Shanghai, and teaching invitations from Tongji Hospital and Union Hospital, were all politely declined by Fang Ziye.

One should fulfill one's responsibilities wherever they are assigned.

The future is long. Once he is discharged from the resident physician program and becomes a free attending physician, Fang Ziye will be able to go wherever he wants.
Why rush?
September 27th, noon.

"Da da da!" Fang Ziye was still in the chief inpatient office, holding a coffee and "celebrating" virtually with Yuan Weihong, Lan Tianluo and a few others.

A knock sounded on the door—

"Dr. Fang, another patient and their family have brought a banner outside. They said that if you don't come and take a picture with them, they will take the banner to the medical affairs department," the nurse on duty whispered outside the door.

"Okay, just a moment! I'll be right there." Fang Ziye looked up and replied, then explained the situation to his master.

On the other end of the video, Yuan Weihong laughed and scolded, "I don't know who corrupted the atmosphere in the department."

"The patients and their families are so understanding. They've sent seven or eight banners to the medical affairs department this month. I bet your colleagues there hate you now."

"After all, once the banner was sent over, they still had to help transport it back!"

In a hospital, the second best way to present a banner of appreciation is to present it to the doctor in person, but the best way is to present it to the medical affairs department!
The person who did this for the first time was probably a medical professional among the family members who knew the ins and outs.

Therefore, after seeing the medical affairs staff present the banner to Fang Ziye in a more formal manner, and even the hospital office staff coming to inspect the event, such incidents occurred frequently among the family members in the department.

Once is a pleasant surprise, but after so many times, the colleagues in the medical department are getting a bit tired of it.

What kind of mess is this? Are they even going to continue working in the medical department?

We'll just send you, Fang Ziye, a banner as a special gift!
Once or twice a month is a pleasant surprise, but seven or eight times a month is equivalent to going to the trauma surgery department twice a week...

Therefore, starting this week, on September 23rd, Fang Ziye told the patients and their families during his rounds not to send any more banners to the medical affairs department.

Of course, some people are from well-off families and want to show their appreciation, so Fang Ziye can't refuse.

A banner of appreciation means an extra fifty yuan reward from the hospital!
With no limit on the number of times, who would turn down the opportunity to make money?
Fang Ziye said, "Master, I'll go out for a bit first."

After Fang Ziye got up, he pushed open the door of the chief inpatient office and saw an elderly woman with a walker standing at the door with a smile.

At that moment, the head nurse and the nurse on duty were talking to her very kindly.

"Thank you for your kindness, but making a banner is too expensive. If you really want to thank Dr. Fang, you can just say a few words in person." It was head nurse Cao Fang who spoke.

The old woman slowly moved back and forth with the help of a walker, saying, "Young lady, you don't know, as you get older, your body gets weaker and weaker."

"Lying in bed feels uncomfortable. A person needs to be able to walk and move around to be considered alive, right?"

No one knows the preciousness of being able to walk better than someone who is bedridden.

“When I was lying down, I didn’t pray for anything else. I just thought that if I could get out of the wheelchair and walk a few hundred meters, I would be willing to die.”

"This morning, my daughter-in-law took me downstairs for a walk."

"Although I've only walked around this hospital building once, but?"

"You don't know, this feeling is wonderful." The old man's face was full of wrinkles, and his hair was silver and very well-groomed.

Her eyes were sunken, and her hands and feet trembled, but she didn't need to pretend; she seemed to be the story itself.

"Doctor Fang."

"Dr. Fang!"

"..."

When the old woman's family saw Fang Ziye approaching, one of them called out.

Fang Ziye recognized the other party immediately; it was the elderly person in bed 37 of Associate Professor Chen Fang's group and their family.

Fang Ziye smiled sincerely and approached, saying, "Grandma, how are you feeling today?"

Fang Ziye didn't greet everyone, but went straight to the point.

Actually, the so-called "gratitude" between these family members and Fang Ziye is centered on the elderly woman. The elderly woman is Fang Ziye's patient, and only then is there a doctor-patient relationship between the two.

"Great, absolutely great!"

"Dr. Fang is really good. I was a little skeptical when I first came here."

"I was a bit impatient when I was hospitalized, and I might have had a bad temper. Please bear with me. Now I understand the saying, 'Slow and steady wins the race,' and 'Good things take time.'" the old man replied, slightly embarrassed.

She was extremely impatient while waiting for the surgery.

Because she rarely waited for such a long time, she also tried to find various connections during this period, but none of them seemed to be very effective.

Of course, after being bedridden for nearly ten years, waiting just a few more days makes her feel that everything is worthwhile.

"Thank you for understanding, Grandma. We also want to have the surgery as soon as possible, but we just don't have the energy."

"So all I could say to you at the time was that surgery can't be rushed. We could only say that we should do our best to do every surgery well, rather than doing as many surgeries as possible in a day."

"Now that you can get out of bed and walk, you should walk a little more, but there should be limits. Walking for three or four hours straight every day is not advisable."

"We'll definitely have to wait until you're discharged and have two more check-ups before giving you this advice, based on your recovery." "Then!" As Fang Ziye was speaking, two more people walked in from the ward corridor.

One of them greeted Fang Ziye very warmly. He didn't walk fast, but he walked with a very bold and unrestrained gait, without the slightest bit of caution.

"Dr. Fang, Dr. Fang, hello there."

"Dr. Fang, do you remember me?" The man who came was a middle-aged man with a bald head and a slightly pointed head, who was about fifty years old.

If the person hadn't been bald, Fang Ziye probably wouldn't have remembered him. But there weren't many middle-aged bald men coming to the department for treatment, and this person was quite interesting, so Fang Ziye remembered him.

"Brother Tan, are you coming for a follow-up appointment today?" Brother Tan had surgery in the department in July and was discharged in early August. He should have come for a follow-up appointment in early September.

This is a patient undergoing functional reconstruction after emergency surgery for a devastating injury.

"Hey, don't even mention it, it's all a joke now. After I was discharged from the hospital, I was tricked into going to some kind of traditional Chinese medicine massage clinic in the health center for a follow-up examination for a while."

"They told me to rest more, to continue acupuncture and massage every day, and to move around more and walk less. After all, I just had such a major surgery."

"I felt something was off, so I booked an appointment with a professor."

"Professor Liu said I could have thrown away my crutches a long time ago, I..."

"It was a waste of money." Brother Tan stroked his bald head, his face full of smiles, showing no sign of regret over the money.

The moment Fang Ziye saw him, he knew that the other person had probably gone to a traditional Chinese medicine practitioner for rehabilitation.

After all, when this Brother Tan first arrived, he said that everything should be the best, as long as it could cure his illness, nothing else mattered.

It was only later that I learned that his savings and cash flow from TM were nearly 80 million.

His net worth is conservatively estimated at at least 300 million.

Fang Ziye smiled slightly at Brother Tan and then said, "Please wait a moment. This is my patient. She is currently in bed 37. I'm here to guide her rehabilitation training."

Even if everyone is a patient, there should be a first-come, first-served order.

It would be impolite for Fang Ziye to ignore Brother Tan as he walked over from a distance to greet him, but it would be a bit excessive to abandon the patient in front of him to greet him.

The elderly woman was very understanding: "Dr. Fang, thank you so much. I don't have anything else to say. I bought you some fruit before, but you didn't get to eat any. I offered you some milk tea, but you said no."

"So I thought I'd make a banner for you, at least it'll be a keepsake..."

"You have helped me so much. I even secretly carried my great-grandson a couple of steps today..." the old man said, slightly embarrassed.

Upon hearing this, Fang Ziye quickly shook his head and said, "That won't do. You can't carry heavy loads right now!"

Immediately afterwards, Fang Ziye said to the family, "You can't lift heavy objects. You can't do anything reckless. The elderly have been lying down for a long time, and their osteoporosis is quite severe. If they suffer a fracture at this time, it will only make matters worse."

"After a while, or maybe we can push it around and tease it a bit, okay? You guys can help keep an eye on it."

The elderly woman is over eighty years old. She and her generation married early and have three sons and two daughters, all of whom are very filial. Now, their grandchildren are all adults.

I heard that her eldest great-grandson is already a teenager. Today, the people in the department are her third son and daughter-in-law, plus their youngest grandson...

After chatting with the elderly woman for a while, Fang Ziye personally guided her through several functional training methods suitable for her, such as quadriceps contraction exercises and slow leg raises to practice walking posture!

After that, Fang Ziye rolled up the banner and looked at Brother Tan, who was resting in the doctor's office.

Actually, Brother Tan just came along for a quick look, and he also picked up a small envelope, which felt quite thin.

However, recently, Fang Ziye has long since gotten used to not judging the value of a gift by its thickness or thinness.

He directly declined, saying, "Brother Tan, I appreciate your kindness, but I can't accept it."

Then he joked, "To be honest, being a doctor is also one of my hobbies. I have my own money. In terms of wealth, I certainly can't compare to you, but I don't need to rely on gifts or a salary..."

Upon hearing this, Brother Tan's eyes lit up instantly.

"Dr. Fang, when I'm not your inpatient, you're much more interesting to talk to than when you're making rounds."

Then, Brother Tan looked Fang Ziye up and down a few times before taking the envelope back.

This was arguably the most unique excuse he had ever heard for refusing a gift.

As they say, if you're not living off the meager wages from the hospital, why are you even bothering to send money?

"Dr. Fang, come over for tea sometime. I'll arrange the best for you." Brother Tan smiled slightly at Fang Ziye.

Fang Ziye immediately guessed that this tea drinking was not a very proper thing, so he didn't continue the conversation on the topic.

"I'm incredibly busy with my job right now. If I ever decide I don't want to be a doctor anymore, maybe I can go out and have some fun, otherwise..."

Fang Ziye pretended to shake his head: "I guess I can only stay in the hospital."

Brother Tan frowned: "Dr. Fang, are you kidding me? It wouldn't be good if you stopped being a doctor."

"With your skills, you should bring joy and health to more patients. Since you love it, why not continue to enjoy it for a while longer?"

"I've come to understand this over the past few days: you don't know what's going on until you get injured, and once you get injured, there will be support groups for patients."

"My current state is the envy of everyone!"

The same damage, to put it more cutely, some people lose their legs, while others lose their little hands.

There are very few people like him who can walk around so casually.

In the patient support group, many people are now discussing why they didn't know about Zhongnan Hospital sooner, and why Dr. Fang didn't come out sooner.

Of course, now that the amputation has been done, it's impossible for Fang Ziye to give them a leg again.

However, those who have been injured know the pain of injury, and nowadays many volunteers are spontaneously giving advice to traffic police and other units.

If the limbs are seriously injured, send them to Zhongnan Hospital. This will greatly reduce the chances of amputation!
Fang Ziye chatted with Brother Tan for a full twenty minutes before leaving, citing work as the reason.

Tan didn't insist on keeping him; he just happily left the department with his wife. He was simply bored and wanted to give Fang Ziye a gift to express his gratitude.

……

Fang Ziye no longer needs to rely on his fixed salary at the hospital. If he wanted to be a boss now, he could simply collect the patent fees for the microcirculation device.

For example, if he were to receive 500 yuan for a miniature circulation device, wouldn't that be too much to ask?

These items are essential instruments in all 120 emergency services, all emergency departments, and all trauma surgery departments nationwide.

The patent fees that Fang Ziye can get are conservatively estimated to be several hundred million yuan. If that money were deposited in a bank current account, it would probably be several million yuan a year.

How much can a doctor at Zhongnan Hospital earn in a year? At most, a million!

This also includes expenses for academic exchanges, teaching subsidies, project rewards, and all sorts of other miscellaneous costs.

After receiving the patent fees, Fang Ziye only needed to lie down.

This does not include the patent fee sharing for Fang Ziye's animal testing models.

Fang Ziye received very little. For the animal test models after HK2 was knocked out, Fang Ziye charged ten dollars per model. For the damaged models, Fang Ziye only charged three dollars per model as patent fees.

This is just a symbolic fee; the majority of the money goes to subsidizing the animal testing lab, used for research funding, and so on...

Although this income is only a few dollars or a dozen dollars, it accumulates to about ten or twenty thousand dollars each month.

The majority of the damage is still caused by domestic rabbits. In the current laboratory, one or two hundred rabbits die every day, and nearly six thousand die every month.

They were all killed by the "big skeleton" of trauma surgeons.

Back in his office, Fang Ziye continued his online gatherings with his master and fellow disciples.

Naturally, Fang Ziye also knew that video calls could get boring if they went on for too long, which would actually make it harder for them to drink. After chatting for about ten more minutes, Fang Ziye hung up the phone and then continued to read a novel to relax and unwind.

Work and rest!
Recently, Fang Ziye has become obsessed with the feeling of reading novels. It's not that he's fantasizing, but he just wants to immerse himself in the protagonist's world and clear his mind.

Whether you have a brain or not doesn't matter, as long as you're having fun.

……

Two more days passed, and finally, the last working day before National Day arrived, which was September 29th.

It was also around noon.

Fang Ziye received a phone call from Professor Gu Yuandong of Huashan Hospital.

"Hello, Professor Gu." Fang Ziye was originally organizing a case discussion for undergraduate interns, but after receiving the call, he told them to familiarize themselves with the case on their own first, and he would come in later to analyze it for them.

I pushed open the door, found a fire escape, opened the door, and went inside.

"Ziye, were there any parts of the data you presented to us that you were hiding?"

"Why is it that even after our team has worked on this for over twenty days and recorded all the data comprehensively, we still can't successfully assemble this miniature circulator?"

"Or is there a problem with our installation?" Gu Yuandong's tone was slightly annoyed.

At the same time, Fang Ziye also heard several breathing sounds nearby, which he guessed were Gu Yuandong talking to him through a loudspeaker, and that the other party was currently in the conference room of the laboratory.

Upon hearing this, Fang Ziye immediately replied, "Teacher Gu, I was a bit naive before, so I naturally gave you all the real data."

“Our team assembled and debugged according to this data, so it’s impossible that it won’t work. You’ve seen the video materials, haven’t you?”

Fang Ziye found it amusing.

Teacher Gu!

This is not something that can be replicated with a string of data. The principles and components of the miniature circulatory device cannot be mastered without a Level 5 foundation in vascular surgery theory.

It may look like an improvement on a circulation device, but in reality, the complexity of its core theory is far more than it appears on the surface.

"Then why can't we assemble our team? I've even hired some experts." Gu Yuandong's voice carried a questioning tone.

There was no other reason than that Gu Yuandong was a bit irritated.

What if you can't take back the boast you made?
If you blow your bragging but don't fill it in properly, you'll get kicked by a bull!

Moreover, Gu Yuandong wasn't just bragging and making threats in front of Fang Ziye and Deng Yong; Tian Lin from Huashan Hospital was also present.

Several veteran trauma surgeons from Kyoto, such as Huang Guoqing, Long Leshan, and Zhou Yuan, were also there.

It's fair to say that the more stern Gu Yuandong's words were back then, and the more memorable his promise to teach Fang Ziye a lesson, the more embarrassed he is now.

The plan was to teach Fang Ziye a lesson, but the class bell wouldn't ring.

"Teacher Gu, shouldn't I be the one to answer this question?"

"I have given you all the data," Fang Ziye said, putting his newfound knowledge to good use.

Gu Yuandong said, "Stop messing around! You have to explain yourself to me."

Fang Ziye remained silent.

Anyway, it's just a phone call. Even if the other party is a seasoned veteran who has been through a major accident, or even if he is a general from the United States, he can't possibly kill Fang Ziye over the internet.

After a moment of silence, Professor Gu Yuandong finally said, "Alright, alright, let's stop arguing. Ziye, I take back what I said earlier."

"I'm just asking you for advice with a learning attitude. I don't need you to tell me the key points, just give me a general overview."

"Is it a deal or not? Let's end our joke here."

Fang Ziye said, "Teacher Gu, let's not do it yet. Thanks to your teaching and guidance, I feel that if I say it, I will be scolded by you again."

"I'll tell you the key points once our patent approval process is finalized, or once the documentary airs."

"Hey, you!" Gu Yuandong said the syllable through his throat on the phone.

Fang Ziye said, "Teacher Gu, I know you're in a hurry, but please don't rush."

"I'm genuinely asking you for advice! I'm not giving you a lesson, nor am I joking like before," Gu Yuandong said earnestly.

"Professor Gu, I'm currently teaching undergraduate cases. If there's nothing else urgent, I'll have to hang up now!" Fang Ziye kept Gu Yuandong's words firmly in mind.

One should always be wary of others; Fang Ziye shouldn't be criticized again for no reason.

All of this was exactly as Fang Ziye had predicted, so he simply smiled casually.

The scene of the elderly person's car accident was actually quite interesting.

This incident also served as a great reminder to Fang Ziye: avoid boasting, as it can easily backfire. Even if you are very capable, don't make boastful statements carelessly.

(End of this chapter)