top student at medical school

Chapter 539 Exquisite Slow Techniques (Please Subscribe)

Half an hour later, seeing that Fang Ziye remained silent, Luo Tingzhu asked first, "Senior brother, are the surgeries performed in the sanatorium difficult?"

Luo Tingzhu rarely saw Fang Ziye so serious.

Even when faced with thorny issues like damage and functional reconstruction, Fang Ziye had never been so silent before.

Moreover, Fang Ziye's current abilities are far superior to what they were before.

He is a 'tech guru' who has been certified by many professors and experts.

Fang Ziye's eyes remained fixed on the computer screen, without turning his head. It took two or three minutes before he seemed to realize that Luo Tingzhu had spoken to him.

He nodded slowly: "After checking a lot of literature, I didn't find any case of nonunion with such a long course of disease."

"Ten years! I guess they've tried every surgical method imaginable, but there's still no good result."

"Ten years?" Luo Tingzhu was a little surprised after hearing this.

Ten years ago, she was just a young girl. A patient's fracture lasted for ten years! That's so pitiful.

"He underwent five surgeries, from a military hospital to Jishuitan Hospital, and then to Huashan Hospital..."

"Sigh..." Fang Ziye rubbed his face, his brows furrowed.

Basically, all the methods mentioned by scholars from other countries in the literature have been used on this old woman, but the broken ends of her fractures show no signs of healing.

This is definitely a super difficult and complicated disease. It is estimated that there are very few cases like this in the whole of China or even the whole world.

Fang Ziye dared not underestimate the skills and expertise of the other professors. Before performing the surgery, they must have consulted a great deal of information and literature and gone through numerous discussions before deciding to proceed.

This will definitely be the case at least the last three times.

"Do you have any underlying medical conditions?" The only thing Luo Tingzhu could think of was that some underlying medical condition had developed, which might have affected the recovery from the fracture.

The common causes of nonunion can be categorized into the following groups: infection, insufficient local blood supply, separation of fracture ends, unstable fixation, and improper surgical procedures.

Infection can be ruled out. This patient underwent anti-infection treatment from the beginning of the surgery and never had a postoperative infection.

Insufficient local blood supply can also be ruled out, as the area of ​​her fracture has a rich blood supply, a fact documented in many surgical records.

The possibility of fracture ends being separated and unstablely fixed, or improper surgical procedures, does not exist.

The patient's first hospital visit was a well-known military hospital, where the trauma techniques were even more advanced than those of ordinary hospitals.

Even if it can't compare to Tongji Hospital, it's at least better than a typical prefecture-level city hospital.

Fracture surgery techniques are already well-established, and military hospitals are special places where it's impossible for them to have surgeons with inadequate skills!

After ruling out common causes, only uncommon causes remain!
The patient had a long history of medical examinations, and the only underlying condition was diabetes. Since the diabetes was diagnosed before the initial consultation, no hospital could ignore it.

On one occasion, the patient's postprandial blood sugar dropped to 6.0 mmol/L, but he still did not recover.

Post-operative blood sugar levels were around 7.0.

This proves that what affected her fracture healing was neither local blood circulation disorder caused by diabetes nor hyperglycemia.

"Is that so?"

Luo Tingzhu's forehead was completely insufficient!
According to modern medical understanding, as long as blood sugar is not excessively high, it will not affect the normal conduct of the surgery.

It's unknown how many diabetic patients can undergo surgery once their blood sugar is under stable control, and how many recover very well.

But this patient is different. Despite being so well controlled, the fracture seems to remain stationary and just won't heal.

"If we could go back a few decades, I would suspect that there might be some kind of mystical curse."

When something goes against medical understanding, many people instinctively think of metaphysics.

Otherwise, it doesn't make sense, does it?

“That’s why it’s so difficult. I’ve even thought about giving up,” Fang Ziye said.

He's at level 6 in basic trauma surgery theory, but after reviewing this elderly woman's medical records, he was completely at a loss.

The solutions and measures used were simply the same ones that other professors had already used.

When encountering unusual diseases, Fang Ziye dares not claim that his more meticulous and skillful procedures will necessarily be effective.

If the theory doesn't work, no matter how good your technique is, it might be useless.

An army marches on its stomach.

Before a new technique is developed, the theory must first have a feasible path and be supported by basic principles; it cannot be done haphazardly.

The success of limb salvage surgery for severe injuries is supported by theoretical principles.

"Senior brother, please don't. Anyway, your place doesn't have strict requirements on the amount of work. Just consider it a challenge and a learning experience, right?"

"Study for the sake of studying!" Luo Tingzhu quickly encouraged and cheered Fang Ziye on.

"Alright, since you've said so, I'll take my time and look at it some more."

"Anyway, there's no rush," Fang Ziye said.

"Senior, what about the other patient? Don't you have two patients in your trauma surgery group?" Luo Tingzhu was too tired to study anymore, so she wanted to chat for a while.

"The other one is okay. After reviewing the medical records, I felt that the problem wasn't too serious. It was just a fracture reconstruction surgery."

"In fact, the basic principle of reconstruction surgery is the same as that of functional reconstruction surgery. In other words, the bone reconstruction in the functional reconstruction surgery I perform in clinical practice actually comes from the reconstruction of bone defects."

“Professor Deng is quite skilled in fracture reconstruction. This patient’s situation is just a bit more special, with a larger area of ​​bone defect, making the procedure a bit more complicated,” Fang Ziye replied.

Tonight's literature review and medical record review will certainly not be fruitless for Fang Ziye.

The middle-aged man's condition was simply complex, not strangely 'special'!
A massive pelvic defect is something that some teams, even many top-notch ones, feel they can't handle. That's a kind of wisdom that comes from self-reflection.

Do what you are capable of.

Modern chaebols may be very wealthy, but try asking them to buy a country.
Fangziye has many advantages.

For example, are there any people in the entire country of China who possess Level 5 basic theoretical knowledge of trauma surgery? There must be a few.

There are people with Level 5 basic skills, and there are definitely people with national-level standard surgical techniques.

However, the ownership of these technologies is rarely concentrated in one person; they are mostly separate entities.

However, Fang Ziye is different. He has reached level 5 in all these areas, and even has level 6 skills!
Therefore, Fang Ziye's understanding of this disease and surgery will be more thorough, and his confidence will be greater.

What others might find a bit of a stretch, Fang Ziye might find just right.

"Senior brother, congratulations to you too."

"You said it can be done, so it definitely can be done." Luo Tingzhu said this, picking out happy things, also to soothe Fang Ziye's emotions.

In Luo Tingzhu's view, Fang Ziye had not encountered adversity for a long time!
Even if we encounter obstacles now, we must overcome them.

Fang Ziye leaned back, clasped his hands together, and said, "Tingzhu, you don't need to comfort me. I don't actually have that much of a saintly burden."

"There are too many things in this world that are beyond human control. I can't save every patient I encounter."

Fang Ziye never claimed to be some kind of savior; he simply did his best to save people within his capabilities.

If it is outside the absolute scope of business and beyond one's capabilities.

Fang Ziye would also say, "Brother, please have mercy, I'm still young, I don't have that ability."

For example, the cancer patient who came for treatment before, or the firefighter who wanted to have functional rehabilitation surgery that I met at the trauma center at the beginning of the month!

Fang Ziye is not a god, and adding points is not omnipotent.

Everyone's abilities are relatively limited.

"Senior brother, you are already very outstanding."

After Luo Tingzhu finished speaking, she took another bite of the duck foot, spat out the bone, and said, "I think being able to do what others can't is a relatively excellent quality."

"If one can do what humans cannot, then one can only be a god."

After meeting Professor Gu Yuandong and Professor Qiu Zhenghua, Fang Ziye's thinking became more insightful, and his view of the world was no longer as limited as before.

Looking at the time, Fang Ziye replied, "Tingzhu, it's getting late, let's get some rest."

"I can get up around 8 a.m. tomorrow, but you have to get up at 6:40 a.m.."

After Luo Tingzhu returned, she was not supposed to have to do clinical work; she only needed to focus on graduation.

However, there is an operation scheduled for tomorrow in the department that even Professor Zeng Quanming himself may not be able to handle completely, so Luo Tingzhu has become a temporary 'conscripted worker'.

My master summoned me, so I couldn't refuse.

After hearing this, Luo Tingzhu quickly checked the time, then stood up and ran outside: "Senior brother, I'll hang up now, you should get some rest too."

It was already close to midnight, and if Luo Tingzhu didn't go to sleep soon, she would probably only have less than six hours of sleep left.

Silent all night.

……

The next day, Fang Ziye got up at eight o'clock as usual, and then leisurely made his way to the canteen of the sanatorium across the street.

The cafeteria offers a wide variety of breakfast options, including rice noodles, wheat noodles, wontons, steamed buns, and mantou.

Fang Ziye didn't choose to eat rice noodles or noodles today; instead, he opted for a steamed bun, a cup of soy milk, and two boiled eggs.

While I was peeling the egg, Professor Yan Huanan, a trauma surgeon, brought me a bowl of wontons from a distance.

He sat down opposite Fang Ziye, smiling broadly and revealing his slender neck: "Professor Fang, good morning!"

"Professor Yan." Fang Ziye pulled his plate back a short distance.

Take another good look at the other person!
Yan Huanan, from Yushi Military Medical University, was an associate professor and chief physician when he came here, but he has now been promoted to professor.

With a square face and a heroic air, even judging from his features, he probably looked a bit like me when he was young, a bit of a "femme fatale"!
Rumor has it that he came here for a promotion, and his skills are only so-so.

"Professor Fang, do you have any thoughts on our group's upcoming surgeries?"

"For example, we could bring in a few functional reconstruction machines, just to add some spice to our downtime," Yan Huanan asked with a smile.

Fang Ziye's eyes darted around twice: "Professor Yan, there's no rush for functional reconstruction surgery."

"Didn't I hear that our groups don't have any mandatory tasks? We can patiently perform high-quality surgeries, so let's take our time?"

Yan Huanan nodded, "I really envy you, Professor Fang."

"It's great to be young!"

Then, Yan Huanan added, "It would be even better if someone as young and promising as Professor Fang were to be included."

Yan Huanan's tone was sincere, his eyes were earnest, and his envy was evident.

In his view, Fang Ziye is only 29 years old and is already an associate professor and associate chief physician. He will definitely be promoted to professor and chief physician before he turns 35. Who can match his resume in ten years?

There's no need to worry about salary or future prospects!
He would spend a few years in a sanatorium, casually performing a batch of surgeries that others couldn't, increasing the number of surgeries, reaping the credit, and having his family genealogy opened separately.

Furthermore, with this skill and the accumulated network of connections, once you leave the sanatorium, you'll truly be living a life of unparalleled glory.

"Thank you for the compliment, Professor Yan. You don't look old at all, only in your thirties, right? Did I make you sound old?" Fang Ziye asked with a smile.

Upon hearing this, Yan Huanan said, "Professor Fang, you really know how to talk. I'm already forty-four!"

"In a few more years, I'll be approaching fifty."

Fang Ziye may look young, but he's quite cunning; ordinary conversations won't get you anywhere.

Of course, Yan Huanan never intended to control Fang Ziye.

If you think someone in their twenties who can rise to the rank of associate professor or associate chief physician is someone you can easily manipulate, then you are seriously underestimating this young man.

The two chatted for a while longer, and Yan Huanan told Fang Ziye some information about the actual operation of the sanatorium.

It can be summarized in a few words.

If you're capable, take the job; if you're not, get out!

Good treatment isn't for living a life of luxury; he estimates it will only last a few months before he has to pack his bags and leave.

"Professor Fang, actually, this place isn't suitable for people in the trauma department," Yan Huanan concluded as he and Fang Ziye walked toward the doctors' office area.

"Yes, trauma cases are mostly emergencies, but emergency rooms don't send patients here!"

“But it’s necessary!” Fang Ziye agreed with Yan Huanan’s attitude.

However, anything is possible with human effort!

Actually, working here is like going on vacation.

Neither of the two patients in the trauma group were in the emergency room; they wouldn't die in a day or two, and they couldn't be treated elsewhere. If a group of people wanted to coast along, life would be pretty easy.

Forcing someone to undergo surgery is pointless. If the punishment for a failed surgery is execution, then it's better to just drag the person away and execute them.

Of course, none of those who come here are thinking of lying down.

There were no ward rounds like the other groups, and no new people were coming in to familiarize themselves with the cases, so Professor Miyako organized everyone to go to a tea room.

Then he instructed Gu Yi to bring his laptop, and said, "Shall we spend the next few days working on the two patients we're in charge of?"

"If all else fails, we can apply to higher authorities to have them transfer the patient. We can see if any other sanatoriums have a professional team that can handle it."

Fang Zhikuan and Yan Huanan both nodded, and then followed Gong Jiahe toward the teahouse.

The associate chief physicians didn't dare to say a word.

Upon arriving at the tea room, Miao Haoyu, Qu Shuyuan, and Gu Yi each prepared tea and PowerPoint presentation materials.

Professor Fang Zhikuan rubbed his hands together on the red lacquered table for a while, then stopped and said, "Professor Gong, this pelvic reconstruction for bone defects is something we can try, albeit with difficulty."

"I think it's best to leave that nonunion patient alone for now. Let's submit a report requesting amputation together."

"The course of the disease has dragged on for ten years, and we've been to all the major hospitals. I don't believe any other team would dare to have any objections."

Fang Zhikuan is not tall, has a rather aloof personality, and is taciturn, but at this moment his face is full of resentment!
Fractures and amputations sound like the worst thing ever.

Fractures are considered an entry-level type of trauma, and many trauma surgeons started their careers with fracture surgery, in addition to treating ordinary wounds.

Fractures that often seem like no big deal can actually lead to amputation, something Professor Fang Zhikuan never imagined before.

However, the surgeon this patient had undergone made him feel intimidated!
Six years ago, Professor Tang Fupei of the General Hospital of the Army personally performed another open reduction and internal fixation surgery for the nonunion fracture, but the patient still did not recover after the surgery.

Five years ago, Jishuitan Park did it again.

Three years ago, Professor Tian Lin, a senior professor in the Department of Trauma Surgery at Huashan Hospital, and Professor Zhou Gongbo, the current administrative director of the Department of Trauma Surgery at Huashan Hospital, joined forces and suffered another defeat!

With so many predecessors having failed, if they still dare to act recklessly, they would truly be considered ignorant.

This lack of understanding isn't about social skills, but rather a failure to recognize reality.

"Professor Fang, have you finished reviewing the case? Do you have any thoughts?" Gong Jiahe asked Fang Ziye.

At the same time, Professor Yan Huanan and Professor Fang Zhikuan also looked over.

Fang Ziye was appointed as the next group leader, so he must have something to offer; otherwise, the sanatorium wouldn't have done something so outrageous.

Their gaze wasn't demanding that Fang Ziye solve the predicament before him, but rather they wanted to hear what Fang Ziye's thoughts were, and whether he was the kind of frivolous person.

Fang Ziye first took out his notebook, flipped through it several times, and then flipped back to it: "My opinion is similar to Professor Fang's."

“I just arrived yesterday, and after I went back, I carefully read through the basic information and past medical records of the two patients in our group.”

"I believe our team is capable of performing pelvic reconstruction surgery. We'll discuss the challenges later."

"As for this elderly woman with the fracture, my advice is to hold off on surgery for now, at least until we fully understand why her fracture didn't heal and could drag on for ten years!"

“Even if surgery is necessary, it’s better to go for the relatively safer amputation.” Fang Ziye was repeating Fang Zhikuan’s words, but this was clearly not Fang Ziye’s complete plan; it was just that Fang Zhikuan had expressed this choice first.

Fang Ziye continued, "However, Professor Gong, I don't know if what I said is right, but I'll just express my opinion first."

"Personally, I still believe that the key reason for nonunion of fractures may not be complications or underlying diseases, but rather some common causes that we are already aware of, but we have not thought about them in depth."

"I think we can look for any points we might have overlooked among the common causes of the disease. This can be considered as preparation before making the final choice."

Gong Jiahe frowned upon hearing this: "Common causes?"

That's such a rebellious way of thinking!
You categorize this chronic, long-standing illness as a common cause?

Fang Ziye nodded: "Professor Gong, I don't know if you noticed a point when you were discussing with Professor Fang and Professor Yan."

"The patient's bone resorption is not particularly severe, meaning that she has not lost much bone mass."

"Based on our understanding of fractures, if a person has been lying flat for nearly ten years and has not experienced significant bone loss, it proves that our surgery should be effective."

"The fractured bone ends showed signs of healing, but ultimately failed to heal!"

"If it's a rare cause, such as impaired local blood supply due to rheumatoid arthritis or diabetes, it can lead to local osteonecrosis and bone resorption..."

"The facts differ somewhat from our understanding."

"The common causes I'm referring to are a classification, not specific manifestations."

"Because if the fracture ends, which should be tending to heal, fail to heal, it must be due to a common cause."

This sounds difficult to understand, but it's also easy to understand.

Poverty is a manifestation, but there are many reasons for it, such as unemployment, laziness, poverty caused by illness, leveraged stock trading, and so on.

The professors were not completely ignorant, so they understood Fang Ziye's words, but they did not express their opinions, instead frowning.

Fang Ziye continued, "Professors, let's assume that my guess is correct!"

"Given this premise, it becomes relatively simple to work backwards to deduce the next treatment plan."

"Currently, the internal fixation is in place and secure. Based on the X-ray results, it can be basically confirmed that there is no loosening of the internal fixation."

"The fracture line is well aligned; this was a very high-quality surgical procedure!"

"Even if we perform another surgery, the result won't be much better than the current situation."

"In this situation, if we discover the cause of the illness, what treatment options are available to us?"

"Eliminate the cause!"

"In other words, if we can find the cause, we may not need to remove the cause through surgery and then perform another surgery. We only need to remove the cause and then re-fix the fracture, and it can heal!"

"So by following this line of thinking, we actually have more options."

"Medication, minor surgery, minor procedures, rehabilitation, and other methods are all worth trying."

When Fang Ziye got to this point, the professors were all stunned.

Fang Ziye's thinking is too advanced.

The assumptions have all been made!

However, Fang Ziye's assumption did indeed become a feasible point.

Many people fall into a misconception that if a fracture doesn't heal, it needs to be surgically repaired.

The quality of this patient's surgery was very high.

Fang Ziye's thinking is to consider high-quality surgeries that others have already performed as a treatment point that the team has "already carried out surgical treatments".

Then there's no need to consider surgery anymore; the other team has already taken care of that treatment for you.

What we need to do is find the cause of the disease and eliminate it!
Such an assumption is very bold and the thinking is very novel; it's not something that ordinary people would think of!
Upon hearing this, Professor Gong felt a chill run down his spine.

In his fifties, he couldn't help but lick his lips and replied, "Professor Fang, such an assumption is a bit too bold!"

Gong Jiahe didn't say "fucked," but instead used the word "bold."

What place is this? Give me an assumption.
"Professor Gong, this is just a hypothesis, and also my own opinion. This is a discussion, so I'm just expressing my opinion," Fang Ziye replied with a smile.

No one can be sure about this patient's condition right now; he can only guess.

The basic theory at level 5 is not a panacea; it simply means that one's thinking patterns will be bolder than the average person.

After all, the more skilled one is, the more courageous one is!
Gong Jiahe quickly said, "Professor Fang, I didn't mean anything by it. We can speak freely during our discussion!"

"I've noted down what you mean, and I'll work on it when I get back."

"Since there's no good solution for this nonunion patient at the moment, let's take a look at this hemipelvic reconstruction patient. This surgery is quite difficult to perform!"

“We’ve actually gone through this process several times before, but it always felt like something was missing…”

As Gong Jiahe explained, he steered the conversation into a new area.

Fang Ziye came here not because he was suppressed or criticized by him. It's normal to have doubts, but if Fang Ziye thinks it's a targeted attack, then it's not worth it.

At this moment, Gu Yi had already pulled out the PowerPoint presentation on his computer, ready to give a report or to project key parts of the medical records.

Miao Haoyu and Qu Shuyuan brought out the brewed tea one by one. Then Qu Shuyuan poured himself a cup of coffee, sat down, opened his notebook, and took out his pen.

Fang Ziye noticed that Qu Shuyuan's notebook was filled with all sorts of notes.

The three professors agreed on the treatment of patients with bone defects.

Surgery is possible and necessary. Half of the pelvis is gone, and without surgery, the patient will not even be able to sit up steadily in the future.

However, there is no good expectation or plan before the operation, and it will always be stalled due to some details.

Yan Huanan said, "Professor Gong, we've discussed this more than once. Although Professor Fang has just arrived, he already understands the patient's condition. Let's continue with our previous topic."

"The surgery will be a reconstruction of this hemipelvis. With such a large defect, how should it be reconstructed? Should we choose a 3D-printed prosthesis or make our own? How should it be fixed? This is a crucial question..."

"Based on existing literature and data, we can expect the postoperative prognosis of this surgery to be quite good, but the specific operation will be quite complicated."

"Come and see..."

Gu Yi then flipped to the corresponding PPT to the page after the CT reconstruction. On the page, the other half of the pelvis was in the state after the fracture healed, which was the result of the initial surgery and the body was saved. However, the other half had collapsed!
The femoral head is still there, and its shape is still acceptable.

"The patient's preoperative X-ray showed that this side had a comminuted and destructive fracture. Now, some organs have also fallen out of the abdominal cavity, and looking at the rectum and other organs behind it..." Yan Huanan is indeed capable.

He's definitely not completely ignorant; he's just a lazy bum trying to get seniority and advance his career!

Fang Ziye simply listened calmly to the opinions of the professors!
The surgery was quite challenging, but all of these challenges could be overcome through proper technique.

However, the three professors currently have differing opinions on how to handle the sagging organs and tissues after pelvic reconstruction, how to restore the keloids and the normal course of blood vessels and nerves.

During the first surgery, in order to protect blood vessels and nerves, all the shattered bone fragments were broken off.

However, blood vessels and nerves are continuous. Bone prosthesis materials cannot appear out of thin air, nor can you cut off the nerves and blood vessels and then stuff them into the hole.

"Especially in the sacrum area, if we really have to operate on it, the subsequent function of the affected limb may be greatly affected, and this lower limb will just be a decoration," Professor Fang Zhikuan said with a deep frown.

Everyone at the scene fell silent.

After seeing that no one spoke, Fang Ziye finally spoke up: "Professor Fang, Professor Gong, I also listened to it just now!"

"Theoretically, there are no problems with this surgery; the only remaining issue is with the procedure itself!"

"I don't think this is a big problem. Our team encountered a similar issue when we were doing functional reconstruction."

"We will first make the 3D printed frame of the pelvis, and then use bone grafting to fill the frame. The course of nerves and blood vessels will not be affected. Although the operation is a bit more complicated, it can be solved and handled."

“I have a little experience!” Fang Ziye replied.

As soon as Fang Ziye opened his mouth, the room fell silent once again.

The operational difficulties they mentioned are not a problem for Fang Ziye!
What's the point of talking then?
Moreover, Fang Ziye's words were not unfounded; that's exactly how Fang Ziye came to be!

The surgeries he has performed and his resume are all genuine, and he has even seen patients transferred from Zhongnan Hospital back to the rehabilitation department of the sanatorium.

Fang Ziye is now an associate professor and an associate chief physician; he is no longer an unknown nobody!

Although Fang Ziye's words were a bit boastful or high-profile, they were actually not that bad.

Compared to what he has done, this is quite modest.

Finally, Professor Gong Jiahe, who was still the group leader, took a deep breath: "Since Professor Fang has said so, then all our previous discussions were for nothing."

“I agree to the surgery! Let’s schedule it for Friday.” Miyako raised her hand.

Fang Zhikuan and Yan Huanan quickly followed!
After the three professors had no objections, the rest of the people also raised their hands.

No one hesitated or questioned Fang Ziye.

Fang Ziye wasn't nervous at all. After seeing everyone raise their hands, he replied, "Professor Gong, some preparations are needed before this surgery."

"The first thing is the prefabrication of the 3D-printed prosthesis. I need to send the data to my junior colleague. Is that convenient? I can hide all the information."

"Once the data for the implants is finalized, it will be sent to the appropriate company for production!"

"Because the current head of the 3D printing company is the one we previously collaborated with..." Fang Ziye was about to mention this difficulty when...

Professor Gong interrupted directly, "Change!"

"Professor Fang, which implant company do you prefer? Just contact them and ask them to send an engineer to Enshi. Do they have an office there?"

Fang Ziye: "..."

Damn, is this how rich and powerful people play?

Oh, you're not familiar with the company here, and it would take time to get to know them. Then why not skip the adjustment period and just switch companies?

However, upon hearing this, Fang Ziye still said, "Professor Gong, you may have misunderstood."

"Actually, the company we cooperate with at Zhongnan Hospital isn't a large medical device company. Their technology and equipment are just so-so!"

"We still need to help with the design or statistics ourselves, which is actually quite troublesome."

"I heard that the medical device company that the sanatorium is cooperating with is the largest medical device company in China, so its technology and other aspects must be more mature, right?"

"This will make future collaborations much easier and less stressful!"

Fang Ziye Dao.

To be honest, if that company hadn't had a long-standing partnership with Zhongnan Hospital, Fang Ziye would have wanted to switch long ago.

You're here to do business, not to be my boss. I ask you to provide something, and you expect me to work for you, design for you, and be your free labor? Why should I?
Fang Ziye had no financial dealings with him whatsoever!
Fang Ziye felt it was only right that they made the money, but he wouldn't introduce them to new business.

Professor Gong glanced at Fang Ziye a few times and said, "Then how about this, Professor Fang, I'll have someone from the company come and liaise with you!"

"If the surgery needs to be postponed, just send me a message."

"We have basically figured out all the other aspects of this patient's condition."

"No rush, quality over quantity in surgery!" Gong Jiahe said.

This is a boutique medical institution, not a place to win by quantity or by low profit margins and high volume. The essence is to ensure that every surgery is done well.

“Okay, Professor Gong!” Fang Ziye nodded, noting the matter down.

……

Then the meeting adjourned, and there was no further ward rounds. Gu Yi simply spoke to the middle-aged man and had his family and the man sign the consent form so that preparations for the surgery could begin.

The date of the surgery is still unknown, but the patient is quite cooperative. He didn't know and even signed the consent form beforehand!
After seeing the photo of the signed documents sent by Gu Yi, Fang Ziye sighed in the villa: "It's easy to go from frugality to extravagance, but difficult to go from extravagance to frugality!"

"If I leave here in the future, how long will it take me to get used to another medical environment?"

Sanatoriums are special medical facilities.

Patients who come here for treatment don't need to worry about any medical disputes, as long as you do your best and don't violate any principles.

The sanatorium will cover your expenses!
Its very existence represents a kind of public credibility.

There will be no incompetent officials here, and no messy stuff. Your job is simply to do your medical work well.

New techniques can be developed, but we must not be too reckless!
This kind of medical environment is simply the pinnacle of medical environments in China!
No, it should be called the Outer Heaven.

Of course, Fang Ziye wasn't a scoundrel. After returning to the villa area, he took a comfortable afternoon nap.

Only then did I get up and start preparing for the research grant application!

Fang Ziye plans to submit two bids, one for Outstanding Young Scientists Fund and one for National Natural Science Foundation of China (NSFC) General Program.

Both can be submitted simultaneously, but if both are successfully submitted, you will definitely have to choose one.

On the surface, it's a safety net, while the Excellent Young Scientists Award is a push!
Even Fang Ziye would need to prepare a little to write two notebooks.

……

In the afternoon, an engineer from the company came to see Fang Ziye. They chatted for a while, and then Fang Ziye went home. Later that evening, the engineer created a group chat and invited four or five other people to work together to serve Fang Ziye.

Therefore, this time, Fang Ziye tried not to contact Lan Tianluo first, to see if they could solve the model problem.

If there's really no other way, then Lan Tianluo will have to trouble himself to teach these people a little more.

Unlike that company that collaborated with Zhongnan Hospital, which was incredibly lazy, I don't know what kind of relationship it had, they just didn't take the initiative to learn, but instead treated Fang Ziye and Lan Tianluo as mere tools.

This adjustment period lasted for about five days!
The company had barely managed to design a prosthesis model that satisfied Fang Ziye. After Fang Ziye was satisfied, the data could be recorded.

Fang Ziye said, "Tomorrow, let's print six sets of data based on today's data as backup!"

"After sterilization, it will be sent to the operating room, and it will be used tomorrow."

“Okay, Professor Fang! Thank you so much for your guidance. It has improved our professional skills and will allow us to better serve you in the future,” replied Dr. Ding, who was directly in charge of Fang Ziye’s department.

At this stage, he can learn new skills, which means a higher salary.

It can serve more teams and have more business.

"Saying 'service' is a bit of an overstatement; let's all work together!"

"Thank you for your hard work, Dr. Ding. I need to rest now; I have surgery tomorrow." Fang Ziye proactively ended the casual conversation.

He dared not have too much contact with the company in Enshi, after all, what he had heard in Enshi last year was still a thorn in his side!

The following day, November 7th, Wednesday.

The weather is sunny.

The weather was fine and sunny, with a gentle breeze on our faces.

Today's breakfast was also delicious.

There were still no routine ward rounds. After nine o'clock, the trauma surgery team went directly to the operating room.

"After the patient's surgery date is confirmed, the anesthesiologist will make rounds the day before and this morning. If there are no special contraindications to anesthesia, the anesthesia will be administered around nine o'clock."

"We can just go in and start the surgery right away," Gong Jiahe explained again.

The team here is very strong and has a large number of members, making communication very easy. Furthermore, each patient can enter the intensive care unit at any time after surgery, so Fang Ziye and his team don't need to manage too many patients!
"I see! Thank you, Professor Gong." Fang Ziye nodded, washing the patient's hands.

This was Fang Ziye's second surgery since he arrived. He had only performed two surgeries in nine days. Fang Ziye could hardly imagine the intensity of his work.

However, Fang Ziye felt that he had to take this surgery seriously.

Whether we can gain a foothold or not, today's surgery is crucial!
"There's no need to thank me. It's just customary." Gong Jiahe replied indifferently, then looked at Fang Ziye with a sincere smile.

Although Fang Ziye did not show any extraordinary abilities, the way he spoke and handled things had a magnetic field. This was the magnetic field of a master, who did not need to boast or pretend.

(End of this chapter)