top student at medical school

Chapter 540 Time Makes You Know People! (Please Subscribe)
Upon entering the operating room, Fang Ziye saw that the lights in the other operating rooms were still dim, and he couldn't help but curse that this was an extreme waste of operating room resources.

At Zhongnan Hospital, operating rooms that require pleading and begging to be allocated are often left unused here.

Uncle can tolerate it, but Aunt can't!

Doctors who have worked in hospitals have all experienced situations where there aren't enough operating room resources and they have to wait, sometimes for most of the day!

There were even cases where patients had to wait from morning until six or seven in the evening for an operating room to become available before they could perform surgery.

Once everything was ready, Fang Ziye, Gong Jiahe, and Professor Gong took their respective positions as the chief surgeon and assistant surgeon.

Fang Ziye then discovered that his senior brother Gu Yi had not yet gone on stage; instead, Miao Haoyu and Qu Shuyuan were standing in the third and fourth assistant positions.

Although Fang Ziye had doubts, he didn't ask them and instead took the scalpel directly!

Before he could even make an incision in the skin, Fang Ziye saw the circulating nurse put both regular electrocautery and plasma electrocautery on the table.

"Forehead……"

Fang Ziye paused, then asked, "Professor Gong, is the plasma electrosurgical unit here used in regular operation?"

A plasma electrosurgical unit costs at least seven or eight hundred, and may even cost two or three thousand. It is commonly used in departments such as the da Vinci robotic system or sports medicine.

Using this to make incisions during routine surgery is a complete waste!

Gong Jiahe nodded and said, "Yes!"

"When I first arrived, I wasn't used to it either!" Gong Jiahe was a professor at the First Hospital of the Universe in Henan Province, but he had never experienced such luxury before.

Since it was standard procedure, Fang Ziye didn't say anything more.

After quickly planning the incision, Fang Ziye switched to a regular electrocautery knife. Before anyone else could react, Fang Ziye had already exposed his abdominal cavity!
However, Fang Ziye still felt that this speed was too slow, and the team's coordination was not as smooth as it was at Zhongnan Hospital.

Therefore, Fang Ziye could only slow down his pace for the time being. Looking at the shocked and helpless eyes of the Gong family and the professor, he said, "Professor Gong, I'm sorry, I didn't turn around properly."

When Fang Ziye was at Zhongnan Hospital, his assistants were all very helpful!

How many years have Deng Yong, Yuan Weihong, Qin Geluo, and others spent with Fang Ziye?
With extensive surgical perfusion, they could clearly discern Fang Ziye's rhythm and habits.

Fang Ziye hadn't adjusted yet since arriving.

Those who reach the level of professor or associate professor have all participated in many academic conferences, such as the orthopedic annual meeting, at least four, five, seven or eight times.

Therefore, he had a general idea of ​​Fang Ziye's basic skills.

Professor Fang Zhikuan pursed his throat and rested for a while: "No wonder Professor Zheng arranged for you, Professor Fang, to lead our trauma surgery team."

"If I'm not mistaken, Dr. Fang, your basic skills in open surgery have reached a state of perfection, haven't they?"

"National-level" is a colloquial term. In traditional communication, one would not use "national-level" to refer to someone, but rather praise their skill as having reached a state of perfection.

It is similar in concept to the "level 4" entry into the inner sanctum.

Professor Fang Zhikuan has the best technical skills, so his pursuit and understanding of technology may be more profound.

Fang Ziye didn't look up. While sizing up Shuye, he said, "He hasn't reached the pinnacle of skill, but he has some basic skills."

Boasting is not an instinctive habit of Chinese people.

Fang Ziye's modesty was not taken seriously by the others.

There is no false person under the great reputation.

Fang Ziye's ability to build such a reputation, and to convince Zheng Dahai to let him lead the trauma surgery group, must mean he has some real confidence.

When the surgical field was opened, it was in complete disarray.

Besides the fact that half of the pelvis has disappeared, the soft tissue can also be described as disorganized.

Scars after soft tissue healing, muscle deposits in the buttocks, and protruding adhesions in the abdominal cavity behind the pelvis due to loss of pelvic support...

However, all of these situations were within everyone's expectations.

If the patient's condition were not so complicated, the procedure might have been performed at an outside hospital instead of having a medical team of experts assembled to determine if the surgery was suitable.

Fang Ziye was not afraid. He had experience with upper limb function reconstruction surgery and knew that the adhesions after the damage surgery would not be any better than the current situation.

“Open the surgical field a little wider, then we’ll begin the debridement!” Fang Ziye said.

Having mastered Level 6 wound cleaning skills, he might find the process troublesome, but more than that, he felt a long-lost sense of familiarity.

How long has it been since Fang Ziye had surgery?

I've been free for almost a month now, since November.

A skilled surgeon will feel comfortable if he doesn't perform surgery for two or three days, but will start to miss it if he doesn't perform surgery for a week.

My hands have been itching for eight months, and my heart has been itching for just one month!

This made Fang Ziye understand a little better why some surgeons readily accept being rehired after retirement.

I just couldn't resist!
The situation inside was chaotic and complex; there were many scars adhering to the blood vessels and nerves, making it look like corn roots in the ground...

Fang Ziye had never used a plasma electrosurgical unit before. This time, after holding it in his hand and feeling the texture, he thought it was quite good!

The surgical field was not large. Fang Ziye had said before that he felt the surgery was not difficult and was within his usual capabilities.

Therefore, the Gong family and the professor did not offer to help, but instead handed over the surgery to Fang Ziye.

Fang Ziye's debridement technique was quick, and the plasma electrosurgical knife in his hand was not used in a fancy or wide-ranging manner.

Instead, the flow was very fast. Fang Ziye's hand seemed to merge with the knife in his hand. With each step and turn of the angle, he was able to remove the scar tissue that Fang Ziye wanted to peel off.

Not a penny more, not a penny less.

In just over ten minutes, the scar tissue around the nerves and blood vessels, which originally looked like a "skewer of candied hawthorns," was peeled off and cut away by Fang Ziye!

Only the outermost layer of fascia remains of the blood vessels.

This is easy to handle. Fang Ziye simply pinched it with tweezers, then inserted hemostatic forceps into the fascia layer to open it up, and then his assistant used tissue scissors to cut it off.

After repeating this process several times, the outer membrane of the blood vessels and nerves was exposed, revealing a complete anatomical structure that resembled the blood vessels and nerve tissue of a normal person.

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

Sometimes, you don't need to see the entire surgery to judge someone's skill level; just a localized operation can give you a general idea of ​​their expertise!
Leaving aside the longing in Gu Yi's eyes, and the surprise and bewilderment in the eyes of the associate chief physicians.

Just across from Fang Ziye, Professor Fang Zhikuan's yearning and blank stare revealed how much they envied Fang Ziye's hands.

No unnecessary dialogue!
Fang Ziye said, "Let's continue to deal with the scar tissue in the abdominal cavity. After we push some of the tissue back into the abdominal cavity, we'll put it all back in."

The more difficult aspect of pelvic reconstruction surgery compared to lower limb reconstruction surgery is that it needs to accommodate internal organs and tissues.

For example, the bladder, rectum, etc.!

"Professor Fang, please feel free to proceed. We will cooperate with you as much as possible." Professor Gong Jiahe nodded in agreement.

Ultimately, surgeons compete on skill, but reaching the level where only skill matters, such as associate professor, can be a long and winding road!
Now that Fang Ziye has reached this stage, there's no longer any talk of him being inexperienced or lacking seniority.

Now, Fang Ziye not only has to take responsibility for himself, but also has to manage his own surgeries and oversee his own patients.

No one would treat Fang Ziye like a child or say that he was immature.

Fang Ziye then continued.

After another hour and a half, the surgical field within the entire pelvic cavity became crystal clear!
But in reality, when everyone looks at the various blood vessels spanning the pelvis now, they realize that Fang Ziye managed to complete the debridement in such a short time.

It was an instinctive, belated realization that rose within me—a testament to my skill and daring!

Yes.

This feeling came to me belatedly.

At the time Fang Ziye was operating the system, everyone felt it was a pleasure; watching Fang Ziye operate the system was like watching an art film.

I look forward to Fang Ziye scraping away the scars little by little, which will not only be aesthetically pleasing but also stress-relieving.

However, only afterward, when you look back at Fang Ziye's speed of action, do you realize how frightening it was.

After all, Fang Ziye no longer operates the machine, so he no longer feels that sense of stress relief!

"Where's the prosthesis? Is it ready?" Fang Ziye asked after cleaning the wound.

"Professor Fang, he'll be here shortly."

"The original appointment was for 11 o'clock, but since it requires a last-minute design, Professor Fang, you need a large number of implants, and it's for the half-pelvis, so it's quite difficult to make them overnight."

"You arrived an hour early," the tour guide replied politely.

Fang Ziye felt quite helpless upon hearing this.

However, considering that this was also the company's first time here, I didn't say much.

The following procedures cannot be performed without a prosthesis.

Taking advantage of this moment, Gong Jiahe asked, "Professor Fang, do you think the cleaning here is more complicated, or the cleaning of the hand?"

"Hands!" Fang Ziye said without hesitation.

Then, seeing the rapid flickering of Professor Gong's eyes, Fang Ziye said, "General surgery is difficult in cases of major diseases or acute abdominal conditions, as the complications are numerous."

"Adhesions like this are actually caused by the involvement of major organs!"

"The adhesions in the hand are all small muscles that are stuck together, so it is necessary to separate the muscles from the muscle groups."

"Professors will have a more direct understanding of this kind of surgery when we encounter it in the future."

Fang Ziye is telling the truth.

In the absence of external injury to internal organs, the scar tissue within the pelvis actually maintains relatively good organ integrity.

Fang Ziye only needs to pay attention to local details and doesn't need to focus too much on the overall picture. Hand function reconstruction is different, especially after debridement following adhesions, or during transposition and transplantation procedures; every detail must be handled well.

It's not to say that hand surgery is more complicated than abdominal surgery.

After all, this patient's condition was just adhesions, not an organ problem.

Many surgeries in general surgery are complex and quite difficult to perform!

However, there are many, many things to be careful about during surgery in the pelvis, where blood vessels branch and intersect!
Then it's just a matter of chatting and waiting!

The surgical materials haven't arrived yet; continuing the surgery would be like a skilled cook trying to make a meal without ingredients!

Around 11 o'clock, the company staff arrived as scheduled.

Five or six people carried in eleven sterile boxes one after another: "Professor Fang, are all the models you requested ready?"

"Should we bring them all up and try them out?"

"Come on up. There's no specific model for hemipelvic reconstruction. I suggest you make a standard model for comparison based on gender in the future!" Fang Ziye said.

"Okay, Professor Fang, we'll get back to it right away!" the engineer said very politely.

Because of what happened these past few days, he has already received a raise from the company.

If he gets a raise at his current level, it will be an increase of ten or twenty thousand, not just a few hundred or a few thousand.

If this thing can be scaled up, his salary will only be higher.

Fang Ziye has already completed the debridement procedure and all the pre-operative preparations have been completed. They are just waiting for the implant to arrive.

Of course, in addition to such prostheses, allogeneic bone grafts are also needed.

However, to avoid waste this time, Fang Ziye informed them in advance: "Let's open the three packages first!"

Fang Ziye was afraid that the people here were rich and powerful, so he immediately brought out a hundred packages of materials worth several million yuan.

Fang Ziye himself would get intoxicated.

Fang Ziye still remembers a patient who had to have his leg amputated because he couldn't afford it!

Although patients here don't have to pay anything?
Can?
The saying "Behind the red gates, meat and wine go to waste, while on the road, frozen corpses lie" made Fang Ziye feel slightly uncomfortable.

Three to six packs should be enough!
After the implants were placed on stage, I was lucky enough that the third one was a perfect fit.

"No need to open it anymore, and I'm too lazy to disinfect it."

"This model is perfect!"

"Just install it." Fang Ziye said, and then spliced ​​the prosthesis together, and perfectly placed all the blood vessels and nerves into the various holes in the pelvis!

After the assembly was complete, Fang Ziye said, "I think it's pretty perfect. Professor Fang, Professor Gong, what do you think?"

Neither professor responded.

Fang Ziye looked up slightly and saw the incredulous expressions on their faces: "This? This technique?"

Her body trembled slightly!

Fang Ziye immediately explained, "This isn't my technology; it's the company's technological support."

Of course, after Fang Ziye finished speaking, the engineer from the company said, "Professors, this batch of implants today is all thanks to Professor Fang's excellent data support, isn't it?"

"This reminds me of a saying: technology changes individuals or multiple individuals."

"Data and ideas are changing industries."

"Thoughts can benefit all mankind!"

"Professor Fang, if you weren't an exceptionally outstanding surgical professor, I would have used any means necessary to bring you into my field!"

"But?" He didn't continue.

Because Gong Jiahe and Fang Zhikuan had already cast murderous glances their way over there!

What did you just say?
Using underhanded tactics to get Fang Ziye to develop medical devices?
Is this something you can say? Something you dare say here?
"I'm sorry, I misspoke!" The middle-aged man immediately bowed his head and apologized, because this was not an ordinary hospital.

Then step back.

Immediately afterwards, the people on the operating table looked at Fang Ziye with admiration.

It's not just Fang Ziye's operational skills, but also his thinking, cognition, and theoretical accumulation, all of which are worthy of admiration from any scholar or professional!
"Professor Fang, let's continue." Fang Zhikuan's tone became even more respectful.

The two middle-aged men and the young man silently stepped aside, their gazes lingering only on the middle-aged man who had spoken earlier.

There are some things you can think about, but you can't say out loud.

Some choices, once made, cannot be reversed.

Those who can be called engineers in a company are basically PhD graduates or master's graduates from the early 2000s; they are highly educated talents.

However, once you choose to start a business, you have to be prepared to spend your whole life just making money.

What is the social status and recognition of an engineer in a commercial medical device company compared to that of a top surgical professor?
That depends on what circle you're in.

This is the Enshi Military Region Sanatorium; it's not a place you can just casually blend in.

In other words, if your medical skills are good enough, you can switch careers and come in, but if you're not, you'll have to step aside.

It's rare for a person to have a choice that's absolutely perfect!

At this point in the surgery, it has become routine, and once it becomes routine, everyone is familiar with it.

Once Fang Ziye was familiar with the surgical procedure, even after he stepped off the operating table, the associate professors and associate chief physicians could no longer find it difficult to perform the surgery!
Just like installing an internal fixation device, once the position is accurate and the fracture is properly aligned, the fixation with the internal fixation device is a procedure.

With a weight lifted from his shoulders, Professor Gong became a little more talkative, politely asking, "Professor Fang, regarding the fundamentals, is there still anything for old folks like us to learn?"

The fundamentals are internal strength, and the depth of internal strength is the result of persistent, meticulous effort.

After reaching a certain point, one actually reaches their limit.

Those who are promoted to professor and work at the sanatorium are all under forty-five years old; they are all in their prime, when their physical strength, mental capacity, and experience are all at their peak.

However, they are already past the age of honing their basic skills for many years.

After accumulating basic skills, the next step is to work on specialized surgical procedures, which are clinical surgeries that truly establish a foothold in trauma surgery.

“Of course there is something to learn. Everyone can practice the basics, it’s not just for young people. Professor Gong.” Fang Ziye looked up and replied.

Similarly, he made a slight concession, handing over the next procedure to Associate Chief Physician Qu Shuyuan.

The Miyako family and several professors did not try to take it; although the design of the prosthesis was quite novel, they were not so curious as to be overly eager to find something unusual.

It would be great to give a few associate chief physicians some practice.

Professor Fang Zhikuan was more curious about the knowledge and understanding Fang Ziye possessed: "Professor Fang, what preparations did your team make when designing such prostheses?"

"Can our other teams replicate this?"

Qu Shuyuan and Miao Haoyu have taken their positions and are preparing for the final stage of the surgery while also closing the abdominal cavity.

Miao Haoyu, who was close to Fang Ziye, whispered, "Professor Fang, you've worked hard. The rest are routine procedures, and Director Qu and I can handle them!"

Fang Ziye slowly withdrew from the main operating area and replied to Fang Zhikuan: "Copying is possible. The main preparations needed are the extraction of CT parameters and the design of a relatively complete set of human skeletal model reference data standard tables."

"Our team will release the reference standard table for the skeletal model later, but it is not convenient to lend it out at the moment!"

Fang Zhikuan's eyes lit up instantly: "There are such good things?"

"Why didn't you mention this beforehand, Professor Fang?"

Fang Ziye replied, "Professor Fang, this is something our team came up with on our own. To build this standard table, we actually referenced foreign surgical registry databases."

"However, our team doesn't plan to create a registry. We just want to collect more basic CT parameters and make a standard reference table applicable to Chinese people. It doesn't have any special significance!"

"But it is somewhat useful in surgical planning, and perhaps other colleagues will develop other uses in the future."

This is one of the team's core strengths, and also one of the tools that they rely on Lantianluo for.

It doesn't offer much help in writing articles, nor does it contribute to scientific research for the time being, but Fang Ziye knows that this parameter library may become one of the team's most valuable assets in the future.

Hearing this, the middle-aged engineer spoke up again: "Professor Fang, I wonder if your database can be sold or licensed for use?"

"I think it would be very useful for the development of our medical devices!"

Fang Ziye turned to look at him and said, "There are no plans for that at the moment!"

"This kind of thing is easy to do; it's just a matter of collecting, analyzing, and processing data!"

It just takes time, and those who don't quite understand it will take even more time.

Fang Ziye's team has been collecting data on fractures since the new classification of fractures began, and the database now contains at least 80,000 cases.

The sample size isn't actually that large. Lan Tianlu suggested that Deng Yong talk to hospitals like Tongji and Xiehe to see if they could share their imaging databases. They only want to collect data related to bones, but nothing has been agreed upon yet!
Fang Zhikuan glanced at the middle-aged engineer again, but the man did not continue speaking.

The three professors and Fang Ziye got off the operating table together.

Fang Ziye took a few steps toward Gu Yi, then said "thank you for your hard work" to the middle-aged engineer before leaving the operating room with the professors.

Clearly, when he left again, Fang Ziye had already occupied the most central position.

After Fang Ziye and the others left, one of the young men who was a circulating nurse spoke to the engineers, saying, "This is not a hospital. Watch your words."

"If you're really going to resort to any underhanded tactics, be careful your company might just go out of business!"

Ten years of studying hard is not as good as one generation of business experience.

Three generations of businessmen are not as good as one generation of gunmen...

(End of this chapter)