top student at medical school

Chapter 544 Stunning Bloodscars!
Upon hearing this, the other person pondered for a moment, and then said in a low voice, "Dr. Fang, you should know that the sanatorium in Enshi is a very special place."

"We can't bring patients in."

Seeing that Fang Ziye had already backed down, he felt there was hope: "Dr. Fang, you can choose another place, as long as it's in China."

"How about this, is it alright?"

Fang Ziye shook his head, though the other person couldn't see it: "I have no plans to practice in other places for the time being, and I don't consider performing surgery outside in the short term."

"My work hours are quite busy, and we clinicians also have a lot of other tasks these days. Our team needs to develop and progress."

"I've said what I needed to say, sorry!" Fang Ziye hung up the phone.

A moment later, the phone rang again, and Fang Ziye simply blocked it.

Fang Ziye is in a sanatorium. If the other party can really get him in, that's their skill.

However, Fang Ziye stayed here for a while and gained some understanding of the patient admission rules of Enshi Sanatorium.

Only those with very close relatives to the military are allowed to enter. Currently, these relatives include spouses, parents, and children; no outsiders are allowed, not even grandparents.

In addition, local firefighters, police, and other personnel may have the opportunity to be transferred here after an injury.

Moreover, whether a patient can be admitted, or whether they should be admitted, requires assessment by various teams to determine if they can handle the case.

In other words, even if the other party is skilled, Fang Ziye's surgical team still has the right to choose how to treat them.

Of course, what price the other party has to pay, and whether it will be more painful than breaking the contract, is their own business!

Fang Ziye is not even afraid of being targeted by the other party.

If someone asks him for help and wants him to perform surgery on them, then he certainly won't allow Hu Hai and the others to do anything to him.

What they wanted was to be healed through Hu Hai, not destroyed.

They paid a price but didn't get what they deserved. Even Hu Hai couldn't afford to break the contract, so he certainly wouldn't dare to take any risky measures!

Furthermore, Dr. Chen is here. According to the information Fang Ziye obtained, Dr. Chen calmly withdrew from the Kyoto circle back then.

Nowadays, would an ordinary person dare to shit on his head?

A relatively safe environment would allow Fang Ziye to do what he wanted to do more at ease.

Fang Ziye opened his notebook and wrote down his first step in planning after arriving in Enshi.

A doctor's duty is to personally visit the bedside, treat patients, perform surgery, or help patients recover through medical advice.

Exploring new treatment options, improving existing ones, and breaking through treatment limitations for unfamiliar diseases are also contributions to medicine, and will benefit more patients.

For example, even if Fang Ziye doesn't have surgery at Zhongnan Hospital, Zhongnan Hospital and Tongji Hospital can still perform limb-sparing surgery for severe injuries.

Moreover, more hospitals and teams will be able to successfully perform limb-sparing surgery.

Functional reconstruction techniques remain the same.

Third, improve equipment. The development of equipment will reduce the difficulty of treatment to a certain extent, allowing more doctors to treat more patients at the same time.

To judge a tool solely by its use, rather than to consider its use as a base act, is despicable.

If you don't use relatively simple and accurate tools and insist on guessing, or rely on superb medical skills to treat and diagnose all patients, then you're living a very tiring life.

Moreover, many people are limited by their qualifications and simply cannot reach that profound level. Does that mean they are not qualified to be doctors?

Fang Ziye did not think so.

Fourth, the flexible application of new drugs and technologies in medicine.

After writing this down, Fang Ziye highlighted it with a five-pointed star.

This line of thought was based on the notes left by the advisor.

The advisor had lived for so many years and was very knowledgeable, so his thinking and vision were not narrow. He recorded all the sudden inspirations in his life, and many of his ideas are worth learning from.

Not every idea can be realized, but having a thought process and an idea is the beginning of everything.

Without the dream of flying, humanity might never have been able to take to the skies, let alone have airplanes, satellites, and other such things!
After Fang Ziye wrote down these four points, the phone rang again.

It's still an unfamiliar phone number!
In the past, Fang Ziye might not have answered the phone, but since he didn't receive a call from his parents when he was attending an academic conference, his father ended up having to make a trip to Wuhan.

Fang Ziye never dared to ignore the phone again.

"Hello!" Fang Ziye answered the call, turned on the speakerphone, and kept his thoughts focused on the laptop in front of him.

"Dr. Fang, I just spoke to you on the phone. Can we each compromise?" Fang Ziye recognized the voice on the other end.

"Why should I back down? I'm not in any trouble."

"Don't call me again, or I'll take back what I said before!"

"I mean what I say," Fang Ziye said impatiently.

"Beep beep..."

This time, the other party hung up the phone on their own initiative, clearly believing that Fang Ziye was a man of his word.

After hanging up the phone, Fang Ziye forgot about the matter and wrote for almost an hour before starting a video chat with Luo Tingzhu.

It's still early, but Luo Tingzhu is currently preparing for graduation, so she won't have to go to the operating room every day anymore.

After graduating with her doctorate, she can directly enter a postdoctoral research station, where she will have more free time.

……

At 1 p.m., while Fang Ziye was still revising his bid proposal, someone rang the doorbell.

Fang Ziye walked to the door and looked through the surveillance camera. He saw that it was the Gong family and the professor, so he opened the access control and opened the door.

"Professor Gong, Professor Fang, please come in!" Fang Ziye said.

"Xiao Fang, you have quite a lot of space here!" Both of them had come wearing cotton slippers, but changed into disposable slippers at the door.

Slippers are provided here; there are two sets of slippers for the room and for going out. Disposable slippers are also available for the room.

"It looks quite empty, and I haven't had time to tidy it up yet."

"Professor Fang, Professor Gong, would you like tea or coffee?" Fang Ziye asked as soon as he led the two men inside.

"Xiao Fang, you still drink tea? Come, let me see what good teas you've collected," Professor Gong Jiahe said.

There was a kettle in the living room, but Fang Ziye didn't have any professional tea sets, so he just used a cup to take out the local mountain tea he had bought, along with its packaging.

"It's tea from our town, just ordinary mountain tea, twenty-five yuan a pack," Fang Ziye said generously.

Fang Ziye knew that the two professors had come to discuss with him which new patients to admit.

Professor Gong Jiahe himself knew that Professor Fang Zhikuan's skills were better, so even though he used to be the head of the trauma group, he would always discuss with Professor Fang Zhikuan when admitting patients.

"Professor Fang, besides the deformed patient you mentioned today, do you have any other cases that you are interested in?" Professor Gong Jiahe asked with a smile.

It's not that the Gong family and the professor themselves aren't capable, but rather that the patients they treat here are mostly those that are difficult to treat in other hospitals.

The purpose of establishing the military region sanatorium was to concentrate manpower to solve these difficult and complicated diseases.

Common illnesses, or those that can be treated by Gong Jiahe or Fang Zhikuan, are handled by other hospitals!
"Professor Gong, there really is one."

“It’s that patient with multiple hemangiomas,” Fang Ziye said with a smile.

Professor Fang Zhikuan, who had been amiable and smiling in silence, lost his amiability and smile after hearing Fang Ziye's words, and instead became somewhat flustered.

He's not good with words!
Professor Gong Jiahe's thigh muscles visibly tightened: "Professor Fang, this patient with multiple aneurysms is a ticking time bomb."

"We've been admitted to Fuwai Hospital twice and discharged twice, but they still don't dare to treat it, because they're afraid that while they're treating one hemangioma, the others will burst!"

"In that case, people will lose their lives."

Fuwai Hospital can be considered the pinnacle of cardiovascular surgery.

That patient went in and out of there several times, which indicates that the situation was very complicated. The slightest mistake could endanger the patient's life. Even the experts at Fuwai Hospital dared not say that they could definitely handle it.

The trauma here is not a matter for specialized vascular surgery.

Fang Ziye said, "Professor Gong, don't be nervous. You said I was interested, but I didn't say I wanted to take it in."

"If I'm just looking for treatment, I'm quite interested in this disease."

Having multiple aneurysms throughout the body is like having multiple time bombs stored in your body. You don't know when they will rupture; they might rupture on the way, or they might rupture during surgery.

Once it's broken, it's absolutely fatal.

Fang Ziye wasn't getting arrogant; rather, his theoretical knowledge of vascular surgery had become quite substantial. While he might not be the top in the country, in terms of overall strength, he was still among the best in vascular surgery.

In trauma surgery, Fang Ziye hasn't encountered anything within his area of ​​expertise that interests him, so it's understandable that he's "fallen out of love" with other fields.

“Professor Fang, if you are going to take on this patient, it is more likely that you will fly to where he is to perform the surgery, rather than the patient coming to you.”

"The journey is long, and the risks of transit are too great," Gong Jiahe explained.

Then he asked, "Professor Fang, do you have any thoughts about that patient with the complete bone loss of a single lower limb?"

"After all, Professor Fang, you are quite skilled in bone reconstruction."

“Professor Fang is unwilling to undergo functional reconstruction surgery, but we can admit this patient and work out the treatment plan.”

Upon hearing this, Fang Ziye frowned: "A complete loss of bones in the lower limb is extremely troublesome to treat. It would require reconstructing all the bones in that single lower limb?"

"His dice bone is even missing!"

Fang Ziye had encountered a case of total lower limb bone loss before, at Zhongnan Hospital, where the patient's condition was even more severe.

However, it is very difficult and expensive to treat.

Millions to save two legs?
Does a sanatorium have to be this extravagant?

It's important to know that allogeneic bone is an extremely scarce resource. Even biotech companies would find it difficult to produce so much allogeneic bone in a short period of time, unless they resort to "shady methods," such as digging up corpses!

"Professor Fang, it's like this, I think there's still hope for this patient, he was injured in an explosion!"

"The soft tissue is in good condition now. If the bone can be reconstructed, the postoperative functional recovery is also very promising."

"Although it is more difficult than hemipelvic reconstruction, I believe it is feasible for us to take on the challenge."

"Professor Fang, if you have the ability, you shouldn't waste your time here. After all, once we've made some contributions here, our children and parents will be able to receive better resources in the future," Gong Jiahe hinted.

Fang Ziye was far too laid-back. In nearly half a month, he only took the initiative to admit one patient, as if he were on vacation.

Gong Jiahe felt that he should talk to Fang Ziye more.

With Fang Ziye's abilities, if he wanted to relax, he could easily admit a bunch of patients with functional disorders and treat hundreds of patients a year.

"Professor Gong, how about this, we'll also admit the patient with hemifunction of his right hand!"

“Now we have four patients in our trauma group, and we can get to the point where we can continue treatment gradually,” Fang Ziye replied.

Gong Jiahe was very pleased to see that Fang Ziye had taken the initiative to bring up functional reconstruction surgery and agreed to let him take on patients with lower limb bone defects: "I certainly have no objection, Professor Fang, what do you think?"

Fang Zhikuan raised a teacup thicker than his arm: "Professor Fang's specialty is functional reconstruction, and of course I'd be happy to learn it."

"However, the surgery for this patient with a single lower limb bone defect will be very costly."

“There’s a possibility of exceeding the budget,” Fang Zhikuan said.

Gong Jiahe said, "Professor Fang, our trauma group has few patients, so it's perfectly normal for one or two to exceed the budget occasionally."

Fang Ziye asked, "Professor Gong, what do you mean by 'over budget'?"

"Two million per patient, but there's no specific limit; it depends on the specific disease!" Gong Jiahe replied.

"As long as the number of patients exceeding the quota each month is not too large, we won't interfere. Anyway, all the fees don't go into our pockets."

The sanatorium is fully funded by the government, so Fang Ziye and others don't need to worry about various expenses, and there are no performance bonuses or commissions.

The performance bonuses and commissions paid out are solely based on the number of patients treated.

"Oh, is that so?" This was the first time Fang Ziye had heard this explanation.

Gong Jiahe quickly said, "Because our group has a relatively small number of patients, we haven't paid attention to this matter. It was my carelessness; I forgot to tell Professor Fang."

As the team leader, his failure to speak up was actually a dereliction of duty. Moreover, when Fang Ziye later became the team leader, being suddenly told this made it seem as if he had deliberately concealed it.

So quickly apologize and take responsibility.

"Professors, let's leave it at that for now."

"By the way, Professor Gong, could I request that the surgery not be scheduled for the 18th? My junior colleague will be coming that day," Fang Ziye asked.

Gong Jiahe is still the group leader, and Fang Ziye doesn't dare to overstep his bounds.

"Of course, Professor Fang, we all know it's your birthday. Since your junior brother is coming, let's celebrate your birthday a day earlier or later."

"Professor Fang, please don't be so quick to refuse. Life here is very dull and boring. Apart from surgery, there is no other entertainment."

"So, we often meet up to go out for a few drinks or something," Gong Jiahe explained.

Fang Zhikuan nodded: "Professor Fang, that's indeed the case!"

"If it's someone's birthday, that's the perfect excuse to go out for drinks."

"The nursing home also supports this."

"When treating patients, focus on treating them properly; when resting, focus on resting properly."

Fang Ziye hurriedly said, "Professors, I'll treat you to a meal then. Please arrange a quiet place."

Face is mutual; if others give you face, you shouldn't act aloof.

Fang Ziye is a local. He knew quite a few good places when he lived in Enshi. In China, hospitality is still very important.

……

After seeing the two professors off, Fang Ziye called his senior, Gu Yi.

Gu Yi wasn't on duty today. I've been here for almost half a month, and I haven't gone out to eat with Gu Yi alone yet.

Fang Ziye planned to invite Gu Yi over to his house for a takeout meal, maybe some barbecue or something.

Fang Ziye had originally planned to go out to eat with Gu Yi, but after Hu Hai's harassment today, Fang Ziye felt it was better to avoid him for the time being to avoid encountering the 'raging' lunatic.

Gu Yi was naturally happy to agree.

After arriving at the villa area from the sanatorium's dormitory area, I made a phone call to Fang Ziye at the gate and was granted passage.

He rode his electric scooter into Fang Ziye's yard, looked around for a while, and then sighed, "Ziye, the gap between people really is an inherent thing."

“I thought my two-bedroom apartment was a very nice place, but compared to yours, it’s like a doghouse.”

Gu Yi wandered around, looking here and there, and the more he looked, the more he doubted the meaning of life.

He was clearly the senior apprentice, but Fang Ziye's treatment at the sanatorium was more than one level higher than his.

"Senior Brother Gu, if you don't mind, why don't you move in too?" Fang Ziye said.

The sanatorium did mention that it allocates dormitories, and if someone really wants to share a room, they won't refuse.

However, in principle, couples or parents and children are not allowed to work in the same area in the nursing home.

For example, it's not allowed if both are in surgery, but it's permissible if one is in surgery and the other in internal medicine.

If they are all within the experimental area, then they are not allowed.

The relationships between husband and wife, and father and son are special, so it's important to avoid letting personal emotions affect work.

"Forget it, I don't want to hear any nonsense." Gu Yi's refusal was straightforward.

Fang Ziye didn't feel embarrassed after hearing this.

He's almost thirty, an adult, it's nothing to be ashamed of.

"..."

Time flies like water, and another week has passed in the blink of an eye.

12 month 17 day.

Sanatorium, surgical area.

When Gu Yi placed the old lady's follow-up X-ray in front of everyone, after glancing at the X-ray, everyone looked in the direction of Fang Ziye.

"This? Oh, this?" Professor Fang Zhikuan's expression was the most exaggerated.

He was small in stature and had a small face, but his expressions were extremely rich at this moment. The wrinkles on his face were smoothed out, and the smooth areas were wrinkled instead.

This woman, who seemed to be the eldest sister to him, had been transferred to many hospitals and undergone multiple surgeries without ever seeing her wound heal. Yet, in Fang Ziye's hands, callus actually appeared.

The callus was so obvious that no one present could miss it.

If your skill level is this low, even someone like Gu Yi, who has the lowest professional title, would be expelled. This is not a place for you to learn and practice.

If you want to practice, please go outside.

Upon hearing this, Fang Ziye said, "This just proves that the previous surgery was of excellent quality. I simply added some more local medication based on that."

"Therefore, my previous guess was correct."

"When this patient was injured, the bone fragments may not have been her own. Instead, someone else's bone fragments happened to be ejected into her wound and were then used as her bone fragments to fix her in place."

"Later, there was always immune resistance."

"After we applied immunosuppressants locally, the immune resistance was actually reduced, so normal signs of fracture healing appeared."

Fang Ziye shifted the topic from flattery back to the film itself: "You see, these calluses are actually discontinuous, proving that immune resistance still exists."

"You should continue using topical medication!"

"The dosage can be reduced to two-thirds of what it was before," Fang Ziye said.

Fang Ziye's analysis was, of course, not Fang Zhikuan's focus. After pondering for a moment, he asked, "Professor Fang, why doesn't the fracture heal after the fragments are absorbed?"

Without nutritional support, the bone fragments will definitely be absorbed. Several years later, after another surgery, there was still no sign of healing.

"The immune resistance has not been resolved. This patient is quite special. In ordinary fracture treatment, autologous bone or inactivated bone is used, so the immune response is very mild or almost non-existent."

"So we don't have this awareness."

"A long-term immune response can cause an allergic reaction in the affected area..." Fang Ziye explained in detail.

The patient finally passed away after about twenty minutes of talking.

Professor Yan Huanan nodded and said, "Professor Fang, the preoperative examinations for the two newly admitted patients have been completed. The functional reconstruction surgery is scheduled for the 19th, and the other surgery is scheduled for the 24th. Is that alright?"

"Let's schedule it for the 20th!"

“I recently took a look, and the number of surgeries performed in our trauma group is still too low,” Fang Ziye said.

December 18th is a Tuesday, so there's no need to postpone it for another week.

Although the team hasn't admitted any patients in the past few days, the patient who had pelvic reconstruction has already gotten out of bed and is expected to leave soon.

The group can then admit patients again.

"Then let's arrange it for the 20th!" Professor Gong Jiahe nodded.

Fang Ziye is willing to perform consecutive surgeries, and his assistants have no problem with that at all.

Gong Jiahe continued, "The patients we previously treated for hemipelvic reconstruction can now walk a few steps with crutches, but we still need to remind caregivers and family members to be careful to avoid falls."

"Another thing to avoid is squatting to use the toilet."

“The patient’s family has told me many times that he is not used to the toilet seat, but even if he is not used to it, he has to persevere!”

Miao Haoyu nodded quickly and took notes: "Professor Gong, I will communicate with the patient and his family again in detail, and also give instructions to the caregivers and nurses."

"Strictly follow the doctor's orders after surgery."

A doctor's orders go beyond just medication; prohibited actions are also an absolute must!

If the patient does it secretly, it will make the surgery more complicated.

"You can't sit for too long either," Fang Ziye said.

"The patient's current condition is not a problem with vertical stress, but the stress from sitting for a long time may push the pelvis forward. If the recovery is not good, it will be very inconvenient for him to move around in the future."

"Also, this patient needs to use anti-inflammatory medication for a longer period of time, at least for about three weeks, and continue to use it after the stitches are removed."

“Professor Fang, that’s no problem. There’s no strict control over the duration of medication here,” Gong Jiahe said.

"It's not a matter of control or not; the problem is that during the operation, the wound was quite large, and the area of ​​the implant was also very large, and it wasn't a closed space."

"Once pathogens migrate through the blood and settle here, infection can easily occur."

“Once he gets infected, he may not even have the chance for a second surgery.”

"However, the inflammation markers tested so far are normal."

"Another point is that because the patient has been lying in bed for a long time, there are pressure marks on his skin, so it is important to prevent bedsores from forming. Similarly, his anticoagulant should continue for at least three weeks after he is able to walk normally."

“In his condition, he is very prone to blood clots, even after surgery.”

"Because his postoperative activities are mostly within the relatively limited range of motion of the hip joint, the incidence of thrombosis is very high."

"The patient with nonunion can temporarily stop taking her anticoagulant medication."

"Her fixation is in place, and if she's not in pain, she can get out of bed and try to walk around. The fixation quality of this surgery is excellent!"

After Fang Ziye got into character, he actively expressed his opinions without any embarrassment or politeness in asking Gong Jiahe and the professor for advice.

Fang Ziye's professional title is associate professor, and his abilities are indeed stronger than theirs.

If others have already accepted you during your interactions, and you still keep saying "Is this okay?", then you're just showing a lack of self-confidence.

Outside of the treatment plan, to be polite, within the treatment plan, Fang Ziye currently holds the dominant position.

Fang Ziye, as the team leader, has a clear understanding of his role.

"Professor Fang, let's arrange it like this for now! You really? This." Professor Gong Jiahe gave him a thumbs up.

That patient with the non-union fracture never imagined that he would end up like this, avoiding amputation.

The patient had been in the sanatorium for a month. He hesitated many times, but in the end he held back.

If he hadn't met Fang Ziye, he would have decided to have the amputation done this week.

Unexpectedly, after Fang Ziye arrived, he immediately proposed many solutions and proposed attempts.

The traction hole confirmed that the patient's bones had the ability to heal themselves.

Further MRI confirmed that the blood supply to the fracture site was intact!
Other aspects, however, are not discernible to the naked eye.

These checks had been done many times before, but only Fang Ziye's was the most systematic.

Moreover, Fang Ziye can glean different new information from the same examination, which is what makes him so remarkable; no one dares to disagree with him.

This is the gap between theoretical knowledge and actual understanding.

Fang Ziye's excellence is not only reflected in his technical skills, but also in his comprehensive abilities.

Thinking about it this way, Fang Ziye's early fame is not unexpected, but rather a matter of course.

His theoretical, operational, and research abilities are all outstanding. If he didn't become famous at a young age, who else deserves to be famous at a young age?

Upon hearing this, Fang Ziye glanced at the knowledge points he had gained.

"+7122!"

This was the only time Fang Ziye gained more than four figures in knowledge points without any manipulation.

This patient's case is probably very rare. After all, not everyone has the opportunity to get their bone fragments caught in someone else's; it only happens in very chaotic situations.

Furthermore, this is the first time such a situation has occurred, which can serve as a warning to future generations.

This represents a new understanding.

"Professor Gong, thank you for your praise! The fact that this patient was able to form a scab is a good start."

"After all, this old woman has been bedridden for nearly ten years, and now she has finally seen the light at the end of the tunnel. We should all wish her courage well!" Fang Ziye said.

Not everyone can withstand a treatment that lasts up to ten years.

"Professor Fang, she's truly lucky to have met you. Otherwise?"

Gong Jiahe was initially embarrassed, but then he said frankly, "I'm going to have to commit a sin!"

Gong Jiahe looked at his hands and for the first time began to doubt him.

Then, Gong Jiahe added, "It seems we can't blame it; we can only blame this place."

Gong Jiahe pointed to his head again, his arrogance completely gone. He showed Fang Ziye not just worship, but also exceptional respect.

He certainly didn't respect Fang Ziye's identity and status, but rather what was in Fang Ziye's mind and hands.

It's mostly what's in your head.

He has some skill with his hands; Fang Ziye's technique is visible and tangible.

but.

Fang Ziye's knowledge was an invisible, overwhelming force, making him question his own existence for a time.

"Professor Gong, please take us to see the patient..." Fang Ziye said.

Among everyone, Professor Fang Zhikuan had the best skills besides himself, but Professor Gong Jiahe had the highest seniority and was a very good person, so everyone else respected him.

After discussing their professional skills, Fang Ziye still needed to be given the respect he deserved.

"Alright!" Gong Jiahe stood up, put his hands behind his back, and strode out.

People from other groups noticed the way the Gong family and their team were walking and became thoughtful on their way back from the 'room check'.

Han Zhiliang, a hand surgeon, whispered a few words in the ear of Du Donglin, the professor in charge of the hand surgery group.

Du Donglin's gaze remained fixed on Fang Ziye.

After listening, his eyes became even more complicated, and his expression was particularly interesting.

I long for it but cannot have it!
Fang Ziye, such a talented person, did not come to his hand surgery group, but instead went to the most 'leisurely' trauma group.

This made Du Donglin both angry and resentful.

But he didn't have a temper.

Fang Ziye was born with trauma, and he was neither a pushover nor a plaything; he had absolute freedom.

Even with Du Donglin's intervention, his achievements in hand surgery couldn't compare to Fang Ziye's.

If you can't compete, how dare you make demands?
Du Donglin seemed to see the trauma group's imminent prosperity.

(A little less, too much feels like I can't handle it.)
(End of this chapter)