top student at medical school

Chapter 569 The Perfect Surgery
Fang Ziye was completely focused on the surgery and didn't have time to look at Qiao Yongjian's expression, as did the other accompanying professors.

Seeing Fang Ziye's near-perfect demonstration of the bone position after osteotomy, Professor Gong Jiahe and Professor Fang Zhikuan quickly seized the opportunity to act.

After the manual correction procedure is completed, temporary fixation is necessary in a timely manner; otherwise, the previous manual correction will be in vain.

This procedure is not complicated and is similar to temporary fixation after manual reduction of fractures in trauma surgery, except that the difficulty and angle need to be mastered more precisely.

"Move the Kirschner wire insertion point a little lower, tilting it to 60 to 70 degrees! Keep the crossing angle around 30 degrees." Fang Ziye spoke calmly, trying hard to control his emotions.
The first step to becoming calm and mature is to learn to be calm, then get used to being calm, and finally be able to control your emotions with ease.

Trying to train superiors or seniors in certain situations where they are not considered superiors is an inevitable path.

At this point in the surgery, Professor Fang Zhikuan had no objections.

After carefully comparing the directions, Professor Fang Zhikuan locked onto the angle and aimed the end of the large Kirschner wire at Gu Yi's direction: "Fire!"

Teamwork is like practicing martial arts: the spirit resides in the heart, the skill in the mind, and the action in the body.

Fang Ziye was responsible for the overall key operations and overall control of the surgery. Professor Fang Zhikuan was very capable, with top-level individual skills and the ability to control the core technology of individual skills.

It's manual labor; you can call an intern to do it.

"Buzzing..."

The roar of the stacked engines continued, and two Kirschner wires were quickly installed to form a triangular temporary fixation!
Professor Fang Zhikuan removed the tweezers holding the Kirschner wires and carefully stepped aside to make way for Fang Ziye.

"The medial condyle plane of the femur is parallel to the patient's transverse section, and the thumb-mouth-shaped bone defect has been exposed."

"This wide V-shaped bone defect isn't very long, Professor Gong. Thank you for preparing the iliac bone graft donor. I'll come over later to shape it."

"Give me the oscillating saw, I'll reshape the articular surfaces of the femur." Fang Ziye calmly assigned tasks to each person.

Then he looked at Professor Qiao Yongjian.

Since the Gong family had invited them, they couldn't completely ignore their well-being; they needed to make the guests feel involved to some extent.

Qiao Yongjian snapped out of his daze, composed himself, took a deep breath, and then began to measure and evaluate the inner and outer edges, front and back of the femur from a very professional perspective!
"Professor Fang, don't rush to grind the femur into the side. Let me take a measurement first."

"A square foot." Qiao Yongjian quickly immersed himself in the role, while also verifying some of his inner thoughts.

There's a reason behind the claim that joint surgery is the "aristocrat of orthopedics."

If trauma surgery is about repositioning broken joints, then joint surgery is like interior decoration, requiring extremely strict control over various angles and data in joint replacement surgery to ensure patients have a better functional experience after surgery.

This is especially true for complex knee deformity reconstruction and joint replacement!

After the osteotomy and reshaping surgery is completed, it is necessary to refine all angles and dimensions to ensure precision.

A straightedge is a horizontal marker and also a measuring instrument.

Professor Qiao Yongjian took it in his hand, gestured a few times, and then nodded to Fang Ziye: "Professor Fang, the angles after temporary fixation are all very good, but temporary fixation with Kirschner wires is not conducive to subsequent operations!"

"We need to first install the extended handle hinge knee femoral segment to achieve complete fixation, so that the proximal and distal femoral segments will not shift."

"The difficulty of this surgery lies in the severe femoral plateau collapse deformity, and there is no corresponding formula for the femoral joint surface to assist in the procedure!"

"Furthermore, during the operation, the planar data after our osteotomy and correction cannot be accurately predicted before the operation. Therefore, we cannot match the prosthesis based on the actual situation, but rather we have to match the bone surface depth of the osteotomy with the prosthesis."

"And the formula for matching the implant cannot be used yet!" Qiao Yongjian slowly explained the next step of the operation.

Joint replacement surgery is quite difficult, but with the help of good instruments, it is mainly used to treat the late stage of knee osteoarthritis.

However, in this patient's joint, the femoral and tibial surfaces have completely fused, which would increase the difficulty of the procedure by at least several times.

The term "formula" is simply an abbreviation for auxiliary operating instruments.
For example, in intramedullary nailing, after the intramedullary nail is inserted into the medullary cavity, there are specific auxiliary instruments that allow you to accurately drive the screw into the screw channel even without manual intervention.

This is a formula designed precisely in advance, which simplifies the surgical procedure.

If this tool cannot be used during the operation, the difficulty of the surgery and the skill required of the surgeon will increase more than tenfold.

"Yes, I know. We need to reshape the femur first!"

"Give me a medium-sized prosthesis, and I'll assess the depth and angle of the osteotomy first!" Fang Ziye said, taking a deep breath.

With the help of formulas, you can determine the required prosthesis size by applying the formula, cutting off the femoral surface, and then inserting the prosthesis.

Only the force line structure needs to be evaluated.

If this surgery were really that simple, the joint surgery department at Enshi Central Hospital would have done it directly; why send the patient to a sanatorium?
At the very least, top joint surgeons at Jishuitan Hospital and Huashan Hospital would have performed the surgery twenty years ago.

Qiao Yongjian put down the ruler and lowered his head, muttering, "This kind of osteotomy is extremely difficult. This kind of femoral surface collapse deformity? It's very complicated to perform."

"The simple collapse and deformity is already very difficult. I need to calm down."

Qiao Yongjian held the swing saw tightly, gripping it firmly and carefully trying to get a feel for it.

The oscillating saw has a limited range of motion within the formula; without the fixed assistance of the formula, its range of motion will be amplified.

This kind of osteotomy is not like renovation; there is no chance to tear it down and start over. It must be successful in one go, which requires a very high level of skill in osteotomy.

With the surgery progressing to this stage, Qiao Yongjian felt that even if he didn't want to go on stage to perform the procedure, he had to force himself to do it.

As for matching data with the implant, Qiao Yongjian hasn't considered that yet, because he has other ways to fill some gaps.

While Qiao Yongjian was still hesitating, Fang Ziye's voice pierced through: "Professor Qiao, give me the oscillating saw!"

Qiao Yongjian looked up abruptly, his pupils shrinking by about a millimeter: "You..."

"I'll do the bone setting!" Fang Ziye nodded to Qiao Yongjian with great certainty, his tone resolute.

This is not a place for jokes, nor is it a time to give up your seat.

This step doesn't have to be done without meat; you can also have porridge instead of rice.

After Fang Ziye finished speaking, he tried to take the oscillating saw from Qiao Yongjian's hand, but he couldn't get it. Qiao Yongjian then gripped the oscillating saw firmly in his hands.

Sharp eyes!

Fang Ziye didn't blame Qiao Yongjian, but smiled and said, "Professor Qiao, give me the oscillating saw, I can do it!"

Qiao Yongjian then slowly released his grip, his eyebrows began to twitch, and his eyes began to dart around rapidly and anxiously.

Professor Gong Jiahe was assigned to perform an iliac bone graft. Professor Fang Zhikuan stood beside Fang Ziye and, after clearly seeing Professor Qiao Yongjian's expression, reached out to stop the wound.

“Professor Qiao, please speak frankly. We don’t need to waste a little time on the surgery,” Fang Zhikuan said.

He covered the wound with his hand; if Fang Ziye wanted to perform a direct bone resection, his hand would also have to be inserted.

This is just for an extra layer of insurance.

Osteotomy and reshaping surgery is meant to improve patients' quality of life, not to be an emergency life-saving procedure; Fang Zhikuan understands this perfectly.

Qiao Yongjian looked at Fang Ziye, hesitating to speak.

Seeing this, Fang Ziye could only sigh slightly. It was all because he hadn't communicated with Professor Qiao Yongjian beforehand, and the other party didn't know his true strength.

Since Fang Ziye had not planned to have Qiao Yongjian help him, he turned around and walked towards the equipment table.

After a quick search, I found a model of the patient's femur and tibia surfaces, simulated using 3D-printed bone cement before surgery.

Without hesitation, Fang Ziye cut it in half and began to use a oscillating saw to cut it on the model!
Qiao Yongjian quickly moved to Fang Ziye's side and used a vise to hold the printed model in place.

He didn't rush to explain his concerns to Fang Ziye, because he knew what Fang Ziye was going to do, and Fang Ziye already understood his meaning.

Fang Ziye's cutting speed is not fast, and since this is a prosthesis, not human bone, it is exceptionally strong during the cutting process.

It is even more difficult than manipulating the skeleton.

This will not cause any burden or harm to the patient's body.

About four minutes later, Fang Ziye said, "Bring the implant over and let's try it out."

Professor Fang Zhikuan had already obtained the femoral surface of the prosthesis.

After Fang Ziye opened the cavity of the femoral medullary cavity, he placed the articular surface on it, and instantly, the osteotomy surface and the prosthetic indentation of the femur almost completely overlapped.

Even the remaining gaps can be filled and fixed with bone cement!

Qiao Yongjian looked at it, shook his head from side to side for a few seconds, then cleared his throat with an "uh-huh" sound to restore his erratic breathing, and said in a low voice, "I didn't expect Professor Fang to have such a deep understanding of osteotomy."

"I was overthinking it!"

Fang Ziye said, "Professor Qiao, I was called away by Dean Chen last night, so I didn't have time to communicate with you in advance."

"We can communicate more and learn from each other in the future."

Qiao Yongjian frowned: "Professor Fang, I am the one who has much to learn from you."

After saying that, Qiao Yongjian picked up the bone spur model that Fang Ziye had cut off, examined it from left to right in his palm, and said slowly and meaningfully, "Professor Fang, indeed I should learn more from you!"

He spoke slowly, but with great conviction.

The surgery resumed, and the atmosphere in the operating room began to become eerie.

The anesthesiologist was no longer sitting idly by, and the circulating nurse also found a suitable corner to watch, her gaze shifting between Professors Fang Ziye and Qiao Yongjian.

Everyone knows it perfectly well!
Qiao Yongjian wasn't an idiot. He didn't shout or make any noise that differed from the team's opinions. He simply expressed his 'protest' against Fang Ziye in the most polite and tactful way possible!
This choice was made after careful consideration.

It was precisely because of this well-thought-out protest that they ultimately changed their tune that others became curious again about what the two had actually discussed.

The surgery continues!

Qiao Yongjian stopped acting suspiciously and took the initiative to replace Professor Gong Jiahe, pushing Associate Chief Physician Qu Shuyuan to the back.

Professor Fang Zhikuan then smiled and said, "Professor Fang, I apologize for the intrusion."

"It's all for the sake of surgical quality! We still need to strengthen communication in the future." Fang Ziye smiled lightly, and then easily completed the osteotomy!
The hardness of bone tissue is far inferior to that of a printed prosthesis; even the cortical bone can be easily overturned by Fang Ziye.

During this process, there were no unusual changes, except for Professor Qiao Yongjian's occasional gasps and the uncontrollable clearing of his throat as he tried to control his emotions.

After Fang Ziye finished the procedure, Professor Qiao Yongjian seemed even more eager to know the result than Fang Ziye, and said, "The bone marrow cavity can be opened using a formula, and it must be expanded using a formula."

Fearing that the circulating nurses might not be familiar with the joint surgery instruments, Qiao Yongjian personally went over and brought over a set of tools for opening and reaming the femoral space, and quickly performed the opening and reaming of the femoral space!
Then, he turned around impatiently: "Professor Fang, give me the implant!"

Fang Zhikuan didn't quite understand Qiao Yongjian's behavior at this moment and could only guess.

But it's also clear that Fang Ziye's actions must have triggered something in Qiao Yongjian's mind, causing him to lose control of his emotions.

This may not be as exciting as a mathematician meeting someone who has proven the Riemann Hypothesis, but the nature is similar.

After receiving the prosthesis, Qiao Yongjian carefully inserted the femoral stem.

Then he began to assess the fit between the femoral surface and the concave surface of the prosthesis on his own!

Qiao Yongjian is sharp, proactive, and takes initiative; he seems like a professional "surgical fanatic."

At the same time, he was very cautious and disciplined.

After voluntarily removing the implant, he smiled sheepishly and restored the surgical wound to its original state.

He nodded to the side, his eyes gleaming: "We can begin the osteotomy on the tibial side."

"The osteotomy on the tibial side can have a smaller curvature."

"The deformity of the tibial plateau is much better than that of the femoral side. We only need to cut the medial part of the bone and then lift a portion of the curvature of the medial surface!"

"Then, with the help of the fixing force between the tibial prosthesis surface and the tibial stem, the osteotomy surface is fully fixed." Qiao Yongjian took the initiative to present his surgical plan to everyone.

Interlaced like mountains.

Everyone knows the general idea and surgical steps of joint replacement surgery, but to focus on the details and the purpose of each step, those who have not studied it in depth will certainly not understand it as deeply as Qiao Yongjian.

Professor Fang Zhikuan did not participate in the evaluation, but was thinking about Qiao Yongjian's words and at the same time, he was making a more comprehensive assessment of the difficulty of the surgery!

Initially, this patient was the one that he and Gong Jiahe planned to treat. They thought that the problem could be solved by knee replacement surgery, plus nerve and tendon transplantation.

But it's clear that Professor Fang Zhikuan's assumptions are flawed.

If this time it really is him and Gong Jiahe, together with Professor Du Donglin of the Department of Hand Surgery, and with Qiao Yongjian and a few others assisting in the surgery, then the result will definitely "surprise" them!
It's not that the surgery was a complete failure and offered no benefit to the patient; it's just that the outcome of the surgery will be quite different from their expectations.

The surgery continues!

Fang Ziye continued to lead the team steadily and surely.

After completing the hinged knee replacement, a titanium mesh fixation was added to the bone graft. This temporarily concludes the bone tissue treatment for this corrective surgery of the joint deformity.

Of course, this is not the end of the surgery. The more difficult part is yet to come. How to properly reorganize and resolve the contracted muscles and how to properly fill in the nerves and blood vessels are also major and meticulous tasks.

Although these operations were quite difficult, after witnessing Fang Ziye's superb basic skills, everyone regained more confidence.

In cases of extreme muscle contracture, conventional release techniques and muscle and tendon lengthening techniques used in the professional field are completely irrelevant and irrelevant.

We can only borrow some of the ideas and operating models. Everything else requires independent innovation. Based on the actual situation, we need to make arrangements and reorganize them through solid basic skills, and it varies from person to person!

Don't think that routines are bad; mature surgical procedures are actually routines.

Having routines and templates is good, as it can improve the quality of surgery. On the contrary, it is difficult to control the quality of original, self-made surgeries. They require great care and precision, and may not even reach the standard that routines can achieve!

However, when there are no established patterns to follow, solving problems through basic functions is the key to overcoming difficulties, and it is also a visual feast.

Fortunately, the muscles in the lower limbs are not very layered and are quite large, so there is a good supply of materials available for surgical removal, autologous transplantation, and other procedures.

This particular surgery, which was expected to last only six hours, actually lasted from 9:20 a.m. until 9:58 p.m. before it was finally completed...

When he stepped off the stage, Fang Ziye felt that the lactic acid buildup in his hands was even more intense than the functional reconstruction surgery he had undergone after his first cataract surgery!
However, thanks to Fang Ziye's regular exercise and the rigorous training he underwent during his hospital stay, he did not experience the hand cramps that occurred that time.

However, after the surgery, when Fang Ziye was taking off his clothes, his fingers twitched a little!

Seeing this, the tour guide quickly stepped forward to help: "Professor Fang, thank you for your hard work."

"Everyone has worked so hard!" Fang Ziye said as he took off his sterile surgical gown and began to stretch his knuckles and metacarpophalangeal joints with his hands clasped together.

At the same time, Professor Gong Jiahe's eyes showed a hint of sadness: "Professor Fang, I'm sorry, there were some oversights in our preoperative assessment of the patient's condition. We were not rigorous enough."

"That's why the surgery took twice as long!" Gong Jiahe's tone was full of apology as he watched Fang Ziye doing stretching exercises on the spot, feeling a little sorry for him.

Fang Ziye was the team leader, but now that he's stepped down, he's just a kid in his early thirties.

Professor Yan Huanan remained silent, his gaze shifting between Fang Ziye and Qiao Yongjian.

This miscalculation was mainly due to underestimating the difficulty of osteotomy and the placement of knee prostheses.

They were all aware of the muscle contractures and deformities.

Even so, the surgery was ultimately completed successfully!
"Let's do it like this for now. We'll have to go back for a second visit later, but this time, I think the patient can start functional rehabilitation as soon as possible after the surgery, and it would be best if muscle adhesions didn't occur again."

"For the second surgery, we hope that we only need to perform nerve and partial tendon transplants, and please, please, don't do muscle release again," Fang Ziye sighed.

Release surgery sounds simple, and even resident physicians can perform it, but such a simple procedure is actually more difficult and time-consuming to perform.

"The outcome of this surgery is still promising, right, Professor Qiao?" Fang Ziye took the initiative to chat with Professor Qiao Yongjian.

Qiao Yongjian was adjusting his hat and the curve of his eyebrows when he heard this, and quickly put his hands down: "Um... Professor Fang."

Taking a deep breath, he exclaimed, "I never imagined that Professor Fang's surgical expertise in joint surgery was so profound!"

"If Professor Fang weren't here today, we would have to perform this surgery under anesthesia."

After saying that, Qiao Yongjian still felt it wasn't quite right: "The patients who came from Professor Hu's clinic are indeed extraordinary!"

"I was thinking...?" Qiao Yongjian's tone was somewhat desolate.

Fang Ziye's gaze was slightly subtle as he narrowed his eyes.

There are quite a few professors with the surname Hu, but Fang Ziye is currently more familiar with senior surgeons in hand surgery and trauma surgery.

Fang Zhikuan, who had been in the industry for many years, explained with a smile: "Professor Hu, whom Professor Qiao mentioned, used to be the director of the Department of Orthopedics and the Director of the Department of Joint Surgery at Xiangya Hospital. He was recruited by the First Affiliated Hospital of Zhejiang University a few years ago."

"Currently, I am the Vice Chairman of the Joint Surgery Group of the Orthopedics Branch of the Chinese Medical Association."

Upon hearing this, Fang Ziye nodded hurriedly. This was a top expert in joint surgery, a giant comparable to Professor Zhang Ying and Professor Hou Cheng'an in trauma surgery.

Fang Ziye said modestly, "The joint deformities that Professor Hu dares not operate on easily are indeed difficult to treat. Perhaps Professor Hu's team does not have enough professors to cooperate with."

This is a fact!

Currently, no hospital in China can achieve this, with four full professors and three associate professors working together.

No other hospital, including Peking Union Medical College Hospital and West China Hospital, has such abundant resources.

This is the advantage of sanatoriums: a wealth of talent.

Qiao Yongjian snapped out of his reverie, his gaze lingering on Fang Ziye, and cautiously asked, "Professor Fang, when did you first get involved in joint surgery?"

"If I remember correctly, you just turned twenty-nine this year, and you'll be thirty next year!"

Before the age of thirty, how could someone be so proficient in hand surgery, trauma surgery, and joint surgery?
That's a bit too unreasonable!

Fang Ziye shook his head decisively: "Professor Qiao, you may be overthinking it. I have not received formal training in joint surgery."

"Different subspecialties in orthopedics may seem different, but they actually share the same origin. Trauma is the foundation of all orthopedics. I only have a basic understanding of joint surgery through osteotomy and reshaping procedures, and I would not say I am an expert."

In reality, Fang Ziye had no professional training in hand surgery; he just had some extra help...

Only trauma surgery has truly grasped the essence of the entire process.

"With strong internal skills, one can travel the world; with strong basic skills, one can excel across specialties. Professor Hu of Xiangya Hospital is a perfect example."

"From joint surgery to sports medicine, and then to the entire field of orthopedics, he can handle it all with ease," Qiao Yongjian praised.

Upon hearing this, Fang Ziye's eyes lit up. As he walked out of the operating room, he asked, "Professor Hu is proficient in multiple subspecialties?"

Judging from Qiao Yongjian's tone, Professor Hu's and Professor Lin Peng's breadth of knowledge are not the same!

"I've only heard about it; I haven't had any close contact with them for very long!"

"When I was working in joint surgery, Professor Hu was already a leading expert in the province!"

Qiao Yongjian sighed, then changed the subject: "Professor Fang, would it be convenient for us to grab a late-night snack? I'm a little hungry."

After saying that, Qiao Yongjian patted his belly, looking a bit simple-minded.

Fang Ziye could tell that Qiao Yongjian was actually very regretful.

His move from joint surgery to spinal surgery was not his intention; he only made this big detour out of necessity.

"Sure, can I come with Professor Gong, Professor Fang, and Professor Yan?!"

"Since we've all run into each other at this time, let's go together! Let's take a rest," Gong Jiahe replied.

……

The group left the sanatorium and then set off in two cars.

Qiao Yongjian did not ride in Fang Ziye's car; Fang Zhikuan and Professor Gong Jiahe sat in the back seat.

After Professor Fang Zhikuan inquired about Gong Jiahe's decision, he sighed, "Professor Gong, with you leaving, our Asian group will be incurring a huge deficit."

Although Fang Zhikuan only focuses on technology, it does not mean that he does not approve of the Gong family, the Gong family's interpersonal skills, and their technology.

Although he was better than Gong Jiahe, he was still not better than someone of a higher level.

Having worked together for so long, I naturally feel reluctant to part ways.

Gong Jiahe sighed, "People experience sorrow and joy, separation and reunion; the moon waxes and wanes, and nothing in this world is ever perfect."

"Professor Fang, Professor Fang, there will definitely be opportunities to get together again in the future."

"Even though time has passed and we are in different places, we still managed to get to know each other."

"Actually, I think Professor Qiao Yongjian has a very sharp personality, and his surgeries are excellent. What if Professor Fang could win him over?"

"Perhaps our trauma surgery team will be even more capable!"

Miyako's departure was a done deal, but he still had feelings for the trauma surgery team.

"They can even poach people from other groups within the organization?" Fang Ziye asked, marveling.

Professor Fang Zhikuan said, "Of course it is possible. The internal structure of the sanatorium is both rigorous and relaxed."

"It is based on personal wishes. If someone is willing to switch groups, as long as the leader of the receiving group is willing, their application will definitely be approved."

"Interests and hobbies are what give rise to the most powerful driving force."

"But this kind of thing is difficult, and not everyone has the opportunity to work across groups!"

Fang Zhikuan frowned slightly at this point, then added, "But this Professor Qiao is no ordinary person."

"Within orthopedics, several subspecialties may cross groups, but the scope won't be too exaggerated!"

"To be able to switch from joint surgery to spinal surgery with ease, one must have exceptional talent."

"I just don't know what Professor Qiao Yongjian went through before he was able to work across the hospital and across departments."

Wherever there are people, there is a social dynamic. Professor Fang Zhikuan did not delve into further speculation.

Although Fang Zhikuan and Gong Jiahe encouraged Fang Ziye to poach people, Fang Ziye did not heed their advice.

At the late-night food stall, Fang Ziye only talked about his profession and romance, listening to the professors talk about local customs and traditions, without omitting a single word of anything else.

……

After getting off the bus, both Professor Fang Zhikuan and Professor Gong Jiahe felt extremely regretful: "Professor Fang, didn't we tell you before we went that you should mention it to Professor Qiao during the meal?"

"Why did you still have Professor Yan bring him back?"

As the three passed by the entrance of the villa area, the security guard greeted them politely.

Several people turned around at the same time to respond. Fang Ziye did not offer them cigarettes today, but replied, "Forced relationships are never sweet; mutual consent is what matters."

"If I bring it up myself, it won't be easy to explain to Professor Kuang Leyou later. If Professor Qiao really wants to develop in joint surgery, he will know what he's doing."

Fang Ziye said calmly.

Qiao Yongjian had gone through many ups and downs before finally becoming a professor of spinal surgery. Now he was suddenly pulling the other person back to orthopedics?

What if others still don't do well and blame you, Fang Ziye?
Fang Ziye could not be idle enough to actively help Qiao Yongjian build his personal abilities and social standing. What was his own identity?
Fang Zhikuan glanced at Professor Gong Jiahe, narrowed his eyes, and said, "Professor Gong, we should have explained things clearly to Professor Fang beforehand."

"Professor Qiao definitely has some intention of transferring to the orthopedics group!"

"Previously, the spine group was a spine and orthopedics group. Starting this month, after our hand surgery and trauma surgery groups formed a new orthopedics group, the spine surgery group became a pure spine surgery group."

"Professor Fang may still not understand."

"I was careless myself."

Gong Jiahe patted his head upon hearing this: "I forgot for a moment too, but there will definitely be other opportunities in the future."

After saying goodbye to the two "old rascals," Fang Ziye returned to his courtyard, went into his room, put down his phone, put on his pajamas, and lay down.

It's so flat, I don't want to move at all.

Even when he heard the video call invitation from Luo Tingzhu, he didn't move at all and just rested comfortably!

He hadn't been this tired in a long time.

Because today's surgery is unfamiliar and lacks a set procedure, it is more difficult to perform and requires more attention to detail.

The combined mental and physical exhaustion meant that Fang Ziye needed to rest for a while.

About five minutes later, Fang Ziye called Luo Tingzhu back.

"You just got back, and you haven't rested yet? It's already midnight," Fang Ziye asked.

Luo Tingzhu was already in bed, turning on the light as she turned on the lamp. Under the light, the large ears of her pink, fluffy bunny hat drooped down, completely covering her own ears.

Turning to the side again, Luo Tingzhu said, "I'll wait for you to send me a video, senior brother. Anyway, right now I just need to prepare for my defense..."

“You’ve gone a bit astray too. You’re not being honest now. You want to check up on me but you’re not willing to say it outright.” Fang Ziye remained lying flat on his side, his right elbow propped up on his head. He was very comfortable as he directly exposed Luo Tingzhu’s thoughts.

Luo Tingzhu's lips curved into a smile, her coquettish tone revealing her true feelings, her soft voice particularly pleasing to the ear: "I just missed my senior brother..."

(End of this chapter)