top student at medical school

Chapter 613 Is this Professor Li or a goofball?! (Please subscribe)

Diabetic foot is not an unfamiliar term, but a very common diagnosis that everyone, whether they are diabetic or not, or their families, has heard of!

This is neither a sophisticated diagnosis nor a rare or obscure 'ill-gotten disease'!
If a medical professional doesn't know about diabetic foot, then they haven't even entered the field of medicine.

As a professor of vascular surgery, Li Yongjun is also familiar with diabetic foot, one of the end-stage complications of diabetes.

It's very common, very ordinary, not a special case!

But it is also very difficult.

If one or two doctors are unable to handle diabetic foot, leading to amputation, it may be due to their individual incompetence. However, with over 100,000 diabetic foot amputations occurring nationwide each year, it cannot be said that all practitioners are incompetent.

End-stage diabetic foot?

By definition, it falls into the category of cases requiring amputation.

After Fang Ziye introduced Professor Li Yongjun, he went directly to the stage, and Du Donglin, as the head of the hand surgery group, could not pretend not to see him.

Instead, he first came over to meet Li Yongjun again: "Hello Professor Li, I am Du Donglin from Yushi Military Medical University. You can call me Donglin, Professor Li."

Li Yongjun extended his right hand to shake hands with Du Donglin and said, "Professor Du, you're too kind. Will my presence here to observe the surgery disturb your progress? You don't need to worry about me; I will absolutely abide by the rules of the operating room."

Du Donglin laughed and said, "It's alright, Professor Li. The others and I are all in the learning phase. One more surgery or one less surgery won't affect our learning progress."

"Currently, in the end-stage of diabetic foot, limb-sparing surgery is mainly performed by Professor Fang," Du Donglin explained.

Upon hearing this, Li Yongjun's eyebrows twitched.

Generally speaking, a full professor won't be particularly polite, and if they truly have the ability, they won't be exceptionally humble either. After all, they've already reached the level of a full professor.

Similarly, apart from a very small number of senior executives who like to put on airs, most people will become more humble and cautious, knowing the complexities of the world, the difficulty of different diseases, the challenges of leading a team, and the many challenges ahead.

"Professor Li has great respect for Professor Fang? Isn't Professor Fang Ziye only an associate professor?" Li Yongjun asked directly.

He had some understanding of Fang Ziye, but it was certainly not as detailed and in-depth as Du Donglin's, who had seen Fang Ziye in person and had interacted with him.

"Professor Li is joking. Team Leader Fang is the team leader of our hand surgery group, although he is only an associate professor and associate chief physician?"

"But Professor Fang's abilities are far more seasoned than those of us old folks!"

"Speaking of which, although Professor Fang is only an associate professor, in our hearts, there is a sequence to learning, and Team Leader Fang's skills are still top-notch." Du Donglin sincerely gave a thumbs up.

Everyone had their doubts, but Fang Ziye didn't waste any time on arguing. He simply presented the functional reconstruction technique he had developed to them. What could they say?

Fang Ziye has already grown up, possessing technical skills, achievements, a reputation in the industry, and a refined demeanor.

Having gone through such a phase, Du Donglin understood Professor Li Yongjun's feelings at this moment even better: "Professor Li, you are from vascular surgery, so you may not know, but Professor Fang in our orthopedics department is somewhat of an all-rounder, a master of everything and outstanding in everything."

Du Donglin's voice was not exaggerated; it was like chatting casually.

The more he spoke in this tone, the more credible he became. There was no need to flatter Fang Ziye further; it was simply the truth, just casual conversation.

"Professor Du, what is the current stage of this diabetic foot?" Upon hearing this, Li Yongjun steered the conversation back to professional matters.

Li Yongjun is not an endocrinologist, so his understanding of blood sugar regulation and diabetes medication may not be deep enough. However, since he decided to perform surgery for diabetic foot, he had specifically studied the staging process.

"The Wagner classification is the most commonly used clinical classification for diabetic foot ulcers. It is a systematic classification used to assess the severity of diabetic foot ulcers and lesions and can be divided into 5 levels."

"Level 0 only indicates symptoms."

"Wagner grade 1 is characterized by superficial skin ulceration on the foot!"

"Wagner grade 2 is a deep ulcer or disease that has begun to spread to the soft tissues, but has not involved the bones or joints;"

"Grade 3 deep ulcers involve muscles, tendons, or joints, but without obvious abscesses; Wagner grade 4 is severe abscesses, abscess spread, or necrosis, usually requiring surgical treatment. Grade 5 is foot necrosis."

After explaining the classification, Du Donglin said, "Currently, the most common cases requiring surgical intervention are level 3 and level 4."

“Level 5 surgical intervention is not very effective and is considered a last-ditch option for survival.”

"Currently, there is no successful limb-sparing treatment for stage 5 in the industry; otherwise, stage 5 might be classified as stage 4."

Wagner stage 5 is a conceptual stage; the limb is already necrotic and requires amputation.

This is the consensus in the industry and the current guideline for the treatment of diabetic foot. The guideline was formulated based on the current progress of scientific research and the general level of treatment.

While Professor Li Yongjun and Professor Du Donglin were talking, Fang Ziye had already dressed and gone up on stage.

Seeing this, Li Yongjun took the initiative to stand up and said, "Then let's go and observe and learn together."

"I've always heard of Professor Fang's reputation, but I've never seen him perform surgery."

Du Donglin also stood up.

Professor Ye Fusheng of the Hand Surgery Department gave the lead surgeon position to Fang Ziye, saying, "Professor Fang, I only performed superficial debridement."

"Although you have given me instructions on how to clean the surface before, I still think it is very difficult and I cannot perform it with such precision."

Professor Ye Fusheng spoke with a strained voice, sounding quite embarrassed.

Debridement is just a basic skill in surgery, but even he, a professor, found it very difficult to perform and was even afraid to continue the incision.

This is the third case in the group. In the previous two cases, Fang Ziye demonstrated and conducted preoperative discussions, but they couldn't fully understand them either.

This still requires time and effort to understand and fully comprehend.

Fang Ziye took the scalpel and said with a smile, "Professor Ye, it's alright. The two surgeries I performed earlier were only partial successes. They didn't mean the patients would be cured immediately. This shows that we still need to explore further."

"But at least the feet of the first two patients are now showing signs of healing, and we still need to find ways to repair and improve them."

"In fact, the two most critical basic pathological changes in diabetic foot are ulceration and infection."

"Our feet are the stress points and the places where we stand. Sensory nerve damage combined with excessive mechanical stress is the main initiating factor for foot ulcers and infections."

"Once the initiating factor is present, inflammation and tissue damage result from a certain degree of repeated stress applied to a specific area that has lost sensation. Pressure or shear force from the ground, shoes, or other adjacent toes leads to ulcer formation, and due to the lack of normal neuroprotective mechanisms, the presence of bony prominences often exacerbates the ulcer."

"The pathology of diabetic foot leads to lesions in the autonomic nervous system, resulting in the loss of normal skin sweat regulation, skin temperature regulation, and blood circulation regulation, which in turn reduces the flexibility of local tissues, forming thick calluses and making them more prone to breakage and cracking."

"In addition, the loss of normal perspiration ability blocks the rehydration of local tissues, causing further tissue damage and making deeper tissues more susceptible to bacterial colonization."

"This is due to the inherent static factors such as sensory nerves and stress."

"To perform limb-sparing surgery for diabetic foot, we must understand these pathogenesis mechanisms."

"Of course, high blood sugar not only affects sensory nerves and sweating, but also causes contractures in the intrinsic muscles of the foot, resulting in the typical claw toe deformity. Vascular lesions also make it difficult for damaged tissues to heal!"

"Over time, this small wound has formed." Fang Ziye said, gesturing a circle towards the patient's ulcer.

"The wound may not be large at first, but it is directly connected to the outside world, and the damage to the skin and soft tissue allows foreign bacteria to invade."

"Changes in chemotaxis lead to inefficient white blood cell responses. In addition, hyperglycemia, decreased oxygen partial pressure, and malnutrition can all contribute to tissue edema, acid buildup, hyperosmolarity, and inefficient anaerobic metabolism."

"Such an environment is conducive to bacterial growth and hinders the function of white blood cells. In addition, vascular disease can restrict antibiotic transport, further reducing the efficiency of bacterial clearance, leading to local soft tissue infections and even osteomyelitis."

"In summary, there are actually three main causes of diabetic foot ulcers and necrosis: vascular factors, infection factors, and stress factors."

"Stress is the initiating factor, it is the first factor, but when treating diabetic foot, it becomes the least critical factor. It is the last factor to be treated."

"When performing limb-sparing surgery for diabetic foot, we still follow the treatment principles for infection and ulcers."

"Thoroughly clean the wound, apply antibiotics locally, restore local blood supply, and promote microcirculation."

“In my personal opinion, it is difficult to define what constitutes thorough debridement…” Fang Ziye said, then picked up the scalpel and began to perform debridement.

Debridement is very simple; it involves excision!

It is similar in principle to incision.

However, at a more advanced level, debridement techniques go beyond simply differentiating between angles, depths, and the shape of the excision...

Fang Ziye's debridement skill is at level 6. Debridement is the most basic skill in trauma surgery, and it was also one of the first skills that Fang Ziye upgraded to level 6.

Fang Ziye actually understands what is needed for debridement of diabetic foot, but he finds it difficult to express it directly in words.

It's a force, a force that reverses existing treatment perceptions. If it can be clearly expressed, it evolves into a theory that changes existing treatment guidelines!
The basic principles will not change, just like the fundamental skills of medicine. They may remain unchanged for decades or centuries to come; these are still the most basic skills.

"Hmm?" As soon as Fang Ziye picked up the knife and began to cut into the ulcer on the patient's sole, Professor Li Yongjun immediately narrowed his eyes.

He is also skilled in open surgery. Vascular surgery has very high requirements for open surgery, and it is even a higher priority than orthopedics.

Because some emergency surgeries in vascular surgery require rapid incision and hemostasis, such as rupture of the abdominal aorta or abdominal aortic aneurysm.

Therefore, Professor Li Yongjun's incision technique is quite remarkable.

However, at this moment, Li Yongjun seemed to see his own reflection in Fang Ziye.

Du Donglin was not surprised to hear Professor Li Yongjun's voice; on the contrary, he felt it was perfectly reasonable.

On the contrary, Professor Li Yongjun's reaction was less intense than he had expected.

When he first saw Fang Ziye operate it, his mood and expression changed drastically, as if he were falling at the speed of a free fall.

Li Yongjun then took two steps back, shook his head, and muttered to himself, "I thought I'd seen a ghost. Incisional surgery and debridement complement each other and are very difficult to distinguish!"

Professor Du Donglin then added, "Professor Li and Professor Fang both have very solid fundamentals."

He wasn't exaggerating; he knew that praising Fang Ziye at this point would be useless, and that Li Yongjun should see for himself.

Li Yongjun is a professional surgeon, and he can see Fang Ziye's skill.

Upon hearing this, Li Yongjun frowned.

It wasn't just Professor Du Donglin's words that made him suspicious, but also the fact that after watching Fang Ziye operate for two or three minutes, he felt something was "strange"!
To be honest, Peking Union Medical College Hospital, where Du Donglin works, is one of the top hospitals in China, and there are quite a few people with national-level skills!

Du Donglin, a big shot who rose to prominence there and a giant in the industry, had long been used to such things after so many years in the business.

However, he was not only surprised that Fang Ziye's operation had reached this point, but he also felt that the skills of some of his seniors and old friends were probably still a bit lacking compared to Fang Ziye.

However, he found it difficult to articulate exactly where the difference lay.

After all, he wasn't a professional in wound healing.

Vascular surgery specialists do not have very high requirements for debridement techniques!
As the surgery continued, Du Donglin noticed that Professor Li Yongjun next to him had his eyes wide open like eggs and was completely petrified.

His whole body was stiff, as if he didn't know how to speak.

Du Donglin wanted to interrupt, but out of politeness, he didn't say anything.

Du Donglin wondered, what on earth did he see? Why did Professor Li Yongjun look so strange?

He's a top expert at the vice chairman level of the National Branch of Vascular Surgery, isn't that a bit of an exaggeration?

Du Donglin hesitated and wanted to speak many, many times.

Even for professionals in the field, Du Donglin struggles to assess what level of expertise a professor currently possesses in hand surgery is at.

However, Fang Ziye was one of the best professors he had ever seen in terms of technique.

He looks from the bottom up, and many people are more skilled than him, so it's hard for him to tell who is better.

After about fifteen minutes, Li Yongjun finally came to his senses: "Is this some kind of ghost?"

"impossible?"

Du Donglin immediately turned his head and found that Li Yongjun was in the same 'confused' state as before, his eyes wide open and rounder than before.

Du Donglin: "..."

You only say half of what you mean, right?
Just wait for me.

Of course, Du Donglin's feelings were also complicated at this moment. He felt that he and the others might not have realized Fang Ziye's true brilliance.

This lack of awareness stemmed entirely from their own insufficient skill, which led them to regard Fang Ziye as a "master-level" player.

actually?

We all misunderstood Fang Ziye's strength. He's not even in the Hall of Fame anymore, but...

"No way?" Du Donglin started scratching his scalp with his right hand.

He's not even going to stay on this floor of the hall anymore, where is he going?
Once you enter a field, you'll know its depth and its limitations, and you'll know where the ceiling is.

Those who can reach the national level in an industry are all exceptional individuals, one in ten thousand.

One in ten thousand?

Are you kidding me? How many people in the whole country practice single-specialty fields? Are they all idiots?

Professor Du Donglin's mind suddenly changed.

Li Yongjun moved. He took two steps forward like a penguin, carefully and attentively observing the maximum distance he could get to the operating table!
There are standard observation criteria in the operating room, and Du Donglin is certain that Professor Li Yongjun is strictly adhering to these criteria at this moment.

Then he punished himself by standing on tiptoe, chin up, and remaining motionless...

Du Donglin couldn't see Professor Li Yongjun's expression at all; he could only see that his brows would furrow one moment, relax the next, and then become animated, and then his forehead would crease in a deep frown.
"Professor Li, if you'd like to see it, shall we wash our hands, get dressed, and go up on stage?" Du Donglin felt it was necessary to do something.

After all, the visitor is a guest, and this guest is quite distinguished; he may even become a 'colleague' in my workplace in the future, so he should be treated with courtesy.

"Is this appropriate?" Li Yongjun wasn't annoyed that Du Donglin had interrupted his thoughts; in fact, he was quite interested. "It's alright, we just won't go on stage." Du Donglin guessed that Li Yongjun didn't have the surgical authority for orthopedics, nor for most surgical authority for vascular surgery.

Although access is most open in sanatoriums, everyone generally adheres to the unwritten rules of the underworld.

The diseases you're already treating here are already the limit of your specialty. If you want to go beyond your specialty and treat the most extreme diseases in other specialties, aren't you just asking for trouble?
Humans and rattlesnakes are from different species. If you insist on imitating Xu Xian, aren't you just asking for death?

"Then let's go up to the stage and take a look..." Li Yongjun walked straight out of the operating room to wash his hands, without being polite to Du Donglin at all.

This made Du Donglin even more certain that Li Yongjun had definitely discovered some incredible secret.

They watched this secret every day, followed the person closely, and never discovered it.

This is absolutely humiliating...

Professors Li Yongjun and Du Donglin's appearance on the operating table did not affect the surgical process in any way. The two also followed the rules of the trade, keeping a distance from each other. They simply sat on the opposite side of the instrument table, at the patient's feet, to watch closely and have an excellent view.

The two of them tacitly remained silent, simply sitting there, occasionally exchanging glances with the scrub nurse, who looked at them as if they were 'exhibits'.

Li Yongjun remained silent until the surgery was completely finished, demonstrating exceptional composure.

Professor Li Yongjun walked over with a smile and came up behind Fang Ziye as he stepped away from the operating table, saying in a sweet voice, "Professor Fang, let me help you."

Du Donglin: "???"

Ye Fusheng: "???"

Yao Zhanzhong: "???"

Is this some inexperienced sycophant who's come to fawn over us?
Is he really just a vice chairman of a national branch? A top expert? An academic leader?

Is it okay to lick like that?

Du Donglin and the others exchanged glances.

Du Donglin understood what the other two professors meant, but dared not reply.

"Thank you, Professor Li. Let me help you." Fang Ziye's tone was much calmer.

"Teacher Li, I thought you had gone back!"

Li Yongjun didn't say anything during the meal, and Fang Ziye assumed he had gone out to eat.

After all, it's already 2 p.m., past lunchtime.

Professor Li Yongjun said, "Professor Fang, it's better to meet by chance than to meet by plan. We've met by chance again, and this is a very deep connection."

"I wonder if there's a toasting rule at this sanatorium? If not, how about we go out for a couple of drinks and invite Mingxian along?"

Upon hearing this, Fang Ziye glanced at Du Donglin and the others.

Li Yongjun then realized what was happening and, in a goofy manner, added, "Professor Du, would you like to come along?"

I'll be with your great-uncle!

You're just playing by yourself, aren't you? You're so engrossed in playing that you can't even think straight anymore, huh?
Don't they even know the most basic etiquette?

I treated you like a VIP, and you invited me to dinner without even mentioning my name? Screw you!
"Professor Li, I won't go. I have a pre-operative consultation this afternoon," Du Donglin casually made up an excuse.

Fang Ziye didn't try to dissuade him, and left the operating room with Professor Li Yongjun.

Li Yongjun came with him, so he was responsible for receiving them; Du Donglin and the others were also aware of this rule…

After Fang Ziye and Li Yongjun left, Ye Fusheng exclaimed softly, "Professor Du, is this really Professor Li from the Department of Vascular Surgery? He was the director of the Department of Vascular Surgery at Kyoto Hospital before?"

Du Donglin nodded.

Then he nodded again: "It shouldn't be wrong..."

"That's really strange. With that kind of reaction ability, how good can he be? Is it all luck? Or did he see a ghost today?" Ye Fusheng also scratched his ear.

……

"Professor Fang, medicine and scientific research are actually always a closed loop. As the saying goes, the greatest truths are the simplest."

"For us medical students, our path to success lies in the fundamentals, and our future also largely depends on those fundamentals. So-called techniques, advanced procedures, and all the fancy theories are just scenery along the way."

"No matter how beautiful the scenery you've seen, if you want to climb another peak, you still have to rely on your own physical strength!" Li Yongjun understood, and subtly expressed that he understood this meaning.

Fang Ziye smiled slightly and replied, "Thank you for your guidance, Teacher Li. I think so too."

"The mature techniques in vocational colleges have all been developed step by step from basic skills to professional basic skills and vocational basic skills."

Before the surgical procedures were officially named, the terms used for the procedures were very simple.

Fracture treatment is simple, right?

However, before the 20th century, no one thought that open reduction and internal fixation could be performed.

Unified conservative treatment.

If you're lame, you're lame; if you're broken, you're broken...

The principles of infection treatment are simple, right?

Before the 20th century, few people believed that debridement and antibiotics could cure it; the only options were amputation or waiting to die…

That's how medicine developed.

"Professor Fang, I finally understand why you can keep Mingxian so obedient."

"Mingxian is so lucky!"

Li Yongjun's face was flushed, and he looked very pleased with himself, as if he couldn't hold back his laughter: "But I was also lucky, very lucky."

Li Yongjun's gaze was aggressive, naked, and completely undisguised.

Besides admiration, there was even a hint of "love," as if he were in heat, making Fang Ziye extremely uncomfortable.

"Professor Li, please don't look at me like that."

"I?"

"Whatever you want to say, I'll agree." Fang Ziye shifted to the side, turning his backside completely.

He was afraid that Li Yongjun would force himself on him, although that possibility was almost nonexistent.

“Professor Fang, let’s eat and chat! Let’s eat and chat…” Li Yongjun led Fang Ziye out of the operating room.

Then he sent a message: "Mingxian, come out for a second, let's go eat together..."

The two walked side by side, and Professor Li Yongjun's expression and eyes returned to normal.

"Professor Fang, if I'm not mistaken, your suturing technique is quite extraordinary, isn't it?"

“Otherwise, you wouldn’t be able to treat this kind of ulcer so easily,” Li Yongjun pressed.

Yes, Li Yongjun is the first to discover that his suturing skill has been upgraded to level 6.

After accumulating some knowledge and raising two sums of 50,000 yuan, Fang Ziye also started practicing his suturing skills to prepare for limb-sparing surgery for diabetic foot.

Although the skill of diabetic foot limb preservation surgery has not yet been developed, Fang Ziye already has a good grasp of it.

This immature, non-existent technology must be created through innovation.

Innovation always begins with building upon the fundamentals, progressing step by step until a routine is established. After summarizing and refining this routine, it becomes a technique, and only then can one speak of proficiency in that technique.

The simpler the principle, the harder it is to discover.

The greatest truths are the simplest, yet the most complex.
Li Yongjun clapped his hands immediately: "Professor Fang, I really regret not meeting you sooner. If only I had met you twenty years earlier!"

Fang Ziye then joked, "Teacher Li, twenty years ago, you were in your thirties and I was nine. I couldn't even solve equations."

Li Yongjun: "..."

……

In a private room at a farmhouse restaurant at the foot of the sanatorium, after Fang Ziye and his two companions sat down, Nie Mingxian offered to pour them tea: "Teacher, didn't you say you were coming to the lab this afternoon? Why did you go to the operating room again?"

"There shouldn't be any vascular surgery cases in the operating room right now, right?"

Nie Mingxian addressed Li Yongjun as "teacher," not as "master" as commonly used at Zhongnan Hospital where Fang Ziye worked.

Every place has its own name, and either way is acceptable.

"Me? I'm off treasure hunting!" Li Yongjun said directly.

Then he asked, "Mingxian, do you remember what I told you before? In this world, ideas are very important, but what we lack is not ideas, but the ability to turn ideas into reality!"

Nie Mingxian nodded: "I know, teacher. You also said that what is currently limiting our development is not the direction of our thinking, but the foundation for turning our thinking into reality."

"Therefore, we need to find the right idea that matches our own style from among these fluctuating ideas!"

"This is the essence of knowing yourself and your enemy, and you will win every battle!"

Fang Ziye was a little confused, but he roughly understood it. The theory was very interesting, and he needed to study it carefully.

Li Yongjun then said, "Professor Fang, you may not be very familiar with my point of view, but it is actually very simple."

"If the shoe sizes sold in this world are ideas, then the size of our feet restricts the ideas we can adapt to!"

"Without good ideas, ideas that suit you, even the best ideas are useless."

"There are many people with wonderful ideas, but the truly remarkable people are those who can turn these wonderful ideas into reality."

"This also means that our current education system should place greater emphasis on basic education, so that we can select a few highly capable individuals from among those with basic skills who are also very capable in their work and research, and thus drive scientific progress."

"This is just my personal opinion," Li Yongjun said.

"Go order the food, Mingxian," Li Yongjun instructed, turning his head slightly.

Nie Mingxian then withdrew. His teacher had only spent half a day in deep contact with Fang Ziye, and his condition changed drastically, which must have made him even more certain of his previous guess.

This time it's not just speculation; Fang Ziye is definitely a formidable figure!

Fang Ziye was secretly amazed. No wonder he was a professor at Peking Union Medical College Hospital. His perspective and ability to summarize and generalize about things were indeed very strong.

Ultimately, the process of reflection and summarization is a form of philosophical thinking.

Many mature people have this sense of restraint.

Fang Ziye has not yet formed a systematic approach to achieving his goals, and he has also developed this feeling.

This is also a true scholar, and he himself discovered his academic perspective.

"Professor Li, if you come to the sanatorium, will you choose to do your own research or work with us on bone tumors?" Fang Ziye abruptly changed the subject.

If you don't have a worldview and understanding that corresponds to Li Yongjun's, don't force yourself to agree with him, lest you make a fool of yourself. Just take it as listening to his education and lessons!

"Of course, it's about our core research area in vascular surgery!"

"Professor Fang, the miniature circulation device only changes the treatment of orthopedic tumors; the changes in our interventional therapy theory in vascular surgery will transform the treatment system for all tumors!"

"Although medicine is divided into many subspecialties, they are all on the same path. Each specialty can generate many ideas that can be learned and referenced by other specialties."

"Once you understand one thing, everything else will fall into place!"

"So, the specialization is both not particularly important and not particularly important. We can only stand on the side that is more advantageous to us."

"We must also consider clinical and research issues from our own perspective."

"Professor Fang, is that right?" Li Yongjun asked.

Li Yongjun's reply was very formal and cautious. To a certain extent, his reply went beyond simple academic exchange and entered the realm of philosophical discussion.

Fang Ziye was actually a bit out of his depth when it came to this.

Because of Fang Ziye's life experiences, he hasn't had time to engage in this level of philosophical thinking!
"I'm sorry, Teacher Li, I'm still only considering specific things and specific directions, and I haven't done any generalization or summarization."

“Just randomly hammering here and there,” Fang Ziye replied honestly.

If you have this kind of thinking flaw, you have to admit it. Once you admit it, when you see someone who is better than you, you have to learn from them!

This is the meaning of "learning has no end".

"It's alright, Professor Fang. It's better not to have experienced it; it makes one more pure."

"In fact, so-called thinking and meditation are all about emptying ourselves and narrowing our perspective on things. Perhaps the simplest approach is the most appropriate. Sometimes we think too much."

“On the contrary, we don’t know where to start,” Li Yongjun replied very cautiously.

Fang Ziye felt even more annoyed.

Similarly, I have even greater respect for the person in front of me; many of their thoughts and ideas are almost within my grasp...

This is also the first 'big shot' I've ever had in-depth contact with!
The two academicians in orthopedics only gave me a few pointers; they never had such an in-depth exchange.
(End of this chapter)