top student at medical school

Chapter 675 Level 7 Skill and Major Breakthrough! ~ (Please Subscribe)

Liu Huanglong is one of the pioneers of functional reconstruction surgery, but there are also some functional impairments that are beyond his capabilities!

Some directors at prefecture-level city hospitals certainly have shortcomings. But if the results are too poor, it's better not to implement it at all.

The conversation didn't touch on the progress of the surgery.

The operating lights cast a cold, white halo overhead, and the smell of disinfectant, mixed with the chill of metal instruments, wafted over. Fang Ziye adjusted the angle of the surgical magnifying eyepiece, his polyester gloves stretching into fine wrinkles at the knuckles.

Through the microscope, the patient's damaged tendon fibers lay scattered like saplings broken by a hurricane, in a quagmire of blood clots and scar tissue.

"Start two more pulse flushes." Fang Ziye's voice sounded somewhat muffled under his mask, and the circulating nurse immediately turned the pressure pump knob all the way clockwise.

The transparent curtain formed by saline washes over the surgical field, removing debris while also revealing deeper structural damage—collagen fibers that should have been arranged in parallel now present an eerie spiral twist, like tin foil that has been crumpled and unfolded by a naughty child.

While giving Fang Ziye's assistant a hand, Liu Huanglong replied, "We have no right to speak without a detailed investigation. Besides, it's not appropriate for us to get involved in this kind of thing."

"If others are willing to take responsibility, why should you be the referee?" Liu Huanglong said.

Fang Ziye's microsurgical scissors suddenly hovered in mid-air. The scrub nurse immediately pushed the spare 5-0 Priligy sutures forward half an inch, but he waved his hand and asked for a high-frequency electrosurgical unit instead.

The circulating nurse in the hand surgery department had very little time to spend with Fang Ziye, so they didn't have enough rapport.

With a hissing sound, a wisp of smoke rose from the burning capillaries, swirling into a pale blue mist under the operating light.

“Therefore, the authorization of new techniques must be approached with utmost caution.” Fang Ziye’s voice was enveloped in the hum of the electrocautery as the blade precisely sliced ​​through the fibrotic area. Under his hands, the subcutaneous tissue, which had been clumped together, gradually revealed clear anatomical layers, much like frozen earth touched by a spring breeze.

“Let students who have just learned sketching draw the Mona Lisa—” Fang Ziye nimbly twirled the microscopic needle holder between his fingers. “However, to do functional reconstruction well, in addition to having solid basic skills, it may really require a bit of Leonardo da Vinci’s imagination.”

Liu Huanglong then replied, "However, Professor Zhong Junyu has also noticed this matter. It is estimated that he will conduct a detailed investigation by the end of this year and then make recommendations to the Health Commission!"

"We must be cautious in granting licenses and revoke a number of surgical licenses."

The reason why new techniques need to be authorized is to deal with such situations.

In principle, the authorization for any surgeon to perform any surgery is granted by the National Health Commission; however, some surgical authorizations are delegated to hospitals and departments.

"This surgery is a bit tricky, but we can only deal with it as it comes."

"Teacher Liu, I haven't figured out a surgical method for small incisions yet. Let's not try to be unconventional or seek novelty next time," Fang Ziye said.

Liu Huanglong nodded, but still pressed on, "Ziye, what about that patient of yours from last time? What was the outcome?"

"It barely meets the standard, although it's only 85% of the required level. But it's enough."

Everyone's condition fluctuates, and Fang Ziye cannot guarantee that he will always be at 100% of his best. However, he performs at least 90% of his best in every surgery.

"Having good basic skills is still a good thing."

“However, those moves of yours are no longer considered basic skills.” Liu Huanglong smiled enviously.

The atmosphere in the operating room eased slightly because of this joke. Amid the beeping of the anesthesia monitor, Associate Professor Li Qi leaned closer to observe, his lens reflecting Fang Ziye's fluid and skillful operation. When he saw Fang Ziye use bipolar electrocautery to create a temporary blood supply channel in a gap of less than two millimeters, he couldn't help but exclaim softly, "This approach design... I've never seen anything like it before."

After Liu Huanglong arrived, he took over Professor Zhou Ziyu's group, and Associate Professor Li Qi is still working with Liu Huanglong.

After Fang Ziye took the stage, he immediately gave up his seat and earnestly observed and learned from Fang Ziye.

“Professor Li, I just came up with this idea on the spur of the moment; I haven’t seen it before myself,” Fang Ziye replied calmly.

Once the operation becomes a fixed and effective routine, then it becomes a surgical procedure; otherwise, it is still just a basic skill operation. Fang Ziye is now using his profound basic skills to break down the disease, without any fixed routine.

Associate Professor Li Qi, who already thought Fang Ziye was very impressive, became even more convinced of the saying "a great reputation is well-deserved" after seeing Fang Ziye's operation officially begin. As a result, he became more humble and occasionally asked a question or two...

Fang Ziye answered all of them one by one.

There is no standard procedure for functional restoration surgery. It can only be done by adapting to the situation and then re-performing the functional reconstruction. The standard definition should be functional reconstruction and repair surgery.

Fang Ziye had another one done. The results during the surgery were okay, but he wasn't sure if the results would be as good as the first surgery.

"Teacher Liu, let's leave it at that for now. I've done my best."

"Postoperative functional recovery is promising, but it may still be less effective than postoperative recovery for patients with simple functional impairment."

“Any surgery, once performed, will leave traces on the patient’s body.” Fang Ziye admitted defeat…

The time also indicated 7:30 PM.

Today's two surgeries were very time-consuming.

Revision surgery is more difficult and takes longer than a single surgery.

"That's the only way." Liu Huanglong nodded.

"Want to go out for dinner together?"

"No, Professor Liu, I have to go to the lab today; I have some things to do," Fang Ziye said.

"You still go to the lab yourself now?" Liu Huanglong exclaimed in amazement.

"Truly worthy of being called the King of Curly-haired Baboons."

"There's no other way, Teacher Liu. My resources are limited, and several of my students are still in Enshi. If I don't do the things I need to do now, no one else can," Fang Ziye replied.

Liu Huanglong chuckled awkwardly a few times upon hearing this, then nodded stiffly: "Then go ahead..."

Fang Ziye had once again transcended his field of vision. Fang Ziye's vision and abilities were far beyond his comprehension. Therefore, even if he asked about the things Fang Ziye could do but didn't say, he couldn't help.

It would be better to be sensible.

Fang Ziye started ordering takeout as soon as he left the operating room.

After thinking about it for a while, I decided to order the same barbecue rice restaurant that Luo Tingzhu and I used to frequent.

When Fang Ziye pushed open the laboratory door, the digital clock showed 20:47 PM. The corridor ceiling light stretched and shortened his shadow, finally fixing it on the iris scanner of the access control system.

However, the grilled meat rice is pre-made, so it arrives quickly.

Fang Ziye had just put on his lab coat when the delivery guy appeared at the door. He had no choice but to take off his coat and walk out, where he made a video call with Luo Tingzhu.

Fang Ziye was still squatting on the steps where he had previously eaten with Luo Tingzhu.

However, his mindset has changed, so his mood while eating is also quite different. Fang Ziye no longer feels lost about the future.

"Senior, look at this!" Luo Tingzhu suddenly turned his phone towards the microscope eyepiece during the video call. The tumor cells in the culture dish resembled a starry sea under fluorescent labeling, but some areas showed a strange vortex-like arrangement. "In the third repeat experiment, the control group also showed the same chemotactic migration."

Fang Ziye paused, his hand still gripping the takeout packaging. The aroma of the grilled meat rice mingled strangely with the distinctive smell of phenol red reagent wafting from outside the lab. He stared at the fluorescent spots on his phone screen, his Adam's apple bobbing: "Send me the metabolomics data..."

Luo Tingzhu's face reappeared on the screen, her ponytail slightly loose, with faint dark circles under her eyes.

She reached out and poked the camera lens, as if trying to reach through the screen and poke Fang Ziye's forehead: "Professor Fang, it's your legal dinner time now. Professor Duan's AI prosthetic limbs went on strike yesterday in protest. Can you bear to let humans die from overwork?"

Fang Ziye smiled and raised his chopsticks in surrender, completely unaware that grains of rice were stuck to the corners of his mouth. The fume hood above him emitted a low hum…

"Your speaking skills have improved a lot now!"

"Then I'll stay silent and watch you eat." Luo Tingzhu rested her chin on her hands, her gaze gentle, her eyelashes fluttering incessantly in the video.

After quickly finishing his video call with Luo Tingzhu, Fang Ziye said, "Tingzhu, you rest a little longer. I need to go to the lab too."

“I have informants in your lab. You didn’t leave the lab until 2:23 a.m. last night.”

"If I find you leaving the lab this late again, I promise I won't hit you."

Upon hearing this, Luo Tingzhu stuck out her tongue: "Senior brother, our group worked overtime yesterday, it wasn't just me."

"It's already September. The clinical trial of combining the microcirculation device with chemotherapy will officially begin in October."

"I still need to contact the designated testing unit; there's a lot to do."

"Also, Brother Nie and Professor Liao have been working overtime like crazy lately, doing experiments."

"The night before last, Sister Liu came to my place looking for people, asking if they had gone out partying..."

Fang Ziye: "..."

His colleagues are all working hard, so he can't be too lazy. After taking a break for almost half a month, Fang Ziye is about to officially start working.

Fang Ziye worked overtime that night, and this pace continued for almost half a month...

July 27, 9 p.m.

Fang Ziye received a call from Liu Huanglong: "Ziye, you can't miss the 9 PM high-speed train tonight, can you?"

"We'll meet at 6 p.m., have dinner together, and then go to the high-speed rail station."

"If this goes wrong, Director Du and Dean Wang will skin us alive."

If you miss the meeting while going to receive the national award and end up making a fool of yourself by not attending, you might really get beaten up!
"Professor Liu, I'm out of the lab now, and I've finished my work here."

"I'm going back to pack my bags right now!"

“My fellow disciples, my two masters, and my wife have been calling me since this morning.”

"Just now, Li Yuanpei personally came over to remind me, just in case I forgot the time," Fang Ziye replied with a smile.

Even when he's busy with experiments, he never forgets the time.

If you've put in enough effort and achieved certain results, it would be far too aloof to refuse a reward.

This time, the award ceremony was held at the Great Hall of the People in Kyoto.

Although Fang Ziye is just a minor participant and not a top-level figure, he may still have the opportunity to enter such a circle.

After receiving the award, Fang Ziye's ranking will always be different from everyone else's.

Well, although Fang Ziye didn't receive the Excellent Young Scientists Fund or the Outstanding Young Scientists Fund, the National Science Fund is even more prestigious than those two awards, and it has no educational or age restrictions.

Generally speaking, those who can win the National Scholarship can absolutely look down on those who are outstanding young scientists or outstanding young scientists, while outstanding young scientists can only show the highest respect to those who win the National Scholarship.

Fang Ziye has once again achieved a breakthrough by taking a shortcut.

There wasn't enough time to give outstanding young players and national youth teams a chance.

"It's good that you haven't forgotten."

"I'm afraid you'll forget the time when you're busy. I've also heard that you've been going to the lab a lot lately, leaving early and returning late."

“He didn’t go anywhere except for surgery and the training room.” Liu Huanglong was clearly very concerned about Fang Ziye’s whereabouts.

However, Liu Huanglong wasn't curious about what Fang Ziye was doing.

Can you just casually talk about basic experiments in the lab?

With Fang Ziye's current research background, he could casually mention an important research topic that is a secret of the research group.

I'm a researcher myself, there's no need for me to be so rude.

"See you this afternoon, Teacher Liu!" Fang Ziye ended the call proactively.

After hanging up the phone, Fang Ziye rushed straight from the lab to the street, and then took a taxi back to Luo Tingzhu's house.

I turned on my computer and started chatting with Academician Zhang Limin.

However, Zhang Limin did not reply immediately after Fang Ziye sent the message.

Fang Ziye could only wait patiently for a while.

Because Fang Ziye had been chatting with the other party recently, he knew that the other party must have set up special notifications for his messages, and it was inconvenient not to reply.

Sure enough, five minutes later, Fang Ziye's phone rang: "Professor Fang, I was in a meeting just now. After seeing your message, I excused myself to go to the restroom for a while."

"It won't take long!"

Fang Ziye immediately said, "Teacher Zhang, let's discuss some particularly detailed matters when we meet tonight!"

“I have recently done a lot of research and conducted some trial-and-error experiments. I have found that the new tumor inducer I mentioned to you before is showing some promise.”

"I consulted some literature and materials from chemistry, physics and other related disciplines, and finally narrowed down the suspected substances we had previously discussed to eleven types."

"I suspect that in the end there may be more than one carcinogen, possibly two or even three."

Professor Zhang Limin studies the pathogenesis of common malignant tumors. He is dedicated to identifying tumor driver genes through multi-omics data, accurately classifying tumors, identifying novel prognostic biomarkers and therapeutic targets, deeply mining omics data, and systematically elucidating the functions and mechanisms of key genes and pathways.

His research focuses on finding the causes of disease and identifying the internal and external factors that lead to cancer, not just molecular sequencing of tumors.

Professor Zhou Yan entrusted Fang Ziye with the task. In the early stages, Fang Ziye only determined that the microenvironment would induce tumor mutations, but he could not pinpoint exactly which substance it was.

It's equivalent to simply identifying a phenomenon.

In this situation, it seems like finding a needle in a haystack.

However, there are certain patterns to follow: all substances detected in the microenvironment need to be re-examined, their chemical and physical properties identified and differentiated to see if they share similar chemical and physical structures with other similar carcinogens. This helps identify potentially unproven substances that may indeed contribute to a high incidence of cancer.

Fang Ziye has actually been doing this all along, but he injured his hand a while ago.

Aside from participating in group discussions, I spend all my other time doing this.

Professor Zhou Yan knows the benefits of "prevention of disease," and Fang Ziye is no fool either. He knows that if a new carcinogen can be identified, it would certainly be a great achievement.

"Professor Fang, thank you for your trouble."

“We used a reduced sampling method, but it’s still not as accurate as Professor Fang’s inference method.” Zhang Limin’s tone was also quite excited upon hearing this.

The so-called halving method involves removing a portion of various substances and using the remaining substances as a microenvironment to supply normal cells, in order to determine whether it will cause abnormal changes in animals.

After sequencing the animals, we observe the atypia in their normal tissue cells or whether there is an increase in the inducers of pathogenic genes, in order to infer their location...

These are all good and commonly used methods.

"Professor Zhang, it might have been luck. Actually, I also used the sample reduction method in the actual operation."

"It's just that I'm lucky," Fang Ziye said with a smile.

"Professor Fang, as we all know, luck is also a part of ability."

"Professor Fang, thank you for your hard work this time. Your discovery may shorten our working years by at least three years," Professor Zhang Limin said.

Redefining a new carcinogen is not something that can be done in a short time; it usually takes five, fifteen, or even fifty years to add one.

Even if someone is extremely talented and has excellent skills, a sudden flash of inspiration can only reduce their workload every six months or a year.

"Professor Zhang, shall we talk again when we meet?"

"I was mainly worried that I wouldn't be able to get an appointment with Professor Zhang, so I sent you a message in advance," Fang Ziye said.

Many people want to meet with Zhang Limin, whether for meals or business collaborations. If seniority is the deciding factor, and disregarding Professor Zhang Limin's personal preferences, Fang Ziye would have to wait at least several months.

After all, Fang Ziye was just an associate professor, at most a special associate professor.

Fang Ziye's current research achievements are very advanced, but the decades of accumulation by some particularly well-known senior professors are not necessarily inferior to Fang Ziye's.

"Let's talk when we meet."

"I'd like to invite Professor Fang to dinner tonight," Professor Zhang Limin said very politely.

Collaborating with people who understand scientific research makes you true friends.

A thousand cups of wine are not enough when drinking with a bosom friend!

Zhang Limin, on the other hand, thought Fang Ziye was a very interesting person; it could be said that they became friends after a fight...

Moreover, it was his student's family member who provoked Fang Ziye first, so Fang Ziye had a perfectly legitimate reason to retaliate.

……

After hanging up the phone, Fang Ziye looked at his skill panel.

[Medical Basic Cellular Experiment Technology Level 7 0/0 (Cannot be upgraded, unique characteristic, redefinition)]

It seems simple, and the phrase "cannot be upgraded" is easy to understand.

However, the subsequent redefinition of the only characteristic is a conceptual skill.

If the passive ability of a level 6 skill is to quickly discover a flaw in a scientific or technological field and then improve it through certain methods?

The passive effect of the level 7 skill is to always maintain the most advanced thinking mode and the most flexible thinking circle. It can learn and capture any slight movement with great sensitivity, and independently deduce an experiment until it becomes a new redefinition, the perfection of the present world.

You'll never understand this skill until you reach this level.

It took Fang Ziye a full week to barely understand its characteristics and the benefits it brought him.

It's like if I design something new, something that is the most advanced in the world at that time.

However, ten years later, you may feel that you have surpassed my work, but in reality, what I have developed can still be improved to the most perfect stage that you perceive as a redefined one.

If you can make something, I can make something too; I can find a way to make it.

But the things I can do, you might never be able to do unless you have similar skills.

This level of skill is not just a skill; it also encompasses passive abilities that integrate thinking, learning, and other aspects.

As a result, Fang Ziye has been incredibly successful in the past two weeks, whether he's reviewing literature or conducting experiments. In some experiments, he can roughly predict the trend and outcome after completing half of them, and then he can proceed with the other part.

The current approach to formulating products is not for proof, but simply to select pathways and potential directions. Therefore, it does not require original data or to complete all the experiments.

Once he has a portion of the potential targets, he just needs to filter out the suspicious directions and then hand them over to someone else to do.

Therefore, Fang Ziye can quickly truncate the experiment.

Well, given this trend, we'll skip it and keep it as a backup option.

Let others handle the tasks that require time and effort...

Fang Ziye now estimates that he can produce about ten or more 'experimental directions' per day based on his experimental efficiency.

To put this into perspective, it would take someone else one to two weeks to complete the same workload.

If Fang Ziye didn't care about the results, he could probably determine the direction of the experimental results in just one or two hours!

Of course, it's not actually that exaggerated; only by taking the average can such efficiency be achieved.

After all, some cell experiments require culture and growth cycles.

Fang Ziye could easily control and operate experiments in forty or fifty directions simultaneously, on the same day.

Fang Ziye is busy with these things.

Fang Ziye then began packing his things. After making sure he had his ID card, wallet, and other belongings with him, he briefly processed the information on his phone and cleaned up his email.

Furthermore, he politely replied, "Thank you for your recognition and invitation from your magazine and editorial department, but due to personal reasons, my current schedule is quite busy. I am afraid that this will delay the normal operation of your magazine and affect the publication efficiency of other scholars' articles. Therefore, I can only regretfully decline!"

After copying the document, Fang Ziye checked it and felt that even he himself would find it sincere, and then chose to send it.

I finally managed to get through the day's messages and email schedule, and it was already 4:30 in the afternoon.

Fang Ziye went out, hailed a taxi, and while replying to messages in the group, he began to review the basic information and examination data of the patients to be admitted to the trauma surgery and hand surgery departments of the sanatorium.

Although Fang Ziye left the sanatorium and released the group leader, he continued to fulfill his role.

Although he barely spoke, it doesn't mean Fang Ziye wasn't paying attention.

"@Du Donglin, Professor Du, please don't admit the second patient the hand surgery team was planning to admit," Fang Ziye replied.

Du Donglin wasn't holding his phone, so he probably didn't notice it immediately.

But three minutes later, someone reminded Du Donglin.

Du Donglin called, his tone polite: "Team Leader Fang, is there something wrong with this Number Two?"

“His MRI has problems; the details shown don’t quite match his symptoms. There might be some issues, so we shouldn’t rush into functional reconstruction surgery,” Fang Ziye replied.

"Okay, thank you, Team Leader Fang."

"Congratulations to Team Leader Fang! Are you off to receive your award today?" Du Donglin said with a hint of envy.

What does a national award even mean? This isn't just a national scholarship for studying; it's the National Natural Science Award and the National Science and Technology Progress Award!!!
Every researcher would take pride in this and make it their goal.

"Professor Du, when I get back, I'll invite you all to dinner, and then we can celebrate."

"I'm planning to set off," Fang Ziye said.

"Team Leader Fang, if only you were still here. I think we can take this patient in."

"What a pity?"

Du Donglin continued, "There have been quite a few personnel changes at the sanatorium recently. Director Song Libo and Professor Pang Longshan from the research group are both serving as acting directors."

"Director Chen suddenly announced his retirement, and no one knows where he went. Now many people in the sanatorium are in a state of panic."

"It's alright, Professor Du. No matter what happens, it will always pass." Fang Ziye didn't know where Dean Chen had gone either.

"Hopefully."

"Team Leader Fang, I also have something to report to you. Professor Ye Fusheng and I have discussed it carefully, and we plan to try limb-sparing surgery for grade 4 diabetic foot soon."

“If the limb-sparing surgery is ultimately unsuccessful, I plan to suggest he come to you to see if there is any way to save him,” Du Donglin said.

"Although it is very impolite, I feel that Professor Ye and I have both learned a lot in the past six months, so we can give it a try."

Du Donglin asked very cautiously, his breathing becoming somewhat rapid.

Grade 5 diabetic foot is the final stage, a conceptual classification, indicating 100% necrosis.

Even Fang Ziye couldn't save his limb.

"Yes, Professor Du!"

"You are now the team leader, and you can make your own decisions."

"No need to report to me," Fang Ziye said.

Upon hearing this, Du Donglin immediately said sincerely, "Professor Fang, I don't know what your own experience is like?"

“I experienced the retirement of my mentor and the departure of him from the department. At first, I felt quite free.”

"But later, I felt very lonely and helpless."

“Sometimes you can’t even find a suitable person to confide in when you want to ask for help. Fortunately, Team Leader Fang appeared.”

"Besides, you're young, you're willing to speak up, and you're willing to interfere..."

"Those my age are all old foxes."

"When you have someone to consult and someone to guide you, although it may feel restrictive, it is actually a blessing," Du Donglin said earnestly.

Fang Ziye couldn't quite understand Professor Du Donglin's feelings, so he smiled and said, "Then thank you for your trust, Professor Du. I was just saying something casually in the group."

"I need to see another professor now, Professor Du. Shall we talk another time?"

"Okay, I won't bother you any longer, Team Leader Fang." Du Donglin hung up the phone.

Polite, but not servile.

Respect, but not servility.

……

The morning light pierced through the diamond-shaped glass of the dome opposite Liu Huanglong's residential complex, casting dappled gold specks on his impeccably pressed suit. He adjusted his tie clip for the thirteenth time, the metal buckle clicking softly against the national emblem badge on his chest.

"Ziye, is this alright?" Liu Huanglong turned around and asked Fang Ziye.

Fang Ziye was checking the invitation numbers when he heard this and looked up. He had specially chosen an indigo tie with a subtle pattern today, which made his skin appear slightly whiter: "Teacher Liu, you've prepared three suits!"

"I only brought two sets of backup outfits, and neither of them were really well-matched."

Fang Ziye only brought two sets, both of which were in a suitcase!
I can't just bring one set; it would be a problem if it broke and I had nothing to wear.

Because the suits worn for such formal occasions are best custom-made, one cannot be too impolite when meeting so many top experts and teachers.

"Wait! Which compartment did I put my invitation in?" Liu Huanglong's briefcase was pulled open with a clatter, revealing neatly stacked documents, each labeled with a different venue name on a colored sticky note.

He finally found the invitation in one of the compartments and breathed a sigh of relief: "Found it."

"Ziye, wait for me a moment. I'll change into some casual clothes before we go eat." Liu Huanglong blushed slightly and lowered his head after seeing Fang Ziye's astonished expression.

Fang Ziye didn't think Liu Huanglong was being too excessive; in such a solemn occasion, being overly cautious was never too much.

Fang Ziye's formal attire was also custom-made after Luo Tingzhu consulted with him for a long time, and neither of the two pieces were cheap.

Fang Ziye himself had never received the titles of Outstanding Young Scientist or Outstanding Young Scientist, so he didn't know how such titles would enhance his abilities. Therefore, he had a kind of carefree attitude, like a newborn calf that was not afraid of tigers.

“Professor Liu, it’s alright, I can wait for you a little longer. It’s still early, and I’m not hungry.” Fang Ziye looked at the smile lines at the corners of Professor Liu Huanglong’s eyes and suddenly thought of the centrifuges in the laboratory that never stopped.

Generation after generation of doctors have continued in this way, turning their youth and passion into the weight of saving lives and healing the wounded.

Liu Huanglong is actually still young, but Fang Ziye thinks he is quite old.

"I'll take you to get something good to eat." Liu Huanglong finally stopped, waved his hand, and led Fang Ziye out to find food.

(End of this chapter)