top student at medical school

Chapter 691 Money isn't everything, but you can't do anything without it.

Fang Ziye, dressed in a green scrub suit and green rubber open-toe slippers, stepped on the automatic sensor-operated airtight door of the operating room with his arms wrapped around it.

The operating room was bustling with experts from various specialties that Liu Huanglong had invited!
Liu Huanglong stood with his back to Fang Ziye, his voice gloomy: "The worst thing that ever happens to the hospital in a year has happened to me. If I don't get a few sores this year, I'll be letting this bad luck down."

Zhongnan Hospital has done a good job in preoperative preparation. If the anesthesiology department stops the operation if it is assessed that there is a possibility of sudden cardiopulmonary accident during the operation, the operation will be stopped according to the patient's preoperative condition.

Professors Zeng Quanming and Du Yuanxian, two top anesthesiologists, had gathered in the operating room. The associate professor in charge of the anesthesia for this surgery responded in a low voice: "Director Zeng, Professor Du, based on the patient's preoperative examination results, the current symptoms do not support our assessment."

"Such an accident was truly unpredictable!"

At this moment, Zeng Quanming and the ICU professor were preparing the patient for endotracheal intubation. The ICU professor kept turning back to look at the ECMO machine that the circulating nurse had already brought over.

“There’s no point in tracing the cause now. Saving the person is the priority! Long Fang, you don’t need to explain anymore. Draw another set of electrolytes from the patient first.”

“The heart rate has just recovered.” Zeng Quanming’s tone was calm, without any angry demands for accountability.

The associate professor, surnamed Long, quickly bent down and began the procedure, selecting an exit point through the venous access to draw blood.

On the stage, Professor Deng Haibo of vascular surgery slowly put down the instruments in his hands and said, "Under the current circumstances, without DSA interventional fluoroscopy, it is really impossible to operate."

There are too many electrical plugs!

"Professor Tao Zhang from the cardiology department and I could only barely keep the heart stent in place."

"I still recommend that after the patient is put on ECMO, they be transferred to the DSA operating room for thrombectomy of other organs."

"First, ensure the oxygenation of the heart, brain, and lungs."

A junior anesthesiologist, overhearing this, pointed out, "The patient only has three thousand yuan left in their account!"

Fang Ziye remained silent upon hearing this.

This is Zhongnan Hospital, not Enshi Sanatorium. Therefore, when choosing a treatment method, in addition to considering what is best for the patient, it is also essential to consider whether the patient can afford the surgical and medical expenses.

"Let's go first," Liu Huanglong replied in a low voice.

"Whoosh~" The airtight door was once again kicked open by Guan Qiquan from the hand surgery department, and his voice hurriedly came again: "Director Liu, I have explained the patient's current condition to the family."

"But the family still couldn't raise the money. They had to borrow 15,000 yuan for the 20,000 yuan they needed for the functional reconstruction surgery."

He said that even if he borrowed more, he could only borrow about ten or twenty thousand.

"But the setup fee for ECMO alone is 50,000..."

Liu Huanglong, who had been interrupted, spoke up again, cutting off Guan Qiquan's words: "Professor Zhang, let's put him on ECMO right away. Save his life first, and then we can talk about it after he's transferred to the interventional operating room."

Billing surgery is one of the circulating nurses' tasks. Although Liu Huanglong's words sounded generous and humane, they put her in an awkward position: "Director Liu, the patient hasn't paid. How am I supposed to bill him later?"

"ECMO is not covered by medical insurance."

"I said let's go first. I'll take responsibility for any problems that arise later!" Liu Huanglong said.

Professor Zhang from the ICU looked at the circulating nurse and Liu Huanglong with a troubled expression. The circulating nurse then said, "Then I'll go find our department's head nurse on duty!"

“Professor Zhang, you go first, I’ll take care of it!” Liu Huanglong said again with great certainty.

Since Liu Huanglong, as a senior-level administrative director and also a sub-specialty level administrator, clearly stated that he would take responsibility, Zhang Guanjing had no choice but to step in.

Setting up ECMO is not difficult. Everything is ready for the patient; all that's needed is to connect the arterial and venous access lines...

After the connection was established, Zhang Guanjing and Zeng Quanming from the anesthesiology department began adjusting the parameters.

As the ECMO machine operates, the dark red blood begins to slowly leave the patient's body. After being converted by the ECMO, it becomes a bright red blood flow that is injected into the patient's arteries.

"Temporarily seal the surgical incision with sterile dressings. Transfer the patient to the DSA interventional operating room for interventional thrombectomy and thrombolysis." After Liu Huanglong quickly gave the order, everyone became alert.

After Fang Ziye entered the operating room, he did not speak or interrupt.

Less than a minute later, the previous circulating nurse led another slightly older head nurse into the room.

Upon entering, the circulating nurse saw that the ECMO machine was already on and said, "Head nurse, look, I couldn't persuade them, and I couldn't intervene in the resuscitation, but the machine is already on now."

"I can't control all that when it comes to subsequent billing!"

Looking at the large number of people in the operating room, the head nurse suppressed her temper and raised her chin, saying, "Our operating room nursing department has fulfilled its obligation to remind you of the outstanding fees. If the accounts don't match up later, your medical affairs department can contact the finance department directly."

"Which department is this operating room for? Which professor is performing the surgery?"

"Hand surgery, Professor Liu Huanglong will be the chief surgeon," the scrub nurse, still on the operating table, immediately replied.

"Okay, as long as the names match, that's fine!" The head nurse on duty was just doing her job.

Upon hearing this, Liu Huanglong offered a slightly more tactful explanation: "Head Nurse, in this emergency, we must act expediently. If the patients and their families still fail to pay the full amount, I will take responsibility!"

"But this is only for this one time. I spoke up myself, so don't try to pin any messy things on me later."

Liu Huanglong will only take the blame he is willing to take, not just any blame he will take on.

This can be seen as a warning to the other party, to prevent them from blaming you for any bad deeds...

The patient began to be transferred out.

"Ziye, when did you get here? What the hell are you doing here watching the show?" Liu Huanglong took off his clothes and then noticed Fang Ziye standing in the corner of the crowd, acting as if nothing was wrong.

"We arrived a while ago."

“Professor Liu, there are many doctors in the operating room. I also had some drinks today, and I didn’t find a place to interrupt.” Fang Ziye was not drunk.

Liu Huanglong leaned closer and sniffed, then muttered a complaint: "You shouldn't have gone out for drinks today, otherwise you would definitely have had a better idea."

Fang Ziye's drinking had absolutely nothing to do with the patient's accident.

However, if Fang Ziye hadn't been drinking and could have gone on stage, he really could have found a way to temporarily remove the patient from ECMO, saving a lot of money.

Just because he can do it doesn't mean everyone can. Fang Ziye can't do it himself, so naturally he won't make any comments that disrupt other people's surgery and operation rhythm.

Fang Ziye knew that Liu Huanglong wanted to establish a strong persona for him, so he had to handle every patient he treated as well as possible, even if he had to pay out of his own pocket.

A year ago, Fang Ziye's "kickback corruption" incident during his tenure as chief resident was orchestrated by Liu Huanglong to the point that several senior doctors in the Department of Hand Surgery were dismissed, allowing Liu Huanglong to directly seize administrative power over the department.

If Liu Huanglong gets into trouble a few more times in the department at this time, his abilities will inevitably be questioned. At that time, his subordinates will be uneasy, and the senior professors in the hand surgery department will definitely not like Liu Huanglong and may even settle scores with him later.

Therefore, in order to stabilize the situation, Liu Huanglong had to take charge himself.

"Teacher Liu, let's continue the treatment first," Fang Ziye replied with a smile.

Fang Ziye then followed the crowd to the DSA operating room. He personally helped Liu Huanglong put on the heavy lead apron.

Deng Haibo, standing beside Liu Huanglong, sighed, "Fang Ziye, oh Fang Ziye!"

"Fang Ziye, oh Fang Ziye."

Upon hearing this, Liu Huanglong's gaze sharpened, and he stepped back slightly, turning to scold his student, "Ding Lin, what are you doing?"

"Get Professor Fang a chair!"

Deng Haibo then returned to the operating table. After performing a simple disinfection and draping procedure on the patient, the anesthesiology department had already prepared the contrast agent.

The procedures such as connecting the sheath were already completed during the previous coronary stent placement, so they are readily available now.

As the contrast agent was injected, the patient's blood vessels quickly spread throughout his body like a spider web, and were then projected onto the display screen.

The DSA angiography operating room is specially designed; even in the isolation room, there is a display screen. It is a piece of equipment specially designed for teaching procedures in the interventional operating room.

The device has a microphone for internal and external communication, allowing teachers to monitor the imaging display screen from the outside and guide students or subordinates on the specific operating procedures inside.

As soon as the contrast agent flashed, Fang Ziye's brows visibly furrowed.

The patient's current condition is indeed not good, but it has not deteriorated to the most extreme level.

Most of the heart's blood vessels are open, but one branch remains blocked.

Furthermore, the patient had arterial embolism in both lower limbs and the right upper limb.

"Left renal artery, superior mesenteric artery."

"Lower segment of the right lung." As Fang Ziye murmured, the conversation between Deng Haibo and others could already be heard from the DSA operating room—

"Let's combine mechanical thrombectomy with catheter-based thrombolysis; let's save as many patients as possible first!"

"However, the patient is currently undergoing surgery, and the risk of bleeding during thrombolysis is extremely high at this time!"

"With such a large wound, there is a very high possibility that he will go into shock."

"Then what do you think we should do?"

"So many places are undergoing mechanical thrombectomy at the same time?" Deng Haibo's troubled and annoyed voice rang out.

Having heard this, Fang Ziye stopped hiding his intentions, turned on the microphone, and calmly suggested to the other end:

"Professor Liu, the patient is currently undergoing bilateral lower limb function reconstruction surgery. I suggest using the femoral artery sheath and femoral vein of both lower limbs as the microcirculation cutoff point."

"The blood supply to both lower limbs is cut off separately, and thrombolysis is performed separately."

"Prioritize treatment for heart, kidney, and right upper limb arterial embolism." Fang Ziye's voice had barely left his lips.

Liu Huanglong then cursed himself: "I'm such a fucking idiot."

"Go get the miniature circulation device."

The primary design purpose of the limb miniature circulatory device is actually for limb preservation and limb transplantation.

However, its operating principle is actually to block the blood flow in the limbs separately, making them independent systems.

Based on this principle, its application is naturally not limited to limb transplantation. For example, now that vascular surgeons are concerned that the surgical incisions of both lower limbs will cause massive bleeding after thrombolysis, blocking the blood flow of both lower limbs and making them independent eliminates the so-called risk of bleeding shock.

The research and development principle of the micro-circulatory device has nothing to do with Liu Huanglong; he was merely a figurehead.

Some shifts in thinking are not as readily applied by Liu Huanglong as they are by Fang Ziye. This is not because he is stupid, but because his thinking level has not yet reached that level.

The Zhongnan Hospital has a very, very large reserve of limb micro-circulation devices; basically, every operating room has one.

After all, this is the 'theoretical production site,' and the procurement price is several times lower than that of other hospitals, just at cost price.

After obtaining the miniature circulation device, Liu Huanglong and his team quickly cut off the blood flow to both lower limbs, a process that took less than ten minutes.

"I'm all set on my end," Liu Huanglong said.

Deng Haibo looked thoughtfully at the miniature circulatory system that Liu Huanglong had just installed, then exchanged a glance with Professor Tao Zhang from the Department of Cardiology.

"Intracatheter contact thrombolysis!~"

At Deng Haibo's command, the thrombolytic agent shot out from the spray gun, visibly dissolving the thrombus spots on the projection screen and restoring local blood flow.

After completing the thrombolysis procedure, Deng Haibo took a special look at the surgical incisions on both lower limbs.

It remains as dry as ever, and they're not even in the same system.

"Is this thing really that useful?" Deng Haibo asked hesitantly.

Tao Zhang said, "It's damn good."

Liu Huanglong chuckled softly.

"..."

"..."

For the time being, they could disregard the surgical incision that had already been opened, as thrombolysis was not a particularly difficult procedure for Deng Haibo, Tao Zhang, and others.

It took about ten more minutes for the two of them to dissolve the thrombi at several of the embolism points that were visible in their bodies.

Seeing the blood flow signals in the patient's body become smooth under the imaging monitor, forming jets of turbulent flow, Deng Haibo's mood instantly improved: "Now there shouldn't be any problems."

"Even if amputation is necessary, the patient's life can be saved."

Before Deng Haibo could finish his lament, Zeng Quanming from the anesthesiology department said with concern, "The patient's current condition is not good; there are still free emboli in his body."

"If the emboli were to grow any larger, they might even block the ECMO machine."

"My suggestion is to suspend the surgery, close the surgical incision, transfer the patient to the ICU for immediate monitoring, and ensure hemostasis."

"First, heparinize the blood to regulate the patient's coagulation system before proceeding with surgery."

Zeng Quanming's words were like cold water poured into a hot fire, spraying "cold ash" all over the ground, making Liu Huanglong and the others breathe with a slightly suffocating sound like fire being extinguished and ash splattering.

"But?"

"Our surgery isn't finished yet," Liu Huanglong said hesitantly.

As an anesthesiologist, Zeng Quanming has the right to stop surgery at any time: "Saving lives is the priority!"

"Professor Zeng," Liu Huanglong said, still wanting to try again.

“I called the medical affairs department myself,” Zeng Quanming said.

The anesthesiology department does indeed have the right to temporarily stop surgery during the operation for the sake of the patient's life safety; this is a right granted to them by law.

Upon hearing this, Fang Ziye quickly interrupted, "Professor Zeng, please wait a moment."

"I have a suggestion."

"ECMO has multiple interfaces and can generally connect to two to three sets of arteries and veins in the body."

"This patient only needs one or two sets of arteriovenous interfaces!"

"My suggestion is to use a separate interface to connect to a miniature circulatory system. This miniature system has its own internal circulation system and can handle blood clots!"

"Alternatively, before the blood enters the ECMO, it can be perfused into a miniature circulator once, which can better ensure the blood oxygen level after ECMO access," Fang Ziye said.

"You think you can just say you can handle it?" Zeng Quanming retorted instinctively.

He was very unhappy that someone was repeatedly challenging his authority.

However, Zeng Quanming regretted it after he finished speaking, because he had just recognized Fang Ziye's voice.

"Professor Zeng, please don't be angry. This is not what I said. The micro-circulation device is actually designed to prevent thrombus formation and treat local thrombi."

"After limb amputation, the biggest obstacle to preserving the affected limb is the multiple segmental thrombosis in both lower limbs. When we designed this miniature circulatory device, the first thing that came to mind was to handle and filter the thrombus."

"Only by properly treating the blood clot can we extend the preservation time of the severed limb!" Fang Ziye responded logically and presented the most basic core principles.

Upon hearing this, Zeng Quanming fell silent.

Upon hearing this, Professor Zhang Guanjing from the ICU said, "Professor Zeng, what this professor said makes sense. Our ICU often treats patients with severed limbs."

"Their legs and hands are each connected to a separate miniature circulatory device that moves with the patient, just in case the wrong person is chosen for limb amputation."

“We have studied this miniature circulatory device in detail and found that it is indeed very effective in treating blood clots.”

"Our department is still researching how to use a miniature circulatory system to purify the blood system of DIC patients who appear normal but are in a hypercoagulable state."

Upon hearing this, Liu Huanglong added, "Professor Zhang, the person who just spoke is Professor Fang Ziye from our Department of Trauma Surgery, who is also the main person in charge of the research and improvement theory of the microcirculation device."

"Is it Professor Fang Ziye?"

"Hey, Professor Fang." The person named Zhang Guanjing seemed to want to leave the operating room.

Someone called out to him: "Professor Zhang, surgery is still ongoing..."

The operating room fell silent once again.

Fang Ziye suddenly realized that all the people standing inside were actually a bunch of drama queens who had just become doctors by chance.

Zeng Quanming then said, "Alright then! Let's try it out as Professor Fang suggested!"

"After all, Professor Fang has the most profound understanding of limb thrombosis."

Others had no objections either.

If Fang Ziye were still just a nobody, he would need to provide sufficient reasons even if he only suggested inspecting one more place.

If Fang Ziye were an attending physician, his proposal might be considered, but no particularly detailed reasons would be required.

Fang Ziye is now a seasoned associate professor who has made a name for himself at Zhongnan Hospital.

Even everyone acknowledged that Fang Ziye had something unique to him, and his theories were a complete system.

So, on this basis, if Fang Ziye makes some further suggestions, what others need to consider is whether to give it a try, and what the worst possible outcome would be if they did.
If we don't try, are there any alternative solutions?

No one doubted that Fang Ziye was talking nonsense, because Fang Ziye himself represented a part of the 'knowledge authority'...

There are many miniature circulation devices available; getting another one would be a piece of cake.

After Zeng Quanming reconnected the microcirculation device to the ECMO, the patient's blood seemed to have been purified again.

The previously slightly restless elements in the bloodstream instantly calmed down after being cleansed by the microcirculation device. In just three minutes, the blood in the body had been cleansed at least twice.

"Just as I expected!~"

Zeng Quanming remarked with emotion, "I should have thought of this earlier. The original design purpose of the miniature circulation device was to control blood clots. It is the best killer of blood clots."

"Professor Zhang, although this miniature circulation device is derived from ECMO, could ECMO refer back to the miniature circulation device and re-optimize its functions?"

Upon hearing this, Zhang Guanjing chuckled and said, "Professor Zeng's keen scientific sense is indeed well-deserved. I look forward to Professor Zeng producing results soon."

Upon hearing Zhang Guanjing's words, Zeng Quanming's expression instantly turned somewhat uncomfortable: "Professor Zhang, why be so sarcastic?"

"Even if it's difficult, I'm just making a suggestion."

Zhang Guanjing, like a cat whose tail had been stepped on, instantly roared, "You just made a suggestion, and I've committed 574 acts of murder in the animal lab!"

"Ah!~ Uh!~" Zeng Quanming was instantly speechless.

Well, I'm not the first person to have this thought.

May the rabbits rest in peace.

……

Liu Huanglong and the others ignored Zeng Quanming and Zhang Guanjing's playful banter.

In summary, the operating room experience boils down to this: when things are going well, everyone's happy; when things are going badly, everyone curses.

When the patient is in a good mood, you can even invite the head of surgery and the chief anesthesiologist to play games with you. You can even discuss where to get a foot massage, which technician is skilled but has low sales, and which technician is not skilled but has high sales.

But if the patient is not in good condition, even a cough could offend them, and you might be scolded by a professor you don't even know so much that even your mother would feel that giving birth to you was a sin.

"Electrolyte test results are normal."

"The liver and kidney function data were slightly abnormal, but the results were still acceptable."

"The kidney embolism is recent and should recover quickly," Associate Professor Long Fang reported in detail.

Professor Zhang Guanjing checked that the patient under ECMO monitoring was in stable condition, then patted his behind and said, "Send them directly to our ICU after the surgery. I'll reserve a bed for you in advance."

"I still have a lot of things to deal with in my department."

Following this, the professor of thoracic surgery also advised: "The patient had a pulmonary embolism during the operation. It is recommended that he have regular follow-up CTA tests after the operation to prevent recurrence of embolism. After the operation, he can consult with the vascular surgeon regularly to regulate his blood clotting status."

"I don't have much to do here either."

Professor Tao Zhang from the Department of Cardiology observed for another five minutes but did not find any further fluctuations in the heart. He then quietly finished writing the consultation and operation record on the computer and left.

……

After most of the people in the operating room had left, the DSA imaging equipment was temporarily shut down, and the machine was turned off, leaving only Liu Huanglong's team to perform the surgery on the operating table.

Professor Deng Haibo of vascular surgery walked into the operating room from the isolation room alongside Fang Ziye.

"Professor Fang, when are you free? It's been so long since we last saw each other!"

"As uncle and nephew, we should visit each other often," Deng Haibo said politely, as if he were a very kind elder.

The theoretical model for treating retroperitoneal hemorrhagic hematomas left by Fang Ziye to the vascular surgery department last year has made Deng Haibo quite famous throughout the country.

Today, she shone brightly in the operating room.

The patient's retroperitoneal hematoma after the initial thrombolysis was quickly resolved and treated after Deng Haibo's arrival, once again earning the sincere admiration of his colleagues in the hospital.

This treatment is no less than that of Director Wu Yong of the Vascular Surgery Department, and may even be better.

Does Deng Haibo remember the fundamental reason he has achieved his current status?

He and Deng Yong were from the same hometown and were good friends. Taking advantage of his proximity, he firmly grasped what Fang Ziye had left to the vascular surgery department.

"Teacher Deng, it's been almost a year since we last met."

"I only recently returned and haven't had a chance to visit you until now," Fang Ziye said politely.

"Then what's the point of choosing? There's no time like the present. Let's wait until the surgery here is over, then my nephew and I will go out for a late-night snack."

"To be honest, I haven't even had a chance to properly thank you in person yet."

“Ziye, it’s really not my fault. After I finished working on my research, you were no longer in the Department of Trauma Surgery. I waited and waited.”

"I finally heard that you went back to Han City after the New Year, but that heartless old bastard Deng Yong didn't even tell me you were here." Deng Haibo began to rant about Deng Yong.

It's just a matter of saying that Deng Yong is not a human being.

“During the Spring Festival, I only saw my master. How did I see anyone else…” Fang Ziye continued with pleasantries.

"That's because you're being too formal, Ziye."

"It's just that we uncle and nephew don't get to know each other well enough. We'll definitely go out for a drink later, that's settled then." Deng Haibo didn't care about saving face anymore and pulled Fang Ziye to arrange a late-night snack.

Liu Huanglong continued to lead the team in surgeries.

At this moment, the time has reached 23:49:52, which is very close to midnight.

Fang Ziye checked the patient's condition again and said, "Teacher Liu, the patient's vital signs are all normal. Shall I leave now?"

"In my current condition, it is really not suitable for me to stay in the operating room for a long time."

In clinical practice, the rule is that one cannot perform procedures after drinking alcohol, but not that one cannot speak after drinking alcohol. Fang Ziye was conscious, so making some suggestions during the rescue was not considered a violation of regulations.

Liu Huanglong knew that Fang Ziye had been drinking, but his surgery would take another hour or two, and he couldn't let Fang Ziye continue to suffer here.

"Thank you for your hard work, Ziye."

"Go back and rest first. If you're going to get some late-night snacks, remember to send me the bill," Liu Huanglong replied.

At this point, Guan Qiquan reported again: "Director Liu, the patient's wife has raised another 15,000 yuan, which has already been transferred to the account."

"She said her husband had been impotent for seven or eight years, and the family hadn't had a normal income for a long time. The remaining 6,432 was for her son's tuition, which couldn't be touched."

"Five thousand eight is the tuition for next semester, and six hundred and thirty-two is for living expenses."

As Guan Qiquan spoke, his voice trembled.

The other party could say more than five thousand, or more than six thousand, but they said six thousand four hundred and thirty-two very accurately.

"Wash your hands and get on stage!" Liu Huanglong's voice was distorted.

The world is full of suffering, and Liu Huanglong alone cannot save everyone.

You can help someone temporarily, but not forever.

“Okay!” Guan Qiquan glanced at Fang Ziye, agreed, and then said, “Thank you, Professor Fang.”

"Teacher Guan, please call me Ziye or Xiao Fang, it sounds more warm."

"Professor Fang, you're being too formal," Fang Ziye replied politely.

Guan Qiquan is currently 41 years old, eleven years older than Fang Ziye. Under these circumstances, it would be inappropriate for Fang Ziye to call him Brother Guan or Brother Quan.

……

Deng Haibo did invite Fang Ziye out for a late-night snack, but Deng Haibo was very considerate and only invited Fang Ziye to eat, without discussing any serious matters.

This allowed Fang Ziye to breathe a slight sigh of relief.

Fang Ziye has no shortage of research projects or partners. He's just afraid that Deng Haibo will say nothing and then try to get Fang Ziye to collaborate on research projects.

Fang Ziye's leg hair is almost completely covered by people now, so he really can't carry anyone anymore.

In October, Han Street still carried the earthy smell of Chu River cement. Fang Ziye took a deep breath and looked at Deng Haibo, who had returned after paying the bill.

"Teacher Deng, I packed up the rest of the barbecue. Would you like to take it home?" Fang Ziye said.

"I won't take it. You're young, so you should take it back and give it to your colleagues in your department."

"Ziye, don't be nervous. I, Deng Haibo, am not an unreasonable person."

“Professor Fang, you are currently in a period of rapid career development. If I didn’t have good ideas and a research topic of sufficient weight, I wouldn’t have been able to bring up the idea of ​​collaborating with you.”

"However, there is one thing I must express: Fang Ziye, you are a talented person with a very high level of skill. I hope we can work together, grow together, and create a win-win situation."

There aren't many fools who can become professors.

If someone truly had problems with emotional intelligence and intellectual intelligence, they wouldn't be working in clinical settings; they'd likely be relegated to peripheral roles.

"I look forward to Professor Deng's guidance." Fang Ziye bowed slightly.

Deng Haibo immediately became emotional again: "Fang Ziye, oh Fang Ziye."

"Fang Ziye, oh Fang Ziye."

"Trauma surgery, oh trauma surgery..."

Deng Haibo turned to leave, his regretful figure seemingly blending into the entire city of Han, his regretful tone seemingly resonating with the Chu River, and conversing with the Hegemon of a thousand years ago.

Fang Ziye remained silent.

He was a trauma surgeon, a person in the field of trauma surgery. If it wasn't Deng Haibo who felt regret, then it should be Deng Yong who felt regret.

Neither he nor his mentor, Yuan Weihong, had the right to express their regret.

Would associate professors like Mi Qi, Duan Yuanjiang, and Chen Minghao in vascular surgery dare to explicitly express the sentiment that Fang Ziye was not their student?
If they actually told him, Yuan Weihong could beat them up and give them a thorough dressing down.

Who the hell do you think you are, daring to act so arrogantly in front of me and even trying to steal my students?

Why don't you take a piss and look at yourself in the mirror to see what kind of deformed and rotten thing you really are...?

When Fang Ziye returned to Luo Tingzhu's house, before he could even sit down, Liu Huanglong called!

Fang Ziye took a sip of the cold tea he had brewed earlier, the slightly bitter taste piercing his taste buds: "Teacher Liu."

"Fang Ziye, you shouldn't be asleep yet, right? I've calculated the time, you should be heading back around that time!" Liu Huanglong said as if he were a fortune teller.

Why didn't you send me the bill?

Fang Ziye smiled upon hearing this and put down his cooled teacup: "Professor Liu, Professor Deng Haibo said he couldn't afford to lose face, and I didn't dare to argue with him. Professor Deng paid the bill."

"Why don't you try looking for him?"

Liu Huanglong laughed: "Fang Ziye, you're getting better and better at it."

"Alright, it's only a couple hundred yuan. I'm not going to be so calculating with Professor Deng. I'm afraid that next time Deng Haibo will spread rumors that I'm going to settle all my debts with him and never have anything to do with him again."

"This patient has finally been saved."

"After he reimbursed me for this surgery, I lost a whopping 67,000 yuan."

The cost of starting up an ECMO machine is very high!
This is because medical insurance doesn't cover it; as long as the machine is turned on, someone has to pay for it.

Liu Huanglong really had to spend money to save his life today, and spend money to perform surgery on others. It sounds heartbreaking.

“Teacher Liu, how about I treat you to a meal to comfort you?” Fang Ziye asked.

Sixty-seven thousand yuan is not a small amount for Fang Ziye.

"I'm fine with eating, but you don't need to comfort me!"

"Sigh, although money isn't everything, when you don't have money, there are many things you can't do."

"Sometimes I really want to fuck money."

"Ziye, you should also get some rest. You've worked hard today. But if you hadn't come to the operating room, I might have lost more than 100,000 yuan."

"Then it would really mean a whole quarter of work wasted," Liu Huanglong said with relief.

Fang Ziye reassured him, "Teacher Liu, the patient's sudden condition was just an accident, and no one could have predicted such an accident."

"Actually, Teacher Liu, you just need to do your job well, there is no need to pay extra."

If everyone were to subsidize patients like Liu Huanglong, a chief physician could only subsidize four or five people a year, and his whole family would starve.

"Just do your best."

“This patient’s family situation is quite special, otherwise I might not have wanted to take care of him.”

"However, since I enjoy the convenience of resource allocation, I still need to learn to care for the servants from time to time."

"Not everyone can manage, but the advantage is that when you want to manage, you can still help."

"That's all for now, goodnight." Liu Huanglong was expressing his wealth in an unconventional way.

Liu Huanglong is indeed not short of money; he has been an associate senior professional and a senior professional for a long time.

Moreover, Liu Huanglong's wife's family is quite wealthy.

Liu Huanglong is his father-in-law's beloved and approved son-in-law. As long as Liu Huanglong doesn't cause trouble or do anything suspicious, his father-in-law will definitely give him money to spend. Besides, Liu Huanglong is also making money and has a bright future.

Therefore, Liu Huanglong can openly pre-emptively invest in the future.

On the other hand, Fang Ziye himself did not have such confidence.

Fang Ziye's own family had no future to provide him with advance payments, and neither did Luo Tingzhu's family.

Luo Tingzhu's parents' "remaining funds" were not enough for them to squander like this.

After hanging up the phone, Fang Ziye took a nice shower and then went to bed peacefully.

The next day.

Fang Ziye woke up early as usual, ran for half an hour, then washed up, ate breakfast, and went to the department to have tea with Yuan Weihong, hand over the shift, and make rounds!
However, after the ward rounds, Fang Ziye left the trauma surgery ward directly, instead of going down to the trauma surgery operating room with Yuan Weihong and others, and went straight to the orthopedics department.

Luo Tingzhu's 'stepfather' Liu Gaobo is currently hospitalized in the orthopedic department and will be undergoing surgery today, with Fang Ziye as the chief surgeon. Fang Ziye has never forgotten this matter.

When Fang Ziye arrived at the orthopedic department, Du Yingshan and others showed that they attached great importance to Liu Gaobo and were holding a preoperative discussion among the department's experts.

The so-called preoperative discussion among experts in the department is a process in which all senior professionals and above in the department gather to discuss in detail the preoperative examinations, surgical details, and prognosis assessment of the patients scheduled for surgery today.

This agenda item is usually only discussed when a highly complex surgery is about to be performed!
"Professor Fang, you've arrived. My master said that as soon as you arrive, I should take you to the demonstration room immediately," said Dr. Liang Ye from the Department of Bone Diseases politely.

"Xiao Ye, are you being so polite to me now?" Fang Ziye recognized Liang Ye.

Zhuang Liaoping, a doctor of orthopedics in the same year as Fang Ziye, had previously taken Liang Ye and Fang Ziye out for drinks.

"Brother Ye, let's keep things separate. You're an associate professor now, so we can't be as casual as before," Liang Ye replied with a smile.

Liang Ye is a second-year doctoral student this year, one year younger than Fang Ziye!
Liang Ye knew that Fang Ziye was not his direct senior, nor was he even a specialist in bone diseases.

If he acts too naturally and treats Fang Ziye like an older brother, he might accidentally offend Fang Ziye and have a hard time apologizing. It would be better for him to be honest and polite.

Fang Ziye followed Liang Ye to the demonstration room. After pushing open the door, Du Yingshan and others inside continued their previous conversation, only asking Associate Professor Dou Xinyuan from the department to find Fang Ziye a chair.

Fang Ziye glanced around and found that Professor Hu Pingdong had not retired but continued to shine in the demonstration room.

Professor Zeng Duoqin, who was following Professor Du Yingshan, had a rather obscure gaze at this moment. After exchanging a smile with Fang Ziye, he continued to listen attentively to Professor Ning Haiqing's opinion.

This surgical plan, because it was recommended by Fang Ziye through a connection, had actually been deduced many times before the operation, and the surgical procedure and details had been sent to Fang Ziye long ago.

Today is just a review to show how much importance we place on Fang Ziye.

Twenty minutes later, Professor Du Yingshan turned to Fang Ziye and asked, "Professor Fang, do you have any insights into this plan?"

"Professor Du, you, Professor Hu, Professor Ning, Professor Zeng, and others have made extremely detailed calculations."

"What else can I add?"

"I'm only a semi-layman myself, so I won't disrupt the teachers' pace," Fang Ziye replied cautiously.

"Professor Fang, you're too kind. Currently, the micro-circulation device related to spinal surgery is in its early stages of development, and Professor Fang is the only one in the country who can operate it."

“We should consult with you, Professor, more during the surgery,” Du Yingshan said.

"Professor Hu, if you have no further instructions, shall we conclude our preoperative discussion here and proceed with the surgery according to this plan?" Du Yingshan held Professor Hu Pingdong in high esteem.

Hu Pingdong nodded: "Let's do it this way, the prognosis should be okay..."

Hu Pingdong was not nervous because of Fang Ziye's appearance.

Even though Fang Ziye had previously lost his temper with the Department of Orthopedics, neither his temper nor Fang Ziye's reputation could affect Hu Pingdong's own knowledge system and professional level.

It doesn't matter who comes; that's the source of Hu Pingdong's confidence in his professional skills.

(End of this chapter)