top student at medical school

Chapter 699 Not taking action doesn't mean it doesn't exist

Upon hearing Fang Ziye's insight, Li Yongjun decided to "let Fang Ziye go," releasing his grip on the railing and turning to walk forward.

"Fang Ziye, you don't need to think too much. The handover between traditional open surgery and minimally invasive interventional surgery will take a long time."

"Our vascular surgery and cardiac surgery, specifically cardiac and great vessel surgery, are also facing similar problems."

"Many traditional surgeries, such as valve replacement and treatment of aortic dissection, can now achieve good results with minimally invasive interventional treatment."

"However, the existence and development of minimally invasive interventional therapy does not affect the quality of traditional open surgery performed by some senior professors in the slightest."

"As long as the postoperative treatment is effective, the only difference is the size of the scar left behind."

Li Yongjun then tilted his head and said, "As far as I know, decades ago, before the development of sports medicine as a subspecialty of orthopedics, open rotator cuff repair and anterior and posterior cruciate ligament reconstruction were also widely performed in joint surgery."

"However, as time has proven, joint surgery has long since abandoned the open use of these two surgical procedures."

Fang Ziye didn't have Professor Li Yongjun's experience, so he didn't continue discussing this kind of issue with Professor Li Yongjun. Instead, he asked, "Professor Li, in your personal opinion, what is the pathogenesis of diseases like ALS—is it more related to vascular factors or neurological factors..."

Two hours later, Fang Ziye watched Professor Li Yongjun leave in a taxi.

The two were not far from Zhongnan Hospital, so Fang Ziye took a back path from Shuiguohu Street to return.

Just as Fang Ziye reached the Shuanghu Bridge, his phone rang.

“Yuanpei? What instructions?” Fang Ziye asked.

"Brother Ye, where are you now? Xiong Jinhuan came to the operating room to call you."

"Professor Xie encountered a very difficult emergency patient in the emergency operating room..." Li Yuanpei's words were very urgent.

"Emergency operating room, right? I'll be there soon, I'm at Shuanghu Bridge now." Fang Ziye changed from walking to jogging.

"Then go check on the situation first. Xiong Jinhuan has already returned." Li Yuanpei quickly explained the situation and hung up the phone, then washed his hands again and went back to the stage to help.

After rushing into the emergency department, Fang Ziye went straight to the emergency operating room. After quickly changing into scrubs, he asked a nurse who was flitting about instruments where Associate Professor Xie Jinyuan was in his operating room.

After washing and disinfecting my hands, I reverently raised my hands to my chest and stepped on the airtight door of the operating room. As the automatic sensor door opened, figures in green uniforms kept "flashing" inside.

In the center of the operating table surrounded by people, voices rose and fell: "Quick, quick, give him a blood transfusion!"

"A blood vessel ruptured!"

"Lower limbs lower limbs..."

"It will take another ten minutes or so for the blood bank to prepare blood."

"Hurry up, call and urge them!"

"..."

The different voices from at least seven or eight people sounded like death knells, making the atmosphere in the operating room extremely irritating.

Fang Ziye did not panic. Instead, he carefully navigated through the crowd, walked to the changing car, and twisted up his sterile surgical gown.

Which department are you in?

"I don't have time to help you get dressed right now." The two circulating nurses in the operating room were so busy that their butts were sticking up as they kept passing things to the operating table, and one of them sounded a little impatient.

“Trauma Surgery, Fang Ziye,” Fang Ziye replied.

As soon as Fang Ziye finished speaking, the circulating nurse paused, as if she had suddenly heard the name before.

However, it was not her turn to help Fang Ziye put on the sterile surgical gown soon. A middle-aged man in his forties who was closest to Fang Ziye immediately turned around and helped Fang Ziye tie his bow tie.

Fang Ziye quickly put on his gloves and then walked toward the operating table with the belt around his waist.

During this process, the other people's voices remained chaotic, completely ignoring who Fang Ziye was, whether he was there or not; they continued with their tasks, whether they were cursing or urging others...

In this atmosphere, Fang Ziye could only move around the three sides of the operating table after getting close to it, searching for an opportunity to act.

After finding a temporarily available "green-clad" person to help him pull on his belt knot and tie it, Fang Ziye was finally fully armed and ready to get into gear.

Finally, when Fang Ziye had turned three-quarters of the way around and was two-thirds of the way around, he encountered an "acquaintance".

"Gong Ziming, give me your seat," Fang Ziye said.

Gong Ziming is a student of Associate Professor Xie Jinyuan and is currently a first-year doctoral student.

Upon hearing this, Gong Ziming did not turn around, but immediately recognized Fang Ziye's voice. He quickly said to an unfamiliar teacher beside him, "Teacher, please help me press this button, I'll step down from the stage."

Fang Ziye's voice was heard by the other party, who casually stretched out his right hand and pressed it down.

Gong Ziming crossed his arms and backed away, while Fang Ziye seized the opportunity to slip in, getting close to the operating table and gaining a view of both lower limbs.

On Fang Ziye's opposite side, Associate Professor Xie Jinyuan, who was the lead surgeon, and Jin Hongzhou, the assistant, had already very sensibly adjusted their state and had already sorted out the instruments they were using.

The curved plate was placed in front of Fang Ziye the moment he stepped onto the operating table.

Jin Hongzhou quickly took the retractor from the general surgery attending physician who was temporarily helping out.

"Multiple open injuries throughout the body, with very severe vascular damage!"

"I have already treated the bilateral femoral artery sheaths urgently, but there is still damage to the veins."

"The patient is currently experiencing significant blood loss."

"There was no supporting information before the operation." Xie Jinyuan didn't waste a single word; every word clearly described the patient's current condition.

Upon hearing this, Fang Ziye quickly processed Xie Jinyuan's words into anatomical information in his mind, and then began to move his right hand within the surgical field of vision.

Fang Ziye simply searched the front of the patient's right thigh for a while, and amidst the dripping red flesh, he found a muscle gap. After gently tearing open the muscle gap with hemostatic forceps, he found the proximal end of the vein.

“The venous blood loss isn’t on the front of the thigh, Professor Xie, please continue searching downwards.” Fang Ziye responded quickly, his gaze already moving upwards to the lower abdomen.

After scanning the lower abdomen for about five seconds, Fang Ziye began to assess the surgeon's identity by examining the lines on the surgeon's hands.

Three or four seconds later, Fang Ziye asked in a low voice, "Brother Hao, how about I try to find it?"

Fang Ziye recognized the surgeon; he was Associate Professor Chen Minghao, who worked in vascular surgery under Professor Deng Haibo.

"Ziye?"

Chen Minghao paused for two seconds, then quickly turned his head: "Liu Faming, you step down first."

Upon hearing this, Liu Faming quickly followed Gong Ziming's example and stepped back, once again creating a gap for Fang Ziye.

Without hesitation, Fang Ziye pushed his way into the gap in the patient's abdomen, and without hesitation, he reached his hands into the pool of blood in the patient's pelvis.

"Give me the hemostat!" Five seconds later, Fang Ziye asked Chen Minghao for the instrument without hesitation.

In the past, Fang Ziye might have only offered suggestions and explanations.

Nowadays, to save time, traditional remedies omit this step.

As Fang Ziye spoke, his right hand had already grabbed the swaying artery in the pelvic cavity where the bleeding was the most intense, and pinched the spurting point of the blood.

"Hemostats!" A young man he didn't recognize handed over the earpiece of the hemostats next to Chen Minghao.

After Fang Ziye took it, he swiftly chased it into the pool of blood with a "snap," the whole operation being swift and decisive.

The young man passing the instruments was stunned and instinctively questioned, "You didn't even look before you used the hemostat?"

Talented people emerge in every generation, and new people replace the old every year.

Even though Fang Ziye hasn't worked at Zhongnan Hospital for a year, there are bound to be people who don't know who Fang Ziye is.

However, before Fang Ziye could explain, Chen Minghao said, "Yang Chong, shut up. This is not the place for you to speak, and now is not the time for you to speak."

As Chen Minghao spoke, he was already trying to change his body and hand positions, holding the negative pressure suction device in his hand tightly, following Fang Ziye's movements.

At the same time, Fang Ziye used a physical examination to locate the direction of several bleeding points and then inserted the hemostat with great precision.

The reason why blood pools form in a patient's body is because the inflow exceeds the outflow. The suction speed of the negative pressure suction device is relatively fixed. Once the amount of bleeding is less than the amount of blood suctioned by the negative pressure, the blood pool will naturally decrease and disappear.

About forty seconds later, the pool of blood in the pelvis began to descend into a lower blood pool at a speed visible to the naked eye.

At the same time, several barely noticeable small venous bleeding points were also exposed to everyone's view.

Chen Minghao held a suction device in one hand and a hemostat in the other, using it to clamp one of the bleeding points.

At the same time, Fang Ziye inserted four hemostatic forceps with graceful and precise movements.

Immediately afterwards, Fang Ziye began to count: "A total of thirteen hemostatic forceps for the pelvic cavity. Instrument teacher, remember to count them later."

Fang Ziye was speaking to Chen Minghao, and also to the scrub nurse, to prevent forgetting to remove small hemostats that might have been inserted into the patient's body.

After saying this, Fang Ziye didn't wait for a reply and continued to use his hands to explore and feel inside the patient's body.

"Without retroperitoneal hematoma, the initial hemostasis in the pelvis ends here."

"Let's start stitching," Fang Ziye said to Chen Minghao.

"it is good!"

Chen Minghao put down the negative pressure suction device in his hand and began to use the needle holder to pick up the vascular sutures that had been prepared in advance.

"Yang Chong, help me cut the thread." After saying this, Chen Minghao held the tweezers in his left hand and the needle holder in his right hand, and then slowly breathed a sigh of relief.

If the patient develops hemorrhagic shock after being rescued to this point, it's not so much related to him, but more likely due to insufficient comprehensive capabilities of other specialties.

This patient has far more than just these multiple injuries, and the rescue is far from over.

Although Fang Ziye did not make any loud or harsh statements during this process, and only performed local hemostasis, his presence was already known to some acquaintances.

After Fang Ziye finished his local battle, Wu Yong, the director of vascular surgery, immediately invited, "Professor Fang, could you please come and help me out?"

“Both subclavian arteries and carotid arteries are damaged, so we dare not clamp them at the same time!” Professor Wu Yong, being a professional, immediately passed the difficult problem on to Fang Ziye.

Both subclavian and carotid arteries were damaged, so they definitely could not be clamped at the same time; otherwise, it would be the best indication for brain death.

Fang Ziye didn't unprofessionally ask how it got into such a mess. Instead, he simply jumped up through the gaps created by the "colleagues" making way for him.

The senior professional title system at Zhongnan Hospital is a professor-led system, or more broadly, a system where associate chief physicians and above are responsible for the treatment and outcome of their own patients.

Before you reach the associate professor level, don't think about doing business outside your subspecialty or major.

But once you reach the associate senior professional title, if you go and have elective surgery that borders on being a medical procedure, no one will openly criticize you; at most, they will warn you that it's best not to do it again.

As for emergency surgery, Zhongnan Hospital grants all associate senior emergency department staff access to almost all emergency resuscitation procedures.

In urgent situations, if a professional professor hasn't arrived and inaction would mean certain death, the hospital's on-call staff would implicitly authorize all associate chief physicians to perform all emergency procedures.

Unless the surgeon himself is unwilling to perform the procedure.

Most surgeons are unwilling to get involved in any kind of horrific or dangerous activity.

After all, specialized treatment has become the mainstream.

"Professor Fang, can you perform suturing of the ruptured subcutaneous artery?"

“The location of blood vessels is not fixed, which may be even more difficult than suturing a heart that is not beating,” Professor Wu Yong asked.

Both carotid arteries are damaged, and the bleeding is extremely heavy at this moment!

Blood had already been drawn, and the right carotid and subclavian arteries and the left subclavian artery had been clamped!

Wu Yong had already tried five times to suture the left side without stopping, but all attempts failed.

He could only watch helplessly as blood flowed from his left carotid artery while simultaneously supplying blood to his brain.

The cotton pads covering the bleeding arteries were now stained red and black with blood, and the blood, after solidifying upon contact with air, had spread across the surface of the pads like a spider web.

Fang Ziye could choose not to perform the procedure or attempt it, because he is a trauma surgeon, and no one would say that he wouldn't suture the carotid artery.

But now, Fang Ziye has long since passed the initial "low professional title" stage, and the issue he needs to consider is no longer about responsibility.

Therefore, Fang Ziye did not hesitate and quickly picked up the needle holder and suture from Wu Yong's hand.

There wasn't even time to grab tweezers, so I used the hemostat in my hand as an aid.

This time, Fang Ziye's actions were not as swift as before.

Suturing while the heart is still beating is one of the most advanced suturing techniques in cardiac surgery, and Fang Ziye is only an orthopedic surgeon with no prior experience in performing this procedure.

However, Fang Ziye's suturing skills are already at level 5.

No suturing technique can be separated from the basic skills of suturing. Fang Ziye felt that he could still give it a try.

In terms of basic suturing skills alone, cardiac surgeons may not have as solid a foundation as hand surgeons.

With a single needle, Fang Ziye's hand pierced directly through both sides of the bulging carotid artery rupture without any relay.

Finding the right entry and exit points in the bouncing and floating motion is extremely difficult.

But it's just barely enough.

After quickly tying the knot with the instrument, Fang Ziye still quickly upgraded the suturing skill from level 5 (5000/50000) to level 6.

It's not that level 5 suturing is completely inadequate, but rather that it's not stable enough.

With a slight surplus of knowledge points, Fang Ziye preferred to play it safe. After spending over 40,000 knowledge points, his remaining knowledge points dropped from 130,000 to 89,000.

There was no time to think about it in detail.

Continue stitching with the second stitch.

As the second stitch was sewn, Fang Ziye instantly felt that his touch, confidence, assessment ability, and visual perception were all far superior to before.

The experience of a skill that has progressed beyond level 6 is completely different from that of a level 5 skill.

Fifteen seconds later, Fang Ziye completed the second injection.

Although Professor Wu Yong was deeply shocked, he suppressed all his emotions and, with heavy breathing, helped Fang Ziye lift the cotton pad to allow more of the tear to be stitched up.

After four stitches were inserted, the carotid artery rupture covered by the cotton pad was completely treated.

The four stitches are so finely spaced that they seem to be measured with a ruler.

However, even after being sutured, the carotid artery still throbbed and bulged between the muscle and fat layers after being dissected and opened.

As the heart pumps blood, it contracts and relaxes with each spurt!

"No bleeding yet, continue dealing with the opponent!"

"What's your blood pressure?" Fang Ziye finally asked.

"The systolic pressure has increased by 1, now it's 5." The anesthesiologist glanced at the monitor amidst his busy schedule.

The patient's blood pressure cannot be measured at present, and central venous pressure monitoring is used instead.

A central venous pressure below 0.49 kPa (5 cm H20O) indicates insufficient effective blood volume.

The so-called 5 units refers to 5 centimeters of water column, which is not the standard unit of mmHg, but the anesthesiologist didn't have time to explain that much.

"Should I loosen the hemostat?" Wu Yong asked, his voice trembling slightly.

As a professional vascular surgeon, Wu Yong is well aware of the differences in operational details and difficulty between non-stop cardiac suturing and non-stop bleeding aortic suturing.

Off-pump suture: Requires microscopic precision and complex instruments in a dynamic environment. It is suitable for repairing simple cardiac septal defects. If complex malformations are encountered (such as those complicated with aortic regurgitation), it needs to be converted to an off-pump surgery (AH).

Arterial hemostasis suture: This procedure requires rapid decision-making and operation in situations of continuous bleeding and high pressure. It is commonly used in trauma emergency care (such as rupture of a major blood vessel) or in cases of accidental injury during surgery.

Arterial hemostasis suturing is even more difficult in emergency situations due to the urgency of the situation and the risk of irreversible blood loss!

This procedure has not been implemented in clinical practice, and very few people even dare to propose the concept but dare not put it into practice.

Life is not a game, nor is it a joke.

Very few people can actually complete a suture without stopping bleeding from a major artery. Even those who know how to do it wouldn't show it off, for fear that others would try to copy it...

Even someone skilled in the art wouldn't show off their technique when they could stop the bleeding.

Upon hearing this, Fang Ziye glanced at Wu Yong and said in a low voice, "Professor Wu, the carotid artery on the other side is already open, why would we need to open the hemostat again?"

"Seeking thrills?" Fang Ziye's voice was gentle.

Brother, do you think we're acting, and you're watching a movie?
I didn't understand just now, and coincidentally, the carotid artery on the other side was also damaged, so it happened again?

Wu Yong's heart sank, realizing that he had completely lost his composure and composure in the face of Fang Ziye's actions.

He wanted to see it again.

But time will not give him another chance.

The carotid artery cannot be clamped bilaterally, but theoretically it can be clamped unilaterally.

Therefore, he would never again see Fang Ziye perform arterial suturing without stopping the bleeding. Fang Ziye respectfully returned the instruments in his hands: "Professor Wu, I should go back to my workstation now. I'll leave the rest to you, Professor Wu."

Fang Ziye gave Wu Yong a lot of face, and ran away after showing off.

Fang Ziye could have sutured the remaining blood vessels in no time, but that would have made Wu Yong, the administrative professor of vascular surgery, seem rather dull!

"Oh, okay!" Wu Yong nodded as if he were mentally challenged.

His eyes were filled with regret.

Some of the most stunning moments in your life don't last long. They mostly exist in a person's youth, or in a brief moment, and then there's no further connection.

Fang Ziye did not move sideways or downwards again, but instead retreated obediently. After leaving the operating table, he bypassed the other doctors and came to the wounds on both lower limbs, where he diligently cleaned the open wounds.

When Fang Ziye returned, Xie Jinyuan hadn't even finished tracing the distal end of the vein. Seeing Fang Ziye return, he smiled at him somewhat embarrassedly.

Fang Ziye smiled at Xie Jinyuan for a few seconds, and then, as if his eyes had caught something, he suddenly reached out and grabbed the patient's right lower limb great saphenous vein!
At the same time, Fang Ziye quickly reinserted the two hemostatic forceps into the bilateral femoral veins at the previous femoral sheath.

"Professor Wu, the venous thrombus has started to break off!"

"I suggest we remove the filter from the femoral artery and treat it locally with heparin!" Fang Ziye shouted.

Fang Ziye's words shocked Associate Professor Chen Minghao, who was standing on his lower abdomen suturing blood vessels.

He was relatively close to Fang Ziye, so he instinctively blurted out, "Did you just grab a blood clot?"

In his heart, he cursed, "If that's really the case, I'm going to fuck your mother."

Fang Ziye shook his head: "As the thrombus slips out of the venous valve, it causes the vein to swell and contract locally!"

"The blood clot in the lower limb has not completely detached from the femoral vein."

"We also need to be careful about blood clots breaking off from the great and small saphenous veins."

“The same thing can happen in the upper limbs.” Of course, Fang Ziye couldn’t catch the detached blood clot; it was the venous valves that blocked the backflow of the blood clot.

Fang Ziye only noticed this subtle change through physical examination, which is why he took precautions and offered advice in advance.

The detachment of a blood clot into the veins is no small matter.

Even a normal adult male can die from a detached blood clot. Given the patient's current condition, if another blood clot detaches and flows back, he will undoubtedly die.

Chen Minghao dared not be careless and immediately stepped out of the vascular suturing procedure he had just performed to begin placing filters in the bilateral femoral veins.

After about ten minutes, Chen Minghao cut open the filter and then cut open the downstream of the right femoral vein. Sure enough, he found a free thrombus strand between the venous valves at the location of the venous valve.

When the blood vessel was cut open and the worm-like blood clot was pulled out, Chen Minghao and Yang Chong beside him gasped in shock.

If Fang Ziye is exaggerating, then the thrombosis simply doesn't exist.

Fang Ziye wasn't bragging; his skill level could be described as "unbelievable."

Yang Chong then realized how ridiculous his questioning had been.

After questioning himself and being lectured by Chen Minghao, he imagined how ridiculous things must have been.

Yang Chong's gaze lingered around Fang Ziye.

Fang Ziye ignored all the stares and continued to clean the wound with Xie Jinyuan.

He remained silent throughout the entire process.

Forty minutes later, Associate Professor Xie Jinyuan and Fang Ziye and others completed the debridement and suturing of both lower limbs, and covered the patient's lower limb wounds with VAC. They then quietly left the operating table and filed out of the operating room.

Only after the figures of the group disappeared from the operating room did Professor Meng Yuan, who was treating open bowel injuries, turn to Wu Yong and ask, "Professor Wu, is this Fang Ziye from the orthopedics department?"

"I had only heard about it from Lin Hanping and Chen Hongxing in our department before, this is the first time I have seen it in person."

Wu Yong nodded, then muttered under his breath, "Professor Meng, just tell me, is that carpenter Deng Yong from the orthopedics department even human?"

"Such a skilled surgeon, and he's wasting his time in that corner of the orthopedics department, hammering and tinkering all day long..."

Meng Yuan understood what Wu Yong meant: "When it comes to suturing major blood vessels to stop bleeding, speed is key, and you can never be too fast."

"It implies that in martial arts, speed is the ultimate weapon."

"Fang Ziye is able to perform unstoppable suturing of a ruptured carotid artery with his bare hands; he was indeed held back by orthopedics."

Hearing that someone sympathized with him, Wu Yong was so moved he almost cried: "Professor Meng, but Dean Wang Xinghuan doesn't support me. Could you please put in a good word for me at the next meeting..."

“No.” Meng Yuan refused without hesitation.

"Why?" Now that the patient's life was out of immediate danger and the protective plugs like the filter had been put on, Wu Yong felt like he could start being mischievous.

“My whole family and I want to live a few more years. My ancestors also prefer peace and quiet.” Meng Yuan lowered his head and began to do his own thing.

Wu Yong; "..."

Chen Minghao: "..."

"Director Qian?" Wu Yong looked at Professor Qian Zhong of the Hepatobiliary Surgery Department again.

Professor Qian Zhong is the chief administrative officer of both the Department of Surgery and the Department of General Surgery. Vascular Surgery is a sub-department of General Surgery.

"Don't look at me like that. If you can poach Fang Ziye and make a deal in private, I can hold off all the firepower for you."

“But I can’t help you fire it,” Qian Zhong said with great certainty.

Wu Yong could poach Fang Ziye to work in the general surgery department, and he could take all the anger on Fang Ziye's behalf, but he wouldn't do such a thing voluntarily.

After chuckling a few times, Wu Yong fell silent.

……

The emergency surgery continued for about three more hours before finally coming to an end.

As Yang Chong from the vascular surgery department chased Chen Minghao out of the operating room, he asked in a low voice, "Who is this Fang Ziye guy? He doesn't look very old."

Yang Chong is a newly recruited employee in the vascular surgery department this year. He has excellent technical skills and came from Fuwai Hospital.

Although young, only around thirty years old, his technical skills are in no way inferior to those of a senior attending physician in vascular surgery. He is highly regarded by Professor Wu Yong and is now in charge of routine emergency rescue, handling things independently.

Chen Minghao looked at Yang Chong and said, "This isn't your buddy. When you see him in the future, you should respectfully call him Teacher Fang Ziye."

"This is a remarkable person in our hospital's surgical system, Fang Ziye, a trauma surgeon, associate professor, associate chief physician, and researcher."

"His reputation is like that, and you've witnessed his actual strength today."

"Speaking of which, our most successful research in treating retroperitoneal hematomas in the vascular surgery department all originated from Professor Fang Ziye," Chen Minghao said in a low voice while washing his hands.

Yang Chong initially imagined Fang Ziye to be someone with connections, whose family had powerful backing, which is why even professors and associate professors treated Fang Ziye with great respect!
Therefore, as soon as Fang Ziye came on stage, Chen Minghao asked Liu Faming to give him his seat.

But Yang Chong only realized now how fierce this older brother was.

"Brother Hao, how come I've never heard of such a formidable person even after all this time?" Yang Chong asked with a sheepish smile, finding it unbelievable.

His progress has been fast enough; whether at Fuwai or Zhongnan, he can be considered a genius.

"Professor Fang has been spending less time in the hospital in the past year, so there have been fewer rumors about him!"

"I don't actually know when Professor Fang will be back, but just wait and see. Once Professor Fang is back, the legends about him will naturally begin to spread!"

"So, the strange person Professor Deng Haibo mentioned at the department's morning meeting at the beginning of this month must be Fang Ziye," Chen Minghao said.

Chen Minghao was relatively familiar with Fang Ziye. He was an associate professor under Professor Deng Haibo and had a lot of "collaboration" with Fang Ziye.

"Oh!" Yang Chong obediently memorized the name Fang Ziye.

……

Around 8 p.m., Yang Chong excitedly called Chen Minghao again.

"Brother Hao, I found out that a friend of mine said that Fang Ziye came back in September."

"However, I have kept a low profile since I came back."

"Brother Miqi also said that Professor Fang Ziye helped him a lot to get where he is today."

"But Brother Hao, one thing that puzzles me is, what exactly does this Fang Ziye do? How come our anesthesiology department's motor-sensory separation anesthesia is also related to him?" Yang Chong went to inquire.

Having learned some things, he now felt increasingly lost.

The research topics in vascular surgery are related to Fang Ziye, and the research topics in anesthesiology are also related to Fang Ziye.

Is Fang Ziye still an orthopedic surgeon?

Why are you asking about all this if you have nothing better to do?

"But it's good that you called Mi Qi. Now that Mi Qi knows Fang Ziye is back, we'll definitely have a meal together."

"It was probably last year. When Mi Qi was seeing patients in the outpatient clinic, he was slashed on the hand by a patient. Professor Fang Ziye, in order to preserve Mi Qi's hand function to the greatest extent possible, tried motor-sensory separation anesthesia for the first time in the anesthesiology department..."

"So Miqi can stay in our vascular surgery department now, instead of being assigned to the logistics department." Chen Minghao also quite liked his younger brother Yang Chong, so he said a few more words.

After listening, Yang Chong remained silent for a long time before saying, "Brother Hao, the surgical field is really a deep and complex place."

"I used to..."

Chen Minghao understood what Yang Chong meant: "Yang Chong, you are different from us. You came from Fuwai, and you have seen the world."

"so……"

Upon hearing this, Yang Chong quickly interrupted, "No, no, Brother Hao, you misunderstood me. What I meant was that my teacher used to tell me that China's surgical system is full of talented people, and the world of martial arts is like a forest."

"Back then, I only had a vague understanding; now I'm probably just getting hit by a boomerang."

……

"Master!" Fang Ziye was in his study, drinking tea and organizing data, when Yuan Weihong called.

"Ziye, you went out for a meal and performed an emergency surgery on the way. How did you end up adding to my burden?"

Yuan Weihong's voice echoed through the study through the loudspeaker: "Suturing a major artery without stopping the bleeding? Ziye, you're really capable."

“Master, I can do what I can, even if it’s right beside me. I can’t just stand by and watch someone die.”

"After I returned to the hospital, I specifically studied the rules and regulations of Zhongnan Hospital. During the emergency rescue, I did my best to avoid being held accountable!"

“If I don’t intervene, this patient is at high risk of death.”

"Mainly because Professor Xie called me and asked me to go."

Fang Ziye's voice was calm and gentle: "I don't think I did anything wrong. If other teachers have taken a liking to me, I can't force them to comply."

"It's like, if I, your student, am handsome and someone takes a liking to me, am I supposed to move the Civil Affairs Bureau into her house?"

Fang Ziye understood Yuan Weihong's meaning, but he didn't regret it.

He doesn't perform surgeries to show off his skills, nor does he perform procedures that others cannot perform in order to gain admiration or envy.

"Fortunately, Fang Ziye, you have a strong enough personality."

"I had already scouted out the place with Dean Wang Xinghuan. Dean Wang just called me and said that he had given Wu Yong from the vascular surgery department and Professor Qian Zhong from the hepatobiliary surgery department a good scolding."

"Do you know what Dean Wang said?" Yuan Weihong kept everyone in suspense.

"Master, how about I offer you a few bottles of wine as a token of my respect? Don't keep me in suspense!" Fang Ziye said playfully, while also expressing his filial piety.

Yuan Weihong's voice changed: "These people, don't they take a piss and look in the mirror to see what kind of deformed gourds they are? Their entire lifetime output is not as thick as the current scientific research and professional accumulation of your department."

"They all shamelessly claim they'll help you reach the next level."

"Mom, I asked him what it would be like to take the next step, and they said they didn't know. Even if Fang Ziye wanted to change careers, he would have to switch to urology first..."

"That feels so good! ~"

"It said everything I wanted to say but didn't dare to, and it felt so satisfying to hear it." Yuan Weihong felt great.

Fang Ziye laughed and said, "Master, that's why it's better to go out and travel more. If I had stayed at Zhongnan Hospital all along, Dean Wang might not have helped me like this."

"Don't try to define other people's lives if you've already defined yourself."

Upon hearing this, Yuan Weihong's tone changed: "Ziye, are you being sarcastic or mocking towards your master?"

Fang Ziye quickly shook his head: "Master, no, no, I'm just telling the truth. Master, don't you know how good you are to me?"

"I will always remember your kindness to me."

“For example, right now, I only need to focus on doing things. Master, you have already taken care of everything else for me.”

“Research funding, the initial form of a research team, and the initial form of a professional team.”

“Master, although I haven’t said anything, I have seen everything you have done. It’s just that I have never had the chance to thank you.”

"Perhaps we Chinese are more reserved and don't know how to express our feelings. It seems that even now, apart from saying thank you, I can hardly find anything else to say."

This kind of well-timed and substantive flattery will make everyone feel comfortable.

Yuan Weihong stopped worrying and asked, "Ziye, can this arterial hemostasis suturing technique be copied?"

Upon hearing this, Fang Ziye immediately shook his head: "Master, no!"

"Absolutely not."

"Unless the situation is absolutely urgent, my advice is not to take the risk."

"Stop the bleeding when you need to, and stop jumping when you need to. Never seek out thrills just to practice your skills."

"If there is really no way out, then it is a matter of life and death."

Hearing Fang Ziye speak with such certainty, Yuan Weihong asked again, "A hundred deaths and one life?"

"What if someone like Professor Wu Yong were to do it?"

Fang Ziye remained silent for several seconds before cautiously replying, "Then it's five hundred to one in five, which is probably only a 0.2% chance of survival."

Level 5 skills are already very difficult to use, let alone Fang Ziye's hemostasis technique, which is only level 6!
Given Professor Wu Yong's current capabilities?

It's hard to say whether it's even 0.2%.

From receiving the call to arriving at the operating table, Fang Ziye had less than ten minutes to spare.

If we delay any longer, it won't matter who comes.

Brain death is irreversible.

Yuan Weihong was silent for a few seconds before saying, "Then let's forget about it. Even someone like Professor Wu Yong isn't qualified to get in, so it's better not to promote it."

"You should get some rest. I just got a call. Our department has a really big job coming up tomorrow."

"I don't know if I can eat it!"

"But it's not that extreme. If it can't be done, we can back out." Yuan Weihong gave Fang Ziye a heads-up beforehand.

Fang Ziye was genuinely curious: "A super big job?"

"What is that, Master?"

"You go about your own business first, don't worry about this for now," Yuan Weihong said.

Fang Ziye and Yuan Weihong then hung up the phone.

After hanging up the phone, Fang Ziye saw several unread messages from Xie Jinyuan, Chen Minghao, Wu Yong, and Deng Haibo.

There were invitations to meals, words of thanks, and simple greetings.

After reading it, Fang Ziye first replied to Associate Professor Xie Jinyuan, with whom he had a closer relationship.

"Professor Xie, why are you being so polite with me? I'm quite familiar with the trauma surgery department, treating it like my own home, coming and going as I please, without even reporting to you, Professor Xie."

"I hope you won't hold a grudge, Professor Xie."

Xie Jinyuan was quite satisfied with Fang Ziye's answer: "It's good to treat it like your own home. It should be treated like your own home."

"Speaking of which, I've benefited a lot from your help, Ziye, which is why I'm about to be promoted to 'senior' title. Ziye, if you're free this weekend, let's have a drink together."

Generally speaking, the number of full professors and associate professors for next year is discussed and decided the year before, and there are also applications from junior college graduates.

Clearly, Xie Jinyuan has been included in the list of candidates for the title of chief physician, and has the opportunity to enter the highest professional level at Zhongnan Hospital and achieve the status of a regional "lord".

“This is wonderful! I must drink this toast to Teacher Xie’s wedding and soak up some of the joy!” Fang Ziye replied.

Xie Jinyuan was silent for a few seconds before replying with an edited message: "Ziye, if I said that after I get promoted to senior professional next year, I might switch places with Yuan Weihong, what do you think about that?"

(End of this chapter)