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Chapter 710 A Mindset That Will Explode the World! (Please Subscribe)

On the self-service breakfast floor, Fang Ziye sat around with Lan Tianluo and Jie Han, the three little ones.

In front of Fang Ziye was a cup of porridge, a boiled egg, and he was also munching on a piece of corn.

Across from Fang Ziye, Lan Tianlu put down his phone and shook his head: "Professor Liao is still not answering the phone. I guess he's really angry."

After Fang Ziye told Jie Hanlan and Tianluo what Luo Tingzhu had relayed that morning, Jie Hanlan and Tianluo contacted Liao Jia separately, but to no avail.

Jie Han said, "Brother Nie Mingxian sent a message."

Fang Ziye and Lan Tianluo quickly stepped forward to take a look.

Nie Mingxian: "Luo Tingzhu really acted unfairly in this matter. It's not about being short of money or having good intentions."

“We’re all adults, and it was a mutual consent process. Xiang Cai’s existence wasn’t because of Liao Jia. Xiang Cai came into our view because he happened to leave that bar.”

"There are many pitiful people in this world. If they really have this kind of intention, why not do more charity work? Why do they have to hit Liao Jia on the head?"

"Of course, I won't comment on this matter either, because I don't understand what Liao Jia is trying to do either. He's neither promoted nor demoted."

Nie Mingxian also spoke very frankly.

Liao Jia did not push Xiang Cai away, but he also did not let Xiang Cai get off the car directly and escape from the tiger's mouth!
"Brother Nie, can you get in touch with Professor Liao?"

“What’s done is done, I won’t explain anything, but if we’re wrong, we have to admit it, apologize when we should, and make amends when we should!” Fang Ziye said.

Luo Tingzhu is his wife, and he is the 'captain' of the team, so Fang Ziye has to step in and solve the problem.

Given the current situation, even if we persuade Chen Xixian to send Xiangcai back to Enshi, it will be useless.

"Who knows where he is? I can't tie him up. I only found out he was angry because Jie Han told me he was angry."

"Given his temperament, I wonder which hotel he's in right now."

"Apologizing is one thing, that's our attitude; whether Liao Jia accepts it or not is her personal choice."

"Fang Ziye, Liao Jia and I are just friends, not superiors and subordinates," Nie Mingxian stated, clarifying his position and attitude.

Fang Ziye stopped worrying about it and said, "Then, Brother Nie, you go ahead and do your thing."

"Senior brother, I'll go back to Enshi after I'm done here!" Lan Tianluo was Luo Tingzhu's younger brother, and he was afraid that this matter would cause a rift between the two of them.

From Lan Tianluo's perspective, he also felt that having a master like Liao Jia in the team was like a tiger with claws already out, or a dragon entering the abyss.

"Okay, you should also learn to think about problems from multiple perspectives."

"Professor Liao Jia probably means that there are many people who have had the same or similar experiences as Xiang Cai, and Luo Tingzhu and Chen Xixian are really meddling too much."

"Of course, if we look at it from Chen Xixian and Luo Tingzhu's perspective, they would also think that Liao Jia is too unreliable and might ruin someone else's girl at any time," Fang Ziye said.

Jie Han said, "Actually, it's not that bad. If Associate Professor Liao Jia is willing to improve, even though there is a sixteen or seventeen-year age difference, his appearance, knowledge, and character are not inferior at all."

"The way you were before you retired from the mountain wasn't really anything, right?"

Fang Ziye laughed and said, "Then you guys should stop spouting those jokes about finding honest men online."

Just as Lan Tianluo and Jie Han were about to reply, Yuan Weihong approached from a distance and called out, "Ziye, come over and have a chat."

Jie Han and Lan Tianlu hesitated, as if they wanted to say something but then stopped.

However, the two thought that Yuan Weihong would run away with Fang Ziye, but to their surprise, after Yuan Weihong pointed Fang Ziye in the right direction, he walked over to the two of them and patted them on the back.

"You two should also clean your mouths. Teacher Zhang Ying is very interested in you two and specifically asked me to come over and invite you two over for a chat."

Lan Tianluo didn't know who Fang Ziye was going to see, but he did know Professor Zhang Ying, who was currently the vice chairman of the Chinese Society of Trauma Surgery, the administrative director of the Department of Trauma Surgery at Kyoto University People's Hospital, and the deputy director of the Department of Orthopedics.

Last year, when Fang Ziye gave an academic report at Zhongnan Hospital, they visited the academic lecture hall of the Medical Department of Wuhan University.

"Teacher Zhang Ying called us?" Lan Tianluo couldn't believe it.

"What's the big deal? Outsiders only look at the project leader when it comes to the team. Liu Huanglong has been receiving countless invitations lately."

"Those who are truly experts will look at the core of a team when evaluating it."

"let's go."

After the two stood up, Yuan Weihong asked, "Is my hair still a mess?"

The two knew that Yuan Weihong was referring to whether his hair was properly covering his bald patch.

After carefully examining him, he nodded and said, "Very handsome, Master."

……

"Teacher Jiang, Teacher Zhong." Fang Ziye greeted Jiang Baoguo and Zhong Junyu politely as he approached.

Liu Huanglong stood up from the table and said, "Ziye, I have something to do. Why don't you keep Teacher Jiang and Teacher Zhong company and have a chat?"

"See you later, Teacher Jiang and Teacher Zhong." Liu Huanglong bowed and walked away.

"Fang Ziye, have you eaten yet?" Neither Zhong Junyu nor Jiang Baoguo got up.

"Just as I finished eating, my master came over and said, 'Teacher Jiang and Teacher Zhong, you wanted to see me!'" Fang Ziye replied, straightening the hem of his suit jacket slightly before sitting down opposite the two of them with his feet together, looking even more energetic.

Professor Jiang Baoguo said, "Professor Fang, I didn't know before that the topic you plan to share at the hand surgery sub-forum is called 'Nerve Embedding Technique with Miniature Circulation Instrument'?"

"Professor Zhong Junyu specifically emphasized the title of your lecture yesterday."

Fang Ziye smiled modestly and said, "Teacher Jiang, you're making fun of me. I've been living off my past achievements all along."

Jiang Baoguo, however, was not easily fooled: "Technique is technique, reason is reason, and principle is principle."

"In short, techniques are just the surface; the core is more important."

"The nerve implantation technique you're talking about should be the same as what I understand, right?"

Fang Ziye proposed several concepts in hand surgery.

One is functional reconstruction surgery, and the other is limb transplantation surgery.

Functional reconstruction techniques are existing, and Fang Ziye has further developed and passed them on.

However, limb transplantation is a technique that is completely separate from limb replantation, yet it is entirely outside of limb replantation. It breaks the time limit for the survival of severed limbs and can be called a miracle!

Therefore, Professor Jiang Baoguo had to take this suggestion seriously when Fang Ziye suddenly brought it up today.

“Teacher Jiang, it’s just a rough idea right now. We haven’t had time to optimize it yet. The main framework isn’t even complete. There are only some minor theoretical branches,” Fang Ziye replied.

This time, Fang Ziye adopted a more subtle approach, firing in short bursts rather than launching a direct, one-on-one attack on Academician Zhang Limin as he had done before.

Having had experience interacting with Professor Zhang Limin, Fang Ziye knew the dangers of doing so, so he chose to fish with a straight hook, letting those who were willing take the bait.

Zhong Junyu from Union Hospital of Central China was clearly interested, which is why he mentioned the topic to Jiang Baoguo.

The so-called neural burial method, as the name suggests, is to bury seeds and harvest the whole thing after the seeds have grown.

"Could you give a general overview of the theoretical framework?" Jiang Baoguo asked.

Fang Ziye glanced at the clock; it was only 7:23. There was still more than half an hour before the meeting officially started at 8:00, so there was plenty of time.

But Fang Ziye chose to keep it brief: "Tension-Stress Law and Microcirculation Truncation Theory."

"Autologous abdominal skin flap health care method."

Professor Zhong Junyu said, "Professor Jiang, earlier this year, Professor Fang Ziye specifically mentioned the tension stress law at an academic conference."

"Our orthopedic bone cells have the ability to divide and regenerate, but we currently understand that the meniscus and ligaments are non-regenerative tissues..."

"However, after the application of the Ilizarov ring, cells in muscles, nerves, and blood vessels undergo cell division."

"At the time, Fang Ziye only mentioned these two theories without going into further depth, but I estimate that Professor Fang should already have his own system of thought."

"He always said that anyone can use these two theories together, but?" Zhong Junyu didn't finish his sentence.

Sometimes, the integration of theories seems simple and natural.

But finding the crucial step is incredibly difficult.

The microcirculation device and the limb transplantation technique in hand surgery seem like a perfect match, but who would have thought that Fang Ziye would combine it with the theory of limb amputation to design the microcirculation transection theory?

Then, a research project was developed that combined a microcirculatory device with chemotherapy for bone tumors.

"Professor Fang, could you explain it in more detail? It's too abstract, and I can't understand anything from it." Jiang Baoguo became interested.

He once worked on a research project on 'small-gap splicing repair technology for peripheral nerves and novel splicing materials'.

If it were a typical professor, Fang Ziye might have said something like, "You'll find out soon," keeping the audience in suspense.

However, this topic is for hand surgery, and Professor Jiang Baoguo is a top leader in trauma surgery, so he may not attend the hand surgery session.

"According to the law of tension stress, biological tissues are subjected to slow and continuous stretching, which generates a certain tension, which can stimulate tissue regeneration and active growth. The growth mode is the same as that of fetal tissues, which are the same cell mitosis."

"According to current research, the core mechanism of nerve stretching is to activate tissue regeneration signaling pathways (such as mTOR and HIF-1α) through continuous and slow mechanical stretching (0.5-1.0 mm/day)."

"The above is the basic core of nerve lengthening surgery."

“Neural tissue has its own specificity: the Schwann cell mechanosensitive channel PIEZO1 is activated, promoting nerve sheath regeneration.”

"Tension response threshold of axon growth cone: ≥5% strain can initiate the regeneration process."

"Currently, the contraindications for nerve traction lengthening surgery are considered to be nerve fibrosis >50% and insufficient blood supply to the traction area (capillary density <10/mm)."

"There is no good solution for severe neurofibrosis at present, but I think we can explore the microcirculation transection technique that we have studied before, which addresses the insufficient blood supply to the traction area."

Fang Ziye has now established the basic framework.

However, Jiang Baoguo's research in neurosurgery was not that in-depth, and he only had a superficial understanding of many of the data.

After examining it carefully for a while, Professor Jiang Baoguo said, "It seems that Professor Fang has made quite thorough preparations."

Fang Ziye smiled and said, "Teacher Jiang, I've never kept this idea a secret. I've noticed that other teachers haven't explored this aspect in more depth."

"So I thought I'd give it a try..."

Jiang Baoguo nodded upon hearing this: "Professor Fang is quick-witted, promising at a young age, and indeed intelligent."

"I heard from Professor Zhong that the core theme of this year's COA, namely the artificial intelligence prosthetic limb exhibit in the innovation exhibition area, is also a masterpiece led by you, Professor Fang?"

"And that personalized 4D real-time printing machine for bone defects, was that also a project that Professor Fang led your team to establish?"

Jiang Baoguo re-examined Fang Ziye, his gaze slowly hardening.

If he had heard about what Fang Ziye was doing before, he would have thought that this young man was very good, and his ideas and thinking were very novel.

Now that Fang Ziye has accumulated so much experience, he has no choice but to re-evaluate the young man in front of him.

Having worked on basic research projects, I naturally know that each project requires me to accumulate knowledge bit by bit, expending countless brain cells, before I can possibly build up that knowledge.

Fang Ziye said, "Professor Jiang, I am just an assistant. The person in charge and leading the effort is Professor Duan Hong from Tongji Hospital. I dare not take credit."

Zhong Junyu touched his tie and said in a low voice, "Professor Jiang and Professor Qiu Zhenghua have an excellent relationship. The reason I came to see you this time is because Professor Qiu asked me to."

"So Fang Ziye, you don't need to be too reserved."

"It's no secret that our two senior professors in orthopedics have a special fondness for you, Professor Fang Ziye."

Fang Ziye was stunned for a moment, then looked at Jiang Baoguo.

Jiang Baoguo did not refute this; these were the words he had originally spoken to Zhong Junyu.

Fang Ziye took a calm breath and insisted, "Professor Jiang, thank you for your concern, but I really didn't contribute much to these two projects."

Zhong Junyu said irritably, "That's right, you provide the core, but others are the ones doing the work."

Why are you so afraid of Duan Hong causing trouble?

Fang Ziye insisted, "Professor Zhong, this is not out of fear, but out of respect for my seniors."

Jiang Baoguo stopped worrying about it: "Do a good job."

"Neurological defects and necrosis are a huge dilemma facing the world today, and are one of the current prisons of the medical community."

"Whoever can break through first will be able to open up a new era of skeletal structure after the field of fractures."

"Fractures and bone defects are closely related to normal human function, while nerve necrosis and nerve defects are inseparable from the human pursuit of a better and happier life."

Being able to stand up and being able to walk are two different things.

"We look forward to Professor Fang making a breakthrough soon. If you need any help, please feel free to contact me anytime, and I will do my best to assist you."

After Jiang Baoguo finished speaking, he added, "However, Hubei Province has always had a strong medical foundation, and Wuhan is a cluster of medical technology and scientific research bases in Hubei Province, so we outsiders don't need to worry about it."

Zhong Junyu showed Professor Jiang Baoguo only slight respect, not to the point of worship.

Jiang Baoguo's becoming an academician is due to his good fortune and accumulated experience, and it does not mean that Professor Zhong Junyu has no achievements or significance in comparison to him.

"Professor Jiang, you flatter me."

"We also have many areas where development is not yet in place. We can only say that we have professionals in all fields, but they are not top-notch."

Zhong Junyu made it clear that they would support Fang Ziye, but there were not many highly skilled personnel available. They could handle routine tasks without any problem.

As for whether our Hubei Province's orthopedics department will be represented by Fang Ziye, Professor Jiang, that's none of your concern.

The amount of resources that an academician can bring is immeasurable.

This is beneficial for a province's specialized education.

For a specialized field to reach the top in the country and maintain that position, aside from special confidential departments, it must first have an 'academician' and then continuously produce more 'academicians'.

Therefore, what Hubei Province needs to do now is to produce one.

No matter the cost, we must push open this heavy door.

Professor Jiang Baoguo said, "Who says Hubei Province doesn't have top talents? The entire orthopedics department is almost full of you guys."

"One Fang Ziye is worth at least five top talents."

……

The opening ceremony of COA unfolded gradually over time.

With so many main venues and branch venues, each branch venue held its own opening ceremony, abandoning any form of formalism.

At 7:45 a.m., Professor Tang Fupei, who was not supposed to appear at the opening ceremony, showed up at the trauma surgery sub-venue and then walked directly toward Fang Ziye.

"Teacher Tang!" Fang Ziye was very surprised to see Tang Fupei.

If Tang Fupei is coming, Fang Ziye will definitely see his schedule in advance. Even if Zhongnan Hospital doesn't pick him up, Fang Ziye will definitely keep track of his schedule.

"Ziye, come with me to the International Orthopedics Conference!" "Is the presentation you're sharing entirely in English?" Tang Fupei asked.

Fang Ziye shook his head: "No?"

Fang Ziye can speak without notes, give lectures entirely in English, and present entirely in English PowerPoint slides, but he always applies for the trauma surgery sub-forum, where no foreigners participate. Fang Ziye never tries to show off like that.

"If not, we'll just change it temporarily."

"Professor Zhang Xingze has moved your speaking order from the morning session to 11:30," Tang Fupei said.

Fang Ziye had never heard of a lecture being abruptly canceled before. He asked, "Professor Tang, why?"

"Don't worry about it for now, just do as I say..."

"After you finish attending the opening ceremony, you'll start translating."

“AI translation is quite fast now. At least there won’t be any spelling errors,” Tang Fupei said.

Simple translation is easy, of course. The higher the level of the academic conference, the fewer long sentences there are, and the more common short phrases and outlines are used.

It is relatively simple to translate.

Since Professor Tang Fupei had said so, Fang Ziye had no choice but to follow. Carrying his bag, he sent a message to his two teachers halfway to report back.

Yuan Weihong and Deng Yong both said "okay".

So Fang Ziye went to the international orthopedic conference where many foreigners had gathered.

First, Professor Zhang Xingze, the chairman of this COA conference, gave a brief speech, expressing his welcome to all the guests in two minutes. He then spoke eloquently about the development of orthopedics in China, which is inseparable from the history of orthopedics worldwide.

The subsequent speeches were then handed over to the foreign guests, Sabarul Afian Mokhtar, President of the Malaysian Orthopaedic Association, and Professor Kenneth CUTBUSH, Secretary General of the Australian Orthopaedic Association, who delivered their respective remarks.

After the speeches, it was time for a group photo!

After the group photo, it was time for everyone to "show off" their academic knowledge, with Professor Zhang Xingze and Professor Tang Fupei taking the lead.

Academician Zhang Xingze shared the basic and clinical research findings on PFBN; Professor Tang Fupei shared the concept and clinical application of internal support biomechanical stability in osteoporotic fractures, which drew thunderous applause...

Sabal presented on fragility fractures and osteoporosis, while Kenneth presented on advancements in rotator cuff repair, introducing new repair materials, innovative surgical techniques, and new concepts in postoperative rehabilitation…

Professor Christian Kleiber, a member of the German-Chinese Orthopedic Association, shared and introduced the treatment and management of multiple traumas in Germany...

Just as Fang Ziye finished translating, he realized why Professor Tang Fupei had brought him here.

Compared to these foreign professors, their prepared topics were somewhat less outstanding.

It's not that these topics aren't prominent enough, but rather that the two professors have covered these topics so extensively that they're less likely to resonate with people.

Rather than letting Fang Ziye quietly show off in the trauma surgery sub-venue, it's better to take this opportunity to make a big splash at the international venue.

After the first half of the morning session, including discussions, summaries, and tea breaks, the time finally moved forward to 11:30 a.m.

The chairpersons of the second session were Professor Ma Xinlong, Dean of Jinshi Hospital of Jinshi University; Professor Zhang Qiong, Director of Orthopedics at the Red Cross Hospital Affiliated to Xi'an Jiaotong University; and Professor Ricardo Madrigal Gutierrez from the Mexican Academy of Orthopedics.

After the previous professor finished sharing, Professor Ricardo began to introduce, "The next speaker to share with us is Professor Fang Ziye from the Zhongnan Hospital affiliated with Seoul National University. The main content he will share is a simplified solution for the core points of 'limb salvage surgery for catastrophic injuries'."

Upon hearing this, Fang Ziye slowly walked onto the stage, while Professor Zhang Qiong introduced Fang Ziye's resume as background: "Professor Fang Ziye is an associate professor, associate chief physician, and researcher from Zhongnan Hospital of Wuhan University."

"Currently serving as a member of the Chinese Trauma Surgery Branch, a standing member of the Bone Tumor Group of the Chinese Orthopedics Branch, a member of the Chinese Hand Surgery Branch, a standing member of the Hubei Provincial Trauma Surgery Association, and a standing member of the Bone Tumor Branch of the Hubei Provincial Orthopedics Association..."

Fang Ziye's label was also very long. Fang Ziye stood still for almost half a minute before Professor Zhang Qiong finished introducing it.

Fang Ziye walked to the center of the podium, bowed respectfully with great poise, and then began to speak: "Respected professors, a sincere welcome to you all, and thank you all for your willingness to share."

"What I'm going to talk about today is a sub-topic: a simplified treatment plan for limb salvage surgery for traumatic injuries."

"Regarding the definition and background of limb destruction, I believe all professors have heard of it. This is a disease in our orthopedics that is approaching its terminal stage. Currently, the most standard definition for its diagnosis and treatment is amputation."

"For decades, countless teams and professors have devoted themselves to finding alternative treatments to amputation, which is a series of emergency procedures that have evolved in pursuit of 'limb preservation'."

"Our team has also been dedicated to this in previous years, and through exploration and summarization, we have found a feasible path and have gained some treatment experience in the early stages."

"However, in the process of performing limb-sparing surgery, we have found that there are certain entry barriers to this operation. For example, it requires the participation of surgeons who are very skilled in surgical procedures and are very proficient in debridement and suturing to complete the limb-sparing surgery."

"But the objective reality is that doctors who need to treat patients with serious injuries are not only highly skilled professors or surgeons who are very proficient in the procedures."

“Patients with severe injuries are considered emergencies and should not be transferred to other hospitals, as this could delay the time needed to save their lives.”

"Based on this, there are still a large number of trauma patients in China who face amputation as an inevitable treatment option after the trauma."

"Only a very small percentage of patients who are lucky enough to live in areas with very advanced medical resources have the opportunity to save their limbs after suffering a devastating injury."

"This is the amputation data in China in recent years that our team has compiled. All amputation patients are diagnosed as having devastating injuries."

"According to data, there are still 92% of patients in China who will have their limbs amputated after a devastating injury to prevent further blood loss and save their lives."

"Based on current limb-sparing techniques, our Chinese Orthopaedic Association launched a simplified plan last year: within six hours of injury, a highly skilled limb-sparing team must be assembled, with at least two orthopaedic surgeons who are extremely proficient in trauma resuscitation participating in the surgery, in order to have a chance of ensuring the success of limb-sparing surgery."

"And so it turned out..."

"This has reduced the rate of catastrophic amputation in China from 98 percent last year to 92 percent this year."

"But this approach can only confirm the effectiveness of limb-sparing surgery for severe injuries. How to lower the barrier to entry for this type of surgery is a question that all trauma surgeons must consider."

"Therefore, we conducted in-depth research and analysis on the conventional treatment plan for limb salvage surgery for catastrophic injuries, and then broke it down into the following two key steps."

  "The main risks of amputation for severe injuries are blood loss, limb necrosis, and reperfusion injury."

"Further break down these risks: blood loss leading to shock, limb necrosis, infection, toxemia after infection enters the bloodstream, and electrolyte imbalance caused by reperfusion injury are all major culprits leading to death."

"Based on our current understanding of human anatomy, we know that injuries to the limbs are localized limbs that are relatively detached from the body's main circulatory system."

"Based on this anatomical principle, and referring to the basic principle of human amputation survival, we can boldly assume that the circulation of the limbs does not affect the survival of our normal human body."

"In our orthopedic hand surgery team, a professor has proposed the concept of microcirculation transection, which means cutting off the blood supply system of the limbs and making them independent."

"Putting ourselves in their shoes, if we were to cut off the circulation of the limbs after the limb injury has occurred, and first use a 'violent' microcirculation clamping technique, we could effectively address the problem of blood loss from the injury."

"For example, after a single lower limb is mortally injured, we clamp the femoral vein and femoral artery; after a single upper limb is mortally injured, we clamp the brachial artery and brachial vein."

"In this way, the risk of shock caused by blood loss will be eliminated, and the maximum malignancy of clamping these two blood vessels is to cause necrosis of the distal limb, which means that the patient will face amputation."

"At this point, we had already completed the emergency treatment for shock. With the surgical skills of us trauma surgeons, finding and fixing the major arteries and veins to stop the bleeding is not a difficult operation. Any orthopedic surgeon with some experience can do it."

"Next, we need to further dismantle and hemostatically stop the circulatory branches of the limbs after the main circulatory branch is cut off."

"These include, but are not limited to, vascular clamping for hemostasis and vascular thrombectomy."

"Professors, there is one point we need to pay attention to."

"The total blood volume in the human body is approximately 4000-5000 ml! And what is the largest blood-containing organ?"

"That's right, it's the lungs, heart, and major blood vessels. Based on this principle, even if we use a blood transfusion, how much blood would be needed to reperfusion a single upper limb and a single lower limb?"

"One-eighth? One-ninth? One-tenth?"

"Perhaps none of that is needed. According to our calculations, a blood flow of 100-400ml is enough to fill a single upper limb and a single lower limb. This volume of blood is less than the amount of blood transfused during our resuscitation process."

As Fang Ziye finished speaking, a commotion indeed broke out in the audience, and everyone began to whisper among themselves.

Those familiar with Fang Ziye have already grasped his thinking. As expected, Fang Ziye once again used his explosive thinking to bombard the trauma surgery community.

The discussion escalated to the point that Fang Ziye had to raise his voice: "Professors, doctors, please let's quiet down."

"Thank you for your excitement and affirmation, but we are currently in an academic conference hall, not an operating room. Standing in front of you is a normal, uninjured adult, not a critically ill patient lying in an operating room."

Fang Ziye made a Western-style joke.

I am alive and well, and I do not need you to resuscitate me, so you do not need to have any preoperative discussions now.

"So, what's the key after all this theoretical preparation and accumulation?"

How to rebuild the circulatory system in the upper limbs?

"Our hand surgeons have also answered this question. If our trauma surgeons can promptly achieve hemostasis of the key blood vessels after the injury, our hand surgeons can then promptly reconstruct the upper or lower limbs through microcirculation transection."

"This is a reference paper. Professors can take a picture of it and make notes."

Fang Ziye paused for ten seconds before switching to the PPT: "If limb transplantation can be performed in prefecture-level city hospitals, then we have every reason to believe that after a devastating injury, our trauma surgeons can also save a single upper limb that has lost all blood."

"This may take twenty-four hours, thirty-six hours or even longer, but we have already extended the timeline."

"There is an old Chinese saying: 'No destruction, no construction; destruction precedes construction.'"

"The reason we are hesitant to cause further damage and opt for amputation is because we fear blood loss and the possibility of arterial embolism in the affected segment, leading to limb necrosis!"

"However, professors, the direction we fear most often is where the spirits and angels who solve problems reside."

"Blood transfusion is a great invention that allows us to restore blood volume, and of course, it can also restore local blood volume."

"Therefore, the simplified solution for limb-sparing surgery for catastrophic injuries is actually very simple."

"In summary, there are only three key steps in the operation."

"First, cut it off. Since we dare to cut off limbs directly, we can easily cut off its blood flow."

"Second, leaving it is not as difficult in surgical procedures as cutting open blood vessels or drastically draining all the blood, compared to cutting off a limb."

"Third, we re-energize them. What I mean is, after we've achieved hemostasis in the critical blood vessels, we re-energize them."

"This doesn't require sophisticated techniques; it just requires extending the timeline of our operations."

"We need to expend more physical strength and energy, rather than more sophisticated techniques..."

"Thank you all for listening!" Fang Ziye finished speaking in one breath before the others could even process what he had said.

He then bowed and walked to the center of the stage. After bowing again, he took off his laptop and began packing up to walk off the stage.

According to the standard procedure, whether out of courtesy or because he genuinely enjoyed listening, there would have been a round of applause, followed by the host's thanks as Fang Ziye left the stage. However, he noticed that the meeting hall was somewhat silent.

Sparse applause only began to erupt after he stepped down the stairs.

The applause, like flames spreading through a haystack, grew louder and louder.

As Fang Ziye passed by the first row, he saw Professor Zhang Xingze clapping and giving him a thumbs-up.

He knew that the topic Fang Ziye presented would not be a tired old topic, but rather a new and more groundbreaking one based on his own existing research.

The combined power of nuclear energy can vibrate everyone's eardrums.

There weren't many Q&A sessions in the COA International Hall, partly out of respect for international guests and partly out of understanding the varying levels of expertise among the attendees.

The participants in the China Orthopedic Annual Meeting include doctors from medically advanced regions as well as some foreign scholars from relatively underdeveloped regions. Although they are very famous in China, their overall level is only comparable to that of the top domestic institutions.

In this environment, it would be disrespectful to nitpick.

Therefore, Fang Ziye's departure was understandable.

As the applause subsided, Fang Ziye walked to his seat. Those who knew him straightened their clothes and made way for him.

The people in the front and back rows turned around and gave a thumbs-up in respect.

International exchanges don't involve much theoretical debate or confrontation; they're more about who can boast the loudest, the most practical, and the most unbelievable claims.

Fang Ziye's lecture achieved excellent results.

It takes into account most orthopedic surgeons and benefits most orthopedic patients, and may even trigger a "revolution" in limb-sparing surgery worldwide!
Lowering the entry barrier for limb-sparing surgery is not a bad thing, but rather something that benefits everyone.

At that moment, Professor Zhang Qiong said, "Let us once again express our gratitude to Professor Fang with warm applause. Professor Fang's insightful and easy-to-understand explanation and comprehensive considerations have captivated me."

“I apologize to everyone on behalf of the organizing team for not being able to react immediately and delaying the time of the scholars who followed us.”

"Next, we will move on to the next session, where Professor Timothy Cheng from the Malaysian Orthopaedic Association will present on 'District Hospital Fracture Liaison Services,' a topic related to the emergency department system..."

The COA in orthopedics doesn't just focus on orthopedic surgical techniques; any orthopedic-related topic, as long as it's advanced enough, can be shared.

The fact that this professor specifically mentioned the district hospital's fracture liaison service suggests that it has genuinely gained recognition within the domestic industry and has undergone trial verification.

……

After Fang Ziye took his seat, Professor Huang from the First Affiliated Hospital of Jilin University immediately lowered his voice and said, "Professor Fang is indeed full of nuclear energy. When he doesn't make a move, he is as silent as a lake, but when he does, the wind and clouds change and the thunder roars."

"Impressive!~"

In addition to pursuing the pinnacle of technological advancement, another direction of technological reform is the scalability of technology.

Technology is not necessarily better the more difficult it is. On the contrary, the better the technology, the more operable and repeatable it is. For example, the benefits of the micro-circulation device in hand surgery, which enables more people to improve their skills, is a more mature, influential and beneficial topic.

Fang Ziye's previous proposal of limb-sparing surgery for traumatic injuries was certainly impressive! But in reality, it was beyond the reach of many people.

Even if the entry level for damage control is level 4, not everyone can have multiple level 4 skills, and not all hospitals can have someone to provide a safety net like Zhongnan Hospital.

Top teaching hospitals have strong capabilities and extensive experience, making it easy for them to transfer and take over surgeries. However, in prefecture-level city hospitals, the rate of limb-sparing surgery for severe injuries is extremely low.

I dare not take it on.

Surgery procedures that even prefecture-level city hospitals dare not perform are considered too advanced and impractical.

The invention of medical technology should not be something that is out of reach!

"Thank you for your kind words, Professor Huang!" Fang Ziye said softly.

"This is no compliment, I really think you're awesome!" Professor Huang is not old, only a little over forty, and he is also a very fashionable person who knows a lot of internet buzzwords.

A person in the row behind Fang Ziye patted him on the shoulder and said, "Professor Fang, your research topic has a far-reaching impact and benefits everyone. Try to standardize it as soon as possible."

"As a result, the amputation rate for trauma-related patients across the country is expected to drop from the current 92 percent to about 40 percent."

"This is truly a meritorious deed!"

"Yes, if it can really be promoted, it can reduce the rate to at least 50%, and with the passage of time, the overall amputation rate is expected to drop to below 30% in ten years." Professor Huang nodded in agreement.

Everyone laughed upon hearing this.

We dare not place too much hope on it, as the probability is close to zero.

China is a vast country, and besides top-tier teaching hospitals and prefecture-level city hospitals, there are many more county-level hospitals...

Improving the overall level of county hospitals is a long-term plan that takes hundreds of years to complete; it cannot be accomplished by one person or one era.

Fang Ziye remained silent, focusing intently on the content shared by the professor from Malaysia.

The unrest in the small area was thus suppressed.

However, the seeds that Fang Ziye ignited have already been planted in everyone's hearts, just waiting to sprout.

(End of this chapter)