top student at medical school

Academic disciplines are higher than vocational colleges, and vocational colleges include majors.

What Fang Ziye was referring to was something that everyone sitting there was familiar with and used in their daily lives; in the workplace, it has a specific term: "cake".

The comprehensive ranking of specialist strength is something that specialist doctors care about and strive for.

Key disciplines are the dream of every university.

However, orthopedics can also be established as a key specialty as a secondary discipline. Wang Xinghuan, with a mixture of belief and skepticism, whispered, "Professor Fang, there are some things we shouldn't say carelessly."

"Although orthopedics is currently a national key clinical specialty of the Central Medical Service Center, there is still a big difference between a key specialty and a key discipline."

Before Wang Xinghuan took over as dean, he had heard about the "skills" of the senior orthopedic surgeons, but he didn't think that Fang Ziye would make such a solemn pledge at such a young age.

As a national key clinical specialty, the Department of Urology is evaluated according to nationally unified standards, focusing only on hard indicators such as medical quality, scientific research output, and teaching ability.

Orthopedics is a national key clinical specialty at the Central China Medical Service Center. The evaluation process included factors such as regional service efficiency and resource integration capabilities, making it a "youth version" of the national key clinical specialty!
Fang Ziye naturally understood what Wang Xinghuan meant, and smiled calmly, his voice neither hurried nor slow: "Dean Wang, you don't think I would be so arrogant as to think that I can promote the 'discipline' I'm talking about with my own strength or with the strength of our orthopedics department alone, do you?"

Fang Ziye's question instantly brought everyone present back to their senses.

The establishment of key disciplines is not the task of one person or one department, but should be the responsibility of an entire hospital, department, and university to work together and support.

Wang Xinghuan scraped his lower lip with his upper teeth, and his mouth twitched for a moment.

Fang Ziye's move to this level of discussion clearly indicates that it's not just a joke between young people and the older generation, nor is it just idle gossip made on a whim.

Fang Ziye did not come on his own behalf, nor was he here to demonstrate his personal abilities. Therefore, the considerations in this matter should not be limited to Fang Ziye himself.

We need to consider all aspects comprehensively. Given the current state of Zhongnan Hospital, with the combined efforts of multiple departments and the allocation of resources, is there an opportunity to do something like this?

The three remained silent until Fang Ziye continued, "Teacher Wang, this is what I'm thinking. I'm young, and my experience and qualifications are limited."

"But I have the experience of eating my first crab, so I have truly experienced its benefits."

"Currently, there are very few limb preservation centers in the country, let alone a single well-equipped reconstruction center."

"If we want to overtake others by taking the lead and using the initiative to drive the progress of others, we cannot simply follow in the footsteps of others."

"If I remember correctly, our hospital's intensive care unit, urology department, clinical nursing department, general surgery department, and neurosurgery department are all national key specialties."

"The development level of these departments is above that of our orthopedics department."

"Within this existing framework, we have the capability and opportunity to consider establishing a reconstruction center; this is not a baseless suggestion on my whim."

"Just like the rise of MDT in oncology, we non-oncology specialties can also establish our own non-oncology MDT, which is a multidisciplinary joint diagnosis and treatment team."

"This is the current cutting-edge development direction and the inevitable path in clinical practice."

Upon hearing this, Deng Haibo nodded, his right thumb stroking his chin: "I think Professor Fang's suggestion must have been carefully considered."

Deng Haibo did not offer any leading opinions. Vascular surgery is part of the hospital's surgical system and has not yet reached the forefront of national standards.

Dou Qianmiao was somewhat tempted, but more worried that Fang Ziye might have been tutored by his parents, so he asked, "Professor Fang, your idea is good!"

"But what if you withdraw from the orthopedics department halfway through? Can you take back the limb preservation center?"

"By then, it will have already formed a large-scale cluster!"

Dou Qianmiao was reminding Wang Xinghuan that once the limb-sparing center in orthopedics is established, even if orthopedics doesn't move forward further, giving that space away would be like throwing good money after bad.

Fang Ziye said, "Professor Dou, I can't answer your concerns. I also admit that if the reconstruction center can't be established by then, it will be difficult to dismantle the limb preservation center."

"But if the prerequisites aren't met, then there will never be a follow-up!"

"But from what I understand, with the implementation of the DIP/DRG model, every department will have to face a directional choice in the future."

"Either we stay within the DIP/DRG framework and perform the surgery strictly according to the prescribed rules, or we have to take a more advanced approach."

“Once the treatment plans for some common diseases are fixed in a framework, there will be no chance to keep up with the latest developments.”

The disease-based payment model even sets the surgical treatment plan. Those who implement this model are essentially the ones carrying out the treatment framework; those who deviate are considered outsiders.

Just like with a certain type of fracture, if you don't follow the surgical plan recommended by 'DRG', then you are not in compliance.

Even if you perform the best surgery, you'll either be fined or lose money yourself, as medical insurance will only cover that amount.

Under such circumstances, top-tier hospitals must take a more advanced approach, focusing on diseases that cannot be addressed by the DRG/DIP framework.

Such diseases are becoming increasingly difficult to specialize in, and therefore cannot be diseases requiring a single specialty.

Moreover, even if you follow the trend and focus on the most cutting-edge diseases in your specialty, there will be a lot of competitors.

Instead of taking this opportunity, we might as well target a 'tricky' or 'complex' disease.

Currently, many people want to undergo personality function reconstruction, but none dare to start.

This disease affects a large number of people, and as the population ages, the number of people with this disease will only increase, and the demand gap will only widen.

Wang Xinghuan is at the dean level and attends many meetings.

When Fang Ziye mentioned the ultimate development direction of DRG and DIP, he dared not underestimate it anymore: "Are there any more specific plans and schemes?"

"Over five years, we will improve the limb-preserving center and gradually advance the basic and clinical research on nerve implantation. If we make proper progress, we can start to promote the reconstruction of the center in seven or eight years."

"The nerve implantation technique must be completed before large-scale reconstruction can be performed; otherwise, we'll be like a rootless duckweed!"

“Professor Wang, you are a urologist, and Professor Dou, you are a neurosurgeon. You two should understand the complexity of personality reconstruction surgery better than I do.”

Wang Xinghuan certainly understood. Not just every day, but almost every week, people would ask him if there was any way to fix the problem of not being able to control urination.

But Wang Xinghuan was still not satisfied: "Professor Fang, this 'space' is too general. Do you have any more specific solutions?"

Fang Ziye thought for a moment and said, "It's not that there isn't."

"As far as I know, there are neurology teams in China working on the application of artificial intelligence to walking in paraplegic patients. Implanting chips encoded with artificial intelligence into the neural control system may enable paraplegic patients to stand up again."

“Referring to this project, there are actually even more radical solutions for implementing autonomous urination control.”

"Compared to the coordination and control of many muscles involved in motor function, the contraction model related to the detrusor muscle is much easier to design."

"However, this is only a disguised replacement, not a true reconstruction!" Fang Ziye said casually.

Wang Xinghuan couldn't help but slam his hand on the table and stand up.

However, Wang Xinghuan was Wang Xinghuan after all. He quickly suppressed his emotions, glanced at Dou Qianmiao and Deng Haibo, and then adjusted the hem of his suit jacket.

Wang Xinghuan looked at Fang Ziye and said, "I wonder if your senior orthopedic surgeons ever have someone wanting to strangle you every day."

Fang Ziye isn't a man at all; he's practically a succubus, a bewitching succubus!
Dou Qianmiao wasn't particularly calm either. While Fang Ziye was saying these things, his mind was racing with many thoughts, such as the neural control nodes of the detrusor muscle, the control areas of the cerebral cortex, and so on...

One thought can send you soaring, another can send you tumbling down; your rise and fall are uncertain.

"Professor Wang, these are all things to be discussed later. Perhaps I exaggerated, after all, I don't know that much about urology." Fang Ziye continued to bring the topic back to the main point.

Daydreaming is daydreaming, and wild speculation is wild speculation.

Anyone can have wildly imaginative thoughts and ideas, but whether these ideas can be put into practice is the most crucial thing, and that's what everyone values.

"I'll bring this up for discussion at the next meeting," Wang Xinghuan said, already having made a decision in mind.

The Department of Urology at Zhongnan Hospital has developed to its current level, and it is indeed difficult to make further breakthroughs by simply following the traditional approach.

Breakthroughs not only bring numerous benefits in terms of fame and fortune, but also give every doctor a sense of accomplishment as a physician.

The simple thanks from ordinary patients after their post-operative recovery have become meaningless to Wang Xinghuan and others.

Because Wang Xinghuan and his colleagues have taken on so many patients, what seemed like complicated and distressing illnesses to other patients has become routine for them.

Many people can do this, so they are actually just one of the implementers of the treatment plan, who happen to know it and whose patients also need it.

If the patient goes elsewhere, then the executor is someone else.

That's it.

The "pleasure" derived from simply doing things and helping patients through one's own abilities no longer stimulates their cerebral cortex.

“I think we can discuss it,” Dou Qianmiao nodded.

The word "opportunity" means first come, first served.

Fang Ziye came today, and he happened to be there and overheard everything. So, once this matter is officially launched, if Dou Qianmiao is willing, he will be the representative of neurosurgery.

"I also think we can have a proper discussion." Deng Haibo and Fang Ziye had a good relationship, so it was inconvenient for him to be the first to stand up and express his opinion, but his expression was the most sincere, without any other factors added.

……

Unsurprisingly, Dou Qianmiao and Deng Haibo were asked to leave by Wang Xinghuan.

Wang Xinghuan then added fresh tea for Fang Ziye, keeping the same teapot but using different tea leaves.

Fang Ziye couldn't discern a significant difference in taste, but he didn't want to be too discerning either, so he simply helped wash the teacups.

This is Wang Xinghuan's home. Fang Ziye is reserved, and Wang Xinghuan, in turn, doesn't dare to let Fang Ziye relax either.

"Fang Ziye, you've given me a really tough problem."

“In the past, although I supported you, it didn’t involve any real architectural resources!” Wang Xinghuan said, smoking a cigarette, his sparse eyebrows as black as ink.

"Teacher Wang, thank you for your trust."

"My original intention in coming here was definitely for our orthopedics department, but it's not just for orthopedics. I also want to do something practical."

"I just hope Teacher Wang won't blame me for overstepping my bounds," Fang Ziye said, warming his hands with a teacup.

After Dou Qianmiao and the others left, Wang Xinghuan turned off the air conditioner and opened the window to calm down, and now a cold draft is blowing in.

Han City in December is a ghost town.

The damp cold seeps in, leaving nowhere to escape.

“If it were someone else, I might blame them, but I wouldn’t think that way about you.” Wang Xinghuan seemed to be hinting at something to Fang Ziye.

This was actually a hint to Fang Ziye that he knew something.

As the president of Zhongnan Hospital, Wang Xinghuan certainly has a wide network of connections. Moreover, as a national key specialty, the Department of Urology at Zhongnan Hospital receives resource support not only in terms of research funding.

Professor Wang Xinghuan himself is incredibly talented.

Chief Scientist of the National 13th Five-Year Plan Key Research and Development Program, recipient of the second prize of the National Technological Invention Award, Changjiang Scholar…

Fang Ziye replied, "Teacher Wang, others are praising me to the point of ruin. You should protect me and not follow their example."

Wang Xinghuan nodded: "Of course!"

"But we still have to praise you. Our Zhongnan Hospital is full of rare talents like you."

"However, what puzzles me is that I still don't know which direction you, Fang Ziye, are going to pursue."

"In the field of oncology, we are now focusing on both limb preservation and reconstruction."

"Professor Fang, you're not thinking of arresting them all at once, are you?" Wang Xinghuan frowned.

Specialization, and the ability to break down barriers and establish new paths through specialization, is the key to China's current development, rather than being a jack-of-all-trades and master of none.

What China needs most right now is someone who can lead the way in a particular field or even establish a new school of thought.

“Teacher Wang, haven’t you noticed? My foundation is actually trauma.”

"The reason I got involved with tumors was because I gained insights while treating patients with postoperative infections, which led to my current research project on microcirculation truncation combined with microcirculation device chemotherapy."

"But it was originally developed to treat severe infections."

"Trauma is the foundation of all surgery. The deeper I go, the more I understand the true value of this statement."

Trauma is the foundation of all surgery; this is a statement written in textbooks and a sentence that all medical students learn.

"Professor Fang came to see me today, surely it wasn't just to prepare those previous remarks?" Wang Xinghuan asked.

Fang Ziye said, "Teacher Wang, that's really all we have for now."

"After all, I don't know if you will agree."

Seeing Wang Xinghuan's disbelief, Fang Ziye added, "Yes, I also have something else in mind: if you, Teacher Wang, don't support me, I'll stay and work at the sanatorium."

Wang Xinghuan thought to himself, "Fang Ziye, you son of a bitch."

However, Wang Xinghuan did not think Fang Ziye was joking. Wang Xinghuan also knew a little about the changes that had taken place at the military sanatorium in Hubei Province.

That place is also a special clinical medical research institute. If Fang Ziye really wanted to move the research topics he was proposing there, I wonder how many people would be even happier.

"Professor Fang, can I understand that you are threatening me?" Wang Xinghuan felt a bit of a headache, the kind of pain that he himself couldn't cure.

Fang Ziye shook his head: "Teacher Wang, you've misunderstood. It's a matter of mutual consent, so it's definitely not a threat."

"I'm just an employee, I'm completely incapable of doing this kind of thing."

"Besides, Teacher Wang, fundamentally speaking, I can choose where I do it now."

Wang Xinghuan pressed further, "Can you persuade the sanatorium?"

Fang Ziye thought about it carefully and nodded: "It's highly likely. No one can guarantee 100% that something hasn't happened yet."

"But based on my own prior experience, I am willing to believe that the sanatorium is willing to give me a chance to try."

"Once you take the first step, you will no longer have the freedom to choose your location."

Wang Xinghuan remained calm: "If you put this research topic in our hospital, how will you answer when the sanatorium asks you about it?"

"Sanatoriums also need to achieve performance targets, and the requirements are much higher than those for our teaching hospitals!"

Fang Ziye countered, "Does Professor Wang have any better suggestions?"

Wang Xinghuan's spermatic vein twitched again, and his voice became distorted: "Now it's my turn to ask you questions!"

“Teacher Wang, I have my own reasons, which I cannot disclose,” Fang Ziye replied.

It means that if you really know, then you know.

If you don't know, don't ask!
If you have other ways to find out, and you try to get information out of me through those other channels, that's impossible.

I'm not going to tell you what the military sanatorium is all about.

Wang Xinghuan sighed: "Fine... I admit, even though I was on guard, Professor Fang, I still managed to get caught up in your trap."

If you have rice in your hand, you'll have chickens behind you.

Even those who are wealthy in remote mountains have distant relatives.

Human relationships are always a complex mix of warmth and coldness.

Sometimes, it's not that people are extremely cold-hearted, but rather that you yourself lack the capacity to respond to their kindness.

"..."

Saturday was the weekend, and Fang Ziye had already arranged to go to the movies with Luo Tingzhu, who was rushing back to Han City. After leaving Wang Xinghuan's house, Fang Ziye sent a message to Luo Tingzhu.

Luo Tingzhu, who had been sleeping in late, had already finished getting ready and was waiting for Fang Ziye to invite her to hot pot. So when Fang Ziye's message arrived, she sent him a photo.

"Senior brother, will this look good?" Luo Tingzhu asked.

Fang Ziye started the car on fire in the driver's seat of the underground parking garage to warm it up. After looking at the photos, he pressed the horn button.

In the photo, Luo Tingzhu is wearing a Lolita outfit, complete with white stockings and pigtails; the style is very Lolita-esque...

Fang Ziye immediately replied, "No? Tingzhu, who taught you to dress like this?"

Luo Tingzhu has great skin, slightly narrowed tadpole eyes, and a high nose. She has always projected an image of a cool and aloof academic genius.

But in the current photos, Luo Tingzhu has pigtails and a white Lolita-style puffy dress, which makes the overall look a bit out of place...

"Um, is it that bad? Chen Xixian suggested that I buy an outfit like this, saying that it's best to have a variety of clothing styles to keep things fresh."

“If you don’t like it, I’ll change it,” Luo Tingzhu said.

Fang Ziye hurriedly said, "It looks really good! But I feel extremely guilty."

"Look at yourself, wearing a school uniform means you're a minor... Me?"

"Let's not change it, I'll come pick you up."

Fang Ziye didn't complain much. Luo Tingzhu's sudden change in dressing style was just an experiment. He didn't have any special quirks, and neither did she.

Wearing it out once and getting misunderstood is just that.

In the underground parking garage of the residential complex, as Fang Ziye watched the youthful Luo Tingzhu slowly emerge from the elevator, he still felt a strong sense of guilt, even though he was somewhat prepared.

Luo Tingzhu is no longer young; she is already twenty-seven years old.

But she has good skin and is tall. When she was dressed like this, Fang Ziye really looked like a "criminal" person!
Putting that aside, Luo Tingzhu's figure can indeed pull off many styles of clothing, except for EFG.

I can only say I can barely pull off the D-set style!

Luo Tingzhu got into the car and was a little shy: "When I came down from the elevator, several aunties stared at me, and some even asked me what grade I was in!"

"Then why don't you go back to Grade 12?" The phone rang at an inopportune moment.

"It's not until you fall that you fly,

When your dreams come alive…”

Luo Tingzhu opened her mouth slightly and paused, while Fang Ziye's lips also twitched. The two looked at each other and then at their phone screens.

"Duan Hong."

Fang Ziye used the steering wheel to answer the call, and Duan Hong's voice came through the car's Bluetooth: "Ziye, are you busy right now?"

"If you're not busy, could you come and help me out? It's extremely urgent!"

Before Fang Ziye could utter a single word, Duan Hong had practically cut off his escape route. However, Fang Ziye said, "Teacher Duan, I'm not particularly available right now!"

"Would you like to speak first?"

"It's the weekend, and we're performing a teaching surgery. A particularly tricky problem has arisen during the procedure."

“A mobile thrombus. We in the vascular surgery department of our hospital have heard that you, Fang Ziye, are quite skilled in thrombectomy. If we’re going to try anything, we might as well…” Duan Hong didn’t hide anything.

Luo Tingzhu gave Fang Ziye an OK sign.

"Okay, Teacher Duan, I'll be there as soon as possible."

"I don't know if we'll make it in time." Fang Ziye quickly started the car.

One should help in times of emergency, not in times of chronic poverty.

If a hospital knows it can't perform the surgery but insists on doing it anyway, making a fool of itself and asking Fang Ziye to step in, Fang Ziye wouldn't even bother with it.

However, if it can be done under normal circumstances but problems arise in special circumstances, then an accident has occurred.

“Okay, Professor Jin from Peking Union Medical College Hospital is also in the operating room. I will notify you as soon as the rescue is over…” Professor Duan Hong said very politely.

"Thank you, Teacher Duan." Fang Ziye hung up the phone.

Luo Tingzhu said first, "Senior brother, I'll go grab something to eat nearby while I wait for you to finish your surgery."

"After all, it's a life!"

"Thank you for understanding," Fang Ziye said with a smile.

Luo Tingzhu said, "I'm a doctor too, okay..."

After Luo Tingzhu finished replying, she suddenly noticed a message on her phone.

After reading it, Luo Tingzhu burst out laughing.

Immediately afterwards, she held up her hand and showed it to Fang Ziye: "Senior brother, someone complained about you to me! ~ What do you think I should say?"

Fang Ziye was stunned when he saw it.

Li Yuanpei, that big spender, also bought a house in the same neighborhood as Luo Tingzhu. He happened to be strolling around the entrance when he saw Fang Ziye with a beautiful woman in the passenger seat who wasn't Tingzhu's type at all.

He immediately took the photo and sent it to Luo Tingzhu.

"Go back? What are you talking about? I'll deal with him when the time comes." Fang Ziye was a little angry.

Luo Tingzhu truly lives up to her reputation as the darling of the orthopedics department; even her best friend, Li Yuanpei, would betray her...

Luo Tingzhu, of course, sent Fang Ziye a side profile photo in a proper manner.

Li Yuanpei did not reply after that.

……

After Fang Ziye got out of the car, Song Yi was stunned when he saw Luo Tingzhu in the passenger seat. He was supposed to take Fang Ziye directly into the operating room, but he couldn't help but take a closer look at her from the passenger seat.

Only after confirming it was Luo Tingzhu did she raise her head somewhat embarrassedly.

"Brother Yi, should we take another look?" Fang Ziye asked, his hands behind his back.

Song Yi rubbed his nose and said, "Brother Qi told me to take a look occasionally."

"But Dr. Luo's outfit today is really something else."

Fang Ziye and Song Yi ran quickly, and only after they entered the elevator did Fang Ziye ask, "Does Wu Xuanqi often talk to you about my wife?"

Song Yi didn't hide it, blushing slightly: "No, Yege, it was after I saw Dr. Luo once that I took the initiative to ask my senior about it."

"After finding out she was your girlfriend, Ye-ge, that was the end of it."

My lady, my gentleman is good.

Song Yi is handsome, accomplished at a young age, highly educated, and of good character. It's perfectly normal for him to have a love of beauty.

"What's going on in the operating room?" Fang Ziye asked.

The operating room was on the third floor, and the changing room was on the second floor. The elevator doors opened quickly, and Song Yi changed his form of address very principledly: "Professor Fang, atrial fibrillation suddenly occurred in the middle of the surgery."

"The atrial fibrillation persisted, and an embolus formed."

"The patient had a history of atrial fibrillation before the operation, but he was very willing to save his limb. We talked to the safety office, and the patient and his family were able to accept the unexpected consequences."

"Yes, the patient is also a doctor. He was hit by a speeding car on his way home from his night shift last night."

"The surgery started at four in the morning and has been going on until now."

Fang Ziye felt a chill run down his spine. The patient was a fellow professional; no wonder Duan Hong had called him.

Although colleagues are just ordinary people, generally speaking, people tend to sympathize with them more when they change their status.

He was hit by a car early Saturday morning. It's really tough, especially considering he has a history of atrial fibrillation...

When Fang Ziye entered the operating room, it was already surrounded by a lot of people.

However, Fang Ziye really didn't recognize any of them. Even when Professor Duan Hong told him about Professor Jin, Fang Ziye still didn't know what kind of person Professor Jin was.

There are too many top professors in Han City, and Fang Ziye really doesn't have the time to learn about the persona of vascular surgeons, even if this Professor Jin may be a giant in vascular surgery.

Fang Ziye entered wearing an inner lead apron, washed his hands, and quickly put on a sterile gown and gloves.

Duan Hong was on stage asking questions: "Professor Jin, Professor Yang, should I go out and talk to the family again?"

Professor Jin and Professor Yang were carefully cleaning the blood clots from the patient's body and did not immediately pay attention to Duan Hong.

After entering the operating room, Song Yi immediately went behind the lead plate to minimize the radiation from the imaging.

It is impossible for doctors, especially orthopedic and interventional surgeons, to be completely free from radiation exposure.

After approaching, Fang Ziye neither intervened nor spoke, but instead quickly browsed the monitor of the imaging equipment, assessing the current situation.

Professor Jin and Professor Yang must also be highly skilled in vascular surgery. At this moment, they have already placed filters on the patient's key joints to protect vital organs.

However, the problem is that the patient currently has embolism in many segments, and the arteries and veins in the limbs are almost no longer visible.

Atrial fibrillation, trauma, and clamping for hemostasis have resulted in extremely poor blood supply. Only the blood supply to vital organs has been restored through emergency treatment.

At this moment, Professor Jin and Professor Yang are treating a pulmonary embolism.

In cases of multiple embolisms, systemic thrombolysis is no longer meaningful; only local contact thrombectomy is possible.

"We can't get the right kidney anymore!" someone said at that moment.

After a kidney embolism and ischemia, complete necrosis can occur within one to two hours.

Professor Jin and Professor Yang glanced at the contrast image of the right kidney, but only glanced at it.

If you lose your right kidney, you still have your left. If a pulmonary embolism is not treated properly, losing both kidneys will ultimately have the same effect.

After glancing at it, Fang Ziye, who had been on stage for four minutes, asked in a low voice, "May I take a look?"

The professor didn't know Fang Ziye, but he knew that everyone who could come on stage was a master that Duan Hong had called, and he wouldn't look down on them because of their age.

Duan Hong immediately introduced, "Professor Guo, this is Professor Fang. Since we can't take it anyway, let him have a look."

“Okay!” Duan Hong gave his endorsement, and Professor Guo didn’t say anything more.

Even a regular associate professor would be qualified to take a look.

Fang Ziye quickly came to Professor Guo's side, picked up the catheter inserted into the right femoral artery sheath, and inserted the distal end of the catheter into the right renal artery.

The professors at Tongji Hospital have no problem with their basic skills; they can go anywhere they want without much trouble.

There can't be any problem with the technical level!

Of course, if you want to reach the peak that everyone thinks is amazing, then it also has a bit of a "praise to death" connotation.

After adjusting the distal end of the catheter in his hand, Fang Ziye continued to push the guidewire deeper into the renal cortex.

The renal artery usually divides into anterior and posterior or superior and inferior branches near the renal hilum, and each branch then branches into the renal parenchyma!

The renal artery can be divided into the suprenal segmental artery, the anterior suprenal segment, the anterior inferior renal segment, the inferior renal segment, and the posterior renal segment.

Every artery segment can have branches, and this patient's case is relatively rare, with branches on both sides of each segment. If a segmental artery branch embolism cannot be treated with local impact thrombectomy, it becomes very difficult to manage.

It's a catheter, not a hand.

Unless we open the kidney again now and remove the thrombus under direct vision, but even then, it may not be as reliable as catheter-guided thrombectomy, and it will take even more time.

However, just as Professor Guo was looking so worried, he suddenly stopped in his tracks, then his head jerked and he looked at the screen.

On the screen, Fang Ziye was controlling a guidewire that was probing the embolized area with a probe.

The mask covered his open mouth, and his gaze was completely fixed on the "expert" that Duan Hong had invited.

Because he wasn't a professional in vascular surgery, he only knew that Fang Ziye's name was Fang Ziye; he didn't know much else about him...

Fang Ziye is quite famous in Wuhan, but he is not an academician after all, and people will not exist specifically to hear Fang Ziye's name.

It's fair to say that only a minority of trauma surgeons in Seoul are unaware of Fang Ziye, but in other specialties, the number of people who know and understand Fang Ziye is even smaller.

We're all clinical doctors, and we work in teaching hospitals, so we're not so bored as to gossip about other people every day.

Fang Ziye performed localized contact thrombolysis in a timely manner.

While thrombi are indeed stubborn, and thrombolytic agents can remain stationary after blood flow is diverted, in a one-on-one confrontation, thrombi are currently no match for thrombolytic agents.

Otherwise, thrombolysis would become a joke.

"An accident? Or is it normal?" Professor Guo didn't interrupt, but hesitated in his mind.

If it's an accident, Fang Ziye won't be able to repeat the process of a blood clot landing in the same location.

But clearly, Fang Ziye gave him a definite answer.

It's not an accident, but the norm; Fang Ziye can repeat this operation.

The blood vessel in the lower anterior branch, a cavity that had never been probed by anything before, had been 'defiled' by Fang Ziye, and something had even been sprayed into it!

This makes the tight cavity, which cannot hold anything, open up, allowing blood to flow in smoothly.

As the arteries become clear, the thrombolytic agent is carried to the venous end, and blood flow resumes.

After the procedure, the area started to feel comfortable, but since the patient was under anesthesia, they would definitely have felt the pain gradually disappearing...

"Professor Guo, Professor Duan, it's hard to say whether it will become necrotic, but the blood vessels are currently open. Let's save as many as we can!" Fang Ziye said.

Upon hearing this, Professor Guo nodded, and with his aloof demeanor, he said in a low voice, "A master! I admire you."

Being able to guide the catheter to the renal artery is not a skill; being able to guide it to a segment of the renal artery is considered an expert; and being able to insert it into a branch of the segmental artery is an even higher level of expertise!

If this place were so easy to exploit, he wouldn't have waited for Fang Ziye to come and show off.

Fang Ziye did not reply.

Duan Hong didn't offer any further support or flaunt his position to Fang Ziye.

Fang Ziye doesn't have this need for the time being; he has already demonstrated it and certainly gained the approval of others.

Upon hearing this, the man called Professor Jin glanced at Fang Ziye as if possessed and asked, "Can you capture free blood clots?"

The so-called capture of free thrombi means that the thrombus remains in the local area without completing the embolization, but it does not move away and just lingers near the local turbulence.

Like a cannon in chess, it is held but not fired.

The phrase "holding up but not releasing" implies persistence, which is appealing to both men and women, but they would never feel pleased to encounter such a description during surgery.

“We can give it a try!” Fang Ziye examined it carefully.

Then he turned to ask, "Professor Duan, surgical authorization?"

"I filled it out before!" Duan Hong nodded affirmatively.

Fang Ziye had surgery at Tongji Hospital, and the surgery registration procedures were complete.

Fang Ziye previously underwent functional reconstruction surgery and limb preservation surgery, which are naturally related to blood vessels.

Surgical authority is a broad category, not specific to any particular detail!
For example, the procedure is so strict that it can be performed on the renal artery, but not on the coronary arteries of the heart, which are subject to such subtle changes.

Professor Jin said, "Then why don't you come over and give it a try?"

Fang Ziye then turned his attention to where Professor Jin and his team were working hard.

At this moment, Professor Yang is treating a pulmonary thrombosis, while Professor Jin is probing around a free thrombus near the valve regurgitation site.

The thrombus was barely visible under contrast, and occasionally it even rotated!
If it were a simple mural thrombus or a free thrombus in the heart, it could be treated slowly. However, this patient has a whole host of other problems. The sooner the risks are resolved, the more time we can gain.

If it's a mural thrombus, which is in a fixed location, then it's not so bad.

It was taken away a long time ago.

Fang Ziye moved to the location where Professor Jin had been before, tested the catheter he was controlling, and clearly saw the position and control of the tip.

Fang Ziye made his first attempt.

However, since it was a free thrombus, the attack missed its target.

Operation and theory are two different things.

Everyone knows the principle behind using chopsticks to pick up glass beads: you use pressure to increase friction and lift the stone.

However, it is quite difficult to put into practice.

This is especially true for free thrombus capture.

Of course, Professor Jin and the others were not impatient people, and they did not start nagging because of Fang Ziye's failure.

They didn't even bother Fang Ziye, nor did they stand by and mock him; instead, they were seriously thinking about how to guide him.

Before giving guidance, it is necessary to thoroughly understand Fang Ziye's background, which requires at least four or five trials and errors.

Fang Ziye tried three times without success before finally managing to trap the free thrombus on the fourth attempt!

As the mesh retracted, it drew back a significant amount of blood, along with the blood clot, which was then "buried" into the catheter.

Soon, signs of thrombosis appeared at the distal end. What were originally free and scattered thrombi were squeezed and formed into a fixed shape.

However, Fang Ziye wasn't happy: "There should be more!~"

Professor Jin Wei, inwardly delighted, nodded and said, "Yes, there are still some!"

"Professor Fang, please continue to remove the blood clot; it may become even smaller."

Although Jin Wei's voice was calm, he was actually quite uneasy. He was a little confused and incredulous, and kept wondering where this young man came from.

Of course, he probably knew that Fang Ziye came from Zhongnan Hospital, but why would he come to the vascular surgery department?
If there were such a super young and highly skilled vascular surgeon, it's impossible that he hadn't heard of him.

Fang Ziye wouldn't show off on his own initiative.

Serious surgeries don't usually involve excessive praise. The focus is on the surgery itself.

Any praise that is marginalized is an influence and disturbance that disrupts the normal progress of the surgery.

However, Fang Ziye's subsequent thrombectomy procedure wasn't particularly smooth, but fortunately, it still took nearly twenty minutes to manage to remove all the visible free thrombi!
As for the remaining items, Fang Ziye also determined that they could not be obtained directly.

Of course, patients also have filters; these free thrombi generally don't become anything significant, but the main concern is that larger thrombi from before might get through.

At this point in the surgery, about half of the more difficult procedures have been completed.

The remaining half is also difficult, but it seems to be within the range of Professors Jin Wei and Yang Jun.

Therefore, after Fang Ziye stepped down, Jin Wei said, "Professor Fang, since you are quite proficient in treating thrombosis, why don't you start treating thrombosis in the limbs with Professor Duan?"

"We'll preserve as much as we can."

"At the very least, if you can save both upper limbs, you can still see a doctor and have a relatively dignified way of life." Jin Wei's voice was neither cold nor warm, but sincere.

Duan Hong then asked, "Professor Jin, Professor Chen, are the patient's vital signs now suitable for limb salvage?" (End of Chapter)