top student at medical school

Professor Chen from the anesthesiology department had beads of sweat on his forehead.

In the operating room, Duan Hong and others seemed to be extremely busy, but in reality, he was under the most pressure.

"Given the current situation, what's the point of starting or not starting?"

"It's trembling, it's been tied up, it's neither alive nor dead, you can decide for yourselves!"

"But I must warn you upfront, there is a chance of death in this situation!" Professor Chen felt as if his spermatic cord was blocked, and his testicles were throbbing with pain.

No anesthesiologist would want to protect such a patient and add to their own medical career with a 'mortality rate'!
"Let's start the insurance!"

"Every little bit helps." Duan Hong didn't put Fang Ziye in a difficult position and took on the pressure himself!

The patient had a history of atrial fibrillation before the surgery, and it occurred during the surgery as well. His current condition is unknown.

If a patient is not keen on surgery, and shows even the slightest hesitation, he persuades the patient and their family to postpone it.

Unfortunately, the patient himself was an industry professional and had said before the anesthesia that he would do anything to save the limb, and that he would accept death if necessary.

Although it's said that it's better to live a miserable life than to die a good death, if he really lives, he won't be able to do anything in the future, so it's better to seek a quick death.

A doctor, in the prime of his life, has dedicated his entire career to this profession, only to never reach the clinic. It would be better for him to die!
If the situation were reversed, Duan Hong's choice would also be the same.

Duan Hongneng was able to cover for the patient, and no one in the operating room objected, so the surgery continued.

"Professor Fang, given the current situation, since you're already here, if the remaining matters aren't particularly urgent, may I ask you to continue as the surgeon?"

"I'll give you both arms, grab as much as you can."

“Just a few months ago, he was your ‘comrade-in-arms’! ~In the burn unit,” Duan Hong interjected.

After listening, Fang Ziye subconsciously looked at his fingers and silently nodded: "Okay, Professor Duan."

Since we're already here, this encounter is a matter of fate.

The comrades Duan Hong mentioned were definitely referring to the fire in Enshi. Actually, whether or not there was any "fate" involved in the encounter is not that important.

Fang Ziye began to examine the patient's upper limbs.

There was actually no "trauma" to his upper limbs, just arterial embolism. The embolism had been present for a certain period of time, and the length of the embolism was currently undetermined.

It is very likely that it is a long, straight line extending from the embolism site all the way to the forearm.

In such cases, arterial embolism becomes more complicated to treat.

The lower limbs were already in a terrible state, suffering devastating injuries. Now, with the addition of "multiple arterial embolisms," Fang Ziye couldn't worry about anything else for the time being.

A quick glance revealed that Duan Hong had prepared a miniature circulatory device for the limbs in advance, which Fang Ziye could use at any time if needed, and the surgical instruments were also plentiful.

Moreover, Song Yi and Chen Tailin had already arrived at Fang Ziye's side and firmly settled into their assistant positions. Next to Chen Tailin stood one of Fang Ziye's 'acquaintances'.

After Fang Ziye glanced at him, Jiang Shao immediately lowered his head and said in a hoarse voice, "Professor Fang, I'm sorry."

Fang Ziye smiled upon hearing this: "It's alright, I've forgotten everything you said. Let's begin the surgery."

“When the arteries in the upper limbs are blocked, they cannot be visualized. In such cases, we can only operate blindly by following the location of the blood vessel.”

"You stand to my upper right and be my first assistant."

Fang Ziye naturally remembered Jiang Shao, the master's student who had a 'conflict' with Lan Tianluo when he felt that Wu Xuanqi and others were working for Fang Ziye at the Enshi Sanatorium!
Wu Xuanqi sent him directly back to Tongji Hospital.

However, such a mistake was not enough to lead to Jiang Shao's expulsion. He is still a professional master's student in the group, and is about to graduate, facing employment and doctoral studies in his third year.

As Fang Ziye spoke, he directly cut off the proximal ends of the subclavian artery and subclavian vein in the right upper limb that he was operating on.

Of course, before cutting it off, Fang Ziye had already clamped the proximal end to prevent bleeding.

However, this simple and crude operation caught Jin Wei, who was standing to the opposite side and the lower left side of Fang Ziye, completely off guard.

The two men's Adam's apples visibly began to move up and down!
His eyes were filled with utter exasperation.

You could tell from their eyes that if Fang Ziye hadn't intervened before, they would be cursing him now.

They just cut off the major artery and vein right away? Are you kidding me?
The little ones standing opposite Fang Ziye also had their minds go blank on the spot!
Jin Wei, a top vascular surgeon in Hubei Province and even the whole country, couldn't understand Fang Ziye's operation. It would be strange if they could understand it.

"Give me the vascular sutures and the artificial blood vessel, and also give me the venous segment connection port for the miniature circulatory device." Fang Ziye's voice was cold and stern; he wouldn't waste time explaining further.

If you can understand it, then read it; if you can't understand it, then just read it.

After Fang Ziye spoke, Chen Tailin immediately complied. The scrub nurses were also well-trained and paid no attention to any 'unexpected events' on the operating table, providing whatever was requested.

Duan Hong had already buried his head in his left lower limb. After hearing someone report from the side, his slightly chubby figure stiffened for a few seconds, but he didn't even raise his head or ask Fang Ziye what he was doing!
Don't use those you doubt; trust those you use!
Fang Ziye quickly connected the severed distal subclavian vein to the blood inlet segment of the microcirculation device using an artificial blood vessel.

"Give me a vascular sheath and a guidewire." After completing the above procedures in three minutes, Fang Ziye began to ask for instruments.

During this conversation, he immediately removed the blood clot near the severed end of the subclavian artery.

Compared to his previous outrageous actions, Fang Ziye's current actions and equipment usage can only be considered standard.

It's not something you can call unsurprising.

However, about half a minute later, when Jin Wei saw Fang Ziye directly inserting the arterial sheath and catheter into the blood vessel, he finally couldn't hold back anymore.

"Professor Fang, what are you doing?" Jin Wei really couldn't stand it anymore.

As a top vascular surgeon in Hubei Province, he really wanted to run to Fang Ziye's side and give him a good whack.

Fang Ziye seemed like a complete novice who knew absolutely nothing about clinical practice...

"Unblock the blood clot." Fang Ziye replied, but it was as if he hadn't replied at all, without even raising his head, and continued to push the guide wire in his hand further away.

He really did just keep poking and prodding forward, like he was unclogging a sewer.

It seems there's no skill involved; it's just a matter of brute force.

It lacks the dexterity of a surgeon, let alone the grace of one.

"A combination of a blacksmith and a carpenter, huh?" Jin Wei muttered patiently.

These words immediately made Duan Hong raise his head, while Jin Wei immediately turned into an ostrich.

Although Duan Hong invited him to consult on the emergency treatment, it doesn't mean that Duan Hong has completely lost his dignity at this moment and can be treated as a scoundrel.

Fang Ziye continued his operation, feeding the guide wire forward while occasionally glancing up at the developing machine screen.

Then he continued to slowly push the tube forward!
In fact, blood clots in blood vessels, as long as they are not white clots, have relatively limited hardness and can be easily penetrated by guide wires.

If it were a white blood clot, Fang Ziye would definitely not have taken such a step.

White thrombi are mainly composed of numerous platelet deposits and a small amount of fibrin. They are also known as platelet thrombi or precipitating thrombi. White thrombi are primarily composed of platelets and fibrin. They are commonly seen in rheumatic endocarditis, infective endocarditis, and verrucous vegetations on heart valves.

Thrombi caused by atrial fibrillation are mostly red thrombi, which are not included in this category, and this is the basis for Fang Ziye's operation at this moment.

Although Chen Tailin and the others couldn't understand Fang Ziye's actions, they didn't dare to ask any more questions.

After a stalemate lasting about five minutes, Fang Ziye stopped what he was doing and began to pull back using the detachment device.

As Fang Ziye's right hand began to move, a red blood clot, resembling an earthworm, began to spiral out from the entrance of the artery.

Upon seeing this, Jiang Shao, who was standing opposite Fang Ziye, quickly caught it with a sterile cotton pad, and soon it was piled into a large heap.

At this point, the distal end of the artery thrombectomy device finally emerged.

The length and weight of the thrombus were undetermined.

However, seeing the amount of blood clot, we can tell that this multiple embolism in the upper limb was caused by multiple segmental embolisms after the blood clot broke off, leading to blood coagulation and resulting in complete obstruction of the arteries and veins.

To take it even more dramatically, it's very possible that all the blood vessels are in a state of stagnation!

Of course, when Professor Jin Wei and Professor Yang Jun saw Fang Ziye pull out such a long, piled-up arterial thrombus, their eyes flickered.

To be fair, Fang Ziye is indeed a master of vascular surgery. The fact that he could perform blind thrombectomy so far demonstrates his exceptional skill in endovascular interventional procedures.

Moreover, he is very familiar with the course of the major arteries in the upper limbs, and even knows the distances, branching nodes and directions of the blood vessels like the back of his hand.

Fang Ziye wasn't just fooling around; it's just that this patient was extremely unlucky, and the underlying disease had led to the current uncontrollable situation.

It's going to be difficult to save the limbs. In the end, we'll probably only be able to find a way to save one or two upper limbs, and just amputate the rest?

Leave the signing of the agreement to Duan Hong.

As the two looked at Fang Ziye, Fang Ziye's eyes suddenly flashed. He was removing the thrombus, but for some reason, he suddenly used a pair of tweezers to clamp the common carotid artery on the side where it was located!
Fang Ziye's speed was so fast that ordinary people could hardly react to it.

After Jin Wei and Yang Jun realized what was happening...
Fang Ziye quickly clamped the proximal end of the right head and arm shaft!
At the same time, Fang Ziye opened the arterial clamp at the site where the subclavian artery had been severed.

The remaining blood gushed out, along with a dark red blood clot.

Blood clots, along with the patient's blood, sprayed onto the green sterile sheet, turning it a dark red and bright red patch...

Fang Ziye took a careful look for a moment, then clamped the proximal artery of the right clavicular trunk again, and then released the hemostatic clamps on the brachiocephalic trunk and common carotid artery.

All of this happened in the blink of an eye.

An operation that most people wouldn't even dare to think of was something Jin Wei and Yang Jun could only try to understand Fang Ziye's thought process by reflecting on it.

First, the blood clot in the pulmonary artery traveled into the left atrium and headed straight for the head region.

Even though it has a filter, the blood clot won't go directly into the skull.

However, Fang Ziye blocked the common carotid artery. At this point, the thrombus had nowhere to go upwards and could only be pushed towards the right subclavian artery by the force of impact.

Fang Ziye clamped the subclavian artery.

It's like Fang Ziye acted as a roadblock, stopping the detached blood clot...

What kind of divine reaction is that?!
"Holy crap, really? Luck?" Yang Jun's voice trembled slightly. After asking, he immediately lowered his head and continued to cooperate with the thoracic surgery department in treating the pulmonary embolism.

Jin Wei puffed out his lips, feeling his tongue touch the inner layer of the sterile mask.

It must be very dirty, but at this moment, this is the only way for Jin Wei to suppress his "craving"!
A talent like Fang Ziye is more attractive than a piece of fatty meat.

And it was already at the tip of my tongue.

When someone like this appears, even if they are the same age as Professor Jin Wei, he will think about whether he can turn them gay and get them a job in vascular surgery.

Moreover, Fang Ziye is still so young.

Unfortunately, Fang Ziye was a master invited by Duan Hong, and at this moment, he was on the same level as Fang Ziye.

If the other party politely declines, they'll give you face; if they don't, they might snap at you, asking if you're there for surgery or to become a brothel owner, and you won't even have a chance to retort.

Fang Ziye had already gone back to doing his own thing, and Jin Wei didn't have a chance to speak.

Jin Wei had to resist twice before he could suppress his dry mouth and 'appetite'.

Of course, before Professor Jin Wei could fully calm down, Fang Ziye started working on his project again.

He had already picked up the thrombolytic catheter and inserted it into the patient's clavicle artery, beginning a series of operations that Fang Ziye himself could not understand, and could only be felt by touch.

There were no preoperative examinations, no angiography monitoring, and it was all done by feel.

Fang Ziye did not advance for long before pausing the infusion of thrombolytic agents for contact thrombolysis, and then began suturing the clavicle artery to the arterial end of the microcirculation device.

This allows the arterial sheath to appear as if it were inserted into a complete blood vessel.

Such patchwork and stitching techniques are actually worth exploring, but the focus now is not on discussing Fang Ziye's patchwork and stitching techniques at all.

"Trainee, fill the miniature circulator with a bag of blood!" Fang Ziye called out.

A bag of blood contains only 200ml, so this patient is expected to need at least 2,000ml of blood for transfusion.

Fang Ziye only wanted less than one-tenth, so it was naturally possible to give it to him.

Although blood resources are scarce, transfusing more than 2,000 milliliters of blood for a major surgery is really not much, especially during emergency treatment.

After the colloid, liquid, and blood in the microcirculation device were mixed, Fang Ziye instructed the circulating nurse to start the microcirculation device.

The previously deflated blood vessels began to gradually fill out, and with the blood entering, Fang Ziye continued his procedure, slowly pushing the thrombolytic agent nozzle deeper into the vein.

Fang Ziye entered the market very slowly.

The progress was almost imperceptible!
The process continued, and Fang Ziye appeared to remain completely still.

As a result, others also lost patience.

The treatment of both upper limbs was initially a last resort, and the bottom line for the patient at present is that it can save their life.

Although the patient was determined to die, as a doctor, if there was a chance to save the patient's life, I could only try my best to do so, and I would not actually let the patient die.

The preoperative informed consent form cannot arbitrarily deprive a patient of their right to life; this is the bottom line for every doctor.

If it truly reaches an irreversible stage, amputation must be performed!
Even if the patient signs a death plea agreement requiring limb preservation!

I don’t know how long it took!

"Beep beep beep beep!"

The beeping sound of the miniature circulator began to ring.

Those familiar with orthopedics know that this is an important notification sound indicating that the miniature circulator has successfully established circulation!
Once the dripping begins, it signifies that the outflow and return volumes have formed a complete closed loop.

Upon hearing this voice, Fang Ziye's brows finally furrowed with joy.

"Trainee, begin adjusting the parameters of the micro-circulatory system, local heparinization, increase the heparin concentration to 1.5 times the set threshold!" Fang Ziye shouted excitedly.

He's on stage, so he definitely can't go offstage to adjust the parameters.

"Set the threshold to 1.5 times, segmental heparinization! ~ Adjustment complete." The circulating nurse reported, forming a loop check with Fang Ziye.

Fang Ziye then said no more.

When the main arteries and veins form a complete closed loop, it means that the main pathway is unobstructed, and thrombi in the large arteries and veins can be removed through heparinization of the blood.

"Anesthesiologist, draw a blood sample to check the coagulation status and confirm that the patient's systemic coagulation system is not affected by local thrombolysis," Fang Ziye continued to instruct.

Professor Chen from the anesthesiology department simply waved his hand, and one of his graduate students went off to work.

Next, we just wait for the test results...

Fang Ziye continued with blind thrombolysis of the branch segments!
Of course, given the current situation, Fang Ziye himself doesn't know how effective the thrombolysis will be, so he can only treat the microcirculation with heparinization first. Generally speaking, as long as it continues for one or two days, the blood clots in the system will basically be cleared.

As long as the main circulation is unobstructed, the chance of local necrosis is very small, because the collateral circulation of the upper limb is very rich and there are many capillary networks.

As long as there is a certain blood supply, cells don't die so easily. With continuous heparinization, the blood clot will gradually dissolve.

Having gained experience from the successful thrombectomy on the right side, Fang Ziye became more confident in his operation.

However, this time, Fang Ziye did not cut the left supraclavicular artery directly as he did on the right side.

The reason for the previous incision was that Fang Ziye was not a professional vascular surgeon, and he was afraid that his lack of expertise would affect subsequent procedures!
Let go of all inhibitions and minimize all influencing factors to validate your treatment approach.

Now that Fang Ziye has successful experience, he no longer needs to be as timid as before.

The idea was correct, and the procedure was also correct. Fang Ziye was simply making minor adjustments to the procedure by preserving the supraclavicular artery and inserting a local arterial sheath.

However, during the break in this procedure, Fang Ziye noticed that two more people had walked into the operating room.

One of them was Luo Tingzhu, but Fang Ziye didn't recognize the other girl.

Luo Tingzhu stood with her hands behind her back, leaning against the wall. Another girl whispered a few words in Professor Chen's ear. Professor Chen glanced at Luo Tingzhu and returned a very kind smile.

He even offered, "Dr. Luo, would you like to wear a glove?"

"It's a pity that this patient was already under general anesthesia, otherwise, Dr. Luo, you could have performed a demonstration of separation anesthesia during the functional reconstruction process."

Luo Tingzhu shook her head, pointed in Fang Ziye's direction, clasped her hands, bowed to Professor Chen, and leaned closer to the wall.

It means I'm just here to wait for someone; if it's intrusive, I can leave.

If it's not presumptuous of me, I'll stand at a distance and absolutely will not disturb Professor Chen's work...

Professor Chen could only smile helplessly at the sight.

Having one more person in the corner of the operating room wouldn't disrupt the overall rhythm of the surgery. He just didn't want Luo Tingzhu to stand there, but Luo Tingzhu herself was low-key, so there was nothing he could do.

The girl who led Luo Tingzhu in left.

The surgical procedure proceeded as usual...

About forty minutes later, Fang Ziye also made the microcirculation on the left side "beep beep groan".

This sound was particularly shocking at that moment.

Professor Jin Wei was familiar with the microcirculation device and had even used it, so he immediately followed up with, "Approximately how much of the blood clot was removed?"

“The record is incomplete!” the circulating nurse replied.

"But at least 50 percent of them are on stage, and the other part is impossible to count precisely."

Thrombus volume refers to the comparison between the unobstructed blood volume of a microcirculator and the unobstructed blood volume of a normal adult.

If it's 1:1, then there's no blood clot or the percentage is less than 1%. If it's 1:2, then it's 50%.

Generally speaking, the thrombus volume that can be calculated using a microcirculation analyzer is over 70%. Jin Wei then took a moment to look at Fang Ziye, secretly wondering if Li Yongjun, the newcomer to Hubei Province, could handle this young man…

Damn it, we can't take in people like that. Even if we did, they'd just become our fathers.

Without a master-disciple relationship, if you take in a master who is more powerful than yourself, you'll be expected to serve them, and they won't give you any respect...

The best time has been missed.

Moreover, Fang Ziye is most likely unwilling to come.

While Jin Wei's thoughts were racing, Fang Ziye shifted his focus to his right lower limb.

At this moment, Professor Duan Hong is battling his left lower limb. His progress is not slow, but it is not particularly fast either.

Moreover, Duan Hong did not panic when Fang Ziye began to treat his right lower limb.

Surgery is not about speed, but about doing it well.

The patient's upper limbs had no prior injuries, only simple arterial thrombosis, so the treatment was relatively simple.

My left lower limb is now in a complete mess.

He was hit by a car, and the front wheel ran over the front of his legs...

But the car was going very fast, and he couldn't brake in time, so both the front and rear wheels hit him.

Furthermore, the front and rear wheels didn't run over each other from the same cross section, so the thighs and calves were in a terrible state.

Of course, when Fang Ziye took over, the left lower limb had already undergone detailed debridement. At this time, it was in a state of hemostasis, initial debridement, thrombus treatment, and preparation for functional reconstruction.

Professor Duan Hong's team's comprehensive capabilities are always reliable. If this patient had not experienced a thrombosis, Professor Duan Hong's team would have been capable of simultaneously performing four destructive procedures!
Fang Ziye lowered his head and, after about five minutes of slashing, looked up and said, "Teacher, an hour has passed, hasn't it? The heparin capacity in the microcirculator in the left upper limb has decreased to 1.8."

At that moment, Xun Huan quickly glanced at his timer.

"Sorry, Professor Fang, it's a minute late." The circulating nurse couldn't always be watching the timer; she had her own tasks to complete.

She immediately ran to the micro-circulatory system and began adjusting the parameters.

“Not much impact!” Fang Ziye continued to lower his head and began further cleaning the wound, while also checking the patient’s blood supply status through palpation.

In cases of traumatic injury combined with arterial thrombosis, the miniature circulatory device cannot be widely used. If a miniature circulatory device is really needed, it can probably only be used for sections below the ankle joint!

However, the advantage of thrombectomy is that multiple blood vessels are exposed, and the distance that needs to be covered in a single thrombectomy is relatively short.

The greater challenge lies in the fact that in a state of severe damage, the original blood vessels may have shifted, been severed, or are in a chaotic state, making them virtually impossible to trace...

While Fang Ziye was working on the front of his thigh, Luo Tingzhu's voice appeared from behind him at some point: "In the state of rupture, the parallelism between the femoral artery and the deep femoral artery may be displaced."

"You can probe further towards the bone."

Fang Ziye was taken aback when he heard this, and after thinking for a few seconds, he began to believe his wife.

Sure enough, Fang Ziye actually found remnants of the deep femoral artery near the bone.

Although it was already in a damaged state, Fang Ziye did indeed find the traces of the deep femoral artery.

Therefore, each profession has its own expertise. Fang Ziye's expertise lies in surgical procedures, not in the dislocation of anatomical structures in a disordered or damaged state.

However, Luo Tingzhu mainly studies anatomical models, and of course, the study of anatomical models is not limited to anatomical structures under normal conditions.

If it were just normal anatomical structures, the anatomy department would have already thoroughly studied them, so it wouldn't be the clinicians' place to interfere.

However, anatomical isomerism in pathological conditions is not something that the anatomy teaching and research department can access.

Furthermore, the standard anatomical models for anesthesia are not something that non-clinical doctors can access.

It's perfectly normal for Fang Ziye, who isn't an anesthesiologist, to have knowledge gaps.

Of course, Fang Ziye didn't say thank you; instead, he started to look worried.

The patient's damage is currently in a terrible state, and there are multiple embolisms in the blood vessels, so there are not many ideas for treatment!

However, having no ideas is relative. Fang Ziye's mind works very quickly, and he quickly came up with many solutions.

However, Fang Ziye needed to analyze a more suitable solution and finalize it.

The plan needs to be changed and modified appropriately based on the patient's injury condition.

Fang Ziye paused for about a minute before choosing a relatively conservative vascular reconstruction method.

In war, supplies must come first.

The same principle applies to treating and saving lives; supplies must come first, and the restoration of blood supply must be paramount.

However, the current difficulty is that the patient's condition is also a mess, and finding a suitable blood vessel for reconstruction is a relatively tricky problem.

While Fang Ziye was still hesitating, Song Yi, who was standing on the opposite side, seemed to have noticed Fang Ziye's predicament and whispered, "Professor Fang, our hospital usually uses artificial blood vessels when reconstructing blood vessels."

Fang Ziye was taken aback upon hearing this.

He knew about artificial blood vessels, but they were too expensive. He only used them when Fang Ziye was undergoing revascularization at the sanatorium.

Upon hearing this, Duan Hong said, "It's alright, Professor Fang, just use it."

Alright, since there's no need to worry about funding, Fang Ziye doesn't need to bother anymore.

Money isn't everything, but with money, many things become easier or of higher quality.

Given the patient's current condition, vascular reconstruction is indeed the best option.

Even if the great saphenous vein is selected, it is already segmentally severed, making it difficult to collect and repair, especially since it involves multiple segments of damage.

The main problem is that multiple embolisms occurred in both upper limbs, making autologous blood vessel transplantation impossible.

Such patients are rare.

With this, the following operations are not difficult, at least not in Fang Ziye's opinion.

Moreover, he has a beautiful woman by his side, waiting for him to cook and go on dates.

Fang Ziye didn't care what others thought and pushed the speed to the limit.

For Fang Ziye, segmental arterial embolism and catastrophic injury of a single lower limb is not a difficult limb-sparing surgery.

On the contrary, Fang Ziye has no experience in treating cases like bilateral upper limb embolism, where the blood vessels are completely blocked.

Fang Ziye completed the limb-sparing surgery on his left lower limb five minutes later than Professor Duan Hong.

This time span occurred after Fang Ziye first completed the extremely difficult thrombectomy on both upper limbs.

When Fang Ziye finished his procedure, Duan Hong personally came forward to remove Fang Ziye's sterile surgical gown.

At the same time, Professors Jin Wei and Yang Jun from the Department of Vascular Surgery immediately came up to him: "Professor Fang, let's go have a meal together?"

"It's lunchtime now."

They have so many questions to ask now!!

All the questions that couldn't be asked on the operating table must now be asked. They absolutely must be asked; this could lead to the next peak in vascular surgery, a climax for the entire field.

Fang Ziye was different from before. After taking off his sterile gloves, he cupped his hands and said softly, "Professors, I'm really sorry, it's not convenient for me today."

"My partner and I are in a long-distance relationship, and we were planning to go out for a walk together today to clear our heads."

As Fang Ziye spoke, he suddenly glanced at the left lower limb that Professor Duan Hong was operating, and then at the monitoring data of the newly connected micro-circulation device.

Fang Ziye paused his conversation with Professor Jin Wei and Professor Yang Jun, went straight to Duan Hong's side, and whispered, "Professor Duan, your posterior tibial artery wasn't reconstructed properly!"

"Was it not sewn properly?"

Upon hearing this, Duan Hong and Zhong Wenyuan quickly squeezed their legs together, almost tripping over their testicles.

"Long Yuan, check the posterior tibial artery." Zhong Wenyuan leaned closer and whispered to Long Yuan.

Longyuan listened and immediately did as instructed.

After reopening the incision, the suture tear was indeed found. It was a blood vessel on one side of the autologous artery that had been ruptured by the suture.

His basic skills were still not solid enough. Perhaps Professor Duan Hong did not personally perform the suturing operation here, and he did not evaluate it in great detail. Fang Ziye even pointed this out.

"Thank you, Ziye." Although Duan Hong felt awkward inside, his expression remained calm.

After replying, he looked at Professor Jin Wei and Professor Yang Jun and said, "Professor Jin, Professor Yang, you have worked really hard today. If it weren't for you, I really wouldn't know how I would have gotten off the stage after this surgery."

"It's almost lunchtime, and Professor Fang has other matters to attend to, so I won't disturb him any longer. Please, both professors, stay for a simple meal so I can have a chance to express my gratitude."

As Duan Hong said this, Zhong Wenyuan had already pulled Fang Ziye towards the door.

Fang Ziye also took Luo Tingzhu's hand in a very open and generous manner, and let go of her hand as soon as they left the operating room.

Zhong Wenyuan said in a low voice, "Ziye, this is all I can give you for this patient, mainly because he's not particularly well-off."

"There was no mention of special charges before the surgery, so this is the total cost for the surgery."

"Professor Jin Wei and Professor Yang Jun are guests from other specialties, so we can't skimp on what we should give them."

Zhong Wenyuan gestured an "eight"!
To be honest, eight thousand is definitely not a small amount. Fang Ziye wouldn't earn that much money even if he performed surgery anywhere else.

However, since this is a consultation surgery, Fang Ziye's hourly rate cannot be calculated based on his own hospital's rate. At his current level, Fang Ziye's hourly rate is around three to four thousand!
Moreover, there's a high price but no market, mainly because Fang Ziye isn't willing to use the flying knife technique.

As everyone knows, Fang Ziye's main source of income is research awards and patent royalties.

Fang Ziye smiled and said, "Teacher Zhong, you probably wouldn't be happy if I said no."

"How about this, I'll ask you to reimburse me for the food and entertainment my wife and I went out to eat and have fun today."

"Let's not talk about anything else?"

"You want us to go out and have fun for a night on company money?"

Zhong Wenyuan hesitated slightly: "This?"

"This is inappropriate."

Fang Ziye definitely wanted to leave some money for the team; he couldn't let everyone put in the effort only to end up losing money.

"Teacher Zhong, this is perfect. Earn money today and spend it today, buy yourself some happiness."

"That `s a deal."

"Take the envelope back. I'm leaving now."

"Please give my regards to Professor Jin and Professor Yang for me, Teacher Zhong," Fang Ziye said, and then strode forward without stopping.

Zhong Wenyuan took a few quick steps forward, then stopped.

After thinking it over carefully for a while, I still didn't chase after them.

……

When I left the hospital, it was already 6:30 p.m.

Fang Ziye's stomach kept rumbling.

"Senior, the traffic is a bit congested at this time. Let's walk over to the mall over there and have Haidilao hot pot," Luo Tingzhu suggested.

"Tingzhu, it looks like we won't be able to see the movie today!"

"Shall we go for a walk along the riverbank later? And do some shopping?" Fang Ziye suggested.

“Okay, since someone else is paying.” Luo Tingzhu nodded in agreement.

Couples don't necessarily have to watch movies, go shopping, take walks, stay home and be affectionate, or even just stroll around without buying anything; they can all be very happy together.

It's related to feelings and hormone secretion, but it doesn't really have much to do with what you do.

"Well, too little is not good, and too much is not good either. Let's keep it around 3."

“Otherwise, Professor Duan Hong won’t dare to call me that anymore,” Fang Ziye said.

……

Haidilao.

There were quite a few people on the weekend, but not too many, and the two of them went straight into the restaurant without queuing.

After ordering, Fang Ziye didn't want to move at all; Luo Tingzhu had prepared the seasonings for him.

After the two sat down facing each other, they waited for the broth to arrive and for the dishes to be served.

"Tingzhu, you're really good!" Fang Ziye praised.

"Senior brother, you've helped me a lot too! The models you made for me were very useful!"

“However, before this model, I asked Professor Liao Jia to build a destructive anesthesia model for me,” Luo Tingzhu said in a low voice.

Liao Jia and Luo Tingzhu often spend time in the lab and frequently interact, so it's normal for them to help each other out.

Liao Jia often needs Luo Tingzhu's help to anesthetize the model when making it, so that the model can be made more detailed.

"Yes, the anatomy of a lesion is completely different from that of a normal anatomy."

"It's like physiology and pathology, they are different subjects. This area is still in its infancy, but if it is developed properly, a great deal can be done."

"This is also a major trend in the next stage of development in anesthesiology. Perhaps the concept of personalized anesthesia will emerge in the future," Fang Ziye said.

“Oh, right, there’s also artificial intelligence, AI models. I think they can be matched with puncture techniques in anesthesiology,” Fang Ziye said.

Upon hearing this, Luo Tingzhu nodded and said with a strong sense of self-assurance, "Senior brother, how about we talk about something else?"

What have you been eating lately? You probably order takeout a lot, right?

Fang Ziye nodded: "Surgical meals are what I eat the most, and I often eat takeout too. It's not good to have someone at home."

"A while ago, my mom said she would come over to cook for me, but I didn't feel comfortable doing so. I figured, takeout is fine, everyone has eaten takeout a few times before."

As soon as Fang Ziye finished speaking, Wu Xuanqi replied with a message: "Thanks, Ziye, I'll treat you to a drink."

Wu Xuanqi is very smart; he never mentions "next time"!
Because he has said many times that whenever he meets a friend, it's always worth treating them next time, every single time.

Wu Xuanqi is very generous in this regard.

Fang Ziye did not reply, but instead covered the phone screen with his hand.

Luo Tingzhu said rather objectively, "Senior brother, I now think that in terms of food alone, the sanatorium is at least ten times better than Zhongnan Hospital!"

"The working hours are short, and you basically don't have to worry about anything on weekends."

Fang Ziye said, "You prefer the sanatorium model now too?"

Luo Tingzhu nodded vigorously: "Of course, as long as you don't want to work hard, you can have a two-day weekend if you want. There are no emergencies! Only elective appointments."

"We can also go out and have fun often, and it's easy to take time off."

Luo Tingzhu narrowed her eyes again as she said this, "But it's also good to be at Zhongnan Hospital. It will make you seem very important here."

"Because there is an emergency room here, life and death are more common."

"Between life and death, I was born because of you, which proves that we saved one or two people through our own efforts."

"It was tiring, but not boring either. My nerves were constantly on edge."

Luo Tingzhu is currently in a state of inner conflict.

They felt that both the sanatorium and the teaching hospital were good.

Both have very clear advantages and disadvantages.

"Tingzhu, have you ever thought about going to the new campus after your postdoctoral studies? Or maybe staying at a sanatorium?"

"The anesthesiology departments in the new hospital area and the surgical area are both newly expanded. If you go there at this time, you will be considered a veteran."

"With your abilities, it wouldn't be difficult for you to administer anesthesia and conduct research projects on your own," Fang Ziye asked.

Luo Tingzhu shook her head and whispered, "Senior brother, I don't want to think about it now!"

"I'm currently at a postdoctoral research station. My main task is to complete the postdoctoral research and do some things I enjoy on the side."

"Don't think about anything else for now."

"In the past, I lived too fast-paced a life, so I never had time to slow down and enjoy it."

"Now, I need to slow down and learn to live."

"Looking back now, we were so good before we graduated..." Luo Tingzhu squinted her eyes, reminiscing about the past.

At that time, the two were abroad together. Fang Ziye was almost never at work. Luo Tingzhu would see Fang Ziye whenever she returned from the lab...

Just as the hot pot base arrived, Fang Ziye's phone rang again, at an inopportune moment.

Fang Ziye picked it up and saw that it actually came from the Chen-Song dynasty… (End of Chapter)