top student at medical school
Chapter 740 Professor Fang, a Well-Deserved Title!
"Hello, sir!"
"Uncle, please have a seat too." Fang Ziye greeted the two elderly people in wheelchairs politely.
The two elderly people, one in his seventies and the other in his sixties, were both in wheelchairs due to mobility issues.
One of them glanced at the details of Fang Ziye's office, trying to discern Fang Ziye's personality, while the other looked at Fang Ziye's clothing.
The two men had more than two family members, but Fang Ziye did not allow all of them to come in. Only his son and daughter were allowed in as the representatives.
"Professor Fang, we are sorry, we are here to sincerely apologize to you."
"Yesterday's events may have caused you considerable trouble. We failed to put ourselves in your shoes and were not considerate enough!"
"At the time, I was just worried about my father's condition and wanted a better doctor to perform the surgery on him. I didn't have any other ulterior motives."
"We hope Professor Fang can understand the deep love we have for you as your children." The speaker was a middle-aged woman, the daughter of the elderly man. She was slightly plump, but her thoughts were remarkably clear.
Upon hearing this, Fang Ziye's smile remained bright. He had no grudges against any of the patients and could understand their feelings: "I know, that's why I said I'm willing to accept anyone who trusts me and is transferred to the new ward!"
“If you are willing to wait in the old ward, I will come over one after another on Thursdays and weekends to complete all your surgeries.”
"As long as they have already registered and are willing to have the surgery, I will complete the procedure for them one by one. I will not break my promise."
The middle-aged woman quickly said, "Professor Fang, that's not what we meant."
At the same time, a younger middle-aged man standing next to the middle-aged woman, who was only about thirty-six or thirty-seven years old, also spoke up: "Professor Fang, I discussed this with my father yesterday."
“Actually, we think it’s fine to queue up for surgery at the old hospital. After all, Professor Yuan and Professor Gong’s skills are top-notch, even in the whole country.” The middle-aged man gave a thumbs up.
"So, after careful consideration, we still feel that even if we are unfortunate enough to have Professor Fang perform the surgery, it's just not meant to be."
"It's not necessary to transfer to the new campus or wait for Professor Fang to return to the old campus to perform the surgery."
"We just hope that Professor Fang can understand our sincere feelings as children. After all, our father has worked hard for us all his life, and it is heartbreaking for us that he is now suffering from mobility issues in his old age."
"It's not that I don't want to treat them, it's just that I want them to have a better life, so I'm thinking of getting in line and continuing to wait..."
"Professor Fang, we are not trying to force you or have any other intentions. We hope you can understand this."
Upon hearing this, Fang Ziye understood what the two meant.
Yesterday, these two were the ones who caused the most trouble in the department, and they were one of the instigators. They insisted that Fang Ziye should perform the surgery, otherwise they wouldn't listen to reason.
Now that Fang Ziye has agreed, they've backed down.
"Yes, yes, I know. I have parents too, so of course I understand."
"The saying goes, 'The tree desires stillness, but the wind never ceases.' This kind of discomfort, though one cannot personally experience it, can only be learned to understand."
"I believe the two elderly people will see your good intentions and feel very gratified."
"Grandpa, your children are all doing well," Fang Ziye said with a smile.
Of all virtues, filial piety is the most important. One should judge by the heart, not by the deeds. If one judges by deeds, a poor family will have no filial sons.
At this point, one of the elderly men sighed with a hint of emotion, "Professor Fang, please don't praise yourself here."
"Actually, we came to see you today so that you can take back what you said yesterday."
“If you’re really angry, we don’t mind if you yell or complain a bit. We really don’t want our poor condition to affect our children’s future.” The speaker was an elderly man.
"Professor Fang, you have strong connections, a powerful backer, excellent skills, and good character. I'm sure you won't hold these things against us."
Fang Ziye understood what the other party meant.
Many people want to see Fang Ziye for treatment, but for some, the waiting list is not yet complete.
As a result, Fang Ziye was driven to smash the plate by the patients in his department.
When resources are relatively limited, the saying "there's always someone better" becomes paramount.
Who do you think you are? Just because you have some connections, you think you can act all high and mighty in the hospital?
Hmm, you guys were the trigger, right? Well, before things completely explode, you'd better deal with it yourselves. If you don't handle it well, you'll have to bear the consequences.
"what?"
"Old man, what do you mean by this?"
“I’m not angry,” Fang Ziye said.
To convince the elderly man, Fang Ziye insisted, "I really wasn't angry. I didn't call anyone afterwards, nor did I complain to anyone."
"I don't have any connections myself, so where would I get any network of relationships from?"
"If you don't believe me, I can show you my phone. I haven't made any calls to complain to anyone."
Hearing Fang Ziye say this, the old man simply admitted defeat and said, "Yes, yes, Professor Fang, this is not a problem because you complained."
"It's not that you're plotting against us behind our backs, it's just that we're incompetent and can't handle it..."
"We hope Professor Fang will be lenient and stop making things difficult for our children."
"They have it tough too."
Fang Ziye replied, "Old man, isn't that a bit of a stretch?"
"What do you mean I'm making things difficult for them?"
"I'll agree to whatever you want to do. If I remember correctly, you should be among the first batch of people to have surgery in the old hospital area."
"Did I do it?"
"I didn't argue with you, did I?"
The old man said, "Professor Fang, you must know the truth, so I'll just tell you the truth."
“Your announcement that you will no longer have these two surgeries has had a significant impact and backlash. Others have misunderstood and thought that my child forced you to make this choice.”
"This will affect her work!"
"We hope that Professor Fang, you can take pity on us, considering that we are all old bones and don't have many years left to live, and take back what you said before."
Fang Ziye shook his head: "Old man, there is no cause and effect relationship."
"If you want me to say to the public that I was not coerced by anyone, that is a fact, and that's what I've said to everyone."
"As for other issues, I can't do that."
"Our orthopedic department's work focus has already been re-agreed and planned, and the development focus has already been laid out. How could it be easily changed?"
"This is the internal affairs of our hospital and our department!"
The old man said directly, "I know, Professor Fang, this is your internal affair. We admit defeat. We are simply not as skilled as you. We accept it."
"However, your internal affairs are now like a knife, about to cut someone. As the saying goes, Heaven cherishes life, so why don't you just raise your hand, take back what you said, and continue with your business, so that the two are unrelated..."
Fang Ziye asked directly, "Old man, are you sure that if I take back what I said, we can be completely unrelated?"
"How can you be sure? How can you guarantee it, and what is the guarantee?"
“You come here to get treatment and to relieve your physical pain. We are a hospital, and we can do this. It is our duty.”
"But this is a hospital, not the Organization Department!"
Another elderly man quickly raised his hand to interrupt, smiling as he said, "Professor Fang, the so-called human relationships are actually based on the saying 'no friendship without a fight,' right?"
"If we each take a step back, everyone will be at peace."
"You're a smart person, you understand what we mean, why are you being so stubborn?"
"Isn't it just a matter of your word whether or not to have the surgery?"
Their intentions were very clear: they hoped Fang Ziye would retract his previous statement, otherwise they would personally experience the extreme things they had done.
However, in the end, they will be the ones being forced, and the ones in charge will be the other side.
Some jobs within the system are not entirely based on merit.
Not every position is reserved for the most virtuous.
"Professor Fang, I'm so sorry." The middle-aged man forced a smile, appearing extremely humble.
To be honest, they really didn't do a complete background check. They only investigated that Fang Ziye's technology was the best, but completely ignored the network of connections behind Fang Ziye's technology!
Since the incident escalated last night, they have received a series of calls, some from within the province, some from outside the province, and even some mysterious calls from Kyoto.
Before this, they had never had the chance to contact anyone from the upper echelons of society. They were all calling to inquire about their well-being, and they simply couldn't take it anymore.
Those suffering from functional impairments are mostly elderly people.
But it's not just limited to elderly people in Wuhan; it also includes elderly people from other provinces.
“You don’t need to apologize. I don’t think you did anything wrong. You’ve already come to the hospital for treatment, so you have the right to choose to receive better medical services.”
“You clearly defined the choice of the surgeon before the operation; that is within your authority.”
“I agree, I promise that our orthopedics department and our hospital will not deprive you of your rights, because we have established a doctor-patient relationship.”
"It is our hospital's duty to perform the surgery on you."
“However, our orthopedic department’s work arrangements are our internal affairs!” Fang Ziye said.
"Professor Fang, let's be frank. You may not think that way, but others do!" The old man patted his leg.
It was already quite painful, and now the muscles in his leg twitched from the pain.
The old man's face contorted in pain, but he couldn't utter a single syllable.
Fang Ziye straightened his back and said, "So, in order to please you and to prevent you from being misunderstood, I changed all of our established work priorities?"
"Are you simply repeating what you did yesterday in a different form? Yesterday you used power to blackmail me, but today you're trying to blackmail me morally?"
"You were the ones who told me what to do, and now you're telling me not to do anything?"
"Why?"
"And my stance is very clear: I cannot do it!"
"All I can say is that I acknowledge your request and your existing obligations. I am not angry, I have no intention of retaliating, and I will not cause you any trouble."
"So I'm very at ease."
"As for whether others will have any other misunderstandings because of this, that's for you to handle yourselves. Why are you asking me to handle it?"
"We're not familiar with each other."
"Our relationship is simply that of doctor and patient. The doctor is only responsible for treating patients and performing surgery; not for building up your personal relationships or connections..."
"If you are willing to be transferred here, I welcome you and will make the arrangements for you."
"If you're here to have surgery at the main hospital, I will be there as scheduled."
"There's no need for us to communicate about anything else."
Upon hearing this, the middle-aged man instinctively slammed his hand on the table: "What are you pretending for, you little doctor? Who do you think you are..."
The middle-aged man's instincts kicked in, and his father, who was in a wheelchair, quickly punched him in the stomach.
The middle-aged woman quickly interrupted him, saying loudly, "Professor Fang, Professor Fang, let me explain! This young man has just lost his mind."
Fang Ziye laughed and said, "I think he makes a good point."
"I'm nobody, and I'm not pretending."
"Have I always been subservient to you? What did you say before that I didn't agree to?"
"I'm just a junior doctor. I do my job and follow the instructions of my unit."
At this point, Fang Ziye's face hardened: "However, it's only limited to following the unit's arrangements. If you're so capable, then you can persuade my unit to go."
"Oh, by the way."
"Zhongnan Hospital only has advisory authority over my current work, not decision-making authority."
"Please go ahead!"
The younger elderly man had already started pushing his son toward the door, while he himself pushed the wheelchair.
After a long period of self-reproach, the middle-aged man slapped himself twice, saying, "I'm sorry, Professor Fang, I misspoke."
"I'm sorry, I'll leave right away and won't bother you any longer."
He's not completely brainless; it's just that he's usually quite different from Fang Ziye in front of so many people at Zhongnan Hospital.
People who usually look down on him suddenly bite him, and may bite him until he is covered in blood.
This stark contrast in outcome was something he couldn't accept.
"Dad, let me see you out first." The middle-aged woman was very calm. At this moment, she was even a little worried that her father might lose his composure and say something he shouldn't, making the situation even worse.
They are there to solve problems, not to exacerbate conflicts.
To put it bluntly, even if Fang Ziye wasn't Fang Ziye, as long as he was within the system and didn't have too many blemishes, it would be difficult for them to do anything special to him.
Moreover, Fang Ziye is Fang Ziye; he is not simply an associate professor at Zhongnan Hospital.
His skills have reached the national level, and there is almost no one who can replace them.
Once the words "unique" are revealed, especially when the person is a doctor, the energy contained within is terrifying.
The medical profession has a huge gap between its upper and lower limits!
"Sister, you don't need to waste your breath."
"Actually, making this decision was something I had thought about a long time ago, but the time just wasn't right before."
"It's not about scarcity, it's about inequality. If everyone only comes to me, other hospitals might be okay, but our hospital won't be able to operate normally," Fang Ziye said to the middle-aged woman who had returned.
The middle-aged woman smiled and said calmly, "Professor Fang, that's natural, we all understand."
"It's just that the timing can be changed. The timing you chose just happened to coincide with our time, which is why we came to you to discuss a solution."
"Any solution that can solve the problem is fine. It doesn't necessarily mean that you should take back what you said, and I'm not here to complain to you."
“We still need to clear up the misunderstandings from the outside world, otherwise the misunderstandings between your sister and that guy outside will be huge, which will be extremely detrimental to our development.”
“Professor Fang, you are also a person within the system, you know the consequences of blindly following others.”
"Moreover, we are different from Professor Fang. You are a professional technician, and I will not go into details about how impressive your professional skills are."
"But in the end, we are not."
"Our intelligence is not yet irreplaceable. Therefore, such blind following of others will cause us great harm."
"I believe that Professor Fang, your original intention was not to harm others, at least you did not have such a subjective intention!" The middle-aged woman's mind was still clear, and she went through the whole story and its impact from the beginning.
Fang Ziye did indeed calm down.
Fang Ziye certainly had no intention of revenge or getting angry; it's just that every choice does indeed have its consequences.
"Sis, tell me, what better options do I have?"
"Apart from your previous suggestions, I am willing to cooperate with you as long as it is within reasonable limits."
"But it's impossible for me to be vague or retract my previous statements, and to create chaos in our unit again," Fang Ziye stated clearly.
Your previous suggestions did not work.
The middle-aged woman finally frowned. Her thinking was clear and her emotions were stable, but that didn't mean she could quickly resolve and handle all the conflicts she encountered.
This requires careful consideration.
Before they came, they had considered alternative plans, but Fang Ziye did not take that path, so all the previous plans had to be overturned and a new plan had to be quickly developed.
The plan was restructured based on Fang Ziye's own requirements and expressions.
"Professor Fang, I do have a somewhat immature plan, I wonder if you would be willing to listen to it."
"Speaking of which, part of the things I'm currently in charge of are related to the medical system."
"It's not impossible for you not to take back what you said before."
"However, we may need Professor Fang to make a statement, which is to open a few more teaching classes."
"Teaching is different from regular surgery, isn't it?"
"Moreover, teaching classes can be offered without a fixed workplace or hospital..."
"Furthermore, the cases are carefully selected during the teaching surgery process."
"I see... Professor Fang, I believe you understand what I mean..."
"First, it can increase your income considerably, Professor Fang."
"Secondly, it can also resolve the current contradictions facing your unit, Professor Fang."
"Currently, the reason why patients choose to be the primary surgeon in your department is because of the uneven development of internal capabilities. Therefore, Professor Fang, we have asked you to voluntarily resign from this surgical procedure in order to achieve a balance."
"Of course, Professor Fang, you may have other considerations."
"But the remaining problems cannot be completely eliminated with a single stroke."
"Where there is demand and supply is insufficient, conflict will arise!"
"Under such circumstances, Professor Fang, you can only carefully select the supplies to suppress external pressure."
"To put it more bluntly, Professor Fang, you should at least give some powerful people a few outlets to vent their frustrations. If you completely block them out, it won't be good for your hospital's development!"
"Professor Fang, if you're afraid of what people will say, there are people who can help you with that."
"Anyway, it doesn't matter to you who you operate on; that's called shifting the point of contention."
"It's like this: the Third Hospital's selection of teaching cases has little to do with you, Professor Fang; that's their institutional choice." "But the surgery was performed by you, Professor Fang. The patient knows, but outsiders don't know the patient's identity. You've achieved the teaching objective; that's what you wanted to do..."
Fang Ziye had to look at the middle-aged woman with new respect.
Setting up teaching classes is a completely different concept from routinely admitting patients.
During the process of setting up teaching classes, the bishops will naturally have to complete the teaching procedures, but the number of classes doesn't need to be large.
Kill two birds with one stone.
"Sister, I admire you!" Fang Ziye clasped his hands in a fist salute to the middle-aged woman.
Upon hearing this, the middle-aged woman breathed a sigh of relief: "Professor Fang, it's good that you agree to this proposal!"
"Moreover, Professor Fang, you don't need to take the initiative to plan the teaching classes. Once we get started, other organizations will come to you."
"Professor Fang, you just need to control your own pace."
"Moreover, it usually takes about a month from the start of preparation to completion of the teaching class. Professor Fang, you have enough time to reflect and decide whether or not to go."
"In this way, the problem you encountered, Professor Fang, is actually resolved in a more tactful way, and the problem your department is currently facing is also resolved."
"It can also alleviate some of the pressure we face." The middle-aged woman's smile was somewhat bitter.
However, as long as Fang Ziye doesn't fixate on a single topic or get stuck on a rut, she thinks this is a good solution.
It's the best option, at least for now.
"Okay, sister, I will discuss this with my teachers and leaders, but I won't respond immediately."
"I'm sure you know what to say and do, sister!~"
“But I don’t want to hear any vague statements!” Fang Ziye emphasized.
If a middle-aged woman leaves here and starts spreading rumors and misinformation, that would be extremely detrimental to Fang Ziye's business.
"Professor Fang, you are a smart man, and I am not a fool either."
"I would never treat anyone else as a fool!" the middle-aged woman hurriedly said.
"Professor Fang, please continue with your work. I won't bother you any longer." The middle-aged woman tactfully left the office.
Fang Ziye was indeed a junior doctor, and Zhongnan Hospital was not a particularly outstanding institution in Wuhan, but the middle-aged woman understood this.
Fang Ziye is a junior doctor because he works at Zhongnan Hospital, so he's only an associate professor...
When Fang Ziye appears in another place, he will no longer be a junior doctor, but a team leader, and a top-tier, scarce resource.
Fang Ziye didn't deliberately show this, but he always understood it himself.
This self-awareness is also quite frightening to middle-aged women.
……
On his way home, Fang Ziye received a call from Chen Guangbai: "Ziye, your replies on WeChat were so cryptic, did you run into any trouble?"
Fang Ziye laughed and said, "Dr. Chen, no, in fact, I was taught a lesson."
Fang Ziye then recounted all the people and events he had encountered that day.
Upon hearing this, Chen Guangbai sighed softly, "There are still many intelligent people in this world, distributed across different industries."
"To come up with such a perfect solution in such a short time is no ordinary person."
"In comparison, when my father sent you to the nursing home before, his idea was simply to use violence and force, without thinking about a more tactful solution."
Fang Ziye walked along the road. The streetlights were bright, the cold wind was whistling, the leaves were swaying, and the lamplight flickered.
"Mr. Chen, the positions are different."
"How could Dean Chen possibly need to concern himself with such insignificant figures when he's doing his work?"
“But we can’t do that,” Fang Ziye said.
Last time, when Fang Ziye went from Zhongnan Hospital to Enshi Sanatorium, the violent methods he used ultimately led to a series of problems.
Although it didn't affect Fang Ziye much, reflecting on the past, it did bring considerable trouble.
While it wouldn't completely sever Fang Ziye's ties with the Health and Wellness Commission, it would have been different if it weren't for Xie Shulan's family connections.
It's impossible to return to the current situation!
"Moreover, no one at the time would have guided me to take such a suitable path."
Chen Guangbai thought Fang Ziye was blaming Chen Song, so he explained, "Ziye, not everything can be done in a way that satisfies both sides."
"The disputes are different, and they involve different levels."
"That incident involved too many people."
Fang Ziye replied, "Dr. Chen, you misunderstood. I was just expressing my feelings. Looking back now, it was actually the best thing I had at the time, since I had no other thoughts in mind."
"By the way, Dr. Chen, are you sure the sanatorium will attend the Hubei Provincial Medical Development Conference this time?"
"Is this Dean Li's idea or Dean Song's idea?"
At the beginning of the new year, the Hubei Provincial Medical Development Conference was held as expected. However, Fang Ziye had never been in contact with this level before, so he didn't know when it started or when it ended.
But this year, as a member of the surgical system at Zhongnan Hospital, he was one of the invitees.
I heard that the number of people invited to the conference is not very large; the entire province's medical system, including both traditional Chinese medicine and modern medicine practitioners, probably only has about a hundred people.
There were only three people involved in the orthopedic procedure.
"Come to think of it, it should be Dean Song! Dean Song also had his own ideas and convinced us."
"Although his ideas differed from my father's, they each had their own logic, and my father's ideas were not necessarily all correct."
"Taking too big a step is still too far."
"Upon reflection, to some extent, my father's initial thinking was too hasty," Chen Guangbai analyzed objectively.
"Ziye, are you going too? That's perfect, let's have dinner together then."
Fang Ziye laughed and said, "Boss Chen, does it mean that if I don't go to the meeting, we won't have a chance to have dinner together?"
Chen Guangbai didn't mince words: "If Ziye, you're not going to the meeting, the invitations are indeed full."
"You can cut in line even if it's full, Ziye, you're not that jealous, are you?"
"Just kidding, Uncle Chen," Fang Ziye changed his tone.
Fang Ziye used to call Chen Guangbai "Boss Chen," but later changed it to "Dr. Chen." In private, he would call him "Uncle Chen."
"Since you have a solution that satisfies both sides, then I will return to the sanatorium."
“You are very important to our sanatorium. Our sanatorium’s development will depend on you, but we will not completely solidify your path just because of our development direction.”
"After all, everyone has their own ideas. As long as there are no particular regrets along the way, it doesn't matter whether it's right or wrong."
"Either option is fine." After entering the sanatorium, Chen Guangbai's mindset became more open.
Sometimes, getting started is more important than reaching the destination.
While Enshi Sanatorium’s benchmark is perfect, achieving it directly is not so easy.
Benchmarking against world-class hospitals like Mayo Clinic, Peking Union Medical College Hospital and others have been working on it for so many years, and so many hospitals around the world have long coveted it...
To date, not many hospitals can claim to be comparable to Mayo Clinic.
"Uncle Chen, you go ahead with your work, I need to go back for a video conference."
"Our phases of clinical trials have gradually come to an end, and it's time to start reaping the rewards," Fang Ziye said with a smile.
"Hmm, this article of yours must have been pre-ordered by CA-A CANCER, right? It's been so many years since the oncology field has seen such significant research progress," Chen Guangbai asked.
He used to own a company, so he has some knowledge of top medical journals.
Cancer journals are in a class of their own among medical journals, with an exceptionally high impact factor.
Unfortunately, CAA has never published any clinical trial research papers to date.
If nothing unexpected happens, Fang Ziye should be able to fill this gap!
Cancer Journal (CA) is considered a top-tier journal in academia, historically focusing on publishing epidemiological reports and reviews on cancer. Its impact factor is now over 500!
"Yes, we are currently in contact with them, but other teams are also submitting their work. We don't know how the editorial department will choose."
"If it can be published, then publish it; if it can't, then submit it elsewhere. It doesn't matter." Fang Ziye was very open-minded.
These days, he doesn't care much about which journals he publishes in.
The main reason is that I've published so many in journals like JAMA that I've come to think that publishing in top journals is just like that.
Even now, Nature frequently commissions articles from Fang Ziye.
However, CA's impact factor is indeed unparalleled in the medical field, and its extremely high impact factor makes Fang Ziye feel that it is worth a shot.
However, simply publishing a regular review article is meaningless. If he could publish a paper in the form of a clinical research paper, breaking with traditional conventions, it would be considered a clinical achievement that Fang Ziye wanted to attain.
"Go for it!~"
"Currently, cancer is a hot research topic worldwide, and medical research teams in all countries are studying cancer."
"Whether your breakthroughs in orthopedic tumor trials can surpass those of other disciplines and become more interesting and groundbreaking depends on the presentation of your data."
Chen Guangbai continued, "The competition isn't just with academicians from your orthopedics department; academicians from all over the world, including internal medicine, surgery, and otolaryngology, are vying for a spot."
You'll only know once you try.
"Uncle Chen, please don't provoke me. I don't have that many thoughts, but our team will definitely work hard, after all, we've been preparing for this for so long."
“Now that we have such a good opportunity, we should give it a shot,” Fang Ziye replied.
……
Fang Ziye hung up the phone and had barely reached the bottom of the building when he pressed the elevator button.
Unexpectedly, Fang Ziye's consultation call rang.
With a slight frown, Fang Ziye stepped aside to avoid the others: "Hey!~"
"Hello, is this Professor Fang?" Tang Xiaoping's voice came from the phone.
“Yes, it’s me, Professor Tang,” Fang Ziye replied with a smile.
"Professor Fang, I'm so sorry to bother you."
"I'm in the operating room right now. We've received a huge retroperitoneal hematoma, and we can't get rid of it."
"Professor Fang, wouldn't you like to come and put out the fire?"
"I sent this information to Professor Deng Haibo, and he told me to try to stall for time, as he is on his way."
“But the hematoma is still growing, and I’m afraid I won’t be able to hold him until he gets here.” Tang Xiaoping’s voice trembled slightly, and she seemed a little flustered.
“Okay, let me take a look!” Fang Ziye said.
"Thank you, Professor Fang. This situation is truly exceptional. Otherwise, it would have been inconvenient to disturb you."
"Thank you for your hard work," Tang Xiaoping said very politely.
Fang Ziye checked the time; it was already 9:20 PM.
As he rushed out the door, Fang Ziye sent a message in the group asking for leave for emergency surgery.
At the same time, he also had a private chat with Nie Mingxian.
Nie Mingxian replied, "OK, let's wait for good news. If it really is an interesting hematoma, remember to take a picture!"
……
Fang Ziye scanned the QR code on his electric scooter and headed straight to the hospital.
It's not that I don't want to drive, it's just that driving a car isn't as fast as using an electric scooter.
Fang Ziye rode directly to the entrance of the operating room, dropped his hat, and then forcibly locked his bike.
Although there is a small fee for moving the car, the main advantage is convenience.
……
When Fang Ziye appeared in the operating room and saw the so-called retroperitoneal hematoma, he was also shocked.
This hematoma is really big!
"More than half of the patient's blood went in, right?" Fang Ziye's voice was a little dazed as he put on his clothes.
"Professor Fang, the blood vessel course has changed. I have clamped all the arteries that I could detect, but it is still progressively enlarging."
"The patient's blood volume is decreasing, and a blood transfusion is necessary to save their life. In this situation, no one dares to make an incision..."
Looking at the hematoma, which was at least the size of a cantaloupe, Tang Xiaoping's voice trembled.
"Do you have the preoperative examination results?" Fang Ziye asked as he approached.
This type of hematoma cannot be resolved with interventional surgery, so it is impossible to go to the interventional operating room.
No!
"They rushed him straight into the operating room," Tang Xiaoping said.
Fang Ziye had already put on a sterile surgical gown and gloves and was moving closer to the operating table.
Because of the protrusion of this hematoma, other surgeons dared not take any further action!
This is not a simple hematoma; a slight poke could kill the patient.
No matter how well other parts of the body are treated, if the hematoma is not treated, it will be useless. Moreover, it is a ticking time bomb that no one dares to touch.
"This is because the retroperitoneum often accumulates fluid, causing a decrease in the tension capacity of the local fascia, right?"
“Normally, even if a hematoma develops in a person’s peritoneum, it wouldn’t look like this.”
"Professor Tang, have you made any guesses about the bleeding vessels?" Fang Ziye asked.
Tang Xiaoping shook his head: "The arterial hemostasis has been completed in the common vascular system, but the hematoma is still continuing, so there must be a mutated blood vessel."
"That's a bit hard to find."
If a patient's anatomical structure grows according to a normal anatomical structure, then the surgeon can at least trace the anatomical structure.
However, if the anatomical structure is messed up, there might be no aorta where it should be, or a femoral artery where it should be a femoral vein.
Even the most skilled traditional Chinese medicine doctor wouldn't be able to help.
This requires considering adaptability.
"Have you tried the check valve?" Fang Ziye asked, turning his head.
"I tried it, but the effect was not obvious."
"The pressure difference is probably insufficient, which is why it cannot produce a bloody effect." Tang Xiaoping has studied the one-way valve technique for treating retroperitoneal hematomas in depth and has a very clear understanding of the basic principles.
"That's not right. The basic principle of a one-way valve is that the blood pressure inside the blood vessel is lower than the blood pressure in the hematoma, creating a pressure difference."
“How could it be useless, unless it’s the outer membrane of this hematoma?” Fang Ziye carefully probed the wall of the hematoma with his finger.
It was discovered that this large hematoma was still soft and limp.
This means that it hasn't developed tension yet, so there isn't much pressure.
Upon seeing this, Fang Ziye immediately frowned: "Why is the elasticity of this peritoneum so poor?"
"But this poor condition is actually a good thing, it means the blood pressure inside isn't high!"
"Prepare an extracorporeal circulation system and prepare for autologous blood transfusion," Fang Ziye quickly instructed.
Upon hearing this, Tang Xiaoping was stunned for a moment, then his expression changed drastically: "Professor Fang, are you planning to just drain the blood from inside? It's that big?"
"Is the hematoma wall still like this?"
"What if it explodes?"
"What's there to be afraid of? It won't explode!" Fang Ziye said confidently.
"If it had the pressure to burst, the fluid inside would have already come out of the tube when your one-way valve lowers the blood pressure in the blood vessel."
"As long as there is a pressure difference, there will be liquid flow!"
"No pressure difference means the hydraulic pressure inside is very low. With such low hydraulic pressure, what are you afraid of it exploding?"
"The amount of blood in here is not enough to make the hematoma wall bulge."
"However, we cannot make an opening vertically downwards; we must make an opening from above!"
"It's like a balloon filled with a small amount of water. Before it's fully expanded, you can easily pump water out of the opening," Fang Ziye said, already beginning the process.
He used hemostats to lift the hematoma wall vertically, then stretched it open, and said to Professor Tang Xiaoping, "Make an incision!"
Tang Xiaoping looked at Fang Ziye with slight hesitation, but made no move.
"Professor Tang, is this how you intend to do it?" Fang Ziye immediately questioned.
If you're going to completely shirk responsibility, I'll just walk away.
Hearing Fang Ziye's voice tinged with emotion, Tang Xiaoping gritted her teeth and gently made a 0.8cm arc-shaped incision with a scalpel in her right hand.
Then, he immediately leaned back as if to dodge!
However, the explosion he had imagined did not occur. Instead, Fang Ziye exclaimed in amazement, "This is really interesting! This large membrane has formed a giant balloon; the space inside could hold a whole person's blood!"
"The world is truly a wondrous creation..."
"Is the autologous blood recycling device installed yet?" Fang Ziye asked calmly.
In the operating room, only Fang Ziye spoke and moved; everyone else just stared at him in disbelief.
This professor truly deserves the title!
It can cut just like that, and it can stop exploding just like that. (End of Chapter)
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