top student at medical school

"Functional reconstruction is less of a specialized surgical procedure and more of a complete surgical approach."

"Functional reconstruction is the goal, and techniques are the means of achieving it."

"The ultimate goal of any operation is to serve the purpose of functional reconstruction."

"So functional reconstruction surgery is both easy and difficult to learn. It's easy to learn because performing a tendon release surgery for finger flexion deformity is also a form of functional reconstruction."

"The difficulty in learning lies in performing a functional release procedure for a single lower limb with full functional impairment, which is also a form of functional reconstruction."

"By the way, Lan Tianluo, what kind of surgery is this patient going to have? Is it a functional reconstruction surgery?" Fang Ziye suddenly asked.

Fang Ziye's words left everyone in the operating room completely stunned.

Including Hu Qingyuan.

Lan Tianluo's Adam's apple began to bob, and he became anxious: "Senior brother, don't do this to me, I'll be scared to tears too."

Before becoming a chief resident, Lan Tianlu was a happy and cheerful master's student, pursuing his interests and studying diligently.

During his hospital stay, he felt the pressure and the urgency of emergency consultations. After learning to compete and pass the buck among various specialties, he also became more realistic, at least his smile became much less pronounced.

Fang Ziye immediately replied, "That's possible, but it's not anymore."

“I’ve probably been too busy, so I forgot to tell you before. I’m not going to do functional reconstruction surgery for this patient in bed 6. Instead, I’m going to do functional rehabilitation surgery for him.”

Upon hearing this, Lan Tianlu coughed twice more.

"Senior brother, explain clearly, what is functional rehabilitation technique!" Lan Tianluo felt that Fang Ziye was just being clever and joking to liven up the atmosphere.

Just like the jokes on the internet, they only ask what kind of surgery it is after cutting open the skin.

In fact, Fang Ziye was joking: "Well, functional rehabilitation is a new type of procedure that I developed before and after I went to the sanatorium. It is derived from functional reconstruction, but it surpasses functional reconstruction."

"It can not only help patients regain their pre-injury muscle strength, but also give them the opportunity to reach the average level of the general population."

"For patients who are already weaker than the average adult, this is called functional rehabilitation surgery."

While speaking, Fang Ziye organized the timeline.

I finished my residency in November of the year before last, and then went to Yue City, where I received the initial inspiration for functional rehabilitation surgery from Professor Zhou Yan, and was able to perfect it.

At that time, I had already left Zhongnan Hospital, while Lan Tianluo had been staying at Zhongnan Hospital, so Lan Tianluo did not know about functional rehabilitation surgery.

Later, even though Lan Tianluo went to Enshi, he was there to conduct basic scientific research!
In the sanatorium, the difficult and complicated cases that needed to be discussed did not include functional rehabilitation surgery, so Fang Ziye should not have mentioned this procedure to Lan Tianluo.

Because of its unique nature and the fact that it targets a different group of people, Fang Ziye did not exaggerate its significance in the early stages.

Instead, after nearly seven or eight months of preliminary 'clinical trials' at the sanatorium, which confirmed the authenticity of the functional rehabilitation technique, they decided to bring it to the teaching hospital.

If functional reconstruction surgery was a groundbreaking surgical innovation in hand surgery and trauma surgery, then functional rehabilitation surgery is another revolution following that innovation!
"This...how is this possible?"

"If a patient can break through their original functional limits after surgery, then isn't that functional cosmetic surgery?" Lan Tianluo is very knowledgeable about functional reconstruction techniques.

So I instinctively retorted.

However, Lan Tianluo quickly frowned: "Since you brought it up, it can't be impossible!"

"Functional rehabilitation surgery".

"If we look at your previous work in the sanatorium, wouldn't that mean that many people in special professions still have the opportunity to return to their posts even after being injured?"

Fang Ziye laughed: "I've been performing this kind of surgery for over a year now. Although I haven't done many cases, the procedure is already quite mature."

"The bottom line of functional rehabilitation surgery is functional reconstruction surgery. It is not a special clinical trial. It is a new surgical procedure that associate senior surgeons can perform at any time in clinical practice."

As Fang Ziye finished speaking, he glanced at his students and fellow students.

Junior apprentice Lin Fangzhong did not go on stage, but he and Tian Yao both turned on their recording pens.

Hu Qingyuan was on the stage. After suppressing his doubts, he began to gather all the information, clearly driven by curiosity and a thirst for knowledge.

Whether it's good or bad, let's learn it first.

……

Fang Ziye simply explained the basic principles of functional rehabilitation techniques. He had discussed this with others before while at the sanatorium, and this was just a reiteration.

It takes about three or four minutes.

Lan Tianluo suddenly realized: "Senior brother, next time you make such a change, could you please not use such a clever way?"

“You’re a professor leading a group now, you’re the big boss, this is intimidating.”

Fang Ziye shook his head and said, "That might not be possible in the short term! Tianluo, please bear with me."

"Damn it, to put it bluntly, for so many years, we've been used to being sons and grandsons, obediently suppressing our natural instincts that come with age."

"Now that I've finally managed to break free from this isolation, and everyone around me is someone I know and am familiar with, if you don't let me rediscover myself, aren't you just suffocating me?"

While operating the machine, Fang Ziye instructed Su Xiao and Li Nuo on how to assist and expand their field of vision: "Over here, widen your field of vision a bit."

"Functional reconstruction surgery is for functional aesthetics, so at this time, you should not consider the aesthetics of skin suturing incisions."

“Anyone who comes to the hospital for functional reconstruction is a patient who is suffering terribly from functional limitations. They only care about practicality and not aesthetics.”

"Aesthetics are worthless compared to practicality!"

After Fang Ziye finished explaining, he said, "Tianluo, perhaps in the future, when you go out on your own, when my senior brothers are all old, when my students start to stay in the hospital to work, when the students who follow me are all students of my students, and all strangers."

"I will restrain myself and put on the airs of a professor, but right now, who among us doesn't know who?"

"Although Hu Qingyuan and the others are there, apart from Teacher Su Xiao, whom I'm not very familiar with, Senior Brother Sun Shaoqing, my elder brother, when I first joined the department, I was incredibly incompetent, and he would scold me like a grandson when I was writing medical records, yet he was as patient as a child..."

“Brother Li Nuo, he was the chief resident back then. He treated me to meals and took me to perform surgeries. I had to wait in line to buy him a cup of milk tea back then.”

"Luckily, my master was familiar with him, which gave me the opportunity to flatter him. However, it didn't last long. After only a few months, Brother Jin Hongzhou went back to being a chief resident. I always felt like I was getting the short end of the stick."

"As for you, I can only say you were really good at pretending. We even found out about my wife together. Back then, you were putting on an act, saying what kind of person she liked..."

"You talk like you'd dare try pursuing her yourself!!"

“Feng Junfeng is also my junior brother…” Fang Ziye said sincerely.

Lan Tianlu laughed upon hearing this, and while reading the surgical report, he said, "Senior brother, if that's how you put it, then don't blame me for sometimes not treating you, Fang Ziye, like a chief surgeon."

"That's how it is. Let's stick to the facts."

“If you do something wrong, I will definitely scold you, but I don’t know how much I will scold you.”

"But in the process of getting to know each other, we don't need to treat each other as friends. We are still friends now."

“I’m in my early thirties! If you ask me to hold this position, I’ll have to hold it for forty or fifty years. It’s so tiring to do that.”

"Of course, I can't completely let loose either. I still have to maintain a certain distance from strangers, after all, I represent the orthopedics department of our new hospital," Fang Ziye said frankly.

Lan Tianluo and the others stopped dwelling on the topic and were quickly drawn to Fang Ziye's rehabilitation techniques and their specific implementation.

Although Su Xiao and Sun Shaoqing were unfamiliar with reconstruction techniques, it was a bit difficult for them to jump to the more advanced rehabilitation techniques. However, this did not affect their feeling that the rehabilitation techniques were more exquisite.

Among them, Su Xiao had the most clinical skills and knowledge, and kept asking, "Ziye, how is this step different from ordinary suturing?"

"Isn't this step similar to the basic principle of osteotomy and orthopedic surgery?"

"Ziye, is the arrangement you just did similar to tendon weaving in sports medicine? Does it make..."

Hu Qingyuan only knew a little bit, so he recited the answers.

Lan Tianlu occasionally grasped a bit of the theory of Functional Reconstruction Technique, and he used the Functional Reconstruction Technique to interpret it.

Li Nuo then explained the connection between nerves and muscles by starting with some basic principles of spinal surgery.

Fang Ziye gave a final summary and demonstration.

Perhaps it was at this moment that Fang Ziye objectively saw the different structures of each person, and truly understood and appreciated these few terms.

Clinical knowledge is clinical knowledge; it's about breadth of experience and knowledge, which cannot be replaced by theory or memory.

For example, Brother Su Xiao has seen a lot of the world. As the director of a prefecture-level city hospital, he has attended many meetings and performed many surgeries. Therefore, he can find similar support for many clinical procedures.

Theory is theory; it is the foundation of all operations and the basic principle!

All operations must be based on theoretical guidance. If you can't explain the basic principles of operation, then you haven't learned it properly.

However, theory guiding practice, or practice leading back to theory, must be mutually reinforcing.

For example, Lan Tianluo knows a lot, knows how to apply it, and understands the combination of theory and practice, but he also has his own theoretical blind spots, after all, he is not as thorough as Fang Ziye.

However, theoretical accumulation is different from mere memory. Compared to someone like Hu Qingyuan who has a photographic memory, it still lacks comprehensiveness.

Don't underestimate the breadth of knowledge covered in textbooks. In fact, many newly developed surgical techniques can be found in the corners of various orthopedic textbooks.

Medicine is a very complex discipline that requires exposure to a wide range of knowledge. Having a good memory is a natural advantage in medical studies.

Moreover, Hu Qingyuan is also very skilled at the operation; his surgeries are quick and stable.

If he can actually apply some of the skills he uses in video games to medical procedures, combined with his memory, his potential will be extremely high.

In comparison, Senior Brother Sun Shaoqing, Lin Fangzhong, Feng Junfeng, and Tian Yao seemed rather ordinary and unremarkable.

With average qualifications and experience, he is considered above average among the general population, but when faced with ultra-high-end procedures like functional rehabilitation surgery, he still pales in comparison.

After each surgery, everyone gained something, but they also had their own questions.

Fang Ziye said, "Functional rehabilitation surgery, like functional reconstruction surgery, has an entry threshold, especially in terms of the requirements for suturing, which will be more demanding."

"If functional reconstruction is a simple reorganization of anatomical structures so that the remaining tissues of the human body can regain their function, then functional rehabilitation is a more scientific organic reorganization."

"This allows a limited organization to work together and unleash greater potential, exceeding its original normal level."

"This has some reference value for a part of the rehearsal process in sports."

"For example, we often hear that when you're playing table tennis, you shouldn't use the power of your wrist, but rather the power of your waist."

"Similarly, our functional rehabilitation techniques utilize the strength of other areas to enable specific functions to overcome their original limitations!"

"Similarly, functional rehabilitation surgery has much greater limitations than functional reconstruction surgery. For example, functional rehabilitation surgery cannot be performed on severe injuries. However, it can be performed on general burns."

"After muscle adhesion release surgery, local nerve entrapment can be resolved, but if it is a degenerative lesion of the nerve or a degenerative lesion of the muscle tissue, functional rehabilitation surgery cannot be performed."

"Currently, I've only managed to compile these details myself; this is the bare minimum for the framework..."

Upon hearing this, Hu Qingyuan added, "Master, according to you, it's impossible to do it if there's a large section of bone missing."

"If there is no necrosis in the proximal and distal segments after nerve segment necrosis, then there is a chance to rebuild the basic conditions for rehabilitation after transplantation."

"I don't know if it's right or wrong."

Lan Tianluo glanced at Hu Qingyuan, his brows furrowed.

While waiting for the next surgery to begin, Su Xiao exclaimed, "Ziye, what kind of freaks are here?"

"The younger generation is truly formidable; the waves of youth are constantly surpassing those of the older generation. We are indeed getting old."

Hu Qingyuan has a wealth of theoretical knowledge, but he doesn't know how to use it, so he just asks casually.

He also had a teacher with very clear theoretical understanding who could guide him at any time, helping him to establish a framework for his mixed theoretical ideas, so that he could develop them in a more comprehensive way and twist them together as he wished.

If he can let go whenever he wants, then Hu Qingyuan's future will be limitless.

“Then write it down. We may need to conduct clinical trials in the future, since there are currently no other references available,” Fang Ziye said.

“Okay, Master.” Hu Qingyuan was eager to improve. He really wanted to participate in Fang Ziye’s clinical surgeries, even if it was just to discuss them. As long as he could participate, he could get immediate feedback.

Compared to the 'oppression' in the laboratory, this place is practically a comfort zone.

Fang Ziye then led his men down to eat.

Just as the meal was drawing to a close, Fang Ziye received a phone call. After listening for a while, he said, "Director Chen, wouldn't you like to reconsider what you're saying?"

“There are no orthopedic conditions covered by our specialty. I have scheduled elective surgeries. You want me, an orthopedic surgeon, to temporarily postpone my already scheduled elective surgeries to perform emergency surgery?”

It was a call from Dr. Chen Guofeng, the director of the emergency department.

“Professor Fang, Dean Wang personally called this patient!” Chen Guofeng said in a low voice.

Fang Ziye said, "I can come, but I would appreciate it if you could find me a surgeon who can perform my elective surgery, Director Chen."

"My surgery is a total femoral reconstruction plus patellar reconstruction."

"Wouldn't Professor Zeng work? Or I could call Professor Deng," Chen Guofeng said immediately when he saw that Fang Ziye had relented.

"Director Chen, why don't you call and ask first? I'm eating now, and I'll go into the operating room after I finish eating."

“If Director Deng and Director Zeng Duoqin agree, I can come over at any time.” Fang Ziye did not argue with Chen Guofeng.

If the other party can really bring Professor Duan Hong from Tongji Hospital, or transfer Wu Xuanqi from Enshi within an hour!

Fang Ziye was naturally happy to go and help.

But now that no one can replace Fang Ziye for elective surgery, Fang Ziye puts aside his own ward's surgeries to perform emergency surgery, even if it's to save a life, which is just asking for trouble!

Five minutes later, Fang Ziye appeared at the door of the operating room.

Professor Chen Guofeng called again: "Professor Fang, the situation here is a bit urgent!"

"Could you come over and take a look first? After you've done the crucial work, you can go back."

“I’m in operating room number nine!” Chen Guofeng didn’t mention his previous suggestion again.

Fang Ziye knew long ago that Chen Guofeng would not be able to find someone to replace him in performing these two surgeries.

Even Professor Duan Hong would find total femoral reconstruction and patellar reconstruction extremely challenging, and neither Professors Deng Yong nor Gong Jiahe dared to take them on lightly.

Moreover, they also have their own surgical arrangements!
"Director Chen, you're actually putting me in a difficult position," Fang Ziye said.

"Human life is at stake, Director Fang, I have no other choice." Chen Guofeng wisely refrained from mentioning Dean Wang's matter again.

In the operating room, Lan Tianluo had already gone for a consultation.

Fang Ziye then instructed, "Li Nuo, call me in twenty minutes. Make sure you call!"

Li Nuo didn't know Fang Ziye's purpose; he was still discussing the details of the previous surgery with Su Xiao.

Hearing this, he nodded: "Okay, Ziye! Go take a nap."

Fang Ziye then went to operating room number nine.

Fang Ziye did not wash his hands, but went straight into the operating room.

The first thing I saw was a group of people operating around a table. The patient's abdomen was wide open, and after the skin was cut open, the inside was bright red.

The surgeons on stage were frantically trying to stop the bleeding, but bright red blood was still trickling out.

At the same time, the anesthesiologist's voice was like a thorn: "The patient is in shock!"

"It will stop beating soon." He dared not utter another word.

Seeing this, Fang Ziye could only rush out the door. Standing in front of the sink, he took a deep breath.

After hesitating for about three seconds, he opened his eyes.

People are probably dying in hospitals all the time, and people may lose their lives from external injuries every day. It's just that Fang Ziye can't happen to meet these patients.

This is an established fact.

If Dean Wang Xinghuan hadn't intervened, Professor Chen Guofeng certainly wouldn't have been able to call Fang Ziye, and wouldn't have repeatedly asked Fang Ziye to come over.

Everyone has his or her own mission.

But after all, he was someone Wang Xinghuan had spoken to, and Chen Guofeng had made several phone calls, so Fang Ziye did come.

When Fang Ziye washed his hands and quickly stepped back into the operating room, everyone on the operating table was already anxious.

"High voltage 59!~"

"The bleeding won't stop, blood transfusions won't help, and raising blood pressure won't help either!" the anesthesiologist shouted urgently, not just targeting one patient.

“There are too many bleeding points,” replied a surgeon in green on the operating table.

"We still need to stop it! If we don't stop, the bleeding person will be gone!" the anesthesiologist continued to yell.

The surgeons remained silent; they were not playing around or slacking off.

Fang Ziye did not speak, but quickly grabbed a sterile surgical gown and began to put it on.

After putting on his gloves, Fang Ziye didn't even bother to spin around and went straight to the operating table.

"Director Chen, I'm here," Fang Ziye called out, moving closer to the inside.

Upon hearing Fang Ziye's words, the person who had been squeezed by him swallowed the words "What are you squeezing for?" that were on the tip of his tongue.

There weren't many surgeons coming to the new hospital, and most of them were young.

Most of these people knew Fang Ziye, or at least were familiar with his voice. "Professor Fang, I'll let you have your place, it's too noisy inside!" He quickly moved down two steps, making room for him.

Fang Ziye didn't reply, but directly clasped his hands inside.

At the same time, both eyes are rapidly assessing the current situation—

The surgeons have been working very hard to stop the bleeding; arterial bleeding from critical organs such as the mesenteric artery, external iliac artery, internal iliac artery, and renal artery has been stopped.

But the patient's bleeding continued.

Moreover, the abdominal cavity was filled with a mixture of blood and feces, and although we had tried our best to clean it, a strong, pungent odor still lingered.

At first glance, all you can see is a pool of blood!
The absence of noticeable bleeding points indicates that these individuals have already mastered the art of conventional hemostasis!
Fang Ziye was also unsure of what to do. While feeling for the bleeding points, he looked towards the image reader.

The image reader was empty, clearly indicating that it was an emergency where there wasn't enough time to perform preoperative examinations.

"Hemostats!" At one moment, Fang Ziye felt two small bleeding points, which, judging from their shape, should be the ureterovesical artery.

Those familiar with Fang Ziye had already placed the hemostat in a convenient, easy-to-reach position, not in a position where he was best positioned.

Fang Ziye simply picked up and clamped the object slowly with one hand, without rushing.

If the usual bleeding points have been treated, and there is still so much bleeding, it is highly likely that there is a problem with the venous system.

Venous bleeding has a weaker jetting force than arterial bleeding, so it requires very careful exploration to find the bleeding point.

"Director Chen, temporarily clamp the inferior vena cava!"

"I suspect it's venous reflux."

"Given this amount of bleeding, it should still be damage to the large vein." Fang Ziye couldn't pinpoint the bleeding point; he was just speculating based on his experience.

However, the speculation is not without basis.

The blood turbulence that Fang Ziye can't detect with his current physical examination techniques can only be venous bleeding.

“Once the inferior vena cava is clamped, the ECMO circuit closes.” Chen Guofeng frowned.

"Transfer to the superior vena cava! There's no other way."

“If the ECMO circuit continues to bleed, then that’s another type of active bleeding!” Fang Ziye said.

Although Chen Guofeng had doubts, he did not disobey Fang Ziye and still made sufficient preparations beforehand!

As expected, as soon as Chen Guofeng clamped the entrance to the inferior vena cava, the blood began to seep downwards.

At the same time, Fang Ziye felt the reflux turbulence the moment his vein was clamped!

Blood pressure is always greater than the pressure of a hematoma outside the body under certain conditions; this is the basic structure of blood vessels.

However, the central venous pressure, which is the pressure within the large veins, is much lower than the arterial pressure, which is why natural arteriovenous circulation can be formed.

Because of its low pressure, a pressure difference is formed with the pool of blood. Therefore, at the moment when venous blood reflux is clamped, the blood flow in the venous lumen will decrease, and the gap in the distal segment will make the hydraulic pressure even smaller.

Then the pool of blood will flow back in.

In that very instant, Fang Ziye detected the changes inside the pool of blood.

He reached out with his left hand and, sure enough, found the rupture at the bifurcation of the left and right common iliac arteries of the inferior vena cava.

The opening is not large, and it is a hole-like opening, and it is after the membrane has been applied.

Therefore, it is not easy to spot!
Even Fang Ziye's physical examination couldn't detect the massive bleeding, making it even more difficult for the average person to diagnose.

Bleeding in this area is difficult to treat, but fortunately it is not at the bifurcation point. Fang Ziye then chose to clamp most of the common iliac artery and iliac vein on one side to form a closed loop.

After completing this operation, Fang Ziye removed the hemostat that Chen Guofeng had previously clamped: "Continue the suction!"

Then, he looked at a female doctor who was about to remove the catheter from the femoral vein: "What are you doing?"

"Rebuild ECMO?" she said irritably.

Fang Ziye said that the inferior vena cava needed to be clamped, which would break the ECMO loop, and she would have to start over.

"Can't you just put in a new catheter?" Fang Ziye looked at her as if she were a weirdo.

"Can't you stop squeezing?" The woman, whether on her period or going through menopause, started arguing with Fang Ziye.

"I'm sorry to bother you! I was wrong, I am Fang Ziye, and I apologize to you."

"Do as you please," Fang Ziye readily agreed.

Although Fang Ziye was apologizing to the woman, his eyes remained fixed on the fluid level inside the patient's abdomen.

The liquid level did indeed begin to drop!
"The blood pressure has gone down a little bit!" As the person who protects the patient, the anesthesiologist cannot always put pressure on the patient in the operating room. It is necessary to give some good news from time to time to encourage the patient.

As the hydraulic pressure decreased, more tiny bleeding points appeared.

Fang Ziye also helped with the temporary clamping of some of the corners, and temporarily stuffed them with cotton pads to compress them.

Chen Guofeng and others also began to get busy.

"Do we still need to restore venous circulation in the upper limbs?" The female doctor who had spoken earlier complained again after seeing that the ECMO circulation had been restored.

Chen Guofeng's eyebrows twitched several times, but he didn't have time to speak before the anesthesiologist took over.

"Circulation has been restored, and the patient's blood oxygen levels are acceptable. Dr. Dou, thank you for your hard work," the anesthesiologist said softly.

"I already said I wanted veins in the upper limbs, but you guys insisted on the 'proximity principle'!"

"I really don't understand what you surgeons are thinking when you're trying to save trouble and make things easier?" the woman named Dr. Dou suddenly said.

Upon hearing this, Fang Ziye's eyes flashed slightly as he scanned the crowd. Noticing the different expressions on Chen Guofeng's and the others' faces, he remained silent.

After the blood pool had completely subsided, Fang Ziye quickly used the hemostat in his hand to clamp the two small arteries and veins, and then saw that the large bleeding point had been cleaned up.

"Director Chen, I'll be going now."

"It's up to you guys now," Fang Ziye said.

Dr. Dou looked at Fang Ziye, her tone questioning: "You're leaving halfway through surgery?"

Upon hearing this, Chen Guofeng had no choice but to reply, "Professor Fang was an assistant I called in halfway through; he has another surgery in the next operating room!"

"Professor Fang, thank you for your hard work. You can go ahead and get back to your work."

"Thank you." Chen Guofeng didn't cup his hands in thanks, but his eyes were sincere in expressing his gratitude, hoping that Fang Ziye wouldn't hold it against Dr. Dou.

Fang Ziye took a few steps back.

Dr. Dou then shut up.

After Fang Ziye took off his sterile surgical gown and gloves, as he passed the storage table to get his phone, Dr. Dou's tone softened slightly: "Are you Professor Fang Ziye from the Department of Surgery?"

“I’ve heard of you!” she said, extending her right hand generously.

"My name is Dou Yueyue. I'm in the ICU."

"Fang Ziye. Orthopedics." Fang Ziye shook her hand briefly, then withdrew his hand and walked out of the operating room.

"Don't be so petty. I can't tell you guys apart anyway. I'm just telling the truth."

"When I make suggestions, you don't listen to me, and after I've done it, you keep asking me to change things. Anyone would find that annoying," Dou Yueyue said.

Fang Ziye paused slightly: "I'm sorry, I didn't know the whole story. I apologize."

Fang Ziye smiled and said, "I have surgery next door, I can't delay too much!"

Dou Yueyue didn't press the matter further, and turned back to the ECMO area to start adjusting the flow rate.

ECMO is a very rigorous technology, and not everyone knows how to do it!
After leaving, Fang Ziye smiled casually and didn't say much.

In the eyes of other departments, orthopedics and surgery are no different. The surgical system is the surgical system. Even if you are not in the same field, when you criticize each other, it is a general attack.

For example, people in the medical records department often say that the surgeons can drive the medical records department crazy...

However, after taking a few steps, Fang Ziye suddenly realized something and muttered to himself, "Could it be that Director Chen and Tang Xiaoping from the vascular surgery department are using me as a tool to reduce the emergency room mortality rate?"

Why do I have to call every time there's an emergency?

This isn't the first time.

If the first large-scale consultation I was on duty for was an isolated incident, the subsequent ones seemed to happen far too frequently.

"Once or twice is fine, but if I have to call every time, how am I supposed to manage my time?"

"We still need to think of a better way," Fang Ziye murmured.

After Fang Ziye re-entered the orthopedic operating room, Li Nuo was already on the operating table: "Ziye, it hasn't been twenty minutes yet, so I haven't called you."

"Where are you going?"

“I went out to work, and I even got criticized,” Fang Ziye said.

Fang Ziye's words piqued Li Nuo's interest even more: "Who is it? Is there anyone in the new campus who dares to criticize you, Ziye?"

"Please tell me his name, I want to pay my respects."

Hu Qingyuan and the others also had strange glints in their eyes.

"She said she was Dou Yueyue from the ICU, but I didn't know her. She's probably new here and we're not very familiar with each other."

"They not only criticized me, but also Director Chen Guofeng of the emergency department."

"He's most likely a master, moderately likely a second-generation talent, and unlikely to be both," Fang Ziye said.

Fang Ziye made this deduction mainly because he himself was a master, but he didn't dare to lose his temper and launch a sweeping attack like Dou Yueyue.

Young people's aloofness requires a certain depth, and such depth can mostly come from their family.

Even the academician's students and beloved disciples wouldn't dare to throw a tantrum like her.

"How should we proceed with this surgery?" Su Xiao sensed that Fang Ziye might be a little frustrated, so he quickly shifted the topic to Fang Ziye's area of ​​expertise, making Fang Ziye feel valued.

"Brother Xiao, I don't do much, I'll do it, you guys watch!"

"By the way, have the people from the 3D printing company arrived yet?" Fang Ziye began looking around.

"Professor Fang, I'm here, ready to receive orders at any time."

“We don’t need too many people coming in right now!” he immediately stood up and replied.

"We have prepared about three of the most standard implant models. If they are not suitable, we can switch to them at any time."

"The previous data formula should be fine."

If the person in charge of a 3D printing company doesn't come over, then it's just nonsense to talk about full femoral reconstruction and patellar reconstruction.

"Okay, sure!"

"Let's get started. Next, I'll show you what surgeries I had at the sanatorium." Fang Ziye scratched his palm and placed his phone on the shelf.

Fang Ziye quickly arrived at the operating table fully equipped and then began his own routine.

"Put your hands here and open this."

"You need to flex this muscle and reconstruct the femoral tunnel."

"Open your hand slightly to the side."

"Before performing bone defect reconstruction, it is essential to thoroughly clean up any soft tissue scar tissue."

"During the 3D prosthesis fabrication process, we will leave enough space for the start and insertion points of tendon reconstruction to facilitate muscle reconstruction later."

"This is a very complex process that requires a lot of patience, and the operational details are numerous..."

Fang Ziye instantly went into overdrive, speaking less and less.

There wasn't much explanation, just demonstration.

The operation wasn't particularly fast, but every step seemed very ingenious.

While Fang Ziye was operating the device, Hu Qingyuan emphasized, "Should we record it? Senior Brother Lan Tianlu specifically stressed that it must be recorded for him to see..."

Lan Tianluo is Hu Qingyuan's senior martial uncle.

However, Lan Tianluo is only twenty-six years old this year, while Hu Qingyuan is twenty-four, a difference of only two years. So they decided to each pay their own way.

Hu Qingyuan called Lan Tianluo "Senior Brother," and Lan Tianluo called Fang Ziye "Senior Brother."

"Let's stop recording, Master didn't say anything."

"I guess he's not planning to teach anymore; he just wants to finish the surgery properly," Tian Yao replied.

Feng Junfeng and Lin Fangzhong squeezed onto the stage to get a closer look, leaving only Tian Yao and Hu Qingyuan in charge from below.

"Ziye, can we wait a bit? I'm having trouble keeping up and don't understand some of it." The surgery was halfway through, and Fang Ziye had already reconstructed the femur and the muscles on it, when Su Xiao suggested this.

"Teacher Su, we can't wait any longer, it's no use waiting."

"This is a huge leap. I will explain this surgery to you in detail later. It is one of Professor Duan Hong's specialties at Tongji Hospital."

"Although it's not a functional reconstruction technique, it is actually one of them!"

"It's more technically advanced than simple functional reconstruction surgery!"

Fang Ziye did not intend to specifically train Su Xiao and Sun Shaoqing in limb-sparing surgery, as a youth version of limb-sparing surgery had already been developed.

He wasn't afraid they wouldn't be able to learn it.

However, functional reconstruction and bone defect reconstruction are the techniques they need to spend more time learning and understanding.

Even though Sun Shaoqing comes from a hospital in Shenzhen, everyone has their own area of ​​expertise.

Tongji Hospital's bone defect reconstruction and Zhongnan Hospital's current functional reconstruction techniques are among the most advanced in the field of orthopedics nationwide.

If learned and taken back, it will surely become one of the local specialties.

Even if you don't master it.

Whether one is proficient or not is a matter of personal skill level; knowing how to do something and not knowing how to do it are two different things.

……

Around 8 PM.

When the surgery ended, Su Xiao and Sun Shaoqing stood anxiously in the operating room, looking at each other with deep concern.

"Brother Xiao, this...?"

"What should we do?" Sun Shaoqing asked Su Xiao.

“Study? How do we do that? We’re here for a year of advanced training,” Su Xiao said.

“If we break down the operation of the sub-operation, we will find that we are inferior to him in every basic skill. So, can the operation we perform still have the same effect as the operation here?” Sun Shaoqing asked rhetorically.

"If after going back you always feel that the quality of your surgery is poor, then will learning it bring you pain or self-blame?"

Sun Shaoqing is still young; he is only thirty-four years old, approaching thirty-five, and has only been away from Zhongnan Hospital for four years.

So, he still has dreams.

"A peaceful mind makes for a smooth path, Shaoqing, I can't answer your question either."

"If one truly intends to make a comparison, it might be painful or self-reproachful."

“But the meaning of being a doctor is not to surpass Fang Ziye, much less to defeat Fang Ziye, but to treat patients.”

“You can expect to perform surgery better than Fang Ziye, not to be better than him.”

"At least that's how I personally understand it," Su Xiao said.

Sun Shaoqing didn't reply, but asked, "Brother Xiao, wanna go for a drink?"

"What's wrong? Are you feeling unwell?" Su Xiao looked Sun Shaoqing up and down.

Sun Shaoqing shook his head: "I'm not feeling unwell. If I wasn't feeling well, I wouldn't have come back."

"Instead, I was filled with mixed emotions, both melancholy and relief."

"I feel melancholy because back then I didn't have such a good opportunity as I do now, but I'm also relieved because things are different now, and my fellow students all have a better platform and future."

"But after all, that's the period I spent at Zhongnan Hospital! ~"

"I have lived up to its expectations..." Sun Shaoqing said he had no feelings, but in fact he was filled with emotion.

……

On the other side, when Fang Ziye received another urgent consultation call, he finally spoke his mind. After waving for his students to reserve seats, he answered the phone: "Professor Tang, what does this mean?" (End of Chapter)