top student at medical school

"We've obtained the family's signature!"

"His daughter was absolutely against gambling," Tang Xiaoping said as he walked in from outside the operating room, holding two surgical documents. He noticed many people staring at him as he reported this.

He immediately realized something and glanced at the anesthesia monitor. After the numbers on the monitor gradually became clear in his pupils, he silently walked to the shelf and put down the signed document.

The signed document in his hand wasn't meant to lighten the mood with a joke; it represented the bottom line for the entire surgery.

The circulating nurse rushed to Tang Xiaoping's side and asked in a low voice, "Have your family members arrived? Have they paid the fees?"

Tang Xiaoping said in a low voice, "I prepaid 50,000 yuan, and the rest will be handled by insurance... The driver who caused the accident has also been found. The traffic police and police have called over the business manager of the insurance company."

Neither of them said anything more after that.

Tang Xiaoping's voice was not quiet; he deliberately said these words to reassure everyone at this moment.

Although medical insurance payment has been reformed, the fundamental nature of departments being responsible for their own profits and losses, and the hospital's staffing being based on differential staffing, remains unchanged.

All the money that goes into the department needs to find a way to cover it.

Previously, Fang Ziye had no concept of financial power as he was not involved in such matters, but after becoming the ward director, head nurse Huang Xiaowei would often talk to him about it, and Fang Ziye finally understood what the circulating nurse meant.

Doctors are not saints; they cannot be detached from worldly affairs.

……

"Tang Xiaoping, come up on stage." Deng Haibo shouted after hearing Tang Xiaoping's voice.

Tang Xiaoping walked out to wash her hands properly.

At this point, it was already 12:40 AM.

The patient's vital signs are temporarily stable, but this does not mean that the emergency surgery is over; there are still many surgeries to be performed.

Fang Ziye glanced at the other spellfields and, feeling there was no need for him to get involved any longer, went to the lower half of the spellfield.

"Ziye, the dual circulation device is connected."

"Should we get the circulation going first and then stop the bleeding?" Li Nuo looked up and asked Fang Ziye for his opinion, while reporting what he had done.

Li Nuo is older and used to be Fang Ziye's superior, but now he is at the same level.

In formal settings, he also calls himself Fang Ziye, but that doesn't mean he lacks self-awareness. At this moment, on the operating table, he is just an apprentice.

I need to pay the price for the time I missed going to the spinal surgeon.

"First circulate, then probe for foreign objects!" After deciding, Fang Ziye turned to the circulating nurse and said, "Adjust the parameters. Adjust the parameter of circulator 1 to 3, and adjust the circulation parameter of circulator 2 to 1."

The simpler the tool, the better, as it will be more convenient to use.

While manual adjustments are possible at any time, they offer a wider scope but are also less controllable.

The circulating nurse's feet were smoking from all the walking. She responded with a sound, but didn't have time to get up immediately.

Upon seeing this, Wu Yong coldly retorted, "Who's on duty in your operating room nursing department today?"

"For such a major surgery, you only sent one circulating doctor and two instruments? Tell me her name."

The circulating nurse and scrub nurse were taken aback. The circulating nurse immediately said, "I'll call someone right away."

The medical department and the nursing department are not subordinate to each other, but in the hospital's ecological niche, junior doctors are prey to nurses, while the nursing department works in cooperation with senior doctors and professors.

Generally speaking, professors cannot be replaced, but jobs in the nursing department are highly replaceable.

If a professor as renowned as Wu Yong were to actually submit his opinions to the nursing department, the nurse on duty today, even if she isn't removed from the operating room, would still be criticized!
She casually made a phone call.

The call was answered, and a voice came from the other end: "Are the 13 patients dead? What are the doctors' opinions? Should we give them to the families directly or send them to the morgue...?"

The circulating nurse quickly interrupted, "Teacher Fang, the surgery here is still ongoing, we need to send someone else over."

While adjusting the parameters of the microcirculator, she asked after the microcirculator beeped, "Professor Fang, is it ready?"

Fang Ziye had no complaints about the circulating nurse. She was responsible for coordinating so many specialized surgeries by herself, which was really overwhelming. This was a management problem in the operating room nursing department.

Fang Ziye nodded without speaking, and began to perform an exploration of the pelvic cavity and lower abdomen.

The removal of the large steel plate does not mean the surgery is over; on the contrary, the surgery has only just begun.

Previously, it was just about saving lives, but now that the patient is still in critical condition, we also need to consider treating the illness. In addition to saving lives, the process of restoring the patient's circulation is also an unknown ordeal.

The call with the circulating nurse was disconnected, and the on-duty nurse must have realized that she had misjudged the progress of the patients in 13 operating rooms.

Since the surgery is still ongoing and there is a possibility that the patient may not die, it is clearly inappropriate to send only one circulating nurse.

As the surgery proceeded smoothly, Liu Faming from the vascular surgery department said, "The 13 operating rooms are our vascular surgery operating rooms, and the isolation rooms are equipped with interventional monitoring equipment."

"No need to turn around later."

Liu Faming's words made Deng Haibo's eyes flash: "Liu Faming, is the food at your new hospital campus really that good?"

Generally speaking, interventional operating rooms are separate and have a dedicated area for interventional procedures.

However, that was the allocation of operating rooms more than a decade ago. Now, newly built operating rooms have found a way to integrate interventional operating rooms with traditional operating rooms.

However, the old operating rooms in the old hospital area couldn't be demolished and renovated, so they had to use whatever was available...

Liu Faming bowed his head like an ostrich: "It's all thanks to the operating room designer; we just got lucky."

Deng Haibo didn't say much, but he was a little jealous of the hardware configuration of the new hospital campus.

The newly built wards and operating rooms are much better equipped than those in traditional hospitals. This is a trend of social development, and it is not something that Liu Faming and others deliberately chose to be so extravagant.

……

It was 1:31 AM.

After using a sterile intraoperative ultrasound probe to clearly detect the deep veins in both lower limbs, Liu Faming tilted his head and said, "There is deep vein thrombosis, but it's not very large!"

"Professor Fang's speculation is correct. This kind of free thrombus is particularly dangerous and needs to be filtered in advance."

Lan Tianluo, the "chief resident" who had already arrived at the operating room, forced himself to stay alert and praised Fang Ziye, saying, "My senior brother's hands are like they've been cheated."

"We never doubted his medical examination results!"

The anesthesiologist said, "I don't believe he hasn't used some kind of magic trick to raise a patient's blood pressure from below 60 to 85 in this situation."

"However, the patient's main circulation flow is too large, and the amount of blood returning to the heart is too much, which can easily put a strain on the heart."

"Immune transient myocardial ischemia occurs frequently."

Everyone smiled upon hearing this, having already tacitly accepted the anesthesiologist's praise of Fang Ziye.

As for the transient ischemic attack mentioned by the anesthesiologist, everyone was used to it.

Blood that is supposed to circulate throughout the body flows directly back into the vena cava from the aorta. It would be strange if the amount of blood returning to the heart did not increase.

Actually, you get used to it. Patients who undergo high limb amputation can survive after the surgery because they get used to it.

Professor Xia Shuanglong from the Department of Hepatobiliary Surgery took a moment to say, "Professor Fang Ziye from our Department of Surgery, there's absolutely no doubt about his skills."

"What's even more remarkable is his approach; he truly brought surgery to life."

"Break the whole into smaller parts, and then break the smaller parts back into a whole."

"Awesome!" Xia Shuanglong even had time to take out his right hand and give Fang Ziye a thumbs up.

If Fang Ziye hadn't made that decisive and ruthless decision, directly employing the concept of high limb amputation to remove all organs below the aorta—

The patient is now definitely in the morgue.

Such a radical surgical approach is something few would dare to use on this type of patient.

Fang Ziye smiled slightly and said, "Thank you for the compliment, Professor Xia. However, having come this far, the patient still faces the most dangerous hurdle: how to restore the circulation of the major arteries and veins."

"My opinion is to proceed gradually."

"Once the repairs are almost complete, we will first complete two sets of imaging systems to locate blood clots. If they are found, we will remove them; otherwise, we will monitor them."

"Once the monitoring stabilizes, we will first restore arterial circulation to one lower limb."

"The blood flow in the venous system is relatively smooth, so it can be directly connected."

Fang Ziye checked the time and said, "Professor Tang, could you have someone go out and explain to the patient's family again that this artificial artery consumable was not replaced for the patient, but was used to establish access during the life-saving process?"

"To avoid any disputes after the surgery, these are truly disposable supplies."

"I just took a look. The morphology of the patient's aortic rupture is not bad. It can be repaired later. There is no intimal tear, so a full replacement is not necessary."

"As for the recovery of the circulation later, my idea is this..."

"First, restore blood circulation to the aorta and the lower limb to mitigate the transient blood flow shock, and then proceed with the bypass surgery..."

Wu Yong and Deng Haibo have completed the hemostasis procedure; the remaining procedures are all specialized repairs, and they are currently "idle"!
The two idle men glanced in Fang Ziye's direction simultaneously, and Deng Haibo blurted out, "It can be like this?"

At that moment, Deng Haibo felt that he, a professor of vascular surgery, was like a toddler learning to speak in front of Fang Ziye.

Fang Ziye's understanding of vascular surgery theory was many times more thorough than his.

After thinking for a while, Wu Yong laughed and said, "Deng Haibo, didn't you already know that Professor Fang could not only do this, but also that?"

"You're a terrible person. You eat and then try to run away."

Wu Yong was joking!

Originally, Wu Yong's chosen candidate for the next director was not Deng Haibo, but Professor Wang Linhao from the Department of Vascular Surgery.

Deng Haibo found strong external support and developed a one-way valve technique for treating retroperitoneal hematoma, which enabled him to catch up and surpass others.

Not only did Wang Linhao lose all his advantages in front of Deng Haibo, but sometimes even this former ward director couldn't control himself when facing Deng Haibo and had to ask Deng Haibo for advice on many things.

"Teacher Wu, you're deliberately badmouthing me, it means you don't love me anymore."

"I have always had great respect for Professor Fang," Deng Haibo quickly stated.

If Fang Ziye was his lucky star before, then now Fang Ziye is his benefactor.

Are lucky stars and benefactors different concepts?
Back then, Deng Haibo had no idea that the 'one-way valve technology' Fang Ziye had given him could earn him such a high reputation in the industry.

"Clang!" After Fang Ziye removed the last piece of steel from the patient's tissue, he propped himself up.

Then she leaned on Lan Tianluo's shoulder and wiped the sweat from her forehead.

After yawning, he said, "Tianluo, Master Nuo, you two can handle the rest."

"I'm going to prepare for the circulation recovery later!"

"Okay, thank you for your hard work!" Li Nuo and Lan Tianluo nodded quickly.

Because no one can replace Fang Ziye in doing what he needs to do, he has to do it himself.

Otherwise, both Lan Tianluo and Li Nuo would be willing to help.

However, an individual's ability is limited; they can only carry a body weighing around 100 kilograms. If a 300-kilogram weight were to come at them, it could really crush them to death.

Fang Ziye temporarily stepped away from the operating table, took several deep breaths, and rested for a while before starting to prepare for the subsequent circulatory repair.

The restoration of circulation in the human body is not like diverting water to a paddy field, where you can ignore everything else and just divert the water there. You also need to consider the re-irrigation damage after circulation is restored.

In particular, it is important to properly manage metabolic waste and blood pressure.

And once major arteries and veins are involved, the danger is even greater!
Fang Ziye wasn't someone who liked thrills, although he also felt that directly reconnecting the aorta and vena cava wouldn't cause too much of a disturbance!
With full supervision, even minor accidents can be handled.

However, Fang Ziye still intends to use a more gentle and stable approach to promote cyclical recovery, proceeding step by step without resorting to any stimulating methods.

Fang Ziye wasn't someone who enjoyed thrills; he preferred the feeling of control and ease.
For example, if Fang Ziye were given enough time, such as to redesign the current rescue and treatment plan for this patient's surgery, the current plan could be rejected.

Fang Ziye had already come up with a better plan, but the surgery had already begun, and there was no turning back.

……

It's 2:30 AM.

Fang Ziye barely managed to complete the preliminary preparations for restoring circulation.

By now, the gastrointestinal and hepatobiliary surgeons had mostly treated the minor local injuries that needed to be addressed.

After all, nearly three hours had passed since everyone arrived at the operating table.

Upon seeing this, Tang Xiaoping said, "Circuit doctor, please arrange the necessary equipment for the interventional surgery. The other doctors should temporarily leave the operating room."

A modern operating room that is seamless, requires no referrals, and can be readily converted into an interventional operating room is something everyone desires.

Nobody likes thrilling adventures!
About ten minutes later, the two sets of intervention monitoring systems were installed.

There is only one monitoring device, but there are two interventional systems. After the contrast agent is injected into the circulatory system, the blood vessel shadows are displayed relatively clearly on the screen.

The imaging results came back quickly, much faster than the doctor could read them.

Therefore, after the results came out, Fang Ziye and the others continued to read them patiently.

Fang Ziye first took charge of angiography of his lower limbs and kidneys.

Wu Yong and the others immediately looked at the intracranial blood circulation, and then slowly moved their eyes downwards.

The process went smoothly, and no unexpected incidents occurred!
Wu Yong then looked at Fang Ziye and, meeting Fang Ziye's calm gaze, said, "Professor Fang, let's begin."

"Okay!~" With all the preliminary preparations completed, Fang Ziye no longer hesitated and directly clamped the passage between the patient's large vein and large artery.

Then, a portion of the artificial blood vessel is cut off, and the cut portion is quickly connected to the lower segment of the abdominal aorta.

At the same time, Professor Deng Haibo also took the opportunity to quickly suture the end of the vein.

The two people do not perform the same operation at the same time, and the difference in speed and quality is not very obvious. At this moment, they are operating on the same platform from left to right.

Many people frowned instantly.

It is obvious that Deng Haibo, as a professor of vascular surgery, was outmatched by Fang Ziye in the field of vascular suturing.

Vascular suturing should be one of Professor Deng Haibo's specialties, but he is still far from being as skilled as Fang Ziye.

At its simplest point, after Fang Ziye completed the entire artery suture, Professor Deng Haibo had only completed three-quarters of it.

Don't underestimate this quarter-point difference!
This may be a peak that one generation, or even several generations, cannot overcome.

Fang Ziye waited patiently for a while longer. He had already treated the arteries and veins in his lower limbs and was just waiting for the blood flow to resume!
Fang Ziye had already clamped the femoral artery and vein on the left side, leaving only the femoral artery and vein on the right side.

Moreover, fearing that the patient would not be able to accept the rapid change in blood flow speed, Fang Ziye also created a short-circuit fistula between the femoral artery and femoral vein.

A change in blood flow velocity that is too drastic, whether it goes from slow to fast or back to slow, is a shock.

Fang Ziye had already taken all the necessary precautions.

"Restore circulation?" Fang Ziye asked after Deng Haibo finished suturing.

“Restored!~” Wu Yong nodded.

With their opinions aligned, Fang Ziye opened the hemostat that had been clamping the wound to stop the bleeding, and Deng Haibo simultaneously released the clamps on both sides of the hemostat.

Blood gushed down instantly!
As the two cycles merged, the concentration of the contrast agent was continuously diluted.

Because the blood volume in the two circulations is different, the concentration of the contrast agent will inevitably be different.

Enveloped in mist and clouds, it looked quite beautiful.

However, before anyone could even appreciate it, the anesthesia machine started beeping.

Almost instantly, a trembling shadow of a rising heart appeared.

The anesthesiologist was incredibly skilled; after analyzing only five waveforms, he exclaimed, "Atrial fibrillation!"

All of this happened abruptly.

But it was also the worst possible outcome.

"Pay attention to blood clots!~"

"Prepare thrombectomy equipment, prepare thrombolysis equipment." Wu Yong said decisively.

Although Fang Ziye remained expressionless and silent, his eyes were fixed intently on the patient's heart.

When the large circulation suddenly shifts into the lower limb circulation, a temporary deficit in circulating blood occurs, and the volume and rate of blood returning to the heart change.

At this time, excessive atrial contraction can easily occur.

When the rhythm of contractions changes under stimulation, it is called atrial fibrillation.

A brief episode of atrial fibrillation is not particularly alarming, and the anesthesiologist was prepared and had already started administering metoprolol.

This is a commonly used medication for patients with atrial fibrillation during surgery. Even if it is ineffective, defibrillation can be performed.

The main things to pay attention to are the duration of atrial fibrillation and whether blood clots have formed.

If a blood clot forms, you should pray that it doesn't travel into the carotid artery.

Because the patient did not have a carotid artery filter installed beforehand.

People only considered the possibility of atrial fibrillation; it's impossible to make all the necessary preparations for the aftereffects of atrial fibrillation.

Such expenses are too high, and are an additional burden on both patients and doctors.

Time slowly passed, and even breathing seemed to freeze in the operating room.

The operating lights were off, and the angiography monitor showed the patient's atrial contraction rhythm, with turbulent blood flow in the atria and ventricles.

The electrocardiogram monitor kept beeping.

At this moment, everyone was on edge.

The sound of the monitor was undoubtedly the cry of a little devil coming to claim one's life.

Atrial fibrillation continues.

About thirty seconds passed!
The anesthesiologist said, "How about we prepare for electrical cardioversion?"

"Wait a little longer!" Fang Ziye stared at the imaging screen.

"No blood clots have been found so far, and the patient's heart is adapting to the new blood volume rhythm."

"Thirty-one, thirty-two, thirty-three..." The operating room timer panel was reset by the circulating nurse the moment atrial fibrillation occurred. Now the time ticks slowly and evenly, without stopping for anyone.

"The blood clot in the deep vein of the lower limb has dislodged," Wu Yong reminded him, knowing that Fang Ziye's attention was focused on his heart.

Fang Ziye replied, "There's a femoral vein filter, no need to worry about it!"

"There is a small amount of bleeding in the renal artery, and the amount of bleeding is decreasing, which is considered to be a transient impact," Deng Haibo reported and gave his diagnosis.

Fang Ziye glanced in the direction of the renal artery.

"Forty-five, forty-six, forty-seven..."

"The heart rate is already 130," the anesthesiologist reported again.

Fang Ziye said, "No rush!"

"Wait."

The anesthesiologist fell silent.

The circulating nurse lifted her right foot, hesitant to step down normally, and slowly lowered her foot, like a cat's paw touching the ground.

The scrub nurse's right hand gripped a large, curved retractor, causing wrinkles to form on her glove. Her long neck stood erect, her eyelids trembling...

This was the scene everyone had anticipated, but even after it appeared, everyone was still tense.

This patient already had a tragic fate; when he entered the operating room, the surgical team and anesthesiologists pronounced him "dead"!
And just when a glimmer of hope appeared, is it possible that it will be taken away again?

So what's the point of everyone working so hard from 9 AM until now?

Atrial fibrillation can be fatal.

People really can die!
One minute, two minutes, three minutes.

Five minutes passed.

The anesthesiologist administered another 5mg of the medication.

"If the atrial fibrillation does not recover in five minutes, consider electrical cardioversion!" He didn't ask Fang Ziye's opinion, but simply gave the order unilaterally.

During the operation, how to perform the surgery was Fang Ziye's and others' responsibility, but how to monitor vital signs was his responsibility.

Fang Ziye thought about it carefully for a moment and said, "Tianluo, connect the circulation of the other lower limb to the circulation as well."

Upon hearing this, Lan Tianluo instinctively asked, "Is that so?"

"Come on!" Fang Ziye couldn't explain much.

There is no time to explain this.

Lan Tianluo chose to trust Fang Ziye, and released the hemostatic clamps on the left lower femoral artery and femoral vein, allowing the blood vessels to refill.

At the same time, the patient's whole-body vascular images were finally displayed on the screen.

As you can see, the patient's circulation is still quite good at this moment!
Although there is a small amount of turbulence at the suture site, this turbulence does not affect blood flow in the slightest.

There was no bleeding, and circulation was intact.

"The atrial fibrillation is still ongoing; it's been going on for seven minutes," the circulating nurse finally couldn't help but report.

No one answered.

The anesthesiologist had already instructed his assistant to quietly push the cardioversion device.

Immediately afterwards, the sound of rollers slid through the operating room filled the room, mingling with the alarm.

Fang Ziye said, "Currently, the patient's hemodynamics are stable, and the rhythm of the atrial contraction is acceptable, so there is no need for electrical cardioversion."

The anesthesiologist hesitated, "But?"

“In cardiac surgery, even a heart can stop beating, so atrial fibrillation for a while is nothing to worry about,” Fang Ziye insisted.

Luo Tingzhu works in the anesthesiology department. Although Fang Ziye is not an anesthesiology specialist, he has heard Luo Tingzhu talk about the most crucial points.

For emergency medicine and anesthesiology, hemodynamics is the most important thing!

"We must re-enterocardiography in ten minutes," the anesthesiologist insisted.

This time, it was Fang Ziye's turn to remain silent.

He's just a surgeon; during surgery, heart rate and circulation are primarily monitored based on the anesthesiologist's advice!

“A blood clot has formed!” Wu Yong said.

Fang Ziye also saw it. Another reason he didn't reply was that he saw impurities 'depositing' in the turbulent flow of the heart under the continuous pulsation, resulting in a blood clot.

However, Fang Ziye still did not make a move.

He had some doubts.

The patient's re-circulation process was very smooth, and the recovery of circulation was gradual. Logically, he shouldn't have experienced so many abnormalities.

Could it be another case of atrial fibrillation that goes beyond conventional theory?
Just like Chen and Song?
"Beep beep beep beep..." The phone in the operating room rang.

The circulating nurse was right next to me and answered the phone in just a second: "Operating room 13."

"We have available ECMO machines. Do you still need them in your operating room?"

The circulating nurse immediately looked at the stage. She couldn't make the decision herself, so she chose to speak aloud as soon as she got through.

“Push it up!” Fang Ziye replied proactively.

The anesthesiologists make the decisions regarding anesthesiology matters, but I can still make decisions regarding surgery matters for now, since Wu Yong authorized me, and I haven't taken it back yet.

When Fang Ziye answered, he even looked to his side with a hint of existential doubt, wondering if there were Ox-Head and Horse-Face standing there mocking him.

The human body should be governed by reason.

This is beyond theoretical understanding!
Just as Fang Ziye was hesitating, suddenly!
The anesthesia machine alarm sounded again, and the patient's heart rate visibly increased again before quickly slowing down.

At the same time, it can be found that a thrombus has penetrated into the patient's left anterior descending artery!
Upon seeing this, Professor Wu Yong immediately thought of treating the thrombus in the left anterior descending artery.

However, Fang Ziye's expected intervention did not materialize.

Professor Wu Yong didn't have time to think too much and had to take action himself.

On the anesthesiologist's side, after seeing the patient's atrial fibrillation, he muttered "Damn it!" Even though he didn't have a girlfriend, everyone could tell who he was cursing.

It must be Fang Ziye who won't listen to advice.

Lan Tianluo's gaze kept shifting between Fang Ziye and the display screen—

But at this moment, Fang Ziye's eyes suddenly narrowed: "It's perfect for treating blood clots."

When a myocardial infarction occurs in the anterior wall of the heart or is accompanied by heart failure or hypotension, it may lead to an increased heart rate because myocardial ischemia and hypoxia weaken the contractility and increase the workload on the heart.

But this is normal.

This patient did not experience low blood pressure after a sudden increase in circulating blood volume. In such a case, myocardial ischemia would not cause an increase in heart rate; instead, it would cause a decrease in heart rate rhythm.

The response to myocardial ischemia is very rapid.

Sure enough, just seconds after the embolus was formed, the patient's transiently increased heart rate dropped again, from 130 to around 100, and it was still decreasing.

Upon closer inspection, the patient's atrial fibrillation has disappeared, replaced by ischemic lesions on the anterior wall of the heart.

"Professor Wu, give it to me!" Fang Ziye asked Wu Yong for the controller.

Although Wu Yong was moving the guidewire, it remained in the aorta under monitoring!
Wu Yong trusted Fang Ziye and handed over the controller.

After Fang Ziye received the manipulator, it was as if he had helped the distal end of the catheter find its home. He skillfully navigated from the thoracic aorta to the aortic arch and back to the left atrial inlet.

The left and right coronary arteries originate from here.

With a slight turn of the catheter tip, Fang Ziye guided the catheter into the left coronary artery and then to the thrombus in the left anterior descending artery.

Thrombectomy might not be as effective at this point, as a thrombectomy catheter needs to be placed. Fang Ziye directly asked Professor Wu Yong to place a stent to support the thrombus.

After the blood flow resumed, the heart rate fluctuated again for a short while.

But it only lasted for a short while, and then it quickly returned to its normal rhythm.

Twenty seconds later, the anesthesiologist's cold, indifferent voice rang out again: "The patient's sinus rhythm has been restored."

"You're a real talent, you dare to gamble on this." He said this to Fang Ziye.

"Phew!" Everyone took a long breath.

Fang Ziye replied, "Anesthesiologist, this isn't a gamble!"

The anesthesiologist didn't reply. In his opinion, Fang Ziye was gambling and then got lucky.

Surgeons only talk about results, not processes; you don't even need to explain the underlying principles in detail.

Especially for theories that are highly related to principles, don't say that most people won't learn them or are too lazy to learn them.

After all this, the entire rescue process for the patient finally came to an end.

Just then, the phone in the operating room rang again.

After the circulating nurse connected, she asked, "The ECMO has arrived at the operating room door. Do we still need to go get it?"

Wu Yong shook his head: "Let's not take it. Just say we don't need it here. The ECMO machine in the new hospital area is too small, so we'll leave it for someone who needs it more."

The circulating nurse answered the phone truthfully, and the call was quickly disconnected.

Seeing this, Fang Ziye glanced at the monitor showing smooth blood flow to both lower limbs before nodding and saying, "Professor Wu, Professor Deng. There are no external injuries or fractures in our orthopedics department."

"We have also treated the pelvic hematoma and arteriovenous injuries."

"I'm just going to ignore the rest? It's already past three o'clock," Fang Ziye said.

Before anyone else could speak, Lan Tianluo very sensibly delivered a PUA remark: "Senior brother, you should go and rest. You were in surgery all day yesterday, and you have to get up and do surgery again later. You also have to run to the hospital area."

Upon hearing Lan Tianluo's words, Tang Xiaoping's face began to bulge as if it were cracking, and she immediately looked at Fang Ziye with a complicated expression.

He wasn't a trauma surgeon, so of course he wouldn't know Fang Ziye's daily schedule.

But if that's really the itinerary, then I really deserve to die for calling Fang Ziye so many times these past few days!
"Okay, then you can leave after the surgery," Fang Ziye instructed.

Having learned from his previous experience, Fang Ziye dared not recall his team and left immediately.

You must see the patient leave the operating table.

If anyone dares to remove blood vessels that have been stitched up by orthopedic surgeons in front of Lan Tianluo, they're really asking for trouble.

This profession is likely out of the question; both the older and younger generations of orthopedic surgeons will relentlessly try to eliminate him.

Wu Yong and Deng Haibo also began to take off their clothes.

Professor Xia Shuanglong from the Department of Hepatobiliary Surgery also stepped off the operating table.

The four of them walked slowly outside together.

Xia Shuanglong said, "Professor Fang, I really didn't expect this patient to have a chance to come back to life."

"Before?"

"I apologize for the offense." Xia Shuanglong apologized to Fang Ziye first.

Fang Ziye also explained, "Teacher Xia, misunderstandings caused by a lack of understanding are not really misunderstandings. I have probably caused you a lot of trouble."

"But that's just how I am. If I don't want to do it, I don't do it. But since I'm already here, I'll do my best to do it well."

Fang Ziye looked at Xia Shuanglong with a complicated expression.

It's clear that Xia Shuanglong is highly skilled; if he wanted to help, there's a good chance he could save this patient.

But Xia Shuanglong did not do that, and even after he had stopped the bleeding, he still did not choose to do so.

This shouldn't be considered a beating from society, but rather a beating from worldly conventions.

Society's harsh realities are that you have the ability, but you lack the opportunity to advance.

The harsh realities of the world are when you've done your best, but others, for their own purposes, still keep biting at you, and once they bite, they never let go!

Once something like this happens, your heart will turn cold.

The phrase "do your best" was never used again.

Xia Shuanglong's eyelids flickered: "I still hope that Professor Fang's childlike heart can be preserved for a little longer. I'm completely rotten."

After saying that, Xia Shuanglong walked forward.

After Xia Shuanglong left first, Deng Haibo explained to Fang Ziye: "Professor Xia fought a five-year-long lawsuit a few years ago. In the end, he lost on the grounds of humanitarianism."

Upon hearing this, Fang Ziye nodded: "It's possible that someone can't teach someone else."

“But I’m an exception! Professor Deng, next time you’ll have to let Professor Tang know.”

Deng Haibo and Wu Yong exchanged a glance. Wu Yong sighed first and said, "The child is too old to be controlled."

“Tang Xiaoping was not beaten, and we couldn’t persuade him otherwise.”

Fang Ziye glanced at Wu Yong, then at Deng Haibo, who looked completely innocent.

Only then did I realize that Tang Xiaoping was also a person of strong emotions.

"Then I have no choice but to refuse unilaterally. To be honest, Professor Deng, this patient is too difficult to treat today."

"It's even more tiring than performing three surgeries in a row in our department!" Fang Ziye shook his head.

He didn't want to come.

If it weren't for Wang Qiang's phone call, Fang Ziye definitely wouldn't have come.

However, Fang Ziye did not expect that Tang Xiaoping would make another phone call, even if it meant losing face.

"That's for sure. Countless people have died from these kinds of external injuries that have no frame of reference."

"How can you not be exhausted if you want to set up a ring and fight all sorts of monsters and demons in such a short time?"

"Professor Fang, when we surgeons use our skills, it takes both physical and mental effort."

Deng Haibo gave a thumbs up: "Awesome!~"

"No doubt about it."

"Bold yet meticulous." Deng Haibo seemed to understand Fang Ziye perfectly.

Wu Yong yawned repeatedly and said, "It's getting late, let's all go and rest."

"Professor Fang, you've been working so hard for so long. If you have surgery tomorrow, you probably won't be able to sleep well."

"Thanks a lot."

Fang Ziye laughed and said, "Professor Wu, you've worked very hard too. I'm not the only one. I'm still young, so I should be able to handle it."

Without exchanging any more pleasantries, the group left the changing room, changed their clothes, and went their separate ways.

Fang Ziye didn't go home. He groped his way into the department, crawled into the single bed in the director's office, set the alarm, and lay down.

When Fang Ziye woke up, it was already 7:20.

Fang Ziye was still asleep, but time was running out.

Fang Ziye put on his clothes and went out, only to find that the door to Lan Tianluo's office was not locked, and Lan Tianluo was snoring loudly inside.

Fang Ziye did not go in to disturb him. Fortunately, Hu Qingyuan was very considerate and ordered breakfast for Fang Ziye.

While eating, Fang Ziye reviewed his knowledge points once again.

Current knowledge points balance: 345212.3!

340,000 knowledge points isn't really that many!
It's still a long way from the next level 7 skill.

"Level 5 skills are very practical, level 6 skills are invincible, and level 7 skills are mysterious and infinitely wonderful."

"We still can't be careless," Fang Ziye concluded.

This patient would have died if I hadn't been involved.

But even he himself could die if he didn't handle things properly.

While a level 6 skill is invincible, it only means it's invincible compared to others and predecessors; it doesn't mean it can handle all diseases.

To have the opportunity to handle all types of diseases encountered, one must be at level 7.

Above level 7, there is no level 8. It is a realm of profound mystery and endless wonder, limited only by the overall level of cognition, yet also exceeding the overall level of cognition.

"Director Fang, we have two surgeries scheduled for today. You'd like to perform them."

"It's for Le Yuan and Huang Xiaoxiao, both scheduled for the morning." Zeng Duoqin pushed open the door to the doctors' lounge.

Upon hearing this, Fang Ziye's eyes flashed, and he nodded in reply, "I know, Teacher Zeng."

Both patients have bone tumors, and the biopsy results are now available. They requested that Fang Ziye perform the surgery, and Fang Ziye agreed.

Naturally I won't go back on my word.

"However, Professor Zeng, these two surgeries need to be completed quickly. I also need to go back to the main hospital campus to perform surgery, and I need to get there before 11 o'clock," Fang Ziye said helplessly.

Zeng Duoqin also knew about the "big event" that had occurred in the trauma surgery department: "Then I'll arrange for someone to take the patient down now. We'll go straight to the operating room after we finish our shift handover."

"Let someone else handle the ward rounds."

In principle, the chief physician should make rounds once a week.

"Thank you for your understanding, Professor Zeng." Fang Ziye slightly bowed...

Actually, performing bone tumor surgery isn't a bad deal. After completing a single surgery, you can earn three to four thousand knowledge points.

That's comparable to Fang Ziye's earnings for an entire day.

Knowledge points are essentially your own martial arts combat ability; if you want to fight demons and monsters, your current skill level is slightly insufficient... (End of Chapter)