top student at medical school
Chapter 752 Going Further and Further Away!
"Stop arguing, okay? This kind of arguing is pointless. I said I won't do it, and that's final. Your arguing won't help."
“If you need to have surgery, we have professors at our hospital who perform that type of surgery. It’s not your place to give instructions on what kind of patients I treat.”
"We're in the same profession, why come here to undermine me?" Fang Ziye stood up, staring intently at the young man before him, his tone cold and stern.
The family member is a doctor at a prefecture-level city hospital in the province, and is currently an attending physician.
If he were an outsider, Fang Ziye wouldn't have gotten angry with him. But since the other person was an expert, and he was standing in front of Fang Ziye trying to morally blackmail him, Fang Ziye couldn't stand it.
The young man was quite young, even younger than Fang Ziye, and probably one of those who went straight into the workforce after graduating with a master's degree: "Professor Fang, this isn't how you make sense."
“As doctors, when patients come to us for treatment, we should be more understanding. If you can do it, why shouldn’t you?” The young man naturally hoped that his father could receive better surgical treatment.
Otherwise, he wouldn't have personally taken leave to bring his father to Zhongnan Hospital.
After all attempts to reason with them failed, the only recourse was to "make a scene."
"I'm in charge of scheduling surgeries; I'm the one leading the team, not you."
"What do you want to do?"
"If you want to file a complaint, follow the proper procedures. If you need medical treatment, I'll issue you a hospital admission certificate; you can then make an appointment and complete the admission procedures. If you want to argue, I'll call the security office!"
"You choose one." Fang Ziye was too lazy to argue with such a 'moral saint'.
Fang Ziye didn't even want to question whether the other party could be consistent in their words and deeds in their daily work, as it was pointless.
"Professor Fang, I'm here to ask you for a favor, not to argue with you."
“This is my father. You have the power, so I have come to beg you.”
"Can you try to put yourself in my shoes?" The young man's tone softened slightly.
"Why didn't you bring your father for surgery three years ago?" Fang Ziye retorted.
"At that time?"
"Back then, no one really knew how to perform such surgery..." The young man hesitated for a moment before answering truthfully.
"Then why are you trying to morally blackmail me?"
“There are many people who can perform this kind of surgery now. I recommend Professor Liu Huanglong from our hospital. He is currently one of the best professors in Hubei Province.”
“Go to him to complete the hospitalization procedures. It can solve the problem; it’s not that it can’t be solved.”
"Why are you arguing with me? What's the point?" Fang Ziye retorted.
The young man said indignantly, "Professor Fang, what's the point of arguing with me? Will you lose a piece of your flesh or something by performing this one more surgery?"
"Dad, don't pull me. I'm trying to reason with Professor Fang."
"Hu Qingyuan, call the security office," Fang Ziye said, looking directly at Hu Qingyuan.
Fang Ziye continued, "You're also an insider in this industry. I hope you can remain calm. Your current behavior has already affected public order."
"If this kind of unreasonable behavior gets back to your workplace, it won't do you any good."
"I can tell you very clearly that the prognosis for your father's current condition is almost the same whether I perform the surgery or Professor Liu performs it!"
"I have other tasks now, so you go to his place."
“You are also a doctor in a prefecture-level city hospital. It’s like a patient before surgery. If the patient has high blood pressure before surgery, the prefecture-level city hospital will not easily admit the patient to adjust the blood pressure.”
The young man said, "Professor Fang, even if it's close, it's still not quite right."
"Could you do me a favor?"
The call to Hu Qingyuan went through: "Yes, the orthopedic clinic, room 321, in the surgical outpatient department."
There was no physical altercation.
The young man glanced at Hu Qingyuan, picked up the hospital admission certificate and medical record, gave Fang Ziye a deep look, and left the clinic with his father with a resentful expression.
That gaze seemed to want to devour Fang Ziye alive.
Fang Ziye could naturally understand his feelings.
Many well-off people nowadays try to get into big hospitals when they get sick, hoping that their family members can receive better medical care, so that they can feel more at ease.
This time, Hu Qingyuan didn't complain at all, but instead called the next patient in.
Hu Qingyuan's eyes lit up at just one glance; the patient's lower limbs were black and had a faint foul odor.
If all goes well, this is diabetic foot, which is also one of the routine limb-sparing surgeries for diabetic foot that my mentor plans to perform in the department.
Hu Qingyuan immediately went up to him with great interest: "Hello..."
……
At 12:30 pm, after leaving the clinic, Fang Ziye transferred 100 yuan to Hu Qingyuan.
"I'm going to the operating room to set up a table. Order me some takeout," Fang Ziye texted.
“Master, you don’t need to transfer money to me. I have enough money myself.”
"Although I no longer do live streams on my Douyin account, I still have a large number of followers, and I can still earn a considerable income by occasionally taking on advertisements."
"I'll give you a refund," Hu Qingyuan said while organizing the patient diagnoses he had seen that morning in the outpatient clinic.
Hu Qingyuan, who is good at learning, can learn under Fang Ziye's guidance, or he can find the right learning structure on his own after leaving Fang Ziye.
This is what a truly good learner is like.
After reading the information, Fang Ziye didn't continue to delay about the money. He went straight to the operating room.
Although Wang Zongkai had previously studied functional reconstruction techniques under Liu Huanglong for a period of time and had a certain foundation, he had not yet fully "graduated" from the apprenticeship, so he still needed Fang Ziye to guide him further.
This was something that had been agreed upon in advance, and Fang Ziye couldn't refuse.
Once inside, everything was ready; only the crucial part awaited Fang Ziye's attention.
Fang Ziye briefly read through the patient's condition and auxiliary examination results before beginning the procedure.
This patient's functional impairment was not severe, and he was specially selected by Wang Zongkai for practice, so there were not many key procedures and the surgery time was not long.
Even though Fang Ziye only had a little over an hour free at noon, he could still slow down and dismantle Wang Zongkai and the others.
At the same time, Fang Ziye was also conveying research ideas to Wang Zongkai: "In addition to breakthroughs in basic research, the regeneration and implantation of peripheral nerves also requires proper local manipulation."
"For example, the small nerve transposition we are doing now is actually the core of the subsequent nerve implantation procedure."
"The consumables we'll need will inevitably come from such cutaneous nerves or musculocutaneous nerves..."
“Brother Kai, you must have been exposed to a lot of treatments for peripheral nerve-related diseases while working with Teacher Liu, so you can go into more depth in this area.”
"I've been thinking about a question lately: traditional vertical tension may be more beneficial for muscle and skin growth, but not so much for nerve growth."
"However, tension will definitely stimulate the proliferation of nerve cells, but the form of tension may be different. This will definitely take a long time to progress, so there is no need to rush."
"In addition, limb-sparing surgery for diabetic foot is actually related to the reconstruction of small blood vessels and micro-arteries."
"It may seem like the scope of operation is not deep, but in fact, because the operating range is relatively narrow and the objects being operated on are smaller, the skill requirements are higher."
"In the early stages of diabetic foot, these tiny arterial structures become problematic. We need to find ways to unblock them and prevent further changes. This is the core theory of limb-preserving surgery for diabetic foot."
"It also involves many local applications, which I will gradually organize."
Wang Zongkai nodded repeatedly to Fang Ziye, and this time he took the initiative to ask, "Ziye, why don't you hand over part of the task so we can organize it ourselves?"
"This process of organizing is actually a process of learning and sorting out."
Even if the organization isn't fast enough, participating is still an experience.
Fang Ziye looked up upon hearing this, thought for a moment, and nodded: "That works too."
Wang Zongkai didn't slack off and passively wait to be fed; instead, he took the initiative to participate in organizing, which showed his desire to learn proactively.
The benefit of the Zhongnan Hospital platform is that most people who can get in have the desire and ability to learn proactively.
There's no need to treat them like elementary school students or lazy people, just waiting for Fang Ziye to feed them.
Such a team is actually very adaptable.
Because even if such a core group is not as good as the top hospitals, it is not a whole level below them.
Moreover, the level of something can be gradually improved over time.
Perhaps decades from now, the achievements of Wang Zongkai and others will be no less than those of their contemporaries at Huashan Hospital and Jishuitan Hospital.
Unlike Zeng Duoqin, Wang Zongkai wouldn't have much of a burden when facing Fang Ziye.
……
At 1:35, after Fang Ziye left the operating room, Zhu Quanlin sighed with a hint of heartache.
"Ziye is really tired!" Zhu Quanlin's words silenced the entire operating room.
As everyone knows, Fang Ziye came from the outpatient clinic.
Fang Ziye is a person. Sitting in the clinic is not something that can be done by sitting there motionless; it requires quick thinking.
Normally, lunchtime is a time for rest and relaxation, but Fang Ziye had to rush to the operating room to perform another surgery.
Fang Ziye acted this way because he was the director of the new ward, and another reason was that Wang Zongkai's team was somewhat lagging behind.
Wang Zongkai, however, had a very proper mindset: "If functional reconstruction techniques could be learned so easily, they would be worthless."
"It's simply not worth the decades of effort and hard work that so many predecessors have put into building it, and the progress is not particularly outstanding."
"Self-blame and discouragement will not solve any problems."
"Let's take it slow and practice. We'll learn it eventually." Wang Zongkai lowered his head, like a child who was tired from running but dared not rest.
Wang Zongkai is an associate professor. His abilities surpass those of 95% of his peers. Even in hand surgery, he is quite outstanding, both within the province and nationwide.
He is qualified to lead a team; Wang Zongkai can perform common hand surgeries very well.
However, he finds it particularly challenging when faced with new surgical techniques such as functional reconstruction surgery, which are groundbreaking in hand surgery in recent years.
It was not Wang Zongkai's intention for an associate professor leading a research group to become so "despicable".
However, even a slow bird can start flying early.
Even a clumsy bird must think about flying, otherwise it will never be able to fly, even if it falls a thousand times in the process.
But in essence, I am also a bird, and I must learn to fly. If I cannot fly, all that awaits me is death!
A disguised form of death!
He became an ordinary puppet.
"Come on, let's continue to refine our basics. To sum up the relationship between nerve sutures and tendon sutures, they are completely unrelated."
"Nerve suturing and tendon suturing have different techniques and directions..."
……
Fang Ziye was of course unaware of Wang Zongkai and the others' murmurs, nor did he know Wang Zongkai's thoughts.
Even if Fang Ziye knew, he would only think Wang Zongkai was awesome.
There is never a saying that a person who studies, or loves to study, is lowly.
As long as someone doesn't resort to crooked methods and is genuinely focused on learning, they cannot be called base.
"Master, I've heated it up for you." In the outpatient clinic, Hu Qingyuan carefully opened the lunchbox.
"Where did the clinic get a microwave oven?" Fang Ziye asked.
"The nurses outside who are responsible for patient guidance buy their own meals in the break room. They often bring their own food with them."
"After all, the salaries of triage nurses are not high, and ordering takeout every day at the outpatient clinic would be too expensive," Hu Qingyuan explained with a smile.
The salary of a triage nurse is indeed not very high, but it is still better than working in a factory and tightening screws, at least it is not as tiring.
Fang Ziye did not respond, but continued seeing patients after finishing his meal.
I experienced the arguments from patients and their families again, the misunderstanding from others, the overwhelming gratitude of some patients, and the expectations of many others.
Perhaps because many people are concerned about saving face and unwilling to be rejected, Fang Ziye said he didn't want to have the surgery anymore, so fewer people came to see him.
Therefore, Fang Ziye did not have many extra patients at his clinic today, and he closed his clinic at six o'clock.
"Master, could you come to the training room today?" Hu Qingyuan invited enthusiastically, her eyes sparkling with flirtatious charm, as if she had made progress and wanted to show it to Fang Ziye.
"I'm not free today, and you won't be free today either."
"Jie Han has already brought the person over. Come with me to greet them..."
"I think I forgot to tell you, a doctor or attending physician from Academician Ma Jun's team will be coming over today," Fang Ziye said.
Fang Ziye didn't say anything, but Hu Qingyuan knew that Fang Ziye was very busy. If he had to explain every little thing to everyone in advance, Fang Ziye wouldn't be able to do anything.
“Okay, then I’ll send a message to my two senior brothers and tell them to practice on their own,” Hu Qingyuan replied.
For ordinary doctoral and master's students, the most important task during their studies is to improve their basic skills and practice basic surgical procedures.
This will be their base for clinical practice, and it will affect them for the rest of their lives.
……
"Senior brother, the situation has changed slightly. I've been connected with an attending physician." Jie Han sent this message as Fang Ziye led Hu Qingyuan toward the parking lot.
“It’s alright. You’re a PhD from our hospital too. Just bring him over directly, find out which flavor he prefers, and send it to me when you have the chance,” Fang Ziye said.
The guest is the host.
Even if the visitors' research achievements and technology are not particularly advanced, we should still treat them with the utmost hospitality.
"I told you, your illness is incurable; you need to go to a traditional Chinese medicine clinic for treatment."
"The TCM clinic I recommend to you is run by a renowned TCM master in our province. It has excellent medical facilities and a full range of rehabilitation equipment."
"Moreover, the master's students are highly skilled in all kinds of techniques and methods, and many patients like you have seen improvement there..."
As Fang Ziye and Hu Qingyuan walked from the outpatient building to the parking lot, they were interrupted by the sudden whispering.
Hu Qingyuan paused, then turned and found the three of them. He narrowed his eyes slightly and whispered, "Master, that patient seems to be one of the patients we admitted."
"Is the person opposite him a medical tout?" Hu Qingyuan's voice was low, but there was a strange excitement in his expression.
"Medical touts" and "ticket scalpers" are currently being severely cracked down on.
"There are many types of medical touts. The other party mentioned a traditional Chinese medicine clinic, not a small clinic without a license, but it still falls under the category of medical touts." Fang Ziye's reply had already shifted.
If the person standing opposite him wasn't a patient with whom he had a medical relationship, Fang Ziye definitely wouldn't have approached him; he would have simply called the security office and asked them to handle it.
But once a doctor-patient relationship has been established between the patient and their family, Fang Ziye can no longer ignore it.
Hu Qingyuan made a phone call as soon as he saw Fang Ziye turn around.
The security office's phone is staffed by a specialist, and the call has been connected. Hu Qingyuan is already giving a rapid report.
Upon hearing Hu Qingyuan's phone call and seeing Fang Ziye approach, the middle-aged man, slightly flustered, turned to Fang Ziye and said, "Don't meddle in other people's business."
At the same time, the patient's family members, a mother and daughter, also saw Fang Ziye and called out, "Professor Fang."
"Professor Fang."
Upon hearing this, the middle-aged man panicked and immediately fled.
Fang Ziye's raised phone had already recorded a video. As he approached, he explained, "I captured your faces in the video. I'll delete it after I show it to the police."
"It won't spread!"
The middle-aged man, who had run a few steps, suddenly stopped and turned to say, "I advise you not to meddle in other people's business. Delete the video right now."
The incident was recorded, leaving evidence that will cause considerable trouble; he needs to deal with it.
Otherwise, the traditional Chinese medicine clinics he collaborates with would drive him to the brink of ecstasy...
He hadn't expected Fang Ziye to be so cunning, starting to record the video right away.
Fang Ziye wasn't someone to be trifled with. He looked at the middle-aged man and said, "Why are you panicking if you haven't done anything wrong? If you have something to say, just say it."
"If you're a fellow professional, let's have a debate. But if you don't have the proper qualifications and you're giving unprofessional advice to patients around our hospital, then you're breaking the law first."
“I won’t hold you responsible; it’s the police and the Provincial Health Commission that will come after you.”
The middle-aged man's eyes hardened again: "I advise you to mind your own business."
Hearing this, the mother and daughter understood what had happened. The daughter, who was about twenty-eight or twenty-nine years old, said, "Professor Fang, we had just finished our hospital appointment when he stopped us and asked me what my mother's diagnosis was."
"Then she said that there was no cure for this disease and that I could only go to a traditional Chinese medicine clinic for recuperation and rehabilitation. I was also skeptical."
"If there really is no way to treat it, Professor Fang, why did you issue us hospital admission certificates and then come here..."
The security office wasn't far from the outpatient department, and four or five uniformed men were already approaching. Seeing this, the middle-aged man dared not delay any longer and immediately began to run.
The security personnel did not give chase when they approached.
After clarifying the situation, he said to the mother and daughter, "You should go to a regular hospital for treatment, although it is possible that some traditional Chinese medicine clinics have very good doctors."
"But if you don't understand traditional Chinese medicine, you should try to go to a hospital instead of going to a traditional Chinese medicine clinic."
"Okay, thank you." The daughter thanked the people from the security office.
"Thank you, Professor Fang."
Chen Ding from the Security Office turned his head and said somewhat awkwardly, "Professor Fang, we can only report this kind of thing to our superiors. Our Security Office has no law enforcement power."
"However, I am very grateful for the video evidence you provided."
"But whether we can find the person or not depends on how the police system and the provincial health commission system characterize the case."
Fang Ziye nodded: "It's okay, we just need to do what we're supposed to do."
The security personnel left after receiving the video.
The patient, a middle-aged woman in her fifties, asked with some concern, "Professor Fang, can my illness really be cured?"
"Could it really be like he said, that having surgery is a waste of money? I might actually still need to..."
The patient's daughter also looked at Fang Ziye, her eyes pleading.
Fang Ziye had a deep impression of the mother and daughter. The woman was a tenured teacher in Han City. She was from a single-parent family and had only one mother.
She's almost thirty this year, but she's still not married. She's just worried about her mother. She passed the civil service exam in Han City when she was twenty-three, but all her salary over the years, after expenses, goes to her mother.
I've been on quite a few blind dates, but most of them avoid her when they see her family situation.
As children, we can't just ignore it.
Previously, when her mother heard Fang Ziye want to admit her to the hospital in the clinic, she burst into tears and almost knelt down from her wheelchair. She cried and said that she had delayed her daughter's life.
Although the patient's daughter said on the surface that she didn't care, there was actually a hint of sadness in her expression.
This has nothing to do with filial piety; it's just an instinctive thought.
She must have thought about it; if she were from a normal family, she probably would have already found her "happiness".
Fang Ziye put away his phone, rubbed his hands together, and said, "I still want to say what I told you during the outpatient visit. Right now, we still have too little test data."
“I think there’s a good chance, and a pretty good chance. That’s why I admitted your mother to the hospital to see how things go.”
"You've taken your mother to see several hospitals in Han City. You've even consulted with some well-known specialists."
"If I were to give you a definite answer right now that I can cure it, then I would be lying to you, because I'm not sure myself."
"Even if we have this opportunity, we can't give it up easily."
Fang Ziye then looked at the aunt and said, "Auntie, you don't need to feel too guilty. Your physical condition is not something you wanted."
"Illness strikes like a landslide; everyone gets sick one day."
"So, you should relax a bit and look forward to the future."
"You have such a beautiful, kind, and filial daughter, which is the greatest blessing. You will surely have even better days ahead of you."
"Don't overthink it. I'm a doctor. I can't lie to you. I can't lie to you that I can cure it, nor can I lie to you that I can't cure it at all."
There is currently no standardized treatment plan for this disease.
The aunt asked again, "Professor Fang, is amputation the solution? Should I just have it amputated..."
The daughter shook her head: "Mom, what are you saying?"
“You’re just in pain right now, it’s not a situation where amputation is necessary, so we’ll definitely have to follow the doctor’s advice on how to treat you.”
"It hasn't reached the worst point yet."
"Professor Fang, thank you. I'll take my mother home and talk to her about it." The woman was quite kind and understanding; she knew that Fang Ziye needed to rest and have some personal time after get off work.
"However, I wonder if it would be convenient for me to add Professor Fang's phone number or WeChat as a friend, so that I can consult you on some issues."
Fang Ziye said, "Add me as a student, it's the same thing."
"Hu Qingyuan, please give your WeChat ID to this teacher."
Hu Qingyuan, who was used to being a tool, immediately nodded, skillfully opened the QR code, and said, "Add me as a friend, and try to send messages during work hours, but of course, you can send them at other times too!"
"Never make a phone call at two or three in the morning!"
The woman scanned the QR code, slightly taken aback: "Someone is calling you at two or three in the morning?"
Hu Qingyuan added a note and replied: "I only added you on WeChat twice. Just three days ago, a patient's family member called me at four in the morning. He asked me what medicine I could get for not being able to sleep."
When the woman saw Hu Qingyuan's 'weird' nickname, she said, "My name is Lin Han."
Hu Qingyuan explained, "Excuse me, teacher, we added you as a friend to facilitate follow-up visits, so we need to register your mother's name and diagnosis."
"Otherwise, since your mother's name is Li Juan, we might meet five or six aunts, older sisters, or even younger sisters of Li Juan in our ward every month."
Hu Qingyuan insisted on his note: Li Juan is scheduled for hospitalization before surgery (the nature of the infectious disease is yet to be determined).
The woman turned to Fang Ziye, bowed slightly, and said, "Professor Fang, although I know you are under a lot of pressure, I really beg you to do your best to think of a solution."
"My mother's situation is rather special."
The woman glanced at her mother: "She often thinks about going to extremes. She thinks I don't know, but I've always known."
"You've worked hard too, you'll definitely have a better life." Fang Ziye gave the woman a thumbs up.
It's truly remarkable that a girl, raising her disabled mother alone for so many years, has managed to do so, even with a relatively decent job.
……
Fang Ziye then led Hu Qingyuan into the car.
However, Hu Qingyuan got into the driver's seat, while Fang Ziye went to the passenger seat, sent a message to Luo Tingzhu, and then comfortably closed his eyes to rest.
After driving for a while, Hu Qingyuan lowered his voice and said, "Master, actually, some time ago, I really didn't understand your decision to give up the two mature techniques you had developed."
"After the last two visits, especially today's outpatient visit, I feel that you, Master, are incredibly decisive."
What you said is very realistic.
“If we specialize in something, what we see is actually what we expect, and many patients will not come to us.”
The mother and daughter I just saw are not the only people who came to Fang Ziye for treatment, nor are they the only two people who yearn for someone to save them.
It wasn't a matter of life and death, but the lives of the two of them were tormented to the point of near ecstasy by their leg disabilities.
From the daughter's perspective, how could the mother be abandoned?
For a mother, how should her daughter get married?
As for my daughter's marriage, if it wasn't true love she met from the very beginning, how could we get married?
Even without all of these factors.
For a middle-aged woman, she might also feel that life isn't very meaningful.
"It's not that I'm great, it's just that this is reality."
"We will all eventually see the world through tinted glasses, because none of us have the eye of God."
Fang Ziye then took another deep breath and said, "Actually, those who need help more are not the people we've encountered."
"There are also many people whose families are poor, who become impoverished due to illness, and who give up on treatment because of poverty."
"Many people let minor illnesses turn into major illnesses, and small problems into big problems, and then they lose their lives as a result."
"However, this is a problem that we doctors cannot solve."
"So I didn't dare to think about it any further..."
"In our country, and in our Hubei province, the majority of people are still living in poverty."
"And the poorer a family is, the higher the probability of getting sick to some extent."
"Sigh." Fang Ziye sighed after saying that.
Fang Ziye knew he was just a doctor, lacking the skills to save lives but possessing a compassionate heart. He figured he could never solve this problem in his lifetime, so he simply stopped thinking about it.
“Master, we can’t cure poverty.” Hu Qingyuan said this very calmly.
Unexpectedly, Fang Ziye suddenly opened his eyes and said in a sharp voice, "We may not be able to cure poverty, but we can do our best to make medical treatment affordable for more people!"
Hu Qingyuan turned his head in surprise, slightly puzzled.
"Medical technology has no borders, but medical devices do, medical consumables™ do, and even medical consumables and medicines have geographical boundaries!" Fang Ziye looked at Hu Qingyuan.
He tapped the car window.
"Let's leave this topic at that. And don't tell anyone else."
Hu Qingyuan was a smart man; how could he not see the hidden meaning behind Fang Ziye's words?
Not only do medical devices have geographical boundaries, but even the rice, sweet potatoes, and fruits produced there are geographical boundaries.
How much cheaper is it in the country of origin?
Once a drug crosses a certain geographical boundary, it becomes a commodity and acquires commercial attributes.
As is well known, drug prices are not uniform across the country.
As is well known, drug prices are not uniform around the world.
This is something a doctor can do.
But this is something that even doctors can only dream of.
Fang Ziye is ultimately just a surgeon, just an orthopedic surgeon. He must first do his job as an orthopedic surgeon well before he can hope for anything else.
Hu Qingyuan replied in a low voice, "Master, if you have such thoughts, I will stay by your side for the rest of my life."
"Really, for a lifetime!"
Fang Ziye glanced at Hu Qingyuan and then said nothing more.
Hu Qingyuan is Fang Ziye's student. He may not be Fang Ziye's most beloved disciple in his life, but he is definitely his most beloved disciple now. That is why Fang Ziye dared to confide in him.
……
At 7:20, Fang Ziye and Hu Qingyuan arrived at a four-star hotel.
Then I met Dr. Su Pengqi from Sun Yat-sen University Cancer Center, who was brought by Jie Han.
After exchanging casual pleasantries, Fang Ziye said, "Dr. Su, I have an outpatient clinic today, otherwise I would have greeted you immediately."
"We also failed to fulfill our duty as hosts. When you return, please don't complain to Teacher Ma that we didn't treat you well."
Su Pengqi was also a clever man: "It depends on whether Professor Fang is willing to lend a hand. I'll decide whether to file a complaint based on the situation."
Su Pengqi then revealed the truth: "Professor Fang, to be honest, this is a clinical research project that I have been following for nearly ten years, and it is also one that my teacher, senior brother, and other teachers and I have been tracking."
"The dawn of victory was just around the corner, but suddenly..."
"It's not about what should or shouldn't be said, it's just that I feel really uncomfortable."
“You’re also a researcher, so you should be able to understand this feeling.”
Fang Ziye then said, "Dr. Su, I am the first college student in my family. After hard work, I was lucky enough to be admitted to graduate school."
"But there was a time when I told my family that I wasn't qualified to pursue a doctorate, and their feelings were quite complicated."
Su Pengqi looked at Fang Ziye in astonishment, then scanned him up and down: "Professor Fang's joke is not funny at all."
When Fang Ziye was pursuing his doctorate, he was worried that he wouldn't be qualified.
"This is a true story. My junior brother is here, and he knows how much pressure I was under at the time."
"He fainted due to low blood sugar." Fang Ziye looked at Jie Han.
Jie Han smiled subtly and said, "Dr. Su, ever since then, my senior brother has been on a roll! ~ Do you watch short dramas or read novels?"
Fang Ziye broke out in a cold sweat and almost had the urge to strangle Jie Han.
"You guys are really something." Su Pengqi gave a thumbs up.
Then he turned on his computer, and instead of using the hotel's WiFi, he used his own portable WiFi.
This level of caution also comes from someone who has seen a lot of the world.
When Fang Ziye arrived, he explained to Su Pengqi the significance of Hu Qingyuan and Jie Han's existence, so Su Pengqi did not ask them to leave.
Fang Ziye reads very slowly. The articles written by Teacher Ma Jun's team have no problems in terms of structure and logic.
The result was also very good, otherwise CAA would not have been interested.
The study employed a multicenter, randomized, parallel-controlled design, including 445 patients with intermediate to advanced nasopharyngeal carcinoma.
Patients were randomly divided into two groups: those receiving radiotherapy were based on the tumor extent after chemotherapy and those receiving it before chemotherapy.
The primary endpoint was 3-year local relapse-free survival, and secondary endpoints included adverse reactions and quality of life.
This is equivalent to a superior survival rate, further optimizing the application of radiotherapy in the treatment of nasopharyngeal carcinoma.
The result was good, but compared to Fang Ziye's submitted research topic, it always lacked the impact of breaking through the fundamental framework deadlock, so it was probably notified by the editorial department.
Perhaps Academician Ma Jun's team needs to add something...
After reviewing the data, Fang Ziye summarized it as follows: Compared to the previous radiotherapy standards for nasopharyngeal carcinoma treatment, irradiating only the tumor area after chemotherapy (which is 17% smaller than the irradiation area of traditional therapy) did not increase the chance of recurrence. On the contrary, it significantly reduced the toxic side effects!
This is also equivalent to the application of more precise radiotherapy.
Fang Ziye asked, "Dr. Su, has radiotherapy been optimized to this extent now? Can it be modified at will to a specific shape?"
"Hmm, um."
“We can reduce the size, but not to the irregular shape within the range we've defined,” Su Pengqi replied.
“Sure…” Fang Ziye hinted.
"For example, biomarker-assisted precision radiotherapy planning."
Upon hearing this, Su Pengqi looked at Fang Ziye and smiled, "Professor Fang, you've read these papers?"
"But this is too far away to meet an immediate need."
"It's too late to add it now."
Fang Ziye said, "Dr. Su, of course it's not added in, it's added to the progress of the paper."
"Dr. Su, our clinical research project isn't just going to end after three to five years of follow-up, is it?"
"Furthermore, our subsequent clinical trials can be halted, right?"
Su Pengqi understood Fang Ziye's meaning: "Well, Professor Fang, if you're trying to attract the CAA editorial department by modifying chemotherapy regimens, it's a bit...unconventional."
"We lack prior research in this area."
Journals can form "private deals" with researchers. For example, if you accept my article, I will also publish my high-quality articles here.
But, brother, that's CAA, a journal whose impact factor is already legendary!
Su Pengqi even found Fang Ziye a bit funny.
Fang Ziye understood Su Pengqi's meaning and said, "Dr. Su, I don't deny your thoughts."
"No matter how high CAA's impact factor is, it cannot deny the fact that it is a false impact factor inflated by articles such as reviews and meta-analyses."
Why is CAA now focusing more on academic publications?
"What is a review article? It's actually just a tool-like article, used to pad out a paper. How much substance or real research work does it have?"
"A simple IF algorithm might be optimized away."
"The scientific research community is changing, and the evaluation indicators for the value of scientific research results are also changing."
"For example, some websites are already considering using other metrics to replace the simple IF. Dr. Su, do you understand what I mean?"
"Currently, CAA is also in a transitional period, changing the types of articles it plans to accept. This is an unconventional attempt for them, and also something they are forced to do!" Fang Ziye analyzed thoroughly.
"And what I'm about to tell you should be very interesting to them."
Su Pengqi was conflicted.
Fang Ziye's analysis is quite reasonable. CAA's impact factor is much higher than Nature's, but its actual scientific research value and industry recognition are not as high as Nature's.
"But how do we do that? How do we submit the data from the preliminary research?"
"How could the CAA editorial department believe that?" Su Pengqi asked.
Fang Ziye kept everyone in suspense, saying, "Dr. Su, that should be a topic for discussion next time. This time, let's think about how to organically incorporate these things we want to add without affecting the overall structure of the paper."
While saying this aloud, Fang Ziye secretly thought to himself that he was indeed going further and further down the path of cancer treatment... (End of this chapter)
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