top student at medical school

Fang Ziye smiled nonchalantly: "Teacher Wang, I was the one who admitted the patient and I was the one who proposed the surgery, so there's no reason for you to take the blame for me."

"If... I'll still have to bear the consequences myself."

Fang Ziye still doesn't have much confidence.

Spinal cord injury resulting in paraplegia is not something to be taken lightly. In the field of modern medicine, it's considered a "dead end."

Paraplegic patients have existed since before the advent of modern medicine. More than a hundred years have passed, and countless internal medicine and surgical doctors have gone to great lengths, yet they have still not uncovered even the tip of the iceberg in the treatment of paraplegic patients.

Even though Fang Ziye's current abilities are quite significant in the context of the past century, he doesn't dare say that he has a guaranteed chance of being able to treat the patient effectively.

Hearing Fang Ziye's serious tone, Wang Ou reached out her right hand and pounded on the locker room door, her rhythm smooth: "Ziye, if that's what you think, why did you provoke them in the first place?"

"Why don't you just stay put and do your own thing properly?"

Spinal surgery and orthopedics are closely related. Although they have become independent, Wang Ou had naturally seen the announcement issued by Fang Ziye.

I don't understand at all, and I don't want to offer any advice.

Fang Ziye tucked his scrub shirt into his green pants, rubbing his waist as he did so: "Teacher Wang, maybe it's because I'm still young and impetuous, I'm never willing to just stay quiet forever."

"It's possible that things have been going too smoothly for the past few years, so I thought I'd try something different."

"However, Professor Wang, I made some preparations before admitting this patient."

"Even if the treatment is ineffective and we face a lawsuit, we can afford the compensation!"

Medical practice emphasizes the principle of not causing harm. This patient was already paralyzed, a fact that modern medicine has already recognized.

As long as Fang Ziye doesn't kill the patient in today's surgery, even if there's no improvement after the surgery, the only reputation others can give him is that he's a bad doctor...

Or perhaps the surgery was performed solely for the 'surgery fee'.

"Being young is a good thing," Wang Ou nodded slowly.

Youthful vigor is the best excuse.

Most of the incredible breakthroughs in this world come from young people, mainly because they are young, energetic, and dare to take risks.

Some middle-aged and elderly people who have already made a name for themselves are too cautious and dare not take big steps. Instead, they slowly and steadily cultivate the existing foundation.

"But being able to afford the compensation is something you were prepared for, Ziye, so I won't stand on ceremony with you, the richest man in orthopedics," Wang Ou joked, trying to lighten the mood.

The patent for the micro-circulation device has brought huge benefits. Currently, it hasn't been used for much foreign trade. Otherwise, Fangziye's income would be more than ten times higher.

It's important to know that the price of goods exported can be three to five times higher than the price in China.

"Teacher Wang, that's just a nickname my fellow students use to joke around. How could he really be called the richest man?"

“Don’t take it seriously,” Fang Ziye replied.

Wang Ou's face immediately hardened: "That won't do, Ziye."

"You can't treat money like it's nothing. If you spend too much time online, do you really think that the average person in our country has a net worth of over 100 million yuan?"

“Your assets can currently be considered as real cash flow. There aren’t many places in the entire city of Han that can provide this much cash flow.”

"Let's not dwell on that anymore, let's get back to the surgery."

"You said a while ago that you would think about it more carefully, but now you've already arranged the surgery. What are your plans?" Although Wang Ou came to accompany Fang Ziye in his 'fooling around,' she also wanted to hear Fang Ziye's thoughts and ideas before the surgery.

Although the two had discussed the procedure beforehand, the discussion was not complete.

This is something that cannot be fully discussed in a short period of time.

The definition of "short time" can be extended to include one or two years.

Fang Ziye nodded and replied precisely, "Teacher Wang, injuries to the first lumbar vertebra can be summarized into three types of changes: movement, sensation, and reflexes!"

"Motor changes: weakened lower back muscles; paralysis of lower limb muscles, including the cremaster, iliopsoas, sartorius, and hip abductors; and loss of voluntary control of the sphincter muscles of the bladder and rectum."

"Sensory alteration: Sensory disturbances are present throughout the lower extremities, groin, buttocks, and perineum."

"Reflex changes: Cremasteric reflex, patellar reflex, Achilles tendon reflex, and plantar reflex are all absent."

"This is the overall concept of lumbar spinal cord injury."

As Fang Ziye walked with Wang Ou toward the operating room, he continued, "The patient I treated had a total resection, so we wouldn't normally need to discuss hemisection syndrome."

"But this time, I only plan to do half of the surgery."

Wang Ou was not surprised and said, "Even if you only do one function, I think you deserve it."

"Please continue explaining your thought process."

If Fang Ziye can understand spinal cord hemisection syndrome.

No, as long as Fang Ziye can understand spinal cord injury, even if it's just a localized area, he can create a major breakthrough in the field of functional rehabilitation and functional therapy.

This will be another golden age for the medical community.

Spinal cord injury is the most serious complication of spinal cord injury, often leading to severe functional impairment of the limbs below the injured segment.

Spinal cord injury not only causes serious physical and psychological harm to the patient, but also imposes a huge economic burden on the whole society.

Due to the socioeconomic losses caused by spinal cord injury, the prevention, treatment, and rehabilitation of spinal cord injury have become a major challenge in the medical field today.

This is such a huge topic that almost no one dares to even think about treatment options.

It's important to understand that medical professionals worldwide are tirelessly dedicated to treating cancer, but no one dares to attempt spinal cord injuries!
This is a true no-man's-land.

Anyone who dares to go there lightly will only be thought to be crazy!

Whether Fang Ziye was crazy or not, Wang Ou couldn't say for sure, but right now, Wang Ou felt that her mind was a little off, and on a whim, she rushed over to Fang Ziye's side.

Even if it's just to see something unusual, Wang Ou has to come.

Fang Ziye could guess Wang Ou's thoughts and continued to break it down: "Spinal cord hemisection syndrome is basically the loss of motor and deep sensation in the ipsilateral limbs below the level of injury, and the loss of pain and temperature sensation in the contralateral limbs."

"Theoretically, since the sacral nerve on one side is still intact, the bowel and bladder functions are still normal."

"Therefore, in this surgery, we assumed that the patient's contralateral function was normal, and focused on improving the movement and deep sensation of the limbs on the same side. We did not address the pain and temperature sensation on the contralateral side for the time being."

At this point, Fang Ziye noticed Wang Ou's strange look and continued, "Teacher Wang, please don't worry. I've told you before that the spinal cord is a whole system, running from top to bottom."

"The nerves that branch out from the spinal cord are layered, starting from the cervical vertebrae, thoracic vertebrae, and lumbar vertebrae, one layer at a time, right?"

Wang Ou nodded: "Not bad."

Fang Ziye continued, "Professor Wang, if it's a cervical spinal cord injury, even if there's no damage to the lumbar spine, the lower limbs will still be paralyzed, right?"

Wang Ou continued nodding: "Of course, theoretically speaking, lower motor neurons descend."

Fang Ziye swallowed several times and said, "Therefore, we can only make a bold guess that the patient's lower limb motor neurons actually exist, but they can no longer transmit signals to the lower limbs."

"It's like an electrical wire; it broke in the middle."

"However, the electrical wires and circuits that connect to our home are relatively intact."

"To draw another analogy, if there is a problem with the circuit in your neighborhood, it does not mean that other neighborhoods will also experience a power outage, nor does it mean that the entire city will lose power."

"So, in fact, our brain center is still trying to control the contraction of the muscles in the lower limbs and other movements, but the contraction command cannot be issued."

"Therefore, the muscles cannot complete these commands."

"Furthermore, the lower limb muscles lack feedback control from nerve innervation, resulting in muscle relaxation and weakness, which indicates a loss of muscle tone."

"So, Professor Wang, do you think we have a chance to reconnect the descending nerves upwards?"

Wang Ou frowned.

Fang Ziye's analogy is actually quite easy to understand, but the principle is the same. The transition can be used, but how do you make the transition?
The spinal cord isn't a nerve? Cut it off and then reattach it?!
That's impossible!

"This isn't a case of misdirection, Ziye," Wang Ou warned, unable to understand Fang Ziye's thinking. She hoped Fang Ziye wouldn't overthink it.

Fang Ziye nodded and replied, "Of course, Teacher Wang."

"But if the anatomy of the spinal cord is a jumbled mess, then we don't need to worry about all that nonsense."

"But the spinal cord is composed of two parts: gray matter and white matter, which provides us with a certain degree of operational feasibility."

"Gray matter is mainly composed of the cell bodies of nerve cells, which are butterfly-shaped or 'H'-shaped. It can be further subdivided into the anterior horn, lateral horn, and posterior horn. The anterior horn contains a large number of cell bodies of motor nerve cells, which are responsible for body movement; the lateral horn is connected to the anterior horn and is mainly responsible for the movement of visceral smooth muscle and cardiac muscle and the secretion of glands; the posterior horn is related to sensory conduction, receiving sensory information from the periphery and transmitting it to the brain for processing."

"Generally speaking, the gray matter is part of the processing mechanism, which we will not discuss for now. It is an integrated processor."

"I think that as long as the signal can be transmitted out and in, the gray matter doesn't care which nerve or segment the signal comes from."

Before Wang Ou could catch up, Fang Ziye continued, "The white matter is more important: it is composed of nerve fibers, glial cells, and blood vessels, and is the pathway for nerve signals in the spinal cord. It can be further divided into ascending and descending tracts."

"The ascending tract transmits sensory information from various parts of the body to the brain, allowing us to perceive the external environment and our own state; the descending tract, on the other hand, transmits motor commands from the brain to various parts of the body, controlling motor behavior!"

"Teacher Wang, do you think that if we graft some nerve segments to the higher-level white matter area of ​​the spinal cord through artificial neural pathways, is there a chance to reshape simple motor commands and sensory information?"

Even if it's not accurate later, it's still worth a try!

Wang Ou paused, staring at Fang Ziye in astonishment.

He immediately followed up with, "Where is it added? The structure of the human body is already in its most perfect state, and the function of each nerve is already in its most perfect state."

"You can't create a region out of thin air."

The spinal cord is an integral part of the body; you cannot cut it off after a lumbar spinal cord injury!

This isn't like building a road, where you can just add an intersection whenever you want.

Fang Ziye said, "Teacher Wang, it's a bit difficult for me to ask you how to add it now. I can only improvise."

Fang Ziye remained silent.

I haven't even seen the patient's condition, and I'm already telling you how to add it? Isn't that just making something up out of nothing?
All of Fang Ziye's current calculations are based on existing anatomy and only form a line of thought that can be surgically treated.

The idea is one thing, the specific operation is another.

For example, wanting to make money is a mindset, but how to make money varies from person to person.

Some people suffer, some do manual labor, some use their brains, and some use their waist strength...

"Let's go! ~ Sigh! ~" Wang Ou didn't blame Fang Ziye.

If this were so easy to answer, it wouldn't have been shelved by the medical community for so many years, with no one daring to attempt it.

But someone always has to take that first step.

The bottom line for this surgery is to save the patient's life. After Fang Ziye pays out several hundred thousand yuan, things will definitely calm down for a while.

He's rich and young, and he earned all that money himself. He won't learn his lesson unless he suffers a loss.

Of course, there might be a sliver of hope...

The treatment of any new disease is the result of experience gained from thousands of failures. Without the efforts of doctors and the trial and error of patients, there will never be any new treatments.

This is the fate of doctors and patients.

Those who first fall ill pave the way, those who later fall ill enjoy the benefits of that path.

"Professor Fang, Professor Fang, have you arrived?" When Fang Ziye and Wang Ou entered the operating room, the patient had not yet been anesthetized.

In fact, all kinds of monitoring equipment for the patient were in place, and everything was prepared except for intubation, anesthesia, and intravenous access.

“Professor Fang, the patient insisted on waiting until you entered the operating room before he felt at ease.” The speaker was Zeng Quanming from the anesthesiology department.

When Director Zeng Quanming heard that Fang Ziye was going to perform surgery on a patient with spinal cord injury and planned to carry out functional reconstruction surgery, he was so frightened that he rushed over from his own hospital.

It wasn't just to cover for Fang Ziye, but also to prevent her beloved student's 'boyfriend' from getting into trouble.

Therefore, he is willing to personally take action to safeguard the patient's life.

"Uncle, I'm here! I've arrived!"

"I just went to the medical affairs department," Fang Ziye explained.

"That's good, that's good, Professor Fang, then I can rest assured. Thank you for your hard work."

"Hope, hope..."

"Alright, I won't put any pressure on you, Professor Fang. I just ask that you perform the surgery carefully."

“We useless people…” the patient’s voice choked up.

After years of depression, and then waiting for so long after being admitted to the hospital.

He knew perfectly well that his current situation was a complete mess.

For diseases that the global medical community has declared "death sentence," it's not really feasible to put pressure on a young man like Fang Ziye.

In short, the fact that Fang Ziye didn't refuse meant there was still some hope.

Fang Ziye leaned closer and comforted him, "Uncle, don't get excited, just get some sleep! We agreed before the surgery that we could only try our best together, and whether it goes well or not, it's all worth it."

Zeng Quanming also said, "Don't be sad. Take a deep breath, get a good night's sleep, and you'll be fine soon."

"Yes, take a deep breath..."

Zeng Quanming administered the medication, and within thirty seconds, the patient's breathing rhythm began to stabilize.

The patient is currently lying flat.
The planned surgery is a combined open spinal cord reconstruction of the abdomen and back, and the patient's position may be changed during the operation if necessary.

But initially, Fang Ziye and his team needed to examine the nerve segments in the patient's lower limbs to see if they still had any 'function'!
This function is not about controlling active contraction, but rather about proving that the patient's nerves still have the ability to transmit information.

Otherwise, even if the nerves are reconstructed, but the nerves themselves are dead, wouldn't that be a complete joke?
The power lines are broken; you won't get any power even if you get close to the power plant.

Even if the patient's electromyography (EMG) conduction is normal during the preoperative examination, it must still be personally assessed during the operation to be considered valid.

After anesthesia, the next step is a quick disinfection and draping process...

Hu Qingyuan looked at Fang Ziye and whispered, "Master reported in Nature magazine 23 years ago that mice with DBS stimulation of the hypothalamus regained their ability to crawl independently 8 weeks after spinal cord injury."

"According to the mechanism published in the article: deep brain stimulation (DBS) of the hypothalamus activates 'interneurons' in the spinal cord, forming new signaling pathways."

"In addition, there are clinical trials on macaques. Macaques with complete spinal cord transection were treated with DBS and recovered to walk with support after 6 months, with gait coordination reaching 70% of the normal level."

"fMRI showed that new functional connections were formed between the hypothalamus and the spinal cord injury area."

"In 24 years, there were 5 patients with complete thoracic spine injuries, with the injury time being >2 years."

"Implant DBS electrodes and provide continuous stimulation for 6 months, in conjunction with robotic gait training."

"The spinal cord is like a fiber optic cable for information transmission in the human body. Once it is broken, the commands between the brain and muscles are completely interrupted. The traditional view is that a complete spinal cord injury is irreversible and patients can only rely on wheelchairs. However, recent studies have revealed that after a spinal cord injury, some nerve fibers still survive, but they enter a "dormant state".

"Precisely implanting microelectrodes into specific nuclei in the hypothalamus, high-frequency electrical stimulation enhances neuronal activity and promotes neurotransmitter release..."

Upon hearing this, Wang Ou glanced at Fang Ziye.

Fang Ziye nodded and replied, "The idea behind this experiment is to try to reawaken some 'dormant pathways'!"

"The procedure we're performing today is to move the access joint upwards, from the first lumbar vertebra to the level of the thoracic vertebra."

"Moreover, what we are planning to do today is only two nerves, the first and second lumbar vertebral nerves!"

"You're not taking photos today, but you're responsible for recording detailed data, including the length of time the artificial nerve is used."

After saying this, Fang Ziye turned to look at Song Tingzhen and the others, blinked, and said, "Manager Song, you're really something. May I ask who these gentlemen are?"

It has to be mentioned that Song Tingzhen, the person in charge of contacting me at Dabo Company, is really awesome. After I mentioned it to him last week, he has now secured sales managers from several companies and gone straight into the operating room.

"Professor Fang, these are all my friends. This is Manager Yao Guang from Guangbai Group, Manager Li Nanlong from Shi Lehui, Boss Du from Johnson & Johnson, and Chief Engineer Huang from Mindray," Song Tingzhen introduced them one by one.

Fang Ziye was slightly taken aback when he spoke, but then he walked over and shook hands with them: "Hello. Thank you."

Song Tingzhen's methods are quite something; he's managed to get both domestic and foreign medical device distributors involved.

Mindray and Guangbai are both domestic medical devices, but Johnson & Johnson and Smith & Nephew are definitely international brands.

Hearing Fang Ziye say this, Du Meng from Johnson smiled and said, "Professor Fang, you really have a bad memory. We had a chat before, and it went quite well. How could you forget me so quickly?"

"That's not very kind of you. I was thinking Professor Fang would treat us to some soup or stew..."

Zhongnan Hospital cannot completely separate itself from Johnson & Johnson!
Although Johnson & Johnson is a foreign medical device brand, there are very few hospitals that can operate without any of its products.

Therefore, it was inevitable that Du Meng would seek out Fang Ziye.

Wang Ou simply watched Fang Ziye talk to someone without offering any help, because this was Fang Ziye's way of interacting with the medical equipment dealer, not his own.

"Mr. Du, you don't look so handsome with a mask on. I didn't even recognize you."

"You're wronging me. It's just that your company is too big and looks down on the small fry in our department."

“The main products you consume are all related to this area, and I’ve used them too, okay?” Fang Ziye said.

The other party was just working at Johnson & Johnson to make a living, so Fang Ziye naturally wouldn't have any objections to him.

"Mr. Du, does your general manager know that you're talking to Professor Fang like that?" Huang Zhongxia from Mindray touched his nose and reminded him.

Du Meng immediately cracked a joke: "Professor Fang and I are friends, very close. I can take a little joke with him..."

After exchanging a few polite words, Fang Ziye went on stage.

To succeed in any endeavor, one must first have the right tools.

This time, Fang Ziye did a lot of preoperative preparation for the surgery, including having extra medical device products as backup, which was just one part of the preliminary preparations.

The reason these companies were able to gather together was not because they were interested in the success or failure of Fang Ziye's surgery, but because they wanted to see how their own instruments could be applied to this type of surgery.

If our own equipment could be used in the treatment of paraplegic patients, what would be the market share?

Fang Ziye, the original creator, uses the products from my home. Do you use them too?

The medical device company is not responsible for the development of original surgical techniques, as long as the device is not broken or damaged.

There's still profit to be made if it's used during surgery; if it's used more, there's an even larger market share—it's a sure-fire way to make money.

Capital is profit-driven. If you can make them money, then you're their "big daddy"!
Of course, the main reason is that Fang Ziye is difficult to "control," otherwise, people would have already been plotting against him in private.

But this guy, for some reason, just as he rose to fame, he was immediately placed in one of the most prestigious organizations, making everyone afraid to make any rash moves. Now, all he can do is make money through business.

Although Yao Guang of Guangbai Group did not speak, he had privately observed the actions of the people around him.

Fang Ziye is well-known within the Guangbai Group.

Although Guangbai Group is no longer primarily controlled by an individual, the micro-circulation device that Fang Ziye developed single-handedly previously supported nearly 20% of the company's market share.

What is this concept?
Fang Ziye is the "super dad" of Guangbai Group, a "big shot," and at least 30% of the people in the group rely on him for their livelihood.

Not to mention, under Fang Ziye's leadership, Guangbai Group has begun its transformation and is now a key target for protection within the group.

……

"Give me another pair of gloves, my palms are a bit sweaty," Fang Ziye instructed the circulating nurse before even starting the session, after putting on the gloves.

The circulating nurse had no objections and immediately took out another pair of size 7.5 gloves.

Furthermore, just to be on the safe side, she made four or five extra pairs of gloves as spares. Wasting them was fine; interns wasted countless gloves on stage…

Hu Qingyuan brought along intern Ling Fengguang.

After checking the relevant information and the significance of the surgery next to the operating table, Ling Fengguang began to tremble all over.

After her lips trembled slightly, she looked at Hu Qingyuan and said, "Fang, Fang, Teacher Fang, he...he...he..."

Hu Qingyuan looked at Ling Fengguang: "Shh, don't make a sound. The first rule in the operating room is that there must be no sound or movement that could interfere with the surgeon."

Ling Fengguang's body was still trembling.

He's just an intern, a fifth-year student.

Suddenly, a teacher appeared out of nowhere and was about to perform a "surgery" that no one in the world had ever done before, and he witnessed it right there in the operating room.

This shock and excitement is enough for him to brag about for a lifetime.

On the operating table, Fang Ziye and Professor Wang Ou worked together to smoothly open the patient's abdominal passage and expose the lumbar spine.

Li Nuo and Su Xiao, along with the other assistants at the second and third positions on the operating table, could only watch helplessly.

I pinched a peppercorn between my buttocks, it's definitely going to go numb!
No, are we here for further training or to witness a world miracle? I just want to learn some limb-sparing and functional reconstruction techniques to show off at a prefecture-level city hospital, Ziye.

Sun Shaoqing, on the other hand, was in a better state of mind and kept silently repeating to himself.

One million, one million it is. Life doesn't offer many choices...

If I miss this opportunity, I'll probably be a puppet for the rest of my life.

Since we're all puppets anyway, why not make a high-level puppet, one that gives us a sense of accomplishment?

I shouldn't have gone straight to looking for a job. I should have been more shameless earlier. Why the hell did I go to the south? I should have just stayed in the emergency room and waited for a transfer...

A PhD in Trauma Surgery at Zhongnan Hospital, working in the Emergency Department of Zhongnan Hospital—it was a very simple job, with almost no competition.

Sun Shaoqing has already decided to enter the postdoctoral research station, so he's willing to lose money!

This is Sun Shaoqing's last chance to fight for his professional career.

“Ziye, we’ve arrived!” Wang Ou looked at Fang Ziye.

The surgery requires incision and exposure, which is the simplest procedure and one of the few comfort zones for the surgeon.

We've already moved beyond that comfort zone.

Professor Wang Ou is a professor of spinal surgery, and the spinal surgery department of Zhongnan Hospital has considerable overall strength, so her basic skills are naturally not a problem at all.

He exposed everything that needed to be exposed, and even took a break to perform a lumbar nerve decompression.

"Yeah!~"

“Teacher Wang, let’s check the neurological function first, and do another rough examination.” Fang Ziye nodded.

Having passed the comfort zone, what lies ahead is a narrow, rugged path.

These jagged folds are not the kind of angles that make you feel comfortable; they are bottomless pits that can crush you to death!

Taking that first step could very well lead you into an abyss!
What is a no-man's-land?
This isn't the no-man's-land from the movies; it's an area no one can go into. Once you enter, you can't get out...

The number of nerves, large and small, originating from the spinal cord is far greater than Fang Ziye imagined.

Standard anatomical models can not perfectly simulate the human body, and the anatomical structure of the human body is far more exquisite and mysterious than any model.

During the exploration, intraoperative microelectrode stimulation was used. This microelectrode can stimulate the nerve conduction function to test whether the nerve still has conduction function.

"The nerve conduction function is basically normal."

“The problem lies in the spinal cord area, and there should be necrosis in both the gray and white matter areas!” Fang Ziye told Wang Ou.

Wang Ou was about to say, "Isn't this obvious? Otherwise, why would the patient become paralyzed for no reason?"

However, considering that Fang Ziye was under much more pressure than he was, as an elder, he should offer some words of comfort: "The current progress of the surgery is within our expectations. What should we do next?"

How do I transpose?

"As you can see, the spinal nerves all emerge in pairs, leaving no gaps for other nerves."

The human body is the most loyal thing.

While there may be anatomical variations among individuals, once the neuroanatomical trajectory is formed in an individual, it remains consistent from beginning to end.

No place can tolerate a mistress!
Fang Ziye looked at the exposed spinal nerves, then secretly closed his eyes, but showed no sign of pain.

It seemed as if they were hesitating, wondering how to make a choice.

Before the surgery, Fang Ziye had already simulated three different plans.

However, only one of these three options can be selected.

Through simple theoretical simulations, Fang Ziye was unable to prove which one was actually better.

Although Fang Ziye had previously conducted "model" experiments in animals, the recent results showed that there were no clinical differences among the three experiments.

(Note: The protagonist's small preparations, such as animal testing models and preoperative discussions, will not be detailed here.)
(However, crucial preoperative discussions will be provided in advance.)
"Is there a better way?" Fang Ziye asked himself.

Fang Ziye had been struggling with this issue for a long time; in fact, he had been secretly grappling with it ever since he returned to Zhongnan Hospital.

After returning to Zhongnan Hospital, Fang Ziye had nothing else to do but secretly ponder the treatment of the new disease.

During his months at the main campus of Zhongnan Hospital, Fang Ziye had no pressure other than collecting data and performing other clinical surgeries.

So I made time, but three months is ultimately too short compared to clinical practice...

The spinal cord is definitely not accessible by cutting, so we can only try our best.

The word "拼" (pīn) can mean both to work hard and to piece together.

Fang Ziye stood there, silent, his gaze calm and blank, frozen in place for a full five minutes.

No one disturbed Fang Ziye.

No one urged Fang Ziye.

This was an extremely difficult decision, but it was one that Fang Ziye, as the chief surgeon, had to make.

Walking a tightrope is easier than making this decision!
While walking a tightrope can be taught by a master, at this stage, no one can guide Fang Ziye.

There wasn't even a predecessor who had walked this path.

"I...I'll think about it some more...give me five more minutes..." Fang Ziye finally managed to speak, but still chose to continue thinking. (End of Chapter)