top student at medical school

"Uncle, and sister, we discussed the surgical plan many times before the surgery. This time, we only addressed local functions."

"It's possible. After the procedure, the microcurrent may diffuse locally, leading to a greater recovery of function. But don't have too high hopes that this one procedure will completely solve the problem."

“We’ve already decided. We didn’t initially plan to take such a big step…” Fang Ziye explained with a smile.

Although the expected functional recovery signs have been initially achieved as predicted before the surgery, there are even more signs of recovery.

But Fang Ziye still wanted to make things clear.

For a spinal cord injury, expecting complete recovery of bowel and bladder dysfunction and motor and sensory impairments in both lower limbs without any prior accumulation is unrealistic and unrealistic.

Such miracles may exist in mythology, but breakthroughs and advancements in reality are achieved step by step.

Fang Ziye did not want the family to place too much hope on this operation, which would lead to a gap between their expectations and reality and cause unnecessary trouble.

"Professor Fang, please rest assured, we will proceed step by step. We understand that."

“Actually, right now,” the patient’s daughter said, then paused.

"However, no matter what, we have made a good start. Of course, we still hope that Professor Fang can put in more effort and try to get some more improvements for my father."

The essence of greed lies in dissatisfaction.

Once people reach the subsistence level, they start to dream of a comfortable life, and those who achieve a comfortable life desire a certain degree of financial freedom...

Fang Ziye could understand this.

"The L1 nerve root extends from the spinal cord, which is relatively fixed within the spinal cord. The nerve root system below the L1 nerve root is intricate and complex."

"If you were familiar with this beforehand, you should know that below the lumbar nerves there is a place called the cauda equina, which involves dozens or even hundreds of nerves, making it very complicated to treat..."

"Therefore, if we want to move this step forward, we will have to go through a relatively long preparation period."

"This waiting time may take two or three months or even longer."

"Of course, if our team has a good idea and is well prepared, we will contact you as soon as possible."

"As I said before, when you get sick, it's the patient who suffers. Besides the doctors having to find solutions, it's also important that you have the courage to save yourself!" Fang Ziye patiently explained.

"Professor Fang, I have absolute faith in you."

"I'll come whenever you let me know. I'd rather take a gamble than always fail..."

"after all."

"The saying 'It's better to live a miserable life than to die a good death' doesn't apply to me."

No one wants to die, but no one wants to live a life of relative humiliation, a life devoid of dignity and filled with pain. Such a life is a torment and suffering for both the individual and their family.

"Okay, thank you for your trust, thank you so much!"

"However, I still need to discuss and analyze your data with some doctors from other departments, so I'll have to excuse myself for now."

"Your family members should be more understanding and report the situation promptly."

"Although the uncle's condition has improved slightly, don't be afraid to bother us. Just call the nurse anytime."

"You are a very special patient and receive special treatment," Fang Ziye explained before leading the team away from the ward.

As Fang Ziye walked away, the patients in the next bed all gave him a thumbs up: "Professor Fang... amazing."

"Professor Fang, you're amazing!"

Although their illnesses were different from those of the man next door, they were in the same ward and knew that the man's illness was almost incurable worldwide.

However, Fang Ziye found a solution to this seemingly unsolvable problem, so they felt that Fang Ziye deserved the titles of "amazing" and "powerful".

In fact, patients' psychology is very pure. Regardless of whether you are a professor or a well-known expert, as long as you can cure their illness, they will be convinced.

The reason why there are so many medical scammers these days is that patients have been suffering from their illnesses for a long time and are desperate for a cure, always hoping for a glimmer of hope.

So even if I know I might get scammed out of some money, I'm still willing to spend money to buy that possibility, to give up hope and peace of mind...

Fang Ziye waved to the two patients and continued to walk out without lingering.

After everyone arrived at the doctor's office, Feng Rulong from the Department of Neurology and Zhang Ziqian from the Department of Urology reported the information they had recorded in great detail and professionally, so that everyone could organize it together and share information.

The information compiled by the two of them was extremely detailed and painstaking.

After Fang Ziye and Hu Qingyuan finished taking notes, they said, "Thank you for your hard work, Dr. Feng and Professor Zhang."

“Our team also recorded some data during the surgery, and my student has already shared it in the group.”

"Both of you are welcome to take it. If you have any ideas during the process, we will communicate them in the group. You can bring up any ideas you have..."

"As the saying goes, many hands make light work. Three mediocre generals can outwit Zhuge Liang. More discussion and exchange will lead to more insightful ideas and outputs."

Upon hearing this, Feng Rulong knew that Fang Ziye had other matters to attend to, and said with a smile, "Okay, Professor Fang, if you have something to do, you can make your own arrangements."

In fact, Feng Rulong had many more questions to ask Fang Ziye, but it was obviously not convenient for Fang Ziye to ask them.

Zhang Ziqian explained, "Dr. Feng, as the saying goes, 'One minute on stage requires ten years of practice off stage.' Professor Fang has spent nearly half a month in the animal laboratory before today's procedure."

"We still have to go there now. Professor Zhang and the others from your neurology department will be there later too. As for us, we'll just stay in the department for now..."

"For a long time now, we have been trying to come up with a template for data collection. Once it is completed, we can hand it over to others to collect the data on our behalf."

"If this case recovers well, it might even be published directly in Nature as a case study!"

Spinal cord injuries are classified as acute or chronic, also known as old injuries.

Old spinal cord injury, through active treatment, has resulted in the subjective recovery of bowel and bladder function and sensation in the abdominal area, largely according to the physician's wishes.

This breakthrough was no accident.

There is an element of chance involved; some emergency patients with spinal cord injuries recover their function after the acute phase.

Some patients with chronic spinal cord injury have naturally recovered some of their functions without special treatment.

However, this is a matter of chance and there is no necessary causal relationship.

This kind of randomness is somewhat similar to some of the 'secret recipes' in the field of traditional Chinese medicine!
Many secret formulas in the field of traditional Chinese medicine are actually a relatively accidental coincidence. If the formula happens to match the patient's symptoms and constitution, it may work.

But if you use the same or similar formula on someone else, it will be completely ineffective...

Because a relatively direct causal relationship cannot be established, many 'secret recipes' can only be kept in the attic, waiting for the right person, and cannot be promoted on a large scale.

If teaching doesn't enable a larger number of people to learn a skill, then it's all a sham...

Therefore, isolated cases of recovery cannot be reported as routine treatment cases because they have no reference value.

Fang Ziye replied, "Whether or not to issue a case is another matter, but we still need to rule out any accidental factors in this treatment."

"So-called accidental factors are causal relationships that are not relevant and not replicable."

"Professor Zhang, Dr. Feng, you shouldn't be too optimistic."

“When I was working at the Enshi Sanatorium, I met a very accomplished traditional Chinese medicine doctor. We actually discussed a problem together.”

"That is, whether the basic logic of traditional Chinese medicine has commonalities with modern teaching and understanding."

"Traditional Chinese medicine emphasizes that each person needs a different prescription, and each person has a unique constitution. This makes the uncertainty too great..."

"This requires us doctors to have a detailed understanding of each patient from every aspect, even taking into account factors such as different seasons."

"In this way, if you want to prescribe a medicine for a patient, you need to consider far too many variables."

"In principle, it cannot be copied or replicated!"

"But the essence of our teaching is actually to pass on our personal therapeutic experience to others."

"The essence of learning is also the formation of neural synapses through repeated accumulation."

"Under such circumstances, the study of traditional Chinese medicine would be considered a subject that violates teaching theory. As a result, there are very few good traditional Chinese medicine practitioners nowadays because it is very difficult to learn."

"We need to organize it into a specific plan."

"Once the treatment plan is finalized, it may define the upper limit of the treatment effect, but it will also guarantee the lower limit of the treatment effect..." Fang Ziye said very formally.

Feng Rulong and Zhang Ziqian had never met Fang Ziye before he became a professor, so they couldn't appreciate the charm of Fang Ziye's current tone of voice.

Ling Fengguang had never met Fang Ziye when he was a junior doctor. Only Hu Qingyuan was looking at Fang Ziye thoughtfully at the moment, his eyes flickering slightly.

Hu Qingyuan also felt a small sense of accomplishment, similar to the feeling of "nurturing".

However, Hu Qingyuan was merely a witness to Fang Ziye's growth and maturation, not the one who created him.

Hu Qingyuan did indeed witness the changes in Fang Ziye's abilities, conduct, and speaking style as he progressed from a junior resident physician to an associate professor, a mature professor, and a ward director.

In Hu Qingyuan's view, Fang Ziye's identity and status are more comprehensive.

However, for now, Hu Qingyuan can only think this way and dare not express his true thoughts.

Afraid of being beaten.

……

After the short discussion, on the way to the animal laboratory with Fang Ziye, Hu Qingyuan asked, "Ling Fengguang, could you tell me in detail what happened this morning? My master is here too..."

Ling Fengguang lowered his eyelids slightly and immediately explained, "Teacher Fang, I didn't dare to meddle in other people's business. I don't even have a certificate."

"But the car accident happened right in front of me, and I saw blood gushing out of the patient's thigh."

"At that moment, I couldn't think about anything else. I was sure that if I hadn't gone up there, the patient would have died in less than two minutes!"

“I had someone film a video. The gushing blood in the video can definitely prove my judgment. Even if I didn’t save the patient, I did my best. I wasn’t making things worse.”

"If no one takes care of him, or if the management is not professional enough, he will die."

"Although I don't have much experience on stage, I have witnessed some emergency treatments for arterial injuries by following Senior Brother Hu and Senior Brother Lan Tianluo."

"So I just went for it..."

"At that time, I had even forgotten the basic anatomy of the femoral artery. It was only after I pressed my palm against the artery that my memory seemed to be reactivated."

Ling Fengguang has truly expressed his mindset, without boasting or feeling inferior.

"You did a very good job. Being able to hold the femoral artery down by hand outside the operating room proves that you put in the effort and at least carefully observed other people's resuscitation techniques."

Fang Ziye patted Ling Fengguang on the shoulder: "Work hard and keep going, this is your opportunity!"

This is the opportunity!
Logically speaking, such emergency rescue should not have been a factor affecting Ling Fengguang's ability to successfully pursue graduate studies.

But Ling Fengguang is a doctor, and his courage and boldness in taking action will be a help on his path to becoming a more mature doctor.

This act of kindness should also be one of the driving forces that enabled him to successfully pass the postgraduate entrance examination!

Should society promote doctors' self-righteousness instead of praising a medical intern for daring to make bold and calm choices when faced with problems?
Certainly not!

“Professor Fang, my undergraduate professors and my advisor have all called me to ask about my situation. But I told them that I wanted to come here for an internship and learn from you, so they didn’t urge me to go back.”

"They also told me to study hard with you, Teacher Fang," Ling Fengguang explained, then lowered his voice again.

"I reckon so, Professor Fang, you're even more..."

Ling Fengguang expressed his meaning, but he didn't explain it clearly.

Fang Ziye is more impressive than his counselor and his undergraduate advisor, so Ling Fengguang should report to Fang Ziye for now and doesn't need to report back to them.

Hu Qingyuan stood with his hands behind his back, watching the changes in the expressions of Fang Ziye and Ling Fengguang.

Fang Ziye's lips curled into a smirk as he said, "Don't flatter me. Flattering me won't help; it won't give you many points in your master's interview."

"Once you've mastered the basics, you can learn this kind of skill. Perhaps I'll even benefit from it and teach you a few more skills."

Ling Fengguang, looking somewhat naive, retorted, "Is this flattery? This seems to be the truth, Teacher Fang."

"The professors in the undergraduate school all said it was a pity that you, Professor Fang, had never been to the School of Basic Medical Sciences or the First and Second Clinical Colleges, so it was difficult for them to invite you to give lectures. Otherwise, they would have sent you an invitation letter long ago."

Upon hearing this, Hu Qingyuan secretly gave Ling Fengguang a thumbs up.

This kind of truth, untouched by Photoshop, is the real killer weapon.

Because it's the truth.

Fang Ziye's undergraduate studies were not at Han City University, so he did not study at the School of Basic Medical Sciences or the School of Clinical Medicine.

If you haven't enjoyed the corresponding resources, teachers at the School of Basic Medical Sciences will naturally be hesitant to invite you to give lectures, because it's highly unlikely they'd find it useful.

……

Animal testing laboratory, conference room.

It was 7:07 PM.

The incandescent light from above illuminated the steaming teacups beside the leather sofas in the conference room.

Fang Ziye stood up and began to speak eloquently:

"The gray and white matter of the spinal cord, at the end of the spinal cord, form a ring and give off many nerve roots, forming the cauda equina."

"So, for L1 segment spinal cord injury, and related neurological problems such as cauda equina syndrome below the spinal cord, are the points or treatment approaches slightly different from our previous microcurrent stimulation?"

At the animal testing center, Fang Ziye kept raising his thoughts and questions: "Another angle we can consider is whether microcurrent stimulation with acupuncture electrodes is the only feasible treatment." "Furthermore, can we increase the breadth of microcurrent stimulation by adding a certain amount of solution?"

"Could we create a wider area for electrical stimulation by injecting special spinal fluid...?"

"Do columnar currents and point currents have the same effect on the local spinal cord? We need to solve these problems one by one. We even need to consult professors in physics and basic medical science who study physiology and physical chemistry to explore deeper issues and provide a broader perspective for our treatment."

"But at present, the feasible solution we have identified is to use microcurrents to precisely stimulate local areas of the spinal cord, which can activate some channels with recanalization potential."

"However, there are also some channels that have no potential for reopening. How should we address the functional impairments controlled by these areas?"

“We may not be able to expect that all functions can be reconnected to the cerebral cortex and the upper spinal cord through microcurrent stimulation.”

"Of course, we also need to delve deeper into whether the origin of a nerve root is related to its location, and whether the signal transmitted by a single nerve is of a single nature or a complex nature..."

The nerve branches into sensory nerves and motor nerves in the peripheral region, each controlling different functions.

However, within the spinal cord, the currently accepted understanding is that one side controls movement on that side and controls sensation on the opposite side...

However, Fang Ziye still had one concern—

Since nerve transposition surgery can be successful, the signals transmitted down the spinal cord are actually electrical signal pathways, which activate the relevant local nerve valves.

Is it possible that the instructions issued from the cerebral cortex are actually transmitted simply through electrical signals, and only a single nerve root is specified?

The method of transmitting electrical signals is actually the same, only the quantity differs...

These are all just speculations; there has been no more precise breakthrough in electrophysiology yet.

Of course, a theory without a breakthrough in electrophysiology is not entirely unsuitable for clinical application.

As a professor, Fang Ziye currently has a certain degree of "act first, report later" authority, which means that as long as the treatment is effective, he can carry out the treatment first and then enrich the theory later!

"Professor Fang, the paths you've proposed are all rather narrow; every step is extremely difficult."

"If we can understand all these things, we can accommodate most diseases in neurosurgery and spinal surgery," said Professor Zhang Jianjun of the Department of Neurology.

"Professor Zhang, this is also my personal opinion."

"In clinical practice, it is ultimately an applied discipline. We don't really have a thorough understanding of the pharmacological effects of many drugs currently in use."

“Every three to five years, the pharmacological mechanism of a drug is revised. Therefore, we can first look at its effects and then work backward to deduce the basic principles.”

"This is a relatively long research process, and a key component of spinal cord research..."

As Fang Ziye finished speaking, Wang Xinghuan pushed open the office door.

"Oh, I'm so sorry, I'm so sorry, I'm late, I'm late."

"Please forgive me, professors," Wang Xinghuan said, bowing slightly with a shy expression.

A group of people stood up to greet them.

After exchanging pleasantries, Wang Xinghuan said, "Although I am late, I still have to explain a few things. I could have arrived on time, but I suddenly received a call and was taken to a meeting at the school."

"The main reason is still the CAA article published by our hospital. The school's idea is to have the research department and the publicity department create a special page for it."

"But some people say that compared to the achievements of some of our school's senior professors, this article is still a bit too modest."

"So I was rejected."

Upon hearing this, Fang Ziye felt a chill run down his spine: "Dean Wang, this won't do. You have to refuse for me."

Even Professor Li, who won the State Top Science and Technology Award last year, has never been this high-profile. If I were featured in a news article, I would be torn to shreds!

"Wouldn't this kill me?"

Putting everything else aside, compared to the contribution of science and technology to national strength, the physics community's contribution is more than ten times greater than that of the medical community.

Medicine can only benefit the nation.

"Professor Fang, don't worry, I was just saying that, how could I really do it?" Wang Xinghuan gestured with his hand.

"However, the school still seriously discussed your matter, Professor Fang. As the first medical journal published by our school with the highest impact factor, it is very encouraging."

"The school has delegated the awarding of prizes to our unit, and Vice Principal Yuan Yufeng will read them out at that time."

"Given Professor Fang's outstanding research capabilities, he is hereby promoted to Level 3 Researcher. Given his outstanding teaching abilities, he is proposed to be specially appointed as a Professor next year."

"The school reported it to the Provincial Department of Education and the Department of Science and Technology for special approval and processing!"

“Professor Fang, you don’t need to be so quick to refuse. With your current research experience, achievements, and workload, you have more than enough,” Wang Xinghuan said to Fang Ziye with a beaming smile.

Researchers already hold the title of senior professional, but they are divided into four levels.

The Level 1 Researcher is usually awarded to academicians of the Chinese Academy of Sciences or the Chinese Academy of Engineering, corresponding to the Level 1 National Professional and Technical Post.

A level 3 researcher can be considered equivalent to a deputy director-general level official.

Fang Ziye shook his head and said, "Dean Wang, there is no problem with promoting research and teaching titles through special procedures. As long as there is scientific research output, no one can backtrack."

"I mean, is it just me who gets nominated?"

"Our team has so many people! Shouldn't we give this a full consideration? Look at my junior brother, Lan Tianluo?"

"Isn't it only right that you've been specially appointed as an associate researcher?"

"And my junior brother, Jie Han."

"And there's Comrade Nie Mingxian from our orthopedics department, whose research capabilities are quite good..."

Wang Xinghuan said, "You're both very protective of your own and extremely greedy."

"As for Associate Chief Physician Nie Mingxian, that's fine; he graduated a long time ago. Can your two junior colleagues be exempted from the usual treatment?"

"Have you forgotten your old ways?"

Upon hearing this, Fang Ziye said, "Dean Wang, that's not right. It's precisely because I went astray that I have a deeper understanding of rules and regulations."

"During their doctoral studies, students can be specially appointed as associate researchers and enjoy corresponding subsidies."

Fang Ziye had taken a fork in the road, so he was particularly familiar with the route information.

Fang Ziye knew very well which paths were viable and which were not.

Wang Xinghuan frowned and tapped the table with his hand: "Professor Fang, aren't you afraid of gossip?"

"Dean Wang, idle gossip is nothing compared to real benefits."

"The number of associate researchers in a unit is not fixed; it is mainly evaluated based on their academic level and academic achievements."

"I also recently graduated with my doctorate, so I know how difficult it is to pursue a doctorate. I'm just offering a small subsidy to help with household expenses," Fang Ziye replied with a smile.

"I don't believe your nonsense. Do you think your team is short of money?" Wang Xinghuan said irritably.

"But since you brought it up, Professor Fang, let's go back and discuss it again. Remember to send the application forms over yourselves."

Fang Ziye immediately said happily, "Oh, thank you, Dean Wang. We've always been very diligent."

"Dean Wang, I just shared some ideas with the other teachers. Since you're here, could you please give me some guidance?" Fang Ziye gave Wang Xinghuan a chance to show off.

Wang Xinghuan didn't tolerate Fang Ziye's behavior and seized the opportunity to say, "The relaxation of the urinary system is quite complex."

"It is not simply a one-off, gated event."

"The presence or absence of a function is a binary choice, but the strength of a function is a state similar to a binomial distribution."

"The corresponding muscles of the urinary system may become dysfunctional due to disuse and nerve atrophy."

"Therefore, I have another idea: after Professor Fang, you have activated the patient's urination function, we should also carry out local muscle reconstruction."

"Even more so, some patients also have desires for reproduction, cosmetic procedures, and so on."

"Professor Fang, do you understand what I mean?"

"We are all adults. Whether or not someone has sexual function has a significant impact on family harmony and personal life experience."

"That's perfect, didn't we happen to have some clinical research projects that were indirectly involved before?"

Upon hearing this, Fang Ziye's brows began to furrow.

Wang Xinghuan is highly skilled in urology and andrology: "But, Dean Wang, the reconstruction of X-function involves more than just motor function; it's about sensory sensitivity, isn't it?"

"Otherwise, half-lifting is worse than not lifting at all."

Wang Xinghuan shook his head: "You can't say that, there are still ways... but that's not within the scope of our current discussion."

“One thing I can guarantee is that if Professor Fang is determined to develop in this field, you can definitely become an academician in urology.” Wang Xinghuan’s expression was particularly subtle.

As the saying goes, food and sex are human nature!

This thing can drive men crazy, and women will go crazy too!
The gap is huge, huge, huge...

Upon hearing this, Fang Ziye's face began to twitch. After hesitating for a moment, he replied, "Dean Wang, we're discussing the reconstruction of this project, not a specialized field. Isn't your suggestion a bit off-topic?"

Men have no choice but to reach middle age, and so do women.

Men's health issues, you might think they're not that important, but if you're truly an expert, your reputation can spread far and wide, and you'll have many patients who are your friends...

Word of mouth can make you so popular that you'll be overwhelmed with patients seeking your help.

“We’ve gone a bit off track. Let’s continue our discussion on the next steps. Professor Zhang, what feasible directions do you think our animal experiments could take now?” Wang Xinghuan was, after all, there to participate in the research, not to poach talent.

It seems that the title "academician" no longer holds much appeal for the pharmaceutical industry.

I have no idea what Fang Ziye is pursuing!

Is he really heading straight for Nuoer? Does he want to transcend the world?

The Nobel Prize is no joke!
Wang Xinghuan himself had seen the talent introduction policies of some cities and found them ridiculous!
All things considered, it would be impossible for someone as talented as Fang Ziye to even get an A1 grade.

"..."

"Senior brother, you're famous! You're absolutely famous."

"Have you seen your follower count?" That evening, Fang Ziye received a call from Jie Han.

"Huh? What do you mean? What did I do now?" Fang Ziye asked.

“Your student forwarded the official WeChat account of Sun Yat-sen University Cancer Center and then tagged you.”

"Then some well-known bloggers on the internet followed suit."

“Academician Ma hasn’t opened a Douyin account, but you have a lot of students under your account. Why don’t you log in and take a look…” Jie Han said.

Fang Ziye was chatting with Luo Tingzhu.

However, they were using a computer because Fang Ziye was also reviewing some documents.

After listening, Fang Ziye and Luo Tingzhu simultaneously opened Fang Ziye's Douyin account and discovered that Fang Ziye's number of followers had risen to more than 200,000.

Previously, thanks to Hu Qingyuan, Fang Ziye's fan base had reached over 100,000!

It won't suddenly surge by 100,000 in a short period of time, unless it becomes a "hot" item and gets carried away by others.

Clearly, the path to becoming a contributor to top-tier scientific journals is relatively narrow, with few alternatives.

Fang Ziye got a bite of fatty meat.

Moreover, the number of fans is still increasing, growing at a rate of over 100 per half minute.

"Yes, I've seen it, thank you!" Fang Ziye was secretly delighted.

Having more fans isn't necessarily a bad thing.

If more people in the industry could pay attention, even medical students, and if they could learn more from Fang Ziye's teachings, that would be the source of Fang Ziye's knowledge.

Fang Ziye is currently lacking in knowledge!

To reach level 7 in a skill, you need 500,000 knowledge points, and even at a rate of 10,000 points per day, it would take two months!

Currently, the daily learning points earned are stable at around 3,000, which means it takes 166 days and more than five months to add points to one level 7 skill, or two per year.

Over the next thirty years, I can only add sixty or seventy points!
With so many skills, I might not be able to max out all the orthopedic skills before I turn sixty.

Fang Ziye originally thought that his knowledge points would continue to grow until he was completely free.

Actually, now, relatively speaking, there is an even greater shortage.

Because level 7 skills are so useful, level 6 skills are no longer enough to satisfy Fang Ziye's current 'ambition'...

"Congratulations, senior brother!" Jie Han said.

“Congratulations, congratulations… After this fermentation, Jiehan, you’re not the same little Jiehan you used to be…” Fang Ziye said.

"Senior brother, I don't want to think about that right now. I need to study hard and improve my basic skills in a down-to-earth manner. My talent in operation is still a bit lacking, and my current level of skill is still not up to par."

"I need to calm down for a while, so I haven't participated in the research project you're working on now, senior."

"But next time, I will definitely be there!" (End of Chapter)