top student at medical school

After hanging up the phone, Fang Ziye did indeed find that his fan value was increasing.

Due to the surge in popularity of this topic, Fang Ziye's account now has nearly 290,000 followers.

"I wonder how many of them are experts; most are probably just watching the show, right?" Fang Ziye put down his phone and smiled calmly.

"Senior brother, your fan value is still increasing. Just now, it should have increased by at least a hundred, probably a thousand in about ten minutes." Luo Tingzhu watched intently from the other side of the video.

"With an account of this size, it will be easier for you to do some popular science in the future, senior brother."

Fang Ziye nodded: "Maybe, but I still think that the teaching videos uploaded to the official forum get more effective views than those here."

"Even ordinary medical students have a hard time finding official orthopedic forums, and they can't afford to buy instructional videos."

"Oh, right, it seems like you have to claim your share of the revenue from the official orthopedics forum yourself. I need to find some time to ask about it; I haven't had a chance to deal with it yet..."

"Really? Then senior brother, go and see how much money you've saved up." Luo Tingzhu urged.

Fang Ziye quickly logged into his backend and soon saw his revenue share.

"562334.3!"

The revenue share was a staggering 560,000!
That's equivalent to an income of 40,000 to 50,000 yuan per month.

Paid videos on official forums are generally not priced too high; they mainly rely on volume to generate revenue, which is already quite substantial.

It's even a little higher than Fang Ziye's monthly salary at Zhongnan Hospital...

"It seems like quite a lot," Luo Tingzhu said after seeing the phone screen.

“That’s already a lot, Tingzhu,” Fang Ziye said.

"Let me extract it first..."

Luo Tingzhu pursed her lips and said in a low voice, "Senior brother, if you just look at the numbers, it's definitely a lot."

"But if you were willing to run offline training courses now, you could earn more than six figures a month."

"Private coaching classes are very expensive. The more high-end the class, the more expensive it is. In addition, these expenses can be reimbursed by the subordinate unit, so people are willing to pay for them."

Luo Tingzhu had previously attended a private coaching class in Shashi. It seems she paid a registration fee of 20,000 yuan, and the class lasted for less than five days.

If Fang Ziye hadn't wanted to surprise Luo Tingzhu by blowing up Professor Long's private tutoring class at Xiangya Hospital, the money would have been given away.

Upon hearing this, Fang Ziye touched his nose and said, "If we're just going to make money by teaching, it seems like something's missing."

"If I had had such a good opportunity a few years ago, I would definitely have been more than willing."

"Indeed, money gives a man courage. A man with money is a hero; a man without money is nothing. Only when you have a foundation can you talk about ideals and dreams; otherwise, you can only think about eating and drinking first..."

"I'm so lucky!"

Although the others' jokes about him being the "richest surgeon" were somewhat sarcastic, it also meant that Fang Ziye had inadvertently received a considerable amount of "extra income"!
The patent protection period for the micro-circulation device is enough for Fang Ziye to achieve financial freedom.

It is estimated that the market size for micro-circulatory devices is at least in the tens of billions.

Furthermore, as its applicable scenarios continue to increase, this market size will be further expanded.

Even if imitators emerge, it's not something that can be achieved in the next few years.

The core technologies of the micro-circulatory system cannot be easily replaced!
Academician Gu from Huashan Hospital is no ordinary person; he once led a team to develop...

Currently, no teams or technology companies abroad have officially announced the release of an "improved version" of the micro-circulatory device, which proves that they have not yet overcome the core technology.

"Tingzhu, rest first, we'll be busy tomorrow." Fang Ziye chose to end the conversation at the right time.

Luo Tingzhu nodded vigorously: "Okay, okay, another day has passed, and there are only twenty-six days left in February."

Luo Tingzhu quickly hung up the video call, but Fang Ziye did not rush to leave the computer.

After calming down a bit, he looked at his panel and examined it very carefully from beginning to end.

Fang Ziye's control panel has undergone some changes—

[Physician Level: Chief Physician (Orthopedics: (Current Ranking 1), (Historical Ranking 2)). Surgery: (Current Ranking 6), (Historical Ranking 67)*]

[Note: The current ranking of surgical specialties is based solely on the ranking of the top 50, without distinguishing overall strength. Specialties not ranked in the top three are not included in the discipline ranking.]

This ranking that suddenly appeared is quite interesting.

As can be seen from the annotations, the overall surgical level should be the ranking of the orthopedics department represented by Fang Ziye within the overall surgical field, not Fang Ziye's ranking among general surgeons.

Given the limited development potential of specialized colleges, even if you become the top student in your field, you'll likely still fall short compared to other, more established specialized colleges.

Orthopedics is not one of the most developed specialties. Compared with specialties such as neurosurgery and general surgery, its development may be relatively lagging behind.

Fang Ziye didn't dwell on it, but continued to look at the remaining panels.

【医学基础理论：外科学6级、骨科学6级、脊柱外科6级、创伤外科6级、骨肿瘤6级、运动医学6级、关节外科6级、手外科6级、足踝外科6级、胸外科5级、心外科5级、大血管外科5级、血管外科5级、普外科5级、泌尿外科5级……】

Fang Ziye's basic theories in orthopedics-related subspecialties have all reached level 6. With a relatively rich knowledge base, his basic theories in related surgical fields are also at level 4 or above, around level 5.

Fang Ziye earns two to three thousand knowledge points a day. If he doesn't make up for his lack of other surgical theories under such circumstances, then he would be stubborn to the point of being a bit brainless.

Of course, Fang Ziye will not devote too many knowledge points to other surgical theories at present, and will not level them up to level 6 or 7.

To reiterate, Fang Ziye can only become a good Professor Fang if he first excels at Fang Ziye.

Orthopedics and trauma surgery will always be the foundation of Fangziye, and also its greatest safety net!
【医学基础操作技能：清创术6级、止血术6级、医学基础查体6级、缝合术6级、切开术6级、打结术6级、X线阅片术6级、CT阅片术6级、穿刺术6级、外科常规器械操作经验5级0/0、医学常规检查阅读经验5级0/0。】

Apart from two basic skills that cannot be upgraded, all the others are at level 6. This basic operation makes Fang Ziye more and more tactful and confident.

Otherwise, Fang Ziye wouldn't dare to accept patients with spinal cord injuries in advance, lest he cause himself trouble.

【医学专科基础技能：脊髓、神经治疗经验7级、骨折切开复位内固定术6级、肌腱缝合术6级、手法复位术6级、血管切开术5级、血栓取栓术5级、按压止血术5级、缝扎止血术5级、神经缝合术6级、血管缝合术6级……】

Fang Ziye's 'idle' knowledge points were only enough to upgrade the Hand Repositioning Technique to level 6, so most of his basic medical skills were still at level 5.

However, because nerve suturing and vascular suturing are so important for orthopedics, Fang Ziye added these procedures to his schedule ahead of time.

In addition, there are procedures such as nerve cutting and blood vessel cutting, which have not yet been added to the treatment.

【专科技能：截骨术5级2400/5000、取骨植骨术（打压植骨术）5级2020/5000、关节置换术5级、骨部分切除术5级。皮瓣移植术5级、骨延长术5级、关节翻修术5级、关节修补术5级、骨成形术5级……】

Adding a skill to level 5 only requires 5000 skill points, which is equivalent to adding a level 7 skill. You can add one hundred level 5 skills.

Fang Ziye had naturally already leveled up all the relevant skills.

However, because there are so many specialized skills in orthopedics, some people are still at level 4, and their knowledge is still insufficient...

【专科进阶技能：毁损伤清创术5级0/5000、毁损伤血管缝合术5级0/5000、毁损伤神经缝合移植术5级0/5000、毁损伤骨缺损重建术5级0/5000、毁损伤软组织重建术5级0/5000、功能重建术5级0/5000、功能健复术5级0/5000、功能再造术0级0/5……】

[Current knowledge points: 12451.3.]

The remaining knowledge points are just over 10,000, which is equivalent to having none left.

Of course, what Fang Ziye cared about was not the remaining knowledge points or other skill levels, but the 'Function Reconstruction Technique' that Xin Yun had just mentioned during the chat!
Its original treatment method may not have been functional reconstruction, but it didn't have a name. Fang Ziye was used to calling it functional reconstruction, so the panel was named accordingly.

Level 0 (0/5) is clearly the newly created state, and it can be upgraded.

What was Fang Ziye hesitating for? He filled it up immediately!
Functional Reconstruction Level 3 0/0!

Okay, it's still too fragile!
Functional regeneration is neither functional reconstruction nor functional rehabilitation.

After the points were added, Fang Ziye suddenly had a lot of ideas come to mind.

It's not about injecting knowledge, but rather about further refining the existing knowledge system and expanding upon it.

It did not cause any discomfort!
But Fang Ziye still felt his heart beating slightly faster—

So that's how it is.

It turns out it can still be like this.

Fang Ziye suddenly realized that reviewing previous cases wasn't so difficult anymore, and he also had some ideas about the follow-up treatment of the uncle who was currently in the hospital.

Although the new spell is only level 3, it is still quite useful.

Referring to previous examples of limb salvage techniques involving severe injuries, a low skill proficiency level does not necessarily mean you are bad!

This panel is excellent for improving existing skills.

However, it's not so friendly to those who haven't improved their skills yet. Not only do they need to have prior skill reserves, but they also need to shift their thinking to a certain level in order to potentially bring it to fruition.

Thinking of this, Fang Ziye stood up, picked up his teacup, and walked to the window: "I told you you weren't good enough, but you can quickly help me stand at the top of the industry."

"If I'm saying you're really useful, you can't just make things up and leave me completely helpless..."

"It's not until you fall that you fly,

When your dreams come alive…”

Fang Ziye turned around, put down his phone, picked it up, and answered. It was Lan Tianluo's voice: "Senior brother! Come quickly. Operating room 3."

"Okay!" Fang Ziye didn't need to listen to Lan Tianluo's explanation.

Lan Tianluo's appointment as chief resident is different from his previous appointments. In the past, when he called his professors, they would come to take the blame.

Lan Tianluo called me, he must want me to help him out.

……

It was 2:20 a.m.

"Senior brother, have you ever broken through all the emergency cases in orthopedics? You can even reconnect nerves like this." Lan Tianlu followed closely behind Fang Ziye, his eyes narrowed.

Fang Ziye nodded slightly, watching the delivery progress of the takeout while saying, "We don't have many fatal diseases in orthopedics. For emergency cases related to orthopedics, a simple hemostasis technique can save lives."

"With a better debridement technique, we can achieve limb preservation."

"But Tianluo, you've been working in emergency medicine for so long, you should know that limb preservation and capacity preservation are not the same thing, right..."

"Now, if you look back, do you realize how much our teachers emphasized the two fundamental skills of wound cleaning and hemostasis in trauma surgery?"

Lan Tianlu didn't even have time for dinner last night, and Hu Qingyuan, who was with him, also suffered, getting so tired that he had low blood sugar and had to leave the stage early to rest.

After completing the crucial procedure, Fang Ziye stayed in the operating room to order takeout for Lan Tianluo before accompanying him back to the ward.

At this hour, there's no need to go back to sleep.

"The three most basic skills in surgery are debridement, hemostasis, and suturing. Hemostasis saves lives, debridement preserves organs, and suturing preserves function."

"All operations evolve from these three basic skills, and all other operations serve these three basic skills." Lan Tianluo finally grasped the most basic operating principles of surgery through a large number of emergency cases.

All surgical procedures begin with and return to these three fundamental skills. All other procedures, such as instrument placement or replacement, are ultimately aimed at making the operation of these fundamental skills smoother...

"That's right. Surgical procedures originate from the theories in surgical textbooks, but when we actually go into clinical practice, we will come into contact with them and immerse ourselves in these procedures."

"But in the end, we will gradually detach ourselves from the specific operations and return to the theory."

"In specific and detailed operations, the first thing to do is to be methodical and do each step to the best of your ability, just right."

"This is for standardization, and the main purpose of standardization is to ensure a lower limit. But once you have enough basic skills, you can design the surgery."

"When you start designing a surgery and let the entire procedure follow your thought process, then it's no longer about ensuring the minimum quality of the surgery, but about pursuing the maximum quality!"

"Whether it's internal fixation or external fixation in fracture surgery, they are all variations of suturing."

"The essence of suturing lies in the proper joining of the severed parts. Tendons re-fuse after joining, soft tissues repair scars after joining, and bones regenerate after joining!"

"Think about it carefully. If the bone tissue is flexible enough, does it need to be fixed with internal fixation materials?"

"If the skin tissue is firm enough, can the sutures pull the two ends together?"

Even in nerve suturing, we suture the epineurium and perineurium, not the nerve itself!

"Continue to contemplate the word 'sewing.' Sewing is merely for joining; joining is for life; life gives rise to energy, not just function, but also activity..."

"This is the fundamental principle of surgery."

Fang Ziye is not a philosopher, but after accumulating a certain level of technical and theoretical knowledge, he will naturally start to think about some more theoretical things.

This is about self-improvement and reflection on the subject.

It's pointless for an average medical student to think about these things, because he lacks the ability to put them into practice.

For example, Jie Han's thinking is more agile than Fang Ziye's and many others, but it's all for naught.

What he was thinking about could not be turned into reality by anyone in the world; it was just fantasy and delusion!
True thinking must be grounded in reality; the process of thinking is essentially a process of summarizing and analyzing.

Simplify the complex, but sometimes it's necessary to go from simple to complex!

"All theoretical learning is actually common to each other, and to a certain extent, it will be close to philosophy."

"Philosophy takes on concrete and subtle forms in different places, different disciplines, and different theories..." "To put it simply, having the ability to show off is impressive; showing off without the ability is just stupid..."

"Senior brother, do you think it's unrealistic for me to start thinking about these things now?" Lan Tianluo asked.

Fang Ziye shook his head: "Definitely not!"

"Because no matter what you think, there's always someone to back you up. Even if you're wrong, someone can point it out to you. So don't think like that," Fang Ziye said calmly.

"Of course, the main thing is that you have to be willing to listen to advice."

Lan Tianlu nodded vigorously: "Of course, Senior Brother. Master listens to advice so much, how could I not?"

"Senior brother, you mean Master?"

"There's a chance..."

Upon hearing this, Fang Ziye fell silent. After a long while, and only after the two entered the elevator and the doors closed did Fang Ziye shake his head and say, "I don't know either!"

"That step depends more on chance than on aptitude."

"In fact, I think Teacher Deng might even surpass Master in this step..."

Upon hearing this, Lan Tianluo's eyelids suddenly opened, and his eyes bulged slightly outward: "Teacher Deng Yong, him?"

"Didn't he say?"

Lan Tianlu hesitated, but Deng Yong once said that he had limited talent and had not followed the right path in his life, so he no longer thought about climbing the 'empty name' of a national champion. He had long seen through the fame and fortune in this regard.

"Talk is cheap, but actions speak louder than words!"

"Who can predict when things will happen?"

“Tianluo, what you see is only what you see. Teacher Deng is actually very hardworking. His ability to adapt to changing circumstances is stronger than ours,” Fang Ziye said calmly.

To be honest, Fang Ziye would prefer Yuan Weihong, because Yuan Weihong's liking for Fang Ziye is without any reason.

Deng Yong liked Fang Ziye because Fang Ziye was outstanding.

Even if Luo Tingzhu later fell in love with Fang Ziye, it was because Fang Ziye was not only handsome but also outstanding, and he accompanied her in the laboratory for a long time to do experiments.

There are reasons for both.

Fang Ziye even felt that his parents loved him for one reason: he was their son, and they had given birth to him...

However, Fang Ziye's preference for Yuan Weihong does not mean he would not want Deng Yong to reach that stage before Yuan Weihong.

Whether you like someone for a reason or not, you've still ended up liking them.

Now it was Lan Tianluo's turn to fall silent.

Neither of them said anything else along the way.

Fang Ziye went into the lounge first, and after hearing Hu Qingyuan's soft snoring, he didn't wake him up for a late-night snack.

After Fang Ziye and Lan Tianluo entered the chief inpatient office, Fang Ziye only drank a bottle of water, while Lan Tianluo immediately began to eat heartily.

Ten minutes later.

Lan Tianluo gulped down another mouthful of water before sighing, "That feels so good, Senior Brother! It feels so good to be full!"

"Tianluo, you've worked hard. I only recently found out that some of the patients I treated before were from the 120 ambulance transfer center. You knew about this before, didn't you?"

"After they heard that I had come to the new hospital, they would arrange for the nearest ambulance to transfer to our new hospital. So even though our new hospital has just opened, the number of emergency patients is still quite large."

"Adding to the other factors you mentioned earlier, the current number of emergency room visits is about the same as when I was in the emergency department."

“But back then we had two chief resident doctors on duty at the same time…” Fang Ziye patted Lan Tianluo on the shoulder.

"Senior brother, it's actually not bad. Your students are all quite capable."

"Tian Yao and my senior colleague Feng Junfeng have handled the peace consultations in the department very well, which has saved me a lot of trouble."

"Moreover, Hu Qingyuan is quite hardworking, so I can slack off a little during some emergency procedures!"

Lan Tianluo then added, "Senior brother, speaking of which, I have to praise Hu Qingyuan. That kid is really good at bluffing."

"When talking to patients and getting them to sign documents, I can basically understand the psychology of patients and their families very well."

"He needs to perform procedures on patients, so I don't have to worry about it much."

Upon hearing this, Fang Ziye was taken aback: "You mean that Hu Qingyuan always went to talk to the patients and their families himself before performing any procedures, and the patients and their families all agreed?"

Fang Ziye was a little surprised.

It's worth noting that during his hospital stay, when he wanted to perform procedures on patients, they might refuse and specifically request that the professor perform the procedures instead.

Hu Qingyuan's remarks?
"That's right! Hu Qingyuan has his own set of tactics when he talks!"

"He didn't exaggerate, but through a certain order of speaking, he gained the trust of the patients and their families."

"There was no exaggeration or deception. To put it seriously, this kind of communication skill is something we should all humbly learn from."

"That's amazing!" Lan Tianluo's eyes bulged like a frog's, his face full of admiration.

Fang Ziye had actually heard people say that in clinical practice, there are some amazing seniors and big shots who are very skilled at making consultations and signing consent forms.

Some people, even if they cause a patient's death during surgery, will still receive gratitude from the family members, who will then sadly take their loved ones home to handle the funeral arrangements.

But Fang Ziye had only heard of such a legend and had never seen it with his own eyes.

Looking back now, it seems that Hu Qingyuan had a lot of potential.

Healthcare is essentially a communication between people. Doctors give medical advice, and patients are free individuals who can choose to accept or refuse it.

The right to choose outweighs the right to receive mandatory treatment.

Even when a patient is on the verge of death, their family still has the right to refuse further resuscitation efforts…

Fang Ziye said, "Then when will I ask Hu Qingyuan to organize a proper lesson for us, so that everyone in our department can learn from it?"

Even if you don't learn the essence, learning a part or two can reduce potential medical disputes.

"I read an article that said that 70% of current medical disputes stem from a lack of communication."

"Only about five percent of the family members are eccentric and cause trouble."

Lan Tianluo said, "Senior brother, but five percent is not a small amount."

Fang Ziye nodded: "That's true. I've been in contact with thousands of patients and their families, and nothing bad has happened yet, otherwise..."

“Now I miss the sanatorium. There, everything was guaranteed by the sanatorium. I just needed to do my job well, and I didn’t have to worry about any other consequences.”

"Do the surgery if you want, or don't."

It would be a lie to say that Fang Ziye felt no "panic" when the surgery was suddenly terminated to save more function for the patient.

However, Fang Ziye felt that he had to do this, otherwise he would definitely have a knot in his heart in the future.

If the transposition surgery has improved the patient's function to some extent, then wherever he goes, he will not let Fang Ziye be imprisoned.

Even patients and their families would thank Fang Ziye.

But what is the job of a doctor? To provide the best medical services one can under the current circumstances.

I did my best so that I could have a clear conscience. Even if I didn't do well, even if I couldn't save them, I have done my utmost.

However, under those circumstances, it can only be said that the weather was uncooperative. Just as Fang Ziye was about to continue the surgery, a brilliant idea flashed into his mind.

Fang Ziye felt he could bear the consequences even though he couldn't be completely innocent, which is why he dared to give up.

If we go back just one year, Fang Ziye would definitely have continued working on it directly instead of waiting.

"Da da da!"

There was a knock on the door of the chief inpatient office, and Fang Ziye stood up to open it.

Standing outside the door was Wang Jingyi, the nurse on duty, holding two glass jars in her hands: "Professor Fang, these are a gift from the family of patient in bed 9."

"He said he saw you bring in takeout when he went to the bathroom. This is some side dish he brought from home..."

"Sister Yutong said she can send it over to you."

Lan Tianluo had finished eating, and there was a hint of envy in her eyes as she looked at Fang Ziye.

Fang Ziye simply brought in takeout, which was seen by the patient's family, who then brought over their own food.

This kind of treatment is far more attractive than any professorship or expert title.

"Oh, okay, thank you!"

"Have the family members left?" Fang Ziye took the phone.

The local specialties brought from home are accepted, and that's fine; it's not considered a 'particular violation.' Even if disciplinary officials were standing here, it wouldn't be easy to investigate whether this constitutes corruption.

"I left right after putting it down, saying I was afraid of disturbing Director Fang's rest."

"The patient in bed 9 is recovering quite well," Wang Jingyi replied specifically.

"Then I'll go thank him in person tomorrow... Thank you for your trouble," Fang Ziye said.

"Director Fang, I'll head back now." Wang Jingyi waved and turned to leave, looking rather happy.

Lan Tianluo watched Fang Ziye turn around and sighed again: "It's a pity I've already finished eating, otherwise I could have had an extra meal."

Fang Ziye put the bottle down: "Adding a separate dish would be fine too, just get some meat..."

"Really?" Lan Tianluo asked.

"I'll just leave it here. Why would I take it back? I don't usually cook at home anyway." Fang Ziye nodded.

As they were talking, Fang Ziye's phone rang again.

When Lan Tianlu heard Fang Ziye's phone ring, his heart skipped a beat, and he quickly checked his own phone.

I'm sure neither phone rang!
He then said, "Senior brother, you haven't called me."

If someone calls their own emergency consultation number and doesn't answer, and then calls Fang Ziye instead, the nature of the situation changes.

If no orthopedic specialist can be found on duty for consultation, this is considered a departmental incident.

Fang Ziye answered the call: "Hello!"

"Professor Fang, I'm so sorry to bother you so late."

"I am Tang Xiaoping. Here's the thing: a large combined chest and abdominal injury just came into the operating room, and I'm afraid I can't handle it."

"Could you please come over and help watch the stage, Professor Fang?"

"That way, even if something unexpected happens during the surgery, I can feel more at ease, knowing that someone can cover for me," Tang Xiaoping requested.

Tang Xiaoping did not directly invite Fang Ziye to the operating room.

Lan Tianluo has already gone to pick out the meat and started eating!
Although you've just eaten your fill, satisfying your taste buds and filling your stomach are two different things.

"Professor Tang, I'm in the department. You can go ahead. Call me in advance if you need anything, and I'll come down," Fang Ziye replied after thinking for a moment.

Tang Xiaoping, despite being a professor leading a cardiovascular surgery group, was now behaving rather humbly, clearly having been completely subdued by his senior colleague.

They no longer dared to request consultations as frequently as before.

As the saying goes, "Please consult, please consult." If the consultation involves people of the same level, it's simply a matter of personal favor.

If it's someone of a lower rank than you, please give them face.

However, if it's someone who is much more outstanding than you, then inviting them is simply following their preferences.

"Okay, thank you, Professor Fang. I feel much more at ease knowing that you said that."

"I'm so sorry to bother you, Professor Fang," Tang Xiaoping said.

Tang Xiaoping wasn't lazy; it's just that he was only an associate professor, and not all associate professors were like Fang Ziye, who held a low-ranking title but lacked real ability—a "fake title"!
Most people develop their skills gradually through time and talent.

"It's alright, Professor Tang, you've worked hard. I'll take a nap first. Call me if you need anything..." Fang Ziye understood Tang Xiaoping, but he just didn't want to become Tang Xiaoping's 'puppet'.

Where do you find people who call for consultations for every random, trivial matter?

If I also call in vascular surgeons, cardiac surgeons, and thoracic surgeons, am I supposed to handle all the emergency surgeries myself and not do anything else?

Then I'll just go work in the emergency department, and open an emergency general surgery clinic there...

Fang Ziye walked to the director's office, settled down, and fell asleep... (End of Chapter)