top student at medical school

Deng Yong did not drink himself into a stupor. When Fang Ziye left Deng Yong's house, Deng Yong personally said to Fang Ziye, "There are not many truly happy days in a person's life. You can get drunk when others are happy, but it is best to leave yourself some time to enjoy it alone."

After Fang Ziye went downstairs, he walked along the edge of the green belt in Deng Yong's community. At this moment, he couldn't say that he was in a very good mood, but he could only say that he wasn't too bad!
Fang Ziye's thoughts at this moment were like his own afterimage, sometimes stretched out by the streetlights behind him, and then shattered by the streetlights in front of him, so short and so long...

Deng Yong's happiness is not hidden on his face; it comes from the bottom of his heart.

However, Fang Ziye couldn't feel genuinely happy, not because he wasn't happy about Deng Yong's progress.

Fang Ziye felt that Deng Yong was so happy just because he had broken through the original limit in one basic skill. Where did all his troubles come from?

Sometimes, the happier Fang Ziye found Deng Yong, the more he felt that his master was a little "pitiful"!
Because of the realm he pursued his whole life, Fang Ziye had already reached it long ago.

Although it's like he was cheating...

But the view from the top of the mountain is always different.

If anyone else had made such progress, it wouldn't have stirred Fang Ziye's emotions. Deng Yong was Fang Ziye's mentor.

So after Deng Yong felt sorry for Fang Ziye many times, Fang Ziye also learned to keep these feelings inside himself.

About four or five minutes later, Fang Ziye walked out the door.

After calling a ride-hailing service, he put his hands behind his back and said, "In any case, as long as Master is happy, that's all that matters."

"Actually, there's no need to make comparisons with others, and there's no need to feel sorry for yourself."

"If you can't help but have this mindset, then you're taking other people's life experiences too lightly."

"Master, congratulations." Fang Ziye silently expressed his true feelings.

Fang Ziye sorted out his inner thoughts, hoping not to become too 'compassionate,' because such 'compassion' was actually a disguised form of 'arrogance'!
However, this feeling came from the depths of his heart, and Fang Ziye couldn't suppress it at first. But now that he could let go of it, he felt much more at ease.

After getting into the ride-hailing car, Hu Qingyuan and others sent messages of greeting.

Fang Ziye gave a brief explanation to Liao Jia, Nie Mingxian, and others, but explained it in more detail to Hu Qingyuan.

Although Hu Qingyuan's practical skills are not high at present, he is Fang Ziye's student and has been following Fang Ziye in clinical practice for more than a month and a half, so he has a good understanding of the vertical structure of practical skills.

His tone was now filled with excitement: "Really? Has the advisor really reached that point?"

"Doesn't that mean..."

Hu Qingyuan omitted the words "fucked Professor Duan Hong".

Hu Qingyuan had been educated by Fang Ziye, so he had a deeper understanding of the difference between "national-level players" and "national-level players".

Trauma surgery is not vascular surgery; its core fundamental skill remains debridement. Professor Duan Hong's hemostasis techniques are indeed useful in saving lives, but their effectiveness in trauma surgery is ultimately limited.

This is a question of whether an individual's abilities match their major, not whether it's useful or not.

"It's too early to say that now. Even geniuses need a certain amount of time to develop."

"Your grandmaster has only recently made a breakthrough. It will take at least two or three years before he can truly surpass Professor Duan Hong in some areas of trauma surgery in terms of professional skills and complete expertise."

"Hu Qingyuan, we shouldn't underestimate talent, but we also shouldn't underestimate the importance of hard work accumulated over time. Both of these are wrong!" Fang Ziye emphasized.

Fang Ziye now understands this principle very well.

Talent determines and allows you to break through your limits, but hard work is the process of accumulating experience.

Even the most talented person cannot achieve extraordinary success if they don't work hard enough.

Overall, your efforts may not be as effective as someone else's afternoon, but for you personally, your efforts will definitely be rewarded.

When it comes to learning, even a small piece of knowledge will not be learned if you don't study it, and you will gain less if you don't accumulate knowledge.

“Master, I don’t mean to belittle Teacher Duan, but I feel that Master has broken the upper limit of what can be achieved through hard work.”

"Master, while accumulating time is important, the inherent volume of the bucket holding the water is even more crucial, isn't it?"

"For Teacher Deng and his colleagues, is hard work the most crucial influencing factor?" Hu Qingyuan's perspective is also quite objective.

At least in Hu Qingyuan's view, there are few people around him who are not hardworking.

Because people who don't work hard are either talented, and they don't need to put in too much time in the early stages to achieve what others have to work hard for, such as taking the postgraduate entrance exam or pursuing a doctorate.

Those who lack talent and don't work hard have already been screened out during the college entrance examination, postgraduate entrance examination, and doctoral assessment.

Those who remained by Hu Qingyuan's side were all a group of "scroll kings".

When everyone puts in the same amount of effort, the competition really comes down to talent and, more importantly, the elusive element of chance.

This is the established ecosystem of top universities and elite circles.

Talent is king; hard work is a necessity, an auxiliary, and the least worthwhile thing to talk about.

"It's getting late, Qingyuan, you should get some rest. I'll be back soon too, I have surgery tomorrow," Fang Ziye said.

Hu Qingyuan hurriedly said, "Master, I was planning to go to sleep, but I haven't seen you open the Word document I prepared for you. I was afraid something had happened to you."

"After all, you should be interested in this title, and you would click on it whenever you see it."

Hu Qingyuan's problem lies not in his lack of review skills, but in his insufficient foundational knowledge.

The theories related to the 'rebirth technique' brought by Nie Mingxian are no small matter, and may even have a transformative impact and provide guidance for Fang Ziye's future scientific research career.

This is what a good team should look like.

It shouldn't be Fang Ziye leading and driving all the leadership. Fang Ziye can provide key ideas and technical support, but others shouldn't just be tools.

If the team consists of people who are just tools, it's too tiring to lead and not conducive to healthy development.

Fortunately, Nie Mingxian and Liao Jia were not that kind of people.

Hu Qingyuan added, "Master, today Senior Brother Li Yuanpei sent me a message about Senior Brother Lan Tianluo."

"I actually have some other thoughts on this. I've thought about it for a long time, and I still want to share them with you, Master."

"It may not be right, but if I don't say it, I might not be able to sleep well tonight."

Fang Ziye had already gotten into the car and was sitting in the back. After looking at Hu Qingyuan's message, he smiled and said, "Then you go ahead and say it..."

Hu Qingyuan said, "Actually, I think Senior Brother Lan Tianluo has made a mistake in one thing, which is that he has completely ignored the power of accumulation."

According to Li Yuanpei, Lan felt that he was not good enough and that he was not talented enough.

"Actually, that's not the case. It's just that Senior Brother Lan hasn't accumulated enough knowledge."

"After all, he has only been involved in medicine for a short time. No matter how talented he is, how can he compare to teachers like Liao Jia and Nie Mingxian?"

"Professor Nie Mingxian has strong clinical and scientific research talents, and has enough time to accumulate experience. Moreover, he is in his thirties and at his peak, with very agile thinking."

"Good ideas keep popping up."

"Perhaps Senior Brother Lan, in the past, felt that he had surpassed some of the other senior brothers, and thought that he could complete a short-term 'leveling up'..."

"In the field of medical research, perhaps the past thirty or even forty years have been a period of accumulation."

"Medical research is different from other basic mathematical and physical research fields. Talent alone is not enough here because there is too much to accumulate."

"Moreover, from a fundamental perspective, all current medical theories are actually in a relatively stable state, not an absolutely stable state."

"Many of the things we are learning and that are written in textbooks are temporary and may be rejected in the future!"

"The more unconventional something is, the more difficult it is to use it as a foundation for application..."

"I've been paying attention to this recently, and just from a pharmacology perspective, some classic drugs have recently been shown to have many other potential benefits..."

"The basic tools of mathematics are relatively fixed!"

"The more rigid the basic rules are, the more flexible they become when used. This is perhaps what Senior Brother Lan Tianluo is good at."

Fang Ziye almost jumped out of the car after reading it! He almost choked himself to death...

Fang Ziye gripped his phone tightly with his right hand, his thumb turning slightly white from contact. After considering for ten seconds, he immediately typed a message: "Hu Qingyuan, when did you start thinking about these things?"

"You're amazing! Your understanding has exceeded your master's expectations and framework."

Medical theories are actually variations of mathematical formulas, except that they are summative 'non-ironclad rules'!
It is merely a statistical description and contains variations. Therefore, in clinical practice, all patients we encounter may not have the classic disease pattern.

During the course of surgery, it is impossible for us to provide a completely precise and absolute description of a single operation.

In this process, Lan Tianluo, who was used to the perfection of mathematical formulas and the rigor of steps and logic, was naturally very uncomfortable.

Even though Fang Ziye once tried to use data as a learning anchor for Lan Tianluo, it was actually only an application of Lan Tianluo's partial potential, rather than allowing him to give full play to his subjective initiative.

Therefore, Lan Tianluo may need to study not only the latest literature, but also some classic literature, and directly extract the data from them as a theoretical basis.

This workload is far too cumbersome.

Unlike general medical professionals who only need to understand the results of statistical processing of a theory, Lan Tianluo may need to understand its origin!
Theory is summative and can be used immediately, but it's not suitable for everyone, especially those who are stubborn and want to get to the bottom of things...

Hu Qingyuan said, "Master, I didn't deliberately think about it. I just naturally had my own thoughts when I encountered it."

"I don't know if it's right or wrong."

"I'm just saying this for your reference, Master."

"I feel much better now that I've said that. Master, I'm going to rest now!"

"Okay!" Fang Ziye replied with just a short word.

My mood started to improve significantly.

As the saying goes, people are in high spirits when they have good news, and good news comes one after another, making them even happier.

Many people say that misfortunes never come singly, and blessings never come in pairs.

But today, Fang Ziye received three pieces of good news in one day.

First Song Yi came, then Master Deng Yong ascended to heaven, and now they have obtained a suitable method from Hu Qingyuan to activate Lan Tianluo's learning potential.

This feeling is wonderful.

Now, Fang Ziye has to admit that everyone in this world has different strengths.

Some people are simply adept at navigating social situations. Even if a smart person can learn it, learning it and becoming an expert are two different things.

Some people excel at management, some at tactics, some are strategists, and some are ruthless strategists...

Some people are good at getting things done, while others are good at just talking big.

Everyone's talent inclinations and talent profiles are different.

Fang Ziye acted on his thoughts immediately. After breaking down Hu Qingyuan's suggestion in detail, he wrote a short article of about a thousand words and sent it to Lan Tianluo.

"Tianluo, you can take a closer look and review it following this line of thought, tracing it back to its origins!"

"Even if you don't have time right now, just find a point that interests you the most, for example, start with the generation of basal electrical potentials in physiology. This might be very useful for our research on spinal cord injury repair..."

"Go and look up the relevant literature. Extract the most basic principles, such as the formula for generating potential, and the points you are most proficient in."

“These are things we can’t do, but our team desperately needs.”

Lan Tianluo, the chief resident, did not reply immediately, and Fang Ziye did not wait either!

When I got back to the rented room, it was already 1:30 a.m.

Fang Ziye took a quick shower and then went to bed!

After tossing and turning for more than ten minutes, Fang Ziye got up again.

The night outside the window remained the same, but Fang Ziye's mood today was involuntarily somewhat agitated!

In the end, Fang Ziye didn't know exactly what time he went to bed. Anyway, after the alarm rang in the morning, Fang Ziye didn't go out for a run, but instead went back to sleep.

After the alarm rang again, it was already 7:30.

Trauma Surgery, General Inpatient Office.

Lan Tianluo was addressing a group of people: "I'm telling you, you're all spies, not a single one of you is any good!"

"Whatever I say might reach my senior brother or my master's ears before the next day."

"What's wrong with you guys? Don't you treat me, the chief resident, like a human being?"

"Every single one of you, even Brother Tian Yao and Brother Feng Junfeng, are spies. You'd better watch out during the medical record review this month, and don't give me a chance to lose my temper!!!"

When Lan Tianluo gave his lecture, spittle flew everywhere.

It seems that Li Yuanpei's visit to Lan Tianluo last night has once again 'stimulated' him.

"Tianluo, you've got quite the airs of an official." Fang Ziye pushed open the door, walked straight to a bowl of unopened hot dry noodles, and said with a smile.

Lan Tianluo's expression softened slightly. After taking a deep breath, he said, "Senior brother, it's not that I'm deliberately trying to stir up trouble, it's just that they've gone too far." "I'm a normal person! I have privacy!!!"

"Look at what they've done! I can't even complain about it?"

"Beep beep beep beep..." As Lan Tianluo spoke, the inpatient general consultation cell phone in the pocket of his white coat rang.

"Damn it, I'm leaving." Lan Tianluo's temper had become even more irritable than before.

Few people in the hospital are not irritable. Even the most mild-mannered person will become psychologically distorted in such an environment!
After Lan Tianluo left, Fang Ziye looked at the others and said, "Actually, what Lan Tianluo said wasn't entirely unreasonable."

"We all complain sometimes, but what we say when we complain is something we can't tell our superiors!"

Fang Ziye also rose through the ranks, so he understands how important it is for junior doctors to have their own small group.

Tian Yao replied with a smile, "Master, we're just worried about Tian Luo too, and we don't have any experience in dealing with similar situations."

Tian Yao's eyes darted around as he said this: "Besides, what President Lan said was actually quite hurtful."

Fang Ziye agreed with both Tian Yao and Lan Tianluo's statements.

While it was wrong for Tian Yao and the others to tip each other off, Ke Lantianluo's complaints were also 'inhuman'.

"What's done is done, and teams always need time to gel. In the future, we should pay attention to our approach and everyone should learn to put themselves in each other's shoes."

"Generally speaking, being humble to superiors is the rule, but being humble to subordinates, even to the point of telling the truth, is a bit too accommodating, which is a disguised form of pride."

"The most basic ability that an adult, or rather a relatively intelligent person, needs to master is self-awareness, finding one's own position, and finding one's own position in the industry."

"According to your own position, do what you should do and say what you can say, otherwise you may hurt others."

"These are things we need to gradually experience in our daily lives. Principles can't be taught, but when we encounter specific situations and analyze them, we can immediately understand many principles."

"This is about finding your own strengths and weaknesses."

"Another approach is to identify your talents and strengths, and use that as an anchor point for learning. This will make your learning much more efficient."

“Teaching is actually a process of constantly discovering students’ ‘trigger points’. When we find the points that students are good at and interested in, they learn more easily and are more proactive and enthusiastic.”

"I am also slowly figuring it out..." Fang Ziye said.

Just then, Tang Yi pushed the door open and entered, just in time to hear the last sentence. He asked in a cheerful voice, "What is it, Professor Fang? Are you still slowly figuring it out too?"

Will I get breakfast today?

Hu Qingyuan quickly stood up: "Yes, Teacher Tang, you specifically asked me to, so I ordered one for you too."

"Add chili and cilantro here!"

"Thank you for your hard work, Qingyuan. Please accept the red envelope I sent you later!"

Tang Yi grabbed a new plastic stool, picked up his bowl, and joined the line.

Fang Ziye said, "Teacher Tang, what I mean is that I still have a long way to go in terms of teaching modules, and I need to keep exploring."

"I'm currently in a state where those who learn well don't need me to teach them, while those who want to learn, no matter how hard I try, still can't get them to learn."

Teaching is a separate, parallel structure that is not linked to research capabilities or professional skills.

The current popular teaching methods are actually all about forceful one-on-one output. Even good professors are just using their stronger and deeper basic skills to form a knowledge system and then unidirectionally imparting knowledge to students.

These are all disguised forms of indoctrination; in reality, very few professors or teachers will truly restructure knowledge according to the individual circumstances of their students.

This is too difficult and will take a lot of time.

As Fang Ziye spoke, Tang Yi finished two mouthfuls of noodles and felt that this bowl of hot dry noodles could surpass any breakfast in the world.

Then he replied, "The teaching process is characterized by the fact that both the teacher and the student are unpredictable and untraceable."

"People are like a game of chess, and there is no way to replay the game throughout the ages. No two people are exactly the same. Even if they are similar, even if they are twins, they will still have their own differences."

"And such changes can never be fully enumerated."

"Therefore, teaching will definitely be a perpetual and major problem. We shouldn't think about how to optimize it; there are professional scholars researching this kind of thing."

"All we can do, all we have to do, is pass on what we know. Whether they can learn it or not depends on their own fate."

"The master leads you through the door, but the practice depends on the individual."

"Ziye, do you know why medical education currently only teaches the basics?"

"It's because basic skills are what you need to get started, and they're also what you need to go out into the world; they're essential throughout medicine and clinical practice."

"We can't teach the rest." Tang Yi had been the head of teaching for many years, so he had the authority to speak on this matter.

Fang Ziye replied, "Right, Teacher Tang, since you say so, then I won't dwell on it anymore."

"By the way, Professor Tang, you've been here for quite a while now. Do you think there's any hope of treating infectious arthritis through non-surgical methods?"

Tang Yi shook his head: "It seems very difficult to implement at the moment."

"Intra-articular infections are different from intra-tissue infections!"

"Even in tissues with poor blood supply, there is still blood flow, so infectious drugs can reach the entire body through the tissues."

"But our joint cavity is not connected to the human body's circulatory system."

"The amount of synovial fluid is already limited, and it is currently impossible to rely on the small amount of antibiotics contained in the synovial fluid to have an effect on infectious arthritis."

"Furthermore, existing research shows that even injecting large amounts of sensitive antibiotics into the cavity of infected joints is still ineffective!"

"The treatment of infectious arthritis still relies on the three major principles of surgical infection treatment."

"Thorough debridement, sensitive antibiotics, and nutritional support."

"If the wound is not thoroughly cleaned, even a small amount of dead space remains, the bacteria involved can cause an exponential resurgence, and the wound will recover in less than two days!"

"Given the unique anatomical structure within the joint cavity, even with continuous irrigation and drainage, thorough debridement is still necessary for treatment."

"Ziye, I was just mentioning it casually back then, you don't need to take it too seriously, it's a waste of time." Tang Yi explained logically.

Infections within the joint cavity cannot be effectively cured through purely non-surgical means unless there is a breakthrough in basic theory or the development of new treatment tools.

Continuous irrigation and drainage within the joint cavity is equivalent to giving the joint a flowing flush, aiming to wash out any remaining bacteria.

It has been used in clinical practice for many years, but the final result is still that it must be combined with open and thorough debridement in order to cure arthritis.

Tang Yi is a joint surgeon, so if he wants to join the trauma surgery team, he needs to find a relatively suitable point to break through the current situation, and then use the point to form a line, and the line to expand the scope.

Since there was no new topic to discuss, Tang Yi focused on the patient he was scheduled to operate on today. After eating a few more bites, Tang Yi hesitated slightly and asked, "Ziye, the spinal cord injury patient you're planning to operate on today..."

"Even if you perform surgery on him and his function improves, is it really possible for him to keep his wife?"

"Why do I have a feeling this is a bit far-fetched?"

Fang Ziye is actually very cautious in selecting patients with spinal cord injuries.

Fang Ziye would not choose a patient who is not extremely strong-willed or who has been driven to the extreme by objective circumstances.

Because Fang Ziye is also afraid of medical disputes.

If we admit only children from dual-family households now, the treatment outcome will be poor, and there is at least a 30% chance of disputes arising.

Fang Ziye would only choose this kind of patient if he were insane.

Fang Ziye shook his head: "Teacher Tang, you're making things difficult for me."

"I can only say that I can try to get him some basic functions. As for whether he can keep his wife or whether he can find another wife in the future, how am I supposed to guess?"

"Actually, if I were to put myself in his wife's shoes, even if she chose to divorce after the surgery, I could understand."

“His family wasn’t well-off to begin with. Even if he recovers, his earning capacity will decrease. People in reality are all realistic.”

"If his wife truly stays by his side through thick and thin, I'll really admire her!"

When two people get together, they don't necessarily have to seek something from each other, but at least they should be able to see hope for life.

If there are no individual points, but they are put together, it must mean that one party is making unconditional sacrifices for the other.

Real life isn't a fairy tale; you have to pay for everything, from food and water to soy sauce, vinegar, and tea.

Life is lived one step at a time, not something you can just casually say and expect to live a lifetime.

"That's true. In any case, being able to relieve yourself and being completely dependent on others to relieve yourself, or even knowing that you need to relieve yourself, are all different situations."

"Let's try for this first..." Tang Yi stopped putting psychological pressure on Fang Ziye.

Doctors can only treat physical ailments, not social ones!
For example, when it comes to poverty, the overall environment is the fundamental solution.

Upon hearing this, Tian Yao spoke up: "Teacher Tang, Master, when a couple lives together, besides daily chores and living expenses, shouldn't there be other things to consider?"

"This thing..."

Upon hearing this, Tang Yi and Fang Ziye exchanged a glance before looking at Tian Yao.

Both men fell silent.

Well, Tian Yao's words have sealed the outcome.

The young man was young, but the youth of both he and his wife predetermined their ultimate fate.

Tang Yi rolled his eyes around, then shoveled down several more mouthfuls of noodles before scoffing, "Professor Fang, your student's words have only added to your pressure."

"In the future, when you're selecting patients, you might also need to consider other functions besides the most basic personality traits!~"

sex!!

In the past, Chinese people discussed this matter rather discreetly, but with the progress of the times, China today is actually in a relatively open era.

Fang Ziye is not capable of restoring this function to a paraplegic patient, at least not at present.

Moreover, this function is currently ranked last among the other functions that Fang Ziye plans to rebuild.

Stand up first...

However, unlike women, men stand up in two steps.

Fang Ziye looked at Hu Qingyuan: "Qingyuan, when you talked to the patient, did you make it clear? Was this matter involved?"

"If nothing is involved, after the ward rounds, we must have another private talk in front of him and his family!!!"

"Urinating has nothing to do with that!"

Hu Qingyuan hadn't discussed it, but he nodded and said, "Master, we haven't talked about this topic, but the patient hasn't asked either. I asked very clearly."

"His expectation was that he could relieve himself, even sitting down, and even knowing that he needed to relieve himself."

"It's all in black and white, with recorded conversations inside the Security Office and third-party witnessing from Security Office staff!"

“If he can stand up by himself occasionally, he feels that it’s something he never expected!” Hu Qingyuan emphasized.

Fang Ziye nodded: "I believe you on this point!"

"Compared to this patient, the patient in the other bed is actually easier to manage."

Tang Yi said, "Compared to Du Kuo in bed 14, Song Heping in bed 5 has at least one more advantage: he comes from a well-off family. They are naturally different."

Currently, the department has treated a total of three patients with spinal cord injuries.

Zhu Zhengquan, who was discharged earlier, Du Kuo, a young man in bed 14, and Song Heping in bed 5.

Song Heping, who was in bed 5, was a relative of Professor Wang Ou, a spinal surgeon. After Zhu Zhengquan's functional reconstruction was successful, Professor Wang Ou immediately asked him to come and make an appointment for hospitalization.

He was transferred from spinal surgery.

Wang Ou will take full responsibility for all the consequences of this patient's death. She will also personally sign the consent form. Fang Ziye doesn't need to worry too much.

The surgery for Du Kuo in bed 14 was scheduled for today, and it was the highlight of today's surgeries!
After the meal, Fang Ziye quickly finished the shift handover and ward rounds, and then led everyone into the operating room.

Once everything was ready, Fang Ziye said, "Start the surgery, begin recording the surgery time, and contact Professor Wang Ou again immediately to urge her on!"

Ask him where he is!

"When Professor Wang arrived downstairs, we..."

Fang Ziye had only asked half of his question when Professor Wang Ou rushed in from outside: "I'm so sorry, I'm so sorry, I was a bit late during rounds this morning, I was more than ten minutes late."

"Professor Fang, I'm sorry, I'm late."

"It's alright, Professor Wang, it's just clinical rounds, the timing is hard to control!" Fang Ziye replied with a smile.

Then, in a serious tone, he announced: "At 8:53:44 AM, the spinal cord incision and microcurrent acupuncture electrode implantation procedure officially begins!~" (End of Chapter)