top student at medical school

Chapter 788 Trauma and Chronic Diseases

Fang Ziye's tone was polite, and the other party showed no other emotion, still smiling: "Professor Fang, I know your identity is extraordinary, and you have some other connections."

"But I still want to advise you, Professor Fang, not to make a mistake. With your abilities, you have a bright future ahead of you. Where you go is simply a matter of choice."

"Each has its own biases and advantages."

Fang Ziye said, "Teacher, I agree with what you said, but whether one is a doctor or a researcher, one should be free to choose."

"Choosing a career should also be a matter of freedom..."

The other party scoffed: "Professor Fang, you're still too young... You can't just keep trying to improve."

Fang Ziye interrupted him: "Who says work has to be for advancement?"

"I'm telling you this right now, listen carefully: if a country as big as China can't even tolerate someone as unambitious as Fang Ziye, then I'd rather die!"

"But I believe that the country I love is not that rotten!"

"Let me tell you something else: if you have the ability to ruin my future, that's fine. You can even take my life! That's fine too."

Fang Ziye spoke calmly, then took a deep breath: "I also want to see just how I can be powerless to control myself!"

The other party was silent.

The silence was so profound that their breathing became somewhat stiff.

"I've hung up, teacher." Fang Ziye's tone remained polite.

The other party's tone hardened slightly: "Professor Fang, do you know how much benefit you can gain if you come here, even if you don't provide any assistance, even if you just come to hang around for a while?"

"I don't know, and I don't want to know. Please don't say anything more; it's pointless."

Fang Ziye let out another long sigh of relief and said, "Whether the grand principles I learned at school were deliberately taught to me by some people or they really think that way."

"I believed it all, so you've achieved your goal."

"I've kept the principles my teachers taught me in mind, so now that things have come to this point, I'll take them as my beliefs!"

"I can attend those classes in society if I want, and I don't have to serve them if I don't want to!"

"So you don't need to tell me grand principles. You can also use this social environment to give me a new lesson, and I'll be watching!"

"Watch carefully."

Isn't it just about waving a big flag?
Fang Ziye can do it too!
"Teacher, which word is wrong? Please pick one out for me." Fang Ziye dropped a bombshell on the other party.

This time, the other party hung up the phone first.

He dared to point out a single wrong word, and if Fang Ziye had recorded it with other equipment, he would be in big trouble!
……

After hanging up the phone, Fang Ziye didn't dare to take the matter lightly and immediately called Chen Guangbai.

Fang Ziye should have contacted Chen Song directly, but Dean Chen Song was old and had retired, and was also unable to move around easily.

"Professor Fang, good morning!" Chen Guangbai was in a particularly relaxed mood.

"Uncle Chen, things were fine until I received a phone call, and then things started to go wrong," Fang Ziye replied truthfully.

Then Fang Ziye recounted the contents of the conversation as it was, and after he finished, he took a deep breath.

He added, "Dr. Chen, I feel a bit lost!"

"They have different roles and tasks, so the causes of the chronic diseases they face are different."

"Those who persist in engaging in physical labor and undergo long-term training generally have good cardiopulmonary fitness, and their organ functions also become quite healthy due to exercise."

"So what remains on the body are the sequelae of trauma, such as arthritis, functional impairment during training or tasks, and spinal cord injury."

"But some of them are just engaged in 'mental' work, who consider themselves adept at interpersonal relationships. They constantly smoke and drink, and the residual damage to their bodies from these drinking sessions is mostly left over from other chronic, non-traumatic diseases..."

"For example, non-invasive diseases such as hypertension, diabetes, fatty liver, and cirrhosis."

"I'm just an orthopedic surgeon?"

Fang Ziye is no longer an ordinary young man, so the basic logic he can decipher is not simple.

If we analyze it carefully, it's clear that the situations of some veteran comrades who served in politics and the military, and their families, are largely different.

The purpose of this call from an unknown number is to spark a competition.

Fang Ziye is all alone!

"All services will be prioritized for a select few. How do I choose?"

“Uncle Chen, I’m not questioning or blaming you, I just want to hear your thoughts, that’s all!” Fang Ziye said.

Fang Ziye did not believe that Academician Chen Xiaoping of Tongji Hospital had been dedicated to the research of liver transplantation and the development of a liver microcirculation device solely out of personal interest, without any other factors involved.

Academician Chen Xiaoping is a hepatobiliary surgeon; he's been in this field, so he couldn't avoid it!

In China, the field of hepatobiliary surgery currently produces more academicians than other disciplines, with liver transplantation being a key area of ​​research.

Isn't the biggest damage caused by drinking alcohol to the liver?

Chen Guangbai said, "Fang Ziye, part of your analysis is correct, but another part is incorrect."

"Being healthy doesn't mean you don't drink or smoke, or that you don't need to..."

"Of course, our sanatorium will definitely step in to solve the problems you are facing. And I can tell you clearly that as long as your attitude is clear, Professor Fang, you will not receive a conscription letter!"

"Your file is currently at our military region's sanatorium!"

"Currently, apart from that old man personally stepping in, no one else can cross such a distance and so many of us to directly attack you."

Chen Guangbai did not rule out the possibility of a definitive answer.

Fang Ziye was quite satisfied with Chen Guangbai's answer: "Uncle Chen, that's for sure."

"However, you just mentioned that non-invasive chronic diseases are not limited to that circle; they also exist in the military?"

Chen Guangbai laughed and said, "Fang Ziye, character is character, and personality is personality. Character has nothing to do with whether or not one drinks!"

“My dad said that there are far more smokers and drunkards inside than outside. Even though the rule is that you can’t drink alcohol, basically everyone from top to bottom will find a way to break the rule.”

"Um…"

"Fang Ziye, it's alright. Our sanatorium has plenty of experience in handling these kinds of things! So you don't need to worry."

Did you mention the other party's organization during your conversation?

Fang Ziye shook his head: "I didn't ask, and I don't want to ask."

"It's good that they didn't ask. What I mean is, it's best if the other party brings it up on their own initiative!"

“Do what you want to do. If our sanatorium can’t even keep the people we want to stay, then there’s no point in continuing.” Chen Guangbai once again gave Fang Ziye a very affirmative tone.

Fang Ziye replied, "Thank you, Uncle Chen. I think this matter is quite serious, so I wanted to contact you in advance to avoid being caught off guard and having no time to react."

Upon hearing this, Chen Guangbai thought for a moment and then said, "Fang Ziye, do you think you could be a little more decisive in your tone now?"

"If they dare to access your file, we can find a reason to cause them trouble!"

"After all, Fang Ziye, the AI ​​prosthetic limb you led the team to develop is not just for people with disabilities."

Chen Guangbai gave Fang Ziye a subtle hint.

"Huh? What? Uncle Chen?" Fang Ziye was stunned.

Chen Guangbai said, "Ziye, don't ask around. Knowing too much is not a good thing for you. Anyway, you don't need to be afraid of others checking your file. Whoever really starts checking will most likely be in trouble."

"It's just that my father didn't want you to get too deeply involved in that kind of research for some reason, so he suppressed the transfer order for you."

"Moreover, they saw that you had a greater talent for medicine and could bring health to more people, so they didn't continue."

Upon hearing this, Fang Ziye felt a chill run down his spine: "Thank you, Uncle Chen. I won't ask anymore. I'm going to the animal laboratory now!"

Chen Guangbai said, "Okay, Fang Ziye, go ahead..."

……

In Chengdu, after hanging up the phone, Chen Guangbai said to the driver, "Drive back to the hotel first. We won't go to Dr. Nong's place for now."

"Dr. Chen, you had a hard time getting an appointment with Dr. Nong. You waited almost a week to find this time slot," the driver commented.

“Go back. After you get back, call Dr. Nong and tell him that something came up here and we’ll visit him again to ask for his advice next time.” Chen Guangbai replied very decisively.

Although visiting Dr. Nong was also important, Fang Ziye needed to tell his father about the problems he was facing.

"Dad! Ziye's current situation is not much different from what you faced back in Kyoto." After the call connected, Chen Guangbai did not tell him the actual situation.

Chen Song was not surprised: "Some people think that healthcare is a service, and all services, as long as they are services, will have relatively high-quality resources concentrated in certain areas."

"It's only a matter of time before they target Fang Ziye."

Chen Guangbai said, "Dad, what should we do now? None of us here have much experience in dealing with this."

"The health care team has quite a reputation and considerable influence!"

The full name of the health care team is the Health Care Committee.

This department is extremely mysterious; you never know where it will schedule the surgery, which doctor will perform it, or which expert or professor will be in charge of the consultation.

Outsiders were completely unaware of this.

Chen Song said, "Guangbai, you don't need to worry."

"As long as there is a way, it is relatively open, and things that are in an open state do not need to be claimed as one's own!"

“In principle, how can our sanatorium bypass them?”

"So this matter can actually be left unresolved! Don't underestimate the perceptions and perspectives of some people."

“The current leader of the military region’s health and medical services is no fool,” Chen Song replied.

Chen Guangbai reminded him, "Dad, I still think it would be safer to make a phone call to let them know. Otherwise, Fang Ziye will feel very insecure."

Sometimes, giving advance notice and letting the other person react instinctively are two different things.

"Okay, I'll make the contact." Chen Song felt it was necessary to give them a heads-up beforehand.

……

My good mood for the day was ruined, but not completely ruined!

After Fang Ziye arrived at the animal testing lab, Liao Jia locked himself in an office!
Even Wang Si came, but Liao Jia still didn't give up on her work.

After Nie Mingxian told Fang Ziye all this, Fang Ziye quickly pushed open the door and rushed in: "Brother Liao, it's alright, you can go and rest now!"

Liao Jia was sitting in front of a computer, surrounded by A4-sized medical records and imaging data.

The film spilled on the ground, surrounding him like a cage made of white and black-and-white film.

Liao Jia simply didn't want to come out, not because she didn't know anyone: "Fang Ziye, I'm getting back into the zone right now. If I lose this state, it might be a long time before I can come back."

"I still haven't completely transferred the clinical state of spinal cord injury to animals; there's still room for improvement."

“Spinal cord injury is in a relatively closed state, but there are residual electrical circuits. In principle, there are more than just what we have confirmed so far.”

"Based on the information currently available, it is speculated that even spinal cord injury would not significantly affect the nerve potentials involved in internal locomotion."

"Potential can be conducted across boundaries!" Liao Jia said decisively.

"Even severed nerves can regain electrical activity, so why can't signals be transmitted after a spinal cord injury?"

"What exactly is interfering with information transmission?"

"The word 'damage' cannot be defined."

Fang Ziye immediately lifted Liao Jia up: "Brother Liao, go check on the child! Sister Wang Si is outside!"

"If you keep doing this, Brother Nie and I will have no choice but to use force against you!"

"Sharpening your axe won't delay your woodcutting work; perhaps taking a break first will give you more ideas."

"You can't rush things."

Wang Si did not throw a tantrum like an ordinary woman. She stood at the door, her gaze towards Liao Jia filled with heartache and a slight anger.

But I also felt a little reluctant.

As researchers, we are in a state that is hard to describe, and it is a rare opportunity.

It will definitely be painful, but if you can overcome the pain, you are very likely to make a very crucial breakthrough and progress, comparable to years or even decades of hard work.

Some people call it 'sudden enlightenment'!
Liao Jia was not yet in a state of delusional ignorance. He checked the time and said, "Wife, I am perfectly lucid."

"I went to bed at 10 p.m. yesterday and didn't get up until 4 a.m. It's only a little past 9 a.m."

"It's not like they said, that you didn't sleep all night. Why don't you go home first? I'll be home by 6 p.m. today, and it won't affect your prenatal checkup tomorrow. I'll go with you."

"I want to get back into the zone! It should be soon, or at least I'll definitely find more crucial clues!" Liao Jia was clear-headed and logical, and gave a very precise upper limit to his working hours.

Is Liao Jia taking a break?
And you slept for six hours?
That's fine.

Fang Ziye looked at Nie Mingxian, who said, "Liao Jia, we don't need to be so stubborn..."

“We’re just working on a research project, nobody’s trying to kill you,” Liao Jia replied. “Nie Mingxian, stop talking nonsense, this isn’t a life-or-death situation.”

"Moreover, if I don't continue today, I might regret it for many years to come—that I didn't persevere!"

"If you're my good brother, then could you please take me home?"

Wang Sidao said, "I came here with my colleague!"

After Wang Si finished speaking, she turned and left. She was only worried about Liao Jia's condition, not that she didn't want Liao Jia to do nothing at all.

After Wang Si left, Liao Jia started arguing with Nie Mingxian again: "Are you crazy? I just got up a little earlier in the morning to work overtime and you called my wife?"

Nie Mingxian pointed to the office: "Liao Jia, who knew you were working overtime? Look around here!"

"It's like a doghouse, does it look like a normal place for a human to live?"

Fang Ziye tried to mediate, saying, "Alright, alright, Brother Liao, we won't bother you anymore..."

As Fang Ziye spoke, he saw Song Yi walking in from outside the office; Song Yi was the one with truly dark circles under his eyes.

As soon as Song Yi entered, he said, "Professor Liao, I've printed out a few more papers."

Upon entering, Song Yi noticed that there were many more people in the office.

Fang Ziye pushed Song Yi out the door: "Give me this, and then go to the break room in the lab and get some rest."

"You can tell from this that you haven't rested for more than 30 hours."

"If you die, Professor Duan Hong will definitely chop me up!"

Song Yi said, "Fang Ziye, I was so engrossed in researching literature last night that I was about to go to sleep when Professor Liao came over and asked me to find him some literature. I've found some now."

"I was planning to go to sleep as soon as it was delivered..."

Although a team is a whole, the work and schedules of its members cannot be completely the same.

Everyone works silently behind the scenes in various ways to contribute, which is why the team has made progress; otherwise, there would definitely be someone who is a slacker and drags the team down.

Fang Ziye did not stop thinking after leaving the laboratory. Lan Tianluo was also working overtime outside the laboratory to conduct statistical analysis, and Jie Han was also writing articles.

"okay!"

"What I mean is, our research group is progressing very smoothly right now, and we're not hitting any bottlenecks, so let's all stop pushing ourselves too hard. There's no need for that!"

"If we really encounter difficulties and bottlenecks, we can all get through them together."

"The way you're doing this makes it seem like Nie Mingxian, these old professors, and I are all irresponsible scumbags who 'start things and then abandon' us. You guys are suffering here while we're just lying at home sleeping soundly."

"People who don't know the situation might think we're bullying you." Fang Ziye's words were a bit harsh, but he really wanted Song Yi and the others to get more rest.

Just work at your normal hours.

Never think about risking your life when you don't need to fight.

After listening, Song Yi's expression remained unchanged, but instead a smile appeared on his face: "Fang Ziye, good, good, I'll remember!"

"I have my reasons for working overtime to research literature. I need to go to Shanghai for a blind date, so I need to ask for leave."

"It might take four or five days. I don't want to delay the research group's normal progress, so I worked overtime last night to reduce your workload..."

My flight is tonight.

Fang Ziye agreed with Song Yi's idea and said, "Then why don't you just ask for leave?"

Song Yi is getting old enough to find a girlfriend.

……

After finally confirming the details of the two team members, Fang Ziye arrived at the operating room of the animal testing laboratory.

Today, neither Professor Wang Ou nor Professor Zhang Quan from the Department of Spinal Surgery came, and even Dean Wang Xinghuan from the Department of Urology did not come!
After all, the project has entered a routine phase, and if they can't help, it's not good for them to just stand there as ornaments.

But it was Master Deng Yong who rushed over from Zhongnan Hospital!
However, Deng Yong did not participate in the project from the beginning, so he could not quite understand the topics discussed by the other professors. At this moment, he was looking for an opportunity to smoke outside the control room.

Upon bumping into Fang Ziye and Nie Mingxian, Deng Yong said somewhat awkwardly, "Ziye, Mingxian."

"Master, you've arrived so early?" Fang Ziye asked.

The main campus of Zhongnan Hospital is not far from here.

"I didn't have anything important to do today, so I just wanted to come and see what was going on!"

"It's been so long, and I still haven't come here." Deng Yong didn't rush to support Fang Ziye immediately after his strength improved. Instead, he waited until Fang Ziye had stabilized his level and mindset before coming to the animal laboratory.

"I think I just saw Song Yi?"

Deng Yong's gaze was somewhat uncertain.

Knowing what had happened between Song Yi and Deng Yong, Nie Mingxian avoided suspicion by saying, "Ziye, Teacher Deng, I'll go in first."

Fang Ziye said in a low voice, "Yes, Master, I invited Song Yi over from Professor Duan Hong's place."

"I haven't had a chance to report this to you yet."

Song Yi has done Deng Yong a great deal of harm, but Deng Yong has also dealt a significant blow to Song Yi!

Deng Yong narrowed his eyes and touched the mole on his chin: "Song Yi is essentially a very arrogant person, and he cannot tolerate even the slightest thorn in his mind."

"You need to be extra careful when dealing with people like this."

"In addition, your master has already taken the initiative to sever ties with the Enshi Sanatorium, so if you are there in the future, you will have to deal with it on your own."

"My name is merely nominally attached there, which is ultimately illegitimate and my own abilities are relatively limited."

"Besides, it's already been brought up, so it's not easy to go back on it now."

The sanatorium was a very snobbish place. The reason Deng Yong had previously established a relationship with the sanatorium was because the sanatorium was interested in medicine. Therefore, Deng Yong became the link between Zhongnan Hospital and the sanatorium.

However, this has already brought Deng Yong great benefits. Most of the things that needed to be washed away have been washed away, and he is now sitting comfortably in the position of chief of orthopedics.

Furthermore, Deng Yong's previous performance was too 'ordinary,' even though Deng Yong was somewhat 'clever' enough to summon Li Yongjun.

Ultimately, Deng Yong will not become a purely administrative staff member. He did not have much potential or talent before, so it is not appropriate to force him to remain in that position under a nominal title.

Deng Yong, no longer wanting to endure the gossip at the sanatorium, voluntarily offered to withdraw...

“Master, it’s alright. Dr. Chen also told me about this. The reason the sanatorium agreed to your application is because the sanatorium will take the initiative to form a corresponding relationship with our teaching hospital in the future.”

“At that time, it was not a ‘dependent’ relationship, but a cooperative relationship, which is why Dean Song Libo and others agreed to your application.”

“As for Song Yi, he is indeed quite strong-willed!” Fang Ziye nodded.

"But it's alright, only a pure heart can provide enough motivation to make progress."

From Fang Ziye's perspective, Song Yi must be an arrogant person.

He was just feeling unwell, so he didn't come to Zhongnan Hospital, and incidentally, he also gave Deng Yong a hard knock!
She practically jumped up and slapped Deng Yong across the face.

I passed the special assessment and got the ticket to be selected, but I tore it up in front of you. Who told you to make me feel uncomfortable?
Which recent master's graduate would dare to go head-to-head with a renowned professor of trauma surgery like this?

Aren't you afraid of being retaliated against later?
Song Yi did just that.

If it were Fang Ziye, he would feel that as long as he got the admission ticket, he wouldn't particularly care about the 'mentor's' previous indifference.

But Song Yi is not Fang Ziye; he will care and hold a grudge!
Even today, Song Yi remains the same kind of person.

Fang Ziye added, "Master, actually, Song Yi came back to Han City from Kyoto and came to my place from Tongji Hospital just to do what he wanted to do. He had no other intentions."

"He doesn't like being restrained, even in a disguised form..."

Song Yi has always been this kind of person; it's not something he's only recently become.

It wasn't just when she was facing Deng Yong that she acted this way.

"I guessed it too, but I wasn't sure before that Song Yi's return to Han City from Kyoto was just because he wanted to."

"He was able to pass our hospital's special assessment channel for practical skills, so there's absolutely no way he wouldn't pass the doctoral assessment at Kyoto University Third Hospital."

“But people like that are hard to get along with, and it can be exhausting,” Deng Yong said.

The more sensitive a person is, the more you need to pay attention to their thoughts and feelings.

Because this requires you to cater to his emotions.

“Master… is alright… We can’t expect that all the capable people I meet are like Lan Tianluo and Jie Han.”

"Every outsider has their own temper."

"For example, Brother Nie Mingxian, Brother Liao Jia, which one is easier to serve?"

“Master, you were also a leader…” Fang Ziye touched his nose.

Deng Yong put his hands behind his back and didn't want to smoke anymore: "Wow, my son Ziye is quite the leader now, he can spout a whole bunch of grand principles!"

Deng Yong was very happy.

Fang Ziye said, "Master, I need to go in and preside over the discussion."

……

Fang Ziye sat in the main speaker's seat in the conference room, opened the PPT, which had the words "trauma system" and "non-trauma system" written on it.

Fang Ziye held a PowerPoint slide turner in his hand, turned slightly to the side, and began to speak: "Dear teachers and professors, today we will be discussing trauma and non-traumatic topics."

"This suggestion was put forward by me before today."

"But now, I'm planning to make a small, temporary adjustment to it, which is trauma and chronic diseases!"

"Could we find a more sensitive point to distinguish the basic pathological mechanisms of trauma and chronic diseases?"

"I've thought about this for a long time, but I still can't think of a key point. I wonder if any of you teachers have any other ideas?"

Fang Ziye raised a question.

This is a fundamental question, related to pathology.

That's how it is with research projects. The larger the project, the more smaller points need to be discussed, and the more refined, specific, and detailed they become.

Hu Qingyuan was good at reciting, and after Fang Ziye asked a question, he raised his hand and said, "Master, after an organ is injured, there will be bleeding, blood clots, and inactivated cells in the local area, and inflammation may occur in the undamaged parts around it."

"Inflammation begins with a microvascular response, which may initially involve brief vasoconstriction, followed by vasodilation and congestion; at the same time, vascular permeability increases, allowing water, electrolytes, and plasma proteins to enter the interstitial space."

"Moreover, white blood cells (neutrophils, monocytes, etc.) can enter the interstitial spaces and clefts from between endothelial cells. If trauma is combined with bacterial contamination and the entry of foreign bodies, the inflammatory response will be more rapid and severe."

"This is an acute inflammatory response following trauma."

"The basic pathological changes of chronic inflammation caused by trauma include degeneration, exudation and proliferation of local tissues."

"In addition to these, there are specific inflammation and nonspecific inflammation!"

"..."

Although Fang Ziye and his colleagues are a group of surgeons, surgeons also deal with very basic things when conducting scientific research, and they must also gain a deep understanding of these basic principles.

Otherwise, even if data is obtained, it will be superficial and lack depth, without any particularly significant results or outputs...

About an hour later, Professor Zhang Jianjun from the Department of Neurology concluded: "Professor Fang, the concepts you mentioned are actually too broad in scope."

"Whether the degeneration caused by spinal cord injury is completely consistent with the degeneration caused by chronic diseases is a major topic in the field of basic pathology if we really want to analyze them in detail."

"If further breakthroughs in our research require more in-depth breakthroughs in this area, then the timeline is too long."

The more fundamental something is, the more difficult it is to study, because there are many researchers, the research takes longer, and there are fewer and fewer breakthroughs and starting points for research.

Fang Ziye also agreed with Professor Zhang Jianjun's view, nodding and saying, "Yes, if we need to use the progress of pathological research to advance our clinical research, then the timeline will be very long."

"But if it's the other way around, it's different."

"Based on the current progress of our research, we know that some closed potential channels still exist after spinal cord injury."

"These channels can be reactivated from a closed state by microcurrent stimulation. So, do we discover a phenomenon?"

"That means the internal degeneration of the spinal cord after spinal cord injury might not affect the conduction of electrical potentials?"

"Is this transmission a direct, vertical connection, or a leapfrog connection?"

"So, is this transmissibility due to insufficient research in basic physiology or pathology?"

"One of the two must be true; this is something our research group can explore further!"

As soon as Fang Ziye finished speaking, he noticed that everyone's eyes lit up, but apart from their eyes lighting up, everyone's expressions were quite pained!

As the saying goes, proposing a research topic is like digging a hole.

Fang Ziye hasn't even finished filling the hole he dug yet, and he's already dug an even bigger one!
Is Fang Ziye planning to bury them all?

Of course, if they knew that Fang Ziye had even shot an "academician" to recruit people, they would realize how naive their current thinking is.

Is Fangziye short-staffed?

We're desperately short of them!
In terms of human resources, Fang Ziye had reached a point of extreme hunger and madness.

So now that so many people have joined the research group, do they still want to leave?
No way!
Driven by insatiable hunger, Fang Ziye was determined to dig a pit and bury everyone, even if they weren't academicians or the most famous professors!
Fang Ziye will take anyone with good character, even an intern! (End of Chapter)

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