top student at medical school

Fang Ziye wasn't going to be fooled by Song Yi so easily: "Song Yi, why are you bringing up Professor Han again? My relationship with Professor Han is just so-so..."

"The tactic of trying to cover up the truth is not for professionals to see, but only for outsiders to see."

"Fang Ziye, there are no outsiders here at this hour, and you still dare not let it slip?" Song Yi pressed on.

Fang Ziye replied, "Brother Yi, it's better to see through things than to say them out loud."

Fang Ziye is not a two-faced person. He told Han Yuanxiao to his face that he could help him cover up the lie, but then he turned around and spread the "truth" about the matter to everyone.

Song Yi could guess, he could think for himself, but he wouldn't let Fang Ziye reveal the truth.

Song Yi didn't dwell on the issue; he simply wanted to express what he wanted to say: "Actually, compared to your attack on Senior Brother Wu Xuanqi, Professor Han's thing is quite similar."

"However, in my opinion, it is the revision of the basic experimental methods for bone tumor experiments that is more incredible."

"Fang Ziye, during our conversations, my fellow students and I have suspected more than once that you're using cheat codes."

"But cheating can be unreasonable. You've made so many breakthroughs in your research, each step so solid, and we..."

Fang Ziye replied truthfully, "So that means, opening it slightly doesn't count as opening it, and not closing it doesn't count as opening it either?"

"Really?" Song Yi's eyes widened.

Fang Ziye nodded seriously: "Compared to many people, do you think you've been approved?"

Song Yi is no ordinary person. He dares to be ambitious, has his own ideas, and is willing to give up so many opportunities, which must mean he has a certain degree of confidence.

Otherwise, Song Yi wouldn't have left Kyoto Third Hospital and chosen Zhongnan Hospital as his first choice upon returning to Wuhan.

Now, instead of enjoying the comfort of Professor Duan Hong's group, he wants to come to Fang Ziye's place to find a sense of 'freedom'.

The courage to choose freedom is inherent in everyone.

But we must also consider what some people give up in order to choose freedom!
If Song Yi temporarily gives up his freedom, he can grow rapidly over time until he can lead a team and become capable of doing things on his own.

Song Yi didn't want to spend any more time waiting...

"I suppose so. But the majority of people you're comparing, Fang Ziye, are even more numerous than the majority of people I'm comparing," Song Yi said.

After saying this, Song Yi looked at Hu Qingyuan next to Fang Ziye and said cautiously, "Qingyuan should also be able to get a larger share."

Hu Qingyuan nodded slightly and smiled sheepishly, without being particularly humble or refuting Song Yi's words.

Seeing that Fang Ziye and Hu Qingyuan had both readily admitted it, Song Yi felt relieved.

But Song Yi still had his own questions: "Fang Ziye, Professor Duan Hong has praised you excessively more than once in the past few years. Can you give me a hint: where are you competing with now?"

Fang Ziye picked up the cup with his right hand and slid the bottom of the cup around the table a few times: "Youth knows not the taste of sorrow, yet you force yourself to write new poems about it."

"I no longer compare myself to others or to my past self; I simply accept whatever comes my way."

Both Song Yi and Hu Qingyuan gasped upon hearing this.

The phrase "go with the flow" can be heard everywhere, but when different people say it, their state of mind is completely different.

Fang Ziye's idea of ​​"going with the flow" certainly doesn't mean simply lying down.

"Why should we accept whatever comes our way? Why would we accept whatever comes our way?" Song Yi's expression was extremely conflicted.

Human strength has its limits, and so does the spirit of the times.

"Time can obliterate everything; compared to the rolling wheel of time, we are too insignificant."

"But if we can't even be ready to act at any time, we will be even more insignificant than we realize."

"I'm increasingly convinced that self-awareness is a philosophy, but achieving it is still incredibly difficult..."

“If we were to go on and talk about this in great depth, we’d both get really bored. Let’s not delve any deeper into this topic. Let’s just focus on what we can do for now,” Fang Ziye said, taking the initiative to steer the conversation away from the main subject.

Song Yi didn't want the conversation to end so easily: "Fang Ziye, you think what we're doing right now is just going with the flow. If we weren't going with the flow, what would you be thinking of doing?"

“There are many things to think about. And many things we can do,” Fang Ziye said.

"my country's basic research and development in pharmaceuticals, medical devices, and medical materials lags behind foreign countries by at least thirty years!"

"Even if we spend another thirty years, we may not be able to catch up with this period of time."

"From the perspective of practitioners, the medical environment in our country is at least twice as bad as that abroad."

"Isn't that considered rather conservative?"

"And... never mind, I won't say anymore." Fang Ziye ended the conversation again.

The main reason why Fang Ziye is currently hesitant to expand the number of participants in clinical trials is because he fears medical disputes.

Without a high degree of certainty, even Fang Ziye wouldn't dare to easily admit too many 'incurable diseases'!
Otherwise, if any patient or family member misunderstands the treatment's effectiveness, Fang Ziye might become another Mi Qi, or even a "Tao Yong" teacher.

Too many precedents made Fang Ziye afraid to gamble on the good and evil of human nature.

Fang Ziye will not starve if the number of patients requiring spinal cord injury treatment is not increased.

All that's required is waiting time; Fang Ziye isn't afraid of 'wasting' some time...

……

At the same time, at an animal laboratory in Kyoto.

An older middle-aged man stepped off the control panel with his hands raised, then sighed deeply: "It still doesn't work! I still can't operate it."

Another middle-aged man on the stage continued to observe, muttering, "The rabbit models were all airlifted directly from Han City; there's nothing wrong with them!"

"Their team didn't hide their research methodology, so does that mean the data and methods they provided are wrong?"

Those who were stepping down were already taking off their gloves and throwing them roughly into the trash can: "The data and methods are not wrong; there's no need to hide this kind of thing."

"They started treating this disease not so that only their team could treat it."

"In fact, we simply didn't operate in the right place, and we were unable to replicate their operational details."

A young man in charge of recording the data cautiously said, "Professors, as far as I know, Professor Fang Ziye has only treated three patients so far."

"The reason they haven't admitted any more patients may be because this treatment method is dependent on the surgeon."

"Current treatment methods have not yet been developed to the point where surgical procedures can be transferred, which is why Professor Fang has been very cautious in narrowing down the number of cases he treats."

"The microcurrent stimulation of the spinal cord acupuncture electrodes is used to reactivate the closed channels, so the puncture site must be extremely precise."

“Even a difference of millimeters inside the spinal cord can produce drastically different effects.”

"If the requirements and standards are so high, our team would probably need Professor Fang Ziye's team to develop an auxiliary device to replicate this project."

"After all, equipment is the only tool that can reduce the difficulty of operation and the level of operator accessibility!"

The middle-aged man observing on stage had thick, bushy eyebrows that were now furrowed into a semi-circular scimitar: "But we've already cut it open, and there are no special markers inside the spinal cord."

How did Fang Ziye know where to make the puncture?

"Does he think he can just wear whatever he wants?"

The middle-aged man who stepped down nodded and said, "That possibility cannot be ruled out."

“I remember meeting Professor Zhou Gongbo from Huashan Hospital in Wuhan at last year’s annual meeting. Professor Zhou said that his department had encountered a patient with malignant nonunion of bones before.”

"Later, it was healed under the care of Professor Fang Ziye, who treated it by administering medication through local puncture."

"Professor Zhou Gongbo of Huashan Hospital later followed this line of thinking and carried out a series of research projects. The research showed that this particularly difficult and troublesome malignant nonunion of bones requires a more advanced puncture technique combined with local medication to improve the treatment effect."

"The effectiveness of treatment may be related to the individual skill of the practitioner."

"To date, Professor Zhou Gongbo's team has not yet provided a particularly detailed standard treatment plan for patients with malignant nonunion of bones, probably because they have not yet taken this step."

"How come our orthopedic treatment involves something like puncture?" The middle-aged man who spoke was particularly frustrated.

After letting out a long sigh, the middle-aged man with thick eyebrows could only smile wryly and say, "Professor Wang, it seems that even the food that's right in front of us can't be eaten."

"Given the current situation, all we can do is either keep trying and making mistakes, or we can just wait."

"According to the information provided by Professor Fang's team, apart from Fang Ziye, there is currently no one else in their team who can replace Professor Fang in the specific operations."

"The idea is one thing, the method is another thing, but being able to put the idea into practice through the method is another dimension."

"Spinal cord injury? That's too troublesome. It's difficult to deal with."

Professor Wang asked, "Xiao Xiao, have you contacted Professor Fang's team? Is access currently open to them?"

"If you agree, I really want to go to Lintai to see how they do this kind of research."

“We have been repeating this for almost a month, and there is still no progress.”

The person named Xiao hurriedly said, "Professor Wang, I haven't asked this question yet. Last time you just asked me to ask Professor Fang's team if it would be convenient to share some rabbit models."

I should be able to get back to you tomorrow.

"Then let's ask!" Professor Wang shook his head: "Professor Kang, let's not stay at this stalemate. Working in isolation is useless."

"Let's go ask him in person. If Fang Ziye also thinks that repeating the project requires extremely difficult individual operations, then we'll have to put the project on hold."

"A skilled craftsman must first have the right tools!"

Upon hearing this, the person called Xiao asked even more cautiously, "Professor Wang, compared to developing a machine to replace one's own operation, isn't it much easier to operate it independently?"

"The equipment can guarantee the lower limit for all operators, but to ensure that everyone's lower limit of operation is reached..."

Xiao laughed out loud: "I'm actually more looking forward to Professor Fang's team finding a different approach!"

If surgery is like cooking, then the surgeon is the chef.

Developing a dish that tastes good is difficult enough, but people also disagree about teaching the recipe to others.

Inventing a cooking machine that allows everyone to enjoy dishes that most chefs can't make is undoubtedly a pipe dream.

How could there possibly be a device that can replace Professor Wang?

"Then what else can we do? Is this another ineffective treatment plan?" Professor Wang retorted irritably.

Xiao remained silent.

He did sound a bit pessimistic just now, but that's the truth.

The group stopped arguing.

After Professor Shi stepped down from the control panel, they stopped their 'tinkering' for the day!
……

Han City, a barbecue stall.

"Hu Qingyuan, don't even think about it!"

"Master is going to teach you a principle now: any clinical doctor cannot give up the ward or the outpatient clinic, otherwise he is not a real clinical doctor."

"If you don't personally see patients and make rounds, you won't even know how you died!" Fang Ziye rejected Hu Qingyuan's 'hearsay' suggestion!
Upon hearing this, Song Yi also said, "Hu Qingyuan, your thinking is too naive. Do you think that scientific research and clinical practice can be separated, but clinical practice and outpatient services can be separated?"

“That’s definitely not going to work. If a doctor only sees patients in the outpatient clinic, then he won’t understand real clinical practice and might admit some patients who don’t meet the criteria.”

"If a doctor doesn't go to the outpatient clinic, he has no way of understanding the preferences of the current patients?"

"Different hospitals, different regions, and different types of patients and diseases."

"Moreover, only by continuously understanding the prognosis of the patients you have treated and by constantly following up with them can you know how to coordinate and adjust the treatment."

"Others would definitely prefer that your master perform more surgeries to reduce his workload."

"But if you really want your master to have a lighter workload, then it must be because the people in your team have grown up enough that your master can feel very comfortable allowing you to treat patients."

"No one else in the same unit is acceptable, except for you."

"As for scientific research, there's no need to even mention it."

"This whole situation isn't going to fall apart without your master, but if your master is gone, who else would Liao Jia or Nie Mingxian even look at?"

"Professor Li Yongjun, Nie Mingxian's teacher, has a very strong influence in vascular surgery, ranking among the top five in China."

"Professor Liao Jia is already financially independent. You want your two advisors to invite him? What makes them think they can invite him?" Song Yi said very realistically.

Although most people in reality dislike the phenomenon of "admiring the strong," this behavior has existed throughout history.

Hu Qingyuan has some talent, but he has only been in clinical practice for a short time and is still confused about many things. However, he is also very receptive to advice: "Master, I am just expressing my own thoughts."

"It's just too naive."

Hu Qingyuan readily admitted his mistake.

Because the more capable a person is, the more readily they can recognize their own shortcomings!

"It's good to have ideas, and it's also good that you understand that your master is very tired, but you need to pay attention to the way you show understanding."

"Even your master now wouldn't dare suggest that your two advisors stop going to the clinic, would he?"

"If we're just pursuing a high number of surgeries, if I were to increase the number of outpatient visits and hold two outpatient sessions a week, we could fill at least two wards."

"But I can't do that, because I'm an outpatient doctor, and I have to be responsible for the patients who come to me for treatment!" "If I don't have a very thorough understanding and trust in the other surgeons, and a particularly clear understanding of the disease, I can't just recommend them randomly!"

Hu Qingyuan nodded with a smile: "Okay, Master, I've got it."

Song Yi and Fang Ziye were not trying to diss Hu Qingyuan, but simply to explain his statement, so Hu Qingyuan was not unhappy at all, but rather felt very comfortable.

A good teacher is also part of one's foundation. With a deep foundation, one doesn't need to think too much. Even if there are problems or mistakes, they can be made up for.

Moreover, Hu Qingyuan's current thinking is just a bit flawed!

Song Yi exclaimed again, "Fang Ziye, you're really lucky!"

Fang Ziye said, "Song Yi, if you like, why don't you take Qingyuan with you and try it out for a while?"

Song Yi has already graduated with a doctorate, and he has mastered most of the basics of trauma surgery research.

Therefore, Song Yi no longer has any particular area to learn; what he needs to do is to reflect and mature.

Although Hu Qingyuan was very talented, he couldn't possibly accumulate all the basic skills in just one year.

If Song Yi wants to experience what it's like to mentor a genius, Fang Ziye is willing to give him the opportunity.

"Sure, I really, really like Qingyuan. She's smart, hardworking, and sensible!"

"Damn, I wouldn't mind taking on a hundred students like him, it's just a pity I don't have the ability to take on him..."

"I'm afraid he'll squander all my savings in just a few months." Song Yi nodded in agreement.

Hu Qingyuan was very sensible and raised his glass, saying, "Then thank you, Teacher Song."

……

The next day!

At 7:20, Fang Ziye had just arrived at the chief inpatient office in the ward and was about to eat a steamed bun.

The phone rang.

Fang Ziye took the steamed buns and left the chief inpatient office: "Good morning, Professor Xiong."

The caller was Professor Xiong Bin from the Department of Gastrointestinal Surgery. He had previously urged Fang Ziye to act because of his "connections"!

"Professor Fang, I'm calling to thank you. I was being inconsiderate before," Xiong Bin said, his tone somewhat weak.

Fang Ziye replied, "Professor Xiong, you're being too polite."

"Professor Fang, I didn't understand your situation before. I always thought you were deliberately delaying and stalling for time. I...!"

At this point, Xiong Bin decided to lay it all out: "Actually, none of these reasons hold water. I was blinded by my own interests and didn't consider things thoroughly or comprehensively."

"The reason I urged you, Professor Fang, before was because a friend of mine said that he was in a rather troublesome position because of you."

"He said he might have offended you, Professor Fang, so you're angry with him and deliberately not working on the project..."

Xiong Bin is dissecting himself.

Fang Ziye's answer surprised him: "Professor Xiong, your friend is right, I am deliberately postponing the project."

Xiong Bin's voice became distorted: "Hmm?"

“But I’m not doing this to get angry with him. I have another purpose,” Fang Ziye explained.

"I don't want to run away. I just want to do my job honestly, but others won't give me that time and opportunity."

"I'm not some kind of puppet, am I?"

"Professor Xiong, if I told you now that I have to go to Tongji Hospital, would you agree with other people's suggestions?" Fang Ziye asked rhetorically.

"Why? Hey, who at Tongji Hospital is so interesting?"

"Are you trying to get past me at a time like this? Don't you have any shame?" Xiong Bin bluntly cursed.

When people gather with colleagues, everyone is sure to be very polite.

But when it comes to disputes involving core interests, let alone Tongji Hospital, what about Union Hospital?
You may be very capable, but when it comes to research, you can't be shameless and take credit for others' work.

"Professor Fang, you can't really go, can you?" Xiong Bin quickly asked.

"No, Professor Xiong, this matter has already been resolved."

"Otherwise, I certainly wouldn't be able to live such a carefree life like this now."

"However, although I won't take any leave in March, I will still take some annual leave and marriage leave in April," Fang Ziye said with a smile.

Xiong Bin went too far, but he didn't do anything that affected Fang Ziye's core interests.

Discuss the deeds but not the heart.

Xiong Bin laughed and said, "Professor Fang, don't worry, I will definitely shamelessly come to ask for a drink at your wedding."

"Passing the imperial examination is a minor achievement; consummating the marriage is a major achievement."

"Marriage is a major life event, and nothing can compare to the planning involved in getting married."

"Please feel free to take leave. We'll wait for you to come back."

Adding flowers to brocade may not be of much use, but not adding flowers when brocade is already brocade might still leave a lasting impression.

"Professor Fang, thank you so much for your help with my student Li Mengchao's matter. Actually, if you hadn't spoken up, I wouldn't have been able to bring it up with Director Yang and the others."

"After all, such words are not conducive to harmony within the department," Xiong Bin pointed out the key point.

It's not good to keep talking in suspense. Xiong Bin did make this call because of the benefits Fang Ziye promised to give to Li Mengchao.

Fang Ziye agreed to give Li Mengchao a chance, which also gave him more opportunities.

"Professor Xiong, it also depends on Dr. Li's own abilities. I'm just an outsider, and he pointed out in front of so many of us that he could have done better."

"If it's just empty talk?" Fang Ziye's tone was also very serious.

I can give you the opportunity, but don't just smile at me and then make a huge mess of things.

Xiong Bin quickly said, "Professor Fang, I called you about this matter as well."

"Xiao Chao is too young, so he may have said some boastful things in front of you, Professor Fang."

"My first wish is that you, Professor Fang, will not publicize this matter!"

"Secondly, even if Xiao Chao doesn't do things to your satisfaction, Professor Fang, please don't be too angry. If you are angry, take it out on me, but please don't take it out on him."

"Young people, they just don't know how to keep their mouths shut."

Upon hearing this, Fang Ziye felt even more regretful.

The fact that Xiong Bin called to say this proves that his personal relationship with Li Mengchao has improved, making it even harder for him to expose their secrets.

Therefore, Li Mengchao will definitely not be able to enlist full-time like Song Yi in the future.

However, this was also within Fang Ziye's expectations: "Professor Xiong, even if you haven't mastered the basics, you still have to produce something, otherwise it will be difficult to convince the public."

"I do trust that Dr. Li can do even better."

"What our research group needs now is to be more rigorous, more professional, and more meticulous in every step."

"The more detailed the handling of each independent factor, the higher our tolerance for error becomes..."

How is the success rate determined?
It's about doing each step better and building it up little by little.

"Okay, Professor Fang, I will keep an eye on Xiao Chao. I hope he can really collect some data that will satisfy you."

"If possible, I would also like to hope that Professor Fang can give Xiao Chao some guidance when the time is right. This child has quite good talent and aptitude," Xiong Bin said.

"Professor Xiong, you overestimate me. I don't know much about gastrointestinal surgery," Fang Ziye replied.

"Everyone can teach the conventional stuff, but Professor Fang, what you know are unconventional, and only you can teach them."

"Currently, although valve control has been established for the reconstruction of bowel function in patients with spinal cord injuries, it can still be improved."

“Xiao Chao has some immature ideas, which he told me, but I think they are still not mature enough. So I hope that after he organizes them, we can give him an opportunity to discuss them with Professor Fang!” Xiong Bin said.

Fang Ziye was shocked. This Li Mengchao was really something!
Judging from his current performance, Li Mengchao's attack power attribute is maxed out.

If he is truly very capable, he is more suited to output-oriented teams, and Fang Ziye quite likes this kind of personality.

Because Fang Ziye is actually someone who inherently likes to 'output'.

“Professor Xiong, then we can have a chat when we have the chance. I would also like to hear your more professional thoughts on gastrointestinal surgery.”

"We're only responsible for laying the foundation and providing ideas. As for how to optimize it, only experts like Professor Xiong have the right to speak on that," Fang Ziye said, displaying a bit of social etiquette.

Xiong Bin did not feign modesty anymore. This was an opportunity that his student had worked so hard to obtain. If he were too timid, why would Fang Ziye choose Xiong Bin instead of Yang Guoliang for a deeper collaboration?
It's definitely better to make Xiong Bin's team a larger, more competitive team!
……

After finishing his steamed buns, Fang Ziye walked energetically towards the doctor's office to wait for the shift handover.

After the nurses and on-duty doctors completed their routine handover, Fang Ziye took the initiative to say, "I'm afraid I'll have to take up a little of your time for ward rounds and surgeries today. I have a few things to announce and explain."

"The first thing is that our department's strengths in treating these diseases are already very clear."

"Professor Zeng's group has a very good approach to bone tumor-related treatment, including routine diseases, exploratory clinical research projects, and novel projects that combine with basic research."

"Our group currently focuses on limb-sparing surgery for diabetic foot, limb-sparing surgery for severe infections, and bone reconstruction surgery for malignant nonunion."

"Professor Wang Zongkai's group is a hand surgery team that focuses on functional reconstruction and supplements it with tendon and nerve transfer techniques."

"This is a very good development trend."

"Currently, our department's average length of stay and turnover rate are both lower than the hospital average!"

"But we also need to consider the actual situation. We shouldn't create data just for the sake of creating data. The patients we treat are all rare and difficult cases, not routine illnesses."

"If it's for the sake of data, we'll admit more fracture patients, more patients with simple tendon sutures, and more patients with surgical lesions."

"We're admitted to the hospital today, have surgery tomorrow, and are discharged this afternoon... but it's pointless. So if the hospital wants to deduct from our performance bonus, we can only accept it..."

"This is where we did well!"

Fang Ziye's tone turned serious as he continued, "Currently, there are still many areas where we haven't done well enough!"

Then, Fang Ziye looked at the chief resident; "Lan Tianluo. Are the graduate students and doctoral students in our department really that difficult to manage? Are they really that bad?"

"Why can something go wrong even when writing a medical record?"

"Huh? Can you tell me?"

Is it really that difficult to create medical record templates in a timely manner?

"How could such a large medical record exceed the time limit? What are you doing? What did you teach during your orientation?"

Fang Ziye was venting his anger at Lan Tianluo, but it was actually a veiled attack.

According to the "Basic Norms for Medical Record Writing", the first medical record must be completed within 8 hours of the patient's admission. Failure to complete or exceeding the time limit is considered a major defect and directly leads to substandard medical record quality.

Significant deficiencies exist (such as the initial medical record being outdated or missing), meeting the criteria for a "single veto item".

Lan Tianlu lowered his head like an ostrich, offering no rebuttal or explanation.

"Although this incident happened rather strangely, there were very special circumstances. On that day, the on-duty doctor, Xiao Jinqiang, suddenly had an emergency and fainted."

"However, Xiao Jinqiang's problem is not serious. It was just a twitching of the cerebral aneurysm, not a rupture. Moreover, he underwent emergency surgery, and the surgery is currently very successful."

"But we still need to be more careful. If even one of the attending physicians, chief resident physicians, our nurses, or our supervising chief residents notices this, we won't end up with a Class C medical record that exceeds the time limit."

"Here, I would like to suggest that our young doctors also pay attention to their health. If they feel unwell, they should go for a physical examination if necessary..."

"In addition, the medication use in our department is not standardized enough. We still need to pay a little more attention to it and try to use medication more precisely so that we don't get found to have duplicate drugs with particularly obvious effects."

"For example, Daflon and Yushangling are drugs with similar effects, mainly to reduce swelling, so you only need to prescribe one of them, instead of prescribing two in one case."

"If you run out of medication, you need to indicate that in your medical record. Otherwise, the medical insurance won't check that thoroughly. But if you indicate it in your medical record, you can certainly change the type of medication if you run out of medication, right?"

"Thirdly, I want to give special praise to Dr. Dai Zhusheng in our department. Although Dr. Dai Zhusheng is only a first-year master's student, his progress is extremely fast."

"Not only did he publish articles, but he also excelled in the basic skills of orthopedics, standing out among his peers."

"As a first-year graduate student, he already has the opportunity to participate in the National Graduate Clinical Skills Competition. Others should take this as an example."

"Let's all applaud Dai Zhusheng to celebrate..."

Zeng Duoqin immediately led the team in applause.

Upon hearing this, Dai Zhusheng lowered his head somewhat embarrassed. Standing in the crowd, his face was slightly flushed, and he was also a little excited.

Hu Qingyuan was also in the crowd. He glanced at Dai Zhusheng from afar, his eyes filled with complex emotions, but without any particular envy.

Although Dai Zhusheng went to the National Postgraduate Clinical Skills Competition, which he couldn't attend, his path was quite different from Dai Zhusheng's. (End of Chapter)