top student at medical school

Chapter 83 The Older Generation's Words on Step by Step Higher (First Update, Please Subscribe)
Zhongnan Hospital, a top-tier tertiary teaching hospital, has a particularly well-developed human resource structure, especially in its subspecialty of orthopedics, which boasts considerable overall strength.

Yang Wenzheng was a newly appointed chief resident and attending physician. His seniority was less than that of his mentor, Yuan Weihong, but comparable to that of Qin Geluo.

However, Fang Ziye, who had worked in Yang Wenzheng's group, knew that Yang Wenzheng's group also included Associate Professor Guan Qiquan and Professor Ni Yaoping, the administrative director of hand surgery.

Attending physician is an intermediate professional title, associate professor is a senior professional title, and above associate professor is a professor with a research group, which is a senior professional title.

Naturally, within the relatively complete framework of inheritance, the professor at the Zheng Gao level also rose step by step. While he is currently teaching students, he also had a mentor back then, namely Professor Wen, Professor Ni Yaoping's teacher, whom Yang Wenzheng referred to as his "grandmaster".

Fang Ziye had no way of knowing Professor Wen's name and didn't mention it much, but he knew from his time in hand surgery that Professor Wen was one of the earliest people to be involved in limb replantation surgery, and was a legendary figure who brought limb replantation surgery in the hospital from scratch.

It's fair to say that the Department of Trauma Surgery at Zhongnan Hospital has always been top-notch, but the Department of Hand Surgery has become somewhat more advanced, largely thanks to Professor Wen.

It seems that Professor Wen was either the fourth or fifth administrative director of the Hand Surgery Department, making him an absolute veteran of the Hand Surgery Department at Zhongnan Hospital.

Fang Ziye wasn't deaf, nor was his thinking rigid, so he naturally knew that Brother Yang Wenzheng was calling for this person, who was currently in the storeroom of the training room and was one of the key figures responsible for guarding the training room.

At the same time, Fang Ziye had actually had such a speculation before.

一个医学基础技能，从0级到1级大概需要的进度条是5点，从1级到2级需要的进度条是20点，从2级到3级需要的进度条是50点。

Knowledge points can be directly added to this progress bar.

However, upgrading a basic skill from level 3 to level 4 requires a progress bar of 500.

As the progress bar increases, the skill will improve. In fact, it only takes 75 knowledge points to upgrade a skill from level 0 to level 3.

Going from level 3 to level 4 requires 500 knowledge points, isn't that a bit too much?
Fang Ziye wasn't sure if it really required a level 4 suturing technique to go from sewing up the tofu to finishing the sewn jelly. In any case, before he could finish sewing up the jelly perfectly, he had no hope of ever succeeding.

In order to have regular operating opportunities after the professors and senior teachers return, Fang Ziye could only hope for suturing and nothing else.

Associate Professor Xie Jinyuan and his teacher Yuan Weihong will definitely need to learn advanced surgical techniques so that they can routinely perform them in the department in the future.

Then there's Dr. Qin Geluo, who is responsible for performing some of the more complex surgical procedures, such as periosteal suturing in bone transport surgery, etc...

Senior Brother Sun Shaoqing would bring over some complex fracture plate and screw internal fixation procedures, manual reduction techniques, and debridement techniques as practice materials for job hunting.

All that's left are minor procedures like cutting the skin and suturing, but even these procedures are still very rare.

Wang Yuanqi and Gu Yi, both second-year doctoral students, will definitely take the larger share. Yan Zhiming and Luo Tingzhu, who are also doctoral students, will also need to be fed the food.

That's not all. If Li Yuanpei, who is currently a master's student in the same year as him, were to have a stroke of luck and stay at the hospital to become Professor Deng Yong's doctoral student, then the number of people competing for his services would reach five or six.

In such a situation, if one's suturing and incision techniques are not better than others, why would Professor Deng Yong give them to him? He is not Yuan Weihong.

Yuan Weihong was willing to give it to him because he was the first among his students, and more capable than his junior brother Jie Han.

However, Professor Deng Yong's group has many students, and he cannot ignore any of them unless they are particularly unreliable. And these senior students are not unreliable; at most, they are just not obviously outstanding, so they certainly will not be abandoned.

Among the doctoral students, Yan Zhiming, a first-year student, is slightly less skilled at suturing jelly.

However, both Senior Brother Wang Yuanqi and Luo Tingzhu are already able to suture skin jelly with ease, and Luo Tingzhu is thinking of improving her suturing skills first, which is probably for the same reason.

When there are too many monks and not enough porridge, what can one do besides resorting to despicable means to frame others, and increase one's own power and influence?

Fang Ziye had actually hoped that his 500 knowledge points would be directly applied to improve his suturing skills significantly. Ideally, he would be able to break through the blockade imposed by Senior Brother Wang Yuanqi and Luo Tingzhu, and become the second-ranked candidate after Senior Brother Sun Shaoqing, who needed to find a job.

Fang Ziye never expected that he would achieve such a dramatic result.

Tail artery reconnection in nude mice is a high-end suture material and a very sophisticated suture technique.

Luo Tingzhu was an eight-year medical student at this hospital. During her internship, she was taken to the training room and personally tortured and beaten by Guan Qiquan, an associate professor of hand surgery.

With a single stroke, he reconnected the severed tail artery, completely subduing a group of arrogant, eight-year medical freshmen.

Fang Ziye originally thought that he could just suture the jelly with his suturing technique and be done with it. Unexpectedly, he was able to achieve a vascular patency rate of up to 91% in the suturing of the severed tail artery.

Fang Ziye wasn't a newbie either, so he naturally knew what this data meant.

Although Fang Ziye himself is not a professional master's student in hand surgery, he has some master's students in hand surgery. Before the third year of their master's program, everyone was not under much pressure, so they had many dinners together.

During a dinner party, while boasting, the graduate students specializing in hand surgery said that the ultimate ladder to success in hand surgery is reattaching a severed rat's tail.

If the patency rate of your reconnected coccygeal artery is as high as 95%, the professor of hand surgery can guarantee you a job in Seoul. If you can achieve 99% patency during your studies, everyone in the hand surgery department will guarantee you a job at Chung-Nan Hospital's hand surgery department.

Hand surgery is an industry that demands extremely high levels of suturing skills.

Even a specialist like Yang Wenzheng is still striving for a 99% vascular patency rate; their current suturing skills are still a little short of Fang Ziye's level.

Fang Ziye felt a little happy.

My abilities have improved significantly, which will definitely make me very happy.

But there was also a slight sense of annoyance.

loss.

The knowledge points were not fully utilized. If these knowledge points could be evenly distributed among incision, debridement, and suturing techniques, one might have three to five skills that would meet the graduation standards of the first training room in trauma surgery, instead of shining brightly in the training room of hand surgery.

After Yang Wenzheng returned, he did not invite Professor Wen over. What time is it now? It's past midnight.

The old professors are in the practice room, contributing their remaining energy. They're not there to suffer, so they certainly can't work day and night. Midnight to 2:30 is their rest time, and it's almost 12:40 now.

The old man has already gone to eat.

However, although Yang Wenzheng did not invite Professor Wen from the practice room, he invited him over by phone.

"Xiao Fang, don't worry, Professor Wen and Professor Li Qi from our hand surgery department will be here soon."

"Wait a little longer, I'll go catch another mouse for you..." Yang Wenzheng instructed, and immediately brought another mouse cage to the workbench.

After skillfully anesthetizing the mouse, it collapsed onto the operating table.

Yang Wenzheng then skillfully completed the operations of fixing the limbs and the distal end of the tail. After a brief symbolic disinfection, he used a round knife to cut open the skin and subcutaneous tissue of the tail, exposing the entire tail artery.

Immediately afterward, under Fang Ziye's curious scrutiny, Yang Wenzheng swiftly cut the caudal artery into about twenty segments with tissue scissors. After thinking for a moment, he felt that this number of segments was about right.

Then he said to Fang Ziye, "Twenty segments should be enough. If you can suture all these segments together and still maintain a blood vessel patency rate of over 90%, you'll be rolling in it."

As Yang Wenzheng spoke excitedly, he used a syringe to draw heparinized saline solution and drip it onto the severed end of the caudal artery to prevent coagulation.

Fang Ziye must have understood what Yang Wenzheng meant, and he took a half step back with his left foot: "Brother Zheng, my doctoral supervisor is Professor Deng Yong."

Fang Ziye wanted to give Yang Wenzheng a reminder.

Yang Wenzheng shook his head and said, "That's not important. Whether you're a trauma surgeon or a joint surgeon, as long as you can do the vascular suturing for finger replantation in our hand surgery department, you can come to our hand surgery department." "Orthopedics is a big family, and there are many departments. When you're looking for a job, just find one. You're still young and don't understand these things."

“Our hospital’s hand surgery platform is even better than our trauma surgery platform…” Yang Wenzheng winked at Fang Ziye.

The implied meaning is to earn more.

Fang Ziye still didn't reply. He stood with his hands behind his back, his eyes darting around, as if he were thinking about something.

Yang Wenzheng continued, "Xiao Fang, you've worked so hard to train your suturing skills and have mastered them to such a high level. Don't tell me you didn't mean it that way."

"If you didn't come to the hand surgery department, why would you go through all that suffering with suturing and waste so many materials?"

"Look, in the training room, you first sew rubber flesh, then orange peel, tofu, aspic, plastic box pieces floating on the water, underwater simulated blood vessel models, then tension suture rubber band tension blood vessels, and finally this step."

"Right? You should know in your heart how much suffering you've endured." Yang Wenzheng's face had an expression that said, "I knew what you were thinking all along."

Fang Ziye took another small step back and cautiously replied, "Brother Zheng, behind the skin jelly suture, are there still so many suturing practice materials?"

You can't just agree to something like that.

If he hadn't practiced, he simply hadn't practiced. If Fang Ziye were to fabricate a story about having practiced, it would be difficult to explain. After all, everyone knows what was practiced in the training room.

The materials Fang Ziye practiced with were at most skin sutures; there were no floating plastic box fragments, vascular models, or elastic band tension vessels.
Fang Ziye's question completely stumped Yang Wenzheng, causing him and the syringe in his hand to freeze: "You haven't practiced?"

Fang Ziye gently shook his head.

Yang Wenzheng's breathing became even more labored. Originally, Yang Wenzheng thought that Fang Ziye was secretly practicing in order to reach the highest level in hand surgery, and that he was still persevering even though he was unknown.

Then wait for your career to take off in hand surgery, be recognized and naturally become a PhD in hand surgery, and then become a doctor in hand surgery.

But Fang Ziye's eyes and expression at this moment seemed to confirm that his guesses were all wishful thinking.

"None of that matters. Let's talk about everything after Professor Wen and Professor Li Qi arrive," Yang Wenzheng said without further ado.

In the entire subspecialty of hand surgery, there are only a few highly skilled surgeons who can perform precise vascular suturing. At most, only a few professors and associate professors can undertake such a task on their own.

Speaking of specialists, even Zhu Quanlin, who is more senior than Yang Wenzheng, is not particularly consistent in his treatment performance, depending on his ability.

This means that whenever the department encounters an emergency involving a severed limb or finger, the associate professor has to personally take charge, and occasionally, even a professor like Ni Yaoping has to step in.

The professors had long hoped that someone could take over the responsibility of limb replantation surgery so that they could focus on more advanced procedures such as flap design, nerve transposition, nerve transplantation, and vascular transplantation.

However, so far, no such young person has appeared.

When Guan Qiquan was still an attending physician, he routinely performed limb replantation. But now that he has been promoted to associate professor, he must want to be able to handle more advanced cases and is no longer willing to continue to shine in limb replantation surgery. He hopes that a younger colleague can take over his work.

……

1:55.

Associate Professor Li Qi, who was hospitalized for emergency surgery, handed the surgery over to the attending physician in his group and came directly to the practice room.

Professor Wen is already on his way and called to say that once Li Qi arrives, he will arrange for the students to perform the operation first, and he only needs to check the results of 'BBK'.

Li Qi asked, "Professor Wen, who is BBK?"

"BBK is Fangziye, and Fangziye is BBK. Why do you care so much?"

"I'm riding my bike, don't make the call. Get on with the operation now," Professor Wen urged over the phone.

Everything came to an end, and Fang Ziye was forced to resume business.

Given his previous two successful suturing attempts, Fang Ziye would not deliberately sew haphazardly to lower his skill level. This would be disrespectful to the rats used as practice material, as well as to senior physicians like Yang Wenzheng.

When Fang Ziye was suturing the fifth ruptured blood vessel, Professor Wen Dongfang arrived at the practice room and closed the door. He was wearing a mask and a cap, and as he tore open his sterile examination gloves, he moved closer to the operating table.

The operating table was square, unlike the operating room, where one could stand in any direction. He stood in the only empty direction.

After taking a quick look, Professor Wen Dongfang couldn't help but offer some advice: "You're using too little force. Your blood vessels aren't as fragile as you think. Increase your strength by another 30%, and it will be easier for you to suture and tie knots."

Fang Ziye glanced at Professor Wen Dongfang but didn't reply, though he did add a slight increase in intensity.

He now has much more control over the force than before.

However, Professor Wen Dongfang's eyes seemed to have discerning eyes.

After Fang Ziye finished suturing, Professor Wen Dongfang said, "You used too much force. Reduce it a little more, about 10% less than before. Make sure the severed ends of the blood vessel are just right and tightly attached, without eversion or inversion. This will prevent the formation of eddies and turbulence and increase the smoothness of the blood vessel."

“Once turbulence or eddies are formed, the risk of thrombosis increases. Similarly, it will also affect the patency of blood vessels. Generally speaking, many hospitals require a patency rate of 90%, which is because the force is not well controlled during suturing, resulting in partial inversion or eversion, which in turn creates turbulence and eddies.”

Professor Wen Dongfang's guidance is incredibly professional.

Fang Ziye benefited greatly from this experience. After learning the principles of the operation and how to control the force, he reduced the pulling force during suturing.

After Professor Wen Dongfang finished watching Fang Ziye suture two more stitches, he said, "Yes, that's it. Experience this kind of feel, especially when tying a knot, the tension between the suture and the blood vessel wall. This kind of touch is the absolute standard for controlling the force in the future."

"No matter what kind of tissue you are suturing, once you find this tactile feel, you will be able to adjust the suturing force with ease."

"Continue stitching, don't hesitate or turn back..."

Professor Wen Dongfang's teaching method is not about making learning fun, but rather about making learning fun through testing; he teaches while simultaneously conducting assessments.

As time passed slowly, it took Fang Ziye more than twenty minutes to complete the suturing of the severed tail artery that Yang Wenzheng had cut open into more than a dozen segments.

After the suturing was completed, Yang Wenzheng was about to remove the hemostatic forceps when he looked at Fang Ziye and asked, "Are you more nervous or more excited?"

Associate Professor Li Qi and Professor Wen Dongfang each glared at Yang Wenzheng, with Wen Dongfang asking sternly, "Why are you talking so much? Quickly loosen the hemostat and check the blood flow. What are you keeping me in suspense for?"

With the advisor giving the order, Yang Wenzheng dared not be careless and immediately released the hemostat.

After the instant vascular measurement device beeped a few times, it flashed a green number, still only 91%!

Despite this, Associate Professor Li Qi took off his gloves and patted Fang Ziye on the shoulder: "He's a good prospect, very talented. Professor Wen, you've said it."

Wen Dongfang then asked, "Whose student are you in our hand surgery department? Ni Yaoping's, Zhou Ziyu's, or some junior doctor's?"

Wen Dongfang subconsciously assumed that the BBK they thought of was a hand surgery student.

A burst of updates like yesterday is definitely not going to work. I'll update more slowly. I'm more used to writing longer chapters. It will allow me to write more smoothly and with more detail.

Of course, I won't use filler text. Some of the foreshadowing would be too dry if simply written out, so I'll have to add some plot elements to it.

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(End of this chapter)