Chapter 341
If it weren't for a lot of things happening to align just right, Fang Ziye definitely wouldn't have had the chance to come into contact with a big shot of Professor Liu Huanglong's caliber.
If it weren't for Professor Liu Huanglong happening to want to use Fang Ziye to let the mantis stalk the cicada while the oriole waits behind, Fang Ziye wouldn't have had the chance to speak with Professor Liu Huanglong at all, let alone think about doing headhunting work.
Perhaps the current Professor Liu Huanglong was also put in a bit of a bind by Professor Ni Yaoping; therefore, after re-entering the Training Room, Professor Liu Huanglong's performance completely treated Fang Ziye not as a Subordinate, but went full firepower output.
A nude mouse's tail was cut into six segments by Professor Liu Huanglong.
Note, it was the tail cut into six segments, not the tail artery cut into six segments.
So, what Professor Liu Huanglong had Fang Ziye operate on was not merely the suturing of severed tail arteries, but tail replantation surgery.
One can discover that Professor Liu Huanglong's suturing skill level is quite high!
He spent roughly one and a half hours, and after reattaching all six severed tail segments!
Inside the operating table in Practice Room 808, even more professional assessment data flashed out.
"Instant Blood Patency Rate 98%!"
"Blood Flow Speed: 0.22-0.26ml/min (milliliters/minute)!"
"re2200-2500!"
"Turbulence Volume Ratio: 12%!"
"Oozing: None!"
"ncv: 30-35m/s!"
"apa: 12-20mv!"
"..."
The overall vascular patency rate reached 98%. This is the comprehensive vascular patency level after multi-segment vascular suturing, already a quite high standard.
Six segments sutured down, equivalent to the product of the overall vascular patency rate between every two segments, ultimately yielding a terrifying data of 98%!
The result of five 99%s multiplied together is absolutely lower than 98%; for the product of five percentages to approximate 98%, the vascular patency level between each two segments needs to be very high.
Among them, there were even more data appearing that Fang Ziye couldn't particularly understand.
Fang Ziye faintly felt a bit of a headache; the data assessment in this Premium Training Room is too professional!
This authentic Trauma Surgery top student, at this moment, looked at it until his brain buzzed.
But if you don't understand, ask; however, before Fang Ziye could open his mouth, someone took the initiative to give Fang Ziye half popular science, half flattery of Liu Huanglong: "Professor Liu, presumably Our Hospital's Ziye rarely comes to the Hand Surgery Practice Room, so he doesn't particularly know the specific meaning of these data!"
Fang Ziye nodded: "Teacher Guan, Teacher Liu. I can only understand the blood patency rate and blood flow speed clearly; the other data, truly a bit cannot figure out! ~"
Guan Qiquan is an Associate Professor, currently also the only one aside from the crowd of Professors who can be said to have a say, so he said: "Blood flow speed is not the faster the better, nor the slower the better. Rather, it must be as close to the nude mouse tail artery normal value as possible."
"The theoretical value of the nude mouse tail artery is 0.2-0.3ml/min (milliliters/minute)."
"But there are several types of blood flow states; laminar flow refers to the blood flow state with predictable velocity distribution in layers parallel to the vessel wall. This flow form is idealized, a quite good approximate distribution of small vessel flow in the entire human circulatory system."
"After a vessel ruptures, when the suture site has stenosis, laminar flow breaks, forming turbulent flow or vortex flow. This is very similar to a river."
To let Fang Ziye understand, Guan Qiquan also used a daily life example to explain.
"The dimensionless parameter calculation value of Reynolds number re can predict turbulent flow; re value less than 2000 predicts flow will be laminar, while value greater than 2500 usually indicates flow will be turbulent."
Guan Qiquan continued explaining: "Professor Liu can control re within the 2000-25000 range; can you now roughly understand how impressive this is?"
"However, although the overall re assessment is not turbulent flow and vortex flow, in reality, the damaged local area will produce vortex flow and turbulent flow."
"Vortex flow is local vortex flow or stagnant blood flow separated from the central streamline inside the vessel. This vortex flow, also called flow vortex, often appears at vessel bifurcations and distal to stenosis areas. Usually counter-current to the main flow direction."
"The proportion of turbulent flow in the whole will, to some extent, reflect your good or bad; most routinely, if the occurrence rate of turbulent flow and vortex flow is relatively high, it easily produces thrombus."
"The principle of thrombus easily occurring inside the heart is turbulent flow and vortex flow. Can use ultrasound to measure..."
"The smaller the turbulent flow and vortex flow ratio, the better; normal turbulent flow and vortex flow ratio inside vessels is 1%-3%, nude mouse tail artery is at 1%."
"Normal postoperative, generally twenty to thirty percent, then gradually drops to around ten percent."
"After Professor Liu's suturing, the achieved turbulent vortex ratio is only 12%; after recovery, this ratio will be even lower, reaching eight percent or even seven percent!"
"To lower from ten percent to eight percent, the effort needed is multiples of the effort from one hundred percent to ten percent this data."
"Nerve conduction velocity is ncv: generally speaking, rat tail nerve conduction velocity should be in the 25-50m/s range."
"Action potential amplitude is apa, sensory nerve conduction velocity sncv, motor nerve conduction velocity mncv..."
Guan Qiquan's tone had no exaggeration, did not amplify any emotion.
But such grades, only needing the most objective data to describe, already exceeded the thinking upper limit of most people!
Ordinary people, wanting to remember the specific meanings represented by these data, need to expend very many energy; let alone controlling all these data within normal data ranges?
Professor Liu Huanglong listened, then said slightly humbly: "Brother Guan, don't blow me up too hard either; the level you speak of, those Several Professors at Magic Capital Sixth Hospital and Huashan Hospital, might be able to reach."
"I'm still a rank short."
"Anyway, just idle with nothing to do; in front of such big shots, everyone is just scrubs pecking at each other. Ziye, although you're from Trauma Surgery, you still count as our Orthopedics big family."
"More understanding more trying, ultimately no harm; this severed tail artery suturing, I heard you've done before, so this tail reattachment, if you can't complete it well, then just complete the nerve and vessel suturing!"
"I'll personally set up a station for you..." Professor Liu Huanglong said, and personally cut the tail for Fang Ziye.
Also cut five cuts, including the in-body segment, exactly six segments.
Fang Ziye heard this, then explained: "Teacher Liu, this opportunity is definitely precious, but before I start operating, I still need to apologize first; I'm currently Chief Resident, if there's an emergency consultation, I might have to throw down the needle holder."
"After all, I have a task on me! ~"
Even though Fang Ziye had just added points to suturing technique to Level 5, and was very confident in his suturing operation in his heart, facing so many professional data he didn't particularly understand, Fang Ziye also felt no bottom.
If Professor Liu Huanglong blamed him for being a busybody, Fang Ziye would rather apologize now.
Only, things have already reached this step; where is there any room for Fang Ziye to retreat?
"Task is task, family matters must not delay clinical work, let alone learning and performance inside the Training Room?"
"Medicine does not tolerate showing off, but the Training Room can! ~"
"Come come come, Brother Guan, you accompany Ziye to operate a bit ba, by the way everyone also learns rat tail replantation again!" Liu Huanglong's tone was always very humble.
Guan Qiquan, although an Associate Professor, is older than Liu Huanglong.
Liu Huanglong called him Guan-ge, a habit started when Guan Qiquan was still very young, and continuing to call him that now was hardly shabby.
Hearing this, Guan Qiquan nodded and, gritting his teeth, began the operation.
Anyway, in front of Liu Huanglong, he had served as background and foil more than once or twice, and for more than one or two years.
As long as the big shots and the old professors didn't lose face in front of him, that was fine.
Currently, Liu Huanglong's suturing technique was the number one under 'Transcendent'; apart from a few professors who could suppress him, others, including several old professors at their peak, and even Ni Yaoping, who was now at his peak, could only regretfully admit defeat.
Fang Ziye was actually just a called-in foil; he was both Liu Huanglong's excuse to stall for time and a buffer for Hand Surgery to stall for time.
Therefore, most people turned their gaze toward the direction where Guan Qiquan was.
Guan Qiquan, living up to expectations, operated while teaching, treating it as a class, seeking only stability in the operation, not the effect of competing with Teacher Liu.
Of course, among the people here, except Zhu Weiguo!
Zhu Weiguo had previously pulled Fang Ziye aside and made a promise, which he hadn't told outsiders, including Wen Dongfang.
Liu Huanglong was once one of our own, now an outsider, but Fang Ziye was always part of Zhongnan; therefore, there was no need to make Fang Ziye's boastful words public in advance.
If Fang Ziye could not defeat others with strength, then this boastful talk would never need to be spread.
If Fang Ziye could suppress others with hard strength, then even if this boastful talk wasn't spoken, someone would naturally place it above Fang Ziye's title.
Wen Dongfang didn't even need to know about the agreement between Fang Ziye and Teacher Zhu Weiguo.
In the operation of suturing technique, after reaching the fourth level of 'Entering the Hall', the surface effect of the suturing was actually hard to distinguish anymore; all were very strong.
The gap in details could not be judged by the naked eye.
Fang Ziye's suturing speed was even faster than Guan Qiquan's.
But no matter how fast, it took nearly forty minutes to finish suturing the nerves and blood vessels of six segments of tails.
And just as Fang Ziye was about to finish suturing, the old-style phone of the Chief Resident rang.
"Beep beep beep beep beep!"
"Beep beep beep beep beep!"
The sound combined with vibration, seeming very demonic.
Beside him, someone glanced at the phone remark for Fang Ziye and said, "Senior Brother Fang, it's a call from the Emergency Department..."
Fang Ziye picked up the needle, quickly hooked the last stitch, and tied the knot at the fastest speed!
Without cutting the thread, he directly threw away the instruments in his hand, quickly removed his gloves while tilting his ear toward the old-style Chief Resident phone: "Trauma Surgery, good!"
"Mangled Extremity, right? Fine."
"Coming right away!" Fang Ziye had already removed his gloves.
Taking the phone raised by a Hand Surgery fellow trainee, he hung up first, then said, "Sorry everyone, teachers, excuse me!"
"It's fine, go busy yourself." Beside him, Teacher Liu Huanglong saw that the purpose of stalling for time had been achieved, and now it was past four o'clock.
In a little while, he could make a clean escape.
Fang Ziye had already run out, not daring to delay the emergency consultation.
However, not long after Fang Ziye left the Training Room, various data from the operating table where Fang Ziye was appeared.
Everyone left with smiling faces but stiff expressions, feeling upset; everyone's voices, including chatting, conversation, fawning, compliments, gossip, and so on, all stopped abruptly at the same time...
(Chapter End)
End of Chapter
