Chapter 344: Ancestor Chases to Feed Me (Requesting Subscription)

Seeing Fang Ziye approach, Liu Huanglong courteously made small talk: "Brother Guan, from now on don't make jokes about geniuses anymore, or we'll end up looking foolish."

Liu Huanglong rubbed his hair, at this moment completely lacking the rigorous demeanor of an academic.

Liu Huanglong's appearance was not good-looking: long face, coarse nose, small eyes, short eyebrows; roughly speaking, he could be described with the four words "thief-like eyebrows and rat-like eyes."

However, Professor Liu Huanglong no longer needed to be described as good-looking for his dashing and heroic bearing.

Professor of Huazhong University of Science and Technology Affiliated Peking Union Medical College Hospital, only thirty-seven years old this year, chief physician, professor, researcher. That was enough to show how awesome he was.

Guan Qiquan, Associate Professor of Hand Surgery at Zhongnan Hospital, Deputy Chief Physician, thirty-eight years old.

From an ordinary person's perspective, Guan Qiquan was already a dragon among men; for an ordinary person to reach such a level, their ancestral graves would have to emit some smoke.

Just the title of Associate Professor of Hand Surgery was enough for Professor Guan Qiquan to support his family, bringing the family's living standard up to a modest prosperity above the moderately prosperous level.

Guan Qiquan's mouth corner twitched for a moment, and he nodded, formally introducing Fang Ziye to Liu Huanglong: "Professor Liu, this one is our hospital's Trauma Surgery's Ziye, Wei Ge's student."

"You might not know Wei Ge very well; when Wei Ge's fame spread far and wide, it was during his doctoral studies, by which time you had already gone to Peking Union Medical College Hospital for your doctorate..."

Guan Qiquan was one class above Liu Huanglong, and Professor Liu Huanglong was one class above Yuan Weihong.

So, during Yuan Weihong's doctoral studies, when he was arrogant and impressive, Professor Liu Huanglong had already left Zhongnan Hospital; otherwise, Yuan Weihong might not have dared to be so arrogant, and would have been suppressed by Liu Huanglong.

Hearing this, Liu Huanglong laughed, his tone unable to deny: "Wei Ge, huh, yes, I heard Dong Dongsheng mention him; he's a very interesting person!"

Yuan Weihong indeed had a certain qualification to be arrogant, and even his reputation among the classes above and below him in Trauma Surgery was very great.

Associate Professor Dong Dongsheng of Trauma Surgery at Peking Union Medical College Hospital was in the same class as Liu Huanglong. But at Peking Union Medical College Hospital, when facing Liu Huanglong, he would also properly call out "Brother Liu" or "Professor Liu."

Of course, although Dong Dongsheng was excellent, when facing Yuan Weihong, who was one or two years younger than him, he was also unable to suppress the Monkey King; Yuan Weihong's explosive potential might not be something Dong Dongsheng could withstand, they were on the same level.

It was equivalent to: you, Dong Dongsheng, might not like Yuan Weihong's jumping around, but you also couldn't stop him from jumping in front of you, and you couldn't beat him either; being of similar age, what could you do?

Guan Qiquan and Liu Huanglong discussed the topic of Yuan Weihong, but Fang Ziye did not dare to join in. However, regarding the previous topic, Fang Ziye still had to explain: "Teacher Liu, nice to see you again."

"Teacher Guan."

"This is Professor Han Yuanxiao's doctoral student, my classmate, Xiong Jinhuan." Fang Ziye greeted them while introducing Xiong Jinhuan beside him.

Saying Xiong Jinhuan's name, these two might not have an impression, but mentioning Professor Han Yuanxiao, both would certainly know a thing or two.

"Yes, Little Fang, I originally intended to write the Spring and Autumn Annals with my pen, but you directly filmed a pornographic film and sent it to me; how could I dare not come?" Liu Huanglong now had the greatest 'seniority', completely controlling the pace and direction, joking as he asked Fang Ziye about his background.

Making a joke, wanting to find a backdrop but not wanting to enter a small temple, the result was getting stuck in the doorway, unable to go out, and not wanting to go in.

Just like after constipation, when defecating it gets stuck and won't come out, you have to force it in before you can put on your pants and leave the toilet.

Xiong Jinhuan's expression was twisted and tangled, completely unable to understand what kind of situation the current one was.

Fang Ziye continued not to take up the conversation, but changed the topic: "Teacher Guan, just now I heard Professor Liu discussing the treatment of this mangled extremity; he should want to give me some guidance on stage, right?"

Guan Qiquan nodded: "You're like a little Monkey King, having learned your Master's true teachings. Now you're both standing and acting!"

"You don't know that the flag Teacher Liu set up was pulled down by Old Professors Wen Dongfang and Zhu Weiguo?"

"I really don't know?" Fang Ziye had an innocent expression.

"Teacher Liu just happened to mention my name earlier; we students have grown up listening to Teacher Liu's name, so I thought this was a very good learning opportunity."

"Teacher Guan, you also said before that I'm half a person of Hand Surgery; if I want to learn suturing techniques, I can cross half a foot over anytime, right? I took it seriously..."

Fang Ziye continued to answer irrelevantly.

"Alright, stop quibbling. Let's discuss it together first."

"To be honest, I am indeed very curious: you, kid, how exactly did you practice suturing techniques to such a level of proficiency?" Liu Huanglong first broke the awkwardness, turning the topic to the surgery itself.

"But curiosity is curiosity, work is work; work priority must be higher than everything."

"Of course, it just so happens that your suturing technique has such proficiency, giving me a chance to verify my conjecture about the treatment standards for mangled extremity as a disease type."

"Mangled extremity is actually an enhanced version of limb amputation. Limb amputation is a local component of mangled extremity; we understand it this way. Do you think there's anything wrong?" Liu Huanglong used the most formal tone to discuss conceptual issues with Fang Ziye.

Limb amputation is easy to understand: it's just the discontinuity of the two segments of a limb occurring.

Of course, simple limb amputation is generally caused by sharp instruments, with the cut edges relatively regular and relatively flat.

However, mangled extremity might not be so; the appearance of the term mangled extremity represents that the violence received was enormous, the damage caused uncontrollable, destroying everything, destroying soft tissue, bone, muscle, blood vessels, nerves...

Fang Ziye nodded; although he hadn't carefully experienced the difference between these two terms' explanations, he could understand: "Yes, Professor Liu..."

"So in my opinion, at least from the perspective of our Hand Surgery, the treatment of mangled extremity might be divided into these two stages."

"First, debridement: taking the segment of the mangled extremity, taking the proximal and distal ends of the mangled extremity, through debridement, managing them into two ends that are close to conforming to the concept of limb amputation."

"Then using the concept of limb replantation, through techniques and concepts such as suturing and transplantation, restoring the patient's limb continuity and functional continuity."

"Or to put it another way: first use debridement technique to turn the mangled extremity from unsuturable to suturable, and then through suturing, turn it from a necrotic state to a living state."

"Then from the living state, correct it into a living state."

"This is the flexible application of basic surgical operations in specialties for undetermined disease types."

"In the fifties and sixties of the last century, before the surgical concept of limb replantation had fully formed, limb replantation was also considered unbelievable and untreatable; the most original version of limb replantation was actually limb suturing..."

"Then evolving into vascular anastomosis, vascular-nerve bed anastomosis, nerve anastomosis, fracture reduction and fixation, and so on, step by step..."

Hearing this, Fang Ziye nodded slightly: "Teacher Liu, I think what you say makes sense, but I have never dared to think about the origin and development of a mature surgical technique from this angle."

Fang Ziye had indeed never thought this way, because Fang Ziye's level, status, and identity did not yet support him in tracing the source of a surgical technique.

"Of course, you are still a Resident Physician now, at most a Chief Resident; you want to develop new surgical techniques and improve existing ones—then what are we people still mixing around for?"

"When I was your age, I was thinking about how to graduate with my doctorate!" Liu Huanglong laughed, feeling that Fang Ziye's idea was perfectly normal.

Of course, after saying this, Liu Huanglong noticed Fang Ziye's expression was slightly awkward, so he stopped criticizing Fang Ziye's age and seniority, and instead said: "Because we want to deal with this mangled extremity, we need to be clearer about its treatment principles and the update and development ideas of surgical techniques."

"For example, the earliest surgical operations were just incision technique, suturing technique, debridement technique—things that are now considered the most basic skills; once, over a hundred years ago, they were the most advanced surgical techniques."

"Back then, amputation to save life, for many patients, was like encountering Jesus's redemption."

"Otherwise, before the 1980s, lower limb mangled extremity meant death."

"Then, suturing technique evolved into specialized suturing such as tendon suturing, nerve anastomosis, vascular anastomosis, cardiac suturing; each kind of suturing's..."

"So, if we want to pursue limb preservation, the first problem to solve is through debridement technique, to debride and polish the mangled extremity's area as much as possible into a suturable state, ensuring that after blood flow is unobstructed, it can reach the retained area."

"If the situation does not allow, we might even have to perform vascular reconstruction; only after suturing the blood vessels can we then consider whether this segment of the limb is still alive."

"It's just a pity that there currently isn't a corresponding operational standard specifically for the debridement of mangled extremities, nor for the operational details and the scope of debridement..."

"Even more so, there isn't anyone who is simultaneously very proficient in vascular anastomosis, suturing technique, and other basic skills. What I am currently best at is actually not reconstructing blood supply, but nerve anatomy and functional reconstruction. If a special situation arises, I always have Professor Zhong cooperate and collaborate."

Liu Huanglong's words were merely humility.

The Hand Surgery Department of Peking Union Medical College Hospital being able to become the hegemon of Hubei Province and the absolute number one in Han City, Professor Liu Huanglong's nerve anatomy and functional reconstruction is absolutely an indispensable merit.

After all, a few years ago, although the Hand Surgery Department of Peking Union Medical College Hospital was also very awesome, it had not yet reached the point of being absolutely peerless in Han City.

Fang Ziye listened, and felt a secret joy in his heart.

Fang Ziye knew that this time, he might have once again suffered a dimensionality reduction strike from theory; the gap in understanding of mangled extremities between Trauma Surgery and Hand Surgery is too big.

Fang Ziye only felt that because he is a Trauma Surgery doctor, he thought Trauma Surgery theory was enough, and he could do his job well on his own.

But to do the job better, one's gaze and vision should not be especially limited in scope.

Looking again at his remaining Knowledge Points, Fang Ziye felt his current routine operational skill proficiency levels were already passable, so he asked: "Professor Liu, if say, my debridement technique and suturing technique levels are about the same?"

"Do you think we can have the expectation of keeping this leg alive first, without considering function?"

Fang Ziye used the most low-key words, the most ignorant attitude, to say the most awesome words.

"You still?" Liu Huanglong was speechless and uncomfortable: "I."

Looking at Guan Qiquan: "He?"

Guan Qiquan's eyes were as big as ox eyes; Liu Huanglong's small eyes widened to the point of nearly splitting, almost tearing his outer and inner canthi from widening his eyes.

(Chapter End)