Chapter 345

Liu Huanglong and Guan Qiquan both stared at Fang Ziye's expression for a full half minute, and did not find any evasion or joking expression on Fang Ziye's part, only a slightly awkward expression.

They then knew that Fang Ziye was not joking with them, nor was he deliberately showing off — rather, Fang Ziye genuinely possessed such formidable debridement technique proficiency.

"The true Ancestral Master personally chasing after you to feed you rice?"

"Talent, this thing..." Liu Huanglong, who had always considered himself a genius, now also clearly envied the unfairness of heaven.

Guan Qiquan felt even more turmoil in his heart at this moment, not knowing what to say, so he simply vented his impotent rage in the identity of the biggest loser: "Yeah, talent, this damn thing is the most unreasonable of all."

Guan Qiquan was just short of roaring and going berserk.

Liu Huanglong is younger than him, currently a Chief Physician, a Professor, with a whole body of exquisite and luxurious surgical skills, making one jealous to the point of distortion.

To catch up to Liu Huanglong's current height, Guan Qiquan would need at least four to five years, even a gap of seven to eight years.

A forty-five or six-year-old Chief Physician Professor, an existence approaching the ceiling of Hubei Province's hand surgery — is this slow?

Actually, from the perspective of a hand surgeon's simple growth, a forty-five-year-old Chief Physician, among the Chief Physicians here at Central South Tongji, is not considered slow.

This time happens to be a person's peak.

Liu Huanglong advanced this time by eleven years!

Does it make sense?

It doesn't make sense either.

Of course, right now there just happens to appear an even more unreasonable one.

The inconceivable realm of suturing technique, a realm difficult to describe — you can say it's very steady, or you can say it's an operational proficiency level with extremely varied changes, a realm that nationwide, only those relying on talent can squeeze into.

A realm that even Professor Liu Huanglong dreams of but cannot yet attain, Fang Ziye has it, and might even have two of them...

But if you say this world is absolutely unfair, that's not necessarily true either.

Having lived long and seen far, just from the dialogue with Fang Ziye, one roughly knows his knowledge thickness, insight level, theoretical depth.

Just one — a very ordinary trauma surgery senior attending physician level; a trauma surgery associate professor might come along, and the things they understand and comprehend would be even more transparent than Fang Ziye's.

Theory and operation, these two things, in the early stages both rely on accumulation; only in the late stages does it depend purely on talent, no longer on grinding effort — if talent isn't enough, opportunity doesn't arrive, one might very well never cross that threshold in a lifetime.

Liu Huanglong suddenly realized he had stepped on the "jealousy" tail Guan Qiquan had hidden for a long time, and hurriedly changed his wording: "No matter what, Brother Guan, today accompany Little Fang and have a good play."

"Think about it — being able to sponge the opportunity to have super Old Professors work for you, use it once and it's gone once, really not many." Liu Huanglong signaled Guan Qiquan to hurry and change his mindset.

Guan Qiquan nodded...

The little girl was soon put under general anesthesia and pushed into the operating room.

The anesthesiologist had just asked beforehand what kind of anesthesia the little sister should use — actually asking whether Fang Ziye planned to amputate or do limb salvage.

For amputation, spinal anesthesia suffices; but the duration of limb salvage surgery is currently difficult to estimate, so spinal anesthesia is definitely unsuitable.

Once the patient comes in, the clinical doctor needs to start taking over.

This is an emergency surgery — there definitely isn't ample time for more thorough preoperative discussion.

Mangled extremity is imminent — still have to get on the table first.

The little girl is very thin; the little girl in preoperative preparation state looks even thinner, with a fragile, delicate feeling.

Skin delicate and fair — she should be a lively, cute adolescent girl, only the coarse "gauze ball" affects her overall aesthetics.

"Jin Huan, we'll apply the tourniquet first, do preliminary disinfection flush — two Professors, please rest for a bit first." Fang Ziye hurriedly arranged this.

Guan Qiquan took the initiative to say: "Brother Liu, you rest a bit; I won't rest. The earlier we open the table, the earlier we operate."

Liu Huanglong's tone was serious at this moment: "You do your own tasks first; we'll find our own positions, each performing our duties. Move into action."

"Tourniquet, wound flush and scrub three times..."

Liu Huanglong is a Professor, the group leader — with however many surgeries he's led, how could the overall surgical command rhythm possibly be snatched away by Fang Ziye?

Of course, at this kind of time, having someone give commands and tightly grasp the overall surgical context is a good thing for Fang Ziye — instead, it saves worry.

Hearing this and complying, things quickly became tense and busy...

Twenty minutes later, all four of Fang Ziye's group were fully armed, wearing sterile surgical gowns, donning sterile surgical gloves.

At this moment, Fang Ziye also added points to his own debridement technique, raising it to Level 5.

Mainly, Fang Ziye searched for a long time but couldn't find the mangled extremity related debridement technique entry — didn't know if it fundamentally didn't exist, or if the prerequisite conditions hadn't been met.

Whichever it is, right now can only treat a dead horse as a living one — even if only the limb shape is preserved, and ultimately there's no function, it's still better than amputation.

During the operation, Fang Ziye, responsible for debridement technique, took over the surgical rhythm.

At first Liu Huanglong would still give a little guidance, but very quickly Liu Huanglong discovered something was off — because Fang Ziye's debridement technique's fine operations, as well as the progress of pushing through the mangled extremity wound debridement, were relatively more mature than his own understanding.

"Ziye, your fine operations definitely have no problem — looks very comfortable; every debridement thickness, force, all completely get to the points I understand, just right. This belongs to your personal micro-operations, but this debridement rhythm, sequence?" Liu Huanglong's eyes are sharp; discovering what he doesn't understand, he asks.

Level 5 proficiency debridement technique belongs to micro-operations; but how debridement technique should advance, how to choose appropriate debridement thickness, what degree of retention is most proper — this requires even deeper theoretical knowledge to support.

"Professor Liu, previously when Professor Deng and Professor Qi did mangled extremity debridement technique, I was assisting at the side; heard that Professor Qi Qiaowen's debridement technique level is extremely good, so I learned a bit more." Fang Ziye continued operating; the willow leaf knife on his right hand now brought the debridement skill to its extreme.

Debridement technique relies not only on the knife's excision — there are also scraping, picking and severing, rotary excavation and various other small techniques; in debridement technique, they all have application.

Of course, many small techniques — for example, vertical incision on a portion of necrotic muscle; if the vertical incision force is mastered well enough, it can just control the blade tip to break through the muscle necrotic layer; if it's normal muscle fiber bundles, under such force pressing down, they won't fracture.

This kind of extreme force micro-control is absolutely impossible at Level 4 proficiency; even previously, Professor Dong Dongsheng who demonstrated incision technique in Enshi, cutting several cuts on vessel walls without rupturing the vessels — he couldn't achieve this either.

Professor Liu Huanglong heard this and had a sudden realization.

Professor Qi — that is Peking Union Medical College Hospital trauma surgery's most in-his-prime big shot; heard his debridement technique "cultivation" is extremely good; Hand Surgery Professor Zhong sometimes encounters difficult intraoperative debridement processes and will call Professor Qi Qiaowen over to help.

A professor of this level possesses not only debridement technique operations, but also extremely deep theoretical knowledge. After Liu Huanglong himself reached this realm, he knows Professor Qi Qiaowen and those Old Professors!

If it's not an exception of extremely limited talent relying on seniority accumulation to rise up, then the accumulation thickness would be very strong.

"Debridement technique is still your trauma surgery's preferred basic skill — how to operate, listen to you. I feel you're operating extremely well right now." Liu Huanglong thus handed the permission to Fang Ziye — actually returning it to Fang Ziye.

Debridement technique and hemostasis technique, like hand surgery's suturing technique; are trauma surgery's two most core basic skills.

This kind of basic skill is not only reflected in operations, but also thinking, depth of understanding and all ranges.

"Good, very good! ~ Extremely good, this operation is beautiful, this, really?"

Liu Huanglong, a Chief Physician professor in his thirties, could not help but feel inwardly shocked and impressed by some of Fang Ziye's microsurgical operations even on the operating table.

Naturally, every time Liu Huanglong spoke, it was invariably during a pause in Fang Ziye's operation: "Xiao Fang, truly, this lives up to the realm the old professors call profound and mysterious, a title belonging to the National Treasure Doctor level within Eastern Han."

"This micro-operation, it's hard to imagine, isn't it?" Liu Huanglong seemed like a child coveting someone else's toy, earnestly praising the toy in the other's hands while staring fixedly at Fang Ziye's two hands, as if he very much hoped Fang Ziye would lend him those hands to play with.

Fang Ziye doesn't make a living relying on this kind of 'craftsmanship', so naturally he wouldn't lend them, merely tilting his head slightly: "Right, Professor Liu, I think so too."

"After I went overseas, I witnessed professors there who had demonstrated debridement technique at this level; at the time I had no operating opportunity, could only watch from the side, then stay in the training room, suffering in bitter cultivation yet unable to attain it."

"After returning home, by an accidental opportunity, I finally crossed over."

Having spoken, Fang Ziye continued operating, layer by layer thinning the mangled foot's skin, subcutaneous tissue, tendons, muscles, and so on.

Such an operation, generally speaking, would make the already very thin young lady's foot appear even more slender, as if bound.

But there's no way around it, this is a mangled extremity; those who know the definition of mangled extremity know that for the local area of a mangled extremity, being able to survive is a miracle, at least a miracle unimaginable at the current technology level.

It is currently a disease type that cannot rely on any technological product, only on the doctor's two hands to fight for a possibility of survival.

Gradually, Professor Liu Huanglong and Professor Guan Qiquan, the two of them, finally calmed down.

Naturally, only then did it grow quiet by Xiong Jinhuan's ears.

Although her heart remained chaotic, damn it, she accompanied her classmate for an emergency surgery, and on the side a professor and an associate professor kept fawning over her classmate non-stop, how unbearable is this feeling?

Xiong Jinhuan was truly jealous to the point of original appearance, her heart sinister, even wishing to give her classmate a slash on the hand, directly crippling Fang Ziye!

Let's see you fawn then.

Of course, this kind of brainless thing is merely anger's destructive thinking in a state of extreme jealousy, impossible to actually do.

With the "licking dog" gone to provide surgical explanation, the surgical progress finally became much quieter, and Xiong Jinhuan could also properly learn medical skill; this is her iron brother, as long as she and he are iron enough, then in the future Fang Ziye's students will also have to stand aside.

Bringing students and bringing brothers, those are two different concepts, right?

At this moment, the operating room was quiet and utterly silent.

The operating room's foot pedal sensor door was stepped open by someone with their foot, followed by a playful, fawning, accompanying laugh: "Professor Liu, Professor Guan, you two are well, Xiao Yuan me! ~"

While Yuan Weihong was flattering, he saw Fang Ziye's fine operation, and on the spot was so frightened he couldn't walk; his upper body lunged forward, his legs stiffened, and he just collapsed downward like that.

Fortunately Yuan Weihong's hands reacted fast enough, only resulting in a four-limbs-on-the-ground landing, after which he hurriedly scrambled up, not even having time to compose his own embarrassment, directly looking at Fang Ziye, voice slightly trembling: "Zi, Ziye, just... just now was it you operating?"

Excitement, complexity, joy, shock, at this moment intertwined like a ball of wool yarn.

(Chapter End)