Chapter 386: Classroom Blown Up (Requesting Subscriptions)

"Is the 'expert from the outside hospital' Xie Gaofeng talking about you?" In Room 1802 of Xiangya Hospital's Skill Training Room, a middle-aged man in a white coat, who had been thoughtfully watching an anesthetized rabbit motionless in its cage, frowned deeply upon seeing Xie Xin lead a small child through the door.

Xie Gaofeng was Xie Xin's father's name, a professor, chief physician, and department director of a certain internal medicine department at Xiangya Hospital; with such status, his connections within Xiangya Hospital could not possibly be poor.

Professor Xu Long had a flesh mole at the corner of his right eyebrow that kept twitching at this moment; out of respect for visitors from the outside hospital, he looked at Xie Xin and criticized her own people: "Xie niece, we can joke around, but don't be mischievous with your Uncle Xu, alright?"

"I'm very busy right now."

Even among professors in the same hospital, their relationships and interactions are not the same.

If Xu Long and Xie Gaofeng were not sworn brothers, Xu Long would basically not have agreed to such an "absurd" thing as an outside expert coming to substitute teach.

What is all this? I opened a private tutoring class myself, only to have someone come and substitute for me as the teacher of the private class.

Fang Ziye was dressed in casual clothes at this moment, wearing a short-sleeved plaid shirt, dark suit trousers, and, to appear formal, he had specially put on a pair of leather shoes.

After entering, he slightly cupped his hands and spoke in a very formal tone: "Teacher Xu, hello. I am Fang Ziye from Zhongnan Hospital Affiliated to Han City University. I have come this time to intrude upon you; I hope you will understand."

"I have two main purposes for coming this time: first, to learn; second, I encountered problems in clinical practice, and after consulting the anesthesiology teachers at my own hospital, I still had doubts, so upon the recommendation of the anesthesiology teachers at my own hospital, I have specially come to seek your advice."

Before coming, Fang Ziye had naturally done his homework. This Professor Xu Long was teaching a private class this time on high-end anesthesiology techniques: movement-sensation separation block anesthesia, which has very high requirements for the operation.

But it is obvious that if some surgeries only anesthetize the sensation function while retaining motor function, it would be extremely beneficial for postoperative recovery.

Especially for orthopedics, if patients with better compliance can interact in real time with the surgeon during the operation, then at the end of the surgery, the patient's active motor function can be seen, which is also extremely beneficial for the evaluation of surgical quality.

After Fang Ziye explained his purpose and thoughts, Xu Long slightly narrowed his eyes, and the flesh mole on his eyebrow twitched:

"Anesthesiologist from your hospital? Who is it?"

"Hiss..."

But what Xu Long was thinking in his heart was: Han City University Zhongnan Hospital—does its orthopedics department want to undertake such clinical disease types? At Xiangya Hospital's orthopedics department, no one is doing this kind of extreme disease type.

For most mangled extremity injuries, save them if possible, amputate if not, and leave it to fate.

Xiangya Hospital's anesthesiology department, due to the neighboring relationship between Hubei Province and Hunan Province, has closer ties and more interactions with Tongji Hospital and Peking Union Medical College Hospital.

The occasional "point gain" of Xiangya Hospital System will not affect the personal interactions within the discipline system.

"Professor Du Yuanxian." To show respect, Fang Ziye brought up the name of Professor Du of the anesthesiology department whom he had only recently met.

After hearing this, Xu Long gave an embarrassed smile. He was wearing a mask, which twitched a few times; he probably didn't know who Du Yuanxian was: "Well, since you've come anyway, and your idea deserves the four words 'whimsical idea'..."

"Professor Xie also spoke up; not giving you a chance wouldn't be very appropriate either."

"However, to complete the anesthesia plan you envision, two things must first be achieved. First, your puncture technique must be extremely proficient—puncture in whichever direction you point. This is the most basic requirement."

"Second, you need to be very familiar with anatomical structures, especially the anatomical structure and branches of nerves. You may also need a lot of experience to construct the separation nodes between sensory nerves and motor nerves."

"You are from anesthesiology, so you understand what I mean, right?"

The anatomy Xu Long spoke of was somewhat different from pure surgical anatomy.

For surgical anatomy, one only needs to know where which nerve is; as for which muscles a certain nerve innervates or the detailed segments of the muscles it innervates, it is actually not necessary to understand them particularly clearly.

After all, surgery mainly focuses on the direct connection between the nerve and the muscle it innervates.

But the anatomy of anesthesiology is different from that of surgery. Anesthesiology needs to clearly distinguish a series of anatomical innervation areas of a nerve, and based on such innervation areas, precisely complete the anesthesia.

When Xie Xin heard Xu Long say that Fang Ziye was an anesthesiology doctor, she hesitated to speak, but fortunately Fang Ziye took a step ahead: "Teacher Xu, I know that. Thank you for giving me this opportunity."

"But what does this... have to do with you wanting to be a substitute teacher?" Xu Long, however, very keenly captured the key point.

After slightly pursing his lips, Fang Ziye said: "Teacher Xu, as the saying goes, one of the best ways to learn is to force yourself to give a lecture and be a teacher for a class."

"Professor Du thought the same way. He wanted to use this to motivate my learning drive and potential, so he assigned me this task."

"Otherwise, Teacher Xu, even if you lent me ten guts, I wouldn't dare be so presumptuous. I might not even know that such a private tutoring class exists."

Fang Ziye was making things up on the spot, and the potential reasons he came up with were analyzed with a relatively clear train of thought.

"So what do you plan to lecture on, or what do you plan to do?" Xu Long asked.

Fang Ziye quickly said: "Teacher Xu, perhaps Senior Sister Xie didn't explain clearly. I'm not here to lecture on anything. I just want to be your assistant. Tell me the content you want to lecture on in advance, and I'll see if I can complete it."

"If I can complete it, it can save Teacher Xu some trouble and effort. If I can't complete it, it will be a perfect negative example."

"Teacher Xu, Professor Du also said that anyway, as long as you're bold enough and don't care about losing face, you can always learn something more or less."

These words were indeed the truth; Fang Ziye had always thought this way.

But whether these words were actually said by Du Yuanxian no longer mattered. Xu Long surely wouldn't go to the anesthesiology department of Zhongnan Hospital to investigate in the end, would he?

That was impossible.

"Alright then. The content I'm lecturing on tomorrow has something to do with your ideas to some extent. It's also an operation topic related to sensation and motor separation."

"Of course, as for me, my ability might be limited, and I can't match Doctor Fang's agile thinking. For now, I can only perform half-lower-limb anesthesia on rabbits, and after anesthetizing the sensation function, retain a small amount of motor function."

"To achieve Doctor Fang's idea, very precise operations would need to be completed. First, find the corresponding anatomical nerve and separate the nerve from the sensory branch."

"After anesthesia, the anesthetic drug must not diffuse and infiltrate into the motor branch. This not only tests the puncture technique, but the dosage of the drug is also extremely particular."

"Naturally, regarding the drug dosage and such, I have already calculated some parameters in detail here, but..."

After listening for a while, Xie Xin felt sleepy.

Her purpose had already been achieved, so during a gap in Professor Xu Long's speech, she found free time to slip away: "Teacher Xu, Doctor Fang, you two continue chatting. It's not early anymore; I'll go back to rest first."

"Teacher Xu, thank you so much for helping me out with this big favor."

Xu Long looked at Xie Xin and nodded: "Go back early. Later, if your father can't find you, he'll have to call again."

Upon hearing this, Xie Xin, who had already started to leave, turned her head: "Uncle Xu, I'm already thirty years old. My father hasn't called me for a long time. Every day he thinks about nothing but how he wishes he could kick me out of the house..."

"At what age does your memory of me still stay?"

Upon hearing this, Xu Long's eyelids twitched slightly: "Right, you're already thirty years old..."

After Xie Xin left, Xu Long reviewed the relevant knowledge with Fang Ziye once more. After speaking, Xu Long said: "Doctor Fang, since you've come and have already arrived at the Training Room, why not try your hand?"

"Although Xiangya Hospital is poor, we can still afford a few rabbits and some consumables for practicing nerve blocks."

No matter what, Fang Ziye came at such a late hour and went to such trouble to seek instruction; just this spirit alone is highly commendable.

Although it would be better to come study at another time, Xu Long now couldn't sleep well anyway.

For this kind of private class, once opened, one must be worthy of the students who sign up, making sure their money is well spent and that they gain something.

Otherwise, if Xu Long wants to stay in the industry later, he might be mocked by others as harvesting leeks.

"Thank you, Teacher Xu, then I'll give it a try."

"I'll operate, and Teacher Xu, you guide me from the side. What we need to do this time, simply described, is to block the sensory function of the rabbit's right leg through nerve block anesthesia, but guarantee its motor function remains intact. Right?" Fang Ziye tilted his head slightly, speaking seriously.

He came originally to substitute teach.

But listening to Professor Xu Long speak on and on, Fang Ziye suddenly felt that his own made-up reason actually seemed to make sense in theory.

The reason today's surgery on Mi Qi was a cruel slaughter was fundamentally because the anesthesia technique couldn't reach the theoretical maximum, while Mi Qi's own requirement for residual hand function was too high, and a rather violent contradiction lay between the two.

……

Around 11:30, when Fang Ziye successfully completed the anterior tibial nerve block anesthesia on the rabbit again, causing the rabbit's skin to be incised but it felt no pain to cry out, hopping and hopping and hopping with blood on it.

The entire training room fell silent……

Xu Long's eyeballs nearly popped out, the mole at the corner of his eye trembling like a sieve, looking like it would fall off his eyebrow any moment.

After his own explanation, Fang Ziye not only successfully performed the sciatic nerve block anesthesia, but also completed the branch of the sciatic nerve, the tibial nerve block anesthesia, and once again completed the anterior tibial nerve block anesthesia.

Xu Long simply couldn't believe the scene before his eyes was real.

For the nth time looking at Fang Ziye, calculating whether this young person had really come to wreck the place, deliberately make a fool of him.

"Teacher Xu, can I, can I? I, free labor……" Fang Ziye recommended himself so boldly.

"Why?" Xu Long frowned, looking at Fang Ziye in utter confusion.

Hey, he had never heard of an outside expert willing to come over and work as an ox and horse for free.

Such experts are usually ones he couldn't even invite if he begged.

"Teacher Xu, without a diamond drill, don't take on porcelain work. I also have some foundation, and heard Teacher Du say you're researching this area with deep attainment, so I came to bother you."

"If I'm just a blank slate, visiting rashly, wouldn't that be truly coming to mess around!" Fang Ziye explained softly.

Voice not daring to be loud, afraid that if his voice got louder, Xu Long would shake the big mole in his eyebrow until it fell off.

Xu Long tapped the operating table: "My meaning is, your technique has reached this step, what are you still doing here?"

"That Professor Du you mentioned, did he let you come to learn, or let you come to teach?"

Xu Long's heart collapsed.

Where the hell did this immortal drift in from, previously simply unheard of.

Xu Long dares guarantee, if anyone in the anesthesia field can reach this step, they would have long since become an SCI paper, published in a top journal or second-tier top journal in the anesthesia field.

But he hadn't heard a whisper of it.

"Both, Teacher Xu, didn't I say, teaching is fine……" Fang Ziye subconsciously only understood one layer of meaning, immediately understood it all.

"Teacher Xu, you misunderstood my meaning."

Fang Ziye wasn't here to teach Xu Long.

These two words "teach", the true intent and the ambiguity differ too greatly!

Hearing this, Xu Long's eyeballs rolled around, asking: "In clinical practice, have you given anesthesia to patients?"

"Go, come with me to Anesthesiology, let's do two together, our hospital's emergency operating room should have plenty of such patients……" Xu Long grabbed Fang Ziye's hand and was about to depart.

But one pull, yet he couldn't move Fang Ziye.

"Teacher Xu, forget going to Anesthesiology, I'm here to learn, so this time I only prepared to give anesthesia to experimental animals like rabbits or mice."

"Furthermore, I also don't have practice qualifications." Fang Ziye replied cautiously.

Xu Long continued pulling: "No rush, the practice qualification matter, I can help you solve, I'll just authorize you, come come come, go take a good look……"

"Your current technique, if only used on rabbits and mice, is truly a waste."

"Your teacher already said you came to learn from me, why are you still hesitating so much! ~"

"Be a bit bolder."

"Today this Anesthesiology, you go even if you go, you go even if you don't go."

"Even if Jesus came… cough! Cough cough! ~" Xu Long seemed to have Fang Ziye pegged, smiling as if looking at a peerless treasure.

Left hand pulling Fang Ziye, right hand patting Fang Ziye's shoulder, voice turning domineering yet amiable.

Fang Ziye said: "Teacher Xu, I'm an orthopedic doctor, not an anesthesiology doctor."

"Cough cough cough cough! ~" Xu Long's whole person directly choked, mouth wide open, as if about to suffocate.

A full seven or eight seconds of coughing, Xu Long's expression turned pensive.

The words just spoken, that even Jesus coming would be useless, seemed like a joke.

How can an orthopedic doctor perform anesthesia-related operations? Besides local anesthesia that even interns can do, all other anesthesia, Fang Ziye cannot operate.

Xu Long glanced at Fang Ziye, sighed softly, said faintly: "Alright, I more or less understand your meaning, you feel my level isn't enough to teach this class, so after seeing it, you found it funny, came early to make me suspend class, rather than mislead students, right?"

"Fine, I'll call right now, refund the money! ~" Xu Long seemed to take it quite well, finished speaking and went out the operating room to make a call.

Fang Ziye's scalp tingled faintly: "Eh… Professor Xu, I, I didn't mean that… Professor Xu……"

Fang Ziye hurriedly chased out.

Damn, I wanted to get a teacher position, class hasn't even started, and I blew up the classroom first, is that okay?

(Chapter End)