Chapter 394: The Three-Person Limb Amputation Group (Second Update, Asking for Subscriptions)

"Tian Luo, this little fridge, did you buy it?"

"How much was it?" Fang Ziye asked, turning his head while packing the gift box that Xiao Lizzi the kid had delivered.

In the corner of the Inpatient General Office, there was now a small refrigerator, with both freezing and refrigeration functions.

Lan Tianluo was taking out a large bottle of Dongfang Shuye Oolong Tea from inside, turning his head: "Senior Brother, you don't need to transfer it to me. Master just issued a labor fee, and this fridge is cheap too."

"The patients in the wards all have fridges now. Us putting one in our little office isn't a violation at all. Besides, we might all need it in the future anyway."

"Here, Senior Brother~" Lan Tianluo handed Fang Ziye a bottle.

Han City on May 1st is truly hot. Even with air conditioning in the wards, if one could have an ice-cold drink go down at this time, it would make one feel a few degrees cooler.

As for whether it's healthy or not, if young people like Fang Ziye start preserving their health now, they won't have any hobbies left for the rest of their lives.

"Tian Luo, let me give you a piece of advice. Getting along in a relationship is a combination of factors, not something formed by data collection and accumulation."

"I sometimes see you using a scale to score things with Tingzhu. That's inappropriate." After cautious examination, Fang Ziye still chose to be frank and break it open with Lan Tianluo.

Lan Tianluo hurriedly shook his head: "Senior Brother, I didn't... you misunderstood."

"The scale I got was to measure the comparison of scales between being good to Senior Sister and being good to you, Senior Brother, that could trigger an increase in her favorability. I only measured four times."

"Didn't continue after that."

Fang Ziye could only sigh inwardly.

Some people play mathematics into a lifetime, a vast confusion. Lan Tianluo can play most things in life into mathematics, making people both love and hate him.

"So what were the results?" Fang Ziye was also a bit curious.

"1.21:0.96! Approximately equal to 1.26:1!"

Lan Tianluo's gaze carried envy, jealousy, and hate: "Senior Brother, your weight in Senior Sister's heart almost catches up to Senior Sister herself."

"Me being good to myself, her favorability index increases by less than one percent."

Fang Ziye rolled his eyes: "Yours counts as an invalid experiment!"

What a joke. If you being good to yourself could still make Luo Tingzhu's favorability toward you increase, are you f*cking kidding me?

"Senior Brother, an invalid experiment also has to be tested first before it can be invalid. Without trial and error, where would success come from?"

"So refreshing." Lan Tianluo took a sip of the drink, feeling relaxed all over.

Perhaps it was because the incision technique he had accumulated in the training room for so long finally saw major clinical use today, Lan Tianluo's expression was excited to a height never seen before in ordinary times, eyes glowing, left hand holding the drink with fingers flicking lightly, right hand's five fingers constantly gripping and squeezing.

This is a kind of restlessness where one just gets a bit of skill in hand and feels invincible under heaven, hands itching.

"Feels good, right? Keep practicing more. I'm the Chief Resident now, you'll have plenty of opportunities in the future."

"Jie Han counts as entering the hospital the same year as you, but his basic skills progress seems a bit better than yours. Otherwise, the one routinely following me would be you, not him." Fang Ziye encouraged.

Lan Tianluo and Jie Han entered Zhongnan the same year. The difference was Jie Han was a professional Master's student in the first year, while Jie Han only became a professional Master's student again in the second year, re-entering standardized training.

Lan Tianluo put the drink down, his restless right hand touching his chin: "Senior Brother Fang, gotta give Senior Brother some face. If I poured all my time and energy into clinical work, I'm afraid Brother Jie would become even more withdrawn."

"Brother Jie already has a bit of a withdrawn tendency now."

After speaking, he leaned back, forming a comfortable Ge You slouch.

Fang Ziye looked Lan Tianluo up and down: "You're pretty confident, huh?"

"Then how do you compare with Tingzhu?"

Hearing this, Lan Tianluo sat up with a rustle, eyeballs rolling a big circle, then rolling a small circle: "Should be about the same."

"Senior Sister has been in contact with clinical work for seven years already."

"I've only..." Lan Tianluo bared his teeth, not panicked in the slightest.

"She's Senior Sister, me being a bit slower is fine too. Anyway I'm very fulfilled right now."

Fang Ziye wanted to call the police on the spot.

What the f*ck kind of talent is this?

If I didn't have this Panel, in front of Lan Tianluo, I'd be an ostrich for at least ten lifetimes or so.

Soon, Jie Han walked in from outside the door, still carrying a bag in his right hand, the bag containing drinks.

After entering, he put drinks into the fridge while taking out a chilled drink bottle.

Lan Tianluo very sensibly went to close the door in his capacity as fellow trainee.

Jie Han then asked: "Senior Brother, your surgery is done, right? You won't be pulled away in a short time, right?"

Fang Ziye's whole body straightened. Just as they started talking about Jie Han, Lan Tianluo was afraid Jie Han would become withdrawn, and he had that tendency too, so he nodded: "Mm, surgery's done. Below is Professor Liu and Master and them finishing up the surgery."

"Qin Geluo is covering my shift. I'm free right now."

"After we finish chatting, I'll go take over Qin Geluo's shift."

With Lan Tianluo present, Fang Ziye couldn't use Brother Luo to refer to Qin Geluo. Lest the already arrogant Lan Tianluo secretly yy in private and become even more floaty.

Lan Tianluo is something else. Last time when giving Mi Qi local anesthesia, he didn't even give face to the hospital's professors.

Jie Han opened the drink, took a sip, then sat on a red plastic stool with a silk flower, watching Lan Tianluo sit down while saying: "Senior Brother, I found a very interesting direction."

"Called Limb Transplantation."

"Limb Transplantation is different from Limb Replantation. And the concept and principle of Limb Transplantation are almost parallel and consistent with the Mangled Extremity research project we're doing now. I think it has great potential."

"And coincidentally, this is exactly what Professor Liu wanted to do before but couldn't break through."

Fang Ziye listened, slightly muddled.

"Wait wait wait..."

"Stop stop stop."

"Finger Replantation and Limb Transplantation, is there a difference?" Fang Ziye's expression stiffened slightly.

Limb Replantation Surgery is already a very mature surgery. In 1961, our country's Academician Chen led a team to successfully carry out Limb Replantation Surgery for the first time. Currently, the technology in this area has always been world-leading.

Jie Han lives up to being a problem boy. This question, once raised, directly left Fang Ziye a bit at a loss.

Of course, in the field of scientific research, this is a very precious asset.

There is a famous saying: the hard part is not solving the problem, but posing the problem.

Jie Han straightened his body, glanced at Lan Tianluo, and said, "Senior Brother, this is a terminology that my fellow trainee and I specially came up with together."

"Finger replantation — its concept is that after a limb is severed due to trauma or various reasons, a surgical procedure for reattachment is performed."

"Its foundation is that originally the limb is continuous……"

"And limb replantation, on this basis, can be continuous or non-continuous."

"Senior Brother, have you ever thought about such a problem?"

"The current most standard treatment for mangled extremity is still amputation, so doctors at lower-level hospitals, within a certain time frame, cannot perform the standard treatment for mangled extremity; under certain circumstances, to save lives and reduce blood loss."

"They generally all perform amputation."

"But what if? Senior Brother, if we can establish a complete three-tier hospital referral loop, and form a complete referral chain with several designated hospitals."

"For example, in a prefecture-level city hospital, directly complete the hemostasis technique, ligate the major artery to stop bleeding, then directly refer the patient to us. We handle the subsequent treatment."

"Or, some patients, due to special reasons, undergo amputation at the scene, and the severed limb exceeds the currently world-defined necrosis time; we still implant it into the body."

"This is limb replantation surgery……"

"Senior Brother, if this surgical technique can be originally successful, Teacher Liu will definitely be very low-key in our group from now on." Jie Han said very seriously.

As if making Teacher Liu Huanglong low-key was a matter of duty.

Fang Ziye looked at Jie Han, cursing inwardly: what the hell are you thinking? Then he looked at Lan Tianluo, and Fang Ziye understood — these two were in the same toilet, shitting in the same direction.

Fang Ziye stared fixedly at Lan Tianluo; Lan Tianluo lowered his head slightly and explained, "Senior Brother, it's not that I insist on targeting Teacher Liu, but I hope Master can prop himself up in the group."

"Currently, Teacher Liu Huanglong's deepest foundation is his research achievements. Teacher Liu has also independently developed an original surgical technique."

"As for Master's side, currently there are no original achievements in clinical research; if our small team keeps being suppressed like this, that's not acceptable, is it?"

"Whether it's a professorship or a Young Thousand Talents Hat, ultimately what everyone does is be a doctor. Huddled in one team, what gets done are clinical projects or basic research projects."

Fang Ziye listened, then nodded seriously: "Your idea is good; Master indeed needs something to establish a foothold in the group."

"But this limb replantation you proposed shouldn't be just empty slogans, right?"

"This replanting of a limb isn't planting vegetables?"

"After limb amputation, the distal local tissue is mostly necrotic."

Jie Han immediately raised his hand: "There is a way, Senior Brother — the current first version will cost especially high, and requires our small team to specially process the severed limb in a certain way!"

"But such processing may require Senior Brother you to personally operate. You and Master Yuan Weihong together, complete such a limb replantation surgery……" Jie Han first sold a cliffhanger, then deliberately emphasized the words Yuan Weihong and Senior Brother you.

After amputation, if the residual limb can be replanted into the patient's body again.

Once this surgical technique is developed, it will have far more practical significance than any mangled extremity reconstruction.

If it is truly developed, future orthopedics disability rates will further decrease; who knows how many families can be saved.

"Explain in detail……" Fang Ziye pointed at Jie Han.

Hearing this, Jie Han and Lan Tianluo simultaneously turned around to the back, each pulling out a laptop.

And their laptops had long been brought to the Chief Resident's office — clearly the two young ones had prepared the corresponding plan and theoretical reserve in advance.

"……"

Roughly half an hour later.

Lan Tianluo reported: "Based on the above processing, from theoretical analysis, the necrotic substance content in the local soft tissue postoperatively will be far lower than normal necrotic tissue."

"Functional salvage rate can recover at least forty percent."

"Senior Brother, a patient after amputation can still have limb survival, and a functional residual rate no less than forty percent — this is already very high, even a miracle!"

Fang Ziye looked at Lan Tianluo's emphasis: "I know, no need for you to specially remind me."

"But your plan has a problem — this treatment method, the preoperative clinical cost is especially high; almost every patient, one round of treatment costs at least two hundred thousand."

"But it doesn't matter, Senior Brother — we can do it in animal experiments first; animal experiments are cheaper, because domestic pigs or rabbits are cheap, and the dialysis instruments they use are also cheaper, so the cost of each animal experiment can be controlled within thirty thousand."

"If we can find an acquaintance, or a friend's price, twenty-five thousand might be enough to perform one limb replantation."

"Even if we do eighty limb replantations, that's only about two million in cost."

"Senior Brother, two million, in exchange for such a project, is purely a steal……" Lan.

Finished speaking, Lan Tianluo closed the laptop lid, took a deep breath: "Moreover, for this project, we can invite Senior Sister Luo to play the anesthesiology role; the vascular surgery role Senior Brother you can play yourself."

"I asked Senior Sister; she said she can do local dialysis well."

"Master provides overall theoretical guidance; Brother Jie handles real-time theoretical summary; our internal links are all packed full, arranging every aspect of the whole project clearly."

"Even if Teacher Deng wants to get involved, he can only be a nominal participant."

"This project shares the same origin as functional reconstruction of mangled extremity; after the preoperative reserves are done, when it reaches clinical stage, let Teacher Liu participate then."

"That wouldn't count as offending anyone either."

Fang Ziye heard this, then the corner of his mouth curled as he looked at Lan Tianluo, tone strange: "Yo, Professor Lan, you also know how to not offend people?"

"Limb replantation surgery, strictly speaking, is hand surgery technique, and also the current most cutting-edge barrier, hard to break through."

"You're in trauma surgery, uniquely launching such a clinical project — are you trying to slap Teacher Liu's face, or slap the face of hand surgery peers?"

Lan Tianluo heard this but dismissed it with disdain: "Projects are heaven-made, clever hands occasionally obtain them?"

"No one stipulated that hand surgery projects can only be done by hand surgery; otherwise ninety percent of orthopedics research teams might as well shut down — tumor-related projects are bone disease department patents."

"Also like how no one stipulated that because I'm not clinical medicine as first degree, I can't come study clinical medicine surgery for a graduate degree."

Jie Han timely reminded: "There actually is a stipulation — our clinical medicine master's graduate students, in principle, do not accept non-clinical medicine undergraduates for application."

Lan Tianluo waved a hand: "That's because they're weak."

"Senior Brother, do you think this theoretical framework can be tried?"

"Mainly because Jie Han and I can't operate it; otherwise we could have done a demo in advance."

"Teacher Liu came to trauma surgery seeking a breakthrough; if he sees us moving a hand surgery project to trauma surgery and reaching a certain height, the scene will surely be good to watch."

"I most dislike arrogant people."

"Ow, ow ow ow... Senior Brother, you really kicked me?" Lan Tianluo's outer ankle ached, and he began to twist about.

Fang Ziye rolled his eyes: "I'm the same way."

This Lan Tianluo, he truly interpreted both cute and hateful to the extreme.

The 'Three People Removing Cow Legs Group's First Meeting came to a conclusion here.

(Chapter End)