Chapter 403

"Alright, let's each handle our own business. Your Senior Brother Fang is a treasure trove, but you need the ability to excavate first."

"Our department's and the hospital's platform is right here, and it's always been here, but whether you can reach the treasure-digging threshold has already been clearly priced out for you, fair and square."

Li Yuanpei stood up and began to usher them: "Brother Ye, you go ahead and get busy or go rest. Our preoperative discussion has only just begun..."

Fang Ziye saw that Li Yuanpei's bearing was much steadier than before, so he just nodded: "Then I'll leave it to you, Brother Pei."

After Fang Ziye withdrew from the doctors' office, he heard Lan Tianluo continuing to dissect the department's cases: "According to the guidelines, what should the current treatment plan for this patient be... if we go by the literature..."

Fang Ziye recalled that when he first activated the panel, in order to gain some Knowledge Points, he had compared literature in the department to adjust medical orders, hoping to find better prescription protocols and improve medication quality to earn Knowledge Points.

Reading more literature is beneficial for improving medical skills; comparing guidelines and literature, then summarizing — that is the kind of improvement mindset one should learn during the graduate student phase...

Naturally, Fang Ziye's reflection did not last long.

Fang Ziye hadn't even entered the Inpatient General Office when his chief resident's old mobile phone rang.

Fang Songlin's voice was tight and urgent: "Ziye, we have a fall injury patient here, might be a major case for your department..."

Hearing this, Fang Ziye's left hand tightened. He turned and ran toward the department while asking rapidly: "Brother Fang, what's the rough situation right now?"

"The fall height isn't very high, only fifteen meters."

"But the lower limbs are a mess, hard to describe... I've already had the Emergency Department's chief resident accompany him for exams. The patient's consciousness is still fairly clear."

"There's an expert on the 120 ambulance crew who did hemostasis on scene. Vitals were stable on arrival, but the rest of the situation?" Perhaps because the situation was too complex, Fang Songlin hesitated.

After hanging up, Fang Ziye quickened his pace.

At the doorway he just caught the elevator. A discharging patient's family member recognized Fang Ziye and enthusiastically held the elevator door open: "Doctor Fang, come in? There's still room."

Fang Ziye squeezed in wearing his white coat, thanked them, and his right thumb and index finger kept pinching and rubbing.

Fall injury — this is a very generalized diagnostic category.

In short, it's a disease type with a very poor prognosis. Basically, fall injury patients either die or end up paralyzed, confined to bed and wheelchair thereafter.

When Fang Ziye got off the elevator, that patient friend and family still wanted to chat, but Fang Ziye politely declined and sprinted toward the Emergency Department.

Fang Ziye arrived at the Emergency Surgery Clinic just as the patient's CT came out.

One could see the distance between the bilateral knee joints and femurs was less than five centimeters; the thigh's soft tissue was bunched into a ball.

Femurs — violently shattered into a chaotic mess, some embedded in soft tissue, some piercing out of it.

Additionally, the pelvis has comminuted fractures, and the lumbar and thoracic vertebrae also have burst fracture injuries!

Fang Ziye had just finished reading the films when he pulled out his phone.

As Fang Songlin said, this will be a very major case. While scrolling through his contacts for his superior's number, Fang Ziye asked: "Brother Fang, this patient — nothing else at the scene?"

Such massive violent trauma, yet at first glance only skeletal damage; no abdominal visceral injury seen either — that's a bit 'special'.

No intracranial bleeding seen either.

Fang Ziye's current CT Reading Technique would absolutely not overlook such minor issues.

"Heard this guy is a discharged veteran, does outdoor work. Maybe after falling he knew a little force-dissipation technique."

"But you know, fifteen meters — no matter how you dissipate force and roll, you're bound to get banged up. He cupped his abdomen with both hands, preventing heavy abdominal impact."

"But these legs — afraid they're done for."

"The 120 ambulance doctor's suggestion: direct amputation! Then consider pelvic fracture surgery to stabilize the pelvic ring."

"Then the lumbar and thoracic vertebral fractures — stage-two surgery later." Fang Songlin stroked his chin.

"Family? Have they arrived?" Fang Ziye asked urgently.

This patient is trouble. He has no immediate life threat for now, but these two legs look completely ruined.

Although there's no crush injury with tissue destruction, the femoral and lower leg bones are already shattered like this; many fracture fragments aren't even inside the body. Such massive bone defects — even for Zhongnan Hospital, handling this would be considerably troublesome.

"Family hasn't arrived. Patient says they're still out of town, on their way. But the patient says his company and he himself bought special insurance..."

"So he told us not to worry about cost. His desire for limb salvage is quite strong." As Fang Songlin spoke, he saw Emergency Surgery's chief resident Deng Zhi and the patient's coworker already pushing a gurney in from outside.

The patient's bilateral lower limbs were wrapped in long plaster splints and bandages; the bandage periphery had already soaked blood and scabbed over.

"Doctor, exams are done. What now for my brother?" The accompanying coworker was a sturdy young man, broad-boned, dark-skinned.

Fang Ziye and Fang Songlin had already donned gloves. They went forward and first palpated the patient's dorsalis pedis artery.

The dorsalis pedis artery was silent.

Immediately Fang Ziye pressed hard on the dorsum of the foot: "Any sensation?"

The patient lifted his head slightly: "Doctor, are you asking me?"

"Okay, I know." Fang Ziye's eyes darkened again.

If he had sensation, with fractures this chaotic, how could it not hurt?

If there were pain, there'd definitely be a reflexive 'ouch'. The patient isn't moving at all, and his mood seems fairly stable — the nerves were definitely severed directly by the shattered femur.

Worse scenario: if it's Brown-Séquard syndrome, that's trouble.

"Step back a bit, I need to continue the physical exam." Fang Ziye moved to the patient's pelvis, told the coworker, and pulled the curtain open.

"Doctor, you go ahead, I'll step back..." The coworker hurried back, but in his fidgety haste he stepped on Deng Zhi's foot.

"Sorry, sorry."

Deng Zhi only twitched at the corner of his eye, then sidestepped the young coworker and came forward to assist with the exam.

Fang Ziye looked at the patient's cardiac monitor: "BP stable, heart rate pretty good too. Hemostasis done on scene?"

"Yes, Doctor. Before 120 was called, a doctor happened to pass by and roughly handled the bleeding on site."

"Later when the 120 doctor arrived, he said our luck was very good..."

"If we hadn't met that doctor in time, a few more minutes and my brother might have..." The young coworker didn't continue.

Fang Ziye really wanted to see how the other doctor handled it, but now everything was wrapped in bandages and plaster. No matter how curious, he'd have to wait until the OR.

All this is really quite coincidental.

This young man didn't die — one, he knew some force-dissipation moves; two, he happened to encounter that doctor.

"Then where is he? Did he say anything to you?" Fang Ziye narrowed his eyes slightly and asked.

Then he continued to palpate the patient's abdomen for examination.

"You mean that doctor we encountered? He said he was off duty. After handing over with the 120 doctor, he even registered and left, saying he had just arrived at his new unit and needed to find a place to live, otherwise he would be homeless."

"I originally said I'd go find him a place and let him stay at a hotel, but he wouldn't come. He only said there was temporarily no life danger, and even though he was off duty, he still had to do his own things first." The young worker clutched his own cheek.

Immediately after, the young worker said again: "Doctor, you must save my brother. It would be best if you can save these legs. We were comrades before, and after retiring we started a small company together, basically a studio."

"We all have families to support. He'll need to support his family in the future too. Rest assured, our insurance is quite comprehensive. The insurance company will be here soon."

"It's not a money problem." Fang Ziye frowned, glaring at the dark-skinned young man with slightly large ears:

"You shut up first."

Then he asked the injured young man: "I'm pressing like this, and you feel nothing at all?"

The young man still shook his head, smiling faintly: "Doctor, it's not that I feel pain — I don't feel much pain at all. It seems okay."

"Okay my ass! I wish you were crying in pain right now." Fang Ziye directly took off his gloves.

"Can you move your toes?" Fang Ziye continued to ask.

The young man tried twice, then shook his head again.

"Your hands can move. You need emergency surgery right now, and even if you have this emergency surgery and save your legs, they may have no function."

"Don't think no pain is a good thing. From the abdomen down, you have no sensation at all. This is a spinal cord injury, and a complete spinal cord transection. From now on, your lower body may be useless."

"I'm not being alarmist!"

Seeing the young man still didn't realize the severity, Fang Ziye looked at Fang Songlin.

Fang Songlin merely met Fang Ziye's gaze and immediately called to urge: "Spine Surgery? This patient may have a complete spinal cord transection..."

Fang Ziye's cold gaze made the young man panic: "Am I paralyzed?"

"What do you feel yourself?"

"No pain, no itch, can't move. I pinch your skin and there's no sensation." Fang Ziye directly pinched his skin with his fingers.

The young man, who had thought things weren't especially serious, instantly reddened at the eyes.

"Don't cry!"

"Crying is useless. What needs to be done now is solve the problem, not be sad, regret, or other things."

"Sadness and crying are useless."

"Cooperate with my examination!"

"Zhi Ge, call the Surgical Building Operating Room. Say there's a patient here who needs to be sent to the Surgical Operating Room for emergency surgery. Have them arrange and coordinate."

"This one? Brother, what's your name?" Fang Ziye asked the young man.

"Chang Hong." The young man said with a slight tremble at the corner of his mouth.

The young man wasn't afraid of dying; he was afraid of being paralyzed, losing the ability to support his family, and becoming a burden to his home.

"There's a patient named Chang Hong. After sending for emergency surgery, have them schedule the emergency surgery in the Spine Surgery operating room."

"Try to coordinate!" Fang Ziye instructed again.

Deng Zhi immediately went to make the call...

Roughly three minutes later, the Spine Surgery Chief Resident also arrived.

Huang Xiaoming shares a name with a celebrity, but aside from that, there isn't a single similar point.

Huang Xiaoming is slightly chubby, very tall, a full 1.9 meters. Especially his feet are especially large — every time he buys shoes it must be the top size. Seeing Fang Ziye, he asked: "Industry Brother, what's going on?"

"Complete spinal cord injury. That's what I'm considering. Still need Brother Ming to take the lead."

Huang Xiaoming was stunned at those words, then examined a couple of times. His tall, chubby frame immediately trembled lightly: "Pathological signs positive, pyramidal tract damage."

"This may need a first-stage surgery for decompression. Has it been sent for emergency surgery..."

"It must be sent. If not sent, these bilateral lower limbs are done for."

"There's also a pelvic fracture..." Fang Ziye nodded.

Huang Xiaoming's voice was also very loud: "Then sign and send to the operating room."

Then he patted the young man and said: "Your situation is very serious. You'll very likely be paralyzed. Even with surgery you'll still be paralyzed, but without surgery it's one hundred percent paralysis."

"Current examination results aren't comprehensive. We can't waste more time on examinations either. We can only strive — save whatever function we can."

"Try to preserve your bowel and bladder function first. Understand?"

Unlike Fang Ziye's conversational style, Huang Xiaoming's feature is simple and crude.

"I..." The young man turned his head away, unable to accept such a cruel blow all at once.

Yesterday's Chang Hong could still jump around, at least able to take on over ninety percent of men in reality one-on-one. Today he's told he may only preserve his bowel and bladder function, and from now on his lower body is gone.

How could he accept it?

"Doctor, don't scare people like that. You definitely have a way." His comrade swallowed his saliva and asked carefully from the side.

"Ways are limited too. Modern medical standards encountering this kind of injury, the consequence is just like this. You can check yourself, consult, or ask — it's all a no-way situation."

"It's not that our hospital's standard isn't enough. You can also go consult other places' Spine Surgery."

"For this acute traumatic spinal cord injury syndrome, every hospital has experienced at least a hundred or eighty fully paralyzed patients. Those with fewer than this number — their Spine Surgery isn't worth going to at all."

"Surgery first. Prepare the costs, including postoperative care costs, nutrition costs, etc." Huang Xiaoming once again violently outputted!

Of course, this kind of simple crudeness is also effective.

Both men fell silent.

Immediately after, with the patient's own hands still able to move, he lay on the bed and signed a stack of informed consent forms he hadn't looked at at all.

Then, he was sent into the Surgical Building's Operating Room by Fang Ziye and Huang Xiaoming together.

"Doctor, please. You must save him well. He has two children..." The worker cupped his hands, swaying back and forth.

"I know, and I understand. But I also hope you understand us. Everyone in reality can only do their utmost and leave the rest to fate."

"You can look at the family members around here — everyone hopes their relatives will be safe and sound, including us doctors."

"But if an irreversible outcome occurs, we also hope you can accept it calmly." Huang Xiaoming's tone finally softened a bit.

Fang Ziye didn't dare decide on his own; he directly called his Master Yuan Weihong.

By the time Yuan Weihong arrived at the OR, Fang Ziye had already completed the disinfection and draping in the operating room with Xiong Jinhuan and his fellow trainee Jie Han.

Looking at the patient's limp thighs and lower legs, and the bone fragments on the skin, Yuan Weihong gasped: "This injury is quite severe? You guys disinfect and drape first, I'll call Professor Deng."

"This will be a hard battle!" Yuan Weihong admitted defeat right then.

Actually Fang Ziye felt it was still okay; in his current situation, reconstruction of both femurs and tibias/fibulas definitely couldn't be done — even if reconstruction were to be done, it would have to be one leg at a time.

Otherwise if reconstruction is done but there's no function in the end, no ability to move, then the reconstruction surgery is meaningless.

And before reconstruction surgery, the lower limbs' blood supply definitely has to be restored first.

At the same time, Spine Surgery Chief Resident Huang Xiaoming directly called his group's big shot Professor Zhang to the OR.

After Professor Zhang stepped into the OR, he asked: "Xiaoming, what's the current situation with this fall injury?"

"Lower thoracic 7th and 8th spinal cord injury!" Huang Xiaoming's one sentence made Professor Zhang's steps pause slightly.

"That's quite severe."

"Any films?" Professor Zhang asked.

"Yes, a CT and X-ray were taken pre-op, and I had the patient get an MRI too; it should be a T7-9 burst fracture with dislocation, spinal canal compression."

"The films haven't been printed out, can only be viewed on the computer." Huang Xiaoming hurriedly led his group's boss toward the anesthesia machine's computer...

"Hello Professor Zhang."

"Hello Professor Zhang." Fang Ziye and Yuan Weihong both greeted Professor Zhang.

No other reason — Old Professor Zhang was the Chairman at Fang Ziye's Master's thesis defense, and also a defense committee member when Yuan Weihong graduated with his Doctorate.

Old Professor Zhang actually recognized Fang Ziye, nodded slightly: "The one who picks the peaches. The one who plants the peaches."

Hearing this, both Yuan Weihong and Fang Ziye's faces reddened slightly.

Fang Ziye's "Yuanmen's First Peach" back then left a deep impression on Old Professor Zhang.

"Hello Professor Zhang, this patient also has bilateral lower limb burst fractures, large segment bone defects, possible vascular and nerve injuries, so we came too." Yuan Weihong hurriedly reported the situation.

Hearing this, Old Professor Zhang asked very experiencedly: "Are you considering amputation?"

"Otherwise the subsequent surgeries would have to be done one by one, total cost wouldn't be less than 500,000; your injury is too extensive."

Fang Ziye heard this and knew where Huang Xiaoming's personality habits came from.

Exactly the same simple brutality as Old Professor Zhang.

The anesthesiologist just said: "Professor Zhang, the patient is already under general anesthesia."

"Sigh!" Old Professor Zhang sighed upon hearing this: "Actually I personally still feel that even if the limb is saved in the end, some function recovered, many patients after discharge may not be able to earn back 500,000."

"Better to amputate, get more compensation..."

"Of course, this kind of talk can't be said."

Old Professor Zhang, widely experienced, nearly sixty, had encountered far more similar patients than Fang Ziye and the others.

Before long, Deng Yong was also called into the OR by Yuan Weihong.

After entering the OR, Deng Yong also walked behind Old Professor Zhang, looking at the plain films, brows immediately furrowing: "For this disease type, surgical treatment doesn't have much meaning."

"After spinal cord injury decompression, how much function can remain is hard to say."

"With this degree of bone defect, to reconstruct it would be extremely time-consuming, labor-intensive, and costly."

"A large segment bone defect like this, comprehensive treatment down the line, at least 50,000-60,000."

"And it can't be done in one go; the time span is at least half a year to a year, even longer."

"Ziye, have you discussed amputation with the patient?" Deng Yong asked the same question Old Professor Zhang did.

Fang Ziye, who had already started draping in coordination with Yuan Weihong, hurriedly raised his head and said: "The patient said he has insurance, his willingness to preserve the limb is still quite strong."

"Insurance? With his situation, even with insurance it's hard to handle; the disease course prolongation time is too long."

"Then let's just wait and see for now..." Deng Yong couldn't make further suggestions either.

Wanting to preserve the limb is every patient's wish.

But based on actual circumstances, not everyone is actually suited to endure a long disease course to keep the leg, and not every family has that much energy and financial support to see it through.

After Deng Yong and Yuan Weihong scrubbed in, the first thing to do was still debridement and hemostasis.

And they split into two teams: Yuan Weihong with Fang Ziye doing one leg, Deng Yong with Jie Han doing the other leg.

Not long after, Deng Yong also called Li Yuanpei and Yan Zhiming, two Doctors, into the OR; two three-person teams began operating respectively.

After Fang Ziye and Yuan Weihong opened the thigh, they discovered the patient's femoral artery and femoral vein stumps had been ligated with special silk sutures for hemostasis.

"Holy crap?" Yuan Weihong blurted out at the sight.

Then he poked around the other wounds caused by bone spur fragments, looked blankly at Deng Yong: "Professor Deng, come take a look, how was this knot tied?"

Knot tying technique is an even more technical surgical basic skill than suturing technique.

Even people who haven't studied surgery can tie knots.

But like this — no open incision, can't see where the vessels are, yet able to use suture to complete the knot — Yuan Weihong had simply never heard of it.

Even Sports Medicine can't do local tendon repair from an irregular incision?

Deng Yong raised his chin slightly, glanced, then looked at his own surgical field: "On my side the femoral artery hasn't been found damaged for now."

"This is suspicious; there should be some colleague who did emergency treatment at the injury scene."

Deng Yong suddenly thought: "Wait, your side's femoral artery is damaged, but during surgery no hematoma or blood accumulation was found..."

Finished, he looked at Fang Ziye: "This, can you do it?"

Fang Ziye thought very seriously for a moment, then nodded: "Master, it's doable, but the operation will be very difficult."

"Cleaning up the hematoma and pooled blood isn't difficult; what's difficult is achieving hemostasis through suturing and knotting. At most, I can only use instruments to stop the bleeding."

After saying this, Fang Ziye still spoke candidly: "This blood vessel—when Nie Mingxian found the rental house, he likely encountered the scene and then handled it on the spot."

"The patient said so himself."

"Someone who can handle this kind of femoral artery injury well and just happened to be renting a house—if there were a second person, the odds of such a coincidence would be too small."

Deng Yong listened, blinking a few times: "That's a good thing."

"Anyone Teacher Liu insists on bringing to Zhongnan Hospital definitely isn't an ordinary person."

"You said before that even for a severed limb, this young Nie has a way to clear the thrombus inside, right? That's capability."

"It seems to be a knowledge blind spot that even vascular surgery professionals can't access."

Vascular surgery, like trauma surgery, belongs to a surgical specialty.

For mangled extremities in trauma surgery, many people are treated with amputation.

Similarly, vascular surgery has many arterial thrombi that are also treated with amputation. And for limbs after amputation, vascular surgery personnel face extremely high difficulty in clearing the thrombus inside.

Deng Yong had discussed similar issues with Wu Yong of vascular surgery, but Professor Wu Yong of vascular surgery said this was almost impossible to accomplish, not within the research scope of Zhongnan Hospital's vascular surgery.

Every hospital's specialties and research directions are different, and so are their strengths.

Deng Yong's words made Professor Zhang of spine surgery, who was scrubbing in to go on stage, pause slightly: "Deng Yong, your trauma surgery plans to write something on this topic after amputation?"

"This is turning waste into treasure, creating a miracle! ~"

Post-amputation patients are a forbidden zone no hospital dares to touch.

It's thankless work and might even offend the unit that performed the amputation.

Currently, almost no hospital is willing to do such a "foolish thing."

But in reality, the beginning of every scientific research, in the eyes of outsiders, is an extremely foolish thing.

"Professor Zhang, it's temporarily just at the daydreaming stage; not a single stroke of the eight characters has been written yet."

"For this research project, we should start planning from the animal testing stage. If there's progress, I'll report good news to Teacher Zhang at that time." Deng Yong was still very courteous to Professor Zhang.

"Mm, good. Then I'll wait for good news."

"Our Zhongnan Hospital's big orthopedics department indeed needs to crawl forward a bit. This fourth and third place—listening to it always doesn't feel very comfortable." Professor Zhang said jokingly.

Fang Ziye, hearing this, then reported: "Teacher Deng!"

"The quadriceps and biceps femoris both have injuries; the tendon injuries are relatively superficial, and some residual branches of arteries and veins are also injured."

"Additionally, the left femoral nerve is completely transected, and the sciatic nerve is partially transected. If we want to do a one-stage suturing, do we need to trouble Teacher Liu again?"

"Or should we invite doctors from hand surgery or neurosurgery for consultation?"

Fang Ziye asked very cautiously.

For this kind of emergency surgery, nerve injury belongs to a cross-specialty disease type; nerve injury can be handled by neurosurgery, hand surgery, and even trauma surgery.

But whoever wants to handle it better can't be directly evaluated.

But in principle, if neurosurgery and hand surgery mess it up, they bear no responsibility; if trauma surgery people handle it well, they get no credit.

"Call Liu Huanglong. In this situation, unless Ni Yaoping comes personally, otherwise it's better to have Liu Huanglong come." Deng Yong said.

"As for responsibility and such issues, now is not the time to discuss these."

Deng Yong has experienced a lot, so he has absolute decision-making power.

Since Deng Yong had already decided, Fang Ziye and Yuan Weihong and others stopped chattering, turned around and had the circulating nurse open Deng Yong's mobile phone, then dialed Professor Liu Huanglong's phone.

This is the helplessness of medicine.

When encountering a difficult disease type, if the chief resident can't handle it, the attending physician must come; if the attending physician can't handle it, call the associate professor; if the associate professor still can't handle it, the professor must come.

Fang Ziye's level is slightly higher; once Fang Ziye can't handle it, basically Deng Yong and Liu Huanglong both have to personally run to the emergency operating room.

If even this situation can't be handled well, then it's probably directly amputation or waiting to be disabled, and even more likely death...

"Master, wait a moment, don't handle this bone fragment yet." While cooperating with Yuan Weihong, Fang Ziye suddenly used the forceps in his hand to press down on Yuan Weihong's hand that was about to retreat, his voice very low.

Yuan Weihong raised his head and glanced at Fang Ziye.

Fang Ziye shook his head at him.

Yuan Weihong immediately understood, his expression changing very quickly: "My hand is a bit stiff, Ziye, you do it! ~"

Hearing this, Fang Ziye used the hemostat in his hand to probe up and down the residual end of the bone fragment, then shook out a wolf-tooth-potato-shaped bone fragment from the soft tissue.

There are bone spurs locally; if treated as a smooth bone fragment and pulled out hard, it's obviously not very scientific.

Yuan Weihong slightly lowered his head, silently sighing again in his heart.

Deng Yong also slightly raised his head to look, and stopped speaking.

Naturally, Deng Yong was sensible enough to wait another ten-plus seconds before saying: "Weihong, you and Yuanpei switch positions; he's not as handy as you, you come over here."

One sentence helped Yuan Weihong out of the situation.

Yuan Weihong performing surgery with his student belongs to a master's school family reunion; they cooperate well and are easy to talk to.

But that was before.

Now Yuan Weihong might directly feel awkward in front of Fang Ziye.

Although Yuan Weihong might also feel awkward in front of Deng Yong.

But Fang Ziye is a subordinate, Deng Yong is a superior.

Feeling awkward in front of a superior is learning, insufficient skill.

Feeling awkward in front of a subordinate involves face issues to some extent.

Li Yuanpei and Jie Han are different; they were originally Fang Ziye's fellow trainees and classmates. Not to mention feeling awkward, even if Fang Ziye pointed at the two and scolded them.

Everyone in the operating room would find it normal.

Joking, which surgeon wasn't scolded by their teacher pointing at their nose?

If not, you might need to reflect on whether you haven't met a good teacher, whether the teacher simply isn't willing to pay attention to you!

Except for individual special Supervisors! ~

With someone else around, Fang Ziye could really let loose, saying: "Senior Brother Li, open the Surgical Field a bit more…"

"Jie Han, your Right Hand, come in a bit more, right right right, no need to be afraid……"

Hearing this, Yuan Weihong secretly glanced in Fang Ziye's direction and softly sighed one breath "Sigh……"

A voice like a tiny mosquito.

"When books are needed one regrets having too few…" Deng Yong added a word, stopping at the right point.

Yuan Weihong nodded heavily.

(Chapter End)