Chapter 404

The muscles at the thigh are very thick and strong; whether it is the quadriceps in front or the biceps femoris at the back, the muscle bulk is quite wide.

This is an anatomical structure that everyone possesses.

Precisely because of this, when Fang Ziye performed local debridement, he instead felt like a fish in water.

For debridement, the more functionally complex the location, the greater the operational difficulty; in a place with muscle bundles as large as this, the details needing attention during operation are actually not that many.

Moreover, Fang Ziye still had the mood to teach: "What muscle is this?"

Jie Han thought for a moment: "Gracilis."

"Correct, this is the gracilis. This muscle has a very interesting trigger point; you come try it." Fang Ziye had already completed the femoral artery anastomosis, and under the boost of his Level 4 Vascular Anastomosis, the single lower limb's blood supply was already patent.

Patent blood supply is the foundation for lower limb survival!

The subsequent nerve anastomosis can only be carried out after the debridement is finished.

Yes, this time, through the accumulation from the previous several massive surgeries, Fang Ziye had again accumulated his Knowledge Points to above 9000.

Just Yan Chu's one postoperative functional reconstruction for mangled extremity, because it was an original surgery, brought Fang Ziye nearly eight thousand Knowledge Points gain.

If he saved a bit, Fang Ziye could add points to both Vascular Anastomosis and Nerve Anastomosis up to Level 5.

However, Vascular Anastomosis currently has no necessary application; Fang Ziye only plans to wait a bit and then add points to Nerve Anastomosis.

Knowledge Points are not quite enough; he can only calculate carefully.

Hearing this, Jie Han immediately began reciting: "Origin: pubic ramus and ischial ramus. Insertion: medial surface of the upper end of the tibia. 3. Trigger point location: middle of the gracilis muscle belly."

While reciting, he started searching at the middle segment of the gracilis; as a result, when he stretched the middle of the gracilis, he indeed saw the muscle contract.

And the patient's current state was no longer limp and boneless, but truly without bone support; therefore, after the muscle contracted, the thigh directly went limp and changed shape.

This frightened Jie Han into hurriedly letting go.

"It's fine, this patient's semitendinosus was originally going to be excised. His lower leg tendon is damaged; the semitendinosus is a natural autologous tendon graft material; excising it has no great impact on the patient's own function."

"It is one of the excellent autologous consumables for sports medicine ACL reconstruction." After Fang Ziye explained, he had Li Yuanpei pull the vision wider.

"The course of the semimembranosus and semitendinosus is largely consistent, but because the semimembranosus tendon is too small, it is generally no longer used as autologous tendon graft material."

"Let's look at the tensor fasciae latae next..." Fang Ziye treated this patient's muscles entirely as a living anatomy textbook, continuing to supplement Jie Han and Li Yuanpei's on-site anatomy knowledge.

Of course, Fang Ziye himself could also review.

After recognizing almost all the muscles, and after the hematoma and bone fragments were all cleaned up via debridement, Fang Ziye saw the femoral nerve severed by bone fragments and the sciatic nerve half-severed behind it.

Seeing Fang Ziye expose the two nerves respectively, Deng Yong raised his head and asked: "Ziye, do we want to switch positions?"

Deng Yong was afraid Fang Ziye lacked sufficient nerve anastomosis and handling experience.

"Master, let me try suturing first; I watched Teacher Liu suture nerves before, and I feel I've learned the technique well enough." Fang Ziye asked in a low voice for a chance.

Hearing this, Deng Yong nodded and continued with Yuan Weihong to handle things: "That works too."

——

All junior doctors' growth is built on the foundation of learning and accumulating surgical volume.

Fang Ziye's suturing basic skills are excellent; even without mastering many nerve anastomosis tricks, the quality of his suturing won't be too poor.

Others can practice nerve anastomosis in emergency surgeries; why can't his 'beloved disciple' Fang Ziye?

So, even if Fang Ziye doesn't suture that well, it is actually understandable; at the very least, Fang Ziye can guarantee his nerve anastomosis level surpasses ninety-five percent of orthopedic doctors, or even more.

Hearing this, Jie Han's spirit shook: "Senior Brother, are you planning to suture only the epineurium, or epineurium and perineurium together?"

Nerves are divided into epineurium and perineurium.

The epineurium, as the name suggests, is the outermost membranous structure wrapping the entire nerve; it is the first barrier isolating the nerve from the outside.

The most traditional nerve anastomosis is epineurial anastomosis.

But due to the limitations of epineurial anastomosis, it is currently only applicable to anastomosis of some nerve stumps without perineurial branches.

At the femoral segment, the femoral nerve, within the epineurial wrapping, further divides into perineurial branches; in such a situation, besides suturing the epineurium, the perineurium must also be sutured.

Then, the suturing method at this time differs again.

There is simple perineurium + simple epineurium suturing, and there is integrated perineurium and epineurium suturing.

The anatomical structure of a large nerve is similar to an electrical wire; some wires split into many strands, separately interwoven inside one large wire; when bridging, to avoid transmission chaos, each strand must be connected separately.

Because Jie Han is not a Professional Master's in Hand Surgery, his understanding of nerve anastomosis subcategories is not especially clear.

Fang Ziye replied: "Those with perineurium are generally sutured with perineurium and epineurium separately; although integrated perineurium-epineurium suturing sounds impressive, its applicability is not strong; it is an improved suturing method to simplify the operation, applicable in some nerve segments."

Li Yuanpei heard this and also nodded lightly: "That's right, I've also heard others say that after integrated epineurium and perineurium suturing, local scarring may be excessive, ultimately leading to scar hyperplasia inside the epineurium, compressing the nerve and causing symptoms."

"Separate suturing is better."

"Just Ziye, this patient's femoral nerve stump already has relatively large edema; do we need to cut it and re-anastomose?" Li Yuanpei's knowledge base was ultimately slightly broader than Jie Han's by a little bit.

When a nerve has local edema, suturing difficulty is high and it is hard to distinguish the internal structures.

By convention, this should be excised.

Fang Ziye shook his head lightly: "Yuanpei, what Teacher Liu Huanglong said last time about excising scars to a scar-free position during nerve grafting — that refers to elective surgery."

"During emergency surgery, the nerve stumps have not yet undergone scar healing, so it's not necessary."

"Additionally, this patient, because the local nerve has edema, and will secondarily undergo limb-salvage surgery repair, therefore, the most suitable surgical technique for him is: epineurium and nerve sheath fasciotomy decompression, perineurium anastomosis."

"In this situation, even epineurial anastomosis is unsuitable; if epineurium and perineurium were integrated and sutured, it would undoubtedly impose more compression on the edematous nerve, possibly even leading to local necrosis."

Li Yuanpei heard this, slightly surprised: "Ziye, you're still reading books now?"

This is Hand Surgery theoretical territory; obviously, Fang Ziye knowing these means he read Hand Surgery professional books.

"Got free time, definitely have to read; although Professor Liu used to be from Hand Surgery, and now nerve anastomosis all falls under him, we definitely need some exposure too."

"My positioning is very precise now; Master only lets me handle emergency surgeries and corresponding mangled extremity disease types; then for bone transport surgery, super-large segment bone defect surgeries' details and corresponding theoretical issues, I just don't touch them."

"Learn for application, learn while using, is the best learning method."

After speaking, Fang Ziye began performing epineurium fasciotomy decompression while saying: "This learning method has actually been upheld since our student days."

"During our Master's and Doctoral stages, we couldn't access most fracture surgeries; the only thing usable was basic skills; we naturally had to practice basic skills first."

"Once the basic skills are solid, Senior Brother Li, and Jie Han, you'll find that whether it's debridement and suturing, external fixation for fractures, or internal fixation, they all stem from basic skills applied flexibly."

"The adaptation of basic skills to circumstances is the foundation of professional standard procedures."

As Fang Ziye spoke, the pointed knife in his hand had already picked open the entire outer membrane, making room for the swollen nerve.

Hearing Fang Ziye's heartfelt words, Deng Yong laughed: "Ziye, some things don't need to be said outright. Once you say them, it becomes even harder for them to truly grasp."

"It would instead have the effect of pulling up seedlings to help them grow."

Deng Yong knew Fang Ziye hadn't been teaching for long and currently had no insights to speak of.

Natural talent and the ability to teach are completely different concepts; he then hurried to remedy it: "You two, it'd be best if you could slowly forget this sentence, don't dwell on it, just honestly do your own proper duties, don't aim too high."

"If you really want to experience profound and unfathomable things, just read the treatment principles in the textbooks carefully."

"Treatment principles are the essence distilled by experts of each specialty through deep thought and painstaking contemplation; every word, every sentence, is worth savoring carefully."

"For instance, the treatment principle for fractures — what is most important?"

"Reduction, fixation, rehabilitation!"

"The order of treatment, the emphasis — it's all been labeled out for you."

"The beginning and the end are both the key points; the fixation in the middle, as long as reduction is done well, is just a procedure, and both reduction and fixation serve rehabilitation."

"Another example: surgical emergencies are always save the life first, then treat the disease!"

"You two experience mangled extremity again — that Yan Chu earlier, and the young man we're planning surgery for later — do their two-stage treatment plans also conform to the principle of saving the life first?"

"The leg's life is also a life..." Having said that, Deng Yong finally lowered his head.

And due to Deng Yong's interruption, both Jie Han and Li Yuanpei became thoughtful.

Jie Han's eyeballs rolled, and questions sprayed out again, but were quickly suppressed by Fang Ziye: "Come over, hold the retractor, watch me suture the epineurium..."

At the same time, Fang Ziye silently spent about 4500 points on Nerve Anastomosis, adding points to bring it to Level 5!

After adding points, Fang Ziye felt a faint warm current permeate his palm once more.

Immediately after, to avoid consuming his knowledge points on future emergencies and leaving himself no chance to add points to theory, Fang Ziye simply poured all his remaining knowledge points into Trauma Surgery Theory in one breath.

And Fang Ziye gave himself a death order.

The next wave of knowledge points must be used to add points to Orthopedics, Hand Surgery, Surgical Science and other basic theories; never again mess around with messy skills.

Unless someone is dying right before his eyes, and by adding points he can save them.

Apart from that, no one can shake his resolve.

Mainly, Fang Ziye still couldn't bear to see himself capable of handling certain problems — or capable after adding points — yet turn a blind eye.

However, after Fang Ziye added points, he didn't trigger any resonance in anyone.

In the eyes of Deng Yong and the others, Fang Ziye's Nerve Anastomosis and Liu Huanglong's Nerve Anastomosis had no difference at all; both were very awesome.

Every trade has its specialty —

Just as all laymen think surgeons are all very awesome, daring to cut into the human body, all surgeons think all coders are awesome, completing incredible logic and procedural operations through a keyboard.

Once something exceeds the scope of your own capability, whether he is very awesome or a hundred percent awesome is no longer within your realm of cognition.

So Deng Yong and the rest simply stopped watching!

Soon, Fang Ziye finished the suturing operation on the epineurium of the femoral nerve and sciatic nerve. After examining carefully all around, Fang Ziye also looked at the fracture fragments previously withdrawn from the soft tissue.

He sighed, looking at Teacher Deng Yong: "Master, these bone fragments — even with titanium mesh reconstruction in stage one, it can't be reconstructed, right?"

Deng Yong rolled his eyes: "Ziye, what are you thinking? His total accumulated bone defect length is nearly a meter!"

"Where would you harvest from to fill such a huge hole? Even for limb reconstruction, you could only do the tibia position."

"For the femur part later, just treat it according to total femoral replacement for tumor." Deng Yong had a plan in mind long ago.

The bone defect range is too large; so-called bone grafting surgery here is already completely bullshit.

If it were before, Fang Ziye would definitely just shut up.

But now, Fang Ziye's Trauma Surgery Theory had just reached Level 5 thickness, and with some capability, not speaking up was impossible.

Tone very gentle and delicate: "Master, for the convenience of soft tissue reconstruction, directly give this patient, in the form of arthrodesis, a lower limb support."

"Otherwise even if debridement and suturing are done, the patient returns to the ward as just two long strips of soft meat."

"What?" Deng Yong was slightly stunned.

For a moment he didn't quite understand what Fang Ziye was trying to express.

In Deng Yong's view, this patient's only choice was to wait, wait for stage two surgery, think of a way to treat the bone defect; before that, just wait with a pair of rotten legs.

However, Deng Yong was not an ignorant person, nor someone without any knowledge reserve.

Fang Ziye's words were like peeling away a thin film that had been restricting him, making him feel that perhaps he had overlooked something.

These things, he had known about, but because they weren't good enough, or not prominent enough, he had forgotten them in a corner.

"Master, my meaning is to use a form similar to an external fixator frame to connect the existing bones together, so that at least the patient has a lower limb body support."

"Bone is the foundation of standing."

Deng Yong thought of it, and understood: "With his condition, at most only some bone spurs remain; external fixation with a brace can at most handle the bone spurs at the fracture ends — how would you fix it?"

"With such a long bone defect, how would you fix it?"

The exquisite structure of human anatomy far surpasses any natural wonder.

If a part of the bone is missing, you can still think of ways to repair it, but now only a remnant remains; to repair it is almost impossible, almost beyond the cognition of modern medicine.

"Arthrodesis." Fang Ziye said.

Arthrodesis is a surgery that modern medicine has almost abandoned for many, many years.

For example, hip arthrodesis was originally a procedure for therapeutic purposes, but it was a common procedure only in the 1940s and 50s of the last century.

Hip arthrodesis is a surgical method for treating severe hip joint destruction or deformity. This surgery can achieve removal of the lesion, make the joint fuse by bone, thereby relieving pain, correcting deformity, and obtaining a strong joint.

After fusion, although the hip joint loses motor function, such as squatting and running will be restricted to a certain extent, through compensation by the lower waist, contralateral hip joint, and ipsilateral knee joint, the affected limb can not only recover stability and weight-bearing walking, often achieving near-normal gait, and without pain, and can perform general physical labor.

Especially for physical laborers, hip arthrodesis has even more superiority; therefore, hip arthrodesis was once a quite important treatment method in orthopedic surgery.

But later, due to the appearance of total hip arthroplasty, this surgery has almost been eliminated.

Things that have been eliminated naturally no longer adapt to the current era.

However?

Fang Ziye seems to have given it new life; Deng Yong's thinking is also sharp — after all, as one of the outstanding figures of that year: "You mean, utilizing the supportive structures of the hip joint, ischium, and ilium, to fuse the femoral stump with its bone graft."

"Fuse the proximal and distal ends of the knee joint with bone grafts as the intermediate support point, then fuse the ankle joint and all joints of the foot together as three fulcrums, and apply a super-long external fixator?"

Fang Ziye's suggestion is truly ruthless.

Making this young man lose the motor function of all lower limb joints, compensatorily preserving the lower limb's support function first!

However, this surgical approach that would be a catastrophic blow to other patients is, for the young man at this moment, like redemption!

Tasteless wild vegetables are certainly unpalatable, but they are far more delicious than eating shit!

The entire lower limb's bones are gone; what else do you want?

Even if the leg is saved, being able to walk normally is already a luxury wish.

Still wanting to jump around lively?

This is no different from a child with terminal cancer wanting to grow up, still wanting to marry and have children — it is a delusional beautiful dream.

"Just right, these bone fragments can also be put to recycling use."

"Otherwise, these things can only be thrown away!"

"Still better than the suggested amputation." Fang Ziye nodded, continuing to ask for Master's opinion.

Master Deng Yong is on the platform; Fang Ziye only exercises the right to suggest.

Respecting teachers and valuing the Way is one part, giving Deng Yong face is another part; more importantly, during special emergencies, all actions must obey the Commander, choose one goal, everyone works together, rather than fighting separately.

Without the combined effort of Liu Huanglong, Fang Ziye, and Deng Yong — these three people — Yan Chu's surgery could not succeed.

While Deng Yong was still hesitating.

Fang Ziye spoke again: "If there is a possibility in the future, under conditions where fixation is still decent, then add intramedullary nail internal fixation, local fixation, or even use a hinged knee joint and tumor hip joint to reconstruct the lower limb; at least the patient can still regain some joint function."

This sentence from Fang Ziye finally persuaded Deng Yong.

"You handle it; first ensure survival, the lower limb still has a support point; later problems, we'll discuss later." Deng Yong's tone had already retreated.

His mind full of nothing but a paper title like this.

"Clinical Application of Arthrodesis in Multi-segment, Large-segment, and Discontinuous Bone Defects"

This is another relatively hot topic.

Treatment of bone defects is currently very popular; it is a mandatory surgical technique for all top-tier Grade-A hospitals, but not all bone defects can be treated well.

For example, this patient's type — multi-segment, large-segment, discontinuous bone defects — is currently almost unsolvable in the field of modern medicine.

Not many people can afford such cost consumption, and such damage belongs to the absolute indication for amputation, not the indication for limb salvage surgery.

Even with insurance, the insurance company will not acknowledge you using bone graft materials worth millions or even tens of millions to save a pair of legs!

"Okay, Master, then I'll try first." Fang Ziye is also not certain for now whether this plan can work.

But it is also a feasible alternative plan.

Even if it fails, it's nothing more than a brave trial and error.

But if it succeeds, for the patient it is also an unconventional redemption.

"Joint incision..." Deng Yong originally wanted to ask if Fang Ziye could do joint incision technique, but unexpectedly, Fang Ziye had already opened and entered at this moment.

Deng Yong no longer spoke further.

Thinking about it, it makes sense; Ziye's incision technique level has already reached that degree of mastery; joint incision technique is merely the flexible application of anatomy — how could Fang Ziye possibly not know it?

This is already a mature surgical technique; as long as one has read the textbook, knows which anatomical structures can move and which cannot, handing it to Fang Ziye, there is absolutely no problem.

Roughly half an hour later, Deng Yong brought Yuan Weihong to complete the debridement and local nerve suture of his own leg.

Deng Yong sutured it himself; regardless of whether the suture was good or bad, whether the quality was high enough.

I, Deng Yong, personally performed the surgery; what more can be said?

Could it be that any surgery for any patient in the whole world must gather the world's top medical resources? Other doctors don't do surgeries?

Opposite, Fang Ziye has already fused the hip joint and knee joint together through Kirschner wires with compression bone grafting.

It looks quite cruel.

The young man's joint motor function in the future is definitely gone; even if fused then pried open later, much function would still be lost.

But it's still better than amputation.

Deng Yong tested the function of the hip joint and knee joint, lightly sighed, then nodded: "Not bad; this anticipated plan is still good."

"Just right, you continue debridement; after finishing the rest, come over to my side to help me..."

When Deng Yong spoke here, Spine Surgery's Professor Zhang finally couldn't help but speak: "Deng Yong, are you pressuring me?"

"You finish the lower limb's bony support; if the patient can't walk later, it's my surgical skill's problem, right?"

Old Professor Zhang's name is very plain, called Zhang Quan, quite possessing a vintage style.

But actually, Old Professor Zhang's reputation in Zhongnan Hospital is still quite large; he belongs to the very famous old professors.

Deng Yong laughed: "Teacher Zhang, where is the meaning you think? This hat is worn by you; you are responsible for taking it; don't get angry."

Deng Yong's tone was very relaxed, slightly fawning.

Fang Ziye heard this and looked at Deng Yong, discovering his teacher had really restrained a lot; thinking about it, it's probably because Old Professor Dong Yaohui is about to leave, forcing Deng Yong to restrain his temper.

Fang Ziye then looked at Yuan Weihong with his head lowered in thought.

Yuan Weihong and Deng Yong seem like two extremes in different directions...

Look at Yuan Weihong; Master Chu Professor has already passed away; Yuan Weihong also has no true master's school to rely on; how come he's still so arrogant now?

Oh, now he has restrained a lot; but Yuan Weihong has long been famous far and wide.

Old Professor Zhang was doing an anterior approach spinal canal decompression incision; after raising his head, he slightly tilted his neck, emitting a cracking sound of joint twisting.

Professor Zhang is currently nearly sixty years old, and his physical strength and energy are no longer at their peak.

But he still insists on performing surgeries.

"The younger generation is formidable. Orthopedics' Ziye — when I was doing surgery in Spine Surgery, people were already discussing him. First it was students, then Chief Residents, and now even some Attending Physicians are talking about him."

"From what I hear, he's a talent. From what I see, he's a handsome guy. When operating together, he's an expert." Professor Zhang's words were steady and measured.

There was no particularly high-pitched tone, nor any stepping on others to prop someone up; it was as if he were simply stating a fact.

This patient's diagnosis is relatively simple, with only the Spine Surgery and Trauma Surgery teams present.

Upon hearing this, Huang Xiaoming said: "Professor Zhang, Director Fang is in our Chief Resident group chat, currently standing alone at the top. Many brothers praise Director Fang incessantly."

"Me, and Hand Surgery's Zhu Hui, including Joint Surgery and even Bone Disease Department's Chief Residents, have practically become elderly matchmakers."

"I heard that Internal Medicine's Doctors and Chief Residents, and even some Attending Physicians, after seeing Director Fang, are all smiling like flowers, with the memory etched deep, unable to think of tea or food."

Zhang Quan's movements paused slightly upon hearing this: "Then why don't you give Director Fang's WeChat to others? Our Orthopedics has plenty of steel-pipe big men; you think it looks glorious, right?"

Huang Xiaoming immediately said: "Teacher Zhang, it's not that I'm unwilling to give the WeChat, but rather the flowers have intent while the flowing water is heartless — Director Fang already has an owner for his grass."

"This is what torments us brothers. Last time I heard Sports Medicine's Chief Resident Cao Runyuan went on a blind date, even teachers from Shuiguohu Middle School were asking: compared to Doctor Fang Ziye, whose medical skill is more formidable?"

"Brother Cao's defenses crumbled on the spot……"

After hearing Fang Ziye had a partner, Zhang Quan shook his head, but was also a bit curious: "Little Huang, your intelligence network is broad enough, you miss not a single piece of gossip, but key techniques you don't learn a single one?"

"What relationship do our hospital's doctors have with middle school teachers?"

Huang Xiaoming spoke like he was selling a riddle: "Teacher Zhang, you don't know this, do you?"

"Director Fang's Master's Supervisor, which is Big Brother Yuan Weihong's lover, is in the Shuiguohu Primary School system. They're all near Shuiguohu; the middle and primary schools are the same system."

"So they all know each other. What a pity, Director Fang's grass already has an owner……"

Fang Ziye didn't speak the whole way, just waiting for Huang Xiaoming and Zhang Quan to banter and crack jokes at his expense over there.

Surgeons all need to use some form to shift pressure.

Zhang Quan and Huang Xiaoming are still chatting, which proves their surgery is progressing smoothly, and they have a certain grasp on postoperative function.

Under such premises, being able to become material for shifting pressure actually requires skill too.

Fang Ziye comforted himself so in his heart. After fusing the joint, then nailing up all the external fixator brackets, the lower limb's length as well as the lower limb's force line and weight-bearing line finally recovered as before.

"Master, come take another look. I fixed part of the external fixator brace on the ilium. This kind of brace external fixation surgery should barely be usable, right?" Fang Ziye asked Deng Yong, his voice deliberately raised a few degrees.

Deng Yong immediately understood Fang Ziye was cracking a joke at Old Professor Zhang Quan. Old Professor Zhang Quan, the moment he entered, suggested Deng Yong amputate.

Although Deng Yong had also suggested that, after all it was Deng Yong and Fang Ziye together who sought a way to temporarily avoid amputation.

As the saying goes, correcting one's mistakes is the greatest good. Temporarily changing the surgical method intraoperatively is a very normal thing.

Zhang Quan's side, on the other hand, was completely nonsense, an extra superfluous mouth.

"Do the surgery properly and speak properly. Old Professor Zhang is willing to speak to you because he thinks highly of you. Don't hang your Teacher Xiao Yuan's whole set of sarcastic airs on yourself here." Deng Yong laughed and scolded.

Upon hearing this, Yuan Weihong immediately raised his head, a face full of innocent expression, innocent eyes looking at Deng Yong.

Heart surging with shock: What the f*ck does this have to do with me?

Professor Deng, if Old Professor Zhang Quan outputs, I can't take it. For Ziye's sake, you sold me out?

Zhang Quan immediately asked the person beside him: "Who is Yuan Weihong?"

Yuan Weihong immediately lowered his head, transformed into an ostrich, taking small quick steps to hide beside Deng Yong, hoping Deng Yong's fat belly could block him.

Someone immediately told on him.

"It's the one next to Professor Deng. He's Ziye's Master's Student Supervisor. North Sea One Leaf is him too!" A Spine Surgery Attending Physician gloated.

"Oh! ~ Good good good…… knew it knew it, thunder piercing the ears." Old Professor Zhang Quan kept nodding lightly, then continued burying his head in surgery.

Surprisingly, there were no other particularly many actions! ~

And this scene, even Deng Yong found rather surprising.

Old Professor Zhang is currently the one with the oldest seniority among the non-re-employed old professors in Orthopedics and Spine Surgery. His temperament shouldn't be like this, right?

However, after Zhang Quan resumed surgery, he still self-reflectively said to those beside him: "In the future, one must still be cautious in speech. For industries one doesn't understand, don't speak randomly. Otherwise, using a currently trendy phrase, what's that word called — slapped in the face."

"Being slapped in the face hurts! ~" Old Professor Zhang Quan said with a straight face.

(Chapter End)