Chapter 415: Elective Surgery Teaching and Teaching (Seeking Subscriptions)

"Yes!! ~" Fang Ziye thought carefully for two minutes, then nodded solemnly at Nie Mingxian.

He then explained: "In a new surgical technique and uncertain research, basically two uncertain factors do not appear. This is a principle that a mature researcher must uphold."

Biting off more than one can chew — in the research field this is carried to the extreme.

A research project, under normal circumstances, only explores one unknown direction.

Mangled extremity limb-salvage treatment is the application of relatively mature surgical techniques, at an ultra-high level, using common treatment methods, surgical approaches that others can understand, to achieve the possibility of limb salvage for mangled extremities.

This epidermal growth factor, even if it now has research results, has not undergone clinical trial certification, has not been made public and subjected to peer review.

And yet they want to bring it into a new research project?

Upon hearing this, Nie Mingxian's brows furrowed slightly, but soon relaxed again.

Research workers are also human; the team they build, the results they produce themselves — they are certainly unwilling to let others share a slice of the pie.

However, Nie Mingxian quickly persuaded Fang Ziye again: "Ziye, you should be clear, surgery has professional limitations, while new drug development has far fewer limitations."

"Comparing very cautiously, Ziye, the weight of your mangled extremity surgery project in the research field cannot catch up to the development of a new drug."

Mangled extremity treatment — is it awesome?

That is definitely awesome to the max.

But equally, its professional binding is too severe; other peers wanting to learn it need to spend too much time and energy, therefore such originality can only count as a team-internal miracle; its influence in the entire industry field needs to withstand the test of time.

However, a new drug's development, if the drug effect is very good, then its short-term benefits and long-term benefits are both not comparable to a simple new surgical technique.

More simply put, from the angle of transmissibility.

A new drug's development can spread to county hospitals and even township hospitals' surgery departments within two to three years, but a new surgical technique may have absolutely no possibility of spreading to county hospitals or even township hospitals.

There won't be any county hospital doctors willing to labor without reward to learn mangled extremity limb-salvage surgery; amputation is so simple and happy?

Many exquisite surgical miracles have appeared in the world, but a large portion of these surgeries have not spread; the main reason is difficulty too high, limitations too strong!

After Nie Mingxian waited for Fang Ziye to finish digesting, he rubbed his right thumb and forefinger, and said relatively cautiously: "Therefore, Professor Duan Hong's team wanting to enter this clinical project — it may not be us giving them a lift, but possibly them giving us a lift!"

"It's very obvious, the next proposition for mangled extremity limb-salvage is how to solve ugly surgical wounds, making scar healing decrease!"

Nie Mingxian is someone who knows the profession, knows research, and knows patients and society.

Ask any person: do you want the surgical effect to be better after surgery, and also leave very few scars?

Even an elderly person, not considering any other factors, their answer is all: yes.

Love of beauty is a basic demand of many people after social development.

Fang Ziye lowered his head and looked at the thumbnails of his left and right hands; the nail beds were ruddy and had no hangnails; he looked for a while, then raised his head: "Xian Ge, does Wu Xuanqi Big Brother have particularly many tricks?"

The impression Wu Xuanqi left on Fang Ziye was ten thousand-plus scheming minds; if not necessary, less contact is best.

Wu Xuanqi is also the most shameless person Fang Ziye has encountered so far; his own teacher Yuan Weihong, in front of him, might even pale in comparison.

This is a very tempting bait.

A relatively mature drug's development "result" sits right in front; as long as Fang Ziye nods agreement, afterward he can hang Fang Ziye's name on it, letting Fang Ziye possess original drug development experience and resume.

And with Fang Ziye's achievements and surgical skills, the attached name would be very high up, even possibly snagging a second author or even co-first author spot.

This is a piece of fat meat delivered to the mouth; open mouth, bite once, mouth full of oil.

"Indeed many, but, at least, I have not found any reason to refuse."

"Of course, Ziye you have your own considerations."

Nie Mingxian then stopped his left thumb and forefinger rubbing motion, switched to clenching a fist: "Ziye, no matter what, between you and Wu Xuanqi, there is definitely a clash."

"You two are of comparable age; later wanting to operate within Hubei Province, one mountain cannot accommodate two tigers!"

"Wu Xuanqi's ten years from twenty to thirty were much more unlucky than yours, but during this time he accidentally found a very strong backer. Behind him there is even an original company specializing in medical devices cooperating with him, cultivating him."

"Similarly, Lao Wu's aptitude is absolutely no problem."

"You need to think this through."

"You probably also don't want, later after you've exhausted your mind developing and creating many concepts, the result is they're not valued by anyone, and finally you take them into the coffin board with you?"

Fang Ziye turned his head, corner of his mouth twitching: "Xian Ge, isn't that too terrifying?"

Nie Mingxian, however, with the air of one widely experienced, curled his mouth corner even wider than Fang Ziye: "As long as someone develops a technology simpler than yours, even if the effect is only one-half or one-third of your developed techniques and skills, you are a loser."

"Wanting not to be cut off, you can only drift with the tide and follow the mainstream."

"Current society is very restless; those able to calm down, seriously learn technology, single-mindedly only wanting to climb higher peaks — absolutely fewer and fewer."

"Ziye, do you treat being a doctor as a career or as an undertaking?"

"Ziye, even if you treat being a doctor as an undertaking, others just treat it as a job; the essence of a job is to earn money to support the family, not to wear yourself out body and mind..."

Nie Mingxian spoke to here, then realized his loss of composure, hurriedly shut his mouth.

Putting his tone more steady: "Let's still talk back to the mangled extremity project matter; I personally still believe the meaning of cooperation is greater than separation."

Fang Ziye looked Nie Mingxian up and down, eyes narrowing.

What Nie Mingxian just said was obviously not Fang Ziye's experience, nor Deng Yong's experience, nor any Duan Hong's experience.

Hubei Province's current medical competition is still far from reaching the step Nie Mingxian spoke of.

Doctor as an undertaking, or career, or job — in the education Fang Ziye consistently received, they are all the same principle.

But the capital where Nie Mingxian was before is different.

The capital and Magic Capital can be said to be the most economically developed; that is where immortals truly fight.

You can see, any specialty's top three hospitals, generally must have one from the capital, one from Magic Capital.

Orthopedics famous hospitals: Jishuitan, Capital Third Hospital, Huashan Hospital, Magic Capital Sixth Hospital...

Han City's Tongji, Xiehe, Provincial People's Hospital, etc., nationwide, actually are a bit not at frontline standard.

Cardiovascular surgery, Fuwai these two characters can encompass everything; it is also in the capital.

"Xian Ge, my meaning is, my personal thought, doesn't represent our team's thought. This matter, ultimately still needs Teacher Deng and Professor Liu Huanglong to make the final call; we all only have suggestion rights."

"My personal thought is, if the meaning of separation would be greater than cooperation?" Fang Ziye countered with a question.

In other respects, Fang Ziye dared not say.

But speaking only of the level of basic skills, Fang Ziye dared say that even if Teacher Duan Hong came, it wouldn't help, and even if teachers from Jishuitan came, that wouldn't help either.

Under such circumstances, Fang Ziye was unwilling to have more people bind his thoughts and ideas.

Just having a few teachers leading him, giving himself full room to play, that was the best.

When the number of participants increased, it required balancing various aspects, and giving face to this person and that person, and in the end the original idea would be changed beyond recognition...

Being able to develop drugs was naturally a good thing, and it was very easy to leave a name for eternity!

But Fang Ziye had also thought about it; regarding the career, profession, and work Nie Mingxian had just asked about, Fang Ziye felt that it didn't matter which kind it was, the most important thing was that he himself be happy.

As for himself now, he had no pressure, no family to support, no need to fight for any funding for students, no need to consider students' graduation issues...

So, during this period, that is, before bringing graduate students next year, he should just be a doctor well, and be a very pure doctor wholeheartedly.

Thoughts for the future, talk about them later.

Nie Mingxian leaned his whole body back, a smile playing at the corner of his mouth: "Ziye, your tone is quite big; you don't even want the opportunity for Professor Duan Hong, such a native discipline leader, to vouch for you."

"The words 'great skill makes one bold' suit you very well."

A gentle smile was originally just a laugh, later used more for girls' laughter, but now Nie Mingxian's 'auntie smile' had quite that flavor.

Nie Mingxian was not a robot, nor was he a featureless passerby; on the contrary, Nie Mingxian had always had very strong planning for his own life.

He was a person with greater talent than Wu Xuanqi, and also the person with the highest aptitude Fang Ziye had encountered so far.

In horizontal comparison, even Luo Tingzhu was slightly lacking before Nie Mingxian; if a true comparison were to be made, Lan Tianluo, this multi-disciplinary high-IQ person, could barely compare with Nie Mingxian.

"Brother Xian, you're not here to be a lobbyist, are you?" Fang Ziye's expression was slightly surprised.

Having not spent long getting along with Nie Mingxian, Fang Ziye still couldn't figure out what style this buddy was.

Back when he was in Enshi, Nie Mingxian was a 'bitterly earning money' doctor; everything else was not in his eyes at all; relying on skill and spending time to earn money was his daily routine.

Afterward, Fang Ziye didn't have much contact with Nie Mingxian; meeting again after a year, Fang Ziye was naturally caught off guard...

"I already said it!"

"I and Wu Xuanqi are good friends, but I've also heard that Teacher Deng Yong and Teacher Duan Hong are iron brothers!" Nie Mingxian thus made a sarcastic remark.

The meaning of this iron brother was that once Teacher Deng Yong turned up his nose, he would directly not play with Teacher Duan Hong, at least that's how it looked on the surface...

Fang Ziye dared not spread rumors about teachers' choices and personal decisions.

He changed the topic in a split second, putting on a smiling face, and took advantage of the opening: "Brother Xian, what are your plans for the future?"

Nie Mingxian's eyeballs quickly turned a circle: "Me, I just go with the flow!"

"Wherever it's needed, I'll go there."

"Anyway, following Professor Liu, one can definitely make a living."

"Following the teacher in the future, one can also have food to eat."

Hearing these words, it seemed as if there had long been choices and arrangements.

But Fang Ziye had previously heard Nie Mingxian's 'inner voice,' and knew that behind what Nie Mingxian had experienced, there must be another version of the story.

Seeing through but not saying it: "Brother Xian, tomorrow our group's surgery day, there is a pelvic fracture; Brother Xian, let's go on stage together?"

Fang Ziye extended an invitation to Nie Mingxian.

As for Nie Mingxian now, in terms of theoretical and operational accumulation in trauma surgery, he was still relatively weak.

That could be understood; after all, Nie Mingxian had only just come into contact with trauma surgery, and this time coming to Zhongnan Hospital with Liu Huanglong was a temporary arrangement.

Even if Nie Mingxian wanted to transfer departments, he would need a relatively long learning time.

Furthermore, Nie Mingxian was currently a Deputy Chief Physician in the Anesthesiology Department, but his practice scope was still surgery, so he could still engage in surgical work.

"Okay! ~"

"Ziye, you haven't even done ward rounds, yet you know tomorrow's surgery arrangements?" Nie Mingxian asked.

"I have some understanding. I..." Fang Ziye was about to speak when the door of the consultation room was knocked on.

"Doctor, hello, the doctor next door said to let me come to the Trauma Center Clinic..."

Fang Ziye hurriedly closed his mouth, and Nie Mingxian also stood up to give up his seat, turning to look at a youth holding his wrist walking in from outside; the cement and lime slurry on his body were very conspicuous, he should be a renovation worker or someone who just came from a construction site for treatment.

"Hello, where are you uncomfortable? Come sit quickly..." Nie Mingxian sensibly led the patient in.

Then came the routine process of inquiry, physical examination, and reading films.

Throughout the entire process, Nie Mingxian did not say a word, just silently watching Fang Ziye do the whole thing.

"It's fine, your elbow joint dislocation is not serious; after reduction, no plaster cast is needed; if there's no pain in the early stage, you can start functional exercise."

"But rotational movement of the elbow joint is still forbidden within two weeks!"

"Of course, if you feel it's very difficult to protect your elbow joint in daily life, we can also put on a plaster cast!" After handling the dislocation, Fang Ziye explained to the youth.

The youth looked at his elbow, then at Fang Ziye, then at his elbow again: "Doctor, you just said you would reduce it for me; are you doing it yourself? I thought you were going to call your teacher?"

The youth looked at Nie Mingxian, then at Fang Ziye, and finally fixed his gaze on Nie Mingxian!

For no other reason, Nie Mingxian, in his thirties, looked more convincing than Fang Ziye, this 'pretty boy' in his twenties, and also seemed to have higher skill.

Hearing this, Nie Mingxian's expression instantly became awkward; he reached out to explain: "Big Brother, no no no, you got it wrong; he is the teacher, I just look more mature; look, I don't even have a name badge; this is my superior..."

Truly calculated, Nie Mingxian was definitely the superior.

But speaking of professionalism, in trauma surgery, Nie Mingxian absolutely dared not act big!

"Really?" The youth's expression was slightly doubtful.

"What's there to lie about? A real superior pretending to be a subordinate is not an honorable thing; seeking truth from facts."

"Just say whether Doctor Fang did the reduction well or not, doesn't it not hurt anymore?" Nie Mingxian flipped his right hand, letting the youth feel it himself.

The youth then hurriedly nodded, putting his heart at ease: "Thank you, Doctor Fang, sorry about that, Doctor Fang."

Questioning Fang Ziye's skill to his face and directly asking Nie Mingxian to perform was ultimately a bit embarrassing.

After the young man finished speaking, he felt himself take the printed Outpatient and Emergency Medical Record that Fang Ziye handed over, and left the consultation room.

At the doorway of the consultation room, the young man lightly doubted aloud: "These guides on Wang Shang aren't very useful either; it seems I should still come to the Hospital in the future, and it's better to use Wang Shang less..."

After the young man left, Nie Mingxian put on a Mask for himself, making himself barely look more like a rookie, a flash of light passing through his eyes: "Ziye, is this Closed Reduction difficult to learn?"

What is the most fundamental interest of boys? Operation.

Put more simply, that is boys' hands basically can't stay idle.

In childhood they always want to hold something; in adolescence they directly hold themselves; after growing up, they still want to hold bowl-shaped things...

Being able to complete things difficult to understand through Operation, this kind of 'showing off before people' sense of achievement, makes ordinary people after seeing it feel itchy hands and want to try.

Clinically, what disease has the fastest treatment effect?

Very simple, Dislocation!

Hand arrives, disease removed; hand arrives, pain gone...

"Actually it's not difficult, you just need to master the basic principles of Reduction. Adequate Traction, timely Reduction, that's all."

"For example, Shoulder Dislocation, especially Anterior Shoulder Dislocation, you just need to use the External Rotation Reduction Method; once you master the basic posture and learn how to apply Traction force, you can learn it right away..."

"Brother Xian, you first Baidu the basic techniques of the External Rotation Reduction Method, and then if you encounter a suitable one, I'll let you try..." After Fang Ziye understood, he began to tempt him.

Nie Mingxian shook his head while saying: "I don't even need to try it myself, I'm just curious to see."

However, Nie Mingxian couldn't help but use his Mobile Phone to Baidu it.

Hey!

Just this one action immediately let Fang Ziye capture a 'good habit' of Nie Mingxian.

Is he unable to bear Loneliness? Or does he want to learn when he sees something new?

If he wants to learn Operation, then Trauma Surgery is just right; just with Reduction, he can let Nie Mingxian learn bit by bit for a month or so, going through all the styles...

Time Flows Like Water.

The Next Day, early morning, two forty-five.

After watching the patient leave, Nie Mingxian looked at his Two Hands in some Surprise; his palms had become flushed red from just performing Reduction, and a warmth from Friction came over them.

Every feeling made Nie Mingxian feel both real and illusory.

After Fang Ziye sent the patient with the Forearm Sling tied on out of the consultation room doorway, he also instructed: "Remember not to injure the shoulder again, and the affected limb cannot move too much; if it's too much, it's easy to dislocate again! ~"

After speaking, he turned back and looked at Nie Mingxian.

He looked at the time on his Mobile Phone again, then said: "Brother Xian, you go rest in the Rest Room first; tomorrow you still have to go back to the Department for Ward Round."

But how could Nie Mingxian sleep at this moment: "Ziye, is this Reduction really so easy to learn?"

"I only learned for one day, and I really put this Anterior Shoulder Dislocation back?"

Nie Mingxian simply couldn't believe it.

This patient just now, from Physical Examination to reading films, then to the choice of treatment, including the treatment, were all completed by Nie Mingxian alone.

This is less than one day!

"Brother Xian, your accumulated foundation of medical basic knowledge must count too, right?"

"You do Vascular Surgery; the Muscles near the Brachial Plexus and their corresponding paths are engraved in your brain; the few Muscles involved in the External Rotation Reduction Method, you also Know in Heart."

"How is this learned in one day?" Fang Ziye explained, giving Nie Mingxian more of a sense of Participation.

If it were a layman, asking him to learn the External Rotation Reduction Method of the Shoulder Joint in one day?

The teacher wouldn't dare teach, and he probably wouldn't dare learn either.

Undergraduates with Basic Skills would still need to accumulate for several more months, solidifying the Basic Skills of Closed Reduction well in the Training Room.

Then why could Nie Mingxian do it?

Or because his Basic Skills were solid.

Many Basic Skills have different forms of expression, but after Fang Ziye's Basic Skills reached a certain Fire Candidate, he knew their principles were Correspondingly connected.

Summarized, the preoperative stage of Operation is practicing control of Capability.

From controlling the knife in Incision Technique, to controlling the depth and angle of Suturing Technique...

In the later stage, on the basis of control and Steady, one then pursues fast; fast and good is the expression form of high Proficiency Basic Skills.

After Nie Mingxian had enough Basic Skills, he actually already possessed the corresponding Foundation.

One can't say, foreign literature scholars read foreign books, so they have no cultural Foundation, right...

"Oh, is that so."

Nie Mingxian felt hidden joy and disappointment: "I thought it was because my talent was a bit good."

Fang Ziye suddenly raised his head.

Did Nie Mingxian need such commercial flattery?

However, after Nie Mingxian recovered his expression, he said: "I won't go sleep first; Associate Professor Xie said he'll come take over your shift after three o'clock."

"I think, you and Associate Professor Xie are truly mutually complementary and mutually beneficial."

"You can absolutely cover his shift for him, and he can let you have more Rest Time; that's much better than you serving as Chief Resident alone."

Through one day of Follow-up Doctor work at the Trauma Center, Nie Mingxian had pretty much figured out Fang Ziye's skill level. In handling Emergency Treatment, as long as Fang Ziye was there, Associate Professor Xie basically had nothing to do.

Actually this can be understood; before there was a Trauma Center, Fang Ziye alone handled the Emergency Consultation.

After Associate Professor Xie came to attend the Trauma Center, if he only brought Wang Yuanqi, it was basically hard to sleep soundly, always worried.

This is why many physicians of this Hospital, before serving as Chief Resident, need to be tempered for a while; because the accumulation of over ten years of bachelor's, master's, and doctoral studies is still not solid enough.

But Fang Ziye was different; Fang Ziye's basic accumulation was already very mellow.

Basically, whether life-threatening or not, Fang Ziye could handle it independently, and rarely needed to call someone to have the professor step forward; with such comprehensive ability, many people could sleep especially soundly.

"Isn't this quite good?"

"Brother Xian, if I were a half-baked person, you would have long disliked me and gone home to sleep a big sleep." Fang Ziye smiled and praised himself.

The reason people dislike admirers of strength is that they themselves are not the objects of such admiration.

In truth, everyone has a relative admiration for strength.

When all conditions are suitable, isn't the better option the superior choice?

The answer is basically always so.

Including the arising of many feelings, that too is actually admiration for strength.

Being beautiful, talented, gentle and attentive enough, having earned your appreciation...

"Ziye, you're developing more and more of a superior's bearing." Nie Mingxian nodded, letting out a yawn.

Fang Ziye then said: "Brother Xian, aren't you also drifting further and further from the path of being down-to-earth?"

"Think about it, the other doctors in our department are still at the age where a single banquet, a few thousand yuan in subsidies, can make them happy for a long time."

"But you, Brother Xian, even with a monthly income of twenty thousand, it's hard to be especially happy, isn't it?"

Nie Mingxian had long since reached the level of a twenty-thousand monthly income; back in Enshi, working that hard, that desperately, in a technical trade with extremely high professional barriers — anesthesiology.

Impossible not to make twenty thousand a month.

The current Fang Ziye is the same, monthly income approaching twenty thousand.

If someone told Fang Ziye, "Your monthly salary is actually as high as twenty thousand," Fang Ziye would be happy, but wouldn't feel especially happy...

"Wanting to find some amusement is actually quite hard." Nie Mingxian retracted his lazy stretch and yawn, saying.

Fang Ziye then said: "Brother Xian, actually it's not hard."

"Learning, and having learned something, gaining harvest through learning, always makes people happy, doesn't it?"

One sentence from Fang Ziye suddenly stunned Nie Mingxian!

He abruptly turned his head at that moment, utterly surprised: "Ziye? You're not joking, are you? You're at Zhongnan Hospital, and it's been a long time since you've learned anything?"

Fang Ziye being able to say this represents a kind of 'emotional void', represents a kind of need.

Learning with gain!

It sounds like four simple words, but to enjoy these four words, you need to have a certain 'gap', and this gap can just be irrigated and filled by your teacher.

Only thus can there be a sense of harvest, of satisfaction.

Fang Ziye saying this sentence so calmly represents that Fang Ziye has long since crossed the path of autonomous learning, even autonomous exploration.

This represents that Fang Ziye's circle of competence, at least fifty percent or more, has approached the current technical barrier; to advance even a single step further requires his own strenuous exploration.

And this, how is it possible?

This is generally a feeling only many professors would have?

Fang Ziye?

Just how inflated must he be?

Is he deliberately attracting my attention?

Is Fang Ziye deliberately showing off?

Nie Mingxian's thoughts raced through many things at once, but he immediately negated such thoughts.

If Fang Ziye wanted to show off, he has far too many points to show off about; there's no need for him to show off to me at this hour, at this time point, in the early morning.

Go find the sun?

Fang Ziye shook his head: "It's not that I haven't learned anything either; if I want to learn I certainly can learn, it's just that there are very few teachers who feed me teaching anymore."

"Instead, my two masters have already started assigning me teaching tasks."

"Tomorrow's surgery is like that."

"..."

Nie Mingxian's brow furrowed.

The surgery Fang Ziye is slated to lead tomorrow is an open reduction internal fixation of a pelvic fracture.

To understand this surgery, Nie Mingxian professionally consulted books, determined the surgical approach to be taken, the method of open reduction internal fixation to be performed, and basic knowledge of the steel plates and screws to be used.

Nie Mingxian originally thought the lead surgeon for this surgery would be Fang Ziye as lead, with Teacher Deng as first or second assistant.

Equivalent to feeding Fang Ziye surgery in a transformed way.

But unexpectedly, it's actually Fang Ziye taking several doctors to operate on a pelvic fracture.

Nie Mingxian vaguely remembers that Wu Xuanqi once told him the time for doing pelvic fracture surgery was during the attending physician period, at an age several years older than Fang Ziye.

And the difficulty of pelvic fracture surgery is already very close to the high point of difficulty for mature elective surgeries in trauma surgery.

If Fang Ziye has good attainments in such a surgery, it proves that what Fang Ziye just said, about not having the pleasure of learning gains for a long time, is a heartfelt sigh.

Carrying such doubts, Nie Mingxian waited until morning when Fang Ziye and Luo Tingzhu stuffed a mouthful of dog food into him during breakfast, then waited until after handover and rounds.

Then, Teacher Deng took Yuan Weihong into the operating room; Liu Huanglong went to handle laboratory matters since he had no corresponding mangled extremity surgery; Fang Ziye took Nie Mingxian, Yan Zhiming, Jie Han and others to another operating room.

After entering the operating room, the patient had already finished anesthesia; Jie Han was leading Liu Haihua in disinfecting and draping; Fang Ziye was facing Yan Zhiming and Nie Mingxian, doing a simple popular science explanation.

"For today's surgery, we will use the hip joint posterior approach. This approach initially consisted of the Kocher approach and the Langenbeck approach; Letournel and Judet combined the two approaches, mainly used to expose the hip joint's posterior wall and posterior column."

"Later, there were also improvements to this approach, called the Gibson approach, which moves the upper part of the incision further forward; Moed further improved the Gibson approach, calling it the modified Gibson approach; these several surgical incision approaches are all very similar."

"The modified Gibson approach can protect the nerves and blood vessels dominating the anterior part of the gluteus maximus, and can better expose the hip joint upper part and iliac wing, and can be used to treat hip joint posterior wall, posterior column, and some transverse fractures and T-shaped fractures."

"But today, we will still adopt the more classic Kocher-Langenbeck approach..."

Elective surgery teaching differs from simply doing surgery.

Besides doing the surgery well, one must also give the fellow trainees a good analysis of the surgical procedure; analyzing the surgical procedure certainly starts from the surgical approach.

As for why not start from diagnosis and surgical indications, it's because those things are what the daily bed-management doctors and resident physicians need to learn themselves; no need for Fang Ziye to supplement further.

As Fang Ziye spoke, even Nie Mingxian nodded repeatedly, listening attentively.

Yan Zhiming listened even more attentively, expression serious, following Fang Ziye's explanatory train of thought while his mind drifted to regional anatomy and orthopedic surgery, layer by layer opening up the patient's local muscle tissue.

(Chapter End)