Chapter 433

At 8:47, Fang Ziye closed the ride-hailing car's rear door and gestured his thanks, then turned toward the hotel's main entrance when the phone in his right palm vibrated with a notification.

Picking it up, it was a message from Gong Ziming: "Big Brother, my Master told me to thank you."

"That patient with the dislocation had an MRI and was diagnosed with a difficult-to-reduce anterior-inferior shoulder joint dislocation; fortunately, you didn't just jump in."

"It's a difficult-to-reduce dislocation, right? I had that suspicion too, so I just mentioned it; Teacher Gong is still more cautious." Fang Ziye smiled at this, and also saw the notification that new Knowledge Points had arrived.

Correcting a diagnosis also provides some Knowledge Point gain, though only 8 points, but the joy in his heart couldn't be replaced by 8 Knowledge Points.

"Mm, I found my Master is also quite open to advice; after the patient paid and returned, he immediately admitted he might have misdiagnosed. The patient and family looked doubtful and grim for a while."

"But my Master's attitude was quite sincere, and since no damage was caused, the patient and family tacitly accepted it."

"After seeing the MRI results, they even gave my Master a silk banner." Gong Ziming chatted with Fang Ziye in a rambling way.

"Learning more from your teacher will more or less teach you something."

"In clinical practice, patients and families prefer honesty rather than covering up; people aren't machines, machines can make mistakes, and everyone is negligent sometimes."

After giving that piece of guidance, Fang Ziye said: "I've already arrived at the venue; we'll chat again after I get back."

"Okay, Big Brother." Gong Ziming replied obediently and actively ended the chat.

After slightly adjusting his newly changed long-sleeved shirt, Fang Ziye walked into the hotel.

Since he would be the main speaker later, his attire had to be proper; he could actually wear a tie, but Fang Ziye felt he hadn't reached a rank that required such formal dress, so he was too lazy to change.

It was June after all; a suit with trousers and a short-sleeved shirt, plus leather shoes, was formal enough. Adding a suit jacket would give him heat rash.

Fang Ziye didn't loiter; he immediately rushed to the Trauma Surgery Sub-venue on the third floor.

In the academic conference hall, crowds surged; the speaker on stage spoke calmly and unhurriedly, sharing the "lecture content" he brought.

Below the stage, some listened intently with pricked ears, some whispered to each other, and others chatted quietly with familiar friends.

The Large Conference Hall had nearly three or four hundred people, the vast majority of whom Fang Ziye didn't know.

After walking two circles around the back left and right of the venue without finding Deng Yong and Yuan Weihong, Fang Ziye leaned against a corner and stood, listening to the speaker on stage share diagnosis and treatment experience on "diabetic foot."

Actually, Fang Ziye didn't know what his sharing was called; it was just his own understanding.

Suddenly, two people in the back row, seemingly having agreed to go out and do something, stood up and left; Fang Ziye immediately jogged forward a few steps and snatched a seat.

Someone also sat down beside him, appearing to be in his thirties. After sizing Fang Ziye up and down, he focused his gaze on the big screen, and the two didn't chat.

After carefully listening to the speaker's content, Fang Ziye realized this speaker was Professor Tang from Sha City Xiangya Second Hospital.

Professor Tang specialized in foot and ankle surgery and the diabetic foot direction.

Professor Tang had a sturdy build, dark complexion, and thick hair, not looking like a medical big shot, but according to his own case sharing, his group alone saw at least several thousand and performed seven or eight hundred diabetic foot surgeries annually.

Seven or eight hundred surgeries a year might not sound like much, but knowing there are only fifty-two to fifty-three weeks a year, that means at least over a dozen diabetic foot patients operated on per week!

A single group having that much surgical volume in a week is already considered a team's limit...

The diabetic foot patients currently treated by Professor Tang's team are ulcers and necrosis, mid-to-late stage gangrene. For late-stage gangrene cases, amputation is still recommended, and Professor Tang drew conclusions based on his own experience.

Once diabetic foot reaches gangrene, the prognosis is quite poor; the best treatment plan is to control blood sugar well in the early stage of diabetes to avoid entering the terminal complications requiring surgical intervention.

Hearing this, Fang Ziye murmured in a low voice: "Online reputation is one thing, but old-brand hospitals like Xiangya Hospital still have people doing solid work... can't generalize..."

After Professor Tang finished sharing, he politely bowed: "Thank you, colleagues, for listening; the above is the main content our team has been working on recently."

Thunderous applause immediately erupted; even Fang Ziye and the young man next to him actively applauded.

While clapping, the Big Brother next to Fang Ziye asked: "Brother, which hospital are you from?"

"Zhongnan Hospital. You?" Fang Ziye replied.

"Are you still a student?" The young man, hearing this, sized Fang Ziye up and down, thinking Fang Ziye was a doctoral student.

At Fang Ziye's age, he was either an employee at a prefecture-level or county hospital, or if a student, definitely a doctoral student.

"No, I've already graduated." Fang Ziye didn't deliberately hide it.

The young man was stunned again, gave Fang Ziye a thumbs-up: "The Eight-Year Program is truly the real deal! Top Student, can I add you as a friend?"

Fang Ziye thought for two seconds before taking out his phone and opening the scan interface.

"I'm from Yi City People's Hospital, Zhong Yaozu, the Yaozu of 'glorifying the ancestors'; my name is rather common." After scanning Fang Ziye's code, the young man introduced himself.

"Fang Ziye, Brother Zhong, I've added a note with my name for you." Fang Ziye said, lowering his head to begin editing Zhong Yaozu's business card.

Hearing this, Zhong Yaozu flipped his hands, opened his mouth wide, sized Fang Ziye up and down, and exclaimed incredulously: "You're Doctor Fang from Zhongnan Hospital? Yesterday's surgery livestream was done by you?"

This sentence from Zhong Yaozu directly drew a small range of people turning their heads, leaning in, and focusing their gaze.

Fang Ziye felt at least over a dozen gazes scraping over him; he could only nod slightly under everyone's eyes: "Yes, Brother Zhong, I made a fool of myself."

Eastern Han standard-style self-deprecation in a strange gathering. If they were all acquaintances, it could be replaced with the three words "Awesome, right?"

"And that's making a fool of yourself?"

"Damn, I struck gold today."

"Come on, brother, let's go out for a smoke." Knowing that exposing Fang Ziye's identity might bring him great trouble, Zhong Yaozu immediately grabbed Fang Ziye's wrist to slip away.

"Don't go! Fang." A young physician sitting to Fang Ziye's left was about to speak.

The brother in front of him patted his shoulder to interrupt and shushed him: "Don't make a scene; the more people you call, the less likely you'll get the WeChat."

"If you summon the old generation from Zhongnan, you'll be even less likely to get contact information."

"Follow them. Take advantage of the few people, don't make a scene, and don't call anyone; those who need to share can share business cards later."

This was a clear-headed person.

After Fang Ziye was pulled to the toilet, only a pipe of water was released; Zhong Yaozu offered him a cigarette, but he didn't take it.

After declining, he said: "Brother Zhong, you go ahead and be busy; I'll return to the venue first."

Just as Fang Ziye's voice fell, several "chain smokers" surrounded him from the side: "Doctor Fang, add WeChat so we can contact later. We just sat next to you and didn't make a scene."

"Just the six of us! Open your QR code and we'll scan it. Later we'll share your business card with our friends. You agree to pass it through, then; we'll note our hospitals."

Fang Ziye had previously felt over a dozen people looking at him, but only six came.

Besieged, Fang Ziye could only helplessly open his QR code business card, feeling a bit flattered.

Actually, by normal reckoning, someone at his current level wouldn't enjoy such treatment; those who get "chased after" by doctors at prefecture-level city hospitals are all associate professors from major institutions.

Because people at professor level are generally inaccessible to ordinary doctors; those who interact with them at the associate professor stage mostly do so when they're promoted to professor—either becoming deputy chief physicians or chiefs.

A young doctor trying to add contact info afterward might get embarrassed.

"Fang Ziye, the Fang of direction, the Zi of Confucius said, the Ye of profession." Fang Ziye still politely introduced himself.

"I know, I know, Doctor Fang Ziye, those three characters are already in the input method." A big brother with a more cheerful personality next door made a face, teeth exposed, his sharp tooth biting a cigarette butt, the ember bobbing up and down.

"Did you all add it? If you did, I'm heading back to the conference venue, gentlemen?" After saying this, Fang Ziye didn't wait for their reply and left directly.

It wasn't that Fang Ziye was aloof, but before his own lecture was about to start, he wanted to go to the conference venue to learn how other superiors organize and present their lecture content.

The time was short, so he could only pick out some key content for pure sharing; technical aspects definitely couldn't be covered.

Even a very small technique, if explained in detail, half an hour wouldn't be enough.

When leaving the toilet, Fang Ziye still heard some sounds accompanied by the smell of the toilet drifting from afar.

"He looks really young! ~"

"I asked a friend at Zhongnan Hospital, he's 28, a doctorate holder and attending physician, his article impact factor is higher than our age."

"You're joking, right? Journals with high impact factors aren't technicians in a massage parlor."

"Brother Gong, all you know is technicians, so you're still looking for technicians while others have already taken off."

"You don't look for them, but I don't see you taking off either? Old Mo, how have you been lately……"

……

Gradually moving away, what Fang Ziye experienced was that the atmosphere at Zhongnan Hospital was very different from that at prefecture-level city hospitals.

Just like having been to Enshi Central Hospital, working at a prefecture-level city hospital means less pressure to buy a house, work income is top-tier locally, and the surgery volume isn't that high.

Besides studying, one would think about how to pass the time and find fun.

If one didn't have a girlfriend yet, worked at a prefecture-level city hospital, and still wanted to play around, then there would be many more ways to play……

Fang Ziye could have chosen such a life before, but such days would be too wasted.

Some people like modest comfort and live slowly in small cities.

But if one likes a slow life, being a doctor isn't a good career choice; taking the civil service exam or other public institution positions would at least guarantee weekends off.

After Fang Ziye returned to the conference venue, he found Yuan Weihong sitting among the crowd, and Yuan Weihong was still chatting with the person sitting next to him at that moment.

There were no empty seats next to Yuan Weihong, so Fang Ziye found a spot closer to Yuan Weihong on the aisle side, standing and leaning against the wall while listening to a director from a prefecture-level city hospital on stage sharing his content.

His content was like reheating rice that had been left overnight several times.

It belonged to a minimally innovative open reduction internal fixation for fractures.

Open reduction internal fixation for fractures, in the academic field of trauma surgery, was already a thoroughly stale direction.

But no one mocked him; daring to innovate is worth encouraging and rewarding.

It's just that there wasn't more support or recognition; after he finished, only symbolic applause sounded, and without further questions, the next speaker was called.

The content shared by the next speaker was even worse than this one—just some standard treatment plans for complex fractures as he understood them.

If the previous one was reheating leftover rice, this one was a newly arrived chef who learned from an already mature fried rice master and hadn't even finished learning.

Of course, considering he was a director at a county-level city hospital, being able to voluntarily sign up for such an academic conference and serve as a speaker, taking this step for his promotion, was also worth encouraging.

……

At ten o'clock, the first half of the morning session was almost over. Yuan Weihong was still chatting with someone and had no intention of coming out, so Fang Ziye could only wait there, so as not to disturb Yuan Weihong's enjoyment.

After the surgery livestreams of the first and second halves ended, there was still one hour left, during which Fang Ziye could ask Deng Yong and Yuan Weihong some key lecture techniques, which would be enough.

Not long after, the surgery livestream from Tongji Hospital's operating room began.

I don't know who the lead surgeon was; the view focused only on the surgical field.

However, the surgery brought by Tongji Hospital this time was no longer a long bone fracture, but had been changed to a pelvic fracture.

And in the surgical field, the surgery had already exposed the ischium.

After the livestream image was confirmed smooth and the sound could successfully complete the interaction between the operating room and the conference site, the lead surgeon and first assistant began a very smooth leverage reduction technique for the fracture.

At the same time, someone beside them was explaining: "This is a relatively standard open reduction internal fixation for ischial fracture; the surgery isn't complex, but to treat it in a standardized way, rebuilding the ischial ring also requires some small techniques."

"We'll quickly review these small techniques with everyone……"

The explainer spoke calmly and effortlessly, but in reality, it was another form of boasting.

In a normal serious family, whose family completes an ischial fracture surgery in ten minutes? Even if it's just simple fixation, completing fixation in ten minutes would be showing off.

The lead surgeon and first assistant's operations were very fast; the livestream video seemed to be played at at least 1.2x speed, while the explainer was methodically breaking down the surgical process.

This wasn't Professor Duan Hong's voice, but should be Professor Duan Hong's subordinate; Professor Duan Hong himself was sitting at the conference site, smiling, with double chins and a short neck, looking always kind and approachable.

But his team, besides a very mature explainer, also had two experts who could quickly complete open reduction internal fixation for pelvic fractures, which was especially luxurious.

Three people—if you randomly pulled one into a prefecture-level city hospital, they could be a teaching instructor level, and could make a prefecture-level city hospital's orthopedics department far ahead of other city hospitals in the same city.

When the surgery livestream was approaching the key moment of the mid-stage climax, Yuan Weihong finally had his fill of chatting, turned his head, and saw Fang Ziye standing along the side in a horizontal row.

Seeing this, Yuan Weihong immediately stood up and carefully bowed to ask the row of people on his right to let him take a lower seat.

Although Yuan Weihong disturbed them, no one was annoyed.

In such a public setting, having three urgencies is normal.

After Yuan Weihong passed through the crowd, Fang Ziye also saw Yuan Weihong, put away his intention to carefully observe the surgery livestream, stood at attention, and said softly: "Master. Are you done chatting?"

After Yuan Weihong squeezed past the last person and stood still, he shook his waist and slid around: "How long have you been here? Why didn't you send me a message?"

"I saw you chatting well with the teacher next to you, so I didn't disturb you. I also just arrived not long ago." Fang Ziye replied with a smile.

"Go, go, go, let's go to the small demonstration classroom next door first; you rehearse it once in front of me."

"Although academic lecturing isn't as formal as a thesis defense, one still needs to be very familiar with the lecture content."

"Professor Deng went to the competition site to be a judge; before leaving, he specifically told me he would arrive around eleven twenty." While speaking, Yuan Weihong rolled up his left sleeve and revealed his watch.

"Probably can lecture about two more times."

"Aren't you watching the livestream anymore?" Fang Ziye was actually still a bit curious about Wu Xuanqi and Zhong Wenyuan's surgery, plus with Long Yuan's commentary, it was quite interesting.

"Watch what? We changed the surgical technique they prepared for the livestream; if we keep watching, that'd be a bit ill-intentioned."

"Let's go, let's go..." Yuan Weihong's teeth were bared in a grin.

Fang Ziye reckoned it was because he was Fang Ziye; if it were someone else, North Sea One Leaf's unique skill of walking on water would definitely be on display.

……

At 11:10, Fang Ziye walked out of the small demonstration classroom carrying Yuan Weihong's Apple computer.

Yuan Weihong and Deng Yong were both very experienced; they never used USB drives to bring PPTs.

If you brought a USB drive, you'd need to borrow someone else's computer to copy the PPT content out.

The content presented in PPTs often includes a lot of the research group's key data, which cannot be allowed to be copied by others; therefore, for data privacy, one must only use one's own team's computer.

This way, unless an insider mole emerges within the team, there's no need to worry about data leaks. And if the team has a mole, no amount of prevention can stop it.

Don't employ the suspicious; once employed, don't suspect.

When they returned to the conference hall of the Trauma Surgery sub-venue, Yuan Weihong patted Fang Ziye's shoulder: "Steady now, don't be afraid, there's nothing to fear."

"Say what you need to say. During the presentation, don't answer anyone's questions, including the conference host's mid-session questions. If you don't answer, they won't break the rules. And they won't bully you for being junior."

"Second, before the sharing starts and after it ends, remember the closing etiquette. You're relatively junior, so after getting on stage, you should bow slightly to acknowledge them; this is respect for peers."

"Don't think it's troublesome or that you'll lose face. If Academician bigwigs can do it, you, Fang Ziye, have no reason not to."

"Third..." Yuan Weihong went over the etiquette with Fang Ziye once more, a bit long-windedly.

Fang Ziye listened with rapt attention, weighing every word and sentence carefully, and didn't find Yuan Weihong fussy at all.

That's just how Yuan Weihong does things — he looks carefree and casual. In reality, before every real appearance on stage, he rehearses and sharpens the knife many times over.

For his own Master's thesis defense, which proper Master's graduate would do ten mock defenses?

But Yuan Weihong arranged exactly that, and before the defense began, he tirelessly corrected and arranged things for Fang Ziye over and over again.

At 11:17, after the previous speaker finished sharing, Professor Duan Hong, currently serving as Conference Chairman and host, raised the microphone and began introducing everyone after the "volunteer staff" put up Fang Ziye's resume.

Even among peers, if they aren't the most famous batch of professors, others might not be familiar with or recognize them; therefore, the conference host needs to introduce the speaker's resume before they begin.

This serves both as a form of promotion for the speaker and to make the audience more interested.

Duan Hong's voice was steady and even: "The next speaker sharing with us is a very young man; this is also the first young person to take the stage in our Trauma Surgery sub-venue's academic conference hall."

"Physician Fang Ziye, Doctor, jointly cultivated PhD from the University of California Los Angeles Medical Center, Resident Physician..."

During his time abroad, Fang Ziye didn't gain any special advantages, but it wasn't entirely fruitless either; he got into a joint PhD cultivation program, which counts as slightly higher value than just going abroad.

This was the result of the foreign lab director suppressing Fang Ziye's resume considerably.

Mainly because Fang Ziye wasn't willing to stay abroad for a position; otherwise, a similar resume would be much stronger...

This speaker's resume was slightly richer and more detailed than the lead surgeon's resume last time.

"Published over 20 papers in total, 9 SCI research papers as first author, 5 papers with impact factor above 20+. Registered 1 national invention patent, registered 2 provincial invention patents..."

Fang Ziye walked toward the lecture podium calmly, opened the PPT title page with the help of a 'volunteer', stood before the microphone, heart pounding.

Truth be told, Fang Ziye himself didn't know he had accumulated this much thickness.

However, Fang Ziye calculated carefully: because of the research group and platform, his name was definitely on more than 20 papers; as for invention patents, it should be the HK2-knockout nude mouse model he created.

This thing, after collaborating with Zhongnan Hospital's animal laboratory, has not yet been publicly operated. The main purpose is to supply the Enshi sanatorium project first.

At that time, the sanatorium will pay Fang Ziye a batch of labor fees and patent licensing fees in one lump sum, and once formal operation begins, Fang Ziye will likely have a very stable cash flow coming in.

The provincial invention patents were all "created from nothing"; don't know who added his name, purely to pad the resume.

Of course, this resume sounds a bit like an 'embroidered pillow' academic PhD.

Duan Hong didn't introduce further in more detail.

After Duan Hong finished introducing, Fang Ziye walked to center stage, bowed, then walked to the lecture podium and began the formal presentation: "Good noon to all teachers, all experts, all seniors, all Senior Brothers."

"I am Fang Ziye. This time I represent our team to share a disease type we've been working on recently; we define it as 'Standard Mangled Extremity', and what I'll present today is my personal view on limb-salvage surgery for 'Standard Mangled Extremity'."

Speaking here, Fang Ziye's second slide directly showed an image of a lower limb mangled injury — blood-soaked, flesh and blood blurred, bone and flesh connected, skin torn and flesh gaping, blood clots crusted...

This kind of stimulation, if a layperson glanced at it, would probably affect their appetite to some degree.

But in this setting, most people have more or less been exposed to it and have corresponding experience, so naturally they won't change countenance at the sight.

On the contrary, Fang Ziye putting up this image directly captured everyone's attention.

Some people teach relying on technique, but in the eyes of insiders, some people teach relying solely on absolute skill.

Was there no amputation?

Was limb salvage successful?

Is he stirring up trouble?

Everyone else amputated; you alone didn't amputate and did limb salvage — that's stirring up trouble.

Fang Ziye still unhurriedly laid the groundwork: "Mangled extremity is not a particularly standard diagnosis; in textbooks it's rarely mentioned, generally replaced by trauma, multiple soft tissue injuries combined with ischemic necrosis."

Fang Ziye's PPT was very simple, more images, less text.

Just three simple terms on the left.

Mangled extremity, multiple soft tissue injuries, ischemic necrosis.

"From the images on the right, we can all see the patient's skin shows segmental pallor; this is a sign of ischemia."

"Muscle softening, this is direct violent compression causing local liquefaction."

"Vessel rupture, thrombus formation, distal perfusion is inevitably obstructed."

"Nerve mechanical crush injury, segmental focal necrosis."

Fang Ziye turned to the third page, still few words, much speech.

On the left was standard treatment amputation, non-mainstream treatment: forced limb salvage.

"According to established experience, such mangled extremity is the primary indication for amputation; this can preserve the patient's life at the first moment, avoid further necrosis of the residual limb leading to worse consequences."

"Currently, a very standardized treatment is the arc-shaped amputation of the middle segment of the thigh, shortening the bone segment, and fish-mouth suture..." Fang Ziye called up a fresh image after amputation, produced from Wang Yuanqi's standardized amputation technique.

"Amputation is indeed a treatment method; this surgical technique has saved the lives of tens of thousands, millions, or even more patients. It is a very mature and very great surgical innovation."

"However, with the advancement of current technology and the improvement of human understanding of trauma, people have higher requirements for quality of life. If such disease types can be handled through non-amputation methods, it may be the next hot topic our Trauma Surgery will face."

"Regarding this, our team tentatively performed several cases of 'Mangled Extremity' Limb Salvage Surgery explorations. After filing with this Hospital's Ethics Committee, this exploratory clinical research complies with ethics committee topics, will not bring pain to patients, and the benefits outweigh the harms."

"First, please allow me to waste a few more minutes to explain 'Mangled Extremity' in detail. Currently, our team defines it as 'lower limb Mangled Extremity,' where the location of the Mangled Extremity is not higher than the femur Greater Trochanter. Currently, there is no detailed definition for the scope of Mangled Extremity."

"The reason upper limb Mangled Extremity is not currently considered within the clinical treatment scope of 'standard Mangled Extremity' is that the complexity of hand function far exceeds that of lower limb function and foot function."

"Our team is only tentatively conducting clinical treatment and dare not excessively give higher treatment expectations to patients seeking consultation, so currently we have not yet attempted to admit patients with upper limb Mangled Extremity."

"Next, I formally report our team's work!" After Fang Ziye paved the way for a long while, as soon as he paused, Duan Hong could no longer bear it.

"How many cases has your team done in total? Are there currently any failed cases?" Duan Hong's question was relatively sharp.

Of course, this question was not prepared in advance by Duan Hong, but was an on-the-spot response.

If ten cases were done and only three succeeded, go home and do your homework well; such a research project is not suitable to be shared in such a public occasion.

Fang Ziye, upon hearing this, slightly tightened his gaze.

But seeing on the stage directly opposite, Deng Yong shook his index finger left and right, Yuan Weihong made a shushing gesture, and Han Yuanxiao next door covered his mouth with his palm.

Fang Ziye just smiled at Duan Hong and continued: "Professor Duan, your question, we will discuss together after the sharing ends."

After the new image appeared, Fang Ziye said: "According to our team's experience, for such Mangled Extremity, if Limb Salvage Surgery is to be performed, we must break through the limitations of previous thinking."

"In our previous understanding, for trauma patients, during emergency surgery, thorough debridement should be performed! Remove all necrotic tissue."

"This principle also applies to Mangled Extremity. But one more condition is added: thorough debridement should be performed, removing all inevitable necrotic tissue, striving to retain more 'non-necrotic tissue'."

"If strictly following the current concept of Trauma Surgery, thoroughly removing all necrotic tissue will still lead to amputation! ~"

"Adhering to this principle, our team performed debridement on it."

"This is the result after our initial debridement. Everyone can see, this is the same patient, the same trauma site, the same skin defect, but his muscle tissue surface, where it was previously necrotic, now has new blood supply."

"This is the debridement concept our team currently adheres to, called the Fine Management Thorough Debridement Concept. Of course, merely reaching this step, the three words Limb Salvage Surgery still cannot be mentioned..."

Fang Ziye had only said this much, just starting, many people sitting below had gazes filled with confusion mixed with shock, shock mixed with confusion...

Some started shaking people, some started taking photos, some started walking in from outside the venue, and some started sending messages asking what...

If Closed Reduction targets the low-to-mid end market, then standardized treatment of Mangled Extremity is absolutely a grasp of the mid-to-high end market! ~

Zhongnan Hospital Trauma Surgery is going to win big this time!

(Chapter End)