Chapter 456: Setting Out (Seeking Subscription)

While Fang Ziye was still in the car, he received a call from Wang Yuanqi: "Ziye, the Emergency Department here has accepted a patient with a severe burn and crush injury to the right upper limb."

"The Burn Department's consultation opinion is direct amputation. But the patient's family has a very strong desire for limb salvage; you take a look and see if you want to come back and check it out."

Fang Ziye said upon hearing this: "Burn and crush? What happened?"

"Fire." Yan Zhiming only gave a two-character reminder and did not say more, not wanting to morally coerce Fang Ziye.

"Has he been sent to our Trauma Center? Can you send me a photo?" Fang Ziye said.

"That's not the case. The problem the patient needs to solve right now is the burn. Although the skin has traumatic defects, the blood vessels inside have all been burned to coagulation; there is no bleeding at all."

"This doesn't fall under our Trauma Surgery."

"Just asked for our consultation."

Wang Yuanqi spoke to this point, moved the phone away a bit, and asked the family in a very low voice: "May I ask if photos are allowed? I want to take one for the other doctors in our department to see."

"Photos allowed! ~" Wang Yuanqi was presumably directing Associate Professor Xie's student Gong Ziming.

"Ziye, Gong Ziming has already sent it over. Give me a reply in a bit. If it's no good it's no good, so I can directly write the consultation opinion." Wang Yuanqi said.

"Okay!" Fang Ziye nodded and proactively ended the call.

But when Fang Ziye saw the photo, his brows knitted into a 'chuan' character.

In the photo, the patient's right upper limb was burned black even down to the bone. The crushed wound surface had already been charred.

His work uniform had already been partially cut away, but the remaining part was still worn on his body. Just as Fang Ziye guessed, this was a firefighter.

"Brother Qi, write the opinion, suggest direct amputation! Emergency start rescue." Fang Ziye sent this one line of text very decisively.

It wasn't that Fang Ziye didn't want to save him, but this limb was definitely completely cooked through; the blood vessels and nerves were all burned, this upper limb definitely couldn't be saved.

For him right now, the most important thing wasn't limb salvage, but saving his life.

"Okay." Wang Yuanqi replied immediately.

Not all limb salvage surgeries can succeed. To salvage a limb, there must be the prerequisites for limb salvage; at least the soft tissue must have a certain vitality.

"Ziye, what's the situation?" Deng Yong asked from the front seat.

"Master, it's a firefighter, severe burn to the right upper limb, the ulna is burned black, the wound surface is also charred."

"The family has a wish for limb salvage, Wang Shixiong asked me, I suggested amputation, hurry up and rescue other functional aspects." Fang Ziye said.

"Oh." Deng Yong only replied with a single syllable.

……

When Fang Ziye returned home, the time had already reached exactly eight o'clock.

Luo Tingzhu had already changed into her own pajamas, in the study, blowing the air conditioner on one hand, organizing data on the other.

After Fang Ziye walked in, he washed up first, then came to Luo Tingzhu's side, looked at what Luo Tingzhu was doing, and then started browsing the paper drafts Lan Tianluo and Jie Han sent him.

Fang Ziye read through once and discovered this was fundamentally not a draft at all; it was definitely something Lan Tianluo and Jie Han had already revised at least two or three times.

Otherwise it definitely wouldn't be this mature.

Just finished reading the statistical analysis part, the phone placed on the table rang out; Fang Ziye opened it, read it through, and then fell silent for a long while, propping his elbows and massaging his somewhat fatigued eyelids.

Luo Tingzhu next door noticed Fang Ziye's emotion, tapped open the screen to look, and then also became silent.

"Ziye, that firefighter Big Brother just now still failed rescue and unfortunately passed away."

Luo Tingzhu also saw the image Wang Yuanqi sent, and said comfortingly: "Shixiong, in this world, not all diseases can be cured."

"Nor can all trauma find a good outcome; this is also the meaning of your research into mangled extremities."

"Such severe burns combined with trauma are beyond the power of current technological levels to reverse."

"Mm, I know." Fang Ziye nodded.

Fang Ziye looked at Luo Tingzhu and then said: "Today when I went to attend Professor Dong's funeral, Professor Dong's son Dong Shu said Professor Dong hoped Teacher Deng could provide more service to patients in the future, even redemption."

"Wanting redemption, although it's just two short words, to achieve it is too difficult. Do well by yourself first."

"Right, Shixiong." Luo Tingzhu smiled and bumped fists with Fang Ziye, as encouragement.

……

Time flows like water; in a flash, more than a week passed.

July 13th, another Friday.

Fang Ziye discovered that the department's functional reconstruction surgery medical records began to gradually pile up.

More and more elderly people with walking difficulties appeared in the wards.

Fang Ziye did a statistic himself: calculating based on himself doing fourteen a week, the department's fifty beds of patients would need nearly a month of non-stop work to possibly finish.

"Teacher Liu, are all these patients queued up to get in?" Fang Ziye went into Liu Huanglong's office to ask.

Liu Huanglong was currently flipping through the Elective Surgery Registration Book, nodded: "Yeah, all queued up slowly in order."

"And on my book here, over two hundred patients have already been booked, and it's still increasing at a speed of about twenty a day."

"Ziye, our department currently can't even admit fracture patients; bone defect patients we basically dare not accept either."

Bone defect patients definitely can't wait two or three months for an appointment.

Following this trend, at least for the next few years, the department's surgical focus will all be functional reconstruction surgery.

Fang Ziye smiled upon hearing this: "Teacher Liu, you say should we be happy? Or should we be under pressure?"

"Many patients proves they increasingly trust the new techniques and new technologies we developed."

"But just, these patients pile up in a queue, ordinary people probably will find it hard to book into the hospital."

At any time point, any era is like this.

Whether playing by the rules or not playing by the rules, those who can generally maneuver are people with power and influence.

They can queue normally, they can also afford to wait, and these people are all not short of money.

Fang Ziye obviously discovered that recently in July's inpatients, not a single person needed urging to pay any fees.

These people, as if they knew all the fees in advance, generally paid around one hundred thousand to one hundred fifty thousand, main point being not short of money.

And Fang Ziye heard from the bed-managing doctor that when these patients were discharged, those who paid one hundred thousand would get ninety thousand back, those who paid one hundred-something thousand would also get one hundred-something thousand back...

Their reimbursement ratio is very high; except for a very small number of parts that cannot be reimbursed, they basically don't need to spend money, and moreover basically every patient has a nursing aide and a family member.

And Fang Ziye also discovered that these people's character is also quite high; don't know if it's that they don't dare to make loud noise, or other reasons, anyway, most of these people only appear in the department during visiting hours.

"Ziye, have you noticed? Our department's afternoon visiting hours are just like a relatively high-end club."

"There's just a bunch of people standing there, and they start chatting. Basically a lot of them have business cards."

"And many of them are especially concerned about the recovery situation of other postoperative patients."

Fang Ziye heard this and said: "Teacher Liu, what we should pay attention to, shouldn't it be these patients' household registration addresses?"

Fang Ziye's one sentence directly made Liu Huanglong fall silent.

In merely a few months' time, Zhongnan Hospital's inpatients went from Duo Han City, toward Duo E Province, and now the patients' household registration addresses are becoming more and more diverse.

"Sigh—" Liu Huanglong knew this matter but also had no way.

After sighing he said: "Take it slow. Estimate after a while longer, those coming in will be codes."

Codes means all information is completely confidential, even gender will be kept confidential in the medical record system, replaced by numeric codes.

This matter, in Zhongnan Hospital's high-ranking official ward, is very common. Just currently it hasn't appeared in the orthopedics ward yet.

Liu Huanglong continued with a serious tone, saying: "Ziye, no matter what, now we can formally announce that our department's functional reconstruction surgery has already gotten on track."

"Not only mangled extremity postoperative functional reconstruction surgery, peripheral nerve injury functional reconstruction surgery has also already gotten on track."

"According to my observation, our surgical patients this month basically can all get out of bed and start walking slowly with a walking aid."

"Preoperative patients with nerve function damage and local stiffness, under our release surgery, nerve transplant surgery or nerve transposition surgery intervention, lower limb function has all improved to a certain degree."

"This is very great progress."

"And, Ziye, we can also publicly announce that our department's Nie Mingxian already has the capability to independently handle most mangled extremities."

"Lan Tianluo, then can handle some moderate and below-moderate mangled extremities. Your teacher Yuan Weihong can also handle some simple mangled extremities."

"As for me, I can also barely handle some medium-degree mangled extremities and forty percent of functional reconstruction surgeries." Liu Huanglong at the end was slightly a bit embarrassed.

Actually, the reason Liu Huanglong can be on par with Lan Tianluo is completely relying on early-stage skill point accumulation.

If compared at the same level as Lan Tianluo, it would definitely still be a bit uncertain.

Fang Ziye heard this and said: "Professor Liu, do you know what background that expert Brother Xian invited to do animal experimental models actually has?"

"One week, he produced the mangled extremity animal model, this really is 'specialization in one's field' ah?"

Fang Ziye wanted to keep this expert.

However, the other party took the money and left, informing the research group that when Fang Ziye finally can organize the mangled extremity animal experimental model into a paper, he can hang a name of his on it.

Fang Ziye himself concentrating energy to do animal experimental models could also produce them, but definitely could not take care of clinical work.

"Ziye, this kind of expert, you just don't think about it. That's impossible."

"If others want a team, not necessarily can't enter a big team equivalent to our team. He just wants freedom, so he wanders among various drug companies, chose to become a free agent." Liu Huanglong said.

In this world, there is such a portion of people who just don't like constraints, and don't like fame and profit.

Just want to make money, make money then go travel, no money then make money again.

Such harm-doers, they can still have a very large sum of savings, enough to peacefully pass a lifetime.

They come to this human world for a trip, not for any responsibility, not for any great righteousness, just to enjoy this human world.

Their greater contribution to society is paying taxes and consuming then paying taxes again.

Fang Ziye also doesn't feel embarrassed at having his thoughts seen through by Liu Huanglong.

Fang Ziye now also understands why many professors, seeing talent, want to gather them close.

Because the feeling of talent gathering around you is simply too good.

Fang Ziye embarrassedly said: "Teacher Liu, this is also human nature, but since you say don't covet, then I also won't think too much in this direction."

"This kind of person, I also can't hold, I estimate I myself also can't become one."

Everyone has everyone's preferences!

Fang Ziye's preference is seeing patients float out happy smiling faces, get discharged and leave, then enjoy a bit of his own small life.

"Oh, right, Ziye." Liu Huanglong suddenly changed the subject and said.

"Invited by the Hubei Medical Association, some provincial peers hope you can hold a mangled extremity special academic conference at our hospital, aimed at seriously explaining the basic principles and development prospects of mangled extremity."

"Naturally, in this process, you need to analyze in detail the technical difficulties, the technical key points, recommended team configuration—"

"Another point is the Trauma Surgery Society hopes our hospital can paidly provide animal experimental model teaching or finished product supply, letting more people participate in mangled extremity treatment."

"This is a big matter. You must prepare well."

"If done well, Hubei Province will establish a special mangled extremity limb-salvage treatment research project fund committee, providing our team with tens of millions level research funding."

"This is also me and Professor Deng jointly in the name of the hospital's research department, through Han City University's research department finding Hubei's Provincial Science and Technology Department to apply for a major project!"

"Although only provincial-level in name, the funding magnitude is comparable to national key projects like the 863 Program!" Liu Huanglong brought the topic back to more important matters.

Hearing here, Fang Ziye immediately perked up: "There's this much ah?"

Tens of millions, not ten million.

Able to be called 'several', at least would exceed two; Fang Ziye's expectation was only fifteen to twenty million, this is an astronomical huge sum.

"That's natural ah, everyone isn't stupid—"

"Such a big topic as mangled extremity, such a big project as functional reconstruction surgery, you think the higher-ups can't see it ah?"

"What Hubei Province can do, other provinces can't do, this is technological progress."

"Hubei Province's project, other provinces don't have, this is a distinctive feature."

"Every province hopes their medical technical strength is nationwide top-tier, no matter which province it's all the same."

"As long as your capability is enough, can achieve industry top-tier, there will be people starting to support you; if not, definitely it's that the magnitude you produced isn't big enough, the achievements you produced aren't shocking enough..."

"It."

Liu Huanglong spoke to this point, picked up his teacup, and said: "Forget it, no more pleasantries, let's just speak the direct reason."

"Someone has taken a fancy to your development potential, hoping you can further expand the current hospital's Trauma Surgery, further establish the Largest in Asia, most official, most authoritative Limb Salvage Center and Functional Reconstruction Center in Central China, even Eastern Han, and even the whole of Asia."

Liu Huanglong's single sentence opened a breadth that somewhat stunned Fang Ziye.

To speak of the whole city, the whole province, Fang Ziye had at least reached the vision of the whole province, and even went to put on a show.

Central China, nationwide?

Fang Ziye currently still hasn't come into contact with this level of layer.

Every province is actually full of talent; only by breaking out of your own province's circle do you have the opportunity to set your sights on a larger regional vision.

You haven't even left the town, you say you're the best in the whole county, if that's not a frog in a well, what is?

To speak of the word 'center', the first time Fang Ziye felt 'it' was interesting, was at Enshi Central Hospital; Enshi Central Hospital's Trauma Surgery was the Trauma Center.

"Rest assured, Ziye, your Teacher Liu has no other capabilities, but in route planning aspect, there's still a little bit of capability."

"To establish Limb Salvage Center and Functional Reconstruction Center, the key lies in personnel staffing stability, second is business capability expansion."

"One is depth, one is breadth."

"Breadth is easy to understand: upper limb, lower limb Limb Salvage Surgery. Functional Reconstruction Surgery, extremely extremely complex and difficult hand Functional Reconstruction Surgery."

"Hand function is the most complex."

"Depth means, at every layer, need to further deeply cultivate meticulously."

"Limb Salvage Surgery, must develop broader scope Limb Salvage Surgery, not only limited to Mangled Extremity, other Limb Salvage Surgeries needing Amputation can also be developed, and develop Limb Salvage Surgery quality even better, this is deep cultivation."

"Functional Reconstruction Surgery, also needs continued deep cultivation, for example reconstructing Sole Toe function."

"Patient demands are Infinite; we must further expand to satisfy these patient demands and 'desires', this is development."

"Of course, the Functional Rehabilitation you hope to lay out, can also be carried out synchronously."

"Detailed planning, we'll chat slowly later."

"You must believe, Han City, Hubei Province, have capability, also have resources, have Opportunity to support you toward nationwide, toward whole Asia even World."

"Worst case, behind us, there's still our Motherland!" Liu Huanglong's words were sonorous and forceful.

Fang Ziye heard this and said: "Teacher Liu, is our vision perhaps placed a bit too far? Our current focus, is first to solve this pile of patients in the department, right?"

"Quality-completing this batch of Functional Reconstruction Surgeries well, is the focus. Next step to develop, is our department personnel capability structure optimization."

"Cases have appeared transformation, our teachers, our Fellow Trainees, all must conduct transformation..."

Liu Huanglong's painting cakes, Fang Ziye of course envies.

But quenching thirst by gazing at plums, ultimately is empty joy, might briefly pass through a period of high spirits.

However, such marching, where does every step have wine-full rice-full strength?

Step by step feet on solid ground, is the true Steady.

Liu Huanglong then laughed: "Good, Ziye, you've now already begun gradually forming your own route planning and vision."

"This is very good, won't be casually stirred by rumors, one step striding too far, ultimately hurting others and self."

"These words I tell you, actually are someone wanting to accelerate our development progress, ultimately forming unbalanced development situation, turning into four-not-like."

"Establishing large-scale Limb Salvage Center and Functional Reconstruction Center, is our goal, but our steps absolutely cannot stride too large, Steady Progress, is the Root/Foundation, not aiming too high."

Fang Ziye low voice replied: "Teacher Liu, I come from a small place, I've never had one-step ascend to heaven."

"So, also won't think I one step can cross that many."

"But your technique is good, right?" Liu Huanglong said.

"Regardless of whether publicly recognized, regardless of what your Fang Ziye current title is like, you right now in Hubei Province's Trauma Surgery, are an Absolute Expert."

"Just, Teacher Liu still must remind you one sentence, walking speed fast, also don't forget you yourself once promised small matters."

"That is the matter about Fracture Reduction teaching class."

"Now, many Prefecture-level City Hospital people, all very much hope to come over for Advanced Study, and learn from you the Fracture treatment new concepts most closely related to them."

"Your own dug pit, also must remember to bury."

Fang Ziye heard and nodded: "Mm, I remember. Teacher Liu."

Liu Huanglong again laughed and drank a cup of tea.

Fang Ziye also learned from Liu Huanglong's manner, imitatively sipped a mouthful of tea.

"How much was your performance last month?" Liu Huanglong's gentle voice pierced into Fang Ziye's ears, Fang Ziye's nerves were instantly activated.

Whole person inexplicably tightened.

"Teacher Liu, performance allocation isn't you who reported up? You should know, right?" Fang Ziye a bit guilty conscience.

Fang Ziye March April performance was 1.6w, May slightly improved some, reached 1.8!

June Han Yuanxiao raised 0.5 after, Fang Ziye thought monthly performance around 2.1w.

But actually, Fang Ziye July received salary reached 3.9w, plus basic salary, actually came to 4.3!

After tax!

This is a bit terrifying.

Proverb says, man for wealth dies bird for food perishes.

With this money incentive, Fang Ziye this month work enthusiasm increased three parts.

"Where would I remember so many? I just follow performance allocation's Performance Coefficient directly Signature, I still care about your specific numbers how much?"

"However, giving you high performance, can make you make fewer mistakes."

"Otherwise, if you willing to take 'Red Envelope', with current Patient Family Member affluent extent, you definitely can gain ten times your salary." Liu Huanglong carefully admonished.

"Teacher Liu, that cannot."

"Enough eat Meal!"

Fang Ziye immediately corrected: "Able to make days pass quite comfortably, I also don't have that greedy for money."

The red envelope can't be taken.

Once economic problems are investigated, not only will everything be confiscated, one might even have to go in; Fang Ziye isn't stupid.

His annual research rewards alone can bring in tens of thousands, plus salary of several hundred thousand, an annual salary of six to seven hundred thousand — in Han City one can still live quite comfortably.

Proper money has been earned enough, why want so much more?

As for the rest, just charge ahead and be done with it.

"Teacher Liu, let's go to surgery." Fang Ziye glanced at his mobile phone; the time had already reached 8:35, so he made this proposal.

"Good, I'll also take a good look at just what difference there is between your coordination with your master and fellow trainees and that of other groups." Liu Huanglong also stood up.

Bringing Fang Ziye into the operating room! ~

Of course, Liu Huanglong didn't know that after he entered the operating room today, he would regret it……

(Chapter End)