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Chapter 459: The Real High-End Game (Seeking Subscription)

~18 min read 3,559 words

The lecture was scheduled to start at exactly seven in the evening; Fang Ziye, Yuan Weihong, and the others arrived at five forty, a full hour-plus early.

Even so, the number of bigwigs who had already come to the Academic Report Hall was not small.

Fang Ziye himself knew well a whole wave of them…

And the first thing Yuan Weihong did upon bringing Fang Ziye into the conference venue was walk toward a batch of familiar senior elders!

"Teachers, you've worked hard. This is Fang Ziye, I'm Yuan Weihong, we've come to greet you teachers." Yuan Weihong bowed as he walked in.

Actually it would have been better if Deng Yong brought Fang Ziye, but Yuan Weihong was Fang Ziye's Teaching Benefactor; back during the Master's re-examination, Fang Ziye had barely squeezed through Zhongnan's threshold with the last-place score of that cohort, and was shoved into Yuan Weihong's hands.

At the time everyone merely treated Fang Ziye as an "ordinary student," shoved him to an ordinary Master's Supervisor, and never imagined Fang Ziye could reach today's step.

Fang Ziye then called out one by one the senior professors he knew; these old professors' bias and doting toward Fang Ziye in the Training Room, Fang Ziye felt keenly.

Trauma Surgery's Professor Xiong Zhizhang smiled the most knowingly; back then he was Professor Dong Yaohui and Chu Lao Professor's Senior Brother; when Dong Yaohui held power, he had already entered a state of enjoying his twilight years.

Therefore, right now he felt the most face; he stood up openly from the crowd of old men, patting Yuan Weihong and Fang Ziye on the shoulders: "Speak well later, speak boldly."

"Also, go greet your teacher and the other teachers."

Fang Ziye and Yuan Weihong both accompanied the smiles and nodded, walking one by one before the hospital's senior elders.

Apart from Professor Li Guohua and Hand Surgery's Professor Zhu Weiguo who "had matters" and couldn't make it to the scene, the rest all sat amiably before Fang Ziye, coming to back his show.

Hand Surgery's Wen Dongfang, Bone Disease's Li Dongqing, Sports Medicine's Han Shan and Zhu Kewei, Joint Surgery's Qi Wenshan and Dong Wensheng.

Among them, when Fang Ziye and Yuan Weihong walked before Qi Wenshan, Professor Qi Wenshan shook hands with Fang Ziye while implying: "Ziye, don't be afraid, don't be impulsive; if there's anything later, tell us."

"Places in the Department where you can't get through, we'll help you speak; links in the Hospital where you can't explain clearly, we'll also speak for you."

As Qi Wenshan spoke thus, he tilted his head to glance at Joint Surgery's Professor Du Xinzhan, saying: "Others may be busy, but our matters right now are not many."

Fang Ziye froze at the words, associating Dean Wang's personal intervention in the preceding period; this perhaps had a thousand threads of connection with these old professor groups.

In a top-tier Grade-A Hospital, every old professor's energy cannot be ignored; they may lack real power, but precisely because they lack real power, they can be even more fearless.

At worst you just strike me from the re-employment list; what else can you do?

"Thank you, Teacher Qi." Fang Ziye nodded lightly, then slowly released his hand.

Seeing this, Yuan Weihong said: "Teachers, we'll go greet the teachers from brother hospitals; guests come first."

This group of old professors was precisely to back Fang Ziye's show; if there was any place Fang Ziye couldn't control, they would certainly step forward to help shoulder it.

At least, if someone wants to sell their seniority?

From seventy-plus-year-old old geezers down to thirty-something young talents, all can step out to quarrel.

Although such people may not necessarily be encountered, one must still prepare for unforeseen needs.

As Yuan Weihong led Fang Ziye away, he turned and said: "When Professor Du holds small special lectures or private classes, he can't even invite such a large old-professor troupe; looks like in the Training Room you were quite doted on by them."

"These old professors' permissions are very large; the Hospital tacitly allows these old professors to hold suggestion rights supervising Ward Directors and the Orthopedics Administrative Chief Director."

"The reason Professor Deng Yong stepped down from the Trauma Surgery Administrative Chief Director position before was these old elders' doing."

"Of course, you also needn't fear these people ganging up to target a single person; at their age, they already seek nothing from outside, they just want something to do…"

"Wanting to reach consensus is basically only possible when a bottom line is touched, then they'll uniformly take sides."

Fang Ziye nodded, merely keeping these words in his heart, and did not reply.

Afterward, Yuan Weihong brought Fang Ziye to meet a wave of his own hospital's various specialty Chiefs.

Joint Surgery's Du Xinzhan, Bone Disease's Du Yingshan, Hand Surgery's Ni Yaoping, Sports Medicine's Professor Tu Kun, Trauma Surgery's Liu Huanglong…

These are Zhongnan Hospital's current pillar figures of each specialty; if Fang Ziye wants to walk out of Zhongnan Hospital, he inevitably must be familiar with these people, even obtain their support, to gain certain assistance.

Although Orthopedics is divided into specialties, once out of Zhongnan, they actually represent a single "Label" — 'Zhongnan Hospital'.

Although the hospital's several specialty Chiefs all came, the participating personnel from other hospitals were mostly Trauma Surgery big shots.

Tongji Hospital's Professor Duan Hong and his team, such as Zhong Wenyuan, Long Yuan, Wu Xuanqi, Song Yi, Chen Tailin, Guo Haichao.

This is also a super team gathering a huge wave of experts.

Tongji Hospital's Trauma Surgery, besides Duan Hong, has two more professors: Xue Yuhui, Tao Cheng.

However Professor Xue Yuhui, due to being too old, same age as Professor Dong Yaohui, did not come in person; but his Associate Professor Hu Xiaoshan still brought a team to come gawk.

Fang Ziye only had time to pay attention to these relatively important people; the rest, such as Peking Union Medical College Hospital's Professor Qi Qiaowen, Professor Liu Bo, Professor Duan Yun, are also provincial giants.

Their team's strength is definitely stronger than the previous Han Yuanxiao team, even slightly superior to Old Professor Dong's team.

In the Provincial People's Hospital team, Fang Ziye likewise saw his familiar Teacher Shen Tao, Ceng Tai, and others. Yet they were squeezed beside bigwigs An Lumming, Liao Hangkong, Professor Ding Pu, appearing quite inconspicuous.

Even so, Shen Tao still separately gave Yuan Weihong and Fang Ziye a fist each: "Good lad, good undying old man."

Yuan Weihong, before friends, completely changed his previous propriety before professors, hands on hips: "Call me Dad."

This is a joke!

Those who truly play well together, say a dormitory of roommates, jokes like Big Dad, Good Son between them basically never cause anger.

"Scram—!"

"Roger." Yuan Weihong hurriedly sent Fang Ziye back to Deng Yong's side, because the people Fang Ziye was to meet next were not a level he could touch.

Before climbing that stair, don't force your way in with a thick skin.

What Deng Yong was chatting with Duan Hong about, Fang Ziye and Yuan Weihong arrived too late to catch up on, but one could see Professor Duan Hong's complexion was not too good.

When Fang Ziye and Yuan Weihong arrived, Wu Xuanqi greeted Fang Ziye very politely, calling "Ziye, Ziye" extremely intimately.

Seeing Fang Ziye come, Deng Yong said: "Teacher Duan, introduce those three professors to your junior-nephew?"

"Huaxi Hospital's Professor Zhang Yue, Magic Capital Sixth Hospital's Zheng Haidong, and Xiangya Hospital's Professor Wang Cheng — you should all be familiar, right?"

Duan Hong teased, crossing arms and turning head: "Professor Deng just now called me by name directly, now you start calling me Teacher Duan again?"

"You're a professor-level person anyway, can't you slightly control your mug?"

Deng Yong directly turned and shoved Fang Ziye aside: "Your Teacher Duan won't help you; we'll thicken our skins and squeeze in ourselves."

Hearing this, Duan Hong rolled his eyes, softly cursed two sentences of shameless, bastard, then stood up, completely changing his previous tsundere expression.

…

Fang Ziye originally thought that seeing these big professors would be the end of it, but unexpectedly, Teacher Deng also brought Fang Ziye to show his face in the teams of relatively strong provincial and municipal hospitals like the Provincial Central Hospital, Provincial Tumor Hospital, City First Hospital, Yi City Central Hospital, and Xiang City Central Hospital.

By the time Fang Ziye finished a round and "spaced out" again, his brain was a bit muddled; having to remember so many people all by himself was truly not easy.

And what Fang Ziye felt guilty about was that the depth of his memory was related to the other party's fame.

Professor-level figures like Professor Zhang Yue, Zheng Haidong, and Professor Wang Cheng could basically all be recognized, but what-what Directors, what-what Associate Professors? What-what Deputy Chief Physicians...

Fang Ziye could only silently apologize to them in his heart.

Hubei Province is large, there are many hospitals, and there are many talents.

Fang Ziye also finally found out just how many levels he had crossed to stand at his current level.

And these professors and directors now sat in the report hall, listening to Fang Ziye conduct "lecture-style" teaching up on the podium.

After one round, the time had already reached 6:47 PM, less than a quarter of an hour away from the formal start of the lecture.

Fang Ziye finally returned to the lecture podium.

The projector in the Basic Medical College's Academic Report Hall, because it often needs to be used, undergoes mandatory self-checks daily internally.

Fang Ziye just needed to test whether his own computer could connect properly to the projector via the Type-C adapter.

If it were his previous computer, it would naturally connect directly, but at the end of last month, which was early July, Fang Ziye received a "gift" — the Fruit Computer Luo Tingzhu bought for him.

To be fair, when handling office software, the Fruit Computer really is slightly easier to use than Windows computers.

After Fang Ziye projected his PPT onto one large and two small three screens, he fixed the content on the home page position.

Title: "Personal Understanding of the Definition and Treatment Principles of Mangled Extremity"

This topic was very cautious.

Although the team already had a mature concept, since it had not been published as a paper, it was not experience sharing.

Even if a collective case report was published, that was still personal understanding; one cannot go directly from general to universally applicable, directly saying one has a very mature theory to share.

Since the corresponding principles had not been formally published, they could still only be described as personal understanding.

Of course, insiders all know that the start of all universal treatment of mangled extremity begins with such personal understanding sharing.

Compared to having principles and definitions and slowly exploring on one's own, the speed would be very many times slower.

The prospects of the mangled extremity research project are extremely huge; therefore, the earlier one contacts and enters this field, the more one can improve one's department's comprehensive strength — this is a new battlefield.

At 6:55 PM, the sounds in the Academic Report Hall gradually died out.

Many people very professionally maintained silence and took out their recording, teleprompter, and other devices, convenient for taking back to watch or listen again.

Fang Ziye still stood on the lecture podium, silently watching the countdown on the computer screen that only he could see.

In his heart, he was sorting through some basic information.

At this moment, Fang Ziye suddenly saw Luo Tingzhu's graceful figure walk in from the left rear passage, wave her left hand at Fang Ziye from afar, and then she did not approach, but found a gap in the last row.

She took out snacks from her "snack pack," took a garbage bag, and started gnawing away right there.

Seeing this scene, Fang Ziye couldn't help but smile, and at the same time, the nervous emotion in his heart completely dissipated.

The moment 7:00 sharp arrived.

Fang Ziye stepped to the center of the Academic Report Hall, gave a half-bow, then walked back.

"Respected seniors, teachers, colleagues, good evening everyone. It is a great honor to be invited to stand here and report to the teachers a summary of some cases our team has done and personal insights."

"Likewise, I am also very sorry to gather with the seniors and colleagues at such a special time node."

"The invitation time was relatively rushed, preparation insufficient, content not refined, explanation incomplete; I have wasted everyone's time and failed the enthusiasm of the teachers and seniors — please forgive me."

"Now, I will formally share our team's definition of mangled extremity."

"This definition, I once mentioned at our Hubei Province mid-year academic conference; this time, our team has optimized it to a certain extent..."

"Diagnosis is the premise of treatment!"

"If one understands mangled extremity as devastating injury, that definitely won't do. For example, the lower limb has turned into a pile of round-cake-shaped meat paste, nerves and blood vessels have already avulsed beyond recognition, and the bones of the entire lower limb are severely comminuted."

"Our team still recommends amputation. This is devastating injury, not mangled extremity."

Fang Ziye first narrowed his team's definition of mangled extremity — not all terribly mangled legs can be saved.

And such situations are commonplace after most large trucks run over victims from front wheel to rear wheel.

"As for treatment principles..."

(The corresponding content was already mentioned during the previous meeting and will not be repeated here.)

Fang Ziye analyzed point by point in an unhurried manner.

This is a lecture facing a wide scope; one must try to consider every single person, so one cannot omit things already said before.

If omitted, those who didn't hear it last time would be completely listening to gibberish.

This lecture's duration was two and a half hours; the content Fang Ziye explained was fulfilling but the time was also relatively ample.

"I may have wasted nearly forty minutes of the colleagues' time listening to me explain basic principles once, but I believe the above padding is very important."

"In our current cognition, the treatment principles of trauma remain unchanged. But the specific forms of treatment will change."

"We need to narrow their definitions further in front of these small-scale operations."

"For example, debridement technique, we might define as mangled extremity debridement technique; for example, suturing technique, we must define it as mangled extremity suturing technique, and so on."

"Why define it this way?"

"I believe the teachers present all have richer clinical experience than me."

"You have treated more debridement patients than me, but the simple debridement techniques we used before are unsuitable in the face of mangled extremity."

"According to the traditional definition of debridement technique, the result of our treating mangled extremity is amputation..."

"But here, I don't have enough time to clearly explain what form mangled extremity debridement technique and mangled extremity suturing technique actually are, and specifically how to operate."

"Because we still have some follow-up issues to discuss. Time is limited, so they are not within the scope of today's sharing and discussion."

"I will report a few mangled extremity cases our team has done and their outcomes!"

"Let me clarify: our team has already inquired about the patients' personal wishes, and they are willing for us to display their images for teaching and clinical exchange."

"But their requirement is that these images are only for our team's internal use; therefore, we hope everyone will not take photos, record videos, or disseminate them."

"This is a patient with an ankle and foot mangled extremity, and also a relatively simple case of mangled extremity that our team is currently treating."

"And under our team's then-immature technical reserves, her treatment course was delayed for nearly two months."

"But in the end, the result was good."

Fang Ziye pressed to the next page: "This is her activity function at the time of discharge."

Next page again.

Yan Chu's outpatient follow-up functional rehabilitation status also appeared before everyone.

Yan Chu's functional rehabilitation is definitely not the best among orthopedic patients.

But considering her original damage, being able to recover to such an extent can only be called a miracle at that time!

"And after our team carefully summarized, we have currently streamlined the standard treatment process for mangled extremity to around five hours."

"Some patients who originally needed second-stage surgery can now also be handled in a single stage."

"And from the analysis of individual postoperative functional rehabilitation, no difference has been found between single-stage and second-stage surgery for the time being."

"These data only represent the postoperative rehabilitation data of a few individuals, not the final statistical data; therefore, I hope all colleagues, when first approaching mangled extremity treatment, can strictly follow..."

Fang Ziye's sharing reached around eight-thirty.

Fang Ziye ended his lecture content on the title page.

And added a note: Due to limited time, regarding some basic principles and specific surgical techniques of mangled extremity treatment, interested colleagues please leave their email with our staff to obtain them.

Fang Ziye said: "Limited time, not that I'm intentionally making things difficult; mainly, two hours to explain all content clearly from start to finish is unrealistic."

"Of course, our team won't leave you hanging. Our team has some content on theory, operational principles, operational details, and operational techniques that can be made public."

"All professors can leave their emails with our nearby staff; at the latest by tomorrow evening, we will package and send the corresponding content and some teaching videos to all teachers and colleagues."

"Finally, if any teachers have questions, we can discuss together and fill in the gaps."

"Thank you, the above is all the content I shared today."

Fang Ziye was very grateful; the audience who came to listen today were all very interested in mangled extremity treatment, so during the explanation, there was no interference at all.

Allowing Fang Ziye's prepared content to proceed very smoothly.

However, when Fang Ziye walked to the center of the academic podium and bowed, thunderous applause immediately erupted from the audience.

The applause lasted a full half minute or so.

Without accompanying verbal praise, the full hall's silence and attentiveness were the best commendation, proving Fang Ziye's words struck their hearts; otherwise they could not have been so focused.

Applause finished, Deng Yong stood up, picking people with raised hands while having staff pass microphones to those with raised hands!

"Please pass the microphone to Professor Zhang Yue of Huaxi Hospital." Deng Yong said.

Zhang Yue took the microphone and said: "Doctor Fang, your team distinguished between mangled extremity and mangled extremity — did you perform limb salvage surgery on mangled extremity in between?"

Zhang Yue was smiling, but the question he asked was exceptionally tricky, unrelated to the profession.

"Encountered it, but didn't bring it on stage."

"Professor Zhang, actually mangled extremity and mangled extremity are easy to understand."

"Mangled extremity, the patient can bring both feet to the hospital; mangled extremity, the patient leaves the soft tissue at the scene! Or brings it wrapped up." Fang Ziye responded with ease.

It was originally something not done.

A person has at most one chance to ask a question, no matter how high your position.

"Professor Zheng." Deng Yong stood at the side of the academic report hall, signaling Zhang Yue to pass the microphone to Zheng Haidong.

Zheng Haidong stood up and asked: "Doctor Fang, Professor Deng, during your team's mangled extremity treatment process, have you encountered any unexpected emergencies?"

"If so, can you share how we should avoid them?"

Deng Yong looked at Fang Ziye.

Fang Ziye nodded, saying very sincerely: "Professor Zheng, your question is excellent. This unexpected emergency is one I remember profoundly."

"That is, too tired, tired to the point of hand cramps."

"That time was two mangled extremity surgeries, coming sequentially one after another; I performed continuous high-intensity micro-operations for seven hours, on the operating table, holding the scalpel, my hand just cramped directly."

"Fortunately at the time it caused no irreversible damage, nor any damage to the patient."

"Later I stepped down and rested for a while, then went back on stage."

"So if I must give a suggestion, it is to pay attention to rest, and cultivate at least two relatively mature lead surgeons."

"Schedule one surgery a day at most." Fang Ziye replied.

Doing surgery until hands cramp, and cramping directly during the operation — this is something many have never encountered, but one can certainly imagine how fatigued he was at that time.

"Professor Wang!" Deng Yong reached out, preparing to call the next person.

Unexpectedly Zheng Haidong still refused to pass the microphone, directly asking Deng Yong: "Professor Deng, I'll ask you directly: when do you plan to send Doctor Fang to the Chinese Trauma Surgery Branch?"

"Such a good research project and content should be presented at a nationwide conference?"

At these words, Deng Yong's expression changed slightly.

Duan Hong and the others' faces tightened, then they seemed a bit restless.

The prerequisite to go to the Chinese Trauma Surgery Branch is to first become a member of the Provincial Trauma Surgery Society!

(Chapter End)

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