Chapter 463: No Wonder It's Hard to Explain Clearly (Seeking Subscriptions)
"Doctor Fang, have you eaten breakfast yet?" Fang Ziye was passing a ward when an auntie coming out to fetch water asked enthusiastically, as he had been dispatched by Liu Huanglong to call Deng Yong.
Fang Ziye had an impression of her; her daughter had suffered a car accident years ago, with lower limb stiffness and nerve damage, and was admitted by his Master Yuan Weihong.
Fang Ziye had even specifically reviewed her daughter's films.
"I've already eaten. How is Liao Yue's rehabilitation progress currently? Does she still not dare get out of bed?" Fang Ziye asked while searching his contact list.
Fang Ziye had been receiving quite a few calls recently, so he had to search for his teacher's number.
"She's still a bit timid; she's always been timid. But she's much better than before; she can already practice normally on the bed following the rehabilitation training you guided."
"She says it's very painful."
Fang Ziye replied: "There might be a little, but you have to persist."
"I'll go make a call, Auntie, you carry on first." Fang Ziye knew she was going to boil water.
"Doctor Fang, let me get you some fruit." The woman turned back.
"No need, thank you Auntie. I have to go to the operating room soon and won't have time to eat. You eat more yourselves..."
After parting with the polite auntie, Fang Ziye called both his teacher Deng Yong and Professor Han Yuanxiao to explain the "medical broker" matter.
"Alright, Ziye, you don't need to worry about this. The hospital has a dedicated department for handling similar phenomena."
"There was a severe crackdown for a period before; it hasn't appeared for a long time." Deng Yong answered.
"Okay, then thank you for the trouble, Master." Fang Ziye said.
Deng Yong spoke resentfully yet dotingly: "What can I do? Who made me your Master? Have you troubled and worn me out few times?"
Fang Ziye thought for a moment, then chuckled.
"Master, I'll go get busy then..."
Is Deng Yong a good person? He really is too good; when it comes to taking the blame, he has always been uncomplaining.
In the past, when Yuan Weihong had unsolvable matters, he would directly push them onto Deng Yong; Deng Yong basically never shirked, no matter how embarrassing, he would shoulder it.
Including Fang Ziye's manual reduction technique, when asked if he learned it from him, Deng Yong would nod and say yes.
Anyway, don't ask; if asked, all of Fang Ziye's basic skills come from Deng Yong, it's just that Fang Ziye has surpassed the master.
"Master, you're coming back in October, right?" Fang Ziye couldn't bear to hang up and asked again.
"We'll see then. If you come to Hand Surgery, I won't come back for now; if you still don't come, I'll have to come back no matter what."
"Where is there such a thing as me long-term holding the fort for Hand Surgery while neglecting my own home?"
"However, Han Yuanxiao might not come back." Deng Yong hinted to Fang Ziye.
Deng Yong was purely implicated; Director Du "handled" Deng Yong because Deng Yong was insufficient, failing to fully protect his own student, while Han Yuanxiao purely belonged to stirring up trouble.
"Master, many patients here miss you too; many ask, I'm registered under Director Deng's outpatient clinic, how come I'm hospitalized but don't see Director Deng?"
"Teacher Liu can't suppress this kind of question either; after all, in Trauma Surgery, you are the most professional."
"Recently, Teacher Liu also talked to me; he said, after all, he is from Hand Surgery, no matter which Hand Surgery declines, he can't bear to watch, so it's still professional people doing professional things."
"But the premise is, he has to do well what should be done."
"However. Teacher Liu proposed a request, hoping I would serve concurrently across two departments... this is something that has never appeared in the department or hospital before, except for the Chief Director." Fang Ziye replied to Deng Yong.
Deng Yong laughed and scolded: "Just tell me the last sentence; otherwise, Professor Du will definitely say you're turning things upside down. After all, Director Du is still the Director, and Director Du's character, skill, and capability are all top-tier."
"His magnanimity is also very broad; you've been tossing about in Orthopedics for so long, he never intervened in your growth; this point alone explains everything."
"If it were someone else, you'd probably have to choose between Trauma Surgery and Joint Surgery."
After the call with Deng Yong ended, Fang Ziye's mood became much more at ease; he returned to the ward round team, finished rounds, and went straight to the operating room, starting a day of ox-and-horse life.
Two surgeries; both are now routine surgeries in the department.
But even if routine, operating is still laborious, mentally taxing, and physically exhausting.
Also thanks to Vice Professor Chen Fang, Professor Liu Huanglong and others working hard enough, improving a bit, able to help in more and more places, and the newly arrived Wu Xuanqi being very capable, Fang Ziye's workload is only two-thirds of what it was before.
When the second surgery reached halftime, Fang Ziye and Wu Xuanqi went down first to eat dinner.
Wu Xuanqi followed behind Fang Ziye, sighing: "Ziye, although in Enshi I knew you progressed rapidly, looking back it's only been a year or so, and you've already reached this level."
"Although occasionally someone flatters me as a little genius, I can only admire in awe."
"Working behind closed doors is still inadvisable. My Master and I, including our team, have pondered for many months, but progress is ultimately limited."
"But seeing your full surgery today, combined with the theory you sent me yesterday, there's a sudden enlightenment feeling."
"I feel I'm very strong! Very, very strong!"
Wu Xuanqi is very smooth-talking; respect, communication, friends, internet memes, every kind blended to perfection.
Fang Ziye also knows this kind of meme: "Brother Qi, so, I can go off work with peace of mind; you can take over the remaining surgery, right?"
"Haha, that's the logic."
Wu Xuanqi smiled knowingly: "One day, I will say this sentence."
"Ziye, look, I've already infiltrated the team internal; can you give me more animal experiment operation resources?" Wu Xuanqi is the type to climb the ladder when he sees one, take the exit when he finds one.
"This... Brother Qi, you should ask your iron brother Xian Ge about this."
"Currently the management authority for this resource is all with him." Fang Ziye didn't agree; after washing his hands, he wiped the water stains with a hand towel while waiting for Wu Xuanqi to finish washing.
"Bullshit."
"Nie Mingxian has nothing to do with this matter."
"It looks like this resource is managed by him, but actually he gave the permissions to your group's Lan Tianluo and Li Yuanpei; Nie Mingxian is very sensible; no matter what he says, he's currently still an outsider."
"Li Yuanpei and Lan Tianluo and them don't give a damn about me; only you, Ziye, can help your brother me say a few words."
"Not a lot, just two or three more per week." After washing his hands, Wu Xuanqi rubbed against Fang Ziye's shoulder.
Fang Ziye inwardly sighed; with Wu Xuanqi's qualifications and this shameless extent, if he weren't awesome there would be no justice.
Fang Ziye said: "Brother Qi, wouldn't you ask Xian Ge how exactly it's made? It's not far from Tongji; after you finish surgery in the evening, you can go straight to your hospital's animal lab to make it."
"This works too! ~" Wu Xuanqi dried his hands and nodded.
Teaching someone to fish is better than giving them fish; Fang Ziye was willing to generously share the model-making method, and Wu Xuanqi was naturally willing to learn.
There are a bunch of people in the hospital who hope to have enough resources to practice.
The friendship of gentlemen is as bland as water.
Fang Ziye also showed sufficient respect to Tongji Hospital, trusting the character of his own group's people. In that case, Wu Xuanqi certainly wouldn't do anything he shouldn't.
After the two finished their meals, it looked like two small mounds of earth, both peaked.
"Not bad, Ziye, your appetite suits my taste perfectly."
"Surgery is both physical labor and mental labor, so you have to eat more." Wu Xuanqi said, then picked up another chicken leg for Fang Ziye with his chopsticks.
Fang Ziye looked left and right, saw no one had objections or was looking over this way more than usual, and hurried to an empty seat at the dining table.
The chicken legs in the operating room are limited.
Not to mention how good the taste is, but it's definitely more delicious than ordinary vegetarian dishes; if you eat two or three by yourself, it's a bit too inhumane.
While eating, Wu Xuanqi opened up another topic.
"Ziye, although you might have reservations, perhaps also feel I'm making a fuss over nothing, I still have to make a suggestion."
"In our department, the current average length of stay and rehabilitation healing period are too long." Wu Xuanqi spoke as if the department was his own.
Fang Ziye's mouth was full of rice and vegetables; unable to reply immediately, he chewed a few times and swallowed before asking: "Brother Qi? What do you mean?"
"Ziye, actually my Master has also done a few mangled extremity cases; technically there may be a certain gap compared to yours, but in terms of quality, it should be on par with Nie Mingxian; even if there is a gap, it's within a controllable range."
"However, our hospital's average postoperative length of stay for mangled extremity cases can be strictly controlled within ten days."
"But here, I simply asked around, and it's around thirteen to eighteen or nineteen days."
"This is sufficient to prove one problem: the epidermal growth factor at our department's clinical trial site promotes wound healing and shortens patients' average length of stay."
"Good things should be used; they can't be used routinely. You can apply to become an expanded clinical trial site."
Fang Ziye raised his head slightly.
Nie Mingxian had also brought up this topic yesterday, but his enthusiastic recommendation made Fang Ziye a little panicked; after all, this was an area he was unfamiliar with.
If the length of stay can be shortened by five or six days, the department's turnover rate can increase by sixty percent, allowing more patients to be admitted.
"Ziye, I don't know if you can understand; many domestic original pharmaceutical companies are always being watched; they'll use all kinds of nitpicking methods to strangle them in the cradle."
"Because of the domestic and international gap in the medical device and pharmaceutical industries, domestic originals have a hard time." Nie Mingxian said.
Fang Ziye nodded: "Brother Xian, that stuff is actually a bit expensive."
"The clinical trial site is company-funded; patients don't have to pay. They just need to agree to data collection."
"I know your concerns, but our department has been using it for nearly half a year, and the postoperative follow-up data are still okay."
"This is double-blind; we're only responsible for using it, not for data collection and follow-up. But we can see the data reports, and can decide to stop the drug at any time."
"It can also reduce the degree of scar hyperplasia to a certain extent."
"Of course, it's not a miracle drug; it doesn't mean there won't be scars just because you use it." Wu Xuanqi said very objectively.
Fang Ziye said again: "Brother Qi, didn't you not need to know these things this early yesterday?"
Wu Xuanqi smiled: "After a night's thought, I feel you've long been qualified to know these things, Ziye?"
"Think about it, Ziye: the reason the costs of many fracture surgeries in our orthopedics can come down — isn't it because centralized procurement and domestic instruments appeared, breaking the monopoly?"
"And in promoting wound healing, if we want to seize the market and lower prices, we can only rely on domestic originals."
"Either go for volume, or go for price."
"But our domestic market can completely go the price route. Drug application can improve patients' treatment experience and also reduce complications; it's a win-win situation."
Fang Ziye said: "Brother Qi, you should go talk to our Director about this; his vision is broader than mine."
"As long as you persuade Professor Liu, everything will be solved."
Wu Xuanqi shook his head: "Bullshit."
"Don't think I don't know; if you so much as veto it, even Professor Liu would respect your opinion."
"After all, this drug once made you capsize; if I don't persuade you, nothing will work."
"In the hospital, as long as you're excellent enough — excellent to the point where nothing else can suppress you — you're the Big Brother; this doesn't have much to do with professional title."
"And you have an impeccable background; whether it's your teacher or your Master, they're all well-known professors at Zhongnan Hospital; here, you're the eye of the storm." Wu Xuanqi analyzed very transparently.
"I need to see the original data first, and we might need to do a secondary analysis." Fang Ziye set a condition.
Echoing others is the start of being an idiot.
If the original data is fabricated, it's very easily discovered.
Even if the person opposite is Professor Duan Hong, Fang Ziye would still maintain a certain skeptical attitude. Believe facts, not just one or two people.
Unless it's someone he absolutely trusts.
Wu Xuanqi obviously isn't.
"Good! I'll get it for you right away."
"Another thing is, Boss Chen hopes you can hold a nominal position as a part-time engineer for drug R&D and device R&D, hoping you can help take a look when certain problems arise."
"No contract signed, just a verbal agreement; it places no restrictions on your personal freedom."
"Boss Chen values talent highly; the monthly allowance he gives isn't small, at least not less than your monthly salary. You just need to occasionally offer a few opinions."
"These are Boss Chen's exact words." Wu Xuanqi said again.
This time Fang Ziye refused without even thinking: "Brother Qi, I can't agree to this for now; at least not before I become Chief Resident."
"Because I don't have that much time."
"Do what matches your capability, take pay matching the work; I don't like taking advantage, I'm unhappy when others take advantage of me, and I won't take advantage of others either."
If you take someone's hand, it's short; if you eat someone's mouth, it's soft.
Economic sugar-coated bullets are useless; Fang Ziye loves money, but Fang Ziye has now temporarily solved his financial burden and is no longer the Fang Ziye who needed to rely on Hua Biao to solve livelihood problems.
Several hundred thousand a year — who wouldn't love that?
But once you take the money, you have to do the job.
"Deal! Never mind if you step down as Chief Resident, even if you get promoted to Professor and agree, Boss Chen would definitely welcome it — he likes you as a person, not your title."
"Of course, Boss Chen also hopes you can spread the various techniques for mangled extremity injuries as soon as possible. He's declared that whenever you give similar lectures or training courses in the future, he'll fully fund them."
"You can't refuse this point — whoever gives you this money is giving it, but Boss Chen wants to see our province's medical conditions become increasingly developed."
"He's from Hubei Province himself, so he'll naturally favor Hubei first before considering other provinces."
"And I can tell you clearly — the reason Enshi patients' medical costs are lower than other prefecture-level city hospitals is because he drove the prices down!" Wu Xuanqi emphasized once again.
Fang Ziye fell silent.
When Fang Ziye was in Enshi, he personally experienced that incident.
Boss Chen might have squeezed Enshi's medical device and drug costs too hard, and didn't give employees enough economic support, so someone took an extreme approach.
Same company, different places, the money they took home differed too much — there would definitely be internal imbalance.
After Fang Ziye didn't reply, the two started shoveling down rice furiously...
After finishing the meal, the two continued washing up, changing, and going on stage.
Then Liu Huanglong and Vice Professor Chen Fang went down to eat, and the surgery could continue without interruption.
Of course, after getting back on the operating table, Wu Xuanqi still watched the surgery as an assistant and observer — he didn't get many chances to operate hands-on.
However, Wu Xuanqi was obviously observing more meticulously and seriously than anyone else, able to understand more details and doubts.
This gave Fang Ziye a rough guess at Wu Xuanqi's level.
He should be slightly below Lan Tianluo's level, but much stronger than Jie Han, Liu Haojiang and the others. And this was without Wu Xuanqi receiving formal systematic guidance — such talent was truly terrifying.
Wu Xuanqi's professional accumulation was deeper, so his learning rate curve would definitely surpass Lan Tianluo's.
As the surgery neared its end, the patient was sent back to the ward by the bed-management doctor.
Liu Huanglong and Vice Professor Chen Fang also left one after another.
This time Fang Ziye wasn't in a hurry to leave.
Nothing going on today, he wanted to wait for Luo Tingzhu to go back together.
On this point, no one in the operating room dared to have any opinion.
Luo Tingzhu and Fang Ziye, by now, were the operating room's standard "talented man and beautiful woman" — either one taken alone was a talent with both looks and ability.
After over two months of immersion, the current Luo Tingzhu had barely grasped the threshold of sensory-motor separation anesthesia; Professor Zeng didn't even need to stand by and guide her anymore.
And Luo Tingzhu also had Lan Tianluo's drug dosage calculation formulas, plus Fang Ziye's real-time corrections and guidance — the current Luo Tingzhu, in the Anesthesiology Department's nerve block anesthesia field, was a special existence.
Of course she also worked hard...
After Wu Xuanqi packed his personal belongings, he invited again: "Ziye, Tingzhu, you really won't go out to eat together today?"
"Actually Tingzhu and my wife Tang Yue have a lot of common topics too. She heard about local sensory-motor separation anesthesia and was very interested."
After the surgery ended, Luo Tingzhu needed to transfer the patient; after sending the patient back to the operating room, she still had to clean the anesthesia table and anesthesia instruments, so Fang Ziye still needed to wait a long time.
"Brother Qi, today we really won't go."
"Let's do the weekend — we have other plans today, sorry?" Fang Ziye said.
Tonight, Luo Tingzhu planned to bring Fang Ziye to attend her roommate's banquet.
This was Fang Ziye's first time appearing in her roommate circle as her boyfriend.
Although Luo Tingzhu's relationship with her roommates wasn't that good, she always kept to herself.
But university dormitory bonds are ultimately a special existence — on the surface everyone definitely still has to get along.
"Then next time."
"But Ziye, since you're free, I still want to ask — for mangled extremity injuries crossing the joint, is the handling of the joint surface completely different from soft tissue handling?" Wu Xuanqi was genuinely seeking teaching.
Fang Ziye nodded at the words: "Right, mangled extremity injuries crossing the joint surface, versus those not crossing the joint — the difficulty difference is actually quite large."
"You also know, joints involve multiple bones..."
The disease type's detailed distinctions are very large.
Each type taken alone could make a simple lecture — this was also the fundamental reason Fang Ziye previously couldn't cover professional operations in one lecture.
Wanting to express too many things at once, mixed together, would instead make the audience more confused — better to just keep it simple, pure.
Ten-odd minutes passed.
Wu Xuanqi exclaimed: "So many things, indeed can't be explained clearly in one or two hours. No wonder it couldn't be explained clearly — it's not that you couldn't explain clearly, but the subtle changes are too great, so it can't be systematically generalized."
"This is interesting — the harder the mountain peak, the greater the sense of achievement after climbing it."
"Ziye, I suddenly thought of an idea — I'll consider it carefully after I go back, then propose it, to avoid making a fool of myself."
"You're not going out to eat, then I'll head out first?" Wu Xuanqi stood up and patted his buttocks.
"Brother Qi, you and Sister-in-law enjoy your two-person world." Fang Ziye laughed and made a pointed remark.
Hearing this, Wu Xuanqi instantly understood Fang Ziye's meaning, grinned and said: "This damn Nie Mingxian, really petty. A small matter and he had to make a scene in front of the whole world..."
After Wu Xuanqi walked out, his voice grew quieter and quieter.
Luo Tingzhu finally returned at this moment; Fang Ziye went up to help while listening to Luo Tingzhu's guidance.
Fang Ziye didn't understand anesthesia, his knowledge scope wasn't as comprehensive as Luo Tingzhu's, so he didn't know how to clean up.
After everything was cleaned up, Luo Tingzhu picked up her phone and replied: "Coming coming, our surgery just ended."
"Another twenty-odd minutes should do it." Luo Tingzhu's current tone was becoming more and more down-to-earth.
As if Fang Ziye, this toad, had dragged the swan back to the human world, filling her more and more with the air of everyday life.
This time leaving the operating room, it was Luo Tingzhu who actively held Fang Ziye's hand and walked toward the sidewalk, her face full of youthful vigor, as if her youth had only just begun...
The whole world was light and joyful.
(Chapter End)
End of Chapter
