Chapter 483

After Fang Ziye stepped down, Wu Xuanqi did not move.

But Duan Hong, Zhong Wenyuan, and Long Yuan all stepped back and followed him down.

Professor Song Donghai and Professor Zhao Le of Hand Surgery exchanged a glance and also followed down.

"Doctor Fang, there's a demonstration classroom for Anesthesiology downstairs. It's quiet inside and has a more professional film-reading projection system." Zhong Wenyuan was closest to Fang Ziye and was the first to explain where they could go.

Fang Ziye thanked him: "Thank you, Teacher Zhong! ~"

He immediately added: "Teacher Duan, I'm not very familiar with this case, so I'll have to take up everyone's time."

Duan Hong's voice remained steady and plain: "Before surgery, one must certainly understand the patient's basic data first. It was us who failed to consider things thoroughly."

"Ziye, this way..."

After everyone washed their hands again, they headed neatly toward the Anesthesiology demonstration classroom downstairs.

The Anesthesiology demonstration classroom had a computer connected to the hospital's film-reading system and a projector.

Long Yuan jogged ahead to the demonstration classroom; by the time Fang Ziye, Duan Hong, and the others arrived, Long Yuan had already pulled up the MRI and CT pages.

There was also a remote Bluetooth-connected touchpad; Long Yuan placed it before Fang Ziye and explained in a soft voice how to use it.

Seeing Long Yuan like this, Fang Ziye thought of what his Master used to do when inviting top outside experts for consultation.

Back then, he didn't even have permission to help; his Master Yuan Weihong handled all those detail-oriented matters throughout — it was a form of respect for the outside experts.

Not just because guests must be treated well, but also out of reverence for skill!

Surgery is one of the medical disciplines that most emphasizes technique!

While Fang Ziye slowly read the films, Zhong Wenyuan and Long Yuan still professionally supplemented the patient's medical record data from the side.

Supplementing — not dumping all the history data at once, but rhythmically narrating one by one the needed history and physical exam results relevant to the imaging data.

This requires an extremely high-end knowledge foundation!

Long Yuan was the same age as his Master, but a year older than Yuan Weihong, about the same age as Liu Huanglong, and currently only an Associate Professor.

Yet Long Yuan's knowledge accumulation was on par with Zhong Wenyuan, this veteran Associate Professor — truly quite formidable!

No way around it; this is Tongji Hospital.

Tongji Hospital holds priority claim on almost all of Hubei Province's talent harvesting!

Just like top-tier hospitals such as Peking Union Medical College Hospital have priority enrollment for the most top-tier geniuses, those who can stay here are basically no ordinary people.

While listening to the two's explanations and reports, Fang Ziye carefully observed the patient's brachial plexus nerves and their complex branches, then traced each nerve's continuation and even finer branches.

At this time, Duan Hong and the others did not bring out their own film-reading results to interfere with Fang Ziye's thinking.

Instead, they waited with great professionalism for Fang Ziye to finish reading; only when it was time for them to speak would they offer their opinions.

This is a proper preoperative discussion, intraoperative discussion — not that kind of formalism.

For such an ultra-difficult and complex disease type, preoperative discussion doesn't just happen once; ten or eight times wouldn't be excessive!

Finally, after Fang Ziye finished viewing the last CT image and the 3D reconstruction results, Fang Ziye said: "This patient's preoperative situation is very complex."

"If we want to consider comprehensive hand function rehabilitation, my suggestion is this surgery should be operated in two stages."

"The first stage is to reconstruct elbow and forearm function! ~"

"For finger and wrist joint function, I suggest doing it in the second stage; this can avoid a relatively large functional rehabilitation burden for the patient."

"Illness departs like drawing silk; one cannot rush it..."

"Lower limb functional reconstruction surgery can be directly reconstructed in one stage because lower limb function is relatively simpler, and the range of motion is also relatively limited! ~"

"Teacher Duan, what do you think?" After Fang Ziye spoke his thoughts, he still politely asked Duan Hong's opinion.

Duan Hong listened and proactively introduced: "This is our hospital's Hand Surgery Professor Song Donghai!"

Earlier Guo Haichao only told Fang Ziye that Song Donghai and Zhao Le were on the platform; Fang Ziye didn't know who was who.

The previous Fang Ziye spent most of his time on learning; aside from a few famous experts in Trauma Surgery he'd heard of, he basically didn't know professors from other sub-specialties.

"Teacher Song, hello! ~" Fang Ziye slightly lowered his head in greeting.

Song Donghai understood that Duan Hong wanted him to take over, since the main business of functional reconstruction surgery was still undertaken by Hand Surgery.

"Functional rehabilitation burden — that phrase describes it very well."

"Ziye, you mean the reason we previously didn't know how to proceed with surgery was because considering too many factors at the same time actually affected the surgical rhythm?"

"We shouldn't consider directly reconstructing all functions in one stage?"

Song Donghai analyzed it within his professional domain and asked cautiously.

Fang Ziye nodded: "Mm, I personally still feel we should proceed step by step; biting off more than one can chew."

Professor Song Donghai is a professional after all; he immediately countered: "But Doctor Fang, if we don't directly reconstruct in stage one, and in stage two when we do functional reconstruction we find the patient's some functions can no longer be reconstructed at all, what then?"

"By then, wanting to comprehensively weigh all factors would already be too late."

Professor Song Donghai's words certainly have reason; modern medicine increasingly considers holistic factors.

Staged reconstruction may indeed gradually reduce surgical difficulty, but the final surgical quality certainly won't be as seamless as doing it in one go.

"Teacher Song, I agree with your point, but I personally still feel."

"When we consider for the patient, we should fully consider his preoperative state, not just cling to the two words 'the best' and refuse to let go."

"For a patient with completely no function, merely having elbow function is a very great progress."

"For patients with fine motor damage, we demand reconstruction to the state before damage."

"I just listened to Director Long and Teacher Zhong's preoperative physical exam; this patient is clearly neurodegenerative, current upper limb function is almost entirely missing, only the finger flexor tendons have grade 2 muscle strength."

"This patient's medical demand certainly isn't to let him do fine work."

Song Donghai paused at those words, then resolved himself and asked directly: "But, I recall Doctor Fang, some of the lower limb functional reconstruction surgeries you did before seemed to have pretty good postoperative rehabilitation."

"Doctor Fang, do you feel this patient is our hospital's, so you... settle for second best?"

After asking, Song Donghai also felt his question was a bit too sharp.

He then said: "Doctor Fang, this question we can chat freely about; secrets don't pass six ears, rumors stop at the wise."

"I didn't mean anything else by it."

Fang Ziye shook his head and said, "Professor Song, I never dared to have such thoughts."

After speaking, Fang Ziye's tone also turned a few degrees more solemn and cold: "Moreover, I understand Professor Duan's and your thoughts, Professor Song; likewise, I can do similar things."

"If I really had the confidence to perform upper limb functional reconstruction well, why would I have delayed doing such surgeries at Zhongnan Hospital for so long?"

"This isn't me wanting to hold back a trick, or wanting to seek fame and reputation, deliberately delaying the surgical progress for this disease type; rather, I myself haven't fully organized the corresponding surgical rhythm and operative theory."

"Professor Song, you are a professor of Hand Surgery; you should know that compared to lower limb surgery, upper limb surgery has more details to pay attention to, especially peripheral nerve treatment."

Hearing this, Duan Hong hurriedly laughed to smooth things over: "Professor Song, Doctor Fang definitely isn't that kind of person you speak of."

"Ziye's character is absolutely beyond doubt."

"The key content we should discuss now is how to carry out this surgery better, to preserve more function for the patient while also making the surgical process smoother."

"Everything else is beside the point."

Duan Hong immediately 【looked at】 Song Donghai, but 【he】 was just afraid Fang Ziye would find it hard to understand.

Tongji Hospital's Hand Surgery department has always had a weak presence; compared to Peking Union Medical College Hospital, it still falls slightly short.

However, Fang Ziye's sudden overtaking on a curve actually has limited 'crushing' effect on Trauma Surgery; the impact on Hand Surgery is the greatest.

The current actual situation is, if one day Hand Surgery and Functional Reconstruction merge departments, then Zhongnan Hospital's comprehensive strength will absolutely rank before Tongji.

Being the perennial runner-up is depressing enough; now they can't even hold onto the runner-up spot.

This surgery was actually not Duan Hong instigating Song Donghai, but Song Donghai instigating Duan Hong, wanting to achieve an overtaking on a curve.

Only, Song Donghai knew his relationship with Fang Ziye definitely couldn't rally people, so he had Duan Hong step forward to call Fang Ziye over.

Naturally, as an outsider, Fang Ziye was unaware of these matters.

"I still insist on my view; if Professor Song and Professor Duan feel we should do a single-stage reconstruction of all functions, we can also try cooperating to do so."

"But I still don't recommend doing this!" Fang Ziye could only deduce based on his own understanding.

Because just now, Fang Ziye spent over ten thousand Knowledge Points, which happened to bring the Basic Theory of both Functional Reconstruction and Hand Surgery to Level 5.

Last time, after Fang Ziye finished adding points, a new skill pending unlock and a new skill pending naming appeared.

【New skill pending unlock, new skill pending naming, new theory pending exploration...】

At that time, Fang Ziye didn't go to unlock and name it because conditions were limited and the situation was urgent! (Details in Chapter 445)

Later, when Fang Ziye went to explore, he named it Functional Reconstruction Science and Functional Reconstruction Surgery.

This is a sub-specialty name, no longer a single surgery's name, representing that once promoted, it is sufficient to become an independent department.

And this department is a blank scope in all current countries and hospitals; the potential patient volume is countless.

Eat a trade's rice, do a trade's work.

Fang Ziye is a doctor, so he can only consider letting patients suffer less pain; as for whether their income can increase or their living standard is high.

Truly, Fang Ziye cannot consider that much.

Similarly, Fang Ziye is a Trauma Surgery doctor, so he can only let the corresponding Trauma Surgery patients suffer less torment; as for cancer, other specialties' rescue matters, Fang Ziye can only participate appropriately.

That kind of thing — sparing no cost to save a life, even going to the Emergency Department just to be born for saving lives — Fang Ziye cannot do it!

Personal ability is quite limited; even with a Cheat, it's limited.

There's another reason: Emergency is very tiring!

Even if it's very noble, if the price of nobility is paying with one's own body or life, Fang Ziye would rather not be that noble.

But, encountering a disease type within his own professional field, Fang Ziye is willing to spend more Knowledge Points!

Even if it's just to solve a very small problem for them.

Because Fang Ziye eats this trade's rice!

And, now Fang Ziye's Knowledge Point income has stabilized at 1,500 per day, 40,000 to 50,000 a month, so Fang Ziye dares to set his sights on big Orthopedics disease types.

Do things within one's capacity; Fang Ziye must first be worthy of the patients he encounters, before thinking of being worthy of more patients coming to the hospital!

Seeing Song Donghai still hesitating, Duan Hong took the initiative: "Professor Song, listen to Ziye; in Functional Reconstruction, Ziye is the expert! We are the latecomers."

A teacher need not be wiser than the disciple; the disciple need not be inferior to the teacher.

Any doctrine has a first-come, last-come; you going to stubbornly wrangle over professional theoretical territory with someone who originated Functional Reconstruction and did it this well — isn't that just picking a fight?

Song Donghai looked at Fang Ziye's unhurried, neither servile nor overbearing, not-rushed-not-slow attitude, and his whole person was like a deflated ball.

Inexplicably, there was a kind of lost sentiment inside: "Doctor Fang, I'll listen to you too!"

"After all, beyond the syllabus, you're the home field; I'm the layman!"

In this life, a person ultimately must encounter many times the maturity and growth of admitting one is ordinary.

Such growth has nothing to do with age, nothing to do with gender, but has a great deal to do with one's encounters.

Song Donghai has been unwilling all his life to admit he is inferior to Zhong Junyu of Peking Union Medical College Hospital; Song Donghai even feels his comprehensive ability is in no way below his.

It's just his team isn't as lucky as Professor Zhong Junyu's, not comprehensive enough, and not high enough quality.

However, at this moment, Song Donghai feels he seems to have aged; he lost to an 'outsider'.

Of course, at this moment, Song Donghai also suddenly realized.

So-called reputation might not be that important either.

Truth is the only direction forward; the purpose of learning is not to be more excellent than others, but to make oneself not so ignorant.

"Beyond the syllabus, Doctor Fang, you are the home field." Song Donghai repeated a sentence, his voice, expression, and gaze all becoming increasingly calm.

After he collected himself, Fang Ziye instead felt this Professor Song seemed to have suddenly sublimated something.

But this isn't the time to pursue that; Fang Ziye has to explain his view further, break down the train of thought he just clarified, facing the true big shot of Hand Surgery...

A saying circulates in Hubei Province's Hand Surgery circle.

Peking Union first, Provincial People's Hospital second, no third. (This sentence is purely the Author's fiction, please don't take it seriously)

Fang Ziye knows Tongji is resentful.

(Chapter End)