Chapter 484

Fang Ziye hurriedly said, "Professor Song, the terms 'expert' and 'layman' are too severe a description."

"In terms of seniority I am a junior, in terms of experience I am also insufficient; I merely happened to run into some luck. I dare not claim to be any kind of expert. Let us just get back to this case first."

Regardless of whether Duan Hong and Song Donghai's words constituted flattery with intent to harm, Fang Ziye would not become arrogant and feel that today's surgery could not proceed without him.

In fact, given Tongji Hospital's foundation, even without Fang Ziye, the surgical quality they cooperated to produce would still lead the vast majority of domestic top-tier Grade-A hospitals by at least ten years.

"My thinking remains: Phase One prioritizes functional reconstruction of the upper arm and forearm, placing the main surgical reconstruction focus on the elbow joint and shoulder joint."

"Phase Two surgery will depend on the situation at that time; this involves some specific details that still require Professor Song to make the final call."

"During our usual surgeries, regarding control of reconstruction details, I occasionally operate, but the overall direction is still the responsibility of Professor Liu..." Fang Ziye said with modest humility.

Professors Song Donghai and Duan Hong invited him for the sake of improving surgical quality, which counted as an attitude of responsibility toward the patient; there was no need to be proud at this juncture.

Of course, what Fang Ziye said about most reconstruction plans at Zhongnan Hospital being controlled by Liu Huanglong — that was the past.

Now, after Fang Ziye added points, Hand Surgery's corresponding theory had also risen correspondingly; if he returned to Zhongnan Hospital, Fang Ziye could battle rhythm together with Liu Huanglong.

Regarding theory and surgical design related to Trauma Surgery, Fang Ziye could be said to have the final say.

Level 5 Skill, still easy to use.

Looking nationwide, it is the same; even at Magic Capital Sixth Hospital, it remains so!

The reason Fang Ziye did not add points to Hand Surgery to Level 5 in advance was mainly because he did not want to have the final say in every single operation.

For his technique to spread, the discussion process is also a form of dissemination and teaching; if he can manage every angle perfectly, others have no room to think.

A saying goes well: the best way to make someone learn something is to have them serve as the teacher of that lesson!

But that was also the past.

Now Fang Ziye is not here to do teaching; he is here to treat a difficult case, and must finish the surgery as soon as possible.

Therefore, after Professor Song Donghai put forward his own ideas, Fang Ziye could each time find a suitable angle to optimize and correct.

"Professor Song, I have a thought, don't know if it's suitable; I'm not Hand Surgery, just... ulnar nerve humeral segment reconstruction..."

"Professor Song, I have another thought; of course I'm not professional..."

"Professor Song." Fang Ziye, for the who-knows-how-many-th time, voiced his opinion.

Song Donghai was numb; he decisively stepped back: "Ziye, stop saying you're not professional; just say it directly!"

"Our Trauma and Hand Surgery used to be one family."

Song Donghai's true inner thought at this moment was: Damn it, you're still not professional? Who are you trying to freeze out?

Fang Ziye is not only professional, but professionally outrageous.

Meticulous thinking, vast knowledge, a system uniquely his own, plus a corresponding theoretical systematic structure specially designed for functional reconstruction surgery.

Song Donghai's own theoretical system clashing with Fang Ziye's yielded him absolutely no benefit.

Fang Ziye could not say Song Donghai was wrong, yet had better solutions.

Hearing this, Fang Ziye did not stay humble, saying: "Then Professor Song, I'll speak my own thoughts. In our Phase One surgery, the main thing to solve is the functional problems of the ulnar nerve, brachioradialis, subscapularis and other functional muscles."

"From the MRI and preoperative physical examination, we can see these muscles all show some neurogenic atrophy; through MRI scanning, we can discover the branch structures innervating these nerves have no anatomical problems."

"Then their problem lies in the proximal neural tissue."

"Through cervical spine MRI plain scan, we can discover the proximal segments of the brachial plexus have intact anatomical structure; the electromyography..."

Fang Ziye, unhurried and neither servile nor overbearing, pointed out the landscape, framing the overall surgical thinking framework.

Surgery is no child's play; during surgical discussion, one absolutely cannot detach from theory and spout nonsense.

Any operation that cannot be clearly explained by theory, in medicine, mostly means your theory and cognition are insufficient.

Medicine is not adventure; theoretically, operations that theory cannot clearly explain must not appear on the human body, because both harm and benefit are unknown.

The human body cannot become the first cost of trial and error for some operation or some drug!

"After sorting through like this, we can discover the surgical approaches we need to operate have emerged."

"Nerve segment disconnection, artificial nerve bridging surgery."

"Tendon transfer surgery, tendon transplant surgery, nerve transplant surgery, nerve-tendon reconstruction surgery, nerve sheath, tendon sheath reconstruction surgery."

"Finally, discretionarily, we can also do a muscle resection and muscle transplant surgery; the involved muscle and nerve segments are quite extensive; this surgery's estimated surgical time will also be quite long..."

Hearing this, Song Donghai nodded: "No problem; if manpower is needed, I can call people anytime."

"But before this, I have a very important question to ask you, Doctor Fang; this question is extremely important!" Song Donghai pushed his glasses, tone formal, gaze steady, as if a world-shaking matter.

Seeing this, Fang Ziye and Duan Hong and the others all sat up straight.

"I'll directly give you five million; other conditions you choose freely; Tongji Hospital, this platform at least two levels higher than your Zhongnan Hospital — will you come?" Song Donghai asked.

Fang Ziye: "..."

Duan Hong: "..."

Long Yuan: "..."

Even the few Hand Surgery Associate Professors' mouth corners twitched.

Fang Ziye truly thought something very important was happening; he didn't expect Song Donghai to start talking nonsense at this moment.

Hearing this, Duan Hong's chubby hand waved directly toward Song Donghai: "Professor Song, it's not time to sleep yet; bear with it a bit."

"If Ziye had even a crack, do you think I couldn't squeeze in?"

"You're even poaching our Trauma Surgery people."

What the f*** international joke; if Ziye had any thought of leaving, he is our Trauma Surgery person.

What the hell are you meddling with here?

Hearing this, Song Donghai said: "Maybe Professor Duan, you're not delicate enough?"

Song Donghai looked at Duan Hong's tonnage and immediately started snapping back.

"Trauma and Hand are one family; what Trauma Surgery Hand Surgery, we're all Orthopedics; don't believe me, go ask outside?"

"Broken bones connected by tendons..."

Duan Hong nodded like a chick pecking rice: "Ah yes yes yes! ~ You're right, you're right, what you say is right."

"Ziye, let's go to surgery first. Professor Song, you compare the port sizes first." Duan Hong stood up, and together with Zhong Wenyuan and Long Yuan escorted Fang Ziye out of the demonstration classroom.

Song Donghai cursed upon hearing this: "What 'right'? What 'compare port sizes'?"

"Duan Hong, speak clearly."

Duan Hong pushed Fang Ziye out, telling Zhong Wenyuan to hurry and take him away: "Ah yes yes yes, I won't say you're right anymore, I won't say it, okay?"

Song Donghai: "..."

This bout of horseplay ended as everyone headed up to the operating rooms, and ended with Song Donghai's silence.

After everyone scrubbed in again, Fang Ziye unceremoniously took the lead surgeon position directly, with Song Donghai opposite him, Professor Duan Hong as second assistant, Professor Zhao Le as third assistant, and Zhong Wenyuan as fourth assistant.

This lineup could be called the ceiling of the entire Hubei Province; any one of them pulled out would be a relatively top-tier existence.

Before Fang Ziye arrived, debridement and muscle relaxation had already been done; what remained was to reproduce through operation the surgical approach that everyone had "discussed" — in reality, the approach Fang Ziye had recommended.

Fang Ziye did not stand on ceremony; from the first moment he precisely peeled open the diseased nerve epineurium, then began searching for the nerve lesion focus.

Of course, Fang Ziye's speed this time was very fast, causing no one any maladaptation, as if Fang Ziye's silky-smooth operation was only natural.

Because this is Tongji Hospital, everyone often sees National Treasure Doctor-level operations, so they are used to it and not surprised.

Fang Ziye's operation was extremely fluid, and has long been no secret.

Of course, although seeing the operation is not surprising, when such an operation is concentrated on Fang Ziye alone, even the breathing on the operating table becomes silent.

Almost everyone held their breath, afraid to speak; the atmosphere seemed terrifyingly oppressive.

The circulating nurse felt this atmosphere was a bit off, so she spoke up: "Why is no one talking?"

"This surgery has no life danger, right? Could it be——"

Before the circulating nurse finished speaking, Long Yuan, who was below and hadn't scrubbed in, moved toward that direction: "Sister Nan, don't talk, everyone is seriously watching and learning the surgery."

"This isn't the time for jokes..."

"The patient's vital signs are stable, the anesthesia teacher isn't panicking, what are you anxious about?"

"I feel a bit oppressed." The circulating nurse replied in a low voice.

"Then be oppressed for a while..." After saying this, Long Yuan quickly took small steps to the side of the operating table, mentally simulating Fang Ziye's operation while reading the surgical logic.

Reading surgery is a capability, and also a method of extracting and training one's own knowledge reserve.

After technique reaches a certain barrier, one must blend one's own knowledge reserve to learn, rather than simply repeating practice...

The circulating nurse ate a setback, but didn't say anything more, just curiously stared at the operating table.

Usually the atmosphere in Tongji Hospital Orthopedics operating rooms is pretty good; today seems a bit different.

The silence on the operating table, accompanied by the jumping of the surgical timer panel and the occasional beep-drip of the anesthesia instruments, blended into the main melody.

"Adjust the shadowless lamp." At some moment in the early morning, Fang Ziye broke the silence.

Behind Fang Ziye, Long Yuan immediately adjusted the shadowless lamp's orientation, making the surgical field transparent again.

The surgery slowly advanced again in silence.

This is actually the result of unfamiliarity between the lead surgeon and the other assistants; because Fang Ziye is unfamiliar with everyone, he also doesn't know what to chat about.

It seems besides surgery, chatting about anything else is not too suitable.

Similarly, this thought also applies to Duan Hong and Song Donghai, Zhao Le and the others.

Finally, when the time advanced to 4:21 AM, the surgery finally reached its finale.

After Fang Ziye finished suturing the last muscle, he used forceps to lift it and looked left and right twice, only then straightened his neck, swayed left and right, and emitted two cracking sounds.

Seeing this, Professor Zhao Le and Professor Song Donghai immediately signaled an associate professor below to come up: "Ding Gong, you come up and handle the follow-up."

The one giving orders was Song Donghai; Professor Zhao Le said: "Ziye, you've worked hard, get down and rest; this surgery's postoperative rehabilitation is very much worth looking forward to."

Laymen watch the excitement, experts watch the doorway.

Fang Ziye not only has a theoretical system and meticulous thinking, but his own operation can also restore all the thinking.

This is hand-eye consistency, not those eye-high-hand-low theoretical players.

Such talent is what everyone loves most, only regrettably admired but unattainable!

Fang Ziye indeed needed to rest a bit; when he moved his steps, he discovered his hip joint and knee joint were both slightly stiff.

Joke, standing half-bent for four or five hours like this, as long as you're human, your joints will stiffen.

Fang Ziye placed both hands together against his chest, slowly backed away, and only after backing out of the operating table crowd did he start moving his shoulder joints and hip joints.

While laughing, he looked at Professor Duan who was similarly tilting his head and twisting his waist as he stepped down: "Teacher Duan, do you think we'll become frequent visitors to Spine Surgery in the future?"

Surgeons easily get lumbar and cervical disc herniation, precisely because the posture during surgery damages these joints too much.

"Who knows! Anyway, pay more attention to exercise and rest."

"Today this surgery's duration was too long." Duan Hong's chubby neck shook left and right, not caring about his professor's demeanor at all.

Fang Ziye was the same.

After the shoulder joints and hip joints loosened up a bit, he cooperated with the circulating nurse to take off the sterile surgical gown, removed the sterile gloves, then Fang Ziye crossed his hands and thoroughly stretched his waist joints.

Then at the first moment he walked toward the storage table under the surgical timer panel, took out his phone to check unread messages.

Fang Ziye set messages to do-not-disturb, but the phone was on the loudest ringtone mode; after all he's the Chief Resident, emergency calls must be answered.

But if it's messages, they can be ignored.

Unless the subordinates in the department are idiots who think calling is too expensive, so they'd only send messages but not call when encountering extremely urgent situations.

Song Donghai at this moment also took off his "suit," and walked over smiling: "Doctor Fang, the suggestion I gave you last night, how did you consider it?"

"The price can be negotiated further! ~"

Song Donghai couldn't talk feelings with Fang Ziye, nor talk sentiment; the only thing he could talk about was money.

Fang Ziye heard this, glanced at Professor Duan Hong, then said: "Teacher Song, thank you for your attention and kindness, but I feel Trauma is pretty good. My own unit is also pretty good."

"The time isn't early either, Teacher Song you all rest more, I have to go back on duty."

"Chief Resident, I dare not leave my post for too long! ~"

"I'm also familiar with Han City, so there's no need to see me off further." Fang Ziye said this and bid farewell.

However, although Fang Ziye said there was no need to see him off, with a single look from Duan Hong, two people personally brought Fang Ziye out the door to hail a car; one person had reserved a ride-hailing car in advance, but upon going out the door they saw a vacant taxi displayed.

Guo Haichao then shoved Fang Ziye into it, and after informing the driver of the location, said: "Driver, you must ensure Doctor Fang is delivered safely."

"Thank you, Senior Brother Guo." After Fang Ziye sat properly in the back seat, he waved his hand to bid farewell to Guo Haichao.

"Industry Brother, contact me again in the future! ~" Guo Haichao's face was full of smiles, displaying his enthusiasm.

(Chapter End)