Chapter 509: The Senior Brother Who Crashed (Seeking Subscriptions)
"Senior Brother, what do you want to say?" Lan Tianluo was very curious about Fang Ziye's idea.
Fang Ziye then whispered into Lan Tianluo's ear for a while.
Lan Tianluo's body had been leaning forward to listen attentively, but as Fang Ziye's voice gradually came out, Lan Tianluo's body gradually tightened, his expression terrified and inexplicable!
After waiting for Fang Ziye to finish the last sentence, Lan Tianluo's shoulders and face involuntarily twitched—
"Senior Brother, this, this, this, this, can this work?"
"Currently, domestically in this field, it's completely blank!" Lan Tianluo's tongue trembled a bit.
"It depends on human effort! Currently, the more mature bone induction materials are completely vacant worldwide."
"I don't know if you still remember that patient with bilateral lower limb long-segment bone defects who chose amputation because the price was too expensive before." Fang Ziye said.
The clinical project of the microcirculation instrument is simulation, accumulation of experience, and a small instrument developed by referencing artificial extracorporeal lung circulation and artificial extracorporeal heart simulation.
It is currently applicable to limb salvage surgery for bilateral lower limbs; as for whether its significance is great or not, for orthopedics, it is naturally a revolutionary breakthrough.
But for medicine as a whole, compared to life-saving surgery, what does limb salvage surgery count as?
The emergence of the artificial extracorporeal heart circulation instrument made open-heart surgery perfectly implementable, truly achieving opening the heart to save lives.
Since its maturity and development, it has saved at least several hundred thousand, even several million heart disease patients.
Although in recent years, with the development of interventional treatment for heart valve disease, the proportion of interventional minimally invasive surgery in clinical surgery is getting higher and higher, and the proportion of traditional open surgery is gradually decreasing.
But it cannot be denied that in those years, even now, it still caused a revolutionary effect on the development of human medical health.
Simulation and improvement are indeed a kind of innovation, but compared to originality, it is still much better.
Lan Tianluo nodded after hearing this: "Senior Brother, I do recognize your statement; trying artificial bone induction materials is indeed not impossible."
"But you say, minimally invasive limb salvage surgery, isn't that a bit too exaggerated?"
"Small incisions, can they really perform minimally invasive limb salvage surgery?"
"If this can be done, then isn't it?"
Fang Ziye, upon hearing this, instantly rolled his eyes at Lan Tianluo: "Did you not mention a single word of the prerequisite conditions I said?"
"Talking about minimally invasive surgery for mangled extremity limb salvage, the trauma itself is a mess. My meaning is, for patients with diabetic foot, minimally invasive limb salvage surgery can be considered."
"For corresponding clinical surgery, I now have some ideas, but they haven't been theoretically demonstrated yet; we can first look up relevant materials and make calculations for the follow-up! ~"
"After all, the theories of limb salvage surgery and functional reconstruction surgery are already mature; what needs to be done next is to collect clinical data and make improvements."
"If the remaining leisure time isn't used for thinking, how boring would that be?"
Mangled extremity limb salvage surgery is divided into upper and lower limbs, and functional reconstruction surgery can also be divided into upper and lower limbs; these two surgical methods, now with Fang Ziye's strength improvement, have seemingly gradually formed a systematic theoretical system.
Although upper limb limb salvage surgery in clinical practice does not yet have enough data support, the effects of the several surgeries Fang Ziye has already performed are currently quite good!
These can all gradually rely on the support of clinical data.
Collecting clinical data belongs to repetitive work; Fang Ziye currently has a research assistant who specifically does this, so Lan Tianluo and others don't need to spend too much time.
This is a long clinical waiting period, so during this period, after a group of people rest for a while, they start the next topic research on the theoretical level, which is exactly a good rhythm period.
"When will it start? I was also planning to go out for a trip during the National Day holiday?" Lan Tianluo said.
He had indeed invested too much time and energy; since the end of the year, Lan Tianluo had almost not rested at all, except for going home once in the middle.
During the rest of the time, Lan Tianluo was either processing data or participating in the development of the microcirculation instrument, while also learning upper limb limb salvage surgery and undertaking mangled extremity emergency surgeries.
Lan Tianluo had actually become half a Chief Resident, and the other half Chief Resident for mangled extremity was Yuan Weihong.
Of course, Fang Ziye wasn't playing around either; currently, besides Fang Ziye, Liu Huanglong could not normally carry out functional reconstruction surgery and upper limb functional reconstruction surgery, and occasionally still needed Fang Ziye's assistance and help.
"Then after National Day!"
"We have been in 'group training' for such a long time; it's time to take a small vacation."
"From now until before National Day, after finishing the elective surgeries in the department, during the National Day period, I also plan to rest for a while."
"Except for mangled extremity emergency surgeries, all other elective surgeries will be ignored."
Fang Ziye continued to analyze: "And, after October, functional reconstruction surgery will be taken by Professor Liu to the Hand Surgery Department, and the microcirculation instrument will also be taken there..."
"Our department will only accept mangled extremity emergency surgeries in October, plus the traditional surgical methods of Trauma Surgery; how easy is that? During this period, we can just use it to polish the corresponding theory of diabetic foot limb salvage surgery."
"It's best to use interventional methods to carry out limb salvage surgery. Things the Interventional Radiology Department of our hospital is too lazy to do, we'll do it ourselves." Fang Ziye smiled harmlessly.
Lan Tianluo, however, seemed to like Fang Ziye's 'bad' side; he himself was not a traditional rule-follower.
"Senior Brother, you really want to bully many other specialties before it counts, right?"
"By the way, Senior Brother, let me tell you something funny."
"Our team's microcirculation instrument improvement and development has come out; on the Vascular Surgery side, that topic you previously performed once about applying the one-way valve to hemostasis technique, Vascular Surgery still hasn't finished it."
"Last night, Professor Deng was chatting with me on WeChat, asking if I had hidden any private work! ~"
Lan Tianluo immediately chuckled: "Their own theoretical depth is not enough; as you said, either force a person to grind up their theoretical depth, or just stare blankly."
The essence of an instrument is a tool; how a tool is used still depends on the person using it.
For example, MRI, CT imaging, etc., are also divine artifacts for diagnosis, but such divine artifacts, in the eyes of different medical practitioners, the amount of information read is completely different.
Different levels of image reading ability, the diagnoses that can be read out, are worlds apart.
Image reading technique is very simple; anyone with eyes can look, even patients can look at some themselves, and if they self-study a bit, they can be called medical enthusiasts.
However, the same tool in Fang Ziye's hands, the energy that can be released is a completely different concept.
In the process of using the tool, the use of the one-way valve also depends on the person's ability.
"Everyone has their own task; we are Orthopedics, and it's not good to go against the general direction."
"Unless we wait until we reach the Associate Professor level, then we can roll around in the entire Major Surgery Department; for now, let Professor Deng and them slowly push forward."
"The treatment of one-way valve in huge hematoma, even without a particularly perfect system, can still support Professor Deng publishing several articles."
The reason Fang Ziye knew so much was because Professor Deng Haibo, when publishing articles, included Fang Ziye's name.
As early as several months ago, Fang Ziye was very cautious about his paper nominations; not just anyone could casually add his name.
Otherwise, if someone "secretly harms" you, puts your name on a garbage article, and after successful submission someone messes with you, you have suffering but no way to speak out.
However, generally when serving as first author or corresponding author, the editorial department you submit to will send you a message, and you can unilaterally inform the magazine that you are not the owner of the article...
This is also one of the reasons Fang Ziye needs to clean his email frequently; although such things have no precedent of "framing."
But many old professors who crashed and burned did so because their "corresponding author" reputation collapsed.
Fang Ziye also discussed a third clinical project with Lan, but this project is still too far off for now and not in his near-term planning.
Time flows like water; in a flash Mid-Autumn Festival arrived unknowingly!
This year's Mid-Autumn Festival and National Day are very close, falling on September 27th.
Zhongnan Hospital's Trauma Surgery, due to the visit of Longtai reporters and the sudden intrusion of two academicians, didn't even get to properly gather for Teachers' Day.
Therefore, Yuan Weihong and Deng Yong chose September 27th to invite their respective students over.
Fang Ziye could only celebrate remotely with the two teachers; the current him would no longer ask someone to cover his Chief Resident shift and then casually go out to eat.
Other things, like Magic Capital Sixth Hospital's invitation for consultation surgery, and Tongji Hospital and Peking Union Medical College Hospital's teaching invitations, were all politely declined by Fang Ziye.
Where a person's responsibility lies, they must do their own duty well.
The days ahead are still very long; once he steps down as Chief Resident and becomes a free Attending Physician, won't Fang Ziye be able to go wherever he wants?
Why rush for a moment?
September 27th, noon.
"Knock knock knock!" Fang Ziye was still in the Inpatient General Office, holding coffee and "cloud celebrating" with Yuan Weihong, Lan Tianluo, and a few others.
The sound of knocking rang out—
"Doctor Fang, there are patients and family members outside sending silk banners again; they say if you don't come out for a group photo, they'll send the banners to the Medical Affairs Department." The nurse on duty said in a low voice outside the door.
"Okay, wait a moment! ~ I'm coming right away." Fang Ziye raised his head and replied, then explained the situation to his Master on the call.
Yuan Weihong laughed and scolded from the other side of the video: "Who knows who ruined the department's atmosphere."
"The patients and families are all too sensible; this month alone seven or eight banners have been sent to the Medical Affairs Department; I estimate those colleagues in Medical Affairs hate you to death."
"After all, once banners are sent there, they have to help transport them back!"
In the hospital, the second-best way to give a banner is to the doctor personally; the best way is to send it to the Medical Affairs Department!
The first person to do this was probably a medical professional among the family members who knew the ins and outs.
So after the department's family members saw the Medical Affairs staff receive banners for Fang Ziye with relatively greater ceremony, and even Hospital Office staff came to inspect, such things kept happening repeatedly.
Once is a surprise, but this many times, now the Medical Affairs colleagues are a bit tired of it.
What is all this? Can the Medical Affairs Department still get its work done?
We'll just specially give banners to you, Fang Ziye, and be done with it!
Once or twice a month is a surprise; seven or eight times a month is equivalent to running to Trauma Surgery twice a week...
Therefore, starting this week, that is September 23rd, Fang Ziye told patients and families during ward rounds not to send banners to Medical Affairs anymore.
Of course, some families are relatively well-off and want to express gratitude; Fang Ziye couldn't very well refuse.
One banner, the hospital rewards fifty yuan extra!
No limit on frequency; who would turn away money?
Fang Ziye said: "Master, then I'll head out first."
After Fang Ziye stood up and pushed open the Inpatient General Office door, he saw an old granny leaning on a walking aid, smiling broadly, standing at the office doorway.
At this moment, the Head Nurse and duty nurse were both talking to her very warmly.
"Thank you for your kindness, but making silk banners is too costly; if you really want to thank Doctor Fang, just saying a few words to his face is enough." The speaker was Head Nurse Cao Fang.
The old granny shifted slowly back and forth with her walking aid, saying: "Girl, you don't know; when you get old, your body and bones just get worse and worse."
"Lying in bed feels awful; a person has to be able to walk and move to count as being alive, right?"
No one knows the preciousness of being able to walk better than someone paralyzed in bed.
"When I was lying there before, I didn't pray for anything else; I just thought, if in this life I can get off a wheelchair, even if I only walk a few hundred more meters, I'd die willing."
"This morning, my daughter-in-law took me downstairs for a walk around."
"Although I only circled this inpatient building once, but?"
"You don't know, this feeling is too good." The old woman's face was full of wrinkles, her hair silver-white, groomed and washed very neatly.
Her eyes were deep-set, both hands and feet trembling slightly, but she didn't need to pretend; her whole being seemed to be the story itself.
"Doctor Fang."
"Doctor Fang!"
"..."
The old woman's family members saw Fang Ziye approach and each called out.
Fang Ziye also recognized them at the first moment; they were the patient and family from bed 37 of Vice Professor Chen Fang's group.
Fang Ziye approached with a very sincere smile, saying: "Grandma, hello, how are you feeling today?"
Fang Ziye didn't greet everyone, but went straight to the point.
Actually, the so-called "gratitude" between these families and Fang Ziye hinges on the elderly; the elderly are Fang Ziye's patients, and only between them does a doctor-patient relationship exist.
"Good, especially good!"
"Doctor Fang, it's really good; when I first came I still had some doubts."
"During hospitalization I was also a bit impatient, maybe my temper wasn't good, please bear with me; now I understand that saying, slow work yields fine products, good things take polishing." The old woman replied, slightly embarrassed.
While waiting for surgery, she was very impatient.
Because she had rarely waited this long; during this period she also pulled various connections, but none seemed to work.
Of course, after lying in bed for nearly ten years, just waiting a few more days, the current her naturally feels it was all worth it.
"Thank you Grandma for understanding; actually we also want to do surgery quickly, but energy is truly limited."
"So back then I could only tell you that surgery can't be rushed; we can only do our best to perform every surgery well, rather than doing more surgeries in a day."
"Now that you can get out of bed and walk, you should walk a bit more, but within limits. Something like walking continuously for three or four hours a day is not advisable."
"That definitely has to wait until after you're discharged and re-examined twice; based on your recovery, we'll give you such advice then."
"By the time! ~" Fang Ziye was speaking when two more people walked in from the ward corridor entrance.
One of them greeted Fang Ziye very enthusiastically; he didn't walk fast, but his stride was already "wide and open," with not a bit of caution left.
"Doctor Fang, Doctor Fang, hello."
"Doctor Fang, do you still remember me?" The newcomer was a big bald man with a slightly pointed head, a middle-aged man around fifty years old.
If the newcomer weren't bald, Fang Ziye might really not remember him, but there weren't many middle-aged bald men coming to the department for treatment, and the newcomer was also quite interesting, so Fang Ziye still had an impression of him.
"Brother Tan, are you here for a re-examination today?" Brother Tan had surgery in the department in July, was discharged in early August, and by rights should have come for a re-examination in early September.
This was a patient undergoing functional reconstruction after emergency mangled extremity surgery.
"Hey, don't mention it, it's all a joke. After I was discharged, someone tricked me into going to some TCM massage outpatient clinic at a health center for re-examination for a while."
"They told me to rest more, persist with acupuncture and massage every day, walk less and move less. After all, I just had such a big surgery."
"I thought this wasn't right; I just registered for a professor's number."
"Professor Liu said I could throw away my crutches long ago, I……"
"Wasted money." Brother Tan touched his big bald head, his face full of smiles, with not a bit of heartache over money.
The moment Fang Ziye saw him, he knew the other party probably went to find a TCM doctor for rehabilitation on his own.
After all, this Brother Tan had said when he first arrived that everything should use the best; as long as his illness could be cured, nothing else mattered.
Later they learned that his deposit cash flow tm was nearly eighty million.
His net worth conservatively estimated at least three hundred million.
Fang Ziye smiled faintly at Brother Tan, then said: "Please wait a moment; this is my patient, currently in Bed 37. I'll guide her rehabilitation training."
Even among patients, one must observe who came first and who came later.
Brother Tan came from afar to say hello; Fang Ziye couldn't ignore him rudely, but if he put down the patient before him right now to go say hello, that would be going too far.
The old lady was very sensible: "Doctor Fang, then thank you very much. I have no other business. Before I bought you fruit, you didn't eat it. I asked you to drink milk tea, but you said no."
"So I thought, I'll just make a silk banner to give you. At least it's a keepsake……"
"Your help to me is truly too great. Today I even secretly held my great-grandson and walked a few steps……" The old lady confessed a bit embarrassedly.
Hearing this, Fang Ziye hurriedly shook his head: "That won't do; you still can't walk with weight-bearing now!"
Immediately after, Fang Ziye said to the family member: "No weight-bearing; you can't mess around. The elderly person has been lying down for a long time, and osteoporosis is quite severe. If a fracture happens now, it would be adding insult to injury."
"Wait a while, or push her in a wheelchair, tease her a bit, okay? You help supervise."
The old lady was in her eighties; her generation married early, had three sons and two daughters, all very filial. Now the grandchildren generation are already adults.
It's said the oldest great-grandson is already in his teens. Today in the department are her third son and daughter-in-law, plus the son and daughter-in-law's little grandson……
After chatting with the old lady for a while, Fang Ziye personally guided her through several functional training methods suitable for her, such as quadriceps contraction exercises, and slow leg-lifting exercises for walking posture!
After that, Fang Ziye rolled up the silk banner and looked at Brother Tan resting in the doctor's office.
Actually, Brother Tan came just passing by, and incidentally took out a small envelope. The envelope felt quite thin to the touch——
But recently, Fang Ziye had long been accustomed to not judging the value of gifts by their thickness.
He directly pushed it back: "Brother Tan, I appreciate your kindness, but I can't accept it."
Then he joked: "To be honest, being a doctor is actually my hobby. I have my own money. In terms of net worth I certainly can't compare with you, but I don't need to rely on gifts and salary to live……"
Hearing this, Brother Tan's eyes lit up instantly.
"Doctor Fang, when you were my attending doctor during hospitalization, you were much more interesting than during ward rounds."
Immediately after, Brother Tan looked Fang Ziye up and down several times, then took the envelope back.
One could say this was the most unique excuse for refusing a gift he had ever heard.
People said they don't live on the hospital's meager pay, so what's the point of you giving anything.
"Doctor Fang, come have tea when you're free; I'll arrange the best for you." Brother Tan smiled faintly at Fang Ziye.
Hearing this, Fang Ziye guessed this tea wasn't quite proper, so he didn't chat more on this topic.
"My current work is busy to death. If one day I don't want to be a doctor anymore, maybe I can go out and play, right?"
Fang Ziye pretended to shake his head: "I can only stay in the hospital."
But Brother Tan frowned: "Doctor Fang, what are you joking about? If you stop being a doctor, that would be bad."
"With all your skills, you should bring joy and health to more patients. Since it's your hobby, enjoy it for a while longer."
"I've figured it out during this time: if you don't get injured, you don't know how things are; once injured, there will be a patient friend group."
"My current condition makes others envious!"
Similarly mangled extremity, put cutely, some people have no legs, some have no little hands.
Someone like him who can still walk swaggeringly is basically rare.
In the patient friend group, many are now widely discussing: why didn't we know about Zhongnan Hospital earlier, why didn't Doctor Fang appear earlier.
Of course, after amputation is done, asking Fang Ziye to give them back a leg is definitely impossible.
But those who have been injured know the pain of injury. Now there are many volunteers spontaneously giving suggestions to units like the traffic police brigade.
If limb injury is severe, send them to Zhongnan Hospital; this can probably avoid amputation!
Fang Ziye and Brother Tan chatted idly for a full twenty-plus minutes before Fang Ziye left on the pretext of still having work.
Brother Tan didn't force him to stay; he just happily left the department with his wife. He was purely bored and incidentally wanted to give Fang Ziye some gifts to express thanks.
……
Fang Ziye indeed no longer needs to live on the hospital's dead salary. Now, if he wants to be a boss, he can just take the microcirculation instrument patent fee——
For example, for each microcirculation instrument in the future, he takes five hundred yuan; isn't that not excessive?
These things belong to the essential instruments that all 120s nationwide, all Emergency Departments, and all Trauma Surgery departments must have multiples of.
The patent fees Fang Ziye can get, conservatively estimated, would be several hundred million; this money sitting in a bank current account would yield an estimated several million a year.
Working as a doctor at Zhongnan Hospital, how much can one earn in a year? At most a million!
This still has to factor in the hard work fees for academic exchanges, teaching subsidies for teaching, project bonuses, and all sorts of messy things.
And after getting the patent fees, Fang Ziye just needs to lie down.
This doesn't even count Fang Ziye's share of patent fees from the animal experiment models.
Fang Ziye takes very little; for the hk2 knockout animal experiment model, Fang Ziye charges ten yuan per animal; for the mangled extremity model, Fang Ziye charges only three yuan per animal in patent fees.
This is a symbolic charge; the rest of the money is subsidized to the animal laboratory, used as project R&D funds, etc...
Although this income is only a few yuan and a dozen yuan, accumulated each month it comes to about ten or twenty thousand.
The bigger share is still the rabbit mangled extremity model; in the current laboratory, one or two hundred rabbits die every day, and nearly six thousand die in a month.
All are killed by the "big skeleton" of Trauma Surgery.
After returning to the office, Fang Ziye continued the cloud gathering with Master and fellow trainees.
Naturally, Fang Ziye also knew that video gatherings for too long get greasy, which is instead not conducive to their drinking; after chatting for nearly ten more minutes, Fang Ziye actively hung up the phone, then continued reading novels to rest and kill time.
Work-rest balance!
Recently, Fang Ziye has become obsessed with the feeling of reading novels; it's not YY, just immersing himself as the protagonist to zone out for a bit.
Whether there's a brain or not doesn't matter; as long as it's satisfying, that's all that matters.
……
Another two days passed, and finally the time came to the last working day before National Day, which is September 29th.
It was also noon.
Fang Ziye received a call from Huashan Hospital's Teacher Gu, Old Professor Gu Yuandong.
"Teacher Gu, hello." Fang Ziye was originally organizing a case discussion for undergraduate interns, but after receiving the call, he let them familiarize themselves with the case first, and he would come in later to break it down for them.
Pushing the door open and exiting, he found a fire passage, opened the door and walked in.
"Ziye, the data you presented to us before, is there still some part concealed?"
"Our team has worked for over twenty days, with all data recorded comprehensively, yet this microcirculation instrument still can't be assembled successfully?"
"Or is it that we installed it wrong?" Gu Yuandong's tone was somewhat depressed.
At the same time, Fang Ziye also heard several strings of breathing sounds nearby; he estimated Gu Yuandong had the speakerphone on while talking to him, and the other party was currently in the laboratory's conference room.
Upon hearing this, Fang Ziye immediately said: "Teacher Gu, before I wasn't very sensible, so naturally I gave you all the real data."
"Our team also assembled and debugged according to this data; it's impossible for it not to work; didn't you see the video materials?"
Fang Ziye laughed inwardly.
Teacher Gu!
This isn't something that can be replicated with just a string of data; the principle construction of the microcirculation instrument, without Level 5 Vascular Surgery Basic Theory, you guys can't pull it off.
On the surface it looks like just an improvement of a circulation instrument, but in fact, the complexity of the true core theory within is far more than it appears on the surface.
"Then why can't our team assemble it? I even invited some experts here." Gu Yuandong's voice carried questioning.
No other reason, Gu Yuandong was a bit furious.
What to do when the boasted awesome can't be taken back?
If the awesome is blown open but not stuffed full, you'll get kicked by the bull!
Moreover, at that time Gu Yuandong wasn't just boasting and speaking harsh words in front of Fang Ziye and Deng Yong and others; Huashan Hospital's Tian Lin was also there.
Several old guys of Trauma Surgery in Jingdu, such as Huang Guoqing, Long Leshan, Zhou Yuan, were also there.
It can be said, however harshly Gu Yuandong spoke harsh words back then, however impressively he said he would give Fang Ziye a lesson, that's how embarrassed he is now.
Originally it was agreed to give Fang Ziye a lesson, but the result is the class bell can't even ring.
"Teacher Gu, this problem, shouldn't it be answered by me?"
"I've already given you all the data." Fang Ziye applied what he learned flexibly.
Gu Yuandong said: "Don't mess around! You must explain to me."
Fang Ziye didn't speak.
Anyway, separated by the phone, not to mention the other party is a crashed senior, even if he were a US general, it's impossible to hack Fang Ziye to death through the internet.
After a silence stalemate, Old Professor Gu Yuandong said: "Okay okay okay, no more messing around, Ziye, I take back what I said before."
"Now I'm just asking for advice with a learning attitude, I don't need you to tell the key, just tell me a rough idea."
"Deal? Our joke ends here too."
But Fang Ziye said: "Teacher Gu, then let's not for now; thanks to your teaching and guidance, I feel if I speak, I'll get scolded by you again."
"Wait until our side's patent approval is implemented, or when the documentary airs, then I'll come tell you the key."
"Hey, you! ~" Gu Yuandong choked out this syllable in the phone.
Fang Ziye then said: "Teacher Gu, I know you're anxious, but don't be anxious first?"
"I'm really asking you for advice! Not giving you a lesson. Not the previous joke." Gu Yuandong said seriously.
"Teacher Gu, I'm still doing case teaching for undergraduates here; if there's no other urgent matter, I'll hang up first?! ~" Fang Ziye kept Gu Yuandong's words firmly in mind.
One must be guarded against others; Fang Ziye couldn't bear to be dissed for no reason again.
All this was as Fang Ziye predicted, so he just smiled casually.
The old man's crash scene is actually quite interesting.
This matter also gave Fang Ziye a big hint: boast less, boasting easily leads to crashing; even if one's strength is formidable, don't casually speak harsh words.
(Chapter End)
End of Chapter
