Chapter 542: Exquisite Slow Technique (Requesting Subscription)

Half an hour later, seeing Fang Ziye say nothing, Luo Tingzhu asked first: "Senior Brother, is the surgery at the sanatorium difficult?"

Luo Tingzhu rarely saw Fang Ziye so serious.

Before, even facing tricky issues like mangled extremities and functional reconstruction surgery, Fang Ziye had never been as silent as today.

And Fang Ziye's current ability was no longer comparable to back then.

He was a "top expert" certified by many professors and experts.

Fang Ziye's eyes remained immersed in the computer screen, not turning his head; a full two or three minutes passed before he seemed to realize Luo Tingzhu had spoken to him.

He nodded dully: "I searched through the literature, and not one case of nonunion had such a long course."

"Ten years! I estimate every surgical method has been used, but there's still no better therapeutic effect."

"Ten years?" Luo Tingzhu was a little stunned after hearing this.

Ten years ago, she was still a little girl; a patient's fracture had lasted ten years! That was too pitiful.

"He underwent five surgeries in succession, from the Military Hospital to Jishuitan, then to Huashan..."

"Sigh..." Fang Ziye rubbed his face, frowning tightly.

Basically, the methods mentioned by scholars from other countries in the literature had all been used on this old woman, but the fracture ends showed no trace of healing.

This absolutely counted as a super difficult and complex case; I estimate that for this type of disease, not a few could be found in all of Eastern Han, or even the whole world.

Fang Ziye did not dare to underestimate other professors' skills and levels; before performing surgery, they surely had also consulted many materials and literature, and only decided to operate after multiple rounds of argumentation.

At least the last three were definitely like that.

"Any underlying diseases?" The only possibility Luo Tingzhu could think of was that some underlying disease had accompanied it, affecting the fracture's healing.

Common causes of nonunion include the following major categories: infection, insufficient local blood supply, separation of fracture ends, unstable fixation, and improper surgical operation.

Infection can be ruled out; this patient underwent anti-infection treatment from the very first surgery, and there was not a single postoperative infection.

Insufficient local blood supply can also be ruled out; her fracture area had quite rich blood supply, and many surgical records noted this point.

Separation of fracture ends and unstable fixation, as well as improper surgical operation, also did not exist.

The hospital where the patient first sought treatment was the famous Military Hospital; the trauma technology in the Military Hospital was stronger than that of ordinary hospitals.

Even if it couldn't compare to Tongji, it was at least stronger than ordinary prefecture-level city hospitals.

Fracture surgery methods had long been mature; the Military Hospital was a special place, and it was impossible to have a lead surgeon whose skills were not up to standard!

After ruling out common causes, only uncommon causes remained!

Underlying diseases; the patient was examined thoroughly, and only had one diabetes, which was diagnosed before the first visit; no hospital could possibly overlook it.

Once, the patient's postprandial blood sugar even dropped to 6.0mmol/l, yet there was still no healing.

Postoperative blood sugar was also around 7.0.

This proved that what affected her fracture healing was not local blood supply disorder caused by diabetes, nor a state of high blood sugar.

"There's such a thing?"

Luo Tingzhu's brain was completely not enough!

According to modern medicine's understanding, as long as blood sugar isn't too high, it doesn't affect the normal progress of surgery.

I don't know how many diabetes patients, after their blood sugar control is stable, can undergo surgery, and recover extremely well.

But this patient, on the contrary, controlled it so well, yet the fracture seemed to have no movement at all, just wouldn't heal.

"If time were turned back a few decades, I'd even suspect there's some occult curse."

After things that defy medical understanding happen, many people instinctively think of the occult.

Otherwise it just doesn't make sense, right?

"So it's difficult; I even wanted to give up." Fang Ziye said.

His trauma surgery basic theory was level 6, but after reading this old grandma's medical record, he was completely at a loss.

The response plans and measures were nothing more than what other professors had used.

Facing an unusual disease type, Fang Ziye dared not say his operation was more meticulous, his operation level better, and therefore definitely effective.

Theoretically, if it doesn't work, no matter how good your operation is, it might be futile.

The troops and horses haven't moved, but the provisions and forage go first.

Before a new surgical technique is developed, there must first be a feasible pathway and basic theoretical support for the theory; it's not done recklessly.

The reason limb salvage surgery for mangled extremities can succeed is that it also has theoretical support.

"Senior Brother, no, anyway you guys don't forcibly require task volume there; just treat it as a challenge and learning, okay?"

"Learning for the sake of learning!" Luo Tingzhu hurriedly encouraged and cheered for Fang Ziye.

"Alright, Tingzhu, since you put it that way, I'll slowly take another look."

"Anyway, there's no rush." Fang Ziye said.

"Senior Brother, what about the other patient? Don't you trauma surgery group have two patients?" Luo Tingzhu really couldn't study anymore, so she wanted to chat for a while.

"The other one is fine; after I went through the medical record once, I felt the problem wasn't big; it's just fracture reconstruction surgery."

"Actually, the basic principle of reconstruction surgery is of the same root and source as functional reconstruction surgery; or rather, the bone reconstruction in the functional reconstruction surgery I carry out clinically actually comes from bone defect reconstruction."

"Professor Deng is relatively skilled in fracture reconstruction; this patient is nothing more than a more special situation, a larger range of bone defect, and slightly more troublesome operation." Fang Ziye replied.

Tonight's literature search and medical record review, Fang Ziye certainly wouldn't be without harvest.

The middle-aged man's condition was just complex, not weirdly "special"!

A super large pelvic bone defect; some teams, even many particularly awesome teams, felt they couldn't handle it; that was a kind of wisdom after self-examination.

Do as big a thing as one has the ability for.

Although the financial oligarchs are very rich now, if you ask them to buy a country, try it?

Fang Ziye occupied relatively more advantageous conditions.

For example, in all of Eastern Han, are there people with level 5 trauma surgery basic theory? There are definitely a few.

There are people with Level 5 Basic Skills, and there are certainly people with National Treasure Doctor-level routine surgical techniques.

But these technique holders are rarely concentrated in one person; most are separate.

However, Fang Ziye is different — he has reached Level 5 in all these areas, and even has Level 6 Skills!

Therefore, Fang Ziye's understanding of this disease type and surgery can be more transparent, and his confidence more sufficient.

What others find a bit reluctantly difficult, Fang Ziye might find just right.

"Senior Brother, then congratulations to you too."

"You said it can be done, so it definitely will work." Luo Tingzhu picked happy things to say, also to soothe Fang Ziye's emotions.

In Luo Tingzhu's view, Fang Ziye had not encountered adversity for a long time!

Now that he has hit an obstacle, he still has to cross it.

Fang Ziye leaned back, clasped his hands behind his head: "Tingzhu, you don't need to specially comfort me; I actually don't have that much of a Holy Mother burden."

"In this world, there are too many things beyond human capability; not every patient I encounter can I step forward to turn the tide for."

Fang Ziye never benchmarks himself as some savior; within his capability range, he tries his best to save.

If it is absolutely outside the scope of duty, outside the scope of capability.

Fang Ziye would also say, Big Brother, please spare me, I'm still young, I don't have that kind of capability.

Just like the tumor patient who came for consultation before, just like the firefighter Big Brother at the Trauma Center at the beginning of the month who wanted to do functional reconstruction surgery!

Fang Ziye is not a god; Add Points is not omnipotent either.

Everyone's capability is relatively limited.

"Senior Brother, you are already very excellent right now."

After Luo Tingzhu finished speaking, she gnawed another bite of Duck Claw, spat out the bones pu-pu, and said: "I think, being able to do what others cannot is part of being relatively excellent."

"If one can do what no human can, then one can only be a god."

After Fang Ziye met Professor Gu Yuandong and Old Professor Qiu Zhenghua, his thinking actually became even more transparent, and he no longer viewed the world as limited as before.

He checked the time, Fang Ziye replied: "Tingzhu, it's not early either; let's rest early."

"I can get up at eight-something tomorrow, but you have to at six-forty."

After Luo Tingzhu went back, originally she didn't need to do clinical work, only needed to manage graduation.

However, tomorrow the Department has a surgery; Professor Zeng himself may not be able to fully handle it, so Luo Tingzhu became a temporary 'requisitioned worker'.

Master summons, can't not go.

Luo Tingzhu heard this, hurriedly checked the time, then stood up and ran out tap-tap-tap: "Senior Brother, I'm hanging up first; you rest early too."

The time was already approaching twelve o'clock; if Luo Tingzhu didn't sleep now, she'd probably have less than six hours of sleep left.

A night without words.

……

The next day, Fang Ziye still got up at eight, then leisurely made his way to the Yangyuan canteen opposite.

The canteen's breakfast supply was quite complete — rice noodles, wheat noodles, wontons, steamed buns, all available.

Fang Ziye didn't choose rice noodles or wheat noodles today; he picked a steamed bun, a cup of soy milk, two boiled eggs.

While peeling eggshells, Trauma Surgery's Professor Yan Huanan carried a bowl of wontons from the distance.

Sat opposite Fang Ziye, laughing revealing a slender neck: "Professor Fang, morning! ~"

"Professor Yan." Fang Ziye pulled his plate back inward a distance.

Once again seriously observed the other party!

Yan Huanan, from Yucheng Military Medical University; when he came he was still Associate Professor Chief Physician, now already promoted to Professor.

Square face, heroic spirit abundant; even from the outline, when he was young he probably had a bit of "ruinous to women" like myself!

Rumor says he came for promotion of professional title; technique only so-so.

"Professor Fang, for our Group's surgeries later, do you have any thoughts?"

"For example, we take in a few functional reconstruction surgeries, just as seasoning for the idle period." Yan Huanan laughed and asked.

Fang Ziye's eyeballs turned two circles: "Professor Yan, functional reconstruction surgery not urgent yet."

"Didn't hear that our groups have no mandatory tasks? Surgery can be done patiently as boutique surgeries, just take it slow ba?"

Yan Huanan also nodded: "Really envy you, Professor Fang."

"Being young is good!"

Then, Yan Huanan added: "Like Professor Fang, young and promising is even better."

Yan Huanan's tone sincere, gaze genuine, envy completely unconcealed.

In his view, Fang Ziye is only twenty-nine now, already Associate Professor Deputy Chief Physician; before thirty-five definitely can promote to Professor and Chief Physician; this resume, ten years later, who can match?

Treatment, future, fundamentally no need to worry!

Stay at Yangyuan a few years, casually do a batch of surgeries others can't do, push surgical volume up, credit scooped in hand, family register branches off from him.

Plus, with this technique, accumulated certain connections; after leaving Yangyuan, that's truly glorious without equal.

"Thank you Professor Yan for praise; you don't look old either, just thirty-something? Did I say age old?" Fang Ziye smiled and asked.

Yan Huanan heard this: "Professor Fang you really know how to talk; I'm already forty-four!"

"In a few more years, will be heading for fifty."

Fang Ziye looks young, yet is also a little slippery head; ordinary communication, fundamentally can't get a handle on Fang Ziye.

Of course, Yan Huanan also didn't think to get a handle on Fang Ziye.

A person who can mix to Associate Professor Deputy Chief Physician in twenties — if you think you can easily get a handle on him, that's underestimating this young person too much.

The two then chatted idly a while more; Yan Huanan also told Fang Ziye some real modes about the Yangyuan.

A few words can summarize.

Capable, stay; incapable, get out!

Good treatment isn't for living in comfort; he estimated it would only be a few months before he'd have to pack up and leave.

"Professor Fang, actually, this place isn't suitable for Trauma Surgery people to stay." Yan Huanan summarized this as he walked toward the Doctor's Office Area with Fang Ziye.

"Right, Trauma has lots of emergencies, emergencies don't get sent here!"

"But it's needed!" Fang Ziye acknowledged Yan Huanan's attitude.

However, things depend on human effort!

Actually, working here is just like being on vacation.

The Trauma Group's two patients aren't emergencies; they won't die in a day or two, other places can't cure them; if a group of people wants to coast, the days pass quite comfortably too.

Forcing people to do surgery is useless; 'do surgery badly and you get shot' — might as well just drag them out and shoot them directly.

Of course, those who can come here, fundamentally no one is thinking of lying flat.

There weren't ward rounds like other groups, nor new people coming in needing to familiarize themselves with cases; therefore, Professor Gong Jiahe organized everyone to go to a Tea Room.

Then he instructed Gu Yi to bring the Laptop, and said: "These next few days, let's grind a bit more on the two patients our group manages?"

"If it really won't work, we'll apply to the higher-ups to have them transferred out. See if other Sanatoriums have specialized groups that can handle it."

Fang Zhikuan and Yan Huanan both nodded, then followed Gong Jiahe toward the Tea Room.

The several Deputy Directors didn't dare speak at all.

After arriving at the Tea Room, Miao Haoyu, Qu Shuyuan, and Gu Yi each prepared tea and PPT materials first.

Professor Fang Zhikuan rubbed his hands left and right on the red lacquered tabletop for a while, stopped, and said: "Professor Gong, this bone defect pelvic reconstruction can be attempted reluctantly."

"That nonunion patient, I think it's still best not to operate for now; let's file an amputation application report together."

"The disease course has dragged on for ten years, wandering through all major hospitals; I believe no other team would dare have any opinions either."

Fang Zhikuan isn't tall, personality relatively cold, taciturn, but right now his face is full of unwillingness!

Fracture amputation, just hearing it sounds damn messed up.

Fractures are an entry-level disease type for Trauma; many Trauma Surgery doctors, besides ordinary trauma wounds, enter the field through fracture surgery.

Fractures that look completely like no big deal in many cases, actually have to reach the point of amputation — this is something Professor Fang Zhikuan never dared imagine before.

Only, the surgeons this patient has experienced make him have to look on with dread!

Six years ago, PLA Military General Hospital's Professor Tang Fupei personally performed another open reduction internal fixation for nonunion; postoperatively still no rehabilitation.

Five years ago, Jishuitan did another one.

Three years ago, Hua Shan Hospital Trauma Surgery's Old Professor Tian Lin and current Hua Shan Hospital Trauma Surgery Administrative Director Professor Zhou Gongbo joined forces and lost again!

With so many seniors having met defeat before them, if they still dared to rush in blindly, that would truly be not understanding the situation.

This kind of not understanding isn't about human relations, but failing to recognize reality.

"Professor Fang, read the film on the cases? Any thoughts?" Gong Jiahe looked at Fang Ziye.

At the same time, Professor Yan Huanan and Professor Fang Zhikuan also looked over.

Fang Ziye being appointed as the next Group Leader, there's definitely something to him; otherwise the Yangyuan wouldn't do this damn messed up thing.

Their gazes weren't demanding Fang Ziye must solve the predicament before them, but wanting to hear what thoughts Fang Ziye had, whether he was that kind of frivolous person.

Fang Ziye first took out his own Notebook, flipped through it several times, then flipped back: "My opinion is about the same as Professor Fang's."

"I just came yesterday, went back and meticulously read the basic data and past medical record situations of our group's two patients."

"I believe, pelvic reconstruction surgery, our team has the capability to carry out; its difficulties, we'll discuss later."

"As for this fracture old man, my suggestion is, don't operate for now; at least not before we thoroughly understand the key point of why her fracture nonunion could drag on for ten years, no surgery!"

"Even if surgery is needed, the relatively safer amputation surgery is best."

Fang Ziye spoke to here, still repeating Fang Zhikuan's words, but clearly this wasn't all of Fang Ziye's preparation; just that this choice, Fang Zhikuan expressed it first.

Fang Ziye continued: "However Professor Gong, I don't know if what I say is right, just expressing my own view first."

"I personally still think, this fracture nonunion patient, the key point of her nonunion etiology, might not be complications or underlying diseases, but rather some common etiologies we've already recognized, just we haven't deeply pondered the problems within them."

"I feel, we can search within common etiologies for points we've overlooked; this also counts as us doing some preparation before the final choice."

Gong Jiahe heard this, brows furrowed: "Common etiologies?"

This line of thinking is too contrary!

This kind of multi-year protracted non-healing etiology, you categorize it as common etiology?

Fang Ziye nodded: "Professor Gong, I don't know if you, Professor Fang, and Professor Yan noticed a point when discussing together."

"The patient's bone absorption actually isn't particularly severe; meaning her bone loss isn't much."

"Based on our understanding of fractures, a person who's lain flat for nearly ten years, if bone quality hasn't severely lost, it proves our surgery should have been effective."

"The fracture ends had a trend of growing, but in the end didn't grow!"

"If it were rare etiologies, say internal wind-rheumatism, diabetes-caused local blood supply damage, etc., they'd all lead to local bone necrosis and bone absorption..."

"Facts have some discrepancy with our understanding."

"The common etiologies I speak of are a classification, not specific manifestations."

"Because for fracture ends with healing trend to not heal, it must be common etiologies acting up."

These words sound hard to understand, but also easy to understand.

Poverty is a manifestation, but causes of poverty can be many kinds, like unemployment, like laziness, like illness-induced poverty, like leveraged stock trading, etc...

The several Professors aren't completely ignorant people, so they could understand Fang Ziye's words, but didn't express a stance, just brows tightly furrowed.

Fang Ziye continued: "Various Professors, let's assume my guess is correct!"

"On this premise, reverse-pushing the next treatment plan actually becomes relatively simple."

"Patient currently, internal fixation in place and fixed; through X-ray situation, can basically confirm no internal fixation loosening situation."

"Fracture lines well aligned; this is a very high quality surgical technique!"

"Even if we reoperate, the surgery we perform won't be much better than the current situation."

"In this situation, if we discover the cause, what treatment methods can we choose?"

"Remove the cause!"

"That is to say, if we can find the cause, we don't necessarily need to remove the cause through reoperation and then reoperate again; we only need to remove the cause, then plan our refixation, and the fracture can heal!"

"Then through this line of thinking, the methods we can choose actually become more numerous."

"Medication, small surgery, small operations, rehabilitation, and other methods can all be tried."

When Fang Ziye spoke here, several professors were stunned.

Fang Ziye's thinking is too high-end.

Even hypotheses have come out!

However, Fang Ziye's hypothesis really became a feasible point.

Basically many people have fallen into a misunderstanding: that fracture nonunion needs reoperation to solve.

And this patient's surgical quality is very high.

What is Fang Ziye's thinking? It is to regard the high-quality surgery others have already done as a "treatment point where surgery has already been conducted" for the team to consider.

Then there's no need to consider the surgery problem anymore; this treatment other teams have already helped you finish.

What we need to do is find the cause, remove the cause!

Such a hypothesis has great boldness, the thinking is also very novel; this isn't something ordinary people can think of!

Professor Gong Jiahe heard this, his scalp tightening, turning cold.

He, in his fifties, couldn't help but lick his lips with his tongue and replied: "Professor Fang, such a hypothesis is a bit too bold!"

Gong Jiahe didn't say "bullshit," but used "bold" to replace this word.

What place is this? You give me a hypothesis?

"Professor Gong, this is just a hypothesis, also my own view; this is a discussion, so I just stated my view." Fang Ziye replied with a smile.

This patient's situation, no one can be certain about now; he could only guess.

Level 5 basic theory isn't omnipotent either; it's just that in terms of thinking mode, it indeed makes one bolder than ordinary people.

After all, great skill begets great boldness!

Gong Jiahe hurriedly said: "Professor Fang, I don't mean anything else either; when we discuss, we can speak freely!"

"Your meaning, I've also recorded; after going back, I'll also slowly mull it over."

"Since this nonunion patient currently has no better solution, then next let's review this hemipelvic reconstruction; this patient's surgery, the operation difficulty is not small!"

"We've actually mulled it over several times before, but always feel it's still lacking something……"

Gong Jiahe explained while steering the topic into a new domain.

Fang Ziye came here not to be suppressed by him, nor to be retorted at; having doubts is very normal, but if Fang Ziye considers it targeting, then it's a bit not worth it.

At this time, Gu Yi had already flipped out the computer's PPT, ready to report at any time, or prepare to project key parts of the medical records through the projector.

Miao Haoyu and Qu Shuyuan, the two of them, brought up the brewed tea one by one; then Qu Shuyuan poured himself a cup of coffee, sat down, flipped open his notebook, and uncapped his fountain pen.

Fang Ziye noticed that Qu Shuyuan's notebook was densely filled with various notes.

Regarding the treatment of bone defect patients, the three professors' opinions were consistent.

Surgery can be done, and must be done; half the pelvis is gone, if surgery isn't done, the patient won't even be able to sit steadily in the future.

It's just how to do it, what to make it into; preoperatively there still isn't a better expectation and plan; it always stalls because of some details.

Yan Huanan said: "Professor Gong, we've not only discussed this once; Professor Fang just arrived but also understands the patient's situation; let's just continue the previous topic."

"The surgery must be done, it's this hemipelvic reconstruction; such a large defect, how to reconstruct, whether to choose 3D printed prosthesis or self-made prosthesis, how to fixate — this is a key point……"

"Based on existing literature and data, we can expect this surgery's postoperative prognosis to be not bad; it's just that specifically operating will be more troublesome."

"You all look……"

Gu Yi flipped the corresponding PPT to the page after CT reconstruction; on the page, the other half of the pelvis was in a state after fracture healing, saved after the initial surgery; but the other side had all collapsed!

The femoral head is still there, the shape is also still okay.

"The patient's preoperative X-ray showed this side was a comminuted destructive fracture; now, some organs have also prolapsed from the abdominal cavity; look further at the rectum and so on……" Yan Huanan has strength.

Definitely not to the point of knowing nothing; just a slacker mixing for seniority and seeking promotion!

Fang Ziye just calmly listened to the several professors' opinions!

The surgery's difficulty points are not small, but all can be solved through operation.

It's just that the place where the three professors' opinions are currently not too unified is: after reconstructing the pelvis, how to handle the prolapsed organ tissues inside, the scar nodules, and how to route the blood vessels and nerves that have lost their shape back to normal.

During the first surgery, to protect blood vessels and nerves, all the comminuted fracture fragments were removed cleanly.

But blood vessels and nerves are continuous; bone prosthesis materials cannot appear out of thin air, nor can you cut the nerves and blood vessels and stuff them into the hole.

"Especially the sacrum here; if we really have to operate, the subsequent function of the affected limb may be greatly affected; this lower limb would just be a decoration." Professor Fang Zhikuan said with deeply furrowed brows.

At the scene, everyone was utterly silent.

After seeing no one speak, Fang Ziye then spoke: "Professor Fang, Professor Gong, I just listened a bit!"

"Currently this surgery, theoretically has no problems; it's just left with operational problems!"

"I feel this shouldn't count as a big problem; our team previously when doing functional reconstruction surgery also encountered similar problems."

"When the time comes, we'll first make the pelvis's 3D printed framework, then use bone grafting methods to pack into the framework; the nerve and blood vessel routing doesn't need to move; although the operation is a bit more complex, it can also be solved and handled."

"I have a little experience!" Fang Ziye replied.

Once Fang Ziye spoke, the scene went dead silent again.

The operational difficulties they spoke of are not problems at Fang Ziye's place!

Then what's there to chat about?

And Fang Ziye isn't shooting without a target; Fang Ziye came exactly for this!

The surgeries he has performed, the resume he has — they are solid and real; moreover, there are patients who were transferred back from Zhongnan Hospital to the Rehabilitation Department of the Yangyuan, and they have all seen it for themselves.

Fang Ziye is now an Associate Professor, a Deputy Chief Physician — he is not some nameless nobody!

Although Fang Ziye's words are slightly boastful, or rather a bit high-profile, it's actually fine.

Compared to what he has done, this already counts as quite humble.

In the end, Professor Gong Jiahe, who is still the Group Leader, took a deep breath: "Since Professor Fang has put it this way, the content we discussed earlier counts as wasted effort."

"I agree to the surgery! — Arrange it for Friday." Gong Jiahe raised his hand.

Fang Zhikuan and Yan Huanan hurriedly followed suit!

After the three professors had no objections, the rest of the people also raised their hands one after another.

Not a single person hesitated or questioned Fang Ziye.

Fang Ziye wasn't nervous either; seeing everyone raise their hands, he replied: "Professor Gong, before this surgery, some preparations still need to be made."

"First is the pre-fabrication of the 3D printed prosthesis; I need to send the data to my Fellow Trainee — is that convenient? I can hide all the information."

"After the prosthesis data is mature, then send it to the corresponding company for production!"

"Because the person in charge of the current 3D printing company, compared to the one we previously cooperated with..." Fang Ziye was just about to mention this difficulty.

Professor Gong Jiahe directly interrupted: "Switch!"

"Professor Fang, whichever prosthesis company you are more used to, just contact them! Have them dispatch engineers to Enshi — do they have a station in Enshi?"

Fang Ziye: "..."

Damn, is this how rich and powerful people operate?

Oh, not familiar with the companies here, running-in would waste time, so no running-in, just switch directly?

However, hearing this, Fang Ziye still said: "Professor Gong, you may have misunderstood."

"Actually, the company we cooperate with at Zhongnan Hospital isn't a big instrument company either; their technology and equipment are just so-so!"

"They still need us to help design or do statistics — it's actually very troublesome."

"I heard that the instrument company the Yangyuan cooperates with is the largest domestic medical device company — the technology and such should be more mature, right?"

"That way, future cooperation would be more worry-free and effortless!"

Fang Ziye said.

To tell the truth, if that company hadn't cooperated with Zhongnan Hospital for a long time, Fang Ziye would have wanted to switch long ago.

You're here to do business — you're not my boss; I ask you to provide something, and you still want me to work for you, help you design, be free labor — on what grounds?

Fang Ziye has no financial dealings with them!

They earned the money, Fang Ziye feels it's only right, but introducing new business to them — Fang Ziye wouldn't do that kind of thing either.

Professor Gong Jiahe glanced at Fang Ziye a few times, then said: "Then let's do this, Professor Fang — I'll have the company's people come and coordinate with you then!"

"If the surgery needs to be delayed, just send me a message."

"The other aspects of this patient, we've basically all run-in and clarified."

"No rush either — surgery values precision, not quantity!" Gong Jiahe said.

This is boutique medicine — not a place that wins by volume, let alone by small profits and quick turnover; ensuring every surgery is done well is the essence.

"Alright, Professor Gong!" Fang Ziye nodded, noting this down on the side.

Then the meeting adjourned; there were no more ward rounds either — just Gu Yi went to speak with that middle-aged Big Brother, then had his family members and himself sign separately, and the surgery could be prepared.

Which day the surgery would be was still unknown for now, but the patient himself was quite cooperative — unknown is unknown, yet he actually signed first!

Seeing the photo of the signed materials Gu Yi sent, Fang Ziye sighed in the villa: "Going from frugality to extravagance is easy; going from extravagance to frugality is hard!"

"If I leave here in the future, just how long will it take me to get familiar with another medical environment?"

The Yangyuan is a special medical zone.

For patients who come here for treatment, you completely don't need to worry about medical disputes — as long as you do your utmost, without violating any principles.

The Yangyuan has your back!

Because its existence itself represents a kind of public credibility.

There are no idle seat-warmers here, nor any messy things — your proper duty is to do your medical work well.

You can develop new surgical techniques, but you must not be recklessly aggressive!

This kind of medical environment is simply the ceiling of the domestic medical environment!

No, it should be called heaven beyond heaven.

Of course, Fang Ziye isn't a scoundrel either; after returning to the villa area, he slept a comfortable afternoon nap.

Only then did he get up and start preparing the grant application matters!

Fang Ziye plans to submit two bids — one for Outstanding Youth Fund, one for National Natural Science Foundation General Program.

Both can be applied for simultaneously, but if both are approved, it's definitely a choice of one out of two.

General Program as a safety net; Outstanding Youth Fund is the sprint!

Writing two proposals — even for Fang Ziye — requires a bit of preparation.

In the afternoon, the company's engineers came to find Fang Ziye; they chatted for a while, then the other party left, and in the evening they pulled a group chat, called in four or five more people, all to serve Fang Ziye.

So this time, Fang Ziye tried not looking for Lan Tianluo first, to see if they could solve the model issue.

If it really doesn't work, then trouble Lan Tianluo to teach these people a bit.

Unlike that company cooperating with Zhongnan Hospital — lazy as hell, don't know what connections they have — they just won't take initiative to learn, instead treating Fang Ziye and Lan Tianluo as tool people.

This kind of running-in lasted about five days!

Only then did the company barely manage to design the prosthesis model that satisfied Fang Ziye; after sending it to Fang Ziye and getting his satisfaction, these data could be recorded in the books.

Fang Ziye said: "Tomorrow, first follow today's several sets of data, print!"

"After sterile processing, send them to the operating room; tomorrow we need operating room turnover."

"Okay, Teacher Fang! Thank you, for giving us so much guidance, and improving our nursing business ability; in the future we can serve you even better." Dr. Ding, who was directly responsible under Fang Ziye, replied like this.

At his stage, being able to learn new skill points means higher salary.

Can serve more teams, have more business.

"This talk of service is a bit over the top; everyone cooperates together!"

"Hard work, Dr. Ding; I also need to rest first, still have surgery tomorrow." Fang Ziye actively cut off the idle chat topic.

He and Enshi's company dared not have too deep contact; after all, last year's rumors inside Enshi still stuck in the throat!

Next day, November 7, Wednesday.

Weather clear.

Wind and sun beautiful, gentle breeze brushing face.

Today's breakfast also very delicious.

Still no standard ward round; after nine o'clock, the Trauma Surgery Group people directly concentrated to the operating room.

"After the patient confirms the surgery date, the anesthesiologist will conduct ward rounds the day before and this morning; if there are no special anesthesia contraindications, they will be anesthetized directly around nine o'clock."

"We go in and operate directly." Gong Jiahe popularized science again.

The team here is very strong, many personnel, communication extremely simple. Moreover, postoperative every patient can enter ICU anytime; no need for Fang Ziye's team to manage too much!

"So it is like this! Thank you, Professor Gong." Fang Ziye nodded, while putting on surgical scrubs.

This is the second surgery after Fang Ziye arrived; nine days time, only did two surgeries; this surgical intensity, Fang Ziye simply hard to imagine.

However, Fang Ziye felt he must take this surgery seriously.

Whether can establish foothold, today this surgery, crucially important!

"What is there to thank? All routine." Gong Jiahe replied indifferently, then looked at Fang Ziye with a smile, gaze sincere.

Although Fang Ziye showed no extraordinary traits, Fang Ziye's way of speaking and handling matters carries a magnetic field; this is an expert's magnetic field, no need to boast or disguise oneself.

(Chapter End)