Chapter 543: Knowing People Over Time! (Seeking Subscriptions)

After entering the operating room, Fang Ziye saw that the lights in the other several operating rooms were still dim, and he couldn't help but curse this place for extremely wasting operating room resources.

In Zhongnan Hospital, when it came to splitting stations, one had to beg grandpa and grandma to get an operating room, yet here they were sitting idle.

Uncle can endure it, but aunt cannot endure it!

Doctors who have muddled through in hospitals have all experienced situations where operating room resources were insufficient and they had to wait; sometimes a wait was half a day!

Even waiting from morning until six or seven in the evening before an operating room freed up, then going to do surgery.

After everything was ready, Fang Ziye and Professor Gong Jiahe stood at the lead surgeon and assistant positions respectively.

Then Fang Ziye discovered that his Senior Brother Gu Yi had not yet scrubbed in; it was Miao Haoyu and Qu Shuyuan standing at the third and fourth assistant positions.

Although Fang Ziye had doubts in his heart, he did not ask aloud, instead directly taking the scalpel!

Before he had time to incise the skin, Fang Ziye saw the circulating nurse had brought both the ordinary electrocautery and the plasma knife up to the table.

"Uh……"

Fang Ziye couldn't help but pause: "Professor Gong, is the plasma knife routinely turned on for use here?"

A plasma knife costs at least seven or eight hundred, possibly even over a thousand or two thousand; generally only the Da Vinci robot or Sports Medicine departments use them routinely.

For ordinary surgery, using this thing to make an incision is purely a waste!

Gong Jiahe nodded: "Correct!"

"When I first came, I was also a bit unaccustomed!" Gong Jiahe was previously a professor at Henan Province Universe First Hospital, but had never been this extravagant.

Since it was routine, Fang Ziye no longer said anything more.

After quickly planning the incision, Fang Ziye switched to the ordinary electrocautery knife, and before others could even react, he had already exposed the abdominal cavity!

However, Fang Ziye still felt this speed was too slow; the team's coordination was still not as smooth as in Zhongnan Hospital.

So Fang Ziye could only temporarily slow his rhythm, looking at Professor Gong Jiahe and the others' shocked yet helpless eyes, and said: "Teacher Gong, sorry, it's me who hasn't adjusted."

When Fang Ziye was at Zhongnan Hospital, the assistants were all old partners!

Deng Yong, Yuan Weihong, Qin Geluo and the others — how many years had they interacted with Fang Ziye?

Under the infusion of a large volume of surgeries, Fang Ziye's rhythm and habits were crystal clear to them.

Newly arrived, it was Fang Ziye who had not adjusted.

Those able to become professors and associate professors have more or less attended many academic conferences, such as the Orthopedics Annual Conference, at least four or five times, seven or eight times.

Therefore, regarding Fang Ziye's basic skills, they more or less had a measure in their hearts.

Professor Fang Zhikuan cleared his throat, rested a moment: "No wonder Professor Zheng would arrange for Professor Fang you to come lead our Trauma Surgery group."

"If my guess just now wasn't mistaken, Doctor Fang, your incision technique basic skills have already reached the realm of perfection, right?"

National Treasure Doctor is a colloquial term; in traditional exchanges, one wouldn't use 'National Treasure level' to address someone, but would praise the other's level as having reached the realm of perfection.

It has the same wonderful effect as 'Level 4's' entering the hall and room.

Professor Fang Zhikuan has the best technical level, therefore his pursuit and understanding of technique may also be deeper.

Fang Ziye didn't raise his head, while examining the surgical field said: "Reached perfection is too much, just a bit of basic skills."

Self-praise is not Eastern Han people's innate habit.

Fang Ziye's modesty, everyone also didn't take seriously.

Under a great reputation there are no empty scholars.

Fang Ziye could make such a name, and make Zheng Dahai agree to let him come lead the Trauma Surgery group, surely he has some confidence.

Once the surgical field was opened, inside was chaotic.

Besides half the pelvis having disappeared, the soft tissue could also be described as a mess.

Scars after soft tissue healing, the buttock muscles and the posterior abdominal organs, because they lost the pelvis's support, sunken or inwardly protruding adhesions……

However, these situations were all long within everyone's expectations.

If this patient's situation wasn't this complex, it might have been done at an outside hospital, rather than drafting experts to form a medical team to come test whether such surgery was suitable to do.

Fang Ziye also had no fear; with experience from upper limb functional reconstruction surgery, mangled extremity postoperative adhesions would not be better than the current situation.

"Open the surgical field a bit more, we'll start debridement!" Fang Ziye said.

Possessing Level 6 Debridement Technique, he would find it troublesome after reading the films, but more than that, it was a long-lost sense of familiarity.

How long has Fang Ziye not done surgery?

From November to now, nearly a month, all idle.

A mature surgeon, two or three days without surgery feels comfortable, a week without surgery feels the itch.

Eight months hands itch, one month heart itches!

This also let Fang Ziye slightly understand why some surgeons, after retirement, still calmly accept re-employment.

Simply cannot endure it!

Inside the situation is very messy, also very complex; outside blood vessels and nerves, there are many scar adhesions, looking just like corn roots in the ground……

Fang Ziye had not used a plasma knife before; this time, he held it and slightly felt the hand feel, hey, felt it was actually quite good!

The surgical field is not large; Fang Ziye said before that he felt this surgery's difficulty was not great, within his daily capability range.

Therefore, Professor Gong Jiahe and the others did not unnecessarily offer to help, but handed the surgery entirely to Fang Ziye.

Fang Ziye's debridement was fast; the plasma knife in his hand did not dance out flowers, nor was it a grand sweeping operation style.

Rather the flow was very fast; Fang Ziye's hand seemed fused with the knife in his hand, every turn of angle just right to strip away the scar tissue Fang Ziye wanted to remove.

Not a bit more, not a bit less.

In merely ten-odd minutes, the scar tissue around nerves and blood vessels that originally looked like "candied hawthorn skewers" was actually stripped and cut away by Fang Ziye like this!

Only the blood vessel's outermost layer of thin fascia remained.

This thing is easy to handle; Fang Ziye directly used forceps to pinch it, then inserted a hemostat into the fascia layer, spread it open, and the assistant just needed to cut it off with tissue scissors.

After repeating this several times, the outer membranes of blood vessels and nerves were exposed, anatomical structure intact, looking only then like normal human blood vessel and nerve tissue.

Laymen watch the spectacle; professionals watch the technique.

Sometimes, to gauge a person's level, you don't need to see the whole surgery; just the local operation is enough to roughly understand how much skill this person truly possesses!

Leaving aside the desire in Big Brother Gu's eyes, and not mentioning the astonishment and bewilderment in the eyes of several Deputy Directors.

Just Professor Fang Zhikuan's longing and dull gaze, directly opposite Fang Ziye, is enough to know how much they envy this pair of hands of Fang Ziye.

There was no surplus intraoperative communication!

Fang Ziye said: "Let's continue handling the scar tissue in the abdominal cavity. After returning a portion of the abdominal cavity tissue back into the abdominal cavity, we'll put them back."

The place where pelvic reconstruction surgery is more difficult than lower limb reconstruction surgery lies in the fact that its interior has to envelop some visceral organ tissues.

For example, the bladder, rectum, etc.!

"Professor Fang, you operate with peace of mind; we will try our best to cooperate with you." Professor Gong Jiahe nodded in cooperation.

Surgeons compete to the end, and ultimately what they compete on is still technique; it's just that to reach the level where only technique matters — that is, the Associate Professor level — the path may be relatively long and twisting!

Now that Fang Ziye has already reached this step, there is no longer any talk of shallow seniority or insufficient experience.

The current Fang Ziye not only has to bear responsibility himself, but also has to start managing his own surgeries and taking charge of his own patients.

Nor is there anyone who would treat Fang Ziye as a child, saying Fang Ziye is not sensible or the like.

Fang Ziye then continued.

After another hour or so, the entire surgical field inside the pelvic cavity became incomparably clear!

But in reality, everyone looking at the various blood vessels now spanning across the pelvis, thinking back to how Fang Ziye actually finished the debridement in such a short time before.

The instinctive delayed realization rising in their hearts was still: skillful and bold!

Yes.

This feeling is a delayed realization.

Because during Fang Ziye's operation, everyone only felt it was a kind of enjoyment; watching Fang Ziye's operation was like watching an art film.

Anticipating Fang Ziye scraping away the scars bit by bit was not only aesthetic but also stress-relieving.

However, waiting until afterward, looking back at Fang Ziye's operation speed before, would make one want to feel fear in retrospect.

After all, now Fang Ziye is no longer operating; there is no longer that stress-relieving feeling!

"Circulating nurse, the prosthesis? Is it ready?" Fang Ziye finished the debridement and asked.

"Professor Fang, it's coming right up."

"Originally scheduled for eleven o'clock; after all, it requires temporary design. Professor Fang, the quantity of prostheses you need is relatively large, and it's a hemipelvis, so the difficulty of rushing production overnight is not small either."

"You even advanced it by one hour." The circulating nurse replied so politely.

Hearing this, Fang Ziye felt quite helpless.

But considering the company here is also doing this for the first time, he didn't say much more.

The subsequent operation cannot proceed without the prosthesis.

Taking advantage of this time, Professor Gong Jiahe asked: "Professor Fang, do you feel the debridement here is more complex, or the hand debridement more complex?"

"The hand!" Fang Ziye said without hesitation.

Immediately seeing Professor Gong Jiahe's gaze flicker rapidly, Fang Ziye then said: "General surgery operations are difficult in major disease types or acute abdomen situations, with ever-changing variations."

"Adhesions like this at the moment actually all involve major organs!"

"Hand adhesions are all those very small muscles; adhesions even form between muscle bundles, requiring the muscle to be dissected out from between the muscle bundles."

"If you encounter such surgeries in the future, various professors will have a more intuitive feeling."

What Fang Ziye said was the truth.

The scar tissue in the pelvis, in the absence of internal organ damage or trauma, actually has relatively good organ integrity.

Fang Ziye only needs to pay attention to local details; he doesn't need to pay too much attention to overall integrity.

Hand functional reconstruction is different, especially re-debridement after adhesions, or when doing transposition surgery or nerve grafting surgery; every step of detail must be handled well.

It's not to say that hand surgery is more complex than intra-abdominal surgery.

After all, this patient's situation is only adhesions, not an organ problem.

Many complex surgeries in general surgery, when operated on, have no small difficulty either!

It's just that surgery inside the pelvis has crisscrossing blood vessel branches; the points needing attention are also very, very many!

What follows is idle chat and waiting!

The surgical materials haven't arrived; continuing to do surgery would be like a clever housewife unable to cook without rice!

Around eleven o'clock, the company people arrived as expected.

Five or six people carried eleven sterile boxes in succession: "Professor Fang, are all the models you need ready?"

"Open them all up to try?"

"Open them up. Since hemipelvic reconstruction has no specific model for reference, I suggest you guys in the future, based on male and female, produce a set of standard models for comparison!" Fang Ziye said.

"Eh, got it, Professor Fang, we'll handle it when we get back!" That engineer said very politely.

Because of the events these past few days, he had already been given a raise by the company.

A raise at his level means an increase of ten or twenty thousand, not a few hundred or thousand.

Even if this thing can be scaled up, his salary will only be higher.

Fang Ziye had already done the debridement technique well; all the preoperative foundations were perfected, just waiting for the prosthesis to arrive.

Of course, besides such a prosthesis, allogeneic bone grafting material is also needed.

However, this time to avoid waste, Fang Ziye informed in advance: "Open three packs first!"

Fang Ziye was afraid this place was rich and imposing, and would directly bring a hundred packs, millions worth of materials, onto the table right from the start.

That would make Fang Ziye himself impulsive too.

Because Fang Ziye still remembers, there was once a patient who, because of no money, ultimately went the route of amputation!

Although, the patients here don't have to pay?

But?

Behind vermilion gates wine and meat rot, on the road lie frozen corpses — it would still make Fang Ziye feel slightly uncomfortable inside.

Three packs to six packs, roughly enough!

After the prosthesis went on stage, luck was still fairly good; the third one just happened to fit perfectly.

"No need to open another, and can't be bothered to disinfect."

"This model fits just right! ~"

"Just install it and it's done." Fang Ziye said, then assembled the prosthesis together, and moreover fitted every blood vessel and nerve just right into the various holes of the pelvis, tucking them away neatly!

After fixation and assembly were complete, Fang Ziye said: "I think it's still pretty perfect? Professor Fang, Professor Gong, what do you think?"

The two professors actually didn't reply.

Fang Ziye lightly raised his head, only then seeing the two men's incredulous expressions: "This? This technique?"

Body trembled slightly!

Fang Ziye immediately explained: "This doesn't count as my technique; it's the company's technical support."

Of course, after Fang Ziye finished speaking, the engineer from the company then said: "Professors, this batch of prostheses today — they were all made well thanks to Professor Fang's data support, right?"

"This reminds me of a saying: technology changes an individual or multiple individuals."

"Data and concepts change an industry."

"Thinking can benefit all humanity!"

"Teacher Fang, if you weren't an especially excellent surgical professor, I'd use schemes and tricks to pull you into my industry no matter what!"

"But?" He didn't continue speaking after that.

Because, Gong Jiahe and Fang Zhikuan and the others had already cast murderous gazes over!

What did you just say?

Use schemes and tricks to make Fang Ziye develop medical devices?

Is that something you can say? Dare to say here?

"Sorry, I misspoke!" The middle-aged man immediately lowered his head to apologize, because this isn't an ordinary hospital.

And then stepped back.

Immediately after, the few people on the operating table cast admiring gazes at Fang Ziye.

Not merely Fang Ziye's operative technique, but also Fang Ziye's thinking, cognition, theoretical accumulation — all completely worthy of admiration by any scholar or professional practitioner!

"Professor Fang. Let's continue." Fang Zhikuan's tone had become even more respectful.

Two middle-aged and one youth at that moment silently moved to the side, their gazes merely flowing over the middle-aged man who had spoken earlier.

Some things, you can think, but you cannot speak them out.

Some choices, once you make them, there is no turning back.

Those able to be called engineers in a company are basically all doctoral graduates, or master's graduates from the early 2000s — they are high-education talents.

However, once you choose business, you must be psychologically prepared to only earn money for this lifetime.

An engineer in a commercial medical device company, versus a top surgical professor expert — their social status and social recognition?

That depends on what circle you hang around in.

This is the Enshi Military Region Yangyuan, not a place you can just casually blend into.

In other words, if your medical skill is awesome enough, you can switch careers and come in, but if you're not up to it, stand aside.

It's hard for a person to have an absolutely perfect choice!

The surgery has reached this point, already entered routine; once it enters routine, everyone becomes familiar.

Once the surgical process is familiar, even if Fang Ziye steps down, the several associate professors and deputy chief physicians operating find it no longer difficult!

Just like placing an internal fixation device — as long as you locate the position accurately, after the fracture is reasonably reduced, the fixation surgery of the internal fixation instrumentation is just a process.

As the stone in his heart settled, Professor Gong's words also increased a little, politely consulting: "Professor Fang, looking at basic skills, us old fellows of this age — can we still have something to learn?"

Basic skills are internal force; the depth of internal force is grinding kung fu.

Reaching a certain extent, one actually reaches a person's upper limit.

Those evaluated as professors, and coming to work at the sanatorium — none are under forty-five; all are in the golden period where physical strength, thinking, and fire candidate are just right.

However, they have already passed the age of hammering basic skills for many years.

After completing the accumulation of basic skills, what should be undertaken is the specialty's surgical techniques — the true clinical surgeries that establish one's footing in trauma surgery.

"Of course there's something to learn; basic skills everyone can practice, and it's not the patent of young people. Professor Gong." Fang Ziye raised his head in reply.

Likewise, he also yielded a little position, giving the subsequent operation to Deputy Chief Physician Qu Shuyuan.

Professor Gong Jiahe and the several professors didn't snatch; although this prosthesis design was quite novel, they also weren't that bizarrely curious.

Letting the several deputy chief physicians practice their skills is also genuinely not bad.

Professor Fang Zhikuan was even more curious about the cognition and knowledge inside Fang Ziye's head: "Professor Fang, when your team previously designed such prostheses, what aspects of preparation did you have to do?"

"Can our other teams replicate it?"

Qu Shuyuan and Miao Haoyu had already each taken position, one side preparing for the fixation conclusion of the surgery, one side preparing to close the abdominal cavity.

Miao Haoyu, close to Fang Ziye, also said in a low voice: "Professor Fang, you've worked hard; the rest are all routine operations, Director Qu and I can both handle them!"

Fang Ziye then slowly withdrew from the lead surgeon area, replying to Fang Zhikuan: "Replication is possible; the preparations needed are mainly extraction of CT parameters, and also designing a relatively complete set of human skeletal model reference data standard tables."

"The skeletal model reference standard tables later on, our team will gradually publish; temporarily it's inconvenient to lend out!"

Fang Zhikuan's eyes instantly brightened: "There's actually such a good thing?"

"How come I never heard Professor Fang mention it in advance?"

Fang Ziye replied: "Professor Fang, this is something our team blindly figured out ourselves; to build such a standard table, we actually referenced foreign surgical registries."

"However, our team isn't preparing to build a registry; we just want to collect more basic CT parameters and create a standard reference table applicable to Hua Guo people, which doesn't have any extra significance!"

"But it does have a bit of use in surgical design; perhaps later other colleagues will develop other uses for it, not necessarily."

This is one of the team's foundations, and also one of the tools that exists thanks to Lan Tianluo.

It isn't of much help for writing papers, and for research it temporarily has no contribution, but Fang Ziye knows that this parameter database may later become one of the team's very hardcore sources of confidence.

Hearing this, that middle-aged engineer spoke up again: "Professor Fang, I wonder if your database can be sold or licensed for use?"

"I feel it would be very useful for our medical device development! ~"

Fang Ziye turned his head and glanced at him, saying: "No such plan for now!"

"This kind of thing is also easy to do; it's just collection, analysis, and processing!"

It just takes time; people who don't understand it well will spend even more time.

Fang Ziye Team, starting from the Bone Fracture New Classification, has already been doing this kind of data collection; the database collected so far has at least over eighty thousand cases.

Actually the sample size isn't considered large; Lan Tianluo suggested Deng Yong go talk to Tongji, Xiehe and other hospitals to see if they can share their imaging databases. Only collecting data related to bones, but currently it hasn't been negotiated successfully!

Fang Zhikuan glanced at that middle-aged engineer again, and only then did the other party not continue speaking.

The three professors descended from the operating table together with Fang Ziye.

Fang Ziye then moved a few steps toward Gu Yi's direction, said a word of "hard work" to that middle-aged engineer, and then followed the several professors out of the operating room.

Indeed, by the time of departure, Fang Ziye had already occupied the most core position.

After Fang Ziye and the others left, unexpectedly, one of the young circulating nurses spoke to the several engineers: "This isn't a hospital, watch your wording."

"If you really want to pull some crooked schemes, be careful your company directly ceases to exist!"

Ten years of cold window study is not as good as one generation of commerce.

Three generations of commerce is not as good as one generation shouldering a gun……

(Chapter End)