Chapter 547

Upon hearing this, the other party first pondered for a moment, then said in a low voice: "Doctor Fang, you should know, the Enshi Yangyuan is a very special place."

"Patients can't be gotten in here."

Seeing that Fang Ziye had already taken a step back, he felt there was a chance: "Doctor Fang, you choose another place separately, as long as it's within the country, anywhere is fine."

"How about that, do you think it works?"

Fang Ziye shook his head, although the other party couldn't see it either: "I temporarily have no intention of going out of town to practice, and in the short term, I also don't consider doing surgery outside."

"My work hours are quite busy, and our clinical doctors' other tasks are also quite heavy right now, our team needs to develop and progress."

"I've said what I needed to say, sorry! ~" Fang Ziye proactively hung up the phone.

Before long, the phone rang again, and Fang Ziye coolly blocked it directly.

Fang Ziye is at the sanatorium; if the other party can really send someone in, that's the other party's ability.

However, Fang Ziye has stayed here for a while and has gained a certain understanding of the Enshi Yangyuan's patient admission rules.

Here, only those with a special direct lineage to the military can enter; this direct lineage currently only includes spouses, parents, and children, no outsiders, not even grandparents.

Besides that, local firefighters, police, etc., after being injured, can have the opportunity to be transferred here for treatment.

Moreover, whether a patient can enter, whether they want to enter, also requires assessment by the people of each team, whether they can handle it.

That is to say, even if the other party has the ability, the surgical team Fang Ziye is in still has the right to choose whether to diagnose and treat.

Of course, as for what price the other party has to pay, whether it will be even more unbearable than breaching the contract, that's their own business to bear!

Fang Ziye currently doesn't even fear being targeted by the other party.

Someone is seeking him out, wanting him to do surgery for them, then they definitely won't allow Hu Hai and the others to do anything to him.

What they want is to get treatment through Hu Hai, not destruction.

They paid a certain price, but didn't get the corresponding thing; they can't even afford for Hu Hai to breach the contract, so he dares even less to use unorthodox methods!

Furthermore, Old Doctor Chen is here; according to the information Fang Ziye obtained, Old Doctor Chen originally withdrew calmly from the capital's circles.

Nowadays, who dares to shit on his head?

A relatively safe environment allows Fang Ziye to do what he wants to do more calmly.

Fang Ziye opened his notebook and wrote down the first step of planning after coming to Enshi—

A doctor, personally attending the sickbed, treating patients, doing surgery, or letting patients recover through medical orders, is one of a doctor's duties.

Exploring new treatment plans, improving existing treatment plans, breaking through treatment plans for unfamiliar disease types, is also one of medicine's contributions, benefiting more patients.

Just like now, even if Fang Ziye isn't doing surgery at Zhongnan Hospital, Zhongnan Hospital and Tongji Hospital can still carry out limb salvage surgery for mangled extremities.

And successively more hospitals, more teams will be able to maturely carry out limb salvage surgery treatment.

Functional reconstruction surgery is the same.

Three, improve instruments; instrument development will to a certain extent lower the difficulty of treatment, enabling more doctors to synchronously treat more patients.

Instruments only look at use; not using instruments is a lowly behavior.

Leaving relatively simple and accurate tools unused, insisting on guessing, or relying on superb medical skills to treat and diagnose all patients, that person lives too tired a life.

Moreover, many people are limited by their qualifications and fundamentally cannot reach that kind of profound realm; does that mean they are not worthy of being doctors?

Fang Ziye does not think so.

Four, flexible application of new drugs and new technologies in medicine.

After writing this point, Fang Ziye emphatically marked it with a five-pointed star as a key point.

This line of thought comes from the notes left by his master.

The master lived so many years after all, saw much and knew much, so his thinking and vision are not narrow; the sudden inspirations of his life are all recorded, and many lines of thought are worth learning from.

Not every idea can be realized, but having ideas and thoughts first is the beginning of everything.

If there were no dream of flying, humans might never have gone to the sky, and there would be no airplanes, satellites, and such things!

After Fang Ziye wrote down these four points, the phone rang again.

Still a strange phone number!

If it were before, Fang Ziye might not have answered, but since the last time he held an academic conference and didn't answer his parents' call, resulting in his father making a trip to Han City.

Fang Ziye never dared to easily not answer the phone again.

"Hello! ~" After Fang Ziye connected, he turned on speakerphone, his thoughts still concentrated on the notebook in front of him.

"Doctor Fang, I just called you a moment ago, can we each take a step back?" The other party's voice was very familiar to Fang Ziye.

"Why should I take a step back? I don't have any trouble."

"Don't call and disturb me again, otherwise, I'll take back my previous words! ~"

"I mean what I say." Fang Ziye said impatiently.

"Beep beep beep……"

This time, the other party actively hung up the phone, obviously also believing Fang Ziye is a person who does what he says.

After Fang Ziye put down the phone, he put this matter behind his mind, and wrote for nearly an hour before starting a video chat with Luo Tingzhu.

The time is still early, but Luo Tingzhu is currently preparing for graduation, so she doesn't have to go to the operating room every day anymore.

After doctoral graduation, she can directly enter a postdoctoral mobile station; at that time, her freely disposable time will be even more.

……

At one in the afternoon, while Fang Ziye was still revising the Face Standard Grant proposal he wanted to submit, someone rang the doorbell.

Fang Ziye walked to the doorway, looked through the surveillance, and saw it was Professor Gong Jiahe and the others; Fang Ziye opened the access control and pulled open the door.

"Professor Gong, Professor Fang, please come in!" Fang Ziye said.

"Little Fang, your space here isn't small!" Both were wearing cotton slippers, and at the doorway they changed into another pair of disposable slippers.

The slippers here are all prepared; the room slippers and the going-out slippers are two sets; indoors there are those disposable slippers.

"It appears quite spacious, I also haven't had time to manage it yet."

"Professor Fang, Professor Gong, would you like tea or coffee?" Fang Ziye asked hurriedly after ushering the two inside.

"Little Fang, you still drink tea? Come, let's see what good tea you've collected." Professor Gong Jiahe said.

There was a water kettle for boiling water in the living room; Fang Ziye didn't have professional tea ware, so he simply brought out the local mountain tea he had bought, packaging and all, in cups.

"It's tea from our town, just ordinary mountain tea, twenty-five yuan a pack." Fang Ziye said openly and generously.

Fang Ziye knew the two professors had come here to discuss with him exactly which new patients to admit.

Professor Gong Jiahe himself also knew that Professor Fang Zhikuan's technique was better, so although he was formerly the Trauma Group Leader, when admitting patients he would always discuss and decide together with Professor Fang Zhikuan.

"Professor Fang, besides that deformity patient you mentioned today, do you have any other cases you're particularly interested in?" Professor Gong Jiahe asked with a smile.

This wasn't because Professor Gong Jiahe wasn't skilled himself, but rather the patient sources to be admitted here were basically all cases that outside hospitals found difficult to treat.

The purpose of establishing the Military Region Yangyuan was to concentrate manpower to solve these difficult and complex diseases.

Routine disease types, or disease types that either Gong Jiahe or Fang Zhikuan could solve, were already handled in outside hospitals!

"Professor Gong, there really is one."

"It's that patient with multiple hemangiomas." Fang Ziye said with a smile.

Professor Fang Zhikuan had originally been amiable and smiling silently, but after hearing Fang Ziye's words, both the amiability and the smile vanished, and he instead became somewhat flustered.

He was not good with words!

Professor Gong Jiahe's thigh muscles visibly tightened: "Professor Fang, this patient with multiple arterial aneurysms is a ticking time bomb."

"Fuwai Hospital has seen him in and out twice, and still they dare not treat him, fearing that when treating one hemangioma, the others might rupture!"

"At that point the patient's life would be lost instead."

Fuwai Hospital can be said to be the ceiling of cardiovascular surgery.

That patient, having been in and out there several times, represents extreme trouble; the slightest carelessness could endanger the patient's life, and even Fuwai Hospital's experts dare not say they can definitely handle it.

The trauma surgery here isn't specialized vascular surgery.

Fang Ziye said: "Professor Gong, you don't need to be so nervous; didn't you say I was interested? I also didn't say I'd admit him."

"Purely in terms of willingness to treat, I'm quite interested in this disease type."

Systemic multiple arterial aneurysms are equivalent to storing multiple unpredictable time bombs inside the body; you don't know when they'll rupture — maybe on the road, maybe during surgery.

Once they rupture, it's absolutely fatal.

Fang Ziye wasn't being arrogant; rather, now his vascular surgery theory had acquired a certain thickness — not to say nationwide top-tier, but looking at comprehensive strength alone, if he went into vascular surgery he would still be a top-tier existence.

In trauma surgery, Fang Ziye currently hadn't encountered any cases within his professional scope that particularly interested him, so naturally there was a bit of "shifting affections" going on.

"Professor Fang, if you were to admit this patient, the greater likelihood is you'd fly to his location for surgery, rather than the patient coming over."

"The journey is too far, the transfer risk too great." Gong Jiahe explained.

Then he asked: "Professor Fang, what thoughts do you have on that patient with total bone defect of a single lower limb?"

"After all, Professor Fang, you're quite skilled in bone reconstruction."

"If Professor Fang is unwilling to do functional reconstruction surgery, we can admit this patient and grind out a treatment plan together."

Hearing this, Fang Ziye frowned: "Total lower limb bone defect — that's extremely troublesome to handle, requiring reconstruction of all bones in a single lower limb?"

"Even his cuboid bone is missing!"

This kind of total lower limb bone defect, Fang Ziye had encountered before, at Zhongnan Hospital; that patient's condition was even more severe than this one's.

But treatment difficulty is very high, and the cost is huge.

Several million to save two legs?

Does the sanatorium have to be this lavish?

You know, allogeneic bone is an extremely scarce resource; even biotech companies find it hard to produce that much allogeneic bone in a short time, unless they take "crooked paths" — like digging up corpses!

"Professor Fang, it's like this — I feel this patient still has hope; he was injured by an explosion!"

"The soft tissue condition is still okay now; if bone reconstruction can be achieved, the postoperative functional recovery is also extremely worth anticipating."

"Although the difficulty is a bit greater than half-pelvis reconstruction, I believe challenging it is also feasible."

"Professor Fang, here, if you have the capability, you still shouldn't waste it; after all, once we've rendered a certain amount of merit here, our children and parents can later obtain relatively better resource allocation." Gong Jiahe hinted.

Fang Ziye was really too Buddhist-style; in nearly half a month he had only proactively mentioned admitting one patient, as if he were on vacation.

Gong Jiahe felt he still needed to chat more with Fang Ziye.

With Fang Ziye's capability, if he wanted to lie flat, admitting a pile of functionally impaired patients — several hundred a year would be a piece of cake.

"Professor Gong, how about this then — let's also admit that patient with half-function impairment of the right hand!"

"That way our Trauma Group will have four patients, and taking it slowly will be about right." Fang Ziye replied.

Seeing Fang Ziye actually proactively bring up functional reconstruction surgery, and agree to admit the single lower limb bone defect patient, Gong Jiahe was very satisfied: "I certainly have no objection; Professor Fang, what do you think?"

Fang Zhikuan lifted a teacup thicker than his own arm: "Professor Fang's specialty is functional reconstruction surgery; I'm naturally also happy to learn a bit."

"But this single lower limb bone defect patient — the surgery will consume a huge amount."

"It might exceed the budget." Fang Zhikuan said.

Hearing this, Gong Jiahe said: "Professor Fang, our Trauma Group has few patients; occasionally one or two exceeding budget is originally a very normal thing."

Fang Ziye asked: "Professor Gong, what does exceeding budget mean?"

"Two million per patient, but there's no specific cap; it's still determined according to different disease types!" Gong Jiahe replied.

"As long as the number of patients exceeding quota each month isn't large, no one will ask. Anyway all the costs don't go into our pockets."

The sanatorium is fully appropriation-funded; Fang Ziye and the others don't need to worry about various costs, and there's no performance pay or commission.

The distributed performance pay and commission are purely related only to the number of patients treated.

"Oh oh, so that's how it is!" Fang Ziye was hearing this for the first time.

Gong Jiahe hurriedly said: "Because our group's patient volume is relatively small, we never paid attention to this matter; it was my carelessness, forgetting to tell Professor Fang you."

As Group Leader, his not telling actually counts as dereliction of duty; and later when Fang Ziye becomes Group Leader, suddenly being told this would make it look like he deliberately concealed it.

So he hurried to apologize first, taking the responsibility onto himself.

"Then that's settled, both Professors."

"Right, Professor Gong, could I apply not to have surgery scheduled on the 18th? A fellow trainee of mine is coming over that day." Fang Ziye requested.

Gong Jiahe was still the Group Leader now, so Fang Ziye didn't dare overstep.

"That goes without saying, Professor Fang, we all know it's your birthday. Since your fellow trainee is coming, we'll just celebrate your birthday a day early or a day late instead."

"Professor Fang, don't be in a rush to refuse either. Life here is extremely dull and boring; aside from surgery, there's no other entertainment."

"So we often make plans to go out for a few drinks." Gong Jiahe explained.

Fang Zhikuan also nodded: "Professor Fang, that's indeed the case!"

"If someone has a birthday, that's the best excuse to go out drinking."

"The sanatorium supports this as well."

"Treat patients properly when treating them, rest properly when resting."

Fang Ziye said busily: "Both Professors, then I'll treat you then, and arrange a relatively secluded place."

Face is mutual; others give you face, you can't just hold yourself aloof.

Fang Ziye was a local; when he stayed in Enshi before, he knew quite a few good places.

In Eastern Han, the way of hosting guests is still very particular.

……

After seeing off the two Professors, Fang Ziye then called Senior Brother Gu Yi.

Gu Yi wasn't on duty today; he himself had been here nearly half a month, and still hadn't gone out to eat alone with Gu Yi once.

Fang Ziye planned to have Gu Yi come to his home to eat takeout together, having some barbecue or the like would be suitable too.

Originally Fang Ziye planned to go out to eat with Gu Yi, but because of Hu Hai's entanglement today, Fang Ziye felt he should temporarily avoid him, to avoid running into a 'rampaging' mental case.

Gu Yi was naturally willing.

From the sanatorium's dormitory area to the villa area, he called Fang Ziye at the gate and gained passage.

He rode his electric scooter into Fang Ziye's courtyard, looked around for a while, then sighed: "Ziye, the gap between people really does inherently exist, huh?"

"I originally thought my two-bedroom apartment was a really great place, but compared to here, it's simply like a dog kennel."

Gu Yi walked here, looked there, the more he looked the more he suspected life.

Clearly he was the Senior Brother, yet Fang Ziye's treatment at the sanatorium was higher by more than a whole level.

"Brother Gu, if you don't mind, you could move over here too?" Fang Ziye said.

This sanatorium has stated it: the sanatorium assigns dormitories, if someone really wants to share, they don't refuse either.

However, in the sanatorium, in principle they don't accept couples or parents and children working in the same area.

For example, both in surgery is not allowed, but one in surgery and one in internal medicine is allowed.

If both are in the experimental area, that's also not allowed.

The relationship of couples or father and son is special, to avoid personal emotions affecting work.

"Forget it, I don't want to hear any messy sounds." Gu Yi refused bluntly.

Fang Ziye heard this and wasn't embarrassed either.

He was nearly thirty, an adult, not shameful.

"……"

Time flows like water, in a blink another week passed.

December 17.

Yangyuan, Surgery Area.

When Gu Yi placed that old grandma's follow-up X-ray before everyone, everyone glanced at the film, then all unanimously looked toward Fang Ziye's direction.

"This? Ah this?" Professor Fang Zhikuan's expression was the most exaggerated.

He was small in stature, his face not large, but right now his expression was extremely rich; the wrinkled areas of his face were pulled flat, while the flat areas instead wrinkled up.

This old lady he was looking at had transferred through multiple hospitals, undergone multiple surgeries, yet never seen healing; unexpectedly, in Fang Ziye's hands, bone callus actually appeared.

That bone callus, no one present would fail to recognize it.

If skill is this bad, even Gu Yi, the one with the lowest professional title, would be expelled from the meeting; this isn't a place for you to learn and practice.

If you want to practice, go outside.

Hearing this, Fang Ziye said: "This precisely proves the previous surgical quality was completely up to standard; I merely built on that and added some local medication."

"Thus, my previous guess was correct."

"When this patient was injured, the fracture fragments might not have been her own, but rather, by chance, someone else's fracture fragments ricocheted into her wound, and were then treated as her fracture fragments and fixed together."

"Later, there was continuous immune rejection."

"After we used immunosuppressants locally, it instead lightened this immune rejection, so normal fracture healing signs appeared."

Fang Ziye brought the topic back from flattery to the film itself: "Look, these bone calluses are actually discontinuous, proving immune rejection still exists."

"Local medication must continue! ~"

"Medication dosage can be reduced to two-thirds of before." Fang Ziye said.

Fang Ziye's analysis was naturally not Fang Zhikuan's focus; after pondering a moment he asked: "Professor Fang, then after the fracture fragments are absorbed, why still no healing?"

Fracture fragments without nutritional support would definitely be absorbed; years later re-operated, still no signs of healing.

"It's still that immune rejection wasn't lifted. This patient is special; ordinary fracture treatment uses autologous bone or devitalized bone, so immune reaction is very slight or almost none."

"So we lacked awareness in this aspect."

"Long-term immune reaction causes hypersensitivity reaction at the affected site..." Fang Ziye explained in detail.

Roughly spoke for about twenty minutes, then this patient finally passed.

Professor Yan Huanan nodded and said: "Professor Fang, the preoperative examinations for the two newly admitted patients are complete. Functional reconstruction surgery is scheduled for the nineteenth, and the other is scheduled for surgery on the twenty-fourth. Is that alright?"

"Schedule it for the twentieth! ~"

"I've looked recently; our Trauma Group's surgical volume is still too low," Fang Ziye said.

December 18th is a Tuesday; there's no need to delay another week.

Although no patients have been admitted to the group in recent days, the patient who previously underwent pelvic reconstruction has already started walking and is estimated to leave soon.

The group can then admit patients again.

"Then schedule it for the twentieth!" Professor Gong Jiahe nodded.

Fang Ziye was willing to perform consecutive surgeries, and these assistants of theirs had no problem with it.

Professor Gong Jiahe continued: "The patient who previously underwent hemipelvic reconstruction can now use crutches to walk a few steps with difficulty, but we must still remind the nursing staff and family members to absolutely avoid falls."

"Also, squatting to use the toilet is forbidden."

"The patient's family has told me many times that he is not used to a commode, but even if he is not used to it, he must persist!"

Miao Haoyu hurriedly nodded and took good notes: "Professor Gong, I will communicate in detail again with the patient and the patient's family, and instruct the nursing staff and nurses."

"Strictly execute the postoperative medical orders."

A doctor's medical orders are not merely about medication; prohibited movements are also absolutely among the medical orders!

If the patient secretly does it himself, it will make the surgery even more troublesome.

"He also cannot sit for long periods," Fang Ziye said.

"The patient's current condition: vertical stress is not a problem, but stress from sitting for long periods may push the pelvis forward; if rehabilitation is not good, future movement will be particularly inconvenient."

"Also, this patient's postoperative anti-inflammatory drugs must be used for a longer period, at least until around three weeks, and must continue to be used even after suture removal."

"Professor Fang, that's no problem; there is no strict control over the medication cycle here," Gong Jiahe said.

"It's not a question of control or not; he had a large wound during surgery, and the scope of the internal implant is also large, and it is not a closed space."

"Once pathogens travel through the blood to settle here, infection is very likely to occur."

"Once infected, he may not even have the chance for a second surgery."

"But the inflammatory indicators checked so far are fine."

"Another point: the patient has pressure marks on his skin from lying in bed for a long time, and pressure sores must be avoided from forming. Similarly, his anticoagulant must continue until around three weeks after he can walk normally."

"In his condition, thrombosis is very likely to occur, including after surgery."

"Because most of his postoperative activity is within the relatively restricted range of motion of the hip joint, the incidence of thrombosis is very high."

"For that patient with nonunion, her anticoagulant can be temporarily stopped."

"Her fixation is in place; if there is no pain, she can get out of bed and bear weight for a walk. The fixation quality of this surgery is very good!"

After entering his role, Fang Ziye was also very proactive in expressing his opinions, without any embarrassment, and no longer being polite and consulting Professor Gong Jiahe and others.

Fang Ziye's title was Associate Professor, and his ability was indeed stronger than theirs.

In the process of getting along, once others recognize you, if you still keep saying things like 'is this okay,' you would be too lacking in confidence.

Outside of the treatment plan, one can be more polite, but within the treatment plan, currently, Fang Ziye occupies the dominant position.

Fang Ziye, this Group Leader, had also clarified his positioning.

"Professor Fang, let's arrange it like this for now! You really... this." Professor Gong Jiahe raised his thumb.

That patient with the nonunion fracture being able to reach this point today and avoid amputation was truly something he had not expected.

That patient had been in the sanatorium for a month; he had hesitated many times, but ultimately endured.

If he had not met Fang Ziye, he had decided to perform the amputation surgery this week.

Unexpectedly, after Fang Ziye arrived, he immediately proposed many solutions and trial plans.

Among them, through the traction hole, it was confirmed that the patient's bone had self-healing ability.

Also through MRI, it was confirmed that the blood supply to the fracture ends was intact!

In other aspects, it was not discernible by the naked eye.

These examinations had been done many times before, but only this time by Fang Ziye was the most systematic.

Moreover, with the same examinations, Fang Ziye could read out different new content; this was Fang Ziye's awesomeness, and no one dared to be unwilling.

This was the gap in theoretical reserve and cognition.

Fang Ziye's excellence was not only reflected in his technique, but covered all aspects.

Thinking this way, Fang Ziye being young and famous was not unexpected, but a matter of course.

Theory, operation, research ability—all were of outstanding qualification; if he did not become young and famous, who else deserved to be young and famous?

Fang Ziye, hearing this, glanced at his increased Knowledge Points.

"+7122!"

This was the only time Fang Ziye increased Knowledge Points by more than four digits without performing an operation.

Perhaps this patient's condition was very rare; after all, not everyone has the opportunity to clip someone else's bone fragments—only very chaotic situations allow it.

Furthermore, this situation was the first time and could serve as a warning to future generations.

It belonged to a new cognition.

"Professor Gong, thank you for your praise! The patient being able to form a blood crust is a good start."

"After all, this old lady has been lying in bed for nearly ten years; now she finally sees the light, and we should all bless her courage! ~" Fang Ziye said.

Not everyone can endure ten years of treatment.

"Professor Fang, meeting you is truly her luck. Otherwise?"

Gong Jiahe was originally still embarrassed, then said frankly: "I would have to suffer!!"

Gong Jiahe looked at his own hands and doubted him for the first time.

Afterwards, Gong Jiahe said again: "It seems we can't blame it; we can only blame this place."

Gong Jiahe pointed at his own head again, no trace of arrogance left on his face; toward Fang Ziye he might not worship him, but he held him in especially high regard.

He certainly did not respect Fang Ziye's identity and status, but rather what was in Fang Ziye's head and hands.

More so, what was in his head.

As for skill with his hands, he had a bit himself; Fang Ziye's operations could be seen and touched.

But.

The knowledge in Fang Ziye's head, however, was an invisible dimensionality reduction strike, leaving him once doubting his own life.

"Professor Gong, please take us to see the patients..." Fang Ziye said.

Among the crowd, apart from himself, Professor Fang Zhikuan's technique was the best, but Professor Gong Jiahe's seniority was the highest, and his character was also very good, so others respected him.

After finishing the professional discussion, the face that should be given still had to be given.

"Good!" Gong Jiahe stood up, hands behind his back, taking large strides as he walked out.

Others from different groups saw the imposing manner of Gong Jiahe's team walking, and during the 'ward round' return journey they became thoughtful.

Han Zhiliang of Hand Surgery whispered a few words in the ear of Du Donglin, the Group Leader Professor of Hand Surgery.

Du Donglin's gaze had been fixed on Fang Ziye.

After hearing it, his gaze became even more complex, and his expression was especially remarkable.

Admired but unattainable!

This talent Fang Ziye actually did not come to his Hand Surgery Group, but went to the most 'leisurely' Trauma Group.

This made Du Donglin both angry and resentful.

But he had no temper.

Fang Ziye was originally from Trauma, Fang Ziye was not a soft persimmon or a plaything; he had absolute freedom.

Because Du Donglin stepped forward, his achievements in Hand Surgery still could not compare to Fang Ziye's.

Cannot compare, yet you still dare to make demands?

Du Donglin seemed to see the scene of the Trauma Group soon becoming prosperous.

(A little less, too much feels unbearable.)

(Chapter End)