Chapter 553: Routine Surgery Is Also Different (Requesting Subscription)

"The Ilizarov technique is a relatively classic orthopedic technique, and it has been applied in our Trauma Surgery Department for many years."

"Professor Fang, although our country currently strictly controls this technology, and the selection of indications is becoming increasingly narrow, this patient is a fairly typical case." Professor Gong Jiahe said as he walked into the operating room.

The anesthesiologist's team is currently performing continuous spinal anesthesia; this surgery will last quite a long time, so lumbar anesthesia is definitely not suitable.

Either continuous spinal anesthesia, or switch to general anesthesia.

The Ilizarov technique is a theory of limb regeneration and functional reconstruction founded in the 1950s, and is unanimously recognized as the fourth milestone of modern orthopedic surgery.

It also has another alias in Eastern Han, called 'Bone-Breaking Height Increase Technique,' and is currently listed as one of the 'Forbidden Arts.'

Of course, no surgery will be strictly prohibited. It's just that its indications will be infinitely narrowed; performing such surgery purely for height increase is an illegal act.

As early as 2006, the former Ministry of Health of Eastern Han issued the 'Notice on Strict Management of Limb Lengthening Surgery'!

It clearly stipulates that the indications for limb lengthening surgery are bone defects or limb length discrepancies caused by congenital deformity, trauma, tumor, infection, etc., as well as limb deformities caused by diseases. Since this surgery has great trauma, many sequelae, high cost, and a high risk of disability, the state expressly prohibits its use for cosmetic purposes!

It can be used for treatment, but not for cosmetic purposes; the purpose of height increase is a form of cosmetic surgery. (Here, the author suggests that most people should not touch this kind of height increase surgery, because those who can do it won't do it, and most of those who do it have poor technique!)

This patient is also from the army.

During training previously, he contracted malignant tibial osteomyelitis, and his lower limb shortened by nearly twenty centimeters.

It wasn't that he hadn't been treated; after entering the army, treatment was fully reimbursed, and he could go anywhere that could treat him.

Not only were there military dependent hospitals, but also hospitals outside, equally fully reimbursed, but the final effect was still not obvious.

After shortening by twenty centimeters, wanting to walk normally again is undoubtedly a "nightmare."

Furthermore, shortening by such a length undoubtedly increases the difficulty of the surgery, and because of the osteomyelitis, the patient was left with other problems, causing many trauma surgery doctors to be unwilling to touch it again!

No one wants to bring trouble upon themselves.

He could only go back to the corresponding medical institution in the military region to try his luck; previously it belonged to continuing conservative treatment, seeking experts for treatment.

Fang Ziye heard this and sighed: "Professor Gong, I have looked up some materials very thoroughly recently."

"I also listed some plans, but in the end I still feel that we should just use the classic surgical technique!"

"The current development of osteotomy correction orthopedics does not yet support us applying new methods."

"Professor Ilizarov is a genius doctor who almost made orthopedic techniques of the past few decades obsolete." Fang Ziye said this, and then added.

"However, when I was searching literature recently, I also had some new insights."

Fang Ziye's current Trauma Surgery basic theory is level 6; with such a theoretical level, basically no matter what theory he looks at, he might have new insights and his own understanding.

Because his knowledge reserve is too deep, Fang Ziye also wrote some reflections.

If it weren't that the surgery time was approaching, Fang Ziye might have other ideas; however, the patient doesn't want to wait anymore, and if there is a classic technique to use, making a little micro-innovation is enough!

"Professor Ilizarov's greatest contribution should be said to be the Law of Tension Stress!"

"When our biological tissues are slowly pulled, it will stimulate tissue regeneration and active growth; such a growth method can actually undergo cell division just like fetal tissue."

"Bones, like epithelial tissue and connective tissue, have very powerful regenerative potential."

"Bones, attached muscles, fascia, blood vessels, and nerves can all grow synchronously; this discovery can be called what?"

"Genius!!!" Professor Gong Jiahe praised.

"However, the difficulty of developing this technique doesn't seem high, but truly mastering it is still not easy."

Professor Ilizarov's main contribution is not just the external fixator and this surgical technique, but more importantly this basic principle he discovered, which can be said to be one of the cornerstones of modern osteotomy correction, belonging to the pioneers.

Fang Ziye said: "When I was at Zhongnan Hospital before, I also encountered a case, but the difficulty was not as high as this surgery; his shortening degree was only eight centimeters, and he was younger."

"So after about two years post-surgery, he recovered normal height; I estimate that this patient's postoperative recovery period might be six to seven years."

"During this period, the affected limb will still be shortened, and movement is also quite inconvenient."

Fang Ziye said while patting his legs with both hands.

Professor Gong Jiahe heard this and immediately laughed, while placing his mobile phone on the storage table, and said: "Professor Fang, this is where your brilliance lies."

"How did you think of doing a stress-based sole prosthesis in advance before the patient's shortening problem is solved?"

"Generally speaking, prostheses are mostly used for patients after amputation; giving a normal person a prosthesis to increase the stress on the affected limb is something ordinary people dare not think of."

Fang Ziye heard this, and his thoughts drifted slightly.

How else could he think of it? It was just what that silent, unremarkable Teacher of his thought of when he had nothing to do, after his scientific research career was cut off, in his leisure time.

His Teacher Professor Chu's passing had no "victors"; his Teacher himself need not be mentioned, he passed away unexpectedly.

His teacher Yuan Weihong, including several Teacher Uncles, had encounters that were not easy either.

Even Professor Dong Yaohui, who was the director at the time, had an unhappy experience afterward; this made Fang Ziye even more certain that unless Dong Yaohui had a screw loose, he would not think of harming Professor Chu.

In Teacher Dong Yaohui's documents, even AI prostheses had been considered, let alone putting a prosthesis on a normal person?

"Walking on stilts, I often played that when I was young."

"Professor Gong, you also know, I am a local from Enshi; Ba County has high mountains; I remember it often snowed when I was young; back then the family was not well-off, and wearing shoes walking on the ground was very cold in winter."

"Going to and from school was not easy; we children liked to cut bamboo to make stilts; one was for fun, and two was for convenience in hurrying along the road."

"After it snowed, the ground was especially muddy."

"Sometimes thinking about it, I would think in this direction." Fang Ziye replied.

Fang Ziye did not deliberately mention Old Professor Dong; it wasn't that Fang Ziye wanted to steal his "thoughts," but when chatting with others, there was absolutely no need to bring out his Teacher.

When real results appear, Fang Ziye will naturally include him as one of the contributors; I don't know if current patent applications and paper publications can include deceased people.

According to existing copyright, it mainly depends on the contributors' contributions, regardless of whether they are alive or not.

"Professor Fang is still young; this thinking is quite active." Professor Gong Jiahe said.

"Anesthesia is done, Professors!" a doctor from the anesthesia group replied.

However, after saying this, he added another sentence: "This patient, if you can solve the problem with non-open surgical operations, then it is truly immeasurable merit."

The Ilizarov external fixation orthopedic technique can actually be operated non-invasively.

Its theoretical basis emphasizes that this surgery can effectively preserve local blood supply, periosteum, and medullary cavity, thereby promoting the formation of bone tissue.

Different from traditional surgical methods, the Ilizarov therapy, when performing pinning and external fixation, avoids complete open reduction, but adopts semi-closed micro-incisions for operation, only performing osteotomy and cortical incision, to achieve the function of correcting and lengthening bones.

The anesthesiology doctors may have seen it, but this surgery is different from ordinary surgeries, so it still needs to be open.

The above is merely simple lower limb shortening deformity.

If the patient's knee joints are equal in length, and it is tibial atrophy, it can be treated without osteotomy; but he has full-length shortening from femur to tibia, and in order to design a good lower limb length ratio, osteotomy correction must be performed first, followed by 'bone transport surgery'!

This technique is also one of the special bone transport surgeries.

Fang Ziye heard this and said: "Teacher, you think too highly of me; if this patient could be cured with ordinary surgery, I wouldn't have encountered him either."

These words count as humble, but not that humble.

"Hey, the young man has drive! ~"

"Alright, no more idle chat, hurry up and operate, everything is ready here." The anesthesiology professor spoke while scanning Fang Ziye up and down.

Then he added in a low voice: "Has Professor Fang ever thought about changing girlfriends?"

Fang Ziye was originally planning to go out to scrub and wash his hands; hearing this, he slowly turned his head back and gave him a meaningful look.

The other party couldn't withstand Fang Ziye's glare first and turned his head away first.

The people in the operating room all pretended they hadn't heard anything.

Actually, there are plenty of people with similar thoughts to him; the difference is, this old bastard said it out loud.

At the sink, Gu Yi and the others also didn't mention this matter.

Matters of the heart, Fang Ziye handles himself; no one should interfere extra.

If Fang Ziye didn't have a girlfriend, that would be another matter entirely.

After scrubbing, disinfecting, and putting on sterile gowns, Gu Yi and Miao Haoyu had already completed the disinfection and draping.

Then the two went separately to put on sterile surgical gowns and stood properly at the assistant positions.

All three professors went up on the platform and occupied the first, second, and third assistant spots; the places where they could help were indeed not many.

Fang Ziye didn't have much nonsense; he directly picked up the scalpel and cleanly cut in, smooth sailing all the way.

Level 5 incision technique, Level 6 trauma surgery basic theory; Fang Ziye doing limb surgery, just in terms of approach, is perhaps even more familiar than returning to his own home.

In the house, there are many things Fang Ziye might still not find.

However, the incision Fang Ziye made wasn't large, only four centimeters; but this four-centimeter incision, Fang Ziye seemed to have found the optimal gap, all the way only breaking through skin and fat layer, everywhere else was blunt dissection.

That is to say, Fang Ziye's control of the incision has long been incomparably proficient!

This kind of wound, the several professors not only witnessed for the first time, but seeing it again, still felt refreshingly inexplicable, a feeling of appreciating art.

"Comfortable." Professor Fang Zhikuan briefly offered two characters, expressing his inner emotion.

Usually he speaks the least, but on the operating table, Fang Zhikuan instead more easily sighs a sentence or two.

Fang Ziye heard Professor Fang Zhikuan's praise, and his heart felt some joy, but he didn't idle chat; instead he directly picked up the bone chisel.

"Limb lengthening surgery" belongs to forbidden techniques, but this patient must use it, and bone grafting surgery must also be applied.

Otherwise, his shortening is too long; without creating a fracture, it is truly difficult to achieve compensation effect directly through simple Ilizarov technique.

After Fang Ziye used the bone chisel to open a window, he then had the instrument nurse hand over the oscillating saw, easily osteotomizing the bone; then Fang Ziye turned to the lateral lower leg side and simply and swiftly performed a fibular pedicled bone flap harvest.

The fibula is a commonly used bone graft harvest material!

In general surgeries, the operated bone flaps are at least three centimeters or more, only then can segment blood supply be guaranteed; if harvested too short, the nutrient vessels might just miss.

But Fang Ziye didn't do that; he only harvested a bone flap about 0.5cm; after the oscillating saw cut the fibula again, when he extracted it along with the nutrient vessels, Professor Gong Jiahe and the others involuntarily sucked in a breath of cold air.

Laymen watch the excitement, experts watch the doorway.

Harvesting a bone flap, it's not that longer is harder to harvest; on the contrary, shorter is harder to harvest, requiring increasingly careful and meticulous control of the surgery and anatomical position.

The difficulty also increases accordingly.

For example, using chopsticks to pick up food; large lumps are easy to pick up; try picking up a single grain of minced meat stuck to the bowl wall?

This is skill, and also foundation...

Strictly speaking, this surgery's operative technique and difficulty are not too great; after discussion by Fang Ziye and the others, it was reduced to a very simple and common surgery.

One bone grafting surgery, one is the Ilizarov adjustable external fixator fixation surgery.

Then, this kind of plan has certainly been discussed by many people.

The reason they dare to do it is because they rely on Fang Ziye's extremely powerful basic skills.

Bone grafting surgery, in ordinary patients, maybe longer is better; but for this patient, he himself has no fracture and no bone defect, so shorter is better.

This degree of shortness is very hard to control.

Admittedly, one can resect and handle after harvesting the pedicled bone flap; but how can you guarantee you haven't affected the local bone's blood supply?

If it cannot be completely guaranteed, the difficulty of this surgery becomes great...

Fang Ziye carefully transplanted the bone flap to the fracture end, then turned his head and asked: "Doctor Miao, this kind of small window deep vessel suturing, can you operate?"

In the group, the one with the best suturing basic skills is Miao Haoyu; the others are all very 'orthodox' trauma surgeons, only speaking of trauma surgery techniques.

In hand surgery standard basic skill suturing, their attainment is not high; Miao Haoyu's level should be Level 4 or above; specifically how much, Fang Ziye has already forgotten the original standard.

Miao Haoyu looked at the overall incision being only four centimeters; after muscle tissue retraction, at most only less than two centimeters of operating space remained.

He decisively shook his head: "Professor Fang, why don't you take the trouble? I can't operate this!"

Although Miao Haoyu knew this was Fang Ziye feeding him an opportunity, under the circumstances of limited ability, it's still better not to aim too high.

Directly admitted weakness.

Fang Ziye didn't force it either; he picked up the microsurgery small needle holder and forceps and started operating.

The space is narrow, the wound can be described as cramped, operability is extremely poor!

If suturing basic skills are not good enough, this kind of direct vision operation difficulty is comparable to climbing to heaven; of course the incision can be enlarged and then sutured, but that would also increase the patient's wound.

Fang Ziye also spent a bit of effort; a full two minutes passed before he sutured the bone flap's nutrient vessels in place; seeing a small amount of blood ooze from the bone flap's cut end, only then did he nod in satisfaction.

"Professor Gong, you put on the ring; I'll continue operating on the tibial side. Since we chose to operate with the most simple treatment method, we should also try to save some surgery time!" Fang Ziye said.

This ring is not the folk kind of ring, but the Ilizarov adjustable external fixator ring!

"Alright, Professor Fang." Gong Jiahe nodded.

The Ilizarov external fixator ring is a basic skill for trauma surgeons; if you don't even know this, osteotomy correction basically cannot be carried out.

Professor Gong Jiahe's technique in this aspect is definitely up to standard.

……

Fang Ziye repeated his old trick, and at the middle segment of the tibia, he also performed a similar bone grafting surgery and bone transport surgery.

However, after this bone lengthening surgery, just as Fang Ziye finished operating on the fracture ends, everyone discovered a very incredible thing.

The patient's shortening was corrected by roughly four centimeters, and moreover, whether it was the skin appearance or the muscle tension, both had recovered just right to the kind of stress a normal person should have.

As if not a bit more, not a bit less.

At the start of the surgery, because the affected limb lacked stress, the muscles were in a state of disuse atrophy; atrophied muscles, besides having reduced volume, also have softer tension, limp and flaccid.

Seeing this scene, Professor Fang Zhikuan couldn't help but recall the third plan Fang Ziye had mentioned: "We need to specially design the lengthening degree of the first surgery according to the patient's muscle condition and skin laxity."

"Skin atrophy lags behind tissue atrophy, so it produces certain wrinkles; many weight-loss patients, after successful weight loss, still have abdominal flesh folds — this is the principle."

"This patient's skin is also lax; we try to make the first lengthening as precise as possible, but this requires collecting more data……"

At the time, everyone felt that Fang Ziye's idea was merely theoretical, and they dismissed it.

But unexpectedly, what the team didn't do, Fang Ziye did alone; he really spent a lot of time and burned many brain cells seriously grinding the surgery during the discussion.

"Professor Fang, did you roughly calculate the relationship between this patient's lower limb length and skin laxity when we didn't know?"

"How was this done?" Professor Fang Zhikuan, adhering to the principle of asking when he doesn't understand, spoke up to ask.

"This actually still took a shortcut; it's actually comparing the patient's healthy-side lower limb length with the approximate surface area of his lower limb and calculating the proportion."

"Disuse atrophy of the affected limb is generally uniform, either directly proportional to length, or directly proportional to the square of the length or after special treatment. Later, through statistics, a coefficient k was found!"

"However, the sample size isn't very large, currently there is no broad-spectrum reference significance!"

"Of course, the result I calculated doesn't differ much from the result we inferred based on experience; the gap between 4.3 centimeters and 3.8 centimeters won't tear the skin open."

"After our bone grafting surgery, there is the external fixator stent assisting fixation, and it won't cause the bone transport surgery to fail, so I just acted on my own initiative."

"Judging from the current results, the effect is not bad, just right."

"The main difficulty we focused on during our previous discussion was still the control of distance; the error we discussed based on experience is around 1cm, and mine is also within the 1cm tolerance range." Fang Ziye explained.

After speaking, Fang Ziye meticulously observed the surgical field once more, and after discovering no problems, he gently let out a breath of relief.

Actually, nerves and blood vessels have the slowest atrophy rate; its current length should still be about the same as the patient's length before injury; there is still redundancy now, but it hasn't been discovered.

This is a very mature surgery.

The Ilizarov external fixator ring was fixed in place, and the connecting fixation device was installed.

Only then did Fang Ziye say: "Next, we can slowly adjust; the speed can be a bit slower, increasing 0.5mm per day is fine."

"After the postoperative stable rehabilitation period, increasing to a speed of around 1mm should be no problem!"

"Take a shot! ~" Fang Ziye instructed the circulating nurse.

The circulating nurses here are all men; pushing the operating room's C-arm is a convenient matter.

Everyone left the operating room, then stepped on the remote foot pedal controller for shooting.

Immediately, the C-arm display screen showed the various postoperative images.

At a glance, one can discover that the fracture surface and bone graft surface oppose extremely well, and the bone graft segments have no displacement or other issues.

The center positioning of the external fixator stent ring is also extremely precise; the bone cortex between the proximal and distal segments of the fracture is straight as a line.

This is a high-quality surgery.

Fang Ziye smiled and said: "Professor Gong's external fixator ring was put on really well! ~"

"Hah! ~" Now that they were no longer in the operating room, Gong Jiahe only then relaxed a little: "Professor Fang, are you scolding me or praising me?"

"Even if I put on a hundred external fixator rings, I can't match that kind of precision-to-the-millimeter vascularized bone flap transplantation you operated out?"

"4.2 centimeters total length, divided into two segments and cut out!"

"I believed your evil; if I hadn't seen Professor Fang you operate it out, I would have had to use my Group Leader identity to call a halt to your operation."

The circulating nurse went into the operating room to prepare the position for shooting the lateral view.

The C-arm's rotation can be remotely controlled to move slowly, but it needs the remote control to stop it.

Professor Fang Zhikuan also said: "But judging from the current effect, Professor Fang's suggested two-stage external fixation surgery is still relatively reasonable."

"Looking at the flat film, the patient's skin wrinkle shadows have disappeared a lot."

"It might also be that I only noticed after Professor Fang finished operating; the skin wrinkles on the lower leg are longer than those on the thigh."

"So the length proportions of the two bone flaps Professor Fang took are completely different."

"Is it because the thigh has more soft tissue, so the skin elasticity is stronger? Professor Fang?" Fang Zhikuan hasn't done basic research in this area, but seems to have seen it before.

Fang Ziye nodded and said: "Yes, so the skin elasticity and extensibility of the buttocks and abdomen are the strongest."

"This surgery, I think it's still okay! ~" Fang Ziye brought the topic back to the surgery itself.

"Quite okay, very okay!" Yan Huanan finally found his positioning; just shouting 666 is enough.

Although, this surgery, all operations were within their scope of cognition, even they could operate.

But being able to do a routine surgery to this stunning degree depends even more on a person's skill depth.

The deeper the basic skills, the more the team's error tolerance can increase infinitely!

Top-tier professors, competing to the end, are actually competing on the quality and depth of basic skills.

After shooting the lateral view, Fang Ziye and the others saw no problems, then directly came out from the lead plate isolation room and stepped down directly.

The final surgical closure and suturing, there are Gu Yi, Qu Shuyuan, the three of them!

After Fang Ziye and the others completed the key operations, of course they could directly step down.

The sanatorium doesn't support idle people; if you don't know this, and don't know that, why did you come here?

To mix a salary?

At first, Fang Ziye was not used to this mode, but now, Fang Ziye's heart has gradually become calm.

When you just arrive, you definitely have to be polite; feelings only come after people have gotten along.

You come in and just walk out on your own without a care; no one would pay attention to you, but after you demonstrate your capability, Miao Haoyu and the others don't need you to explain — they just tacitly accept this rule.

This is gradual progress.

After leaving the operating room, the time had already passed the normal mealtime.

The surgical operation sounds simple, but when it comes to meticulous operation, even Fang Ziye used nearly four hours.

Past one o'clock, the canteen still had food, but none of it was fresh anymore.

The Trauma Group had no other surgery arrangements; the next surgery arrangement is on Wednesday. The Yangyuan also had no emergencies.

Professor Fang Zhikuan suggested: "Professor Fang, today's surgery was done beautifully; shall we go out to celebrate?"

"Drink a little."

Professor Fang Zhikuan didn't say much, but he did order wine.

Last time before Fang Ziye's birthday there was no drinking, so he agreed to the next time; after calculating in his heart, he replied: "Sure, let Miao Professor and them come together later?"

"I'll message my Senior Brother."

"Then I'll call to reserve a seat first." Yan Huanan became actively enthusiastic again.

In the group, his status is quite special.

Comparing reputation, he cannot compare to Professor Gong Jiahe; comparing capability, he cannot compare to Fang Zhikuan; now with another Fang Ziye, he compares even less.

But he is a little bit stronger than the two Deputy Directors!

Medium capability — in the group, this is most easily overlooked; however, Yan Huanan's emotional intelligence is very high, but in the Yangyuan, if you only have emotional intelligence, it's fucking useless.

Fang Ziye and the others did not refuse either.

Whoever treats is the same; Enshi's consumption is not high, seven or eight people eating a meal costs at most six hundred yuan, and their daily wages are all four digits or more.

……

Because they planned to drink, several people didn't drive; they just rode electric scooters back to the villa to rest, then took the Yangyuan's shuttle to go over.

Fang Ziye saw that Professor Fang Zhikuan and Professor Yan Huanan and the others each carried some good wine — Moutai, Wuliangye, Luzhou Laojiao — all big red brands Fang Ziye was quite familiar with.

By comparison, Fang Ziye had nothing prepared; he thought in his heart whether he should also go stock up sometime.

Soon, Gu Yi and the others also came out one after another from the surgical department; a carload of people went directly to a nearby farmhouse restaurant they often go to, sat down, and entered a private room.

Professor Yan Huanan took the opened Moutai from Gu Yi and, while pouring the wine, opened the conversation: "Professor Fang, actually, doing a new surgical technique, the key is in the 'new' — it means walking in front."

"Conversely, this kind of basic skill, being able to reach Professor Fang's level — that is truly rare."

"Really don't know how many days and nights Professor Fang endured to have the current skill."

Gu Yi heard this and said: "Other things are not too clear, but before, I heard the Fellow Trainees in our department say that Ziye, when practicing basic skills, even had to buy that kind of cheaper pork!"

"Should be frozen pork; in the training room, Ziye is also very hardworking."

"But ultimately speaking, it's still good qualification."

"Even if Ziye works hard, can his practice time be as long as mine?" Gu Yi said with an accompanying smile.

Gu Yi is a few years older than Fang Ziye — just ate a few more years of meals; even if Fang Ziye eats more every meal, it's estimated he can hardly catch up.

Practice time is the same.

"Heaven bestows food to eat; you can't envy it even if you want to."

"Professor Fang being so accomplished at a young age — also can't envy it even if you want to."

"Professor Fang, this time, do you really plan to go do that flying knife consultation?" Professor Fang Zhikuan asked.

"Actually, Professor Fang, we don't have to run outside; doing the Yangyuan's surgeries well is enough!"

"We'll see the situation then; I haven't decided yet, but this patient, I am really very interested."

"Might go, might not go; the patient mainly has an aneurysm that's hard to manage, otherwise I might have had him transferred over." Fang Ziye said.

Gong Jiahe heard this and looked at Gu Yi: "Gu Yi, look at your Fellow Trainee — what is he saying? Interested in this kind of disease type?"

"What, this kind of disease type where once you're on the stage you don't know if you can get off — you think it's stimulating?" Gong Jiahe's double chin pressed into a crease, as if mocking Fang Ziye.

Actually, it's also for Fang Ziye's good.

Listen to advice, eat your fill; this kind of disease type that everyone avoids — Fang Ziye really has no need to take the risk.

However, Fang Ziye has his own plans in his heart; if it were just for doing surgery, he certainly wouldn't go take the risk!

But this patient's aneurysm has great reference value for his research on interventional treatment of bone tumors.

This is the agreement between him and Nie Mingxian; Fang Ziye also cannot do things like digging a pit and not filling it.

Fang Ziye smiled, about to reply, but the phone rang.

Picked it up to look — it was Professor Qu Tangwei from Internal Medicine.

Before, Fang Ziye had promised the other party to help his relative do a functional reconstruction surgery, arranged for tomorrow.

Estimated the other party is calling to remind again.

Fang Ziye's eyes shifted twice, then he chose to answer: "Professor Qutang."

"Eh, I definitely remember; tomorrow we have no surgery arrangements either — deliberately left open!"

"You've reported it up, right? Then okay, I also told Dean Chen; I've already reviewed the case data, hmm, rest assured..." Fang Ziye replied while feeling that he was becoming more and more like an old fogey.

Everyone looked at his expression — all different.

(Chapter End)