Prev
Ch. 572 / 88165%
Next

Chapter 572: Perfect Surgery

~26 min read 5,019 words

Fang Ziye's mind was completely focused on the surgery, and he had no time to look at Qiao Yongjian's expression; the other assisting professors were the same.

Seeing Fang Ziye's near-perfect demonstration of the bone position after the post-osteotomy rotation, Professor Gong Jiahe and Professor Fang Zhikuan hurriedly took the opportunity to act.

After the manual correction ends in an osteotomy correction surgery, the surgical progress requires timely temporary fixation; otherwise, the previous manual correction will have been in vain.

This operation is not complex; it is similar to the temporary fixation after fracture closed reduction in trauma surgery, only the difficulty and angle need to be mastered with greater precision.

"Move the Kirschner wire entry point down a bit more, tilt the angle to sixty to seventy degrees! Control the crossing angle at around 30 degrees." Fang Ziye's voice was calm as he output the instructions, striving to control the various emotions in his heart!

Calmness becoming increasingly mature: the first step is learning to be calm, then making a habit of calmness, and only then can one achieve complete composure.

Attempting to treat superiors and seniors as not-superiors in certain specific occasions for the purpose of tempering oneself is a necessary path.

With the surgery having progressed to this point, Professor Fang Zhikuan naturally had no objection.

Professor Fang Zhikuan strenuously compared the direction, then locked down control of the angle, aiming the tail end of the large Kirschner wire toward Gu Yi's direction: "Drill!"

Team collaboration is like cultivation practice: the spirit is in the heart, the technique in the brain, the action in the limbs.

Fang Ziye was responsible for the overall key operations and overall control of the surgery; Professor Fang Zhikuan's capability was very strong, his individual technique top-tier, able to control the technical core of a single skill.

The heavy lifting — any intern can be called over to do it.

"Buzz buzz buzz……"

The overlapping engine roar rang out continuously; two Kirschner wires for temporary fixation were quickly installed, forming a triangular temporary fixation!

Professor Fang Zhikuan removed the forceps gripping the Kirschner wires, carefully shifting aside to yield the position to Fang Ziye.

"The femoral medial condyle plane is now parallel to the patient's transverse plane; the tiger-mouth-shaped bone defect has already been exposed."

"This wide V-shaped bone defect isn't very long, Professor Gong, trouble you to prepare the iliac bone graft donor; I'll come over to shape it in a moment."

"Give me the oscillating saw; I'll reshape the femoral joint surface." Fang Ziye calmly assigned each person their respective tasks.

Then he looked toward Professor Qiao Yongjian.

Gong Jiahe had invited the man over; he couldn't completely leave him out in the cold — to some extent, he had to give the other party a sense of participation.

Qiao Yongjian came back to his senses, collected his shocked gaze, took a deep breath, and then began to measure and evaluate the femoral medial and lateral margins, anterior and posterior surfaces from a highly professional angle!

"Professor Fang, don't rush to grind the femoral proximal side yet; let me measure first."

"Level ruler." Qiao Yongjian integrated into the role extremely quickly, while also needing to verify some thoughts in his heart.

It is privately rumored that Joint Surgery is the 'Orthopedic Aristocrat', and there is reason for it.

If Trauma Surgery is doing wreckage reduction, then Joint Surgery is renovating an interior; one must strictly control all angles and data of joint replacement to guarantee the patient has a better functional experience postoperatively.

Complex knee deformity reconstruction plus joint replacement — especially so!

After the osteotomy correction is completed, one must first precisely grind all angles and dimensions.

The level ruler is a horizontal reference object, and also a measuring instrument.

Professor Qiao Yongjian held it in his hand, gestured a few times, then nodded at Fang Ziye: "Professor Fang, the angles after temporary fixation are all very good, however, Kirschner wire temporary fixation is not conducive to subsequent operations!"

"We need to install the femoral segment of the extended-stem hinged knee first to achieve thorough fixation; only then will the position of the proximal femur and distal segment not displace."

"The difficulty of this surgery lies in the severe femoral platform collapse deformity, and there is no corresponding femoral joint surface formula to assist!"

"And intraoperatively, the planar data after our osteotomy correction cannot be accurately predicted preoperatively, so we cannot match the prosthesis based on the actual situation, but must match the osteotomy bone surface depth through the prosthesis."

"And the formula matching the prosthesis cannot be used either!" Qiao Yongjian slowly explained the operational flow of the next step.

Joint replacement surgery difficulty is not small, but with good instrument assistance, it mainly treats late-stage knee osteoarthritis.

But this patient's femoral and tibial joint surfaces are already completely flexed and fused; under such circumstances, the operational difficulty will be magnified at least several times.

The so-called "formula" is an abbreviation for a type of auxiliary operating instrument!

For example, in intramedullary nail internal fixation, after the intramedullary nail is inserted into the medullary cavity, there are specific auxiliary instruments that allow you to operate blindly yet still drive the screws precisely and accurately into the screw channels.

This is a precisely pre-designed formula, a simplification of the surgical process.

If this thing cannot be applied intraoperatively, the surgical difficulty and the demands on the lead surgeon's skill will climb more than tenfold.

"Mm, I know; shape the femur first!"

"Give me a medium prosthesis; I'll first assess the osteotomy depth and angle!" Fang Ziye said, taking a deep breath.

With formula assistance, whatever size prosthesis is needed, apply the formula, cut the femoral surface and install it.

Only need to assess the mechanical axis structure.

If this surgery were really this simple, Enshi Central Hospital's Joint Surgery would have just done it directly; why send it to the sanatorium?

Failing that, the top joint surgery experts in Jishuitan or Huashan Hospital would have done the surgery twenty years ago.

Qiao Yongjian put down the ruler, head down, murmuring: "This kind of osteotomy, the difficulty is extremely high; this kind of femoral surface collapse deformity? Operation is extremely complex."

"Simple collapse deformity is already very high difficulty; I need to calm down properly."

Qiao Yongjian held the oscillating saw, gripping it hard, carefully finding the hand feel.

The oscillating saw's swing amplitude within the formula is limited; without formula fixation assistance, its mobility will intensify.

This kind of osteotomy is not renovation; there is no chance to tear down and redo; it must succeed in one go; the requirements for the osteotomy technique are extremely high.

With the surgery having progressed to this step, Qiao Yongjian felt that even if he didn't want to operate, he would have to force himself onto the stage.

As for matching data with the prosthesis and so on, Qiao Yongjian temporarily hadn't considered them yet, because he had other methods to fill some gaps.

While Qiao Yongjian was still hesitating, Fang Ziye's voice pierced over: "Professor Qiao, give me the oscillating saw!"

Qiao Yongjian abruptly raised his head, pupils constricting darkly by roughly a millimeter: "You…"

"I'll do the osteotomy!" Fang Ziye nodded very affirmatively at Qiao Yongjian, tone resolute.

This occasion is by no means a place for jokes, nor is it a time to yield the position.

This step of the operation is also not a mealtime where there's no meat and congee works too.

After Fang Ziye finished speaking, he reached to take the oscillating saw from Qiao Yongjian's hand; he used force but didn't grab it away; Qiao Yongjian's two hands forcefully gripped the oscillating saw in his hands.

Gaze like a torch!

Fang Ziye didn't blame Qiao Yongjian either, but smiled and said: "Professor Qiao, give me the oscillating saw; I can do it!"

Qiao Yongjian only then slowly released his hand, his eyebrows beginning to relax, his eyeballs starting to turn rapidly and uneasily.

Professor Gong Jiahe was dispatched to perform the ilium bone grafting surgery, while Professor Fang Zhikuan stood at Fang Ziye's side; after seeing Professor Qiao Yongjian's facial expression clearly, he reached out to block the wound.

"Professor Qiao, if you have something to say, feel free to speak directly; our surgery isn't short on this bit of time." Fang Zhikuan said.

He covered the wound with his hand; if Fang Ziye wanted to perform the osteotomy directly, his hand would have to go in as well.

This was just for an extra layer of insurance.

Osteotomy correction surgery is to give patients a higher quality of life, not an emergency life-saving surgery; Fang Zhikuan knew this in his heart like a clear mirror.

Qiao Yongjian looked at Fang Ziye, wanting to speak but stopping short.

Seeing this, Fang Ziye could only sigh lightly; this matter was strange — he had not communicated with Professor Qiao Yongjian in advance, so the other party also did not know his true strength.

Because in Fang Ziye's plan, there was never any arrangement for Qiao Yongjian to help, so he turned around and walked toward the instrument table.

After rummaging for a bit, he found a pre-operative 3D-printed bone cement simulation model of the patient's femoral and tibial surfaces.

Fang Ziye unhesitatingly cut through the middle of it and began performing oscillating saw cuts on the model!

Qiao Yongjian quickly moved to Fang Ziye's side, clamping a vise onto the printed model to secure and fix it.

He did not rush to open his mouth and explain his inner worries, because he knew what Fang Ziye wanted to do, and Fang Ziye had also already understood his meaning.

Fang Ziye's oscillating cut speed was not fast, and this was a prosthesis, not human bone, so during the cutting process, it was abnormally solid.

The difficulty was even a few points higher than operating on bone.

This also would not cause any burden or harm to the patient's body.

After roughly four minutes, Fang Ziye said: "Bring the prosthesis over to try."

Professor Fang Zhikuan had long since brought over the femoral component of the prosthesis.

Fang Ziye directly opened the femoral medullary cavity hollow, then fitted the joint surface like this; in an instant, the osteotomy surface and the prosthesis's internal concavity almost completely coincided.

Even the residual gaps could be filled and fixed with bone cement!

Qiao Yongjian watched, swaying his head left and right for a few seconds, then cleared his throat with a couple of "hmms," regulated his disordered breathing, lowered his voice and said: "Didn't expect Professor Fang's understanding of osteotomy to have such depth."

"It was me who overthought it!"

Fang Ziye said: "Professor Qiao, last night I was summoned by Dean Chen, so I couldn't find the time to communicate more with you in advance."

"In the future we can communicate more, learn from each other."

Qiao Yongjian's eyebrows tightened: "Professor Fang, it is I who should learn more from you."

Finished speaking, Qiao Yongjian picked up the bone spur model Fang Ziye had cut off, held it in his palm examining it left and right, and said slowly with deep meaning: "Professor Fang, indeed it is I who should seek your advice more!"

His speech was very slow, but every word carried weight.

The surgery once again began, and the atmosphere in the operating room started to become strange.

The anesthesiologist no longer sat steadily on the fishing terrace; the circulating nurse also found a suitable corner to watch from, her gaze lingering between Professor Fang Ziye and Professor Qiao Yongjian.

Everyone knew in their hearts!

Qiao Yongjian wasn't brain-damaged; he didn't shout loudly, nor did he make any sounds different from the team; he merely used the most polite, most tactful way to express his "protest" against Fang Ziye!

Such a choice was the result of deep consideration.

Precisely because of this deeply considered protest, which ultimately changed his tune, it made everyone else's hearts curious once again about what exactly the two had communicated.

Surgery continues!

Qiao Yongjian no longer acted sneakily; he actively took over Professor Gong Jiahe's previous position, squeezing Deputy Chief Physician Qu Shuyuan to the back.

Professor Fang Zhikuan then smiled amiably again and said: "Professor Fang, excuse me."

"It's all for surgical quality! In the future we still need to strengthen communication." Fang Ziye smiled lightly, then very easily completed the osteotomy!

The hardness of the osteophyte was far less than the printed prosthesis; even the cortical bone was very easily flipped up by Fang Ziye.

During this process, there were no unexpected changes, except for Professor Qiao Yongjian occasionally sucking in a cold breath, trying hard to control his emotions, yet unable to stop the "hmms" of clearing his throat.

After Fang Ziye finished operating, Professor Qiao Yongjian seemed even more eager than Fang Ziye to know the result, and said: "Opening the medullary cavity can use a formula, and the formula must be used to ream the medulla."

Qiao Yongjian feared the circulating nurse was unfamiliar with joint surgery instruments; he personally went over and brought the set of tools for opening and reaming, and quickly performed the femoral gap opening and reaming directly!

Then, he eagerly turned around: "Professor Fang, give me the prosthesis!"

Fang Zhikuan didn't quite understand Qiao Yongjian's behavior at this moment; he could only guess.

But he also knew that at this moment a certain valve in Qiao Yongjian's mind had definitely been opened by Fang Ziye's operation, so he could no longer suppress his emotions.

This might not be as excited as a mathematician who just happened to encounter someone who proved the Riemann Hypothesis, but the nature is similar.

Qiao Yongjian received the prosthesis and carefully inserted the femoral stem into it.

Then he began assessing the fit between the femoral surface and the prosthesis's concave surface on his own!

Qiao Yongjian was sharp, active, proactive; he looked a bit like a professional "surgery maniac."

At the same time, he was very cautious, very by-the-book.

After actively removing the prosthesis, he restored the surgical wound to its original state with a simple, honest smile.

He turned sideways, nodded, eyes flashing with brilliance: "We can start the tibial side osteotomy now."

"The tibial side osteotomy can have a slightly smaller curvature."

"The tibial plateau's deformity surface will be much better than the femoral side; we only need to osteotomize the medial portion, then lift the medial surface a bit of curvature!"

"Then, utilizing the fixation tension between the tibial prosthesis surface and the tibial stem, fully fix the osteotomy surface." Qiao Yongjian actively laid out the surgical plan before everyone.

Different trades are like different mountains.

Everyone knows the general idea and steps of joint replacement surgery, but to focus on details and the purpose of each step, those who haven't delved deep definitely won't understand as deeply as Qiao Yongjian.

Professor Fang Zhikuan did not comment, but was pondering Qiao Yongjian's words while simultaneously assessing this surgery's difficulty more three-dimensionally!

At the start, this patient was planned to be admitted by him and Gong Jiahe together; they thought that through knee replacement, plus nerve and tendon transplantation surgery, the problem could be solved.

But it was very obvious that Professor Fang Zhikuan had been a bit too optimistic.

If this time it really were him and Gong Jiahe, together with Hand Surgery's Professor Du Donglin, plus asking Qiao Yongjian and a few others to staff a surgery, then the result would absolutely make them "get a huge shock"!

It's not that the surgery was a complete failure and of no benefit to the patient; it's just that the surgical results will differ greatly from their expectations.

The surgery continues!

Fang Ziye continued to lead the team forward steadily.

After completing the hinged knee joint replacement, he added a titanium mesh fixation surgery for bone grafting surgery.

The bone tissue processing for this joint deformity correction surgery was briefly concluded.

Of course, this was not the end of the surgery; more difficult tasks lay ahead, such as how to untangle the contracted muscles and how to properly bury the displaced nerves and blood vessels—both were major and meticulous projects.

Although these operations were quite difficult, after seeing Fang Ziye's superb basic skills, everyone regained more confidence.

In cases of extreme muscle contraction, conventional release surgeries and muscle and tendon lengthening procedures in professional fields had no reference value at all.

One could only borrow local ideas and operational modes; everything else required independent innovation, rearranging according to actual conditions through solid basic skills, varying from person to person!

Don't think routines are bad; mature surgical techniques are actually routines.

Having routines and templates is good, as it can improve surgical quality, whereas autonomous original quality is hard to control, requiring extreme meticulousness and precision, and may not even reach the conventional standards that routines can achieve!

However, when there is no routine to follow, solving problems through basic skills is the breakthrough of the difficulty, and also a visual feast.

Fortunately, the muscle layers of the lower limbs were not too many, and the muscles were broad, so during surgery, materials could be sourced locally, with cutting and autologous transplantation being quite sufficient.

But this surgery, expected to end in only six hours, dragged from 9:20 AM until 9:58 PM before declaring the surgery over...

When stepping down, Fang Ziye felt that the lactic acid buildup in his hands was even more sorely satisfying than after his first functional reconstruction surgery following a mangled extremity procedure!

However, because Fang Ziye exercised regularly and had been tempered during his Chief Resident period, he did not experience the hand cramping like that time.

It's just that after finishing the surgery, when Fang Ziye took off his clothes, his fingers jumped a bit!

Seeing this, Circulating Big Brother hurried forward to help: "Professor Fang, you've worked hard."

"Everyone has worked hard!" Fang Ziye said while taking off his sterile surgical gown, then hurriedly began pressing his palms together to stretch his finger joints and metacarpophalangeal joints.

At the same time, Professor Gong Jiahe's gaze was somewhat dejected: "Professor Fang, I'm sorry, there were some omissions in our preoperative assessment of the condition; we were not rigorous enough."

"This caused the surgery time to double!" Professor Gong Jiahe's tone was full of apology, looking at Fang Ziye stretching on the spot, he couldn't help but feel some heartache.

Fang Ziye was the Group Leader, but now that he was off the operating table, he was just a child around thirty years old.

Professor Yan Huanan said nothing, his gaze merely wandering between Fang Ziye and Qiao Yongjian.

The main error in this prediction was underestimating the difficulty of osteotomy correction surgery and the difficulty of implanting the knee joint prosthesis.

They were well aware of the muscle contraction deformity.

But even so, the surgery was finally completed successfully!

"Let's leave it like this for now; there will be a second surgery later, but this time, I think the patient can start functional rehabilitation as soon as possible after surgery, and it's best to avoid muscle adhesions."

"During the second surgery, we hope to only need nerve and partial tendon transplants, and absolutely no more muscle release surgeries." Fang Ziye sighed.

Release surgery sounds simple; even Resident Physicians can do it, but such a simple technique actually becomes harder to operate and takes longer.

"The results of this surgery are still worth looking forward to. Right, Professor Qiao?" Fang Ziye took the initiative to chat with Professor Qiao Yongjian.

Qiao Yongjian was arranging his cap and the curved hook of his eyebrow; hearing this, he quickly put his hand down: "Um... Professor, Professor Fang."

Taking a deep breath, he sighed emotionally: "I didn't expect Professor Fang to have such profound attainments in joint surgery!"

"If Professor Fang hadn't been here today, this surgery would have been a hassle for us."

After saying this, Qiao Yongjian still felt it wasn't quite right: "The patients coming from Professor Hu are indeed not simple!"

"I was still thinking?" Qiao Yongjian's tone was somewhat desolate.

Fang Ziye's gaze was slightly subtle, and he narrowed his eyes.

There were not many professors surnamed Hu; Fang Ziye was currently more familiar with the seniors in hand surgery and trauma surgery.

Fang Zhikuan had been in the industry for many years, so he smiled and explained: "The Professor Hu mentioned by Professor Qiao was formerly the Director of Orthopedics and Director of Joint Surgery at Xiangya Hospital, and was recruited by Zhejiang University First Affiliated Hospital a few years ago."

"He is currently the Vice Chairman of the Joint Surgery Group of the Orthopedics Branch of the Chinese Medical Association."

Hearing this, Fang Ziye nodded quickly; this was a top expert in joint surgery, a giant-level existence comparable to Professors Zhang Ying and Hou Cheng'an in trauma surgery.

Fang Ziye said modestly: "The joint deformities that Professor Hu dares not easily operate on are indeed difficult to handle; perhaps Professor Hu's team didn't have so many professors to cooperate."

This is a fact!

In the country, currently, no hospital can do what is happening now: four Chief Physicians and three Deputy Chief Physicians on the same stage.

Including Peking Union Medical College Hospital, including West China Hospital, no hospital has such abundant resources.

This is the advantage of the Yangyuan: abundant talent, stacked talent.

Qiao Yongjian withdrew his thoughts, his gaze wandering on Fang Ziye, and asked cautiously: "Professor Fang, when did you start getting involved in joint surgery?"

"If I remember correctly, you just turned twenty-nine this year, and will be thirty next year!"

Under thirty, spanning hand surgery, trauma surgery, and joint surgery, each so proficient?

This is a bit too unreasonable!

Fang Ziye decisively shook his head: "Professor Qiao, you might be overthinking; I have not received formal training in joint surgery."

"Different subspecialties of orthopedics seem different, but are actually of the same root and source; trauma is the foundation of all orthopedics. I just learned some knowledge of joint surgery through osteotomy correction surgery; I can't claim to be proficient."

Actually, Fang Ziye had not received professional training in hand surgery either; it's just that he could add points...

The only one he truly understood thoroughly and went through the full process was trauma surgery.

"If your internal skill is good, you can travel the world; if your basic skills are good, you can cross subspecialties. Professor Hu of Xiangya Hospital is like that."

"From joint surgery to sports medicine, and then to the entire orthopedics, he can handle them all with ease." Qiao Yongjian praised like this.

Hearing this, Fang Ziye's eyes lit up; while walking out of the operating room, he asked: "Professor Hu spans multiple subspecialties?"

Hearing Qiao Yongjian's tone, this Professor Hu's spanning was not the same as Professor Lin Peng's!

"I've only heard about it; specifically, I haven't been in close contact for long!"

"When I was working in joint surgery, Professor Hu was already a big shot in the province!"

Qiao Yongjian sighed, then changed the topic: "Professor Fang, would you like to go eat a late-night snack together? I'm still a bit hungry."

After saying that, Qiao Yongjian patted his belly, looking a bit simple and honest.

Fang Ziye could hear that Qiao Yongjian actually felt very regretful in his heart.

Crossing from Joint Surgery to Spine Surgery was not his intention; it was only out of helplessness that he made such a big detour.

"I can, Professor Gong, Professor Fang, and Professor Yan together?!"

"It just so happens we've all arrived at this point and met, then let's go together! Rest, rest." Gong Jiahe replied.

……

The group left the sanatorium just like that, then departed in two cars.

Qiao Yongjian did not ride in Fang Ziye's car; Fang Zhikuan and Professor Gong Jiahe both sat in the back row at the same time.

After Professor Fang Zhikuan asked about Gong Jiahe's decision, he sighed: "Professor Gong, with you leaving like this, our sub-group is going to lose a big chunk."

Although Fang Zhikuan only specializes in technique, that does not mean he does not recognize Gong Jiahe's skill — this Gong Jiahe who excels at interpersonal relations.

Although he is a bit better than Gong Jiahe, he still cannot surpass the hierarchical level.

Having worked together for a long time, there is naturally reluctance to part.

Gong Jiahe sighed: "People have sorrows and joys, partings and reunions; the moon has cloudy and clear phases, waning and waxing — this matter has been hard to perfect since ancient times."

"Professor Fang, Professor Fang, there will definitely be opportunities to gather again in the future."

"Even if time passes and we are in different places, it cannot erase that we once knew each other."

"Actually I feel this Professor Qiao Yongjian has a very sharp personality, and his surgeries are also done extremely well; if Professor Fang can rope him over?!"

"Perhaps our Trauma Surgery Group's strength would advance another step!"

Gong Jiahe's departure was already a done deal, but he still had feelings for the Trauma Surgery Group.

"Can you still poach people from other internal groups?" Fang Ziye clicked his tongue in wonder and asked.

Professor Fang Zhikuan said: "Naturally you can; the sanatorium's internal structural setup is very rigorous, yet also very relaxed."

"Following personal wishes, if someone is willing to cross groups, as long as the receiving group's Group Leader is willing, the individual submits an application, and it will certainly be approved."

"Interest and hobbies can give birth to the most surging source of motivation."

"It's just that this kind of thing is very difficult, and not everyone has the opportunity to cross groups!"

When Fang Zhikuan spoke to this point, his brows furrowed slightly, then he continued: "But this Professor Qiao is not ordinary, ah?"

"Crossing groups among the several sub-specialties within Orthopedics, the scope wouldn't be too exaggerated!"

"From Joint Surgery Group to Spine Surgery, and still able to handle it with ease — this talent won't be bad."

"Just don't know what Professor Qiao Yongjian experienced before to have crossed hospitals, and also crossed departments."

Where there are people, there is jianghu. Professor Fang Zhikuan did not speculate deeply.

Although Fang Zhikuan and Gong Jiahe urged Fang Ziye to poach someone, Fang Ziye did not listen to the two's advice.

At the late-night snack stall, Fang Ziye only talked shop, only talked romance, only listened to these professors discuss some local customs and sentiments; not a single word of other talk was leaked.

……

After getting out of the car, Professor Fang Zhikuan and Professor Gong Jiahe both felt extremely regretful: "Professor Fang, didn't we tell you before we went, to mention a word to Professor Qiao during the meal?"

"How come you still let Professor Yan send him back?"

The three passed by the villa area's doorway; the security guard Big Brother greeted the three politely.

Several people turned back to respond at the same time; Fang Ziye did not give them cigarettes today, but replied: "A forcibly twisted melon isn't sweet; mutual willingness is what's good."

"If I actively bring it up, then later it wouldn't be easy to explain to Professor Kuang Leyou; if Professor Qiao himself really wants to develop in Joint Surgery, he naturally has a bottom line in his heart."

Fang Ziye said calmly.

Qiao Yongjian struggled for a long time before reaching the position of Spine Surgery Professor; now he suddenly pulls the other back to Orthopedics?

What if the other still doesn't mix well, then blame you Fang Ziye what to do?

Fang Ziye can't be bothered to actively help Qiao Yongjian build personal ability and jianghu status; what identity does he have?

Fang Zhikuan looked at Professor Gong Jiahe, narrowed his eyes and said: "Professor Gong, we should have made it clear to Professor Fang in advance."

"This Professor Qiao definitely has some intention of transferring to the Orthopedics Group!"

"Before, the Spine Group was Spine merged with Orthopedics Group; starting this month, after our Hand Surgery and Trauma Surgery established the new Orthopedics Group, Spine Surgery became purely Spine Surgery."

"Professor Fang may still not understand."

"I myself was also negligent."

Hearing this, Gong Jiahe patted his head: "I also forgot for a moment, but there will definitely be opportunities in the future."

After bidding farewell to the two 'old treasures', Fang Ziye returned to his own courtyard, entered the room, then directly put down his mobile phone, put on pajamas and lay flat.

As flat as could be, didn't want to move at all.

Even when he heard Luo Tingzhu's video call invitation, he didn't budge an inch, just resting so leisurely!

He hadn't been this tired in a very long time.

Because today's surgery was unfamiliar, had no routine, so the operational difficulty was greater, and the key points needing attention were more.

The dual consumption of spirit and physical strength made Fang Ziye have to rest quietly for a while.

Roughly after five minutes, Fang Ziye called Luo Tingzhu back.

"Just back, you haven't rested yet? It's already twelve o'clock." Fang Ziye asked.

Luo Tingzhu was already lying in the quilt, turning sideways turning on the light; under the light, her pink fluffy pink rabbit hat's big ears drooped, just covering her own ears.

Then leaning over, Luo Tingzhu said: "I was waiting for Senior Brother you to return the video call; anyway now I only need to prepare for the thesis defense……"

"You've also learned some bad habits, now not honest, want to check up on me but unwilling to say it directly." Fang Ziye still lay flat, turned sideways, right elbow propping, whole person extremely comfortably directly piercing through Luo Tingzhu's thoughts.

Luo Tingzhu's mouth corner curved into an arc, acting coquettish without saying the direct intent, soft voice especially tickling the ear: "I just missed Senior Brother……"

(Chapter End)

◈

End of Chapter

Prev
Ch. 572 / 88165%
Next
Prev
Ch. 572 / 88165%
Next