Chapter 587: The Final Attempt

"Senior Brother, Wu Xuanqi also came to the sanatorium — could he be here to deal with you?" At eleven in the evening, Luo Tingzhu tightened her windbreaker as she walked out of the laboratory, her gaze revealing worry.

"That possibility can't be ruled out, but we'll cross that bridge when we come to it. Even if Senior Brother Wu wants to target me, there's nothing he can do." Fang Ziye replied with a smile.

"I heard Wu Xuanqi's techniques are a bit underhanded." Luo Tingzhu's boots creaked against the ground; she tilted her head without regard for direction, nearly stepping into a grass pile by the roadside.

Fang Ziye pulled her back, his words halting as he moved; Fang Ziye interrupted: "Walk properly, don't fall."

Luo Tingzhu glanced toward the roadside, then leaned closer to Fang Ziye: "Senior Brother, I think you'd better be careful."

"Mm, just not ruling out the possibility, but hearing is believing, seeing is believing."

"We can't define a person through rumors; otherwise, your Senior Brother's reputation would have been ruined long ago." Fang Ziye said with a smile.

Others might not know, but Luo Tingzhu had traveled with him all the way here since November; in Yi City where their Eldest Senior Brother was, she had heard some of Fang Ziye's "reputation"!

What noble's "lickspittle", aloof personality...

"How can that be the same? Those are all rumors..." Luo Tingzhu was quite protective of him.

Fang Ziye then said: "Then have you personally seen Wu Xuanqi's ruthless methods?"

Fang Ziye shielded Luo Tingzhu further to the right, "Watch out for cars..."

As a result, that car pulled up right in front of Fang Ziye with its double flashers on, and a person got out from the passenger seat, back to the streetlight, the light too dim to see clearly.

But once the other party spoke, Fang Ziye confirmed his identity — it was Qu Tangwei, who got out laughing: "Professor Fang, I was just about to go find you."

Fang Ziye did not let go of Luo Tingzhu's hand, but calmly asked: "Professor Qu, you haven't rested this late?"

Qu Tangwei glanced at Luo Tingzhu beside Fang Ziye, didn't mind: "Professor Fang, it's like this — Minzu University Hospital has an emergency surgery."

"Just called you, Professor Fang, maybe you were busy and didn't pick up..."

"Emergency surgery? What surgery?" Fang Ziye asked.

This hour couldn't be considered very early.

"Mangled extremity, the patient's family has an extremely strong desire for rescue."

"If Professor Fang is willing to come over, consultation and surgery fees are negotiable."

"And this mangled extremity is a bit special; if it's convenient for you, Professor Fang, could you come take a look?" Qu Tangwei explained.

A middle-aged man also got out from the driver's seat, approached and shook hands with Fang Ziye first, and explained: "Professor Fang, disturbing you this late is really presumptuous; our hospital just admitted an emergency, an old leader of mine called and told me I must find a way..."

"Professor Wu drank again today, the patient is still being rescued on the operating table, unable to travel to Han City for transfer."

"Wondering if Professor Fang finds it convenient?" Ding Meng, around fifty, voice comparatively steady.

Fang Ziye looked at Ding Meng, then at Professor Qu Tangwei, hadn't yet replied when Luo Tingzhu spoke first: "Senior Brother, you go, I'll head back first."

Finished speaking, Luo Tingzhu turned and walked forward on her own initiative, appearing very sensible.

"Alright, Tingzhu, you go first." Fang Ziye nodded.

Professor Qu Tangwei immediately guided Fang Ziye toward the car: "Professor Fang, thank you, really troubling you."

But Fang Ziye didn't move for the moment: "Professor Qu, what identity is this patient? He was injured in Enshi? You seem quite familiar with him?"

Qu Tangwei blinked his left eye rapidly a few times, scratched his head: "Professor Fang, can we get in the car first and talk in detail?"

"If Professor Fang feels it's not good to intervene, I'll send you back; time is rather tight."

Qu Tangwei was very anxious, yet also gave Fang Ziye plenty of face.

Only then did Fang Ziye sit in the back driver's seat together with Qu Tangwei.

After getting in the car, Qu Tangwei briefly introduced the patient's situation, and Fang Ziye's whole demeanor turned bad.

"Professor Qu, are you joking with me?"

"Mangled extremity from lower abdomen to pelvis? This can still be saved?"

"Director Ding, let me out, I'm not going!" Fang Ziye knocked on the car door, saying so.

Fang Ziye can handle mangled extremities, but it depends on the segment — cranial, thoracoabdominal mangled extremities, those aren't Fang Ziye's professional scope, are they?

Ding Meng showed no intention of braking: "Professor Fang, please give face, just go take a look; anyway it won't delay much time."

"If after looking you find it tricky, we'll send you back."

"Please understand the trouble!"

Fang Ziye looked toward Qu Tangwei's direction; Qu Tangwei seemed to mean the same.

Hearing this, Fang Ziye's gaze sank.

Didn't explain much more, just called Dean Chen Song first for insurance's sake, reported his current situation.

Still explaining: "I currently only have practice permits at the sanatorium and Enshi Central Hospital; Minzu University Hospital's practice rights haven't been filed, so?"

"I need to report to Dean Chen."

Fang Ziye forced a smile: "Professor Qu, could you tell me in detail what exactly is special about this patient..."

When things are abnormal there must be a demon; Fang Ziye counted as having done Qu Tangwei a favor before; Qu Tangwei's behavior today was truly abnormal.

Hearing this, Qu Tangwei spoke cautiously:

"The person hit happens to be from the traffic police system; the driver was caught red-handed..."

"Drunk driving?" Fang Ziye asked.

If it were just normal driving and an accident occurred, even if someone was killed, it wouldn't make people spend great cost to labor heart and labor effort.

Normal traffic accidents are very common, but if the injured is a traffic cop, this driver probably has some issues.

"The driver's status is still being determined."

Qu Tangwei also didn't dare define it for now: "But what we doctors need to think about is just trying our best to rescue the injured."

Ding Meng said: "Professor Fang, regarding practice authorization, I already had Medical Affairs people handle it before coming; by the time we arrive, it should be settled!"

"There's precedent for rescuing a mangled extremity at the pelvis before; that was two years ago, under your cooperation with Professor Duan, that the patient's life and function were both rescued." Ding Meng explained with a smile.

Obviously, his memory of this matter was extremely profound.

Fang Ziye also remembered that mangled extremity case; it was the most special mangled extremity Fang Ziye had encountered, and it was that time that Fang Ziye's manual reduction technique was maximally utilized, letting Fang Ziye truly see the true value of the manual reduction technique.

……

The few of them didn't waste any more words.

After Fang Ziye had put on his surgical scrubs and followed Ding Meng to the operating room, the resuscitation was still proceeding urgently.

The current situation was that the active bleeding from the abdominal aorta and inferior vena cava had already been controlled, and they were currently performing venous cutdown and establishing extracorporeal circulation.

The patient's transfusion volume was not small; his current vital signs could be described as stable hypotension, heart rate very fast, as if he would go into shock and die at any moment.

However, the most troublesome issue was not his bleeding, but that from the umbilicus down, everything was a mess; a male patient, his reproductive structures had completely disappeared……

The mangled segments were not neat, as if there were traces of being crushed back and forth.

This was absolutely not merely a simple case of drunk driving……

Either the driver who caused the accident got scared and wanted to crash into him directly to kill him, or he wanted him dead, so he drove the car back over him again.

On the operating table, Fang Ziye also saw an acquaintance — Director Wu Guonan from City Central Hospital; he was methodically performing limited debridement inside the pelvis, not daring to touch the major bone defects at all, only daring to slowly clear away some minced flesh.

There were also some other unfamiliar green-clad figures, carefully debriding around the intestinal tracts and bladder remnants, while striving to repair blood vessels.

After Ding Meng had watched in the room for about forty-odd seconds, he asked quietly, "Professor Fang, how is it?"

"Can this be done?" Although Ding Meng had invited Fang Ziye over, even now he still felt he was putting Fang Ziye in a difficult spot.

But this was an order issued from above; he had to obey!

Moreover, the city leaders, through various connections, had even contacted Professor Qu Tangwei, all hoping Fang Ziye could come and save this patient.

Fang Ziye moved to the reading room, forcibly suppressing his inner bias, and said, "This patient has a burst fracture of the lumbar spinal canal with exposed nerves; even if rescued, he would become a cripple."

"Pelvic comminuted fracture; the bladder, rectum, and a portion of the digestive tract are all in a mangled state; does such a rescue really have meaning?"

"And even if I can reconstruct the pelvis, what about the other areas?" Fang Ziye did not answer the question of whether he could be saved!

A patient like this, even if rescued, would need a colostomy to replace bowel function, and urine would require long-term catheter drainage to survive!

Such a rescue, even if successful afterward, would only amount to a few years of painful survival.

Lower limb walking function need not even be considered; quality of life need not be considered; at most he would retain consciousness and be able to speak clearly.

This was completely different from the mangled extremity cases Fang Ziye had done before.

Ding Meng did not reply.

Fang Ziye continued, "Director Ding, even if I can reconstruct the pelvis, the mangled damage to the other abdominal organs may not be properly manageable."

"I am not a general surgeon, much less a vascular surgeon; how to anastomose the abdominal aorta with the lower limb arteries is a super huge trouble."

"Me scrubbing in has no meaning either."

Enshi's medical resources are still not abundant enough; here, they cannot resolve injuries beyond orthopedics.

Moreover, this patient's postoperative survival state had already exceeded Fang Ziye's bottom line, so Fang Ziye also did not plan to call in reinforcements.

"What about a high-level body amputation?" Ding Meng suggested.

High-level body amputation is one of the surgical procedure choices in medicine; it means choosing to perform a disarticulation surgery from the abdomen!

Fang Ziye replied, "Then that would be a general surgery procedure! I've never been exposed to it."

Specialty treats specialty; Fang Ziye had never studied or considered the direction of high-level body amputation, not a shred of surgical foundation……

During Fang Ziye's standardized training, when rotating through general surgery, he had never even witnessed it.

A legendary procedure; Fang Ziye himself did not dare to lightly undertake it.

After all, news reports cover successful high-level body amputation cases; specifically how many "failed cases" came before, no one has ever carefully tallied.

This kind of cross-specialty risk, Fang Ziye still did not dare to take on.

Fang Ziye watched for a few more minutes, then tilted his head and said, "Director Ding, me staying here really can't help much."

"Given the patient's current condition, if there's no way to promptly perform a semi-detached body amputation, our orthopedic surgery, even if started tomorrow noon, wouldn't be considered late."

"How about I head back first?"

Ding Meng himself was from trauma surgery; even though he felt Fang Ziye's technique was superb, in this kind of complex, thorny situation, he also couldn't say much more.

"Professor Fang, then thank you for making the trip……"

"I'll see you out." Ding Meng turned to follow Fang Ziye.

"No need to trouble yourself, Director Ding; I'll just take a taxi back. The patient's vital signs could fluctuate wildly at any moment; you're better off staying here."

"I'm a local of Enshi; I won't get lost!" Fang Ziye laughed and politely declined, then strode away.

Fang Ziye staying here didn't have much meaning either.

Unless Min Da Hospital could simultaneously think of and get Nie Mingxian, Wu Xuanqi, and his own Fang Ziye's practice license sorted out, and call them to the operating room as well, perhaps there would still be that one thread of hope!

However, Enshi's overall medical emergency rescue level ultimately depends on the average comprehensive quality of Enshi's hospitals improving, not entirely relying on outside hospital consultations for emergency rescue.

Distant water cannot put out a nearby fire!

By Fang Ziye's own understanding of life, most rescues should be implemented as soon as possible, but some rescues are worse than none!

Fang Ziye soon returned to the villa; Luo Tingzhu had already finished washing up and was snoring asleep.

When Fang Ziye climbed onto the bed, Luo Tingzhu finally reacted, but it was only to find a comfortable position and flop down, then fall sound asleep again——

The next day, early morning.

The fatigued Luo Tingzhu still hadn't gotten up by 7:20; Fang Ziye went for a run first, while watching his Knowledge Points Balance rise to fifty thousand once again.

Fang Ziye then decisively added points to the Basic Theory of Infection Surgery, raising it from Level 5 to Level 6……

On the Hand Surgery side, that patient with multifocal osteomyelitis, sinus tracts, and multi-organ infection is still undergoing palliative treatment in the sanatorium.

Originally in January Fang Ziye had planned to add points and rush it, to see if a miracle could appear.

But at that time, Yuan Weihong's matter happened rather suddenly; Fang Ziye felt that for this patient to recover, unless there was a miracle, theory could not change it.

As expected, even though Fang Ziye had added points to the Basic Theory of Infection Science to the terrifying Level 6, he still had no recourse……

The only thing that can be confirmed now is that the bacterial infection has not yet breached the blood-brain barrier, and has not formed meningitis.

Everywhere else has basically been 'visited' by bacteria once over.

Such a patient?

Surgery has already missed the optimal window; trying to reverse it through theory and internal medicine treatment would be a bit much for humans at the current level of medicine.

It must be said, it's very regrettable; Fang Ziye still didn't have a very good solution, but there were a few more adventurous approaches to choose from.

At 7:55, while Fang Ziye was showering and blow-drying his hair, Luo Tingzhu walked out of the room wearing pajamas and stepping in cotton slippers.

Enshi in March still had a chill, and the heating had also stopped, so the pajamas worn were actually thicker than in winter.

"Senior Brother, what time is it?" Luo Tingzhu tilted her head, arranging her hair, her face flushed red; she should be quite embarrassed.

"Eight o'clock. You were tired out yesterday, right?"

"I told you to go to Han City and back today, but you wouldn't listen!" Fang Ziye said with a laugh, mixed with the puff-puff sound of the hair dryer.

Fang Ziye's hair was just that one tuft; a little over a minute and it was all dry. He pulled the plug and said: "Your experiments in the lab haven't been laid out yet, and some instruments haven't arrived either; there's no need to rush."

"Wash up properly, then eat breakfast, and then slowly go over to make preparations for the experiment."

Luo Tingzhu said: "Today is the weekend... Senior Brother, let's go out and buy some things..."

"Good!" Fang Ziye nodded.

After Fang Ziye arrived at the canteen, Professor Qu Tangwei waved to him: "That patient yesterday still passed away in the end; the situation must have been exceptionally tricky, right?"

Fang Ziye nodded: "Professor Qu, not just tricky; it can be said to be a complete mess!"

"I stood in the operating room for over ten minutes too, and felt he probably couldn't survive the first wave of rescue; specialty treatment was useless!"

Emergency rescue: save life first, treat disease after.

Life is gone; no matter how well you reconstruct the pelvis it's of no avail; better to find a good undertaker.

"Then we've done our best too."

Qu Tangwei glanced left and right, then said: "Professor Fang, yesterday Director Ding was on site, so I couldn't explain too much to you."

"This patient, first he's a traffic cop; second, he's the maternal grandson of a big shot in the province. He came to Enshi for gilding."

"So his temper is rather stiff. He probably offended someone, and that maternal grandfather of his?" Qu Tangwei looked left and right again.

"He's my dad's old leader; my dad made the phone call, otherwise I wouldn't have personally invited you, Professor Fang."

"To still be fussing over there so late..."

"However, this layer of connection isn't known by many people. Right now the perpetrator's family is still thinking how to use money to settle it..."

"Now that the person is gone like this, it's estimated things will get lively."

Hearing this, Fang Ziye blinked his eyelids and asked in a low voice: "Offended someone — was it deliberate fines or something?"

"More or less..." Qu Tangwei replied.

Right, a nest of people crashing together; that sure means there's a good show to watch.

But Fang Ziye wasn't thinking about watching a good show at this moment; he had a rather new idea.

This was still thanks to last night, seeing that rescue, combined with the Level 6 Infection Surgery Basic Theory he just added points to this morning!

Although this idea isn't very mature yet, it's still worth exploring!

After parting with Qu Tangwei, Fang Ziye first made a call to summon Nie Mingxian!

Immediately after, Fang Ziye explained a sentence to Wu Xuanqi and Professor Fang Zhikuan, then followed Professor Du Donglin on rounds.

After rounds ended, Nie Mingxian rushed over to the Surgical Diagnosis Area.

Fang Ziye hadn't stood up yet, but Liu Guo from the Hepatobiliary Group stood up first and walked over, lowering his voice: "What are you doing here? If there's something, say it on WeChat?"

It was very obvious that Liu Guo and Nie Mingxian had both been admonished.

In principle, those with spousal or kinship relations are not suitable to work in the same area, precisely to avoid one or both losing their temper due to special feelings.

A couple sulking, affecting normal work, is not good.

"Professor Fang asked me to come; official business!" Nie Mingxian explained, bypassing Liu Guo.

Fang Ziye then said: "Professor Du, Professor Ye, Professor Yao, I've invited Director Nie; let's move to the Demonstration Classroom first."

"Regarding this patient with chronic osteomyelitis and multiple sinus tracts, let's discuss together again."

"If we still can't finalize a plan this time? Then there's no need for us to discuss this patient further."

"Anyway currently, the patient himself and the family have already calmly accepted that outcome!"

Awaiting death!

Fang Ziye suddenly came to the Hand Surgery Group to participate in rounds this morning; Du Donglin suspected Fang Ziye wanted to operate on "that" patient.

At first thought, it felt a bit headache-inducing.

Now, Fang Ziye said it out; Du Donglin still felt a headache, but the stone in his heart finally settled.

"Han Zhiliang, Han Hongquan, you two go over the preoperative examination for that diabetic foot case carefully again, prepare to send it for Tuesday's surgery." Du Donglin gave an instruction and followed Fang Ziye.

Professor Ye Fusheng and Professor Yao Zhanzhong also very consciously stood up.

Several people weren't very familiar with Nie Mingxian; Fang Ziye only gave a brief introduction, then Fang Ziye actively recounted this patient's medical history and current situation.

Said: "This patient was originally chronic osteomyelitis, now developed into bacteremia and toxemia; currently, bilateral upper limbs and multiple organs all show signs of infection."

"Belongs to a specially severe terminal infection."

"Before coming here, he had been transferred through many, many places; all kinds of methods were tried. He's been here nearly three months."

"But current treatment has never had clear progress!"

"I've also been paying attention to this patient; I have a bold but immature idea, want to discuss with all professors."

Nie Mingxian listened quietly; after Fang Ziye finished, he said: "Professor Fang, this patient isn't within my professional range either?"

He's Vascular Surgery, not Infection Internal Medicine and Infection Surgery!

This patient's vascular course is very good; otherwise bacteria couldn't have spread this fast.

"Director Nie, don't rush; let me explain my thinking first."

"It's like this: yesterday I went to observe an emergency consultation rescue, and saw Vascular Surgery's arteriovenous fistula creation."

Fang Ziye considered that Professor Du Donglin and the others were not very familiar with this procedure, so he continued the popular science explanation: "Arteriovenous fistula creation is the use of vascular surgery techniques to artificially establish a short circuit between an artery and a vein, providing a long-term and effective vascular pathway capable of extracorporeal circulation for hemodialysis."

"At the same time, it is also used for aortic rupture damage, for the reconstruction of arteriovenous circulation after emergency hemostatic clamping."

This was Nie Mingxian's specialty: "Hmm, arteriovenous fistula creation, that is temporarily assembling a short arteriovenous circulation! Preparing for hemodialysis, it can filter all the blood in the body once."

"But Professor Fang, with such a simple line of thinking, this patient couldn't possibly have not undergone this operation before, right?"

If dialysis treatment for infection were effective, this patient would have long since recovered and been discharged from any military region hospital.

Fang Ziye said with a smile: "Director Nie, I wonder if you still remember the mechanism of action of the microcirculation instrument?"

Nie Mingxian was stunned upon hearing this, not understanding Fang Ziye's meaning.

Big Brother, this thing was developed by our team in cooperation, and you ask me if I know its significance.

When you divided the money with me, why didn't you mention these things?

Speaking of the patent for the microcirculation instrument, it nominally belongs to Fang Ziye, but actually belongs to Fang Ziye's team; it's just that Fang Ziye is the first patent representative, so it is attributed to the team by default.

According to the "Several Provisions on the Management of Intellectual Property Rights of Research Results of National Scientific Research Plan Projects," except for results of scientific research plan projects involving national security, national interests, and major social public interests, the project undertaking unit may independently enjoy the intellectual property rights of the research results, and in accordance with the law independently decide on the implementation, licensing, transfer, and capital contribution of the intellectual property rights of the research results, while obtaining corresponding benefits.

This benefit, after being obtained, needs to be redistributed; it's just that Nie Mingxian didn't get as much as Fang Ziye.

The microcirculation instrument is a divine artifact for the emergency rescue of amputated limbs in hand surgery; Du Donglin knows quite a lot about it.

Fang Ziye said: "So I have a bold idea."

"Professor Du, the primary site of this patient's chronic osteomyelitis is the bilateral lower limbs; let us tentatively assume that the current source of the pathogen's native ecology is in the bilateral lower limbs, or inside a certain organ!"

"Understanding it this way is a bold conjecture, right?"

"Then the reason it metastasized, is it because all the blood vessel circulations in our body are one integrated whole?"

Du Donglin nodded and replied cautiously: "This is the basic anatomical type of the human body."

Fang Ziye continued: "Then what if we separate them?"

"Do we, have an opportunity, to clear away the pathogens or infections in other parts?"

"Amputation?" Du Donglin asked.

"That won't work either, right?"

"Given the patient's current condition, even amputation is already too late."

Amputation for the treatment of severe osteomyelitis is a mature surgical and treatment approach in orthopedics.

"No no no, not amputation. My meaning is, based on arteriovenous fistula creation, to rebuild five, or even six, sets of multi-center microcirculation systems in the human body."

"The difference between traditional arteriovenous fistula creation and the microcirculation instrument lies in the fact that it lacks an independent blood motive force; it still relies on the heart's pumping."

"The microcirculation instrument, on the other hand, has an exogenous pumping system."

"In this way, can we not separate the blood supply systems of the two hands, the two lower limbs, and the inside of the human body individually?"

"Lacking the venous return of the two upper limbs, the intracranial arteriovenous system return is naturally unobstructed."

"Fistula creation between the aorta and the inferior vena cava is one of the very mature vascular surgery procedures."

"We break through at points, divide the whole into parts."

"If there is hope to clear the infections inside the two upper limbs and abdominal organs, then even if both lower limbs are amputated, it would be much better than the current outcome."

"I believe this is also the final attempt."

"After losing the infection sinus tracts of the two lower limbs, the mutation capability of the pathogens in the body may not necessarily be that strong! We can rapidly position sensitive bacteria, find sensitive antibiotics, and achieve relatively good results in a short time!"

This is a very good line of thinking.

However, the microcirculation instrument's limb preservation time is relatively limited, isn't it?

However, before Du Donglin and the others had even raised this question, Nie Mingxian spoke up first: "This is a good method, divide the whole into parts!"

"Professor Du, actually there's no need to worry about the microcirculation instrument's working time. Since we can establish an arteriovenous fistula, we can also establish a dialysis-model arteriovenous short circuit between the aorta and the lower limb arteries."

"This would make the blood inside several circulations each independently form a whole."

"Whichever place's blood sample calms down first proves that the infection there is the mildest."

"This patient already has multiple organ infections, but can still be supported to survive for several months by the dialysis machine, which proves that bacteria have not yet massively settled and localized in the organs, or even produced cavity-type erosion!"

"Divide the whole into parts, this thinking is indeed a bit bold! But I think it's feasible; anyway, a dead horse is treated as a living horse doctor."

"If the patient and family agree, we do it; if they don't agree, forget it. We've only wasted less than an hour of time!" Nie Mingxian is also not a very humble person.

If capable, do it; if can go up, go up!

This kind of good thinking, he supports!

"Then I'll go report to Group Leader Zheng and Dean Chen of the surgical group later. If they all agree, we'll go talk to the patient. This is a brand new line of thinking!" Du Donglin started putting away his notebook.

He also wanted to immediately set about doing this thing.

……

In the courtyard outside the clinical area and outpatient area, Nie Mingxian looked at Fang Ziye strangely: "How did you come up with this weirdo line of thinking?"

"Mainly relying on broadening my horizons." Fang Ziye didn't hide it either.

He straightforwardly recounted everything he encountered yesterday, and then said: "Since the survival of high-level limb amputation surgery all possesses feasibility, then the worst result of dividing the whole into parts is nothing more than high-level limb amputation surgery!"

"This patient is completely different from that emergency patient yesterday; many of his motor functions are good, including both lower limbs."

"The abdominal organs, cardiopulmonary function, currently have not yet reached the stage of extreme debilitation; recovery is possible."

"So, this kind of thinking, he can also use it!"

Nie Mingxian opened his mouth: "You ran over to look at an emergency case, didn't rescue him successfully, but instead applied the feasible treatment thinking for this patient onto another dying patient."

"This thinking logic is too strong, right?"

"These two people?"

"Could it be a kind of heavenly Dao cycle in the dark?" Nie Mingxian shook his head and walked away.

He didn't wait for an answer, because waiting for an answer has no meaning.

Surgical quantity only guarantees the lower limit of your surgical quality; what raises the upper limit of surgical quality is always cognition.

Go learn the content of other specialties, the content of other disciplines, even the content of other majors — all may produce a massive chemical reaction with medicine……

(Chapter End)