Chapter 616

Diabetic foot is not an unfamiliar term, but a very common diagnosis; whether they are diabetic "sugar friends" or family members of sugar friends, they have all heard of it!

This is not a high-end diagnosis, nor is it a remote "difficult and complicated disease"!

If medical professionals don't know diabetic foot, then they don't even count as having entered the field of medicine.

As a Vascular Surgery professor, Li Yongjun also knows that diabetic foot is one of the end-stage complications of diabetes.

It is very common, very ordinary, not a special case!

But by the same token, it is also very difficult.

If one or two doctors can't handle diabetic foot, leading to amputation, that is individual incompetence; but if there are over a hundred thousand diabetic foot amputations nationwide every year, then it cannot be said that all practitioners are incompetent.

End-stage diabetic foot?

By definition, it falls into the category requiring amputation.

After introducing Professor Li Yongjun, Fang Ziye went directly on stage, and Du Donglin, as the Hand Surgery Group Leader, could not pretend not to see.

Instead, he came over first to meet Li Yongjun again: "Professor Li, hello, I am Du Donglin, from Yucheng Military Medical University; Professor Li can call me Donglin."

Li Yongjun also extended his right hand and shook hands with Du Donglin, and expressed his stance: "Professor Du is too polite; I'm here to observe the surgery, will I disturb your surgical progress? You can ignore me, I will absolutely abide by the operating room rules."

Du Donglin laughed: "No problem, Professor Li; I and the others are all in the learning stage, one more surgery or one less surgery doesn't affect learning progress."

"Currently, end-stage diabetic foot still mainly relies on Professor Fang for limb-salvage surgery." Du Donglin explained.

Upon hearing this, Li Yongjun's brow flashed.

Generally speaking, as a Chief Physician, one wouldn't be especially polite; if one truly had the ability, one wouldn't be excessively modest either. After all, they've all reached Chief Physician level.

Similarly, except for a very few Chief Physicians who like to put on airs, most people become increasingly modest and cautious, knowing the depth of the world, knowing the difficulty of disease types, knowing leading a group is not easy, knowing there are many challenges.

"Professor Li respects Professor Fang so much? Isn't Fang Ziye only an Associate Professor?" Li Yongjun asked directly.

His understanding of Fang Ziye was somewhat there, but definitely not as detailed and deep as Du Donglin, who had watched on-site and interacted with Fang Ziye so much.

"Professor Li is joking; Director Fang is our Hand Surgery Group's leading Group Leader, although he is only an Associate Professor and Deputy Chief Physician?"

"But Professor Fang's ability is even more seasoned than us old guys!"

"Speaking of it, although Professor Fang is only a Deputy Chief Physician, in our hearts, those who hear the Dao come at different times; Director Fang's technique is still top-tier." Du Donglin sincerely gave a thumbs up.

Everyone had doubted, but Fang Ziye didn't babble much either, directly placing the functional reconstruction technique he developed before them; what could you say?

Fang Ziye has already grown up, with technique in hand, grades outside, reputation in the industry, and temperament on him.

Du Donglin has experienced such a stage, therefore he understands Professor Li Yongjun's mood even more at this moment: "Perhaps Professor Li, you are Vascular Surgery, so you may not know; in our Orthopedics, Professor Fang has a bit of an all-capable, all-knowing, all-top-notch meaning."

Du Donglin's voice was not exaggerated, just like chatting about family matters.

The more such a tone, the more credible; no need to put any more high hats on Fang Ziye, it's just fact, just chatting about family matters.

"Professor Du, what is the current staging of this diabetic foot?" Upon hearing this, Li Yongjun turned the topic back to professional content.

Li Yongjun is not Endocrinology, so his understanding depth of blood sugar regulation and diabetic medication may be insufficient, but since he decided to do diabetic foot surgery, he had specifically researched the staging definition:

"The clinically commonly used diabetic foot grading currently is the Wagner grading, a systematic grading used to assess the severity of diabetic foot ulcers and lesions, which can be divided into 5 grades."

"Grade 0 is only signs."

"Wagner Grade 1 is superficial epidermal ulceration of the foot!"

"Wagner Grade 2 is deep ulcer or the disease begins to spread to soft tissue, but does not involve bone or joint;"

"Grade 3 deep ulcer accompanied by muscle, tendon, or joint involvement, but no obvious abscess; Wagner Grade 4 severe abscess, abscess spread, or necrosis, usually requiring surgical treatment. Grade 5 is foot necrosis."

After Du Donglin finished popularizing the grading, he said: "Currently, those requiring surgical intervention are commonly Grade 3 and Grade 4."

"Surgical intervention for Grade 5 has little effect; it is an end-stage choice of sacrificing the tail to survive."

"Currently, there is still no successful limb-salvage treatment for Grade 5 staging in the industry; otherwise, this Grade 5 might be categorized into Grade 4."

Wagner Grade 5 is a conceptual staging; those already necrotic, requiring amputation, are called Grade 5.

This is industry consensus, and also the current guideline for treating diabetic foot; the guideline's formulation is based on current research progress and general treatment level.

While Professor Li Yongjun and Professor Du Donglin were conversing, Fang Ziye had already changed clothes and gone on stage.

Seeing this, Li Yongjun took the initiative to stand up: "Then let's go observe and learn together."

"I've always heard of Professor Fang's prestige, but have never seen Professor Fang's surgical process."

Du Donglin also accompanied him to stand up.

Professor Ye Fusheng of Hand Surgery yielded the lead surgeon position to Fang Ziye, and said: "Professor Fang, I only did superficial debridement."

"Although you previously guided how to do superficial debridement, I still feel the difficulty is very great; operating, I can't achieve such exquisiteness."

Professor Ye Fusheng's voice was very tight, quite embarrassed.

Debridement technique is only the basic skill of surgery, but he, a dignified professor, actually felt operating was extremely strenuous, even daring not to continue cutting.

This is the third case in the group; the first two cases, Fang Ziye did demonstrations and conducted preoperative discussions; they actually couldn't fully understand either.

This still requires slow grinding, to understand, to become transparent.

Fang Ziye took the scalpel, smiling: "Professor Ye, it's okay; the two surgeries I did before are actually only stage successes for now, not immediately healed, proving we still need to slowly explore."

"But at least, the two feet of the previous two patients now have a healing trend; we still have to think of ways to repair and perfect the follow-up."

"Actually, the two key basic pathological changes of diabetic foot are ulceration and infection."

"Our feet are the weight-bearing, standing parts; sensory neuropathy combined with excessively high mechanical stress is the main initiating factor causing foot ulceration and infection."

"With the initiating factor, inflammation and tissue damage are the result of repeated stress acting to a certain degree on a specific area that has lost sensation. Pressure or shear force from the ground, shoes, or other adjacent toes leads to ulcer formation; due to lack of normal nerve protective mechanisms, ulcers often worsen due to the existence of bony prominences."

"The pathology of diabetic foot causes autonomic nervous system lesions leading to loss of normal skin sweat regulation function, skin temperature regulation function, and blood circulation regulation ability, leading to decreased local tissue flexibility, forming thick calluses and being more prone to breakage and cracking."

"In addition, the loss of normal sweating ability blocks local tissue rehydration, causing further tissue destruction, making deep tissue more susceptible to bacterial colonization."

"This is the sensory nerve and stress, such static factors that inherently exist."

"To do diabetic foot limb-salvage surgery, we must understand these pathogenic mechanisms."

"Of course, the hyperglycemic state not only affects sensory nerves and sweating work; motor neuropathy causes contraction of the foot's intrinsic muscles, creating typical claw toe deformity. Vascular lesions again make damaged tissue difficult to heal!"

"Over time, such a small wound surface is formed." Fang Ziye spoke while gesturing a circle at the patient's ulcer site.

"This wound may not be large at first, but it connects directly to the outside world; skin and soft tissue destruction allows exogenous bacteria to invade."

"Altered chemotaxis leads to inefficient white blood cell response. In addition, hyperglycemia, reduced oxygen tension, and malnutrition can together trigger tissue edema, acid accumulation, hyperosmolarity, and inefficient anaerobic metabolism."

"Such an environment favors bacterial growth and impairs white blood cell function. Furthermore, vascular disease can restrict antibiotic transport, further reducing bacterial clearance efficiency, leading to local soft tissue infection, even osteomyelitis formation."

"To sum up, the etiology of diabetic foot ulceration and necrosis actually comes down to three factors: one is vascular factors, one is infection factors, one is stress factors."

"Stress factors are the initiating factor; they come first. But when managing diabetic foot, they become the least critical factor. They are the last to be addressed."

"When we perform diabetic foot limb salvage surgery, we still follow the treatment principles for infection and ulceration."

"Thorough debridement, local antibiotic use, restore local blood supply, promote microcirculation."

"In my personal view, this thorough debridement is rather difficult to define..." Fang Ziye spoke to here, then picked up the willow leaf knife in his hand and began performing debridement technique.

Debridement technique is simple: it is excision!

It shares the same cleverness as incision technique.

However, when debridement technique reaches a profound level, it is no longer simply a matter of angle, depth, or excision shape differences...

Fang Ziye's debridement technique is level 6; debridement technique is the most basic fundamental skill of trauma surgery, and also the first batch of skills Fang Ziye added points to level 6.

Fang Ziye actually understands what diabetic foot debridement technique needs to do, but he finds it hard to express it directly in words.

It is a kind of momentum, a kind of 'momentum' that reverses existing treatment cognition; if it can be clearly expressed, it evolves into a 'theory' that changes existing treatment guidelines!

The general principles basically will not change; just like medical fundamental skills, perhaps decades or centuries later they still will not change — the most basic fundamental skills will still be these.

"Hm?" Fang Ziye had just picked up the knife and moved to operate on the patient's plantar ulcer site when Professor Li Yongjun immediately narrowed his eyes.

Incision technique he also knows; vascular surgery's demands for incision technique are also very high, even higher priority than orthopedics.

Because some vascular surgery emergency surgeries' primary requirement is rapid incision hemostasis — for example, abdominal aortic rupture, abdominal aortic aneurysm, etc.

Therefore, Professor Li Yongjun's incision technique has real substance.

However, at this moment, Li Yongjun seemed to see his own shadow in Fang Ziye.

Du Donglin heard Professor Li Yongjun's sound, did not find it unexpected, instead felt this was a matter of course.

Rather, Professor Li Yongjun's reaction was even smaller than he had anticipated.

The first time he saw Fang Ziye operate, his mood and complexion changed drastically, as fast as the speed of free fall.

Li Yongjun then stepped back two steps, then shook his head, muttering in a low voice: "I thought I'd seen a ghost; incision technique and debridement technique complement each other, hard to distinguish!"

Professor Du Donglin took up this line: "Professor Li, Professor Fang's basic skills are all very solid."

He wasn't exaggerating either; he knew praising Fang Ziye at this time was useless — Li Yongjun still had to see for himself.

Li Yongjun is a professional surgeon; he can make out Fang Ziye's skill depth.

Hearing this, Li Yongjun's brows knitted tightly.

Not merely Professor Du Donglin's words making him doubt, but after watching Fang Ziye operate for two or three minutes, he felt something "eerie"!

Truthfully, Peking Union Medical College Hospital where Du Donglin is, is a domestic top-tier hospital; people with national treasure doctor level skills are not few!

Du Donglin, as a big shot who came up there, an industry giant, practicing so many years, has long seen it all and is unfazed.

However, currently he is not merely surprised that Fang Ziye's operation has reached this step; rather he feels that some seniors and old colleagues he knows, their skill depth, estimated compared to Fang Ziye, still fall a bit short.

But exactly where the gap lies, he again finds hard to articulate in language.

After all, he is not a professional doing debridement technique.

Vascular surgery specialty's demands for debridement technique are not very high!

As the surgery continued advancing, Du Donglin discovered that Professor Li Yongjun beside him had eyes widened like eggs, completely petrified.

Whole body stiff, as if not knowing how to speak for the best.

Du Donglin wanted to interrupt, but out of courtesy he did not speak.

Du Donglin thought, what exactly did he see? Why is Professor Li Yongjun this ghostly appearance?

He is at least a vascular surgery nationwide branch society vice chairman level top expert; a bit exaggerated, no?

Du Donglin wanted to speak but stopped, again and again many many times.

Because even for industry practitioners, Du Donglin also cannot easily assess — among hand surgery professors currently with the most excellent surgical level, which level exactly is it.

But Fang Ziye is one of the professors with the best technique he has seen.

He looks from bottom up; many people's technique are stronger than his, so he finds it hard to discriminate their relative heights.

Like this a full fifteen minutes or so passed before Li Yongjun came back to his senses: "Simply seen a ghost?"

"Impossible, right?"

Du Donglin immediately turned his head, discovered Li Yongjun was again in the previous 'confused' state, eyes staring even larger and rounder than before.

Du Donglin: "..."

Speaking half a sentence, huh?

You wait for me.

Of course, Du Donglin's mood at this moment is also very complex; he feels he and the others may not yet have realized Fang Ziye's true awesome-ness.

This kind of not realizing, completely is because their own skill depth is insufficient, so they only regard Fang Ziye as that "hall of fame" level player.

Actually?

We all misunderstood Fang Ziye's strength; he fundamentally isn't hanging around that hall of fame layer, but rather?

No way? Du Donglin started scratching his scalp with his right hand.

Not even hanging around the hall of fame layer, where does he want to go?

Enter a line, then know a line's depth, know the ceiling.

Those able to reach national treasure doctor level in an industry, none are not dragons and phoenixes among men, one in a hundred thousand.

One in a hundred thousand?

Joke; nationwide how many practitioners in a single sub-specialty can there be? Are they all fools?

Professor Du Donglin's thoughts suddenly shifted.

Li Yongjun moved; he shuffled forward two steps like a penguin, observing the limit distance from himself to the operating table with great seriousness and care!

The operating room has standard observation standards, and one thing Du Donglin was very certain of was that Professor Li Yongjun was holding to this standard extremely strictly right now.

Then he made himself "stand punishment" again, standing on tiptoe, chin raised, not moving a muscle……

Du Donglin truly could not see Professor Li Yongjun's expression; he could only notice that one moment his brows were tightly locked, the next they relaxed in delight, and a moment later they knitted into a "川" shape again!

"Professor Li, if you want to watch, we can scrub in, gown up, and go up to the table to watch?" Du Donglin felt he still ought to do something.

After all, a guest is a guest, and this guest is quite distinguished; he might even become a "colleague" in one's own unit later, so he should be treated with propriety.

"Is that appropriate?" Li Yongjun did not resent Du Donglin interrupting his train of thought, but was very tempted instead.

"That's no problem, we just won't go up to the table." Du Donglin estimated Li Yongjun also didn't have Orthopedics surgical permission, and he himself didn't have most Vascular Surgery surgical permissions either.

Although in the sanatorium permissions are the most open, everyone generally abides by the jianghu rules.

The disease types coming here are already the limit of the specialty to begin with; if you still cross specialties to tackle other specialties' limit disease types, aren't you just asking for excitement?

Humans and rattlesnakes are cross-species; you insist on emulating Xu Xian — aren't you courting death?

"Then let's go up to the table and watch……" Li Yongjun walked straight out of the operating room to scrub in, not standing on any ceremony with Du Donglin at all.

This made Du Donglin even more certain that Li Yongjun had definitely discovered some extraordinary secret.

And this secret, they watch every day, stand beside it every day, yet have never discovered it before.

This damn it, how humiliating……

Professor Li Yongjun and Professor Du Donglin both went up to the table, and it did not affect any surgical progress at all; the two also observed jianghu rules, keeping far away, merely moving to the opposite side of the instrument table and sitting at the patient's feet to watch — close distance, excellent vision.

The two also tacitly said nothing, just sat like that, occasionally meeting the instrument nurse's gaze, seeing the instrument nurse look at the two of them as if they were "exhibits."

Until the surgery was thoroughly finished, Li Yongjun never spoke a word — extremely good conduct.

Not until Fang Ziye stepped back from the operating table and walked off it did Professor Li Yongjun smile and walk over, coming behind Fang Ziye, voice delicate and crisp: "Professor Fang, let me help you."

Du Donglin: "???"

Ye Fusheng: "???"

Yao Zhanzhong: "???"

Could this be a layman bootlicker who showed up?

Is he really a nationwide branch society Vice Chairman? Top expert? Discipline Leader?

Can he bootlick like this?

Du Donglin and the others exchanged looks.

Du Donglin read the other two professors' meaning, but dared not reply.

"Thank you, Professor Li, let me help you instead." Fang Ziye's tone was much calmer.

"Teacher Li, I thought you had gone back already!"

Li Yongjun hadn't spoken midway, so Fang Ziye thought he'd gone out to eat.

After all, it was already two in the afternoon, past lunch time.

Professor Li Yongjun said: "Professor Fang, a chance meeting is better than an arranged one; we've chanced to meet again, met again — this fate runs very deep."

"Don't know if this sanatorium has a toast rule? If not, let's go out for a small drink, and call Mingxian along too?"

Hearing this, Fang Ziye looked at Du Donglin and the others.

Only then did Li Yongjun react, adding like a joker: "Professor Du, you want to come along too?"

I'll come along your grandpa!

You play by yourself? Played so high your brain stopped working, right?

Don't even know the most basic etiquette anymore?

I treated you as a Guest of Honor, you treat to a meal and don't even include my name — screw you! ~

"Professor Li, I won't go, we have a preoperative discussion this afternoon." Du Donglin casually found an excuse.

Fang Ziye didn't persuade him either, just left the operating room together with Professor Li Yongjun again.

Li Yongjun came with him, so he's responsible for reception; Du Donglin and the others know this rule too……

After Fang Ziye and Li Yongjun left, Ye Fusheng let out a soft "Huh?": "Professor Du, is this really Vascular Surgery Professor Li? The one who previously served as Director at Capital Hospital Vascular Surgery?"

Du Donglin nodded.

Then nodded again: "Shouldn't be wrong……"

"That's truly strange; with that reaction ability where could he get to? All luck? Or did he see a ghost today?" Ye Fusheng also scratched his ear.

……

"Professor Fang, actually medicine or research, it's always been a closed loop. The so-called Great Dao is utmost simplicity."

"We medical students, the entry route lies in basic skills, the way out also mostly lies in basic skills; so-called techniques, high-end operations, and all gorgeous theories are merely scenery along the way."

"No matter how beautiful the scenery seen, to climb another peak you still rely on your own physical strength! ~" Li Yongjun understood, and subtly expressed that he understood this layer of meaning.

Fang Ziye smiled faintly, replied: "Thank you for the guidance, Teacher Li; I think so too."

"Mature specialty techniques all developed this way, from basic skills to professional basic skills, specialty basic skills one item at a time."

"Before there were formal surgical technique names, the names of surgeries were all very simple."

Fracture treatment is simple, right?

But before the 20th century, no one thought open reduction internal fixation could be done.

Unified conservative treatment.

Lame is lame, broken is broken……

Infection treatment principle is simple, right?

Before the 20th century, few people thought debridement plus antibiotics could cure it; either amputation or wait to die……

Medicine develops in exactly this way.

"Professor Fang, I finally understand why you can make Mingxian so obedient."

"Mingxian has good luck! ~"

Li Yongjun's face was flushed with health, looking proud and elated, as if he could not hold back his inner laughter: "But my luck isn't bad either, really not bad."

Li Yongjun's gaze had a kind of invasiveness, naked and undisguised, without any concealment.

Besides appreciation, there was actually the f*cking "admiration," as if he were in heat, making Fang Ziye uncomfortable all over.

"Professor Li, please don't look at me like that."

"Me?"

"Whatever you want to say, I'll agree to it." Fang Ziye shifted sideways, even turning his buttocks in a different direction.

Just afraid Li Yongjun would directly force himself on him, although this possibility was almost nonexistent.

"Professor Fang, let's chat while we eat! Chat while we eat..." Li Yongjun led Fang Ziye out of the operating room.

Then he sent a voice message: "Mingxian, come out for a bit, let's go eat together..."

The two walked side by side, Professor Li Yongjun's expression and eyes also returning to normal.

"Professor Fang, if I didn't see wrong just now? Your suturing technique is also a bit out of the ordinary, right?"

"Otherwise, you wouldn't handle this kind of ulcer so deftly." Li Yongjun asked further directly.

Hmm, the matter of his own suturing technique adding points to level 6, currently Li Yongjun is the first to discover it.

Fang Ziye had saved some knowledge points, and gathered another two fifty-thousands, then also lit up his suturing technique, preparing for diabetic foot limb salvage surgery.

Currently although the diabetic foot limb salvage surgery skill has not yet been derived, Fang Ziye already has a strong feeling for it.

This kind of immature, non-existent technology must be pioneered.

Pioneering all starts from basic skills, advancing step by step, forming a routine, after summarization it becomes a technique, and only then is there the concept of technique proficiency.

The simpler the principle, the harder it is to discover it.

The Great Dao is utmost simplicity, the Great Dao is most complex!

Li Yongjun instantly clapped his hands: "Professor Fang, I really feel we met too late; if only I had met you twenty years earlier, how wonderful would that be?"

Fang Ziye then cracked a joke: "Teacher Li, twenty years ago, you were in your thirties, I was nine years old, I couldn't even solve equations."

Li Yongjun: "..."

In a farmhouse restaurant at the foot of the sanatorium mountain, in a private room, after the three of them sat down, Nie Mingxian proactively helped pour tea: "Teacher, didn't you say you were coming to the lab this afternoon? How come you went to the operating room instead?"

"Currently in the operating room, there shouldn't be any vascular surgery disease types yet, right?"

Nie Mingxian's address for Li Yongjun is Teacher, not the Master commonly used at Zhongnan Hospital where Fang Ziye is.

Every place has every place's way of addressing, all are fine.

"Me, I went treasure hunting! ~" Li Yongjun said very directly.

Then asked: "Mingxian, do you still remember a sentence I told you before? In this world, ideas are important, but actually what we lack is not ideas, but the ability to turn ideas into reality!"

Nie Mingxian nodded: "I know, Teacher, you also said, what currently binds our upper limit of development is actually not the direction of thinking, but the foundation of turning thinking into reality."

"So, we need to find suitable ideas, corresponding to ourselves, among some floating and uncertain ideas! ~"

"This is knowing oneself and knowing the enemy, a hundred battles, a hundred victories!"

Fang Ziye listened with slight confusion, but also roughly understood a bit; this theory is very interesting, he needs to study it well.

Li Yongjun then said: "Professor Fang, you might not be very familiar with this view of mine; actually it's also very simple."

"If we say the shoe sizes sold in this world are ideas, then the size of our feet binds the ideas we can adapt to!"

"Without good ideas, ideas that suit oneself, even the best thinking is useless."

"People with wonderful thinking are not few, but those who can turn these wonderful thoughts one by one into reality are the truly formidable people."

"This also makes our current education need to pay more attention to basic education, so that from the crowd of people with certain basic skills, we can search out those few waves of people who are very capable in doing things and research, to drive scientific progress."

"This is my personal humble opinion." Li Yongjun said.

"You go order dishes, Mingxian." Li Yongjun tilted his head to instruct.

Nie Mingxian then withdrew; his teacher had only deeply interacted with Fang Ziye for half a day, and his state had changed greatly, certainly even more affirming his previous guess.

This time it's not a guess anymore; Fang Ziye is absolutely a fierce person!!

Fang Ziye was inwardly shocked; worthy of being a former professor at Peking Union Medical College Hospital, this thinking angle and ability to summarize and induce things is indeed very strong.

The final induction of thinking is actually a kind of philosophical thinking.

Many people with mature thinking will have this kind of convergence feeling.

Fang Ziye currently has not yet formed a systematic convergence, but also has this feeling.

This is also a true scholar, and he even discovered his academic perspective.

"Professor Li, if you came to the sanatorium, would you choose to do your own research project or do bone tumor research projects with us?" Fang Ziye directly forced the topic to turn.

Since he doesn't have the corresponding worldview cognition with Li Yongjun, he shouldn't force agreement, lest he make a fool of himself; just treat it as listening to the other party's education and lesson!

"Of course it's engaging in our vascular surgery's own specialty research projects?"

"Professor Fang, the microcirculation instrument only changes the treatment of orthopedic tumors; our vascular surgery's interventional treatment theory changes will change the treatment system of all tumors! ~"

"Although medicine is divided into many sub-specialties, in reality the Great Dao shares the same path; every specialty can emit many lines of thought from itself, for other specialties to learn and reference."

"One through, a hundred through! ~"

"So, actually division of specialties is not especially important, yet especially important; we can only stand on our more advantageous side."

"We must also stand on our more advantageous side, to think about clinical and research problems."

"Professor Fang, you say yes?" Li Yongjun asked.

Li Yongjun's reply was very formal, the answer very cautious; his reply, to a certain extent, exceeded simple academic exchange, but had a kind of 'category' of discussing the Dao.

Fang Ziye Aspect actually had a bit of trouble picking up the conversation here.

Because Fang Ziye's life experience had Not Yet had time to Act Willfully in this level of philosophical Consideration!

"Apologize Internally, Teacher Li, I right now still only Consider concrete things, concrete Direction, haven't done any induction Summary."

"Just East one hammer, West one Orthopedic Hammer randomly striking." Fang Ziye genuinely replied.

Oneself having this kind of thinking Flaw, must Admit, after Admitting, seeing someone more Excellent than oneself, must go Learning!

This is Learning without end.

"No matter, Professor Fang, having no experience is also good, instead even more Pure."

"Actually so-called thinking, meditation, are all in Voiding ourselves, letting us Tightened observation Angle of things, perhaps the simplest, is the most Suitable. Sometimes it's just that we think too much."

"Instead no way to start." Li Yongjun answered very Cautiously.

Fang Ziye listened even more egg-painful.

Similarly, also even more respect, the person before him, many thoughts and Thoughts, all nearly close to Dao...

This is also oneself First Person deeply contacted 'Big Shot'!

Orthopedics Department's two Academicians, also only merely Slightly Guidance a few sentences to oneself, where so deeply communicated?

(Chapter End)