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Chapter 694

~32 min read 6,208 words

Fang Ziye wore green scrubs, his feet in green perforated gel slippers, arms crossed as he stepped through the automatic airtight door of the operating room.

Inside the operating room, the experts from various departments invited by Liu Huanglong crowded together!

Liu Huanglong stood with his back to Fang Ziye, his tone depressed: "A piece of rotten luck the whole hospital doesn't see once a year landed on my head; if I don't grow a few scabs this year, it won't do justice to this luck."

Zhongnan Hospital's preoperative preparations were done fairly thoroughly; based on the patient's preoperative condition, if it was assessed that a cardiopulmonary accident might occur during surgery, the surgery would be halted by the Anesthesiology Department.

Professor Ceng Quanming and Professor Du Yuanxian, two top experts from Anesthesiology, had both gathered in the operating room; the Associate Professor responsible for lead anesthesia for this surgery replied in a low voice: "Director Ceng, Professor Du, according to the patient's various preoperative examination results, they do not support the current symptoms."

"This kind of accident truly cannot be predicted!"

Ceng Quanming was currently preparing to intubate the patient together with the ICU professor, who kept looking back at the ECMO the circulating nurse had already pulled over.

"Tracing the cause now has no meaning; saving the person first is the right principle! Long Fang, you don't need to explain further either; draw another set of electrolytes for the patient first."

"Heart rate just recovered." Ceng Quanming's tone was steady, not angrily pursuing accountability.

The Associate Professor called Long Fang hurriedly bowed and began operating, selecting an outlet from the venous access to draw blood.

On the dais, Professor Deng Haibo of Vascular Surgery slowly put down the instrument in his hand, saying: "In the current situation, without DSA interventional fluoroscopy, it really can't be operated on."

"Too many emboli!"

"Professor Tao Zhang of Cardiology and I can only barely prop up the cardiac stent."

"I still suggest, after the patient goes on ECMO, transfer to the Hybrid Operating Room, then perform thrombectomy on other organs."

"First guarantee oxygenation of heart, brain, and lungs."

A junior Master's student from Anesthesiology who had followed along chimed in with a reminder: "The patient's account balance currently still only has three thousand yuan left!"

Fang Ziye fell silent upon hearing this—

This is Zhongnan Hospital, not Enshi Sanatorium, so when choosing a treatment method, besides considering how to be good to the patient, whether the patient can afford the surgical medical expenses is also a factor that must be considered.

"Start it first." Liu Huanglong replied in a low voice.

"Hualala—" The airtight door was kicked open again by Guan Qiquan of Hand Surgery, his voice following hurriedly: "Director Liu, I explained the patient's current situation to the family."

"But the family still can't scrape together the money; the twenty thousand yuan for their functional reconstruction surgery was still borrowed fifteen thousand."

"He said even if they borrow more, it's only about ten or twenty thousand."

"But the ECMO startup fee alone is fifty thousand……"

Liu Huanglong, interrupted, spoke again to cut off Guan Qiquan's words: "Professor Zhang, go straight on ECMO, save the life first, talk after transferring to the interventional operating room."

Surgical billing is one of the circulating nurse's tasks; Liu Huanglong's sentence sounded generous and humane, but left her unable to step down: "Director Liu, the patient hasn't paid, how do I bill later?"

"ECMO isn't covered by medical insurance."

"I said start it first. Whatever problems come after, I'll take responsibility!" Liu Huanglong said.

The ICU Professor Zhang looked awkwardly at the circulating nurse and Liu Huanglong; the circulating nurse said: "Then I'll go find our department's on-duty Head Nurse!"

"Professor Zhang, start it first, I'll take responsibility!" Liu Huanglong said very affirmatively again.

As a Chief Physician, and moreover the Administrative Director of a subspecialty, Liu Huanglong stating so clearly that he would cover the bottom line, Zhang Guanjing had no choice but to proceed.

ECMO startup operation isn't difficult; all preparations for the patient were already ready, just needed to connect the arterial and venous access……

After connection was complete, Zhang Guanjing and Ceng Quanming of Anesthesiology began adjusting parameters.

Dark red blood flow began slowly leaving the patient's body with ECMO's operation, transformed by ECMO, forming bright red blood flow infused into the patient's arteries.

"Sterile dressings temporarily close the surgical incision, patient transfers to DSA interventional operating room, perform interventional thrombectomy, thrombolysis." After Liu Huanglong gave rapid orders, everyone braced themselves.

After Fang Ziye entered the operating room, he did not speak or interject.

Roughly less than a minute passed, the previous circulating nurse led in another slightly older on-duty Head Nurse.

Upon entering, the circulating nurse saw ECMO had already started, and said: "Head Nurse, look, I couldn't persuade them, and couldn't intervene in the rescue, the machine's already running now."

"For subsequent billing, I can't manage that much!"

The Head Nurse looked at the many people in the operating room, temporarily suppressing her irritable temper, tilted her chin and said: "Our Operating Room Nursing Department has fulfilled its duty of reminding for fee collection; if the accounts don't match later, your Medical Affairs Department can deal with the Finance Department yourselves."

"Which department is this operating room? Which professor is lead surgeon."

"Hand Surgery, Professor Liu Huanglong lead surgeon." The instrument nurse still on the dais immediately replied.

"Good, as long as there's a name to match up it's fine!" The on-duty Head Nurse had also just fulfilled her duty.

Liu Huanglong, hearing this, only then euphemistically explained: "Head Nurse, emergency calls for expedient measures; if later the patient and family really can't pay the full fees, I'll take responsibility!"

"But only limited to this time; I opened my mouth myself, don't go pushing all kinds of messy stuff onto my head afterward."

Liu Huanglong would only carry the pot he was willing to carry, not just any pot.

This also counted as a warning to the other party, to avoid them hanging bad debts on his head……

The patient began transfer for migration.

"Ziye, when did you arrive? You're fucking standing here watching the show?" Liu Huanglong took off his clothes, only then discovering Fang Ziye standing in the crowd's corner, like an uninvolved person.

"Been here a while."

"Teacher Liu, there are many teachers in the operating room, I drank alcohol today too, and didn't find a place to interject." Fang Ziye didn't act recklessly.

Liu Huanglong leaned in and sniffed, complaining in a low voice: "You shouldn't have gone out drinking this meal today; otherwise, you definitely would've had a better method."

Fang Ziye's drinking had not a penny's relation to this patient's accident.

But if Fang Ziye hadn't drunk and could go on stage, Fang Ziye really had a way to let this patient temporarily not go on ECMO, saving a large sum.

But being able to do it himself doesn't mean everyone can; Fang Ziye himself couldn't operate, so naturally wouldn't open his mouth to nag and disrupt others' surgical and operational rhythm.

Fang Ziye knew Liu Huanglong wanted to establish a strong persona for himself, so he must handle every patient he sees as well as possible, even if he has to pay out of pocket.

One year ago, Fang Ziye's 'kickback corruption' incident during his Chief Resident period, operated by Liu Huanglong, took down several Chief Physicians of Hand Surgery in one sweep, allowing Liu Huanglong to directly seize a department's administrative power.

If at this time Liu Huanglong has a few more incidents in the department, it will inevitably arouse suspicion of Liu Huanglong's capability; then his subordinates' hearts will be unstable, those old professors of Hand Surgery definitely won't look past Liu Huanglong, and might settle accounts after autumn.

So, to stabilize all this, Liu Huanglong must prop it up himself.

"Teacher Liu, continue treatment first." Fang Ziye smiled and replied.

Then Fang Ziye followed the crowd, transferred to the DSA operating room. And Fang Ziye personally put the heavy lead apron on Liu Huanglong.

Deng Haibo stood beside Liu Huanglong, sighing heavily: "Fang Ziye, oh Fang Ziye! ~"

"Fang Ziye, oh Fang Ziye."

After listening, Liu Huanglong's gaze tightened visibly, he stepped back slightly, and turned to scold his student: "Ding Lin, what are you doing?"

"Hurry up and get Professor Fang a stool! ~"

Only then did Deng Haibo return to the operating table, perform simple sterile draping on the patient again, and by then the Anesthesiology Department had already prepared the Contrast Agent.

Connecting the Sheath and other Operations had already been completed when they were doing the cardiac stent earlier; now it was ready-made.

As the Contrast Agent was injected, the patient's blood vessels spread rapidly across the whole body like a spider web, then projected onto the Display Screen.

The Hybrid Operating Room is specially set up; even in the Isolation Room there is a Display Screen, equipment specially installed in the interventional operating room for Teaching Surgery.

Internal and external connections have a Microphone for calls, to make it convenient for the teacher outside watching the angiography screen to Guide the student or Subordinate inside on the specific Operation process.

With that flash of Contrast Agent, Fang Ziye's brows furrowed visibly to the naked eye.

The patient's current condition was truly Not Good, yet had not deteriorated to the most extreme situation.

Most of the heart's blood vessels were already patent, but one branch vessel remained in a blocked state.

And the patient's Bilateral Lower Limbs and Right Upper Limb all had arterial embolism.

"Left Renal Artery, Superior Mesenteric Artery."

"Right Lower Lobe Pulmonary Artery." As Fang Ziye murmured in a low voice, the conversation of Deng Haibo and the others came back from the Hybrid Operating Room——

"Mechanical thrombectomy combined with catheter-directed thrombolysis, save as much as we can first! ~"

"But the patient is currently in an Operating state; thrombolysis now carries a very high hemorrhagic risk! ~"

"With such a large Wound, shock is very likely."

"Then what do you say we do?"

"Mechanical thrombectomy in so many places simultaneously?" Deng Haibo's troubled and annoyed voice came through.

Hearing this, Fang Ziye no longer held back, opened the intercom, and suggested to those inside in a steady voice:

"Professor Liu, the patient is currently undergoing Bilateral Lower Limb Functional Reconstruction Surgery; I suggest using the bilateral femoral artery sheaths and femoral veins as the microcirculation cutoff points."

"Isolate the blood supply of both lower limbs separately, and handle thrombolysis separately."

"Prioritize the heart, kidneys, and right upper limb arterial embolism." Fang Ziye's voice had just fallen.

Liu Huanglong began scolding himself: "I really am a f*cking idiot."

"Go get the Microcirculation Instrument."

The main design purpose of the Limb Microcirculation Apparatus is actually for Limb Salvage Surgery and replantation surgery.

But its operating principle is actually to separately block the blood flow of the four limbs' circulation, making it self-contained.

Based on this principle, its application naturally isn't limited to replantation; for example, right now, since Vascular Surgery worries that the bilateral lower limb surgical incisions will Massive Hemorrhage after thrombolysis, if the bilateral lower limbs' circulatory blood flow is blocked and made self-contained, then the so-called hemorrhagic shock risk no longer Exists.

The R&D principle of the Microcirculation Instrument has nothing to do with Liu Huanglong; he is just a nominal Take Lead person.

Some shifts in thinking, Liu Huanglong cannot apply as thoroughly as Fang Ziye; this really isn't a matter of him being stupid, it's that his thinking level hasn't reached that Height yet.

The instrument reserve of Limb Microcirculation Apparatuses inside Zhongnan Hospital is extremely, extremely sufficient; basically every operating room has a set.

After all, this is the 'Theory Output place'; procurement prices are several times lower than Other Hospitals, purely at cost price.

After the Microcirculation Instrument was obtained, Liu Huanglong and the others quickly performed cutoff of the bilateral lower limbs' blood flow; the whole process took less than ten minutes.

"I'm ready on this end." Liu Huanglong said.

Deng Haibo looked thoughtfully at the Microcirculation Instrument Liu Huanglong had just installed, then exchanged a glance with Professor Tao Zhang of Cardiology.

"Catheter contact thrombolysis! ~"

At Deng Haibo's command, the Thrombolytic Agent shot out from the spray gun, visibly dissolving the thrombus spots on the projection screen, and local blood flow was restored.

After finishing thrombolysis at this spot, Deng Haibo deliberately looked at the bilateral lower limbs' surgical incisions.

Still dry as before, not in the same system at all.

"Is this thing this easy to use?" Deng Haibo's voice hesitated.

Tao Zhang said: "F*cking easy to use."

Liu Huanglong chuckled softly.

"……"

"……"

With the already opened surgical incisions temporarily no longer a fear, the thrombolysis Operation was no longer a high-Difficulty Operation for Deng Haibo, Tao Zhang, and the others.

Roughly another nearly ten minutes passed, and the two dissolved and recanalized several embolism points shown inside the body.

Watching the patient's blood flow signals become smooth under the angiography display, forming one turbulent jet after another, Deng Haibo's Mood instantly improved: "This should be No Problem now."

"Even if Amputation happens later, the patient can at least Save Life."

Deng Haibo's sigh wasn't finished when Anesthesiologist Ceng Quanming said worriedly: "The patient's basic condition is not good; he still has free-floating emboli in his body."

"If another embolus is a bit larger, it might even clog the ECMO."

"My suggestion is to pause Surgery first, close the surgical incision, transfer to ICU for timely monitoring first, and do Hemostasis well."

"Do Systemic Heparinization first, regulate the patient's Coagulation system, then perform surgical treatment."

Ceng Quanming's words were like cold water poured onto a blazing fire, splashing "cold ash" everywhere, making Liu Huanglong and the others' breathing sound slightly like a dying fire with puffing sounds.

"But?"

"Our Surgery isn't finished yet." Liu Huanglong's voice hesitated.

As an Anesthesiologist, Ceng Quanming has the right to halt Surgery at any time: "Save Life comes first! ~"

"Professor Ceng." Liu Huanglong still wanted to Strive a bit more.

"I personally called the Medical Affairs Department." Ceng Quanming said.

The Anesthesiology Department indeed has the right, granted by law, to temporarily halt Surgery intraoperatively for the sake of patient life safety.

Fang Ziye listened and also hurriedly spoke up to interrupt: "Professor Ceng, please wait a moment."

"I have a suggestion here."

"ECMO has multiple interfaces; generally it can connect two to three sets of arteries and veins inside the body."

"This patient only needs to use one to two sets of arterial and venous interfaces!"

"My suggestion is, the other interface, connect another set of microcirculation instrument; the microcirculation instrument's internal circulation forms its own lineage, and can handle emboli in the blood!"

"Or, before the blood enters the ECMO, first perfuse the blood through the microcirculation instrument for a round; this can better guarantee the blood oxygen level after the ECMO pathway." Fang Ziye said.

"You say it can handle it and it can handle it?" Ceng Quanming instinctively retorted.

Someone repeatedly challenged his authority, making him feel extremely displeased.

But after Ceng Quanming finished speaking he regretted it a bit, because he only then recognized that it was Fang Ziye's voice.

"Professor Ceng, don't be angry; this isn't what I said, but the microcirculation instrument was actually designed to avoid thrombus formation and handle local thrombi."

"After limb amputation, the biggest obstacle to preserving the affected limb lies in the multiple segmental thrombi of the bilateral lower limbs; when we designed this kind of microcirculation instrument, the first thing we thought of was handling and filtering thrombi."

"Only by handling the thrombi well can we prolong the preservation time of the amputated limb!" Fang Ziye responded with reason and evidence, and even listed the most basic core principle.

Ceng Quanming heard this and fell silent.

Professor Zhang Guanjing of the ICU heard this and then said: "Professor Ceng, this professor's words are reasonable; our ICU often receives amputee patients."

"Their legs and hands are all connected to microcirculation instruments separately and move with the patient, just afraid that at that time the amputated limb might be matched to the wrong person."

"We once specially studied this microcirculation instrument and found that they indeed have a set in the aspect of handling thrombi."

"Our department is still researching how to use the microcirculation instrument to purify the blood system of DIC-state patients who appear normal on the surface but whose blood is in a hypercoagulable state — a research project."

Liu Huanglong heard this and added: "Professor Zhang, the one who just spoke is our Trauma Surgery's Professor Fang Ziye, and also the main person in charge of the microcirculation instrument R&D improvement theory."

"Is it Professor Fang Ziye?"

"Eh, Professor Fang." The person called Zhang Guanjing seemed to want to leave the operating room.

Was stopped by someone: "Professor Zhang, surgery is still ongoing here..."

The operating room fell silent once again.

Only then did Fang Ziye suddenly discover that the so many people standing inside now were actually a group of drama spirits, merely by some twist of fate becoming doctors.

Ceng Quanming then said: "Alright then! Let's try according to Professor Fang's suggestion first!"

"After all, Professor Fang's understanding of limb thrombi is the most profound."

Others also had no objections.

If Fang Ziye were still just a small figure, even if Fang Ziye only proposed to check one more place, he would need to give sufficient reasons.

If Fang Ziye were an attending physician, then his proposal might be considered, but he wouldn't need to give especially detailed reasons.

The current Fang Ziye is already a mature Associate Professor who has broken through, and has a certain reputation in Zhongnan Hospital.

Even everyone recognizes that Fang Ziye has something uniquely his own, and his theory forms its own system.

Then on this basis, when Fang Ziye proposes something again, what others consider is whether to try it, and what the worst result would be if tried.

If not tried, are there still alternative solutions.

No one would suspect Fang Ziye is talking nonsense, because Fang Ziye himself represents a part of 'knowledge authority'...

There are many microcirculation instruments; getting another set is just a matter of minutes.

After Ceng Quanming connected the microcirculation instrument with the ECMO again, the patient's blood seemed to have undergone re-purification.

The previously slightly restless 'unruly' factors in the blood, after the baptism of the microcirculation instrument, instantly became quiet and still.

Merely three minutes passed, and the blood inside the human body had already been washed at least two sets.

"Indeed!"

Ceng Quanming exclaimed: "I should have thought of it earlier; the microcirculation instrument's design initial intention was coagulation control. It is the best thrombus killer."

"Professor Zhang, this microcirculation instrument although derived from ECMO, can ECMO in turn refer back to the microcirculation instrument and re-optimize its functions?"

Zhang Guanjing heard this and smiled embarrassedly: "Professor Ceng's scientific research keen sense of smell is indeed well-deserved; looking forward to Professor Ceng producing achievements soon."

Ceng Quanming listening to Zhang Guanjing's words, his expression instantly became a bit uncomfortable: "Professor Zhang, why be so sarcastic?"

"Even if it's difficult, I merely made a suggestion."

Zhang Guanjing like a cat whose tail was stepped on, instantly flared up: "You merely suggest, I made five hundred seventy-four killings in the animal lab!"

"Ah! Eh!" Ceng Quanming instantly went quiet.

Alright, he wasn't the first person to have this idea.

Amitabha, little rabbits please rest in peace.

Liu Huanglong and the others didn't mind Ceng Quanming and Zhang Guanjing's banter.

The operating room summed up is still that sentence: downwind hehe, headwind mmp.

When the patient's condition is good, you can even invite the surgery department director and the anesthesiology chief anesthesiologist to play games with you; you can even discuss where to get a foot massage, which technician has good skill but low sales, which technician has bad skill but high sales.

But if the patient's condition is bad, even a cough from you might offend the reverse scale, and be scolded by a professor you're not even familiar with until even your mom feels giving birth to you was a sin.

"Electrolyte report results normal."

"Liver and kidney function data slightly abnormal, but results are also okay."

"Kidney embolism time not long, should recover very quickly." Associate Professor Long Fang reported meticulously.

Professor Zhang Guanjing looked at the patient's condition under ECMO monitoring, everything stable, then patted his buttocks: "Send directly to our ICU after surgery, I'll reserve a bed for you in advance."

"My department still has a pile of things to handle."

Immediately after, the Thoracic Surgery professor also suggested: "Patient had pulmonary embolism during surgery; suggest postoperative regular CTA re-examination to avoid recurrent embolism; postoperative can request Vascular Surgery regular consultation to regulate coagulation state."

"My side also doesn't have too many things."

Cardiology's Professor Tao Zhang then observed for five more minutes, didn't discover any more heart fluctuations, silently finished writing the consultation and operation records on the computer and left.

……

After most of the people in the operating room had left, the DSA angiography machine's instruments also temporarily closed, the machine shut down, leaving only the Liu Huanglong Team's people as lead surgeon on the operating table.

Professor Deng Haibo of Vascular Surgery walked side by side with Fang Ziye from the isolation room into the operating room.

"Professor Fang, when are you free? We haven't seen each other in such a long time!"

"Just us uncle and nephew, we ought to keep in touch regularly." Deng Haibo spoke politely, as if a very amiable elder.

The "theoretical" model for handling retroperitoneal hemorrhagic hematoma that Fang Ziye left for Vascular Surgery last year enabled Deng Haibo to make a certain name for himself nationwide.

Today he even displayed his brilliance in the operating room.

The patient's retroperitoneal hematoma after initial thrombolysis was resolved and handled by Deng Haibo in three moves, five divisions upon his arrival, once again earning the devout admiration of colleagues throughout the hospital.

This treatment was not the least bit inferior to Director Wu Yong of Vascular Surgery, even surpassing him by a notch.

Deng Haibo could well remember the foundation of his current status —

He and Deng Yong were fellow-townsmen and good friends; he, being near the water tower, got the moon first, firmly grasping in his palm the things Fang Ziye left for Vascular Surgery.

"Teacher Deng, it's been nearly a year since we last met."

"I only returned recently, and haven't had the chance to come visit you." Fang Ziye also replied politely.

"What's there to choose? Better to hit the day than pick the day — let's wait until the surgery here ends, then us uncle and nephew will go out for a late-night snack."

"Come to think of it, I still haven't properly thanked you face to face."

"Ziye, this really isn't my fault. I waited left and right after burying my head to produce results on the research project, but you were no longer in Trauma Surgery."

"I finally heard you returned to Han City after the Spring Festival, but that Deng Yong, that inhumane old undying, didn't even tell me you'd come." Deng Haibo began laying into Deng Yong.

He just stopped short of saying the four words that Deng Yong wasn't human.

"During the New Year, I only saw my Master; how could I see anyone else..." Fang Ziye continued the small talk.

"That just shows you're being too distant, Ziye."

"It's still that us uncle and nephew don't keep in touch enough. We're definitely going out for drinks later, that's settled." Deng Haibo didn't bother with face either, dragging Fang Ziye along to arrange the late-night snack as well.

Liu Huanglong continued leading the surgery.

At this moment, the time had already reached 23:49:52, infinitely approaching midnight 0:00.

Fang Ziye looked once more at the patient's current condition, then said: "Teacher Liu, the patient's vital signs are all normal now, how about I withdraw first?"

"My state really isn't suitable for staying long in the operating room."

Clinically, it's only stipulated that one cannot operate after drinking; there's no stipulation that one cannot speak after drinking. Fang Ziye's consciousness was clear, so making some suggestions during the rescue didn't count as a violation.

Liu Huanglong knew Fang Ziye had drunk alcohol, but his surgery would still take one or two hours; he couldn't let Fang Ziye keep toughing it out here.

"Thanks for your hard work, Ziye."

"You go back and rest first. If you eat a late-night snack, remember to send me the bill." Liu Huanglong replied.

When Liu Huanglong spoke to this point, Guan Qiquan reported again: "Director Liu, the patient's wife gathered another fifteen thousand, already transferred to the account."

"She says her husband has had erectile dysfunction for seven or eight years, the family hasn't had normal income for a long time, the remaining six thousand four hundred thirty-two is their son's tuition, this cannot be touched."

"Five thousand eight is next semester's tuition, six hundred thirty-two is living expenses."

Guan Qiquan spoke, his voice trembling.

The other party could say five thousand plus, could say six thousand plus, but very accurately said six thousand four hundred thirty-two.

"Scrub in, get on the table—!" Liu Huanglong's voice directly changed tone.

The world's vast multitude of suffering cannot all be ferried by Liu Huanglong alone.

Can help for a moment, but cannot help for a lifetime.

"Good—!" Guan Qiquan glanced at Fang Ziye, assented, then said: "Thank you, Professor Fang."

"Teacher Guan, you'd better call me Ziye or Xiao Fang, sounds more warm."

"Professor Fang sounds too distant." Fang Ziye replied politely.

Guan Qiquan is currently forty-one, a full eleven years older than Fang Ziye; in this situation, Fang Ziye calling him Brother Guan or Brother Quan would be inappropriate.

……

Deng Haibo really did call Fang Ziye out for a late-night snack, but Deng Haibo was also very sensible, only asking Fang Ziye to eat, not talking any serious business at all.

This also let Fang Ziye relax slightly.

The current Fang Ziye doesn't lack research projects, even less lacks partners; he's just afraid Deng Haibo won't say anything, and the moment he opens his mouth will drag Fang Ziye into partnering on a research project together.

Fang Ziye's leg hairs are practically all hung with people now; he truly can't carry anyone anymore.

Han Street in October still carried the Chu River's cement earthy smell; after taking a deep breath, Fang Ziye looked toward Deng Haibo returning from settling the bill.

"Teacher Deng, I packed the leftover barbecue; do you want to take it back?" Fang Ziye said.

"I won't take it. You're young; you take it back and give it to the brothers in your department."

"Ziye, don't be nervous either. I, Deng Haibo, am not someone who doesn't understand reason."

"Professor Fang, you're currently in a period of rapid career development. If I don't have good ideas, a research direction with sufficient weight, I can't open my mouth to ask you to cooperate with me."

"But there's one thing I must express: Fang Ziye, you're a talent, and your level is very high. I hope to cooperate with you, grow together, create a win-win situation."

Those able to become professors — there won't be many fools among them.

If they really had problems with EQ and IQ, they wouldn't be messing around in clinical practice; they'd have gone to marginal positions long ago.

"Looking forward to Teacher Deng's guidance." Fang Ziye slightly cupped his hands.

Deng Haibo immediately became filled with emotion again: "Fang Ziye, ah, Fang Ziye."

"Fang Ziye, ah, Fang Ziye."

"Trauma Surgery, ah, Trauma Surgery..."

Deng Haibo turned to leave, his regretful back view seeming to merge into all of Han City, his regretful tone seeming to resonate with the Chu River, to converse with the Overlord of a millennium past.

Fang Ziye remained silently motionless.

He was in Trauma Surgery, he was one of Trauma Surgery's people; if anyone should feel regret, it shouldn't be Deng Haibo—it should be Deng Yong.

Even his person of gratitude Yuan Weihong had no right to express regret.

Could Associate Professor Mi Qi of Vascular Surgery, Associate Professor Yuan Jiang, Associate Professor Chen Minghao, and others dare to clearly express the sentiment that Fang Ziye was not their student?

If they really said it, Yuan Weihong could ride on their heads and curse them black and blue.

What the fuck is your own status, daring to show off on my head and still wanting to steal my student?

You don't even take a piss to look at yourself to see what kind of distorted freak you are…

When Fang Ziye returned to Luo Tingzhu's house again, he hadn't even had time to sit down before Liu Huanglong's call came!

Fang Ziye took a sip of the cold tea he had brewed earlier, the slightly bitter taste piercing his taste buds: "Teacher Liu."

"Fang Ziye, you shouldn't be asleep yet, right? I calculated the time, you should be just about to get back!" Liu Huanglong seemed like a fortune teller.

"Why didn't you send me the bill?"

Fang Ziye smiled upon hearing this, put down the cooled teacup: "Teacher Liu, Professor Deng Haibo said he couldn't afford to lose this person, and I didn't dare to push back against him; it was Professor Deng who settled the bill."

"Why don't you find him?"

Liu Huanglong laughed: "Fang Ziye, you're getting more and more capable."

"Fine, one or two hundred yuan, I'm not so petty as to calculate so clearly with Professor Deng, afraid that next time Deng Haibo will spread rumors that we're completely done with each other and never associate again."

"This patient was finally saved."

"I performed this surgery myself, and after he gets reimbursed, I tm lost sixty-seven thousand."

The ECMO startup fee is very expensive!

Medical insurance doesn't cover the bottom; once it's turned on, someone has to pay this money.

Today Liu Huanglong really spent money to rescue, spent money to perform surgery for others; just hearing it feels bitter.

"Teacher Liu, how about this? I'll treat you to a meal, to comfort you?" Fang Ziye asked.

Sixty-seven thousand yuan was no small sum to Fang Ziye.

"A meal is fine, but you don't need to comfort me! ~"

"Sigh, although money isn't omnipotent, when you don't have money, many things are absolutely impossible."

"Money, this thing, sometimes I really want to tell it to go to tm."

"Ziye, you should rest well too; you worked hard today, but if you hadn't come to the operating room, I might have lost over one hundred thousand."

"Then I really would have worked for nothing for a whole quarter." Liu Huanglong said with relief.

Fang Ziye comforted him: "Teacher Liu, the patient's sudden situation was just an accident; no one can predict such an accident."

"Actually, Teacher Liu, you just need to do your job well; there's no need to pay out of pocket."

If everyone were like Liu Huanglong, paying out of pocket for patients, a Chief Physician could only pay for four or five people a year, and the whole family would starve to death.

"Just do your best."

"This patient's family is quite special; otherwise, I really might not have wanted to bother."

"But since you've enjoyed the convenience of resource allocation, occasionally you should still learn to feel heartache for others."

"Not everyone can be managed, but the benefit is that when you want to manage, you can still help."

"I won't say more; good night." Liu Huanglong was expressing in his own way that he wasn't short of money.

Liu Huanglong indeed wasn't short of money; he had been a Deputy Chief Physician and Chief Physician for a long time.

Moreover, Liu Huanglong's wife's family background was not insignificant.

Liu Huanglong was a son-in-law deeply loved and recognized by his father-in-law; as long as Liu Huanglong didn't act willfully or play tricks, his father-in-law couldn't possibly be unwilling to give Liu Huanglong money to spend, and besides, Liu Huanglong himself earned money with a bright future.

So Liu Huanglong could openly and aboveboard borrow against the future.

In contrast, Fang Ziye himself didn't have such confidence.

Fang Ziye's own family had no future to borrow against for him, and Luo Tingzhu's family also had no future to borrow against for him.

The 'remaining funds' of Luo Tingzhu's parents were not enough to let them squander like this.

After hanging up the phone, Fang Ziye took a wonderful bath before sleeping soundly.

The next day.

Fang Ziye woke up early as usual, first ran and exercised for half an hour, then washed up again, ate breakfast, and came to the department to drink tea with Yuan Weihong, hand over, and make rounds!

However, after rounds ended, Fang Ziye directly left the Trauma Surgery Ward and did not go down to the Trauma Surgery operating room with Yuan Weihong and others, but went straight to the Bone Disease Specialty.

Luo Tingzhu's 'stepfather' Liu Gaobo was currently hospitalized at the Bone Disease Specialty, and was going to have surgery today, and Fang Ziye was still the Lead Surgeon; Fang Ziye had not forgotten this matter.

When Fang Ziye arrived at the Bone Disease Specialty, Du Yingshan and others also showed sufficient attention to Liu Gaobo, and were conducting an intra-departmental expert preoperative discussion within the department.

The so-called intra-departmental expert preoperative discussion was to gather all Deputy Chief Physicians and above within the department to discuss in detail the preoperative examination, surgical details, and surgical prognosis evaluation for patients scheduled for surgery today.

Generally, only when high-difficulty surgery is about to be carried out will there be such an agenda! ~

"Professor Fang, you've arrived; my Master said that after you come, let me take you to the Demonstration Classroom immediately." Bone Disease Department's doctoral student Liang Ye said politely.

"Xiao Ye, are you being so polite to me now?" Fang Ziye still recognized Liang Ye.

Bone Disease Department doctoral student Zhuang Liaoping, from the same class as Fang Ziye, used to bring Liang Ye to drink with Fang Ziye.

"Industry Brother, one thing is one thing; Industry Brother, you're now an Associate Professor, so we can't be as casual as before." Liang Ye replied with a smile.

Liang Ye is a second-year doctoral student this year, one class junior to Fang Ziye! ~

Liang Ye knew well that Fang Ziye was after all not his direct Senior Brother, and not even from the Bone Disease Specialty.

If he acted too naturally, treating Fang Ziye as Big Brother, and later couldn't control his mouth and offended Fang Ziye, it wouldn't be easy to apologize; better to be honestly polite.

Fang Ziye followed Liang Ye to the Demonstration Classroom; after pushing open the door, Du Yingshan and others inside were continuing their previous topic, only having Associate Professor Dou Xinyuan in the department find a chair for Fang Ziye.

Fang Ziye looked left and right, and found that Old Professor Hu Pingdong had not yet retired, but was still shining and radiating heat in the Demonstration Classroom.

On the contrary, Associate Professor Zeng Jiaoshou, who followed Professor Du Yingshan, had a rather subtle gaze at this moment; after exchanging a smile with Fang Ziye, he continued to listen seriously to Professor Ning Haiqing's opinion.

This surgical plan, because it was recommended by Fang Ziye as a connection household, had actually been deduced many times preoperatively, and the surgical procedure and details had long been sent to Fang Ziye.

Today was just another review, to show his regard for Fang Ziye.

Twenty Minutes Later, Professor Du Yingshan turned to Fang Ziye and asked, "Professor Fang, do you have any views of your own on this plan?"

"Teacher Du, you and Professor Hu, Professor Ning, and Professor Zeng have already calculated everything with such meticulous detail."

"What could I possibly add?"

"I'm half a layman myself, so I won't disrupt your rhythm, teachers," Fang Ziye replied cautiously.

"Professor Fang, you're too modest. Currently, the microcirculation instruments related to spine surgery are in the New Development Stage, and nationwide, only you, Professor Fang, can operate them."

"We will still need to consult you frequently during the operation, Professor Fang," said Du Yingshan.

"Teacher Hu, if you have no other instructions, then today's preoperative discussion ends here? We will proceed with the surgery according to this plan?" Du Yingshan held this old professor Hu Pingdong in especially high regard.

Hu Pingdong nodded: "Let's do it that way. The prognosis should be fine..."

Hu Pingdong was not nervous because of Fang Ziye's appearance.

Even though Fang Ziye had lost his temper at the Bone Disease Department before, neither his temper nor his Jianghu Status could affect the knowledge system and professional level that Hu Pingdong himself commanded.

Whoever came made no difference; this was Hu Pingdong's own confidence in his professional skill points.

Chapter End

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End of Chapter

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