Chapter 702

Li Yongjun, hearing Fang Ziye's such insight, intended to "let off" Fang Ziye, his hands gripping the railing released and he turned to walk forward.

"Fang Ziye, you needn't overthink either; the baton handover between traditional open surgery and minimally invasive interventional surgery takes a very long time."

"Our Vascular Surgery and Cardiac Surgery's Heart and Great Vessels Surgery are currently facing this very problem as well."

"Many comparatively traditional surgeries like valve replacement, treatment of aortic dissection — nowadays minimally invasive interventional treatment can also achieve good efficacy."

"But the existence and development of minimally invasive interventional treatment in no way affects the quality of some old professors doing traditional open surgery."

"As long as postoperative treatment effect is effective, it's nothing more than a distinction in the size of the traumatic scar left behind."

Li Yongjun continued, tilting his head: "As far as I know, decades ago, before Orthopedics' subspecialty Sports Medicine had developed, Joint Surgery's open rotator cuff repair and anterior-posterior cruciate ligament reconstruction were also carried out very widely."

"But with time's verification, Joint Surgery also long ago abandoned the open use of these two procedures."

Fang Ziye lacked Professor Li Yongjun's experience, therefore he did not continue discussing such problems with Professor Li Yongjun, changed the subject and asked: "Professor Li, in your personal view, for disease types like ALS, the pathogenic mechanism — is it more related to vascular factors or more related to neurological factors……"

Two hours later, Fang Ziye watched Professor Li Yongjun take a taxi and leave.

The distance where the two were was not far from Zhongnan Hospital; Fang Ziye walked back via a small path through Shuiguohu Street.

Just as he reached Shuanghu Bridge entrance, Fang Ziye's phone rang.

"Yuanpei? What instructions?" Fang Ziye asked.

"Industry Brother, where are you now? Xiong Jinhuan ran to the operating room calling for you."

"Associate Professor Xie encountered a very tricky emergency patient in the Emergency Operating Room……" Li Yuanpei's words were extremely urgent.

"Emergency Operating Room, right? I'll arrive immediately; I'm at Shuanghu Bridge now." Fang Ziye changed from walking to a light jog.

"Then you go take a look at the situation first. Xiong Jinhuan has already gone back too." After Li Yuanpei quickly explained the situation he hung up the phone, then re-scrubbed and went up to help.

Fang Ziye ran into the Emergency Department, headed straight for the Emergency Operating Room; after quickly changing into a scrub suit, he found a nurse shuttling instruments and asked which operating room Associate Professor Xie Jinyuan was in.

After scrubbing and disinfecting, he devoutly raised his hands at his chest and stepped on the sensor to open the OR airtight door; as the automatic induction door pulled open, green-clad figures kept "flashing" inside.

In the middle of the operating table surrounded by everyone, voices rose and fell continuously: "Fast fast fast, transfuse blood! ~"

"Vessel ruptured! ~"

"Lower limbs lower limbs……"

"Blood bank preparing blood still needs ten-odd minutes."

"Urge them, call and urge them! ~"

"……"

At least seven or eight people's different timbres, like death-summoning talismans, made the atmosphere inside the operating room exceptionally irritable.

Fang Ziye did not panic, but very rigorously shuttled through the crowd, walked to the dressing cart, and twisted on a sterile surgical gown.

"Which department are you from?"

"I have no time to help you put on clothes right now." The two circulating nurses in the OR were both busy with buttocks cocked, continuously passing things up to the table; one's tone even showed slight impatience.

"Trauma Surgery, Fang Ziye." Fang Ziye replied.

The moment Fang Ziye's words fell, the circulating nurse froze, as if she had suddenly heard this name before.

However, it immediately wasn't her turn to help Fang Ziye put on the sterile surgical gown; a middle-aged person in his forties closest to Fang Ziye instantly turned around and helped Fang Ziye tie his neckband.

Fang Ziye, after quickly putting on gloves, took the waist ties and walked toward the operating table direction.

During this process, others' voices were still chaotic; they simply didn't care who Fang Ziye was, whether Fang Ziye had come — those who should operate operated, those who should scold scolded, those who should urge urged……

Under such atmosphere, Fang Ziye could only, after nearing the operating table, begin to roam among the three sides of the operating table, patrolling the void and seizing the moment to act.

He found a "green-clad" person temporarily idle, had the other help pull his waistband and neckband, turn around and tie it; only then was Fang Ziye considered fully armed and ready to enter state.

Finally, at the two-thirds mark of the three-quarters circle Fang Ziye circled, Fang Ziye encountered an "acquaintance".

"Gong Ziming, yield the position to me." Fang Ziye said.

Gong Ziming is Associate Professor Xie Jinyuan's student; currently he is also already a first-year doctoral student.

Gong Ziming heard this; though he didn't turn his head, he immediately recognized Fang Ziye's timbre; he hurriedly said to an unfamiliar teacher at his side: "Teacher, help me hold this retractor, I'll yield the position and step down."

The other party also heard Fang Ziye's voice, and casually extended his right hand to press down once.

Gong Ziming hugged his chest and retreated outward; Fang Ziye seized the opportunity and immediately drilled into the gap, closing in on the operating table, obtaining bilateral lower limbs vision.

On Fang Ziye's opposite side, Associate Professor Xie Jinyuan who was originally the lead surgeon, and First Assistant Jin Hongzhou acting as assistant, at this moment were already very sensible and had adjusted their state, the operating instruments already simply categorized and organized.

The kidney dish, the moment Fang Ziye entered the operating table, was placed right in front of Fang Ziye.

Jin Hongzhou was even more quick-eyed and quick-handed; he took over the retractor from a General Surgery attending who was temporarily helping.

"Whole-body multiple open injuries, vascular injury extremely severe! ~"

"I've already emergency-managed bilateral femoral artery sheaths, but there's still venous injury."

"Currently the patient's blood loss is a lot."

"Preoperatively there were no auxiliary materials at all." Associate Professor Xie spoke not a word of nonsense; every word clearly described the patient's current situation.

Fang Ziye heard this; his brain converted Xie Jinyuan's words into anatomical information and rapidly spun; his right hand began moving nimbly in the surgical field.

Only saw Fang Ziye merely rummaged a while on the patient's right thigh anterior side, and in the red flesh dripping, found a muscle gap; with a hemostat he gently tore open the muscle gap, then found the venous proximal end.

"Venous blood loss not in thigh anterior side; Professor Xie, you continue dissecting downward." Fang Ziye quickly responded, his gaze already shifting upward to the lower abdomen position.

After roughly scanning the lower abdomen's basic situation for about five seconds, Fang Ziye began from the lead surgeon's hand as a line to start sizing up the lead surgeon's identity.

Another three or four seconds later, Fang Ziye consulted in a low voice: "Hao-ge, how about letting me try to find it?"

The lead surgeon, Fang Ziye also recognized; he is Vascular Surgery's following Professor Deng Haibo — Associate Professor Chen Minghao.

"Ziye?"

Chen Minghao froze for two seconds, then quickly turned his head: "Liu Faming, you step down first."

Liu Faming heard this and quickly mimicked Gong Ziming's earlier example, retreated outward, once again yielding a gap for Fang Ziye.

Fang Ziye without any hesitation rushed toward the patient's abdominal direction's vacancy, both hands without hesitation stretched into the patient's pelvic blood pool.

"Hemostat give me! ~" Five seconds later, Fang Ziye without any hesitation asked Chen Minghao for the instrument.

The old Fang Ziye might have only offered suggestions, given explanations.

The current Fang Ziye, to save time, simply skipped that step.

As Fang Ziye spoke, his right hand had already seized the most heavily bleeding, wavering artery in the pelvic cavity, pinching shut its spurting mouth.

"Hemostat—!" A young man Chen Minghao didn't recognize beside him handed over the hemostat's ring handles.

Fang Ziye took it and with a crisp "click" drove it straight into the blood pool, the entire operation not dragging a bit.

The youth passing instruments stared blankly, instinctively questioning: "You didn't even look and just clamped the hemostat down?"

The land produces talent generation after generation, each year newcomers replace the old.

Fang Ziye merely hadn't walked in Zhongnan Hospital for a year, so there would certainly be people who didn't recognize who Fang Ziye was.

However, before Fang Ziye could explain, Chen Minghao said: "Yang Chong, shut your mouth, this isn't your place to speak, nor is it your time to speak."

As Chen Minghao spoke, he was already striving to shift his own body position and hand position, the negative pressure suction device gripped in his hand, clamped tight, following Fang Ziye's movements.

At the same time, after using physical examination technique to locate the direction of several bleeding points, Fang Ziye sent the hemostats in with great precision.

The blood pool inside the patient formed because input exceeded output, an accumulation; the suction device's blood removal speed is relatively fixed, and once the bleeding volume becomes less than the suction volume, the blood pool will naturally drop and disappear.

Roughly forty-odd seconds later, the blood pool in the pelvis began to descend to the low-lying blood pockets at a speed visible to the naked eye.

Simultaneously, several barely perceptible small venous bleeding points were also exposed within everyone's field of vision.

Chen Minghao held the suction device in one hand, and with the other hand holding a hemostat merely clamped shut one of the bleeding points.

Fang Ziye simultaneously sent in four hemostats, movements graceful and precise.

Immediately after, Fang Ziye began counting: "Thirteen hemostats total in the pelvic cavity, Instrument Nurse, remember to count later."

Fang Ziye was telling Chen Minghao, and also telling the instrument nurse. To prevent forgetting later, lest a small hemostat be left inside the patient and not removed.

Having said that, Fang Ziye didn't wait for a reply at all, his two hands still exploring freely inside the patient's body.

"No retroperitoneal hematoma, initial hemostasis in the pelvis stops here."

"Start suturing." Fang Ziye said to Chen Minghao.

"Good!"

Chen Minghao set down the negative pressure suction device in his hand and began using the needle holder to take the vascular suture thread prepared long ago.

"Yang Chong, help cut the thread." After Chen Minghao said this, left hand holding forceps, right hand holding needle holder, he only then slowly let out a breath of relief.

The patient's rescue having reached this point, if hemorrhagic shock still resulted afterward, it would have little to do with him; the greater likelihood was still other specialties' comprehensive capability being insufficient.

This patient's polytrauma is far from just this; the rescue is far from over.

During this process, although Fang Ziye didn't make very loud or severe sounds, merely performing local hemostasis operations, his presence had already become known to some familiar people.

Vascular Surgery's Director Wu Yong, glancing past Fang Ziye after he had finished the local battle, immediately spoke to invite: "Professor Fang, trouble you to come over and help."

"Both subclavian arteries and carotid arteries are damaged, we dare not clamp both simultaneously!" Professor Wu Yong was professional, directly tossing the difficult problem onto Fang Ziye's head.

Both subclavian arteries and carotid arteries damaged, they definitely cannot be clamped simultaneously, otherwise it's the perfect indication for brain death.

Fang Ziye also didn't unprofessionally ask how it got into this ghostly state, but directly through the gap left by the yielding "colleague", leapt upward—

Zhongnan Hospital's senior title system is professor responsibility system; more broadly, Associate Chief Physician rank and above take responsibility for their own patients' treatment and outcome.

Before crossing the step to Associate Senior Title, don't think about doing business outside your sub-specialty and specialty scope.

But once at Associate Senior Title, if you edge into doing elective surgery no one will openly criticize you, at most they'll warn you best not to do it again.

As for emergency surgery, Zhongnan Hospital has opened nearly all emergency rescue operation permissions to all Associate Senior level Emergency Department personnel.

Expediency in urgent matters; if professional professors haven't arrived yet, in situations where not operating means death, the hospital's On-duty Director defaults to authorizing all Associate Chief Physician level to perform all rescue operations.

Unless the Lead Surgeon himself is unwilling to operate.

Most Lead Surgeons are unwilling to get involved in bloody messes.

After all, specialty-specific treatment has become the mainstream.

"Suture the subclavian artery rupture without clamping, Professor Fang, can you do it?"

"The vessel position isn't fixed, the difficulty might be even a bit greater than suturing a non-stop beating heart." Professor Wu Yong asked.

Both carotid arteries damaged, at this moment the bleeding volume is extremely large!

Blood had already been called for earlier, and the right carotid and subclavian had already been clamped, the left subclavian had already been clamped!

But Wu Yong had already attempted five times to suture the non-stop beating left side, all unsuccessful.

Could only watch helplessly as the left carotid artery bled while supplying blood to the brain.

The cotton pads covering the arterial spurting blood were by now all stained red and soaked black by fresh blood, the clotted gore on the pad surface crawling with blood threads intertwined like spiderwebs.

Fang Ziye could not operate, not attempt, because he's Trauma Surgery, no one would say he doesn't suture carotid arteries.

But now, Fang Ziye has long since passed the initial "low title" stage; what he needs to consider isn't the responsibility problem.

So, Fang Ziye didn't struggle, quickly picking up the needle holder and suture thread from Wu Yong's hand.

Didn't even have time to pick up forceps, used the vascular clamp in hand as assistance.

This time, Fang Ziye's movements weren't as swift as before.

Suturing under a non-stop beating heart is one of Cardiac Surgery's pinnacle suturing operations; Fang Ziye is merely an Orthopedic Doctor, has never had operating experience.

But Fang Ziye's Suturing Technique is already Level 5.

Any Suturing Technique cannot depart from the Basic Skills of Suturing Technique; Fang Ziye feels he can still attempt one or two.

Speaking purely of Suturing Technique Basic Skills, Cardiac Surgery doctors also don't necessarily have as solid Basic Skills as Hand Surgery doctors—

One needle down, Fang Ziye's hand, without relay, directly pierced through both sides of the taut, unstable carotid artery rupture.

In the beating fluctuation, capturing the suitable needle entry and exit points was exceptionally strenuous.

But also barely sufficient.

Quickly performing instrument knot tying, Fang Ziye still quickly raised Suturing Technique from Level 5 5000/50000 to Level 6.

Not that Level 5 Suturing Technique is completely insufficient, but it's still not steady enough.

With his current Knowledge Points balance slightly in surplus, Fang Ziye preferred to play it safe; after pouring down over forty thousand Knowledge Points, his balance dropped from 130,000 to 89,000.

He had no time to think too much.

He continued suturing the second stitch.

As he continued this second stitch, Fang Ziye instantly felt his hand feel, confidence, assessment ability, and eyes' capturing ability were all far superior to before.

Crossing a Level 6 skill, the tactile sensation was completely different from a Level 5 skill.

Fifteen seconds later, Fang Ziye finished the second stitch.

Although Professor Wu Yong was inwardly shaken, he suppressed all his emotions, and amidst heavy breathing, assisted Fang Ziye in lifting the cotton pad to expose more of the wound for suturing.

After four stitches were placed, the carotid artery rupture covered by the cotton pad was fully treated.

The four stitches were closely spaced, as if measured by a ruler.

But the sutured carotid artery continued to throb wildly between the muscle and fat layer after being dissected and flipped open.

Expanding and contracting in spurts with the heart's pumping!

"No bleeding for now, continue with the opposite side! ~"

"What's the blood pressure?" Fang Ziye asked proactively at this moment.

"The systolic rose by 1, now it's 5." The anesthesiologist glanced at the monitor amidst his busyness.

The patient's current blood pressure could not be measured; central venous pressure monitoring was used instead.

Central venous pressure below 0.49kpa (5cmh20) indicates insufficient effective blood volume.

The so-called 5 means 5 centimeters of water column, not the standard unit of mmHg, but the anesthesiologist had no time to explain so much.

"Release the hemostat?" Wu Yong asked with a trembling voice.

As a professional vascular surgeon, Wu Yong knew well the operational details and difficulty differences between suturing a non-beating heart and suturing an aorta without hemostasis.

Suturing a non-beating heart: requires microscopic precision and complex instrument coordination in a dynamic environment, suitable for simple cardiac septal defect repair; if complex deformities occur (such as aortic valve insufficiency), it must be converted to arrested-heart surgery (ah).

Suturing an artery without hemostasis: requires quick decision-making and operation under continuous bleeding and high-pressure conditions, common in trauma emergency rescue (such as major blood vessel rupture) or intraoperative accidental injury.

Suturing an artery without hemostasis is more difficult in emergency situations due to time urgency and the risk of irreversible blood loss!

This operation had not been carried out clinically; in fact, very few people dared to propose this concept, let alone put it into practice—

Life is not a joke, nor a plaything.

Those who could truly complete suturing under conditions of an aorta without hemostasis are extremely rare; even those who knew how to operate would not use it to show off, for fear others would also learn...

Even those who knew how to operate would not show off in a situation where hemostasis was possible.

Hearing this, Fang Ziye glanced at Wu Yong and said in a low voice, "Professor Wu, the carotid artery on the opposite side has already been opened; why open the hemostat again?"

"Seeking stimulation?" Fang Ziye's voice was warm and moist.

Big Brother, you think we're acting, you're watching a movie?

Just now I didn't understand clearly, and coincidentally the carotid artery on the opposite side was also injured, so again?

Wu Yong's heart sank; he knew he had completely lost his composure and original intention facing Fang Ziye's operation just now.

He wanted to see it once more.

But time would not give him another chance.

The carotid artery could not be clamped bilaterally, but theoretically it could be clamped unilaterally.

So, he would never again see Fang Ziye perform the operation of suturing an artery without hemostasis under the premise of no hemostasis.

Fang Ziye properly returned the instruments in his hand: "Professor Wu, I should return to my workstation. Next, it's up to you, Professor Wu."

Fang Ziye gave Wu Yong plenty of face; after showing off, he ran.

As for the remaining blood vessels, Fang Ziye could actually suture them in two or three moves, but that would make Professor Wu Yong, this administrative professor of vascular surgery, look very foolish!

"Oh, okay! ~" Wu Yong nodded like a 'fool'.

His eyes were full of regret.

Some scenes that dazzle you in time often do not last long; most exist in a person's youth, or in a fleeting moment at a certain instant, and then there is no more intersection.

Fang Ziye no longer moved sideways, but properly retreated backward; after leaving the operating table, he went around behind the other doctors and came to the wound site of the bilateral lower limbs, honestly performing debridement on the open injuries of the bilateral lower limbs.

When Fang Ziye returned, Xie Jinyuan had not yet finished isolating the distal end of the vein; seeing Fang Ziye return, he smiled somewhat embarrassedly at Fang Ziye.

Fang Ziye smiled back at Xie Jinyuan for a few seconds, then as if his eyes had captured something, he suddenly reached out and grabbed the patient's right lower limb great saphenous vein!

At the same time, Fang Ziye quickly inserted two hemostats back into the bilateral femoral veins at the previous femoral sheath location.

"Professor Wu, venous thrombus is starting to detach!"

"I suggest performing a femoral artery filter, and locally heparinizing!" Fang Ziye shouted.

Fang Ziye's words stunned Associate Professor Chen Minghao, who was suturing blood vessels near the lower abdomen.

He was relatively close to Fang Ziye, so instinctively he blurted out: "You f*cking just grabbed a thrombus?"

In his heart he cursed, if that's really the case, I'll f*ck your mother.

Fang Ziye shook his head: "During the process of the thrombus sliding out of the venous valve, it will cause local expansion and contraction of the vein!"

"The thrombus in the lower limb has not completely detached from the femoral vein."

"Also be careful of thrombus detachment in the great saphenous vein and small saphenous vein."

"There may be such a situation in the upper limbs as well." Fang Ziye naturally could not catch the detached thrombus; it was the venous valve that blocked the thrombus backflow.

Fang Ziye only noticed this subtle change through physical examination technique, so he gave advance warning and suggestions.

Thrombus detachment and venous backflow is no small matter.

Normal adult men can die from thrombus detachment; given the patient's current condition, if thrombus detachment and backflow occur again, death is certain.

Chen Minghao dared not be negligent; he immediately left the vascular suturing he had just performed and began placing filters at the bilateral femoral veins.

After a full ten minutes or so, Chen Minghao cut open and placed the filter, then chose to cut open the downstream of the right femoral vein; indeed, at the location of the venous valve, he found free-floating thrombus strands between the venous valve leaflets.

When the blood vessel was cut open and the worm-like thrombus strand was pulled out, Chen Minghao and Yang Chong beside him both gasped in shock.

If Fang Ziye were bluffing, the thrombus simply wouldn't exist.

But Fang Ziye isn't bluffing, then Fang Ziye's technical level can be said to have already reached the "incredible" realm.

Only then did Yang Chong recall just how ridiculous his questioning had been.

After he questioned, after Chen Minghao taught him a lesson, just how funny was the content he had imagined in his head.

Yang Chong's gaze lingered around Fang Ziye.

Fang Ziye paid no attention to any of the gazes, continuing to debride honestly and straightforwardly together with Xie Jinyuan.

The entire process, not a word spoken.

Forty minutes later, Associate Professor Xie and Fang Ziye and the others completed the debridement and suturing of the bilateral lower limbs, and applied vac coverage to the patient's lower limb wounds, then very quietly withdrew from the operating table, and filed out of the operating room one after another.

Only after the few people's backs had disappeared from the operating room did Professor Meng Yuan, who was handling the open intestinal injury, look at Wu Yong and ask: "Professor Wu, is this the Fang Ziye from Orthopedics?"

"I only heard about him from our department's Lin Hanping and Chen Hongxing before, this is the first time seeing him in person."

Wu Yong nodded, cursing as he spoke: "Professor Meng, just tell me, is that Orthopedics' Deng Yong a carpenter acting like a human being?"

"Such a good surgical expert, being occupied by him in that Orthopedics corner knocking and hammering, spending the whole day playing with hammers and drills..."

Meng Yuan understood Wu Yong's meaning: "For major vessels, not stopping the blood for suturing emphasizes speed, no matter how fast it's never too much."

"There's a kind of 'all martial arts under heaven, nothing unbroken by speed' meaning to it."

"Fang Ziye being able to manually operate no-hemostasis suturing of a carotid artery rupture, he really was wasted in Orthopedics."

Hearing someone empathize with him, Wu Yong was moved to the point of tears: "Professor Meng, but Dean Wang Xinghuan doesn't support me, next time there's a meeting, could you speak up for me..."

"No." Meng Yuan refused without the slightest hesitation.

"Why?" The patient's immediate life threat had been lifted, the filter protection stent was in place, and Wu Yong had the mind to start acting up.

"My whole family and I still want to live a few more years. My ancestors also prefer their ears quiet." Meng Yuan lowered his head and started doing his own thing.

Wu Yong: "..."

Chen Minghao: "..."

"Director Qian?" Wu Yong looked again at Professor Qian Zhong of Hepatobiliary Surgery.

Professor Qian Zhong is the Surgical Administration Chief Director, and also the General Surgery Administration Chief Director; Vascular Surgery is a sub-department of General Surgery.

"Don't look at me. If you can poach Fang Ziye over, settle it privately, all the firepower I can block for you."

"But if you want me to help you open fire, that I can't do." Qian Zhong spoke with a very determined tone.

Wu Yong could poach Fang Ziye into the General Surgery major department, all the anger he could bear on his behalf, but he wouldn't actively do such a thing.

Wu Yong forced a few laughs, then stopped speaking.

The emergency surgery continued for about three more hours before finally nearing its end.

When Yang Chong of Vascular Surgery followed Chen Minghao out of the operating room, he lowered his voice and asked: "Who is this Fang Ziye brother? He doesn't look that old?"

Yang Chong is this year's newly hired Vascular Surgery staff, technical level very good, came from Fuwai.

Although young, only around thirty years old, his whole body of technical skill is not in the least inferior to Vascular Surgery's senior attending physicians, deeply valued by Professor Wu Yong, now responsible for routine emergency rescues, able to hold his own.

Chen Minghao looked at Yang Chong and said: "This isn't your brother. From now on when you see him, you'd better properly call out 'Teacher Fang Ziye'."

"This is a divine figure in our hospital's surgical system, Trauma Surgery's Fang Ziye, Associate Professor, Deputy Chief Physician, Researcher."

"His outside reputation is like this, his own strength you witnessed today."

"Speaking of it, our Vascular Surgery's current most proud research project on handling retroperitoneal hematoma all originates from Professor Fang Ziye." Chen Minghao warned in a low voice while washing his hands.

Yang Chong's initial imagined persona for Fang Ziye was that kind of connections household, family connections reaching the heavens, so even Professors and Associate Professors treated Fang Ziye with "extra courtesy"!

Therefore, when this Big Brother came up to the table, Chen Minghao had Liu Faming yield his position to him.

But Yang Chong only now knew, this Big Brother was this fierce.

"Hao Ge, such a fierce person, how come I've been here so long and hardly heard of him?" Yang Chong forced a laugh and asked, feeling it too incredible.

His progress speed was already fast enough, whether at Fuwai or Zhongnan, he counted as a genius.

"Professor Fang has been less present in the hospital this past year, so rumors about him decreased a bit! ~"

"I actually don't know when Professor Fang came back either, but you wait, once Professor Fang returns, legends about him will naturally slowly start rising!"

"Speaking of it, early this month at the department morning meeting, the weirdo Professor Deng Haibo mentioned should be Fang Ziye." Chen Minghao said.

Chen Minghao counts as relatively familiar with Fang Ziye; he's Associate Professor under Professor Deng Haibo, and has relatively more 'cooperation' with Fang Ziye.

"Oh! ~" Yang Chong honestly committed the name Fang Ziye to heart.

Around 8 PM, Yang Chong enthusiastically called Chen Minghao again.

"Hao Ge, I found out, a friend of mine said Fang Ziye came back in September."

"But after coming back, he's been keeping a low profile."

"Big Brother Mi Qi also said, that he can have today, Professor Fang Ziye helped a very big favor."

"But Hao Ge, one thing I'm more puzzled about is, what exactly does this Fang Ziye do? How come our Anesthesiology's dissociated sensory-motor anesthesia also relates to him?" Yang Chong went to inquire.

Learned some things, but the current him felt even more bewildered.

Vascular Surgery's project relates to Fang Ziye, Anesthesiology's project also relates to Fang Ziye.

Is Fang Ziye still Orthopedics' person?

"You say you're so idle with nothing to do, why inquire about all this?"

"But it's good you called Mi Qi, Mi Qi knows Fang Ziye is back, we'll definitely have a meal."

"Probably last year, when Mi Qi was sitting outpatient clinic, he was slashed on the hand by a patient, Professor Fang Ziye, to guarantee Mi Qi's hand function to the greatest extent, for the first time attempted dissociated sensory-motor anesthesia in Anesthesiology..."

"So Mi Qi can still stay in our Vascular Surgery, instead of going to the Logistics Department for a nominal post." Chen Minghao was quite fond of this Little Junior Brother Yang Chong, so he said a few more sentences.

Yang Chong listened, silent for a long time, then said: "Hao Ge, this surgical world's water is truly deep."

"I used to..."

Chen Minghao understood Yang Chong's meaning: "Yang Chong, you're different from us. You came out of Fuwai Hospital. You've seen the big world."

"So..."

Hearing this, Yang Chong hurriedly interrupted: "No no no, Brother Hao, you misunderstood my meaning. What I meant was, my teacher used to always tell me that Eastern Han's surgical system is full of talent, masters everywhere."

"Back then I only half-understood. Now I might have just been hit by my own boomerang."

"Master~" Fang Ziye was in the study, drinking tea and organizing data, when Yuan Weihong called.

"Ziye, you go out for a meal and incidentally do an emergency surgery, and you still managed to add a burden to your master me?"

Yuan Weihong's voice echoed through the speakerphone in the study: "Aortic non-hemostasis suturing? Ziye, you really are capable."

"Master, within my ability, right at my side — I couldn't just watch someone die without saving them."

"After I returned to the hospital, I specifically studied Zhongnan Hospital's rules and regulations. During emergency rescue, if you do your utmost, there's no accountability!"

"This patient — if I hadn't stepped in to handle it, the risk of death would be very high."

"Mainly because Professor Xie called and asked me to go, after all."

Fang Ziye's voice was calm and warm: "I shouldn't have done anything wrong. That other teachers took a fancy to me — you can't force someone into submission, can you?"

"It's like this: your student me is handsome, walks out and gets fancied by someone else — am I supposed to move the Civil Affairs Bureau to her house?"

Fang Ziye understood Yuan Weihong's meaning, but Fang Ziye didn't regret it either.

He wasn't doing surgery to show off, nor was he operating techniques others couldn't to make people appreciate or envy him.

"But fortunately, Fang Ziye, your own personality is hard enough."

"You already tested the waters with Dean Wang Xinghuan. Just now Dean Wang called me and said he already severely scolded Vascular Surgery's Wu Yong and Hepatobiliary Surgery's Professor Qian Zhong."

"Do you know what Dean Wang said?" Yuan Weihong played coy.

"Master, how about I offer you a few bottles of wine? Don't keep me in suspense?" Fang Ziye acted playful while showing his filial devotion.

Yuan Weihong's voice changed: "These people don't even piss in a mirror to look at themselves — see what distorted things they are. Their entire lifetime's output still isn't as thick as your Fang Ziye's current research and professional accumulation."

"One by one, big words about taking you to the next level."

"Damn, I asked them what it looks like after the next level, and they said they didn't know. Even if Fang Ziye changes careers, he'd have to switch to Urology first..."

"Satisfying~"

"Said everything I wanted to say but didn't dare say. Listening to it just feels satisfying." Yuan Weihong felt refreshed.

Fang Ziye smiled freely: "Master, so it's still better to go out more. If I'd always stayed at Zhongnan Hospital, Dean Wang might not necessarily have helped me this much."

"People who've already been defined shouldn't lightly go defining other people's lives."

Hearing this, Yuan Weihong's tone turned sour: "Ziye, you're not being sarcastic to your master me, are you?"

Fang Ziye hurriedly shook his head: "Master, no no, I'm just speaking the truth. Master, how good you are to me — you know that in your own heart, don't you?"

"Your kindness to me, I've always kept in mind."

"Just like now — I only need to be responsible for doing the work. All other aspects, Master, you've already arranged perfectly for me."

"Research funding, research team prototype, professional team prototype."

"Master, though I haven't spoken, the things you've done — I've seen them all. Just never had the chance to thank you, Master."

"Or maybe we Eastern Han people are all rather reserved, not good at expressing feelings. Seems like to this day, besides saying thanks, I can't find any other words."

This kind of just-right, substantively-targeted flattery would make anyone feel comfortable.

Yuan Weihong stopped overthinking and asked: "Ziye, this aortic non-hemostasis suturing technique — can it be copied?"

Hearing this, Fang Ziye immediately shook his head: "Master, no! ~"

"Absolutely not."

"If it's not an absolutely urgent situation, my advice is still don't take the risk."

"Hemostasis when you should, cardiac arrest when you should — never go looking for stimulation just to practice technique."

"If there's truly no way out, then it's only a one-in-a-hundred chance of survival."

Yuan Weihong heard Fang Ziye say it so definitively and asked: "One-in-a-hundred?"

"Then what if someone like Professor Wu Yong operated?"

Fang Ziye fell silent for several seconds before cautiously replying: "Then it'd be five-hundred-to-one survival. Maybe a zero-point-two-percent survival probability."

Even Level 5 Skill operation is extremely strenuous, let alone Fang Ziye's Hemostasis Technique being Level 6!

Professor Wu Yong's current strength?

Hard to say if he even has zero-point-two percent.

From receiving the call to arriving at the operating table, Fang Ziye took at most less than ten minutes.

If it dragged on a bit more, whoever came would be useless.

Brain death cannot be reversed.

Yuan Weihong also fell silent for a few seconds, then said: "Then forget it. Even someone like Professor Wu Yong doesn't have admission qualifications. Better not promote it."

"You rest well. I just got a call — tomorrow our department will have a super big case."

"Don't know if we can handle it!"

"But it's not that extreme either. If we can't do it, we can send it back." Yuan Weihong gave Fang Ziye a preventive shot in advance.

Fang Ziye really got a bit curious: "Super big case?"

"What is it, Master?"

"You mind your own business first. Don't worry about this matter." Yuan Weihong said.

Only then did Fang Ziye and Yuan Weihong hang up the phone.

After hanging up, Fang Ziye saw several unread messages — from Xie Jinyuan, Chen Minghao, Wu Yong, Deng Haibo, and a few others.

There were dinner appointments, words of thanks, and simple greetings.

After reading them, Fang Ziye replied first to Associate Professor Xie Jinyuan, with whom he had a relatively close relationship.

"Teacher Xie, why stand on ceremony with me? I've been treating the Trauma Surgery department like my own home, coming and going as I please, without reporting to you, Teacher Xie."

"I just hope you don't hold it against me."

Xie Jinyuan was quite satisfied with Fang Ziye's answer: "Treating it like your own home is good, that's exactly how it should be."

"Come to think of it, I've also basked in a lot of your reflected glory, Ziye, which is why I have the opportunity to be promoted to a 'Premium' professional title soon. Ziye, if you're free this weekend, let's drink together."

Generally speaking, next year's Chief Physician and Deputy Chief Physician quotas would be discussed and finalized the previous year, with the specialty submitting the recommendations.

It was quite obvious that Xie Jinyuan had already entered the recommendation list for the Chief Physician title, with a chance to step into the highest realm of Zhongnan Hospital's professional ranks, achieving a 'Feudal Lord' realm.

"That's a good thing. I'll definitely drink this celebratory wine of yours, Teacher Xie, and freeload some of that good luck while I'm at it! ~" Fang Ziye replied.

Xie Jinyuan fell silent for roughly a few seconds, then edited his message and replied: "Ziye, if I said that after I'm promoted to Chief Physician next year, I might swap positions with Yuan Weihong, what do you think?"

(Chapter End)