Chapter 706
"Professor Fang, to be frank, the patient transferred from our Urology Department to your department is one Dean Wang deliberately intends to make a typical rescue case!"
"The family just contacted me this morning, saying your Trauma Surgery strongly recommended amputation, otherwise there would be a risk of death."
"Isn't that a bit alarmist?"
"Even if treatment is difficult, controlling the infection shouldn't be hard, right?" Deputy Director Zhang Ziqian of Urology spoke in a gentle tone, yet with some firmness.
Fang Ziye stood alone to the side in the department corridor, leaning toward the nurse station, watching Yuan Weihong and the others continue on ward rounds, and replied with a hearty laugh: "Qian Ge, this case, our Trauma Surgery specifically held a meeting to discuss."
"We even invited Professor Xiong Lao, who has been retired for many years, back to the department to take charge; the situation is indeed very complex."
"Infection is infection, but the patient's own condition is special — in and out of the ICU multiple times. To ensure the patient's life safety, our department's opinion is still amputation to save the life."
"Qian Ge, this isn't shirking responsibility or slacking off; it's really impossible to pull off."
As Fang Ziye finished speaking, a young nurse at the nurse station handed over a small orange; Fang Ziye waved his hand in polite refusal.
Listening calmly, after Zhang Ziqian took a few deep breaths he spoke again: "Professor Fang, this patient has had an extraordinarily hard time from injury to now."
"During the initial hospitalization, it was your department that performed limb salvage surgery for the mangled extremity at the first opportunity; only after joint diagnosis and treatment by multiple specialties in our hospital did today's situation come about."
"Now to proceed with amputation is truly deeply regrettable."
"Moreover, the patient and family have a very strong desire for limb salvage; my personal view is also that if you professors can still think of a way, try not to make this terminal choice."
"Even if not considering building a typical case, one should consider from the patient and family's perspective."
Zhang Ziqian's emotions were stable, doing his best to persuade with reason and emotion.
The amputation plan was initiated and determined by Fang Ziye, so Fang Ziye said without any hesitation: "Director Zhang, it is precisely from consideration for the patient and family that we made this painful decision."
"Initially, when this patient was just admitted, our department also aimed for limb salvage; otherwise we wouldn't have gone to so much trouble."
"But Director Zhang, after admission this patient has been through repeated turmoil; the functional status of vascular-related structures and organs is no longer what it was at the start!"
"If this patient, at the time of trauma admission, did not have so many complications, and our Trauma Surgery couldn't save the limb, that might be our limited skill!"
"But now it is truly that objective conditions do not permit; we cannot do surgery for the sake of doing surgery."
"No matter how well the surgery is done, if the patient ultimately loses their life, the surgery has no meaning!"
"Based on the above, our department's opinion is unanimous: amputate as early and as quickly as possible!"
"Director Zhang, hope you can understand our sincerity."
"We are orthopedic doctors; we are the professionals most unwilling to see patients fall before our orthopedic diseases."
"But we are Trauma Surgery doctors; we must be responsible for our specialty's diseases!"
Fang Ziye's attitude was resolute, leaving no room for negotiation.
"Sigh..." Zhang Ziqian sighed with deep regret.
Zhang Ziqian said: "Since Professor Fang your department has decided, then I won't say more."
"We also respect Professor Fang and Trauma Surgery's treatment recommendation..."
"Thank you Director Zhang for understanding; if it's inconvenient for you to reply to Dean Wang, after I finish ward rounds I can personally go to the Hospital Director's Office to explain to Dean Wang face to face!" Fang Ziye said.
Zhang Ziqian said: "That won't be necessary; it was Dean Wang who asked me to call Professor Fang!"
"As long as you've asked clearly, that's fine."
Fang Ziye hurriedly said: "Then please trouble you to pass a message to Dean Wang: say I have failed his trust, but this patient truly has no way; we are all only human, we must admit the relative insufficiency of objective technique, admit the constraints we face."
To know is to know; not to know is not to know.
Some surgeries, do them if you can; if after comprehensive assessment you cannot do them, even creating conditions won't make them doable, then don't give yourself the label of omnipotence.
Decisive and clean, no dragging feet.
To do surgery for the sake of a classic, for the sake of a typical case, to gamble on a probability with no certainty, is irresponsible to the patient and betrays one's own conscience.
After hanging up, Fang Ziye caught up with the group and began standard ward rounds.
Ten minutes later, after Yuan Weihong led the team through one ward, he came out and asked: "Made it clear?"
Fang Ziye nodded: "Yes, it was Urology's Zhang Ziqian who called; I conveyed our attitude, and Director Zhang didn't say much else."
Yuan Weihong nodded: "I also communicated with the patient and family for two hours last night; their attitude has wavered too."
"Go ask them again..."
Yuan Weihong finished, walked two steps away, then stopped and asked: "Unable to afford treatment, or having money but unable to be cured — which is more regrettable?"
Yuan Weihong's question was putting himself in their shoes.
Everyone fell silent.
Fang Ziye also kept silent.
Yuan Weihong didn't struggle further, finally confirming the plan, sentencing the old man's two legs to "death"!
As Yuan Weihong and the others came out of the ward, they faintly heard the old man's daughter sobbing inside, and the old man's son's helpless cursing.
"Damn it, can't even earn money into their pockets. Fuck..."
The old man sighed and said: "Forget it, this is fate."
"Everything we should've inquired about, we've inquired; Professor Fang Ziye, in limb salvage surgery, his technique is the nationwide top tier."
"Since it's so, we can only accept fate."
"Into the OR." Yuan Weihong gave a very cold order, snapping Qin Geluo and Li Nuo out of their wandering thoughts.
Fang Ziye's thoughts also gradually returned to reality: "Master, today are we scheduled for three surgeries?"
"Mm, Bed 5 first, Bed 9 second, Bed 6 third; Bed 6 is specially arranged for Qin Geluo — although our main business is post-mangled-extremity functional reconstruction, bone transport surgery is also the cornerstone of our Trauma Surgery."
"Qin Geluo, you should be prepared, right?" Yuan Weihong used a concrete proposition to pull everyone's thinking back on track.
"Wei Ge, thanks for the trouble." Qin Geluo immediately tensed up.
This is going to be solo lead surgeon, after all.
After entering the operating room, Fang Ziye continued to act as the overseer.
……
Morning, 10:15 AM.
Fang Ziye, who had been sitting against the wall, stood up in one motion, picked up his mobile phone and pressed it to his ear; after confirming that the current surgical rhythm was stable, he walked out of the operating room.
"Professor Chi, good morning! ~" Fang Ziye's tone carried a smile.
"Professor Fang isn't on the platform, is he?" Chi Jianhua, hearing that Fang Ziye answered the phone instantly, laughed heartily and asked.
"I'm down here learning and accumulating experience; Teacher Chi, how did you suddenly think to call me? Do you have any instructions?" Fang Ziye exchanged brief pleasantries and went straight to the point.
"There are indeed a few matters I need to consult Group Leader Fang about."
"The first matter is about the expansion of the second-stage clinical pilot study. Group Leader Fang, is there any problem on your end with our hospital's clinical pilot?"
"I personally feel that our cooperation has been quite tacit." Chi Jianhua said with a smile.
The second-stage clinical pilot study can generally be carried out sequentially half a month to one month after the first-stage clinical trial ends.
Depending on the number of cases, it lasts one month to three months.
"Teacher Chi, that's for sure! ~"
"The Bone Disease Department of Peking Union Medical College Hospital is the benchmark for our Hubei Province's Bone Disease Department; if you, Teacher Chi, pull up stakes and leave, I wouldn't be able to find anyone to consult even if I cried."
Fang Ziye asked frankly: "Teacher Chi, do you think I've disturbed your normal work order by running to Peking Union Medical College Hospital twice?"
"If so, I'll try to run less in the later stage! ~"
Hearing this, Chi Jianhua immediately said: "Professor Fang truly has a childlike heart; you're quite mischievous, aren't you?"
"Professor Yao and I have long since said that we welcome Professor Fang to come over for exchange anytime — whether it's mutual learning or Professor Fang coming to give lectures, we all frankly accept our own insufficiencies! ~"
"Professor Fang, the second matter is to explain a small episode to you."
"Professor Fang, you also know that the argumentation of pathological section results requires time."
"The frozen section results are far less precise than the final paraffin results; this morning, Director Wu Qiong of our hospital's Pathology Department personally called me to explain."
"If this matter has caused you any inconvenience, Professor Fang, please be magnanimous and forgive us."
Chi Jianhua came to deliver a message.
In fact, it is a very normal thing for frozen pathological section results to differ from the final paraffin section results; the Pathology Department of Peking Union Medical College Hospital has no need to make any explanation.
However, this time it was an inpatient of Peking Union Medical College Hospital who, using the frozen pathological section results as basis, reported Fang Ziye — and reported him for misdiagnosis.
If the final result confirmed Fang Ziye's misdiagnosis, that would be one thing; but going around in a circle and creating a big farce……
"Professor Chi, Professor Wu of your hospital's Pathology Department is overthinking this."
"The pathological section results of chronic nonbacterial osteomyelitis and osteosarcoma are originally very similar; distinguishing their pathological characteristics requires great patience and care."
"How could I possibly care about this?"
After finishing his explanation, Fang Ziye added: "Moreover, Teacher Chi, you and I are both clinical doctors."
"Even if Peking Union Medical College Hospital ultimately confirmed the fact of my misdiagnosis, whether the patient comes to report me or not is the patient's and family's own choice."
"To be human is to make mistakes; it's merely a difference in the magnitude of the mistake."
"In clinical practice, misdiagnosis is a common occurrence……"
Fang Ziye did not blame Peking Union Medical College Hospital's Pathology Department, nor did he say that Chi Jianhua and the others were not meticulous enough in their work; he completely did not think in that direction.
This patient's complaint was entirely the patient's and family's own comprehensive consideration and choice.
Osteosarcoma being misdiagnosed as non-osteosarcoma — even if this matter occurred, that's just how it is.
If a doctor were to be beaten to death just because of a tumor misdiagnosis, then no doctor could safely reach the position of Chief Physician.
Because no one can guarantee that their diagnoses during their "youth" were one hundred percent correct.
"Thank you for Professor Fang's generosity; however, the above is only Director Wu of the Pathology Department's message. For me personally and for the specialty, I am more curious about the objective basis on which Professor Fang judged that this patient was not osteosarcoma."
"Setting aside whether Professor Fang conducted the MRI review of this August during the outpatient visit at that time."
"Last night, based on the patient's MRI, Professor Fang stated face-to-face that this was not an osteosarcoma sign, with an extremely sincere attitude."
"There should be a knack to this, right?" Chi Jianhua is a professional Bone Disease Department doctor, so what he cares about is how Fang Ziye did it, whether he can consult and delve deeper into it.
"If it can be pushed into a research project, it would expand the current diagnostic methods for osteosarcoma and further enrich the Bone Tumor Specialty's professional capabilities."
"Professor Chi, this question actually doesn't have that deep a knack."
"First, the patient's disease course is not long. The patient's MRI results are also genuine imaging data."
"Last December, the patient's femoral epiphysis showed no special signs; this August, it showed lesions and even the lymph nodes had changes."
"Only eight months between before and after."
"Unless an especially malignant tumor was encountered."
"And according to the laws of malignant tumor occurrence and development, it should have metastasized to distant sites long ago, and might even currently be in the cachexia stage."
"The patient's current symptoms do not support this."
"The common classifications of osteosarcoma do not have such a high degree of malignancy."
Fang Ziye finished speaking, paused for five seconds, reorganized his language, and continued: "Second, the occurrence and development of osteosarcoma generally follow certain laws."
"If the patient's physical signs and local manifestations do not conform to the laws, we should avoid tumor diagnosis as much as possible……"
"Therefore, during this patient's consultation process, I actually appeared exceptionally insufficient in experience."
"I should have ordered another full set of examinations when she came for the outpatient visit, even without this year's MRI results."
Fang Ziye also summarized his own 'work insufficiencies'!
Over-trusting his own experience, over-trusting his own technique, instead neglecting the caution of leaving immediate objective evidence.
In the future, when encountering similar patients again, unless it's an extremely extreme situation, Fang Ziye will not skip further examinations just to save the patient money.
Hearing Fang Ziye's sincere attitude and polite tone, Chi Jianhua laughed and said: "Professor Fang means this is a long story; then I very much look forward to us having the opportunity to chat in detail at length."
"To be honest, Professor Fang, currently our Bone Disease Specialty's diagnosis of bone tumors is still in a vague, immature stage."
"Besides the very typical sunburst sign, it relies too heavily on the Pathology Department's pathological sections."
"The false positive rate is extremely high."
"Professor Fang, you're also one of our Bone Tumor Group people, so you don't count as an outsider. If the opportunity is suitable, we can hold a meeting together to discuss methods for improving true diagnostic accuracy."
"This is what I truly think." Chi Jianhua's tone was also extremely candid.
Fang Ziye was slightly stunned for a moment after listening.
Chi Jianhua also counts as a senior in the Bone Tumor Department, and his standing in Hubei Province's medical circles is very high, yet he doesn't put on any airs at all; instead, he has always maintained a thirst for knowledge.
He hasn't become stubbornly opinionated just because he's young, or because he isn't from the Bone Tumor specialty.
This kind of scholarly attitude is the greatest weapon that keeps Peking Union Medical College Hospital's Bone Tumor Department at the forefront, not simply Professors Yao Zhengwu, Chi Jianhua, and Wang Yichuan themselves.
Looking back at Zhongnan Hospital's Bone Tumor Department, Fang Ziye himself is one of Zhongnan Hospital's people, and he has to admit there is a certain gap in terms of attitude...
And such a gap inevitably exists in Trauma Surgery as well.
"Thank you for the invitation, Teacher Chi. If the opportunity is suitable, I'm willing to listen humbly and seek advice." Fang Ziye said.
Chi Jianhua appropriately took the initiative to end the topic: "Then I won't disturb you, Professor Fang. There's nothing else important."
"Professor Chi, then you get back to work." Fang Ziye said with a smile.
The call was hung up, yet Fang Ziye kept staring at the phone screen, standing motionless like that for a full ten-odd seconds, only then putting his phone away.
A specialty's comprehensive strength is not solely reflected in professional technique, research output, and talent reserves.
Foundation, depth, atmosphere, and every other aspect should all be meticulous down to the finest detail.
Looking back at his own group, there is still a relatively long way to go before these aspects reach a relatively well-rounded state.
Since he knows how to walk the path, he can only find the right direction and walk it slowly; there are no shortcuts to speak of.
Fang Ziye doesn't want a generational disconnect to appear in his hospital, so he can only relatively slow his own pace, solidifying the entire team he belongs to bit by bit.
Every aspect should be considered as much as possible.
When Fang Ziye returned, Yuan Weihong was in the middle of rewarding Liu Haihua, rewarding Liu Haihua's breakthrough in the training room with a debridement procedure on a small wound.
Liu Haihua right now was like facing a formidable enemy, sweat slightly beading at his temples, while Yuan Weihong had a casual expression, arms crossed, gaze wandering.
Qin Geluo and Li Nuo, the two of them, were giving extremely meticulous guidance on what Liu Haihua would operate on in a moment, and converting it into the skills Liu Haihua had honed in the training room.
For example, in the past, when Fang Ziye received rewards, they would also say: from here, incise along this line; how deep the incision depth is; whether in the form of an arc or a straight arc.
At what layer the incision depth is localized; after incising, what other operations still need to be done.
The framework must all be listed meticulously one by one to ensure the overall surgery won't fall apart, restraining Liu Haihua, not letting him become a 'divine Senior Brother' in future trainees' mouths!
After Yuan Weihong's gaze collided with Fang Ziye's gaze, Yuan Weihong radiated a charming auntie smile.
Fang Ziye then strolled unconcernedly to the operating table side, beginning to examine Qin Geluo's teaching ability and Liu Haihua's specific operational ability from a bystander's angle.
After finishing the surgery, Fang Ziye didn't go back directly to organize data, but made a trip to the animal laboratory.
Twenty minutes later, Fang Ziye stuffed several packs of cigarettes to the "Grandpa" responsible for raising animals in the animal laboratory, saying: "Qin Shu, these rabbits of mine, trouble you to take extra good care of them."
"These are our research project's treasures; please, for heaven's sake, don't raise them into problems."
The 'Grandpa' declined a couple of times: "Professor Fang, no need for this; raising rabbits is my profession."
"One-sixth of our hospital's animal laboratory's rabbits are all managed by me. Never had any problems."
"Guaranteed white and fat, healthy and strong!"
"Their dietary structure, I've specially studied it; every day it's timed and quantified feeding, plus cleaning rabbit cages..."
"Take it, take it, Qin Shu, you've worked hard." Fang Ziye still stuffed the cigarettes in.
Qin Shu couldn't refuse, accepted them, then asked: "Professor Fang, your group's rabbits' tumors are tumors from where?"
"They look different from other Orthopedics' rabbits."
"I searched for a long time and couldn't find them."
Long illness makes a good doctor; Qin Shu having stayed in the animal laboratory for a long time counts as half a non-professional animal experimenter.
Orthopedics' animal tumor-bearing experiments are mostly subcutaneous or at the tibial plateau.
"Lung, liver!" Fang Ziye looked at the several rabbits currently still hopping about lively, and nodded.
Qin Shu heard this and smiled with some difficulty: "Why do you Orthopedics doctors raise lung and liver tumors?"
"A small use; trouble you, Qin Shu." After confirming these several rabbits were all fine, Fang Ziye left the animal laboratory.
November 2nd, Saturday, 1:00 PM sharp.
Tianhe Airport.
Luo Tingzhu arrived from domestic B pushing a suitcase, and upon seeing Fang Ziye asked: "Senior Brother, have you been here a long time?"
"Not bad, just right one hour."
"I pre-ordered KFC; Nie Mingxian still has half an hour before landing."
"You haven't eaten lunch, right?" Fang Ziye held Luo Tingzhu's hand with one hand, pushed Luo Tingzhu's pink large suitcase with the other, and walked toward the KFC direction.
Luo Tingzhu took the 11 o'clock flight; now it's only 1 o'clock, so she's definitely on an empty stomach.
Luo Tingzhu peacefully enjoyed Fang Ziye's meticulous arrangements: "Lan Tianluo, Liao Ya, and Jie Han — they're all at Hankou High-speed Rail Station; who's going to pick them up?"
On October 31st, the first phase clinical trial's enrollment formally announced its end, but Luo Tingzhu and the others didn't rush back at the first moment; instead, they all continued to stay one more day, organized all the basic data, and only then uniformly rushed back to Hankou.
Jingdu, Sha City, Yangcheng to Hankou — high-speed rail is most convenient for all.
"It's Li Yuanpei going; I'm a single person and can't split myself."
"Tingzhu, don't forget, right now Li Yuanpei is the housekeeper for all of us; in this regard, we don't need to be busybodies." Fang Ziye tilted his head and smiled.
Luo Tingzhu heard this and nodded: "It's relaxing, sure, but it's a bit unfair to Li Yuanpei."
"He actually, if he could go to a prefecture-level city hospital or Hankou's City First Hospital, should be able to become a very good clinical doctor."
The two of them soon arrived at the KFC doorway.
Fang Ziye put Luo Tingzhu and the luggage on empty seats, turned his head, and said: "My Master once told me a sentence: once we put on Kong Yiji's long robe, it becomes hard to take off again."
"Kong Yiji certainly doesn't wear just one piece of clothing, and once Kong Yiji puts on one piece of clothing, he will certainly want another piece of clothing."
"You stay here, I'll go get the food."
Luo Tingzhu nodded obediently; after Fang Ziye left, Luo Tingzhu politely refused the two people who had just entered KFC and boldly tried to come forward to add WeChat.
Then her gaze simply fell on Fang Ziye; she stood up, walked to Fang Ziye's side, to avoid having to refuse anything else.
About three minutes later, Fang Ziye and the other person got the food: "It's all yours, eat slowly."
Luo Tingzhu, nodded, picked up fries, and without wearing gloves directly grabbed them and threw them into her mouth!
Even with Fang Ziye watching her, she no longer hesitated.
After eating about half, Luo Tingzhu finally asked in a low voice: "Senior Brother, you're busy yourself, how come you still thought to prepare a gift for me in the lab?"
"These things, I can do myself."
"Establishing animal models is very tiring! ~"
Hearing this, Fang Ziye laughed: "It is very tiring, but it's also alright."
"And, it's not just you who has a gift; you several, I've prepared a rather practical 'gift' for each of you."
Luo Tingzhu was no longer the naive, simple 'Orthopedics girl' of years past; she went to Enshi Sanatorium, and now is stationed in a province, responsible for clinical trial supervision, and can be considered to understand some things——
"Senior Brother, is it to keep Big Brother Liao Jia?" Luo Tingzhu asked while opening the box of Orleans chicken wings.
"That's right…"
Fang Ziye did not conceal his true intention: "Big Brother Liao Jia is a rare talent, even hard to replicate."
"Our research group's current project can keep him for a time, but not for a lifetime."
"Right now the project is about to reach its final stage, and the animal experiment project he and Nie Mingxian are doing together will also conclude."
"If at this time we still don't open a breach, I don't know when he'll just pat his buttocks and ask for leave and leave."
"Big Brother Liao Jia is different from Nie Mingxian; he now has financial freedom, comes and goes only by preference."
The gift Fang Ziye prepared for Luo Tingzhu was an animal experiment standard model related to the anesthesia model.
This is the stepping stone for Luo Tingzhu's projects for the next several years; Fang Ziye further solidified and reinforced it on the basis of her original project.
It just right reflected Luo Tingzhu's own wisdom, while also carrying out a certain simplification and sublimation; Luo Tingzhu accepting it naturally felt at ease.
"Then what's the gift you prepared for Big Brother Liao Jia?" Luo Tingzhu curiously inquired.
"Secret! ~" Fang Ziye shook his head.
"Won't say for now; later you'll know. My meaning is, if Big Brother Liao Jia really decides to stay, you'll definitely be able to know."
Luo Tingzhu wasn't that curious, but still wanted some satisfaction: "Then what about Nie Mingxian?"
"Also an animal model, but different from yours, it's a tumor model……"
When Fang Ziye spoke here, a call came in.
Fang Ziye picked up and looked; sure enough the remark was Nie Mingxian.
"Brother Nie! ~" Fang Ziye chose to answer.
"Fang Ziye you dog lump, what do your messages mean?"
"What can't wait until before I board the plane to send a message, or after I get off the plane to talk, but you send a message blowing up my phone after I've boarded?"
"Do you take me for a fish?" Nie Mingxian's tone was very serious, his words extremely unpleasant.
"Brother Nie, don't get excited, it's just the literal meaning."
"I also struggled for a long time, before confirming whether to tell you."
"Thinking back and forth, mainly afraid of being scolded by you, so?"
"But, since it's done, still decided to say it."
"Life and death is this one cut."
"If they stimulate you, Brother Nie, I can slaughter them anytime." Fang Ziye's reply was also rather formal, because the several animal experiment models he established were very sensitive to Nie Mingxian.
"You slaughter a dick, you slaughter!"
"Where are you now? Which floor, which room, which cage in the animal lab? What's the label number? I need detailed info right now." Nie Mingxian should have landed early.
Before even exiting the arrival gate, he couldn't steady his emotions and called.
"I'm right at the airport, waiting for you, Brother Nie! ~"
"What do you want to eat? I'm at KFC." Fang Ziye said busily.
"Eat takeout! ~ You pay, you fill in the address." Nie Mingxian said.
"Then come pick me up."
"Thanks! ~" Nie Mingxian finally choked up at the end.
……
Luo Tingzhu looked at Fang Ziye, scanned him up and down, then silently began packing up the uneaten food in front of her.
"Eat on the road, Tingzhu! ~" Fang Ziye said.
"Okay." Luo Tingzhu nodded, knowing Nie Mingxian's emotions were rather agitated right now……
At 14:03 PM, Nie Mingxian and Fang Ziye arrived at Zhongnan Hospital.
At 14:11 PM, Nie Mingxian finished eating the takeout.
At 14:30 PM, Nie Mingxian came to the animal lab, then began recording the rabbit's various indicators, and conducted a disassembly analysis of the rabbit tumor's detailed indicators.
At 17:25 PM, Nie Mingxian again finished eating the takeout named dinner!
At 19:37 PM, Nie Mingxian hung up the call with Liu Guo, continued drilling into the animal lab, and began wandering through the animal lab's various examination rooms.
At 20:49 PM, Nie Mingxian obtained the rabbit model's various data, and collected them into the computer system.
At 9:25 PM, Nie Mingxian stared blankly at the computer screen!
At 9:32 PM, Liu Guo appeared at the doorway of Zhongnan Hospital's animal laboratory, looking at Nie Mingxian's back view, her gaze sweeping back and forth over Fang Ziye with a hint of hostility.
Fang Ziye made a silencing gesture at Liu Guo.
At 9:49 PM, Nie Mingxian finally resumed activity, then began organizing the data inside the computer, and reopened a new document, the Word document organized and sent by Fang Ziye!
At 10:59 PM.
Nie Mingxian's hands dropped powerlessly, looking at the computer screen, he began both crying and laughing.
Five minutes later, he reorganized all the materials once more, then took several deep breaths, lay prone on the table, motionless, his shoulders occasionally heaving with sobs.
At night, 11:49 PM.
Nie Mingxian closed his own computer, packed away all his emotions, and walked out of the office.
Liu Guo went up to meet him with concern: "Nie Mingxian, are you okay? What exactly did Fang Ziye show you?"
"Self-righteous thing." Nie Mingxian's tone was icy.
One didn't know if he was cursing Fang Ziye as a thing, or if the thing Fang Ziye gave him made him feel it wasn't a thing.
Hearing this, Fang Ziye took a deep breath and said calmly: "Brother Nie, I'm not deliberately provoking you."
"But in the several emails you sent me, were there any messages you forgot to delete completely."
"It's you yourself who originally cared about these! ~"
Hearing this, Nie Mingxian flew into a rage, hands clenching into fists, upper and lower teeth biting tight, pupils dilated, limbs exploding with force!
Limbs then began trembling faintly: "Why couldn't you be born a few years earlier!!!!"
"Fang Ziye!!"
"Why are you only thirty years old this year????"
Facing Nie Mingxian's questioning, Fang Ziye couldn't answer a single word.
Fang Ziye couldn't control his own birth, couldn't change his major, and even more couldn't make what he learned come in advance.
Even more unable to reverse time and space.
Liu Guo seemed to have guessed something, looked at Fang Ziye, and asked: "You solved that model?"
"There's a preliminary plan, ground for a long time."
"I also went to Peking Union Medical College Hospital privately, collected Nie Dabo's pathological data, imaging data."
"Currently still just a prototype, but theory already smooth! ~"
"Continue going forward, should be able to work through within five years." Fang Ziye didn't conceal anymore.
His gift to Nie Mingxian was the tumor model that caused Nie Mingxian's father's death, and moreover, Fang Ziye had also found a better treatment plan.
Both Liu Guo and Luo Tingzhu had guessed it, but the two of them also found it very hard to evaluate whether Fang Ziye suddenly feeding Nie Mingxian such a lump of stuff this year was good or bad.
Because Nie Mingxian would definitely feel extremely, extremely awful.
His father had only passed away less than two years ago!
Last year January, Nie Mingxian's father just left the world.
This year, November, Fang Ziye actually became the theoretical prototype for treating his tumor.
This matter, if Nie Mingxian himself didn't control well, would make him regret for life.
So, Nie Mingxian would be this agitated.
Why couldn't Fang Ziye be born a few years earlier.
Why is Fang Ziye only thirty years old now!
After calming down for a moment, Fang Ziye spoke: "Brother Nie, your question, I cannot answer."
"But we are friends, we are team members, we walked this path together, research ideas etc., all accompanied along the way."
"This world fundamentally has no overnight success!"
"Also impossible like rootless duckweed to create something from nothing."
"Without your microcirculation instrument concept, there would be no microcirculation instrument, without microcirculation instrument and high-level amputation, there would be no microcirculation amputation under microcirculation instrument intervention."
"Without microcirculation amputation, there would be no orthopedic tumor microcirculation chemotherapy regimen."
"Without orthopedic tumor microcirculation chemotherapy regimen, there would not exist lung wedge circulation ideology, even more not exist liver lobule microcirculation amputation ideology!"
"Without you, I might still be dog shit now!"
"Me being born a few years earlier and being born these few years later, there's no difference at all!" Fang Ziye explained.
Fang Ziye can bear Nie Mingxian's anger, and it's also Nie Mingxian's own operational error, he was clearly always obsessed with his own father's condition.
Secretly checking corresponding data, yet forgot to delete cleanly during the exchange with himself...
Fang Ziye continued: "If not for your brother your three operational errors, I tm wouldn't have pushed the research toward lung and liver tumor direction at all."
"Isn't my own orthopedic research enough to do?"
Nie Mingxian didn't reply, directly bypassed Fang Ziye, and walked away.
Liu Guo followed, gaze lingering on Fang Ziye a few times.
After bypassing Fang Ziye, then turned head and said: "Thank you!"
Luo Tingzhu personally saw Fang Ziye being flared at, being treated coldly, so she reached out and grabbed Fang Ziye's hand, quietly squeezing it.
Explained: "Senior Brother, actually from an objective angle, I also feel Nie Mingxian's mood swings are especially large right now."
"You doing this, might make him even more despairing of life. If this time node were pushed back a few years, perhaps Nie Mingxian's mindset could be maintained better."
"This isn't giving a gift, but is."
"Sprinkling salt on Nie Mingxian's wound..."
Hearing this, Fang Ziye took a deep breath, while looking at Luo Tingzhu, said: "I admit my doing this, somewhat resembles a small workshop, ingredients comparatively fierce."
"But you haven't deeply communicated with Nie Mingxian, so you don't know how deep his obsession is."
"He may seem quite generous and lively on the surface, but in reality, deep down he has never been able to get over that hurdle."
Fang Ziye then handed Luo Tingzhu the screenshots of the materials he had seen.
Amidst the dense text were mixed two lines of particularly glaring text.
The text was brief.
First paragraph—
"Eleven years studying medicine, saved so many people, why is it that you alone were not saved?"
The second paragraph, mixed in another document.
"I, Nie Mingxian, in my whole life, clearly the person I least wanted to disappoint was you, yet in the end I simply disappointed you..."
Luo Tingzhu read it and instantly froze.
If the first sentence is a knife that kills, then the second sentence is the biggest melon.
But this melon is not delicious at all.
Who did Nie Mingxian disappoint?
His own father and mother?
No, Nie Mingxian got into Peking Union Medical College Hospital, and it was even an integrated bachelor-master-PhD program; such credentials are enough to make Nie Mingxian bring glory to his clan, even this branch of it.
At the time of his most boundless future, when he was valued by his person of gratitude, Nie Mingxian resolutely chose to drop out and work to earn money to treat his father's illness.
He did it!!
His own teacher Li Yongjun?
No.
During his studies, Nie Mingxian had excellent grades, research output, and improvement in professional ability, enough to make Li Yongjun beam with laughter and make other graduate supervisors envy, be jealous, and hate.
Afterwards, Nie Mingxian carried Li Yongjun's "ideology" and returned to the medical world once more.
Even though all the honors were taken by Liu Huanglong and Fang Ziye, Li Yongjun can still proudly say to the outside world, the microcirculation instrument ideology I proposed is invincible! ~
Today's Professor Li Yongjun still takes pride in Nie Mingxian being his student.
Even Nie Mingxian did not let down his alma mater; after fulfilling his filial duty, Nie Mingxian returned to continue pursuing his PhD.
He now forever walks the world with the credentials of a Peking Union Medical College Hospital doctoral student; the reason he doesn't stay at the hospital to work is because his own teacher was "ousted" by others.
Then, who exactly did Nie Mingxian disappoint? Any clear-eyed person can definitely see it.
No way, no choice.
"Doesn't Nie Big Brother have Sister Liu? Could it be he still...?" Luo Tingzhu is a girl after all, so she finds the scum man trend hard to tolerate.
"Not to that extent, merely regret."
"Looking back on the past, everyone has regrets." Fang Ziye said.
Hearing this, Luo Tingzhu became even more nervous: "Senior Brother, you have them too?"
"Of course there are, and quite a few at that."
Fang Ziye wasn't making it up: "I used to be very ordinary too, but it seems I had an epiphany relatively early in a certain aspect."
"During my undergraduate years, I also had a crush on another female classmate."
"However, after a roommate with better grades than me, richer family, and decent looks pursued her and was rejected by her swiftly and decisively, I knew this matter would forever remain just a regret."
"Who?" Luo Tingzhu immediately asked further.
Fang Ziye had poked a hornet's nest with this.
"That I really don't remember! ~"
"Mainly I've forgotten even her surname, and where she went afterwards I never inquired about."
"At first, I also felt that Tingzhu you were very distant from me, not daring to have any covetous thoughts..." Fang Ziye said.
Luo Tingzhu began to act shyly, walking side by side with Fang Ziye out of the animal laboratory.
"Really?"
"Right, think about it, when you came to Trauma Surgery how glorious you were, would you have cared about a little specialized master called Fang Ziye?" Fang Ziye nodded calmly.
The two had just exited the animal laboratory when Fang Ziye's mobile phone received Nie Mingxian's WeChat message.
Two simple words: "Thank you."
Fang Ziye didn't reply, raised his head and looked at Luo Tingzhu; Luo Tingzhu's figure in the light reflected in Fang Ziye's eyes, also full of soft light.
(Chapter End)
End of Chapter
