Chapter 713

At the self-service breakfast floor, Fang Ziye, Lan Tianluo, and Jie Han — the three young ones — sat clustered around a table.

Before Fang Ziye sat a bowl of congee, a boiled egg, and he was gnawing on a piece of corn.

Diagonally across from Fang Ziye, Lan Tianluo put down his phone and shook his head: "Teacher Liao still isn't answering the phone; I estimate he's truly angry."

After Fang Ziye told Jie Han and Lan Tianluo both about the matter Luo Tingzhu relayed this morning, the two of them separately contacted Liao Jia, to no avail.

Jie Han said: "Nie Mingxian Big Brother sent a message."

Fang Ziye and Lan Tianluo hurriedly leaned in to look.

Nie Mingxian: "Luo Tingzhu really didn't handle this matter very properly; this isn't a matter of money or good or bad intentions."

"Everyone is an adult, mutually willing. Xiang Cai's existence isn't because of Liao Jia; Xiang Cai appeared in our vision because he happened to come out of that bar."

"There are many pitiable people in this world; if one truly has that kind of heart, why not just do more charity work? Why must one knock a stick on Liao Jia's head?"

"Of course, I'm not expressing a stance on this matter either, because I also can't figure out what Liao Jia actually wants to do. He hasn't gone up, nor has he gone down."

Nie Mingxian also spoke very bluntly.

Liao Jia didn't push Xiang Cai away, but he also didn't let Xiang Cai get out of the car directly, to escape the tiger's mouth!

"Brother Nie, can you get in touch with Professor Liao?"

"The thing has happened; I won't explain anything, but if we're wrong we can only admit it; we'll apologize where an apology is due, make amends where amends are due!" Fang Ziye said.

Luo Tingzhu is his wife; he is the team's 'captain'; Fang Ziye must step forward to resolve the problem.

In the current situation, even persuading Chen Xixian to send Xiang Cai back to Enshi would be useless.

"Who knows where he is? I can't tie him up; I only knew he was angry because I heard Jie Han say so."

"Given his temper, who knows which hotel he's in right now."

"Making amends is making amends, apologizing is apologizing; that's our attitude; whether to accept is Liao Jia's personal choice."

"Fang Ziye, Liao Jia and I are just friends, not superiors and subordinates." Nie Mingxian also made his stance and attitude clear.

Fang Ziye didn't continue to struggle: "Then Brother Nie, you go ahead and be busy with yours."

"Senior Brother, after I'm done here, I'll go back to Enshi!" Lan Tianluo is Luo Tingzhu's younger brother, afraid this matter would create a rift between the two.

Standing from Lan Tianluo's angle, he also felt that if the team had a great god like Liao Jia, it would be like a tiger growing claws, a dragon entering the abyss.

"Good, you guys also learn to think about problems from multiple angles."

"Professor Liao Jia's meaning is probably that there are many people who encountered the same or similar situations as Xiang Cai; Luo Tingzhu and Chen Xixian these two people are really a bit too meddlesome."

"Of course, if looking at the problem from Chen Xixian and Luo Tingzhu's angle, they would also feel Liao Jia this person is too unreliable; who knows when he might ruin someone else's girl." Fang Ziye said.

Jie Han said: "Actually it doesn't count as ruining; if Vice Professor Liao Jia is willing to improve, even with a sixteen or seventeen year age gap, his appearance, knowledge, and character are not lacking in the slightest."

"The unrestrainedness before he put away the mountain doesn't count as anything, right?"

Fang Ziye laughed: "Then you guys also shouldn't spray jokes online about finding honest men."

Lan Tianluo and Jie Han were just about to reply when Yuan Weihong approached from the distance and called out: "Ziye, come over and chat."

Jie Han and Lan Tianluo both stopped mid-sentence.

Only, the two originally thought Yuan Weihong would directly take Fang Ziye and run off, but unexpectedly, after Yuan Weihong pointed Fang Ziye in a direction, he walked toward the two of them, patted their backs, and said.

"You two also wipe your mouth corners; Teacher Zhang Ying is very interested in you two as well, and specially had me come over to invite you two to chat."

Lan Tianluo didn't know who Fang Ziye was going to see, but he indeed recognized Professor Zhang Ying, currently the Vice Chairman of the Chinese Trauma Surgery Branch, Administrative Director of Peking University People's Hospital Trauma Surgery, and Deputy Director of Orthopedics.

Last year, when Fang Ziye held an academic report at Zhongnan Hospital, they had gone to Han City University Medical Department's Academic Report Hall.

"Teacher Zhang Ying called us?" Lan Tianluo couldn't believe it.

"What's there to be surprised about? Outsiders look at a team and only look at the project leader; Liu Huanglong's recent invitations are countless."

"True insiders, when looking at a team, definitely look at the core."

"Let's go, let's go."

After the two stood up, Yuan Weihong then said: "My hair, isn't it messy?"

The two knew Yuan Weihong was referring to whether his hair was covering the Mediterranean well.

After seriously examining it, they nodded: "Very handsome, Master."

……

"Teacher Jiang, Teacher Zhong." Fang Ziye approached and politely greeted Jiang Baoguo and Zhong Junyu.

Liu Huanglong happened to stand up from the table: "Ziye, I still have some matters; you accompany Teacher Jiang and Teacher Zhong to chat."

"Teacher Jiang, Teacher Zhong, see you in a bit." Liu Huanglong bowed slightly and walked away.

"Fang Ziye, have you eaten?" Zhong Junyu and Jiang Baoguo both didn't stand up.

"Just finished eating; my Master came over and said Teacher Jiang and Teacher Zhong were looking for me!" Fang Ziye replied, slightly gathering his suit corners, then sat openly opposite the two, feet together, looking even more spirited.

Professor Jiang Baoguo said: "Professor Fang, I didn't know before; the content you plan to share at the Hand Surgery Sub-venue this time is called 'Nerve Cultivation Technique with Microcirculation Instrument Intervention'?"

"Yesterday Professor Zhong Junyu specially emphasized your lecture title."

Fang Ziye laughed modestly: "Teacher Jiang, you flatter me; I've always been living off past achievements."

Jiang Baoguo wasn't one to be easily fooled: "Technique is technique, principle is principle, Dao returns to Dao."

"Speaking of it, techniques are all surface; what's more important is still the core."

"This Nerve Cultivation Technique you speak of, compared to my understanding, should have no difference, right?"

Fang Ziye has proposed several concepts in Hand Surgery.

One is Functional Reconstruction Surgery, one is Limb Transplantation Surgery.

Functional Reconstruction Surgery is existing, further carried forward and inherited in Fang Ziye's hands.

But Limb Transplantation Surgery is truly detached from Limb Replantation Surgery, yet completely free-floating outside Limb Replantation Surgery, breaking the time limit of limb preservation, a veritable miracle!

Therefore, today Fang Ziye suddenly put forward this proposition, making Professor Jiang Baoguo unable to not pay attention.

"Teacher Jiang, currently it's only a thinking prototype, not yet optimized; the main framework hasn't even been built, only theoretical small branches." Fang Ziye replied.

This time, Fang Ziye adopted an even more subtle burst-fire approach, not daring to single-shot point-to-point at Academician Zhang Limin like before.

Having experience interacting with Professor Zhang Limin, Fang Ziye also knew the terrifying aspect of doing so, so he chose the straight-hook fishing method — whoever wishes to bite, bites.

Zhong Junyu of Huazhong Union Hospital was clearly interested, which is why he passed the framing of this research project to Jiang Baoguo.

The so-called nerve cultivation method, as the name implies, is to cultivate seeds and harvest the whole after the seeds have grown.

"Can you roughly explain the theoretical skeleton?" Jiang Baoguo asked.

Fang Ziye glanced at the wall clock — only 7:23, still more than half an hour until the 8 o'clock formal opening of the conference, completely enough time.

But Fang Ziye still chose to make a long story short: "Tension-stress law and microcirculation truncation theory."

"Autologous abdominal flap nurturing method."

Professor Zhong Junyu said: "Professor Jiang, in the middle of this year, our Professor Fang Ziye specifically mentioned the tension-stress law at an academic conference."

"The bone cells of our orthopedics inherently possess the ability to divide and repair; current understanding holds that both meniscus and ligaments belong to non-regenerative tissues..."

"However, after application of the Ilizarov Apparatus, muscles, nerves, and blood vessels all undergo cell division."

"At the time, Fang Ziye merely mentioned these two theories and did not delve further, but I estimate Professor Fang should already have his own thinking system."

"He has always said that the combined use of these two theories can be invoked by anyone, but?" Zhong Junyu did not finish his words.

Sometimes, theoretical fusion looks simple and natural.

But finding the critical step is extremely difficult.

The microcirculation instrument and hand surgery's limb replantation surgery are a match made in heaven, yet who could have thought that after Fang Ziye combined them with the theory of limb separation surgery, he designed the microcirculation truncation theory.

And then further constructed the research project combining the microcirculation instrument with bone tumor chemotherapy?

"Professor Fang, could you explain in more detail? Too abstract and we can't make out what things." Jiang Baoguo grew interested.

He had once done the research project "Small Gap Coaptation Repair of Peripheral Nerves Technique and New Coaptation Material."

If it were an ordinary professor, Fang Ziye might have said the stall-tactic words "you'll know later."

But this project is a hand surgery lecture topic; Professor Jiang Baoguo is a top leader in trauma surgery, not necessarily going to the hand surgery sub-venue.

"According to the tension-stress law, when biological tissue undergoes slow, sustained stretching producing a certain tension, it can stimulate tissue regeneration and active growth; its growth mode is consistent with fetal tissue, both being the same cellular mitosis."

"According to current corresponding research, it can be found that the core mechanism of nerve traction lengthening is: through sustained, slow mechanical traction (0.5-1.0mm/day), activating tissue regeneration signaling pathways (such as mtor, hif-1a)."

"The above is the basic core of nerve lengthening surgery."

"Nerve tissue possesses its own specificity: Schwann cell mechanosensitive channel piezo1 is activated, promoting nerve sheath regeneration."

"Axon growth cone tension response threshold: ≥5% strain can initiate regeneration program."

"Currently believed contraindications for nerve traction lengthening surgery are nerve fibrosis >50%, insufficient blood supply in traction zone (capillary density <10/mm)."

"Excessive nerve fibrosis currently has no better solution, but regarding insufficient blood supply in the traction zone, I feel our previously researched microcirculation truncation surgery can be explored further."

With this, Fang Ziye had erected the basic skeleton.

But Jiang Baoguo's research in neurosurgery wasn't that deep either; many data were only half-understood.

After examining carefully for a while, Professor Jiang Baoguo said: "It seems Professor Fang has already made quite sufficient preparation?"

Fang Ziye heard this and smiled: "Teacher Jiang, this framing, I've never hidden it; it's just that I saw other teachers didn't go deeper in this direction."

"So I thought to give it a try..."

Jiang Baoguo heard this and nodded: "Professor Fang thinks quickly, young and promising, indeed cunning."

"I heard Professor Zhong say, this time COA's core theme, which is the artificial intelligence prosthesis exhibit in the innovation zone, is also a masterpiece presided over by you, Professor Fang?"

"And that bone defect individualized 4D real-time printing prosthesis machine, is also a project you led the team to establish?"

Jiang Baoguo re-evaluated Fang Ziye, his gaze slowly drawing out.

If previously hearing about what Fang Ziye was doing, he would only feel this young man was very good, with very novel ideas and thinking.

Now, Fang Ziye actually has so much accumulation on him, forcing him to have to re-evaluate the young man before him.

Having both done basic research projects, one naturally knows every project needs oneself to accumulate bit by bit, consuming who knows how many brain cells, before possibly gaining accumulation.

Fang Ziye said: "Teacher Jiang, I'm only an assistant; the presiding lead is still Professor Duan Hong inside Tongji Hospital, I dare not claim credit."

Zhong Junyu touched his tie, said in a low voice: "Professor Jiang and Old Professor Qiu Zhenghua have an extremely good relationship; the reason he came to see you this time is Old Professor Qiu's instruction."

"So Fang Ziye, you also need not be too restrained."

"Those two old professors of our orthopedics have unique favor toward Professor Fang Ziye; this is no secret."

Fang Ziye froze, looked at Jiang Baoguo.

Jiang Baoguo did not refute; this was originally what he said to Zhong Junyu.

Fang Ziye calmly took a breath, still insisted: "Teacher Jiang, also thank you for your concern, but these two projects, I truly contributed little effort."

Zhong Junyu said irritably: "Right, you provide the core, others provide the effort."

"You're this afraid Duan Hong will make trouble?"

Fang Ziye still insisted: "Teacher Zhong, this isn't fear, this is respect for a senior."

Jiang Baoguo also no longer struggled: "Do it well."

"Nerve defects, nerve necrosis — currently a huge predicament faced by the whole world, one of the cages of the current medical community."

"If whoever can break through first, they can open a new round of skeleton after the fracture field."

"Fractures, bone defects are closely related to normal human body function; nerve necrosis, nerve defects are inseparable from humanity's pursuit of a better happy life."

"Being able to stand up and being able to stand up and walk are two different levels of things."

"We look forward to Professor Fang making a breakthrough soon; if you need help, you can also contact me anytime, I will do my utmost to assist."

Jiang Baoguo finished, then said: "However, Hubei Province's medical foundation has always been strong; Han City is even more the cluster of Hubei's medical technology and research foundation, so there's no need for us out-of-towners to worry."

Zhong Junyu facing Professor Jiang Baoguo was only slightly respectful, not to the point of prostrate worship.

Jiang Baoguo being able to become an Academician was his opportunity and sufficient accumulation; it doesn't mean Professor Zhong Junyu has no achievements or weight before him.

"Professor Jiang, this is your overpraise."

"We still have many areas where development hasn't reached its full potential. We can only say we have professional talent in all aspects, just not enough top-tier talent."

Zhong Junyu made his position clear: we will support Fang Ziye, but high-end cutting-edge talent is scarce. Handling routine matters is absolutely no problem.

As for whether our Hubei Province Orthopedics will prop up Fang Ziye as a representative, that's even less something for you to worry about, Professor Jiang.

The resource tilt an Academician can bring is immeasurable by anyone.

For a province's specialty, it is beneficial.

For a specialty to reach the national summit and stay there, aside from classified departments, it must first have an 'Academician,' then continuously produce more 'Academicians.'

So what Hubei Province needs to do now is produce one first.

No matter the cost, we must push open this heavy door.

Professor Jiang Baoguo said: "Who says Hubei Province lacks top-tier talent? The entire Orthopedics field is practically filled by you people."

"One Fang Ziye is worth at least five top-tier talents."

……

The COA opening ceremony proceeded slowly as time advanced.

There were too many venues and sub-venues; each sub-venue held its own opening ceremony, dispensing with all formalism.

At 7:45 AM, Professor Tang Fupei, who was supposedly not appearing at the opening ceremony, showed up at the Trauma Surgery sub-venue and walked straight toward Fang Ziye.

"Tang, Teacher Tang!" Fang Ziye was very surprised to see Tang Fupei.

If Tang Fupei was coming, his schedule would definitely have been visible in advance. Even if Zhongnan Hospital wasn't sending a car to pick him up, Fang Ziye would certainly have been tracking his movements.

"Ziye, come with me to the International Orthopaedic Conference venue! ~"

"Your shared courseware is in full English format, right?" Tang Fupei asked.

Fang Ziye shook his head: "No?"

Fang Ziye could speak off the cuff, could lecture in full English, and could do full English PPT. But he had only applied for the Trauma Surgery sub-venue, where no foreigners participated, so Fang Ziye never put on that act.

"No English? Then temporarily change it."

"Professor Zhang Xingze moved your morning session speaking slot to 11:30." Tang Fupei said.

Fang Ziye had never heard of a lecture being pulled like this on short notice. He asked: "Teacher Tang, why?"

"Don't ask for now. Just do as I say……"

"After you get there, attend the opening ceremony, then start translating."

"AI translation is pretty fast now. At least there won't be spelling errors." Tang Fupei said.

Simple translation is of course simple. The higher-end the academic conference, the fewer long sentences there are — it's all common short phrases and outline-style content.

Translation is relatively simple.

Since Teacher Tang Fupei put it that way, Fang Ziye could only follow along. Carrying his bag, he still sent a message to his two teachers halfway there to report in.

Yuan Weihong and Deng Yong each said good.

Thus Fang Ziye arrived at the International Orthopaedic Conference venue where many foreigners had gathered.

First, COA Conference Chairman Professor Zhang Xingze gave brief remarks, welcoming all guests in two minutes, then spoke at length about how Eastern Han Orthopedics development is inseparable from world Orthopedics development history.

He then handed subsequent remarks to the foreign guest representatives: Malaysian Orthopaedic Association Chairman Sabarulafianmokhtar and Australian Orthopaedic Association Secretary-General Professor Kenneth Cutbush, who delivered addresses in succession.

After the remarks came the group photo session!

After the photo, each began their 'academic exchange' 'showing off' session. Professor Zhang Xingze and Professor Tang Fupei took the lead.

Academician Zhang Xingze shared PFBN basic and clinical research results; Professor Tang Fupei shared the mechanical stability concept and clinical application of internal fixation for osteoporotic fractures, drawing thunderous applause……

Sabar brought fragile fractures and osteoporosis; Kenneth brought rotator cuff repair progress, introducing new repair materials, innovative surgical techniques, and new postoperative rehabilitation concepts……

German Orthopaedic Association member Professor Christian Kleber shared and introduced German polytrauma treatment and management……

By the time he heard this, Fang Ziye had just finished translating. Only then did he understand why Professor Tang Fupei brought him here.

Because compared to these foreign professors, the lecture topics they had prepared were slightly less outstanding.

It's not that they weren't outstanding, but these topics had been lectured on too many times by the two professors, so it wasn't easy to hit the audience's G-spot.

Rather than letting Fang Ziye quietly show off at the Trauma Surgery sub-venue, better to seize this chance and fire a big shot at the international venue.

After the morning session's first half discussions, summaries, and tea breaks all ended one after another, time finally slowly advanced to 11:30 AM.

The second session Conference Chairmen were: Professor Ma Xinlong, Dean of Tianjin University Tianjin Hospital; Professor Zhang Qiong, Orthopedics Director of Anshi Jiaotong University Affiliated Honghui Hospital; and Professor Ricardo Madrid Gutierrez from the Mexican Orthopaedic Academy.

After the previous professor finished sharing, Professor Ricardo began introducing: "The next speaker sharing with us is Professor Fang Ziye from Hanzhong University Zhongnan Hospital. The main content of his sharing is the core points simplification plan for 'Mangled Extremity Limb Salvage Surgery.'"

Hearing this, Fang Ziye slowly walked up. Professor Zhang Qiong accompanied the introduction with Fang Ziye's resume as background: "Professor Fang Ziye is from Hanzhong University Zhongnan Hospital, Associate Professor, Deputy Chief Physician, Researcher."

"Currently serves as Chinese Trauma Surgery Branch Committee Member, Chinese Orthopedics Branch Bone Tumor Group Standing Committee Member, Chinese Hand Surgery Branch Committee Member, Hubei Provincial Trauma Surgery Association Standing Committee Member, Hubei Provincial Orthopedic Association Bone Tumor Branch Standing Committee Member……"

Fang Ziye's labels were also very long. Fang Ziye had stood in place for nearly half a minute before Professor Zhang Qiong finished introducing.

Fang Ziye walked to the center of the lecture podium, bowed gracefully to show respect, then opened his talk: "Respected professors, sincerely welcome your arrival, and thank all professors for your willingness to share."

"What I bring today is a sub-topic: the simplified treatment plan for Mangled Extremity Limb Salvage Surgery."

"Regarding the definition and background of mangled extremity, I believe all professors have heard of it. This is a disease type in our Orthopedics that is approaching end-stage. The current most standard definition for its diagnosis and treatment is amputation."

"For decades, countless teams and professors have devoted themselves to finding treatment plans to replace amputation — that is, pursuing 'limb salvage' — deriving a series of salvage operations."

"Our team also devoted itself to this in earlier years, and through exploration and summary, found a feasible path, accumulating certain treatment experience in the early stage."

"But in carrying out limb salvage surgery, we discovered this operation has certain entry thresholds — for instance, it requires extremely proficient surgical operation, and surgeons extremely skilled in debridement and suturing techniques to complete limb salvage."

"But the objective reality is that doctors facing mangled extremity patients are not only technically mature professors or extremely proficient surgical doctors."

"Mangled extremity patients are emergencies; transfer is inadvisable as it delays life-saving time."

"Based on this, domestically there are still large numbers of mangled extremity patients who, after suffering trauma, face amputation as the mandatory treatment plan."

"Only an extremely small minority, those lucky enough to be near highly developed quality medical resource regions, have the opportunity to achieve limb salvage after suffering mangled extremity."

"This is our team's statistics on Eastern Han amputation data from recent years. All amputation patients' comprehensive diagnoses were mangled extremity patients."

"According to the data, currently Eastern Han still has 92% of patients who, after mangled extremity occurs, have limbs amputated to ensure no further blood loss and preserve life."

"Based on current limb salvage surgery, our Eastern Han Orthopedic Association launched a simplified protocol last year: within six hours of injury, assemble a highly mature limb salvage team with at least two orthopedic doctors extremely proficient in trauma rescue participating in the surgery, only then is there a chance to ensure the limb salvage surgery can proceed."

"The results were the same..."

"This brought our Eastern Han mangled extremity amputation rate down from ninety-eight percent last year to ninety-two percent this year."

"But this protocol can only prove that mangled extremity limb salvage surgery is truly effective. How to lower the participation threshold for this kind of surgery is a problem all of us trauma surgeons must think about."

"So, through deep research and analysis of the routine treatment protocol for mangled extremity limb salvage surgery, we subsequently broke it down into the following two key steps."

"The reason mangled extremities require amputation, the main risks lie in blood loss, limb necrosis, and reperfusion injury."

"Continue breaking down these risks: blood loss to shock, after limb necrosis occurs infection, infection entering the blood causing septicemia, water-electrolyte balance disorder caused by reperfusion injury — these are all the chief culprits leading to death."

"But based on our current understanding of human anatomy, we know that mangled extremities of the four limbs are all relatively free local limbs outside the human body's main circulation."

"Based on this anatomical principle, and referencing the basic principle of survival in human disarticulation surgery, we can boldly hypothesize that the circulation of the four limbs does not affect our normal human body's survival."

"In our orthopedics hand surgery team, a professor has already proposed the concept of microcirculation disarticulation, which is to sever the blood supply system of the four limbs, making it self-contained."

"Put yourself in the position: when microcirculation disarticulation surgery is established, if after a four-limb mangled extremity occurs we perform severance of the limb's circulation, first adopting 'violent' microcirculation clamping surgery, we can properly handle the mangled extremity blood loss problem."

"For example, after a single lower limb suffers mangled extremity, we clamp the femoral vein and femoral artery; after a single upper limb suffers mangled extremity, we clamp the brachial artery and brachial vein."

"In this way, the shock danger caused by blood loss is necessarily already relieved, while the maximum malignant degree of clamping these two vessels is merely causing distal limb necrosis, which is to say the patient will face amputation."

"At this time, we have already completed emergency shock management. With our trauma surgeons' surgical level, finding and fixing the aorta and fixing the vena cava for hemostasis is not a high-difficulty operation; as long as it's an orthopedic doctor with certain experience, they can all complete it."

"Next, what we need to further complete is, after completing the main branch circulation disarticulation surgery, to further break down and perform hemostasis on the limb's collateral circulation branches."

"Including, but not limited to, vascular clamping hemostasis, vascular incision thrombectomy."

"Professors, we need to pay attention to one point."

"Our total human blood volume is roughly 4000-5000 milliliters! Where is the largest blood reservoir organ?"

"That's right, it's the lungs, heart, and great vessels. Based on this principle, even if we use blood transfusion, how much blood volume is needed to reperfuse a single upper limb and single lower limb?"

"One-eighth? One-ninth? One-tenth?"

"Perhaps none of those; according to our calculations, 100-400ml blood flow volume can complete filling our single upper limb and single lower limb; these volumes of blood are even less than the blood volume transfused during our rescue process."

When Fang Ziye spoke here, the audience below indeed erupted in a wave of commotion, everyone starting to whisper among themselves.

Those who understood Fang Ziye had already grasped Fang Ziye's line of thinking; Fang Ziye indeed once again used his explosive thinking to begin bombarding the trauma surgery community.

The discussion scene grew increasingly intense; Fang Ziye had to temporarily raise his tone: "Professors, doctors, please let us quiet down first."

"Thank you for your excitement and affirmation, but we are currently still in the academic conference hall, not in the operating room; standing before you is a normal, uninjured adult, not a dying patient lying in the operating room."

Fang Ziye made a slightly Western-style joke.

"I am a living person, I don't need you to rescue me, so right now you also don't need to conduct preoperative discussion."

"Then, after completing these theoretical reserves and accumulation, what is the key?"

"How to reconstruct the upper limb's circulation system?"

"This question, our hand surgeons have also answered: if our trauma surgery doctors can promptly complete key vessel hemostasis after mangled extremity, our hand surgery doctors can then promptly, through microcirculation disarticulation surgery, reconstruct the theory of the upper limb or lower limb."

"This is the reference paper; professors can photograph and note it down."

Fang Ziye gave ten seconds, then switched the PPT: "Replantation surgery can be carried out in prefecture-level city hospitals, then we have every reason to believe that after mangled extremity occurs, our trauma surgery doctors can also rescue a single upper limb that has lost all its blood."

"This may require twenty-four hours, thirty-six hours, or even longer, but we have also already extended the timeline."

"Eastern Han has an ancient saying: 'No breaking, no establishing; break and then establish.'"

"The reason we dread mangled extremity and perform amputation on it is just fear of blood loss, and fear of local segment arterial embolism leading to limb necrosis!"

"But, professors, the direction we fear the most often houses the sprites and angels that solve the problem."

"Blood transfusion is a great invention; it enables us to restore blood volume, and naturally can also restore local blood volume."

"So, the simplified protocol for mangled extremity limb salvage surgery is actually very simple."

"Summarized, the key operations are only these three steps."

"First, sever it; since we all dare to directly amputate the limb, then we can easily sever its blood flow."

"Second, release it; compared to cutting off the limb, cutting open the vessel or extremely actively letting all blood drain out is not a difficulty in surgical operation."

"Third, re-infuse them with energy; what I mean is, after completing key vessel hemostasis surgery, we re-empower it."

"This doesn't require exquisite technique; what's needed is merely extending our operation timeline."

"We need to expend more physical strength and energy, not more exquisite technique..."

"Thank you all for listening!" Fang Ziye, while everyone else still hadn't processed it, said it all in one breath.

Then he bowed and walked to the center of the lecture podium, bowed again, took off his computer, and started packing up to walk off the stage.

According to proper procedure, whether out of etiquette or genuine enjoyment, a round of applause would sound, then accompanied by the conference host's thanks seeing Fang Ziye off, but he saw the meeting room was somewhat dead silent.

Only after he walked down the steps did sparse applause begin to sound.

Applause like a flame entering a dry grass pile, grew increasingly intense.

When Fang Ziye passed the first row, he saw Professor Zhang Xingze clapping giving him a thumbs up.

He knew then that the research project Fang Ziye brought out would not be that kind of old cliché, but on the basis of his own original research project, he lit a fire again.

Nuclear energy gathering momentum, able to shake everyone's eardrums into a slight tremble.

The COA international hall didn't have too many Q&A sessions; one is out of respect for foreign friends, two is understanding the uneven levels of attendees.

People attending the Eastern Han Orthopedics Annual Conference, besides doctors from developed medical regions, also include some scholars from relatively backward regions; although they have great fame domestically, their comprehensive level is only comparable to domestic top-tier.

In such a macro environment, if you go picking bones in an egg, it's a bit disrespectful.

Therefore, Fang Ziye coming down was just coming down.

Applause gradually tapered off; Fang Ziye also walked to his own seat; people who knew Fang Ziye gathered their clothes to make way, inviting Fang Ziye to enter and sit.

People in front and back rows turned their heads over, raising thumbs in a salute.

International exchange has not too much theoretical debate, even less confrontation; it's just seeing who blows hot air louder, who blows it more practically, making others feel more incredible.

Fang Ziye's lecture achieved a very good effect.

It addressed the needs of the vast majority of orthopedic doctors and benefited the vast majority of orthopedic patients, and might even spark a "revolution" in limb salvage surgery worldwide!

Lowering the threshold for limb salvage surgery is not a bad thing; it is something beneficial to everyone.

At the right moment, Professor Zhang Qiong said: "Let us once again express our gratitude to Professor Fang with warm applause. Just now, Professor Fang's lucid and profound presentation, with its meticulous considerations, had me listening as if intoxicated."

"I failed to react in the first instance, delaying the subsequent scholars' time. On behalf of the members of our moderation team, I apologize to everyone here."

"Next, we proceed to the next agenda item, by Professor timothycheng from the Malaysian Orthopaedic Association, who will bring his lecture topic, 'District Hospital Fracture Liaison Service.' This is a share related to the emergency system..."

The orthopedic COA does not merely focus on orthopedic surgical techniques; any topic related to orthopedics, as long as it is advanced enough, can be brought forth to share.

This professor's ability to specifically put forward the district hospital fracture liaison service suggests it has genuinely gained domestic industry recognition and undergone experimental verification.

After Fang Ziye took his seat, Professor Huang from Jida Affiliated Bethune First Hospital at his side immediately lowered his voice and said: "Professor Fang is indeed full of nuclear energy; when he doesn't act, he is silent as a lake surface; once he acts, the winds and clouds shift, thunder deafens the ears."

"Admire! ~"

Technological reform, besides pursuing the peak that technology can reach, has another direction: the promotability of technology.

Technology is not better the harder it is; on the contrary, the better the technology, the stronger its operability, the stronger its repeatability — for example, the microcirculation instrument's aid to hand surgery, enabling more people to rise a level in strength — that is the more mature, more influential, more beneficial research project.

Previously, Fang Ziye's mangled extremity limb salvage surgery in trauma surgery was certainly awe-inspiring! But in reality, it exceeded the contact threshold of many people.

Even with mangled extremity's access level at Level 4, not everyone can possess multiple Level 4 skills, and not all hospitals can be like Zhongnan Hospital, with someone to provide a safety net.

Top teaching hospitals have profound strength and deep accumulation; they can easily transplant and take over the surgery, but in prefecture-level city hospitals, the prevalence of mangled extremity limb salvage surgery is extremely, extremely low.

They dare not take it on.

A surgical technique that even prefecture-level city hospitals dare not take on is high and mighty, not down-to-earth.

The invention of medical technology should not be high and mighty!

"Thank you, Professor Huang, for the overpraise! ~" Fang Ziye said in a low voice.

"This is no overpraise; I really think you're awesome! ~" Professor Huang was not old, just over forty, also a very trendy person, knowing many internet buzzwords.

A person in the row behind Fang Ziye then patted Fang Ziye's shoulder and said: "Professor Fang, your research project has far-reaching influence and benefits all; try to standardize it and bring it out as early as possible."

"That way, the amputation rate for mangled extremity-related patients nationwide has the potential to drop from the current ninety-two percent to around forty percent."

"It can be called boundless merit! ~"

"Mm, if it can really be promoted, it can at least drop below fifty percent, and with the passage of time, ten years later, the overall amputation rate has the potential to drop below thirty percent." Professor Huang also nodded in recognition.

Hearing these words, everyone laughed.

One dare not pin overly perfect hopes, directly approaching a zero percent probability.

Eastern Han is vast; besides top teaching hospitals and prefecture-level city hospitals, there are even more county hospitals...

Wanting to raise the comprehensive level of county hospitals is a hundred-year or even several-hundred-year grand plan; it is not something one person, one era can replace.

Fang Ziye remained silent, seriously focusing on the content shared by the Malaysian professor.

The small-area restlessness was thus suppressed.

But the seeds Fang Ziye had blasted out had already been buried in everyone's hearts, only waiting to sprout.

(Chapter End)