Chapter 734

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Protagonist:

Fang Ziye

After Chen Guofeng left the operating room, his eyes kept fixed on Fang Ziye's hands. After staying silent for nearly half the journey, Chen Guofeng finally asked in a low voice, "Professor Fang, could I take a look at your hands?"

After watching Fang Ziye's hemostasis technique on the platform, Chen Guofeng's initial impression was solid basic skills; upon further understanding, he felt the clouds had cleared; looking even closer, he was struck with awe and fear.

Fang Ziye generously extended both his hands.

Chen Guofeng examined them as if they were glass, turning them over left and right. His movement paused slightly, his tone serious: "Professor Fang, what happened here? Were you injured?"

Chen Guofeng was stroking the tiny scars on the fingers of Fang Ziye's right hand.

"It was a few months ago, in Enshi." Fang Ziye nodded with a smile. "It feels fine now."

"Who did it?" The fire in Enshi had a huge impact on Enshi, but for Hubei Province, not everyone was staring at the details.

Chen Guofeng instinctively thought it might be a medical dispute.

"I got scraped by something at the rescue scene, no big deal. Thank you for your concern, Professor Chen." Fang Ziye withdrew his hands.

Chen Guofeng fell silent for a while, his hand still frozen in mid-air: "Then Professor Fang, you must still protect them well in the future."

"This pair of hands is worth more than ten thousand taels of gold."

"Perhaps even heavier."

Past events cannot be traced back; they have already happened and left traces. The facts cannot be changed, so Chen Guofeng could only wish Fang Ziye well for the future.

"Mm, Teacher Chen, I also rely on these hands to make a living; they are my iron rice bowl!" Fang Ziye clenched his fists.

Chen Guofeng was of medium build, his face heavily freckled, yet it did not affect his high spirits in the slightest. At this moment, Chen Guofeng walked forward with measured steps, seemingly intentional yet seemingly casual, and asked: "Professor Fang's level of basic skills is already very, very high — at least four or five stories high, right?"

Chen Guofeng was using surgical imagery terminology to probe Fang Ziye's depth.

"Not bad, luck was relatively good." Fang Ziye said.

Chen Guofeng said: "Those who can reach that step all need some luck to some degree; luck is also a kind of strength — either heaven-ordained, or a unique opportunity."

"But without the prior accumulation and piling up, even if luck arrives, it will be pressed back down."

"Tsk tsk tsk, Professor Fang is only in his thirties yet already possesses such attainment and accumulation; his future is truly immeasurable..."

Chen Guofeng dared not imagine what kind of realm one could reach, what kind of achievements one could attain, having National Treasure Doctor-level basic skills in one's thirties.

As far as he knew, the most famous surgeons in modern domestic history who reached that realm were also thirty-six or thirty-seven years old.

Very few; the most famous was Old Academician Chen Zhongwei, who in his thirty-seventh year had already stood at the peak domestically and internationally, relying on powerful basic skills.

If basic skills cannot reach that level, one fundamentally dare not talk about looking down on the world's peak.

And by this calculation, Old Academician Chen's strength reaching National Treasure Doctor level should also have been at thirty-six or thirty-seven; I heard Fang Ziye is not yet thirty-five...

"Teacher Chen, the future is too far, too long."

"Even the most formidable teachers who walk over need a powerful team to support them; a lonely tree cannot make a forest."

"So I always only look at the present, occasionally indulge in wild thoughts, but am not obsessed with the future."

"Looking back on the road traveled, one feels some stages were not steady enough, ran too fast."

"Looking ahead, one feels the procedures for doing things are tedious, alone and isolated, needing people's help even more." Fang Ziye answered quite calmly.

Fang Ziye admitted his excellence and awesomeness, but excellence and awesome also need manpower to help, to walk forward step by step steadily.

Otherwise, having to personally handle everything, he would sooner or later be exhausted to death.

Fang Ziye's words are actually not hard to understand; it's just that such words coming from someone of Fang Ziye's age creates a relatively strange vibe.

But Chen Guofeng is also someone who has seen the world; as he walked forward, he laughed softly — perhaps Fang Ziye's youthful promise rekindled his own high spirits: "Climbing high has the beauty of climbing high; one glance makes all mountains small; hands can pluck the stars."

"But the ancients also said: Chang'e should regret stealing the elixir; the blue sea and clear sky, night after night, heart aches."

"This path is destined to be lonely."

"The halfway people who traverse mountains and rivers can only look back to have a relatively condescending view; they may never see the summit."

"But glancing sideways at each other, there must be a few who accompany you; you can find people to drink with, make a few confidants, speak your hearts, complain, brag, chat, shoot the breeze."

"The distance measured by one's own feet is limited; insights ultimately become fixed."

"Each beautiful in their own way."

"Standing out like a crane among chickens makes it hard to make true friends; you feel chatting with others is meaningless, the chickens feel you're a freak."

"Once you walk past, you can't turn back."

Professor Chen Guofeng, entrenched in Zhongnan Hospital's Hepatobiliary Surgery, has a higher perspective, more sentiments, more life insights.

Fang Ziye fell silent, pondering Professor Chen Guofeng's words; his pace slowed slightly.

No urgent rescue needed now, so things can be more leisurely.

Chen Guofeng looked back at Fang Ziye and said another sentence: "Many people envy the wuxia world's martial dao in stories, because they cannot touch the Dao in reality."

"The bustling dreamlike quality and sense of fragmentation in the real world are absolutely no lighter than any storybook; they are only even heavier."

"Do you think what I say makes sense?"

Fang Ziye nodded, giving Chen Guofeng a thumbs up: "Professor Chen has high insight; you've read the books through and through."

Chen Guofeng shook his head: "Where did I read the books through? I've just admitted cowardice until it became a habit!"

"The so-called 'at forty one is no longer confused'; the unconfused are those who have glimpsed the impermanence of worldly affairs that belongs to them."

"Professor Fang, don't get too tangled up because of my words either; the principle is that principle — spoken it sounds profound and mysterious, once experienced it's just that."

"Any path, walked to the end, may find classic realization in reality, and then return to the classics, revere the classics, hold the classics in awe."

"The Dao we moderns realize differs from the ancients, yet the state of mind is similar."

"As long as there are no immortals or Buddhas, the so-called Dao remains profound and mysterious. It's nothing more than being labeled with different tags by many people."

"Said a bit too much, and we've reached the Emergency Department too. Let's go in; the consultation process has been initiated, so we might as well follow through with it."

A whole-hospital consultation cannot be applied for randomly; once applied for, and the Medical Affairs Department has contacted people, there must be a record.

However, the essence of a whole-hospital consultation is to save lives, not for a group of people to surround and hold a meeting; the patient must be seen personally.

The New Campus has just opened, and this Emergency whole-hospital consultation is the first time; therefore, Director Zheng Jiong of the Medical Affairs Department personally took charge, leading the team to the Emergency Resuscitation Room.

Upon arrival, hearing that the patient had already been transferred to the Operating Room for resuscitation, they did not rigidly insist on pulling the patient out of the Operating Room just to go through the motions.

Seeing Chen Guofeng, Zheng Jiong hurriedly asked: "Professor Chen, how is the patient's condition currently? Now that the whole-hospital consultation is done, there's no need for an extra discussion, right?"

The three words "dead or not dead" also have different ways of expression.

The death case discussion system is also one of the basic systems of hospital operation.

"Currently speaking, the patient's condition has stabilized; if he can get through the surgical process, without sudden events like arrhythmia or uncontrollable myocardial infarction occurring, his life should be saved." Chen Guofeng replied.

"Currently, professors from many specialties such as Cardiac Surgery, Cardiology, etc., have all arrived at the operating table in the Operating Room to personally participate in the resuscitation."

"The patient's involved trauma area is very extensive, involving Hepatobiliary Surgery, Thoracic Surgery, Vascular Surgery, Gastrointestinal Surgery, Orthopedics, and multiple other departments."

"Currently, the Operating Room is still conducting repair surgery in a tense and orderly manner."

"The most basic life support work has been completed……"

Life support is the most basic work, but also the most important. Without life support, everything else is nonsense.

But the patient having vital signs does not mean he can keep living; surviving does not mean he can live better.

Some patients, resuscitation succeeds, but they become hemiplegic, become vegetative, all are possible……

But no matter what, they must survive first.

If the person is dead, then the two words "health" are even more impossible.

As for whether he can live well, that also cannot be determined by one person, one surgery.

While Chen Guofeng was speaking, Deng Zhi from the Surgical System next to him was guiding the department's Master's Students to record the whole-hospital consultation discussion record.

At the same time, the recorder brought by Zheng Jiong was also transcribing Chen Guofeng's statements.

When Zheng Jiong looked at Fang Ziye, Fang Ziye said: "Director Zheng, when this patient was admitted, the injuries were extremely severe."

"Abdominal aorta, right femoral artery open active injuries, plus pelvic hematoma, retroperitoneal hematoma, abdominal cavity organ damage, liver rupture, spleen rupture, right kidney rupture, bilateral lower limbs multiple mangled extremity injuries……"

"Currently, after we experienced preliminary resuscitation treatment, we have completed the hemostasis work."

"Our Orthopedics, currently what we need to do is hemostasis, debridement, temporarily cover the wound surface with vac, continuous negative pressure drainage, until the patient's vital signs are stable, then perform functional limb salvage surgery + reconstruction surgery treatment."

"Our Orthopedics has already completed pelvic hematoma clearance and pelvic vascular injury management; other aspects, our Orthopedics considers, prioritize completing vital sign support, critical care, infection prevention, managing lung, liver, gallbladder, kidney, spleen, intestinal tract and other organ injuries."

"Based on the corresponding specialties' treatment results and the patient's prognosis, then look at the situation to proceed with the next step of treatment."

"If the patient's postoperative state is poor, the bilateral lower limb injuries affect the patient's vital signs, can directly apply for amputation treatment."

"Saving life is more important than saving limb."

This patient's bilateral lower limb mangled extremity injuries are not particularly severe; limb salvage surgery can definitely be done.

But what he needs to consider now is not the issue of limb salvage or not, but saving life first.

Zheng Jiong believes in Fang Ziye's technique, saying: "Strive for it as much as possible; as long as other specialties can stabilize the patient's vital signs, I believe Professor Fang still has the ability to make him stand up again."

"It's just that the priority order of treatment is different."

"Thank you for your hard work, Professor Chen, Professor Fang."

"The patient's surgery is still ongoing, that's good! ~" Zheng Jiong slowly let out a breath of relief.

The significance of a whole-hospital consultation lies in saving lives; now the patient temporarily has no life-threatening danger, and since Chen Guofeng and Fang Ziye have both chosen to leave the Operating Room, it already represents that the patient has escaped the most critical phase.

"Deng Zhi, you record Professor Fang's represented Orthopedics opinion in detail!"

"Write it into the medical record; this patient, on the way here, according to Professor Fang's assessment, later these two legs might not be savable, but we must leave a trace in doing things."

"Must explain to the patient's arriving family members that now the legs cannot be saved, can only save life first!!" Chen Guofeng is not shirking responsibility, just for a medical record record, to avoid the patient finding trouble for Fang Ziye later.

Being amputated is certainly painful, but the premise of limb salvage is being able to save the life.

Not suitable for salvage but forcibly salvaging, that is gambling with the patient's life; before emergency patient's family arrives at the hospital, the hospital's On-duty Director can temporarily authorize surgery to save life.

But after surgery, still have to explain and communicate with the patient's family.

In this communication process, the primary guarantee is procedural legality and compliance above the legal bottom line.

"Thank you, Professor Chen." Fang Ziye said.

Doing things requires leaving evidence traces; this is the first key point of hanging around in the system, and even more so the experience and lesson anyone working in a hospital for many years will receive.

Chen Guofeng added: "Director Zheng, actually it's like this, this patient's injury situation, truly can be described as hanging by a thread."

"I'm not doing it for some benchmark; if he really can save his life later, we record his injury situation in detail, and it can be published as a high-quality news report."

"Similarly, this case recorded, can also be released for our Emergency Department peers to see."

Zheng Jiong heard this, his eyeballs turned a few circles, slightly typical: "Is it that typical?"

"Not typical! ~"

"But the more atypical the surviving patient, the more worth reporting; although ordinary people can't understand, those who understand will be scared a jump."

"Anyway my suggestion is like this, whether the Medical Affairs Department is willing to jointly release a report with the Publicity Department, our cases all need to be reported out."

Case report is one of the constituent forms of scientific research papers.

But this term comes from English, translated into Chinese is case report; general professionals are more accustomed to using case instead, which is more smooth to say.

"Okay, then let's wait for the results to come out before saying; now it's also not good to expect too high." Zheng Jiong's considerations differ from Chen Guofeng's focus.

Now the New Campus just opened, what is needed is not to make a name, but to stabilize the situation, let the New Campus get on track, making few or no mistakes is the heavy responsibility.

Fang Ziye continued: "Professor Chen, Director Zheng, this side's whole-hospital consultation is about done; later if details are still needed, our Orthopedics' Chief Resident will supplement."

"I'll go back to the Operating Room first; if still needed, I can also hurry over as soon as possible."

"Good! ~" Chen Guofeng nodded.

Continuing to explain to Zheng Jiong: "Professor Fang's technique, staying in the Operating Room, even if not in the same operating room, counts as an added layer of insurance."

"Director Zheng."

Zheng Jiong looked at Chen Guofeng with a half-smile, thinking to himself, You're only figuring this out now?

He looked at Fang Ziye: "Professor Fang, then you go be busy! ~ Keep in touch when you have time."

Zheng Jiong immediately added: "I'll contact you using my private number."

As the Director of the Medical Affairs Department, Zheng Jiong contacting someone more often was never a good thing.

For instance, Fang Ziye, being a doctor, couldn't very well say things like "let's meet more often in the future" when a patient was discharged.

Fang Ziye left with a carefree air.

Chen Guofeng watched Fang Ziye's retreating figure and let out a light sigh: "What a pity, Professor Fang isn't one of our Hepatobiliary Surgery people."

"Dean Wang has a discerning eye, but for some reason he didn't snatch him over."

Zheng Jiong then said: "Professor Chen, he's Orthopedics people, ah? You'd still snatch him over?"

"Those kou, is there a single one that's easy to deal with? Every last one is five big three thick, with a violent temper to boot — they'll really lay hands on you."

Chen Guofeng's mouth opened and closed for a while, then he didn't propose anything similar again.

Because Zheng Jiong was right; this generation of Zhongnan Hospital's Orthopedics, even the previous generation, never backed down from a fight.

Though word has it, almost every hospital's Orthopedics department doesn't back down either.

Who knows if it's because the medical dispute rate is too high, so fighting became a habit, or if it's because this physical constitution is the foundation, so they must suppress others with force.

And fighting with Orthopedics people, basically few people can gain an advantage. Instead, if you're not careful, you have to worry they'll dislocate your arm or something.

Chen Guofeng suddenly remembered something and asked: "Director Zheng, do you still remember? Before, Joint Surgery had an Associate Professor who dislocated Professor Long's arm from Breast and Thyroid Surgery, his mouth hurt so bad it was crooked for half a day."

"After reduction, our hospital's forensic examiner couldn't even determine minor injury?"

Zheng Jiong said. "That Professor Chen, you know about it, ah?"

"Heard it was the former Orthopedics Chief Director, Professor Du Xinzhan. From then on, no one in this hospital dared provoke him."

Although at that time he hadn't yet come work at the hospital, this legend had always circulated within the administrative circle as gossip.

Minor injury determination requires at least some wound, or tendon rupture or something.

Or need the skin surface 'blood seepage mark' to prove he really slapped you?

But Orthopedics people, when they exploit 'this kind of loophole', you can't even collect evidence.

Because in society, there aren't many people who can dislocate someone's arm without leaving a trace! ~

And besides Orthopedics, other doctors, whether surgeons or internal medicine doctors, wanting to inflict pain on someone within their own specialty field, that's already up to the standard of going in for a few days of education.

Except Orthopedics!

Can walk away with a flourish.

Wu Yilin, the Medical Affairs Department "clerk" who came with Zheng Jiong, whispered quietly: "I heard people say, there's a rumor inside Orthopedics, don't know if it's true or false."

"It says, if an Orthopedics person gets into a fight and might have to go in, their parents must go speak nicely and apologize, and after the person is led out they still get beaten by their teacher."

……

These people's mutterings, Fang Ziye naturally didn't hear.

Fang Ziye returned to the operating room, then went to the Bone Disease Department's operating theater.

Ceng Duoqin raised his wrist to check his watch: "Ziye, how come you were gone so long? Haven't eaten yet, right?"

"Had a big case, sent straight from the Emergency Resuscitation Room to the operating theater. After I finished the preliminary surgery, I went to the Emergency Department to report our Orthopedics consultation opinion."

"I figured since I'd been gone so long, Teacher Ceng would worry, so I came up first. Now planning to go down and eat." Fang Ziye replied.

"Then you go eat first, nothing particularly important here at the moment."

"Just the duty doctor said, that little girl who already had the biopsy sent back, has quite a few complaints about you, says you don't keep your word." Ceng Duoqin said.

Fang Ziye couldn't be bothered listening to this Ceng Duoqin's gossip about gossip: "Teacher Ceng, I'm going to eat first……"

After eating, Fang Ziye returned to the surgery floor, and didn't go report to Ceng Duoqin first thing, but instead went again to the operating theater where the emergency surgery was in progress.

Confirmed the patient's vital signs were already stable, and all specialties' surgeries were proceeding in an orderly manner, only then did he completely set his mind at ease.

The current emergency surgery has already thoroughly transformed into semi-emergency surgery; as long as no particularly outrageous accident occurs, there won't be major problems.

And particularly outrageous accident occurrences have nothing to do with whether the patient suffered trauma or not; normal people can experience them too.

Just that after trauma occurs, the mortality rate is higher.

Such events cannot be predicted, cannot be controlled……

Just, when Fang Ziye's thoughts floated like this, he couldn't help but think of Chen Song again.

He asked himself silently! Such extreme events, are they really unpredictable, uncontrollable? Would they not be?

But quickly, Fang Ziye shook his head again!

Even if they can be predicted, can be controlled, the cost isn't something ordinary people can afford.

And if every normal person has to do such a "check-up" once a year, that's definitely a huge expense.

Modern society, everyone's pressure is already this great, there's no need to manufacture any more anxiety from our side.

Good as it may be, but social resource consumption is too great, input-output ratio too low.

And even if causal relationships are discovered, the difficulty of catching those causal relationships is too high.

Last time with Chen Song, Fang Ziye won't say he would definitely die if he wasn't there, but he definitely wouldn't have gotten off more lightly.

……

Trauma Surgery Ward, in the doctor's office.

Cold wind howled outside the glass window, warm air gently circulated inside the office, shutting the chill out.

Li Nuo led Feng Junfeng, Tian Yao, Hu Qingyuan, Lin Fangzhong, the four of them, conducting a very detailed preoperative discussion for next Monday's planned surgery patients.

When Fang Ziye walked into the office, Li Nuo said: "What to do if you don't understand? Those who don't understand write it down first, go look up data, if the data doesn't have it either, go ask your masters and senior brothers."

Li Nuo leaned against the chair, saw Fang Ziye, paused, then stood up and said: "Look, your master, my Director Fang is here."

"Master Nuo, sit down, sit down."

"Is this coffee left for me?" Fang Ziye saw coffee placed in front of several people, and there were even a few extra bags, so he conveniently picked one up.

"Ziye, you've come at just the right time. Tell us, what's the specific approach for this severe lower limb infection we're going to handle next Monday?" Li Nuo asked very directly.

The microcirculation instrument's microcirculation interruption surgery is currently the hottest, most popular discussion direction in the Bone Disease Department, but that doesn't mean everyone in Orthopedics understands it.

For instance, algorithms in programming are considered a relatively popular direction, but that doesn't prevent some people from working on frontend, app development, etc.

If this requires training, then we'd have to start teaching from the Hand Surgery microcirculation interruption surgery approach from the beginning.

Fang Ziye unhurriedly took a sip first, then said: "Infection — divide into systemic infection and local infection."

"Microcirculation interruption surgery means, in the downstream of systemic circulation, relying on the microcirculation instrument, reconstruct a local circulation, so antibiotics can exert their effect in a limited manner."

"To speak of this microcirculation interruption surgery, it's one of the basic skill approaches of Hand Surgery; it relies on a clinical procedure of ours, called high-level limb disarticulation."

"So-called high-level limb disarticulation is..." Since he admitted the patient himself, Fang Ziye not only had to cure him, but also had to lead his own team to start contacting this kind of disease type.

After Fang Ziye roughly explained it once, he then said: "Everyone just understand this much for now; some specific operations, the cross-section of microcirculation interruption, and its anatomical basis, you can also reflect on them."

"Combining systemic anatomy, local anatomy, and specialty anatomy, first experience it yourselves; when you get on the operating table later, follow along and watch slowly."

"The core treatment concept hasn't changed in essence; it's just the story between sensitive antibiotics and bacteria."

"Also, this patient's infection focus is relatively localized, and hasn't reached the systemic hematogenous infection stage of bacteremia, so handling it is much simpler." Fang Ziye was very confident.

This patient's infection, compared to what he previously encountered at Enshi Sanatorium, was the youth version — a disease type that hasn't fully grown yet.

Fang Ziye had great assurance.

This is the cognition gap; when a cognition gap appears, every kind of formulation can cause a crushing sense of strike to those newly encountering it.

Li Nuo was no exception.

After Fang Ziye roughly explained the approach clearly, Li Nuo then raised his thumb and said: "So you're Director Fang, not Director Li Nuo, ah."

"This kind of crazy yet genius thinking — only you would dare think it."

"Not only thought it, but continued doing it! ~"

Li Nuo feared Feng Junfeng and the others wouldn't know the awesomeness of the concept Fang Ziye proposed, and added: "The concept Director Fang proposed can be said to have clarified the most fundamental logic."

"In the future, ah, no matter where you go after graduation, within ten years proposing such a concept to others, it'll definitely be advanced."

"At least ten-odd years later, perhaps this kind of microcirculation interruption concept will only then be widely popularized within prefecture-level city hospitals — this is the lag of academic frontier concepts."

Feng Junfeng and Tian Yao both listened, and fell into contemplation.

It was Hu Qingyuan who, after Li Nuo finished speaking, raised his hand.

"You speak." Fang Ziye said.

"Master, let me give a relatively extreme example."

"Suppose an infection focus, the nearby blood supply has all been eroded to the point of poor blood supply, leading to closed obstruction of local blood supply."

"Then infection would accompany local skin necrosis."

"In such a situation, the blood vessels are no longer patent; then even if circulation is reconstructed, wouldn't there also be not much effect?" Hu Qingyuan's basic skills were extremely solid.

He was a very smart person, the type with knowledge accumulation, and who can quickly read through books and understand transparently.

The premise of microcirculation interruption surgery is patent blood supply; then if local blood supply is not patent, you perform microcirculation interruption again, that's also scratching an itch through a boot.

"Then what you're proposing is diabetic foot! ~" Fang Ziye's gaze flickered, feeling Hu Qingyuan this person was very interesting.

Hu Qingyuan shook his head again: "Master, the pathological essence of diabetic foot is different from local blood supply embolism caused by infection."

"The basic pathology caused by diabetes is arteriosclerosis and vascular stenosis, leading to poor foot blood circulation — this is a vascular structural problem."

"Local embolism caused by infection produces thrombi. The vascular structure, in the short term, will not have an anaphylactic reaction."

"If the pathogenesis of the two were similar, then diabetic foot directly equipped with a microcirculation instrument would directly solve the limb salvage surgery problem."

This is truly remembering the knowledge points, and reading the books through, able to use them at one's fingertips.

It's just that Hu Qingyuan's current application experience is insufficient, operation level not high; otherwise, Hu Qingyuan would absolutely be a super powerful assistant.

During internship before, Hu Qingyuan still adhered to a low-key philosophy, seeking his 'Life Mentor'; after displaying his photographic memory ability before Fang Ziye, Hu Qingyuan didn't hide it anymore.

The research project Fang Ziye gave him tortured him to the point of ecstasy, thoroughly shedding the so-called 'genius', 'boring' thoughts.

"Then what do you think should be done?" Fang Ziye appropriately guided —

"You needn't always be confined to these clinical theories of medicine; just use your own understanding way, even if thinking of some objective, very easily understood solutions is fine."

Hu Qingyuan's knowledge reserve is insufficient, Fang Ziye doesn't make things difficult for him, but!

Even a layman can have a layman's solution approach; the problem is just to think, to use one's brain.

Whether one can do it is a capability issue; whether one thinks is an attitude issue.

Feng Junfeng and Tian Yao's eyeballs were spinning rapidly, looking at their fellow trainee Hu Qingyuan with slight astonishment, their gazes beginning to generalize.

They only knew Fang Ziye treated Hu Qingyuan very well, and knew Hu Qingyuan's experimental operation level improved very fast, but Hu Qingyuan's such solid clinical theoretical foundation was still the first time displayed before everyone.

After hearing Hu Qingyuan's words, Li Nuo staggered a bit, then broke down again: "Your lineage, what the hell dog shit luck did you all walk?"

"Professor Chu received Yuan Weihong, Yuan Weihong received you, you received Hu Qingyuan."

"You've all been named by the Bargain-Hunting King, right?"

Li Nuo discovered Hu Qingyuan's not-simple nature; previously in preoperative discussion, Hu Qingyuan's expression ability was very strong.

Expression ability is stating clearly what you know; the premise of being able to express clearly is that you truly understand yourself; otherwise, even if you let a person with even stronger expression ability attend a surgical preoperative discussion, they'd also become silent and reticent.

Current Li Nuo is even more convinced Fang Ziye also picked up a treasure.

Wrong!

This Hu Qingyuan wasn't picked up by Fang Ziye; he was dug out from a pile of interns, and then Fang Ziye thought of ways to keep him by his side.

"The most unadorned thinking."

"Middle blocked by debris then dredge; original water channel narrowed then expand! ~"

"But blood vessels are ultimately not water channels! Can't expand, ah?" Hu Qingyuan proposed the approach, while simultaneously throwing out his own question.

"If it can't be expanded, just build a new canal beside it."

"Human organs aren't metal that can be melted down and reshaped; once they're worn out, especially with organic damage, they can never return to the form they came with from the womb."

"At that point, you have to give up! ~"

"The blood vessels in our body are very rich in reserve; build a new branch and divert the canal over."

"That's the most basic principle of standard diabetic foot limb salvage surgery! ~ Understand?"

Hu Qingyuan nodded, his eyes lighting up.

Actually, Hu Qingyuan's simple way of thinking was very simple; not only did he understand, but Feng Junfeng and Tian Yao understood too.

However, relatively speaking, having been in the clinic longer, their ensuing doubts were greater; Feng Junfeng asked: "Master, in general diabetic hyperglycemia, the blood vessels damaged first are the terminal vascular networks."

"If all of these have to be rebuilt one by one, isn't that a bit too difficult?"

Hu Qingyuan asked about the basic principle, asking how to do it.

What Feng Junfeng asked was the feasibility principle—can it actually be done?

From the most basic principle, as long as the ladder is built high enough, a person can climb into the stratosphere.

But the question is, can the ladder stand?

"Qingyuan, this involves clinical application; what you currently understand more is clinical foundation. Clinical foundation is our basic skill of operation, how to use it in the clinic—this needs to be slowly comprehended by you during the process of participating in treating patients."

"So, for the following words, you don't need to listen yet; you just need to figure out the most basic principle and combine it with your own medical basic theory—that's enough. First build the outermost framework."

"Your current theoretical knowledge is in a mixed state, in a lump state, so you need to prop up these lumpish things bit by bit, slowly build your own skeleton; don't rush! ~"

"Once the skeleton is fully propped up, the train of thought will naturally come out."

After Fang Ziye finished explaining, he looked at Feng Junfeng again: "Junfeng, your skeleton is relatively more comprehensive, but the details of your basic theory aren't transparent enough yet."

"The question you just asked me—if your reading is broad enough, physiology has actually already given you the answer."

"The cells of the human body have a natural craving for nutrition and blood supply."

"The microcirculation of a local part of the human body can be recreated; as long as there is enough energy supply, we actually don't need to specially recreate every tiny branch of the local blood vessels."

"It will form a network on its own; what we need to do is create such a craving for the local tissue, and moreover, its demand can be satisfied……"

"Do you understand?"

"For example, if you like a girl and want to pursue her. Or your roommate likes a girl."

"You are the assistance; once you've confirmed that this girl has a good impression of your roommate, then we doctors are your role—we need to persuade your roommate not to give up, and think of more ways."

"For their romance, we can't directly play matchmaker; we just need to give enough hints."

"Only what he pursues himself gives the most perfect experience."

"Of course, human tissue is far simpler than human nature; its most essential point is that it wants to live, and will try every means to live on."

"So, when we perform diabetic foot limb salvage surgery, what we actually need to build is the main collateral circulation, creating a condition, rather than specially fussing over details."

"The details—the local tissue will fuss over them itself! ~"

"This is diabetic foot limb salvage surgery." Fang Ziye gestured with both hands, using various dimensions to break down this knowledge point and feed it to his several students.

Li Nuo was someone who learned incidentally; after hearing it, he sighed with mixed emotions: "I really fucking hope I were ten years younger?"

"If ten years ago, my teacher had guided me like Ziye you do, I definitely would have achieved success at a young age."

Li Nuo's emotion was desolate, without mockery, without passion—completely genuine feelings flowing out.

Fang Ziye heard this, his heart completely unmoved.

Even if you were ten years younger, you might not be able to find several people nationwide whose knowledge system is as rounded as mine.

"Master Nuo, if ten years later you're still sighing about wishing you were ten years younger, then you've truly lost your opportunity."

"What Master Nuo needs to complete now isn't simple skeleton building, but placing the already-built skeleton onto patients."

"In our clinic, every knowledge system must be divided into these few steps."

Fang Ziye spoke off the cuff: "For example, incision technique—we first need to understand what incision technique is, how to perform incision technique, how to hold the knife, how to insert the knife, how to withdraw the knife! ~ This is theoretical basic skill."

"Further, one needs to understand local anatomy and how to expose it. How to expose it well—that's operational basic skill."

"But all of this is ultimately used to treat patients."

"How we learned theoretical basic skill, how we mastered operational basic skill doesn't matter; what matters is how we apply these two basic skills to patients, and how to make the basic skills more solid."

"So how we learned it before isn't important."

"What Master Nuo needs to consider is how to build this collateral circulation; even if the basic skill isn't exquisite beyond compare, you can still do it—bring your ideas to life! ~"

"First talk strategy on paper, then train troops according to law; first match the form."

Li Nuo understood Fang Ziye's meaning and pouted: "I understand the logic, but I still feel……?"

Li Nuo stretched out his little finger: "Then just a bit of resentment—why do they, who are smaller than me, have such a good platform and resources, and have such a good teacher as you?"

"And learn so easily."

But immediately, Li Nuo sat up straight: "But it's not too late for me at all; compared to your teacher, compared to Deng Professor and them, even compared to Qin Geluo, fuck, I'm too happy."

Fang Ziye saw Li Nuo slightly calm his mindset, and the topic returned to the right track: "Alright, then let's continue discussing the combination of the basic principles of micro-dissection and infection treatment……"

"Within the principles of infection treatment, there's actually an unspoken default essence: that circulation is a whole."

"That is to say, we administer medicine from any vein, and the drug can reach all local parts of the whole body, crossing every barrier we've known, including the heart, the cranium……"

Fang Ziye spoke as if it were nothing, saying much knowledge not found in textbooks.

While Feng Junfeng and the others listened as if intoxicated, Li Nuo added: "You must study well; your master's education is at least twice as good as yours! ~"

The three little ones nodded continuously.

They weren't stupid; naturally they could tell Fang Ziye's theoretical realm was different from ordinary people, even different from general professors.

In their eyes, beyond simple 'respect for teachers and valuing the Dao' worship, there was a touch of 'personal worship'—worship of knowledge.

The story of the strong has always been very simple.

The blue comes from the indigo but is bluer than the indigo.

However, after just over forty minutes, Fang Ziye's lecture was interrupted.

Upon hearing it was his work mobile phone, Fang Ziye hurriedly ended the lecture, held the phone to his ear, and after listening, his expression tightened slightly as he walked quickly toward the office door. (Chapter End)