Chapter 745

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Protagonist:

Fang Ziye

"Functional reconstruction surgery is less a specialized surgical technique and more a complete surgical philosophy."

"Functional reconstruction is the goal; the technique is the means of progression."

"The ultimate purpose of any operation is to serve functional reconstruction."

"So functional reconstruction surgery is easy to learn yet hard to learn; easy because performing a tendon release for a finger flexion deformity is also functional reconstruction surgery."

"Hard because performing a full-course functional release for single lower limb total functional impairment is also functional reconstruction."

"Right, Lan Tianluo, what surgery is this patient supposed to have again? Is it functional reconstruction surgery?" Fang Ziye suddenly asked.

The moment Fang Ziye spoke, everyone in the operating room instantly went confused.

Including Hu Qingyuan.

Lan Tianluo's Adam's apple began bobbing up and down, growing anxious: "Senior Brother, don't mess with me like this, I'll be scared to tears too."

Before becoming Chief Resident, Lan Tianluo was still a happy, carefree little Master's student, charging toward his specialty of interest, learning tirelessly.

During his Chief Resident phase, he felt pressure, experienced the urgency of emergency consultations, learned to navigate the buck-passing competition among various specialties, and became more pragmatic; at least the smile on his face restrained considerably.

Fang Ziye immediately said: "It might have been, but not anymore."

"I might have been too busy, so I forgot to tell you earlier — this Bed 6, I don't plan to do functional reconstruction surgery anymore; I'm going to give him functional restoration surgery."

Hearing this, Lan Tianluo dry-coughed twice more.

"Senior Brother, explain clearly — what is functional restoration surgery! ~" Lan Tianluo felt Fang Ziye was just being a smartass right now, deliberately joking to liven the atmosphere.

Like those internet jokes where they cut open the skin first, then ask what surgery this is.

Actually, this really was Fang Ziye joking: "Mhm, functional restoration surgery is a new type of surgical technique I newly developed before and after going to the sanatorium, derived from functional reconstruction surgery yet surpassing it."

"It can not only help patients recover their pre-injury muscle strength, but also give them a chance to reach the average level of normal people."

"Relative to patients who are inherently weaker than the adult average, it is called functional restoration surgery."

While speaking, Fang Ziye organized a timeline in his mind.

He himself finished his Chief Resident life in November two years ago, then went to Yue City, where at Professor Zhou Yan's place he obtained the bud of functional restoration surgery and brought it to fruition.

At that time, he had already left Zhongnan Hospital, while Lan Tianluo had always been at Zhongnan Hospital, so Lan Tianluo didn't know about functional restoration surgery.

Later, even when Lan Tianluo went to Enshi, he went there to do basic scientific research!

In the sanatorium, the difficult cases needing discussion did not include functional restoration surgery, so Fang Ziye should not have mentioned this technique to Lan Tianluo.

Because of its particularity, the target population wasn't quite the same, so in the early stage Fang Ziye didn't exaggerate it.

Rather, after nearly seven or eight months of early-stage 'clinical trials' in the sanatorium verified the reality of functional restoration surgery, he thought to bring it to the teaching hospital.

If functional reconstruction surgery was a heaven-and-earth-opening surgical creation for hand surgery and trauma surgery, then functional restoration surgery is another revolution after that creation!

"Th-this... how is that possible?"

"A patient undergoes surgery and can still break through their original functional ceiling? Then isn't that functional cosmetic surgery?" Lan Tianluo understood functional reconstruction surgery very well.

So he instinctively retorted.

However, Lan Tianluo quickly began frowning tightly: "Since you brought it up, Senior Brother, it can't be impossible!"

"Functional restoration surgery."

"If referencing your previous work in the sanatorium, wouldn't that mean many special-occupation personnel, even after injury, still have a chance to return to their units?"

Fang Ziye laughed: "I've been doing this surgery for over a year now; although the number of cases isn't large, the operation is already a mature system."

"The bottom line of functional restoration surgery is functional reconstruction surgery, so it doesn't count as a special clinical trial; it belongs to the category of new surgical techniques that an Associate Senior Chief Surgeon can discretionarily carry out clinically at any time."

Fang Ziye said this, then glanced at his students and fellow trainees.

Fellow trainee Lin Fangzhong wasn't on the platform; at this moment he pricked up his ears, and together with Tian Yao, they each turned on their recorders.

Hu Qingyuan was right on the platform; after collecting his puzzled expression, he began gathering all information, clearly having engraved the words 'curiosity' and 'learning' into his bones.

Good or not, learn it first.

……

Fang Ziye simply explained the basic principles of functional restoration surgery; back at the sanatorium he had discussed it with others, now he was just repeating it once more.

About three or four minutes' worth.

Lan Tianluo came to a realization: "Senior Brother, next time you have such a change, can you not use this smartass way of announcing it?"

"You're a Group Leader Professor now, the Head of Department; doing this is very scary."

Fang Ziye shook his head: "That probably can't be done in the short term! Tianluo, bear with me a bit."

"Damn it, to say something unpleasant — all those years before, we've all been accustomed to being sons and grandsons, honest and proper, suppressing our age-appropriate nature."

"Now that I've finally broken free on my own, and everyone around still knows me well, if you don't let me recover a bit of my true self, aren't you trying to suffocate me?"

While operating, Fang Ziye guided Su Xiao and Li Nuo on how to assist and hold retraction: "Here, expand the view a bit more."

"Functional reconstruction surgery is for functional cosmesis; at this time, don't consider skin suture incision cosmesis."

"Anyone who comes to the hospital for functional reconstruction is a patient tormented by functional limitation until they can't stand it; they only seek practicality, not aesthetics."

"Aesthetics are worthless before practicality! ~"

After Fang Ziye finished instructing, he then said: "Tianluo, perhaps, in the future, when you go out on your own, when my senior brothers are all old, when my students start staying on for formal jobs, when the students following me are all my students' students, all strangers."

"I will naturally restrain myself and put on the professor's airs, but right now, among us few, who doesn't know who?"

"Although Hu Qingyuan and them are here, except for Teacher Su Xiao whom I'm not very familiar with, Senior Brother Sun Shaoqing, my old Big Brother — when I just entered the department I was terrible, writing medical records got me scolded like a grandson, yet he patiently brought me along like a child..."

"Big Brother Li Nuo, back then he was Chief Resident, treated me to meals, took me to do surgeries; back then if I wanted to buy him a cup of milk tea I had to queue up."

"Fortunately my Master knows him well, so I got the chance to lick his boots, though it wasn't for long—I only licked for a few months before Brother Jin became Chief Resident again. I really feel like I missed out."

"As for you, I can only say you're really good at pretending. My wife was discovered by us together. Back then you were putting on airs, saying what kind of person she liked..."

"You make it sound like you'd actually dare to try pursuing her!!"

"Feng Junfeng is also my Fellow Trainee..." Fang Ziye said sincerely about himself.

Lan Tianluo laughed upon hearing this, reading the surgery while saying, "Senior Brother, if you put it that way, then don't blame me, your Fellow Trainee, for sometimes not treating you, Fang Ziye, as the Director?"

"It's always been like this; we judge matters on their merits."

"If you did something wrong, I'd definitely scold you—I don't even know what I'd scold you like."

"But in the course of our relationship, we don't need to act like any kind of friend; we're still friends as it is."

"I'm in my early thirties! You want me to stand on ceremony—I'd have to stand on it for forty or fifty years. How exhausting is that?"

"Of course, I can't fully let loose either. With other strangers, I still have to stand on ceremony, after all, I represent our New Hospital District Orthopedics." Fang Ziye said candidly.

Lan Tianluo and the others stopped dwelling on this topic, and were instead quickly attracted by the ideas and concrete operations of Fang Ziye's Functional Restoration Technique.

Although Su Xiao and Sun Shaoqing were both unfamiliar with Reconstruction Technique, jumping straight to the more advanced Functional Restoration Technique was a bit taxing for them, but it didn't affect their feeling that the operations of Functional Restoration Technique were more exquisite.

Among them, Su Xiao had the most clinical skill and knowledge, constantly asking, "Ziye, for this step of the operation, compared to ordinary suturing, what's different?"

"Is this step similar to the basic principle of Osteotomy Correction?"

"Ziye, is this kind of arrangement operation you just did similar to tendon weaving in Sports Medicine? Making it..."

Hu Qingyuan occasionally understood a bit and answered by rote.

Lan Tianluo occasionally understood the theory of Functional Reconstruction Technique a bit more clearly, and interpreted it once through Functional Reconstruction Technique.

Li Nuo, starting from some basic principles of Spine Surgery, explained once the correlation between nerves and the muscles they innervate.

Fang Ziye made the final summary and operation demonstration.

Perhaps it was at this moment that Fang Ziye very objectively saw everyone's different structures, and truly understood and appreciated these few terms.

Clinical cognition is clinical cognition—it's breadth of experience, it's how much one has experienced; theory and memory cannot replace it.

Take Brother Su for example—he's seen a lot of the world. As the Director of a Prefecture-level City Hospital, he's attended many conferences and performed many surgeries, so for many clinical operations, he can find similar foundations to rely on.

Theory is theory—the foundation of all operations, the basic principles!

All operations must be based on theoretical guidance. If you can't explain the basic principles of an operation clearly, then you haven't truly learned it.

But theoretical guidance of operations, or deducing theory from operations, must be mutual.

Take Lan Tianluo—he understands a lot, knows how to apply it, understands the combination of theory and operation, but he also has his own theoretical blind spots. After all, he's not as clear-sighted as Fang Ziye.

But theoretical accumulation is different from pure memory. Compared to someone like Hu Qingyuan with a photographic memory, it still lacks comprehensiveness.

Don't underestimate the breadth of knowledge points covered in textbooks. Actually, many newly developed surgical techniques can find corresponding hints in the corners of various Orthopedics textbooks.

Medicine is a very miscellaneous discipline requiring a very broad range of knowledge. A good memory in medical study definitely has a natural advantage.

What's more, Hu Qingyuan is also very skilled at operations—surgery is fast and steady.

If he can really apply some gaming operations to medical operations, plus his memory, his future upper limit will be very high.

Compared to that, Fellow Trainee Sun Shaoqing, Lin Fangzhong, Feng Junfeng, Tian Yao, and the others seemed rather ordinary and common.

Ordinary qualification, ordinary experience, ordinary qualification again. Although among the general population they could be considered above average, when facing super high-end techniques like Functional Restoration Technique, they still paled in comparison.

After one surgery ended, everyone had their gains, but everyone also had their doubts.

Fang Ziye said, "Functional Restoration Technique, like Functional Reconstruction Technique, has an entry threshold. Especially the requirements for Suturing Technique will be higher."

"If Functional Reconstruction Technique is simply reorganizing anatomical structures so that the human body's residual tissues can function again, then Functional Restoration Technique is a more scientific organic reorganization."

"Making limited tissues work together to exert greater potential, surpassing the original normal level."

"This has some reference to part of the rehearsal in sports."

"For example, we often hear that when playing table tennis with force, it's definitely not using wrist strength, but should use waist strength."

"Similarly, our Functional Restoration Technique is to borrow strength from other places, so that our local function can break through the original limits! ~"

"Similarly, the limitations of Functional Restoration Technique are much greater than Functional Reconstruction Technique. For example, Mangled Extremity cannot undergo Functional Restoration Technique. But general burns can."

"After Muscle Adhesion Release Surgery, local nerve compression can be treated, but if it's degenerative nerve lesions or degenerative muscle tissue lesions, Functional Restoration Technique cannot be done."

"Currently, I've only organized these details myself. This is the bottom line of the framework..."

Hu Qingyuan interjected here: "Master, according to what you say, then large segment Bone Defects also can't be done."

"After Nerve Segment necrosis, if the proximal and distal ends are not necrotic, then after a transplant, there's also a chance to reconstruct the basic conditions for Functional Restoration Technique."

"I don't know if I'm right or not."

Lan Tianluo glanced at Hu Qingyuan, frowning tightly!

Su Xiao, while waiting for the next surgery to begin, sighed: "Ziye, what kind of freaks do you have here?"

"The younger generation is formidable, the new waves beat the old waves. We're indeed old."

Hu Qingyuan's theoretical accumulation was very rich, he just didn't know how to use it, so he asked casually.

And he had a teacher whose theory was very clear-sighted, who could guide him anytime, making his jumbled theoretical cake stand up with a skeleton, so that afterward he could make it three-dimensional, twisting it however he wanted.

Putting it down whenever he wanted. After being able to take up and put down freely like this, Hu Qingyuan's future would surely be limitless.

"Then write it down. We might need to do clinical trials in the future, after all, there are currently no other references to consult." Fang Ziye said.

"Okay, Master." Hu Qingyuan wanted to improve too much. He really wanted to participate in Fang Ziye's clinical surgeries—even just discussing them. As long as he could participate, he could get immediate feedback.

Compared to the 'oppression' in the Laboratory, this place was simply a comfort zone.

Fang Ziye then took everyone down to eat.

When the meal was nearing its end, Fang Ziye received a phone call. After listening for a while, he said, "Director Chen, do you want to re-examine what you're saying?"

"There are no Orthopedics disease types for us, and I have elective surgeries. You want an Orthopedic Doctor to temporarily shelve already scheduled elective surgeries to do emergency surgeries?"

It was a call from Director Chen Guofeng of the Emergency Department.

"Professor Fang, this patient was personally called by Dean Wang!" Chen Guofeng said in a low voice.

Fang Ziye said, "I can come, but trouble Director Chen to find me a lead surgeon who can substitute for me to do elective surgery."

"This surgery of mine is a total femoral reconstruction + patellar reconstruction."

"Is Professor Ceng not okay? Or I'll call Professor Deng." Chen Guofeng saw Fang Ziye had loosened his stance and immediately said.

"Director Chen, you call and ask first. I'm eating; after I eat I'll go into the OR."

"If Director Deng and Director Ceng Duoqin agree, I can rush over anytime." Fang Ziye also did not argue with Chen Guofeng.

If the other party could really shake Professor Duan Hong from Tongji Hospital over, or transfer Wu Xuanqi from Enshi within one hour!

Fang Ziye would of course be happy to go help.

But now, when no one can substitute for Fang Ziye to do elective surgery, Fang Ziye putting down his own ward's surgeries to do emergency surgery, even if to save a life, is asking for trouble!

Five minutes later, Fang Ziye had already appeared at the OR doorway.

Professor Chen Guofeng's call came again: "Professor Fang, the situation here is a bit urgent! ~"

"Can you come take a look first? After the key operation is done, you can go back."

"I'm in OR Nine! ~" Chen Guofeng did not bring up the previous suggestion again.

Fang Ziye had long known Chen Guofeng could not possibly find someone who could replace Fang Ziye to do these two surgeries.

Total femoral reconstruction and patellar reconstruction — even if Professor Duan Hong came, he would find it exceptionally thorny; Deng Yong and Professor Gong Jiahe both dare not take it on lightly.

What's more, they have their own surgery schedules!

"Director Chen, doing this is actually making things difficult for me." Fang Ziye said.

"A life is at stake, Director Fang. I also have no way." Chen Guofeng also cleverly did not bring up Dean Wang Xinghuan's matter again.

In the OR, Lan Tianluo had already gone for consultation.

Fang Ziye then instructed: "Li Nuo, call me in twenty minutes. Must call!"

Li Nuo did not know what purpose Fang Ziye had; he was still discussing the previous surgery's details with Su Xiao.

Hearing this he nodded: "Okay Ziye! ~ You go rest a bit."

Fang Ziye thus came to OR Nine.

Fang Ziye did not scrub, but went straight into the OR.

What met his eyes was a crowd surrounding the table operating; the patient's abdomen was wide open, after the skin was incised the inside was a bright red expanse.

The surgical doctors on the table were all frantically performing hemostasis, yet bright red blood still trickled out.

At the same time, the anesthesiologist's voice was like a thorn: "The patient is already in shock! ~"

"Cardiac arrest imminent." He dared not speak a single extra word of nonsense.

Fang Ziye saw this scene and could only first rush out the door; standing before the scrub sink, Fang Ziye took a deep breath.

After pondering roughly three seconds, he opened his eyes.

Han City's various hospitals — possibly every moment people are dying; every day there may be people losing lives due to trauma — it's just that these patients, Fang Ziye cannot happen to encounter.

This is an established fact.

If this patient did not have Dean Wang Xinghuan's greeting, then Professor Chen Guofeng certainly could not have gotten the call through to Fang Ziye, and would not have asked Fang Ziye to come again and again.

Everyone has their own task.

But he is after all someone Dean Wang Xinghuan greeted; Chen Guofeng also after all called several times; Fang Ziye also after all came.

By the time Fang Ziye scrubbed and quickly kicked open the OR door again, the people on the operating table were already anxious.

"High pressure 59! ~"

"Can't stop the bleeding, transfusion useless, pressors useless too! ~" The anesthesiologist shouted urgently, not just single output.

"Too many bleeding points." A green-clad person on the table replied.

"Still have to stop it? If bleeding isn't stopped the person is gone." The anesthesiologist continued to roar.

The surgical doctors all didn't speak; they weren't playing around, weren't slacking off.

Fang Ziye did not speak; quickly grabbed a sterile surgical gown and began quickly putting it on.

After donning gloves, Fang Ziye didn't even bother to turn in circles, directly approached the operating table side.

"Director Chen, I'm here." Fang Ziye called out, and squeezed inward.

Hearing Fang Ziye's words, the person he squeezed swallowed back the four words "what are you squeezing for" that had reached their lips.

Not many surgical doctors came to the new campus, and most are young.

Most of these people know Fang Ziye, at least are familiar with Fang Ziye's voice.

"Professor Fang, I'll yield to you; inside is too chaotic! ~" He hurriedly shifted down two steps, yielding the position.

Fang Ziye did not reply; both hands directly reached in.

Simultaneously both eyes rapidly reading the current situation —

The surgical doctors had already been trying very hard to complete hemostasis; mesenteric artery, external iliac, internal iliac arteries, renal artery and other key organ arterial bleedings had already been ligated.

But the patient's bleeding was still continuing.

Moreover, in the abdominal cavity, blood, feces mixed together; although already washed as much as possible, a strong pungent smell still lingered.

One look — only a blood pool could be seen!

No conspicuous bleeding point — these people had already pushed routine hemostasis to the extreme!

Fang Ziye's heart also had no bottom; while feeling for bleeding points, he looked toward the view box direction.

The view box was empty — clearly also an emergency with no time for preoperative examination.

"Hemostat! ~" At a certain moment, Fang Ziye felt two small bleeding points; judging by appearance they should be the ureteral bladder artery.

People familiar with Fang Ziye had long placed the hemostat at his convenient reach position — where his hand could conveniently grab, not the dominant hand orientation.

Fang Ziye just single-handedly slowly took, slowly clamped, and was not anxious.

Routine bleeding points have all been dealt with, yet still this much bleeding — extremely high probability the venous system has a problem.

Venous bleeding doesn't spray with the same force as arterial bleeding, so one must probe very carefully to possibly locate the venous bleeding point.

"Director Chen, temporarily clamp the inferior vena cava! ~"

"I suspect venous reflux."

"Given this amount of bleeding, it should still be damage to a large vein." Fang Ziye also couldn't feel where the bleeding point was, merely speculating based on his own experience.

But speculation wasn't without basis.

With Fang Ziye's current physical examination technique, blood flow turbulence that he couldn't even feel could only be venous bleeding.

"The inferior vena cava is clamped, and the ECMO circuit is closed." Chen Guofeng furrowed his brow.

"Switch to the superior vena cava! ~ There's no way around it."

"If the ECMO circuit keeps bleeding, then it's another kind of active bleeding!" Fang Ziye said.

Although Chen Guofeng questioned it, he didn't refuse to listen to Fang Ziye, and still made full preoperative preparations!

Sure enough, when Chen Guofeng clamped the entrance of the inferior vena cava, the plane of the blood pool began to seep downward.

At the same time, at the moment the vein was clamped, Fang Ziye felt reflux turbulence!

Under certain conditions, blood pressure is always greater than the pressure of an external hematoma; this is the basic structure of blood vessels.

But central venous pressure, that is, the pressure within a large vein, is far less than arterial pressure, so that a natural arterial-venous circulation can form.

Precisely because its pressure is small, and a pressure difference forms with the blood pool, at the moment venous blood supply reflux is clamped, the blood flow within the venous lumen decreases, and the fluid pressure in the distal gap becomes even smaller.

Then the blood pool will backflow into it.

In just that moment, Fang Ziye captured the changes inside the blood pool.

His left hand pinched over there, and sure enough, at the branching point of the left and right common iliac arteries of the inferior vena cava, he found the rupture.

The rupture wasn't large, and was of a hole nature, and also belonged to the post-membrane type.

So it wasn't too easy to discover!

Massive bleeding that even Fang Ziye's physical examination technique couldn't feel was even harder for ordinary people to diagnose.

Bleeding in this place was relatively difficult to handle, but fortunately it wasn't at the main branching point, so Fang Ziye chose to clamp most of one side's common iliac artery and common iliac vein, forming a closed loop.

After this operation was completed, Fang Ziye chose to withdraw the hemostat that Chen Guofeng had clamped: "Continue suction!"

Immediately after, he looked at a female doctor preparing to remove the catheter at the femoral vein: "What are you doing?"

"Reconstructing ECMO?" she said unhappily.

It was Fang Ziye who said to clamp the inferior vena cava, causing the ECMO closed loop to be broken, and she wanted to re-operate.

"Won't you just put in a new catheter?" Fang Ziye looked at her, as if looking at a weirdo.

"Won't you not clamp it?" The woman didn't know if it was her period or menopause, and directly started arguing with Fang Ziye.

"Sorry, sorry for disturbing! ~ I was wrong, I, Fang Ziye, apologize to you."

"Suit yourself." Fang Ziye listened to advice very well.

Although Fang Ziye was apologizing to the woman, his gaze kept paying attention to the fluid level inside the patient's abdomen.

The fluid level indeed began to drop!

"Blood pressure has recovered a little! ~" As the person escorting the patient, the anesthesiologist couldn't always apply pressure in the operating room, but still needed to give some good news at the right time to encourage people.

As fluid pressure dropped, more tiny bleeding points emerged.

Fang Ziye also helped participate in temporarily clamping some located in corners, and temporarily filling cotton pads for compression.

Chen Guofeng and the others also began to get busy.

"Do we still need upper limb venous circulation?" The female doctor who spoke before saw that the ECMO circulation was already open again, and complained again.

Chen Guofeng's brow width narrowed several times, but in the end he didn't get a chance to speak before being taken over by the anesthesiologist.

"Circulation has currently recovered, and the patient's blood oxygen is also fine. Doctor Dou, thank you for your hard work." The anesthesiologist said softly.

"I originally said to use upper limb veins, but you insisted on the principle of proximity! ~"

"I really can't understand what you surgeons are thinking just to save trouble and seek convenience?" The woman called Doctor Dou suddenly said this again.

Hearing this, Fang Ziye's gaze flashed slightly, sweeping over everyone, and seeing that Chen Guofeng and the others had various expressions, he didn't speak.

After the blood pool completely dropped, Fang Ziye quickly clamped two small arteries and small veins with the hemostat in his hand, and then saw that the major bleeding points had already been cleaned up.

"Director Chen, I'm leaving first."

"The rest is up to you." Fang Ziye said.

Doctor Dou looked at Fang Ziye, her tone carrying questioning: "Leaving halfway through surgery?"

Hearing this, Chen Guofeng had to interject: "Professor Fang is a helper I called midway; he still has surgery in the operating room next door! ~"

"Professor Fang, thank you for your hard work, go ahead and get busy."

"Thank you." Chen Guofeng didn't cup his hands, but his grateful gaze was sincere, hoping Fang Ziye wouldn't argue too much with Doctor Dou.

Fang Ziye stepped back a few steps.

Doctor Dou then closed her mouth.

After Fang Ziye removed his sterile surgical gown and sterile gloves, and while passing the storage table to grab his mobile phone, Doctor Dou's tone softened slightly: "Are you Professor Fang Ziye of the surgery department?"

"I've heard of you! ~" She generously extended her right hand.

"I'm Dou Yueyue. From the ICU."

"Fang Ziye. Orthopedics Department." Fang Ziye shook hands with her once, then withdrew his hand, and afterward walked out of the operating room.

"Don't be so stingy; originally I couldn't tell you apart? I was just speaking the truth."

"When I made suggestions, you didn't listen to advice; after I finished operating, you wanted me to change this and that; anyone would feel annoyed." Dou Yueyue said.

Fang Ziye paused slightly: "Sorry, I didn't understand the full story; I apologize to you."

Fang Ziye said with a laugh: "I still have surgery next door, I can't delay too long! ~"

Dou Yueyue didn't persist, turned back to the ECMO area, and began adjusting the flow speed.

ECMO is a very rigorous technique, not a technique everyone knows!

After Fang Ziye went out, he smiled casually, and it wasn't good to say much more.

In the eyes of other departments, Orthopedics and General Surgery aren't much different; the surgical system is the surgical system, even if you're not in the same field, when they open fire it's a map cannon.

For instance, the people in the Medical Records Room often say that Surgery people can drive the Case Record Room crazy...

However, after Fang Ziye walked a few steps, he suddenly realized, muttering to himself: "Director Chen and Vascular Surgery's Tang Xiaoping, wouldn't they be using me as a tool to lower the emergency mortality rate?"

"Why does every related emergency call?"

This isn't the first time.

If the first grand consultation I was on duty for was a chance event, the frequency of the subsequent few times is a bit too high.

"Once or twice is fine, but if they call every time, how am I supposed to arrange my time?"

"Still need to think of a good solution." Fang Ziye whispered.

After Fang Ziye re-entered the Orthopedics operating room, Li Nuo was already on the platform: "Ziye, it hasn't been twenty minutes yet, so I didn't call you."

"Where did you go?"

"Went out to work a gig, and got dissed on top of that." Fang Ziye said.

Hearing Fang Ziye say this, Li Nuo became even more interested: "Who? Is there anyone in the new campus who dares to diss you, Ziye?"

"You must tell me his name, I want to pay my respects."

Hu Qingyuan and the others also had a strange light flashing in their eyes.

"She herself said she's Dou Yueyue from the ICU, I don't know her either, probably new, not too familiar."

"Not only did she retort at me, she even retorted at Emergency Department Director Chen Guofeng."

"High probability she's an expert, medium probability she's a second-generation, low probability she's both." Fang Ziye said.

Fang Ziye deduced this because Fang Ziye himself counts as an expert, yet Fang Ziye wouldn't dare lose his temper and open a map cannon like Dou Yueyue.

For a young person to be arrogant, they need foundation, and such foundation mostly only comes from family.

Even an Academician's student or beloved disciple wouldn't dare throw a tantrum like her.

"How to handle this surgery?" Su Xiao felt Fang Ziye might be a bit stifled, so he hurriedly shifted the topic to Fang Ziye's more proficient professional area, letting Fang Ziye quickly find a sense of presence.

"Brother Xiao, not how to handle it, I'll do it, you watch! ~"

"Right, have the 3D printing company people come?" Fang Ziye started looking around.

"Professor Fang, I'm here, standing by for orders at any time."

"Our team doesn't need too many people to come in right now! ~" He immediately stood up and replied.

"We've already prepared roughly three most standard prosthesis models; if they're not applicable, we can transfer them over at any time."

"The previous data formulas shouldn't have problems."

Without the 3D printing company's person in charge coming over for total femoral reconstruction and patellar reconstruction, it's just nonsense.

"Mm, good! ~"

"Then let's open the platform; next, I'll let you see what surgeries I did in the sanatorium." Fang Ziye rubbed his palm, then put his phone on the storage table.

Fang Ziye soon arrived fully armed beside the operating table, and then began his own rhythm.

"Hand here, open this up."

"This muscle, you have to hook it up, have to reconstruct the femoral tunnel."

"Hand, angle it a bit."

"Before doing bone defect reconstruction, you must clean up the soft tissue scar lumps."

"During the 3D prosthesis fabrication process, we reserve the tendon reconstruction origin and insertion points, convenient for muscle reconstruction later."

"This is a very complex process, and one that requires great patience, and the operative details are very rich..."

Fang Ziye instantly went full firepower, speaking less and less.

Not much explanation, only operation.

The operation wasn't especially fast, but every step seemed extremely clever.

While Fang Ziye was operating, Hu Qingyuan emphasized: "Should we record? Senior Brother Lan Tianluo specifically emphasized we must record it for him to watch..."

Lan Tianluo counts as Hu Qingyuan's martial uncle.

But then, Lan Tianluo is only twenty-six this year, Hu Qingyuan twenty-four, only a two-year gap. So they just call each other whatever.

Hu Qingyuan calls Lan Tianluo Senior Brother, Lan Tianluo calls Fang Ziye Senior Brother.

"Don't record then, Master didn't say anything."

"Probably doesn't plan to teach, just wants to do the surgery well." Tian Yao replied.

Feng Junfeng and Lin Fangzhong squeezed onto the platform to gain insight at close range, so only Tian Yao and Hu Qingyuan were left below to take charge.

"Ziye, can you wait a bit? Some can't keep up, can't understand." When the surgery was halfway, Fang Ziye had already reconstructed the femur and the muscles on it, then Su Xiao suggested.

"Teacher Su, can't wait, waiting is useless too."

"This span is too large; later I'll specially explain this surgery to you all; this is one of Tongji Hospital Professor Duan Hong's signature skills."

"Although it's not a functional reconstruction surgery, it actually is one of the functional reconstruction surgeries! ~"

"Compared to simple functional reconstruction surgery, it has more technical content! ~"

Fang Ziye didn't plan to specially teach Su Xiao and Sun Shaoqing mangled extremity limb salvage surgery; the youth version of mangled extremity limb salvage surgery has already been developed.

He's not afraid they won't learn it.

Rather, it's functional reconstruction surgery and bone defect reconstruction surgery that they need to spend more energy learning and experiencing.

Even if Sun Shaoqing comes from a Pengcheng hospital, skills have specializations.

Tongji Hospital's bone defect reconstruction and Zhongnan Hospital's current functional reconstruction surgery are both very formidable in the national orthopedics field.

If they learn it and go back, it will surely become one of the local specialties.

Even if one doesn't learn it that proficiently.

Whether one is proficient or not is a matter of individual proficiency; knowing and not knowing are two different concepts.

……

Evening, around eight o'clock.

When the surgery ended, Su Xiao and Sun Shaoqing stood in the operating room, looking at each other with worried expressions.

"Brother Xiao, this…?"

"How to handle it?" Sun Shaoqing asked Su Xiao.

"Learn, how else? We have a year for advanced study." Su Xiao said.

"But if we decompose Fang Ziye's operations, we'll find every one of our basic skills cannot compare to his; then can the surgeries we perform still achieve the same results as the surgeries here?" Sun Shaoqing counter-questioned.

"If after returning, we always feel our surgical quality is very poor, then is learning it suffering or self-blame?"

Sun Shaoqing was still young; he was only thirty-four this year, close to thirty-five, and he had left Zhongnan Hospital only four years ago.

So, he still had dreams.

"Broad mind, smooth path, Shaoqing, I have no way to answer this question of yours either."

"If one truly harbors comparison, perhaps it is suffering, is self-blame."

"But the meaning of us being doctors does not lie in surpassing Fang Ziye, let alone knocking Fang Ziye down, but in treating patients."

"You can expect to do surgery better than Fang Ziye, rather than be more excellent than him."

"At least I personally understand it this way." Su Xiao said.

Sun Shaoqing didn't continue the conversation, asking: "Brother Xiao, let's go? Go have a drink?"

"What happened? Feeling uncomfortable in your heart?" Su Xiao looked Sun Shaoqing up and down.

Sun Shaoqing shook his head: "No discomfort? If I were uncomfortable, I wouldn't have come back."

"Rather, it's deep emotion, both melancholy and relief."

"Melancholy is hating that the past was not like now, lacking such a good opportunity; relief is that now is not like the past, my fellow trainees all have a better platform and future."

"But after all, the Zhongnan Hospital I walked through was those few years! ~"

"I have a clear conscience toward it…" Sun Shaoqing said he had no emotion, but in fact he was already deeply moved.

……

On the other side, when Fang Ziye received the emergency consultation phone call once again, he finally spoke his mind, waving for several student fellow trainees to go secure spots first, then answered the phone: "Tang Professor, what does this mean?" (Chapter End)