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Chapter 762

~25 min read 4,972 words

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Protagonist:

Fang Ziye

Fang Ziye smiled freely: "Teacher Wang, the patient was admitted by me, the surgery was proposed by me, naturally there is no reason to let Teacher Wang take the fall for me."

"If... I still bear the consequences myself."

Fang Ziye still doesn't have much confidence even now.

Paraplegic patients with spinal cord injury are not something to play around with casually. This has been labeled with a 'death label' in the field of modern medicine.

Since before the advent of modern medicine, paraplegic patients have always existed, and over a hundred years have passed since then; countless surgeons and physicians have followed one after another, yet still haven't uncovered even the tip of the iceberg in treating paraplegic patients.

Even with Fang Ziye's current various abilities, placed in the history of nearly a hundred years, they can be said to carry some weight, but he still wouldn't dare say he definitely has a chance to treat effectively.

Hearing Fang Ziye's tone so heavy, Wang Ou extended his right hand and patted the changing room door, rhythm smooth: "Ziye, since you think like this, why bother provoking trouble?"

"Wouldn't it be better to just properly, honestly handle your own matters?"

Spine surgery and orthopedics share the same roots and connected branches; although they have already become independent, Wang Ou naturally also saw the announcement Fang Ziye released.

He didn't understand it at all, and couldn't bring himself to advise against it.

Fang Ziye tucked his scrub top into his green pants, while fastening his waist support: "Teacher Wang, maybe it's just youthful vigor, always unwilling to just stay proper and obedient like this."

"Or maybe these past few years have been too smooth sailing, so I want to stir things up a bit."

"But Teacher Wang, admitting this patient, I also made some preparations."

"Even if there's no treatment effect and I get sued, I can afford to pay! ~"

Medicine emphasizes the non-maleficence principle; this patient is already paraplegic, this is a fact already established by modern medicine.

For today's operating room turnover surgery, as long as Fang Ziye doesn't kill the patient, even if there's not a bit of effect postoperatively, the worst reputation others can pin on Fang Ziye is merely poor medical skill...

Or that he did this surgery just for the 'surgical fee'.

"Youth, that's good." Wang Ou slowly nodded.

Youthful vigor is the best reason.

In this world, most incredible breakthroughs are produced by young people, mainly because of youthful vigor, daring to venture and fight.

Some already-famous middle-aged and elderly people, on the contrary, have too many scruples, dare not take big steps anymore, and slowly, leisurely deepen their cultivation on their existing foundation.

"But being able to afford to pay is also preparation you did well, Ziye; since you're the orthopedics tycoon, Teacher Wang won't stand on ceremony with you either." Wang Ou made a joke, livening the atmosphere.

The dividends from this microcirculation instrument patent are too huge; currently it's just that more foreign trade transactions haven't been done yet, otherwise Fang Ziye's income would multiply by more than ten times.

You know, exporting abroad, the selling price can be more than three to five times the domestic price.

"Teacher Wang, these are all just joking nicknames from fellow disciples, how could they truly count as some tycoon?"

"Can't take it seriously." Fang Ziye replied.

Wang Ou's face immediately stiffened: "That won't do, Ziye."

"You can't not treat money as money; you've browsed the internet too much, you wouldn't think our country really has per capita family assets over a hundred million, would you?"

"Your assets currently count as real solid cash flow; in all of Han City, those who can produce this much cash flow are not many."

"Let's not struggle over this, let's go back to discussing the surgery."

"Earlier you said you'd consider carefully again, but you've already put the surgery on the schedule; what's your plan?" Although Wang Ou came to accompany Fang Ziye's 'recklessness', he also wanted to hear Fang Ziye's ideas and approach preoperatively.

The two had discussed preoperatively before, but the discussion was not complete.

This thing simply cannot be discussed completely in a short time.

And the definition of this short time, extended to one or two years, still falls under the concept of short time.

Fang Ziye nodded, replying precisely: "Teacher Wang, the damage to the first lumbar vertebra, summarized, can be generalized into three types of changes. Motor, sensory, reflex!"

"Motor changes: weakened lumbar muscle strength; lower limb muscle paralysis, including the cremaster muscle, iliopsoas muscle, sartorius muscle, and hip joint abductor muscles; bladder and rectal sphincters cannot be voluntarily controlled."

"Sensory changes: the entire lower limb, femoral triangle, hip region, and perineum all have sensory disturbances."

"Reflex changes: cremasteric reflex, patellar reflex, Achilles reflex, plantar reflex all disappear."

"This is the overall concept of first lumbar spinal cord segment injury."

Speaking here, Fang Ziye accompanied Wang Ou walking toward the operating room direction, continuing: "The patient I admitted is a complete transection; we originally don't need to discuss hemisection syndrome."

"But this surgery, I only plan to do half."

Wang Ou didn't find it surprising, saying: "Even if you only do one function, I feel you're up to this task."

"Continue explaining your approach."

If Fang Ziye can make the spinal cord hemisection syndrome clear.

No, as long as Fang Ziye can make spinal cord injury clear, even if only one local part, Fang Ziye can set off a great climax in the field of functional rehabilitation and functional treatment.

This will be another golden age for the medical circle.

Spinal cord injury is the most serious complication of spinal injury, often leading to severe functional impairment of limbs below the injured segment.

Spinal cord injury not only brings severe physical and psychological harm to the patient themselves, but also causes huge economic burden to the entire society.

Due to the socioeconomic losses caused by spinal cord injury, prevention, treatment, and rehabilitation targeting spinal cord injury have become a major super research project in today's medical circle.

This super research project is so big that basically no one dares to think about the treatment aspect currently.

You know, cancer treatment, medical peers worldwide are all following one after another, but spinal cord injury, no one dares to go! ~

This is a true no-man's-land.

Whoever dares to go lightly, others will only think you're crazy!

Whether Fang Ziye is crazy or not, Wang Ou dares not conclude, but the current Wang Ou feels his own nerves are a bit abnormal, hot-headed he rushed over to Fang Ziye's side.

But even if just to watch the spectacle, Wang Ou must come.

Fang Ziye could also guess Wang Ou's thoughts, and continued breaking it down: "Brown-Séquard Syndrome — basically, motor function and deep sensation disappear on the ipsilateral side below the injury plane, while pain and temperature sensation disappear on the contralateral limb."

"Theoretically, because one side of the sacral nerves remains intact, bowel and bladder function remains normal."

"So, for this surgery, we assume the patient's contralateral function is normal, and only work on the ipsilateral limb's motor and deep sensation; the contralateral pain and temperature sensation will not be dealt with correspondingly for the time being."

When Fang Ziye spoke to this point, he noticed Wang Ou's gaze was strange; Fang Ziye then continued: "Teacher Wang, don't rush yet. I told you before — the spinal cord is a whole, from top to bottom."

"The nerves distributed by the spinal cord are layered progressively — from cervical spine, thoracic spine, lumbar spine — emitted layer by layer. Correct?"

Wang Ou nodded: "Correct."

Fang Ziye then asked: "Teacher Wang, if it's a human cervical cord injury, even if the lumbar spine shows no injury, the lower limbs are still paralyzed, right?"

Wang Ou kept nodding: "Of course. Lower motor neurons are, theoretically speaking, descending."

Fang Ziye swallowed several mouthfuls of saliva, and said: "So, we can only boldly speculate that the patient's lower limb motor neurons actually exist, but they can no longer be delivered to the lower limbs."

"Analogous to electrical wires — the middle is broken."

"But the wires and circuits connected to our home are relatively intact."

"Further analogy: if your community's circuits have a problem, it doesn't mean other communities also lose power, and doesn't mean the whole city lost power."

"So, actually our brain center is still trying hard to control lower limb muscle contraction and other movements, but because the contraction commands cannot be delivered down."

"So the muscles cannot complete these commands."

"And the lower limb muscles lack the feedback control of nerve innervation; muscles are flaccid and weak — this is loss of muscle tone."

"Then, Teacher Wang, you say — do we have a chance to connect the descending nerves upward?"

Wang Ou's brows furrowed tightly.

Actually Fang Ziye's analogy was already plain and easy to understand, but the principle is the principle — transposition can be used, but how to connect?

The spinal cord isn't a nerve? Cut it and reconnect?!

That's impossible!

"This isn't grafting flowers onto wood, Ziye?" Wang Ou couldn't figure out Fang Ziye's train of thought, so he could only admonish him like this, hoping Fang Ziye wouldn't think wildly.

Fang Ziye nodded, and replied: "Of course, Teacher Wang."

"But if the spinal cord's anatomical structure were mixed together, we wouldn't need to consider these messy things."

"But the spinal cord's composition is divided into two parts — gray matter and white matter — and this gives us a certain degree of operational feasibility."

"Gray matter is mainly composed of nerve cell bodies, shaped like a butterfly or 'H', and can be further subdivided into anterior horn, lateral horn, and posterior horn. The anterior horn contains a large number of motor nerve cell bodies, responsible for body movement; the lateral horn connects with the anterior horn, mainly responsible for visceral smooth muscle and myocardium movement and gland secretion; the posterior horn is related to sensory conduction, receiving sensory information from the periphery and transmitting it to the brain for processing."

"Overall, gray matter is inside, belonging to the processing mechanism — we'll ignore it for now. It's just an integrated processor."

"I think, as long as signals can be transmitted out and transmitted in, the gray matter won't mind which nerve or which segment the signal comes from."

Wang Ou's thinking still hadn't caught up, and Fang Ziye added: "What's more important is white matter: white matter is composed of nerve fibers, neuroglia, and blood vessels — it's the spinal cord's internal nerve signal conduction pathway, and can be subdivided into ascending tracts and descending tracts."

"Ascending tracts transmit sensory information from all parts of the body to the brain, perceiving the external environment and self-state; descending tracts transmit motor commands issued by the brain to all parts, controlling motor behavior!"

"Teacher Wang, you say — if we take some nerve segments and, through artificial nerve pathways, graft them onto higher-level spinal cord white matter regions — is there a chance to reconstruct simple motor commands and sensory information?"

"Even if later it's not precise enough, it's not necessarily impossible to try!"

Wang Ou's step paused, and he looked at Fang Ziye in shock.

Immediately asked further: "Add it where? The human body's structure is already the most perfect state — every nerve's responsible function is already in the most perfect state."

"You can't fabricate a region out of nothing."

The spinal cord is one piece. After lumbar spinal cord injury, you still can't cut it off!

This isn't building roads — you want to add an intersection and you can just add one?

Fang Ziye said: "Teacher Wang, you're asking me how to add it now — that's a bit hard on me. I can only improvise."

Fang Ziye answered frankly without evasion.

I haven't even seen the patient's condition — if I tell you how to add it now, isn't that creating something from nothing?

Everything Fang Ziye currently deduces is only based on inherent anatomy — merely forming a train of thought that can be surgically handled.

A train of thought is a train of thought; specific operation is specific operation.

For example — earning money is a train of thought, but how to earn money varies from person to person.

Some suffer hardship, some do manual labor, some do mental labor, some use their waist...

"Let's go! Sigh!" Wang Ou didn't blame Fang Ziye either.

If this thing were that easy to answer, it wouldn't have been shelved by the medical circle for so many years with no one daring to venture.

But someone has to take this first step.

This surgery's bottom line is just keeping the patient alive. After Fang Ziye compensates a few hundred thousand, he'll definitely quiet down for a while.

He has money, and he's young and promising — this money he earned himself. If he doesn't suffer a little loss, he won't learn to behave.

Of course, perhaps there's also a glimmer of hope...

Any new disease type's treatment is experience summed up from thousands upon thousands of failures. Without doctors' sacrifice, without patients to trial-and-error, new therapies will never appear.

This is the fate of doctors and patients.

Early patients blaze the trail; later patients enjoy the road.

"Professor Fang, Professor Fang, have you come?" When Fang Ziye and Wang Ou entered the operating room, the patient hadn't been anesthetized yet.

Actually all kinds of monitoring equipment were already on the patient — except for intubation, anesthesia, and IV access, everything was fully prepared.

"Professor Fang, the patient insisted on waiting for you to enter the operating room before feeling at ease." The speaker was Ceng Quanming from Anesthesiology.

Director Ceng Quanming heard Fang Ziye was going to operate on a spinal cord injury patient, planning functional reconstruction surgery — he was so frightened he hurried over from the hospital area.

Not just to back up Fang Ziye, but also for his beloved disciple 'Boyfriend' not to fall into a mess.

So he was willing to personally act, escorting the patient's life safety.

"Uncle, I'm here, I've arrived!"

"Just went to Medical Affairs Department a moment ago." Fang Ziye opened his mouth to explain.

"That's good, that's good, Professor Fang. Then I can rest assured. Thank you for your hard work."

"Hope, hope..."

"Forget it, I won't put any more pressure on you, Professor Fang. I only ask that you perform the surgery a bit more meticulously."

"People like us, cripples..." The patient's voice choked with emotion.

After enduring years of depression and frustration, he had waited this long since admission.

How could he not know that his current situation was an utter mess?

For a disease type that the entire world's medical community has sentenced to "death," it's not really a thing to single out Fang Ziye, a young man, and pressure him.

In any case, Fang Ziye not refusing means there's a bit of hope.

Fang Ziye leaned over and soothed: "Uncle, don't get agitated. Sleep peacefully! ~"

"Didn't we agree on this before surgery? We can only go together and fight for a chance. Good or bad, it counts as having tried our best."

Ceng Quanming also said: "Don't be sad. Take a deep breath, sleep well, it'll be over soon."

"Right, deep breaths..."

Ceng Quanming administered the medicine. In under thirty seconds, the patient's breathing rhythm began to stabilize.

The patient is currently in a supine position! ~

The planned surgery is also a combined anterior-posterior open spinal cord functional reconstruction. If needed intraoperatively, the position will still be flipped.

But at the start, Fang Ziye and the others need to explore whether the patient's lower limb nerve segments still have "function"!

This function is not the function governing voluntary contraction, but rather to verify that the patient's nerves still possess the capability to transmit signals.

Otherwise, even if the nerves are reconstructed, if the nerves themselves are dead, isn't that just nonsense?

The wire is broken; even if you connect it to the power plant, it won't conduct electricity.

Although the patient's preoperative EMG conduction was normal, it still has to be personally assessed intraoperatively to count.

After anesthesia comes the rapid sterile draping step...

Hu Qingyuan looked at Fang Ziye and said in a low voice: "Master, a 2023 Nature report: dbs stimulation of the hypothalamus in mice restored autonomous crawling ability 8 weeks after spinal cord injury."

"According to the published mechanism: deep brain stimulation (dbs) of the hypothalamus electrically stimulates and activates 'interneurons' in the spinal cord, forming new signal pathways."

"There's also a macaque clinical trial. Macaques with complete spinal cord transection treated with dbs recovered supported walking after 6 months, with gait coordination reaching 70% of normal levels."

"fMRI shows the hypothalamus and spinal cord injury zone formed new functional connections."

"2024, 5 complete thoracic spinal cord injury patients, injury time >2 years."

"Implanted dbs electrodes, continuous stimulation for 6 months, combined with robot gait training."

"The spinal cord is like the 'fiber optic cable' of human information transmission. Once severed, commands between brain and muscle are completely cut off. Traditional view holds complete spinal cord injury is irreversible; patients can only rely on wheelchairs. But recent research reveals: after spinal cord injury, some nerve fibers still survive, just in a 'dormant state'."

"Precisely implant microelectrodes into specific nuclei of the hypothalamus. High-frequency electrical stimulation enhances neuronal activity, promotes neurotransmitter release..."

Wang Ou heard this and glanced at Fang Ziye.

Fang Ziye nodded and replied: "The idea of this trial is to attempt to reawaken part of the 'dormant pathways'!"

"What we're operating on today is moving the pathway connection interface upward, from the first lumbar segment up to the thoracic segment level."

"And what we're attempting today is only two nerves: the first and second lumbar nerves!"

"You're not taking photos today. Responsible for recording detailed data, including the length of artificial nerve used, etc."

After Fang Ziye finished speaking, he tilted his head to look at Song Tingzhen and the others, blinked, and said: "Manager Song, you're really something. Don't know who these few are?"

Must mention: Song Tingzhen from Dabo Company, who handles contact with me, is really damn capable. I mentioned it to him last week, and now he's fused several companies' sales managers directly into the OR.

"Professor Fang, these are all my friends. This is Yao Guang, Manager Yao from Guangbai Group; Li Nanlong, Manager Li from Smith & Nephew; Du Meng, Boss Du from Johnson & Johnson; and Huang Zhongxia, Chief Engineer Huang from Mindray." Song Tingzhen introduced them one by one.

The opening made Fang Ziye freeze slightly, then he walked over and shook hands with them: "Hello. Thank you."

Song Tingzhen's connections are really something. He got both domestic and foreign device sales vendors here?

Mindray and Guangbai are domestic devices, but Johnson & Johnson and Smith & Nephew are straight-up international tier.

Hearing Fang Ziye say this, Du Meng from Johnson & Johnson smiled: "Professor Fang really forgets things with so many benefactors. I've chatted with you before, and we chatted quite well. You just forgot me in a blink?"

"That's not very kind. I was still thinking Professor Fang would treat us to some soup and such..."

Zhongnan Hospital cannot completely detach from Johnson & Johnson!

Although Johnson & Johnson is a foreign medical device brand, there aren't many hospitals that can completely avoid using any Johnson & Johnson products.

So Du Meng seeking out Fang Ziye is an unavoidable thing.

Wang Ou just watched Fang Ziye converse with people and didn't step in to help, because this is Fang Ziye's interaction mode with device vendors, not his.

"Boss Du, you're not so handsome with a mask on. I didn't even recognize you."

"You're wronging me. Mainly your company scale is too big; you look down on our department's meager scraps."

"The majority of what you eat is the interventional field. I've used yours too, haven't I?" Fang Ziye said.

The other party just works at Johnson & Johnson, earning a living. Fang Ziye naturally wouldn't have any opinion of him.

"Boss Du, talking to Professor Fang like this, does your GM know?" Mindray's Huang Zhongxia touched his nose and reminded.

Du Meng immediately turned playful: "Professor Fang and I are friends, very familiar. A small joke is still affordable..."

After a few casual pleasantries, Fang Ziye went up to the operating table.

To do a job well, one must first sharpen one's tools.

This time, for this surgery, Fang Ziye did a lot of preoperative preparation work. Adding backup products from device companies was only one part of the early preparation.

The reason these companies can gather together is, of course, not because they care about the success or failure of this surgery, but how their own devices can be applied in this kind of surgery.

Treatment of paraplegic patients — if their own devices can be used in it, what a massive market share would that be?

The Creator of the original technique uses our stuff. Do you use it or not?

R&D of an original surgical technique — device companies don't bear responsibility. As long as the device doesn't break or fail, the company isn't liable.

If used intraoperatively there's money to earn. If used in volume there's even greater market share. A sure-win, no-lose deal.

Capital chases profit; if you can make them money, that makes you the "Super Dad"!

Of course, mainly because Fang Ziye is hard to "control"; otherwise, people would have long since tried to scheme for him in private.

But this son of a bitch, who knows how he did it, just as his reputation rose, he directly entered one of the most orthodox units, making it so no one dared act rashly anymore; now they only get the share of doing business and making money.

Yao Guang of Guangbai Group didn't speak, but he privately took note of the movements of some people around him.

Fang Ziye is famous within Guangbai Group.

Although Guangbai Group's main controlling stake is no longer held by an individual, the microcirculation instrument Fang Ziye single-handedly created earlier supports nearly twenty percent of the company's market share.

What kind of concept is this?

Fang Ziye is Guangbai Group's "Super Dad", the "Grandpa"; at least thirty percent of people rely on Fang Ziye to put food on the table.

Moreover, now Guangbai Group, under Fang Ziye's leadership, has begun to transform, and he is even more a key protection target of Guangbai Group.

……

"Get me another pair of gloves, my palms are a bit sweaty." After putting on gloves, before the operating room turnover, Fang Ziye instructed the circulating nurse again.

The circulating nurse had no objections and directly opened another pair of size seven-and-a-half gloves onto the table.

And, to be even safer, she opened four or five more pairs of gloves as backup in one go; wasted is wasted, interns waste plenty of gloves on the table anyway……

Hu Qingyuan brought intern Ling Fengguang.

Standing by the operating table, after Ling Fengguang checked the relevant data and gold content of this surgery, his whole body started trembling all over.

His mouth trembling slowly, he looked at Hu Qingyuan: "Fang, Fang, Fang Laoshi he... he... he......"

Hu Qingyuan glanced at Ling Fengguang: "Shh, don't make a sound; the first discipline of the operating room is that no sound or movement disturbing the lead surgeon can appear."

Ling Fengguang's body was still trembling.

He's just an intern, fifth year this year.

Suddenly, a teacher appears, about to directly perform a "surgery" no one in the whole world has ever done, and he gets to witness it right there in the operating room.

This kind of shock and stimulation is enough for him to brag about for a lifetime.

On the operating table, Fang Ziye and Professor Wang Ou cooperated very smoothly to open the patient's abdominal pathway, exposing the lumbar spine.

Li Nuo and Su Xiao and the others at the second and third assistant positions on the operating table could only stare wide-eyed.

Buttocks clamping Sichuan pepper, frozen stiff!

No, we came for advanced study, or to witness a world miracle? I just wanted to learn a bit of mangled extremity limb salvage surgery and functional reconstruction surgery to go back to the prefecture-level city hospital and show off, Ziye Ge.

Sun Shaoqing's mindset was a bit better; he kept silently reciting in his heart.

One million, one million is just one million, life doesn't have many opportunities to choose......

If this opportunity is missed, I'm afraid my whole life will turn into a puppet.

Since both are puppets, better to be a premium puppet, a puppet with a sense of achievement.

I shouldn't have gone job hunting directly; I should have thickened my face earlier, why the hell did I go south, I should have stayed at the hospital in the emergency department, waiting for transfer......

A PhD from Zhongnan Hospital Trauma Surgery, staying at Zhongnan Hospital's Emergency Department, simple as can be, almost no competition.

Sun Shaoqing had already decided to enter the Postdoctoral Mobile Station; compensation is compensation!

This is Sun Shaoqing's last chance to struggle for his career track.

"Ziye, we've arrived! ~" Wang Ou looked at Fang Ziye.

Surgery requires incision and exposure; incision and exposure is the relatively simplest operation, and also the lead surgeon's rare comfort zone.

Now we've already passed this comfort zone.

As a professor of Spine Surgery, and Zhongnan Hospital's Spine Surgery having not low comprehensive strength either, Professor Wang Ou's basic skills are naturally completely fine.

Everything that should be exposed has been exposed; even in his spare time, he performed a lumbar nerve decompression.

"Mm! ~"

"Teacher Wang, let's check nerve function first, roughly explore once more." Fang Ziye nodded.

Past the comfort zone, what we enter next is a narrow little path, rugged.

This kind of rugged fold isn't the comfortable angle; it's a bottomless pit that can clamp a person to death!

One step forward, and you might walk into the "abyss"!

What is a no-man's-land?

This isn't the no-man's-land in movies; it's a region no one can walk, a region you enter and can't come out of......

The large and small nerves branching from the spinal cord are far more than Fang Ziye imagined.

Standard anatomical models naturally cannot perfectly simulate the human body; the human body's anatomical structure is also far more exquisite and mysterious than models.

During exploration, intraoperative microelectrodes were used; this kind of microelectrode can stimulate nerve conduction function, testing whether nerves still possess conduction function.

"Nerve conduction function is basically all normal."

"It's just that the spinal cord region has a problem, and both gray matter and white matter regions should have developed necrosis! ~" Fang Ziye said to Wang Ou.

Wang Ou originally wanted to say isn't that nonsense? Otherwise why would the patient be paraplegic for no reason?

But considering Fang Ziye's pressure was much greater than his own, as an elder he should speak to soothe: "The current surgical progress is all within our expectations; next, how do we proceed?"

"How to transpose?"

"You also see, spinal cord nerves are all paired; there's simply no gap left for other nerves anymore."

The human body is the most loyal and single-minded.

There may be anatomical variations between individuals, but within an individual, once the nerve anatomical course forms, it is from beginning to end.

There isn't a single place that can accommodate a 'mistress'!

Fang Ziye looked at the already exposed spinal nerves, first secretly closed his eyes, but without a pained expression.

As if hesitating, how exactly to choose.

Preoperatively, Fang Ziye had already simulated three plans.

But these three plans, only one can be chosen.

Merely through simple theoretical simulation, Fang Ziye cannot verify which one is more easy to use.

Although, before this, Fang Ziye had also done "model" experiments in animals, but the recent results obtained were that the results of the three experiments had no clinical difference.

(Note: Some small preparations the protagonist did, such as animal experimental models, preoperative discussions, etc., will not be detailed one by one in advance.)

(But the key preoperative discussion will be given in advance.)

"Is there a better solution?" Fang Ziye asked and answered himself.

This question, Fang Ziye himself had already struggled with for a long time, it can be said from returning to Zhongnan Hospital, Fang Ziye had been secretly struggling with this question.

After returning to Zhongnan Hospital, Fang Ziye had no other things to do, just secretly pondering the new disease type's treatment.

In Zhongnan Hospital Ben Yuan Hospital Area those few months, Fang Ziye besides collecting data, other clinical surgeries, had no pressure at all.

So pulled out time, but three months time, compared to clinical, ultimately too short...

Spinal cord definitely cannot be cut into, also must not be cut into, so can only gamble.

This gamble, has desperate meaning, also has splicing meaning.

Fang Ziye standing, not a word spoken, gaze calm, dazed, just like this rigidly, dazed for a full five minutes.

No one disturbed Fang Ziye.

Also no one urged Fang Ziye.

This is an extremely difficult choice, but this is something Fang Ziye as Lead Surgeon must choose.

Walking a tightrope, is even simpler than making this decision!

Walking a tightrope can have Master teach, but this current step, no one can guide Fang Ziye.

Even predecessors who have walked it do not exist.

"I... I'll think again... give me five more minutes..." Fang Ziye with great difficulty opened his mouth, yet still chose to continue thinking. (Chapter End)

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