Chapter 789: Medical Academic Genius Chapter 786: Lifting Heavy as if Light!

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Protagonist:

Fang Ziye

Deng Yong did not drink himself into a blackout; when Fang Ziye left Deng Yong's doorway, Deng Yong personally said to Fang Ziye, "There aren't many especially happy days in a person's lifetime; you can get drunk at someone else's happy moment, but it's best to leave yourself a little time to enjoy alone."

After going downstairs, Fang Ziye walked along the edge of the green belt in the community where Deng Yong lived; at this moment his mood could not be called very good, it could only be said to be not too bad!

Fang Ziye's thoughts at this moment were like his own lingering shadow, one moment stretched long by the streetlights behind him, the next shattered by the streetlights ahead, so long and short, long and short……

Deng Yong's happiness was not hidden on the surface; it was happiness from the bottom of his heart.

But Fang Ziye could not quite feel happy from the bottom of his heart; it wasn't that Fang Ziye wasn't happy for Deng Yong's progress.

It was just that Fang Ziye would feel: Deng Yong merely had one basic skill break through its original limit, and he became this happy; then where did all these worries of mine come from?

Sometimes, the more Fang Ziye saw Deng Yong happy, the more he felt Master was a bit "small and pitiful"!

Because the realm he pursued for a lifetime, Fang Ziye had already reached early on.

Although it was by opening a hanger……

But the view of those on the mountain looking down is different after all.

If it were someone else who made this kind of progress, it wouldn't ripple Fang Ziye's heart; Deng Yong is Fang Ziye's Master.

So after Master felt heartache for Fang Ziye many times, Fang Ziye also learned to put this kind of emotion into his own heart.

Roughly four or five minutes later, Fang Ziye walked out of the village entrance.

After calling a ride-hailing car, he put his hands behind his back: "Anyway, Master being happy is what's right."

"Actually there's no need for horizontal comparison; I also don't need to pity anything."

"If I always involuntarily generate this kind of mindset, it would also be too much not taking other people's life experiences seriously."

"Master, congratulations." Fang Ziye silently voiced his true heart.

Fang Ziye sorted out his own heart, hoping he wouldn't become too 'pitying', because this kind of 'pity' is actually a disguised form of 'looking down from on high'!

It's just that this thought, arising from the depths of his heart, Fang Ziye originally couldn't suppress it either, but now being able to see it openly makes him feel much more at ease.

After getting into the ride-hailing car, Hu Qingyuan and the others sent greeting messages one after another.

Fang Ziye simply explained to Liao Jia, Nie Mingxian and the others; he explained a bit more deeply to Hu Qingyuan.

Hu Qingyuan's actual operation level is not high at present, but he is Fang Ziye's student; following Fang Ziye in clinical work for a month and a half, he has quite an understanding of the longitudinal structure of operation level.

His tone at this moment was filled with excitement: "Really? Master Grandpa really reached that step?"

"Then doesn't that represent?"

Hu Qingyuan hid the words "overturned Professor Duan Hong".

Hu Qingyuan had been educated by Fang Ziye, so he understands the difference between 'large and small national master level' even more profoundly.

Trauma Surgery after all is not Vascular Surgery; the most core basic skill is forever Debridement Technique. Professor Duan Hong's Hemostasis Technique is indeed useful in rescuing lives, but the benefit it can exert in Trauma Surgery is ultimately limited.

This is a matter of personal ability matching one's own specialty, not a matter of whether it's useful or not.

"It's still too early to say this now; even a genius needs a certain gestation time."

"Your Master Grandpa only had a breakthrough progress recently; at the very least two or three years are needed before he can truly, relatively more completely, surpass Teacher Duan in some areas of Trauma Surgery on professional technique."

"Hu Qingyuan, we mustn't look at talent too low, but we also mustn't look at the weight of effort accumulated over time too lightly; both are wrong!" Fang Ziye emphasized.

Today's Fang Ziye understands this principle very clearly.

Talent determines the upper limit and breaks the upper limit, but effort is the process of completing accumulation.

A person with however good talent, if not hardworking enough, also cannot achieve extraordinary achievements matching it.

On the whole, maybe your effort can't catch up to someone else's single afternoon, but for you personally, if you put in effort there will definitely be a return.

Regarding learning, even if it's just a small knowledge point, if you don't go learn it you definitely won't know it; if you don't accumulate you'll definitely get even less.

"Master, I don't mean to slight Teacher Duan; I feel Master Grandpa broke the upper-limit framework that effort can achieve?"

"Master, time accumulation is certainly important, but the inherent volume of the bucket that holds water is even more critical?"

"For Teacher Deng and them, is effort the most critical influencing factor?" Hu Qingyuan's perspective is also relatively objective.

At least, in Hu Qingyuan's view, there aren't many people around him who don't work hard.

Because people who don't work hard either have talent — they don't need to spend too much time in the early stage to achieve what others need effort to strive for, like taking the postgraduate entrance exam and reading for a doctorate.

And those without talent who also don't work hard were screened out early on in the college entrance exam, graduate student exam, and doctoral assessment process.

Those left, still around Hu Qingyuan, are all a bunch of competition kings.

Under the condition that everyone puts in equal effort, what's actually being compared is innate talent, and even more illusory opportunity.

This is the fixed ecological chain of top universities, top circles.

Talent is king; effort is a necessity, an auxiliary product, the least worth talking about thing.

"It's not early anymore; Qingyuan you rest first. I'm also going back right away; there's surgery tomorrow." Fang Ziye said.

Hu Qingyuan hurriedly said: "Master, I originally planned to sleep, but I never saw you open the Word Document I organized for you; I was afraid something happened to you."

"After all, this title, you should also be interested in; no matter when you see it you'd click it."

Hu Qingyuan just has insufficient foundation, not insufficient evaluation ability.

The 'Rebirth Technique' related theory Nie Mingxian brought is not a small project; it might even have a transformative influence and reminder on Fang Ziye's future research career.

This is what a good team should look like.

It shouldn't be Fang Ziye alone leading and driving all the leading; Fang Ziye can provide key ideas and technical support, but others also can't just be tool people.

If they're all tool people, leading them is too tiring, fundamentally not conducive to healthy development.

Fortunately, Nie Mingxian, Liao Jia and the others are not such people.

Hu Qingyuan said again: "Master, today Senior Brother Li Yuanpei sent me a message, about Senior Brother Lan Tianluo."

"Regarding this, I actually have some other thoughts. I've thought about it for a long time, and still want to say it for Master to consider."

"It might not be right, but if I don't say it, I might not sleep soundly today."

Fang Ziye had already gotten in the car, sitting in the back seat. After reading Hu Qingyuan's message, he smiled and said: "Then you speak..."

Hu Qingyuan said: "Actually I feel Senior Brother Lan Tianluo has misunderstood one thing — that is, he completely ignores the power of accumulation."

"According to Senior Brother Li Yuanpei, Senior Brother Lan feels he's very weak, that his talent isn't good enough."

"Actually it's not like that; rather, Senior Brother Lan's accumulation isn't enough."

"After all, he's only been in contact with medicine for this long; no matter how high his talent, how can he compare with Teacher Liao Jia, Teacher Nie Mingxian, and them?"

"Teacher Nie Mingxian's clinical talent and research talent are both not weak, plus he has enough time for accumulation, and is currently at the peak of his thirties, with all kinds of thinking extremely agile."

"Good ideas emerge one after another."

"Perhaps Senior Brother Lan, in his previous days, felt he had surpassed some other senior brothers, and thought he could complete a short-term 'leveling up by fighting monsters'..."

"In the field of medical research, perhaps the first thirty years, even forty years, are all accumulation."

"The medical research field differs from other basic math/physics research fields; pure talent doesn't work well here, because there's too much that needs accumulation."

"And starting from the true foundation, all current medical theories are actually in a relatively stable state, not an absolutely stable state."

"Much of what we learn, written in textbooks, is temporary — it might be negated later!"

"The more irregular such things are, the greater the difficulty if you want to pick them up as a foundation for application..."

"I've paid attention recently; just pharmacology alone — some quite classic drugs in pharmacology have recently been proven to have many other potential effects..."

"The foundational tools of mathematics are relatively fixed!"

"The deader the foundational rules, the more alive they are when used — this is perhaps what Senior Brother Lan Tianluo excels at."

Fang Ziye finished reading, almost jumped out of the car! Then strangled himself to death...

Fang Ziye's right hand gripped the phone tight, thumb contact surface turning slightly white. After considering for ten seconds, he immediately edited a message: "Hu Qingyuan, when did you start considering these things?"

"You're something else? Your cognitive scope exceeded Master's imagination and framework for you."

Medical theory is actually another variant of mathematical formulas, just that it belongs to the summary-type 'non-ironclad rules'!

It's merely a statistical description, with outliers, so every patient we encounter in clinical practice may not get sick according to the classics.

During surgery, we also have no way to absolutely describe a surgery in a rigid, step-by-step manner.

In such a process, Lan Tianluo, accustomed to the perfection of mathematical formulas, rigorous steps and logic, is naturally extremely unaccustomed.

Even Fang Ziye once tried using data as Lan Tianluo's learning anchor; in reality it only stimulated and applied Lan Tianluo's local potential, not letting him exert subjective initiative.

So what Lan Tianluo needs to learn may not be just the latest literature; he also needs to pull out some classic literature to re-read, directly extracting the data inside as theoretical basis.

This workload is too tedious.

Unlike ordinary medical practitioners who only need to know what result a theory yields after statistical processing, Lan Tianluo may need to know its source more!

Theory is summary-based, can be picked up and used, but this doesn't suit some people — some very stubborn ones who want to pursue the root and trace to the source...

Hu Qingyuan said: "Master, I didn't deliberately consider these; I just encountered them and naturally had my own thoughts."

"I also don't know if it's right or wrong."

"Just saying it out for Master's reference."

"After saying it my heart feels comfortable. Master, I'll rest first!"

"Good!" Fang Ziye only replied with a short word.

Mood started to become very good.

As the saying goes, when a person meets happy events their spirit is refreshed; happy events in succession are refreshing on top of refreshing.

Many people say, misfortunes don't come singly, blessings don't arrive in pairs.

But today, the good news Fang Ziye got came in a one-click triple combo.

First Song Yi came over, then Master Deng Yong ascended, and now from Hu Qingyuan he obtained a suitable method to activate Lan Tianluo's learning potential.

This feeling is too wonderful.

By now, Fang Ziye has to admit that in this world, everyone's strengths are different.

Some people are just proficient in human relations; even if smart people can learn it, learning it and being proficient are two different things.

Some excel at management, some at methods, some are strategists, some are poisonous strategists...

Some are suited for doing things, some for empty talk.

Everyone's talent inclination and talent cross-section are different.

Fang Ziye also acts the moment he thinks; he broke down Hu Qingyuan's suggestion in detail, then wrote a short essay of roughly a thousand words and sent it to Lan Tianluo.

"Tian Luo, you can read carefully, and follow this line of thinking to review, trace back to the source! ~"

"Even if you have no time now, just pinpoint the one point you're most interested in — for example, start from the generation of basic potential in physiology; this might be very useful for our spinal cord injury repair project..."

"Go check relevant literature; extract the most basic principles — like the formula for potential generation — your strongest points."

"These are things we can't do, but our team desperately needs."

Lan Tianluo is the Chief Resident, and didn't reply at the first time; Fang Ziye didn't wait either!

When he returned to the rental room, the time had already reached 1:30 AM.

Fang Ziye quickly took a shower, then went to bed!

But after tossing and turning for ten-odd minutes, Fang Ziye got up again.

The night outside the window was the same as ever, but Fang Ziye's mood today involuntarily had a hidden, inexplicable irritation!

In the end Fang Ziye didn't know what time he actually fell asleep; anyway, when the alarm rang in the morning, Fang Ziye didn't go out running, but slept in.

Waiting for the alarm to ring again, the time had already reached 7:30.

Trauma Surgery, Inpatient General Office.

Lan Tianluo was lecturing a group of people: "I'm telling you, every single one of you are spies, not a single good thing among you!"

"I say one damn word, and it might reach my Senior Brother or my Master's ears before the next day even arrives."

"What's gotten into you all, don't you treat me, this Chief Resident, as a human anymore?"

"Each and every one of you, even Big Brother Tian Yao and Big Brother Feng Junfeng, you're all spies. During this month's medical record review, you'd better be careful, absolutely do not let me find an opportunity to explode!!!"

When Lan Tianluo was lecturing, saliva flew everywhere.

Thinking back to Li Yuanpei coming to find Lan Tianluo last night, it had 'stimulated' him once again.

"Tian Luo, your official airs aren't small." Fang Ziye pushed the door open and entered, walking straight toward an unopened bowl of Hot Dry Noodles, saying with a smile.

Lan Tianluo's expression softened somewhat, he took a deep breath, then said: "Senior Brother, it's not that I want to deliberately burn three fires, it's that they went too far. I'm a normal person too, privacy!!!"

"Look at what they've done, damn it, I can't even complain a few sentences?"

"Beep beep beep beep beep..." While Lan was speaking, the Chief Resident consultation Mobile Phone in his White Coat pocket rang.

"Fuck, I'm leaving." Lan Tianluo's temper had also become more violent than before.

There are few Chief Residents who aren't irritable, even the most gentle temperament, in this kind of environment, will become 'psychologically distorted'!

After Lan Tianluo left, Fang Ziye then looked at the others and spoke: "Actually, Lan's words aren't without reason."

"We all have times when we complain, the words spoken when complaining, are inconvenient to tell to Superiors!"

Fang Ziye also came up from being a Subordinate, so of course he understands how important it is for Junior Doctors to have their own small Group Chat.

Tian Yao smiled in reply: "Master, we were just worried about Tian Luo, and we also don't have similar handling experience."

Tian Yao said this, his eyeballs rolling around: "Besides, Lan Chief speaking like this, actually hurts people quite a bit too."

Fang Ziye simultaneously acknowledged Tian Yao and Lan's methods.

Tian Yao and them reporting information was certainly wrong, but Lan Tianluo's complaining was actually also 'not treating people as human'.

"What's past is past, a team always has a running-in process. In the future, still pay attention to methods, everyone must learn to put themselves in others' shoes."

"Generally speaking, being humble upward is the rule system, being humble downward, even if speaking the truth, is somewhat excessively tolerant, this is pride in disguise."

"An Adult, or a relatively smart person, the most basic capability they must master is self-knowledge, find their own positioning, find their own positioning within the Industry."

"Based on your own positioning, do what you Should Do, say what can be said, otherwise, you might hurt others."

"These things are all for us to slowly experience in daily life, principles cannot teach people, but when encountering specific matters, analyzing them, one will immediately experience many principles."

"This is finding your own capability positioning."

"Another type is finding your talent positioning, finding what you're more skilled at positioning, using this as an anchor for Learning, will achieve twice the result with half the effort."

"Teaching, actually is the process of constantly discovering students' 'touch-Hair-style' Trigger Points, find the points students are skilled at, interested in, they learn easily, and will also have more initiative and positivity."

"Your Master is also slowly exploring..." Fang Ziye said.

At this moment, Tang Sai happened to push the door and enter, just catching the last sentence, asking in a clear and hearty voice: "What matter does Professor Fang also still need to slowly explore?"

"Is there my breakfast to eat today?"

Hu Qingyuan hurriedly stood up: "Yes, Teacher Tang, you specifically instructed, so we ordered a portion for you too."

"Here, extra spicy extra cilantro!"

"Then thank you for the Hard Work Qingyuan, later accept the Red Envelope I sent you! ~"

Tang Sai himself took a new Plastic Stool, holding the Bowl and joined the queue.

Fang Ziye said: "Teacher Tang, I mean, in the Teaching module aspect, I still have a very long way to go, need to constantly explore."

"I'm currently in a state where those who learn well don't need me to teach, those who want to learn, I try hard to pour it in but can't pour it in."

Teaching is another parallel structure, not linked to Research Ability or Professional Ability.

Currently prevalent Teaching forms are actually all violent one-to-one output, good Professors merely rely on their even stronger and deeper Basic Skills to form knowledge systems, conducting one-way instillation to students.

All are instillation processes in disguise, actually very few Professors, Teachers would truly restructure knowledge based on students' individual situations.

This Difficulty Too High, would also consume a lot of time.

While Fang Ziye spoke, Tang Sai finished two mouthfuls of noodles, feeling this bowl of Hot Dry Noodles could beat all breakfasts in the world.

Then he spoke in reply: "The Teaching process lies in both the teacher and the learner having no fixed destiny, no trace to follow."

"People are like chess games, ancient and modern no repeat board, no two people are completely identical, even if similar, even if identical twins, they will have their own differences."

"And such changes can never be exhausted."

"So Teaching is definitely an Eternal existing Difficult Problem, we also shouldn't think about how to optimize it, there are professional Scholars researching this."

"What we can do, must do, is just pass on what we know, whether they learn it or not, still depends on individual destiny."

"Master leads through the door, cultivation depends on the individual."

"Ziye, do you know why Medical Education currently only teaches Basic Skills?"

"Because Basic Skills are the entry things, also the exit things, running through Medicine and Clinical beginning to end."

"The rest, we cannot teach." Tang Sai had done many years as Teaching Director, therefore on this aspect he has the right to speak.

Fang Ziye replied: "Right, Teacher Tang, since you put it this way, then I won't Struggle anymore."

"Right, Teacher Tang, you've been here this long too, you think, Infectious Arthritis, is there hope to treat it through non-open Surgery methods?"

Tang Sai shook his head: "Currently operability seems very poor."

"Joint Cavity Infection differs from Tissue Infection!"

"Tissue Infection, even if Blood Supply is poor, all have Blood Supply state, so Anti-Infection Drugs can reach through the whole body."

"But our Joint Cavity is not connected to the human Blood Circulation system."

"Synovial Fluid volume is originally Not Much, relying on that bit of Antibiotics contained in the Synovial Fluid wanting to produce effect on Infectious Arthritis, is currently not operable."

"Furthermore, according to existing research showing, even injecting Large Amounts of sensitive Antibiotics into Infectious Joint Cavity, is still ineffective!"

"Infectious Arthritis treatment still Entrusts/Depends on the three major Principles of surgical Infection treatment."

"Thorough Debridement, sensitive Antibiotics, Nutritional Support."

"Without thorough debridement, even a single dead space residue allows the involved pathogens to explode exponentially again, and within less than two days, it will recur!"

"And given the special anatomical structure of the joint cavity, even treatment with continuous irrigation and drainage still relies on thorough debridement."

"Ziye, I only mentioned it in passing back then; you needn't take it so seriously. You've actually wasted time over this." Tang Sai explained with reason and evidence.

Infection inside the joint cavity cannot be effectively cured through purely non-surgical means, unless there is a breakthrough in basic theory or new treatment tools emerge.

Continuous irrigation and drainage inside the joint cavity is equivalent to giving the joint a flowing rinse, striving to flush out all residual bacteria.

It has been applied clinically for many years, yet the final result remains that it must be combined with open thorough debridement to possibly cure arthritis.

Tang Sai is from Joint Surgery, so to enter the Trauma Surgery team, he must find a relatively fitting entry point to break the deadlock, turning a point into a line, and a line into a plane.

Since there was nothing to discuss about the new research project, Tang Sai shifted his focus to the patient slated for surgery today. After a few more bites, Tang Sai's expression hesitated slightly as he asked: "Ziye, that spinal cord injury patient you plan to operate on today."

"Even if his function improves after you operate, will he really be able to keep his wife?"

"Why do I feel this is a bit mystical?"

Fang Ziye is actually very cautious in his selection of spinal cord injury patients.

Unless the patient has extremely strong personal willpower, or the objective environment has driven them to an extreme, Fang Ziye will not select them.

Because Fang Ziye is also afraid of medical disputes.

If right now he admits some only children from two single-child families, and the treatment outcome is poor, there is at least a thirty percent probability of a wrangle.

Fang Ziye would have to be crazy to choose such a patient.

Fang Ziye shook his head: "Teacher Tang, you're putting me in a difficult spot."

"I can only say I'll strive for some basic function for him. As for whether he can keep his wife, or find another wife later, how would I guess that?"

"Actually, if you stand from his wife's perspective, even if she chooses postoperative divorce, I can understand."

"His family was originally not well-off; even if cured, his earning capability will decline. People existing in reality are all realistic people."

"If his wife truly stays through thick and thin, I actually quite admire her!!"

Two people huddled together — not necessarily scheming for something, but at least they must be able to see hope in life.

Not a single bright spot; huddled together, it is certainly one side unconditionally giving for the other.

Real life isn't a fairy tale; eating, drinking, and daily necessities all cost money.

Days pass bit by bit; they aren't lived out in a lifetime just by saying so.

"That's right. However you put it, being able to relieve oneself and being completely dependent on others to relieve oneself, even knowing or not knowing one needs to relieve oneself — those are completely different states."

"Let's strive for this first..." Tang Sai no longer gave Fang Ziye psychological pressure.

Doctors can only treat physical illnesses; they cannot cure 'social' diseases!

For example, poverty — the greater environment is the fundamental cure.

Tian Yao spoke up upon hearing this: "Teacher Tang, Master, a couple living together — besides family trivialities and living expenses, shouldn't there be something else too?"

"This thing..."

Tang Sai and Fang Ziye, hearing this, glanced at each other, then looked at Tian Yao.

Both fell silent.

Right, Tian Yao's words pretty much sealed the verdict.

The young man is young, but his youth and his wife's youth have precisely determined the final outcome.

Tang Sai's eyeballs rolled around, then he shoveled down several more mouthfuls of noodles before sneering: "Professor Fang, your student's words have added a few more degrees of weight to your pressure."

"In the future when you select patients, you might have to consider functions beyond the most basic personality functions too! ~"

Sex!!

Chinese people used to speak of it rather subtly, but with the progress of the times, current China is actually a relatively open era too.

Fang Ziye has no ability to reconstruct this aspect of function for a paraplegic patient — at least not currently.

Moreover, this function currently ranks last among the other functions Fang Ziye expects to reconstruct.

Stand up first...

However, the difference between men and women is that standing up is divided into two steps.

Fang Ziye looked at Hu Qingyuan: "Qingyuan, when you talked with the patient, did you make it clear? Does this involve that aspect?"

"If it doesn't involve it, after the ward round later, you must have another private talk with him and his family members face to face!!!"

"Relieving oneself and that aspect are unrelated!"

Hu Qingyuan naturally hadn't discussed it, but Hu Qingyuan nodded: "Master, we haven't discussed this topic, but the patient hasn't requested it either; I asked very clearly."

"His expectation is to be able to relieve himself on his own; sitting to relieve himself is fine, even knowing he needs to relieve himself is fine."

"Black on white, the informed consent recording inside the Security Office, third-party witness by Security Office staff!"

"If he can occasionally stand on his own, he considers that beyond his expectations!" Hu Qingyuan emphasized.

Fang Ziye nodded: "I believe you on this point!"

"Compared to this patient, the other bed's patient is actually easier to handle."

Tang Sai said: "Compared to Du Kuo in Bed 14, Song Heping in Bed 5 at least has a well-off family background — naturally it's different."

Currently, the department has admitted a total of three spinal cord injury patients.

The previously discharged Zhu Zhengquan, the young man Du Kuo in Bed 14, and Song Heping in Bed 5.

Song Heping in Bed 5 is a relative of Professor Wang Ou from Spine Surgery; after Zhu Zhengquan's functional reconstruction succeeded, Wang Ou had him come over to schedule hospitalization at the first opportunity.

Transferred from Spine Surgery.

For this patient, all responsibility and consequences are borne by Wang Ou himself; the informed consent was also done by Wang Ou personally, so Fang Ziye doesn't need to worry too much.

Du Kuo in Bed 14's surgery is scheduled for today — it is the highlight of today's surgeries!

After the meal, Fang Ziye quickly finished the handover and ward round, then led everyone into the operating room.

Once everything was ready, Fang Ziye said: "Operating room turnover, start recording surgery time, immediately contact and urge Professor Wang Ou again!"

"Ask him where he's gotten to!"

"Professor Wang has reached the building's ground floor, we'll just..."

Fang Ziye had only asked halfway when Professor Wang Ou hurried in from outside: "Embarrassed, embarrassed, the morning ward round delayed the rhythm, too late by ten minutes."

"Professor Fang, embarrassed, I'm late."

"No matter, Teacher Wang, clinical ward round, time's hard to control!" Fang Ziye replied with a laugh.

Then tone turning solemn, announced: "Eight fifty-three forty-four AM, spinal cord incision microcurrent needle electrode filling pits surgery, formal start! ~" (Chapter End)