Chapter 816: Medical Academic Genius Chapter 813: What Are You Doing?

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Protagonist:

Fang Ziye

Fang Ziye's research email is now managed by Han Jingyi in most situations; Han Jingyi manages it quite meticulously, and Fang Ziye does not flip through it day by day.

"Alright, I'll take a look." Fang Ziye hung up the phone.

"fromryanfoley!"

Professor Ryan Foley, Fang Ziye still remembers this red-faced professor!

The email content was relatively direct and simple: it was that after returning from Han City two years ago, Ryan and Brandon and others had already started mangled extremity limb-salvage surgery at the Mayo Clinic's branch campus.

They had previously invited Fang Ziye many times to attend academic conferences in the United States, but Fang Ziye did not accept the invitations; now Professor Ryan has some new ideas and clinical explorations, so he wants to discuss with Fang Ziye and visit Han City again.

After reading it, Fang Ziye sent a message to Han Jingyi to edit: "Han Jingyi, you reply to Professor Ryan, just say we are free now, and I am currently at the new campus, have my own ward, and also have an outpatient clinic and such, welcome Professor Ryan to come for exchange..."

"Must remember to be meticulous, ask clearly about his schedule, arrange accommodation and other matters well, I will arrange people to pick up and accompany at that time."

It's not that Fang Ziye fawns over foreign professors; for professors from other domestic hospitals coming to visit, Fang Ziye likewise treats them with courtesy.

If the other party is someone fishing for fame and reputation, then at most there is only one time.

Two years ago, after Ryan and the others heard their teacher Yuan Weihong mention the department's mangled extremity research project, they traveled ten thousand miles from the United States; this is a pure scholar.

Not someone coming to swagger and show off power.

Non-Eastern Han nationals also have many good people.

After Fang Ziye entered the operating room, he did not scrub in at the first time; the first station surgery was not spinal cord injury, but Professor Tang Sai leading a team to carry out joint revision surgery.

However, the difficulty of this joint revision surgery is extremely high; a defect has appeared in the pelvic wall, the original bone cement prosthesis has already sunk in and cracked, and fallen into the pelvis!

The surgical difficulty upper limit and lower limit of joint replacement surgery are both very high.

If it is a simple joint replacement, for example femoral neck fracture, simple osteoarthritis joint replacement surgery, it is very simple; a county hospital's deputy chief physician can routinely carry it out.

But if it involves complex acetabular wall defects, then it is a joint replacement plus acetabular reconstruction surgery that even a prefecture-level city hospital's chief physician would shrink back from!

Hip joint revision surgery, the difficulty is a bit more than complex joint replacement; now stacking another acetabular wall sinking in, bone cement falling into the pelvis buff, the difficulty has already climbed to the specialty's top-tier first-class.

However, Fang Ziye did not panic!

To a layperson's view, bone cement fell into the belly, and moreover into the pelvis, isn't that a ruined matter?

Actually not so.

Tang Sai had already led the team to open the hip joint, exposed the acetabular position, and had already carefully probed the acetabular wall defect, turned head and said: "Ziye, the previous acetabular wall bone cement has already fallen relatively deep."

"From this cross-section window it cannot be taken out, unless laparotomy."

"But we discussed preoperatively, the position where the bone cement has fallen now will not cause any impact on the patient, let alone affect bowel and bladder function."

"So, we still proceed according to the original plan, no intervention, directly perform acetabular wall defect roofing surgery!"

Fang Ziye heard this and smiled: "Teacher Tang, you are the professional in this aspect, I'll listen to you."

Tang Sai is an associate professor, and can soon be promoted to professor, chief physician; strength, insight, cognition are all Hubei Province top level, no need for Fang Ziye to intervene excessively.

"Fang Ziye, outside words can be spoken like this, but behind closed doors, whoever has higher level, whoever speaks correctly is the truth."

"You also don't need to give face just to give me face; say whatever should be said."

"Since we have already agreed in advance, and currently everything is within expectations, then directly start bone grafting with mesh." Tang Sai thought this way from the start; Fang Ziye understands a damn thing about joint surgery, so in the group, he should be the joint surgery boss.

But after a while, Tang Sai discovered that it was still himself who was superficial.

Fang Ziye has integrated the many orthopedic sub-specialties; the joint surgery knowledge points Fang Ziye contacted, he had already seen through when doing osteotomy correction.

A person who can do osteotomy correction well, joint surgery basic skills definitely won't be poor.

Because the fundamental reason for the existence of osteotomy correction surgery is precisely because of the joint's anatomical position; if there were no joint flexibility and range of motion, osteotomy correction surgery would not exist!

Tang Sai has confidence; preoperative discussion was done, surgical difficulty not small but still within expectations, so Fang Ziye did not go interfere excessively again.

Fang Ziye then came to Hu Qingyuan's side, who was not on stage, and gave low-voice instructions for a while.

Hu Qingyuan heard this, nodded lightly: "Okay Master, I will definitely accompany throughout at that time."

Hu Qingyuan does not need to ask why Fang Ziye would know foreign professors; Fang Ziye's current professional and academic achievements, having some foreign friends is perfectly normal.

If there wasn't even one, it would instead be somewhat 'solitary and unsociable'.

"You just accompany throughout for pick-up and drop-off; at that time, most likely it should be Qin Geluo together with you."

"Otherwise, I'm afraid some things with your current knowledge reserve you won't be able to catch."

Hu Qingyuan heard this, turned and temporarily left the operating table, asked in a low voice: "Master, if Professor Ryan and them want to visit our animal laboratory, we also agree, right?"

Fang Ziye calmly nodded: "Of course agree, as long as we don't show the core research project plan, produced experimental results to the other party."

"You're still afraid he can steal our experimental results with a glance?"

Fang Ziye lightly shook his head: "People with the level to steal experimental results just by a glance, disdain to steal. People who want to steal mostly don't have that level."

"Surgical techniques belong to the world; only the instruments, patents belonging to surgical techniques, are Eastern Han's."

Knowledge belongs to the world, theory also belongs to the world.

This has no patent saying, but patents, this thing, are what have owners.

If foreign countries also want to use, want to use, then it's exporting to earn money."

Eastern Han currently, things relying on medical patents going overseas to earn money are not many.

At this time, Ling Fengguang walked in from outside with slightly hurried steps, and then at the first time came to Fang Ziye's side; "Master, Bed 13's wound isn't too good, has redness and exudate, possibly infected."

Fang Ziye heard this, instinctively frowned.

But immediately relaxed: "Infected then infected, which surgeon after doing surgery can guarantee the incision completely won't get infected?"

"Can you confirm the location of the infection? Should we request a Pharmacy Consultation?"

Fang Ziye is a Surgeon; no matter how good his technique, he cannot guarantee the incision won't be infected by Bacteria.

After all, Bacteria are everywhere.

It's just that the Probability is very small; over so many years, Fang Ziye has only had a Hospital-acquired Infection once at the Sanatorium, but he handled it in three or four days.

"Uncle-Master Lan Tianluo has already called the Pharmacy Department; the Pharmacy Department's Chief Resident said he will come over after finishing the Internal Medicine Consultation."

"Regarding the infection location, I think it should be the Muscle Layer under the Fat Layer."

"It is not a superficial swelling."

Upon hearing this, Fang Ziye's expression changed slightly, and he asked: "Is Lan Tianluo in the Ward right now?"

"If it is below the Fat Layer, suture removal and open drainage must be performed at the First Time."

After an incision infection, if it is the most superficial infection, it can be handled with frequent Disinfection.

But if it is a deep layer infection, open drainage must be performed or a second Surgery for thorough Debridement.

"Yes, but Uncle-Master still had me come down first to tell you! Lest the infection continue to deepen; after all, Bed 13 is Postoperative Spinal Cord Injury." Once the infection penetrates into the Bone Tissue, the consequences would be unthinkable.

"It's fine, Rest Assured; Timely handling, Infection isn't that scary."

"Our Group has handled Malignant Infections so many times, no need to be Afraid of it! ~" Fang Ziye replied.

Those 'Malignant Severe' Infections that so many people had sentenced to death, Fang Ziye had Snatched back several people; now it is only the initial stage of Infection, Fang Ziye really has not a bit of Panic.

Of course, he would also find it Tricky.

The problem Ling Fengguang worried about also made sense.

……

Before Fang Ziye went up, Lan Tianluo called to report the basic situation, saying the infection focus was exactly under the Fat Layer, with local signs of necrosis; do a Culture first to see.

If that doesn't work, then Debridement again. After the Pharmacy Department's Chief Resident reviewed it, he suggested raising the Antibiotics and irrigating locally with Gentamicin!

Fang Ziye then didn't pay it any more mind!

During this Spinal Cord Injury Operation by Fang Ziye, only Li Nuo assisted. Professor Wang Ou of Spine Surgery didn't come to help again.

Mainly because the Surgery has been done many times; now Professor Wang Ou's mind is full of how he himself should Routinely Carry Out Spinal Cord Injury Surgery.

So Professor Wang Ou, it is said he brings a box of Needles to work every day; whenever he has free time he pokes a Few Times, striving to absolutely master his Puncture Technique, to become the second person after Fang Ziye who can independently Operate Spinal Cord Injury treatment.

The Surgical progress wasn't slow; Spinal Cord Injury treatment has high Difficulty but doesn't take long, mainly just precise Positioning for Puncture, placing the Needle Electrode.

Stabilize the position, fix the Needle Electrode well, then adjust the continuous stimulation current properly. The most critical part is the Puncture Technique!

Li Nuo has already watched over twenty cases; watching Fang Ziye's Operation once more, he still exclaimed: "Ziye, seen a lot is seen a lot, but after watching, still feel it's somewhat inconceivable! ~"

"This Needle Electrode just stabbed in like this, unexpectedly has such great Efficacy!"

"This Needle Electrode is so much smaller than a Scalpel! ~"

Compared to the traditional Surgical Willow Leaf Knife, the presence of the Needle Electrode is just too Weak.

Things even a Willow Leaf Knife cannot handle, just these few little gadgets are actually effective.

This made Li Nuo think of 'extreme prosperity leads to decline'!

Hearing this, Fang Ziye said with some Regret: "Only pity the Bridging Electrode hasn't passed Clinical approval yet; otherwise this Surgery could be done even more beautifully! ~"

"Now the Bridging Electrode is being sent for Nationwide Expert Review; hope it can pass soon!"

The Bridging Electrode differs from the Needle Electrode; it is independently developed by the Team.

The Needle Electrode has undergone years of Clinical Application, so it must undergo Assessment.

Any new thing, before it comes out, must go through layer upon layer of tests before it can appear in Clinical practice.

Even things developed by Fang Ziye's Team are no exception!

The reason there are so many rules and regulations is all bloody lessons.

"Ziye, I actually feel the current way is already Very Good."

"Currently, some Brother Hospitals treating Spinal Cord Injury all select patients with residual partial function, then amplify function through signal transduction."

"We are genuinely reactivating function from Nothing to Something; even patients without any Muscle Contraction function have a Chance to recover anew!"

"Amplify and Recreate!"

"Fundamentally, they are not the same thing at all."

Tang Sai, hearing this, rubbed his hands: "Ziye, when can this Bridging Electrode go Clinical?"

"If it goes up, we can do Joint Function Optimization well; I'm getting impatient waiting!"

Fang Ziye's current Basic Research Team's Upper Limit for Spinal Cord Injury treatment is to make it From Nothing to Something!

And has not completed the step from 'having' to 'good' starting from the Spinal Cord level.

Then, does that mean there is completely No Opportunity to go from 'having' to 'good'?

Of course not!

Functional Reconstruction Surgery, Functional Recovery Surgery, Joint Surgery's Function Optimization Surgery — those are all options to Choose.

The Needle Electrode and Bridging Electrode turn Spinal Cord Injury patients into Functional Impairment patients; Functional Reconstruction and Functional Recovery then give Functional Impairment patients a Chance to recover to a level slightly worse than an Adult's function!

One link clasps another, links interlocking!

This is Fang Ziye's Charm.

"Teacher Tang, currently our Team's others have shallow contact with Joint Function Optimization Surgery, so later we still need to rely on you to lead this Surgical method."

"After Spinal Cord Injury treatment, the biggest problem of partial muscle function existing and partial not existing is causing uneven force on the four sides of the Joint, very easily leading to Joint Dislocation!"

"Once Joint Dislocation appears in the Postoperative Rehabilitation period, that's no Joke."

Spinal Cord Injury patients are divided into complete paralysis and incomplete paralysis.

Among them, incomplete paralysis patients, meaning those with some function but incomplete Functional Recovery, although they can walk simply, walking along the Joint might Malunion, then fall again……

Tang Sai said: "No Problem; for reinforcement of the four sides of the Joint, I still have some insights."

"Joint reinforcement surgery is one of the surgeries that must be emphasized during complex knee joint replacement."

"Hehe…"

Tang Sai laughed foolishly: "I've been here for almost a quarter, and I can finally see a glimmer of hope, feeling like I'm somewhat useful."

"Otherwise, I'm always being suppressed by Professor Fang, and I'm not a woman, so naturally I don't like this kind of position…"

That's how the operating room is; if the atmosphere is slightly better, it's just a constant flow of people coming and going.

The more familiar the people are, the happier the time, the more casual the chat.

Li Nuo usually didn't dare joke with Tang Sai, but when the car arrived, he dared: "Professor Tang, then your life experience is too narrow."

Tang Sai glanced at Li Nuo and said nonchalantly: "Comparing life experience with Master Nuo, you who deeply understand the flower language of steel wire balls, I'm still lacking."

"You've taken the wrong path. Look at Professor Fang, he's much more handsome than you."

Li Nuo put on a stern face: "My wife and I are true love!!!"

"We've been together for eleven years!"

"I don't care, your teeth grew in vain…" Tang Sai didn't care about Li Nuo's explanation.

The labels of gigolo and sugar mama's boy were stuck on him.

Actually, Li Nuo did enjoy the pleasure brought by being a gigolo, otherwise he, this deputy director physician, couldn't get promoted!

When Fang Ziye was mentioned, Li Nuo instantly lost his temper.

The circulating nurse then smiled foolishly: "Isn't Professor Fang already married?"

After hearing this, Tang Sai was stunned for a moment, and then said rudely: "Even if he's not married, you'd still have to line up behind me."

But after saying it instinctively, Tang Sai felt it was too discouraging, so he added: "At least line up behind me."

"Right, Ziye?"

It must be said, Tang Sai's emotional intelligence and IQ are both first-rate; he instantly turned the discouraging words into a pleasant joke.

The circulating nurse's complexion changed slightly for a moment before returning to normal; "Oh, Professor Tang, I'll give way to you, I'll give way to you."

"I dare not even dream of receiving Professor Fang's favor…"

Amidst chat and laughter, the surgery gradually entered its final stage.

No third surgery was scheduled today, so everyone got off an early shift.

…

Flying from the United States to Han City, the shortest time needed is only thirty-plus hours, and at most only forty-plus hours.

When Fang Ziye saw Professor Ryan, it was after Professor Ryan had adjusted to the time difference and was brought into the operating room by Qin Geluo.

At this moment, Hu Qingyuan and Qin Geluo were both speaking English at full speed while bringing Professor Ryan in.

After hearing Professor Ryan's comments, Qin Geluo replied: "That's natural, Professor Ryan. Compared to your Mayo Hospital, our hospital's basic equipment may be at least twenty years behind."

"Our conditions are limited, but our new campus's operating rooms are actually customized according to Europe's latest standards."

"It's your Mayo Hospital that has made internal adjustments and optimizations to your operating rooms, so you have more auxiliary instruments and equipment."

"Professor Fang is currently performing surgery for spinal cord injury treatment."

Professor Ryan nodded: "Doctor Qin, I heard before that in your Eastern Han, spine surgery and orthopedics are separated into different specialties?"

"Professor Fang is a trauma surgery doctor, but he can also perform spine surgery?"

Professor Ryan was not completely ignorant of Eastern Han's medical development.

"Professor Ryan, in our country, it's specialty treatment, but there is a clause in the policy: those with associate senior professional titles or above, such as associate professors and deputy chief physicians, can apply independently to carry out various types of surgeries based on their expertise."

"Not restricted by sub-specialties, as long as the hospital and relevant health departments agree."

"Our Professor Fang currently has the same surgical permission as surgeons at the Mayo Hospital abroad; not only can he perform orthopedic surgeries, but also spine surgery, general surgery, cardiac surgery, and thoracic surgery."

"A perfect surgeon. I've always believed that only such a surgeon is a true surgeon." Professor Ryan said.

After speaking, Professor Ryan walked closer to the light box first.

The best way to understand a surgical patient's condition is through the light box and medical records.

Professor Ryan didn't understand Chinese, but he could read films.

"mygod!"

"Doctor Qin, the spinal cord injury you mentioned isn't spinal emergency trauma, but this kind of complete paralysis spinal cord injury?"

"Directly intervening in the treatment of spinal cord injury with surgery?"

"I'm not dreaming, am I?" Professor Ryan's complexion was already somewhat red, but at this moment it looked even redder. (Chapter End)