Chapter 817

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Protagonist:

Fang Ziye

Hospitals in the United States also have specialties, but unlike the specialty divisions in Eastern Han, in the United States there are only broad categories such as Emergency Department doctors, Orthopedics Department doctors, and Thoracic Surgery doctors, with no more detailed divisions.

After graduating, medical students in the United States must enter a surgical Resident Physician training program, usually lasting 5-7 years. In the first 2-3 years, General Surgery is the main focus, learning basic surgical skills and clinical knowledge.

Afterward, doctors can choose to directly become General Surgery doctors, or further subdivide fields through 1-3 years of specialty advanced study.

If it weren't for the better benefits and treatment of others, actually a surgical doctor's growth line would be longer than in Eastern Han.

Therefore, Associate Professor Ryan of Orthopedics is also capable of performing Spine Surgery operations.

Fang Ziye had already completed the fixation of the Needle Electrode at this moment, only leaving the embedding suturing operation and closing the incision, which could completely be handed over to Li Nuo, Sun Shaoqing, and others.

Tang Sai was already an Associate Professor, so it was naturally impossible for him to still occupy ordinary suturing techniques to practice; he didn't have such an opportunity.

So, after finishing the operation, Fang Ziye turned his head and spoke in English: "Dear Associate Professor Ryan, good morning, welcome to your long journey here."

"But I have surgery arrangements and hospitalized patients to manage this morning, so I was unable to personally come to pick you up."

Foreign countries also distinguish between hospitalized patients and outpatient clinic patients; Ryan himself was busy every day to the point of being unable to cope, understanding the responsibility of a clinical doctor: "That's for sure, Professor Fang, your patients will be waiting for you in the ward."

Ryan did not go up on stage; at this moment he held his head with both hands and asked directly: "Professor Fang, it is truly incredible, the surgery you just performed is completely different from the treatment methods for Spinal Cord Injury that I know of."

"I wonder if you can explain the theoretical basis principles to me in more detail first?"

"As far as I know, currently, the treatment of Spinal Cord Injury mostly relies on brain-machine crystal element signal transduction and microcurrent stimulation of nerve roots."

"But you directly inserted the scalpel into the patient's spinal cord and opened the spinal cord membrane—I just saw it!"

Still the same old saying: the reason Eastern Han's medical level is not as good as the United States' is not because surgical doctors' operational skills are lacking.

On the contrary, because Eastern Han's patient volume is several times that of the United States, the operational kung fu of Eastern Han's surgical doctors is extremely impressive, and they are highly renowned worldwide.

However, hands are ultimately just hands.

Compared to the United States hospital teams with better instruments, better equipment, better medical teams, more complete medical systems, and their own Rehabilitation Therapist teams, for the same surgery, even with better operation, it might not compare to the other side's treatment effect.

This is a fact, must admit it!

"Associate Professor Ryan, what we are operating on is directly stimulating special parts inside the spinal cord with Needle Electrodes to activate closed-off nerve channels."

"This principle is similar to using microcurrent stimulation of nerve roots to seek retrograde activation of closed-off nerve channels, but it is of higher quality."

"After our preclinical phase underwent nearly half a year of animal trial research, we have now received approval for clinical trials..."

"On this basis, we are also doing..." Fang Ziye explained everything his research project group was doing.

This is purely peer exchange and professional exchange, not showing off.

There's nothing to conceal; after publishing papers, others will all know what you're doing.

Associate Professor Ryan nodded frequently: "I have learned about treatment methods using microcurrent stimulation, and I have also learned about crystal element signal transduction."

"But we surgeons never thought of sending microcurrents directly into the middle of the spinal cord; that's too terrifying."

"The channels inside the spinal cord are complex; a little carelessness would worsen the original Spinal Cord Injury."

"Professor Fang, your team is truly crazy—crazy ideas, crazy operations, crazy experiments."

"But they are also genius ideas, genius operations, god-like thinking..."

"Professor Fang, may I ask if this is your first clinical trial patient? Are there other patients who have already undergone surgery in your ward?"

Fang Ziye nodded: "Naturally there are."

"My surgery here is finished; if Associate Professor Ryan is interested, I can take you to visit my ward!"

Fang Ziye's answer followed Associate Professor Ryan's custom; in United States hospitals, the ward belongs to the Attending Physician, or at least that's how it's said.

But in Eastern Han, the ward actually belongs to the department; even the Group Leader Professor is just borrowing it, as the department head is responsible.

"This is my luck; I came at just the right time this time! ~" Associate Professor Ryan patted Fang Ziye's palm affectionately.

It could be seen that Associate Professor Ryan's palm was wider than Fang Ziye's palm, and his muscles were more vigorous.

However, bulging muscles have no absolute connection with real strength.

Fang Ziye turned his head and instructed: "Li Nuo, Teacher Tang, you handle the conclusion; call me before the next surgery turnover; I, Hu Qingyuan, Qin Geluo will take Associate Professor Ryan to the ward."

"Okay, Professor Fang." Tang Sai very naturally spoke English in response.

Here, English communication was not an obstacle.

Perhaps only the Circulating Nurse and Instrument Nurse would feel unadjusted hearing it.

"Associate Professor Ryan, this is the surgery our group performed on May 14th; currently he can already walk out of bed with crutches using both hands, although his walking speed is very slow!"

"But he indeed can already move his steps on his own, and can even go to the restroom by himself to sit on the toilet."

"Associate Professor Ryan, our team here has pre-recorded videos of the preoperative condition; would you like to review them?"

Hu Qingyuan roughly explained in English.

"Of course! ~"

After Associate Professor Ryan replied, he added: "Doctor Hu, I don't know Chinese; can you help me convey a request to this patient, asking him to allow me to perform a very meticulous examination on him later?"

"You can tell him I am a very professional Orthopedic Doctor; although I am not a doctor from your hospital, my examination will not affect his condition and rehabilitation."

"I just want to know his current muscle strength and active movement range."

Hu Qingyuan took out his pad, found the pre-stored video, handed it to Associate Professor Ryan, then turned around to explain to the patient.

The patient was a bit confused: "Where did this foreigner come from? Is he also a doctor?"

Hu Qingyuan said with a smile: "Yes, Uncle, this is Associate Professor Ryan from the Mayo Clinic in the United States, also an Orthopedic Doctor; I don't know if he's world-famous, but his level is very high."

"This time he came to my teacher for academic exchange; it just happened that my teacher was performing surgery in the operating room downstairs, so..."

The patient was around sixty years old, and because his postoperative recovery was excellent, his mood was smug at this moment.

His temperament and complexion were at least fifty percent better than upon admission; the elderly middle-aged man's eyeballs rolled. He asked, "Is it true that this surgery was done by Professor Fang, and even the Mayo Clinic abroad wouldn't do it?"

"Seeing him like this, I suddenly thought of some scenes in TV dramas and movies."

In such a time period, those who can insert themselves into the hospital for spinal cord injury treatment are no ordinary people.

Because Fang Ziye has not officially announced that he can treat spinal cord injuries, and currently it is only in the clinical trial phase.

Right now, wanting to come for surgery requires some inside information. This inside information, only an extremely small number of people can obtain.

And because the early clinical trial cases were already sufficient, Fang Ziye naturally would not again bore himself by prematurely publicizing his own clinical trial on the official website.

Cases of popping champagne midway and ending up with both reputation and substance lost are everywhere.

Fang Ziye can not care about reputation, but he also would not actively do things that ruin his own reputation.

Strictly avoid midway pride.

Hu Qingyuan nodded: "As of now, the surgery my teacher performed belongs to the only one globally, and you are also the first batch of patients my teacher treated."

Hu Qingyuan's wording was cautious.

Not the first one; the previous few were discharged long ago, and they are all constantly scheduling follow-up surgeries.

But they are indeed the same batch.

"Professor Ryan felt surprised, so he wanted to come see the patients who have already had surgery, to make a more professional comparison."

The middle-aged man laughed heartily: "That works, no problem, I will cooperate fully."

Never doubt Eastern Han people's patriotic sentiment and desire to win against other countries!!

Professor Ryan said: "Professor Fang, based on this physical examination result and combined with imaging data, this is a very typical lumbar spinal cord injury."

"And it is a complete paraplegia patient among full-layer injuries."

"Truly incredible." Professor Ryan looked at the patient's current state again, overwhelmed with emotion.

"Other research groups' projects in development all select patients who retain some function, merely very weak function, to conduct signal transduction, amplifying existing function."

"I never dared imagine that there could still be someone who, through some method, enables a completely paraplegic patient to stand up."

Fang Ziye said: "Another meaning of paralysis is anesthesia; I feel this wording describes this patient's state best. 'It is not a loss of function, but a paralysis of function; a paralyzed patient can awaken just like an anesthetized patient...'"

Modern medicine comes from the West, so using English to interpret some theories is more authentic.

However, Fang Ziye himself has a deep personal understanding, able to reinterpret translations that are not authentic enough, even adding his own understanding, forming a new system.

This is the foundation of Fang Ziye's Research Group.

"Professor Fang, you are truly a learned scholar; such a description is quite exquisite."

"paralysis (paraplegia, paralysis)! anesthesia (anesthesia)!"

"A very exquisite interpretation."

"Professor Fang, I have already finished reading your preoperative physical examination and evidence fixation; it was done very well, allowing me to very intuitively understand the patient's preoperative state."

"A paraplegic state is not something that can be posed for a photo; the muscle tone loss of control state is also not something that can be acted out."

Professor Ryan's wording was very cautious; he did not say increased or disappeared muscle tone, but used loss of control to replace it.

"Professor Ryan, the patient has already agreed to your physical examination request; he is already prepared. You can now give him a physical examination."

"He also greatly admires the Mayo Clinic where you work." Fang Ziye handled the human relations with a sentence.

Actually, there was no need for human relations.

The Mayo Clinic, standing there, is the synonym for the hall of medicine!

Professor Ryan's physical examination process was extremely meticulous, and every step he would explain his purpose to the patient.

Tedious as if he were sitting in an outpatient clinic, tedious to the point that even Fang Ziye watching felt a bit "ball-ache"!

Big Brother, you also practice medicine in the United States; if you were a doctor in Eastern Han, with your consultation speed, outpatient patients would eat you alive!

United States outpatient clinics see only a few patients a day, at most a dozen or so, slowly and leisurely examining, meticulously examining, even able to look up data during the examination process.

Patients are also willing to wait.

But in Eastern Han it's not the same; not to mention looking up data, if you just slow down a bit when seeing the previous patient, and the patient doesn't come out after ten minutes, someone starts knocking on the door...

Another five minutes passed.

Fang Ziye really had a ball-ache, and spoke up to interrupt: "Professor Ryan, my next surgery is about to start again; are you continuing to give this patient a physical examination?"

"Or are you going with me to the operating room?"

"My patient's surgery, I must be the lead surgeon."

Although a guest from afar.

But you're too damn slow!

Fang Ziye's interruption was reasonable; Professor Ryan immediately stopped the operation in his hand, smiling at the patient: "Thank you for your cooperation, giving me the opportunity to understand this surgery's postoperative recovery state."

Hu Qingyuan simultaneously interpreted at the side.

Simultaneous interpretation is very difficult for some people, but Hu Qingyuan can multitask, and has a photographic and phonographic memory; the translation is relatively precise.

"Hope I didn't disturb you; wishing you a speedy recovery and discharge, to enjoy a more perfect life."

Foreign polite words are no fewer than domestic ones, just different expression forms.

Afterwards, Fang Ziye brought Professor Ryan down to the operating room again.

Professor Ryan, with great interest, first meticulously read through the patient's imaging data once, then consulted Hu Qingyuan and Qin Geluo regarding the patient's medical record.

The medical record was all in Chinese; to him it was like reading a book from heaven. Naturally, he needed the two Hu Qingyuan to translate.

After a general understanding, Professor Ryan then went out to scrub, put on the sterile surgical gown, came to the operating table side, and stood by to observe at close range.

Throughout the process, Professor Ryan's complexion and expression changed many times, but after each change, he suppressed his inner doubts, very professionally not disturbing Fang Ziye's surgery.

Not talking about fawning on foreigners; regarding respect for others, especially the strong, this point, the United States atmosphere is better than domestic.

Especially during exchanges between scholars and professionals, they have more empathy, putting themselves in others' shoes.

Until over an hour later, when Fang Ziye finished all the operations.

Only then did Ryan Jiao Shou ask Qin Geluo: "Doctor Qin, has Professor Fang finished the surgery?"

"Yes, Ryan Jiao Shou." Qin Geluo said.

Ryan Jiao Shou then walked toward Fang Ziye: "Professor Fang, do you have any surgery arrangements later?"

Ryan Jiao Shou knew Fang Ziye had his own surgery day, with not few surgery arrangements each day.

There is still one surgery today, and Hu Qingyuan and the others also dare not guarantee Fang Ziye won't be on the next surgery; this depends on Fang Ziye's mood.

Neither Hu Qingyuan nor Qin Geluo dared to decide for Fang Ziye, to answer Ryan Jiao Shou's question.

"Yes, I still have one surgery, it's a diabetic foot limb salvage surgery; this patient's diabetic foot is very troublesome, other doctors in our team presiding over it would struggle greatly."

"So I must operate."

Upon hearing this, Ryan Jiao Shou began shaking his head constantly: "Damn diabetic foot, my most hated case, bar none."

"Not only its foul stench, but because I've done twenty diabetic foot cases, and ended up amputating twenty-two."

"Severe diabetic foot is my nightmare; since then, I swore I'd never do diabetic foot again……"

Ryan Jiao Shou's expression was a bit ugly, as if returning to after those past surgeries again.

"Ryan Jiao Shou, if you don't want to watch, you can go to the side to rest."

"Our operating room has a rest room." Fang Ziye said.

Foreign surgeries are appointment-based; the lead surgeon can absolutely control which disease types they operate on, deciding the surgical approach based on their own situation.

Say don't do it and you don't do it; complaints are utterly useless!

But in Eastern Han, too many complaints and the Medical Affairs Department will find you for a talk.

Unless you're truly like Fang Ziye, with separately especially important matters; otherwise, even Deng Yong occasionally has to do a few fracture patients to quell public anger.

"No! No! No!"

"I still want to watch; one can tell, watching Professor Fang's surgery is a kind of enjoyment."

"It possesses not only technicality and therapeutic value, but also aesthetic appeal."

"You Eastern Han doctors, the time and energy invested in the operational aspect, are still so admirable!" Ryan Jiao Shou gave a thumbs up.

Eastern Han people's handicraft, no matter the industry, basically never lost, okay!

"Thank you for Ryan Jiao Shou's praise; I'll take it as you genuinely praising me." Fang Ziye replied with a smile.

"Of course it's genuine, Professor Fang; right now is the vacuum period between your two surgeries; I have some important questions I want to consult you on; they've been buried in my heart for a long time……" Ryan said.

"Professor, please speak." Fang Ziye replied.

"Your operative puncture technique seems extraordinary? How to confirm the operative target? How to assess operative depth?"

"You must not tell me it's feel (feeling), feel……" Ryan emphasized.

Fang Ziye's face full of regret: "Ryan Jiao Shou, indeed so; I currently still haven't found other better objective measurement indicators."

"Otherwise, we would have applied them on the operating table."

"We're also reviewing operations we've already done through artificial intelligence devices, striving to calculate a formula, thereby guiding puncture angle, direction……"

Ryan Jiao Shou's complexion turned from red to somewhat ghastly pale, even losing its original base color!

"Are you a demon?"

"Without objective indicators, you dare operate on patients? Relying entirely on ethereal feeling?"

"You shouldn't exist in the world." Ryan Jiao Shou was quite frightened, voice not quiet, expression horrified.

Of course, after speaking, Ryan Jiao Shou added: "Professor Fang, my words absolutely don't mean to insult you, nor question your professionalism; I believe before clinical trials, you've already passed many biological experiments!"

"But even so, I still feel your operation shouldn't appear in the human world……"

"These are a pair of hands kissed by God." Ryan Jiao Shou looked at Fang Ziye's fair slender two hands, full of fervor.

Fang Ziye flipped his hands, joking: "Ryan Jiao Shou, we Eastern Han have no God; our Eastern Han myths don't allow God to enter the door." (Chapter End)