Chapter 818

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Protagonist:

Fang Ziye

Professor Ryan replied with a smile: "Even if God does not allow entry, God's apostles are free."

"Professor Fang, if you can enter God's embrace and walk out of God's forbidden zone, He will open His arms to you."

Ryan's words immediately made the previously idle people's gazes flash.

Tang Sai immediately said: "Professor Ryan, our Eastern Han is not exclusionary either, and we also welcome God's apostles to become invisible theists."

Eastern Han's culture differs from foreign countries.

Foreign gods are all native; Eastern Han's deities, besides being native, can also attain the Dao and ascend.

Professor Ryan shook his head lightly and directly: "No!"

"I've also heard about your Eastern Han's medical environment; here, surgeons are a high-risk profession, this kind of work environment is too baffling."

"Clearly your country's medical expenses are the cheapest in the whole world……"

"I very much enjoy my current work, and am satisfied with my current work environment."

Foreigners are just like this, they say whatever they have to say.

……

After completing the last diabetic foot limb salvage surgery, Fang Ziye personally accompanied Professor Ryan to eat.

Following local customs, Fang Ziye did not take Ryan to eat Western food, but instead took him nearby to eat Ezhou cuisine, ordering some non-spicy and less-spicy dishes.

One region's water and soil nurture one region's people; in the eyes of Fang Ziye and the others, the food was palatable, but Professor Ryan did not like it very much.

However, Ryan did not come for the sake of eating.

After the meal, only when Ryan got into Fang Ziye's car again did he say: "Professor Fang, after I returned, I carefully studied your operative techniques; in my view, these operations of yours really should not belong to the human world."

"Your treatment thinking is very clear, without any trickiness or mysterious cleverness; you rely on inconceivable operative skill to complete limb salvage with the most ordinary thinking."

"You are trauma surgery's fortune, and also the mangled extremity patients' divine messenger."

"However, based on the operative videos and corresponding theories you shared with us, my team and I discovered that mangled extremity limb salvage, besides being completable through the most exquisite operations, can also borrow other things."

Fang Ziye nodded upon hearing this: "Professor Ryan, you are also great."

"Any surgery is academic knowledge; its appearance should constantly lower the threshold, enabling more surgeons to master it."

"These past years I've also thought of some simplification methods, but perhaps not as simplified as your team; I'd like to hear the details."

True scholars all have their own understanding.

Research directions also have different directions.

There are treatments for primary disease types, and there are those who simplify existing surgical procedures, or simplify surgical operations through developing instruments and improve surgical quality.

These directions are all good, with no distinction of high or low, noble or base.

Just speaking from a pioneering angle, developing treatments for primary disease types possesses more research exploration significance.

Ryan said: "According to the most basic theory, the definition of mangled extremity is local tissue destruction, lying in soft tissue destruction and blood supply destruction."

"The greatest difficulty of limb salvage lies in local debridement and the difficulty of reconstructing blood supply; or rather, mangled extremity limb salvage, besides requiring the corresponding trauma surgeries, also needs the operator to possess especially professional hand surgery knowledge."

"In hand surgery, the comparatively difficult parts to handle are blood vessel and nerve suturing."

"Our team, through researching nerve and blood vessel suturing, developed two suture assistance devices!"

"This assistance device can be used multiple times in one surgery, greatly simplifying the operator's operational demands, and can also guarantee the quality of limb salvage surgery."

"This can liberate us surgeons……"

Fang Ziye listened, slightly surprised: "Small blood vessel suture assistance device?"

Large blood vessel suture assistance devices have long existed, for example aortic suturing devices.

But this suturing device's selling price is especially high; many of the domestic top-tier hospitals all prioritize manual suturing.

Instruments that patients cannot afford the burden of, no matter how good they are, do not have much significance.

"Yes, we call it the Precision Suturing Device. We have already entered the animal trial phase; I believe before long we can obtain clinical trial qualifications."

"If Professor Fang you are also interested, we can carry out multi-center clinical trials." Ryan said very generously.

Fang Ziye's research ability and surgical level both received his recognition.

If Fang Ziye served as the control group, it could also prove the suturing device's quality passes muster, which would be even more beneficial for the suturing device's quality assessment!

Fang Ziye smiled upon hearing this: "Professor Ryan, are you sure you want me to participate in the multi-center clinical trial?"

"Aren't you afraid the data from my side would all be invalid data?"

Fang Ziye has confidence; if this suturing device can surpass his own suturing quality, he will eat the suturing device, however many there are he will eat that many!

Professor Ryan thought carefully for a moment, then said: "Professor Fang, my meaning is, you don't participate in the control group; it's other people inside your team who serve as the control reference group."

"You are responsible for data and suturing device quality assessment."

"This is a suturing device with very promising market prospects!" Ryan spoke directly.

Many foreign professors can cooperate with companies, develop their own patents, and then sell them.

Making money is the fundamental meaning of R&D, and also the foundation of others' livelihood.

"Professor Ryan, if you estimate, roughly what would be the selling price of this suturing device after it comes out?" Fang Ziye asked.

Ryan said: "It won't be very expensive either; one suturing device should be just over eight hundred US dollars, or one thousand to one thousand five hundred US dollars, that's very cheap, right?"

In the United States, when going to see a doctor, the doctor's consultation fee is generally 100 to 150 dollars.

Calculated this way, it's indeed not very expensive.

But something that sells for around one thousand dollars in the US, once it reaches domestic, is estimated to become ten thousand.

"Perhaps, but that doesn't apply to our Eastern Han. The patients here simply can't afford the burden," Fang Ziye said.

Ryan listened and remarked with feeling, "It's just that insurance awareness isn't strong enough on your end. We should all buy adequate coverage for our own health."

Buying insurance costs money.

The United States has had insurance awareness for so many years, yet not everyone has insurance.

Why doesn't the United States learn from other countries and implement completely free healthcare?

Of course, Fang Ziye didn't want to debate these things with Ryan either, so Chen Song said, "Professor Ryan, I wonder, what is your understanding of surgical technique simplification?"

"What I mean is, aside from instrument optimization, how can we make a surgical technique learnable by more people?"

Fang Ziye's teaching experience wasn't extensive, so he consulted Professor Ryan.

This question isn't specific enough.

Ryan said, "Learning surgical techniques requires gradual progression and spending a large amount of time practicing."

"Continuously raising the floor of surgical quality through developing auxiliary instruments is the best way to let others learn surgery quickly, and it's the fastest, best simplification!"

"Aside from that, the only option is uncertainly lowering surgical efficacy."

"I don't have a better method either."

Since the vague point was hard to explain, Ryan gave an example: "Take fracture surgery. Before fracture traction frames existed, we relied on the surgeon's strength to traction the lower limb during surgery, reducing displaced fracture ends."

"However, this not only consumed our physical strength, but also forced us to spend more energy researching how to perform 'compound force' reduction."

"Once traction frames appeared, we could borrow the frame's power, needing only gentle manipulation to achieve reduction. We surgeons could devote more time and energy to researching how to reduce and achieve perfect fixation."

"Professor Fang, you know, our fracture treatment still follows the three most important principles."

"Reduction, fixation, rehabilitation treatment."

"Rehabilitation treatment has professional rehabilitation therapists for guidance..."

"Reduction has traction frames, fixation has electric screwdrivers. We are the thought suppliers."

If people want to be lazy, they become increasingly relaxed.

Fang Ziye smiled bitterly: "The instruments you mention can be found in our hospital, but in our country's prefecture-level city hospitals, they're not comprehensive!"

"The reduction methods currently used are still the very ancient manual reduction method."

"What?" Ryan's eyeballs bulged.

"This is the twenty-first century. Why are there still such laborious, unrewarding, primitive surgical treatments?"

After his shock, Ryan hurriedly explained: "Professor Fang, I meant nothing else, just surprised!" Eastern Han's average medical level, looking at the whole world, certainly isn't at the bottom. Many countries are worse than Eastern Han.

But average level is only mid-tier. This is the living reality.

Some instruments can achieve quality that averages above county hospital level, comparable to top prefecture-level city hospitals' treatment standards.

"Welcome, Professor Ryan. Welcome to tour my laboratory."

"At least it belongs to me for now. This is our comprehensive laboratory for spinal cord injury research."

"It's divided into basic research area, animal experiment zone, and instrument improvement zone."

"Yes, we have an instrument improvement zone here. Based on advanced materials imported from your country, our team independently developed a little gadget called a bridging electrode." Fang Ziye had stayed abroad for a while.

Abroad, any small thing can be called a little gadget without needing specific description: "And this little electrode can perform closed-channel substitution function after spinal cord injury."

"It can continue conducting a portion of functional electrical signals to lower nerves..."

"This has more concrete embodiment in our animal experiment zone. Professor Ryan, where would you like to start?"

"Bridging electrode?"

"Qiaojie?" Ryan repeated in broken Chinese?

Bridging has a word abroad, but Fang Ziye deliberately read it out in Chinese because he felt bridging was the best description.

"Yes, bridging. Like the two banks of the Yangtze River, connected by the Yangtze River Bridge, allowing both sides to communicate." Fang Ziye explained.

"God!"

Professor Ryan shook his head: "Professor Fang, you possess the world's greatest, most advanced research team! You're too lucky."

Professor Ryan is a scholar. He knew Fang Ziye definitely had a super mature team silently contributing behind him.

"Thank you, Professor Ryan, for the extremely precise praise. My team members are all the world's most excellent talents."

"In a moment I'll recommend them to you... This way, the animal experiment zone. Hope Professor Ryan isn't a rabbit-pampering type."

"Otherwise, I refuse to take you to the animal experiment zone." Fang Ziye asked in advance.

Some animal protectionists abroad even disagree with experimenting on certain animals.

Ryan said: "No, these rabbits aren't rabbits. They're human-like."

"Even if I'm a rabbit lover, I respect their mission first, then feel they're pitiful."

"God will bless their next life."

"Professor Fang, if possible, I hope to see every apostle have their own life, not just the most ordinary serial number."

"Of course, this is only my personal wish!"

"Scientific research demands rigor and conciseness."

Fang Ziye froze for a moment. He didn't have Professor Ryan's sensitivity and exceptionally delicate mind: "Very regrettable, Professor Ryan. Our rabbits temporarily have no names."

Professor Ryan's visit only disturbed Nie Mingxian and Liao Jia. Others don't belong to Fang Ziye's "direct subordinate team," so they had no chance to meet Ryan in person.

Ryan asked Nie Mingxian and Liao Jia many specific questions, and the two answered one by one without particular reservation.

Currently, the core of the experiment actually lies in the inconceivable puncture technique.

As for the replication instrument for the puncture technique, the team has already developed it to the most frontier stage. Even if Professor Ryan wants to overtake on a curve after returning, it's wishful thinking.

They may not even be able to replicate the puncture technique, so where would puncture instrument development come from?

This meticulous exchange lasted a full two-plus hours.

It was Liao Jia who actively ended the conversation: "Dear Professor Ryan, I have to go back. The baby my wife is carrying in her belly is still waiting for me to tell a bedtime story."

Liao Jia has never been abroad, but Liao Jia's wife stayed abroad for many years and knows some foreign "humor"!

"Bless you, Professor Liao. You and your baby, and your wife, will be very happy!" Professor Ryan understood instantly.

"Thank you, Professor Ryan. If we have fate, we'll meet again." Liao Jia said.

Ryan cannot stay in Eastern Han for very long. His main purpose for this trip was only two things.

One was to discuss multi-center clinical trial matters with Fang Ziye, and the other was to see the level of Fang Ziye Team's mangled extremity limb salvage surgery.

Fang Ziye currently doesn't do it anymore, so Professor Ryan naturally could only go to Zhongnan Hospital's Ben Yuan area to watch.

Fang Ziye definitely would not accompany him.

Abroad, every surgeon can choose their own surgeries. If it's not their own surgery, they don't have to bother with it.

"Professor Liao, Doctor Nie, Professor Fang, I very much look forward to you all coming together to attend the United States Orthopedics Annual Conference and even the World Orthopedics Annual Conference! ~"

"If you register and show up, be sure to contact me in advance!"

"I will 'host's hospitality'!" Ryan laughed and said four Chinese characters, but the grammar might not be used well enough.

A foreigner being able to say "host's hospitality" is already very good. Who would still care about his grammar?

Actually, Fang Ziye and the others' spoken English isn't that authentic either!

"I will go, Professor Ryan. I will also pay attention to these annual conference information. I haven't exchanged with peers for many years already."

"I very much look forward to it! ~" Fang Ziye said.

In previous years, Fang Ziye spent most of his time improving himself, so naturally he had no leisure to exchange.

But now, many of Fang Ziye's technical levels have reached a limit. Wanting to improve further has become comparatively slow.

What he pursues is Level 7 or even Level 6, requiring massive amounts of knowledge points.

However, if new surgical techniques can be derived through exchange, as long as a sign appears, Fang Ziye can immediately make it mature.

Once, the seedling of functional reconstruction surgery was given by Professor Zhou Yan of Xiangya Hospital!

After laying his own foundation well, the rest is all innovation.

"Professor Fang, really? If it's true, I will strongly recommend to our Orthopaedic Surgeons Association that Professor Fang must perform several live surgery broadcasts for teaching on the spot."

"This is something that absolutely must be done! ~"

"Your technique should be seen by more people, known by more people."

"These two hands blessed by God should conquer more people!!!!" Ryan's tone was affirmative.

"We'll see the state then. Exchange and learning are definite."

"Whether to live broadcast or do surgical teaching depends on my state then. If I lose face at this kind of scene, it would be a bit hard to wrap up." Fang Ziye said humbly.

"How could that be possible?"

"These two hands cannot possibly make a mistake! I dare confirm it."

"The old them might have made mistakes like everyone else, but the current them absolutely will not! ~"

"If there is, it would definitely be an accidental accident. Accidents are unpredictable and fixedly existent!" Ryan began to become superstitious.

It's not that Ryan is too fawning. Rather, Fang Ziye's technique has already exceeded what ordinary people can imagine.

Perfect things shouldn't exist in the mortal world.

Things exceeding perfection even more shouldn't exist……

"Professor Ryan, I still have tasks in the laboratory. My companions and I still need to conduct subsequent scientific research operations. If you want to rest, I can have my Doctor take you to the hotel to rest."

"He has already helped you reserve tomorrow's matter of going to Zhongnan Hospital to observe mangled extremity surgery."

"However, mangled extremity is emergency surgery. Just one day tomorrow, it's not necessarily possible to encounter one. But our Department's Professor Gong Jiahe and Professor Deng Yong have already contacted nearby hospitals."

"If there are mangled extremities, they will be preferentially sent to our hospital."

"You should know, us occupying the geographical advantage and first-mover advantage, our experience handling mangled extremities will be even richer!"

Ryan nodded: "Of course. If we're even more cautious, Zhongnan Hospital is the birthplace of mangled extremity limb salvage surgery!"

"All mangled extremity limb salvage surgeries and subsequent variant surgeries will be imprinted with Professor Fang's and Hanzhong University Zhongnan Hospital's label."

"This is the reputation that should be enjoyed as an Original Scholar, as the teaching hospital that supports you!!"

"Very regretful I cannot continue observing your scientific research secrets, but this trip to Eastern Han has greatly broadened my horizons. I look forward to the next miracle Professor Fang creates."

"Professor Fang, you will definitely become the next Legendary Doctor of orthopedics." (Chapter End)