Chapter 88

According to our country's regulations, currently, apart from Peking Union Medical College Hospital in Jingdu, there is not a single university that allows cross-disciplinary Master's study in medicine; at Han City University, Lan Tianluo is estimated to be the first case.

"I'll go talk to Master; if we can pull Tian Luo into our group as a fellow trainee, that would be best." Fang Ziye also hurriedly rolled his eyes in thought.

Jie Han then said: "It's probably a bit difficult; Master took a Master's student in my cohort, next year the quota should go to Associate Professor Xie Jinyuan."

"Current Master's and Doctoral quotas all require the supervisor's number to far exceed the student count; the state and universities control enrollment quotas very strictly."

"But I feel our Master needs to argue with the department superiors too; the teacher in charge of teaching at the Medical College said, things that Peking Union Medical College Hospital and overseas can do, why can't Han City University do them?"

"Students have their own interests and hobbies, so we must respect their freedom of choice."

"Who says Life Sciences are less important than Basic Sciences? Who dares say that?"

"Isn't it that Tian Luo might have an even higher willingness to join our group?" Jie Han also couldn't bear to let Lan Tianluo go elsewhere.

Such a good hand at data processing — whoever is willing to give him up is a grandson.

"Can Master go?" Fang Ziye felt it was a bit provocative.

"Whether he goes is another matter; I'll revise this paper first, Senior Brother, you help me check the grant application proposal."

"If Tian Luo can pass the written exam cutoff and enter the re-examination, having a paper versus not having one, the advantage occupied during the Master's re-examination process is completely incomparable."

"Since Tian Luo Brother came to find me, I definitely have to get him in." Jie Han used his own way to recruit talent into the group.

"Alright, then you work hard first; I'll look at your grant proposal too. Rest early as well."

"Tomorrow is surgery day; the beds you manage have a surgery." Fang Ziye instructed.

"Even with a surgery I'd be at most a fourth or fifth assistant, just retracting and lifting legs. But no way, too many Senior Brothers, sigh~" Jie Han sighed at the end and slipped away.

Fang Ziye thus began his own planning.

Actually, Fang Ziye still held a trump card: his own grant application proposal during his Doctoral period.

Three uses per penny and four uses per penny, plus borrowing reagents, the basic experimental projects that can be done are very broad; although Fang Ziye's own grant proposal and preliminary experiments during his Doctoral period haven't been done yet, they're already on the way.

After deducting the money for animal experiments, Fang Ziye still has twenty thousand yuan to play with; if used well, he can also borrow some reagents from Senior Brothers, estimating that for next year's grant application preliminary research, without relying on new project funding, he can pull it off.

And Fang Ziye plans to write the grant proposal directly during his Enshi period next year, ready to submit anytime.

Wherever there's money given, he'll apply there; anyway, as long as he can get money for follow-up experiments and facilitate publishing papers, that's fine.

Money isn't enough.

As time passed, not only was Senior Brother Sun Shaoqing about to graduate, but Doctoral second-year Senior Brothers Wang Yuanqi and Gu Yi were also about to pass the halfway point of their Doctoral journey.

Doctoral year three — this is already the second academic year's first semester for these two Senior Brothers; once December passes, the time left until their graduation is less than half.

Therefore, Professor Deng Yong's "feeding" of these two in clinical work has also slightly intensified.

In comparison, Luo Tingzhu, Fang Ziye, and even Li Yuanpei, as well as the newly arrived Doctoral Senior Brother Yan Zhiming, all have relatively limited opportunities.

Twelve days — late November, from the annual meeting start to its end, in the operating room Fang Ziye only did two sutures, and that was because his suture technique was better than everyone else's.

Luo Tingzhu and the others only got to mix in one suture!

This model made Fang Ziye cherish even more the half-year "gaining seniority" plan at a prefecture-level city hospital after Master's graduation and before Doctoral enrollment that Professor Li Guohua fought for him; he must make all preparations thoroughly.

December 1st, another new month.

New month, the changes in the department are not small.

First, Lan Tianluo — this ordinary socialized standardized trainee is only nominally managing beds in the department, not directly participating in bed management.

Late December is the national unified Master's entrance exam time; Lan Tianluo needs to prepare for the written exam.

Yuan Weihong specifically mentioned to Jin Hongzhou that the department has too many people; just pull two random people and they can directly swallow the two beds Lan Tianluo manages, without any effort.

Yuan Weihong stepped in, and Jin Hongzhou still gave Wei Ge this face.

Actually, this is the benefit of being an ordinary resident trainee at a top-tier tertiary teaching hospital. If you're excellent enough, you just need to pass the written exam cutoff — at the interview, could there still be a problem?

Naturally, this December 1st was very ordinary, but for the Yuan Weihong trio, it was quite extraordinary.

Yuan Weihong specially declined the surgery assistant opportunity in the department and accompanied Fang Ziye and Jie Han all the way into the Skill Training Room.

Jie Han said all the way: "Master, Senior Brother Sun Shaoqing has seen it; Ziye Senior Brother's incision technique is already a step ahead."

"He even joked that a scalpel in Fang Ziye Senior Brother's hand is absolutely a pretty good pig-scraping knife — up for pig face, down for testicles, play in the middle!"

Jie Han was about to blurt out what Sun Shaoqing said while driving, but after Fang Ziye and Yuan Weihong each gave him a sideways glare, this younger brother Jie Han completely didn't dare joke anymore.

He doesn't even weigh his own identity; with Senior Brothers present and accompanying the teacher on the side, how could he be allowed to hold the steering wheel?

Yuan Weihong was in a good mood, so he joked with Jie Han: "Then for scraping you, would one rooster be enough?"

"Ah?" Jie Han froze slightly; he, who hadn't undergone the special poison-battering of operating room dirty jokes, completely couldn't react.

"Earthworm. Highlighting a slender figure." Fang Ziye, afraid Jie Han wouldn't understand, hurriedly helped his own teacher correct the steering wheel.

Jie Han stood at attention and marched properly, not daring to speak further.

Fang Ziye doesn't even dare jump in front of his own teacher, let alone Jie Han?

Actually, Fang Ziye isn't unable to get the meme; it's just that current clinical work including the operating room hasn't reached the time for him to play memes.

You tell me, with whom to play?

Above are Senior Brothers, above them is Brother Qin Geluoluo, then one's own Master, Associate Professors, and Professors.

How do you play memes? Slightly fail to control the scale, and it's unclear who's screwing whom.

Toward juniors, Fang Ziye used to be a fellow trainee, had no fellow trainees, only now just got a direct-line fellow trainee who's just silly-cute; what's the point of playing memes with Jie Han?

He can't catch it.

Even with Jin Hongzhou, Fang Ziye hasn't assessed his temper well, so he doesn't dare catch memes anytime.

This is doing what suits one's status — not that Fang Ziye can't drive the car and steer.

In the operating room, when the atmosphere is good, knowing three thousand dirty jokes by heart, one can be lewd without leaking wet.

Immediately after, Fang Ziye faced the three jin of pork specially approved and issued from the warehouse: one jin front leg meat, one jin spare rib meat, one jin pork belly — pure pork belly, fat and lean both suitable.

What Fang Ziye needs to do is separate the front leg meat, from skin down to the fascia layer, each independently separated through incision technique.

The spare rib meat requires bone removal, removal of fascia and ligaments, separated one by one — tendons must not remain attached to meat; this isn't for stir-frying to eat.

The pork belly operation became even more "simple" — you lay out the five layers one by one into five strips, no lean on the fat, no fat on the lean, and the fat in one spot might be a bit thicker than in another, so you still have to spiral it out.

And this, for Fang Ziye, whose incision technique proficiency had now reached Level 3, 125/500 after being stored for so long, posed no difficulty.

Actually, at 100/500 proficiency Fang Ziye could already complete it, but to be safe, to avoid disappointing his teacher, he added another twenty-five knowledge points to guarantee his incision technique was foolproof.

Fang Ziye stood at the operating table; the crowd of onlookers at this moment was not especially large —

Only fellow trainee Jie Han, Master Yuan Weihong, Grandmaster Uncle Professor Li Guohua who happened to be on duty in the warehouse, Professor Deng Yong's first-year master's student Zhu Yunwen, and Qi Xiujie who shared the same ordinary resident physician status as Lan Tianluo but had arrived a year earlier.

Also Professor Han Yuanxiao's first-year master's student Hu Guangcai, Professor Han Yuanxiao's group Attending Physician Zhang Zixi's first-year master's student Xiao He, and Associate Professor Peng Long's second-year master's student Chang Yuewen — nineteen people in total.

Not many at all.

Naturally, the innermost layer was still Yuan Weihong and Li Guohua; the second layer consisted of Doctor Yan Zhiming, Professor Han Yuanxiao's doctoral student Lu Zhe Fu, and others.

While Fang Ziye operated, Yan Zhiming discussed the Rich Woman Contact List with Lu Zhe Fu, in a very, very low voice...

Also Dong Yaohui's group — Fang Ziye's classmate Xiong Jinhuan — stood at the best operating angle, filming video to serve as reference material for her own future learning, and as good observational teaching material for the junior trainees: relatively high-end but down-to-earth incision technique.

Fang Ziye's operation was not fast; incision technique does not seek speed. It seeks steadiness.

One strip, one strip, another strip — ligaments and tendons, laid flat one by one in the first row.

One piece, one piece, another piece — lean meat and fat meat, placed by Fang Ziye in the second row.

Then pig skin, pig bones, placed in the third row.

The last row, to increase difficulty, deliberately left pig bristles — Fang Ziye had to extract them from the meat, eleven total; he had currently arranged only ten.

"Ah! ~ Choo! ~" Just as Fang Ziye was handling the last pig bristle on the pork belly skin, a fellow trainee sneezed.

The few bristles on the operating table vanished.

But this wasn't part of Fang Ziye's assessment content — just playing with the operation — so he simply ignored it.

Li Guohua and Yuan Weihong looked back; Dong Yaohui's second-year master's student Wu Chengwen silently squeezed into the crowd, not daring to breathe.

Then after a while he simply pinched his nose, covered his mouth, and went outside the training room to sneeze — clearly a cold.

Another quarter-hour later, Fang Ziye put down the scalpel, counted the items on the operating table one by one, and nodded slightly.

He pressed his fingers with both hands, relaxed a bit, then began dissecting the nerves and blood vessels inside the meat.

This is the real high-difficulty operation.

Generally, nerve innervation at the muscle is mostly nerve branches — very fine, few segments — but you still need to find them and, through the head, dissect them out.

This is the meaning of incision technique practice.

What is bone flap design? It is actually the harvest of a vascularized bone flap — the flexible application of incision technique, bone plastic surgery, and osteotomy in surgery.

If it only made you cut pork, not train butchers, it would certainly have its meaning.

Including hand surgery — its requirements for incision technique are actually very high, because many hand surgeries involve flap harvest, suturing, and transplantation.

Another full forty-plus minutes passed before Fang Ziye finally exposed the corresponding blood vessels and nerves.

Although not excavated, they were maximally exposed within the field of vision throughout.

Incision technique reaching this step counts as truly having some skill; being able to achieve something in the trauma surgery subspecialty direction counts as the first step through the door at Zhongnan Hospital.

"Master, I'm done operating." Fang Ziye had been focused the whole time, so he hadn't attended to Old Professor Li Guohua at his right rear, and instead spoke up to report.

"Professor Li is right beside you, why ask me?" Yuan Weihong lightly kicked Fang Ziye's foot.

Then he voluntarily said: "Professor Li, would you please help keep an eye on it?"

Li Guohua at this moment clasped his hands behind his back, turned, and left: "You young people's excitement, I won't join; I only watch the excitement. Watched it, now you all carry on."

"Yuan Weihong, this student of yours — I think he could get the Step-by-Step-High naming rights."

"I watched with my own eyes, in ten-odd days, he advanced incision technique step by step, a new scene every day." Li Guohua dropped that hint, then turned and went out.

Fang Ziye then said in a low voice: "Master, Old Professor Li's words are a bit exaggerated."

Yuan Weihong patted Fang Ziye's back of the head, feigning a hit, just short of jumping up to slap him: "Who's exaggerating — ten-odd days, twenty days? You keep a low profile for me."

Yuan Weihong knew Fang Ziye's meaning, but Fang Ziye's meaning also couldn't be too obvious.

What's the difference between your ten-odd days of improvement and your two months of improvement?

For ordinary people, there's not much difference — because conventional students need about half a year of persistent practice to break through like this, and it's not just long daily duration; you must learn while pondering, while thinking.

"Eh, okay, Master." Fang Ziye nodded, then carefully peeled off his gloves, avoiding getting oil all over his hands.

Operating on pig compared to human body — just this one downside.

Too oily, especially now in winter; too much pig fat on the gloves and it even solidifies.

"Wait a bit, together."

"Let's disperse first." Yuan Weihong spoke halfway, then hurriedly stopped.

He originally planned to eat together — good fellow, this is twenty-odd people; if they ate together, how big a place would they need?

If not a department-wide gathering, there's really no such necessity.

If he really called them, that would be suicide — these youngsters would surely each toast him once; even if it's beer, he'd have to run to the toilet.

Small gathering is better.

"Okay, Wei Ge." Everyone replied one after another.

Yuan Weihong withdrew a step first.

After Yuan Weihong left, Xiong Jinhuan, Yan Zhiming, Lu Zhe Fu, and several other doctoral senior brothers thanked Fang Ziye with envy, jealousy, and hate; Fang Ziye returned each courtesy politely.

Skill arrived is skill arrived — Fang Ziye didn't hide it like a whore; he laid it out openly, you watch or don't, I'm not deliberately hiding to ambush.

Then it's whatever — others can only envy; truly speaking of jealousy and hate, in a place like Zhongnan Hospital, can you hate enough?

Twenty-odd minutes later, Fang Ziye and Jie Han, the two of them, squeezed out of the crowd and likewise left the training room.

Sure enough, Yuan Weihong was outside, straddling a little electric scooter, waiting for the two; seeing Fang Ziye, he said: "I thought you'd enjoy yourself inside for four or five hours before willing to come out."

Jie Han said: "Master, Senior Brother told the other senior brothers and classmates he still had cell experiments in the lab, so he came out right away."

"I tidied up the operating table together with Senior Brother."

Yuan Weihong asked, "Little clever ghost, are you going to do a cell experiment later?"

Meaning, even if you lie, you can't have absolutely no basis for it.

"Yeah, not small, and not right now." Fang Ziye nodded, then asked, "Master, Jie Han and I will take a taxi over."

Not to mention other things, the only bad thing about Zhongnan Hospital is that the roads are not smooth and parking is inconvenient, to the extent that Yuan Weihong doesn't even dare to routinely drive his own mount to work, and can only commute on an electric scooter.

Mainly focusing on convenience and speed.

Yuan Weihong was slightly stunned, discovering that Fang Ziye was slightly getting arrogant, and even started picking up the meme.

TM what I mean to express today is little clever ghost, not little chicken turtle.

Turtle, a family of reptiles. Body flat and oval-shaped, back has a carapace, four limbs short, toes webbed. When startled, head, tail, and four feet all retract into the carapace.

"Fine, old people have to ride electric scooters in wind and rain, while you young people know how to enjoy life." Yuan Weihong patted his own steering wheel.

His electric scooter can't carry passengers; even if it could, one person would still have to take a taxi.

"Master, how about we go together?" Fang Ziye felt his consideration was lacking; since a taxi was needed anyway, might as well go on the way.

"I'll go straight home from the eating place later, and have a class this afternoon." Yuan Weihong explained.

His current teaching tasks are heavier than clinical tasks; wanting to promote to Deputy Chief Physician, actually the promotion to Deputy Director is just a little bit harder than in ordinary top-tier Grade-A hospitals in prefecture-level cities.

But wanting to promote to Associate Professor, papers, research projects, teaching, scientific research — not a single one can be dropped; if you don't involute others to death, you're just a ten-thousand-year Attending Physician.

This is the helplessness of a big platform.

Yuan Weihong's level, placed in a prefecture-level city, is at least a medium level or even a top-tier Deputy Director level, and can even do some surgeries that Chief Physicians can't do.

But here, he's just a Junior Attending, no way around it; others who promoted to Deputy Director and Associate Professor are more awesome than you, so you can only nestle in and slowly accumulate your own thickness.

(Chapter End)