top student at medical school

Chapter 341 The Young Man's 'Legendary' Sequence

"Immediate blood flow rate 99%!"

Blood flow rate: 0.25-0.26 ml/min! (milliliters per minute)

"Re2300-2350!"

Turbulent volume ratio: 8%

"Bleeding: None!"

"NCV: 35-36 m/s!"

"APA: 16-17mV!"

SNCV: 25-27 m/s

“MNCV: 37-39 m/s”.

"..."

The overall patency rate of blood vessels reached 98% and 99%, which is indeed only one percent different in numerical terms.

But if this value is the result of five products, and then there is a difference of 1%! In fact, there is a difference in quality in the overall level.

There are many types of limb replantation.

A better approach is to simply cut the two segments and then replant them.

However, patients in clinical practice never follow the textbook path of illness; many have two or even more limbs. In such cases, whether or not limb-sparing surgery can be performed depends on the individual's skill.

Currently, the most routine finger replantation surgery in hand surgery is to replant two to three segments, which has a relatively high survival rate. If more than that is needed, it is generally recommended to bury the severed limb nearby.

And this is just a flux.

"The theoretical value for the tail artery in nude mice is 0.2-0.3 mL/min, but doesn't the book say that the smaller this variable is, the better?" A master's student couldn't help but ask this question when he saw a scene that was closer to the textbook.

An 80% patency rate for sutured severed arteries is an unattainable goal for them. And this is after suturing two to three artery segments.

A 99% instant arterial pass rate is practically a dream come true. Once achieved, one can directly bypass the training room's standards, write a few more articles, and staying in the hospital is something to look forward to.

Fang Ziye isn't much older than them, yet he's produced such data, and he's even in the field of trauma surgery.

After the master's student finished speaking, one could imagine the fury and oppression the professors in the department would feel for some time to come.

When no one is speaking, if someone suddenly makes a sound, it will naturally attract everyone's attention.

The smaller the variable, the more stable the suturing effect, which is basic knowledge in hand surgery.

No one blamed him; they just glanced around and realized that Fang Ziye had run away after showing off!

What's even more outrageous is that his reason for running away was perfectly legitimate!

Urgent consultation needed.

Let alone Liu Huanglong, even if an academician were here, if Fang Ziye wanted to go for an emergency consultation, could you say he couldn't go?
If you dare to say that, even if you are an academician, you will be bombarded by public opinion. That's the bottom line.

Liu Huanglong's expression was rather unpleasant at that moment.

Without a doubt, the high standards he had set with all his might were shattered the moment Fang Ziye's post-suturing parameters came out.

But Liu Huanglong is also a scholar, and the premise of being a scholar is to be honest and respect the facts: "The smaller the difference between variables, the more stable the throughput after suturing."

"It's not just about the speed of blood flow, nor is it just about the rate of blood circulation."

"In rats, the normal range for sensory nerve conduction velocity (SNCV) is typically around 15-40 m/s. Within this normal range, it's considered excellent if the variable difference is kept within 5. Generally, as long as it's within the normal range, it's considered to be within the target range."

“SNCV: 25-27?” Liu Huanglong murmured, looking confused.

A difference of 2 in parameters is absolutely inhuman. Currently, there are very few suture techniques in China that can achieve such a result.

In China, there are probably over a thousand people who can successfully complete the entire limb replantation procedure and keep the severed limb alive, if not ten thousand.

But survival has quality.

Paralyzed and alive, with no mobility whatsoever, occasionally twitching slightly, exhibiting spontaneous muscle contractions and mild voluntary movement similar to normal activity...

This span is actually quite large.

"The normal range for motor nerve conduction velocity (MNCV) in rats is typically around 25-60 m/s..."

Liu Huanglong muttered to himself for a while, then finally changed his mind: "What exactly are the ingredients in this prescription?"

Perhaps Liu Huanglong wanted to express identity, but identity was no longer enough to understand Fang Ziye, so he changed to the word "class background".

Liu Huanglong's acquaintance with Fang Ziye was actually by chance. He heard about Fang Ziye while inquiring about interesting stories from his hometown's Zhongnan Hospital, but he didn't know much about him.

All I knew was that Fang Ziye was a trauma surgeon, but his suturing skills were excellent, even better than most attending physicians. The old professor from the hand surgery department originally intended to recruit him, but he couldn't beat that group of 'crude old bastards' from the trauma surgery department.

Yes, in the field of surgery, the exquisite micro-manipulation techniques and incredible suturing skills of hand surgery have already freed hand surgery from its identity as an orthopedic 'carpenter'.

Furthermore, the skills in joint surgery and sports medicine earned him the title of "craftsman," while only trauma surgery retained the nickname "carpenter."

After scrutinizing everything and concluding that there was no problem, Zhu Weiguo didn't answer but instead asked, "Liu Huanglong, what did you say a few hours ago? Do you want to take it back or keep your promise?"

"You said that if someone in our hospital had better suturing skills than you, you would have come here to learn..."

Professor Zhu Weiguo was also very puzzled at this moment, but he still hadn't forgotten the original purpose of calling Liu Huanglong to Zhongnan Hospital! To poach him!

We need to bring back talent, specifically talent that was lost or "flowed away" from Zhongnan Hospital.

Wen Dongfang and Professor Ni Yaoping are not Zhu Weiguo, so they had no idea that Professor Zhu Weiguo and Fang Ziye had prepared this step in advance.

But upon hearing Zhu Weiguo's words, Wen Dongfang immediately reacted and began to take a different approach: "Old Zhu, what are you saying? Liu Huanglong is a young and promising man; once a word is spoken, it cannot be taken back!"

"How could you not keep a promise? How could you go back on your word?"

"Now that our hospital has done as Huanglong said, Professor Liu naturally has a plan in mind and will definitely prioritize making proper arrangements for his current position and his students!"

"Right, Huanglong?" Professor Wen Dongfang's voice was as gentle as warm jade, as venerable as an elder, as teacher as friend, and as soothing as a spring breeze. It was as if he was explaining things to Liu Huanglong, but every word he uttered was that of a general!
Liu Huanglong's Adam's apple bobbed up and down for a while.

He looked slightly bewildered for a dozen seconds before finally taking a breath and saying, "Professor Ni, Professor Zhu, thank you for your kindness. I do need to make arrangements for a while."

"This cannot be completed in just a few months."

Liu Huanglong resigned himself to his fate.

Liu Huanglong definitely didn't want to work at Zhongnan Hospital, so he made a request that neither Zhongnan Hospital nor Tongji Hospital could fulfill.

A 'legendary' level of skill, 'national master' level operation—where in the whole country can you find so many national masters?
In Hubei Province, apart from the person at Union Hospital, no one else could do it. But such an unexpected event actually happened at Zhongnan Hospital.

Moreover, the person who accomplished this was a young man under thirty years old. How ridiculous and unbelievable is that?
Even if Liu Huanglong didn't want to accept his fate, he had no choice but to do so at this moment.

With a promise as good as a promise, and with the old professor and his mentor from his master's studies in front of him, how could Liu Huanglong go back on his word?

Therefore, no matter how much Liu Huanglong grits his teeth and reluctantly gives up his beloved job, he still has to go back to Peking Union Medical College Hospital to slowly sort out his personnel relationships and the entire teaching team.

You have to swallow the pride you bragged about, even if it hurts.

"Of course, Huanglong, don't worry."

"You're familiar with our hospital's platform. The hospital places great importance on orthopedics!"

"A separate orthopedic building, with a separate passageway leading to the operating room. The hospital recently decided to set up a trauma center in the emergency department, or perhaps a hand surgery center. At that time, we can perform procedures such as finger replantation, skin flaps, and nerve transfer."

“These are all things that can be discussed. Huanglong also came from our hospital, and now he’s practically family. If you come back, it’ll be like coming home. Our school’s platform isn’t much weaker than Huazhong University of Science and Technology’s…” Ni Yaoping explained.

For a hospital to develop, and for the hand surgery department to develop, it needs talented people.

Professor Ni Yaoping has been in the position of director for six or seven years and has made many achievements, but his speed is still far from enough to catch up with the brother hospitals ahead.

Knowing he couldn't lead the team, Professor Ni Yaoping decisively stepped down, which was the only gift he could give to the field of hand surgery.

……

Engaging in detailed conversations is clearly not something that should be done in front of a large group of students.

Although Liu Huanglong saw that the facts before him were set and that he would have to keep his promise, he still felt that today was a bit like a dream, and extremely unreal.

"Brother Guan, can you take me to see Ziye? Isn't he undergoing emergency surgery?" Liu Huanglong asked.

Guan Qiquan readily agreed: "Brother Long, that's definitely no problem!"

"Let's go to the emergency operating room, we're coming right now."

"Teacher Ni, Teacher Wen, Teacher Zhu, are you going?" After Guan Qiquan agreed, he asked the opinions of several bigwigs.

Ni Yaoping thought for a moment, then shook his head and refused.

Professor Wen Dongfang glanced at Professor Zhu Weiguo and said:
“Ni Yaoping has other things to arrange, and Professor Wen and I still have to work in the practice room, so we probably can’t leave.”

"Hey, Huanglong, explain it clearly first."

"Don't make things difficult for Ziye. He invited us to our training room today himself."

"Otherwise, if Li Guohua starts cursing, even Director Zhong from your Union Hospital won't be able to stop him."

Wen Dongfang offered a reminder.

Liu Huanglong is a treasure in the hand surgery department, and is definitely the most outstanding one. However, people in the trauma surgery department don't care how good you are in the hand surgery department. If you go too far with Fang Ziye, there will naturally be senior professors to help you stand up.

"That's definitely not the case." Liu Huanglong frowned, trying to calm himself down.

He then left with Associate Professor Guan Qiquan, heading towards the emergency operating room.

As soon as Liu Huanglong left, Professor Wen Dongfang finally couldn't hold back any longer. He looked at Zhu Weiguo and his voice boomed, "What were you talking about with that Xiao Gao just now? Why didn't you tell me beforehand?"

"What Xiao Gao?" Zhu Weiguo raised his chin.

"That's Ziye, or Dr. Fang. At the very least, you could use the full name 'Bubu Gao,' like 'Little Gao, Little Gao.' Does that sound like a teacher?"

Zhu Weiguo did not refuse, which clearly meant he tacitly agreed with Professor Wen Dongfang's statement.

Professor Ni Yaoping sighed, feeling extremely resentful: "I should have fought them the year before last!"

Professor Liu Huanglong certainly has unlimited potential now, and the heights he can ultimately reach may even surpass those of Professor Zhong, who is currently in the Department of Hand Surgery at Peking Union Medical College Hospital.

However, Fang Ziye is actually the biggest potential stock.

To be under thirty and still a young person, to have such skill in suturing, the most basic skill that is the hardest to improve, is simply amazing!
His talent is ridiculously high.

(End of this chapter)