top student at medical school

Chapter 389 The Great Defense Has Been Broken! ~ (Please Subscribe)

In the operating room, almost no one knew that Fang Ziye was an expert in puncture techniques.

Fang Ziye's last visit to Mi Qi, who had injured his hand, was purely on a whim. It was only after seeing Mi Qi's pained expression in the operating room that Fang Ziye thought of relieving his pain.

Mi Qi is about to be promoted to associate professor and works in the vascular surgery emergency clinic of the emergency department. She often takes care of Fang Ziye, who is the chief resident, when they interact.

Fang Ziye is also a surgeon. Only surgeons know how much other surgeons want to be on the operating table. A surgeon's hands are the lifeblood of their profession.

In fact, compared to the local anesthesia given to Mi Qi that caused the separation of motor and sensory functions, the nerve block that Fang Ziye is currently trying to give to Yan Chu is much more difficult to "separate".

Lan Tianluo did not leave the operating room immediately today, nor did he want to get involved too much.

Therefore, after Fang Ziye punctured the appropriate location, he handed over the authority to administer the anesthesia to Professor Xu Long.

Xu Long smiled as he took Fang Ziye's puncture site, and then very carefully injected a sufficient amount of medication before tilting his head to ask, "Professor Liu, Professor Deng, how long will this surgery take?"

Determining the dosage of medication based on the duration of surgery is one of the essential skills for anesthesiologists.

Before Deng Yong and Liu Huanglong could speak, Zeng Quanming grabbed Fang Ziye's right hand as he stepped back, his fingers forming a tiger's claw shape with tendons protruding: "When did this happen?"

Fang Ziye felt a little pain from being pinched, and naturally grabbed Zeng Quanming's left wrist with his left hand and pulled away, replying calmly, "Professor Zeng, asking questions is one thing, but we're both men, there's no need to get physical."

Then he took a step back, creating some distance between himself and Zeng Quanming, and stopped speaking, handing over the right to speak to Deng Yong and Liu Huanglong.

Deng Yong moved closer when Zeng Quanming made his move, and continued walking even after Fang Ziye withdrew: "The time is hard to estimate. Let's start with a four-hour procedure. If it doesn't work, we can add another injection."

The duration of pain relief during nerve block anesthesia can vary from several hours to several days, depending on the dosage and administration site.

Of course, the main purpose of such pain relief is anesthesia, not postoperative pain relief, so it doesn't need to be maintained for several days.

If the dosage is too high, the anesthetic drug will also anesthetize motor functions after it spreads.

"As long as the critical procedures can be completed, the timing of the subsequent procedures, even if we switch to general anesthesia, doesn't matter. The most important thing is to determine the interaction of motor functions during the surgery." Deng Yong had discussed this with Fang Ziye in advance, so he was aware of the possible changes in anesthesia.

After saying that, Deng Yong looked at Zeng Quanming and said, "Director Zeng, your habit of resorting to violence at the drop of a hat is not good."

"Fang Ziye, my student, this isn't the first time you've met him."

Zeng Quanming's eyelids trembled, but his gaze remained fixed on Fang Ziye, and his left and right hands involuntarily twitched a few times.

"Sigh..." She sighed softly, suppressing all her emotions.

His heart was in turmoil: He thought that he had already gotten a great deal by snatching Luo Tingzhu from the trauma surgery department. Deng Yong was very easy to talk to, which made Zeng Quanming feel a sense of joy at having gained a beloved disciple.

The transformation of a skilled surgeon into anesthesiologist greatly benefits the technique of puncture-block anesthesia. In less than half a month, Luo Tingzhu had thoroughly humiliated his former student, Huang Xinuo, to the point of questioning his existence.

Zeng Quanming felt he had found a rare treasure with such talent, and that Luo Tingzhu's expertise in anesthesia would definitely be no less than that of the professors at Tongji and Xiehe Universities.

With such a student, one's legacy and philosophy can be passed on to future generations.

but?
I thought Luo Tingzhu was the pinnacle, but unexpectedly, an even more 'crazy' seed has emerged from the trauma surgery department.

The key point is that this seed, which I am from within the hospital, was not even the first-choice "discoverer." It was Professor Xu Long from Xiangya Hospital who traveled all the way from Shashi to Wuhan to reach some kind of "agreement" with Fang Ziye!
Fuck your sister, if you have that kind of skill, just tell me directly.

You went and called a professor from Xiangya Hospital to stand in your way. Are you looking down on our anesthesiology department?

Can't I afford to pay you a certain price?

However, Fang Ziye was a trauma surgeon, not a student or employee of the anesthesiology system, and therefore not under Zeng Quanming's jurisdiction...

Naturally, Zeng Quanming had considered not fighting, but seeing Deng Yong and Yuan Weihong, a group of burly men from the trauma surgery department, and realizing he was just a pockmarked anesthesiologist...

"Sigh!" Zeng Quanming sighed again.

Upon hearing this, Luo Tingzhu, who had moved aside from the ultrasound monitoring position, cleverly understood Zeng Quanming's gaze. She gently and cutely nudged Zeng Quanming's elbow with her own, and said in a low voice, "Teacher, Dr. Fang is my boyfriend, don't be disappointed."

Oh open?

Zeng Quanming made a near 90-degree turn, as if he were making a left turn during military training. He raised his upper eyelids, and a glint of light flashed in his eyes.

Luo Tingzhu's voice was like a torrent of celestial nectar pouring down, refreshing the soul like a hot spring or icy dew.

Yeah!

If I don't have Fang Ziye, I still have Luo Tingzhu!
Luo Tingzhu is from Sichuan and Chongqing, and she is a girl from Sichuan and Chongqing. It is said that girls from Sichuan and Chongqing are particularly experienced in housekeeping.

It is said that currently only one "strong" emperor can break the shackles of women in Sichuan and Chongqing, and all other men regret it and have been tortured into being docile and adorable.

Zeng Quanming glanced at Luo Tingzhu.

Luo Tingzhu replied confidently, "Teacher, I can learn it, and I should be able to learn it!"

Zeng Quanming's mood blossomed like wildflowers covering the mountains and fields.

Professor Xu Long?

It's just a more advanced "tool." No matter how sophisticated the theory of nerve block is, without a sufficiently advanced puncture technique as a foundation, it's just playing with books all day.

Even a skilled cook cannot cook without rice, and a sage can only eat rice without cooking.

……

Xu Long was still completely unaware of all this. After administering the medication, he asked Yan Chu, "Does it hurt, Yan Chu?"

"It doesn't hurt, Grandpa Xu." Yan Chu's voice was very delicate and crisp.

“Come on, move around. Try moving your feet,” Xu Long said again.

“I can’t move anyway, Grandpa Xu!” Yan Chu said again.

"No, no, no, as long as you think about moving, I'll see if your muscles contract. Not being able to move is the result, and whether there's a prelude to moving is the cause. Just think about moving, and it's okay if you can't." Xu Long explained to Yan Chu in more precise terms.

Yan Chu cooperated!

Xu Long felt a slight contraction of the tibialis anterior muscle group and normal movement of the muscle insertion points on the medial and lateral femoral condyles.

"Okay, okay, very good, excellent."

After saying that, Xu Long poked Yan Chu's instep and sole with the needle tip: "It doesn't hurt, it doesn't hurt here either."

“It doesn’t hurt, Grandpa Xu,” Yan Chu replied.

Seeing this, Liu Huanglong said, "Start disinfection and prepare for surgery. Today is going to be a tough battle. We should try to complete the nerve transplantation and reconstruction, as well as the tendon transplantation, within four hours..."

After Liu Huanglong gave the order, Deng Yong, Fang Ziye, and Yuan Weihong immediately went out to wash their hands.

As he was leaving, Yuan Weihong called out to his men: "Yan Zhiming, wash your hands and come up to the operating room. Everyone else, be ready to go up at any time. Unless there is a special reason, you are not allowed to leave the operating room."

Upon hearing this, Yan Zhiming immediately followed the team out of the operating room.

The subsequent disinfection and towel-laying procedures were completed very smoothly.

After the sterile dressing was wrapped around Yan Chu's affected limb, Liu Huanglong gently patted Yan Chu's leg: "Rest for a bit. You absolutely cannot move this leg. If you want to move it, or if you feel uncomfortable and want to change your position!"

"Please remember, please remember the exit reminder: you can call him Grandpa Xu Long or Sister Tingzhu, it's all fine!"

"Do you understand? Yan Chu, this is very important!"

"You're almost an adult now, you can understand what we're saying. Otherwise, if you move around during the surgery and damage healthy tissue, the surgery might fail!"

Even though Yan Chu was underage, Liu Huanglong repeatedly warned him against it, even though he was close to making a promise!

While motor-sensory separation anesthesia is desirable, the patient's absolute cooperation and quietness, as well as their constant interaction with the surgeon, are extremely important.

If the patient moves even slightly without realizing it, such as lifting their leg, the scalpel could cut directly into the joint surface... and the entire surgery would be over!

"Okay, I'll definitely be a good boy and listen to you." Yan Chu didn't move.

"Tingzhu, please make sure to communicate and interact with her more, comfort her, and always remind her to report any discomfort she may experience."

"If the patient doesn't cooperate, be prepared for general anesthesia at any time. We'd rather forgo any intraoperative interaction than cause harm to the patient," Liu Huanglong said solemnly.

"Okay, Professor Liu!"

"Is the tourniquet working?" Liu Huanglong asked the patrolman.

"They're working, the current air pressure is 60, 90 min!" the circulating nurse reported.

"At 8:47 a.m. sharp, the skin incision will begin!"

Then, without hesitation and with complete absorption, Liu Huanglong first used a knife to cut open the scar tissue at Yan Chu's ankle joint.

With the help of a tourniquet, the bleeding was not excessive!
Deng Yong and Fang Ziye, one quickly used a negative pressure suction device to aspirate, while the other blindly wiped with a sterile cotton pad.

Liu Huanglong said, "Ziye, after I open up the stump of the anterior tibial nerve, we will perform the surgery separately."

"I'll be responsible for finding a vascularized nerve flap for transplantation, while you'll be responsible for further debridement, cleaning up the scar tissue at the normal anatomical structure of the nerve using debridement techniques!"

"First, we need to reconstruct the neural anatomy before we can talk about nerve transplantation."

"Secondly, you should also remove the branches of the blood vessels as needed. I have already discussed this in detail with Professor Deng Yong, and he will give you guidance."

"Thirdly, you need to reshape the muscles."

"After the previous muscle tissue and scars healed, there would definitely be local hypertrophic scarring. The patient was unable to move in the early stages because the muscles were likely adhered due to scar hyperplasia!"

"Release technique is also a type of incision technique; you must completely release it."

"Fourth, the patient has some bone defects, such as talus defects and cuboid bone defects. These will require the work of you, Dr. Yuan, and Professor Deng."

"Bones are the support for movement; without the support of bones, there is no way to talk about movement."

"Fifth, the anatomical structure of the patient's joint replacement site is not actually damaged much. The more important part is the muscles of the foot, which is the focus of our surgery. We may need to take artificial tendons or biological tendons to perform tendon reconstruction and weaving surgery..."

"So, although the scope of this surgery is not large, the amount of work involved is actually very, very large."

"Completing so much within four hours is extremely rushed!" Liu Huanglong is a very cautious person. He would rather waste a lot of time arranging surgeries before they begin than split up and work separately.

After seeing everyone nod, Liu Huanglong continued to look down and began searching for the anterior tibial nerve. He wanted to use the proximal nerve as the starting point for functional reconstruction after this super complex trauma surgery.

Finding anatomical structures, especially nerves, is a piece of cake for Liu Huanglong.

In just a few minutes, Liu Huanglong twisted out the stump of the protruding anterior tibial nerve and carefully placed it aside.

"Without nerve retractors, nerve retractors offer no protection for such nerve stumps."

"I have separated the anterior tibial nerve. I will leave the rest of the operation to you, Ziye, for now."

"Dr. Yuan, let's go to the other side to retrieve the nerve donor." Liu Huanglong said and led his team away without hesitation.

Nerve transplantation, as the name suggests, involves severing one nerve and transplanting it onto another nerve to allow it to function. It involves a donor and a recipient.

Autologous nerve transplantation can minimize the risk of immune transplantation reactions.

Donors often use minor cutaneous nerves from their own bodies to repair digital nerves or other larger nerves. Commonly used nerves include the sural nerve, saphenous nerve, medial forearm cutaneous nerve, lateral femoral cutaneous nerve, and superficial branch of the radial nerve.

The sural nerve on the affected side is definitely not suitable for immediate removal, but the sural nerve, saphenous nerve, and lateral femoral cutaneous nerve on the healthy side of the lower limb are preferred donor materials.

Although removing these parts will cause functional impairment on the healthy side, the local sensory impairment is relatively minor compared to motor impairment.

After Liu Huanglong left, Deng Yong sat in Liu Huanglong's previous seat and said to Fang Ziye, "During the last surgery, we actually cleared the passage of the anterior tibial nerve, but scar tissue proliferated again. But this is a good thing because there is also local fat and microvascular proliferation, which can provide a soft tissue bed for subsequent nerve transplantation."

"Otherwise, if it were her soft tissue that was initially injured, even if nerve suturing was done in the first stage, it would still cause compression due to scar hyperplasia."

"Scars are certainly unsightly, but often their purpose is to repair. Making good use of scars, removing some and leaving some, is one of the viable methods of reconstructive surgery."

"It's a pity that bone reconstruction surgery doesn't have bone scars to use, otherwise, we could use a similar concept to make bone graft materials for our bone defects."

Fang Ziye nodded slightly: "Yes, that's right."

"If there were a place where we could grow our own bone as a transplant material, then we might not have to worry about even the largest bone defects."

"Master, pull the retractor open a little, I'm going to start cleaning the wound. Here, we can't remove all the scar tissue; we need to remove a portion and leave some behind—it's like we're digging a channel!"

"I need a broader perspective."

Deng Yong nodded, adjusted Yan Zhiming's retractor angle with his left hand, and then glanced at the operating room: "Yuanpei, wash your hands and get on the operating table. Call someone else to come down and help."

It's obvious that the previous five people couldn't stretch their legs properly, and with the current five, it's clear that there aren't enough people.

Li Yuanpei quickly went out to wash his hands.

Even Luo Tingzhu, after comforting Professor Zeng Quanming of the Anesthesiology Department and turning his worries into smiles, stood by the operating table to watch.

It is evident that the soft tissue below Yan Chu's calves is currently mostly scar tissue, with very little or no fat, vascular network, mesentery, etc.

If the soft tissue layer of an ordinary person is fertile land, then this place cannot even bear the weight of barren soil.

Fang Ziye had to clear out channels for nerves and tendons within the scar tissue, which was even more difficult than clearing land!
Clearing land is all about physical labor; if one stroke of the hoe isn't enough, try ten. Surgery is different.

"Should we use electrocautery?" After Fang Ziye started the procedure, Deng Yong, who was on the other side, noticed that there was a lot of bleeding in the area after the scar was cut open, which would affect the surgical field, so he made the suggestion.

"No."

Fang Ziye shook his head. "Although an electrocautery knife can cut open and stop the bleeding, it will damage the local blood supply. Yan Chu's current blood supply, apart from the main blood vessels, relies on these local capillary networks."

"Take it slow! With the tourniquet, the bleeding won't be much."

"Wipe it clean, Senior Brother Yan." Fang Ziye had toothed tweezers in his left hand and a round knife in his right, so he was too busy to do anything else.

Yan Zhiming actually had something in his hands as well. He temporarily put down the suction device and began to wipe the surgical field with a large sterile cotton pad. After the blood turned red, he quickly left.

Then, Fang Ziye used the knife in his hand like a hoe to clear land, cutting little by little, digging out ditches to draw water, and then digging out irrigation channels.

"Hemostats..."

"A sharp knife!"

"..."

At one point during the operation, even the well-informed Deng Yong couldn't help but shudder slightly and gasp.

"Hi!~"

Upon hearing this, Fang Ziye slightly sheathed the knife in his hand, lifted it away from the operating field, looked at Deng Yong, and asked in a low, calm but serious voice, "Master, is there a problem?"

Fang Ziye was confident that his operation was flawless.

But Deng Yong was, after all, his mentor, with rich experience, profound theoretical knowledge, and extensive knowledge.

Fang Ziye's current strength lies in practical skills; his theoretical knowledge is not yet particularly profound. Compared to the five levels of theory in vascular surgery, Fang Ziye's trauma surgery is more like a baby in swaddling clothes.

This is the direction Fang Ziye will be focusing on next.

Actually, Fang Ziye's skill tree is a bit skewed, not because he did it on purpose, but mainly to prepare for unforeseen circumstances.

To put it simply, without these skewed skill trees, Fang Ziye might have already handled several death or disability cases!

So actually, it's still a matter of not having enough knowledge, or being too poor!
"You continue. I'll shut up!" Deng Yong said, pursing his lips.

Then he nodded slightly to Liu Huanglong, who had turned around, to apologize.

As a professor with a senior professional title, it was truly inappropriate for him to lose his composure during the surgery and disturb his student's operation by making noise.

But mainly, Fang Ziye's previous debridement techniques were simply not applicable, as there weren't enough miscellaneous 'diseases' for him to fully utilize. Therefore, Deng Yong mistakenly thought that Fang Ziye's debridement techniques were just so-so.

Even the best-in-class wound cleaning techniques are nothing special.

However, this is not the case.

The frog in the well is narrow-minded not because it's a frog, but because it's at the bottom of a well. If a giant sea turtle were at the bottom of the well, and the frog were on land, then the idiom would become "a turtle at the bottom of a well."

The frog's eyes themselves are fine.

Similarly, Fang Ziye's technology is also like that.

The trauma surgery department at Zhongnan Hospital rarely performs emergency surgeries. Even when they do, they are usually simple emergencies!

Just as no wealthy person flaunts their wealth by buying bottled water, Fang Ziye wouldn't demonstrate his debridement skills on a patient with a simple minor trauma.

Liu Huanglong didn't say anything, but kept his head down and asked Yuan Weihong across from him in a low voice, "Dr. Yuan, what are your truest feelings about having such an apprentice?"

"You can just say it directly, I've also cursed dogs." Liu Huanglong frankly admitted his inner thoughts.

During their encounter in the training room, Liu Huanglong coincidentally recognized Fang Ziye. After using Fang Ziye as a reason to politely decline Professor Ni Yaoping's invitation, he fell head over heels into the quagmire of Fang Ziye and could not extricate himself.

All the 'pride,' achievements, and professional skills accumulated in the past, except for scientific research achievements which remain as solid as Mount Tai, have been shattered by Fang Ziye.

Yuan Weihong glanced at Liu Huanglong, and after confirming that Liu Huanglong wasn't joking, he cautiously replied: "First came relief, then pride, then confusion, then panic, and now, calm..."

"No matter how you look at it, he was once my student."

Liu Huanglong then changed the subject, saying, "Dr. Yuan's temperament has become much more restrained."

Yuan Weihong cursed inwardly, "Go to hell!"

Weren't we having a serious conversation? You're changing your mind a bit too quickly.

But Liu Huanglong is a professor and a recipient of the National Science Fund for Distinguished Young Scholars. When facing Liu Huanglong, Yuan Weihong can only show more respect than Han Yuanxiao, second only to Deng Yong!

"I dare not be presumptuous in front of Professor Liu. I hope that Professor Liu will not hesitate to give me guidance in the future. In my heart, you are not only my senior brother, but also my elder brother and my teacher." Yuan Weihong was naturally a shrewd person who only bullied those who were easy to bully.

When faced with something you can't bully, quickly lower your worthless head instead of your arrogant one.

She has such a sweet tongue!

Liu Huanglong instantly felt bored and stopped talking.

……

"Hmm!~ Hmm!~ Hmm hmm..." In Fang Ziye's operating room, Deng Yong seemed to have caught a cold, constantly clearing his throat, his expression a mixture of excitement, unease, and extreme excitement.

Yan Zhiming couldn't quite understand the difficulty of Fang Ziye's operation, only feeling that he couldn't complete it. But hearing his teacher Deng Yong's loss of composure, he would occasionally seize the opportunity to ask, "Ziye, would this kind of debridement technique be applicable in ordinary emergency surgery?"

"In the training room, the debridement technique is limited to tofu and is only demonstrated through manual techniques. However, it seems that there are no corresponding consumables for this type of scar tissue in the training room at present?"

Yan Zhiming naturally didn't have the same high standards as Deng Yong. In his opinion, it was already impressive enough if the materials in the training room could pass through.

No matter how hard Yan Zhiming tried to find the corresponding materials for the debridement technique, he could not match them with the debridement technique that Fang Ziye was currently performing.

“Senior Brother Yan, it’s naturally applicable to emergency surgery as well. As for the corresponding practice materials, let’s talk about that later. Some techniques can’t be learned simply by practicing with materials.” Fang Ziye answered cautiously, without looking up, and continued the surgery meticulously.

"Huh?" Yan Zhiming was slightly taken aback.

Deng Yong coughed again: "Hmm!~"

"Zhiming, talk less and observe more."

"Ziye's wound cleaning skills are something you can't learn just by practicing in the training room."

"Not all technical skills can be mastered through practice rooms; some skills require clinical training. Of course, not all skills can be mastered through extensive clinical repetition; it also depends on a certain amount of talent and comprehension."

Only then can we get past that iron bolt!

“Those who lack talent will only face a dead end,” Deng Yong said, glancing in Liu Huanglong’s direction.

Liu Huanglong's current abilities are essentially locked outside this iron gate, unable to advance even an inch.

However, Liu Huanglong's talent is undeniable. Compared to Liu Huanglong, who is also 37 years old, Deng Yong is just a younger brother.

Forty-nine-year-old Deng Yong was no more than a 'brother' in front of Liu Huanglong; they were equals.

Yan Zhiming swallowed twice and stopped talking.

This was the first time Yan Zhiming had heard Deng Yong talk about Fang Ziye's pure talent; of course, Yan Zhiming had already anticipated it.

Everyone in the department thought Fang Ziye's talent was comparable to that of the genius senior surgeon, Dr. Wu.

Fang Ziye also has the opportunity to graduate from his undergraduate degree and stand at the top of the world within ten years.

Back then, Mr. Wu graduated from university at the age of 27, and at the age of 37, he stood at the highest peak in the world!

Fang Ziye graduated with a bachelor's degree at the age of 23 and is now 28, nearly five years after graduation.

But even if it's only five years, just half of Wu Lao's time, if Fang Ziye's talent is average, only half of Wu Lao's level, or even less than half, only a third of his level, he can still stand out among his peers!

It can even deliver a devastating blow to older generations.

Fang Ziye's mentors Yuan Weihong and Qin Geluo, and even if Associate Professor Xie Jinyuan were still alive today, he could only sigh with regret upon seeing Fang Ziye.

Looking at his mentor, Professor Deng Yong, he needed to cough constantly in front of Fang Ziye to relieve his inner 'depression'.

Yan Zhiming was inwardly horrified, but his expression remained calm. He dared not disturb Fang Ziye, though his thoughts were slightly adrift.

People of the same age can have different fates.

Someone like Fang Ziye would absolutely be someone the founding father of surgery would have to chase after and feed.

After an unknown amount of time, Fang Ziye turned his head and said to Professor Liu Huanglong, "Professor Liu, the nerve we implanted earlier seems to still be there, and it might still be functional!"

Fang Ziye's tone carried a hint of joy.

The damage caused the nerves in the middle stage to be crushed, necrotic, broken, and fused, rendering them unusable. However, Liu Huanglong used a special method to 'bury' the two ends of the fused parts.

Liu Huanglong didn't even look up: "It's good that we found it. If the neural implants can't even survive, then my professorship is just a facade."

Liu Huanglong's calm tone silenced everyone in the operating room.

Even Xu Long, who was visiting Zhongnan Hospital from Xiangya Hospital, couldn't bear to raise an eyebrow.

"Professor? Full professor?" Xu Long asked Zeng Quanming.

Associate professors and professors are generally referred to as professors, without the emphasis on the word "associate".

Just like how no one would actually call a vice dean "vice dean".

Zeng Quanming knew the situation: "He is a professor, a 36-year-old full professor, a recipient of the Outstanding Young Scientist award, and was formerly the next successor in the hand surgery department of Peking Union Medical College Hospital."

"He was poached." Zeng Quanming was in a very good mood and talked about all sorts of gossip.

With Luo Tingzhu as his beloved student, there's no need to worry about Fang Ziye being able to break free of his grasp. He still prefers the Department of Anesthesiology and wants to share more research topics with the Department of Anesthesiology and Zeng Quanming.

Xu Long's eyes twitched rapidly: "The old guys from Peking Union Medical College Hospital didn't come to wreck our place?"

You managed to poach this 37-year-old outstanding young talent, didn't you fight?
This is a huge grudge!
If Xu Long were to be poached by the 37-year-old outstanding young scientist from the Department of Anesthesiology at Xiangya Hospital, he would definitely have a friendly physical interaction with the head of the sister hospital.

"That can't be."

“Professor Liu used to be a student at our Zhongnan Hospital, and now this is like him coming home,” Zeng Quanming continued.

Xu Long understood in an instant: "Your Zhongnan Hospital is quite mysterious..."

Why would someone with Liu Huanglong's talent leave?
Every senior member of the hand surgery department at Zhongnan Hospital bears some responsibility.

There must be some rotten, unsavory stuff going on.

Zeng Quanming had always treated him with courtesy, but when Xu Long started to speak sarcastically about the unit, Zeng Quanming blurted out, "It's still a bit inferior to the Central South University where Professor Xu works."

Zhongnan Hospital is an affiliated hospital of Wuhan University.

Xiangya Hospital is an affiliated hospital of Central South University.

The two "Central and Southern" are not the same thing at all.

"You!~" Xu Long bristled like a hedgehog, his eyes widening.

"I'm sorry, Professor Xu, I'm sorry, I misspoke." Zeng Quanming quickly apologized.

That's how it is in society. You have to treat experts from other departments with respect. Even if they speak rudely first, you can't directly retort. That's not how you treat a guest...

Taking the opportunity, Luo Tingzhu, who was standing obediently to the side, began to ask in a soft voice: "Teacher Xu, I am a student who signed up for your private tutoring class. My name is Luo Tingzhu. A few days ago, you suddenly canceled the training class, which made me very disappointed."

"I never expected to meet you here. I am Professor Zeng's student. Before preparing for the lesson, I prepared some questions. Could you please send them to your email address, Professor Xu?"

Zeng Quanming quickly steered the conversation back to the topic.

“Yes, yes, Professor Xu, my student did want to take your class, and I was the one who got the students to sign up…” Zeng Quanming said.

Xu Long glanced at Luo Tingzhu and nodded slightly: "Send it over. If you've enrolled in the class, you should already know my contact information. I'll try to sort things out for you, but I might not be able to get the right answer."

Xu Long politely declined.

But then suddenly, Deng Yong coughed on stage.

"Cough! Cough! Cough, um! Um! Um!~"

"Hmm! Hmm hmm hmm! ~ Hmph! ~" Yan Zhiming, who was next to Deng Yong, was so shocked that his breathing twitched!

Liu Huanglong was taking nerves on the opposite side when he heard this, and couldn't help but stand up slightly and look up at Fang Ziye's surgical field.

He was so trembling that he did a few tap dance moves and blurted out, "Holy crap?"

(End of this chapter)