top student at medical school

After leaving the operating room, Chen Guofeng stared intently at Fang Ziye's hands. After remaining silent for nearly half an hour, Chen Guofeng finally asked in a low voice, "Professor Fang, could I take a look at your hands?"

After watching Fang Ziye's hemostasis procedure on stage, Chen Guofeng initially thought that Fang had solid basic skills. After learning more about it, he felt that the mystery had been cleared up. However, upon closer inspection, he was terrified.

Fang Ziye generously extended his hands.

Chen Guofeng examined it like a piece of glass, turning it over from side to side before pausing slightly. His tone was serious: "Professor Fang, what happened here? Were you injured?"

Chen Guofeng was stroking the fine scars on Fang Ziye's right hand fingers.

“That happened a few months ago, in Enshi.” Fang Ziye nodded with a smile. “I’m feeling fine now.”

"Who did it?" The fire in Enshi had a huge impact on the city, but not everyone in Hubei Province was paying close attention to the details.

Chen Guofeng instinctively thought it might be a medical dispute.

"I was grazed by something at the rescue site, but it's nothing serious. Thank you for your concern, Professor Chen." Fang Ziye withdrew his hand.

Chen Guofeng was silent for a while, his hand still frozen in mid-air: "Then Professor Fang, you still need to protect them well in the future."

"These hands are worth more than ten thousand taels of gold."

"It may be even more substantial."

The past is gone and cannot be retrieved; it has already happened and left its mark. The facts cannot be changed, so Chen Guofeng can only wish Fang Ziye well for the future.

"Yes, Teacher Chen, I also rely on these hands to make a living; they are my secure livelihood!" Fang Ziye clenched his fist.

Chen Guofeng was of medium build, with severe freckles on his face, but this did not diminish his spirited demeanor in the slightest. At this moment, Chen Guofeng slowly took a step forward and asked, seemingly intentionally, yet also unintentionally, "Professor Fang's basic skills are already at a very, very high level, at least as high as four or five stories, right?"

Chen Guofeng was using surgical imagery to probe Fang Ziye's true intentions.

"It's alright, I was lucky," Fang Ziye said.

Chen Guofeng said, "Anyone who can get to that point needs a bit of luck. Luck is also a kind of strength, whether it's predetermined by heaven or a special opportunity."

"But without prior accumulation, even if good fortune comes, it will be suppressed."

"Tsk tsk tsk, Professor Fang is only in his thirties, yet he has already achieved such accomplishments and accumulated knowledge. His future is truly immeasurable..."

Chen Guofeng finds it hard to imagine what level he can reach and what achievements he can make with the basic skills of a national champion in his thirties.

As far as he knew, the most famous surgeons in modern China, those who had reached that level of skill, were already thirty-six or thirty-seven years old.

Very few, the most famous being Academician Chen Zhongwei, who at the age of thirty-seven had already reached the pinnacle both domestically and internationally, relying on his strong fundamental skills.

If your basic skills don't reach that level, you can't even talk about looking down on the top of the world.

Based on this calculation, Academician Chen would have to be around 36 or 37 years old to reach the national level of skill, while Fang Ziye is reportedly not even 35...

"Teacher Chen, the future is too far away and too long."

"Even the most outstanding teachers need a strong team to support them; a single tree cannot make a forest."

"Therefore, I have always only focused on the present, occasionally indulging in wishful thinking, but I am not attached to the future."

Looking back on this journey, I feel that I didn't live some of the stages steadily enough, and I moved too fast.

“Looking ahead, I realize that some procedures are cumbersome, and I’m all alone, so I need help even more,” Fang Ziye replied frankly.

Fang Ziye acknowledged his excellence and brilliance, but excellence and brilliance also require the help of others to steadily move forward step by step.

Otherwise, if you have to do everything yourself, you'll eventually be exhausted.

Fang Ziye's words are not difficult to understand, but it is a bit strange that they come from someone of Fang Ziye's age.

But Chen Guofeng was also a man of experience. As he walked forward, he chuckled softly. Perhaps Fang Ziye's youthful talent had rekindled his spirits: "There is beauty in climbing high, looking down on all the mountains and feeling as if you can pluck the stars from the sky."

"But as the ancients said, Chang'e should regret stealing the elixir, her heart yearning for the blue sea and sky every night."

"This path is destined to lead to loneliness."

"Those who have trekked halfway up the mountain can only look back to have a relatively commanding view, but they may never see the top."

"But if you look around, you'll find a few people with you. You can find someone to drink with, and you can also make a few close friends. You can talk about your true feelings, complain, brag, chat, and joke around."

"The distances we can measure with our own feet are limited, and our knowledge is ultimately fixed."

"Each is beautiful in its own way."

"It's hard to make real friends if you stand out from the crowd. If you find chatting with others boring, the flock will think you're a weirdo."

"Once you've gone this far, there's no turning back."

Professor Chen Guofeng, relying on the Department of Hepatobiliary Surgery at Zhongnan Hospital, has a broader perspective, more insights, and more life experiences.

Fang Ziye remained silent, pondering Professor Chen Guofeng's words, and his pace slowed slightly.

There's no rush to save him now, so we can take it easy.

Chen Guofeng looked back at Fang Ziye and said again, "Many people admire the martial arts world in stories, but they can't experience the Tao in reality."

"The dreamlike prosperity and fragmentation of the real world are no less significant than any storybook; in fact, they are far more profound."

Do you think what I'm saying makes sense?

Fang Ziye nodded and gave Chen Guofeng a thumbs up: "Professor Chen's insights are brilliant; you've truly grasped the essence of the book."

Chen Guofeng shook his head: "How could I have thoroughly studied the books? I've just gotten used to admitting defeat!"

"The saying goes that at forty one is no longer perplexed. No longer perplexed means having gained insight into the impermanence of life."

"Professor Fang, don't dwell too much on what I said. The principle is just that—it may sound profound, but once you experience it, it's really just that simple."

"Any path, in the end, may lead to a classic understanding in reality, and then return to the classics, worship the classics, and revere the classics."

"The Tao we understand in modern times is different from that of the ancients, but the state of mind is similar."

"As long as there are no gods or Buddhas, the so-called Tao will always remain mysterious and profound. It's just that many people have labeled it with different tags."

"We've talked a bit too much. We've arrived at the emergency room. Let's go in. We've already gone through the consultation process, so we should at least go through the formalities."

Hospital-wide consultations cannot be requested arbitrarily. Once an application is made and the medical affairs department contacts the appropriate person, a record must be kept.

However, the essence of a hospital-wide consultation is to save lives, not just a group of people sitting around having a meeting. It is essential to see the patient in person.

The new hospital campus had just opened, and this was the first time the entire emergency department had held a joint consultation. Therefore, Director Zheng Jiong of the Medical Affairs Department personally took charge and led a team to the emergency resuscitation room.

Upon arriving, upon hearing that the patient had been transferred to the operating room for emergency treatment, they did not resort to the simplistic and comical method of pulling the patient out of the operating room.

Upon seeing Chen Guofeng, Zheng Jiong quickly asked, "Professor Chen, how is the patient's condition now? Is a general consultation all we need? We don't need any further discussion, right?"

The phrase "whether someone is dead or not" can be expressed in different ways.

The system of discussing death cases is also one of the basic systems in hospital operation.

"Currently, the patient's condition has stabilized. If he can survive the surgery without experiencing sudden events such as arrhythmia or uncontrollable myocardial infarction, he should be able to live," Chen Guofeng replied.

"Currently, professors from many specialties, such as cardiac surgery and cardiology, are personally participating in the rescue at the operating table in the operating room."

"The patient's injuries involved a wide range of areas, including hepatobiliary surgery, thoracic surgery, vascular surgery, gastrointestinal surgery, orthopedics, and other departments."

"Currently, the repair surgery is still being carried out intensively in the operating room."

"The initial life support work has been completed..."

Life support is the most basic, but also the most important. Without life support, everything else is nonsense.

However, the presence of vital signs does not mean that a patient can live indefinitely, and even if they survive, it does not mean that they can live a better life.

Some patients, even if they are successfully resuscitated, may still suffer from hemiplegia or become vegetative...

But no matter what, you have to survive first.

When a person is dead, the word "health" becomes even less relevant.

Whether someone can live a good life is not something that can be determined by one person or one surgery.

While Chen Guofeng was speaking, Deng Zhi from the surgical department was instructing the master's students in his department to record the hospital-wide consultation discussion.

Meanwhile, the recorder brought by Zheng Jiong was also transcribing Chen Guofeng's speech.

When Zheng Jiong looked at Fang Ziye, Fang Ziye said, "Director Zheng, this patient was seriously injured when he was admitted to the hospital."

"Open active injury to the abdominal aorta and right femoral artery, as well as pelvic hematoma, retromembranous hematoma, celiac trunk injury, liver rupture, spleen rupture, right kidney rupture, and multiple lacerations to both lower limbs..."

"Currently, after initial emergency treatment, we have completed the hemostasis work."

"At present, our orthopedic department is to stop the bleeding, clean the wound, cover the wound with VAC for a while, and provide continuous negative pressure drainage until the patient's vital signs are stable before performing limb-sparing and reconstruction surgery."

"Our orthopedics department has completed the removal of the hematoma in the pelvis and the treatment of arterial and venous injuries in the pelvis. In other aspects, our orthopedics department is considering prioritizing vital sign support, intensive care, infection prevention, and treatment of injuries to organs such as the lungs, liver, gallbladder, kidneys, spleen, and intestines."

"Based on the treatment results from the relevant specialists and the patient's prognosis, we will proceed with further treatment as needed."

"If the patient's condition is not good after surgery, and the injury to both lower limbs affects the patient's vital signs, amputation can be applied for directly."

"Saving lives is more important than saving limbs."

The patient's lower limb injuries are not particularly severe, so limb-sparing surgery can definitely be performed.

But his priority now is not saving his limb, but saving his life.

Zheng Jiong believed in Fang Ziye's skills and said, "Let's try our best. As long as other specialists can stabilize the patient's vital signs, I believe Professor Fang is very capable of helping him get back on his feet."

"It's just that the priorities for handling them are different."

"Thank you for your hard work, Professor Chen and Professor Fang."

"It's good that the patient's surgery is still in progress!" Zheng Jiong slowly breathed a sigh of relief.

The significance of the hospital-wide consultation lies in saving lives. The patient is no longer in immediate danger, and the fact that Chen Guofeng and Fang Ziye have both left the operating room means that the patient has already passed the most dangerous stage.

"Deng Zhi, please write down Professor Fang's orthopedic opinion in detail!"

"It should be recorded in the medical record. According to Professor Fang's assessment, this patient's legs may not be salvageable on the way here, but we need to leave a record of what we do."

"We must explain to the patient's family that we can't save the leg right now, we can only save the patient's life first!!" Chen Guofeng wasn't shirking responsibility, he just wanted to have a medical record to prevent the patient from causing trouble for Fang Ziye in the future.

Amputation is certainly painful, but the prerequisite for limb preservation is to save one's life.

Forcing someone to be insured when they are not suitable is gambling with the patient's life. Before family members arrive at the hospital, the on-call staff can temporarily authorize surgery to save the patient's life.

However, it is still necessary to explain and communicate with the patient's family after the surgery.

In this communication process, the primary guarantee is that the procedures remain legal and compliant within the bounds of the law.

"Thank you, Professor Chen," Fang Ziye said.

Leaving evidence and records is the first essential principle for navigating the system, and it's a lesson that anyone who has worked in a hospital for many years will learn.

Chen Guofeng continued, "Director Zheng, actually, the patient's injury was extremely critical."

"I'm not doing this to set a benchmark or anything. If he really survives, we can write a high-quality news report by recording his injuries in detail."

"Similarly, this case can be documented and shown to our colleagues in the emergency department."

Upon hearing this, Zheng Jiong's eyes darted around a few times, and he asked with a slightly typical expression, "Is it really that typical?"

"Atypical!"

"But the more atypical the surviving patients are, the more worthwhile they are to report. Although the average person may not understand them, those who do will be quite astonished."

"Anyway, this is my suggestion: whether the medical affairs department is willing to work with the publicity department to publish a report. Our cases all need to be reported."

Case reports are one of the components of a research paper.

However, this term comes from English and is translated into Chinese as "case report." Professionals generally prefer to use "case" instead, as it sounds more natural.

“Okay, let’s wait for the results. It’s not good to have too high expectations right now.” Zheng Jiong’s considerations differed from Chen Guofeng’s.

Now that the new campus has just opened, the priority is not to make a name for itself, but to stabilize the situation, get the new campus on the right track, and minimize or even eliminate mistakes.

Fang Ziye continued, "Professor Chen, Director Zheng, the general consultation here is almost over. If any further details are needed, our orthopedic resident will provide supplementary information."

"I'll head back to the operating room now. If there's any further need, I can get there as soon as possible."

“Okay!” Chen Guofeng nodded.

He continued to explain to Zheng Jiong, "Professor Fang's skills, even if they're not in the same operating room, are like an extra layer of insurance when he's in the operating room."

"Director Zheng."

Zheng Jiong looked at Chen Guofeng with a half-smile, thinking to himself, "You're only finding out now?"
He looked at Fang Ziye and said, "Professor Fang, go ahead and do your work! Keep in touch when you have time."

Zheng Jiong immediately added, "I'll contact you using my personal number."

As the director of the medical affairs department, it's not a good thing for Zheng Jiong to contact a particular person.

For example, Fang Ziye, as a doctor, would find it inappropriate to say things like "Let's meet again in the future" when a patient is discharged from the hospital.

Fang Ziye left gracefully.

Chen Guofeng watched Fang Ziye's retreating figure and sighed softly, "What a pity, Professor Fang isn't one of us in the hepatobiliary surgery department."

"Dean Wang has a keen eye, but I don't know why he didn't snatch it."

Zheng Jiong then said, "Professor Chen, he's an orthopedic specialist! Why did you snatch him away?"

"Are any of those gangsters easy to mess with? They're all big and burly, with terrible tempers, and they really do know how to fight."

Chen Guofeng opened and closed his mouth for a while, then didn't bring up similar suggestions again.

Because Zheng Jiong was right, the orthopedic surgeons at Zhongnan Hospital, both this generation and the previous generation, have never backed down when it comes to taking action.

However, I've heard that almost every hospital's orthopedics department is fearless in the face of such cases.

I don't know if it's because the medical dispute rate is too high, fighting has become a habit, or if it's because of this physical-centric mentality that people want to use force to suppress others.

Moreover, in a fight with an orthopedic surgeon, very few people can gain the upper hand. On the contrary, you might accidentally dislocate something like your arm.

Chen Guofeng suddenly remembered something and asked, "Director Zheng, do you remember that there was an associate professor in the joint surgery department who dislocated Professor Long's arm in the breast and thyroid surgery department? His mouth was in so much pain that it was crooked for a long time."

"After the injury was repositioned, our hospital's forensic doctors couldn't even classify it as a minor injury?"

Zheng Jiong asked, "So you know Professor Chen?"

"I heard it's Professor Du Xinzhan, the former head of orthopedics. Since then, no one in our hospital has dared to mess with him."

Although he hadn't started working at the hospital yet, this legend had always been a topic of conversation within the administrative circles.

For a minor injury to be classified, there must at least be a cut or a ruptured tendon.

Or perhaps you need a 'bleed mark' on the skin to prove that he really slapped you?
But when orthopedic surgeons exploit "these loopholes," you can't even gather any evidence.

Because in society, very few people can dislocate someone's arm without leaving a mark!
Apart from orthopedics, other doctors, whether surgeons or internists, would be subject to a few days of re-education if they tried to cause pain to someone in their own field of expertise.

Except for orthopedics!

They can gracefully walk away.

Wu Yilin, the medical affairs officer who came with Zheng Jiong, whispered, "I heard a rumor circulating within the orthopedics department, but I don't know if it's true or not."

"That means if people in the orthopedics department get into a fight, they might have to go back in. Their parents have to go and apologize to them. Even after they're released, they might get beaten up by the teacher."

……

Fang Ziye naturally didn't hear these people's murmurs.

After returning to the operating room, Fang Ziye went to the operating room of the orthopedics department.

Zeng Duoqin raised his wrist to look at his watch: "Ziye, why have you been gone for so long? Haven't you eaten yet?"

"A big case came in. They rushed me straight from the emergency room to the operating room. After I finished the initial surgery, I went to the emergency department to report our orthopedic consultation." "I just felt I had been walking for too long, and I was worried that you would be concerned, so I came up first. Now I'm planning to go downstairs for a meal," Fang Ziye replied.

"Then you should go eat first. There's nothing particularly important here right now."

"The doctor on duty said that the young woman who had already had her biopsy taken back had some complaints about you, saying that you were untrustworthy," Zeng Duoqin said.

Fang Ziye was too lazy to listen to Zeng Duoqin's gossipy talk: "Teacher Zeng, I'm going to eat first..."

After finishing his meal, Fang Ziye went back up to the operating room floor. Instead of reporting to Zeng Duoqin immediately, he went to the operating room where the emergency surgery was being performed.

Only after confirming that the patient's vital signs were stable and that the surgeries performed by various specialties were proceeding smoothly could I finally relax completely.

Emergency surgeries have now completely transformed into sub-emergency surgeries. Unless a particularly outrageous accident occurs, there shouldn't be any major problems.

The occurrence of particularly bizarre accidents is unrelated to whether the patient has suffered trauma or not; it can happen to any normal person.

However, the mortality rate is higher after trauma.

Such events are unpredictable and uncontrollable...

However, as Fang Ziye's thoughts drifted, he couldn't help but think of Chen Song again.

I wondered to myself: Are such extreme events truly unpredictable and uncontrollable? Is it possible?
But soon, Fang Ziye shook his head again!

Even if it is predictable and controllable, the cost is still beyond the reach of the average person.

Moreover, if every normal person had to undergo such a "check-up" every year, it would certainly be a considerable expense.

In modern society, everyone is already under so much pressure, there's no need to create more anxiety for ourselves.

It's good, but it consumes too many social resources and the return on investment is too low.

Moreover, even if a causal relationship is discovered, it is extremely difficult to establish and maintain that relationship.

In the last Chen Song incident, Fang Ziye didn't say that Chen Song would definitely die without Fang Ziye's presence, but he certainly didn't achieve much.

……

In the trauma surgery ward, in the doctor's office.

A cold wind howled outside the glass window, while a gentle breeze blew in from inside the office, keeping the chill out.

Li Nuo, along with Feng Junfeng, Tian Yao, Hu Qingyuan, and Lin Fangzhong, conducted a very detailed preoperative discussion regarding the patient scheduled for surgery next Monday.

As Fang Ziye entered the office, Li Nuo said, "What should we do if we don't understand something? Write it down first, then look it up in the materials. If it's not in the materials either, then ask your master or senior brother."

Li Nuo leaned back in his chair, paused when he saw Fang Ziye, then stood up and said, "Look, your master, my Director Fang, has arrived."

"Master Nuo, please sit down, please sit down."

"Was this coffee saved for me?" Fang Ziye noticed that there were coffees in front of the group, and several extra bags of them, so he picked one up casually.

“Ziye, you’ve come at the right time. You said we’re going to work on this severe lower limb infection next Monday. What’s the specific approach?” Li Nuo asked directly.

Microcirculation transection using a microcirculation device is currently the hottest and most discussed topic in orthopedics, but it doesn't mean that everyone in orthopedics understands it.

For example, algorithms in programming are a relatively popular field, but that doesn't prevent some people from working in front-end development, app creation, and other related fields.

If training is to be provided, it would be necessary to start teaching from the very beginning, beginning with the concept of microcirculation transection in hand surgery.

Fang Ziye took a sip of his drink slowly before saying, "Infections can be divided into systemic infections and local infections."

"Microcirculation interruption surgery involves creating a local circulation system downstream of the systemic circulation using a microcirculation device, allowing antibiotics to exert their effects in a limited manner."

"This microcirculation transection technique is one of the basic techniques in hand surgery. It relies on a surgical procedure we use in clinical practice called high limb amputation."

"The so-called high-level limb amputation is..." Fang Ziye admitted the patient himself, and in addition to curing him, he also wanted to lead his team to start working with this type of disease.

After giving a brief explanation, Fang Ziye said, "Let's leave it at that for now. You can still provide feedback on the specific procedures, the cross-section of microcirculation transection, and its anatomical basis."

"By combining systemic anatomy, regional anatomy, and specialized anatomy, you can first experience it yourself, and then follow along slowly when you are on the operating table."

"The core concept of treatment hasn't changed much; it's still the story between sensitive antibiotics and bacteria."

"Furthermore, this patient's infection focus is relatively localized and has not reached the stage of systemic bloodstream infection with bacteremia, so it is much simpler to treat." Fang Ziye was very confident.

This patient's infection, compared to the one he encountered at the Enshi Sanatorium, was like a teenage version, a disease that hadn't fully developed yet.

Fang Ziye was very confident.

This is the cognitive gap. When there is a cognitive gap, every statement can have an overwhelming impact on newcomers.

Li Nuo was no exception.

After Fang Ziye explained his reasoning, Li Nuo gave a thumbs up and said, "So you are Director Fang, not Director Li Nuo."

"Only someone like you would dare to think this way, even if it's crazy and ingenious."

"Not only did they think about it, they also put it into practice!"

Li Nuo, fearing that Feng Junfeng and the others might not understand the brilliance of Fang Ziye's concept, added, "The concept proposed by Director Fang can be said to have clearly explained the most fundamental logic."

"In the future, no matter where you go after graduation, if you bring up this concept to others within ten years, it will definitely be considered advanced."

"It may take at least a decade or more before such a concept of microcirculation interruption becomes widely adopted in prefecture-level city hospitals. This is the lag in cutting-edge academic concepts."

Feng Junfeng and Tian Yao fell into deep thought after hearing this.

Hu Qingyuan, however, raised his hand after Li Nuo finished speaking.

"Go ahead," Fang Ziye said.

"Master, let me give you a rather extreme example."

"If an infection site is affected, the blood supply to the surrounding area may be eroded, leading to a blockage of local blood flow."

"Then the infection will occur along with the necrosis of the local skin."

“In this situation, the blood vessels are not flowing smoothly. So even if the circulation is improved, wouldn’t it not have much effect?” Hu Qingyuan’s basic skills are very solid.

He is a very intelligent person, the kind of person who has accumulated knowledge and can quickly read and understand books thoroughly.

The prerequisite for microcirculation transection is unobstructed blood flow. If local blood flow is obstructed, then performing microcirculation transection is like scratching an itch through a boot.

"So you're talking about diabetic foot!" Fang Ziye's eyes flickered, finding Hu Qingyuan a very interesting person.

Hu Qingyuan shook his head again: "Master, the pathological nature of diabetic foot is different from that of local vascular embolism caused by infection."

"The basic pathology caused by diabetes is arteriosclerosis and vascular stenosis, which leads to poor blood circulation in the feet. This is a structural problem of blood vessels."

"Local embolism caused by infection involves the formation of emboli. The structure of blood vessels will not undergo allergic reactions in the short term."

"If the pathogenesis of the two is similar, then a miniature circulation device can be directly used to treat diabetic foot, which can solve the problem of limb-sparing surgery."

This means you've truly memorized the knowledge points and thoroughly understood the book, so you can use them readily.

In other words, Hu Qingyuan's current application experience is insufficient and his operational skills are not high. Otherwise, Hu Qingyuan would definitely be a super helpful assistant.

During his previous internship, Hu Qingyuan maintained a low profile. After demonstrating his photographic memory to Fang Ziye, his mentor in life, he stopped hiding his abilities.

The research topic Fang Ziye assigned him to tormented him to the point of ecstasy, completely shattering his so-called 'genius' and 'bored' thoughts.

"So what do you think we should do?" Fang Ziye prompted appropriately.

"You don't have to stick to these clinical medical theories all the time. Just use your own understanding and think of some objective and easy-to-understand solutions."

Hu Qingyuan lacked sufficient knowledge, so Fang Ziye didn't make things difficult for him, but!
Even a layman can have a layman's way of solving problems; the point is to think and use your brain.

Whether you can do it or not is a matter of ability; whether you think about it or not is a matter of attitude.

Feng Junfeng and Tian Yao's eyes darted around rapidly as they stared at their junior brother Hu Qingyuan with slight astonishment, their gazes becoming increasingly generalized.

They only knew that Fang Ziye treated Hu Qingyuan very well, and they also knew that Hu Qingyuan's experimental operation skills had improved rapidly, but this was the first time that Hu Qingyuan's solid clinical theoretical skills had been shown to everyone.

After hearing Hu Qingyuan's words, Li Nuo staggered for a moment before breaking down again: "What kind of damn luck has your lineage had?"

"Professor Chu received Yuan Weihong, Yuan Weihong received you, and you received Hu Qingyuan."

"You've all been dubbed 'Kings of Bargains' before, haven't you?"

Li Nuo discovered that Hu Qingyuan was not simple; Hu Qingyuan had demonstrated strong communication skills during the pre-operative discussion.

The ability to express oneself clearly is the ability to articulate one's knowledge. The prerequisite for being able to express oneself clearly is that one truly understands the knowledge. Otherwise, even if you ask someone with strong communication skills to participate in a preoperative surgical discussion, they will become taciturn.

Li Nuo is now even more convinced that Fang Ziye has also struck gold.

wrong!

Hu Qingyuan wasn't someone Fang Ziye picked up; he discovered him from a group of interns and then found a way to keep him by his side.

"The most basic way of thinking."

"If there are obstructions in the middle, we'll clear them; if the existing irrigation canals are too narrow, we'll widen them!"

“But blood vessels aren’t water channels! They can’t be expanded!” Hu Qingyuan offered his idea, while also posing his own question.

"If we can't expand it, we'll build a new canal next to it."

"Human organs are not metal that can be melted down and reshaped. If they are damaged, especially organic damage, they cannot be restored to their original shape."

"At this point, we have to make sacrifices!"

"Our bodies have a very rich reserve of blood vessels. Let's build another branch road to bring the water from the canal."

"This is the most basic principle of standard diabetic foot limb-sparing surgery! ~ Do you understand?"

Hu Qingyuan nodded, his eyes lighting up.

Actually, Hu Qingyuan's simple thinking was very straightforward, and not only he understood it, but Feng Junfeng and Tian Yao also understood it.

However, those who have spent more time in clinical practice have more doubts. Feng Junfeng asked, "Master, in general, the blood vessels that are first damaged in the hyperglycemic state of diabetes are the terminal vascular network."

"Wouldn't it be too difficult to rebuild all of these one by one?"

Hu Qingyuan asked about the basic principles and how to do it.

Feng Junfeng asked about the feasibility principle: Is it possible to do this?

In the simplest sense, as long as the ladder is high enough, a person can climb to the stratosphere.

But the question is, will the ladder stand up?
"Qingyuan, these involve clinical applications. What you know more about right now is the clinical basics, the basic skills we use in practice. How to apply them in clinical practice is something you need to gradually understand through participation in the treatment of patients."

"So, you don't need to listen to what I'm about to say. Just figure out the most basic principles and combine them with your own medical foundation theory. That's enough. First, build the outermost framework."

"Your current theoretical knowledge is a jumbled mess, a clump of things. So you need to gradually build up these clumps, piece by piece, slowly constructing your own framework. Don't rush it!"

"Once the framework is fully formed, the ideas will naturally emerge."

After Fang Ziye finished explaining, he looked at Feng Junfeng again: "Junfeng, your framework is relatively comprehensive, but the details of your basic theory are not thorough enough."

"The question you just asked me, if you have a broad reading background, actually has the answer in physiology."

"Human cells have a natural need for nutrition and blood circulation."

"The microcirculation in a local area of ​​the human body can be regenerated. As long as there is a sufficient energy supply, we don't actually need to regenerate the blood vessels in the most minute local areas."

"It will form a network on its own. What we need to do is to provide such a network for local organizations, and its needs can be met..."

"Can you understand me?"

"For example, you like a girl and you want to pursue her. Or your roommate likes a girl."

"You're the wingman. You've confirmed that this girl has feelings for your roommate. So, it's your role as a doctor. We need to persuade your roommate not to give up and to think of more ways to help her."

"We can't directly matchmake them; we just need to give them enough hints."

"The experience is most perfect when he catches up with her himself."

"Of course, the human body is far simpler than human nature. Its most essential nature is to want to live, and it will do everything it can to survive."

"Therefore, when we perform limb-sparing surgery for diabetic foot, what we need to do is establish the main circulation and create a condition, rather than focusing on the details."

"I can figure out the details and organization myself!"

"This is limb-sparing surgery for diabetic foot." Fang Ziye gestured with his hands, breaking down this knowledge point from various perspectives and feeding it to his students.

Li Nuo was someone who learned something incidentally. After listening, he sighed with deep emotion: "I really wish I were ten years younger!"

"If my teacher had guided me like you, Ziye, ten years ago, I would definitely have achieved great things at a young age."

Li Nuo's mood was bleak; there was no sarcasm, no passion, it was simply a genuine expression of his true feelings.

Fang Ziye remained unmoved upon hearing this.

Even if you were ten years younger, you might not be able to find many people in the whole country with a knowledge system as well-rounded as mine.

“Brother Nuo, if you’re still thinking like this ten years from now, what if you were ten years younger, then you’ll have really missed your chance.”

"Master Nuo, what you need to do now is not simply build a skeleton, but put the already built skeleton on the patient."

“In our clinical practice, every knowledge system is definitely divided into these steps.”

Fang Ziye spoke fluently: "For example, incision technique, we first need to understand what incision technique is, how to perform incision technique, how to hold the knife, how to insert the knife, and how to withdraw the knife! ~ This is the basic theoretical knowledge."

"Further understanding is needed regarding local anatomy, including how to expose the area and how to achieve proper exposure. These are fundamental operational skills."

"But all of this is ultimately meant to be used to treat patients."

"How we learn the theoretical basics and how we learn the operational basics is not important. What is important is how we apply these two basic skills to patients and how we make the basics more solid."

"So how you learned it before is not important."

"Master Nuo, what you need to consider is how to build this side-branch loop. Even if your basic skills aren't exceptionally refined, you can still make the idea work!"

"First, talk about war on paper, then train troops according to the rules; first, put it into practice."

Li Nuo understood Fang Ziye's meaning and pouted, "I understand the logic, but do you also think..."

Li Nuo held up her little finger: "I feel a little bit resentful. Why do they, who are younger than me, have such a good platform and resources, and have such a good teacher like you?"

"It's so easy to learn."

However, Li Nuo immediately sat up straight: "But it's not too late for me. Compared to your teacher, compared to Professor Deng and the others, and even compared to Qin Geluo, I'm so damn lucky."

Seeing that Li Nuo had calmed down a bit, Fang Ziye continued the conversation: "Alright, let's continue discussing the combination of micro-truncation techniques and the basic principles of infection treatment..."

"The principles of infection treatment actually implicitly contain an unspoken essence, which is that the cycle is a whole."

"In other words, if we administer medication through any vein, the drug can reach every part of the body, crossing all barriers we know, including the heart and the brain..."

Fang Ziye spoke casually, mentioning a lot of knowledge that wasn't in textbooks.

As Feng Junfeng and the others listened with rapt attention, Li Nuo added, "You must study hard. Your master's education was at least twice as bad as yours!"

The three little ones kept nodding.

They weren't stupid; they could tell that Fang Ziye's theoretical level was different from ordinary people, even from that of ordinary professors.

In his eyes, there was a hint of "personality worship" and a worship of knowledge, which had changed from simple "respect for teachers and the way of learning".

The stories of the strong are always simple.

Better than blue.

However, Fang Ziye's lecture was interrupted after only forty minutes.

Upon hearing that it was his work phone, Fang Ziye quickly ended his lecture, held the phone to his ear, and listened. His expression softened slightly, and he strode towards the office door. (End of Chapter)