top student at medical school

Han Jingyi manages Fang Ziye's research email account most of the time. She takes good care of it, and Fang Ziye doesn't check it every day.

"Okay, I'll take a look." Fang Ziye hung up the phone.

"FROM Ryan Foley!"

Professor Ryan Foley, Fang Ziye still remembers this red-faced professor!
The email contained a straightforward message: after returning from Wuhan two years ago, Ryan, Brandon, and others had already begun performing limb-sparing surgeries at a branch of the Mayo Clinic.

Professor Ryan had invited Fang Ziye to attend academic conferences in the United States many times before, but Fang Ziye did not accept the invitation. Now, Professor Ryan has some new ideas and clinical trials, so he wants to discuss them with Fang Ziye and visit Han City again.

After reading it, Fang Ziye edited a message for Han Jingyi, saying, "Han Jingyi, reply to Professor Ryan and say that we are available now, and that I am currently in the new hospital area with my own ward and outpatient clinic, etc., and welcome Professor Ryan to come and exchange ideas..."

"Make sure to be thorough and ask about his itinerary, arrange his accommodation, and I will arrange for someone to pick him up and accompany him."

It's not that Fang Ziye is trying to curry favor with foreign professors; he also treats professors from other hospitals in China with the same courtesy when they come to visit.

If the other party is someone who seeks fame and fortune, then it will only happen once at most.

Two years ago, Ryan and others traveled thousands of miles from the United States after hearing their teacher, Yuan Weihong, talk about the department's research on damage and injury. He was a pure scholar.

We're not here to show off.

There are many good people among those who are not Chinese citizens.

……

After entering the operating room, Fang Ziye did not wash his hands immediately. The first surgery was not a spinal cord injury, but a joint revision surgery led by Professor Tang Yi.

However, this joint revision surgery was extremely difficult because there was a defect in the pelvic wall, and the original bone cement prosthesis had sunk and cracked, falling into the pelvis!
Joint replacement surgery has a very high upper and lower limit in terms of surgical difficulty.

If it's a simple joint replacement, such as a joint replacement for a femoral neck fracture or simple osteoarthritis, it's very simple and can be routinely performed by an associate chief physician at a county hospital.

However, if it involves complex acetabular wall defects, then it is a joint replacement plus acetabular reconstruction surgery that even chief physicians in prefecture-level city hospitals would hesitate to perform!
Hip revision surgery is more difficult than complex joint replacement. Now, with the added complications of acetabular wall collapse and bone cement falling into the pelvis, the difficulty has reached the highest level of the specialty.

However, Fang Ziye did not panic!
To a layperson, bone cement falling into the stomach, especially into the pelvis, would seem like a serious problem.

Actually it is not.

Tang Yi had already led the team to open the hip joint, exposing the acetabulum, and had carefully examined the defect in the acetabular wall. He turned to Ziye and said, "Ziye, the previous acetabular wall cement has fallen quite deep."

“It cannot be removed through this cross-sectional window unless the abdomen is opened.”

"But we had discussed this beforehand. The location where the bone cement has fallen off will not have any impact on the patient, let alone affect their bowel and bladder function."

"Therefore, we will proceed according to the original plan, without further treatment, and directly perform acetabular wall reconstruction!"

Upon hearing this, Fang Ziye smiled and said, "Teacher Tang, you're the expert in this area, I'll listen to you."

Tang Yi is an associate professor, and will soon be promoted to professor and chief physician. His strength, knowledge, and understanding are all at the top level in Hubei Province, so Fang Ziye does not need to interfere too much.

"Fang Ziye, we can say this to outsiders, but behind closed doors, whoever is more knowledgeable and whoever is right will be the real deal."

"You don't have to give me face just to save face. Just say what you need to say."

“Since we’ve already agreed on everything in advance and everything is going as planned, let’s start the extra bone grafting and bone removal.” Tang Yi had thought so too at first. Fang Ziye knew absolutely nothing about joint surgery, so he should be the head of joint surgery in the group.

But after a while, Tang Yi realized that he had been too naive.

Fang Ziye has a broad understanding of many subspecialties in orthopedics. He had already mastered the knowledge of joint surgery when he performed osteotomy and correction.

Someone who can perform osteotomy and orthopedic surgery well must have excellent basic skills in joint surgery.

The fundamental reason for the existence of osteotomy and orthopedic surgery is because of the anatomical position of the joints. Without the flexibility and range of motion of the joints, osteotomy and orthopedic surgery would not exist!

Tang Yi was confident. They had discussed the surgery beforehand, and although the difficulty was considerable, it was still within expectations, so Fang Ziye didn't interfere with him any further.

Fang Ziye then went to Hu Qingyuan's side, who had not yet gone on stage, and gave him some instructions in a low voice.

Upon hearing this, Hu Qingyuan nodded gently: "Yes, Master, I will definitely accompany you throughout the whole process."

Hu Qingyuan didn't need to ask Fang Ziye why he knew foreign professors. Given Fang Ziye's current professional and academic achievements, it was perfectly normal for him to have some foreign friends.

If there are none at all, it would be somewhat 'isolated and out of place'.

"As long as you accompany and pick up the child throughout the entire process, it's highly likely that Qin Geluo will be with you."

"Otherwise, I'm afraid there are some things you won't be able to handle with your current knowledge."

Upon hearing this, Hu Qingyuan turned away from the operating table and asked in a low voice, "Master, if Professor Ryan and his group want to visit our animal laboratory, would we agree?"

Fang Ziye nodded readily: "Of course I agree, as long as we don't show them the core project plan or the experimental results."

"Are you worried he can steal our experimental results?"

Fang Ziye gently shook his head: "People who are capable of stealing experimental results with just a glance don't bother to steal them. Most people who want to steal don't have that level of skill."

"Surgical techniques are global; only the instruments and patents associated with those techniques belong to China."

Knowledge is global, and so are theories.

There is no such thing as a patent, but a patent is something that has an owner.

If other countries also want to use it, then it's about making money through exports.

Currently, there aren't many things from China that can make money overseas through medical patents.

At this moment, Ling Fengguang walked in from outside in a hurry, and immediately came to Fang Ziye's side; "Master, the wound in bed 13 is not doing well, it is red and oozing, and it may be infected."

Upon hearing this, Fang Ziye instinctively frowned.

But she quickly calmed down: "So what if it gets infected? Which surgeon can guarantee that the incision will be completely free of infection after surgery?"

"Can you pinpoint the location of the infection? Have you consulted the pharmacy department?"

Fang Ziye is a surgeon, and no matter how skilled he is, he cannot guarantee that the incision will not be infected by bacteria.

After all, bacteria are everywhere.

The chances are very small. Over the years, Fang Ziye has only been infected once in the sanatorium, but it was treated in three or four days.

"Uncle-Master Lan Tianluo has already called the pharmacy department. The chief resident there said he'll come over after consulting with the internal medicine department."

"As for the location of the infection, I think it should be in the muscle layer under the fat."

"It's not a superficial mass."

Upon hearing this, Fang Ziye's expression changed slightly, and he asked, "Is Lan Tianluo in the ward right now?"

"If it is below the fat layer, the sutures should be cut and the area left untreated for drainage as soon as possible."

If the incision is infected, and it is the most superficial infection, frequent disinfection is recommended.

However, if the infection is in the lower layers, drainage must be left untreated or a second visit for thorough debridement is necessary.

"Yes, but my uncle still asked me to come down and tell you first! In case the infection continues to penetrate deeper, after all, patient 13 is a post-spinal cord injury patient." Once the infection penetrates into the bone marrow, the consequences will be unimaginable.

"It's okay, don't worry. With timely treatment, infection isn't that scary."

“Our team has handled so many malignant infections, there’s nothing to be afraid of!” Fang Ziye replied.

Having been infected by a 'malignant and severe disease' that had given so many people a death sentence, Fang Ziye still managed to save several lives. Now that it's only in the early stages of infection, Fang Ziye really isn't panicking at all.

Of course, it can also be tricky.

Ling Fengguang's concerns are valid.

……

Before Fang Ziye took the stage, Lan Tianluo called to report the basic situation, saying that the infection focus was right under the fat layer and there were signs of local necrosis. He suggested that a culture be done first.

If that doesn't work, then perform further debridement. The chief resident in the pharmacy department reviewed the case and suggested mentioning antibiotics and rinsing the area with gentamicin.

Fang Ziye stopped caring about it!

When Fang Ziye performed the spinal cord injury procedure this time, only Li Nuo assisted him. Professor Wang Ou from the spinal surgery department did not come to help again.

The main issue is that Professor Wang Ou has already performed the surgery many times, and now all she can think about is how to routinely carry out spinal cord injury surgery.

So Professor Wang Ou, I heard, takes a box of needles with her to work every day, and pricks herself a few times whenever she has a spare moment, striving to improve her puncture skills and become the second person after Fang Ziye to independently treat spinal cord injuries.

The surgery was not slow. Although the treatment of spinal cord injury is difficult, it does not take long. The main task is to accurately locate the puncture site and place the microneedle electrode.

Position the needle firmly, secure it, and then adjust the continuous stimulation current. The most crucial step is the puncture technique!

Li Nuo had already reviewed more than twenty cases. After watching Fang Ziye's procedure again, he still exclaimed, "Ziye, even though I've seen many, it still seems somewhat unbelievable!"

"This needle electrode is inserted just like that, yet it has such a great effect!"

"These needle electrodes are much smaller than surgical scalpels!"

Compared to the lancet used in traditional surgery, the presence of needle electrodes is much less noticeable.

Things that even a scalpel couldn't handle, these few little gadgets actually worked.

This reminded Li Nuo of the saying, "When things reach their peak, they must decline."
Upon hearing this, Fang Ziye said with some regret, "It's a pity that the bridging device hasn't passed clinical approval yet; otherwise, this surgery could have been performed even more flawlessly!"

"The bridging electrode is currently being reviewed by experts nationwide. Hopefully, it will be approved soon!"

The bridging electrode, unlike the needle electrode, was independently developed by the team.

Acupuncture electrodes have been used clinically for many years, so they must be evaluated.

Any new technology needs to undergo rigorous testing before it can be used in clinical practice.

Even the products developed by Fang Ziye's team are no exception!
The reason there are so many rules and regulations is because of the bloody lessons learned.

"Ziye, I think it's quite good as it is now."

"Currently, some hospitals in other regions select patients with spinal cord injuries who still have some residual function when treating spinal cord injuries, and then use signal transduction and amplification functions."

"We are genuinely reactivating function, and even patients with no muscle contraction function have a chance to recover!"

"Enlarge and Recreate!"

"They are not the same thing at all."

Upon hearing this, Tang Yi rubbed his hands together and asked, "Ziye, when can this bridging electrode be used in clinical practice?"

"If we can get this up, we can do joint function optimization. I can't wait!"

Fang Ziye's basic research team's current limit for spinal cord injury treatment is to bring it from scratch!
The process of moving from something to something better, starting from the spinal cord level, has not yet been completed.

So, is there absolutely no chance of going from having something to getting better?
of course not!

Functional reconstruction surgery, functional rehabilitation surgery, and functional optimization surgery in joint surgery are all options.

Acupuncture electrodes and bridging electrodes can turn spinal cord injury patients into patients with functional impairments, while functional reconstruction and rehabilitation surgery can give patients with functional impairments the opportunity to recover to a level of function that is slightly worse than that of an adult!
One link after another, one link after another!

That's the charm of Fang Ziye.

"Professor Tang, at present, the rest of our team members do not have a deep understanding of joint function optimization surgery, so we will have to rely on you to lead this procedure in the future."

"The biggest problem after spinal cord injury treatment is that some muscles retain function while others do not, which leads to an imbalance of force on the four joints, making joint dislocation very easy!"

"If a joint dislocation occurs during the postoperative recovery period, it's no joke."

Patients with spinal cord injuries are classified as either completely paralyzed or partially paralyzed.

Among them, hemiplegic patients, who have some function but incomplete functional recovery, can walk simply, but their joints may dislocate while walking, leading to falls...

Tang Yi said, "That's no problem. I have some experience in reinforcing the four joints."

"In complex knee replacement surgery, joint reinforcement is one of the procedures that must be emphasized."

"hey-hey…"

Tang Yi chuckled foolishly: "I've been here for almost a quarter of a year, and I can finally see a glimmer of hope. I feel like I'm of some use now."

"Otherwise, I'll always be pinned down by you, Professor Fang. I'm not a woman, so I naturally don't like this position..."

That's how it is in the operating room; the atmosphere is slightly better, but there are always cars coming and going.

The closer you are to someone, and the happier you are, the more casual you become when chatting.

Li Nuo usually wouldn't dare joke with Tang Yi, but when the car was approaching, he dared: "Professor Tang, your life experience is too narrow."

Tang Yi glanced at Li Nuo and said casually, "Compared to you, Master Nuo, who has a deep understanding of the symbolism of steel wool, I am still lacking in life experience."

"You've gone astray. Look at Professor Fang, he's much more handsome than you."

Li Nuo said with a straight face, "My wife and I are truly in love!!!"

"We've been talking for eleven years!"

"I don't care, all your teeth have been wasted..." Tang Yi ignored Li Nuo's explanation.

He's been labeled a gigolo and a gold digger.

In fact, Li Nuo did enjoy the pleasure of being a kept man, otherwise he wouldn't have been promoted to associate chief physician!
Li Nuo instantly lost his temper at the mention of Fang Ziye.

The circulating nurse chuckled sheepishly and said, "Isn't Professor Fang already married?"

Tang Yi was stunned for a moment after hearing this, and then said bluntly, "You'll have to wait in line if you're not married."

But after instinctively saying that, Tang felt it was too hurtful, so he added, "At least you should be after me in line."

"Right, Ziye?"

It must be said that Tang Yi's emotional intelligence and IQ are both top-notch; he immediately turned a hurtful remark into a pleasant joke.

The circulating nurse's expression changed slightly before returning to normal; "Oh, Professor Tang, you can have it, you can have it."

"I never dared to dream of gaining Professor Fang's favor..."

Amidst laughter and conversation, the surgery gradually came to an end.

There were no third surgeries scheduled today; everyone finished their shifts early.

……

The flight from the United States to Wuhan takes a minimum of 30 hours and a maximum of 40 hours.

When Fang Ziye saw Professor Ryan, it was after Professor Ryan had adjusted to the time difference and was being led into the operating room by Qin Geluo.

At this moment, Hu Qingyuan and Qin Geluo spoke fluent English the whole time as they led Professor Ryan inside.

Upon hearing Professor Ryan's comments, Qin Geluo replied, "That's for sure, Professor Ryan. Our hospital's basic equipment is probably at least twenty years behind your Mayo Hospital."

“Our resources are limited, but the operating rooms in our new hospital are actually customized according to the latest European standards.”

"It is your Mayo Hospital that has made internal adjustments and optimizations to its operating rooms, so it has more auxiliary instruments and equipment."

"Professor Fang is currently performing treatment for a spinal cord injury."

Professor Ryan nodded: "Dr. Qin, I heard before that in your China, spinal surgery and orthopedics are separate specialties?"

"Professor Fang is a trauma surgeon, can he also perform spinal surgery?"

Professor Ryan was not entirely unaware of the development of medical care in China.

“Professor Ryan, in our country, specializes in specific fields, but there is a policy that allows those with associate senior professional titles or above, such as associate professors and associate chief physicians, to apply independently to perform various surgical procedures based on their expertise.”

"It is not restricted by subspecialty, as long as the hospital and health-related departments agree."

"Our Professor Fang currently has the same surgical authority as surgeons at the Mayo Clinic abroad. He can perform not only orthopedic surgeries, but also spinal surgery, general surgery, cardiac surgery, and thoracic surgery."

“The perfect surgeon. I’ve always believed that only surgeons like this are true surgeons,” Professor Ryan said.

After speaking, Professor Ryan approached the film reader first.

The best way to understand a surgical patient's condition is through a CT scanner and medical records.

Professor Ryan doesn't understand Chinese, but he can watch movies.

My God!

"Dr. Qin, the spinal cord injury you're referring to isn't an emergency spinal cord injury, but rather this type of spinal cord injury that causes complete paralysis?"

"Direct surgical intervention in the treatment of spinal cord injury?"

"Am I dreaming?" Professor Ryan's face was already flushed, but now it looked even redder. (End of Chapter)