top student at medical school

Professor Ryan replied with a smile, "Even if God doesn't allow it in, God's apostles are free."

“Professor Fang, if you can enter into God’s embrace and step out of God’s forbidden zone, He will open His arms to you.”

Ryan's words immediately caught the attention of the otherwise idle person.

Tang Yi immediately said, "Professor Ryan, our China is not xenophobic, and we welcome God's apostles to become believers in the invisible god."

Chinese culture differs from that of other countries.

Foreign gods are all in their original form, while Chinese gods, in addition to being in their original form, can also attain enlightenment and ascend to heaven.

Professor Ryan shook his head directly and gently: "No!"

"I've heard about the medical environment in your country. Here, being a surgeon is a high-risk profession. This kind of working environment is really hard to understand."

"Your country clearly has the cheapest medical costs in the world..."

"I enjoy my current job and I'm satisfied with my current work environment."

That's just how foreigners are; they say what they mean.

……

After completing the last diabetic foot limb-sparing surgery, Fang Ziye personally accompanied Professor Ryan to dinner.

When in Rome, do as the Romans do. Fang Ziye did not take Ryan to eat Western food, but instead took him to a nearby restaurant to eat Hubei cuisine, ordering some dishes with no spice or less spice.

The feng shui of a place shapes its people; what Professor Ryan found delicious, he didn't particularly like.

However, Ryan didn't come for the food.

After the meal, Ryan got back into Fang Ziye's car and said, "Professor Fang, after I went back, I carefully studied your operating methods. In my opinion, your operations are really not of this world."

“Your treatment approach was very clear, without any strangeness or mystery. You completed the limb-saving surgery with the most ordinary thinking, relying on your incredible skill level.”

"You are the lucky one for trauma surgery, and also God's messenger for patients with devastating injuries."

"However, based on the operation videos and corresponding theories you shared with us, my team and I have discovered that, in addition to the most exquisite operation, limb-saving surgery for catastrophic injuries can also utilize other methods."

Fang Ziye nodded upon hearing this: "Professor Ryan, you are great too."

"Any surgery is a form of academic knowledge, and its development should continuously lower the barriers to entry so that more surgeons can learn it."

“I have also thought of some simplification methods in recent years, but perhaps not as simple as your team’s. I would like to hear more about them.”

True scholars all have their own understanding.

There are also different directions for scientific research.

There are treatments for the primary disease, as well as simplifications of existing surgical procedures, or the development of instruments to simplify surgical operations and improve surgical quality.

These are all good directions; there is no inherent superiority or inferiority among them.

From a groundbreaking perspective, developing treatments for primary diseases is of greater scientific research significance.

Ryan said, "According to the most basic theory, the definition of catastrophic injury is the destruction of local tissues, which involves soft tissue damage and loss of blood supply."

"The biggest challenge in limb-sparing surgery lies in the local debridement and the difficulty in restoring blood supply. In other words, limb-sparing surgery for trauma requires not only the surgeon to be proficient in the corresponding trauma surgery procedures, but also to have specialized knowledge of hand surgery."

"In hand surgery, the most difficult part is suturing blood vessels and nerves."

"After studying nerve and blood vessel suturing, our team developed two suturing aids!"

"This assistive device can be used multiple times in a single surgery, which greatly simplifies the surgeon's operational needs and ensures the quality of limb-sparing surgery."

"This could liberate us surgeons..."

Fang Ziye was slightly surprised upon hearing this: "A small blood vessel suturing aid?"

Suturing aids for large blood vessels have existed for a long time, such as suturing aids for the aorta.

However, this suture device is extremely expensive, and many top hospitals in China prefer manual suturing.

Even if a device is good, it's not very meaningful if the patient can't afford it.

"Yes, we call it a precision suture device. We have already entered the animal testing phase and believe that we will soon be approved for clinical trials."

“If Professor Fang is also interested, we can conduct a multi-center clinical trial,” Ryan said generously.

Fang Ziye's research capabilities and surgical skills were both recognized by him.

If Fang Ziye, as a control group, can also prove that the quality of the suture is up to standard, then it will be more conducive to the quality assessment of the suture!
Upon hearing this, Fang Ziye smiled and said, "Professor Ryan, are you sure you want me to participate in the multi-center clinical trial?"

Aren't you afraid that all the data I have here is invalid?

Fang Ziye was confident that if his suture device could produce higher quality sutures than his own, he would devour it, as many as he could!
Professor Ryan thought for a moment and then said, "Professor Fang, what I mean is that you are not participating in the control group, but other people in your team are the control reference group."

"You are responsible for evaluating the data and the quality of the suture device."

“This is a suture device with a very promising market prospect!” Ryan said directly.

Many professors abroad can collaborate with companies to develop their own patents, which they can then sell.

Making money is the fundamental purpose of research and development, and it is also the foundation upon which others make their living.

"Professor Ryan, what is your estimate for the price of this suture device once it is released?" Fang Ziye asked.

Ryan said, "It won't be very expensive. A suture machine should cost around 800 US dollars, or 1,000 to 1,500 US dollars. That's very cheap, isn't it?"

In the United States, the consultation fee for a doctor's visit is usually between $100 and $150.

If you calculate it that way, it's indeed not very expensive.

It sells for around $1,000 in the US, but it would probably cost around $10,000 in China.

“Perhaps, but that doesn’t apply to China. Our patients here can’t afford it,” Fang Ziye said.

Ryan listened and sighed, "It seems that people here don't have a strong awareness of insurance. We should all buy adequate insurance for our health."

Buying insurance costs money.

The awareness of insurance in the United States has been going on for many years, but not everyone has insurance.

Why doesn't the United States follow other countries and provide free healthcare for all?

Of course, Fang Ziye didn't want to argue with Ryan about these things, so Chen Song said, "Professor Ryan, I wonder what your understanding of the simplification of techniques is?"

"What I mean is, besides optimizing the equipment, how can we make a surgical procedure more accessible to a wider range of people?"

Fang Ziye didn't have much teaching experience, so he consulted Professor Ryan.

This question is not specific enough.

Ryan said, "Learning surgical techniques is a gradual process and requires a lot of practice."

"Continuously improving the lower limit of surgical quality through the development of auxiliary instruments is the best way to enable others to learn surgery quickly, and it is also the fastest and best simplification!"

"Anything else would only mean uncertainty in reducing the effectiveness of the surgery."

"I don't have a better way either."

Ryan couldn't explain things that weren't specific enough, so he gave an example: "Take fracture surgery, for instance. Before fracture traction braces existed, we relied on the surgeon's strength to traction the lower limb during surgery to reposition the displaced fracture ends."

"However, this will not only deplete our physical strength, but also require us to spend more energy studying how to restore the 'strength compound'."

"Once the traction stent is in place, we can use its force to reposition the patient by gently tugging at it. This allows surgeons to dedicate more time and energy to studying how to achieve perfect repositioning and fixation."

"Professor Fang, as you know, the three most important principles in the treatment of fractures are still..."

"Repositioning, fixation, and rehabilitation therapy."

"Rehabilitation therapy is guided by professional rehabilitation therapists..."

"Reset is traction provided by the reset bracket and fixed by an electric screwdriver; we are the solution provider."

If a person wants to be lazy, things will become easier and easier.

Fang Ziye smiled wryly and said, "The equipment you mentioned can be found in our hospital, but it's not comprehensive in prefecture-level city hospitals across our country!"

"The current reset method is still the very old manual reset method."

"What?" Ryan's eyes bulged.

"This is the 21st century, why are there still such laborious, thankless, and primitive surgical treatments?"

After being shocked, Ryan quickly explained, "Professor Fang, I didn't mean anything by it, I was just surprised!" China's average medical level is certainly not at the bottom in the world today; there are many countries with a lower level than China.

But the average level is only average, and that's the stark reality.

Some medical devices can achieve a quality that is on average higher than that of county hospitals and comparable to that of top-tier prefecture-level city hospitals.

……

"Welcome, Professor Ryan, welcome to my laboratory."

"At least it belongs to me for now; this is our comprehensive laboratory for researching spinal cord injuries."

"It is divided into a basic research area, an animal testing area, and an equipment improvement area."

“Yes, we have a device improvement area here. Based on advanced materials imported from your country, our team has independently developed a small gadget called a bridging electrode.” Fang Ziye had spent some time abroad.

Abroad, anything small can be replaced by a gadget, without needing a specific description: "And this small electrode can replace the function of the closed channel after spinal cord injury."

"It can continue to transmit some of the functional electrical signals to the lower nerves..."

"This is even more evident in our animal testing area, Professor Ryan. Where would you like to begin?"

"Bridging electrode?"

“qiao jie?” Ryan repeated in broken Chinese.
There's a word for bridging abroad, but Fang Ziye deliberately pronounced it in Chinese because he felt that bridging was the best description.

“Yes, bridging, just like connecting the two banks of the Yangtze River with the Yangtze River Bridge, allowing the two sides to communicate with each other,” Fang Ziye explained.

"God!"

Professor Ryan shook his head: "Professor Fang, you have the world's greatest and most advanced research team! You are so lucky."

Professor Ryan was a scholar, and he knew that Fang Ziye must have a super-skilled team working silently behind him.

"Thank you, Professor Ryan, for your very accurate praise. My team members are among the most outstanding talents in the world."

"I'll recommend them to you later... This is the animal testing area. I hope you're not a rabbit lover, Professor Ryan."

“Otherwise, I will refuse to take you to the animal testing area,” Fang Ziye asked in advance.

Some animal rights activists abroad even disagree with conducting experiments on certain animals.

Ryan said, "No, these rabbits aren't rabbits, they're humanoids."

"Even if I am a rabbit lover, I will respect their mission before I feel sorry for them."

"God will bless them in their next life."

"Professor Fang, if possible, I would like to see each apostle have its own life, rather than just a common number."

"Of course, this is just my personal hope!"

"Scientific research emphasizes rigor and conciseness."

Fang Ziye was taken aback. He didn't have Professor Ryan's sensitive and exceptionally meticulous mind: "I'm sorry, Professor Ryan, our rabbit doesn't have a name yet."

……

Professor Ryan's visit only disturbed Nie Mingxian and Liao Jia; the others were not part of Fang Ziye's "direct team" and therefore did not have the opportunity to meet Ryan in person.

Ryan asked Nie Mingxian and Liao Jia many specific questions, and the two answered them one by one without holding back.

Currently, the core of the experiment lies in the unbelievable puncture technique.

As for the replica device for puncture, the team has already developed it to the most advanced stage. Even if Professor Ryan wanted to overtake them after returning, he would be dreaming.

They might not even be able to repeat the puncture procedure, so where does the development of puncture instruments come from?

This detailed exchange lasted for more than two hours.

Liao Jia was the one who ended the conversation first: "Dear Professor Ryan, I have to go back. My wife and the baby in her belly are waiting for me to tell them a bedtime story."

Liao Jia has never been abroad, but his wife has lived abroad for many years and knows some foreign 'humor'!
"Bless you, Professor Liao, you, your baby, and your wife will be very happy!" Professor Ryan understood immediately.

"Thank you, Professor Ryan. We hope to meet again someday," Liao Jia said.

Ryan won't be staying in China for long; he only has two main purposes for coming here this time.

One purpose was to discuss multi-center clinical trials with Fang Ziye, and the other was to assess the level of limb-sparing surgery performed by Fang Ziye's team.

Since Fang Ziye is no longer performing these procedures, Professor Ryan can only see him at the main campus of Zhongnan Hospital.

Fang Ziye definitely won't accompany them.

In other countries, each surgeon can choose their own surgeries, and they don't have to worry about surgeries that aren't their responsibility.

"Professor Liao, Dr. Nie, Professor Fang, we look forward to you all attending the US Orthopaedic Congress and even the World Orthopaedic Congress!~"

"If you register and attend, please remember to contact me beforehand!"

“I will show hospitality!” Ryan said with a smile, though his grammar might not have been perfect.

It's already quite impressive if a foreigner can express the hospitality of a host; why should we care about their grammar?
Actually, Fang Ziye and others' spoken English wasn't that authentic either!
“I will go, Professor Ryan. I will also pay attention to the information from these annual meetings. I haven’t communicated with my colleagues for many years.”

“I’m really looking forward to it!” Fang Ziye said.

In previous years, Fang Ziye spent most of his time improving himself, so he naturally didn't have time to communicate.

However, Fang Ziye's technical skills have now reached their limit, and further improvement is becoming increasingly slow.

The goal is to reach level 7 or even level 6, which requires a massive amount of knowledge points.

However, if new techniques can be developed through communication, Fang Ziye can bring them to maturity as soon as they emerge.

The seed for functional rehabilitation surgery was given to me by Professor Zhou Yan of Xiangya Hospital!

Once you've laid a solid foundation, all that's left is innovation.

"Professor Fang, is it true? If it is, I will strongly recommend you to our Orthopedic Surgeons Association. We must have you conduct several live surgical demonstrations on the spot."

"This is something that absolutely must be done!"

"Your technology should be seen and known by more people."

“These hands, blessed by God, should conquer even more people!!!” Ryan said with certainty.

"We'll see how things go then, but communication and learning are definitely in the works."

"Whether or not I will do a live broadcast or surgical demonstration depends on my condition at the time. If I embarrass myself in such a situation, it could be difficult to handle," Fang Ziye said modestly.

"How is that possible?"

"These hands can't possibly make a mistake! I'm sure of it."

"It may have made mistakes before, just like everyone else, but it definitely won't now!"

“If there is one, it must be an accident. Accidents are unpredictable and inevitable!” Ryan began to believe in superstition.

It wasn't that Ryan was being too sycophantic, but rather that Fang Ziye's skills were beyond what ordinary people could imagine.

Perfect things shouldn't exist in this world.

Anything that exceeds perfection should not exist...

“Professor Ryan, I still have tasks to complete in the lab. My colleagues and I need to carry out further research. If you would like to rest, I can have my PhD take you to a hotel to rest.”

"He has already made an appointment for you to observe the trauma surgery at Zhongnan Hospital tomorrow."

"However, the trauma is an emergency surgery, and it's only for tomorrow, so we may not be able to see it. But Professor Gong Jiahe and Professor Deng Yong from our department have already contacted the nearest hospital."

"If there is any damage, they will be sent to our hospital first."

"You should know that, having the advantage of terrain and being the first to reach the site, we have more experience in dealing with damage!"

Ryan nodded: "Of course, if we're being extra cautious, Zhongnan Hospital is the birthplace of limb-sparing surgery for traumatic injuries!"

"All limb-sparing surgeries involving severe injuries, as well as subsequent variant surgeries, bear the marks of Professor Fang and Chungnam Hospital of Seoul National University."

"This is the reputation that you deserve as an original scholar and as the teaching hospital that supports you!!"

"It's a pity I can't continue to observe your scientific secrets, but this trip to China has broadened my horizons. I look forward to Professor Fang creating another miracle next time."

"Professor Fang, you will definitely become the next legendary orthopedic surgeon." (End of Chapter)