top student at medical school
Case 821 published!
When Fang Ziye and Tang Yi arrived at the operating room, Sylvia, one of the observers from the 'non-operating room', approached them with her blonde hair tucked in.
Although her smile was hidden by her mask, her squinting eyes couldn't completely conceal her expression: "Professor Fang, Ivy, Shirley, and I have decided to return home at noon today."
"I believe we have collected enough detailed data; this is real data that we collected from beginning to end."
"Together we have witnessed the open-source release of this great surgical technique, which has already benefited many patients, but it should have been recognized earlier so that it could benefit even more patients."
"Professor Fang, Professor Tang, you are great surgical professors, and you truly deserve to be called top surgeons."
Sylvia is the editor-in-chief.
After receiving the submission last time, considering the importance of the topic and the fact that we hadn't heard much about it beforehand, we decided to postpone the submission.
After reviewing Fang Ziye's resume and research achievements, the magazine's editorial department decided to have her, the editor-in-chief, along with two other editors, personally travel to China to verify the authenticity of the research topic.
The articles submitted by Fang Ziye's team are just case reports. The best way to verify the authenticity of a case is to work with the team for a period of time. If there are similar patients who can indeed recover their functions under Fang Ziye's care, they can achieve a remarkable transformation from nothing to something.
That is the best evidence, the objective fact.
Even if Fang Ziye used some extraordinary techniques, as long as he could accomplish all of this, that would be enough to make a public announcement.
Upon hearing this, Fang Ziye said, "Thank you for your hard work, Sylvia, and also thank you to your editors Ivy and Shirol from your editorial department for traveling all the way to Han City in our country to personally collect data."
"However, Sylvia, there is one thing you have personally witnessed: the patient in bed 15 of my ward is a patient for whom treatment has been ineffective, and that is an objective fact."
"This patient did not appear during our submission process; this case occurred before the submission deadline."
"After detailed discussions and deliberations with Professor Tang and my team, we unanimously agreed that the problem was not with the surgery, but rather with our insufficient understanding of spinal cord injury."
"Just as we do not yet know how the electrical potential in the spinal cord operates, our procedure is only one of the surgical treatment methods."
Sylvia nodded: "Nothing in this world is 100% certain except for God's promise."
"It's a pity that God never speaks, so there's no 100% success rate."
"Actually, Professor Fang, you are a top scholar. You should know that if a treatment plan has a success rate of more than 60% after it is developed in the early stages, it is a successful and mature treatment plan."
“Our team stayed in Wuhan for more than half a month, or to be precise, a full twenty days. We followed the entire treatment process of twenty-three patients.”
“Professor Fang, even if only thirteen patients have good treatment results, it is still a great surgical technique.”
"Fortunately, Professor Fang, your team made more thorough preparations in the early stages, and the current efficiency is extremely high, almost unbelievable."
“Professor Fang, I can believe that your hands must have been kissed by God.” Sylvia flattered him, engaging in polite social niceties.
Sylvia had a purpose.
Currently, Fang Ziye's team is submitting only casual case reports, not randomized controlled trials, and the trials have not yet been scaled up.
It remains uncertain whether Fang Ziye will submit another article to JAMA Neurology next time.
Furthermore, Sylvia felt that Fang Ziye was more likely to submit his work to top medical journals such as JAMA, Nature, and BMJ.
However, she also wanted to try.
"Thank you for the compliment, Sylvia. I also wish my hands had been kissed by God, but I have never dreamed of God."
"I hope you have a pleasant journey home."
“I’ll have my doctor take you to the airport then. I have three surgeries to perform today, and I can’t leave my patients,” Fang Ziye replied.
"Of course, Professor Fang, your time is more valuable than ours."
"Patients need you; your operating room, your ward, your patients all need you."
"I have a small request that I must make: I hope that Professor Fang will consider publishing your future papers in JAMA Neurology."
"Of course, I know my request is a bit greedy, but there's a saying in your Chinese culture, 'shizairenwei' (where there's a will, there's a way), isn't there?"
“I’ll consider it, but I have to start the surgery now! ~ Sylvia, you can still watch my surgery from outside the safe observation area,” Fang Ziye replied.
……
The fact that the surgery on patient in bed 15 of the ward was ineffective could not stop Fang Ziye from continuing today's surgery.
Even if Fang Ziye guessed that this was not a low-probability event, but a subtype that was fixed and unresponsive to surgical treatment.
But now, Fang Ziye doesn't know how to classify them either.
When only one case is ineffective, Fang Ziye cannot extract the commonalities of why it is ineffective; he can only remember many points that distinguish it from other spinal cord injuries.
After experiencing two, three, or more patients, we then extract the commonalities and characteristics of these ineffective patients.
Clinical medicine is essentially an 'empirical discipline', and empirical disciplines must pay the cost of trial and error.
The cost of trial and error in clinical practice is what patients pay.
By the time Fang Ziye finished speaking, Li Nuo had already completed the pre-operative procedures. All that was left was for Fang Ziye to perform the puncture and place the bridging electrode.
Microelectrode implantation was the first procedure to receive clinical approval, while bridging electrode connection was approved for clinical trials later this month and has only recently begun to be performed in clinical practice.
Li Nuo had previously worked in spinal surgery. He might not have been that skilled in spinal surgery, but he had no problem exposing the spinal cord.
After all, he still possesses the basic skills of surgery!
The surgery proceeded smoothly and effortlessly.
After all, Fang Ziye's piercing technique had reached the mysterious "Level 7", so it was impossible for him to make a mistake!
If Fang Ziye's puncture techniques and other skills were not at a "level 7" to allow him to maintain peak condition at all times, Fang Ziye would definitely suspect that it was his own operational error.
However, a level 7 piercing technique cannot afford to make a mistake!
It can only be that the understanding is insufficient and the treatment is not appropriate.
……
At 11:30, Sylvia and the others left the operating room, and Feng Junfeng and Tian Yao were responsible for taking them to the airport.
After completing his second spinal cord injury surgery, Fang Ziye handed over the follow-up procedures to Li Nuo and Tang Yi.
"Teacher Tang, I'm going back to the ward first. Call me later." Fang Ziye instructed as he left.
"Alright, Ziye. Go and rest for a bit."
"I'll call you before the turnaround is complete," Tang said with a genuine smile.
Although Tang was a joint surgeon, he also wanted to learn the incredible procedure of spinal cord injury surgery.
It's important to know that one of the core basic skills in joint surgery is puncture.
Tang Yi's current basic skills in piercing are superior to everyone else's, including Li Nuo and Qin Geluo.
Therefore, Tang Yi felt that he might not have been promoted to senior professional through joint surgery, but instead had been promoted to chief physician and professor through spinal surgery!
Even setting aside the fact that they are one of only two spinal cord healers, being among the top ten or even the top one hundred would be enough!
China is so vast that even if a hundred skilled surgeons capable of treating spinal cord injuries were to emerge and perform surgeries every day, it would take ten years to consume all the paralyzed patients caused by spinal cord injuries in China's major cities!
The quantity can be calculated.
Ten years is just over three thousand days.
Even if a hundred surgeons performed three surgeries a day, it would only amount to a million cases.
The number of patients paralyzed due to spinal cord injury is at least in the millions, given China's large population.
Once the previous cases are completed, the violence caused by the rapid development of modern technology will become increasingly violent, and the number of new cases may again be no less than several hundred thousand.
It would take more than fifty years to train one hundred skilled practitioners!
He needs the practitioner to be talented, have a good teacher, and invest a lot of time in learning!
Or perhaps it's someone like Fang Ziye, a talent who appears only once every few decades, who can easily learn it.
If someone like Fang Ziye were to appear, he certainly wouldn't be reduced to a surgical tool.
After leaving the locker room, Fang Ziye received another call from Professor Li Yongjun while waiting for the elevator.
"Professor Fang, are you busy?" Li Yongjun asked politely.
"Teacher Li, you were on stage just now and you're about to come off stage. I'm sorry to have kept you waiting a little longer. You're in the elevator now."
"Teacher Li, are you still here for the surgery at the sanatorium tomorrow?" Fang Ziye asked with a smile.
The elevator arrived, and there were quite a few people inside. Fang Ziye hesitated for a moment, then said, "Teacher Li, you go first, I'm already in the elevator!"
After saying that, Fang Ziye strode inside: "It's mainly because of your surgery tomorrow. A lot of the old guys here are practically fighting over it."
"I wish I could have a soldier grab you and lock you in the operating room every day."
“Especially since you recovered well from the two surgeries you had last week, those two old men are showing off everywhere they go, carrying their canes.”
"I even wanted to break their legs," Li Yongjun said helplessly.
The phrase "old rascals" probably refers to those two.
Fang Ziye couldn't reply in the elevator, so he didn't say anything. Li Yongjun continued, "Of course, Ziye, there's another matter concerning your senior brother staying at the sanatorium."
"To be fair, Gu Yi is quite good; he's diligent and eager to learn."
"Although his qualifications are a bit lacking, it's not like we can't continue to cultivate him. After discussing with some leaders of the sanatorium, we decided to make him the first batch of reserve talents that our sanatorium cultivates itself."
"But he's your senior brother, I wouldn't dare to mess with you so easily."
"If you need him to return to the hospital, just let us know."
Fang Ziye had just gotten off the elevator and said as he stepped outside, "I've talked to Senior Brother Gu, and he also wants to stay in the sanatorium."
"The main reason is that after following Teacher Li and others for so long, I no longer look down on the simple diseases treated in ordinary hospitals outside."
"And what else?" Fang Ziye opened the back door of the elevator that led directly to the ward, and after scanning his face, he went straight into the director's office.
After closing the door, Fang Ziye said, "The working mode in the sanatorium is the normal working mode for us humans."
"Isn't 955 great?"
Work starts at 9 am and ends at 5 pm, five days on, two days off.
The benefits are good, and no one who has worked here wants to work like a slave in a teaching hospital again.
“Then come on over, I’ll give you my spot!” Li Yongjun immediately said.
"I want to come, but my teachers won't allow it. Besides, haven't I always been here?"
"Let's wait a few more years. Once my setup is complete, I'll move into the sanatorium permanently!" Fang Ziye said, explaining his plans.
This is Fang Ziye's true thought.
"How many more years?" Li Yongjun asked with some regret.
Fang Ziye said, "Professor Li, a few years is a very short time, it may just be the result of one or two research projects."
Li Yongjun said, "A few years is a short time, but your past life as Teacher Li is quite long, isn't it? I'm already fifty-one this year..."
Time flies and ages us all.
Li Yongjun is already fifty-one, and his teacher Deng Yong is almost fifty-five.
Including his own teacher, Yuan Weihong, who is now approaching forty and is no longer the 'young man' who had just become a master's supervisor.
Fang Ziye is almost thirty-two years old.
Fang Ziye also knew that Li Yongjun's biggest worry was the 'project' he had tackled years ago. So, even though he always seemed nonchalant, his lifelong wish was to continue working on that project.
"Teacher Li, at fifty-one or fifty-two years old, is in his prime, a good age to strive and work hard."
"The technology, theory, and timing are all at their peak," Fang Ziye said.
"What a load of rubbish, all that's left is that he's almost going crazy."
"Let's not talk about that anymore. It's been a long time. Tonight, invite Nie Mingxian over for a couple of drinks."
"Professor Fang, are you free?" Li Yongjun asked.
Upon hearing this, Fang Ziye said, "Teacher Li, aren't you scolding me for not visiting you often?"
"I will certainly obey your order. I will also bring my wife, Tingzhu, to visit you, Teacher Li."
Luo Tingzhu is now leading her own anesthesiology team at the sanatorium, which puts her under a lot of pressure, so she rarely comes back to Fang Ziye's place.
It was Fang Ziye who frequently visited Luo Tingzhu's dormitory at the sanatorium on weekends, which allowed them to have time to reunite.
Luo Tingzhu is not Fang Ziye after all. She is just an ordinary genius. Although she is very capable and has her own clinical and research groups, she needs to devote a lot of energy to lead both groups well.
Not everyone is like Fang Ziye, who had many level 5 and 6 skills to fall back on when he first started leading a team. When it comes to Fang Ziye, most things are just a matter of worry for a while.
For many people, a small problem can trouble them for a lifetime.
This is science, this is experimentation, this is scholarship.
"You won't blame me, this old geezer, for disturbing your baby-making process, will you? Last week, I dragged you here for the surgery," Li Yongjun asked shamelessly.
Fang Ziye said, "Teacher Li, even if I say it's having an impact, can you still let me have a very comfortable weekend?"
"By the way, Professor Li, our research group's cases have basically been confirmed for publication, but your name isn't on the paper."
Li Yongjun said, "You led the team yourself, why did you bring me along?"
Fang Ziye said, "Professor Li, the current things are all done in collaboration with other professors, but the subsequent nerve implantation technique will definitely require your personal involvement."
"Otherwise, we might spend even more time."
"Now that we've done a good job of creating something from scratch, it's time to think about making something even better."
“Microcurrent stimulation and bridging electrodes are just one target point for developing a function from scratch. As for how to improve it, Professor Li, that’s something you can’t escape.”
Fang Ziye's tone was serious.
Actually, Li Yongjun did make contributions; he and Nie Mingxian put in a lot of effort to develop the bridging electrode.
In this regard, Fang Ziye could only offer a few key words and some pointers.
"Fine, now that you, Fang Ziye, have your eye on me, do you think I can escape?"
"Besides, I never intended to run away. If I need anything, I can just make a phone call," Li Yongjun said.
"Teacher Li, there's one more thing I need to report to you. You must make sure to explain things clearly to the patient before the surgery."
"The success rate of this surgery is not 100%, and it is possible that it will be ineffective after the surgery."
"If they don't want to take any risks and have too high expectations, they should find someone else sooner rather than later."
Li Yongjun said, "Ziye, your thinking is unnecessary here."
"The sanatorium operates on a top-tier system. It's take it or leave it; if you come, you've made a choice, and there's no room for regret."
"We are only responsible for providing top-notch technology; as for the treatment effect, it is sufficient as long as it is not inferior to the level of most hospitals."
"Besides, do you think these people wouldn't go if they could find someone more capable?"
Fang Ziye replied with a smile, "Then I don't know."
"Oh, right, there's one more thing. I think your research assistant is pretty good, so I recommended him to Professor Fang Zhikuan in the Department of Trauma Surgery."
"Professor Fang also thinks he likes it."
"What do you think of Ziye?" Li Yongjun asked.
"Han Jingyi could actually catch Professor Fang's eye?" Fang Ziye was extremely surprised.
Professor Fang Zhikuan is a professor of trauma surgery. How could he possibly be interested in a young girl like Han Jingyi?
"I'm not joining the clinical team, I'm becoming an academic graduate student!"
"Fang Ziye, didn't you like him? Well, your standards are a bit too high, aren't they?" Li Yongjun retorted.
That might be the key question he asked.
Fang Ziye fell silent upon hearing this: "Teacher Li, I'm sorry, I really didn't see it. Perhaps my perspective is a bit narrow."
Li Yongjun quickly replied, "It's not that you're narrow-minded, it's just that you don't see eye to eye with someone."
"Actually, we shouldn't be too harsh when recruiting graduate students. If you're really sure you don't want Han Jingyi, then Professor Fang Zhikuan should take her on."
"However, she can still continue to be your research assistant, it won't affect anything."
Han Jingyi is not Fang Ziye's personal property, but she also told Li Yongjun that she is still willing to study with Fang Ziye and help manage his research projects.
Han Jingyi had such a natural learning channel and resources, and Professor Fang Zhikuan dared not disagree.
Fang Ziye asked, "Why didn't Professor Fang call me? Why did he ask you, Professor Li, to pass on the message?"
"Professor Fang Zhikuan is in the same major as you, and you were his group leader before, so he can't say it directly."
"That's basically it. See you tonight..."
"I'll have more great news for you tonight," Professor Li Yongjun said. (End of Chapter)
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