top student at medical school

Luo Tingzhu knew the predicament of Fang Ziye's standard surgical procedure for spinal cord injury!

Subspecialties such as spinal surgery and orthopedics do not place much emphasis on the basic skills of puncture technique!
Even in joint surgery and sports medicine, the requirements for puncture procedures are not that outrageously high.

Therefore, it is almost impossible to find someone with high skill in puncture techniques within the orthopedics department.

Other specialists who are skilled in puncture procedures do not possess professional knowledge related to spinal surgery.

Before they can begin operating, they will need to brush up on a lot of theoretical knowledge and basic surgical procedures.

For these two reasons, the technique developed by Fang Ziye is now in a rather awkward position.

No one has been able to replicate it since, as if it has become Fang Ziye's unique skill!

Fang Ziye devoted a large part of his energy to simplifying the operation.

"Senior brother, operational techniques can make up for the lack of basic skills to a certain extent."

“But creating original operating techniques is quite difficult,” Luo Tingzhu analyzed.

"We're just taking a shot now, whether we're sure or not. What if we hit something?" Fang Ziye said nonchalantly.

"Anyway, there are no reference answers or standard answers anymore..."

Liao Ruifeng was suddenly taken from the spinal surgery group at the sanatorium to the animal laboratory by Fang Ziye.

……

Saturday, August 2nd!
In the animal testing center in Han City, Fang Ziye stood at the main position on the operating table, on which was placed a piece of completely transparent soft tissue.

Fang Ziye held a long electrode puncture needle in his hand, demonstrating the operation. The soft needle moved like a snake in the transparent soft tissue with the force of Fang Ziye's wrist, and then accurately reached the calibration green point.

"Professor Wang, do you understand now?" Fang Ziye asked Wang Ou.

In front of Fang Ziye, Professor Wang Ou was squatting down, comparing the shape of the puncture needle with the lines on the wall containing transparent soft glue, which almost overlapped.

In other words, Fang Ziye not only placed the puncture needle precisely in the correct position, but also predicted the trajectory of the soft needle in advance.

Professor Wang Ou nodded slightly upon hearing this: "I can see it clearly, but is this technique really feasible?"

"Is it possible that it works during the puncture of the transparent soft tube, but fails during the actual spinal cord injury puncture?"

Wang Ou wasn't just arguing for the sake of arguing; she raised the question very seriously.

Fang Ziye shook his head: "Teacher Wang, I'm not omnipotent either. I'll only know after I try."

"This operating technique was something that Liao Ruifeng and I spent nearly a month summarizing and refining before we were able to summarize some of the skills."

"During the puncture, the force should be applied to the upper arm, including the movement of the needle, and the force should not be applied to the wrist, forearm, or other areas."

"Our upper arm swings are small, so even if there is some deviation during the puncture process, it won't be too significant. As for the slight turning during the puncture process, it is done by using our fingers to tilt the puncture needle to create a transition arc..."

"Why don't you try operating it?"

Of course Wang Ou wanted to try. He had already tried for several months, so he wasn't afraid to try one more time.

Today's experiment was actually a specialized teaching project on puncture technique. The others knew that learning puncture technique was too difficult, so they weren't very interested and went to the functional optimization project experimental area next door.

Wang Ou tried twice, but felt that her force application was still a bit stiff, and she couldn't change her habitual force application point for a while.

"Upper arm, upper arm exert force, thumb controls the direction of movement..." Fang Ziye patiently instructed from the side.

After several more failures, Professor Wang Ou said, "Brother Liao, could you demonstrate again?"

After Liao Ruifeng arrived, the laboratory gained two more experts with the surname Liao.

Liao Jia became Big Brother Liao, and Liao Ruifeng became Little Brother Liao.

Liao Ruifeng picked up the long puncture needle, placed it in his palm, and then pierced the surface of the soft rubber through the fixed puncture line on the surface.

Then they began to control the direction of the remote end...

Even after slightly deviating from the original curve, it can still reach the designated area in a crooked and skewed manner.

"Professor Wang, do you see that? That's it. Liao Ruifeng's spinal cord puncture technique is now highly successful. So he has achieved a success rate of nearly 70% in the needle electrode placement procedure in the rabbit spinal cord injury model."

"If your proficiency is high enough, you can improve it to over 95%."

"After that, he can perform acupuncture electrode puncture in clinical practice!" Fang Ziye said.

Liao Ruifeng's surgical talent was rather average, but his puncture technique was high enough to support his basic skills.

He still lacks proficiency, but he is indeed the only person Fang Ziye has ever met who can perform acupuncture electrode puncture.

This technique is definitely worth learning.

Hu Qingyuan and the others also wanted to learn, but Fang Ziye did not let them take the shortcut of 'techniques'. Instead, he made them continue to practice the basics first.

Techniques are supplementary; the better your fundamentals, the greater the power of techniques that complement your fundamentals!
Wang Ou is already quite old and no longer needs to unleash her potential. She should learn the techniques first, master the procedures, and bring them to clinical practice. That would be the end of her life.

Professor Wang Ou does not need to expand upon this foundation.

Wang Ou was aware of this, so she studied very hard...

"Okay, Ziye, you can go and get busy next door. The clinical research project on functional optimization after spinal cord injury has officially started."

“If I take up too much of your time, I’m afraid Dean Wang and the others will cause me trouble later,” Wang Ou said.

……

After Fang Ziye left, Wang Ou asked Liao Ruifeng, "Xiao Liao, where do you plan to work in the future? Are you going back to the sanatorium, or are you hoping to find another teaching hospital?"

"They'll most likely go back," Liao Ruifeng replied simply.

It seems that few people who have been to a sanatorium are willing to go to a teaching hospital.

Wang Ou pressed for details: "What about the low probability?"

"The low probability one would be to cling to Professor Fang's coattails."

"However, I estimate there is no chance."

"My aptitude is too average..." Liao Ruifeng's mood was somewhat bleak.

During the month he had been with Fang Ziye, he had expressed his 'loyalty', but Fang Ziye seemed to only care about the task and the ability, not the person.

Praise Liao Ruifeng for doing a good job, leaving him no room for error.

Wang Ou said, "Actually, it's not ordinary at all. You developed this piercing technique yourself. There has never been such a technique before."

Even if it's just good luck, your talent is actually quite extraordinary.

"But Fang Ziye is such a monster. Even though he works at our hospital, nobody here treats him like a human being."

"Isn't that a bit too extreme?" Liao Ruifeng smiled and tilted his head.

"Just a pervert? Breaking the rules? Being unreasonable... His very existence is breaking the rules..." Wang Ou said without hesitation.

Liao Ruifeng nodded vigorously: "Professor Fang is indeed abnormally unreasonable. I heard he's only thirty-two years old."

"I wonder where he stole these skills from."

"steal?"

Wang Ou shook her head: "This isn't stealing!"

"If someone can do it, he can too; that's called stealing."

"If he knows how to do it, but others don't, can that be called stealing?"

"In fact, Professor Fang's growth trajectory is very obvious. He rose step by step, like a horse stance being built up."

"However, his horse stance is much faster than others."

At this point, Wang Ou added, "Wanting to follow Fang Ziye is a good thing. If you can really follow Fang Ziye, that will be your opportunity."

Liao Ruifeng chuckled and said, "Professor Wang, to be precise, this is another stroke of luck for me."

"It's the second opportunity."

"I am fortunate to be here and enjoy such generous treatment, thanks to Professor Fang. Otherwise, I would still be at home embroidering dolls for children to play with."

Regardless, after Fang Ziye brought him here, as long as Liao Ruifeng could successfully break through the barrier, he would become an absolute hot commodity.

It's 100% certain that it will be snatched up by everyone.

He was trained and personally recognized by Fang Ziye. He was the first expert who could perform spinal cord injury puncture and the second surgical expert who could treat spinal cord injuries!
Even if he only does this one thing in his entire life, it's enough for him to live off for the rest of his life.

"It seems you have big ambitions, Xiao Liao?" Wang Ou said with a calm smile.

If Liao Ruifeng were satisfied, he would have withdrawn at the right time. But Liao Ruifeng continues to learn sincerely, which means he genuinely wants to work with Fang Ziye to develop and improve this technique, not just be content with being a master of it. "Professor Wang, opportunities in a person's life are rare; when you encounter them, you must seize them and hold on tight!"

"..."

Next door, the animal testing area.

Liao Jia, Nie Mingxian, and others are conducting animal experiments, which is also a follow-up research topic on spinal cord injury.

The treatment of spinal cord injury with acupuncture electrodes is to restore function from nothing to something, not to improve it.

However, due to the development of modern medicine, there are already some surgical procedures in clinical practice that can improve function. Therefore, everyone is exploring whether the current mature surgical procedures are also suitable for patients who have been paralyzed by spinal cord injury!

For example, there are surgeries like bowel function optimization surgery and urinary function optimization surgery, which are only directional and do not have specific surgical names.

If a seamless transition is possible, then a paralyzed patient with spinal cord injury may be able to transform from a bedridden, depressed patient into someone who looks almost normal.

This requires investigation and evidence gathering!
When Liao Jia saw Fang Ziye arrive, he stepped down from the stage and asked, "Ziye, how's the 'urination' puncture method you and Xiao Liao worked on going?"

Upon hearing this, Fang Ziye corrected him, "Fang—Liao! It's not 'Peeing,' why are you even using your own surname as a joke? Is your surname 'Pee'?"

Others were used to it, but Liao Jia was a seasoned troublemaker.

Liao Jia laughed and said, "Isn't it more painful to see you get rich than to earn money myself?"

"We just examined a rabbit that underwent a pudendal nerve transfer surgery performed by Dean Wang himself. We found that the rabbit's detrusor muscle and other organs could be controlled voluntarily, and the frequency of urination was very similar to that of other rabbits."

"Functional enhancement surgeries that can be performed on ordinary patients should also be applicable to paralyzed patients after surgery!"

"In this way, the already mature surgical procedure can be seamlessly integrated with microcurrent stimulation therapy for spinal cord injury, which is a major breakthrough in medical history!!"

"Hmm, it's about what we expected!"

"The most difficult part of functional loss caused by spinal cord injury is getting things back from nothing to something, and getting them better, which is not much different from that of ordinary patients."

"It's actually a more efficient use of the body's inherent resources; it's a kind of cosmetic surgery in disguise." Fang Ziye nodded.

Microcurrent stimulation therapy cannot restart completely closed electrical pathways; it can only activate some of the 'unactivated' electrical signal pathways.

Therefore, even after microcurrent stimulation therapy, the paralyzed function is still not good enough; it simply exists.

To make the remaining functions perform better, we need to optimize the existing functions.

Reconstruction can be achieved through various methods such as tendon transposition and nerve transposition.

"So, what do you plan to name this surgery?" Liao Jia asked.

"We don't want to name it. It's just spinal microcurrent stimulation therapy. With so many people involved, how can we name it?" Fang Ziye said.

"Brother Liao, the puncture technique that Liao Ruifeng and I developed doesn't cover a wide range of areas, so of course we can name it ourselves."

"This procedure doesn't allow you to 'urinate'!" Fang Ziye replied playfully.

Liao Jia may also want to be remembered in history.

Actually, everyone wants to do this kind of thing; it's just a matter of whether or not they can.

"Sigh, Ziye..." Liao Jia sighed again.

"The scope of this research topic is so broad that our animal testing center is almost becoming a supplier of rabbit models."

"When are you going to find some people to get rid of me?"

"I don't want to work on models every day anymore..."

Animal experiments require rabbit models of spinal cord injury; Fang Ziye's research project requires rabbit models; professors need rabbit models for practice; and future research projects will also require rabbit models of spinal cord injury…

"Can't you bring it out?" Fang Ziye asked Liao Jia.

"We can bring them out, but it will take at least another six months."

"The problem is, I don't want to be a rabbit model-making machine every day for the next six months, do I?"

“It’s not interesting at all…” Liao Jia said.

Fang Ziye said, "Alright then, I'll give you something interesting. Doesn't Tingzhu have a fixed cell line with neurodegenerative diseases?"

"If you implant this cell line into a rabbit model and create some stable cases of peripheral neuropathy in rabbits, that would be really interesting..."

"You want me to work for you again?" Liao Jia wasn't easily fooled, but his eyes lit up.

Sure enough, there were new and interesting things.

Peripheral neurodegenerative diseases are non-traumatic, and replicating this chronic disease in animals is a major challenge in animal experiments.

Unlike tumors, degenerative diseases can be created by simply injecting tumor cells into an animal model of a tumor.

"You even made me work for your wife." Liao Jia's tone was even more resentful.

Upon hearing this, Fang Ziye rolled his eyes: "You deserve the credit!"

"Professor Liao, please help me, please help my wife." Fang Ziye immediately started to play the social niceties.

What does Liao Jia lack? He lacks novelty, excitement, and a sense of accomplishment.

"That's more like it. I'll reluctantly agree. It's quite a challenge." Liao Jia nodded with satisfaction.

"However, we'll have to talk about this later. My baby is due soon, and I need to suppress my curiosity and spend time with my wife during this time."

"It's 9:40, I need to hurry back to cook." Liao Jia glanced at the time. "She loves the dim sum I make for her the most."

Liao Jia ran away as soon as he finished speaking!

This idiot has to spend time with his wife during the day, but he also wants to work, so he gets up around 1 a.m. every day to come to the lab and make up for eight hours of work.

It is well known that pregnant women in their late pregnancy should ideally have a pregnancy pillow and generally should not sleep with their husbands.

Pregnant women in their late stages of pregnancy often sleep a lot during the day, so Liao Jia can accompany her to catch up on naps during the day...

In the animal testing center, the remaining operators are all from the urology and gastrointestinal surgery departments, who are responsible for optimizing and reconstructing the urinary and fecal functions of rabbit models. For example, Professor Wang Xinghuan and Professor Xiong Bin from the gastrointestinal surgery department.

After greeting Fang Ziye, they all went about their own business.

Fang Ziye could certainly help, but they wouldn't ask him for help casually.

Fang Ziye is currently "very troubled" by the question of how to expand the application of spinal cord injury surgical techniques.

This is the real headache that Fang Ziye, the person in charge of the research project, should be facing.

If a surgery cannot be replicated, then it depends on the individual's skill. Only skills that can be learned can be called surgical procedures.

At this point in the project, the professors from the Department of Neurology had already left, leaving only Associate Professor Mei Bin still there as usual, collecting follow-up data.

He wasn't involved in the operations, only in data collection, so he had a moment to spare: "Professor Fang, isn't it too early?"

"Yeah!~"

"Professor Mei, you can actually come back in about two weeks."

“Other people in the lab can record this data!” Fang Ziye looked at his phone and, not noticing the message Luo Tingzhu had sent him, decided to stay a little longer.

The surgery at the sanatorium is scheduled for 2 PM today, and it's only 9 AM now, so there's plenty of time.

This was a time that Fang Ziye voluntarily postponed!

His collaboration with Liao Ruifeng in teaching piercing techniques was also crucial.

"Since I had nothing else to do, I just came to take a look."

“Besides, with so many colleagues here, I feel more at ease coming here,” Mei Bin said.

Fang Ziye did not expose Mei Bin's "lie." Mei Bin and his wife lived apart, so he could only become a workaholic.

"Professor Mei, do you have any particular views on degenerative diseases of the peripheral nerves?" Fang Ziye chatted casually with Mei Bin.

Fang Ziye has asked this question to far too many people.

Fang Ziye has questioned everyone in the research group!

Because it was Fang Ziye who raised the question, the research group took it very seriously. Mei Bin had also heard about the question beforehand and had tried to prepare an answer.

"Symptoms are hard to detect, causes are difficult to predict, there are many possible factors, and once discovered, it is generally difficult to reverse."

"Professor Fang, is your next research project going to focus on peripheral neurodegenerative diseases?" Mei Bin asked with a bright look in her eyes.

Peripheral neurodegenerative disease, that's a topic in our neurology department, isn't it?

I, Mei Bin, am willing to cooperate… (End of Chapter)