top student at medical school

"The surgery was beautifully performed!"

"Fang Ziye's hands are even more precise than a machine's." In the operating room of the new campus of Zhongnan Hospital, Professor Zhang Quan praised Fang Ziye without reservation after watching his entire procedure.

Wang Ou nodded: "Director Zhang, if Fang Ziye's hands were to be insured, I doubt any insurance company would dare to take them on!"

"More than five hundred million, right?"

Zhang Quan said irritably, "If someone gives you a billion dollars and you dare to hurt these hands, you won't be able to escape."

"What kind of nonsense is this?"

On the operating table, after finishing his procedure, Fang Ziye turned to Hu Qingyuan and asked, "Qingyuan, what are the puncture parameters of the trocar you recorded?"

“Master, because it’s a curved puncture, it’s hard to describe the exact angle. There are several tangents, and the angles with the dorsal side of the spinal cord are 25°, 10°, and 15° respectively…”

"The puncture depths and longitudinal distances are 12mm, 18mm, and 21mm respectively..."

"The lateral depths from the puncture point are..."

"The needle insertion lengths from the puncture point are..."

"There is still a 1.93% error compared to the data we discussed in our preoperative consultation! However, according to the data we collected in the animal laboratory, the error is within 3%, which does not affect the surgical efficacy."

A difference of three percent at the millimeter level can be described as a difference at the micrometer level.

While surgery requires precision, it is not required to be precise to the micrometer level; otherwise, there would be no need to perform surgery at all.

The limit of distances that can be controlled by humans is the micrometer level.

Fang Ziye breathed a sigh of relief and nodded slightly: "Yes, a two percent difference in treatment effect is something to look forward to."

"Furthermore, if I repeat the operation, I cannot guarantee that the error will be within two percent each time, which is about three percent."

"Is this the seventh surgery we've performed using a trocar?"

Before Hu Qingyuan could reply, Tang Yi said, "Yes, this is the seventh station."

"The results of the first six surgeries were quite good, but based on our professional assessment, we feel there's still a gap between them and your manual surgery, Ziye!"

"The overall treatment efficacy will be about 25 percent lower, only about three-quarters."

“Although patients cannot experience these data, this is the result we have compiled, at least for now,” Tang said cautiously.

Conducting research and developing new treatments is no joke, so every word must be spoken with utmost care and with a backup plan.

Making jokes without understanding the context shows a lack of boundaries.

People who lack a sense of boundaries are disliked.

Fang Ziye said, "The puncture site that the puncture instrument can reach is fixed, and the upper limit of the level it can reach is limited."

"Actually, in the final positioning of the puncture, there is a subtle adjustment in feel, which is difficult to describe in words."

"Therefore, for spinal cord injury puncture, manual puncture will bring better therapeutic effects than puncture with a puncture instrument."

"But it's enough!!"

"We are targeting patients with paralysis caused by spinal cord injury. Although they will lose some function and sensation, it is still more than enough for them."

"Many patients come to the clinic simply because they want effective treatment..."

After Fang Ziye finished speaking, he stepped down from the stage: "Brother Nuo, Brother Qin, you two can take charge of the subsequent burial. Once you've done enough burials, you can start using the puncture device to assist with the operation yourself."

"The problem is that the positioning and debugging of this kind of puncture device is very troublesome, and it cannot be mass-produced for the time being."

"Okay, okay." Qin Geluo and Li Nuo were overjoyed and immediately secured the main spots, afraid that others would take them away.

After all, Professor Tang Yi is watching him closely from above, and Sun Shaoqing, this 'little wolfhound,' is below him!
"Professor Qin, I'll step down now," Fang Ziye said with a knowing smile.

Qin Geluo has been promoted to associate professor. Although he has not yet been evaluated as associate chief physician, it is only a matter of time. He has already been promoted to associate professor.

Qin Geluo, who had followed Fang Ziye for a long time and had helped Fang Ziye "many times" before, finally got to enjoy the "benefits" brought by Fang Ziye!
"You little rascal." Qin Geluo turned his head and grinned.

"I'm treating everyone to dinner tonight; everyone who can come, please come."

"Professor Zhang, Professor Wang, why don't you come too?" Qin Geluo asked Zhang Quan and Wang Ou.

Zhang Quan and Wang Ou didn't come to the new hospital campus today to joke around or watch Fang Ziye show off. The main reason was that Fang Ziye said the puncture device developed in the animal laboratory had been "released" and was ready for use, allowing experienced spinal surgeons to routinely perform such surgeries.

Fang Ziye invited two "big names" in spinal surgery to observe the operation.

Professor Zhang Quan didn't sleep all night, and Professor Wang Ou even slept in the director's office in the new campus... all for fear of missing this observation opportunity...

"We won't get involved."

"Professor Fang, are there only three surgeries scheduled for today?" Zhang Quan asked again after refusing.

It's only after two in the afternoon.

Although the puncture device is not very effective, it is formulaic, quick to operate, and saves a lot of time.

“Teacher Zhang, I need to go back and tell my son stories tonight, so I’ll only schedule three shows a day, definitely not a fourth,” Fang Ziye replied.

The phone rang; it was his student, Feng Junfeng.

Fang Ziye answered the call naturally: "Junfeng".

“Master, the patient in bed 4 says he strongly requests surgery, even if it's ineffective, he wants to take the gamble. We can't refuse his request.”

"I've explained it to him eight hundred times, but he won't listen. Even Brother Tianluo is here, and he can't persuade him!"

"The patient says he wants to talk to you." Feng Junfeng turned on the speakerphone.

Fang Ziye did not hesitate at all: "I told him to be discharged, so he will be discharged. What do you mean by 'strongly demanding surgery' and 'refusing surgery' as 'refusing treatment'?"

"If he understands the law but is not proficient in laws related to medicine and scientific research, let him study more."

"Discharged from the hospital!~"

"I don't have time to gamble with him!"

“We made it clear to him in the outpatient clinic, but he insisted on finding a way to get admitted to the hospital, and he even transferred to our department.”

"Should we just let him do whatever he wants?"

The patient became anxious: "Professor Fang, please perform the surgery on me. I don't want to live like this anymore, without knowing the truth. I'm not afraid of the surgery failing. You can double, triple, or even ten times the surgery and hospitalization fees!"

The man in bed 4 clearly wasn't short of money, so he wanted to stand up.

The more he saw others in similar situations get back on their feet, the more he wanted to stand up!
To live like a normal person, to be able to walk on your own, go for walks on your own, relieve yourself on your own... even go for a walk in nature... instead of sitting in a wheelchair and being served by others.

"It's not about the cost of the surgery; if it's ineffective, it's ineffective."

"You want to take a gamble? I don't want to waste my time. With this money, you could hire a caregiver for a long time."

"Get discharged, otherwise I'll have no choice but to call the police..."

“I made that clear to you a month ago, and it was written in both your medical record and electronic medical record.”

"There's nothing we can do right now, at least I haven't thought of a good solution yet..." Fang Ziye's tone was crisp and decisive.

“Professor Fang!” The voice in bed 4 sounded a little annoyed.

"Don't call yourself Professor Fang or anything like that. Just because you say it won't work doesn't mean it won't work."

“I’ve also been burned before, so I don’t believe anyone’s promises, because I’ve encountered precedents.”

"That's it, I'm not doing it, and that's final."

“I won’t do it even if you stay here any longer. If I perform the surgery on you knowing it’s ineffective, it would be a violation of medical law. I won’t do anything illegal, no matter how much you ask.”

"If you don't report it, I'll call the police myself!"

"You're a respectable person, there's no need to make things so tense, right?" Fang Ziye's tone softened somewhat. What good would a guarantee do?

In the past, when patients signed the consent form, they said they wouldn't say anything, but later they still suspected that Fang Ziye did it on purpose or that it was an operational error!
"Professor Fang, please help me!"

"I'm helping you by letting you get discharged first. If you don't do anything now, you still have a chance. Don't do anything reckless, otherwise, if you make a mistake later when a solution comes out, you won't be able to get it done."

"Remember, you can't mess around after you're discharged from the hospital!"

"Get discharged! Hospital beds are in short supply." Fang Ziye said and then hung up the phone.

"I'm sorry, Teacher Zhang, Teacher Wang," Fang Ziye said apologetically.

“It’s alright, we’ve seen this kind of thing many times. In our department, we also have quite a few patients who are paralyzed after surgery, and those arguments are much more troublesome than what you’ve encountered.” Zhang Quan and Wang Ou are both veteran spinal surgeons.

Wang Ou asked, "Professor Fang, when will you start the training on spinal cord puncture devices? I don't need a spot; I have to come directly!"

Although the spinal cord puncture device is useful, training is still required, although the training time is not long.

However, Fang Ziye's approval is required before they can be qualified to operate, which is also the intention of the Hubei Provincial Health Commission.

"Teacher Wang, why are you being so polite? I'm used to calling you Ziye, aren't I?"

"Formal training will begin in November."

"Our faculty members will all be yours in October."

"It's perfect timing for me to take a break and enjoy the real benefits of being a professor," Fang Ziye said.

"Teacher Zhang, I may offend you in the coming period of time."

Zhang Quan is also coming for training. During the training, Fang Ziye might start cursing or speak rudely because of the different positions he holds as a teacher and a student.

Zhang Quan was actually a little uncomfortable, but he still patiently said, "That's natural. They should be scolded when they need to, so they'll remember it."

"But Ziye, you'd better give me some face."

After Zhang Quan finished speaking, he added, "However, Ziye, we originally only planned to hold the quarterly review meeting for spinal surgery in Hubei Province this time."

"But those people in the province and the department just couldn't stay idle, so they leaked the news."

"Now things are much better; spine surgeons from all over the country will be attending the conference."

"This conference has been elevated to an annual conference for spinal surgery, and the number of registered participants has already reached over nine thousand."

"Many doctors from county hospitals have signed up to attend the conference!"

The ability of needle electrode microcurrent stimulation under puncture device assistance for spinal cord injury to treat paralysis caused by spinal cord injury is enough to drive everyone crazy!

This marks the beginning of a new era, potentially signifying the start of a non-paralyzing era for spinal cord injuries!

We live in an era of highly developed information technology, and no one wants to fall behind.

Without a puncture device, many people would know what to expect, but with the aid of a puncture device, it proves that the entry barrier is not that high.

Many people feel they can get involved.

Professor Zhang Quan is the head of the Department of Spinal Surgery at Zhongnan Hospital. He is not the "actual operator" responsible for registration or chairing meetings, but Wang Ou is one of the implementers.

"Director Zhang, it's not just that."

"The expanded conference on spinal surgery you mentioned happened last month. Currently, the information we have received is a joint conference on neuromedicine involving spinal surgery, neurosurgery, and neurology."

"Neurologists and neurosurgeons are also interested in this surgery; we can't turn them away!"

Academic conferences are for the purpose of exchange.

Although the topic of this study is spinal cord injury, spinal cord injury is not only involved in spinal surgery!
Many colleagues in neurology and neurosurgery are also conducting research on this.

"That's it, a fight is definitely going to happen."

Zhang Quan glanced at Fang Ziye: "Fang Ziye, it seems you'll have to urge your company to expand the production of spinal cord puncture devices as soon as possible!"

"Otherwise, with too many monks and too little porridge, they might raise prices on the spot."

Zhang Quan is very experienced.

Although Guangbai Group has been "acquired" by the government, it doesn't mean it doesn't want to make money.

Doing business is all about pursuing profit.

Fang Ziye said, "No matter what, we must give priority to ensuring the supply of spinal cord puncture devices in Hubei Province. The development of this puncture device is very difficult and the production volume is very low."

"Currently, we can only produce about fifty units per day."

"How to accelerate production while ensuring quality is not something we can accelerate."

"Actually, it's still not enough. If we really want to eat it, we can scrape it clean in Han City."

There are many large hospitals in Wuhan.

Priority should be given to hospitals such as Central South Hospital, Hubei Provincial People's Hospital, Tongji Hospital, Union Hospital, 301 Hospital, and sanatoriums...

Fifty units are really not enough to go around.

"Forget it, there's nothing we can do about this. We just don't know what the final price will be."

"But considering the current demand, I hope it won't be too high, below 30,000 would be fine," Zhang Quan said.

Fang Ziye said, "Professor Zhang, your prediction was really accurate. The estimated selling price is 20,000 within the province, 30,000 outside the province, and 20,000 US dollars abroad..."

Fang Ziye continued, "And this spinal cord puncture device is disposable!!!"

"Extremely profitable!"

"How much was invested in the early stages?" Zhang Quan asked curiously.

Zhang Quan had visited the laboratory, but he didn't know the exact amount invested, though he knew it was substantial.

A single mouse in the laboratory costs several thousand yuan, and the cost of mice alone has amounted to at least several million or even tens of millions of yuan...

"I am not sure as well."

"I hope the medical insurance system will take note of this and reimburse the costs."

Fang Ziye continued, "My hope is that when these spinal cord puncture devices actually arrive at the county hospital, they can be made more accessible to the general public!"

The investment in this research will be at least 50 million, and may even exceed a small goal.

To recoup costs, it's not calculated based on the selling price.

The cost of a single spinal cord puncture device is at least several thousand yuan. Then, when you add in labor costs, company logistics, engineer assistance, etc., the net profit won't be particularly high; it should be around 20% of the selling price.

Based on current production levels, it will take two to three years to break even.

Moreover, they are also investing in research and development.

"Ziye, this meeting is scheduled for mid-November, which is only half a month away."

"You'll have to come and support us then!"

“After all, you brought it out and raised it. Currently, you are the only one in the entire Hubei Province who knows it and is the most proficient in it,” Zhang Quan said.

Although Liao Ruifeng can lead a team to perform surgery, it's not certain who is leading whom.

At most, I'd be considered a semi-professional.

However, Liao Ruifeng will definitely also participate and offer his opinions!
Before the traditions within an industry are broken or become systematic, practitioners are the absolute authorities.

“Okay!” Fang Ziye agreed.

Of course he has to go. (End of Chapter)