top student at medical school

The middle-aged man fell silent. Of course, he was only criticizing Fang Ziye's "lazy" character, not because Fang Ziye lacked ability.

In fact, as a patient's family member, how could he have considered things so deeply?

Lan Tianluo wasn't trying to insult anyone. When Fang Ziye took Yuan Shanshan out, Lan Tianluo's tone softened: "Uncle, Director Fang has really had a tough time."

"Doing scientific research isn't as simple as you think. You can't just take some money, invest it, and expect to get research results and publications in return..."

"Simply publishing articles is of no use to the development of medicine; we still need to solve real problems."

"Putting myself in their shoes, my senior colleague, Director Fang, has been performing surgeries for several years now."

"Do you think about how many car accident patients there are now? If my senior brother just wanted to perform surgery and be responsible for the patients, he could make a living by performing fracture surgeries every day at a small hospital."

"Whether or not amputation is performed for injuries, whether functional impairment will affect quality of life or career development, and whether or not bone tumor patients need large incisions—what business is it of theirs?"

"Did it disturb his meal or something?"

"Before our group consisted mainly of spinal cord injury patients, were there fewer patients with functional impairments, traumatic injuries, and bone tumors?"

"Why don't you ask some of the people in line?"

"Take another look at the patients and their families currently hospitalized in our group. It's obvious, isn't it?"

"Don't start smashing the pot when it's almost time to eat."

"Director Fang and our team have conducted a large number of animal experiments, which have confirmed that the results of his surgery are not much different from those of the puncture device surgery. To achieve a better quality of life, a second phase of functional reconstruction is needed."

"Functional reconstruction is inevitable in the end, so why are you fixated on my senior brother alone?"

"How many nails can a person made of iron drive?"

"You've seen outpatients before, and you've made hospitalization appointments before, haven't you?"

"What does this number of patients mean compared to the overall population with spinal cord injuries?"

"When were spinal cord injury surgeries officially performed? In April or May."

"It's October now, and Director Fang is only now delegating surgical authority because both Director Li Nuo and Director Tang Yi are capable of performing the surgeries; their skills are already highly proficient!"

"What, you just want to see my senior brother master this surgery all by himself, without teaching others, so he can rely on this one skill to make a living for the rest of his life?"

"Seeing patients crowding the outpatient clinic every day, queuing up every day, are they looking for a sense of existence? To show off their great abilities, that they are saviors?"

"If that's Director Fang's mindset, are you satisfied?"

"Teaching, teaching... The more people who can perform this kind of surgery, the more patients can benefit!"

"Just discussing with you whether we should change the surgeon, and you immediately bring it up to criticize Director Fang's character? Are you trying to maliciously attack him? You can simply disagree, can't you?"

"What are you looking for a sense of existence for?" Lan Tianlu cursed vehemently, probably because he had been holding it in for too long.

As the department gradually rotates its lead surgeons for spinal cord injury cases, there has been no shortage of gossip.

Some say Fang Ziye is slacking off, others say the hospital is looking for 'intern's' to practice on, treating patients like dirt.

Now it's even worse. Rumors are spreading that Fang Ziye is just trying to gain fame and reputation by publishing scientific research articles, and that he doesn't treat patients like human beings.

Does a top professor lack patients?

There's plenty to go around.

Not to mention that Fang Ziye has no shortage of patients, Deng Yong has no shortage of patients either. Even now, Yuan Weihong can run a department in a small hospital, and there are many patients seeking his treatment.

However, if Yuan Weihong were to spend his days performing minor fractures, removing cysts here and there, and occasionally suturing tendons—operations that even a small town hospital could do—it would be a huge waste of his talent.

Lan Tianluo's loud shouts attracted many patients and their families.

The attention made the middle-aged man particularly reserved: "I...I'm sorry, I lost my temper."

Seeing that quite a few people had arrived, Lan Tianluo said, "I'll say it again: our group's surgeries may not necessarily be performed by Director Fang. If anyone is unwilling, they can request to be discharged; that's their prerogative."

"Furthermore, starting next year, our group may no longer admit patients with common lower spinal cord injuries. This is our administrative arrangement."

"No matter how you misunderstand or criticize, it doesn't matter."

"Because you are neither patients with high-level spinal cord injuries nor their families, if you have any reservations, it actually shows that you lack empathy!!!"

"Gaining fame? That kind of fame isn't so easy to earn!" Lan Tianluo said with exceptional bluntness.

One of the family members chimed in, "Dr. Lan, a good doctor should of course treat patients and make the most of their skills."

"Isn't always doing scientific research just a sign of having ulterior motives?"

"With Dr. Fang's excellent skills, it's a real shame he doesn't perform surgery on patients like us!"

Lan Tianlu nodded: "It is indeed a pity, I admit that too."

"However, each doctor has a different focus. In other words, Director Fang's fracture surgery is also excellent."

"If our department is full of fracture patients, and you are a spinal cord injury patient, which group is larger?"

"At this time, if some family members of patients with fractures come and say that it is a waste, a disservice, a hoax, or a way to gain fame if Director Fang does not perform fracture surgery, then..."

"Whether you live or die is none of their business. What would you think?"

Upon hearing this, Fang Ziye told Yuan Shanshan to leave first, took a few steps forward, and said, "Lan Tianluo, stop talking."

"Director Fang, Professor Fang..."

"Professor Fang." Fang Ziye's voice opened a channel.

Fang Ziye walked up to the middle-aged man and said with a smile, "Brother, you want me to perform surgery on your daughter, right? No problem, just ask..."

Upon hearing this, the middle-aged man swallowed twice and said, "Director Fang, I'm sorry, but I still want you to perform the surgery on my daughter."

"After all, she's still young."

He understood many of the principles Lan Tianluo spoke of, but at this moment, he understood even more the principle that he wanted his daughter to receive better treatment.

"Yes, that's what I think too, so we're just discussing it with your family."

"You patients were all admitted when I was in the outpatient clinic, and you came to me for surgery."

"So, if you want me to be the surgeon, and you want to give me that face, I will definitely do it myself, I will do it myself."

"Of course, it would be even better if you were willing to give our department's Director Li and Director Tang a chance as well."

"These two directors are very skilled. If they were to leave our group and go to other places, they could lead their own groups. They are experts that are so sought after that even getting an appointment is difficult."

"One thing is certain: both of these directors are highly skilled; otherwise, they wouldn't dare to say they could perform the surgery."

"There are many patients in the department, and the accumulated number of surgeries is also quite large."

"Considering this situation, we asked the hospital for an extra operating room. In other words, if you are willing, our department can perform three surgeries at the same time in the future."

"Of course, one operating room belongs to Director Zeng and his team. Our group can operate two at the same time at most."

"This way, after you are admitted to the hospital, you can have the surgery as soon as possible. After the surgery, you can wait to recover without having to wait as long as before. If the treatment is effective, you can go home to rest every three to five days. This is a good thing, right?"

"The inpatient environment in our hospital isn't good; it's definitely not as good as home." The family member asked a more worrying question: "Dr. Fang, what if Dr. Li's surgery doesn't work well, or doesn't work at all?"

The matter has escalated to such a great extent that Fang Ziye has no choice but to comment.

Fang Ziye tilted his head and said, "You said it yourself, it's just one in ten thousand. If it really is one in ten thousand, then we can only say that we weren't lucky enough, and God wasn't cooperating."

"I can assure you that with Director Li and Director Tang performing the surgery, there is at least a 99% success rate, and the results after the surgery are generally very good."

"The remaining one percent can only be left to God."

"Appendicitis surgery can be fatal. Surgery is not a joke, nor is it a mass-produced procedure. It varies from person to person!" Fang Ziye's voice was cold and stern.

"Everyone, you can go home now. You can go back and think about whether you want to have the surgery done quickly or continue to wait."

"Give our attending physician a reply as soon as possible so we can make arrangements accordingly."

"We fully respect whichever choice you make." Fang Ziye began to disperse the crowd.

The family members then gradually dispersed.

The middle-aged man still asked, "Director Fang, my daughter's surgery, it's not that you were nominally the one who performed it, but someone else actually did it, is it?"

Fang Ziye shook his head: "That's impossible. We will definitely do what you ask for and what we promise you."

"The patient has the right to request to be the surgeon, and although I also have the right to refuse, I have already agreed."

"I will personally perform your daughter's surgery and do my best to do so."

……

At the end of the shift handover, after the attending physician and the nursing department had finished their handover, Fang Ziye said in a slightly cold tone, "Director Zeng, I feel that the quality of this recent batch of cefuroxime is really not good enough."

"This month, our department has seen four cases of postoperative infections."

"Should we discuss switching to a different brand or switching to cefazolin?"

"I feel that if we could ask the pharmacy department for permission, our routine use of ceftriaxone wouldn't be considered a violation!"

Surgeons are not gods; they can only perform surgeries beautifully and adhere to aseptic principles.

Preventative anti-infection measures still have to rely on antibiotics.

Commonly used prophylactic antibiotics in orthopedics include cefazolin and cefuroxime; clindamycin is used for patients allergic to penicillin.

Lan Tianluo, the chief resident, reminded him, "Senior, after the volume-based procurement, our department has a quota for cefuroxime."

"Centralized procurement is a contractual order."

Fang Ziye said, "An order is an order. If the quality of this batch is not good, what's wrong with placing another order?"

"If I had to say something, I could also request the drug administration to conduct sampling and testing of their batch of products in multiple locations."

"Lan Tianluo, talk to the person in charge of cefuroxime at our hospital. If you want to continue using it, see if you can take this batch of drugs back first."

I don't think that was the case with cefuroxime before August.

Upon hearing this, Li Nuo said, "Director Fang, let me do it. Tian Luo is the boss, and he has a lot of things to manage."

"Yes, thank you for your hard work, Director Li." Fang Ziye has started to change his address in front of everyone, just to give Li Nuo more weight and make others more recognize that he is an associate chief physician with such ability.

"I see. If a patient in the group develops an infection, try to avoid criticizing the attending physician."

"According to current research, the chance of infection caused by the attending physician changing the dressing is extremely low, unless it is a complete novice who cannot even follow the most basic principles."

"I've had Hu Qingyun compile the standard principles for bedside care of infected patients, as well as the postoperative care plan, and posted them in the group so everyone can study them carefully."

"There is no surgery without infection..." Fang Ziye is not only the director, but also a teaching assistant. When problems arise, he naturally has to solve them. In addition to solving potential problems, he can also summarize and organize the knowledge points that his subordinates can use in a timely manner.

These knowledge points are not just generic downloads; they are summaries compiled by Fang Ziye based on his own experience and theories.

It is more detailed and specific than general guidelines and principles.

……

At noon, after finishing two surgeries, Fang Ziye received a call from the nurse on duty, saying that someone in the department was looking for him and that they were an acquaintance of his.

Five surgeries were scheduled for today. All three patients requested that Fang Zi perform the surgeries, but two others felt that it wouldn't be bad if Li Nuo and Tang Yi performed the surgeries.

The third procedure was the second spinal cord injury surgery performed by Li Nuo and Tang Yi.

Fang Ziye dared not leave at this moment, so he asked, "Xinyao, did this acquaintance say his name?"

"Sir, Director Fang is asking what your name is."

"Tell Director Fang that my name is Zu Haiguo, and if it's inconvenient for him, I'll come to see him after he gets off work."

"His number is so hard to get! I waited at home for half a month and still couldn't get one, so I had to come and find him in person." The old man's voice came through.

Ancestral Sea Kingdom!
Long-forgotten yet familiar memories began to assault Fang Ziye's consciousness.

Fang Ziye first met Zu Haiguo when he unintentionally saved someone from the National Health Commission when he first arrived in Enshi.

The reason why Academician Qiu Zhenghua and Academician Gu knew about Fang Ziye in the past was because Zu Haiguo wanted to repay Fang Ziye for saving his life. He was also a benefactor who had helped Fang Ziye.

"Okay, I'll be right back." Fang Ziye agreed without surprise, then went back to the operating room and said, "Master Nuo, an old acquaintance came upstairs, it seems he's here to see me for treatment."

“I’ll go first…you guys take it a little slower…” Fang Ziye said.

“Okay, Ziye…” Li Nuo nodded without any emotion.

He often gets approached privately by acquaintances, let alone a great expert like Fang Ziye.

When Fang Ziye returned to the ward, the first thing he saw was Zu Haiguo. However, at this time, he was being pushed in a wheelchair by an elegant old lady who was looking at Fang Ziye with a half-smile at the nurses' station.

"Director Fang...long time no see?" Zu Haiguo waved.

Fang Ziye, beaming, quickened his pace: "Teacher Zu, why didn't you call ahead of time?"

"Isn't it because I was afraid of disturbing Director Fang's work?"

"I'm retired now, just an ordinary old man. I wouldn't dare disturb Director Fang's work of treating patients," Zu Haiguo said self-deprecatingly.

"Teacher Zu, this way please..." Fang Ziye led Zu Haiguo toward the director's office.

At the nurses' station, people were whispering: "Even Director Fang calls her 'teacher,' so who must she be?"

"Also a professor from this institute?"

"He doesn't seem like it. I don't know. He has a very dignified air about him. He might be some kind of retired cadre..."

"Shh...Teacher Shen is here." The two nurses quickly stopped talking when they saw Shen Xinyao.

As time goes by, new generations replace the old. Young people grow up while others grow old.

As Fang Ziye became Director Fang, Shen Xinyao, a nurse who was only one year older than him, also became a head nurse and would soon be moving to another specialty to become a head nurse... (End of Chapter)