top student at medical school

"Director Li, Professor Fang still declined. Why doesn't he want to come for this interview?" Zhu Jing looked at Director Li Jiafu with considerable confusion.

Zhu Jing knew Fang Ziye and had heard of his name.

When Fang Ziye became "famous," she was just a resident and new attending physician in the Department of Obstetrics and Gynecology. She was busy with urgent consultations and surgeries in the department every day and simply didn't have the energy to learn about the resume and experience of the "famous Professor Fang."

In Zhu Jing's understanding, the hospital's publicity department's willingness to conduct a separate interview was a good opportunity to "show her face," at least to gain some "status" within the hospital!
For most associate professors, having a good reputation within their department is "their duty," but who will recognize them outside the department? Isn't it all thanks to these news stories and gossip?

Is it better to be famous through an interview than through gossip?
The primary task of attending physicians, associate chief physicians, and associate professors at Zhongnan Hospital is still to 'learn' surgery and the treatment of routine diseases. Their status in the province or national academic conferences are of little concern to them.

Studying hard and striving to become a chief physician, and growing into a chief physician who can lead a group independently, is the 'daily routine' of associate professors and attending physicians. On the side, gaining some reputation among their colleagues in the hospital is the absolute core mission.

Unlike chief physicians, group leaders have basically mastered their own hospitals, so their vision extends to the entire province and the country, which gives them the time to consider such far-reaching matters.

Li Jiafu wasn't surprised. Instead, he smiled calmly and said, "Zhu Jing, the reason I didn't tell you before was to let you experience one thing: that experience is the best teacher."

"You might want to take a good look at Professor Fang Ziye's resume on his official website..."

Li Jiafu is the director of the obstetrics department and a renowned obstetrician in Hubei Province. Many pregnant women in the province with difficult and complicated diseases rely on Director Li Jiafu for pregnancy preservation, and he has a high status in Hubei Province.

But looking at the whole country, Li Jiafu also wants to lead his team to develop routine diagnosis and treatment for many diseases, carry out several new research projects, and blow up his peers in the country and in his profession.

But such things are just wishful thinking. What Li Jiafu can do now is to handle 'diseases' that are internationally recognized as intractable diseases, but which many professors and top doctors can already treat!
As for unknown diseases, those that are generally considered incurable in the industry, Li Jiafu also wants to develop treatment plans, but for now it's just a thought.

Being able to learn the most advanced international techniques and apply them skillfully in clinical practice is enough to enable a doctor to dominate the provincial track and gain a certain 'professional weight' nationwide!
Zhu Jing opened Fang Ziye's official website resume with some skepticism, but after only a few quick glances, she widened her eyes in disbelief: "Huh? How is this possible?"

Li Jiafu countered with a conflicted tone, "You never read any of your previous WeChat Moments or public accounts?"

Li Jiafu was not surprised at all by Zhu Jing's expression at this moment.

Zhu Jing gave an irrelevant answer: "The first CAA clinical trial, a National Science Fund for Distinguished Young Scholar, and a National Science and Technology Progress Award?"

"Director Li, am I dreaming? These resumes are real, not fabricated?" Zhu Jing asked a very foolish question.

If Fang Ziye got his position through crooked means, he would have to have had his brain slammed in a door tens of thousands of times to think of fabricating a top medical journal like CAA, fabricating his status as an "Outstanding Youth," and fabricating that he had won a national-level science and technology progress award!
"It's all true! I'm not exaggerating."

"At most, there's only a one-thousandth of exaggeration involved. Professor Fang's resume speaks for itself; he doesn't need any further boasting," Li Jiafu remarked.

"So, I had anticipated that he wouldn't come to the hospital interview." With that, Li Jiafu left the office, leaving Zhu Jing alone to process her shock, disbelief, and 'ignorance'...

People always have to pay some price for their past or present ignorance.

Zhu Jing is now somewhat annoyed by her previous rudeness.

……

Lan Tianluo has stepped down as chief resident, but he has not relinquished his "doctoral status". Therefore, Lan Tianluo is still the "assistant chief resident" and is scheduled to assume the responsibilities of attending physician in the department.

The department routinely performs limb-sparing surgeries for severe injuries, and Song Yi, the newly appointed chief resident, also faces such surgeries.

However, Song Yi was clearly not very skilled, so Lan Tianluo often had to clean up after him.

If Lan Tianluo can't finish the cleanup, there's no need to call anyone from the ward anymore; Fang Ziye can be called directly.

Fang Ziye was summoned to the emergency department of the new hospital area by Lan Tianluo during his vacation.

"Senior brother, this patient's damage is a bit unusual, I really don't have the confidence to handle it."

"The initial hemostasis has been completed, but I'm not sure if the limb can be saved, so I called you to come and take a look."

“If you also say it can’t be saved, then it’s simple. Song Yi and I will take him in for amputation… If not, then you’ll have to come and work overtime.” Lan Tianlu swallowed, feeling somewhat guilty.

Fang Ziye is his brother-in-law. Logically, since Fang Ziye is currently on paternity leave, he shouldn't bother him. Instead, he should stay in the ward to give Fang Ziye more time to spend with Luo Tingzhu. But Lan Tianluo didn't do that.

As Fang Ziye put on his examination gloves, he looked at the patient, who was half-conscious and on the verge of death, with tubes already inserted...

Then look at his lower limbs, they're a complete mess.

This wasn't just a minor injury; it was a devastating one. From the middle of his thigh down, there were no traces of his thigh or calf, and the bones in his foot were shattered beyond recognition.

If we had to make an analogy, we could think of it as a pair of thighs with two "long meat patties" hanging from them!
The external injury was relatively simple, with no chest or abdominal damage, and the blood pressure was relatively stable with effective hemostasis.

"What happened? Could it have been completely crushed by the rolling mill?" Fang Ziye found it extremely strange.

What is the injury mechanism of this type of damage?
He didn't run at all, he just sat and lay there and let the roller crush him?
"It was caused by the heavy load from the crane!"

"When he was injured, he lunged forward, and his original position after the injury was prone. None of his ribs were broken..."

"Fortunately, there was a professional vascular surgeon eating at the scene. He arrived at the scene and immediately stopped the bleeding of the stump."

“The bones and soft tissues of the lower limbs have completely collapsed, which is more extreme than any of the destructive injuries we have encountered before… But it seems that when you were on duty before, you also encountered a patient with a milder but similar condition, and you also managed to save the limb…” Lan Tianluo said.

This can be described as a devastating injury; such damage is extremely rare.

It's not that these things didn't happen, but rather that many patients died on the spot, so limb-sparing surgery for this type of disease lost its meaning, and there's no need to continue researching in this direction.

Fang Ziye said, "I suggest amputation. Then we can fit a prosthetic limb, which would be good for both the patient and us."

"If we want to save the limb, it may require four or five surgeries. If even one fails, all our efforts will be wasted."

Fang Ziye's medical skills are impressive; he developed the technique of limb preservation for severe injuries. But you can't just give me a meat pie to save my limb, can you?

The family member, slightly annoyed, asked, "Who are you? Do you even know how to treat a patient?"

"If you don't know how to read it, you can call your superior."

“We came here specifically for your hospital’s limb-saving surgery. No matter how good a prosthesis is, can it feel as natural as using your own leg?” The speaker was the man’s elder, possibly his father or father-in-law.

In his sixties or seventies, his face was full of worry, and his tone was quite unfriendly after hearing Fang Ziye's words.

"My name is Fang Ziye, and I am their superior." Fang Ziye pointed to Lan Tianluo and Song Yi.

“I didn’t say you weren’t my superior. Call your professors again. If you can’t handle it, don’t waste time talking nonsense,” the old man said. Fang Ziye felt a little embarrassed upon hearing this: “I don’t have any superiors.”

"Old man, listen to me, his leg can't be saved, just amputate it and deal with the stump..."

He's already sentenced to death, so calling Deng Yong and Gong Jiahe here won't do any good.

Fang Ziye really doesn't know who his superior is who can back him up.

Hearing this, the old man was about to persuade him again when Professor Liu Wentao from the emergency department said, "Sir, this Professor Fang is the founder of limb-sparing surgery for traumatic injuries. His limb-sparing technique is probably the best in the world."

"If Professor Fang says there's no chance, then there really isn't a chance."

"Let's amputate it sooner rather than later to prevent further hidden blood loss."

The old man looked surprised upon hearing this: "Ah? Him?"

"The best at limb-saving surgery?" He looked at Fang Ziye again. Fang Ziye was indeed a bit old, but he didn't look like a top professor. He actually looked quite young.

Yes!

“Professor Fang Ziye, the Professor Fang you’re talking about is Professor Fang Ziye! He’s the highest-ranking superior,” Liu Wentao said.

"Liang Mei, come and lend a hand. The patient has been taken to the operating room and is scheduled for amputation." Liu Wentao stopped arguing with the patient.

Being alive is the best thing.

The old man then began to plead, saying, "Professor Fang, please save my son! If he loses his legs, how will he ever be able to work?"

"His child is still young."

"You're such a professor, you must have a way!"

Fang Ziye shook his head and said, "Old man, there's nothing we can do. Limb-sparing surgery requires the lower limbs to be saved first. Look at his wound."

"If this kind of meat pie can save a limb, then that's too miraculous."

"Even if there's the slightest chance, the medical expenses would be astronomical. Even if the limb is saved, the wound would be useless, because the muscles and bones would be completely pulverized!"

"It's pointless..."

The elderly man asked again, "What if the medical expenses can be reimbursed?"

Fang Ziye also shook his head: "That's just for show. It's not worth spending millions just for a pair of legs that look useful."

"Artificial prostheses can still have normal functions and are more resilient, making them better than just decorations."

"Old man, it's not that I don't want to help you, it's just that there's really no point in doing so. In this situation, it's a miracle that you're still alive."

“Let’s amputate it…” Fang Ziye said gently.

If this middle-aged man's lower limbs weren't so severely deformed, he would have tried to save him. But if he could save even such deformed legs, Fang Ziye could ascend to heaven and become an immortal.

If you can bring the dead back to life and heal the wounded, what's the point of being a doctor?
After hearing Fang Ziye's conclusion, Lan Tianluo and Song Yi took the patient's family to talk and sign the papers.

They came to Zhongnan Hospital just to try their luck; in fact, they themselves felt that their legs were beyond saving.

Then accept your fate and try to get more compensation; that's the right thing to do.

……

After Lan Tianluo and Song Yi took over the patient, Associate Professor Liu Wentao came over and explained in a low voice, "Professor Fang, thank you for your hard work today."

"Actually, the phone call Dr. Lan made to you was at my behest. This patient is somewhat related to me."

Upon hearing this, Fang Ziye's expression tightened slightly. After considering it again, he firmly stated, "Professor Liu, it's not worth it. Amputation is worse than saving the limb; he'll lose all function!"

"Moreover, the success rate of limb preservation is less than 10%, even if I personally perform the entire surgery."

Liu Wentao nodded and chuckled, "Thank you for your trouble, Professor Fang. He was my best friend in high school. After graduating from university, he went to work on a construction site, while I became a doctor."

"Isn't that why they've come to me for help?"

"We're really, really good friends, the kind who get drunk together once or twice a year. Otherwise, I wouldn't have gone to all this trouble for you, Professor Fang, at such a special time," Liu Wentao stated, expressing his attitude.

He made Lan Tianluo call today by using his 'connections,' and he begged Lan Tianluo very earnestly before Lan Tianluo finally agreed.

Of course, Liu Wentao still hoped to give his friend a chance to survive, but he just couldn't.

"Teacher Liu, a patient with a dislocated joint has come over there."

"When I called, the orthopedic resident said the patient had gone to the operating room. Should the patient be transferred?" A resident from the emergency department came to report.

Liu Wentao immediately smiled and said, "Joint dislocation? For orthopedic patients, you should ask Professor Fang."

"He's the head of orthopedics! ~A perfect match for his expertise."

The resident physician's voice tightened slightly upon hearing this, and he offered a low suggestion based on his own understanding: "Professor Liu, I've heard from many senior colleagues that the best orthopedic surgeon is former chief resident Lan Tianluo, and the other senior doctors aren't from the trauma surgery department..."

"Shut up!" Liu Wentao shoved the resident physician and immediately cursed, "Get back to your work! What are you muttering about here?"

After dismissing the resident physician, Liu Wentao smiled and said, "Professor Fang, don't take it to heart. Young people are ignorant and inexperienced..."

"The main reason is that when you were the chief resident and were dominating the field, they were all playing in the mud in high school."

Fang Ziye is thirty-three years old this year. He was twenty-seven when he became the chief resident, which is now more than six years ago.

The younger generation is unaware of Fang Ziye's existence as a great master, while Lan Tianluo, being the current chief resident, is quite famous...

That's how the martial arts world is; you have to navigate it to be recognized, otherwise, it changes far too quickly... (End of Chapter)