top student at medical school

Midway through his outpatient visit, Fang Ziye's phone rang.

Fang Ziye hung up and explained to the patient, "I'm going to reply to a message, it will take about ten seconds. Dr. Hu will continue your examination."

"There's something quite important that I hope you'll understand."

The patient paused slightly, then smiled and said, "Professor Fang, why are you explaining this to me after replying to my message? You go about your business."

While conducting the examination, Hu Qingyuan explained, "My mentor received an emergency call during rounds, and someone reported him for it. They said he wasn't proactive or diligent in his work."

"Huh? There are people like that?" The family members were greatly surprised.

Fang Ziye quickly typed a reply to Dong Ning's message: "Professor Dong, I'm in the outpatient clinic right now and it's inconvenient for me. Could you and Teacher Yao please receive them? Please remember to be polite."

"I'll come over after my clinic hours."

It was Dong Ning calling; he thought Fang Ziye was still on paternity leave.

Today marks the first meeting between Fang Ziye's team, who are developing a "generic drug," and the original drug company. Generic drugs do not have copyright, but if they are improvements on the basis of the original drug, they can discuss with the original drug company to continue sharing the "patent," achieving a win-win situation and avoiding "disputes"!
With such a large international market, Fang Ziye felt that 'generic drugs' didn't need to occupy too much of the market. As long as some domestic drugs were effective and slightly cheaper, and a little money was made internationally, it could be considered a public welfare scientific research project.

Of course, the specifics of how to discuss this are still undecided.

The development of generic versions of vancomycin has been underway for nearly a year, and only initial results have been achieved. The speed may seem slow, but it is actually at the speed of light...

Fang Ziye replied with a smile, "Everyone is different. There are all kinds of people in this world. Of course, there are very few people who are harsh on others."

“Many people are as understanding as you.”

Over the years, Fang Ziye has treated tens of thousands, nearly one hundred thousand, patients and their families. Even if there is only a one in ten thousand chance of encountering a strange case, he has still encountered several.

Just as Hu Qingyuan was about to finish his examination, Fang Ziye clasped his hands together and said, "Actually, based on the current examination results and your father's X-rays, there is no need for surgical intervention at present."

"Go back and recuperate for a while. If your symptoms become really severe and you can't stand it anymore, then it's safer to have surgery to improve your function."

Upon hearing Fang Ziye's words, the old man quickly stood up and said, "I told you, my condition is actually fine, I don't need to come to the hospital, but you insisted on making me come."

The family member, the patient's son, was a few years older than Fang Ziye. He smiled broadly and said, "Dad, you're not a professional doctor. Can I believe you if you say you don't have to come?"

"But since Professor Fang said so, I feel relieved."

"Thank you, Professor Fang. My dad also says he has leg pain and some numbness in his calves. What should we do about that?"

"If you feel a little unwell, there are always medications available to treat it, right?"

He was actually happy to hear Fang Ziye say that surgery was not necessary.

Surgery is for treatment; no one wants to be surgically operated on lightly.

Fang Ziye said, "Let my student explain it to you, and I'll also test him while I'm at it."

The patient and his son both glanced in Hu Qingyuan's direction.

Hu Qingyuan wasn't very nervous. After washing his hands again, he sat back down at the examination table and wrote down the examination results while saying, "Sir, your condition is a degenerative disease. It's because you're old that some structures have degenerated, leading to a herniated disc."

"But the protrusion is not too bad; the compression of the local nerves has not reached the point where surgery is absolutely necessary."

"In your case, you can try conservative treatment for a while. I suggest you buy a waist support when you get home and wear it when you walk or go for a walk."

"As for the pain symptoms, we can prescribe some medication, usually three kinds."

"One is nonsteroidal anti-inflammatory drug Ankangxin, the other is mecobalamin, which nourishes nerves, and adding Daflon may eliminate local edema."

"Of course, the old man is getting on in years, so he can take some calcium supplements as needed. You can buy them yourselves when you get back."

"Just buy the most basic calcium supplements. The calcium supplements currently available at our hospital are all therapeutic ones, which are a bit more expensive."

The middle-aged man interrupted, "It's alright, Dr. Hu. As long as the medicine works, you can prescribe it."

Hu Qingyuan continued, "When you get back, you must pay attention to your lifestyle. For example, don't do things like the horse-headed shoulder massage you just mentioned. Rest lying down more, and especially avoid carrying heavy loads!"

"In addition, through the physical examination just now, I found that the old man's hip and knee joints also have slight degeneration."

"We haven't reached the severe stage of osteoarthritis yet, but we must be careful to avoid climbing stairs in this situation."

"Sir, you shouldn't take the stairs for exercise anymore. It's extremely damaging to your joints! We orthopedic surgeons never use the stair climber in the gym!"

The middle-aged man's gaze was obscure, and his tone was hesitant: "Isn't climbing stairs good exercise? I've heard that climbing stairs can improve cardiovascular function?"

"Walking slowly on flat ground can also improve cardiopulmonary function, right?"

“Climbing stairs is extremely damaging to the knee joint, especially the meniscus. I don’t even need to look at the MRI to know that the old man’s meniscus is basically no longer in shape.”

"Currently, they only say it's not broken or stuck, but in reality, it's already riddled with damage..."

"How long have you been climbing stairs for exercise?" Hu Qingyuan asked again.

"It's been many years... In our generation, carrying things uphill was a common occurrence..." the old man said.

Hu Qingyuan said, "We had no choice but to do it before because we needed to make a living."

"From what I understand, the more farm work people do, the higher the incidence of joint damage and deformities. There may be a few people who will never have joint damage in their entire lives."

"But such special cases are rare. From what we see in our hospital, those who don't do manual labor mostly have lumbar spine injuries, while those who do farm work mostly have joint injuries!"

"Alright, the medical record has been filled out. If your symptoms worsen in the future, you will need to come to the spinal surgery clinic."

“For someone in the old man’s condition, he can go to the spinal surgery clinic,” Hu Qingyuan instructed.

The middle-aged man chuckled and said, "Then it's better to book an appointment with Professor Fang. Professor Fang is the most professional spinal surgeon!"

Before Hu Qingyuan could say anything more, Fang Ziye said, "Alright then, you can register for my appointment next time."

"However, my clinic hours will be changed next time, to Tuesday morning and Thursday morning."

"Tuesday mornings are for general outpatient clinics, but don't bother getting an appointment for Thursday mornings; that's a specialized clinic for spinal cord injuries."

Upon hearing this, the middle-aged man was taken aback: "Huh? Professor Fang, why?" "Many patients have told me that it's too difficult to get an appointment. Many patients with spinal cord injuries and paralysis have a hard time getting an appointment, so I plan to open a specialist clinic to make it easier for these patients to come for treatment."

"Here, this is my business card. It shows my 'clinic' hours starting next month. If nothing unexpected happens, I'll be seeing patients here every Tuesday and Thursday..." Fang Ziye handed the other person a business card.

Specialized clinics, as the name suggests, only treat a specific type of disease; they do not treat any other diseases.

Generally, only highly renowned specialists can open such clinics, such as scoliosis clinics in spinal surgery.

After looking at it, the middle-aged man asked, "Professor Fang, will your appointment be listed at the international medical clinic in the future? I saw that the registration fee there is three hundred yuan!"

"Not for now, and it's uncertain in the future," Fang Ziye said.

Zhongnan Hospital also has an international medical department. All expenses in the international medical department cannot be covered by medical insurance, personal medical insurance accounts, or mutual aid accounts. Drug and consumable costs are sold at zero markup.
Laboratory fees and blood test fees will be the same as current medical service prices; examination fees will be twice the current medical service prices; nursing fees, treatment fees, surgery fees, and anesthesia fees will be three times the current medical service prices!
"Professor Fang, I hope you won't take this course; it's just too expensive!"

"I was speechless when I saw this registration fee," the middle-aged man said.

"Yes, I will carefully consider your suggestion," Fang Ziye said.

Many professors in the hospital have joined the international medical department. In fact, the medical affairs department has also discussed this clinic with Fang Ziye.

Its main purpose is to make medical services 'international' and meet the high-end medical needs at home and abroad. It is also an institution established to enhance the hospital's influence at home and abroad.

Of course, since it is high-end medical care, it is detached from the actual situation of most patients in China. In fact, it is just a 'private high-end ward' in a public hospital!
Fang Ziye has not yet agreed to open such a clinic.

For example, Vice President Yuan Yufeng and Dean Wang Xinghuan are both members of the expert team in the special needs ward of the International Medical Department.

"Thank you, Professor Fang. Now, can we go downstairs to get the medicine and then go back?" the middle-aged man asked.

"Yes, you can take a good look at what my student just told you, as well as what's written in the medical record book, and remember it."

“Illness comes like a landslide, but recovery is like pulling silk from a cocoon. This kind of chronic degeneration requires nurturing. If nurtured well, one may never need surgical intervention and can still enjoy a relatively good quality of life…” Fang Ziye explained.

"Yes, yes, Professor Fang, thank you."

"Dad, let's go. Professor Fang has said so, so we can rest assured." The middle-aged man smiled and led his father out of the consultation room.

Hu Qingyuan followed him outside, and when he looked outside, there were no more patients waiting for their appointments.

"Master, I'm going to pick up the takeout."

As Hu Qingyuan was speaking, he suddenly called out politely, "Director Zheng!"

"Good afternoon, Xiao Hu."

"Professor Fang, are you off work yet? I just saw the last patient come out." It was Zheng Jiong, the director of the medical affairs department, and Wu Yilin, the deputy director.

"My master is inside, I'm going to get some takeout," Hu Qingyuan said.

"Thank you for your hard work, it's already 12:20." Zheng Jiong sighed softly.

Hu Qingyuan was already used to this rhythm, so he stepped back and went downstairs to get his takeout.

Fang Ziye was chatting with Dong Ning when Zheng Jiong pushed open the door: "Professor Fang, good afternoon."

"Director Zheng, please have a seat." Fang Ziye looked up, tidied up the slightly messy desk, and threw the queue number slip into the trash can.

"Professor Fang, it's like this. I came here this time with the message from Director Xiong of the Medical Affairs Department. Our hospital's International Medical Department was established in 24 and is currently operating quite well."

"Professor Fang, as you know, there are many patients in the special needs ward who really hope that you can become one of the experts there."

"Currently, quite a few patients are requesting your consultation."

"An international medical department is the only way to become a top hospital in the country, Professor Fang..." Zheng Jiong asked tentatively.

Fang Ziye sighed softly after hearing this: "Director Zheng, it's not that I don't want to go, it's just that I really don't have the time. I can barely take care of the patients and surgeries in my own ward."

"I really don't like the system in the special needs ward of the International Medical Department."

The service requirements in the International Medical Department are to greet people proactively and behave with decorum.

That's not medical care, that's service! The monthly revenue of the ward is equivalent to that of a large specialized department, so it's clear the hospital values ​​it highly!
Moreover, under the current healthcare system, the International Medical Department can bypass health insurance.

In other words, it operates openly and legitimately in areas not covered by medical insurance.

"Professor Fang, it's all for the development of the hospital. Besides, Dean Wang has led us in many meetings and felt that you are particularly suitable for the International Medical Department."

"There are several reasons why the types of diseases treated in the International Medical Department are not fixed, which happens to match Professor Fang's expertise."

"Secondly, the International Medical Department does not lack patients, and the number of outpatients is small. At most, it only needs to see a dozen or so patients in a morning, and only about twenty outpatients a day."

“Thirdly, the time is relatively flexible... which is more suitable for Professor Fang to do scientific research, right?” Zheng Jiong said.

Fang Ziye knew that Wang Xinghuan was trying to persuade him to give up his "part-time job" at the sanatorium and dedicate himself full-time to the development of Zhongnan Hospital.

Originally, Wang Xinghuan wanted Fang Ziye to take up an administrative position, but Fang Ziye refused.

Now, Dean Wang Xinghuan hopes that Fang Ziye can concurrently serve as the deputy director of the International Medical Department.

"Director Zheng, as you know, my research projects are usually clinical projects. How does the International Medical Department conduct clinical projects?" Fang Ziye put down his phone and replied seriously.

"Director Fang, don't you still have an orthopedic ward?"

"You're only assigned to the International Medical Department on a part-time basis. You'll only be assigned there if there's a specific task for you."

“Even if you don’t go, you’ll still have to go for consultations every day, which is quite troublesome, isn’t it?” Zheng Jiong asked tentatively.

Fang Ziye's eyes flickered, but his tone remained calm: "Director Zheng, you've probably almost forgotten that my contract with the hospital was only for five years, and it's almost the fourth year now..."

"I think I've done a lot for the hospital over the past few years."

“I have already said goodbye to both of my masters.”

Upon hearing this, Zheng Jiong's expression changed drastically: "Professor Fang, what do you mean?" (End of Chapter)