top student at medical school

Deputy Director Wu Yilin immediately tried to smooth things over: "Professor Fang, you must be joking, right?"

Fang Ziye said with a smile, "I have feelings for the hospital, and I also have feelings for our specialty. This has been true from the beginning."

"Director Zheng, let's be frank. Rather than going to the International Medical Department, I'd rather go to the sanatorium full-time."

"That's my stance."

Fang Ziye had a smile on his face, but his expression showed no sign of joking with Zheng Jiong and the other man.

The establishment of an international medical department is certainly a trend that is inevitable, but it's not a trend that Fang Ziye is willing to follow!
Fang Ziye is not aloof; he makes money whenever he can and strives for good jobs. However, he doesn't have any lofty 'dreams' or anything like changing the world.

Fang Ziye only wanted to be a good doctor, have food to eat, clothes to wear, and a relatively comfortable job.

Furthermore, Fang Ziye's techniques come from a larger number of ordinary patients. Previously, Fang Ziye did not have the 'just' mentality of taking from the people and using it for the people.

If a man does not serve himself, he will be punished by heaven and earth!
I'm a master's degree holder, a man nearing thirty, and I still rely on my family for support. What dreams are you talking to me about? Anyone who talks to me about dreams is talking nonsense. My first priority is to earn money to support myself and my family. I need a good job with a decent income.

Fang Ziye is now a senior researcher, associate chief physician, and associate professor. He holds multiple major research projects, has published articles that have reached the top of scientific research journals, has his own medical patents, and has relatively free sources of research projects.

Fang Ziye is certainly qualified to evaluate his own work status now.

"Professor Fang, you must be joking. Teaching hospitals are still the general trend in the medical field. No matter how good a sanatorium is, it can never compare to a teaching hospital."

After Zheng Jiong finished speaking, he took a deep breath: "Professor Fang, since your attitude is very clear, how about we choose a compromise?"

"Two private rooms will be set up in the orthopedics department as separate beds for the special needs ward of the international medical department."

"This will save you, Professor Fang, a lot of trouble!"

Previously, Fang Ziye had begged Zhongnan Hospital to take him in, give him a good job, and provide him with the means to support his family. Zhongnan Hospital, as a top hospital in the province, and its orthopedics department, as one of the top specialties in the province, had nothing to do with Fang Ziye.

The Department of Orthopedics and Bone Diseases has now reached the top in the province, and the comprehensive strength of Trauma Surgery and Hand Surgery has become the top in the country. The treatment of spinal cord injury in Spinal Surgery has even reached the top in the world. That's all thanks to Fangziye!

Even if Fang Ziye leaves and goes to a remote, private hospital, as long as there is enough capital involved, the orthopedics department there can still climb to at least the top 50 in the country within ten years – a truly legendary achievement.

It's not impossible for them to grow into one of the top 20 or top 10 in the country after decades of development!

While one person alone may not be able to defy fate or reverse right and wrong, they can certainly disrupt the situation.

Fang Ziye's tone hardened: "Director Zheng, I only have 21 beds to begin with. If you take up two of my rooms, I'll only have 17 beds left."

"I already don't have enough beds here, so how am I supposed to carry out routine medical services?"

With two triple rooms gone, there are four fewer beds, a reduction of one-fifth.

"Professor Fang, what do you think would be appropriate?" Zheng Jiong knew that his suggestion was a bit excessive, but that wasn't the focus of his 'negotiation'.

Upon hearing this, Fang Ziye could only helplessly say, "Director Zheng, I know that establishing an international medical department is the general trend of medical development, and I also agree with this direction."

"However, I really don't have time to take care of this thing!"

In fact, those who can enter the international medical department and conduct international medical clinics are all absolute elites and top experts in the hospital. They are usually department directors or surgical experts.

This is an honor.

But for Fang Ziye, such glory came too late.

If it were a few years ago, if someone invited him to conduct international medical clinics, Fang Ziye would have been very happy, because he needed these things to enhance his "sense of accomplishment" and, incidentally, earn more income—why not?

The international medical department earns several thousand yuan a day from registration fees.

"Professor Fang, I won't waste any more words. How about this: we will open a special needs ward in the new hospital area, with five beds, and it will be assigned to your orthopedics department."

"These five beds are equipped with a dedicated operating room. They will be used to treat patients with conditions specific to your orthopedics department, and you and Professor Zeng Duoqin will be the two of you managing them."

"Professor Fang, the hospital must develop and pursue internationalization."

“Top-tier teaching hospitals are for treating complex and rare diseases…” Zheng Jiong said, shrugging.

Those who choose to work in the International Medical Department are generally one of two types of people: those with rare and difficult-to-treat diseases, and those who are extremely wealthy. Only those who possess both qualities will choose to work in the International Medical Department.

"I don't think it's very good."

Fang Ziye gently shook his head: "If you insist that I have the surgery here, I only have one request: it can only be for truly difficult and complicated diseases!"

"The same principle applies to the surgeries I perform in the sanatorium."

Fang Ziye made his point very clear.

Zheng Jiong and others still believe that Fang Ziye went to the sanatorium to "gild his resume" in order to curry favor with the powerful and wealthy.

Actually, that's not the case. Nowadays, Fang Ziye rarely performs minor surgeries in sanatoriums. He only performs minor surgeries for minor illnesses that he feels he can avoid, unless they are truly difficult or complicated cases.

The system in sanatoriums is more humane than that of teaching hospitals, and the management is more 'military-like'. If Fang Ziye doesn't want to go, he really doesn't have to go. You can choose whether to receive treatment or not.

For example, people with appendicitis wouldn't come here.

The military hospital did it!

But in the International Medical Department, it's possible!
Fang Ziye also has a considerable network of connections; he knows exactly what kind of things the International Medical Department is doing.

"Professor Fang, what's going on?" Zheng Jiong was, of course, aware of the current situation of the International Medical Department.

The ideal is good; it's about aligning with international medical standards. In reality, it's just a "secret stash" for hospitals, the kind that generates a lot of money for them.

China's overall level of wealth is not high, but there are quite a few wealthy people.

Moreover, this group particularly likes to use 'money' to pave the way!

"Director Zheng, let's be frank. Under the current circumstances, I can understand that the hospital may follow some policies in order to generate revenue. Everyone needs to make a living."

"However, the people I'm in charge of are all able to afford to eat right now!"

"I can't control what other people do."

“Our department was built from scratch by me. Currently, our surgical volume is quite good, and the surgical outcomes are also acceptable. Although the rate of excellence in some indicators is not that high, it is not enough to warrant a deduction in pay.”

Therefore, I don't ask for those things you mentioned!

“I have no responsibility to support anyone!” Fang Ziye went straight to the point, tearing away the fig leaf.

The International Medical Department—anyone with a brain knows it offers high benefits; those who get in are undoubtedly highly skilled. However, some are simply doing basic duties, there to build up their resumes and earn a decent salary.

Fang Ziye understood exactly who those people were.

Previously, the nurses and junior doctors in the specialist department, whom no one dared to mess with, had naturally gone back to living a life of luxury. Fang Ziye didn't want to fight with a bunch of rich kids.

Zheng Jiong took a deep breath. Fang Ziye was adamant about not going, and he really couldn't do anything about it.

The "If you don't do it, plenty of others will" PUA phrase doesn't apply to Fang Ziye. He would never say, "If you can do it, do it; if you can't, get out."

If he had just mentioned it, his colleagues from Peking Union Medical College and Tongji University would probably have come to thank him that afternoon, because he could get them to achieve incredible KPIs!

"Professor Fang, I will take these words back with me, but personally, I hope you can reconsider."

"After all, it's just a job. The purpose of a job is to support your family. Making things easier for yourself on top of that is not shameful at all," Zheng Jiong advised kindly.

"Thank you, Director Zheng. I feel quite comfortable with my current situation."

"I am also grateful to the hospital and its leaders for their continued kindness! I will always remember it!" Fang Ziye said.

Is the hospital good for treating patients with embalming?
Great.

If someone wants to avoid functional reconstruction, the hospital will issue a public notice announcing they're no longer performing standard spinal cord injury procedures, and the medical affairs department will clean up the mess!

This kind of leader is excellent.

But you can't expect everyone to be on the same wavelength as you all the time!
For example, Dean Wang Xinghuan said a long, long time ago that Fang Ziye should be developed in that transcendent direction, and that he should be given funding for research projects and freedom if he wanted it!

When Fang Ziye was about to go to the sanatorium, Wang Xinghuan only offered some advice and did not do anything else behind the scenes.

Wang Xinghuan has always treated Fang Ziye with courtesy.

While Fang Ziye's strength is partly to blame, it's already lucky to have such a reasonable leader; at least he doesn't have to be a bully at home!
Dean Wang Xinghuan now has his own considerations and plans.

This is different from Fang Ziye's idea, which is quite normal. However, Fang Ziye just wants to do his best, and there is nothing wrong with that.

……

After seeing Zheng Jiong and Wu Yilin off, Hu Qingyuan arrived at the "door" just then. After entering with a rice bowl, Hu Qingyuan said, "Master, you are really rich now. You don't even make money."

Hu Qingyuan's jokes were perfectly timed and not at all cloying.

Fang Ziye said, "We all go through an age where we only think about making money, and I'm no exception."

Fang Ziye took a deep breath: "A long time ago, I thought that as long as there were surgeries to be performed and medical skills could bring benefits to patients, that would be enough."

“In the past, I would have thought that I would do my best to contribute to the development of medicine. So, I would selectively develop some surgical procedures and find new treatment options for certain diseases.”

"Some time ago, I had a new idea."

"Perhaps I can do it, and I should do something I want to do."

Hu Qingyuan's expression was serious: "Master, what did you think of?"

"This brings us back to the most basic principle of medicine: save lives first, then treat the disease!"

"Of course, this principle is rather vague. I still want to explore a wider range of diseases and see what kind of patients currently make up the largest number of patients."

"In our hospital, what are the most common and numerous diseases among patients in the most routine outpatient and emergency departments?"

Fang Ziye continued, "Of course, your master also feels that I seem to be getting further and further away from my students. Now, I'm almost forgetting how I got through those days."

"So, I need to find some time to talk to my other students, my mentors, about what they want to learn at this stage, what they need to learn, and what they want to do in the future."

"Take real action and immerse yourself in clinical practice again."

Fang Ziye's words were specific and detailed.

Fang Ziye has done a lot of professional and clinical research. He really didn't care much about Feng Junfeng and Tian Yao, like a "scumbag" or a sympathetic type, only loving one person.

Fang Ziye then said, "Hu Qingyuan, have you noticed that the types of diseases I encounter in my outpatient clinic are different from those of many other doctors?"

"Whatever I do will attract patients with similar conditions to come for treatment."

Hu Qingyuan nodded: "Master, with your specialized skills, patients will naturally come to you..."

"Putting myself in your shoes, who wouldn't want to find a very, very professional doctor to treat them when they get sick? If it were me, I would also like to find you, Master."

"The rice bowl with toppings tasted pretty good today," Hu Qingyuan said.

Fang Ziye nodded and said, "This rice bowl dish is pretty good. We can use it as our canteen for a while."

"Of course, the reason your master has been thinking a lot lately is because your master has met another person."

"A teacher I've known for a long time."

"His name is Mickey."

Hu Qingyuan thought for a moment, and with his photographic memory, he immediately identified the person: "Professor Mi from vascular surgery?"

"Yes, it's Professor Mickey. Through his own training, Professor Mickey can now perform some thrombus removal procedures. He has made great progress since a year ago."

Fang Ziye's tone became ambivalent as he said this: "But last time, when Professor Mi saw me, he said something like this."

He said, "Professor Fang, you are becoming more and more individualistic. I really miss the previous chief resident, Professor Fang, who worked tirelessly in surgery and was not picky about food."

"It wasn't quite the same as Professor Fang back then. Although he was down-to-earth, he wasn't particularly specialized."

"Hu Qingyuan, what do you think Professor Mi meant by that?"

"Being a doctor is too difficult. You have to treat diseases that others can't treat, but you also have to turn away patients with common diseases, which makes you seem out of touch with reality."

"If you're too down-to-earth and just treat whatever comes your way, it seems like you're lying down and going with the flow, without making the most of your strengths."

Fang Ziye also felt that ever since he returned to Zhongnan Hospital and began specializing in functional reconstruction surgery and spinal cord injury, he had become increasingly distant from the most vulnerable patients, or rather, Fang Ziye's path seemed to be becoming narrower and narrower.

How could Hu Qingyuan possibly understand Fang Ziye's confusion at this moment: "Master, I don't know either."

"However, I can help you spend a few days in the emergency department and outpatient clinic to conduct a survey among patients and their families."

"Alright," Fang Ziye nodded.

The greatest truths are the simplest; many profound truths can be found in the ordinary.

Going to talk to patients is the most suitable option...

Of course, Fang Ziye wasn't doubting his own choice, but rather hesitating about whether to divide his students into different groups, with some focusing on new diseases and others on common ones...

This decision will affect their entire lives, so they must be extremely careful.

The slightest carelessness could lead to a lifetime of regret for them.

Teaching, being a teacher, is difficult! (End of Chapter)