top student at medical school
Chapter 866 'Relative Contraindications'!
"Professor Zhang, this patient's condition is extremely rare."
"This is a traumatic spinal cord injury complicated by neurodegenerative disease. In this patient's condition, the postoperative treatment will definitely not be good." After arriving at the hospital, Fang Ziye found that this was just a rather special case.
The patient and his family did not make a fuss. His postoperative results were not ineffective, but they were worse than others, though there was still some improvement.
For a patient like him, the fact that his condition could improve was something unimaginable in the past.
"Yes, but Ziye, I have another purpose for coming to see you today. We can find that patients with spinal cord injuries will more or less have neurogenic muscle atrophy and disuse atrophy symptoms."
"Therefore, we must conduct more detailed plain and enhanced MRI scans before the patient's surgery. If the patient's local nerve atrophy is found to be too extreme, we should carefully consider surgery."
"We also suffered a similar loss around February of this year."
"Didn't you notice, Ziye?" Professor Zhang Quan's expression was quite surprised, as if he wanted to see through Fang Ziye's thoughts.
Fang Ziye listened with a slightly embarrassed expression: "Professor Zhang, actually it's like this, since the beginning of this year, I have rarely performed surgeries myself in the department."
"I focus most of my attention on thoracic segment treatment. If there are particularly tricky cases, such as the one you mentioned, Professor Zhang, I use the puncture technique to operate without the aid of a puncture instrument."
"Therefore, this symptom of nerve atrophy may be a relative contraindication for the puncture instrument, but not a relative contraindication for the puncture technique." Everyone's energy is limited.
The research and development of treatments for thoracic spinal cord injuries takes up most of Fang Ziye's time. He also uses a small portion of his time for basic research projects such as generic drugs and muscle exotropin.
I was simply too distracted to concentrate.
This 'relative contraindication' statistic is just a sub-project of the spinal cord injury research, not a relative contraindication under Fang Ziye's purview, so Fang Ziye naturally wouldn't pay too much attention to it.
Of course, while Fang Ziye's words were not wrong, others would see it as him deliberately showing off.
However, Fang Ziye's expression was natural, his face full of apology, and his eyes sincere, so he did not evoke any sense of disgust.
Fang Ziye is so capable; he developed this surgery. No matter how much Fang Ziye tries to impress people with this surgery, what can they say?
It's like Qian Xuesen saying he knows Qian Xuesen's ballistics best, which isn't difficult at all. Academician Chen Zhongwei said that finger replantation is done with the standard suturing method. Even if you don't like it, do you dare to say anything?
Zhang Quan's lips twitched slightly before he said, "Ziye, I understand."
"The treatment limit that a puncture device can reach is limited, while the limit that suturing techniques can reach is higher than that of a suture device."
"Errors in the suture device can turn some non-contraindications into relative contraindications."
"Therefore, surgical techniques still need to be practiced. As long as the suture device cannot be improved to break through its original limit and reach the average level of suturing techniques, puncture techniques still need to be practiced!"
"This is the foundation for future treatment of spinal cord injuries!" Zhang Quan is a top professor and knows the subtle differences in surgical techniques.
For example, both can perform joint replacement surgery, but ordinary chief physicians only dare to perform routine joint replacements, while top professors can perform joint replacements for lower limb shortening and dare to perform joint replacements for severe joint collapse.
"Professor Zhang, this standard surgical treatment guideline for spinal cord injury depends on your efforts and those of Professor Wang Ou and others!" Fang Ziye emphasized this point again.
Developing guidelines is undoubtedly a high honor in the industry.
If Fang Ziye had followed the normal path, he would have first reached the top of the teaching profession before hoping to formulate guidelines.
However, Fang Ziye achieved success by taking a shortcut; he didn't create guidelines, he only revised them.
After others developed the guidelines, Fang Ziye directly identified and filled in the gaps!
Zhang Quan was already used to Fang Ziye's attitude, and sighed softly: "Fang Ziye, since you've said this, what else can we say?"
As the saying goes, the elderly take care of the young, and the middle-aged take care of the elderly.
“You young people are in charge of the hospital now, and we old folks will just do whatever you say.”
"I'll be officially retiring in a few years. I'm getting old and can't keep up with the pace anymore..." Zhang Quan said.
“Teacher Zhang, you’re not old at all. You’re only two years older than my teacher. You’re still in your prime!” Fang Ziye immediately emphasized.
Fang Ziye is no longer a young man of twenty-five or twenty-six; he is already thirty-two.
Deng Yong has already gone from approaching fifty to fifty-six; the wheel of time spares no one…
"I'm still old, but as long as I can move, I'll still drag these old bones around and do what I can."
"From now on, Ziye, if you have any more ideas, just contact Director Wang directly," Zhang Quan instructed.
Fang Ziye was moved upon hearing this.
Professor Wang Ou, who previously worked on research projects with him, has now become the administrative director of spinal surgery. The era of Professor Zhang Quan is finally coming to a complete end.
The Department of Spinal Surgery at Zhongnan Hospital has entered a new era.
"Teacher Zhang, having an elder in the family is like having a treasure. I will need your continued care in the future."
"Actually, Professor Zhang, I have another suggestion, but I don't know if it's appropriate. There's a research project at the sanatorium that focuses on this kind of neurodegenerative disease, which is related to nerve atrophy."
"There has been some progress so far, and it may be able to enter clinical trials soon."
"If it's convenient for you, Professor Zhang and Professor Wang Ou, could you lend a hand?" Fang Ziye began paving the way for Luo Tingzhu's clinical research project.
Zhang Quan was taken aback, but Wang Ou quickly asked, "Ziye, have you had dinner yet?"
"You've had dinner but haven't had a late-night snack yet, huh? Let's go get some drinks!"
"Come on, come on, even if it's just beer and peanuts to drink straight away, you have to have a drink before you leave!"
"Dou Xian, make a call and reserve a table." Professor Wang Ou, without any airs, stuck out her tongue and started licking.
Fang Ziye is a walking treasure trove; it could really unearth some amazing finds at any moment!
The kind of clinical research proposed by Fang Ziye is something that most people can only dream of.
What's certain is that if Fang Ziye mentions a clinical research project he'll be involved in, then it's definitely worth pursuing.
Over the years, I have never made a mistake.
Even if we fail, it's just a matter of spending some time, but if we succeed?
Professor Wang Ou has bypassed two professors with more seniority than him, former teachers, and now serves as the head of administration; he knows the benefits now.
In terms of seniority, Wang Ou is not yet qualified for the position of director, but in terms of experience, she is highly capable.
Wang Ou has a proven track record in research on spinal cord injuries, so everyone else has to make way for him! It would be illegitimate for anyone else to become the administrative director!
Zhongnan Hospital is the birthplace of spinal cord injury treatment, and its treatment of spinal cord injury is a standard specialty. So why isn't Wang Ou, who is most skilled in spinal cord injury treatment and has the deepest understanding of the subject, appointed as the director?
"That's fine then!" Since Professor Wang Ou was being so polite, Fang Ziye couldn't very well refuse.
"But Professor Wang, I'll only drink one bottle, and then we'll just chat."
"I have some things to do tonight," Fang Ziye said in advance.
“Professor Fang, since you’ve said so, what else is there to say?” Wang Ou naturally agreed. Fang Ziye had the home-field advantage; he was just there to settle the bill. The main thing was to keep Fang Ziye company… On the way, Fang Ziye saw the plan that Han Jingyi had sent him.
Although Han Jingyi pursued her postgraduate studies at the sanatorium, she still served as Fang Ziye's research assistant.
"Professor Fang, there's a mid-year orthopedic academic conference in Shanghai next month, and the organizers from Shanghai Ninth People's Hospital have sent you an invitation. They want you to give two lectures there. Would you like to go?"
"There's also a small meeting at Mindray this month, and they've sent you an invitation, Professor Fang..."
Fang Ziye now has a huge number of academic conference invitations, ranging from small company meetings to city-level, provincial-level, national-level, and world-level conferences.
Fang Ziye didn't have the time, so he replied, "Please politely decline them all for me. Apart from the Orthopedics Annual Meeting, I will not attend any other academic conferences."
"By the way, Jingyi, you're a graduate student now. Will my presence here interfere with your studies?" Fang Ziye asked again.
"No, no, Teacher Fang. My teacher also told me to learn more from you."
"Teacher Fang, I won't delay your business." Han Jingyi didn't want to be easily driven away.
Working as a research assistant for Fang Ziye is a dream opportunity for many, but she arrived early; when she became Fang Ziye's research assistant, he wasn't yet so well-known.
"That's fine then, but don't push yourself too hard." Fang Ziye knew that Han Jingyi's aptitude was average.
"No, Teacher Fang, we won't starve..." Han Jingyi gave Fang Ziye a little hint.
Han Jingyi will not starve to death; she just needs a job to keep herself from being too idle.
"Yes, keep up the good work, and study more about your major and basic research theories." Fang Ziye was also willing to give Han Jingyi a chance.
After all, she was just a research assistant. She didn't need to participate in the actual research project. She only needed to report her schedule to Fang Ziye and handle her emails routinely every day.
……
Wang Ou did not linger with Fang Ziye. To be precise, Fang Ziye only sat for a short while before Wang Ou suggested that he leave first.
If Fang Ziye were just an ordinary associate professor, then he would have to serve Wang Ou well, hoping that Wang Ou could give him a helping hand when the time was right.
But Fang Ziye was not an ordinary associate professor; on the contrary, Wang Ou hoped that Fang Ziye could mentor her.
The department heads at Zhongnan Hospital have certainly gained some standing, but that's only within Zhongnan Hospital.
To gain a certain status in Hubei Province and maintain that status, one cannot simply hold a position without doing any work.
Wang Ou is a person with ideas and the courage to take risks, so she cherishes every opportunity.
As Fang Ziye left, he looked at the 'Doctor' designated driver in the passenger seat, feeling both calm and uneasy.
Now, Fang Ziye has finally truly understood the saying: when you are powerful enough, everyone around you is a good person, and everyone treats you with respect.
They may hate you to the core deep down, but on the surface they are always very polite.
It wasn't just Wang Ou who acted this way; Dean Wang Xinghuan did the same, Associate Professor Yuan Yufeng did the same, and even the university president, when he met Fang Ziye, didn't put on airs as an academician, but treated Fang Ziye as a top scholar.
Fang Ziye may not be an academician, but that does not prevent him from being a world-class top scholar.
"Cui Cong, Xiao Cui, is your name Cui Cong?" Fang Ziye asked Dr. Cui Cong in the driver's seat.
"Yes, Professor Fang, I am a second-year doctoral student this year."
"I was fortunate enough to be noticed by Professor Fang when I first came to the hospital two years ago, which gave me the opportunity to join the research group!~"
"I'm about to start my third year of doctoral studies, and I have a good chance of staying in the hospital."
"So, Professor Fang, although you are not my mentor, you are still the teacher I consider my teacher." Cui Cong expressed his 'sincere feelings' very cleverly!
Fang Ziye said, "Your accumulation of knowledge and skills is due to your own efforts."
"The reason I remember you is mainly to give you a piece of advice: you'd better practice your basic surgical skills more and not let the trocars blind you."
"If I remember correctly, Hu Qingyuan should have told me that your puncture technique is improving quite quickly."
"I don't know if you've continued practicing, but keeping practicing will be of great benefit to you in the future."
"It may take a long time to get feedback, but there will definitely be feedback," Fang Ziye said.
He didn't intentionally seek out Cui Cong to say these things; he just happened to run into him, and Fang Ziye also remembered him, so he offered this suggestion.
Cui Cong's expression hardened, and his tone became respectful and intelligent: "Thank you for your guidance, teacher. I will definitely keep it in mind."
"Today I also learned the importance of piercing techniques and piercing methods!"
Fang Ziye didn't care about Cui Cong's cleverness.
A PhD student may have many mentors, but true masters and real teachers are few and far between.
A verbal promise of a bargain might open up more opportunities for you; life isn't easy for young people.
Fang Ziye further stated, "Relative contraindications are only relative contraindications; this 'relative' refers to the practitioner, not the patient."
"Absolute contraindications are the parts of a patient's condition that cannot be treated!!"
"The techniques of puncture are just the minor aspects; the fundamentals of puncture and anatomical structures are the major aspects."
"The relative contraindications of puncture techniques are definitely more numerous than those of the absolute core puncture techniques. All puncture techniques are derived from precision puncture techniques."
“There are many intricacies involved here; you can delve deeper into this area.”
"Minimally invasive spinal surgery is also a future trend, and the core of minimally invasive treatment is puncture."
Cui Cong's expression was solemn and dignified: "Thank you for your guidance, Professor Fang!"
"It's a pity that my qualifications are not enough to support me to rotate to a different major. Otherwise, I would definitely like to come and follow you, Professor Fang."
Fang Ziye said, "Spine surgery, like trauma surgery, is a large subspecialty with many, many patients and many diseases that are worth our lifelong dedication."
"The friendship between gentlemen is as pure as water; encountering it is the best thing, there's no need to seek change." (End of Chapter)
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