top student at medical school

Liu Huanglong left not happily, or more accurately, very unhappy.

However, Liu Huanglong left, but the unfinished crayfish remained.

While holding a shrimp in one hand, Jie Han asked Lan Tianluo and Fang Ziye, "Was I a little too much just now?"

Lan Tianluo said, "What's there to be afraid of? Your current research experience is better than Professor Liu's. You're not afraid of being targeted, you're not afraid of him reporting you, and you're not afraid of him hitting you!"

"Nonsense."

Lan Tianluo added, "But Teacher Liu really knows how to eat! He managed to find such delicious shrimp. I'll take a picture so I can buy some next time I want to eat them."

Fang Ziye asked meaningfully, "You're not thinking of buying shrimp to salvage something, are you?"

Lan Tianlu rolled his eyes: "You simp, you won't even be a dog!!"

It's common knowledge that simps and dogs are not the same species. Dogs would never acknowledge that simps belong to their kind.

Just then, Lan Tianluo's phone rang.

"Just hang up for me..." Lan Tianluo said directly.

Fang Ziye wasn't wearing gloves at the moment, so he picked up Lan Tianluo's phone and answered: "Hello, Lin Longsheng, what's up?"

Lin Longsheng's tone was particularly excited: "Is this Professor Fang?"

"Yes, Dr. Lan is eating. I just finished eating," Fang Ziye replied.

“Professor Fang, it would have been even better if you had answered the phone. I actually wanted to ask Dr. Lan to come and see you.”

"Professor Fang, it's like this, I met a patient a few days ago with a severe lower limb injury, and the postoperative results aren't very good!"

"This patient's situation is rather special, Professor Fang. Can I send you his medical records directly?"

"You'd better assess it yourself," Lin Longsheng asked somewhat cautiously.

Lin Longsheng was among the first trainees in the department to receive training on the "simple" version of treatment for destructive injuries. He started training in the fall of 25. Although the training lasted only a month, he was the most talented learner among all the trainees trained by Fang Ziye.

He is a trauma surgeon at Xian City People's Hospital, a senior attending physician. Because he had no hope of being promoted to associate chief physician, he gritted his teeth and paid for a course at his own expense. After completing the course, he was promoted to associate chief physician very quickly and is now leading his own team.

Because he learned quickly, he then went on to learn functional reconstruction techniques and is planning to return in about 30 years to learn functional rehabilitation techniques. He is considered one of the more diligent people in the prefecture-level city hospital...

“Okay, send it over, I’ll take a look at the details!” Fang Ziye said.

"Hey, okay."

“Professor Fang, actually I would prefer you to say that this case is nothing special, so that I can continue my second visit. But based on my own understanding, this case is very likely the very rare ‘damage’ situation that you mentioned before, Professor Fang.” While explaining in detail, Lin Longsheng sent a Word table to Fang Ziye’s phone.

It contains a very detailed and standardized record of the cases he encountered.

The case seemed very simple and relatively straightforward, involving a destructive injury to the left calf. The pre-operative photos were a mess. During the surgery, Lin Longsheng did his best to clean the wound.

Even based on Fang Ziye's current understanding of destructive damage, this patient's prognosis is quite good.

The intraoperative blood supply reconstruction was also quite good. Lin Longsheng meticulously performed every step of the surgery and recorded every detail. He was not careless at all.

However, on the third day after the operation, the patient's soft tissue began to rot and die.

On the fifth day after the surgery, the patient's local skin had already turned black...

After the surgery, Lin Longsheng has been routinely using anticoagulants, and the dosage is not small; it has been calculated in a standardized manner.

In addition, there are photos of local blood circulation assessment every day. The blood circulation in the soft tissue is relatively good, but the blood circulation in the subcutaneous tissue seems to be poor.

"Lin Longsheng, this patient's condition is indeed a bit tricky."

"According to conventional understanding, if the blood supply to the outermost layer of skin is relatively rich, there should be no necrosis of the middle layer of tissue."

"Him?" Fang Ziye was also confused.

His current condition is that the blood circulation on the surface of his skin is good, but it seems that the blood circulation in the muscle layer is poor.

"Professor Fang, isn't this rather strange? We also performed a color Doppler ultrasound on the patient's lower extremities after the surgery, and we didn't find any abnormalities in the pathways."

"I wondered if we forgot to do revascularization during the reconstruction, but after reviewing the surgical procedure, I found that the necessary revascularization was done."

"If things are still like this, then it's rather strange."

"What's quite obvious now is that the patient's local tissues are necrotic and decaying, and there's a tendency for infection to develop soon. I'm not even sure if I can tell."

"So I thought I'd call Professor Lan and see if I could ask her to come and perform the second surgery on the patient..."

“Of course, if Professor Fang’s assessment is clear, I will drive it back in myself,” Lin Longsheng said.

"No, don't drive in yet."

Fang Ziye said, "Your case is very interesting. The blood vessels are clear and the blood supply has been reconstructed, but there is no blood flow to the local area."

“I’ve never seen anything like this before. Can your hospital perform MRI angiography? If so, could you schedule an appointment for the patient and have a company 3D print out the blood vessels?”

"I need to take a good look at it. As for the expenses, I'll cover them myself..."

The number of patients in clinical practice is vast, so no single textbook can summarize all the specific expressions of patients with a particular disease.

The blood vessels are clearly open and there are no blood clots, but there is no blood flow to the affected area, or very little blood is flowing to it, leading to necrosis of the local soft tissue.

This may seem absurd, but there must be an underlying principle behind it.

Fang Ziye has a quick mind. If this situation is true, is it because of a problem with the physical pipe structure for drainage?

If a certain physical conduit structure can naturally enable blood circulation to differentiate, then this would be a very important and significant clinical research topic.

The complexity of human beings is far greater than that of medical knowledge.

If such incredible cases as situs inversus exist, then it's not entirely unbelievable that some patients themselves have 'evolved' into structures beyond 'academic comprehension'.

However, such an over-the-top "academic understanding" may not be beneficial to the patient and could even be harmful to the individual.

However, if it can be analyzed, it can be transformed into effective new medical knowledge or medical devices to redistribute blood supply to different organs of emergency patients.

If such conditions can be met, then there will be a longer time window for emergency treatment of some traumatic emergencies.

But we'll have to wait until we see the patient to determine the specifics.

After Fang Ziye hung up the phone, Lan Tianluo and Jie Han took off their gloves and took the phone from Fang Ziye's hand.

After reading it, the two of them immediately frowned.

Lan Tianluo, still shaken, asked, "Senior brother, Lin Longsheng's surgery had nothing to do with surgical techniques or procedures, right?"

"Whoever encounters this situation is doomed."

Fang Ziye shook his head and said, "Not necessarily. If it were me, I would directly correct the patient's original blood vessel path during the surgery, and I would reposition the original blood vessel path." "While this would certainly rule out postoperative necrosis, it would definitely not have led to this discovery."

"So clinical practice is an endless treasure trove..." Fang Ziye was overjoyed.

Scholars can conduct research projects, but most of their research involves analyzing real-world natural phenomena. In other words, some principles simply exist and are just waiting to be discovered.

No matter how many scholars there are, how many natural phenomena can they compare to?
No matter how many medical scholars there are, can they outnumber the number of patients?

Many medical phenomena are perfectly explained by the human body itself. As medical scholars, we should instead try to deduce the advantages of certain human structures.

All prostheses made by humans are 'biomimetic prostheses' that are analogous to the original human anatomy!
Few people are smart enough to create something original!

Anatomical variations may be disastrous for an individual, but in the eyes of medical scholars, some catastrophic individual mutations, if applied properly, can become excellent research material.

"Is the blood vessel open, or not?"

Lan Tianluo was bewildered for a moment: "Why does this sound like a philosophical question?"

"However, Lin Longsheng's imperfect surgery this time may become a new target for inspiration in treatment."

Jie Han's thinking was more active: "Senior brother, in other words, based on this patient's current condition, we can make a deduction."

"That's blood vessels; through their inherent structure, they can effectively redistribute resources!"

"For example, the redistribution of the aortic arch, or the internal and external iliac crests of the lower limbs."

"Non-closing vascular hemostasis system?"

Fang Ziye's thinking was just a small part of the problem; Jie Han could easily grasp it, but Lan Tianluo couldn't. This was a difference in the level of thinking, something Lan Tianluo couldn't possibly envy.

If Lan Tianluo could think as quickly as Jie Han, that would be abnormal.

"Let's bring Song Yi along tomorrow too; this is definitely a good thing," Fang Ziye said.

This is clinical practice, and this is scientific research. Someone else's erroneous surgery or demonstration might become your source of inspiration.

A unique case, if detected by a keen scientific eye, can become the starting point for a research project.

On the contrary, if Fang Ziye had handled this case himself, such a "discovery" would not have been made!
Failure is the mother of success; if you succeed every time, there might be no such thing as success anymore.

"Okay!~"

“I’ll call Brother Yi,” Jie Han replied immediately, handing Lan Tianluo’s phone back to him.

……

Today is Wednesday, the day of the surgery. Tomorrow, Thursday, will be a good day to relax.

There are no routine surgeries scheduled in the group, and nowadays, Fang Ziye no longer needs to personally participate in emergency surgeries.

Fang Ziye glanced at the schedule and saw that Li Nuo was in the third-line consulting class tomorrow, so he could relax.

The following day. Thursday.

When Fang Ziye, Lan Tianluo, Jie Han, and Song Yi arrived at Xian City People's Hospital by car, it was already 1 p.m.

Associate Chief Physician Lin Longsheng, along with the Director of Orthopedics, the Director of Surgery, and the Vice President of the hospital, came to greet them personally.

"Welcome Professor Fang for your guidance. Dean Li is out attending a meeting and hasn't returned yet, but he has given us guidance and instructed us to make sure we do a good job of receiving Professor Fang." Vice Dean Tan Hai replied with a smile, as he stepped forward to shake hands, while colleagues from the publicity department took photos.

Although Fang Ziye was somewhat resistant, he was not particularly disgusted and accepted the social niceties of a prefecture-level city hospital in a normal way.

The same applies to Zhongnan Hospital. If an academician visits, the vice president or even the president will personally receive him. This is the most basic etiquette.

"Professor Fang, you haven't had lunch yet, have you?"

“Don’t rush the patient’s condition. The company’s 3D printing will also take some time. Let’s grab a quick bite to eat somewhere near the hospital,” Lin Longsheng politely suggested.

"Professor Fang, this is Director Qiu of our department, and this is Director Dou of our orthopedics department."

Lin Longsheng is a trauma surgeon. Xian City People's Hospital is not a small hospital; it has distinct subspecialties and a ward director and a chief orthopedic surgeon.

Fang Ziye had met Qiu Hua, Dou Liehong and others several times. Although they had never eaten together before, they had met at academic conferences.

The administrative directors and specialist directors of these prefecture-level city hospitals often make appearances at provincial academic conferences to simply show up and gain recognition.

"Professor Fang, Professor Lan, Professor Jie, welcome to our hospital for guidance..." Qiu Hua and Dou Liehong said politely.

"Thank you for your hospitality, Dr. Lin and Dean Tan. Let's go have dinner first," Fang Ziye said.

"By the way, Director Lin, did you bring the patient's medical records?"

He needed to eat, and he also needed to do things. Fang Ziye wasn't here to enjoy the treatment of a top professor and seek validation.

If he wanted to enjoy such treatment, he could go directly to Enshi or Yishi, where his old acquaintances and senior classmates could arrange for him to be taken to the police station.

"Professor Fang, I brought them all."

"Xiao Liu, aren't you going to greet people?" Lin Longsheng called out to Liu Haihua.

Liu Haihua is a new doctor who has only been working at Xian City People's Hospital for a few years. He was also a professional master's student in the Department of Trauma Surgery at Zhongnan Hospital, in the same year as Lan Tianluo.

Liu Haihua studied under Deng Yong, but was unable to stay at the hospital to pursue a doctorate, so he returned to Xian City.

Liu Haihua bowed his head, smiled, and said politely, "Professor Fang, Professor Jie, Professor Lan... I brought all the medical records."

A few years ago, Liu Haihua could call several people "senior brother" or "brother" without hesitation, but now he is not so comfortable with it.

Because Liu Haihua has already left the top-tier hospitals and the top research circles, and even his own professional abilities, the upper limit for him in the future is Xian City People's Hospital.

Hearing Liu Haihua address him like that, Fang Ziye felt a pang of guilt, but knowing Liu Haihua's situation, he said, "Haihua, just call him whatever you always have, call him Senior Brother..."

Liu Haihua chuckled, "Brother Ye, you'll change your tune someday!"

After saying that, Liu Haihua said in a businesslike manner, "Professor Fang, I have printed out and organized all the patient's medical records. I hope you won't find too many mistakes."

"Compared to some of the professors... these things are still rather superficial..."

Liu Haihua also wanted to call the others "senior brothers," but after all, Fang Ziye and the others were associate professors.

Lin Longsheng and others all call Fang Ziye Professor, but he, a junior doctor, calls him Brother or Senior Brother. Does he think he can bully others because of his power?

Instead of learning skills and techniques, they prioritize elevating their social status?
Does Liu Haihua also have the Zhongnan Hospital platform as a backing?
He'll only ever be a doctor at Xian City People's Hospital; his skill level is already capped at that level.

Even pursuing a PhD is useless; he couldn't compete with his peers back then, and in an increasingly competitive environment, he's even less likely to succeed against today's fresh graduates.

Accepting fate is the best reality... (End of Chapter)