Is there no limit to this doctor's skills?

Chapter 37: Reflecting on the Questions and Gaining Many Rewards!

Ma Chuanfeng narrowed his eyes: "How can I possibly think that? There's no actual data."

Clinical practice is not child's play, nor is it just empty talk.

Don't mention anything about brilliant ideas or wildly imaginative concepts.

The essence of medicine is medical statistics and "medical epidemiology".

Any technology is based on these two fundamental disciplines and provides a better recommendation after conducting clinical "epidemiological statistics".

For example, which is better for transporting bone in the proximal tibia: antegrade or retrograde transport?

It involves conducting studies on one or two hundred cases, or even more, analyzing their prognoses, and then providing a final answer.

Purely theoretical speculation is of no use.

"Hmm..." Guo Ziyuan wasn't surprised. If he had convinced Ma Chuanfeng to change the surgical method, Ma Chuanfeng would have "betrayed" his reputation as a professor.

However, Guo Ziyuan was not a member of the "expert team" in his previous life, and he did not possess any substantial evidence.

Without concrete statistical data as evidence, it's just empty talk!

If we follow the perfect approach, if we could effectively transfer the "immortality" ability of cancer cells to other cells without causing harm!

All cells in the human body can be effectively renewed, and human lifespan can theoretically be extended indefinitely.

But is such an approach meaningful in reality?

"Teacher Ma, I was just saying it casually, please just take it as a casual remark."

"If I don't ask some questions now, I might have to pay you for them later," Guo Ziyuan said sincerely.

Ma Chuanfeng's eyelids flickered rapidly: "Actually, your guesses and ideas make some sense."

"However, this detail is not our team's main research focus, and it's not particularly significant."

"For patients with bone defects, the priority is to address the bone defects and restore their ability to move and walk."

"Only with this in mind can we explore how they can do better, so we cannot take big leaps rashly."

What do you think?

Guo Ziyuan nodded without hesitation: "Of course, we'll eat our fill first, then think about eating well."

Guo Ziyuan wasn't trying to persuade Professor Ma Chuanfeng; he was just explaining the matter.

This is certainly not the main research direction of the Provincial People's Hospital. Otherwise, by now, almost 15 or 16 years later, or even 18, a professional consensus would have been formed, and Guo Ziyuan would not have needed to remind us.

Ding Xianqi continued his procedure and then replied, "Professor Ma, the healing of patients we usually perform on proximal tibial bone defect surgeries is already very good."

"Both the patients and colleagues were quite satisfied."

"Currently, many cases of bone defects leave behind sequelae of limited mobility after bone transport surgery."

"Currently, the industry hasn't proposed a better solution. Xiao Guo is just a master's student who likes to think things through..."

"It's normal to focus on such a small issue as a bone defect in the proximal tibia."

The expert consensus was not based on a seminar on proximal tibial bone defects.

It would be a waste of meeting resources to hold an expert consensus meeting just to discuss this point.

That expert consensus explored many, many points, and retrograde transport of proximal tibial bone defects was just one of them.

Ma Chuanfeng certainly didn't blame Guo Ziyuan; on the contrary, he really liked Guo Ziyuan's way of thinking.

I especially appreciate Guo Ziyuan's insightful thinking on these kinds of questions: "Xiao Guo, if we need to ensure that the shortening and lengthening speeds are consistent during transportation, how do we do it?"

In his previous life, Guo Ziyuan was in the process of learning bone defect surgery. Not being able to perform the procedure did not mean he didn't read books or understand the theory first.

After thinking carefully, Guo Ziyuan replied, "To prevent premature fusion of the fibula, so that after the distal connection is completed and the lower process stops, the proximal end can still continue to extend."

Guo Ziyuan's answer was simple and efficient, only providing theoretical strategies without specifying concrete methods, yet Ma Chuanfeng was still able to effectively extract the key points.

Ma Chuanfeng continued, "How do we deal with potential complications of nonunion?"

"An antibiotic bead chain was placed at the defect site before transportation. During transportation, the bead chain was compressed at the joint end and gradually 'filled' the potential cavity, reducing soft tissue indentation."

"Remove the beaded chain when it is about to block the bone segment from advancing."

As Guo Ziyuan pointed to the external fixator, he said, "During the two-stage surgery, the fibrous scar at the docking end is removed and autologous cancellous bone or a substitute is implanted to enhance biological stimulation and promote healing; then the upper and lower six-legged frame is reprogrammed for fine-tuning of alignment and pressure on the docking end."

Ma Chuanfeng then said, "Ding Xianqi, step aside. Let Xiao Guo have some fun."

Ding Xianqi raised his head, froze for a full two seconds, and then narrowed his eyes without hesitation, taking the gripping pliers in his left hand:

"Teacher Ma, the part of Guo Ziyuan that hurts the most is actually the styloid process of the ulna, which is the first phalanx of the index finger of his right hand."

"Shall we do it, you or me?"

Ding Xianqi is trying to create an opportunity for Guo Ziyuan; if he makes a mistake, he'll get punished.

"You're stronger, you do it." Ma Chuanfeng slightly raised his chin, not competing with Ding Xianqi for the physical work.

Then, Ma Chuanfeng glanced at Guo Ziyuan again, looking at Guo Ziyuan's delicate forehead and clear eyes, he found him pleasing to the eye no matter how he looked at him.

Ma Chuanfeng then added, "Take some time to get your hair trimmed; don't always keep that short, buzz cut."

"Okay, sure." Guo Ziyuan was switching places with Ding Xianqi.

Although Guo Ziyuan saw Wang Hai's wide and shocked eyes when they were back to back, Guo Ziyuan still did not show any discomfort.

Once in the correct position, Guo Ziyuan began to operate with his hands at a low level.

He knew that Professor Ma Chuanfeng was still testing him.

He definitely can't perform surgery on bone defects. All he can do is install external fixators and insert Kirschner wires. As for the other key procedures, he still has to leave them to his teacher...

Ma Chuanfeng chose to let Ding Xianqi step down for two reasons: first, to reward himself for thinking and using his brain, and second, to test his familiarity with the surgical procedure and his sense of proportion.

Surgery is no child's play.

Guo Ziyuan was very obedient and didn't give Ding Xianqi a chance to tap his index finger. He asked for advice and explained and answered each step of the operation.

Even the questions were delivered to Ding Xianqi at just the right moment.

In the entire operating room, the person who knew Ding Xianqi best, besides Ding Xianqi himself, was Guo Ziyuan…

So, throughout the entire surgery, Guo Ziyuan went up and down, in and out many times.

This sense of participation is absolutely amazing.

As time passed, Guo Ziyuan was finally about to leave the operating room after the surgery.

There were still more surgeries to be performed, and the beds were still not under the care of Guo Ziyuan and Liu Guanghui, but Ma Chuanfeng did not choose to reward Guo Ziyuan again.

While Guo Ziyuan may have performed "better," he cannot deprive others of the opportunity to learn.

That's how it is at the Provincial People's Hospital; opportunities are relatively equal, but the rest depends on individual fate.

Due to differences in individual fortune and aptitude, the opportunities that can be obtained vary.

It's very difficult to get ahead unless you have outstanding qualifications, a "background," or a good "relationship" with your superiors.

Even so, when Guo Ziyuan left the operating room and looked at his control panel, he still felt he had "gained a lot"—

[Complete one stitch and gain 1 skill point.]

[By performing incision, suturing, and bone harvesting, you assist in the completion of the surgery and benefit the patient's treatment, earning 4 skill points.]

[Complete multiple cuts and exposures to gain 3 skill points.]

[Complete the external fixation procedure, assist in the surgery, and improve patient outcomes. 5 skill points earned.]

[Wound cleaning completed...]

Current skill point balance: 18 points

In one day, through two surgeries, Guo Ziyuan gained 18 skill points, equivalent to 6% progress towards the mastery level.

This speed is simply terrifying...

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