top student at medical school

Chapter 114 Are You Using a Cheat Code? (Please Subscribe)

Fang Ziye nodded first, and then went into the laboratory with Luo Tingzhu to complete the follow-up steps of the lactic acid quantitative determination experiment.

In principle, if the cell lines and treatment models are the same, only one standard curve needs to be created.

While waiting for the reagents to react, Luo Tingzhu sat down at her computer, clumsily revising a paper she had recently written in her spare time—a bioinformatics analysis.

After Lan Tianluo finished his exam, he took her to run a small dataset.

Luo Tingzhu is adhering to the principle that one can do more than just write bioinformatics analysis, but one cannot be incapable of writing bioinformatics analysis, and is currently making some revisions.

Fang Ziye hasn't gone in that direction yet, because he can do a lot of basic experiments, and he has a senior bioinformatics expert in his group. He doesn't need to rush. He plans to fill in these gaps in his knowledge after he has completed all the cell experiments he can do.

Taking advantage of a break, Fang Ziye glanced at the panel he hadn't looked at closely in a long time—

【医学基础理论：外科学2级25/50、骨科学2级39/50、创伤外科2级48/50、手外科学2级41/50、关节外科2级35/50、运动医学1级15/20……】

In terms of basic medical theory, there has been some progress compared to when I first obtained the panel. This is thanks to Fang Ziye's reading of literature and accumulation of relevant theoretical knowledge.

However, this current understanding is somewhat insufficient compared to other theoretical aspects.

The theoretical progress is far too slow.

Fang Ziye wondered if he had little time for reading. He didn't think so. He spent most of his time reading papers, except for experiments, practice room, and surgery. Why did he read papers? Because he had read through all the textbooks on orthopedics from beginning to end, except for the very specialized Campbell's textbook.

That's a book of over four thousand pages, so it's definitely not that detailed. But I've at least read it through.

If one were to read Campbell's original textbooks, it would probably take at least a year to progress.

It's only level 2; it needs further improvement.

You need at least level 3 to be able to watch it.

Of course, compared to the normal progress, it is not low. After all, the doctoral stage is only around level 3, and Fang Ziye has not focused on this aspect yet.

The other doctoral students weren't idle all day; they were definitely reading. As they progressed, so did the students.

【专科基础理论：创伤外科术后用药经验3级15/500、感染相关用药经验2级47/50、围手术期诊疗经验2级37/50……】

Specialized basic theory differs from medical basic theory. Medical basic theory mainly focuses on diagnosis, pathology, physiology, and clinical symptoms.

Specialized basic theory focuses on medication, and requires combining basic theory, pharmacology, and specialized theory to gain a broader understanding.

The medications used to treat the disease are far more extensive than the few mentioned in undergraduate or residency training textbooks.

There's no need to rush into this. Unless you encounter a particularly difficult patient who cannot be resolved through surgery, simply working out the use of medication and considering perioperative patient safety issues are not things that Fang Ziye needs to consider for the time being.

This is something that both inpatients and attending physicians need to pay close attention to.

The next basic medical skills are rather advanced.

【医学基础操作技能：缝合术4级2/5000、切开术3级134/500、清创术3级99/500、止血术3级123/500、X线阅片术3级1/500、CT阅片术3级0/500、穿刺术1级8/20、打结术3级4/500、医学基础查体2级44/50、外科常规器械操作经验2级13/50、医学常规检查阅读经验2级39/50】

Hey, the basic operation skills are too unbalanced. Fang Ziye couldn't stand that level 1 skills were still stuck there, so he directly upgraded the level of Piercing Technique to level 2, which cost 12 knowledge points.

Fang Ziye's knowledge points have suddenly dwindled to only 71, which is really a stretch.

We don't have enough knowledge, far from enough!
【医学专科基础技能：手法复位术3级8/500、血管缝合术3级45/500、神经缝合术1级9/20、四肢简单骨折切开复位内固定术1级3/20、肌腱缝合术1级9/20……】

While upgrading suturing to level 4 can be helpful for vascular and tendon suturing, it clearly doesn't significantly improve these medical skills.

This type of specialized suturing, compared to basic suturing, presents a certain technical barrier.

Perhaps, the level and proficiency of skills are also relative to top-tier doctors who are particularly specialized.

For example, suturing is something that most medical students know to some extent, but when it comes to vascular suturing in hand surgery, let alone medical students, even if you were a vascular surgeon, you would be helpless against the 99% vascular patency rate in hand surgery.

Further down the list are standard vocational skills, advanced vocational skills, and cutting-edge vocational skills.

[Specialized Skills: Bone Harvesting and Grafting (Compression Bone Grafting) Level 1 1/20...]

[Advanced skills for associate degree holders...]

[Cutting-edge Specialty Skill: Osteotomy and Orthopedic Surgery...]

【辅助技能：医学基础细胞实验技术3级29/500，医学动物实验技术3级0/500】

Yes, the osteotomy and reshaping procedure that Professor Li Guohua mentioned is located in this position.

Fang Ziye roughly compared these classifications, suggesting that basic medical skills and basic specialist skills correspond to Level 1 surgery, while specialized skills correspond to Level 2 surgery, and advanced specialist skills correspond to Level 3 to 4 surgery. Cutting-edge specialist skills correspond to new surgical procedures.

This is a very large pancake, difficult to eat, but once you get a bite, the deliciousness is something most people can't comprehend.

However, it is far too early for Fang Ziye to start learning surgery. The early stage of medical students is to lay the foundation, because according to the superiors, the improvement of basic operations is the slowest. Once they start working and enter a specialty, with plenty of opportunities to practice, any doctor with a little talent can gradually grow within three to five years.

Just like Yuan Weihong, he belongs to this group that has gradually grown up and begun to show his talent.

No need to rush.

It has only been half a year since I obtained the panel.

In just six months, he made great strides in his specialized skills, not only catching up with a highly talented surgeon like Luo Tingzhu, but also leaving his cohort of Xiong Jinhuan and Li Yuanpei, whose talents were considered above average, far behind.

This wasn't even the beginning of his full-fledged efforts. Once he truly entered clinical practice, with the influx of knowledge points gained from numerous treatments, Fang Ziye genuinely felt that the future held great promise.

Thinking of this, Fang Ziye couldn't help but think of two other people.

Professor Liu Huanglong of Union Hospital affiliated with Huazhong University of Science and Technology, at the age of 36, is a chief physician, professor, and researcher. What kind of speed of advancement is this?

I heard that Liu Huanglong, who is less than two years older than my teacher, was promoted to associate chief physician and associate professor after being promoted to attending physician, and then promoted to chief physician and professor again.

At 29, he became a master's supervisor right after graduation; at 34, he was promoted to the research title of researcher and became a doctoral supervisor in the same year—a meteoric rise.

The other person is naturally the absolute giant of hepatobiliary surgery in China, a senior figure known as the father of hepatobiliary surgery in China. He graduated from university at the age of 27, and at the age of 37, he had already reached the pinnacle of world-class expertise...

Fang Ziye himself was only twenty-seven years old, barely past the age of twenty.

What's the rush?
Speaking of which, my birthday was the 18th of last month, December 18th, but at that time, I was only focused on the blind review of my thesis, so who would care about what my birthday was?
Take it easy.

Use the remaining knowledge points to gradually increase the debridement skill. Once you've increased the debridement skill to around 110 or 120, you can completely move beyond the basic medical skills stage during your doctoral studies and then consider working on basic orthopedic skills.

After pondering for a while, Fang Ziye continued writing down the current experimental plan.

Naturally, Fang Ziye wrote a plan that only he could understand. It was best not to reveal this to anyone other than Yuan Weihong, not even his junior brothers. It was better to explain it to them after everything was finished.

She had only written a third of it when Luo Tingzhu's alarm clock went off.

However, just as Luo Tingzhu was about to call Fang Ziye, Fang Ziye's call came.

Upon hearing this, Luo Tingzhu stood up, ready to call Fang Ziye to stop. She turned off the alarm clock, gave Fang Ziye a hand gesture remotely, and then began to put her lab gloves back on.

These gloves are actually uncomfortable to wear. Regardless of the season, the temperature in the laboratory is not very low, and wearing gloves makes you sweat easily. Therefore, we usually take off the gloves when we are not working.

After Fang Ziye answered the call, he waved to Luo Tingzhu and asked, "Mom, have you had dinner yet?"

"You've eaten. Can you come home for Chinese New Year this year? It's already the 19th of the twelfth lunar month."

Fang Ziye hasn't been home for Chinese New Year for two years. It's not that he didn't go back during the holiday, but he usually only goes home around the third or fourth day of the Lunar New Year.

There's no way around it; someone has to be on duty during the Lunar New Year. And whether it's the 29th, 30th, or the first day of the new year, you can't go home if you're on duty any day.

If you can't get a ticket on the 29th, then the 30th of the lunar year is meaningless. Even if you manage to get home, you won't be able to get one until the afternoon of the first day of the new year. If you're on duty on the first day, the New Year celebrations will be over by then.

Although family reunion is the essence of the New Year, parents still hope that their children can return home for a special reunion at this time.

"Mom, it's not certain yet. We'll have to check the duty roster to decide. I guess we'll have to draw lots to decide," Fang Ziye replied.

Logically, he is currently a third-year master's student and has been on duty during the year-end season for the past two years. This year, Jin Hongzhou should at least take care of him a little more. But uncertainty is uncertainty. If it really is his turn, Fang Ziye still cannot skip his shift.

"I do not know!"

"Oh, by the way, your aunt and uncle came to our house today. I told them you defended your thesis, but they didn't understand what that meant. So I just said you graduated, is that what you mean?" Mom was clearly in a good mood, with a sense of relief that she was about to finally see the light at the end of the tunnel.

"Pretty much. Once the defense is completed, you can basically get your graduation certificate and degree certificate."

"What did you and Dad eat tonight?" Fang Ziye didn't want the conversation to end so quickly, so he asked again and walked out of the laboratory.

Fang Ziye also misses home, so it's only natural that his family misses him too.

However, being of ordinary background, if I want to reunite with my family, I can only live in a small town or county town with my parents. But if I want to go out and make a living, I have to leave my hometown.

Staying in Ba County would certainly be enough to make ends meet and live above the poverty line, but if I went back, much of the world's prosperity and wonder would be irrelevant to me.

If you were just a doctor in a small town or county, there would be no need to be so stressed.

The call lasted about twenty minutes.

Fang Ziye then said, "Yes, I'm fine here. The money my dad sent me before is enough. He doesn't need to send me any more money."

"You and your dad still have money to spend?"

The family runs a small business, but the annual income is just so-so, not much, and they don't have much working capital. Every year they have to provide themselves with a fixed amount of money, and Fang Ziye is really worried that they might sometimes run into cash flow problems.

"Don't worry about that. You don't need to worry about things at home. I'll have your dad send you another thousand yuan. Eat well and buy yourself some clothes."

"Just dress warmly, there's no need to chase after brand names. Just dress comfortably, cleanly, and neatly..."

As for comparison, Fang Ziye only dared to hope that he could compete with others in terms of papers and technology. As for wealth, Luo Tingzhu alone could probably raze Fang Ziye's house to the ground.

Although Luo Tingzhu comes from a divorced family, both of her parents are college graduates, and either of them earns more each year than her parents combined.

Businesses in town aren't very big, so how much money can they make? A net income of 120,000 is just lucky.

This income is more comfortable than working outside.

"Okay, Mom."

"By the way, it's almost the end of the year, could you help me prepare some cured pork legs? I should be sending out two or three after I come back for the New Year. Thank you for your hard work, Mom and Dad." Fang Ziye's feelings were complicated.

In fact, Fang Ziye did not feel at ease being a parasite.

However, in the medical field, it's incredibly difficult to advance without a privileged background and exceptional talent.

What do the so-called national scholarships, and all the scholarships Luo Tingzhu received, have to do with me, an ordinary student?
In the future, we might be able to hope for that, but in the past, even if someone mistakenly entered the wrong department, they would never be awarded a special scholarship or other special prizes.

Of course, Fang Ziye was lucky. His family wasn't particularly poor, so he just submitted the application materials for those scholarships. If he got one, it would save his family some money; if not, he would just let it go.

Medical students, especially professional master's students, can basically give up on the idea of ​​earning money through part-time jobs.

After hanging up the phone, Fang Ziye rushed to the experimental operation room and managed to collect 5 knowledge points before the end of the call.

My knowledge points balance has reached 76.

This is Fang Ziye's experiment, and also Luo Tingzhu's experiment.

Fang Ziye went over to help again.

Around midnight, Fang Ziye earned another 9 knowledge points, bringing his total knowledge point income for the day to over 100!
"Finally finished, junior sister, want to go grab a late-night snack?" Fang Ziye asked.

Luo Tingzhu thought for a moment and shook her head: "Let's do it another day, senior brother. I need to go to the department early tomorrow to review the discharge medical records. I also have two surgeries in the morning."

More than delicious food, Luo Tingzhu wanted to sleep for five or six hours.

"Okay, then let's do it next time."

"I'll prepare the reagents for your experiment tomorrow," Fang Ziye said.

Currently, Fang Ziye is working part-time, focusing solely on scientific research, while Luo Tingzhu still has clinical duties. Luo Tingzhu has helped a lot in the past, so it is necessary to reciprocate.

Unexpectedly, as Luo Tingzhu was carrying the reagents and petri dishes out, she suddenly asked, "Senior Brother Fang, are you coming to the skills training room tomorrow?"

Luo Tingzhu's tone suggested a hint of eagerness.

"You're going to perform? When?" Fang Ziye immediately asked very sensibly.

"It's a little after 2 pm, not a performance, but I just hope you can give me some pointers, Senior Brother Fang." Luo Tingzhu was slightly modest and a little embarrassed, behaving very politely.

"Okay, I'll definitely come."

“Let’s go back together. I’ll walk you to your dorm. It’s just a few steps.” Fang Ziye carefully separated some reagents and placed them in the refrigerator at 4 degrees and -20 degrees, then turned around and made way for him.

Now, Luo Tingzhu has moved her reagents into Yuan Weihong's research group, so everyone's reagents are kept together to avoid having to run back and forth or taking the wrong ones.

Putting them together and categorizing them is a good approach.

After all, Yuan Weihong's arrangement was to have Luo Tingzhu join his small research group, and she brought money with her.

Unexpectedly, Luo Tingzhu froze, turned her head, and it was obvious from the trembling of her eyes that she was hesitating and gritting her teeth: "Senior brother, did no one really say anything to you yesterday?"

Fang Ziye shook his head.

Luo Tingzhu lowered her head slightly, but didn't think much of it...

The day passed quickly.

Fang Ziye, who works part-time, spends his mornings in the department writing and printing out the postoperative medical records and discharge summaries for the two beds under his care, and also prescribes the discharge medications.

Tell the junior colleague on duty that if a patient comes looking for me, please help him revise his medical record or prescribe two extra boxes of medicine.

For discharged patients, there are essentially only two things to consider.

The junior apprentice readily agreed.

Then, after Fang Ziye arrived at the laboratory, in order to be there on time to support Luo Tingzhu's "performance," he slightly sped up the pace of the morning's experimental operations.

With no one watching, Fang Ziye operated at lightning speed, going all out.

Xue Cao arrived at the lab a little late today. He is an academic doctoral student and is in the same first year of doctoral studies as his senior, Yan Zhiming.

But when he entered the cell culture room and saw Fang Ziye's procedures, he didn't care that he was wearing inspection gloves, which were actually not very clean.

He rubbed his eyes on the spot.

"Holy crap, Ziye, did you just cheat?"

(End of this chapter)