top student at medical school

Chapter 166 The Assistant Chief Resident and His Philosophy (Please Subscribe)

Everyone in the group was busy, so Fang Ziye didn't waste any time.

After more than ten minutes, seeing that no one had picked up on his topic, his master and fellow disciples shifted the conversation to the completion and progress of the article. Fang Ziye then reported on his meager output.

The current small sect only has four people. In fact, Yuan Weihong feels embarrassed to hold offline group meetings, just like before Jie Han came, Fang Ziye and Yuan Weihong never had a proper master-disciple banquet.

"@Ziye: Ziye, your focus right now is to get familiar with the atmosphere at Enshi Central Hospital and build a solid clinical foundation. As for writing articles, write as much as you can. Let me, Jie Hantianluo, and I share the tasks that were originally assigned to you."

Fang Ziye's WeChat nickname is Ziye, because he thinks the two characters "Ziye" sound nice enough.

“Yes, Master. My responsibilities are all outlined in the documents. I revise the team's documentation daily for the tasks I've completed,” Fang Ziye replied.

For such a large document, a group file is necessary. The daily task progress of each person is reflected in the document, making it convenient for others to check.

"@Little Bear, Jie Han, you can continue working on osteosarcoma-related pathways. Just make sure to spend a certain amount of time in the lab every day and get familiar with the procedures. Take Lan Tianluo with you and figure out the routines of basic experiments."

"This month, our group's main focus is on writing the paper, and also on removing tumors from the animal experiments we've already conducted for subsequent sectioning, staining, etc..."

Jie Han's WeChat nickname is Little Bear. Even if he changes his nickname in a group chat, the person who mentions him is still his nickname.

However, compared to Jie Han's nickname "Hanhan" (憨憨), Lan Tianluo's nickname is more domineering, called "Tianluo Diwang" (天罗地网). Therefore, within the group, no one ever actively @Lan Tianluo, but only mentions his name.

"..."

As Fang Ziye watched his master and fellow disciples take over the tasks and topics, he suddenly felt like an outsider.

But upon closer reflection, I realize that the teachers and junior students were quite supportive, not taking on too many tasks, which is a good thing.

When the group's output is sufficient, everyone will definitely work together and make progress together. Only when resources are relatively scarce will it be necessary to give some preferential treatment.

Such a large workload is enough to feed all four of them, because even the top and largest laboratories in China cannot guarantee a workload of one or two hundred people a year, which is a super team of dozens of people.

After briefly making his presence known, Fang Ziye privately sent a message to Yuan Weihong, saying that he was interested in participating in the provincial youth medical skills competition next month.

Yuan Weihong wasn't surprised and replied, "With your current abilities, even if you didn't mention it, I would have asked you to participate. It's something that allows you to earn some money and also brings some prestige to our hospital's orthopedics department. You definitely can't miss it."

"Jie Han will also participate in this competition to broaden his horizons. Don't blame your master for being biased or anything like that; it's mainly because of the accumulation of knowledge you've gained in the past few years—"

Yuan Weihong stopped there.

"Master, I know my own limitations. I certainly won't have any objections."

"Thank you, Master, for unlocking the trigger point for my progress," Fang Ziye replied.

Yuan Weihong hesitated for a moment before saying, "If I had known you were this helpful, I would have given it to you long ago. You have to say something..."

Fang Ziye: "..."

Silently remind yourself that your master is opposite you, so you can't drive.

After drafting about 230 words, Fang Ziye put a period to his task for the day. It wasn't that Fang Ziye didn't want to continue writing, but writing such a long article was far more difficult than a graduation thesis or a CSCD paper.

Every sentence must be carefully considered, and even every word must be carefully referenced to the corresponding image results, so as to be concise and not verbose.

After seeing that Luo Tingzhu had shared another picture of a steak.

Fang Ziye was already lying in bed: "Tingzhu, you're living a pretty good life, aren't you?"

"My senior sister and I discussed rewarding ourselves with a meal, as I completed a small phase of the task with her."

"Moreover, my senior sister will help me publish a relatively high-scoring article, even if it's only the third or fourth author, I'm still very happy," Luo Tingzhu shared.

“Take your time. There will come a time when you will be able to mentor your junior sisters or brothers…” Fang Ziye replied.

"Senior, how are things going in your clinical practice?"

"It's alright, I'll learn it slowly. There's a lot to learn, and I've also met some very interesting senior brothers..." Although Fang Ziye had shared Wu Xuanqi with Luo Tingzhu, he hadn't told him about Nie Mingxian.

Immediately after Fang Ziye talked about his position as a junior member of the group, Luo Tingzhu covered her mouth and laughed.

"It's alright, senior. Writing more practical articles will hone your writing skills. Things will get better in the future," Luo Tingzhu comforted Fang Ziye while encouraging him.

"Besides, you have a great talent for experiments, senior. Maybe you'll even be able to create a cell line or an animal experimental model in the future..."

Upon seeing this, Fang Ziye's expression immediately tightened: "Explain these two in detail."

Luo Tingzhu then explained the procedures for creating cell lines and animal experimental models to Fang Ziye, saying that this was a relatively advanced experimental procedure in her current laboratory.

Fang Ziye could easily understand the creation of cell lines. One of the cell lines that Luo Tingzhu brought back from the exchange program at Xiangya Medical College was a new cell line for Ewing sarcoma, which could be used as experimental raw materials for tumors.

This can be sold for money, and at a very high price. If successfully induced and matured, it can support the performance of a small group in a biotechnology company, or even create a large group, which is entirely possible.

Then there are animal experimental models.

Fang Ziye is also somewhat familiar with this area. For example, if you want to conduct animal experiments on osteoarthritis, you need to find mice or other animals that suffer from osteoarthritis.

However, if a mouse is bred in an animal laboratory, how could it possibly develop osteoarthritis?
This requires advanced technology to process the osteoarthritis implanted on mice, making it a high-end experimental consumable. Currently, it costs more than 20,000 yuan per mouse internationally, and it cannot be produced domestically.

Furthermore, if Fang Ziye can cultivate mouse strains with HK2 knocked out or silenced, then that could be used for high-end experimental consumables.

In the future, any research on tumor cells or basic cells that involves HK2 will inevitably rely on the mature animal line established by Fang Ziye, which has a very broad global market.

It's entirely possible to build up a super-large company.

The discovery of new pathways, new sequencing methods, and new animal experimental models represent the most advanced and cutting-edge scientific research experiments in the world today.

"Alright, I've learned something new. Let's try to work in that direction. If we succeed in any of these areas, at least we won't have to worry about being recognized as a National Science Fund for Distinguished Young Scholars," Fang Ziye said with a smile.

Upon hearing this, Luo Tingzhu sent a sly smile emoji: "Senior brother, perhaps your estimate was a bit conservative?"

"In Shanghai, there was an academician who developed a new chemotherapy drug for tumors, which led to the formation of a family of four academicians."

"If our research group can develop a new model or pathway, we might get more than one National Science Fund for Distinguished Young Scholar and Yangtze River Scholar."

Upon hearing this, Fang Ziye smiled slightly: "How about I go to sleep first? Anyway, you can have anything in your dreams."

"Okay!" Luo Tingzhu made an OK sign, appearing obedient and sensible.

……

The next day, April 2nd finally arrived, which was also the first working day of April.

However, when Fang Ziye arrived at the department, he found that Huang Yunxiao, the resident trainee who was with Wu Guonan, was no longer in the office.

Immediately afterwards, another row of people stood at the door of the doctor's office, waiting to be deployed and assigned.

Upon seeing this, Fang Ziye was first stunned, and then realized that this was the Enshi Central Hospital.

Most of the residency rotations here are in surgery, with very few specialized graduate programs.

Even professional graduate students, like Zhang Mingcan, are probably assigned to do experiments.

However, for surgical residency training, rotations are required, with very high mobility at the beginning and end of each month.

After Huang Yunxiao left, Wang Zhongxing temporarily took over the responsibility for the beds that Huang Yunxiao was in charge of. He would then return the beds to Huang Kai, the associate chief physician, after he was assigned to a new residency training group.

At this moment, Huang Kai was already tallying the numbers of the two new resident trainees...

After Huang Kai finished asking his questions, he arranged for the new resident to undergo residency training in Director Wu Guonan's group. The new resident was from the Department of Orthopedics itself and had recently rotated to other departments before returning. He had rotated to the Department of Orthopedics I quite a few times before and was familiar with most of the staff.

Therefore, when Huang Kai brought over a man named Mao Mao, Xue Tao was a little surprised: "Brother Kai, thank you. I thought Mao Mao would continue to follow Director Zhang."

Huang Kai is privately called "Master Kai," though some people also call him "Brother Kai." But Huang Kai prefers the title "Master Kai." He already has a nickname with a pouty mouth, and if he were to add "Brother Kai," wouldn't he just be a "cash cow" when he goes out, with his mouth agape, waiting to be hooked?

"Well, Professor Shen Tao is in your group this month. Mao Mao is one of the most capable in our orthopedic residency program. He's almost finished his second year and needs to start looking for a job, so let's give him a pretty good opportunity."

"I hope to learn more from Teacher Shen Tao and try to get a job at a county hospital."

"Ziye".

After Huang Kai finished speaking, he looked at Fang Ziye in a hoarse and magnetic voice and said, "If you have time, please take care of Mao Mao as well."

Huang Kai gave Mao Mao a wink.

Mao Mao immediately ran up to Fang Ziye and said, "Brother Ye, your name is practically exploding in our residency training group!"

"I have long admired it."

Mao Mao is about 1.7 meters tall, slightly shorter than Fang Ziye. He has a refined appearance, fair skin, wears black-rimmed glasses, and is slender with thin arms and legs, giving him a Korean-style look.

At first glance, he doesn't seem to have the demeanor expected of an orthopedic surgeon.

However, Mao Mao seems to be quite generous.

"Hello. Let's learn from each other." Fang Ziye wasn't a social climber; he wouldn't be overly enthusiastic upon first seeing someone. He simply returned a humble smile.

Upon hearing this, Wang Zhongxing, who had a large stubble, immediately said, "Mao Mao, perfect timing. You should take over Huang Yunxiao's patients. There are still twelve minutes until the shift handover. I think you can definitely remember all the test results of the remaining six patients."

Upon hearing this, Mao Mao gave a wry smile, feeling extremely aggrieved: "Brother Xing, you really think too highly of me."

"I don't need it, is that alright?"

"Get to work!" Wang Zhongxing patted Mao Mao on the shoulder and gave up his computer seat.

At the same time, Fang Ziye also finished recording the corresponding examination results for the six beds under his supervision.

Four beds are for pre-operative patients, nothing special. Two beds are for post-operative patients. One surgery was performed the day before yesterday, and the post-operative check-up results were good. Another surgery was performed yesterday, and the results were from a blood test this morning; the results haven't come back yet, so we need to follow up.

Having a complete blood count and inflammatory markers checked on the second day after surgery is a relatively recommended time for postoperative follow-up.

However, even after recording the beds under his charge, Fang Ziye still glanced at Mao Mao a few times.

It turned out that Mao Mao had no intention of taking notes with pen and paper at all; instead, he simply scanned the test results one case at a time and flipped through them.

This move amazed Fang Ziye. "Damn, if this isn't just showing off, then it's really impressive."

……

It's time to hand over the shift.

However, it was a normal handover. The on-duty doctor and nurses explained the relevant information about the newly admitted patients and surgical patients from yesterday, as well as the fourteen patients scheduled for surgery today, in great detail and thoroughly before ending the handover.

Then the power of speech was handed over to Zhang Mingcan.

However, before Zhang Mingcan could speak, Director Hongdu interjected, saying, "Director Zhang, I think our department could symbolically learn from Minzu University Hospital."

“They have Dr. Wu over there, and we have Dr. Fang in our department. Our department can also have a chief resident with a doctorate to assist him and be responsible for the daily affairs of the department on weekdays.”

Hongdu's words were all pointed and suggestive.

As expected, Zhang Mingcan immediately changed his expression and explained, "Director Hong, Dr. Fang's situation is different from Dr. Wu's. Dr. Wu previously worked at Minzu University Hospital and then passed the exam to become a doctor at Tongji Hospital."

"They were sent out for exchange because they were sentimental and also because they had a mission here."

“Ziye himself doesn’t have any such constraints, and his doctoral studies are quite demanding, so why don’t we ask Ziye what he thinks?”

Zhang Mingcan's words implied that he hoped Fang Ziye could spend more time in the laboratory. Of course, this was Director Hongdu's suggestion, and he couldn't directly reject it.

Many people then turned their attention to the direction where Fang Ziye was.

When Fang Ziye heard Chief Physician Hongdu's suggestion, his heart tightened immediately, but he didn't show it on his face.

Now that Zhang Mingcan has let him choose for himself, Fang Ziye basically doesn't hesitate: "Director Zhang, if it's just about following General Manager Ban, I think I can learn from him."

"It just so happens that there are many teachers in the department right now."

Clinical practice is the greatest source of knowledge. Fang Ziye came to Enshi specifically for this purpose; it's impossible for him to abandon clinical practice and go straight to Zhang Mingcan's laboratory.

Of course, they definitely have to go. Guan Hongming and Du Hai are currently on a slightly different path. Fang Ziye has a good impression of them, that's one reason.

Secondly, if Guan Hongming and Du Hai's methods are conventional and there's nothing to gain, then so be it.

However, Fang Ziye discovered that although the results of the experiment produced by the two were a complete mess, it was like a piece of fat meat being delivered right to their mouths...

Upon hearing this, Zhang Mingcan pondered for a moment before saying, "How about this, Ziye, you will work during weekdays and manage the department as a supervising resident. Your main responsibilities will be managing the department's medical record writing, reviewing medical orders, and handling routine consultations."

"Then you will no longer be responsible for the bed management tasks and regular on-call tasks. The beds you are currently in charge of will be gradually handed over to other people in your group."

"Besides your studies, you also need to have some research tasks. Otherwise, if it affects your studies, I won't be able to explain it to Professor Deng."

"After 5 p.m. after get off work, and on weekends, the on-call doctors will be responsible for emergency consultations. If the problem cannot be solved, they will call their respective superiors."

Zhang Mingcan gave a formal reason.

Neither Director Hongdu nor Director Wu Guonan said anything more.

Fang Ziye also felt that this model was acceptable, so he nodded and said, "Thank you for your trust, Director Zhang and Director Hong. I will give it a try. If I don't understand something, I will definitely ask the teachers for advice as soon as possible."

Then Zhang Mingcan asked Shen Tao if he had anything to share, but Shen Tao didn't respond and just smiled and remained silent.

Then, the shift handover ended.

After the shift handover, it was time for ward rounds. However, on the way to the ward rounds, Shen Tao, while touching his receding hairline and straightening his shirt, pulled Fang Ziye aside as the crowd headed towards the ward rounds: "Ziye, you should refuse this task of assisting the chief ward."

"Teacher Shen, why?" Fang Ziye asked, somewhat puzzled.

"If you keep going to the hospital with your colleagues, how will you get out of the operating room?" Shen Tao asked directly.

Upon hearing this, Fang Ziye blinked, but he wasn't particularly nervous.

It seems that's really the case. This is Enshi Central Hospital, not Zhongnan Hospital. There are no higher-level resident chiefs on duty 24 hours a day.

Therefore, when handling routine emergency consultations, Fang Ziye might be called out of the operating room countless times during the process.

"City-level hospitals are not as simple as you think."

"Director Hongdu is only focused on developing the trauma surgery department, so he hopes that you, like Wu Xuanqi from Tongji Hospital, will contribute to the department."

"Director Zhang Mingcan, although a student of former Director Hongdu, has now established his own school. Director Zhang Mingcan hopes to make further progress in his academic career, become a professor, conduct more scientific research, and even wants to pursue a part-time doctoral degree."

"You need to understand your core mission at Enshi Central Hospital," Shen Tao sighed.

Now that Fang Ziye had already agreed, he couldn't say anything more, so he turned around and took Fang Ziye with him, following the ward round team.

(End of this chapter)