top student at medical school
Chapter 41 The Little Rascal
Chapter 41 The Little Rascal (Please add to your favorites and read on!)
“Auntie, your condition is also chronic inflammation, but it’s not an infection, nor is it osteoarthritis, but rather traumatic arthritis. You see, you had a fracture before, but you didn’t tell me,” Fang Ziye said to a middle-aged woman.
"Where did I break a bone? Doctor, don't scare me." The middle-aged woman herself was puzzled.
However, at this moment, the middle-aged woman's husband remembered something: "Didn't Mom say that you fractured your bone when you were three or four years old? Could this be a sequela from that time?"
Whether a fracture has occurred or not, it cannot be detected during a physical examination unless the patient mentions it after healing.
However, X-ray films can leave subtle clues.
However, this requires a certain level of skill in reading medical images to be able to see it. Moreover, most trauma surgeons, without years of experience and sufficient knowledge of medical images and theory, cannot detect it.
"Huh?" The middle-aged woman was taken aback.
Fang Ziye pointed out, "Look, this is your own X-ray. It shows the condition of your bone. The lines of your bone marrow are messy, which means you must have had a fracture. The lines of the trabecular bone in a normal person are very smooth."
"It might not be related to this fracture; it could be due to chronic wear and tear. Aren't you still working on the construction site...?"
"In this situation, the best treatment is to rest more. Even if you can't rest completely, you still need to be careful, otherwise you'll be overworking your body and will have to have surgery later," Fang Ziye said slowly...
As soon as the patient left, Fang Ziye immediately saw the knowledge points on the panel flashing.
"Knowledge Points +1!"
That's a very good gain. It seems that improving diagnostic skills is also a way to acquire knowledge, although it's a little slower than acquiring knowledge in the lab. I need to pay attention to finding a balance in the future.
"You really saw traumatic arthritis just now?"
"This is a finger joint, isn't it?" Yuan Weihong asked, his eyes narrowing slightly as he looked at Fang Ziye, seemingly excited.
When it comes to assessing the quality of medical imaging, attending physicians like Yuan Weihong are qualified to speak on the matter.
For most people, being able to find the radiology report on the plain film is considered a basic skill.
Going a step further, for example, a trauma surgery graduate student like Fang Ziye who can see some small injuries that radiologists cannot see, is considered to have some skill.
Senior physicians like Yuan Weihong, on the other hand, only use the reports from radiologists as a reference, relying entirely on their own ability to interpret the images and extract the key points.
And in this process, the mastery of anatomy and the finer details is something that even a typical PhD cannot achieve.
In the department, only Sun Shaoqing and Liu Zhengjun, both third-year doctoral students, can barely reach this level. Dai Yinsheng, another third-year doctoral student, is still a bit lacking.
“Master, didn’t you teach me this last time?” Fang Ziye replied.
It implies that you teach well.
"Bullshit, do you think I'm an amateur?"
"Can tibial plateau arthritis and interphalangeal arthritis be the same? Don't you truly understand and integrate these two concepts?"
“Theoretical knowledge and film reading skills are actually invisible to the naked eye. They require you to integrate and refine them on your own. They are even more difficult to figure out than practical skills.” Yuan Weihong’s eyes darted up and down at Fang Ziye.
This student's clinical qualifications are now on a smooth track. After completely letting go of a lot of pressure, it seems that his progress is too fast to be true.
If a student has already reached this level in their third year of master's studies, and continues to improve like this, will their teacher be able to keep them in check?
What if he comes to diagnose or treat me when I go to the outpatient clinic?
"Master, I might have made some progress, but I haven't noticed it myself. I've watched quite a few films, so I can't really say for sure." Fang Ziye would never tell Yuan Weihong that he had just added some points.
"Hmm, that's true." Yuan Weihong didn't press further. A doctor's skills always improve gradually and unconsciously, like water flowing into a channel.
Fang Ziye already had a solid foundation in film analysis, and now that he's spent so much time studying it, it's not impossible for him to break through all the barriers at once.
"Trauma surgery demands a level of expertise in image interpretation that is no less demanding than other subspecialties in orthopedics. In fact, the level of image interpretation is another reflection of the level of orthopedic medical expertise. This is something you need to master during your doctoral studies outside of the training room."
“During your time as a trainee in the hospital, the most important thing to hone is this kind of ability. If you want to learn more, come to my house and get some books for a more systematic approach.” Yuan Weihong once again began paving the way for Fang Ziye, just like his teacher who had been ‘passively retired’ back then.
"Thank you, Master. I'll borrow it for a bit and return it to you when I'm done." Fang Ziye hadn't finished reading the books he'd taken last time. He knew his teacher's collection of books were treasures, bought with money, and he couldn't just borrow them and not return them.
“It’s alright. If we buy books but don’t let you read them, they’re just decorations. If you love reading, you can borrow more. Whether it’s Professor Deng or anyone else, they’d be very happy to see you borrow books. The only problem is that you might not lend them out.” Yuan Weihong gave Fang Ziye another hint.
"Okay." Fang Ziye kept it in mind.
"Master, thank you so much for paving so many roads for me," Fang Ziye said as he left work.
"What?" Yuan Weihong tilted his head.
"Master, in the lab, the cell lines you've frozen, were they all processed by you?"
“You’ve already done the work on the silent group and the overexpression group. It’s like all I have to do is follow the experimental procedures step by step. You can let me do these things from now on,” Fang Ziye said.
Yuan Weihong had a tough time, Fang Ziye knew. His mentor had died young, suddenly during a major rescue operation. At that time, Yuan Weihong had not yet graduated with his doctorate and his future was in jeopardy.
Without the teacher's help, staying in the hospital meant he had no choice but to rely on the practice room.
After that, the other senior and junior masters of Master Yuan's lineage went to other places to pursue their careers, leaving only Yuan Weihong to stay in the hospital and fight alone. Now, he has no junior masters or nephews to help him.
During my hospital stay, I handled all the application for National Natural Science Foundation of China (NSFC) grants for young researchers on my own.
Fang Ziye is a professional graduate student, and he still has to do the experiments himself. Now that Fang Ziye is about to start his doctoral studies, Yuan Weihong is considerate of him because he has just entered the lab, so he has completed some of the preliminary experiments he knows and left the rest for Fang Ziye to inherit these cell babies' legacy.
This kindness is something that cannot be understood or deeply comprehended without a clear understanding.
But now that I understand, I should still express it.
Affection is as gentle as water.
"You little naughty boy."
"Don't tell me you're going to start the next experimental procedures? You've finished cell cryopreservation and passage?" Yuan Weihong was about to walk towards the direction of the electric scooter when he heard Fang Ziye say this, so he turned around and asked.
“Master, I’m planning to pass on my lineage and freeze it today. Would you like to come and take a look for me yourself?” Fang Ziye suggested.
Yuan Weihong's expression was serious; he dared not be careless.
He turned around and warned, "Don't you dare ruin our cell lines, they're very expensive."
……
(End of this chapter)
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