top student at medical school

Chapter 43 There Must Be a Message (Please add to your favorites and read on)
Like surgery, experiments require extreme rigor. Thorough preparation and careful control of relevant factors are essential to avoid any mishaps.

In some cases, the control of variables in experiments is even more extreme than in clinical settings.

To conduct a scratch test to prove which type of cell runs faster is much more difficult than simply giving a human a jolt during creation and then letting it run wild!
We must wait until everyone is fully prepared and has controlled all the possible influencing factors.

First of all, everyone needs to have a line, and the width of the scratches must be the same.

Secondly, all three cell lines must be fully grown. Otherwise, if one cell line is less abundant than the other, and you say it grows faster, the journal editor will simply reject your manuscript and politely tell you to "get lost," and you won't be able to do anything about it, no matter how much you throw a tantrum.

Moreover, the three cell lines grow at different rates, so even if you culture them for the same amount of time, one might die of old age while the other hasn't even reached maturity. It's like the concubine was born before the lord was born, and the lord was born after the concubine had grown old.

How can a four-year-old boy and a fifty-year-old virgin possibly get along on a blind date? Therefore, the timing of starting cell culture should be staggered. Ideally, different cell lines should be in their prime, around seventeen, eighteen, or twenty-one or twenty-two years old, to make a convincing preparation.

Purchasing reagents and equipment must be done thoroughly, and one must be prepared to try again if the experiment fails. Therefore, it is a long and arduous process that requires careful consideration and gradual preparation in order to demonstrate who runs faster through visualized data.

Fang Ziye anticipates that the experiment will officially begin in about ten days, around the 23rd or 24th, which should be about right...

Before that, let's pass the cells a few times and freeze some extra material in liquid nitrogen, just in case. The experimental steps don't stop at just the scratch test.

On Thursday, Fang Ziye devoted a significant amount of time to clinical practice, meticulously refining the treatment plans for his patients. He didn't necessarily aim to revise the types of medications used; rather, he focused on reviewing literature and enhancing his understanding.

Through these months of reading, organizing, and summarizing, although Fang Ziye never added any knowledge points to basic theory, his basic theoretical knowledge has still made some progress.

【医学基础理论：外科学2级15/50、骨科学2级22/50、创伤外科2级35/50……】

【专科基础理论：创伤外科术后用药经验2级45/50、感染相关用药经验33/50、围手术期诊疗经验37/50……】

Basic medical theory is something all medical students must learn, including internal medicine, surgery, and comprehensive medical science (dermatology, psychiatry, neurology, infectious diseases), etc.

However, Fang Ziye's understanding of these basic medical theories was naturally not deep enough. Where would a surgeon have so much time to study these theories?
Specialized basic theory, on the other hand, mainly focuses on theoretical reserves related to treatments outside of surgery. Although surgery is the major part of surgical treatment, it is by no means the only procedure.

Through summarization and induction, Fang Ziye came to the following conclusion: the basic medical theories of surgery, orthopedics, and trauma surgery are respectively related to the diagnostic ability and cognitive depth of common surgical, orthopedic, and trauma surgery diseases.

Diagnosis is easy to understand, but in terms of depth of understanding, it falls into another category, namely preoperative diagnosis.

Specialized basic theory focuses on perioperative and postoperative care, such as the assessment of infection and the advantages and disadvantages of surgical outcomes.

Medicine is never that simple. Is everything over after the surgery?
Of course, these skills are even more difficult to see and more difficult for others to discover, unlike surgical procedures, where it is immediately obvious whether you are skillful or exquisite in performing them.

But you still have to work through the patients you're in charge of to figure out why the guidelines are set this way, why the medications are used this way, and how to solve similar problems if you encounter them in the future.

During their master's and doctoral studies, if students can solidify their basic medical and specialized medical theories, they will have the substantial knowledge to gradually become proficient in basic medical procedures and be able to handle unexpected situations.

Otherwise, if your understanding is insufficient, how will you handle unexpected situations, such as getting sick that doesn't follow the textbook?

Of course, this process is not only being done by Fang Ziye, but also by Luo Tingzhu and Professor Deng Yong's group, as well as Yan Zhiming, a first-year doctoral student.

Luo Tingzhu and Yan Zhiming are both about to take over as assistant chief residents. Although they are assistant chief residents, they are actually the chief residents of Professor Deng Yong's group, in charge of all matters within the group, and they need to shoulder a heavy responsibility. After that, they went to the practice room.

……

Time flies like water, and three days have passed in the blink of an eye.

On Friday, the day of surgery, Senior Brother Sun Shaoqing still occupied the surgical resources, causing Fang Ziye's plan to earn knowledge points on Friday to fall through. He could only obtain a pitiful few knowledge points by reading and spending time in the practice room.

After the last X-ray reading session, Fang Ziye's knowledge points have not yet reached double digits.

Fang Ziye also knows that it would be better to improve his theoretical and diagnostic skills, but his knowledge is simply not enough. There are two surgery days and one outpatient day a week. So, is it better to improve his professional operational skills or his ability to interpret CT and MRI images?

What if I were to have a large lesion removed? If I were to do that, I would be embarrassed and would miss a great opportunity.
In the outpatient clinic, since it's my mentor, it's natural for him to delegate authority gradually. To demonstrate my abilities in the operating room, I need to be able to handle a case on the first try, and do it well, in order to have more opportunities.

Fang Ziye finished practicing screw insertion in the training room. It's actually just the screw removal and insertion during open reduction and internal fixation of a fracture, which is a simple procedure and not required to be highly skilled.

But Fang Ziye was thinking that if his teacher or someone else accidentally admitted a patient who needed internal fixation removal, wouldn't he then have the opportunity to perform the surgery alone?

Then, he stopped to watch Luo Tingzhu practice his cutting technique on a more advanced material: pork dissection. After the operation, it was undoubtedly a failure; he did not meet the standard.

Dissecting a dead pig's body is not as easy as carving characters on tofu.

"Junior Sister Luo, are you going to the lab later?" It's Saturday, and it's still early, only eight o'clock in the evening.

"Go ahead, I made an appointment at the cell culture room at 10 pm tonight. Senior brother, aren't you going today?" Luo Tingzhu planned to cut it open again, so she took another piece of pork with skin, slightly smaller than a fist, and slammed it on the worktable, like a female butcher.

Luo Tingzhu also knew that Fang Ziye had become similarly greasy after entering the laboratory, so she turned her head and asked with a smile.

"Take a break today. We just changed the medium yesterday, and we won't need the normal cell line until tomorrow."

"Junior Sister Luo, you should take a rest too. How long has it been since you've had a proper rest?" Fang Ziye casually mentioned.

Luo Tingzhu turned around, picked up a scalpel and began to slash, saying, "I have no choice. I still need to do preliminary research for my research grant application. Only after I get the grant will I have the money to write the article."

"The application process for general research projects and provincial-level research projects is about to begin. I need to submit one application for university-level funding myself, and two more applications in Professor Deng Yong's name..."

Upon hearing this, Fang Ziye smiled and said, "Junior Sister Luo, aren't you ready to graduate already?"

“I still need to find a job. If I don’t work hard on my experiments and write papers now, I can only stay in the emergency department of this hospital at most, and I can’t get into a specialist department.” Luo Tingzhu turned around, and then continued to carefully dissect the pork.

Fang Ziye didn't try to persuade him any further.

For someone to have such a strong obsession, there must be something they hold dear; as long as that something is held dear, the obsession will be difficult to resolve.

(End of this chapter)