No matter how the liver, the disadvantages of poor English are still reflected, and the foundation has gone through several rounds in the past two years, but there is really a difference between self-study and teacher teaching. If you don't understand something at university, you can ask the teacher. Self-study is not good, you can only explore and make up for it by yourself. However, self-study also has the advantage of having a deep understanding and a strong personal opinion.

Not to mention English, there is a lack of environment, and Zhang Fan has never cared much about this thing. After two years of smooth sailing, Director Di of endocrinology suddenly woke up with a basin of cold water. A college student, an ordinary college student, should be proud of having a car and a house in less than two years, but is Zhang Fan ordinary? Not ordinary, so at this moment, Zhang Fan hurriedly threw away the little pride that had just sprouted, and the road was still long!

Endocrinology is too complex, and a disease is a research direction, which is both a holistic and scattered department. Respiration, digestion, and heart are all regulated from top to bottom, and the knowledge points are coherent and interrelated, while endocrine is not, leapfrogging, and each secretory organ has its own set of operating procedures and functions. It can be said that an organ is actually a separate subject.

Although the journal that Director Di gave to Zhang Fan is not a top-ranked journal in the world, there is still a professional depth of endocrinology, and Zhang Fan has no time when he is halfway through his liver. Language is really a hindrance to a discipline, and Zhang Fan spent three-sevenths of the time translating, and there was not much time to really study. This study of foreign books and periodicals finally made Zhang Fan make up his mind to conquer English!

On the weekend, Zhang Fan and Shao Hua finally found time to walk around the street for three or four hours, "You are a little too hard, you usually don't drink much tea and coffee, but I found out yesterday that the coffee and tea I bought for you have gone down more than half! This really doesn't work, you are a doctor yourself, you should know very well." ”

"Time is a little tight, and the journal is all in English, there is really no way, hey! regret should not have been in the first place!"

"What's wrong?" Zhang Fan successfully diverted Shao Hua's attention, he also knew that this was not good, but what could he do? This is not a matter of competing with anyone, but Zhang Fan will compete with himself again!

"When I took medical English in college, I deliberately didn't study it, and now I don't even have the materials to find a major. This medical word is so ridiculous, sometimes only two words in a paragraph, and the corresponding translation of these two words cannot be found!"

"Then what should I do?" Shao Hua snuggled in Zhang Fan's arms, the weather cooled down, and the relationship between the two became more and more intimate.

"There's no good way, I can only check the information little by little, how are you reviewing recently. Don't put too much pressure on yourself, take the test if you can, even if you can't pass the test, my ability to support my family is still okay. Zhang Fan smelled Shao Hua's fragrance, a faint smell of lavender.

Lavender, usually said on TV that the Netherlands or Finland, there are large areas of lavender that are particularly beautiful. In fact, it is the photographer's high level, the real large area of lavender is in Chasu City, thousands of acres of lavender planting base, every year when the lavender blooms, the blue-purple flower field breeze blows, like the waves in the sea of flowers, wave after wave, wear a white dress, with a pale yellow straw hat, standing in the sea of flowers is super beautiful! Shao Hua has such a photo, extremely beautiful. People hold up the scenery, the scenery presents people, and the mountains and rivers of the frontier are so delicate!

The essential oil and flavor of lavender in the mainland do not know how to be colored, but the tea market is still good, and the consumption of perfume in several surrounding countries is particularly large, and the essential oil and flavor of the tea market are produced directly to the port and go abroad.

Especially in recent years, China's national strength has improved, and businessmen who go abroad to do business have a lot of confidence, and the lavender flavor of Chasu City has directly hit the Russian flavor out of the five countries!

When you are in the interior, you don't feel the strength of a country, but on the frontier you understand how strong the country that protects you is. Large quantities of products were sent abroad from the ports, and the five countries of Stan could only exchange natural minerals.

Zhang Fan doesn't know much about other products, but in terms of medical treatment, Zhang Fan knows a little bit. Even the most basic sugar and brine in the five countries of Stan are imported from China, not because they can't produce it, but because China is cheap! The country is slowly penetrating, and the economy is in the front and culture is in the back!

The girls in Chasu City are more or less made of a little lavender, what pillows, quilts, sachets. The most peculiar thing is that there is a young man in Chasu City, and when they entertain distinguished guests, they actually pollen.

When Zhang Fan ate pollen for the first time, he thought it was sesame seeds, this pollen looks very similar to sesame seeds, take a hot bag, dip it in ghee and then dip it in some pollen, but the taste is different from sesame when eating, the aroma of oil and the fragrance of pollen are mixed together, especially delicious, the more you chew, the more you taste.

"Don't worry, there's no pressure, just flip through the book casually, just keep a coherent professional knowledge of thinking, and there should be no problem in registering for the exam next year!~" Shao Hua said proudly.

Reading and learning should emphasize hard work, hard work and learning methods, but sometimes I have to admire some people who have a talent for learning, the efficiency is really too high, Zhang Fan has no talent in learning, but his liver is good!

After an afternoon off on Saturday, Zhang Fan's weekend is over, because he has to go to the county for surgery on Sunday, and this time he doesn't have to go to a farther county, just in a few surrounding counties. Elective surgeries are generally laparoscopic.

In the past, county hospitals could still perform operations such as appendix and gallbladder, but since laparoscopy became widespread, there are almost no surgeries in these county-level surgeries. As soon as the patient heard that it was an open abdomen operation, he left directly, and he couldn't do it without transferring to the hospital.

Surgery in the county in the morning, three operations in one morning, after the completion of the operation, it was already more than two o'clock in the afternoon, I didn't even drink saliva, and hurried to Chasu City, because Wang Yongyong was going to be discharged from the hospital today. The recovery is good, after all, he is still a young man, and his body is vigorous, Zhang Fan has to explain some matters for later recovery, and then do a physical examination for discharge, after all, athletes are different from ordinary people, and their injuries are more serious.

Although I can't exert myself yet, the swelling has subsided. Wang Yongyong sat in a wheelchair and thanked Zhang Fan and Ma Wentao. Now is not the time to shoot commercials, but all the photos from the early stage have been taken to compare them with the restoration. Ma Wentao's years of studying abroad were not in vain.

On Monday, the endocrinology department's rounds began. All doctors, interns, probationers, transfers, and those in the department, began to make ward rounds under the leadership of the director and several deputy senior officers. This moment is the moment that the top student is looking forward to, and the moment when the student is most worried and afraid. Ward by ward.

"Six-bedded, male, twenty-two years old. With unexplained polyuria, he was admitted to the emergency department of our hospital, and then transferred to our department, and after a complete examination, the patient was initially diagnosed with diabetes insipidus. "The six-bed doctor introduced the condition to the doctors on the ward rounds.

"Wang Xiaoyan, you go and do a physical examination of this patient. "Director Di has taken the exam. Wang Xiaoyan, graduated from Tianjin University Medical School, I don't know why she didn't go to graduate school, but she has a solid foundation, and her score in the medical practitioner exam last year was only about 50 points lower than Zhang Fan.

The physical examination pays attention to a sequential nature. From top to bottom, from front to back, a clueless physical examination is not only easy to miss the system to be examined, but also easy to toss the patient, so a qualified physical examination is particular, rather than following the words in the book.

Wang Xiaoyan is skillful in her skills, and she reports while examining, "The patient's bilateral pupils are equal to the same size and circle, and there is no obvious abnormality. There was no obvious lymph enlargement in the neck, and there were no obvious abnormalities in the heart and lungs. There was no palpable tenderness in the abdomen, and no obvious abnormalities were found in both lower extremities. "After about five minutes, the inspection is over.

Director Di nodded, and couldn't find any questions. When Wang Xiaoyan returned to the team, she deliberately glanced at Zhang Fan, which was not a provocation, but a competition, a competition of technology, and a competition of heart.

"The thirst center is that organ. Director Di turned his head and asked another male doctor who had been transferred to another department, but the male doctor had not yet entered the state, and this question was too biased, although these particularly biased questions would not be tested in the exam.

But this is a hospital, facing people rather than machines, the negligence of a problem may cause irreparable damage to the patient, and the human body is a whole, no matter how partial the knowledge points, we must learn and understand as much as possible, maybe that day we will encounter this rare knowledge point of the disease.

"Sorry, I don't know. "Director Di is a little better than Ouyang, but it's a little hurtful, and she will ignore the junior doctors she doesn't like.

"Well, go down and read a good book. "A simple sentence, I didn't say anything about this doctor, nor did I punish and criticize him, but this male doctor who transferred to another department was more uncomfortable than being punished~! The same young man, the same undergraduate graduate, also hopes to get the attention and attention of the senior doctor.

Failure after work is different from school failure, school failure you can come again, and there are make-up exams!

"Dr. Zhang, you say. Director Di turned his head to look at Zhang Fan.

"Hypothalamus. ”

"The patient's urine is of that nature, how to rescue it. ”

"Hypotonic. Rehydration, antidiuretic, and timely hormonal therapy if necessary. ”

"There are currently several theories for primary diabetes insipidus. Director Di continued to ask, this question is beyond the outline, not to mention the transfer of doctors, even the endocrinology chief who is not good at studying may not be able to say it.

The difficulty of internal medicine lies here, many of the predisposing factors or causes of diseases have not been studied clearly, and the internal medicine experts of major hospitals will make a guess or hypothesis about this disease.

Then the clinician, according to the ideas of these masters, will go to the corresponding treatment, because the reason why these hypotheses are called hypotheses is because they are not ordinary or they are uncertain.

In scientific research, you can go to the slow experiment one by one, one by one to study, but not in the clinic, the patient is already lying in the hospital bed, there is no time for you to study, you have to treat others.

So what to do? It's time for the doctor to think about which doctrine the patient's symptoms are more similar to in terms of these hypothetical medications. Although an experienced doctor cannot determine the cause of the disease, he can treat the symptoms according to the symptoms, and even this kind of technique that cannot be treated for the cause, a doctor has to ponder and study for more than ten years to have this foundation.

Professor Jerome P. Kassirer of the Massachusetts Medical Society has put forward three theories, and Chinese experts have subdivided these three theories, and the current mainstream theory is three or five, and the third AVP (antidiuretic hormone) deficiency is the main mainstream. Zhang Fan replied.

This is the knowledge that Zhang Fan got after a week, not to mention internal medicine books, even textbooks for graduate students may not be available, after all, this has transitioned from clinical to laboratory.

"Listen to your spoken English, it's so bad that if I hadn't listened carefully, I would have thought you were speaking Russian. Although it was a criticism, Director Di said it with a smile, and she could see that Zhang Fan had worked hard. If you don't study this knowledge point seriously, it will definitely be ignored because it is too small.

When Zhang Fan finished speaking, Wang Xiaoyan bit her lip, because she didn't know this knowledge, it was not that the director was eccentric, but that the director wanted to weigh Zhang Fan, Zhang Fan was already very famous in the level of hospital director.

Continue the rounds, everyone's questions. Interns and trainee doctors don't have much pressure because the director is easy to talk to, and even if he can't answer, he won't say anything! They don't realize that this is an opportunity, and if they perform well, it will be very helpful for employment in the future. It is estimated that most of the students who gave up the bird market to come to Chasu City for internship and internship plan to graduate and work here in the future.

The most stressful are some transfer doctors who want to stay in endocrinology. There are not many opportunities, once you can't grasp it, you will lose it, and life is just a few key steps, and if you take the right one, maybe the road in the future will be smoother.

A morning passed, and Zhang Fan and several transfer doctors who wanted to stay in the endocrine system didn't feel that time passed so quickly. Director Di's questions are too tricky, not only to have a lot of basic memory, but also to have his own ideas.

What can a doctor who has just been employed for two years think! But this old lady can find out whether you have a heart or not from your little thoughts or opinions.

It's too difficult, Zhang Fan and a few people racked their brains to answer the questions, so many questions are vague, this endocrine is really too difficult.

At the end of the last patient's round, Director Di stood at the end of the corridor, surrounded by a group of white coats, tall or short, male or female, to summarize.

"In our department, the most patients are diabetes, and the most closely related to diabetes is insulin, who will tell us about pancreas today. Teach us a lesson, don't come up if you're not sure. Director Di stood in the middle of the crowd and said, she was obviously fanning the flames.

After several hours of ward rounds, the most prominent ones were Zhang Fan and Wang Xiaoyan, the two of them did not make any major mistakes, and they were on par. Wang Xiaoyan has a prominent personality, good study, and a strong personality, in the field of internal medicine, she must suppress Zhang Fan, a surgeon, this is not to people, but an attitude, a spirit. A group of internal medicine transfer doctors, let an internal surgeon show off his power in internal medicine, others don't know what to feel, but she can't stand it.

"Director, I'm coming!" Wang Xiaoyan stood up after glancing at Zhang Fan.

"Okay, then Dr. Wang will tell me about it. "Usually it's Xiao Wang, but now it's Dr. Wang, at this moment, Director Di has recognized Wang Xiaoyan, and Wang Xiaoyan already has a status in endocrinology!

When Director Di got out of the way of the C position, he glanced at Zhang Fan. Zhang Fan's personality is very contradictory, he can burst out with endless courage when he can't retreat, but he doesn't like to show very much in ordinary times, this is his character, there is no good or bad.

Director Di's question is very broad, what is pancreas, if you let a knowledgeable endocrinologist talk about it, it is estimated that one day is not enough, even if you ask Wang Xiaoyan to talk for an hour or two, it is estimated that it will not be able to finish, so you have to find the focus and advantages to talk about, what is Wang Xiaoyan's focus and advantages, that is, the biochemistry, pathology, and physiology of pancreatic islets.

"The pancreas is a complex and simple organ, and the main tissue cells of the pancreas are composed of Langerhans cell tissue groups~~~" Twenty minutes, Wang Xiaoyan made the pathology and physiology of the pancreas transparent, which is the ability to explain the function and structure of pancreatic tissue so clearly.

"Yes, it's very concise, but it can show us a pancreatic world, yes. After speaking, Director Di looked at Zhang Fan opposite and said, "Doctor Zhang, you can also go up and talk about it." Talk about your understanding of the pancreas. ”

Wang Xiaoyan looked at Zhang Fan, her eyes flashing with provocation and expectation. She also wanted to hear Zhang Fan's indirect treatment of the pancreas, and most importantly, she finished talking about the basics of the pancreas, and she didn't know what Zhang Fan was going to say.

"He shouldn't repeat what I said again!" Wang Xiaoyan was a little proud, after all, she was still a young man.

"Huh!" Zhang Fan really has nothing to say, Wang Xiaoyan explained very well. Zhang Fan opened his mouth and wanted to say: When Dr. Wang said it comprehensively. He saw Director Di's expectant gaze and Wang Xiaoyan's somewhat provocative gaze.

Zhang Fan gritted his teeth and went up. When she was wrong with Wang Xiaoyan, Wang Xiaoyan whispered: "Pick up people's teeth." ”

Zhang Fan ignored her and didn't care about the little woman! And Zhang Fan didn't plan to repeat what she said, there was no need, since he came up, if he didn't pick something out, would he still be a man!

"Dr. Wang's explanation is very good, let me understand a lot, Dr. Wang's microscopic understanding of the pancreas is quite thorough, and I have nothing to add, so I'll talk about macroscopic things. Zhang Fan said.

As soon as he said this, other people didn't have any ideas, but Wang Xiaoyan was a little uncomfortable, "I actually said that I have a narrow vision!" This is a scholar, he can draw inferences from one another, and it is unknown whether Zhang Fan has this meaning or not.

Director Di also looked forward to Zhang Fan with interest, some of the interns and trainees below were already a little impatient, it was very simple, Wang Xiaoyan said some knowledge, they couldn't understand!

"The pancreas, located deep in the abdomen and cannot be felt from the surface of the body, is in the 12 intestines in a C-shaped state, with its tail extending to the left near the spleen. ”

"Who doesn't know about the dissection!" Wang Xiaoyan was a little disappointed. The world of Xueba is incomprehensible to mortals, she expects Zhang Fan to have an extraordinary performance, but she doesn't want Zhang Fan's performance to surpass her.

After a brief introduction, Zhang Fan began to introduce the anatomy of the pancreas in detail and detail. From the normal vasculature to the abnormal variation, from the opening of the pancreatic duct to the special variation of the bile duct and pancreatic duct, Zhang Fan said in great detail.

This said, not only Wang Xiaoyan was surprised, but even Director Di was a little impressed, Zhang Fan explained in too detail, the shape of a pancreas, from the normal structure to the abnormal structure, almost all the things in the current literature can be brought at hand, too skilled.

Of course, if you are proficient, can you not be proficient in ordinary people who have been in the liver for more than a year? Now let Zhang Fan go to the university and give students an anatomy class. That's not all, after talking about normal functions, Zhang Fan continued to talk about the special features of some abnormal functions, and how to treat them.

The best treatment for abnormal morphology is surgery, the shape of the organ that has been finalized, it is useless to take medicine, so Zhang Fan began to show off his skills involuntarily, and Zhang Fan, who is rarely like this, is a little unable to stop the car.

First of all, Wang Xiaoyan said it very well, and then the endocrine of the liver for a week made Zhang Fan experience a lot, so he couldn't help it, he wanted to combine the knowledge learned in the system with his own experience.

As he spoke, there were few people down there who could understand. Continue, "When pancreatic endocrine tumor presents cachexia, the resection method during the operation can be divided into three types, one is ~~~~" I couldn't understand it at all, even Director Di couldn't understand it, because of the difficulty of this operation, not to mention that it was in Chasu City, even in the capital, few people could do it.

Zhang Fan Balabala spoke, he was so excited, he was really excited, he integrated his experience into the knowledge of the system, and the vague knowledge points in the past suddenly seemed to have been stripped of the veil, and they had seen each other naked.

This is the improvement, a self-improvement, this kind of improvement is better than the improvement of the system's blessing, after all, the most powerful thing in the human brain is fuzzy thinking, and this way of thinking is very suitable for exploring unknown knowledge.

Once the foundation is solid to a certain point, the quantitative change reaches the qualitative change, which is the qualitative improvement. For the understanding of pancreas, Zhang Fan can already be said to have become a master of pancreatic surgery.

Talking about sex is not stopped, Zhang Fan ignored the time, the place he ignored, half an hour, an hour, two hours passed, and Ren Lina, who had undergone many years of standing training, couldn't stand.

Although I can't understand what Zhang Fan said, I can hear that this is not nonsense, what is an intellectual, the least thing is to respect knowledge, Zhang Fan at this time no one bothered, if there is a pancreatic surgeon who hears it, he will definitely be shocked.

Finally, two and a half hours later, Zhang Fan finished speaking, and then suddenly felt something, and looked at everyone embarrassed with a look of embarrassment.

The doctors, including Director Di, were also embarrassed, because they didn't understand! Director Di coughed, cleared his throat and said, "Yes, Dr. Zhang's surgical skills are solid, but it's a bit off-topic, pay attention in the future." Good dissolution. ”

Director Di, who returned to the department, sat on the sofa and rubbed his calves, "Hey!