Chapter Thirty-Nine: Little Slippery Head (Seeking Collection, Seeking Reading)
"Auntie, your situation is also chronic inflammation, but this kind of inflammation is not infection, nor osteoarthritis, but traumatic arthritis, you see, you have broken a bone before, and you didn't tell me." Fang Ziye said this 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 didn't have a fracture when you were three or four years old?" Could it be the sequelae left at this time? ”
Whether the fracture is fractured or not, after healing, the patient does not mention it, and the physical examination cannot find out.
However, plain X-rays can leave clues.
But this requires a certain amount of reading skills to be seen, and the average trauma surgeon cannot see it without the accumulation of years and experience, and the films and theories he has seen are not strong enough.
"Huh?" The middle-aged woman was stunned.
Fang Ziye pointed out and said: "Look, the film is your own, and it is the condition of your bones, your bone marrow lines here are messy, and you must have broken bones, and the trabecular lines of normal people are very smooth." ”
"It doesn't have to be the relationship of this fracture, it may be the subsequent chronic wear and tear, aren't you still working on the construction site......
"In this case, the best treatment is to rest more, even if you can't rest completely, you have to pay attention, otherwise, you are overdrawing your body, and you will have to operate in the future." Fang Ziye said slowly......
As soon as the patient left, Fang Ziye instantly saw the knowledge points on the panel beating.
"+1 knowledge points!"
It's also a very good bonus. It seems that improving the diagnostic ability is also a way to obtain knowledge points, which is a little slower than the acquisition speed in the laboratory, and it is necessary to pay attention to balance in the future.
"You just saw traumatic arthritis?"
"Is this an interphalangeal joint?" Yuan Weihong looked at Fang Ziye's eyes and narrowed slightly, he should be excited, so he asked.
Looking at the level of the film, attending physicians like Yuan Weihong have the right to speak.
For ordinary people, if they can find the report of the imaging department on the plain film, it is considered a beginner.
Further, for example, a graduate student specializing in trauma surgery like Fang Ziye can see some small injuries that radiologists can't see, even if he has a little skill.
A senior physician like Yuan Weihong simply takes the radiologist's report as a reference, and relies on his own reading level to read and extract key points.
In the middle, the control of anatomy and subtle anatomy cannot be done by ordinary doctors.
In the department, at present, there are only Sun Shaoqing and Liu Zhengjun, two third-year doctors, who can barely reach such a level, and Dai Yinsheng, another third-year doctor, is still a little worse.
"Master, didn't you teach me last time?" Fang Ziye returned like this.
Imply that you teach well.
", you're taking me as a layman?"
"Can tibial plateau arthritis and interphalangeal arthritis be the same? Aren't you really thorough and understanding yourself, and can you integrate it? ”
"The theoretical level and ability to read films are actually invisible to the naked eye, and what is needed is to rely on yourself to understand and polish slowly, which is more difficult to figure out than operation." Yuan Weihong's gaze flickered up and down on Fang Ziye.
This student's clinical qualifications, now in Pingchuan, after completely letting go of a lot of pressure, seem to be a little bit unusual?
There is such a level in the third year of the master's degree, if you continue to improve like this, can you still manage it as a teacher?
What if he goes to the outpatient clinic and comes to diagnose himself?
"Master, it may be a little bit of refinement, but I haven't noticed it myself. I've watched a lot of films, and I can't say it myself. "Fang Ziye will never tell Yuan Weihong, I just added it.
"Hmmm! ~Also. Yuan Weihong did not continue to ask.
The doctor's skill will always improve slowly and inadvertently, and it will come naturally.
Fang Ziye's reading skills are already skilled, but now that he has been grinding for so long, it is not impossible to break everything at once.
"Trauma surgery, the level of reading is not lower than that of other subspecialties in orthopedics, or in other words, the level of reading is actually another embodiment of the medical level of orthopedics, which is also the content that you need to master during your doctorate in the non-practice room area."
"During the hospitalization of the follower, the most important thing to temper is such an ability. If you want to learn further, come to my house and pick up some books, which is more systematic. "Yuan Weihong once again began to pave the way for Fang Ziye, just like his teacher who had 'passively retired'.
"Thank you, Master, I'll borrow it first, and I'll return it to you after reading it." The book Fang Ziye took away last time hasn't finished reading it yet. I also know that the teacher's collection of books is all treasures, which are bought with money, and cannot be borrowed or returned.
"It's okay, if you don't buy the book and read it! That's the ornament, if you like to read, you can borrow more, whether it's Professor Deng or whoever you are, they are very happy to see you borrow books, I'm afraid you won't borrow them. Yuan Weihong hinted at Fang Ziye again.
"Okay." Fang Ziye kept it in mind.
"Master, thank you for paving so many roads for me." Fang Ziye said this when he went out of work.
"How?" Yuan Weihong tilted his head.
"Master, in the laboratory, you have processed all the cell lines that you have frozen and preserved, right?"
"The silence group and the overexpression group, you have done a good job, which means that I only need to repeat the follow-up experimental process step by step. In the future, you can let me do something like this. Fang Ziye said so.
Yuan Weihong is not easy, Fang Ziye knows that his master died young and died suddenly in a big rescue, at that time, Dr. Yuan Weihong had not yet graduated, and his future was in danger.
Without the help of the teacher, I can only practice the homework.
After that, the uncles and uncles of the master's branch went to other places to go to the future, and only Yuan Weihong stayed in the hospital to fight alone, and now there is no help from the master and nephew.
During the total hospitalization, I applied for the general youth fund project, and I did it myself.
I didn't receive an academic graduate student, Fang Ziye is a professional graduate student, he still has to do experiments by himself, and now Fang Ziye is approaching the predoctorate, Yuan Weihong is also considerate that he has just entered the laboratory, so he will finish some of the preliminary experiments he will do, and leave the rest to Fang Ziye to inherit the legacy of these cell babies.
This kindness is not deep or incomprehensible.
But I understand, it's time to express it.
Affection is like water.
"You little slippery head."
"Don't tell me you're going to start the next experiment? Are your cells cryopreserved and passaged? Yuan Weihong was about to walk in the direction of the little electric donkey's mount, and when he heard Fang Ziye say this, he turned his head and asked.
"Master, today I plan to pass on the generations and freeze it, why don't you come and show me in person?" Fang Ziye suggested.
Yuan Weihong's face was serious, and he didn't dare to be careless.
He turned around and admonished, "Don't harm our cell line, it's expensive." ”
……