No matter how hard I try, the shortcomings of poor English are still reflected. I have passed several rounds in the past two years, but there is a real difference between self-study and teacher teaching. If you don't understand something in college, you can ask the teacher. But self-study is not enough, you can only explore and figure it out on your own. However, self-study also has advantages, that is, deep understanding and strong personal opinions.
Not to mention English, there is a lack of environment, and Zhang Fan has never cared much about it. After two years of smooth sailing, Director Di, an endocrinologist, suddenly woke me up with a basin of cold water. A college student, an ordinary college student, should be proud to own a car and a house in less than two years, but is Zhang Fan ordinary? Not ordinary, so at this moment Zhang Fan quickly threw away the little bit of pride that had just emerged. There is still a long way to go!
Endocrinology is too complex. Each disease is a research direction. It is a department that is both holistic and decentralized. Breathing, digestion, and the heart are all regulated and continuous from top to bottom. The knowledge points are all coherent and interrelated, but endocrinology is not, jumping around, and each secretory organ has its own set of rules. Run programs, and functions. It can be said that an organ is actually a separate subject.
Although the journal that Director Di gave to Zhang Fan was not one of the top-ranked journals in the world, it was still very professional in terms of endocrinology. Zhang Fan had no time for half of it. Language is really a stumbling block in a subject. Zhang Fan spent three-sevenths of his time translating, leaving little time for actual study. This study of foreign books and periodicals finally made Zhang Fan determined to conquer English!
Over the weekend, Zhang Fan and Shao Hua finally found time to go shopping for three or four hours. "You're a little too hard. You don't drink much tea and coffee. As a result, I found out yesterday that all the coffee and tea I bought for you were gone. More than half of it! This really won’t work. You are a doctor yourself, so you should know very well. "
"Time is a little tight, and the journal is all in English. There is really nothing I can do. Hey! I regret it!"
"What's wrong?" Zhang Fan successfully diverted Shao Hua's attention away. 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 competing with himself again!
"When I took medical English as an elective in college, I deliberately didn't study it. As a result, I can't even find a professional information book now. This medical word is too nonsense. Sometimes there are only two words in a paragraph, and these two words cannot be looked up. to the corresponding translation!”
"Then what should we do?" Shao Hua snuggled into Zhang Fan's arms. The weather has cooled down, and the relationship between the two has become closer and closer. Now Shao Hua can barely agree to Zhang Fan's touch, cough cough cough! Please figure it out!
"There is no good way. I can only check the information bit by bit. How are you doing in your recent review? Don't put too much pressure on yourself. If you can, just take the exam. If you can't pass it, forget about it. I can still support my family. ." Zhang Fan smelled the fragrance of Shao Hua's hair, a faint smell of lavender.
Lavender, usually in the Netherlands or Finland, there are large tracts of lavender that are particularly beautiful on TV. In fact, it is all due to the high level of the photographer. It is true that there is a large area of lavender in Chasu City, a lavender planting base of thousands of acres. Every year when lavender blooms, the blue-purple flower fields are blown by the breeze, like waves in the sea of flowers. , wave by wave, wearing a white dress and a light yellow straw hat, standing in the sea of flowers is super beautiful! Shao Hua has such a photo, which is extremely beautiful. People support the scenery, and the scenery shows people. The mountains and rivers on the border are so beautiful!
I don’t know the quality of the lavender essential oils and essences in the Mainland, but the ones from Chasu City are pretty good. The consumption of perfumes in several neighboring countries is particularly high. After the essential oils and essences from Chasu City are produced, they go directly to the ports and go abroad.
Especially in recent years, China's national strength has increased, and businessmen who go abroad to do business have become more confident. The lavender flavor of Chasu City has directly surpassed the Russian flavor in the five countries of Stan! I had never dared to think of such a thing before!
When you are in the mainland, you cannot feel the power of a country, but when you are on the border, you understand how powerful the country that protects you is. Large quantities of products were sent abroad from the port, and the five countries in Stan can only exchange them for natural minerals.
Zhang Fan didn't know much about other products, but he knew a little bit about medical treatments. The five countries in Stan import even the most basic sugar and salt water from China. It's not that they can't produce it, but because China is cheap! The country is slowly infiltrating, with economy at the front and culture at the back!
The girls in Chasu City all use something made of lavender, such as pillows, quilts, and sachets. The most strange thing is that there is a young man in Chasu City who actually gets pollen when entertaining distinguished guests.
When Zhang Fan ate pollen for the first time, he thought it was sesame. This pollen looked very similar to sesame. He took a heat capsule and dipped it in ghee and then some pollen. When he ate it, it tasted different from sesame. The aroma of oil was Mixed with the fragrance of pollen, it is particularly delicious. The more you chew it, the better it tastes.
"Don't worry, there's no pressure. Just flip through the book and maintain a coherent thinking of professional knowledge. There should be no problem in registering for the exam next year!~" Shao Hua said proudly.
Reading and studying should emphasize hard work, hard work and learning methods, but sometimes you have to admire some people who have learning talents. The efficiency is really too high. Zhang Fan has no talent in learning, but he has a good liver!
After resting for an afternoon on Saturday, Zhang Fan's weekend was over, because he had to go to the county for surgery on Sunday. This time, he didn't have to go to a far away county, but in several surrounding counties. The most elective surgery is laparoscopy.
In the past, county hospitals could still perform operations such as appendix and gallbladder. Since the popularization of laparoscopy, these county-level surgeries have almost no operations. As soon as the patient heard that it was an open surgery, he left immediately without being transferred to another hospital.
I had an operation in the county seat in the morning, three operations in one morning. After the operation, it was already past two o'clock in the afternoon. I didn't even drink any water, so I hurried to Chasu City because Wang Yongyong was going to be discharged from the hospital today. He is recovering well. After all, he is still a young man and has a strong body. Zhang Fan needs to explain some post-recovery matters and then undergo a physical examination before leaving the hospital. After all, athletes are different from ordinary people, and their injuries are more serious.
Although I can't exert force 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 an advertisement, but all the early photos have been taken for comparison with the recovery. Ma Wentao's several years of studying abroad were not in vain.
On Monday, the ward rounds in the Endocrinology Department began. All the doctors, including interns, trainees, transfers, and current doctors, began to make ward rounds under the leadership of the director and several deputy senior officers. This is the moment that the top students look forward to, and the moment that the bad students are most worried about. Check ward by ward.
"Bed 6, male, 22 years old. He was admitted to the emergency department of our hospital with unexplained polyuria and was later transferred to our department. After comprehensive examination, the patient was initially diagnosed as diabetes insipidus." The doctor in charge of bed 6 Introduce the condition to the doctors during ward rounds.
"Wang Xiaoyan, go and do a physical examination on this patient." Director Di started the exam. Wang Xiaoyan graduated from the School of Medicine at Tianjin University. I don’t know why she didn’t go to graduate school. However, she has a solid foundation and her score in the medical practitioner examination last year was only about 50 points lower than Zhang Fan.
Physical examination should be done in a sequential manner. A clueless physical examination from top to bottom, front to back, is not only easy to miss the system to be checked, but also easy to torment the patient. Therefore, a qualified physical examination should be particular, rather than following the instructions in the book.
Wang Xiaoyan was skilled in technique and reported while examining, "The patient's bilateral pupils are equal in size and round, and there are no obvious abnormalities. There is no obvious swelling of the lymph nodes in the neck, and there are no obvious abnormalities in the heart and lungs. There is no tenderness and rebound pain in the abdomen, and no obvious abnormalities in both lower limbs. Obvious abnormalities were seen." After about five minutes, the inspection was completed.
Director Di nodded, very standard and couldn't find any problems. When Wang Xiaoyan returned to the team, she glanced at Zhang Fan specifically. This was not a provocation, but a competition, a competition of skills and a competition of spirit.
"Which organ is the thirst center?" Director Di turned to ask another male doctor in the transfer department. 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, and we are dealing with people, not machines. The neglect of one problem may cause irreparable damage to the patient. Moreover, the human body is a whole. No matter how biased the knowledge points are, we must try our best to eliminate them. Study and understand, maybe you will encounter this rare disease that day.
"Uh! I'm sorry, I didn't know." Director Di is a little better than Ouyang, but it's a bit hurtful. She will just ignore the lower-level doctors she doesn't like.
"Well, go down and read a book." He said a simple sentence without saying anything to the doctor, nor did he punish or criticize him, but this male doctor who transferred to another department felt even worse than being punished~! The same young people, the same undergraduates, also hope to get the attention and attention of superior doctors.
Failure after work is different from failure in school. If you fail in school, you can come back again and take make-up exams! After going to work, a failure may be a loss of opportunity, and he will not have a second chance to switch to endocrinology, so failure should be taken early!
"Doctor Zhang, tell me." Director Di turned to look at Zhang Fan.
"Hypothalamus."
"The patient's urine is of that nature. How to rescue it?"
"Hypotonic. Hydrate, anti-diuretic, and prompt hormonal treatment if necessary."
"There are currently several theories of primary diabetes insipidus." Director Di continued to ask. This question was beyond the scope. Not to mention the transfer physician, even the endocrinologist who did not study hard may not be able to explain this question. .
This is the difficulty of internal medicine. The triggering factors or causes of many diseases have not been clearly studied, and internal medicine experts from major hospitals will make a guess or hypothesis about this disease.
Then clinical doctors will carry out corresponding treatments based on these master's ideas, because the reason why these hypotheses are called hypotheses is because they are not common or are uncertain.
In scientific research, you can slowly experiment one by one and study one by one, but this is not possible in clinical practice. The patient is already lying on the bed, and there is no time for you to study. You have to treat others.
so what should I do now? It's time for doctors to consider which theory the patient's symptoms are more similar to when using targeted medications based on these assumptions. Although an experienced doctor cannot determine the cause of the disease, he can treat it according to the symptoms. Even this technique that cannot treat the cause requires a doctor to ponder and study for more than ten years before he can master this skill.
"Professor Jerome P. Kassirer of the Massachusetts Medical Society once proposed three theories. Chinese experts have subdivided these three theories. The current mainstream theory is three and five, generally the third. AVP (antidiuretic hormone) deficiency is the main factor." Zhang Fan replied.
This was the knowledge that Zhang Fan had spent a week gaining. Not to mention internal medicine books, even postgraduate textbooks might not have this knowledge. After all, this had already transitioned from clinical to laboratory.
"Listen to your spoken English. It's so bad. 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. She could tell that Zhang Fan was going tried. This knowledge point will definitely be ignored if you don't study it seriously 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 partial, but that the director wanted to weigh Zhang Fan. Zhang Fan was already very famous at the level of hospital director.
Continuing with the ward rounds, everyone has questions. Interns and trainee doctors are not under much pressure because the director is easy to talk to and won’t say anything even if he can’t answer! They haven't realized that this is an opportunity. 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 Bird City to come to Chasu City for internships and traineeships plan to find employment here after graduation.
The most stressful ones are some transfer doctors who want to stay in endocrinology. There are not many opportunities. If you don't seize them, you will lose them. Life is just a few critical steps. If you take the right steps, maybe the road in the future will be smoother.
One morning passed, and Zhang Fan and several other doctors who wanted to stay in endocrinology did not feel that time passed so quickly. Director Di's questions are too tricky. Not only do you need a lot of basic memory, but you also have your own ideas.
What can a transfer doctor who has just been working as a doctor for two years think? But this old lady can find out whether you have good intentions from your little thoughts or opinions.
It was too difficult. Zhang Fan and a few others racked their brains to answer the questions. Many of the questions were answered vaguely. This endocrinology is really too difficult.
The last patient's ward rounds were over. Director Di stood at the end of the corridor. People in white coats, tall or short, male or female, were surrounding her. They were about to conclude.
"In our department, the most patients have diabetes, and the thing most closely related to diabetes is insulin. Who will tell us about the pancreas today? Teach us a lesson. If you are not sure, don't come up." Director Di stood in the middle of the crowd and said, she This is clearly fanning the flames.
After several hours of ward rounds, the most outstanding performers were Zhang Fan and Wang Xiaoyan. They made no big mistakes and were considered equally matched. Wang Xiaoyan has an outstanding personality, is good at studying, and has a strong personality. In the field of internal medicine, she must suppress Zhang Fan, a surgeon. This is not a person, but an attitude and a spirit. A group of internal medicine transfer doctors let an unofficial surgeon show off his power in the internal medicine department. Others didn't know how they felt, but she couldn't stand it.
"Director, I'm here!" Wang Xiaoyan glanced at Zhang Fan and stood up.
"Hmm! Okay, let's talk about it with Dr. Wang." Usually it's Xiao Wang, but now it's Dr. Wang. At this moment, Director Di has already recognized Wang Xiaoyan, and Wang Xiaoyan has already gained a position in endocrinology! This is the characteristic of technical units, technology speaks.
When Director Di gave way to seat C, he glanced at Zhang Fan. Zhang Fan's character is very contradictory. He can burst out with endless courage when faced with the inability to retreat, but at ordinary times he is not very expressive. This is his character, there is no good or bad.
Director Di’s question is very broad. What is the pancreas? If a knowledgeable endocrinologist were to explain it, one day would probably not be enough. Even if Wang Xiaoyan was asked to explain it for an hour or two, she would not be able to finish it, so we have to look for key points and In terms of advantages, Wang Xiaoyan’s focus and advantages are the biochemistry, pathology, and physiology of pancreatic islets.
"The pancreas is a complex but simple organ. The main tissue cells of the pancreas are composed of Langerhans cells~~~" In twenty minutes, Wang Xiaoyan explained the pathology and physiology of the pancreas thoroughly. This is her skill , can explain the function and structure of pancreatic tissue so clearly.
"Yes, it's very concise but it can show us the world of the pancreas. Not bad." After speaking, Director Di looked at Zhang Fan opposite and said: "Doctor Zhang, please go up and talk about it. Tell us about your knowledge of the pancreas. understand."
Wang Xiaoyan looked at Zhang Fan, provocation and expectation flashing in her eyes. She also wanted to hear Zhang Fan's introduction to the pancreas, and most importantly, she had finished explaining the basics of the pancreas, and she didn't know what Zhang Fan was going to say.
"He won't repeat what I said!" Wang Xiaoyan was a little proud, after all, she was still a young man.
"Uh!" Zhang Fan really has nothing to say, Wang Xiaoyan explained it very well. Zhang Fan opened his mouth to say: Doctor Wang said it very comprehensively. He saw Director Di's expectant eyes and Wang Xiaoyan's slightly provocative eyes.
Zhang Fan gritted his teeth and went up. When she and Wang Xiaoyan were in the wrong body, Wang Xiaoyan whispered: "It's wisdom that picks up people's teeth."
Zhang Fan ignored her and didn't care about the little woman! Moreover, Zhang Fan had no intention of repeating what she said. There was no need. Now that he has come up, how can he still be considered a man if he doesn’t leave something behind?
"Dr. Wang spoke very well and made me understand a lot. Dr. Wang's microscopic understanding of the pancreas is quite thorough. I have nothing to add, so I will talk about macroscopic things." Zhang Fan said.
As soon as he said this, others had no idea, but Wang Xiaoyan felt a little uncomfortable, "You actually said that I have a narrow vision!" This is a top scholar who can draw inferences from one instance. It is unclear whether Zhang Fan meant this.
Director Di also looked forward to Zhang Fan with interest. Some of the interns and trainees below were already a little impatient. Quite simply, they couldn't understand some of the knowledge Wang Xiaoyan said!
"The pancreas is located deep in the abdomen and cannot be touched from the surface of the body. It is in the duodenum in a C-shaped shape, and its tail extends to the left, close to the spleen."
"Who doesn't know about anatomy?" Wang Xiaoyan was a little disappointed. The world of a top student is incomprehensible to mortals. She expects Zhang Fan to perform extraordinary, but she doesn't want Zhang Fan's performance to surpass hers.
After a brief introduction, Zhang Fan began to introduce the anatomy of the pancreas in detail. From the normal course of blood vessels to the abnormal and mutated courses, from the opening of the pancreatic duct to the special mutations of the bile duct and pancreatic duct, Zhang Fan talked in great detail.
Not only Wang Xiaoyan was surprised by this statement, but even Director Di was a little impressed. Zhang Fan explained it in too detail. The shape of a pancreas, from normal structure to abnormal structure, almost everything in the current literature can be explained. It's so skillful.
Of course I am proficient. How can a general surgeon who has been practicing surgery for more than a year not be proficient? Now it is more than enough for Zhang Fan to go to university and give anatomy classes to students. That's not all. After talking about normal functions, Zhang Fan continued to talk about some special features of abnormal functions and how to treat them.
The best treatment for morphological abnormalities is surgery. Medication is useless for organs that have already been shaped. So Zhang Fan began to show off his skills involuntarily. Zhang Fan, who rarely did this usually, was a little unable to stop the car.
First of all, what Wang Xiaoyan said was very good, and then Zhang Fan experienced a lot from the endocrine system after a week, so he couldn't help it. He wanted to combine the knowledge learned in the system and express his own experience.
As he talks, there are not many people below who can understand. Continue, "When pancreatic endocrine tumors show cachexia, the intraoperative resection methods 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, few people in the capital city can do it, let alone in Chasu City.
Zhang Fan was so excited as he talked. He was so excited. He integrated his own experience into the systematic knowledge. The previously vague knowledge points suddenly seemed to have been stripped of their veil. We met naked.
This is improvement, an improvement of the self. This improvement is better than the improvement supported by the system. After all, the most powerful thing about the human brain is fuzzy thinking. This way of thinking is very suitable for exploring unknown knowledge.
Once the foundation is solid to a certain extent, quantitative changes reach qualitative changes, which is a qualitative improvement. Regarding the understanding of the pancreas, Zhang Fan can be said to have become a master of pancreatic surgery.
As they kept talking about sex, Zhang Fan ignored the time and the place. Half an hour, an hour, and two hours passed. Ren Lina, who had endured years of standing training, could no longer stand.
Although I don’t understand the knowledge point Zhang Fan said, I can still tell that it is not nonsense. What is an intellectual? The most basic thing is to respect knowledge. At this time, no one is bothering Zhang Fan. If there is a pancreatic surgery major Na will definitely be shocked when he hears it.
Finally, two and a half hours later, Zhang Fan finished speaking, and then suddenly felt something, and looked at everyone with a look of embarrassment on his face.
The doctors, including Director Di, also looked embarrassed because they didn't understand! Director Di coughed, cleared his throat and said, "Yes, Dr. Zhang has solid surgical skills, but he's a little off topic. Please pay attention in the future. Okay, dismissed."
Director Di, who returned to the department, sat down on the sofa and rubbed his calves, "Hey! My old legs!"
