Chapter 39: Little Smooth Operator (Asking for Collections, Asking for Follows)
"Auntie, your condition falls under chronic inflammation as well, but this inflammation isn't an infection, nor is it osteoarthritis — it's traumatic arthritis. Look, you've had a fracture before, and you didn't tell me about it." Fang Ziye said this to a middle-aged woman.
"Where did I have a fracture? Doctor, don't scare me." The middle-aged woman was puzzled herself.
However, at this moment, the middle-aged woman's husband recalled something: "Didn't Mom say you had a fracture when you were three or four years old? Could it be sequelae left from that time?"
Whether there was a fracture or not, after it heals, if the patient doesn't mention it, a physical examination can't detect it.
But an X-ray plain film will leave telltale traces.
However, this requires a certain level of image-reading skill to spot, and ordinary trauma surgeons, without the accumulation of years and experience, without having read enough films and without strong enough theoretical knowledge, simply can't see it.
"Ah?" The middle-aged woman froze.
Fang Ziye pointed it out: "Look, the film is yours, the imaging shows your bone condition. Your bone marrow pattern here is disordered — you definitely had a fracture. A normal person's trabecular bone pattern is very smooth."
"It's not necessarily related to this fracture; it could also be subsequent chronic wear. You're still working at a construction site, after all..."
"In this situation, the best treatment is more rest. Even if you can't rest completely, you must pay attention. Otherwise, you're overdrafting your body, and later you'll need surgery." Fang Ziye spoke slowly...
As the patient left, Fang Ziye instantly saw the Knowledge Points on his panel jump.
"Knowledge Points +1!"
Also a very good harvest. It seems improving diagnostic ability is also a way to gain Knowledge Points, just slightly slower than the acquisition speed in the lab. He'll need to pay attention to balance in the future.
"Just now, did you really see traumatic arthritis?"
"This is the interphalangeal joint, though?" Yuan Weihong looked at Fang Ziye's eyes narrowing slightly — he should be excited — and pressed the question.
As for what level one's film-reading is at, an Attending Physician like Yuan Weihong has the authority to speak.
Ordinary people, if they can find the Imaging Department's report findings on a plain film, that counts as entry-level.
A step further, for instance a professional Master's student in Trauma Surgery like Fang Ziye, being able to see some minor injuries that even Imaging Department doctors miss — that counts as having a bit of skill.
And a senior physician like Yuan Weihong simply uses the Imaging Department doctors' reports as reference, relying entirely on his own film-reading level to read and extract key points.
And in between, the grasp of anatomy and fine anatomy — ordinary PhDs can't all achieve this.
In the Department, currently only Sun Shaoqing and Liu Zhengjun, these two Doctoral Year Three students, can barely reach this level; another Doctoral Year Three, Dai Yinsheng, is still slightly lacking.
"Master, didn't you teach me this last time?" Fang Ziye replied like this.
Implying you taught well.
"Bullshit, you take me for a layman?"
"Can tibial plateau arthritis and interphalangeal joint arthritis be the same? Didn't you yourself thoroughly understand and integrate them?"
"Theoretical level and film-reading ability are actually invisible to the naked eye; what's needed is to integrate and comprehend on your own, slowly grind and polish — even harder to figure out than operative technique." Yuan Weihong's gaze flickered up and down over Fang Ziye.
This student's clinical aptitude — now on a level plain, after letting go of so much pressure — seems to be advancing so fast it's almost unreasonable?
Master's Year Three with this level; if he keeps advancing like this, will this teacher still be able to handle him?
Later, if he's seeing Outpatient Clinic, what if he comes to give me a consultation on diagnosis?
"Master, maybe I've improved a little, but I didn't notice it myself. I've read quite a few films, and I can't really say." Fang Ziye would absolutely not tell Yuan Weihong, "I just added points."
"Hmm! ~That's true." Yuan Weihong didn't continue pressing.
A doctor's skill always slowly improves unconsciously — a natural progression.
Fang Ziye's film-reading already had a foundation; now after grinding for so long, everything clicked at once — not impossible.
"Trauma Surgery's demands on film-reading level are in no way lower than other orthopedic subspecialties. Or rather, film-reading skill is actually another manifestation of an orthopedic doctor's medical level. This is also content you need to master during your doctoral period, outside the Training Room area."
"During the Total Residency Period, the most important ability to hone is exactly this. If you want to learn further, come to my home and take some books — more systematic." Yuan Weihong once again began paving the way for Fang Ziye, just like his own 'passively retired' teacher did back then.
"Thank you, Master. I'll borrow them first and return them after reading." The books Fang Ziye took last time haven't been finished yet. He also knows the Master's book collection are all treasures, bought with money — can't borrow without returning.
"No matter. If books are bought and not lent out to read, they're just decorations. If you like reading, you can borrow more. Whether it's Professor Deng or anyone, they'd be very happy to see you borrowing books — just afraid you won't borrow." Yuan Weihong hinted to Fang Ziye once more.
"Okay." Fang Ziye kept it in mind.
"Master, thank you, for paving so many paths for me." Fang Ziye said this when leaving after work.
"How so?" Yuan Weihong tilted his head.
"Master, the cell lines you froze in the lab — they were all processed by you, right?"
"The Silencing Group, the Overexpression Group — you've already prepared them. That means I just need to follow the steps and repeat the subsequent experimental process. For things like this in the future, you can let me do them." Fang Ziye spoke like this.
Yuan Weihong has had it hard. Fang Ziye knows his Teacher (Master's master) died young, sudden death during a major resuscitation. At that time, Yuan Weihong hadn't graduated with his PhD yet — his future was in jeopardy.
Hospital Retention without the teacher's backing, he could only fight the Training Room path.
After that, the Teacher's other disciples — his martial uncles and teachers — each went elsewhere to pursue their careers. Only Yuan Weihong stayed at the hospital, fighting single-handedly. Even now he has no junior disciples to help.
During the Total Residency Period, applying for Youth Fund Projects on the surface — he did it all himself.
He also didn't receive any Academic Master's Students. Fang Ziye is a Professional Master's Student, so he still had to do experiments personally. Now with Fang Ziye nearing PhD, Yuan Weihong was still considerate of him just entering the lab, so he finished some of the early experiments he knew how to do, leaving the rest for Fang Ziye to inherit these Cell Babies' legacy.
This kindness — if you don't understand, it's not deep; if you don't understand, it's hard to fathom.
But once you understand, it should still be expressed.
Affection like water.
"You little smooth operator."
"Don't tell me you're about to start the subsequent experimental operations? You've finished cell freezing and passaging?" Yuan Weihong was about to head toward where his electric scooter mount was parked. Hearing Fang Ziye say this, he turned his head and asked.
"Master, today I plan to do passaging and freezing. How about you come personally and watch?" Fang Ziye suggested like this.
Yuan Weihong's expression was serious; he didn't dare be negligent.
He turned and walked over to admonish: "You better not ruin our cell lines — they're very expensive."
(Chapter End)
End of Chapter
