The road to the rise of great doctors

Chapter 20 Those who do not seek the overall situation are not enough to seek a domain

Cushing's syndrome, mentioned earlier, is a type of adrenal gland disease.In addition, adrenal diseases also include primary aldosteronism, pheochromocytoma, non-functioning adenoma, adrenocortical cancer and other types.In addition to distinguishing between benign and malignant diseases, the diseases of this organ also need to distinguish whether they are functional or non-functional, so they have their own characteristics.

Non-functional ones have lower risks, but they may transform into functional ones in the future, and may also undergo malignant changes. Therefore, small ones can be temporarily observed and followed up regularly, and surgical resection is recommended for large ones.

It is functional, mainly because hormones that are not at normal levels are very dangerous, especially when they are stimulated and experience a sudden rise or fall, which can be severe and even fatal.For example, pheochromocytoma of the adrenal gland usually secretes hormones to cause the blood vessels to contract. The blood pressure is normal, and the total circulating blood volume in the blood vessels slowly changes. When stimulated, hormone secretion rises sharply, and the blood pressure can When it reaches 200+, the risk of cerebral hemorrhage after high blood pressure is higher, and the symptoms of headache are also severe.If you are not prepared before the operation and the tumor is removed during the operation, the level of this hormone in the blood will drop sharply and the blood vessels will relax. It is like squeezing a plastic bottle that looks full of water. Once you release your squeezing hand, The water in the bottle has become more than half of the bottle.After the tumor is removed, the total circulating blood volume in the blood vessels remains unchanged for a short period of time. Once the blood vessels widen and the circulating blood volume is insufficient, the blood pressure will drop significantly, and you may even go into shock.And if you can't replenish it for a while, it would be too dangerous.

I saw Liu Dong reading and taking notes.Sometimes I even draw a schematic diagram next to it.The reason why he did this was because there was a program before that talked about some of the great treasures of the Affiliated Hospital of the Medical Academy.After listening and watching, he felt that such behavior was very "professional".Therefore, Liu Dong also specially learned how to draw simple drawings and sketches at that time.
I studied until 10:[-] and came to an end for the time being.Liu Dong stood up, picked up the cup and went to the kitchen to wash it, when he heard the door unlocking.

He walked over with the cup in hand. After opening the door, Liu Dong and Li Xiao looked at each other. After signing the contract, this was the first time they met again today.So when the two met, it was a little awkward and the scene was a little cold.

Seeing Li Xiao standing at the door without moving, Liu Dong hurriedly took a few steps back to make way.

Li Xiao laughed and said, "You're quite cute. Haha. I'll go wash my hands first."

After about 10 minutes, Li Xiao changed into casual clothes and walked out.

Liu Dong did not go back to the room, but sat on the sofa in the living room with a slightly reserved expression.

"Come and eat some fruit." Liu Dong said, waving to Li Xiao, and continued: "Sister Li Xiao, you must be very busy with your research work. You have to hold scientific meetings after get off work and do experiments."

Li Xiaoluo sat generously on the simple single sofa next to Liu Dong, stretched out, his beautiful curves flashed past, and said, "That's not bad. The more you go into medicine, the busier you are, and there are more It's going on. Although I'm in the oncology department, not surgery, I still heard a lot of surgical "deeds" from your fellow interns, and you were among the most popular ones. From now on, senior sister will also need you to protect me."

As he said that, Li Xiao took a cherry and started eating it. He glanced at Liu Dong and said, "You stayed up so late and didn't study in the room. Are you just waiting for me to have something to do?"

Liu Dong nodded and said: "Well, I have started to get started in surgery now, and I have also participated in it a little. I will also choose a supervisor around the middle of this year, but I still don't know the focus of graduate students, so I want to get closer to the water first. , Senior sister is here, and I just want to come here first to learn from it. It’s better to prepare early!”

After Li Xiao listened, she put her hands on her heart, pretending to be a little regretful and said: "Senior sister thought that the younger brother was planning to plot something wrong, so I was so scared. Now I don't know whether to be relieved or sad."

Liu Dong took a look at Li Xiao's figure and face and said, "Senior sister, you're kidding me. The person chasing you must be able to line up from the medical school to the hospital."

Li Xiao said seriously: "Junior brother, choosing a mentor is very particular. I can only give you a general idea, but you have to make your own decision in detail."

Seeing Li Xiao suddenly become serious, Liu Dong couldn't help but put away his jokes and sat upright, pretending to be all ears.Regarding the selection of tutors, what is currently implemented is a two-way selection system. First, you fill out the two-way selection form and then go to the tutor to sign.Because the number of places is limited, if you arrive late and the more popular tutors have used up their quotas, you will have to temporarily find a second qualified tutor to sign.

A mentor will not choose you for no reason, without knowing you, and just based on a casual relationship.Therefore, you need to get in touch with the instructor before filling out the form and signing it.

There are many tutors qualified to recruit master's degree students in Liu Dong's school.They are roughly divided into several types: The first type is a doctoral supervisor who can recruit doctoral students, and generally can recruit master's students at the same time.The second is that in recent years, schools have attached great importance to scientific research funding. For experts with low funding, they have stopped recruiting doctoral supervisors who have no doctoral qualifications.The third type is tutors who do not provide doctoral students but only master's students. Among them, there are also experienced ones and some new ones.

In addition, according to the direction of admissions and the subject status of the tutors, they are also divided into tutors who focus on cultivating clinical skills and tutors who focus on conducting experiments.

Before filling out the form to choose a tutor, you must understand these questions clearly and think about your future plans.

Because as far as the current professional title system is concerned, it is difficult to be promoted quickly without a subject.The easiest way to apply for a project is to lay the foundation at the graduate level.

But for those who plan to work after graduating with a master's degree, and the job may be in a grassroots hospital, and scientific research projects are difficult to apply for in the entire hospital.Then it is recommended to choose a mentor who develops clinical skills.

If you want to continue studying for a Ph.D., or want to lay a solid foundation for scientific research, or if you can continue to do scientific research after working so that you can publish articles, then regardless of whether you are studying for a Ph.D. or not, it is recommended to have a mentor with certain achievements in scientific research.

At the same time, we must also consider the tutor's topic direction, the tutor's research funding, the tutor's character, the post-graduation work status of the students a certain tutor has recruited in the past, and what the ratio of delayed graduation is.
There is a saying that goes: "If you don't plan for the eternity, you won't be able to plan for a moment; if you don't plan for the overall situation, you won't be able to plan for a region."

Li Xiao continued: "If you plan to muddle along, then just choose a good graduate tutor. But if you have clear plans for the future, then you have to think carefully about how to develop!"

Unknowingly, Liu Dong and Li Xiao talked for an hour and a half. Liu Dong felt that he had gained a lot, as if he had cleared the fog and saw the bright moon.

It wasn't until I raised my head that I saw Li Xiao yawning and looking a little tired, that I realized that it was already dark. Li Xiao had been busy all day, and when he came back, he went to great lengths to explain his journey to him.He took up too much of the other person's time, and he couldn't help but feel a little guilty.

Simple gratitude seemed not enough to express his gratitude, so Liu Dong decided to show his sincerity.

So he said to Li Xiao: "Thank you so much for today. Do you have time on the weekend? I'll treat you. If you want to have a big meal, watch a movie, or other activities, I can help you."

Hearing Liu Dong's words, Li Xiao rolled his eyes and replied: "This is what you said. I'll tell you after thinking about it."

(End of this chapter)