medical simulator

Chapter 211 Impromptu! (Please subscribe!)

After returning to the rental house, Zhou Cheng was not in a hurry to open the data that Dian Dian gave him before, but first recalled the basic skills he had acquired!
Medical statistics (skilled), medical epidemiology (skilled).

Scientific research is not something lofty, nor is it metaphysics that exists apart from reality!It is a down-to-earth process of exploring the possible answer to a question through certain methods and experimental methods.

When writing an article, no matter what kind of article it is, in fact, the two disciplines of medical statistics and medical epidemiology are the basic methods. To write a good article, these two knowledge must be solid.

At least in the process of writing medical-related articles, a solid theoretical foundation is required.

Theory guides practice——

The definition of medical statistics is a subject that uses the principles and methods of probability theory and mathematical statistics, combined with medical practice, to study the collection, analysis and inference of digital data.The main object of medical research is the human body and various factors related to human health.

The definition of medical epidemiology is a discipline that explores the distribution of diseases and health conditions in the population and their influencing factors, and explores the strategies and measures for disease prevention and health promotion.

To put it more generally, the direct object of the science of medical epidemiology is the crowd, and the direction of the subject is set up among the crowd to obtain basic data.After obtaining the basic data, it is necessary to use the method of medical statistics to process the data into conclusions with practical medical significance!

To put it more simply, medical epidemiology is to digitize disease conditions, while medical statistics is to abstract and theoreticalize data!
Any article, in the final analysis, no matter how it changes, it will remain the same!

However, although the basics are enough, this applied process still has to be walked slowly step by step.

This process is like the decoration materials have arrived at home, but how to decorate and how to decorate on the wall is a procedural technical problem.

Basically, all medical undergraduates will understand medical statistics and epidemiology, but whether they can be applied flexibly is another matter.

Of course, what Zhou Cheng is thinking about now is not this. He thinks that if he writes a treatise-type article directly, it may be due to his lack of skill. meta-analysis or review.

Try the whole process of writing an article first, and after you are familiar with the whole process, start writing articles of the type that are more difficult than meta-analysis. In this case, you have completed the previous accumulation.

If you have to hardcore basic research articles, it is not impossible, but it will definitely be revised many times.

Sharpening knives does not miss woodcutters.

Now that the decision is made, if you want to study hard, you must first sharpen your tools if you want to do a good job!
Meta-analysis is not a basic course of the subject of medical statistics, at least in the course of undergraduate teaching, there is no examination.It's just that although you don't participate in the end-of-semester exam, it is a relatively simple and easy-to-understand subject for you to participate in social exams.

Meta-analysis, Meta-analysis, is a statistical method for comparing and synthesizing research results on the same scientific issue. Whether the conclusion is meaningful depends on the quality of the included studies. It is often used in quantitative combined analysis in systematic reviews.

By integrating all relevant studies, health care effects can be estimated more precisely than individual studies, and it is easier to explore the consistency of evidence across studies and the variability between studies.

When the results of multiple studies are inconsistent or have no statistical significance, Meta-analysis can be used to obtain statistical analysis results close to the real situation.

Medical statistics is a discipline of evidence-based medicine. In terms of the classification of evidence in evidence-based medicine, meta-analysis is a relatively high reliability.

This is a discipline that has only emerged in the last 20 years. Its main method of use is to reuse the data of previous research, especially the data of randomized controlled trials (RCT). By integrating the data of multiple RCTs, more Believable results.

Because of the emergence of meta-analysis, many previous RCT articles have regained new vitality.

However, due to the emphasis on scientific research and the development of medical statistics in the past ten years, meta-analysis has gradually begun to flood, and the simple two intervention measures have been difficult to meet the needs of the development of the discipline.

This is the network meta-analysis.

Zhou Cheng then set a small goal for himself, that is, should he also write a network meta-analysis first——

The definition of network meta-analysis is based on the meta-analysis of indirect comparison or the combined results of indirect comparison and direct comparison that simultaneously analyze more than two interventions.

Including the following two situations: ①Adjusted indirect comparison Meta-analysis: When there is no direct comparison, Meta-analysis of multiple interventions based on a common control comparison; ②Mixed treatment effects...

When writing an article, it is more difficult to find a direction to write in all over the sky.

But ah, that is for others, Zhou Cheng, as a "male silver" with more than 100 perfect level skills, doesn't have so many troubles, because he can find any kind of "improved surgery" 'Compared with traditional techniques, you can write a good article.

For example, Zhou Cheng quickly found several very good RCTs on the treatment of hip tuberculosis cases, but there is no uniform standard.

……

Zhou Cheng sifted for a while, but after failing to find the corresponding meta-analysis, he decided to write this direction, after the general direction was determined.

There are many things that can be written in a small direction.

Because the treatment of patients with hip tuberculosis is generally divided into three types.

Traditional hip fusion, hip replacement, amputation.

Amputation must have long since been abandoned.

Hip replacements are divided into primary or secondary replacements.

Just a few points are enough to write a network meta, because if the data is sufficient, it can be divided into other subgroups.

Ok.

The direction is determined. After the direction is determined, the next thing to do is to find all the RCTs that can be found!
That is to say, all RCT articles on the treatment of hip joint tuberculosis should be included, whether they are in Chinese or English, as long as you know it yourself, you must find it, even if you know French, German, Japanese, Korean, etc. And so on, you can include all the data about hip tuberculosis in all countries.

Of course, if you don’t know other languages, at least all English literature should be included!

This is the basic rule. When looking for an RCT article, you have to explore slowly, determine the keywords, extract the article, read the full text, and determine the type of the article. If it is another type of article, such as a case report (for example report), directly discarded.

The systematic review should also be discarded directly.

If it is RCS, that is, a retrospective controlled study, it should be treated temporarily.

Retrospective controlled studies have too much selection bias and are not as convincing as RCT!

……

This process is very cumbersome, Zhou Cheng has been busy until eleven o'clock, and then managed to find all the articles, then Zhou Cheng did not continue, but turned off the computer, and then quickly started a new round of simulation!

In today's simulation, Zhou Cheng's purpose is very clear, there are three main directions.

In the first simulation, Zhou Chengcheng was in the simulated world with a very clear mind. Before Luo Yun took the doctoral entrance examination organized by Jiaotong University in Shanghai, he had someone trick Luo Yun's mother out of the hotel, and then let him After the hotel contacted Aunt Luo Yun's disappearance, it turned out that Luo Yun's exam failed!

And in this simulation, Mr. Zeng was even more angry!

Sure enough, this time, the unexpected turn of events came a little faster.

Just one month after the incident, the accident happened.

However, this time it didn't affect Zhou Cheng. Zhou Cheng got a perfect skill of level III skill smoothly.

This made Zhou Cheng reaffirm one thing, that is, the current Mr. Zeng is too concerned about Luo Yun, and he really hopes that Luo Yun can come to the magic capital, and it is precisely because of this that Mr. Zeng is very angry , As a result, he accidentally exposed the subject of the doctoral brother.

Immediately afterwards, Zhou Chengcheng immediately started the second simulation!

This time, Zhou Cheng broke into Professor Liu Yiping's department at the beginning of the simulation, and then started a routine of "mountain pressure" with the momentum of the wind and thunder.

Then, in just half a month, Mr. Zeng was blown out!

Because the entrance examination for doctoral students is in March next year, and during this process, Mr. Zeng often wanders in the clinic, after getting acquainted with Zhou Cheng!
When Luo Yun failed the exam again, something unexpected happened!
[Your tutor gave your 'senior brother' a sincere suggestion, let him come back next year! 】

【…】

"Ah!~ This?" Zhou Cheng was dumbfounded.

Mr. Zeng, an academician, is also so snobbish?
Then, this time the simulation process went more smoothly. With the support of Mr. Zeng, Zhou Cheng really stood on the cusp of the times. At the age of 50, he successfully entered the academician of double subjects The second largest award besides the Nobel Prize.

It is very comfortable.

Once again, I got an innovative skill - hip arthroscopic hip preservation (perfect - pioneering)!

Then during the third simulation, Zhou Cheng experimented again, failing to grasp the initial skills he carried very well, and then went to Professor Liu Yiping and Mr. Zeng to show his hospitality!

The final result was that Zhou Cheng was kicked out of the clinic in the second week of the clinic, and then Zhou Cheng became an ordinary master's student, and Luo Yunding took Zhou Cheng's place as a doctoral student!

Because there is no special limit on the number of postgraduate students——

Fortunately, this time Zhou Cheng's simulation idea is to learn medical English, so it doesn't matter if he is in the clinic or not.

After Zhou Cheng graduated with a master's degree, he was kicked out of the hospital, returned directly to the original province, and found a prefecture-level city for retirement.

[The simulation is over! 】

[Simulation evaluation: mediocre!A mediocre life. 】

[The following items can be obtained! 】

【Medical English (proficient!)】

[Acetabular fracture internal fixation (skilled)]

【Manual reduction of bone and joint dislocation (skilled)】

【…】

Zhou Chengcheng chose Medical English (Proficient)!

English, especially medical English, is definitely an important tool for clinical medical learning. Because of the need, Zhou Cheng has such a simulation direction.

Mastery is definitely enough, perfection is almost impossible, and there is no need to pursue it.

With the infusion of this skill, Zhou Cheng basically has no dyslexia when he recalls the documents he read during the day.Otherwise, non-professionals, even masters or doctoral students in English, will definitely have dyslexia when reading professional medical literature!

[PS: Book friends who are good at English and don’t believe in it can try it, it is recommended to read journals (science, nature)]

Comfortable!

"With this skill, there should be no need to find someone to polish the language!" Zhou Cheng murmured in a low voice.

Because in the process of chatting with Dong Yuhai or Gongsunsu before, I learned that some domestic scientific research teams, unless there are very few top teams, want to publish journals like JAMA. Organizations to polish the wording of the article.

Because some English expressions in China are not authentic enough, in order to improve the hit rate of the article, I will spend money to hire someone to polish it.

……

Saturday!

Zhou Cheng arrived at the airport in Shanghai early, because Luo Yun's plane was almost landing.

He came this time to attend the annual meeting. However, during the previous chat, Luo Yun's resignation procedures were still in progress.

Luo Yun is a staff member of the No. [-] Hospital, and resignation cannot be done in a short while. It needs to be notified half a month in advance. In addition, everyone in the department knows Luo Yun's true identity.

Naturally, they will also retain these people who are sophisticated, so it is impossible to go smoothly!

Zhou Cheng was not the only one who came, and Professor Liu Yiping was also there, but Professor Liu Yiping was in the car, and Zhou Chengcheng was waiting at the exit of the airport. After Luo Yun came out, he would contact Professor Liu Yiping, and then Professor Liu Yiping would drive. come over!

At about 13:47 in the afternoon, Luo Yun, who had landed for more than half an hour, finally came out from the agreed exit.

"Teacher Luo!" Zhou Cheng rushed forward and started to help push the luggage.

"Xiao Zhou, you're here." Luo Yun didn't give Zhou Cheng his luggage, but put it aside, and then said with a smile, "Not bad, you're good at understanding, I read the first draft you sent me, just now After watching it for an hour or two, the idea is very good."

"And the format of the article is very suitable for you now. It's just that you really created this in the past few days?" Luo Yun asked Zhou Cheng in disbelief!
How long has Zhou Chengcai been here in Shanghai? It's only been a week since he's done all he can, and he's come up with an article.

And it's not that kind of ordinary meta-analysis, it's still a network meta, isn't that nonsense?

"Thanks for your hard work, Mr. Luo. Actually, I had an idea for this article before, but I just haven't written it yet." Zhou Cheng concealed some parts, so as not to be too Versailles.

You know, Gongsun Su, even if I started working on this article from the beginning of school, I have been working on it for more than three months!

Gongsunsu can be admitted to Shanghai Jiaotong University, regardless of his foundation in all aspects, he is definitely not bad, and talent is also fine.

Zhou Cheng finished it in a week, which sounds a little appalling.

"I'll just say it." Luo Yun's expression suddenly brightened.

Then ask: "Did you show the article to other people? Did they give any comments?"

Zhou Chengcheng said: "Mr. Luo, this is my first draft. I didn't want you to revise it first. I didn't dare to show it to Teacher Liu Yiping and Teacher Zeng, so as not to be scolded innocently. Say I am too ambitious. "

The reason why Zhou Cheng didn't dare to give Liu Yiping and the others first was that he was familiar with Luo Yun, and the second was that Professor Liu Yiping and the others arranged for him to follow Ding Dian first!

The task assigned by Dingdian is to write Article, and he wrote a meta, which is more or less not doing his job properly!
When Zhou Cheng was talking, he still got Luo Yun's box.

Luo Yun said: "Well, it's like this. The network meta is a kind of meta analysis that has only emerged in recent years. I only wrote one meta at that time, and the other articles are not of this type."

"I've also read a few articles, but I'm not proficient. I'll see if I can find someone who is familiar with this aspect for you and polish it for you!"

"Because your current article, from a structural point of view, is no problem, you can show it to Professor Liu. I have already sent it to my senior brother after landing."

While talking, Professor Liu Yiping drove there, and then Zhou Cheng and Luo Yun stopped talking quickly. After getting in the car, the car drove all the way to the hotel that Luo Yun had booked.

Along the way, we casually chatted about whether Luo Yun had eaten or not, and after Luo Yun put away his luggage, Professor Liu Yiping said: "Luo Yun, when the teacher arranges to have dinner at home, we will be the only ones. Arrange for everyone to have dinner together."

"Teacher, I have been looking forward to you for a long time. The last time I went to the teacher's house for dinner, it was three years ago."

Luo Yun smiled and asked: "Isn't the third senior brother in Shanghai? Why don't you call the third senior brother together?"

"Stop calling, Xiao Pang has resigned and is no longer in Shanghai. I heard that he went to Shenzhen City, Guangxi Province to develop. We are the only ones today." Liu Yiping shook his head.

Luo Yun was a little surprised and asked, "Senior brother Pang resigned? When did this happen? Why haven't I heard of it?"

"It's been more than a year! He knew you were busy, so he didn't greet you."

"Isn't the reason for that nonsense?" Professor Liu Yiping said.

Luo Yun shook his head, sighed slightly, and asked, "Then Xiao Zhou, should we go together?"

Professor Liu Yiping looked at Zhou Cheng, and then nodded: "Yeah! Xiao Zhou is also here. He has come to Shanghai, and he hasn't met the teacher yet. It just so happens that you introduce him to the teacher today."

Luo Yun's expression moved slightly, and he looked at Zhou Cheng with a guilty look.

Nodded: "Okay!"

……

Then Professor Liu Yiping and Luo Yun went straight to a certain community. After entering the community, Zhou Chenggong found that it was a villa community facing the river. Zhou Cheng didn't see the specific twists and turns. After ringing the doorbell, an old lady opened the door immediately.

After seeing Liu Yiping and Luo Yun, he enthusiastically said: "Hey, Xiao Luo is here, come in quickly, come in quickly, your teacher has been talking about you for a long time."

"I heard that you are coming here today, so I went to the vegetable market to buy vegetables, but I haven't come back yet."

"I'll make a call later."

Professor Liu Yiping was a little jealous when he heard this.But Luo Yun asked a little shyly: "Master, where did the teacher go to buy vegetables? Let's pick him up."

"I don't know. Anyway, he drove out. If it's correct, he may have gone to your fellow villager to buy bacon." The old lady smiled and said, "Leave him alone. He is happy today. Just wait at home."

Then the three of Zhou Cheng were greeted in and sat down.

Professor Liu Yiping and Luo Yun were familiar as if they had entered their own home, and they began to help and Zhang Luo, which made Zhou Cheng very at a loss!I didn't know what to do to help, and when he was about to stand up, Luo Yun or Professor Liu Yiping called him to sit down first.

Watching the scene where the two were busy, and the scene where Luo Yun and his wife were talking and laughing in the kitchen, Zhou Cheng was deeply moved!

The first touch is that when Luo Yun was in Shashi before, he was not like this, he looked a little sad.

Maybe he really has the feeling of being caught by shrimps swimming in shallow water. He is obviously full of talents, but he has nowhere to display them.

The second touch is, the teacher's wife is really kind to Luo Yun, but she is still so indifferent to Professor Liu Yiping, definitely not as enthusiastic as she is to Luo Yun.

Zhou Cheng also understood a little bit, why Luo Yun failed in the doctoral entrance examination, Zeng Laohui was furious.

I don't know how long it took before a little old man unlocked the fingerprint lock and walked in. After entering the door, he shouted, "Mr. Zhu, I'm back!"

Then the old lady and Luo Yun hurried out of the kitchen when they heard the sound, and then Luo Yun hurried up to help Mr. Zeng, who opened the door, with his things. White.

But the beard is not very long, and now his white teeth are showing, like a white old man.

Looking at Luo Yun with a smile: "It's good if you come, it's good if you come!"

He also patted Luo Yun on the shoulder.

"Mr. Zhu, I bought two pieces of bacon and a fish, which was fresh and just caught. I passed by and bought one." The old man told Teacher Zhu.

Then Professor Liu Yiping came out again, and after another cold announcement with the old man and Luo Yun, they finally got some leisure time. Luo Yun and Liu Yiping were also driven out of the kitchen by the teacher's wife, Teacher Zhu, who also smiled in the kitchen. The kitchen is busy!

Mr. Zeng took out his precious tea leaves. Liu Yiping and Luo Yun had already found out the tea sets as if they were at their own home. Young man, it's Zhou Cheng, the little Zhou that Junior Brother Luo recommended to you vigorously."

After Liu Yiping said this, Zhou Chengcheng quickly stood up, like an outsider, very cautious: "Mr. Zeng, I am Zhou Cheng."

From the beginning to the present, Mr. Zeng has spent several minutes, and found him in less than half a minute, which shows how little sense of existence he has in his heart.

Then Luo Yun hurriedly pushed the teacup in front of Mr. Zeng, and said, "Teacher, this is Xiao Zhou, who is also a student I brought up before. He is very talented, so I dared to bring him here to see you."

Then Luo Yun looked at Zhou Cheng again, and after serious thinking for a while, he said, "Better than me!"

Professor Liu Yiping smiled and said nothing, but Mr. Zeng didn't take it seriously, and hurriedly greeted him: "Xiao Zhou, sit down, sit down, sit down and talk."

Only then did a few people shift their focus of attention to Zhou Cheng, and then three pairs of six eyes stared at Zhou Cheng and kept scanning up and down, obviously they didn't take what they said seriously.

Seeing that Liu Yiping and Zeng Diwei didn't have much interest in Zhou Cheng, Luo Yun said again: "Xiao Zhou, this is Professor Liu Yiping, who is also the teacher's first student, and our senior brother."

"This is Mr. Zeng that you have been thinking about. In terms of joints, Mr. Zeng is a very tall person in China at present. You will know this in the future. It is not comparable to a half-assed person like me." Luo Yunkai joking.

Zeng Diwei glanced at Luo Yun, and said: "Xiao Luo, your mouth is not as honest as before. You are deliberately causing trouble for me."

"How dare you, teacher, I'm telling the truth. Do you think my temperament is like a flattering person?" Luo Yun said with a smile.

Old Zeng thought for a while, then shook his head: "It didn't seem to be the case before, but it's not necessarily the case now."

After finishing speaking, Mr. Zeng took a sip of his tea, with an expression of endless enjoyment, and then he said, "Oh, by the way, there are fruits in the refrigerator. I just bought them this afternoon. Take them out and eat them first."

Professor Liu Yiping said: "Teacher, didn't you say that eating fruit before meals is bad for your health? Why did you break the precept once Junior Brother Luo came?"

Even so, he stood up and went to the refrigerator to get some fruit.

Then the fruit was brought, and after everyone ate a little, Luo Yun officially started talking: "Teacher, I am here this time mainly for three things, and the first thing is to attend the annual meeting."

"The other thing is to hand in the materials for the entrance exam, and the third thing is to introduce Zhou Cheng to you, the teacher."

"I watched Xiao Zhou grow up with my own eyes. He did a very good job of manipulative reduction for joint dislocations and very good manipulative reduction for fractures. Not only that, he is now, even though he is in my unit."

"I also obtained the authorization of Class III surgery in advance, which was jointly performed by Professor Lei from the Affiliated Hospital of Shonan University at the annual meeting of orthopedics, leading the members of the Trauma Branch of the Hunan Medical Association."

"Of course, these are secondary. The most important thing is that his talent is really good. If I hadn't been delayed by something, I must have shown it to the teacher on the first day!"

"Teacher, if you don't believe me, you can test the school, but it may be limited to clinical practice for the time being."

Hearing what Luo Yun said, Mr. Zeng looked Zhou Cheng up and down seriously.

Putting down the teacup slowly, he suddenly asked, "Do you know the type of the femoral neck bone marrow cavity?"

Zhou Cheng frowned immediately when he heard the words. Zeng Lao's temper is also a straightforward person. As soon as he came on stage, he asked such a difficult question?
The classification of the bone marrow cavity in the femoral neck is difficult for most people to understand, but it is not difficult for Zhou Cheng.

"Ordinary type, chimney type, and champagne glass type." Zhou Cheng accurately named three special types.

"Based on what classification?" Mr. Zeng asked again!
If it is said that the names of the three classifications are very professional knowledge, then the question of what to base the classification on is an extremely tricky question.

This does not bother Zhou Cheng, who has perfect skills in total hip replacement: "The classification based on CFI can also be called fractal."

"The canal flare index (CFI) is used to describe the internal shape of the proximal femur, which refers to the ratio of the width of the medullary canal at the midpoint of the lesser trochanter 2 cm proximal to the femoral isthmus."

"A CFI < 3.0 is called a chimney-shaped cavity, while a CFI between 4.7-6.5 is called a champagne-shaped cavity."

Zhou Cheng first used CFI to replace himself knowing the name, and then explained it, with reasons and sources!
Professor Liu Yiping's eyes lit up slightly when he heard this. Only those who really want to start hip replacement surgery will understand this kind of in-depth knowledge.

How difficult is it for Zhou Cheng to know so much?
"Why is it so divided?" Mr. Zeng was still asking trickyly.

This is a more tricky question, and it does not belong to the category of clinical application!
Hearing such a question, both Luo Yun and Liu Yiping's eyelids began to twitch, because even if they were to answer this question, they would need a special god-level skill——

impromptu.

That is - now compiled!
"The poor correlation between proximal and distal femoral canal diameters in prosthesis selection necessitates decisions based on how well they fit the proximal rather than the distal femur in favor of optimal metaphyseal load transfer .”

"Previous studies have found that the relationship between the inner and outer diameters of the femoral medullary cavity 20 mm below the lesser trochanter and the outer diameter of the femur is the most constant, with an accuracy of ±12% between the two. Anatomical basis for metaphyseal fixation of cemented prostheses."

"Later CT studies confirmed the high variability of the femoral canal and also demonstrated a poor correlation between the femoral canal 20 mm above and below the lesser trochanter."

"The use of CFI or Dorr classification is to facilitate the selection of prosthetic stems in clinic, or to provide a structural basis in the process of prosthetic stem design."

Having said that, Zhou Chengcheng began to enter the state:

"According to Wollf's law, the implanted stem will alter the load distribution of the proximal femur and significantly affect the continuous process of bone remodeling."

"Whether it is a cemented stem or a non-cemented stem, and regardless of the shape of the femoral stem, it will inevitably reduce the compressive stress, tensile stress and shear force on the proximal femur after being inserted into the femoral medullary cavity."

"If the non-cemented stem can obtain a firm proximal matching fixation, it can form a normal stress distribution, while a firm distal fixation will significantly reduce the stress distribution pattern of the proximal femur."

“The closer the distal femoral stem contacts the medullary canal, the more pronounced the proximal femoral stress shielding. The lack of contact between the distal femoral stem and the cortical bone may reduce stress shielding, bone resorption, and thigh pain. The above evidence suggests that Stem length plays an important role in the transfer of stress to the femoral bone."

"Theoretically, shortening the femoral stem length can reduce the stress shielding of the proximal femur, but at the expense of reducing the contact area for fixation and stress transfer."

"Some scholars have found that shortening the length of the femoral stem can effectively reduce the stress shielding of the proximal femur without affecting the initial stability of the prosthesis fixation. They also believe that the femoral stem prosthesis designed for metaphyseal fixation can provide the best It is close to the matching of the biomechanical characteristics of the femur itself."

"but……"

Eloquently, Zhou Cheng didn't even need any references, he directly wrote an article and discussed it!This is the foundation, at least I have read many articles and have a deeper understanding of many knowledge points, so I can have such effort!

Zeng Lao's eyes became more and more energetic, and he waited patiently for Zhou Cheng to finish speaking.

Elder Zeng narrowed his eyes, pondered seriously for a moment, then turned his head to look at Professor Liu Yiping, and said with a smile: "How, I said, there are geniuses in this world, right?"

Professor Liu Yiping laughed and said, "Yes, yes!"

"Xiao Zhou, very good!"

Then, for some reason, the corners of his mouth twitched, which made Luo Yun and Zhou Cheng wonder if they had asked Professor Liu Yiping similar questions before, and when Professor Liu Yiping asked the third question, there was no reason why he made it up now. Compiled.

However, just after Professor Liu Yiping finished speaking, Professor Zeng Diwei, sitting in the middle, suddenly said a little coldly: "You have memorized a lot of articles, right?"

"However, it's not bad. Being able to flexibly apply the memorized articles to answer questions proves that your resilience and organizational skills are very good. At least, in terms of organizing language, you are better than your two senior brothers! "

"However, being a doctor is ultimately in your hands. It is really good only if you are good at your hands."

Although Zeng Diwei's words were harsh, Zhou Cheng was overjoyed to hear one of the key words. He quickly stood up and said, "Thank you, teacher!"

Teacher Zeng Diwei just said, your two senior brothers.

This proves that he agreed to Zhou Cheng's status as his student, but whether he can become a student or not depends on his skill.

This is at least half the agreement.

Although, Mr. Zeng still has a little suspicion that beating Zhou Cheng will only endorse, but this is also for Zhou Cheng's good.

However, what puzzled Zhou Cheng was that after that, Mr. Zeng stopped talking to Zhou Cheng, but only took the initiative to talk to Luo Yun and Liu Yiping, deliberately keeping Zhou Cheng cold.

……

Until the end of the dinner, Mr. Zeng even said bluntly: "Xiao Zhou, if you still have something to do, you can go back first. You two brothers and I, let's talk more and catch up on the old days!"

It was an order to evict the guest directly.

When Luo Yun saw this and wanted to say something, Professor Liu Yiping stood up and said, "Xiao Zhou, you should go back first, and study hard with Ding Dian first. Don't worry!"

"Okay!" Zhou Cheng felt a little confused, but he said goodbye to everyone honestly, and walked out of the house.

There was no one to see her off, and after walking out of the villa complex, she took a taxi and headed back to the rented house!

What Zhou Cheng didn't know was that right after Zhou Cheng left, Mr. Zeng hurriedly asked, "What's the specific situation of this young man, let me tell you first? This foundation is quite solid, so I don't know how his heart is?"

"But the performance at home just now is still very good, neither arrogant nor impetuous."

Luo Yun said: "Teacher, then you have misunderstood Xiao Zhou, he is definitely not the kind of person who can't sit still..."

Then, Luo Yun told about Zhou Cheng's past events, including the fact that Zhou Cheng failed the postgraduate entrance examination several times, and then he was as stable as an old dog in clinical practice.

Finally, Luo Yun concluded: "Teacher, don't say that you drove Zhou Cheng away. If you don't believe me, try it. If you don't authorize him or ask him to do something in the clinic, he will probably be able to do it." Wait until the patient is half dead before taking action!"

"There is definitely no problem with his character. As for the clinical operation ability, this is actually his strong point."

"En!~" Mr. Zeng nodded in satisfaction.

"That's not bad, it will be of great use in the future!"

"Instead, I ignored him. Since he came to Shanghai, I have been ignoring him, just to see his character. After all, what if things are done in a hurry?!" Elder Zeng looked at Liu Yiping next to him.

Professor Liu Yiping laughed along with Han.

And the old lady who was called Teacher Zhu by Mr. Zeng said after washing her hands, "Dr. Zeng, you are a doctor like a Taoist priest, and you are still taking a test for your character. You have to change your temper. "

"Moody, weird, I think Xiao Zhou is a good kid. He is tall and handsome, with an easy-going temper, neither arrogant nor irritable. Hey, by the way, does he have a girlfriend?"

"Well, then I don't know, Shifu, you can ask yourself when the time comes." Luo Yun said.

"Then I'll ask when the time comes." Teacher Zhu seemed very enthusiastic, and then went upstairs, as if deliberately giving up the space to Zeng Diwei and the other three.

Elder Zeng continued to ask: "Luo Yun, what Xiao Zhou said is really as good as you said in clinical practice? Why do I feel that you are a magic stick? It seems a little more unreliable than your senior brother. "

Professor Liu Yiping started to pretend to be dead again. With Mr. Zeng, he didn't dare to go too far.

Luo Yun then said, "Teacher, you have to take the test yourself, don't you? What Xiao Zhou did in the test is his own test, and it's not something I can say to increase his score."

"Well, being able to answer my first question proves that he has read the book."

"Being able to answer the second question proves that he has read the article!"

"The answer to my third question is to prove that he read the documents with his brain, not endorsed them. I said he memorized the articles, but he didn't have any special reaction, which proved that he is not a competitive person. people."

"At least not to win or lose, that's good." Mr. Zeng finally gave Zhou Cheng a high degree of affirmation.

"What do you think?" Elder Zeng looked at Liu Yiping.

Liu Yiping said respectfully, "The teacher is right!"

(End of this chapter)