So you not only have a problem with evolution but you don't understand embryology either. Didn't you say you were a medical student?
Induction
One of the significant questions that early developmental biologists sought to answer was how cell individuation occurs. Almost every cell in the body contains the exact same
DNA as every other cell, as they all are derived from the initial zygotic cell. So how is it that some cells become
cardiac cells and others become
skin cells?
One explanation offered for this question is termed
induction, the process whereby the development of a cell, or the fate of a group of cells, is influenced by neighboring cells.
The early development of an egg is influenced by the mother. When an egg is first fertilized, its cytoplasm contains lots of the mothers
RNA and
proteins. In fact, the fertilized egg does not actually start to transcribe its own
DNA until the blastula contains about 4,000 cells. The mothers RNA and proteins are not dispersed homogenously throughout the eggs cytoplasm. Instead, they form gradients, so that each section of the egg has a particular selection and quantity of the mothers RNA and proteins. This is called the maternal effect.
When cleavage events occur, different groups of cells in the blastula are exposed to different environments from one another. The different environments consist of different selections and quantities of the mothers RNA and proteins. The mothers RNA and proteins act as signals for the cells, telling the cells which
genes to turn on or off. Thus, because different cells will receive different signals, they will develop differently via cell-intrinsic signals and will produce individual signals of their own.
Induction is held to occur when a cell produces a certain signal, for example, by emitting a protein. The protein may diffuse around the cell source. Cells that are closely neighboring the source will receive lots of the signal, while more distant cells will receive less or none of the signal. Therefore, cells will develop different characteristics and functions depending on their relative location to other cells, and thus their individual cell-cell interactions.
Although the phenomena of induction provides insights into how cells individually differentiate into diverse structures, a comprehensive understanding of this process, from an individual
egg cell to particular organs,
lacks consensus.
Notably, some developmental biologists question an underlying assumption of embryonic development that genes ultimately direct the changes, maintaining that the genetic matter only determines which proteins can be produced, but not the form of the organisms (Wells 1997).
Embryology - New World Encyclopedia
It's still very complicated-as far as I know-. If somebody know exactly how cells differentiate I'd be glad to know but I don't know more and I'd be happy to learn.