Is there no limit to this doctor's skills?

Chapter 139 Incomprehensible Operations!

It was sunny on March 11.

The autumn sky is clear and the air is crisp, dotted with fluffy clouds.

Yilan Central Hospital sits there like a colossal behemoth, devouring everything without a trace of joy or sorrow.

Someone knelt at the entrance of this behemoth, begging for medical expenses, bringing their sick child and elderly relative, hoping to receive pity.

Some people beg for a living in front of this behemoth, going to and from get off work like civil servants.

Someone was smiling as they pushed their family members out of the hospital entrance.

Some people followed the hearse, crying and shouting.

But all these joys and sorrows will be swallowed up by this merciless, seemingly objective behemoth, leaving no trace.

At the entrance to the operating room in the surgical building, joy, anger, sorrow, and happiness were vividly displayed.

While one group of people knelt and wept, another group of people smiled and expressed their gratitude to the doctor who came out to announce the end of the surgery.

It's hard to tell whether the happy crowd doesn't understand the sorrow of the crying crowd, or whether the crying crowd is heartlessly bringing bad luck to the laughing crowd.

Chi Yuanlong paced back and forth nervously outside the operating room, looking extremely unsettled.

Beside Chi Yuanlong, even more anxious than him was a young woman who looked to be no more than thirty years old.

She walked back and forth as if on a fixed patrol route, muttering to herself the whole time.

"It must get better, it must get better—"

"Uncle, Aunt, have some water, it's still early." Just then, a well-built young man came over carrying a bottle of cooled boiled water.

Upon seeing his nephew, Chi Yuanlong quickly asked, "Lian'an, has your friend sent you a message yet?"

"How's it going inside?"

Chi Lian'an truthfully said, "My friend sent me a message, but he said he couldn't understand it at all."

"However, my friend also said that Professor Dong and the others were in the operating room and did not say much."

17

"He just didn't say anything."

Chi Yuanlong frowned deeply: "Why aren't you saying anything?"

"Don't surgeons all like to joke around? Professor Dong was still laughing and joking during the last surgery."

I'm not afraid of doctors smiling, but I'm afraid of doctors in white coats with downcast eyes.

When the doctor is smiling at you, you should be even more grateful that everything is fine.

Chi Lian'an was also a shrewd person: "Uncle—a smile doesn't mean everything is going well."

"This time, everyone has been discussing it for so long, so the treatment should be very effective. You can rest assured."

"7

Leave the professional tasks to the professionals.

Chi Lian'an's aunt suddenly asked, "Should I call my brother and ask?"

Chi Yuanlong quickly declined, saying, "Don't make trouble. Just wait patiently."

Urge surgery?

What an unconventional word!

In the operating room, the shadowless lamp, though focused, had become merely a decoration.

The circulating nurses sat against the wall, bored and serious, not daring to use their phones, their eyes fixed on Guo Ziyuan on the operating table, as if he were meditating.

Three scrub nurses stood on the instrument table in the operating room, all looking listless.

If there hadn't been a lot of people standing in the operating room, and if there hadn't been leaders present, they probably would have all fallen asleep.

There weren't many instruments on the machine table, just simple lower limb packs.

If each scrub nurse carries a dozen or so instruments, they could probably use them all up.

On the operating table, Professor Dong Hongmin also yawned.

This surgery was incredibly boring, but he couldn't even make a sound when he yawned.

The technical difficulty of this surgery lies not in its sweeping movements, but in its precision and meticulous attention to detail.

Even the slightest deviation in the puncture angle could lead to the eventual failure of the surgery.

Guo Ziyuan had already used a special puncture needle to nail it to Chi Huanlin's right tibia, and then left it there.

His right hand was holding a needle like he was performing acupuncture, waving it around like a charlatan!

Although he wasn't chanting anything, his gaze wasn't directed towards the surgical field of vision, but rather towards the upper diagonal.

The needle in Guo Ziyuan's right hand slowly rotated, lifted, and kneaded!

If Guo Ziyuan were to make a hand seal with his left hand right now, everyone would think that he was performing some kind of magic.

Forget about the entertainment value; you can't even see Guo Ziyuan's subtle movements!

Suddenly, Guo Ziyuan sighed.

He withdrew the needle a little further: "Precise puncture of tiny blood vessels within bones is far more difficult than puncture procedures within soft tissues."

"If you fail even once, you have to start all over again. I just slid past it again!"

Min Chong really wanted to say, even if you don't manage to glide over, no one will know what you're doing, right?

Anyone who can understand your moves is your grandson.

However, Guo Ziyuan had previously demonstrated the delicate procedure of local vascular puncture to Min Chong and others at the animal testing center.

They then understood that this is how the surgery would manifest.

The kind of endovascular puncture procedure that involves local microcirculation in tiny blood vessels has no visual appeal whatsoever; it's all about the finest details.

Moreover, this kind of detail is different from the knife skills shown when slicing tofu into strips; it also lacks a specific form of expression or representation.

Only Guo Ziyuan himself can say whether he did it in the right place or not.

If you don't get it right, try again.

"Don't rush, Dr. Guo, take your time!" Min Chong reassured him gently.

"It's still early, all vital signs are normal, and there's not much bleeding."

Chi Huanlin was under spinal anesthesia, so he could hear Min Chong's words: "Dr. Guo, I'm not in a hurry—thank you for your hard work—"

After saying thank you, Guo Ziyuan took another deep breath and then continued in a meditative state.

First, I looked down at the area of ​​my shinbone, and then I looked up at the sky!

To be honest, if Guo Ziyuan hadn't already demonstrated that his skills were almost unbelievable.

With Guo Ziyuan's current charlatan-like appearance, he'll either get beaten up or be criticized to the point that even his own mother wouldn't recognize him.

But there's nothing we can do; nobody dares to criticize Guo Ziyuan now.

If you speak or become impatient, Guo Ziyuan might say, "If you're so good, then you do it." What will you do then?

In fact, when they were in the animal laboratory, others saw Guo Ziyuan perform the procedure and tried it many times themselves.

The result, without exception, was failure.

Orthopedic surgeons like Dong Hongmin, who are exceptionally familiar with lower limb anatomy, do not possess such miraculous puncture techniques.

Professor Cao Ling and others who have puncture skills are not very familiar with the local anatomy of the lower limbs.

Everything, in perfect order, made Guo Ziyuan the sole focus.

Most importantly, before Guo Ziyuan, Zeng Yaqiong and others had not reached a specific and mutually agreed-upon diagnosis.

In fact, at Guo Ziyuan's age, as long as the diagnosis is clear and everyone is convinced, it is already "unbelievable" in the eyes of ordinary people.

Guo Ziyuan's basic skills are beyond what many people can comprehend.

With so many buffs, Guo Ziyuan really doesn't need to fear these people.

At most, you'll just criticize me for not having enough experience.

However, there is no specific experience to speak of in treating Chi Huanlin's disease!

On the timer panel in the operating room, the surgery time and Kyoto time kept changing!

The entire operating room was completely silent; everyone was waiting for Guo Ziyuan's reply.

At 11:33:25:12, the surgery duration was frozen at three hours, nineteen minutes, thirty-seven seconds, and fifty-one milliseconds.

Guo Ziyuan's face suddenly lit up with joy: "Found it! We're inside!"

Give me the medicine.

Guo Ziyuan immediately asked someone for a syringe.

The syringe was already prepared by Dong Hongmin, who then gave it to Guo Ziyuan.

But the two circulating nurses and the scrub nurse were instinctively awakened and searched around.

After seeing that Guo Ziyuan had the antibiotic syringe, everyone took their positions.

However, instead of "falling asleep," he was staring intently at Guo Ziyuan!

Guo Ziyuan injected the liquid at a moderate speed, managing to deliver 10 milliliters of fluid to the localized area within two minutes.

After removing the syringe, Dong Hongmin asked, "Dr. Guo, is that all?"

Guo Ziyuan nodded: "Yes, I think that's good."

Guo Ziyuan was certainly not simply saying, "Professor Dong, you see, there is no fluid overflowing in the bone marrow cavity."

"This proves that our medication was delivered properly."

"If it doesn't enter the bloodstream, given the characteristics of bone marrow and cancellous bone, the drug will diffuse and leak out."

"We have already performed local debridement. All we need to do is place some antibiotics into the bone marrow cavity, and then we can finish today's surgery."

"Teacher Dong, what do you think?"

Dong Hongmin shook his head and relinquished authority: "I don't understand it, and I can't operate it. You are the chief surgeon, and the entire operating room will listen to you."

Guo Ziyuan was not intimidated: "Then we'll close the wound and leave it untreated, covering it with VAC negative pressure to facilitate subsequent puncture and drug administration."

"Just turn on a VAC pad during the patrol."

In his past life, he had thousands of lines when he took the initiative to announce the end of the surgery.

Many people looked at Dong Hongmin in astonishment, hoping that he would say something.

Because of Guo Ziyuan's actions, there's not much to watch.

This is even worse than what Guo Ziyuan did in the animal laboratory.

But that's how clinical treatment is. Surgery is not a performance, nor is it a chance to show off skills. Guo Ziyuan doesn't even need to explain what he did.

This surgery is completely inexplicable.

Guo Ziyuan has explained everything that needed to be explained.

Therefore, Guo Ziyuan, Director Chen Xinwen, and Professor Dong Hongmin personally performed VAC negative pressure masking on Chi Huanlin.

To facilitate subsequent puncture and drug administration, the VAC dressings were not sutured or secured.

As the procedure was nearing its end, Min Chong asked, "Dr. Guo, today's procedure has taken so long. Will it hurt when we administer the medication later?"

Guo Ziyuan shook his head: "Professor Min, that's why we need to leave it untreated. The incision will still be there, but if we perform a bone aspiration, it won't hurt."

"If we stitch it up now, the pain will only become unbearable if it's constantly opened up."

Dong Hongmin said, "Local bone aspiration is painless, and local anesthesia is not required. However, there may be slight pain during the removal of the VAC."

"All we can do now is observe the effects of the treatment."

"It would be best to have a follow-up MRI the next day—it will be more expensive."

Min Chong stated directly, "Expenses are not an issue!"

Chen Xinwen looked at Dong Hongmin: "Professor Dong, Xiao Chi still has 200,000 in his account, which is impossible for him to use up."

The operation is now nearing its end.

After the surgery, Chen Xinwen and Nie Yunqi were responsible for taking Chi Huanlin back to his ward.

Guo Ziyuan, Professor Min Chong, and others headed towards the locker room.

At this point, Guo Ziyuan stopped being mysterious: "Professor Min, the reason why this surgery took a relatively long time is because the blood vessels inside the bone are much less hard than the bone itself."

"If the puncture is too forceful, it can penetrate a blood vessel."

"If the force is insufficient, the propulsion is also insufficient, and the needle tip is too thin, it is easy to slip through."

"Therefore, once you've pinpointed the blood vessel, inserting the puncture is quite difficult."

"Of course, during the procedure, I also made a few small holes in the blood vessels, hoping that the injected medication could penetrate into the tissues around the blood vessels through the local microcirculation."

"By applying high concentrations of medication locally, the infection can be controlled as quickly and early as possible, reducing the number of procedures required."

The operating principle explained by Guo Ziyuan is not difficult to understand.

Min Chong nodded and said with a smile, "Thank you for your hard work, Dr. Guo. I have no doubts about your procedures."

Guo Ziyuan also breathed a sigh of relief: "Professor Min, your doubts are useless. No matter who does it, this operation is not intuitive!"

"It's all about feeling, and this is the least invasive treatment available, even less so than the previous intraosseous cavity debridement."

Min Chong said, "I understand, Dr. Guo!"

"Didn't Professor Cao Ling joke about wanting to become your student?"

Upon hearing this, Cao Ling immediately corrected Min Chong's wording, speaking in a serious tone: "Professor Min, this is not a joke."

"Dr. Guo could be my teacher!"

"In fact, in addition to precise positioning, the direction of the puncture at the distal end also needs to be extremely well controlled during puncture."

"In terms of neurosurgical intervention, if the direction is controlled correctly, an intracranial aneurysm surgery can be completed in just half an hour."

"If the direction is not controlled properly, it may take at least one or two hours just to send the guide needle."

"Of course, Dr. Guo's procedure will only be more difficult."

"It's a pity that the target isn't easy to visualize, otherwise I really would like to put some contrast agent in."

Min Chong understood Cao Ling's regret and said with a smile, "Professor Cao, maybe next time. Next time you can collaborate freely with Dr. Guo."

"This time, I really can't satisfy your curiosity—"

Cao Ling nodded.

If he were the patient's uncle, he wouldn't tolerate others doing extra things out of curiosity.

Min Chong then said, "Alright, everyone has worked hard. Let's go eat first. My sister and brother-in-law called me and said they've arranged a place."

Upon hearing this, Chen Xinwen quickly replied, "Professor Min, I already have arrangements."

"The food is ready."

"9

Min Chong looked at Chen Xinwen: "Director Chen, aren't you following the rules?"

Chen Xinwen said, "Professor Min, you still need to be careful about this. I'll arrange a simple meal; it's part of the business trip."

"If it's arranged by the family, then that's a different story."

Chen Xinwen's skill and expertise surpassed even Guo Ziyuan's in his previous life: "Our abilities are limited, but we are grateful for the kindness and compassion of all the teachers who are willing to help us."

"We should still do our part in showing our appreciation."

"Professor Min, are you going to the family dinner, or are you coming with us?"

Min Chong thought about it seriously for a moment and replied, "Let's do it together."

After that, Min Chong went to call his sister and brother-in-law.

Chen Xinwen's statement was entirely reasonable.

Since they had already spoken out, Dong Hongmin and the others could no longer attend the dinner arranged by the family members.

If reported, the facts will be irrefutable, and the person who arranged the dinner will be unable to change the nature of the matter.

The result might be painless and mild, but it will still be arousing.

Guo Ziyuan remained silent, but he figured he would just follow Dong Hongmin and the others.

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