Is there no limit to this doctor's skills?

Chapter 149 Violent Medical Treatment!

Guo Ziyuan understood things very well.

A careful analysis reveals that Zhou Yong and Director Yao Hancheng have taken different approaches to thinking.

Zhou Yong's thought was to seek outside help, hoping it would benefit the patients.

The cause was still the patient, but in reality, it might have been for his own promotion and to flee.

At least based on Director Yao Hancheng's words, this is the case.

Zhou Yong wanted to run away.

What Director Yao Hancheng means is that he has a deep affection for the emergency department!

The emergency department was built up by Yao Hancheng.

Therefore, Yao Hancheng disagreed with Zhou Yong's short-sighted approach and absolutely refused to allow Guo Ziyuan's outstanding achievements in the emergency department to be reported in the financial statements.

Therefore, Yao Hancheng hopes that Guo Ziyuan can consider countermeasures from the perspective of an ordinary doctor.

For example, how can a regular doctor make an accurate diagnosis?

How can a regular doctor perform a precise emergency treatment?

Do not make close friends with them, and never meet their true selves.

People in the world are real people; you can't describe one or two people with labels.

Living, breathing people all have their own stances and thoughts.

Moreover, from a certain perspective, their ideas are correct.

Of course, Guo Ziyuan is also a human being.

Therefore, even if Guo Ziyuan thinks Yao Hancheng's idea is good, Guo Ziyuan can still have his own ideas.

You want me to blend in with the world and consider ordinary people, but you also can't expect me to turn a blind eye, or to balance the mortality rate in the emergency room.

Pretend you're not very capable, and then hold back a bit?

Oh?

I'm doing this for the sake of the development plan of the emergency department.

Are you giving up on treating illnesses that I can cure?

Even if I could save a life, I wouldn't save it?

This is impossible.

Yao Hancheng's brows furrowed even deeper: "Dr. Guo, of course that's not what I meant."

"Sigh, I know this is really putting you in a difficult position."

"But if you analyze it carefully, Dr. Guo, it's not hard to figure this out."

"We can't sacrifice the futures of others, including Peng Jingye, whom you know well, to benefit Zhou Yong alone, can we?"

Guo Ziyuan laughed: "I don't know, Director Yao."

"I'm still young!"

Who is Guo Ziyuan? The conflict between you and Director Zhou has nothing to do with me, Guo Ziyuan.

I am just Guo Ziyuan from the Provincial People's Hospital.

You're willing to let me see a doctor, but you want me to express any other opinion?

I simply don't have the time or inclination for that.

Yao Hancheng's lips twitched slightly, but he didn't say anything more.

At 6:10 p.m. that day, Guo Ziyuan, carrying a backpack, pushed open the door to the lounge.

Looking at the control room 3 across the hall, which had been with me for more than a month and a half, I felt a sense of reluctance to leave.

However, one must move forward, and all that accompanies one along the way should be as beautiful as possible.

Without this Operation Room 3, I wouldn't have been able to acquire so many "national champion" level skills.

This marked the true beginning of my medical journey after my rebirth.

"We'll meet again," Guo Ziyuan murmured to himself.

Liu Lingli and Guo Ziyuan left work at the same time. When she heard Guo Ziyuan's voice, she even felt a little flustered: "Dr. Guo, you'll be coming back, won't you?"

"Of course I'll come back."

"But it won't be as long as it is now—it feels quite different—" Guo Ziyuan nodded.

As Guo Ziyuan spoke, a sound came from afar.

"Dr. Guo, Dr. Guo————"

"Did you see Dr. Guo leave?" The voice belonged to Chen Zhemin, who was the attending physician working under Deputy Director Cai Xiongxue.

His voice could be heard on the road, still asking a nurse.

"Chen Zhemin, I didn't see him." The nurse was the same age as Chen Zhemin and didn't address him as Dr. Chen politely.

Liu Lingli and Guo Ziyuan both looked at Chen Zhemin, and Liu Lingli had already begun to greet him: "Teacher Chen, over here."

.

Chen Zhemin immediately ran over diagonally: "Dr. Guo, it's good that you didn't leave."

"I thought you went back."

"Director Cai asked me to come and invite you over." Chen Zhemin is definitely older than Guo Ziyuan is now.

But in Chen Zhemin's opinion, he seems to be more immature than Guo Ziyuan in terms of skills, temperament, demeanor and interpersonal skills.

Chen Zhemin couldn't understand why Guo Ziyuan knew Yilan Central Hospital better than he did, and even knew the atmosphere there better.

Guo Ziyuan's technical skills can be explained by his genius, but how do you explain his social skills?

"Teacher Chen, if you had arrived any later, we would have been leaving the department."

Guo Ziyuan tilted his head: "Lingli, you should go back and rest first."

Liu Lingli held her Coach bag in both hands, seemingly wanting to say something but then stopping herself.

"Okay, Dr. Guo." Liu Lingli had originally planned to invite Guo Ziyuan to dinner, but she decided to leave it at that.

However, Liu Lingli's understanding and magnanimity prevented her from doing so.

Even though Liu Lingli had already hinted that Guo Ziyuan didn't have any appointments with anyone else today.

As Chen Zhemin led the way, he explained the situation in a low voice: "Dr. Guo, a patient has arrived at the emergency room, but Director Cai and Professor Ning have differing opinions."

"Director Cai still wants you to go and take a look."

Guo Ziyuan came here to "build up his resume".

Professor Ning, on the other hand, came to the countryside to provide assistance.

Yilan Central Hospital has signed counterpart assistance agreements with several top teaching hospitals.

Tongji Hospital and Union Hospital can provide counterpart support to Yilan Central Hospital.

Ning Sanlong is an associate professor at Xiehe Hospital. His visit to Yichang Central Hospital is aimed at providing counterpart assistance and optimizing the hospital's emergency department.

Help Yichang Central Hospital develop its emergency department into a key provincial specialty.

"If Professor Ning gave his opinion, why would Director Cai ask me to go over there?" Guo Ziyuan slowed his pace slightly.

Guo Ziyuan had also worked in the emergency department of the Provincial People's Hospital, and he was very familiar with the true capabilities of the associate professors there.

Associate professors at Peking Union Medical College Hospital, as long as they didn't get their positions through shady means, are generally quite capable.

Chen Zhemin said, "That's right, Dr. Guo!"

"Director Cai would like you to take a look at the patient's films, but Professor Ning doesn't seem inclined to trouble you—"

"Director Cai believes that insurance is the best option."

Professor Ning Sanlong joined the department in November, and Guo Ziyuan had also had dealings with Ning Sanlong.

He is very proud, very confident, and extremely capable.

It might be hard to accept that Guo Ziyuan, a young man, could achieve such near-perfect results at Yilan Central Hospital.

"A forum for discussion!"

Guo Ziyuan had already changed out of his work clothes. After thinking for three seconds, he decided to go to the emergency room with Chen Zhemin.

He's going to register tomorrow, and he'll have the opportunity to face Professor Ning Sanlong directly in the future.

Some things are unavoidable.

From Ning Sanlong's perspective, Guo Ziyuan could also understand Ning Sanlong's sense of imbalance.

"Dr. Guo, this is bed 4 in the emergency room."

"It was a non-open blunt injury to the abdomen."

"Director Cai wanted to perform exploratory laparotomy, but Professor Ning said it wasn't necessary." Chen Zhemin told Guo Ziyuan the crucial final point as Guo Ziyuan entered the emergency room.

"Director Cai, Professor Ning." Guo Ziyuan entered the room carrying a bag.

Family members were kept outside the emergency room. Cai Xiongxue and Ning Sanlong were both wearing white coats.

The patient, lying on the resuscitation bed, looked at Cai Xiongxue and Ning Sanlong with a conflicted expression as they disagreed.

From those micro-expressions, Guo Ziyuan could tell he was in a state of utter anguish.

Ning Sanlong also noticed Guo Ziyuan and politely smiled and nodded at him: "Director Cai, I still stand by my own ideas."

"Based on the patient's current vital signs and abdominal examination results, the patient has no abdominal injury."

He needs rest!

"We found no obvious indications for exploratory laparotomy, so there's no need to go through with it."

"The CT scan clearly indicates the problem."

Cai Xiongxue didn't dare to clash with Ning Sanlong: "Okay, Professor Ning, let me ask Dr. Guo again?"

Ning Sanlong gently covered his forehead, wanting to ask, "What will you do if Guo Ziyuan leaves?"

Chen Zhemin had already led Guo Ziyuan to the computer. Chen Zhemin continued, "The patient's vital signs are currently stable, but there is a bruise in the upper left abdomen."

"Director Cai is worried that the patient may have a ruptured spleen."

"Dr. Guo, as you know, once delayed splenic rupture occurs, there will be severe blood loss in a short period of time."

"not to mention----"

Guo Ziyuan has already opened the CT scan.

They were reading very carefully.

CT scans can provide a lot of information; they are an objective reality.

When doctors read CT scans, they are essentially extracting various useful information based on their own knowledge.

No doctor can extract all the information from a CT scan, and Guo Ziyuan couldn't do it either.

After reading it, Guo Ziyuan replied, "Teacher Chen, let's open the abdomen; there's intestinal necrosis."

"There's nothing wrong with your spleen."

"The extent of spleen damage is very small!"

Ning Sanlong was actually a little angry when he heard Guo Ziyuan say that he needed to have his abdomen opened.

Even though Guo Ziyuan said there was nothing wrong with his spleen, Ning Sanlong was still a little annoyed: "Did you have a physical exam?"

"So they opened my abdomen and said there was intestinal necrosis?"

"Less than two hours had passed between the injury and the CT scan, yet you could see signs of intestinal necrosis."

'

Two hours after the thrombosis, the intestinal tract may not yet be in a state of strangulation and edema.

This patient's condition was not a direct injury to the intestinal tract.

Guo Ziyuan turned his head away and said in a normal tone, "The mesenteric artery is blocked."

Ning Sanlong pinched his right thumb, index finger, and middle finger: "The patient didn't have a CTA!"

Guo Ziyuan felt a bit of a headache.

Well, how should I put it?

In fact, Ning Sanlong also knew all the theories, signs, and consequences of mesenteric artery embolism.

In other words, Ning Sanlong knew everything about Dilraba's appearance; he had even seen her many times and didn't need Guo Ziyuan to describe her.

Ke Ning Sanlong did not recognize Dilraba Dilmurat, who was wearing a mask.

If mesenteric artery embolism were a person, Guo Ziyuan could communicate with it directly.

It will proactively report that it has an embolus in the mesenteric artery.

None of this exists!

"It's on the CT scan! ~ Here." Guo Ziyuan pointed to the computer.

Although Guo Ziyuan had already given Ning Sanlong very precise click prompts with the mouse.

If his reading comprehension level is insufficient, he simply cannot understand it.

The advanced techniques in mathematics and physics have long been written in papers, and the solution steps are all clear at a glance.

Why don't you go and learn?

"That's just a guess; it's not obvious."

"Take a look at the downstream intestines?"

"The patient has no signs of peritoneal irritation." Ning Sanlong's theoretical knowledge and understanding are strong enough to warrant his associate professor title.

Intestinal necrosis usually occurs some time after the embolism has occurred.

Once a patient develops signs of peritoneal irritation, it usually indicates abdominal effusion and intestinal strangulation.

This isn't just Ning Sanlong's problem; it's that almost all doctors worldwide can only make diagnoses based on existing results and physical signs.

"Then we can wait a little longer, until the patient develops peritoneal irritation signs."

"But at that time, the open thrombectomy might be pointless." Guo Ziyuan didn't argue with Ning Sanlong.

Ning Sanlong had witnessed Guo Ziyuan's composure before.

Moreover, Guo Ziyuan was right many times.

Therefore, at this moment, Ning Sanlong couldn't help but begin to doubt his own perception: "Is it really that obvious?"

Ning Sanlong really hoped that Guo Ziyuan would use specific theories and a long list of theoretical evidence to refute or convince him.

But Guo Ziyuan has never done that.

Guo Ziyuan remained so calm that he seemed unrealistic.

Believe it or not, it's up to you.

Guo Ziyuan's diagnoses often have only one reason.

That's exactly it, I see it!

Ning Sanlong and Guo Ziyuan fought four times, and Guo Ziyuan won all four matches.

However, every time, Ning Sanlong felt that he lost in a very confusing way.

Ning Sanlong couldn't even find a suitable external aid to support and analyze Guo Ziyuan's diagnostic basis!

Diagnostics textbooks have never written it like this.

Even guidelines and consensus statements wouldn't dare to be written like this.

Guo Ziyuan's diagnosis has already reached the level of preventing disease before it occurs.

Guo Ziyuan said there was arterial embolism before intestinal edema and necrosis had even occurred.

That's great!

That's awesome!

Guo Ziyuan sniffed: "Professor Ning, there is a splinter."

"However, there has been no strangulation of the intestines so far."

"At this stage, if we can perform an open thrombectomy, we don't need to remove the bowel."

"If strangulation and necrosis of the intestine occurs, then it must be removed."

Ning Sanlong's chest was pressed against Guo Ziyuan's shoulder, and Guo Ziyuan could even feel the contraction of his pectoral muscles.

He moved as close to the computer screen as possible and lowered his voice: "You're looking directly inside the blood vessels."

"Is the obstruction not diagnosed through specific signs in the intestinal tract?"

"Who can understand?"

Guo Ziyuan looked up and shook his head: "Professor Ning, I'm also trying my best to find a way to make it understandable, but I can't find a suitable descriptive theory right now."

The mesenteric artery embolism described in textbooks is a sign that occurs after intestinal necrosis has occurred.

Peritoneal irritation signs: abdominal tenderness, rebound tenderness, and muscle guarding, suggesting intestinal necrosis, perforation, or peritonitis.

Abdominal distension and decreased bowel sounds: Due to intestinal paralysis or intestinal necrosis, the abdomen progressively dissipates, and bowel sounds are initially hyperactive but gradually decrease or disappear.

Abdominal mass: In a few cases, a palpable mass may be formed due to intestinal necrosis and swelling.

Skill is close to the Tao, beyond the realm of reason.

You're asking how a top-level billiards player manages to pull the ball over?

Don't ask, the answer is simply the feel of it.

He never calculates the angle of the racket, the power, or the arc of the shot.

Ning Sanlong wanted to clench his fists and punch Guo Ziyuan in the right cheekbone. "You're just pretending!"

MLGB?

However, it seems that Ning Sanlong had no reason to do so.

Guo Ziyuan's diagnoses have always been so forceful.

I never offer any profound or mysterious reasons; I just give straightforward explanations.

I saw it!

Guo Ziyuan stood up: "Director Cai, Professor Ning, you can decide for yourselves. I have to go home."