Is there no limit to this doctor's skills?

Chapter 150 confirms!

Guo Ziyuan's diagnosis was actually quite coincidentally about blending in with the world.

He rejected both Ning Sanlong's and Cai Xiongxue's diagnostic guesses.

It is neither the delayed rupture of the spleen as described by Cai Xiongxue, nor the complete absence of symptoms as described by Ning Sanlong; we can continue to observe it.

But no reason was given.

Guo Ziyuan couldn't give Ning Sanlong and the others a simple, understandable reason.

An embolism is an embolism; the blood vessel is blocked.

The clinical signs of intestinal embolism have not yet appeared.

"Of course, there are other ways," Guo Ziyuan continued. "Director Cai, if we want to confirm this, I suggest we do a CTA test. That would make it clear."

The patient only had blunt force trauma to the abdomen and no obvious bleeding symptoms.

If every person who goes to the hospital gets a CTA scan, both the radiology department and the patient will be cursing.

Of course, now that Guo Ziyuan strongly suspects arterial embolism, there is sufficient reason to perform a CTA.

Cai Xiongxue certainly didn't dare to make the decision on his own. He looked at the patient and asked, "Would you like to have another CTA scan?"

"Professor Ning thinks you have no problem, but Dr. Guo says you have intestinal embolism."

"If you don't have surgery in time, your intestines may become necrotic, and if they do, we'll have to remove them."

"If it is detected in time, it is possible to avoid cutting out the intestines."

The patient is 36 years old this year, which is his birth year in the Chinese zodiac!

He was a middle-aged man, and his face was contorted with embarrassment: "Director Cai, since you've all said that, can I still take a gamble?"

He closed his eyes: "It's the only way!"

He was really panicked.

You're all arguing and debating there, but you're the ones who are in pain and undergoing surgery. I'll have to bear all the consequences myself.

Can't you all reach a consensus?

Now, he can only choose to believe it exists rather than not.

Ning Sanlong breathed a sigh of relief after hearing the patient's decision.

He repeated his question: "Dr. Guo, is it really that obvious?"

Ning Sanlong's right hand was already swiping the mouse so hard, but he still didn't see the signs of blood clots he was looking for.

Guo Ziyuan nodded: "Professor Ning, I think so. The patient has agreed to have a CTA, so we can just continue to wait quietly."

Ning Sanlong put down the mouse in his hand and rubbed his face vigorously.

He tilted his head and said, "Don't do the CTA, just sign the consent form and have the surgery."

"Doing another CTA might just be a waste of your money."

The patient nodded: "Okay, Professor Ning."

"I'll listen to you."

Who is Ning Sanlong?

When he first came in, the people in the department gave him a brief introduction.

Associate professor in the Department of Emergency Medicine at Peking Union Medical College Hospital, and one of the deputy directors of the Trauma Center in the Department of Emergency Medicine at Peking Union Medical College Hospital.

The associate professors at Peking Union Medical College Hospital are probably the kind of highly skilled clinicians who can't be promoted to professor.

After the patient nodded in agreement, Cai Xiongxue and his team immediately began the process of talking, signing documents, and making all the necessary arrangements for the surgery.

The patient is in the emergency room, so going directly to the operating room is a very high priority.

The patient agreed to the surgery, so the conversation and signatures could be made while the gurney was being wheeled into the operating room.

As the patient was leaving, he asked Cai Xiongxue, "Director Cai, is it possible that Dr. Guo made a mistake?"

"Then, my stomach was opened up, but no further procedures were needed?"

The patient's concerns are valid.

Guo Ziyuan is very young.

Although Guo Ziyuan is highly respected, even Professor Ning Sanlong, who considers himself very impressive, also respects Guo Ziyuan.

However, Guo Ziyuan did not provide a reason that could convince others.

"Anything is possible, but based on our experience, the chances of Dr. Guo making a wrong diagnosis are very small."

"We cannot gamble on one in a thousand and give up nine hundred and ninety-nine in a thousand."

"9

"Isn't that right?" Cai Xiongxue didn't set a trap for Guo Ziyuan, but he also left Guo Ziyuan a way out.

"Furthermore, whether there is a blood clot in the mesenteric artery will be shown to your family after the surgery."

"We can't make these thrombus strips on-site."

The patient nodded and said, "Okay, thank you, Director Cai. You've worked hard."

After signing the consent form, the patient lay down and stared at the ceiling, questioning the meaning of life.

He just fell off his electric scooter.

Upon entering the hospital, I discovered that the head of the emergency department and a professor from Peking Union Medical College Hospital were arguing because they disagreed on the diagnosis.

Then, a young man came and stopped the director and professor's diagnoses!

What's it like?

Is it a dreamlike mess?

However, at this point, he had no choice but to believe.

"Dr. Guo, aren't you going into the operating room?" Ning Sanlong noticed Guo Ziyuan carrying his bag and was about to leave, so he couldn't help but ask him to stay.

Guo Ziyuan said, "Professor Ning, I need to come to work in the emergency room tomorrow, so I need to make sure I get enough sleep."

"And I also need to go to the lab later."

Guo Ziyuan laughed again at this point: "Besides, Professor Ning, I was just giving a suggestion—"

"I have no right to diagnose in front of you and Director Cai!"

Two deputy directors, one of whom was an associate professor, were misled into making a diagnosis by a resident physician.

You two should just leave get out of class early, what are you even doing here!

So even if Guo Ziyuan made a wrong diagnosis, it's still your fault.

Because you have the right to choose not to believe.

Since you've chosen to believe, that's your own choice!

Ning Sanlong was also familiar with Guo Ziyuan's clichés: "The patient isn't here now, Dr. Guo, you don't need to explain so much."

"However, you should also know that what you're saying sounds a bit fantastical."

Guo Ziyuan, being quite kind, offered Ning Sanlong a question: "Professor Ning, do you believe that an aircraft can fly at speeds exceeding several times the speed of sound?"

After saying that, Guo Ziyuan left.

He has truly explained everything.

Embolism exists; this is an objective fact.

The embolization has not yet progressed to the "end stage" and cannot be detected by you. That is not my problem, nor is it the patient's problem.

It's a problem stemming from the average skill level of doctors in reality!

It's a problem with the guidelines.

It's a problem of relatively limited medical technology!

How could Guo Ziyuan possibly solve this real-world problem?

Of course, after leaving the emergency room, Guo Ziyuan still saw the beautiful autumn sunset.

The rosy clouds hung high in the sky, and the dark shadows loomed over the mountaintop.

A gentle autumn breeze blows, and everything is just right.

Even though Guo Ziyuan was walking to grab a quick rice bowl, he still felt that everything was wonderful.

With regular working hours, relevant skills, and a decent daily income, you can earn a good income every day.

Being able to eat on time and feel a sense of accomplishment—what an amazing life!

Of course, Guo Ziyuan was well aware that all of this was thanks to the panel.

The absolute strength displayed on the panel allows me to live a comfortable life as a doctor!

Don't ask a programmer if writing a simple string of code is difficult.

All you need to know is that if you just have him write a simple string of code every day, he can enjoy life.

This is Guo Ziyuan's current situation.

"Boss, stir-fried pork with chili in a claypot rice, plus a small green pepper and fish." Guo Ziyuan decided to treat himself to an extra topping.

"Would you like claypot rice? Then you'll have to wait a while," said the waiter taking orders.

"Yes, I want claypot rice." Guo Ziyuan was very certain.

Alipay's QR code payment was already mature 15 years ago, while WeChat Pay was not yet fully popular, but Guo Ziyuan was already used to it.

After making the payment, Guo Ziyuan saw Liu Lingli's information.

Guo Ziyuan replied, "Maybe next time. I'll go back to the control room too. This isn't a farewell dinner."

"I'm already eating."

At the same time, Guo Ziyuan also replied to An Yue, who had sent him a message an hour earlier.

"I was a little delayed today, I should arrive around 7:30."

"Okay, Dr. Guo!" An Yue replied simply.

At that moment, Guo Ziyuan even had a strange feeling.

An Yue is now as quiet as a wife waiting for her husband to come home. She greets him on time every day and waits for him at the same old spot.

Guo Ziyuan didn't think much of it!

He doesn't need to be so conflicted and demanding.

Guo Ziyuan can now calmly face all of this.

Skill points and techniques are the only things Guo Ziyuan needs to actively pursue; everything else can be left to chance.

There's no need to force yourself not to do anything.

Guo Ziyuan can do that, relatively speaking, he can choose not to do something if he wants to.

This sense of freedom is what makes life truly meaningful.

Of course, Guo Ziyuan still remembers that he was a penniless wretch.

A penniless wretch who's so poor he can't even make a sound.

Even with a promising future, Guo Ziyuan can't bear to eat steak or anything like that right now.

So where is true magnanimity?

The claypot rice was served, and the double portion was quite generous.

So much so that when the waiter brought it out, a young man at the next table asked why there were so many dishes in the meal.

"This owner ordered a double portion," the waiter said with a smile.

The young man didn't say anything more, probably cursing the "damned nouveau riche" or "rich man" in his mind.

"Ding-dong!"

Guo Ziyuan's phone beeped with a WeChat notification.

It was neither Anyue nor Liu Lingli.

Chen Zhemin replied to Guo Ziyuan: "Dr. Guo, ileometrial artery thrombosis!"

"Thumbs up!"

"The thrombectomy procedure is already underway."

"Okay!" Guo Ziyuan replied calmly.

Guo Ziyuan was not nervous at all.

I really saw it; it was right there!

There's a huge rockfall on the highway!

Does it not exist if there's no car accident?

Even though no driver noticed it before the accident and didn't call the police, it was still a dangerous factor!

"The intestines look pretty normal, just slightly swollen."

Chen Zhemin continued his report: "Professor Ning is saying you're a monster!"

"Please tell Professor Ning my thanks."

Guo Ziyuan scooped up a mouthful of rice and a bite of vegetables: "Also, please explain for Professor Ning. I have really thought about how to explain it."

"But the diagnoses in emergency surgery are all straightforward and are not elective diseases."

"It wasn't even in the clinical demonstration period for emergency cases, so I have no way of explaining it."

"Or, what I'm talking about is actually the root of the problem."

Chen Zhemin: "Of course!"

Professor Ning is still muttering to himself.

"You can testify for me! Even if this section of intestine were discovered during surgery, would you think it was blocked?"

"what?"

Guo Ziyuan put down his phone, not typing a reply, but silently thinking to himself.

This is really not Ning Sanlong's fault.

Because Ning Sanlong is right.

Guo Ziyuan was also a doctor like that in his previous life.

What is a doctor? In fact, a doctor is someone who makes a diagnosis for a patient by using teaching materials, guidelines, and the results of imaging films.

By utilizing existing surgical templates and procedures, we can solve specific problems for specific patients.

Early diagnosis of intestinal embolism?

This concept has not yet been proposed.

How did you get Ning Sanlong to question the diagnosis?

The patient had a CTA scan as soon as they walked in?

Radiology departments will be overworked and struggling – that's how over-medicalization comes about.

This really proves the saying.

I have 10,000 yuan in savings, and you want me to eat at a buffet that costs 2,000 yuan a meal? I'd have to pay one-fifth of my savings!

I have 100 million yuan in savings. I eat 2,000 yuan worth of buffet meals every day, and I still have 4,000 yuan left in savings.

If you use that four thousand yuan to buy rice, it might even attract chickens.

Improving my ability to interpret and diagnose images was one of the best decisions I ever made.

"That feels so good!" Guo Ziyuan exclaimed sincerely.

The crispy rice crust at the bottom of the claypot rice was very fragrant, and the topping of green peppers, small fish, and stir-fried pork with chili peppers was also very delicious.

It was also served with a bowl of seaweed and pork rib soup.

After finishing his meal with satisfaction, Guo Ziyuan took a bus to the laboratory.

This bus route is one that Guo Ziyuan frequently takes.

At approximately 8:14 PM, Guo Ziyuan received a call from Professor Ning Sanlong.

"Dr. Guo, I still don't understand." Ning Sanlong is a serious person.

Ning Sanlong's seriousness wasn't due to being conflicted; rather, it stemmed from his desire to understand everything.

He also wants to become like Guo Ziyuan, someone who can detect early signs of thrombosis based solely on CT scans!

He did it for the purpose of learning.

Guo Ziyuan happened to be free; he and An Yue were resting in preparation for the subsequent experimental operations.

Guo Ziyuan typed back: "Professor Ning, if you want to do the same, you need to reconstruct the anatomical structures in imaging."

"Reconstructing the three-dimensional reconstruction system in one's own mind allows for a clearer understanding of ————"

Guo Ziyuan typed three or four hundred words in a long and fluent manner.

However, all these efforts came to naught: "Farewell!"

"Have you eaten?" Ning Sanlong asked Guo Ziyuan.

Guo Ziyuan replied, "I've finished eating, Professor Ning."

Ning Sanlong: "Then I'll meet you face-to-face with this pervert tomorrow—"

"Dr. Guo Ziyuan, Ning Sanlong, Emergency Department, Peking Union Medical College Hospital."

"We will be working together for a while, please give me your guidance."

This is a fairly formal form of address and self-introduction.

Ning Sanlong is really capable. He can use his own theory to determine that this patient has spleen damage, but surgery is not necessary!

That's not simple.

Therefore, he was very arrogant.

Generally speaking, even if a very arrogant person has their jawbone broken, their head-lowering motion will still seem quite natural.

Guo Ziyuan made a dry joke and revealed his true identity: "Hello Professor Ning, my name is Guo Ziyuan, and I am a master's student in orthopedics at the Provincial People's Hospital."

Ning Sanlong's reply was simple: "Hehe—"

Who is Guo Ziyuan? He's not a 26-year-old! "Really!"

"It can be verified on the China Higher Education Student Information System (CHESICC)."

Ning Sanlong: "————"

"I'll go and meet your teacher."

Guo Ziyuan: "???"

Is it really acceptable for an associate professor to joke around like this? To conduct a direct background check?

Well, what can you do when he's an associate professor?

They must have a wide network of connections.

Guo Ziyuan isn't afraid. You'll meet my advisor. I'm also Guo Ziyuan!