Is there no limit to this doctor's skills?

Chapter 153 I wish I could be a chicken

The overhead light in the resuscitation room is not the round light found in the emergency department's operating room, but rather a square one.

The light is brighter and the shadows are clearer.

Chen Qiangwei's dressing change is complete!

Guo Ziyuan was carefully covering Chen Qiangwei's wound with a sterile dressing.

He also instructed: "Chen Qiangwei, as before, do not easily tear off the innermost dressing."

"It must be fully moistened before the doctor can peel it off. Otherwise, if the local tissue fluid dries and sticks together, violent tearing will damage the granulation tissue that you have worked so hard to grow."

Without hesitation, Chen Qiangwei said, "Dr. Guo, I will definitely come back to you to change my dressing."

"Even if I have surgery later, I still want to come to you to change my dressing."

"I don't trust anyone else to change my dressing."

Chen Qiangwei didn't care that Tan Wenyuan and the others were right next to her.

She had at least ten different doctors change her dressings.

Whether others were older or the attending physician, she only knew that her ulcers were healed because of Guo Ziyuan.

Guo Ziyuan used tape to secure the dressing on Chen Qiangwei's instep.

"That won't do. If you go to a specialist hospital and have a skin flap transplant, I won't come to change your dressings anymore."

"I don't have the time either," Guo Ziyuan shook his head, firmly refusing.

"Dr. Guo, shall I come here to find you?" Chen Qiangwei immediately pleaded.

"I can come to you."

Guo Ziyuan continued to shake his head: "That's even more unacceptable. After a skin flap transplant, one needs to rest and is not suited for traveling."

"Okay, the dressing change is complete."

"The precautions this time are the same as before: the wound needs to be kept dry."

"Otherwise, it will cause more severe irregular inflammation in the local soft tissue, which will then result in lumps of flesh."

"In that case, all our previous efforts will have been in vain."

Chen Qiangwei said, "No, Dr. Guo, I always put on a waterproof film before washing up."

"If it gets wet, I will come to you immediately."

"Dr. Guo, are you not going to register my medical condition this time?"

When Chen Qiangwei spoke, she kept staring at Guo Ziyuan and didn't look at Zheng Chongyue and the others at all.

Although Zheng Chongyue and the others also felt that they were superfluous, they really couldn't bear to leave at this moment.

They need to figure out why all this is happening.

With Dean Xie's diagnosis as a guarantee, they naturally believed that Chen Qiangwei had previously suffered from diabetic foot ulcers.

However, Chen Qiangwei's current recovery is enough to prove that her ulcers are almost completely healed.

It was Guo Ziyuan who facilitated the healing of the ulcer.

They were extremely eager to know what had happened and why this was the case.

Even if they are not endocrinologists, they still have this urgent thirst for knowledge.

Guo Ziyuan nodded: "The data from the previous assessment and registration is sufficient, so we won't register it again this time."

"After I write down the instructions for you, you can go back!"

Chen Qiangwei smiled and nodded: "Okay, thank you, Dr. Guo."

After saying this, Chen Qiangwei breathed a slight sigh of relief. Then she turned her head to look at Tan Wenyuan, and after seeing his name clearly, she apologized.

"Dr. Tan, my situation is rather unique."

"So, I'm sorry."

Tan Wenyuan's Adam's apple bobbed for a while before he chuckled sheepishly, "It's nothing, it's nothing. I was just being presumptuous."

"I just thought it was a simple dressing change, and I never imagined it was a dressing change for diabetic foot ulcers."

"Chen Qiangwei, if I may ask again, was your previous ulcer really one centimeter deep?"

"And there are black scabs?"

"And it smells bad?"

Tan Wenyuan didn't dare to give Chen Qiangwei a very professional description, so he could only extract the technical terms.

These symptoms are a thing of the past, and Chen Qiangwei now sees a glimmer of hope, so she doesn't mind Tan Wenyuan continuing to trace back to the past.

Chen Qiangwei used her right thumb and forefinger to gesture: "About this long, and this deep."

"The taste is a bit pungent... I find it disgusting even to myself..."

"My husband and I originally discussed that if it continued like this for another three months, we would just terminate the pregnancy."

"It's not good to keep dragging this on."

"But I didn't expect this?" Chen Qiangwei shifted her gaze to Guo Ziyuan, who was diligently writing in his medical record book.

"I met Dr. Guo, and after he changed my dressing several times, I noticed that the pungent smell of the sore had lessened."

"My husband told me."

"After a few more times... not only did the pungent smell disappear, but even the black scabs decreased..."

Guo Ziyuan had just finished writing down the instructions in the medical record and handed it to Chen Qiangwei: "That's enough."

"Chen Qiangwei, you can go back now."

"Change the dressing again, and then you should consult a hand surgeon. You can make an appointment first."

Guo Ziyuan confessed.

Chen Qiangwei smiled and said, "Thank you, Dr. Guo. My husband and I will go directly to the ward to see someone we know; we won't need to make an appointment."

If it's not a diabetic foot ulcer, it doesn't matter who you go to for dressing changes. Chen Qiangwei would never go to the outpatient dressing room.

Chen Qiangwei was also able to find the head of the endocrinology department to change her medication.

"Then I wish you a speedy recovery."

"After I tidy up here, I need to get back to normal work." Guo Ziyuan turned around to pack up the wound cleaning kit.

"Okay!" Chen Qiangwei knew Guo Ziyuan's rules: "I won't bother you, Dr. Guo."

"I actually arrived quite early today, but I didn't know you were here, Dr. Guo. I didn't want to bother you."

"It's past eight o'clock, and you still haven't entered the control room, so I'm sending you this message now."

Guo Ziyuan nodded calmly.

Chen Qiangwei was just his patient; she came to him to change her dressing, not as a friend or family member.

There's no need to report my job changes to her in real time.

Chen Qiangwei, leaning on her cane, slowly went out the door. She turned back at the doorway.

"Thank you, Dr. Guo! And thank you to all the other doctors as well."

Only after Chen Qiangwei left completely did Tan Wenyuan realize what was happening and took the initiative to help Guo Ziyuan pack the wound cleaning kit.

The two on-duty internal medicine doctors looked at Guo Ziyuan as if they had seen a ghost, their eyes filled with bewilderment.

"Liang Qiwei, Li Wei! Where have you been sitting at your desk?"

Before Guo Ziyuan could even begin answering questions, the voice of Associate Chief Physician Huang Jinmao came from outside, urging him on.

The two hurriedly left the control room, still puzzled.

Guo Ziyuan continued to slowly and methodically tidy up his wound cleaning kit, without offering any explanation.

Zheng Chongyue then took the initiative to ask, "Dr. Guo, was it you who changed the dressings all the way up Chen Qiangwei's diabetic foot ulcer?"

Can changing the dressing heal diabetic foot ulcers?

When Zheng Chongyue stated this conclusion, he vigorously touched the hair on his forehead.

With force, Zheng Chongyue rubbed out at least five hair roots.

But Zheng Chongyue didn't care about the pain of pulling his hair.

Guo Ziyuan looked up: "Director Zheng, to be more precise, it should be said that thorough and appropriate debridement and local puncture to stimulate microcirculation can promote ulcer healing."

"Even without the stimulation of growth factors, some diabetic ulcers can heal!"

Prior to this, Guo Ziyuan, An Yue, and others had drawn rather narrow conclusions.

Thorough and appropriate debridement and local puncture for drug administration are essential to promote the healing of diabetic foot ulcers.

However, Chen Qiangwei did not receive any local puncture medication, and her wound healed completely.

Therefore, the previous conclusion was not rigorous enough.

"Hiss!" Zheng Chongyue started rubbing his hair on his forehead again, this time with a little less force, only breaking three hair roots.

"Dr. Guo, you were working on this in the control room before?"

"So that's why you're so happy you don't want to leave." Zheng Chongyue suddenly understood.

Guo Ziyuan is a surgeon.

Surgeons are bound to have common problems; a surgeon who doesn't want to perform surgery will definitely not be a good surgeon.

Most surgeons prefer surgical procedures.

Where can you find a surgeon like Guo Ziyuan who doesn't even want to easily enter the operating room?

However, if Guo Ziyuan is conducting research on the treatment of diabetic foot ulcers, then it is understandable.

With so many surgeons performing so many surgeries, why do they allow diabetic foot ulcers to proliferate in the world?

Of course it can't be cured!

Guo Ziyuan chose to make a breakthrough in the nature of his work, temporarily setting aside the accumulation of surgical volume.

Even so, it's still incredibly absurd.

Do you think you can just treat diabetic foot ulcers whenever you want?

"This is only part of it." Guo Ziyuan had just finished cleaning the wound pack.

Guo Ziyuan and Ren Tanwenyuan actively placed the wound cleaning kit into the disinfection box and went to the side to wash their hands.

"The main thing is to practice the basic operations," Guo Ziyuan replied calmly.

Because that was Guo Ziyuan's honest answer.

Previously, Guo Ziyuan really didn't understand why his superiors in the department attached so much importance to basic surgical procedures.

Even in his previous life, Guo Ziyuan, having spent so much time in clinical practice, realized the importance of basic skills.

However, their understanding of the importance of basic skills was not as thorough as it is now!

Does China lack skilled surgeons?

There's a high probability that they won't lack it!

Based on the large number of patients, the technical skills of Chinese surgeons are among the best in the world.

Having superior operational skills does not necessarily mean that one's treatment level is also superior.

The effectiveness of a surgical patient's treatment is not only related to the surgical technique, but also strongly related to rehabilitation guidance, intervention with instruments, and the quality of the equipment used.

It is precisely because diabetic foot is currently considered untreatable and there is no standard treatment plan that it is necessary to explore treatment options.

Mastering the fundamentals is the ultimate path to discovering treatment solutions!

It is also the confidence that allows a surgeon to dare to explore.

Zheng Chongyue swallowed a few times: "Then?"

Zheng Chongyue hesitated for a moment before finally saying:

"This could be written into a thesis, right?"

Guo Ziyuan finally smiled and said, "Of course, Professor Zheng, our team has already started this research project, and the animal experiments are currently in the final stages."

Zheng Chongyue finally calmed himself down. His heart was racing and his breathing was becoming more rapid.

"Can you?"

Guo Ziyuan interrupted Zheng Chongyue, saying, "Director Zheng, the shift handover is over. Let's go out so we can see any patients as soon as they arrive."

Guo Ziyuan didn't say the word "cannot" directly, but he implied the meaning.

When I was collecting data in the dressing room, Zheng Chongyue didn't offer to help. When the project started, Zheng Chongyue didn't help either.

Now that clinically cured cases have emerged, Zheng Chongyue asked again if it was possible?

Isn't that ridiculous?

If Guo Ziyuan had any sense left, he would never have said something like, "I can add your name to my name."

Patients with diabetic foot ulcers do not depend on your emergency department.

Zheng Chongyue and Guo Ziyuan went out together. Zheng Chongyue finally couldn't continue to shamelessly plead and asked incredulously, "So, Dr. Guo?"

"Is it possible that at some point in the future, you will officially announce that diabetic foot ulcers are curable?"

"Would you write a paper that completely reverses the treatment endpoint for diabetic foot ulcers?"

Currently, the treatment endpoint for diabetic foot is amputation!

Very few patients will escape this end; it's just a matter of how long it takes.

Zheng Chongyue's voice was quite loud.

Moreover, Li Wei and Liang Qiwei, who had just left the control room, had now finished telling Huang Jinmao what they had seen and heard!

Therefore, Huang Jinmao hesitated for only 0.5 seconds before forcing a smile and coming over.

Good morning, Dr. Guo!

"I just heard from Li Wei and the others that a patient with diabetic foot ulcers came to see you?"

"Did you take any photos?" As an internist, Huang Jinmao knew all too well the importance of the paper.

He knew all too well what kind of shock this would bring to the industry if what Li Wei and others said was true!

Good morning, Director Huang.

"No filming today. Chen Qiangwei changed her medication two days ago, and the data is on file."

"There's no need to film every day," Guo Ziyuan replied.

Huang Jinmao said, "Dr. Guo, could you take a look at me? Perhaps I can give you a detailed assessment of your ulcer."

"so?"

Guo Ziyuan was stunned for a moment after hearing this, but he still remembered Huang Jinmao's "label"!

This Huang Jinmao, although an internist, is not eccentric at all; on the contrary, he is a master of interpersonal skills.

He only acted out of self-interest: "Director Huang, I'm now a doctoral candidate, and I've already taken care of everything you asked me to do."

"Thank you for your kindness!"

Huang Jinmao's eyes darted around a few times before he said, "Dr. Guo isn't familiar with Yishi, is he?"

"Would you like medical records?"

Huang Jinmao's expression was cryptic, and Guo Ziyuan's reply was equally cryptic: "This project was initiated by my teacher, and my mentor, as well as several professors from the Department of Endocrinology, also participated."

"It's highly likely that there's no shortage of cases."

After saying that, Guo Ziyuan looked at Zheng Chongyue: "Director Zheng, it seems that a patient has come in from outside."

Upon hearing this, Zheng Chongyue quickly composed himself and called out, "Tan Wenyuan, prepare to receive the patient!"

Huang Jinmao simply made a hand gesture to Li Wei and the other person.

He continued to approach: "Dr. Guo, if there's anything I can help you with, please let me know."

"No matter what it is, I'll be happy to help."

As an internist, Huang Jinmao knew all too well the benefits of having his name on such a paper.

It will be more effective and more direct than Director Zhou's appreciation!

It could even allow it to sideline Director Zhou Yong!

"Dr. Guo, let me tell you, the medical atmosphere in Yishi is slightly different from that of the Provincial People's Hospital."

"Especially during the communication process with patients." Deputy Director Huang Jinmao was very proactive.

However, Guo Ziyuan immediately gave Huang Jinmao a lesson: "Director Huang, it's time to start work now."

"This is something we can talk about after get off work."

Although Huang Jinmao did not mention that the communication atmosphere among doctors at Yicheng Central Hospital was different from that at the Provincial People's Hospital, Guo Ziyuan was well aware of this.

Huang Jinmao hesitated, his eyes starting to glaze over.

Because he couldn't find any flaws in Guo Ziyuan's character.

He really wanted to squeeze his head in to eat some rice!

But his head was too big, and he only wished he wasn't a chicken...