Is there no limit to this doctor's skills?

Chapter 157 Disassembly Surgery!

Emergency room.

The emergency room wasn't as chaotic as it used to be today.

Thanks to God's grace, the beds in the emergency room are neatly arranged.

The bedding on the bed was neatly stacked, in a uniform manner.

The various instruments next to the bed are arranged at neat and uniform angles.

The instrument's plug and even the curvature of its wiring are neat and uniform.

In the office, the two internal medicine doctors and one surgeon all sat in neat and uniform postures.

Four nurses leaned against the wall, each holding a mobile phone, their posture quite neat.

There were no patients, no confusion, no noise, no shouts from family members, no groans from patients, and no arguments among consulting doctors.

It was as quiet as a paradise.

This is the best scenario.

-

That's how it happened. In the rest room of the emergency room, Associate Chief Physician Zheng Chongyue and Professor Ning Sanlong sat facing each other at an angle!

Zheng Chongyue lit a cigarette with his left hand and held a strong teacup in his right, both the teacup and the cigarette butt emitting white smoke.

Ning Sanlong doesn't smoke, and he put down his teacup and began explaining the science in a very knowledgeable tone.

"From the perspective of basic surgical principles, no surgical procedure can be separated from three core elements."

"One involves incision, one involves debridement, and one involves suturing!"

"No matter how things change, the principles remain the same. All surgeries are variations of these three basic procedures..."

"This is also a principle that leading surgeons must follow when promoting the treatment of new diseases."

"Theoretically speaking, the appendectomy performed by Guo Ziyuan is a perfect fusion of three basic skills."

"Incision is exposure; a sharp instrument cuts through the continuous skin, while a vascular clamp bluntly dissects the muscle tissue."

"Advanced cutting skills can make these operations very, very fast!"

"At Peking Union Medical College Hospital, our Director Qiu can expose any organ in the human body within five minutes!"

"He can reach any area except the skull within five minutes."

Upon hearing Ning Sanlong's words, Zheng Chongyue put down his teacup and replied in astonishment, "The retroperitoneum in front of the sacrum can also be accessed through an incision?"

Ning Sanlong stopped talking, revealing his long, slender sternocleidomastoid muscles on his neck, and his jaw was trembling.

It's obvious that Zheng Chongyue is getting stuck on a minor detail.

It's only fun when his boasting is exposed.

Zheng Chongyue quickly tried to smooth things over: "Professor Ning, please continue. I'm sorry to have interrupted your train of thought."

"Of course, another essential skill in our emergency surgery department is hemostasis."

"In principle, we don't have tumors in our emergency surgery department, right?"

"The only patients who can die in our emergency surgery department are those suffering from hemorrhagic shock!"

"Heart rhythm disorders and electrolyte imbalances are things that internal medicine should consider..."

"Therefore, accurate and rapid exposure, and effective and rapid hemostasis are the core skills of our emergency surgery."

"Through Dr. Guo's appendectomy, we can easily see that he actually did this perfectly."

"Let's not talk about debridement."

"Just talking about incision and exposure and hemostasis, Dr. Guo's skills are at least this high..." Ning Sanlong gestured with his hand above his head.

Zheng Chongyue thought for a moment and said, "Dr. Guo encountered a patient with an open vascular injury in the abdomen in our emergency department."

"Dr. Guo did indeed perform the emergency hemostasis procedure at the bedside."

Ning Sanlong slapped the table: "That's why I said he's a promising talent for our emergency department!"

"Why would you go to a brutal department like trauma surgery?"

"What a waste."

What techniques are available in trauma surgery?

Upon hearing this, Zheng Chongyue added, "Professor Ning? Generally speaking..."

"It seems that active bleeding in the pelvis and retroperitoneal hematoma are only manageable by trauma surgeons?"

Ning Sanlong's cheek began to twitch again.

He looked at Zheng Chongyue with a deep, unsettling gaze, his eyes carrying an inexplicable force.

Zheng Chongyue immediately shut his mouth.

Of course, Zheng Chongyue's eyes only darted around twice before he said, "Professor Ning, according to what you're saying, are our emergency department's skills limited to basic skills?"

"Is it enough to just make the incision and stop the bleeding?"

Ning Sanlong immediately raised an eyebrow: "Bullshit!"

"Is aortic dissection surgery initially performed by cardiac surgeons?"

"That was a surgery performed in our emergency department."

"In the field of surgery, was there cardiac surgery at the beginning?"

"Our senior emergency surgeons have mastered aortic dissection surgery and developed a set of procedures!"

"Some of the senior colleagues actually became cardiac surgeons, okay?"

"Intracranial hemorrhage and hematoma in neurosurgery weren't initially caused by neurosurgeons, were they?"

"Would an orthopedic surgeon initially dare to take on a retroperitoneal hematoma or an intrapelvic hematoma like the ones you mentioned?"

"Isn't it because after we standardized our emergency surgery procedures, they took our work and now call it their specialty?"

"If we don't do it enough, we won't have the chance to do it again!"

"Emergency surgery is the birthplace of technology."

"All hospital surgical techniques originate from the emergency department!"

"At that time, there was no concept of emergency surgery and emergency internal medicine."

"This is what the textbook means by saving lives first, then treating illnesses."

"It's a pity that those fascinating days are over, and those pioneering years are over too."

"Now, all that's left for our emergency surgery department is a junk."

"For example, active arterial bleeding, multiple organ damage, multiple injuries..." Ning Sanlong said with great emotion.

It gives one the feeling of being born at the wrong time.

Zheng Chongyue, being a doctor, naturally knew that Associate Professor Ning Sanlong had a point: "Therefore, Professor Ning, the most intense competition in the medical field today is still in elective diseases and chronic diseases."

"Our emergency room is completely full, isn't it?"

Ning Sanlong raised his chin: "Who said I can't be seen as human?"

"Why don't you try summarizing the treatment of retroperitoneal hematoma and active pelvic hematoma into a standard protocol?"

"An elective illness?"

"Even if his life is in danger again, he can still live for a while, right?"

"If your liver ruptures and you can't cure it by the morning, the patient could die right in front of you by the afternoon."

"If your heart ruptures and you can't heal it in half an hour, the patient might just die right before your eyes..."

"However, these diseases are all too extreme."

"Actually, the most amazing technologies are those produced by our emergency department, but they are all extremely difficult."

"Is it possible that we can't even have a preoperative discussion, or develop a detailed surgical plan before the operation like specialists do?"

"Currently, the whole world is preparing for MDT (multi-team collaboration), which is actually to find a glimmer of hope for some extreme diseases."

Ning Sanlong explained fluently: "As technology advances, the injuries we sustain in the emergency department will only become more severe!"

"Go back two hundred years, when there were only horse-drawn carriages, would you have encountered a patient with a burst skull?"

"The tasks that the times have placed on our emergency department are becoming increasingly heavy, difficult, and urgent."

"That's why our emergency department currently acts as a large transfer station..."

"Because here, those who can't be cured simply die."

"Those that can be treated are all transferred to specialist hospitals; they've already taken them all."

"That's why I said Guo Ziyuan is the most suitable candidate for our emergency surgery department. His excellent basic skills should be used to explore a lifeline for all incurable emergencies!"

"Only then can one truly accumulate immeasurable merit!"

"I have to report this to our director."

Zheng Chongyue suddenly said, "Professor Ning, but Dr. Guo is from the Provincial People's Hospital."

"It seems that the Provincial People's Hospital also has an emergency department."

Ning Sanlong's expression froze again.

He finally spoke his mind: "Director Zheng, I don't really enjoy chatting with you."

Zheng Chongyue: "..."

Honest advice is hard to swallow, Professor Ning...

Control room.

There was a problem with the circuit of the circular hanging light at the top, which made the light not very bright.

Symptoms that are only discovered temporarily cannot be treated immediately.

Therefore, artifacts still exist under Guo Ziyuan's hands.

Fortunately, the patient lying in the hospital bed only had a scratch on his calf, and the cut was only five centimeters long.

But this patient was a typical "emergency patient," wishing Guo Ziyuan would treat him immediately.

It would be best to give him an additional 500 yuan for nutrition expenses!

Guo Ziyuan finished dressing the wound.

Guo Ziyuan's voice was cold: "That's enough, the operation is complete."

The patient was a middle-aged man in his fifties, with remarkably shrewd small eyes: "Are you done stitching it up?"

"I'm telling you, you have to sew it up for me."

"You charge such high prices."

Liu Lingli couldn't listen anymore: "Uncle, for this surgery, we didn't charge you for the procedure itself, we only charged you for the medium-sized debridement kit."

"It's not expensive at all!"

There are actually some regulations regarding the cost of wound cleaning and suturing.

Cost of local anesthetic, local anesthesia cost, debridement kit cost, debridement procedure cost.

The cost of anesthesia and wound cleaning kits is something even a miracle worker would have to pay for. Otherwise, the doctor would have to cover it up themselves.

The fees for local anesthesia and debridement are discretionary, as they are performed by a doctor.

The cost of a debridement kit at Yicheng Central Hospital is 112 yuan, and a medium-sized debridement kit should cost 143 yuan!

But Guo Ziyuan was so annoyed by this middle-aged man that he didn't charge the fee.

"Where is the cheapness? You just did a quick and haphazard job and it cost me over a hundred yuan."

"I could eat this for several days straight."

"If I had known, I would have gone to the clinic outside. It would probably have only cost around twenty yuan." The middle-aged man calculated very shrewdly.

Liu Lingli: "Then why aren't you going?"

Would a clinic dare to treat such a large wound just to earn a few dollars?

Even someone as naive as Liu Lingli wouldn't believe it.

The middle-aged man continued, "Doctor, could you bandage it a little thicker so I can..."

Guo Ziyuan refused: "These dressings are disposable; use them only as needed."

"It can't be used next time!"

The middle-aged man said, "I'll use my own things... it's none of your business..."

Guo Ziyuan: "You can use your own, but I can't do that. It's a serious violation of aseptic principles and it's wrong."

The middle-aged man then said, "Then give me ten more packs of these gauze. I want to take them with me."

Hearing how difficult the middle-aged man was, Guo Ziyuan finally couldn't hold back anymore.

"You need to pay me back for the debridement procedure now."

"It cost a little over one hundred and forty yuan in total."

"If you don't pay the fee, I'm going to call the police!" Guo Ziyuan said.

"Then you report it!"

"I have no money, and even if you kill me, I still won't have any."

"I've given all my money to your hospital." The middle-aged man started acting like a scoundrel.

He even tried to steal gauze and cotton pads from the dressing cart.

However, Guo Ziyuan turned around and stopped him.

"Then I'll sign up?"

"Liu Lingli, make a phone call," Guo Ziyuan called out to Liu Lingli.

Liu Lingli quickly picked up the phone.

Upon hearing this, the middle-aged man panicked slightly: "Go ahead and tell them... Do you think I'm afraid of you...?"

"I've already spent the money."

The middle-aged man grumbled as he pulled up his trouser leg: "Honestly, hospitals these days are getting more and more outrageous."

"They only care about money."

"Hospitals are places to treat the sick and save lives, not to rob people."

"Doctors, do you think people who are poor and sick are not entitled to treat you?"

Upon hearing that Liu Lingli had actually made the call, the middle-aged man quickly got up and walked out, saying, "You report it... I'm not afraid."

"Well, I don't have any money anyway."

He swaggered out of the control room.

At this point, Guo Ziyuan said, "Alright, Lingli, hang up!"

Liu Lingli said, "I called the State Security Office."

"They said to come as soon as possible."

Guo Ziyuan took Liu Lingli's phone and said, "Hey, hello, this is the emergency department's control room."

"You don't need to come any further. We encountered a scoundrel and have already sent him away."

"No conflict occurred, right?" The security office staff were quite responsible, mainly because the doctor-patient relationship is a sensitive issue.

"No... I just wanted to get rid of him and didn't want to bother him."

"Thank you for your help," Guo Ziyuan said before hanging up the phone.

Guo Ziyuan returned the phone to Liu Lingli.

Liu Lingli then belatedly realized: "Dr. Guo, you didn't want me to call the police to make him pay the fees, but rather you wanted to make him leave sooner through this action?"

Guo Ziyuan nodded: "This kind of person is obsessed with money. Even if you call the police, they probably won't pay up."

Why bother arguing with such a scumbag?

"Just accept the money for the medicine and the wound cleaning kit; consider it bad luck for us."

Liu Lingli suddenly realized, and smiled faintly: "Dr. Guo, you are so smart."

Guo Ziyuan said he would call the police to force the middle-aged man to pay the fees, but it wasn't really about the money. He was taking advantage of the middle-aged man's reluctance to pay so that he could run away sooner.

If you try to kick them out directly, you probably won't be able to get rid of them!

"That's called flexibility!"

"He's probably secretly pleased with himself. In situations like this, he usually wouldn't report it; he'd just feel like he got a small advantage."

"That's exactly right!"

"Next time... if you encounter someone like this again, don't bring him into the control room before you've seen the complete payment slip."

"I can't be bothered to argue." Guo Ziyuan wasn't on duty in the control room full-time today when this happened, so there was nothing he could do.

If Guo Ziyuan were still in the control room, it would be impossible for such a person to get onto the operating table without paying the full amount.

As Liu Lingli helped Guo Ziyuan pack his wound, she gently asked, "Dr. Guo, but how did I know the patient was this kind of person?"

"This uncle seems alright!"

Liu Lingli's voice was soft, her eyes gentle, and even filled with a sense of admiration.

At the same time, the faint fragrance emanating from Liu Lingli's body wafted through the air.

Guo Ziyuan looked up and thought for a moment: "We can only guess. No one has their labels written on their face."

"If you're interested, you can think about what I did."

"But you'll be an operating room nurse in the future, so you don't need to worry about that."

Collecting payments and identifying patients are also essential skills for doctors in China!

As Guo Ziyuan was speaking, Tan Wenyuan arrived at the door of the control room without anyone noticing.

At this moment, Tan Wenyuan's face was flushed: "Dr. Guo, Director Zhou Minbo and Professor Qu Yaomin from the Radiology Department are looking for you."

"There's also a particularly beautiful woman..."

Guo Ziyuan: "???"

"A beautiful woman?" Guo Ziyuan asked, puzzled.

Upon hearing this, Liu Lingli's ears perked up instantly.

Tan Wenyuan's mouth was dry: "Yes... Dr. Guo, I don't know how to describe her to you."