Is there no limit to this doctor's skills?

Chapter 162 An Yue's Scientific Research Capabilities!

Silence fell over the operating room.

Associate Chief Physician Shan Chenchu ​​was in a bad mood; it was written on his forehead and in his eyes.

Nie Yunqi and Peng Lei both realized this, so they didn't dare to interrupt Shan Chenchu's operation!

Nie Yunqi knew even better the real reason why Shan Chenchu ​​was so "active" today.

Shan Chenchu ​​is a person who admires technology. He is a very thoughtful and passionate person.

Nie Yunqi knew that Shan Chenchu ​​went to see Guo Ziyuan not to piggyback on Guo Ziyuan's research projects or to have her name listed on the papers!

Shan Chenchu ​​wanted to bring Guo Ziyuan back to the trauma surgery department to learn techniques for treating diabetic foot ulcers.

Although Shan Chenchu ​​felt that Guo Ziyuan should come to the trauma surgery department, he still needed a proper reason.

It was Shan Chenchu's good intention to have Guo Ziyuan come to the Department of Trauma Surgery to learn surgical techniques.

Shan Chenchu's plan was to let Guo Ziyuan experience the charm of orthopedic surgery and to get him to actively engage in learning fracture surgery...

Once Guo Ziyuan experiences the allure of orthopedic surgery, he will know what is right.

However, Shan Chenchu's original intention was good.

The result, however, was quite different from what he had expected.

After he called Guo Ziyuan to the operating room, he not only failed to let Guo Ziyuan experience the charm of trauma orthopedic surgery!

On the contrary, Guo Ziyuan showed Shan Chenchu ​​the charm of his surgery.

Shan Chenchu ​​wanted to teach Guo Ziyuan.

But Guo Ziyuan's skills are better than yours, how can you teach him?

Do you dare to teach?

How dare the light of a firefly compete with the brilliance of the sun and moon?

Isn't this a reversal of the Heavenly Gang?

……

The light from the shadowless lamp was bright and clear.

The light illuminated the six hands on the operating table without any artifacts.

"Director Shan, are you going to take on the next surgery?" Nie Yunqi asked after Guo Ziyuan left.

Nie Yunqi is the chief physician in the group. Although the chief physician is a subordinate, he still has a certain status and can offer his suggestions when appropriate.

"Why didn't you accept it? Everything was arranged."

"You believe everything Guo Ziyuan says?"

"I never believe in any empty theories or armchair theorizing..."

An hour and a half later.

Associate Chief Physician Shan Chenchu ​​was removed from the operating table. He deftly took off his sterile gloves and picked up his cell phone from the shelf.

Dan Chenchu's voice was frantic as she began to call for help: "Director Chen, we might need to trouble you to come to the operating room..."

The surgery on the operating table is currently paused.

Resident physician Peng Lei stared at Nie Yunqi, who remained calm and composed.

I'm in a strange good mood.

He wasn't gloating!

The current reality is that patients are suffering.

But I've already given my advice, and Guo Ziyuan has already given me pointers, so why won't Associate Chief Physician Shan Chenchu ​​listen?

An associate chief physician is an associate chief physician; what can a junior attending physician do?

After hanging up the phone, Associate Chief Physician Shan Chenchu's belief that practice is more important than theory was shaken once again.

……

[Completing the key procedures of intramedullary nailing for fractures improved the patient's postoperative quality of life, earning 12 skill points.]

Intramedullary nailing is a standard level 3 surgery, and it is quite difficult to perform!

The skill points gained are also quite considerable.

Twelve skill points are hardly a pittance; they're more like a small piece of fat meat.

The key point is that the surgery does not take long.

Of course, once he left the operating room and was sitting on the bus, Guo Ziyuan knew that the reason why the surgery was so fast now was because his basic skills had improved significantly.

If I were to perform an intramedullary nail fixation surgery immediately after regaining my 'strength', it would take at least an hour and a half.

Including surgical turnaround time, it takes at least two and a half hours to complete one intramedullary nail fixation surgery.

12 skill points, 2.5 hours.

Four cleaning and suturing procedures are also part of the 12 skill points.

If there are enough patients requiring debridement and suturing, the mental and physical effort required for debridement and suturing is far less than that required for fracture surgery, even with the same 12 skill points.

I went to the orthopedic operating room, and now it's late.

The bus weaves through the street corners of Yishi, turning left and right...

At eight o'clock in the morning, the city lights are just coming on and pedestrians are bustling about.

There were vendors pushing their stalls, couples in the throes of new love, couples walking their children, and elderly people...

Guo Ziyuan sat by the window, calmly watching everything unfold.

If I could continue being a doctor, that would be quite comfortable.

However, Guo Ziyuan knew that these leisurely days would become increasingly rare as time went on.

As your abilities improve, you will encounter more and more difficult and complicated problems.

In the future, the patients you encounter will have increasingly complex diseases, and the surgeries will take longer and longer.

"Let's cherish Dr. Guo Ziyuan's life and days before he turns thirty."

"After thirty, my mindset might be different."

……

After returning to his rented room, Guo Ziyuan first boiled a kettle of water for himself.

Whether it's the influence of his past life memories or the increasingly cold weather, Guo Ziyuan now prefers a cup of hot tea to coffee.

Guo Ziyuan summarized his experience today and felt that it was quite fulfilling and "meaningful"!

Two dots.

First, the skill points are quite valuable.

In just one day, I gained more than 40 skill points, which is more than I gained in the control room.

Even if you never go into the operating room again, you can still earn about 30 skill points a day.

Such efficiency?

Is it possible to acquire an expert-level skill in just 10 days?

Can you really take a skill from complete novice to 'national master' level in 30 days?

Secondly, my skills have genuinely benefited patients.

This is not just theoretical talk, but a very crucial reminder.

Diagnosis is far more important than procedure.

"Gurgle, gurgle!"

After the water boiled, Guo Ziyuan made himself a cup of tea that was neither too strong nor too weak.

"Buzz!"

My phone just received a notification.

It was a message from Yao Tiao in the radiology department: "Dr. Guo, what time should I report to the department tomorrow morning?"

"Whatever you want." Guo Ziyuan replied simply with two words and then swiped out of Yao Tiao's chat box.

When he opened WeChat, he saw two long messages that An Yue had sent him.

Both messages were sent when Guo Ziyuan went home, put down his phone, and "relaxed."

After coming out of the restroom, Guo Ziyuan only focused on drinking tea.

"Dr. Guo, my thoughts are a bit strange today! While reviewing our basic theories about diabetic foot ulcers, I suddenly discovered a very important issue."

"Since the local microcirculation in diabetic foot is 'blocked,' why is the ulcer area usually circumferential?"

"Based on the anatomical structure of human blood vessels, our human capillary network should be tree-like, right?"

"So, shouldn't the shape of a foot ulcer be branching to better conform to 'anatomical structure'?"

"Or perhaps our understanding of the human body's intricate capillary network is actually not deep enough?"

This is only the first part of An Yue's reply. An Yue himself did not divide it into sections. It was Guo Ziyuan who dissected the meaning in the process.

The second paragraph.

"Through my observations, I found that most patients with diabetic foot ulcers and locally infected ulcers have ring-shaped ulcers."

"So, can we make a bold guess? Is it possible that the anatomical structure of the large arteries and veins in the human body is actually a different system from the anatomical structure of the capillary network?"

"What I mean is that the major arteries and veins are only responsible for transporting and recycling blood."

"Isn't the blood distribution between transport and recycling actually managed by large arteries and veins?"

After reading all this information, Guo Ziyuan didn't know how to reply to her.

An Yue is a smart person; her brain and her intelligence have never been underestimated by Guo Ziyuan.

While An Yue's operational skills were certainly inferior to his own, Guo Ziyuan knew that An Yue's sensitivity to scientific research was something he could not match.

Even with the stat boosted, I still can't catch up to her.

My ability to treat diabetic foot is simply due to the guidance of Anyue's approach, coupled with the top-tier skills of my group of "national-level" experts, which has led to everything I have today.

"The theory behind this conjecture is a bit crude!"

"This doesn't seem to be something our team can thoroughly research."

An Yue's theory has some merit, but to study it thoroughly, it is necessary to reconstruct the anatomical structure.

Reconstructing anatomical structures will, to some extent, overturn existing theories of basic anatomy.

This task is too difficult, even more difficult than treating diabetic foot ulcers!

To prove all of this, the thought process that needs to be organized, even just the ideas themselves, is intricate and complex.

The more fundamental a theory is, the harder it is to overturn.

An Yue replied, "Dr. Guo, the reason I sent you these two messages wasn't to study 'basic anatomy'!"

"I think the human body's circulation system may be a multi-circulatory structure."

"I'm guessing that the large circulation network of arteries and veins and the small circulation network of capillaries in the human body may be able to exist independently."

"Dr. Guo, I wonder if you've thought about this issue."

"Common amputations in orthopedics do not reconnect arteries and veins; after amputation, the arteries and veins are simply ligated to stop bleeding."

"However, after the severed ends are buried, the human remains can still survive normally..."

"If we extrapolate from the pathogenesis of diabetic foot..."

"If the artery and vein cannot be reconnected, the residual limb will experience relative 'blood loss' after amputation, inevitably leading to local ulceration!"

"However, the reality is quite different; the severed ends can survive very well..."

"The current theory is that a large network of capillaries exists between arteries and veins, and even if the main artery is severed, these capillary networks can still serve as nourishing vessels..."

"Doesn't this entire system for nourishing blood vessels operate independently of the arteriovenous circulatory network?"

"Dr. Guo, what do you think?" An Yue's message was very polite.

Guo Ziyuan didn't think much of it at first.

However, An Yue's words immediately prompted Guo Ziyuan to create new regulations on his control panel.

[Basic Theory of Local Circulation Instrument (Proficient 0/0)]

Local circulation device?

As the name suggests, the corresponding device should be a whole-body circulation device.

Or rather, ECMO!

Extracorporeal membrane oxygenation (ECMO) is a high-end life support technology that can temporarily replace cardiopulmonary function. It is mainly used to provide continuous extracorporeal respiration and circulation for patients with severe cardiopulmonary failure in order to maintain their lives.

Based on this theory, could a local circulation device be a "low-end life support technology" that can temporarily replace local blood supply?

This type of circulatory device does not replace the heart and lungs in providing life support to the patient's body; it only provides life support to local organs and cells.

……

Guo Ziyuan held his teacup and slowly took several sips.

Touching his nose, he noticed that An Yue had stopped talking, so he replied, "An Yue, you can continue."

Guo Ziyuan hadn't thought about this before An Yue brought it up.

When An Yue brought it up now, it reminded him of Chi Huanlin's osteomyelitis, which seemed to be caused by a special structure in the local microcirculation.

Its intramedullary blood vessels are independent of the arteriovenous circulatory network.

Even with systemic drug administration, the medication cannot reach the bone marrow!

Is it possible for her situation to be "replicated"?

As expected, An Yue continued to obediently speculate.

When it comes to exploring research topics, Anyue is the expert.

Exploring a topic involves using existing theories to analyze and speculate on unfounded thoughts.

This guess may be right or wrong; you need to verify it yourself.

If the existing theory can make the speculation logically consistent, then it can become a potential research topic.

If existing theories contain logical errors, then this "speculation" is likely wrong, or at least lacks research value...

"Dr. Guo, this is what I think."

"Look, during the treatment of diabetic foot ulcers, we performed local puncture and drug administration."

"However, after we administered the drug, we did not observe any unusual changes when we drew blood from the rabbits intravenously."

"The medicine we gave you is actually a blood clotting factor..."

"This means that the local capillary network of rabbits can absorb local substances on its own."

"Once these substances are absorbed, their distribution throughout the venous system slows down or even stops..."

"That's why I made the above guess."

[Basic Theory of Local Circulation Instrument (Specialization 0/0)]

The new theory on the panel flashed again.

Guo Ziyuan: "..."

"Thumbs up!"

"Dr. An, your logical thinking and theoretical integration abilities are truly exceptional."

"It is an honor to work in the same research group as you."

After sending this message, Guo Ziyuan also felt that he had become a bit realistic.

It's true what they say: no one gets up early for nothing, and they won't sleep if there's something to gain.

This is human nature!

An Yue, on the contrary, became embarrassed first: "Dr. Guo... these are just my guesses."

"It may not be true, but I just thought of it and wanted to share it with everyone."

Guo Ziyuan greatly appreciates An Yue's humility.

An Yue is just an ordinary person. She doesn't have a panel to prove that her theories are true and effective. For her, these theories may just be her alternative research topics.

It might even be forgotten as trash...

An Yue really wanted to make money and also really wanted to prove his value in the research group.

This is a girl who has always worked very hard.

……