Is there no limit to this doctor's skills?
Chapter 176 A Fake Act?!
Chapter 175 A Fake Act?!
Neither Guo Ziyuan's master settled in Yishi nor his parents came to Yishi to find him, nor did it affect his clinical work.
The research was slightly delayed, but because An Yue was there full-time, it only meant that we were missing a few days of rabbit models.
11 month 27 day.
Cloudy then cleared up.
The morning sun was nowhere to be seen, and the sky was a hazy gray.
Guo Ziyuan had an umbrella in his backpack, but it seemed he didn't need it when he got off the bus.
At 7:20, Guo Ziyuan was taken into the emergency room!
Yao Tiao seemed to have a good grasp of Guo Ziyuan's daily work schedule, as she always arrived earlier than him.
"Dr. Guo, breakfast is ready, and I've also organized my film review notes from the past few days."
"I'd appreciate it if you could help me fill in the gaps in my knowledge." Yao Tiao followed Guo Ziyuan very decisively, focusing more on reporting her professional expertise.
Having already noticed that Guo Ziyuan was more sensitive to people's feelings, Yao Tiao didn't bother to put any effort into it!
This is also a way of catering to their preferences.
Guo Ziyuan went straight into the lounge.
The doctors on duty in the internal medicine and surgery teams were all busy, so only Liu Lingli, who had also arrived early, was in the break room.
Liu Lingli changed her breakfast spot.
After Guo Ziyuan entered the room, he casually opened the nearest breakfast; the other one was definitely for Yao Tiao.
As Guo Ziyuan began to eat his steamed bun, he opened the large A4 notebook that Yao Tiao had put down, turned to the latest page, and started working quickly.
At the same time, Guo Ziyuan picked up a red pen with his right hand.
As Guo Ziyuan read, he circled or underlined things. By the time he finished eating, he had marked six places.
"Go back and take a good look at the basic principles of imaging in these places, but don't overanalyze them."
"You've put in a lot of effort on everything else!"
"You need to let the doctors in this hospital be responsible for analyzing their diagnostic reasoning."
"Only by verifying each other's existence can we improve our diagnostic thinking."
"Secondly, I've now realized that my film viewing experience also has certain limitations."
"It's more suitable for emergency cases; it's not actually that precise for elective cases."
"It's still difficult to evaluate based on the nature of the infection and the specific type of the tumor."
"If you get the pathology results or the type of bacteria causing the local infection, you can also organize them. I'd like to study them in more depth as well."
Guo Ziyuan frankly admitted his shortcomings.
His rapid diagnosis tends to focus on whether there is a hematoma, bleeding, or edema.
If an emergency patient exhibits these signs, they can be treated immediately.
However, if the patient is an elective patient, such as someone with a chronic infection.
Asking Guo Ziyuan to determine what kind of bacterial infection this is is nonsense!
However, different imaging features can also be distinguished based on the type of infection to see if a characteristic summary of some infection types can be made.
For example, pulmonary tuberculosis is a very typical example.
But if you ask what's so special about small bacterial foci in the lungs, where does Guo Ziyuan have any reason to argue?
"Okay, Dr. Guo!" Yao Tiao already knew that Guo Ziyuan was a very professional radiologist.
A skilled doctor is more likely to identify shortcomings and will also find ways to make up for them.
This is scientific research!
These are the steps that can advance the level of imaging diagnostic technology!
……
Liu Lingli only began to speak formally after Guo Ziyuan and Yao Tiao finished chatting and Yao Tiao picked up her notebook and left.
"Dr. Guo, are you free this weekend?"
"There's a new movie out, I don't think anyone's invited you to see it, right?" Liu Lingli said directly, revealing her plans.
Guo Ziyuan thought about it very seriously. In his memory, the last time he went to see a movie was a long time ago.
"That works too..."
Guo Ziyuan didn't hesitate to invite Yao Tiao to join them.
However, after hearing Guo Ziyuan's answer, Yao Tiao suddenly turned her head and glanced at Guo Ziyuan.
"Then I'll buy the tickets, Dr. Guo."
"Let's set it for 7:30 pm on Saturday, so we can go out for dinner together." Liu Lingli had even calculated the time perfectly.
Guo Ziyuan will definitely learn skills in the emergency room, operating room, and surgical room!
Work starts at 8 AM and ends at 6 PM, without fail.
"Hmm...okay!" Since this didn't affect Guo Ziyuan's normal time for collecting skill points, Guo Ziyuan agreed.
After Liu Lingli readily agreed, she went to buy the tickets.
Following that, more and more doctors entered the break room to eat breakfast...
Just after eight o'clock, Guo Ziyuan, as usual, came out of the rest room and took over the shift with Peng Jingye and others, officially taking over the surgical team in the emergency room.
The patient who was in the emergency room when Guo Ziyuan was admitted has been transferred to the surgery department. At this moment, the internal medicine team is in the process of making arrangements to take over.
Since the patient was not considered particularly difficult to treat, even when Associate Chief Physician Xu Helin, who was on duty, saw Guo Ziyuan, he simply smiled at him.
Guo Ziyuan thought he wouldn't be disturbed.
Unexpectedly, a middle-aged woman knocked on the door of the emergency room.
Her voice was clear and direct: "Excuse me, is Dr. Guo Ziyuan here?"
Upon hearing the sound, most people turned their gaze in that direction.
A nurse rushed forward: "Hello, may I ask who you are? What's wrong?"
The person who came was well-dressed, and did not appear to be rescuing a patient.
However, her walking posture was a little abnormal, so the nurse who received her did not take it lightly.
When the nurse greeted him, she also noticed Guo Ziyuan's expression.
Guo Ziyuan did not recognize the person who came.
"I'm here to see Dr. Guo Ziyuan..."
"I have an ulcer on my foot." The visitor was quick-witted and spoke fluently.
Upon hearing this, the nurse immediately realized what was happening and turned around: "Dr. Guo, they've come to see you."
"It's probably a diabetic foot ulcer."
Guo Ziyuan examined the visitor very carefully and was certain that this was not a patient he had treated before.
But Guo Ziyuan still stood up and walked towards the nurse who had led the woman in: "Hello, I am Dr. Guo Ziyuan."
"Where is your foot ulcer? Let me see?"
The woman found a stool to sit on and began to take off her socks.
The nurse, very professionally, quickly pulled the curtain closed.
The woman had just opened the socks when she immediately smelled a rather peculiar odor.
Then, it could be seen that the dorsum of her right foot was black, purple, red, and swollen...
Inside the ulcer, the tendon can even be seen to have deformed.
"How long has it been?" Guo Ziyuan asked, putting on an extra mask.
Although it may not be of much use, every extra layer is a good one.
The woman quickly replied, "Mine has been here for about three years. It wasn't this big at first; it was only the size of a thumb, and very shallow."
"Now?"
"The doctors all advised me to have my leg amputated."
"Dr. Guo, you can cure him, right? Chen Qiangwei said you can definitely cure him."
The woman's words made Guo Ziyuan, who was about to make a move, withdraw his hand.
Guo Ziyuan looked at the woman seriously: "Is that what Chen Qiangwei told you?"
The woman's clothing was appropriate, and the material was not cheap.
She was also wearing a mask, and her eyebrows were thin. She looked to be around forty years old, but she was very well-maintained.
She has a full figure, but no belly fat...
"Dr. Guo, Chen Qiangwei and I are sisters. I begged her for a long time before she told me that you could cure diabetic foot." The woman's eyes were full of longing.
She and Chen Qiangwei were certainly not friends.
Although diabetic foot is related to sugar, it doesn't mean that just because someone has diabetes, several people will get it at the same time.
However, the woman felt that by saying this, Guo Ziyuan would realize that she was an acquaintance.
"Then you may have misunderstood Chen Qiangwei's meaning."
"I don't know how to treat it." Guo Ziyuan was too lazy to even lift a finger.
affim.
It can be cured.
What the hell is this vocabulary?
The visitor's expectations were too high!
There is no systematic treatment plan for diabetic foot ulcers, nor has it been approved by an expert committee.
It is not yet suitable as a treatment option for clinical use.
Of course, if the person coming is just there to "change the medicine," then Guo Ziyuan can certainly "change" him!
Diabetic foot ulcers cannot be advertised to patients under the guise of "treatment," but they can be managed by changing medications.
But now, Guo Ziyuan is too lazy to even tell the woman when he needs to change his dressing.
"That's not right, Dr. Guo, you're the one who cured Chen Qiangwei, aren't you?" the woman asked, puzzled.
"Chen Qiangwei's ulcer healed on its own; I just changed her dressing."
"I don't know why she got better!"
Chen Qiangwei's healing was truly beyond Guo Ziyuan's expectations, but it is also a special subtype or special "disease progression" of diabetic foot that he, An Yue, and his advisor Huang Zhao are discussing!
"That can't be right, Dr. Guo!"
"Are you trying to refuse to see me?" The woman seemed to be quite knowledgeable about medicine.
You can even find such a professional term as "refusal to treat".
"This is the emergency room, not the outpatient clinic, not the endocrinology department."
"After exiting the outpatient department, turn left; the registration area is in the lobby!"
"Please do as you wish." If a woman talks like this, Guo Ziyuan would find it very easy to chat with.
The woman panicked when she saw that Guo Ziyuan wanted to send her away: "Dr. Guo, I didn't mean it that way."
"I really came here to see you for a medical consultation."
"Please help me, I beg you, I've looked at so many places." Of course, the woman didn't choose to leave immediately.
"I want to help, but I can't!"
"You said you've been to so many places, and that so many directors and professors have helped you."
"You've come to the wrong place." Guo Ziyuan was still probing the woman's bottom line.
If you need to change the medication, that's fine; Guo Ziyuan can help.
Need treatment?
No.
Guo Ziyuan can offer no guarantees or treatment for this disease, which is currently considered incurable by the industry; he can only provide assistance by changing the medication.
This is the rule.
Even if Guo Ziyuan possesses this skill, he cannot challenge the absolute rules face-to-face.
Because the risk is very high.
Treatment options for diabetic foot have emerged and been recognized in clinical practice, even if the cure rate is only 10%.
If you cause harm, the rules will cover for you, and you won't be held responsible.
But without a treatment plan, even if you only have a 10% failure rate, what happens when those 10% of patients come to you for help?
Hehe.
Medicine is not something that can be done simply because it is not prohibited by law.
If it is not permitted by law, it is not allowed; it is best not to do it.
You might be fine if no one bothers you, but if a patient causes you trouble, you could even ruin your career!
These are not things that Guo Ziyuan needs to take bold risks for.
It doesn't exist in the industry right now; they don't recognize it!
Even if your peers want to endorse you, they can't find a reason to do so.
You said you could treat cranial replantation.
Why don't you go get it treated?
Nobody's paying attention to you!
If you cause any problems with your treatment, your colleagues will only think you're an idiot!
"Dr. Guo, Chen Qiangwei and I are really friends," the woman said.
We're not sisters anymore.
"I really don't know how to treat patients. I only changed Chen Qiangwei's dressings a few times, and she got better on her own." Guo Ziyuan felt that the patient might not understand medical procedures.
So he's already making it clear!
Please don't make me get treatment.
You want me to change my medication!
You want me to change my medication, okay?
Do you understand?
Since doctors don't knock on doors, Guo Ziyuan couldn't give any clear hints.
"Dr. Guo...please, take a look at me, prescribe some medicine, I'll prescribe whatever is expensive!" The woman's eyes were sincere, and she had the look of someone who didn't care about money.
Guo Ziyuan shook his head again: "No."
"This isn't about money..."
"I won't treat it."
You've got the wrong person.
The woman's expression immediately turned annoyed...
The atmosphere seemed to be freezing.
At this moment, Yao Tiao suddenly came to the simple examination room with a knowing look: "Sister, Dr. Guo doesn't treat diabetic foot; he can only change the dressing for diabetic foot ulcers."
Whether or not a good replacement can be made is a matter of personal fate.
"This is not Dr. Guo's treatment plan."
"Currently, there is no treatment for diabetic foot, so no one can cure it, and it's impossible for anyone to claim they can..."
"I can't say either!"
"How about we change the medication first?"
"If you have a friend, you can go back and have a detailed talk with her about what happened next."
"It's just a matter of changing the medication."
The woman blinked, confused. "Only changing the dressing? No cure?"
"But Chen Qiangwei was cured by Dr. Guo, wasn't she?"
Yao Tiao continued, "Your friend recovered on her own. Dr. Guo only changed her dressings, and that's all he could do."
Whether it gets better or not depends on one's own fate!
"This disease is incurable!"
"No one will claim they can cure it!"
"Unless amputation."
"So you can only say you're here to see Dr. Guo to change your dressing, not that you're here to see Dr. Guo for treatment."
"Your expectation cannot be to be cured."
The woman then uttered a series of "oh oh oh" sounds.
She wasn't stupid: "Dr. Guo, could you please change my dressing?"
Guo Ziyuan glanced at Yao Tiao and nodded: "Changing the dressing is fine."
"But let me make it clear beforehand, it's just a change of dressing!"
Guo Ziyuan is not a top professor, not an expert, and does not hold a senior professional title.
It's not his place to start clinical trials without reporting them!
He wasn't given the necessary permissions.
The advisor and the master are acceptable, but Guo Ziyuan is not!
Of course, if the medication was changed properly, no one will hold Guo Ziyuan accountable!
Are you going to pursue this matter?
What law was violated by changing the dressing?
The patient is cured, so go ahead and cut off her leg!
"Okay, let's change the dressing." The woman finally understood.
She was still confused: "Dr. Guo, why are you making things so confusing?"
Guo Ziyuan heard this and was originally planning to go get the dressing kit.
But then he turned around, went to the computer, and created a new template.
Instructions for dressing changes in diabetic foot ulcers!
Immediately afterwards, Guo Ziyuan clearly stated the purpose of changing the medication in the notification form.
There were nearly nine items listed in total.
The general idea is that there is no guarantee of effectiveness; this is definitely not a treatment.
Guo Ziyuan said, "Please sign here. After you sign and pay, we can start changing the dressing."
Chen Qiangwei's diabetic foot ulcer was cured, and she was the first person to spread the word about it.
Chen Qiangwei did nothing wrong; she was simply sharing her treatment experience.
The woman's intentions were not wrong.
But Guo Ziyuan can only pretend to be in a play, not take it seriously!
Getting a junior professional title is such a pain.
I need to find a way to get a senior professional title as soon as possible.
Guo Ziyuan's brows began to furrow deeply!
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