Is there no limit to this doctor's skills?

Chapter 178 The sooner you use it, the sooner you can enjoy it!

Does Guo Ziyuan like clinical work and surgery?

Of course he liked it; otherwise, Guo Ziyuan wouldn't have been so engrossed in surgery after graduating with his master's degree in his previous life, to the point that he was still performing surgeries before he died from exhaustion.

Is there a time when Guo Ziyuan dislikes clinical work and surgery?

Of course there are.

That's a job!

If a person never dislikes their job, then that person is absolutely insane.

Guo Ziyuan sat in the passenger seat, and An Yue sat in the back seat.

An Yue also picked up his phone and started chatting with someone.

Therefore, Guo Ziyuan did not take the initiative to talk to An Yue.

However, An Yue suddenly sent Guo Ziyuan a private message.

"Dr. Guo, I still have some research ideas that I haven't finished discussing with you today. I'll turn them into a document and send them to you later."

"Thank you for taking a moment to look at this."

Guo Ziyuan saw the message and glanced back at Anyue.

He nodded: "It's okay, you can organize it again tomorrow."

An Yue: "That's different. Now that we've said all that, Dr. Guo, it's okay if you don't come to the lab anymore."

"I've said everything I wanted to say in it."

Guo Ziyuan's hands hovered about four centimeters above the phone.

I didn't know what to do for a while.

An Yue's nagging and initiative today are actually a farewell to himself.

Is she going to choose what she likes to do, in her own way?

Did I misunderstand?

Guo Ziyuan is no stranger to dating, so he can certainly understand this.

However, even now, Guo Ziyuan still hasn't figured out one point.

Was I being a bit too harsh on Anyue?

The time I spent with An Yue was the most unrestrained and extreme of my life.

Guo Ziyuan ignored all notions of chivalry, tenderness, or gender.

How can Anyue be returned?

Is this a masochistic tendency?

"Then send it!" Guo Ziyuan replied to An Yue with a message.

Even if the two are less than a meter apart.

At the same time, news from Professor Min Chong also came back.

"Alright, Dr. Guo, this isn't an unreasonable request; it's just that I didn't think it through."

"Dr. Guo, you have a purpose and a mission."

"He's the one seeking medical help!"

"Okay, I'll have him come to Yishi to find you," Min Chong replied readily.

Min Chong wanted Guo Ziyuan to go back to Han City, as a friend of his also had diabetic foot ulcers.

Just then, Chi Huanlin learned that Guo Ziyuan had been cured of diabetic foot ulcers at Yilan Central Hospital.

Given Min Chong's way of thinking, the obvious answer would be to invite Guo Ziyuan back to Han City.

Guo Ziyuan treated Chi Huanlin in Yishi because Chi Huanlin happened to live in Yishi.

Chi Huanlin was ill and it was inconvenient for him to travel.

To ensure Chi Huanlin's well-being, his younger sister and brother-in-law chose to transfer the professor from Han City to Yi City.

Therefore, Min Chong's instinctive thought was to bring Guo Ziyuan back to Han City from Yi City.

Guo Ziyuan said, "Professor Min, you could also have your friend go to my mentor, Professor Ding Xianqi."

Min Chongle replied with a chuckle, "Dr. Guo, we're both in the same profession."

"How can these be the same?"

Guo Ziyuan continued, "Professor Min, then we're just changing the medication."

Min Chong: "Should I have my friend go to the notary office to record a video, where he voluntarily states his name, ID number, and home address?"

"Holding up his household registration booklet, he personally stated that he requested Dr. Guo Ziyuan to treat him, and that he would take full responsibility for the effectiveness of the treatment?"

"Whether it's good or bad, it has nothing to do with Dr. Guo Ziyuan?"

Guo Ziyuan: "That's not the case, Professor Min."

Min Chong is an industry insider; he knows how to put Guo Ziyuan in a state of absolute absolution.

Min Chong: "Dr. Guo, please save a screenshot of the chat I sent you."

"If my friend causes any trouble later, you can come directly to me and I'll cover for you."

"You don't know Min Chong? He's your master. Everyone at your provincial hospital knows him."

"I also have a sense of pride."

"Actually, if this friend weren't close to me, I wouldn't bother with him at all."

"I found him a doctor, and he still dares to give me attitude?"

"This dog doesn't want to live anymore," Min Chong joked.

Min Chong was probably chatting with his friend at the same time, so he sent the other person's personal information to Guo Ziyuan:

"Dr. Guo, this is his name and ID number. The rest of the information has been redacted."

Please forgive me for now.

Guo Ziyuan: "Yao Yaoming? Okay, Professor Min."

"However, we'll have to wait until we see the patient to discuss the specific treatment plan."

"Currently, diabetic foot ulcers are only in the rabbit treatment stage."

Min Chong: "Let me put it this way, Xiao Guo, as long as you can get rid of his stench, he'll be eternally grateful to you."

Professor Min Chong's "begging" manner made Guo Ziyuan feel comfortable.

However, Guo Ziyuan was still not careless.

He chose to report to his mentor, Ding Xianqi, and only felt relieved after learning that Professor Min Chong was indeed quite famous in Han City.

Currently, Huang Zhao, the advisor, is "living" in Yilan City.

He had truly encountered a problem he couldn't handle, and he had a senior advisor in charge.

……

Guo Ziyuan returned home, took a shower, and started scrolling through an old-fashioned short video platform.

It's been 15 years now, and it still hasn't been banned.

Douyin hasn't appeared yet...

At 23:58, Anyue sent two very long documents.

The text alone contains more than five thousand characters.

Is An Yue typing quite fast?

This was Guo Ziyuan's first reaction—

However, before Guo Ziyuan could review Anyue's documents in detail, Professor Min Chong had already compiled some of Yao Yaoming's medical records and sent them over.

"Dr. Guo, this is my friend's detailed medical record, along with photos."

"I had my students organize it, and it should be a convenient format now," Professor Min Chong said.

Guo Ziyuan quickly said, "Thank you for your hard work, Professor Min. Actually, you could have just sent over a few pictures."

Min Chong: "We're all clinicians, so when asking for a consultation, we should be careful to maintain a proper demeanor."

"Dr. Guo, there's no rush. We can see him again tomorrow."

"Okay!" Guo Ziyuan replied, but still not sleepy, he opened the medical record document sent by Min Chong.

The document was longer than the one sent from Anyue, and its contents were more detailed.

However, it's presented in reverse chronological order, so Guo Ziyuan can quickly grasp the key points.

Actually, there's nothing special about it.

Yao Yaoming has two underlying conditions: type 2 diabetes and high cholesterol!

My blood lipids have always been well controlled.

His blood sugar wasn't actually that high, but even without high blood sugar, I don't know why he developed diabetic foot ulcers.

Guo Ziyuan felt that this medical record was a complete waste of Professor Min Chong's students' time.

There's no need to tidy it up so meticulously.

However, internal medicine doctors generally place great importance on medical records.

After this, it was past midnight when Guo Ziyuan opened the document sent by An Yue.

The document sent by Anyue was divided into chapters.

There are six chapters in total.

【diabetes】

Basic Loop

【nerve】

Osteoporosis

Pancreas

Synapse

Apart from osteoporosis, which has some correlation with orthopedics, the other chapters are mostly about endocrinology.

An Yue is an endocrinologist, not an orthopedic surgeon.

"Sigh!" Guo Ziyuan sighed as he looked at the catalog.

Guo Ziyuan did not reply to An Yue's message, then put down his phone and went to sleep.

……

However, Guo Ziyuan hadn't slept for long when he was woken up by the ringing of the phone.

In his dazed state, Guo Ziyuan thought it was dawn.

He quickly sat up and casually pulled open the curtains.

It was pitch black outside the window.

Ok?

Guo Ziyuan then looked at the contact name on his phone: Peng Jingye.

"Teacher Peng." Guo Ziyuan rubbed his slightly sore eyes.

"Guo Ziyuan, I'm sorry to bother you."

"Here's the thing, we just admitted a patient. After examining the patient, Director Qian and Director Zhou both decided that I should give you a call."

"I hope you can come over," Peng Jingye said quickly.

Guo Ziyuan, unsuspecting, asked, "What's the situation now?"

It's normal to request a consultation in an emergency.

Guo Ziyuan has been in Yishi for two months, and Peng Jingye and others have never called to bother him at night.

That's giving them a lot of face.

"We don't know the exact situation yet; the patient fainted after trying to escape from the fire!"

"We had a CT scan and an MRI, but they couldn't find any reason for the coma."

"Blood oxygen and blood pressure are both normal."

"Director Qian and I tried threatening him, saying we'd cut off his brother, but it was completely useless," Peng Jingye said, sounding a bit exasperated.

Guo Ziyuan also felt a bit annoyed after hearing this.

No, is this how the "cut off your brother" scare tactic is used?

That guy last time, he was faking being sick!

Does that mean that every time a test result looks normal, the person is faking illness?

"Okay, I'll be right there. Have you considered a follow-up CT scan?"

Guo Ziyuan overheard that the other party had come out to steal the fire.

"We had a follow-up examination, and we considered the possibility of delayed hematoma, but we still couldn't find anything."

"Now, he fell into a coma without any warning."

"After all, it's all about serving the people, which is why Director Zhou decided to have you come over, Xiao Guo."

"We worked overtime tonight, so it's normal for us to take a day off tomorrow."

"Director Zhou has already spoken to Director Cai," Peng Jingye replied.

"Okay, I'm coming right away," Guo Ziyuan replied immediately.

Immediately afterwards, Guo Ziyuan quickly went into the bathroom, relieved himself, and rubbed his face, not even bothering to brush his teeth.

Taking a taxi in the early morning isn't fast, but Guo Ziyuan couldn't find a faster way.

03:14:09!

When Guo Ziyuan ran into the emergency room, he glanced at the time displayed on the screen.

Guo Ziyuan then immediately went into the lounge and put on a white coat.

Associate Chief Physician Qian Shuhang quickly followed him in; the computers in the break room were all turned on.

"Dr. Guo, could you take a look? Is there anything we might have missed?"

"We have reviewed the patient's abdominal, chest, and head CT scans."

"But we really didn't find any signs that the patient would fall into a coma!" Peng Jingye said.

If a patient is going to fall into a coma, it cannot be due to a small intracranial hematoma.

It would be extremely unprofessional if a comatose intracranial hematoma could not be detected by radiology and specialist doctors.

Guo Ziyuan looked at the patient's CT and MRI scans.

There was no hematoma, no external injury, and no direct symptoms of shock.

Even the respiratory burns commonly seen during firefighting were absent, and there was no dust in the lungs!

"Have you checked your blood oxygen and carbon monoxide levels? Is it possible that you have carbon monoxide poisoning?" Guo Ziyuan suggested after reviewing the results.

"After we detected blood, carbon monoxide poisoning was the first thing we considered."

"But the problem is, the patient showed no signs of carbon monoxide poisoning."

"The blood carboxyhemoglobin (COHb) levels were normal, and we even administered high-concentration oxygen."

"If the patient's poisoning led to cerebral edema and pulmonary edema, there should have been signs of these conditions."

"Dr. Guo, is it a hematoma?"

"The radiologists have been staring at his arachnoid membrane for almost half an hour."

Peng Jingye and others also consulted with the radiology department.

Unexplained coma may indicate a problem with the brainstem.

"It's neither a hemorrhagic stroke nor an ischemic stroke," Guo Ziyuan shook his head.

Although stroke is dangerous, it at least explains the current coma and allows for treatment of the underlying cause.

However, Guo Ziyuan currently shows no signs of stroke.

"Has the patient suffered any other injuries?" Guo Ziyuan asked again.

"I don't know. The patient was unconscious when he arrived. The paramedics who brought him here said there were no external injuries, and his teammates who were with him also said he hadn't suffered any external injuries." Qian Shuhang couldn't guarantee that the patient hadn't been injured.

After all, he was unconscious and unable to speak for himself.

When someone else files a lawsuit on your behalf, it's just that they are acting on your behalf.

"Let's go out and see the patient." Guo Ziyuan couldn't find a reasonable explanation for the moment!

In the emergency room, surgeons and specialists were all gathered together, but they were at a loss.

The patient is lying flat on the bed.

The abdomen and chest were exposed, and the respiratory rhythm of the thoracic cavity was normal.

There was no typical frog-like abdomen with hematoma...

The skin color of the insteps of both legs is normal, and the toenails do not have that 'pale' appearance.

Both lower limbs of the trouser legs were clean, with only sweat stains and no blood stains.

The arrival of Guo Ziyuan and Qian Shuhang did not cause any disturbance among the crowd.

Zhou Yong, the director of the emergency department, also saw Guo Ziyuan, but neither Guo Ziyuan nor Qian Shuhang spoke to him. He knew that Guo Ziyuan didn't know the reason at the moment.

Someone was observing the patient's pupillary light reflex on his head.

"The pupils are still the same size and round as before."

Zhou Yong quickly asked, "Has the patient's high potassium level come down?"

One of the nurses quickly said, "We haven't seen the test results yet, please urge them."

The cardiologist stated, "Currently, the main cause of the coma is likely electrolyte imbalance."

"But this is so strange."

No one was willing to perform physical examinations on patients anymore, so Guo Ziyuan decisively launched a frenzied "attack" on his basic physical examination techniques.

What the patient needs now is a diagnosis.

Since imaging diagnosis cannot provide any "inspiration," then we can only rely on basic physical examinations.

Guo Ziyuan is an orthopedic surgeon, and he instinctively started by examining the lower limbs, which no one else seemed to care about.

However, as soon as Guo Ziyuan's hands touched the patient's lower legs, he sensed something was wrong.

Damn, why does it feel a bit hard?

Guo Ziyuan pressed harder, but the patient's lower limb muscles remained stiff.

Seeing this, Guo Ziyuan touched the patient's hands.

The muscles in the hand are normal and soft.

Sensing this abnormality, Guo Ziyuan's heart clenched suddenly—

Could it be?

Guo Ziyuan's heart trembled, and then, with a slightly trembling voice, he said to Qian Shuhang, "Director Qian, get me a knife."

Although Qian Shuhang did not know what Guo Ziyuan was going to do.

But Xiao Guo has always been very sensible.

Therefore, Qian Shuhang handed the knife from the curved plate to Guo Ziyuan without hesitation.

Guo Ziyuan picked it up and made a cut on the side of the patient's right calf.

The skin was torn, but the flesh remained intact.

The subcutaneous fat liquefied, and the muscle, which should have been bright red, now looked like whitish cooked meat; it did not bloom.

Non-direct contact persistent burns!

The meat was cooked through; in fact, because the heat lasted long enough, the blood vessels didn't even have time to react, so there wasn't that burn-like redness...

Tears welled up in Guo Ziyuan's eyes and slid down his cheeks.

I looked at the young man.

Definitely less than twenty.

They're all cooked!

That must hurt so much!

"Send him to the operating room!" Guo Ziyuan's voice suddenly broke down, and he roared hoarsely.