Is there no limit to this doctor's skills?

Chapter 187 No Time to Explain!

If Chen Zhemin is not Chen Zhemin, but just another person.

Kuo Tzu-yuan estimated that he couldn't be that "generous"!

Respecting the fate of others is a form of personal cultivation and virtue.

However, Chen Zhemin is, after all, a colleague.

People in the same industry tend to have more empathy for each other.

Guo Ziyuan simply didn't have that much time to waste with Director Li Changhong, so even if Li Changhong disagreed with his participation in the surgery, he could only try to get Li Changhong to leave the operating room by phone.

Let someone else take over his position as the lead surgeon.

The amputation was not a life-threatening situation, so there was no need for Guo Ziyuan to push the surgeon out of his original position in order to save time.

However, since it wasn't urgent, Guo Ziyuan had other ways to get the surgeon who disagreed with him to go elsewhere.

Li Changhong, chief physician and head of the hand surgery department at the Central Hospital, feels like his head has been hit with a super big stick.

He looked at Zhou Yong in astonishment: "Director Zhou, am I experiencing tinnitus or am I hallucinating?"

"Who is this?"

"Where am I?"

"Is this still the Central Hospital?"

If you don't believe me, Director Zhou, I will call someone!

What did Guo Ziyuan say?

What does he mean?

If this happened at your own workplace, and you, as the head of hand surgery, had a colleague in your hospital suffer a limb amputation...

What right does he have to make a phone call?

Who is he going to call?

Is this a reversal of the Heavenly Gang?

"He is Dr. Guo Ziyuan." Zhou Yong was also extremely surprised at this moment.

Previously, Li Changhong definitely wouldn't have known Guo Ziyuan or Zhou Ziyuan.

But the hand surgeons also reported to him about the surgery last night.

Guo Ziyuan helped complete the limb-sparing surgery on both lower limbs, and according to Xie Tongwen, Guo Ziyuan's flap preparation technique was the best Xie Tongwen had ever seen.

none of them!

Xie Tongwen had praised Li Changhong extensively.

This is how Li Changhong came to have some impression of Guo Ziyuan.

Li Changhong: "Has Dr. Guo in your department always been this domineering?"

After Xie Tongwen mentioned Guo Ziyuan, Li Changhong also inquired around the hospital and learned that Guo Ziyuan was originally from the Provincial People's Hospital and was currently working in the emergency department.

But with Guo Ziyuan's domineering style of doing things, is he treating the Central Hospital like the Provincial People's Hospital?

Is it because you're used to being domineering?

I don't know where I am?

Zhou Yong quickly explained, "Director Li, that's not the case at all. Dr. Guo is extremely meticulous and cautious."

"Let me tell you, he usually makes excuses when we ask him to go into the operating room!"

"He was originally working as an assistant in the control room."

"We had to beg him for a long time before he agreed to come to the emergency room."

"Dr. Guo is a very low-key person."

Li Changhong's demeanor changed drastically, and his voice became hoarse: "Did I break some heavenly law or something?"

"Is he targeting me like this?"

"Zhou Yong, what do you mean?"

Li Changhong was almost mentally unstable.

Oh, in your eyes, Guo Ziyuan is a very sensible person.

So, is it my fault that he was arrogant towards me?

Did I do something to offend him?

"Director Li, that's not what I meant. Let's take our time and talk."

"I'll explain it to you in detail..." Zhou Yong put his arm around Li Changhong's shoulder and began to comfort him.

Chen Zhemin was, after all, a person from the emergency department.

Now, we have to make two choices.

Should we trust Guo Ziyuan?

Who do you trust more, Guo Ziyuan or your old friend Li Changhong?

Zhou Yong's plan was not to choose yet; he would first explain to Li Changhong what kind of person Guo Ziyuan was.

Zhou Yong and Li Changhong moved slowly from the emergency department to the changing room of the operating room in the surgical building.

Zhou Yong also finished recounting Guo Ziyuan's actions at the Central Hospital.

Li Changhong, who was sitting down and taking off his shoes, stood up immediately after hearing this: "So, I broke some law?"

"Is Dr. Guo Ziyuan targeting me like this?"

According to Zhou Yong, Guo Ziyuan is a very sensible and well-mannered young man.

Gentle and refined, well-behaved and measured.

When it came to Li Changhong, it suddenly exploded. It must be because Li Changhong offended someone and pushed "Good Rabbit" to the edge.

"Director Li, don't worry."

As the saying goes, "If you don't have the skills, don't take on the job."

"Dr. Guo's sudden tough stance must mean he has something else to rely on."

"I reckon he's really capable."

Li Changhong was also certain of this, but he also felt that he had been wronged: "So you mean I'm just a freeloader?"

Li Changhong threw down the scrub suit she was holding: "Then I'm leaving!"

Zhou Yong pulled Li Changhong back again: "Director Li, you've misunderstood, haven't you?"

"You're the head of hand surgery; Chen Zhemin specifically asked me to beg you to come. How can you leave?"

"Whether Dr. Guo is skilled or not, wouldn't he be completely exposed in front of Director Li's discerning eyes?"

"What I mean is, let's see, just in case?"

"Director Li, on behalf of Chen Zhemin and his entire family, I would like to express my sincere gratitude for your kindness."

Zhou Yong is a cunning old fox, and Li Changhong is not a true ghost story either.

"I don't have a problem with you or Chen Zhemin, I'm just concerned about this Guo Ziyuan?"

"What is he trying to do? Is he trying to defy the heavens?"

Zhou Yong: "Director Li, please bear with me."

When Director Li Changhong and Director Zhou Yong arrived at the operating room, Director Xiao Hongmeng of the Hand Surgery Department was already on the operating table.

Chen Zhemin's surgery was not considered dangerous; it was simply a replantation of a severed limb.

However, the viability of limb replantation and the postoperative function are closely related to the surgeon's skill.

Since it was a work-related injury and the victim was a staff member of the hospital, Director Zhou Yong specifically called in the two directors of the hand surgery department.

However, when they entered, they saw Guo Ziyuan taking Chen Zhemin's severed hand and putting it on the operating table to "operate" on it!

In contrast, Xiao Hongmeng was sitting beside Chen Zhemin on the operating table, looking somewhat idle.

Chen Zhemin immediately went into the operating room to stop the bleeding and bandage the stump.

Debridement was also performed at the same time.

There is nothing else that needs repair.

However, it wasn't Xiao Hongmeng who was dealing with the severed limbs; it was Guo Ziyuan who was doing it, making the scene quite unusual.

However, it seems that Xiao Hongmeng is also helpless about this.

Upon seeing Li Changhong, he quickly stepped forward to report: "Director Li, this Dr. Guo asked Director Liu Han of the Provincial People's Hospital to call me."

"Director Liu Han said that if Dr. Guo Ziyuan were to perform, Director Liu would bear all the consequences."

"Professor Chen Guoan, a senior professor in the Department of Hand Surgery at the Provincial People's Hospital and Director Liu's teacher, also called..."

Li Changhong knew Liu Han from the Hand Surgery Department of the Provincial People's Hospital, and he also knew Chen Guoan.

Professor Chen Guoan was already a prominent figure in the province's hand surgery field when Li Changhong was still a novice in hand surgery.

Li Changhong is now the director of the hand surgery department in a prefecture-level city, while Professor Chen Guoan is getting old.

"What is he trying to do? He's just taking advantage of the fact that he's from the Provincial People's Hospital." Li Changhong stormed toward the equipment table.

However, after getting a short distance from the equipment table, Li Changhong stopped abruptly.

Guo Ziyuan is performing a thrombectomy on a small blood vessel.

Guo Ziyuan, acting irrationally, inserted the thrombectomy device into the severed end of Chen Zhemin's limb, and then pulled out one long strip of arterial and venous thrombus after another.

Guo Ziyuan completely ignored the fact that someone was watching his operation; his attention was entirely on the scrub nurse.

"Give me a sterile cotton pad and open a bottle of saline solution. Prepare heparinized saline solution."

"Hurry, I need to use it as soon as possible!"

After giving his instructions, Guo Ziyuan continued removing the plug.

Upon seeing this, Li Changhong was so shocked that he could hardly speak.

In orthopedics, one indication for amputation is post-traumatic arterial stress-induced large-segment thrombosis.

This is an absolute indication for amputation.

But at this moment, Li Changhong had a misconception that if a hospital performed amputation on such a patient, it would be a disguised form of disregard for human life.

He didn't master the technique, which led to the amputation. He was committing a terrible crime!

After watching for a while, Li Changhong noticed that Guo Ziyuan's back was blocking his view.

After glancing at the sterile operating table, Li Changhong immediately turned around: "Zhou Yong, let's go wash our hands!"

Zhou Yong naturally had to stay with Li Changhong.

Guo Ziyuan must have his reasons for taking the initiative, and he can only choose to believe him.

Similarly, he couldn't let Li Changhong easily oust Guo Ziyuan from the stage.

But if Guo Ziyuan really doesn't have the ability, then Li Changhong will have to personally step in and remove Guo Ziyuan from the operating table.

Because this is a hand surgery procedure.

If Li Changhong judges Guo Ziyuan's technique as inadequate, then even the most powerful person could find a plausible reason to argue against it.

"Director Li, what about Dr. Guo?" Zhou Yong quickly followed Li Changhong, asking.

"I have something in my hand."

"I can understand that. If he didn't have the ability and talent, he wouldn't be so arrogant." Li Changhong suddenly realized something.

Arrogance and conceit are derogatory terms.

However, in reality, most people don't consider arrogance to be a particularly derogatory term.

Only those who fail to be arrogant because of their talent, and instead become arrogant, will be disliked or even humiliated.

Zhou Yong then stopped talking.

After washing her hands, putting on her clothes and gloves, and stepping onto the stage, Li Changhong asked in a low voice, "Dr. Guo, what are we doing now?"

Limb preservation surgery.

Guo Ziyuan only answered part of the question.

After all, I understood all the principles of amputation and limb preservation surgery, and I had been looking at the panel for a long time to figure it out.

He didn't need to say its full name.

Just state your purpose.

"The hand wasn't severed for long, so it can be reattached immediately, right?"

"It shouldn't necrotize," Li Changhong said to Guo Ziyuan using professional terminology.

"The key to successful limb replantation is that it won't necrose!"

Guo Ziyuan glanced at Li Changhong: "Director Li, do you know how to perform neurodecompression?"

"Yes," Li Changhong replied mechanically.

"Then please do it for me," Guo Ziyuan instructed directly.

Li Changhong looked at Chen Zhemin's severed hand: "Where is the stress relieved?"

Guo Ziyuan, who was already giving up his seat, stopped in his tracks upon hearing Li Changhong's words and gave Li Changhong a deep look.

Guo Ziyuan felt that he might be too clumsy.

Limb amputation and salvage surgery is a technique that is not something that modern medicine can routinely understand.

"I'll do it myself."

"Director Zhou, could you please expedite the dialysis machine for me again?"

"A small dialysis machine would be fine, preferably one that can perform arterial and venous blood oxygen exchange."

"We'll borrow it temporarily."

The prerequisite for limb salvage surgery is that the severed limb must be alive; this is crucial.

Chen Zhemin's hand had been severed for some time.

To maintain its activity, the broken ends must first undergo special treatment.

This will take time to process.

More time is needed, so the viability of the severed limb must be maintained first.

This is a concept that does not exist in modern medicine.

However, Kuo Tzu-yuan possesses the theory of microcirculation, so he intends to use the circulatory function of the dialysis machine to maintain blood circulation in the amputated limb.

Ideally, there should be some degree of blood oxygen exchange, so that metabolic waste in the amputated limb can be removed in advance by the dialysis machine, avoiding reperfusion injury.

Incidentally, I also had the nerve decompression done in advance.

To avoid nerve edema after limb replantation, which could lead to further functional impairment.

Replantation of a severed limb can never restore 100% of its function.

In this case, it's about preserving more functions, and more functions at that.

By doing this, Guo Ziyuan can help the severed limb regain more activity and function before it is replanted!

This is something that is difficult for others to understand.

Although Zhou Yong didn't know what Guo Ziyuan was talking about, many things that had happened to Guo Ziyuan were far beyond his comprehension.

This includes Guo Ziyuan's ability to analyze films, and Yao Tiao, the newcomer to the department...

"Please hurry up and check on the nurses, thank you for your help," Zhou Yong said politely to the circulating nurses, his tone gentle.

"We are currently making reassignments. The hospital has a limited number of dialysis machines, and we need to negotiate," said the circulating nurse.

Zhou Yong immediately exploded, saying, "Call the directors of the medical affairs department and the equipment department. Tell them that if the dialysis machine doesn't arrive at the operating room in twenty minutes, Zhou Yong from the emergency department will beat up their whole family."

"Let's fight tonight!"

The circulating nurse, who had been sitting down, was stunned when Zhou Yong suddenly switched from a gentle tone to hysteria.

"I told you to make the call, are you deaf?" Zhou Yong roared.

The circulating nurse quickly stood up and started making a phone call.

She was actually feeling somewhat wronged.

But she knew that it was best not to argue with the head of surgery at this time.

Zhou Yong was in the rage at the time.

Guo Ziyuan glanced at Zhou Yong thoughtfully, and suddenly seemed to understand the essence of why Zhou Yong was so authoritative in the department.

Guo Ziyuan did not try to persuade Zhou Yong.

Each hospital has its own communication style.

In some places, if you don't get angry, some people will embarrass you!

Dialysis machines are relatively limited.

But Guo Ziyuan didn't believe that the entire hospital couldn't spare a single extra machine.

It's 15 now, almost 16, not 05.

Guo Ziyuan said, "Chen Zhemin, the scar on your hand will be longer."

"I'm going to perform a nerve decompression procedure on you."

Chen Zhemin was only under nerve block anesthesia; he was still conscious, but he seemed somewhat listless: "Oh."

However, Guo Ziyuan started operating the system while Chen Zhemin was speaking.

Li Changhong jumped in fright: "Slow down, there's a nerve down there."

"I know." Guo Ziyuan said calmly, slowing down his pace by nearly three percent.

Li Changhong's hands trembled as he took a few steps forward. He even wanted to push his glasses up to see more clearly!

Of course, Li Changhong knew this was on the operating table.

He can't do that.

Therefore, Li Changhong didn't know what action to use to cover up his nervousness.

Guo Ziyuan didn't have time to explain to him, so Li Changhong had no space or opportunity to vent his emotions.