Is there no limit to this doctor's skills?

Chapter 190 A trade is like a mountain!

Guo Ziyuan did not choose to eat in the dining room, but walked straight out of the operating room.

Guo Ziyuan knew that although 12:40 was not late, the chicken legs in the operating room's meal room were gone, and the meat dishes were probably all gone too.

I'm too lazy to waste money, I might as well order takeout myself.

After saying goodbye to Li Changhong, the director of hand surgery, Guo Ziyuan went straight to the emergency department.

While Chen Zhemin's surgery was underway, the medical care in the emergency room continued as normal.

When Guo Ziyuan arrived at the emergency room, Ma Xiaocheng happened to wave to the nurses, indicating that the patient could be transferred to the emergency surgery ward.

He turned his head and, seeing Guo Ziyuan return clearly, even the mole between his eyebrows seemed to relax a bit: "Dr. Guo, have you finished the surgery?"

"How is the situation?"

Guo Ziyuan raised his voice and walked to the sink to wash his hands again: "The severed limb has been reattached; all that's left is to wait for the results."

"Illness comes like a landslide, but recovery is like pulling silk from a cocoon."

"Brother Chen still has a lot of hard work to endure in the subsequent functional training."

Ma Xiaocheng is the attending physician in the group. Since Associate Chief Physician Zheng Chongyue is not here at the moment, he is the superior.

Huang Zhuoan, who was undergoing residency training, happened to have something to discuss with Ma Xiaocheng, so Ma Xiaocheng had no choice but to listen to Huang Zhuoan's report first.

He kept nodding as he followed Huang Zhuoan out of the emergency room.

Upon hearing Guo Ziyuan's voice, Yao Tiao, who had been sitting and writing in her notebook at the entrance of the emergency room's rest room, stood up gracefully.

"Dr. Guo, have you eaten yet?"

Girls tend to be more sensitive.

While Ma Xiaocheng was more worried about Chen Zhemin's surgery, she would consider more subtle issues such as whether Guo Ziyuan had eaten.

I just ordered takeout.

"Give me your notebook." Guo Ziyuan was wiping his hands with tissues, preparing for the usual procedure of meeting Yao Tiao.

"Dr. Guo, don't rush!"

"Please eat first."

After Yao Tiao finished speaking, she slightly stepped aside to open the door to the lounge: "There's a CT scan inside, and I think the diagnosis might be slightly off."

"The patient has been taken into the operating room, but I can't be sure."

"Really?" Guo Ziyuan threw the paper towel in his hand into the trash can.

After quickly sitting down, I put down my phone, picked up the mouse, and started scrolling up and down.

Yao Tiao quickly reported a brief medical history: "The patient was admitted to the hospital due to chest pain, with no obvious history of trauma. The current suspicion is myocardial infarction."

"But I think it might not be a simple heart attack."

"The symptoms of a heart attack were simply masking the perforation in the digestive tract."

"During a heart attack, veins in non-vital organs constrict, and the gastric mucosa may experience relative ischemia, potentially leading to functional limitations..."

"She already had chronic gastritis, and I think there might be a perforation here."

"The anterior wall of the stomach!"

Yao Tiao offered her opinion: "Even without a perforation, stomach acid should have seeped into the muscle layer!"

Guo Ziyuan followed Yao Tiao's words and slid the CT scan layers.

Then her eyes flickered, and she said in a pointed tone, "You saw it? Didn't you tell Director Zheng?"

Today is Zheng Chongyue's shift. If Yao Tiao sees a problem but is unsure, she can't tell the specialist, but she can ask Zheng Chongyue to speak on her behalf!

Yao Tiao's momentary grievance vanished, and she said calmly, "Director Zheng went to the ICU to see that 'burn' patient from yesterday."

"I can't read it that quickly."

Yao Tiao looked calmly at Guo Ziyuan, her hands behind her back, seemingly a little nervous.

Because Guo Ziyuan's temperament doesn't give her the handsome and sunny look that is typical of her peers or even her juniors.

That's the kind of "coercive power" only senior doctors possess!

This oppressive aura is absolutely genuine.

Although Yao Tiao didn't understand why Guo Ziyuan had such an aura, that was her most genuine feeling.

Guo Ziyuan suddenly realized something.

Indeed, Yao Tiao is not herself. It is already quite remarkable that Yao Tiao could recognize non-perforated ulcers and signs of impending perforation.

If you expect her to have both precision in reading films and speed, then Yao Tiao might not need to learn from you.

Guo Ziyuan quickly made a phone call: "Director Zheng, this is Guo Ziyuan. I just got back."

"That emergency patient just now had damage to the stomach lining."

"Even after the heart attack is treated, this area still needs to be addressed as needed; otherwise, if it perforates, it will be very troublesome."

Unexpectedly, Zheng Chongyue not only did not reply to Guo Ziyuan, but also got into an argument with someone.

"Not having an amputation is one thing, and function is another; these are two different concepts!"

"Having two legs does not necessarily mean having all the functions of two legs."

"Do you know?" Zheng Chongyue asked in a serious tone.

A stern, middle-aged voice came from the other end: "Without function, what kind of limb preservation is this?"

"How did you become doctors?"

"When he was brought in, his legs were perfectly fine. Now you're telling me he might be disabled?"

Zheng Chongyue instantly lost his temper: "You can't even protect your own people, what the hell are you sending to steal a fire from?!"

The other person paused, then asked, "What do you mean?"

"What do you mean by 'you love what'?!"

"If you really think this is a problem with the quality of our surgery, then you can call whoever you want."

"I don't want to talk to a leader like you at all."

Zheng Chongyue then said, "I'm working right now, so please don't bother me anymore."

"Anyway, that's how it is. The person's vital signs are fine, and the activity of both lower limbs is good."

"But you said he can rejoin the team after being discharged from the hospital? That depends on fate!"

After Zheng Chongyue finished speaking, he turned to Guo Ziyuan and asked, "Hey, Dr. Guo, what did you just say?"

Guo Ziyuan repeated it again.

Zheng Chongyue nodded: "Okay, I'll call the operating room first. I'll tell you about things here when I get here."

"I'm so angry!"

Zheng Chongyue hung up the phone on his own initiative.

Although Guo Ziyuan didn't turn on the speakerphone, Zheng Chongyue's voice was very loud before, so Guo Ziyuan took his ear away.

So Yao Tiao also heard Zheng Chongyue's words.

From the few words she heard, she felt somewhat confused.

I didn't understand the logic.

Will anyone still blame Guo Ziyuan for not doing a good job with the surgery he performed yesterday?

Of course, although Yao Tiao felt very confused at this moment, she did not dare to ask directly, lest Guo Ziyuan feel even more uncomfortable.

……

After hanging up the phone, Guo Ziyuan scanned the patient's CT scan again.

So he nodded: "Let's leave this patient like this for now."

"Yao Tiao, you have a very keen eye for detail; you've made great progress."

At this point, Yao Tiao said, "It's mainly because Dr. Guo summarized it so well!"

"After completing the anatomical structure, we also need to look at the layers. If the structures at different layers can be clarified, CT can actually perform local three-dimensional reconstruction on its own."

"By reorganizing spatial imagination, we can discover the abnormality on her stomach wall."

"Um, my takeout will take a while, can you give me your notebook?" Guo Ziyuan reached out again.

This time, Yao Tiao dared not refuse to give it to her again.

After opening the notebook, she carefully uncapped the blue-black pen and the red pen on her chest and placed them in a convenient position on Guo Ziyuan's right hand.

While Guo Ziyuan was reviewing the notes, Yao Tiao also took the initiative to point out the uncertainties in her own notes.

"Dr. Guo, I have some questions when looking at the bone plane here."

"Generally speaking... the continuity of bones is relatively smooth, but this patient's bone damage is quite clear, yet you say it's not a fracture," Yao Tiao pointed out the specific problem.

"This isn't a problem with your ability to interpret images; it's a lack of basic theoretical knowledge in orthopedics."

"Although, generally speaking, girls' epiphyseal plates close at eighteen and boys' at twenty, there are exceptions."

"Some people will be a little later."

"Although a fracture is defined as a change in the continuity and integrity of the bone, it is also necessary to consider whether there is an external force involved."

"Cartilage doesn't show up on a CT scan. In addition to looking at the bone gaps, you also need to assess whether these gaps are smooth..." Guo Ziyuan explained.

Then he picked up a pen.

After listening, Yao Tiao slowly nodded.

"So... radiologists need to learn more professional theoretical knowledge?"

"That's right!" Guo Ziyuan said.

"Everyone thinks that the radiology department is simple, that you don't have to come into contact with patients or perform surgery, but that's not true."

"Anesthesiologists determine the baseline of a hospital's surgical difficulty level, while radiology determines a hospital's average diagnostic capability."

"A good radiology professor can provide image interpretation consultations for any specialty."

"That knowledge system?"

Guo Ziyuan continued, "So actually I was just taking shortcuts to see some things."

"But you want me to express certain symptoms using absolutely precise medical terminology?"

"My knowledge system is incomplete."

"The orthopedics department is barely okay."

"For example, I can't remember all the diseases that are treated in neurosurgery and thoracic surgery."

"But even if I don't remember everything, I can still take a look at emergency cases."

"Emergency rooms are usually much more direct!"

"Accurate diagnosis of chronic diseases is the real challenge!"

Guo Ziyuan's current national-level skill level lies in only two aspects.

First, it allows for fast viewing of videos.

Secondly, the positioning is accurate.

It's fast and accurate, making it ideal for the emergency department, especially the resuscitation room.

Signs of bleeding, vascular damage, or perforation appear instantly.

But if you want Guo Ziyuan to use a CT scan or MRI to determine the nature of this mass?

Guo Ziyuan could only say goodbye!

It's not that Guo Ziyuan can't see the appearance of many tumors; it's that Guo Ziyuan doesn't understand what diseases these appearances actually represent—it's a theoretical deficiency.

Just then, Zheng Chongyue walked in from outside, cursing and swearing, "Damn it!"

"Now I finally understand why it's like a scholar trying to reason with a soldier—you can't get through to him."

"The limb-saving surgery performed yesterday would be unbelievable even if it were performed at a provincial-level or top-tier teaching hospital, with no professor able to find any problems with it."

"But to Tangyuanchong's superiors, it's become, 'What kind of surgery are you performing?'"

"They can't even save a limb!"

"I really wanted to smash my head against his head right there and then and die together."

"Pah!" Zheng Chongyue spat directly into the trash can in a very inelegant manner.

Upon hearing Zheng Chongyue's words, Guo Ziyuan also clenched his scalp hard.

He calmly said, "Director Zheng, in a way, Tangyuan Chong is lucky to have met such a leader."

"At least he stepped in and stood up for us."

Zheng Chongyue: "That's not how you stand out..."

"If he just asked a question in return, I wouldn't think much of it, and I would feel that he genuinely cares about his subordinates."

"But every sentence is relentless and aggressive."

"They insist that Tangyuan Chong is some kind of 'advanced' or 'outstanding' person! He absolutely cannot fall, he is some kind of role model."

Zheng Chongyue crossed his arms and said, "Damn it, I really want to say this: those heroes who received first-class merit awards are all just lying around doing nothing!"

Guo Ziyuan also knew that Zheng Chongyue was venting his anger on his behalf.

"Alright, that's enough, Director Zheng."

"What is the patient's own mindset?" Guo Ziyuan asked.

"The patient's level of consciousness is generally low, and he is currently in a state of confusion after surviving the ordeal."

"The family didn't say much, it was just about his boss!"

"Like a bastard."

Zheng Chongyue tapped his head: "It's one thing to not understand that different fields are like different worlds, but you also have to be so aggressive and say such harsh things."

I said a few words to him.

"He even tried to lay a hand on me."

"That's just how it is. Even though I don't know how to compete for resources, I can easily ignore all their efforts, right?"

"You can't even protect your own people, what kind of hell are you organizing a firefight?"

"Shh..." Guo Ziyuan immediately made a shushing gesture to Zheng Chongyue.

Zheng Chongyue was certainly not intoxicated.

Zheng Chongyue has a round face and looks very easygoing. He is also the most easygoing associate chief physician in the emergency department.

Compared to Qian Shuhang and Cai Xiongxue, Zheng Chongyue was the least likely deputy director to get into arguments with others.

Even Zheng Chongyue got this angry, so the leader must have been really rude to say that.

Good and evil reside within oneself; right and wrong are determined by others.

"Director Zheng, as long as we have a clear conscience, that's enough."

"We don't want him to develop lower limb dysfunction, do we?"

Guo Ziyuan squinted and recalled, "But that surgery was the limit of what we could do."

"Outsiders may not know, but we ourselves know."

"Forget it, let's not talk about this anymore."

"Dr. Guo, have you eaten?" Zheng Chongyue didn't directly talk about Chen Zhemin's surgery.

"The takeout is on its way," Guo Ziyuan replied.

"I didn't know when you stepped down, so I didn't order anything for you."

"However..." Zheng Chongyue continued, "I had your sister-in-law specially send over something nice."

"High-quality protein, deep-fried bee pupae."

Guo Ziyuan's eyes lit up instantly when he saw it.

Those who know how to eat and appreciate good food know that this stuff is truly a good thing.

The ninth and tenth months of the lunar calendar are the perfect season for eating bee pupae.

When Guo Ziyuan saw Zheng Chongyue bring out a large can, he quickly nodded and said, "Director Zheng, then I won't stand on ceremony."

"Of course, someone sent me a message about Chen Zhemin's surgery."

"Thank you, Dr. Guo."

"To other departments, Chen Zhemin is at most just a colleague or peer in the hospital, but to us, he is our brother in arms."

"The saying 'The rabbit mourns the fox's death' is just hypocrisy." Zheng Chongyue's voice was a little hoarse for a moment.

"I wish Old Li could meet you too."

Zheng Chongyue's last words silenced both Guo Ziyuan and Yao Tiao.

Neither of them knew Lao Li, but Guo Ziyuan knew that Lao Li must be one of Zheng Chongyue's acquaintances.

Perhaps he used to work in the emergency room.

In every hospital, there are medical staff who have been rendered incapacitated by disturbances caused by violence against medical staff!

It's not just one or two people, it's a whole group of people.

Those who are dead may be reported.

However, if you don't have a certain social status and "special status," you don't even qualify to appear online and become news.

"I'll introduce you to Lao Li sometime; he's a very, very interesting person." Zheng Chongyue didn't press the topic any further.

Just then, Zheng Chongyue's phone rang. He stood up and went outside again.

……

Guo Ziyuan's meal arrived. There were patients in the emergency room, but no special patients, so no one disturbed Guo Ziyuan.

Yao Tiao works with Guo Ziyuan and isn't considered an employee of the emergency department. So Yao Tiao doesn't need to be busy.

However, Liu Lingli, the nurse who had been transferred from the operating room to the emergency room, also went to the break room to rest and have lunch after a busy morning.

Liu Lingli's eating posture today was a bit wild.

She didn't even have time to look at Yao Tiao or Guo Ziyuan before she started shoveling rice into her mouth.

It's as if a starving ghost has been reincarnated.

Guo Ziyuan glanced at Liu Lingli, but Liu Lingli acted as if Guo Ziyuan didn't exist and continued eating.

This was quite different from the Liu Lingli that Guo Ziyuan had known before.

This way of eating isn't pretty, but it's also kind of endearingly clumsy.

Guo Ziyuan did not advise Liu Lingli to slow down.

Yao Tiao thoughtfully brought Liu Lingli a bottle of milk, saying, "Little sister, eat slowly."

"Thanks."

"I forgot to eat breakfast today." Liu Lingli had just been transferred to the emergency room, so she thought the atmosphere here was similar to the operating room.

But as soon as she got to work, she was hit with a bang.

If you're not going to eat properly, then don't eat at all.

After eating about half of her meal, Liu Lingli's eating speed began to slow down.

At this moment, she looked at Guo Ziyuan with a little embarrassment: "Dr. Guo, I'm really too hungry."

"It's okay, take your time eating."

"When working in the emergency room, the most important thing is to do what needs to be done quickly when it's time."

"We have to be careful when eating and going to the toilet."

"Otherwise, when things get busy, it might actually fall directly on you." Guo Ziyuan's words weren't exactly elegant, but they reflected the situation that occasionally occurs in the emergency room, ICU, and on the operating table!

The patient here could die at any moment, and you're telling me you need to go take a dump?

Sometimes, you don't even mean it that way.

By the time you realize it, your sphincter has already relaxed before you can react...

Liu Lingli quickly lowered her head and began to eat.

Yao Tiao sat down to the side and began to slowly fill in the gaps in the issues that Guo Ziyuan had pointed out earlier.

The study of medicine is not something that can be accomplished in a day.

The reason people say "the older you get, the more sought-after you become" is because the older you are, the more complete your knowledge base becomes.

They also have a deeper foundation in the technology they have accumulated in the early stages.

From a personal perspective, no matter how talented you are, your skills ten years from now should be better than they were ten years ago.

Geniuses can outshine ordinary people; that can happen in any industry.

At this moment, Yao Tiao has specific knowledge points and gaps in her knowledge system to fill, so she can only wait it out.

Gradually hone your film reading skills and basic film reading theories.

Steel is forged through countless trials.

……

Guo Ziyuan was relatively lucky. After Chen Zhemin's surgery and after Guo Ziyuan finished eating, the emergency room was strangely empty of patients.

The surgical team didn't have it, the surgical team didn't have it either!

So, in one afternoon, Guo Ziyuan played two games and watched four short game videos.

That's how emergency care is; there's no certainty.

The next moment might exhaust you to death, while the previous moment might have kept you busy to the point of exhaustion.

In any case, Guo Ziyuan would leave work on time at six o'clock sharp.

……

However, just as Guo Ziyuan was about to leave work, a middle-aged man carrying a fruit basket walked in.

The middle-aged man was simply dressed, but his eyes were bright.

"Excuse me, are Director Zhou and Dr. Guo here?" he asked politely as he knocked on the door.

"Dr. Guo, someone is looking for you," the nurse playing on her phone at the door quickly said.

She thought it might be a diabetic foot patient who came to see Guo Ziyuan for a "dressing change".

Guo Ziyuan turned his head and asked, "Hello. Are you looking for Dr. Guo?"

"Dr. Guo, I am Tang Yuanchong's father. Thank you."

"I've heard about it too. If it weren't for you, my son would have lost both his legs."

The middle-aged man's smile was forced: "He's still so young. What if both his legs were amputated?"

He didn't go on.

In his eyes, Tangyuan Chong was a damn hero.

He lived for eighteen years, growing from an infant into a boy with a penis.

The youngest son, who is so weak he can't even kill a chicken!

He just happened to join the fire service when he was choosing a career.

Like her eldest daughter, he felt that neither of them had grown up yet.

"Dr. Guo... I brought you some fruit, but I didn't buy this basket outside."

"I picked them myself from the orchard!"

The basket was full of oranges; it seems that December is the season when oranges ripen.

"You're too kind. I appreciate your kindness."

"But this isn't just my achievement, so I'll share it with everyone." Guo Ziyuan picked it up and handed it directly to the nurse at the door.

"They're all for you, Dr. Guo."

"Of course, everyone has one."

"I brought a lot... I'll go to the car and get more..." the middle-aged man said hurriedly.

Guo Ziyuan said, "No need, this is enough."

"It's okay, I can only sell a whole basket for about a hundred yuan, or even less."

"Consider this as a way to quench your thirst."

The middle-aged man's voice was even hoarse: "Dr. Guo, I know that if it weren't for you, my son might have died."

"In my memory, he is still that chubby fat guy."

"I don't know why, but suddenly one day the words 'he will die' appeared in front of me."

In Dad's heart.

The son will never die.

Even when I die, my son should be alive.

Yes, he will live to be a hundred years old, and he will be safe and healthy.

This is the inherent perception of every father.

After a person grows old and reaches a hundred years old, there is nothing that can be done.

But no one would think of an elderly person burying a young person.

……

It took Guo Ziyuan more than twenty minutes to finally take a taxi from the emergency department to the laboratory.

However, what Guo Ziyuan didn't expect was that when he arrived at the laboratory, An Yue had already finished all the experimental subjects for the day.

Right now, she's all alone in the lounge, holding a milk tea and smiling gently.

An Yue is holding the milk tea with both hands.

She sipped her milk tea through the straw in small sips, as if she were enjoying some kind of trophy or a reward.

Speaking of which, this seems to be the first time Guo Ziyuan has seen Anyue drink milk tea.

An Yue heard the door open and turned around in confusion. When she saw Guo Ziyuan, a fleeting look of surprise flashed in her eyes.

Then, a slight frown appeared on his face, and he seemed somewhat surprised: "Dr. Guo?"

"Why are you here again?"

Guo Ziyuan nodded, walked straight in, and turned on all the lights in the lounge.

Guo Ziyuan sat down directly: "Let's talk about the research topic!"