Is there no limit to this doctor's skills?

Chapter 198 cannot be copied!

Applying dressings to patients is a simple procedure, but it is quite time-consuming.

This requires arranging the gauze, applying cotton pads, and then applying adhesive tape.

However, even Guo Ziyuan was unaware that Wang Mo turned her head and said, "Xiaolin, let's open a medium-sized wound patch forum."

Wound dressings are specially made wound dressings that you just need to tear open and stick on.

First, it's cheap, only a few dollars a piece.

Second, it is easy to operate.

Third, the patient feels comfortable.

Guo Ziyuan had never heard of such a wound dressing before: "There's such a thing?"

The intern nurse said, "Dr. Guo, Director Zhou just brought him in a few days ago."

"This one seems to be either 6.8 or 6.2 yuan!"

"It's cheaper than gauze and cotton pads."

Guo Ziyuan then asked the patient, "This wound patch costs 6.8 yuan... but it will be more comfortable to wear."

What's your choice?

"It's alright, use it, doctor."

"Someone will reimburse us for this money later." The patient nodded in agreement.

"Doctor, could you give me a few more?"

Guo Ziyuan looked at Xiaolin.

"That won't do, Dr. Guo. We have a lot of patients today, and we don't have enough stock in our warehouse."

"Director Zhou and the head nurse just brought it in; it was originally intended for use by patients in the ward."

"We only prepared two hundred. The boss at that company didn't expect it to sell so well today; he didn't even stock up..."

"Although there is a better one, which is more expensive, costing more than ten yuan, it is also out of stock."

Guo Ziyuan said, "I can't take it back to you; the other patients will need it."

Guo Ziyuan, who came from a later generation, also knew that this kind of wound dressing was very useful, but he couldn't give it to this first patient.

"You can use it again if you need it later."

"Alright then." The patient didn't say anything more.

Guo Ziyuan was pleased to see this.

Technology is advancing, and many things are evolving with the times.

The old-fashioned gauze, cotton pads, and plaster casts will gradually disappear from the historical stage.

Modern dressing changes not only emphasize simplicity but also focus on the patient's comfort.

Winter is actually not so bad; the thick gauze and cotton pads only make it harder to put on and take off clothes.

But in summer, it's actually very hot.

……

Next, Nurse Xiaolin began to organize the wound cleaning kit, while Guo Ziyuan and Wang Mo were responsible for cleaning and suturing the patient's wound.

Control room 3 began to operate frantically.

In less than an hour, Guo Ziyuan and his team treated ten patients.

That doesn't sound like a lot, does it?

But in the adjacent operating room 1, the associate chief physician of hand surgery had only treated one and a half patients.

In operating room 2, only two and a half debridement and suturing procedures were performed.

This is debridement and suturing, a standard hospital procedure, not child's play, not a joke, and not a toy.

Surgery should be performed as it is.

When a patient enters the room, they need to be rinsed, disinfected, and given local anesthesia. Then, the wound needs to be cleaned, sutured, and dressed with sterile dressings.

There are so many steps...

But Guo Ziyuan and Wang Mo were like animals, treating ten patients in just one hour!

This matter even alarmed the head nurse.

She hadn't decided whether to report to Director Zhou Yong first, since it was Guo Ziyuan who performed the surgery.

So she decided to go into the control room herself to take a look.

However, after watching for a while, head nurse Shi Huilan decided to stop watching.

How detailed can she see?

Is she more professional than Wang Mo in the field of debridement and suturing?

Even with more expertise, she couldn't understand Guo Ziyuan's debridement and suturing technique.

Therefore, all she can see is the 'stitched-up appearance'!

Guo Ziyuan's suturing skills are 80% expert level!

Even a hand surgeon would have to shake their head and say that the suturing was excellent if they saw it!

What could be wrong with Cymbidium goeringii?

Since it can't be found, it looks like it was stitched up extremely well!

Well, let Guo Ziyuan be fast if he is.

No matter how miraculous Dr. Guo's abilities were, Shi Huilan no longer felt that anything was amiss.

Guo Ziyuan was so skilled at interpreting medical images that he dominated the entire hospital. The director of the radiology department and professors from the provincial hospital sent people to observe Guo Ziyuan's image interpretation techniques.

So, Guo Ziyuan's suturing can be both fast and good, isn't that very down-to-earth?

"Dr. Guo, thank you for your hard work. I'll send another person over to help you pack up."

"Xiaolin will be in charge of prescribing the equipment for you."

"This way, the turnover can be faster." There are still many patients outside, and Shi Huilan is someone who values ​​practical benefits.

"Thank you, Head Nurse." Guo Ziyuan nodded, feeling quite pleased with himself as he harvested skill points.

One machine operates at three, four, or five points, and one hour is forty-two points!

These skill points are more than all the hemostasis techniques he used to break through the entire operating room.

Moreover, there are still many patients outside.

They are all "technical"!

It would be lucky for them if I performed the procedures for them; no matter how much I profited, it was the patients who benefited!

……

Two hours later, the number of injured patients queuing outside the operating room finally started to decrease.

Guo Ziyuan also slowed down his pace.

Seeing that Wang Mo's expression had become calm to the point of being somewhat self-conscious, he took the initiative to speak: "Wang Mo, do you know the principle behind my previous actions?"

Wang Mo looked up.

Wang Mo is of medium height, and there is a pimple above her right eyebrow. The pimple mark draws a light red line in the air as she shakes her head.

"Sew it up!"

"Don't think that your basic skills aren't strong enough; in fact, the potential for suturing techniques is very high!"

"If you can do it, you can treat other patients who can be debrided directly by suturing without debridement."

"Suturing is your specialty."

Guo Ziyuan offered this advice.

The environment for professional master's degree holders undergoing standardized residency training is essentially the same as that for resident physicians; the surgeries and procedures they can access are extremely limited.

Guo Ziyuan doesn't have much surgical authority right now.

A glint flashed in Wang Mo's eyes, and his lips trembled slightly: "Dr. Guo...you mean, some wound cleanings don't actually need to be done?"

"Can suturing replace wound cleaning?"

Wang Mo's head was a little stiff.

His theory is still limited to the idea that trauma patients need to undergo proper debridement before appropriate suturing.

This is a hospital.

You just hopped one step so gracefully?

Can that be done well?

"Yes, that's pretty much the idea."

"Do you want to learn?" Guo Ziyuan asked Wang Mo.

Guo Ziyuan had his own purpose in asking this question.

Guo Ziyuan certainly knew this technology, but it was something new to him.

Whether a new technology is good or not, and how good it is, is strongly positively correlated with its replicability.

A skill that cannot be learned by others is simply a matter of individual operation.

Only technologies that can be learned can be called medical technologies.

Medical technology can be passed down.

Wang Mo didn't even consider whether she wanted to or not: "Can I learn it?"

His eyes betrayed everything.

If I had Guo Ziyuan's skills, could I beat the master's student who came to Yicheng Central Hospital looking for a job?

Based on Director Zhou Yong's personnel management habits, there is an opportunity.

Originally, Wang Mo was just an undergraduate student, just a regular resident trainee. He never thought he could stay at Yicheng Central Hospital!

For doctors, skill is paramount, and that's true.

But skills are learned.

Professional master's students are highly talented. With teachers guiding and instructing them, their talent is even greater, given the same amount of study time.

Can a resident trainee outperform them?

Therefore, even if they are master's degree holders, they still have to write papers, and the skills of those who are generally trained in standardized residency programs cannot compare with theirs.

Unless someone can accelerate your "learning rate"!

It will help you overtake others on a curve!

"There will be an opportunity, I'll tell you later." Guo Ziyuan certainly couldn't discuss teaching methods with Wang Mo right now.

The patient is still waiting outside.

"Thank you, Brother Guo!"

Wang Mo immediately said, "Brother Guo, I'll treat you to dinner tonight."

Guo Ziyuan lowered his head and continued operating the rhythm: "I won't eat. I have an appointment. I'll still teach you even if you don't treat me to a meal."

"As long as you study diligently."

"Because I've noticed that you've never really thought about coming to learn. Why is that?"

Wang Mo replied in a low voice, "I'm a little sorry, Brother Guo."

Guo Ziyuan: "So, does that mean I owe you something? If I don't ask, you won't take the initiative?"

"You're so shameless!"

Guo Ziyuan used to be just as shy, but he knew that being too shy wasn't good.

In his past life, Guo Ziyuan shed his shyness and became shameless, even fawning over his mentor.

This kind of flattery earned Guo Ziyuan learning opportunities, which allowed him to do very well at Yicheng Central Hospital.

Therefore, Guo Ziyuan knows that learning requires initiative.

A doctor doesn't knock on doors, and a teacher doesn't just happen to be passing by!

Wang Mo lowered her head in shame after being spoken to.

Guo Ziyuan was telling the truth. Guo Ziyuan had been here for so long, and Wang Mo had thought about it many times, but she couldn't let go of her pride.

Wang Mo then explained, "I was afraid you'd find it troublesome, Brother Guo."

Guo Ziyuan: "You've come to ask me, even if I tell you I'm busy, will that hurt your pride or harm you?"

"If you never ask, I can't just come to you on my own, can I?"

"Just now... if you had really gone to the emergency room, I wouldn't have said anything."

Wang Mo felt a little ashamed, and his mental defenses relaxed slightly.

Guo Ziyuan continued, "Secondly, Yao Tiao, a girl!"

"What is she doing?"

"Is it wrong to do it for the sake of studying?"

"You're not trying to kill me, or crawl on me and suck my blood!"

"Okay, Xiaolin... Band-Aid!" Guo Ziyuan called out to Xiaolin beside him after finishing the procedure.

Then Wang Mo was allowed to begin wiping the patient's wound after it was stitched up.

Wang Mo also became more proactive.

Guo Ziyuan is absolutely right.

Even if Guo Ziyuan doesn't tutor Wang Mo, Guo Ziyuan will still be excellent, still be able to eat, and even have more time to rest.

……

In the emergency room.

The rhythm of everything began to slow down.

The number of beds in the emergency room has returned to normal levels.

The number of patients requiring emergency treatment has finally dropped to zero, and the condition of most patients is approaching stability!

Director Liu Yuenan and Associate Chief Physician Liu Yifan of the Department of Internal Medicine chose to leave the emergency room.

They first went to the emergency internal medicine observation ward and asked the doctor on duty if there were any special circumstances.

After receiving a negative answer, the two went to the senior office.

Associate Chief Physician Liu Yifan then began rubbing his face: "Sister! That Dr. Guo has finally stepped into our internal medicine department."

Both Liu Yuenan and Liu Yifan share the surname Liu.

The key point is that Liu Yuenan is only three years older than Liu Yifan.

Therefore, when Liu Yuenan cannot call Liu Yifan "Director Liu", he also calls him "Director Liu Yuenan".

"Yifan, from your own perspective, if you were the one who discovered that patient's jugular veins were distended, could you identify the specific cause?"

Liu Yuenan picked up her cup: "I'm not saying you should find a problem with her auscultation. I'm wondering if you would consider getting a lung CT scan for her?"

Liu Yifan was certainly aware of Liu Yuenan's real problem.

Liu Yuenan's name is Liu Yifan, not his younger brother; it's just Yifan.

"Sis... let's think about this carefully. Was the CT scan even worthwhile?"

"Given the patient's physical signs, could we possibly persuade them to undergo CTA (contrast angiography)?"

"Can you find a reason?" Liu Yifan asked back.

This question left Liu Yuenan speechless.

Narrowing of the blood vessel, not an embolism!

This cannot be seen on CT scans; only CTA can show it!

"There are many causes of jugular vein distension, such as right heart failure, pulmonary hypertension, and valvular stenosis..."

"Sister, so what I mean is..."

"If we can't detect the problem through auscultation, we can't persuade the patient to have a CT scan or CTA."

"We will do a color Doppler ultrasound first."

"We'll consider it a heart problem first, not a lung problem!" Liu Yifan's words were rambling, but his emotions remained stable.

Liu Yifan was neither very angry nor very agitated.

He and Liu Yuenan genuinely just wanted to discuss and review the treatment of this case in order to accumulate their own experience.

Neither of them had discussed it before, but they had already mentally considered it many times.

Clinical medicine is evidence-based medicine.

Ultimately, it depends on your attending physician finding evidence before proceeding with treatment and examination!

Physical examination is evidence-based, and taking a medical history is evidence-based.

Evidence-based and corroborating evidence!

This led to the diagnosis.

Once the diagnosis is confirmed and the cause is identified, appropriate medications and treatments can be selected based on treatment experience.

Liu Yuenan sat down and turned her head to look out the window.

Her tone suddenly became very hesitant, and the topic was abruptly steered to another point: "How old is this Guo Ziyuan this year?"

Liu Yifan: "Twenty-seven, my birthday should have just passed."

Liu Yifan understands Liu Yuenan very well; she is a very strong-willed person.

Liu Yuenan's name is just like her personality; she has always firmly believed that women are not necessarily inferior to men, but can even surpass them!

Liu Yuenan both succeeded and failed.

She surpassed most men her age, not all men.

Similarly, Liu Yuenan knows that there are many outstanding women of her age who are even more outstanding than her and who do better than her.

"It can't be copied, it can't be copied!" Liu Yuenan murmured, shaking her water glass.

I'm starting to have some doubts about life.

Liu Yuenan then looked at Liu Yifan: "There are precedents, precedents that have happened around us, but we still can't replicate them."

Liu Yifan was silent for a while: "Sister, so actually... what limits us in the end is still the basics."

"Physical examination, review of X-ray images."

"It's not a theory, it's not literature."

No matter how much we study the theory, how much we read the literature, or how much we review...

"If we can't hear the unevenness in the lung sounds, we can't replicate it!"

"And not only can we not replicate it, we may never even discover such a situation; we simply treat it as a 'case report'!"

"The essence of strange cases is the curiosity of the ignorant."

"Is that so? Sis, those are your exact words." Liu Yifan's lips trembled slightly.

He was in despair.

Because he knew that there were some things he would never be able to overcome in his lifetime.

For example, the ability to listen to sounds.