Chapter 115 The Secret of the Technique Must Not Be Passed Down to Six Ears
Chapter 115 The Secret of the Technique Must Not Be Passed Down to Six Ears
Chapter 115 The Secret of the Law Must Not Be Told to Six Ears
The lighting in the lounge is soft and not glaring, just the right amount of light for relaxation.
Guo Ziyuan remained calm throughout. After watching Director Gan and Zheng Chongyue leave, he slowly sat down.
It was past eight o'clock, and Peng Jingye had also passed his workday.
Peng Jingye secretly gave Guo Ziyuan a thumbs up: "Little Guo, awesome!"
"You're really amazing."
Guo Ziyuan finally breathed a sigh of relief: "Brother Peng, this isn't about how great you are."
"So what if I, Xiao Guo, made a wrong diagnosis today?"
"I didn't argue or make a scene; I just gave my opinion. What's wrong with that?"
"Is it really so wrong to just say something I'm speculating about, that I deserve to be attacked?"
"This Director Gan is clearly upset about something and is taking it out on me."
Guo Ziyuan only discussed the matter at hand.
Emergency room diagnoses are inherently uncertain, and Guo Ziyuan was merely one of the participants in speculative diagnoses.
Besides Guo Ziyuan, Zheng Chongyue and many other consulting doctors also gave their opinions.
Zheng Chongyue chose to believe the diagnosis he gave.
Under these circumstances, Gan Lianyuan's self-criticism was purely to vent his personal emotions; he had completely forgotten about his own thoughts.
Guo Ziyuan is not someone to be trifled with.
Peng Jingye nodded slightly: "Director Gan does have a bad temper, but he really went too far today."
Putting himself in Gan Lianyuan's shoes, Peng Jingye also felt that Gan Lianyuan was making a mountain out of a molehill.
"I'm sorry, Brother Peng, I've caused you trouble." Guo Ziyuan calmed down and began to apologize.
Peng Jingye's pupils immediately contracted, and he quickly waved his hand: "No trouble at all, Xiao Guo, this is no trouble at all."
"To be honest, it's because Director Zheng and I didn't do a good job of persuading Director Gan about what happened today."
Peng Jingye knew Guo Ziyuan all too well what kind of person he was; Guo Ziyuan was unwilling to cause trouble for himself or others.
If this is confirmed, Guo Ziyuan will probably never be willing to help again.
Given Guo Ziyuan's current status, helping is a favor, not helping is his right.
He's just there to assist; he's not responsible for diagnosis or procedures in emergency care.
Guo Ziyuan will not easily change his mind once he has made a promise.
The current diagnostic capabilities have reached the level of national-level specialists, which is probably unparalleled and cannot be replaced by any chief physician.
"Brother Peng, I'm not trying to cause trouble. I'm doing this today just so the teachers will know."
"This is just my opinion; I won't say anything more. It's just my own thought, not advice for the teachers."
"My identity is inappropriate—" Guo Ziyuan stated the unpleasant truth upfront.
Guo Ziyuan is just a resident physician; I hope a few department heads don't come along and start criticizing him.
Guo Ziyuan can't stand this kind of atmosphere, but he can also wait.
It's simply a matter of not scavenging skill points from piles of dead bodies, which Guo Ziyuan can accept calmly.
"It's alright, Xiao Guo."
"Actually, looking back now, Xiao Guo, you were the one who had the better foresight."
"Did you anticipate this situation beforehand, which is why you've been holding back?" Peng Jingye asked seriously, his expression grave.
"It's not about restraint, nor is it a long-term plan; it's simply self-awareness."
"First aid takes time, and all we need is a pillar of support. I don't want to argue with other teachers and waste time."
Guo Ziyuan neither belittled himself nor boasted about himself.
While expert-level image interpretation skills are not easy to obtain, they are available in prefecture-level city hospitals.
If two people are at similar levels and disagree, who will convince whom?
How should we account for wasted time when trying to persuade someone?
The current level is quite different —
Guo Ziyuan absolutely does not believe that his national-level film reading skills are something that anyone can acquire.
"I see—then you've become even more far-sighted, Xiao Guo—" Peng Jingye nodded.
Just then, there was a knock on the door of the lounge.
Liu Lingli, tall and slender, stood timidly at the doorway, her voice clear and melodious: "Dr. Guo, a patient has arrived at the operating room—will you be operating the machine or will Dr. An be doing it?"
"I'll do it—" Guo Ziyuan stood up: "Brother Peng, I'm going to the control room."
"Okay, go ahead, I'll sit here a little longer and then go home." Peng Jingye wasn't in a hurry at the moment.
He is an emergency room doctor and also an emergency surgery doctor.
If there's one capability that's absolutely crucial for the emergency department, it's this:
Needless to say, it definitely has diagnostic capabilities!
In fact, it could be said that for anyone in the medical field, diagnosis comes first.
Regardless of whether you can treat patients or not, as long as your diagnostic skills are exceptional, you are the best person around.
The world is actually a giant makeshift operation, and misdiagnosis is all too common.
Therefore, Peng Jingye wanted to revisit Guo Ziyuan's approach to diagnosing this hepatogenic hematoma to see if he could learn anything from it.
Actually, he wanted to ask Guo Ziyuan for advice.
However, clinical learning should not interfere with the patient's treatment.
In the control room, Liu Lingli stood in the corner, only responsible for preparing anesthetic drugs and opening syringes before going on stage.
An Yue put on examination gloves beforehand and first helped Guo Ziyuan rinse his face, then completed the disinfection.
The simple process of laying out a towel.
Disinfecting and draping is not a specialized skill for surgeons, but a basic ability that all medical students must master.
Once everything was ready, Guo Ziyuan said, "Dr. An, this patient needs local anesthesia. The anesthetic will be administered according to the wound edges."
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"Administer the medication evenly!"
An Yue is not an intern, so Guo Ziyuan only needs to touch on things briefly.
An Yue nodded, picked up the syringe filled with diluted saline solution, and checked for air bubbles.
After confirming everything was correct, An Yue calmly began to administer the injection to the patient, then precisely inserted the needle while simultaneously withdrawing it, each step exactly as taught in the textbook.
It looks like it was done exceptionally well.
But that's just how it appears. After the operation was completed, Guo Ziyuan didn't say anything more and immediately started cleaning, suturing, and other procedures.
Liu Lingli was used to Guo Ziyuan's speed and quality of operation, so she paid no attention to him and instead focused her extra attention on An Yue.
For example, right now, when Liu Lingli sees An Yue's eyes widen as if he's witnessing something unbelievable, she feels very happy, and sure enough, that's the case.
For example, a moment later, when An Yue's gaze shifted elsewhere, away from his operational field of vision and instead focused on Guo Ziyuan's eyes, Liu Lingli would twitch her lips.
As if preparing for battle, his eyeballs darted back and forth in their sockets—
The patient was also a young woman, probably around thirty years old.
She suddenly asked, "Dr. Guo, can my wound be sutured using cosmetic sutures?"
Guo Ziyuan nodded slightly, his suturing technique remaining meticulous: "It's fine—"
"However, cosmetic sutures are more expensive and are not covered by insurance."
"The risk of infection after suturing is slightly higher than with regular suturing."
"After the process is complete, you'll need to sign again."
The woman breathed a sigh of relief: "Dr. Guo, if cosmetic suturing is possible, please do it for me. This is my forearm—"
"If the scar is too big, I won't be able to wear short sleeves anymore."
Women all love beauty.
"Liu Lingli, go to the nurses' station and get a cosmetic suture, 3-0 grade," Guo Ziyuan instructed.
"Okay." Liu Lingli immediately went out.
An Yue held the patient's arm firmly with both hands.
The woman then asked, "Dr. Guo, are these two doctors your assistants?"
"Yes, they were helping me. Debridement and suturing are surgical procedures that cannot be done by one person alone."
"Cut the thread!" Guo Ziyuan said, then instructed An Yue.
An Yue deftly cut the stitches with her right hand. She cut them at a tricky angle, with her right hand fingers at least three centimeters away from Guo Ziyuan. She didn't dare to look away from him.
"Dr. Guo, you're really amazing. You're so young and you're already mentoring students," the woman praised.
Guo Ziyuan chuckled: "This isn't my student. Nurse Liu is a nurse at this hospital; she's my colleague."
"This is also my colleague."
Guo Ziyuan is now a stable employee of the Provincial People's Hospital, but the formal procedures have not yet been completed. He can be referred to as a colleague by Anyue.
An Yue simply explained, "Dr. Guo's skills are better than mine; I learned from him."
An Yue's attitude towards learning and work has never been a problem.
"You're all amazing. You're so young, and you've already started working, and you all have permanent positions, right?" the woman asked, her eyes gleaming.
Neither Guo Ziyuan nor An Yue responded.
"It's still better to have a government job, especially to be a doctor, as you earn more each month."
"It's easy too—" The woman's words became increasingly outrageous.
Guo Ziyuan couldn't hold back any longer: "You think being a doctor is easy?"
The woman said enviously, "Of course! You can go to get off work and leave on time every day, and all you have to do is sit in the office and work."
"No need to be exposed to wind and sun."
Guo Ziyuan didn't argue with her: "From this perspective, it's actually quite easy."
"Aside from a headache and not getting any sleep while on duty, there were a lot of patients, but nothing too serious."
Guo Ziyuan's operation was quick and excellent. After Liu Lingli retrieved the cosmetic sutures, Guo Ziyuan completed the suturing of the outermost layer of the wound in just five or six minutes.
After filling out the medical record, Guo Ziyuan instructed, "Take these materials to the observation ward to be admitted to the hospital."
"You have an open wound, so you'll need to take antibiotics for one to two days."
"Here—write this down: you're requesting cosmetic suturing, and add your name. This is a necessary procedure."
The woman did as instructed, but still complained, "This is such a hassle."
Guo Ziyuan watched her finish writing before he felt relieved: "If you don't request cosmetic suturing, these procedures won't be necessary."
"Go to the hospital quickly. After you leave, just follow the blue lines to find the observation ward."
After the woman left, Guo Ziyuan led his team to start tidying up the control room again.
Actually, Guo Ziyuan could easily clean up the wound with just one cleaning kit, but now that the three of them are crammed together, it feels a bit cramped.
Guo Ziyuan then said, "Dr. An, you only need to perform the local anesthesia, and you can go and rest after you're done."
"I just watched your local anesthesia procedure, and I feel that your control over the puncture depth and angle is still not very precise."
"You can take a good look at the instructional videos I sent you. The core of it all boils down to two words: control."
An Yue replied softly, "It's alright, I'll help you with that too."
"Dr. Guo, you're the most tired, you should go and rest."
Liu Lingli nodded in agreement: "Yes, yes, Dr. Guo, why don't you go and rest? You did most of the procedures, you must be tired."
Deng Xiaokai happened to arrive at the door, his voice trembling with tears: "Liu Lingli, when I used to manage the control room, why didn't anyone ask me if my hands were tired?"
"Didn't the head nurse give me a nursing assistant back then?"
"Did I not follow the correct procedure? I'm going to question the head nurse right now about why she's being so harsh on my assistant."
After Deng Xiaokai finished speaking, he made a gesture as if to turn around.
Liu Lingli blushed slightly and hurriedly explained, "Oh dear, Dr. Deng, you must have been tired before, but I didn't come to the control room before, so I didn't have time to care."
"Everyone's tired, we're all exhausted."
In the emergency department, Liu Lingli's intentions were as obvious as Sima Zhao's.
Similarly, it's clear to everyone that Guo Ziyuan's intentions towards Liu Lingli are as obvious as Sima Zhao's.
It seems I don't have any interest in that area for the time being.
Guo Ziyuan knew Deng Xiaokai was joking, so he said, "Brother Deng, you've come to have coffee with me already?"
"I haven't even ordered yet!"
Guo Ziyuan was actually asking if the emergency room and wards were not busy.
However, the doctors on duty are very averse to the words "not busy" and will use other expressions instead.
Deng Xiaokai understood: "I didn't come here for coffee, Director Cai sent me to find you."
"It seems you can leave now?" Deng Xiaokai didn't understand what it meant to have two beautiful women standing in the control room.
He didn't even care whether Guo Ziyuan had gotten himself into this mess of romantic entanglements.
Guo Ziyuan began to take off his gloves as he walked out, saying, "Liu Lingli, remember to text me if you have any patients later."
"Brother Deng, if you're here because of Director Gan's matter, there's really nothing to say."
Deng Xiaokai is the attending physician in Cai Xiongxue's on-call team. According to the shift schedule, he should be mainly in charge of the emergency surgery ward and the observation ward today.
Deng Xiaokai said, "It was indeed Director Gan who called, asking you to give me some pointers."
Guo Ziyuan shook his head, paused, and waved his hand: "Brother Deng, there's no need to go."
"I can't give you advice."
"I'm just offering advice, just joking around, not giving a final diagnosis, and I have no right to interpret anything!"
Deng Xiaokai knew Guo Ziyuan would say that.
He then turned back and asked, "What if Director Cai and I wanted to know the whole story?"
"So, Xiao Guo, what's the basis for your diagnosis?"
"Could Xiao Guo offer some more suggestions?"
Guo Ziyuan nodded without hesitation and smiled: "That's fine."
"Teacher Cai and Brother Deng are on the same side. They just chat casually and boast a little; it's all inside information that shouldn't be shared with strangers!"
Don't mention any guidance or diagnosis.
Xiao Guo has no confirmed diagnosis, no guidance, only guesses and suggestions.
Don't ask why, that's just how I am.
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