Chapter 109 You're invincible, so you can do whatever you want?!
Chapter 109 You're invincible, so you can do whatever you want?!
Chapter 109 You're invincible, so you can do whatever you want?!
Guo Ziyuan remained calm and didn't take the conversation seriously.
He wore a mask, his eyes and expression serious, but his reply was perfunctory: "Brother Cao, I'll only say what needs to be said, and I definitely won't say what shouldn't be said in the workplace!"
"Am I not talkative enough?"
Cao Qiongshan wiped his forehead, thought seriously for a moment, and then explained, "Xiao Guo, I didn't mean you can't speak properly."
"I'm talking about you. You can do more work and go out into the control room to see what's going on."
"The directors have given you authorization; you can come out and take a look."
Is Guo Ziyuan unable to speak properly or understand social etiquette?
That's impossible. Once they left the hospital, Xiao Guo was incredibly sensible.
in fact.
In the hospital, Guo Ziyuan's behavior was also a sign of being sensible and having a strong sense of boundaries that made you want to vomit blood!
Guo Ziyuan has such a strong sense of boundaries?
Tell me, won't Guo Ziyuan cause you trouble?
That's definitely not the case.
Instead of causing you trouble, he will actually help you get rid of a lot of problems.
Indeed, Guo Ziyuan's abilities are so strong that Cao Qiongshan is both wary and envious, hoping that Guo Ziyuan can step out of the control room and help him out when he is on duty.
Less meticulous diagnosis leads to greater peace of mind —
Guo Ziyuan then turned his head, smiled and nodded: "Okay, Brother Cao, I'll come out and chat with you guys when things calm down here later."
Seeing the patient present, Cao Qiongshan refrained from saying what he wanted to say.
After carefully examining the patient and Guo Ziyuan, he gripped his phone tightly, turned around, and left!
"Dr. Guo, you're not some kind of academic genius or a prodigy, are you?" The young man thought for a moment and came to this guess.
As a young man, he enjoys seeing young talents.
Even the kind of scenario where someone disregards the age and seniority of others, like a mountain pressing down or a god descending to earth to "lecture" the older generation, is a fantasy etched into the genes of every young person.
"What a coincidence, no, I'm just an ordinary doctor." Guo Ziyuan smiled.
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"I'm going to get the anesthesia now. It will hurt a little. Just bear with it after the first injection," Guo Ziyuan said calmly, trying to reassure her.
"OK."
"Dr. Guo, what did you just do?" the young man asked curiously.
As Guo Ziyuan operated the machine, he said, "It's nothing, I just helped you look at a video."
"Ouch!" The young man winced in pain and instinctively pulled his leg back, but not by much.
Guo Ziyuan had given prior instructions, and he was mentally prepared: "You looked at one scan, and this doctor, who looks older, is thanking you so much?"
"Your skills are really good!"
Guo Ziyuan shook his head: "Everyone has different strengths. For example, you can't beat me at being a doctor."
"But in your line of work, I definitely can't beat you."
"Doctors also have different specialties, and each profession has its own expertise."
"Oh, that's quite impressive. This doctor must be your superior, right?"
"Yes, Dr. Cao is the attending physician. I am a resident physician." Guo Ziyuan nodded.
The young man instantly understood and said, "That means your theory is better than his, but his execution is better than yours."
"So, you can help him watch the movie! Is that right?"
Guo Ziyuan paused for a moment, too lazy to argue with the young man about who was right on this topic: "You're right."
"It's actually quite normal. I just graduated too. In terms of theory, our boss is no match for me; he's only a beginner."
"But when it comes to actual sales tactics, I'm no match for him—"
"However, his approach to generating reports and handling user feedback is not systematic enough; his methods are too haphazard!"
"Especially in handling complaints, there's a lack of systematic techniques."
Well, this young man seems to be a chatterbox.
Guo Ziyuan then asked, "So you're saying that you should be the leader, and your leaders should be your assistants?"
The young man thought about it seriously: "That won't do. We need to judge by performance."
"So, no matter how good your theory is right now, if you haven't accumulated any achievements, you have to follow the rules."
"Otherwise, when you become a leader in the future, if your subordinates don't understand the rules and all think like you now, that would be quite a sight."
The young man was immediately silenced.
He seemed to be seriously considering Guo Ziyuan's words.
I feel like there's nothing wrong with it, but I also feel like something's not quite right.
Why would you speak up for the leaders?
After Guo Ziyuan finished his operation, he actually walked out of the control room.
After all, Qi Hong made the diagnosis himself, and Cao Qiongshan came to thank him personally, so Guo Ziyuan couldn't be too aloof and ignore the follow-up.
However, this time, Cao Qiongshan brought over coffee as soon as Guo Ziyuan arrived at the door.
"Xiao Guo, you're here. I've already bought the coffee, and I was just about to bring it over to you."
Sure enough, the track I was on at Yicheng Central Hospital was packed with people.
Cao Qiongshan and others are no less sensible than I am.
"Brother Cao, thank you."
"How is Brother Qi Hong doing now?" Guo Ziyuan called out to Cao Qiongshan, treating him as one of his own.
"He's out of the operating room now!"
"The aneurysm hasn't ruptured yet; it can be removed and everything will be fine. But if we delay any longer, we don't know what the situation might become."
.
Cao Qiongshan, still somewhat shaken, said, "Thanks, brother."
"My cousin said that when he comes back, he will definitely treat you to a meal in person to thank you."
"I'll organize a get-together then."
This truly is a life-saving grace.
Guo Ziyuan responded with ease: "Brother Cao, it's all fate. Everything is just right. There's no need to be so polite."
Cao Qiongshan rubbed his nose: "When you're not talking about professional matters, you speak quite eloquently, don't you?"
"Why are you so timid and hesitant when it comes to matters of expertise?"
Guo Ziyuan shook his head: "Brother Cao, I really don't want to cause you any trouble. I'm here to learn, not to cause chaos."
Guo Ziyuan had once been a superior, so he was particularly familiar with the mindset of Cao Qiongshan and others.
What are you talking about?
He's just a PhD, isn't he?
If I don't want to pay attention to you, what does it matter to me if you're an academician?
This is the first impression.
If you don't make a good first impression, even if you're very talented later on, I won't ask you to do anything else.
Cao Qiongshan certainly didn't want to have a grandfather in his department right away.
Of course, if you get to know each other well and feel that this brother is worth keeping, then you can talk about things more deeply in the future.
Every interaction requires a catalyst.
Between men and women, there can be fleeting glances and lustful attraction.
Between men, there always needs to be a reason for smoking or eating together.
No two people are destined to become soulmates and share life and death the moment they meet.
Friendships are built through interaction, not by a single glance determining life or death.
That only happens in novels —
"Now that we're here, of course we have to follow the rules set by our older brothers and teachers," Guo Ziyuan said with a slight smile.
Cao Qiongshan then put his arm around Guo Ziyuan and said, "What Xiao Guo said sounds so comforting."
Cao Qiongshan was chatting with his relatives the whole time, so Peng Jingye and resident physician Wu Xianliang were mainly in charge of things in the clinic!
Just then, Peng Jingye brought over another film.
"Xiao Guo, perfect timing! A patient with acute abdominal pain has arrived. They've only had their X-rays done; could you take a look?"
"Our preliminary diagnosis is intestinal perforation —"
Guo Ziyuan took the film and said, "Professor Peng, since you've seen it all, the diagnosis is definitely clear."
"I'll take another look; it's not worth the trouble."
Peng Jingye insisted on handing the film to Guo Ziyuan: "Take a look."
Guo Ziyuan held it in his hand and shook it, then read it carefully: "It's just a perforation in the jejunum, complicated by peritonitis, nothing special."
Although Guo Ziyuan's image reading skills are expert-level, he cannot make any diagnosis out of thin air for the patient.
If diagnosing patients who come to the emergency room is this difficult, then the mortality rate in the emergency department will at least double compared to the current level.
There are no coincidences.
Guo Ziyuan did not provide much of a diagnosis, but he did give a definitive diagnosis, which relieved Peng Jingye's anxiety considerably.
"That's the diagnosis, then I can go into the operating room with peace of mind," Peng Jingye said with a smile.
The emergency department of Yilan Central Hospital has its own surgical procedures.
Appendectomy, intestinal perforation repair, debridement and suturing, abdominal repair, cholecystectomy, and splenectomy are all surgical procedures performed in the emergency surgery department.
Their specialty involves handling more complex acute abdominal conditions, such as splenic rupture repair surgery and hemangioma treatment.
"Has Director Qian gone into the operating room?" Guo Ziyuan asked when he didn't see Qian Shuhang.
"You've been admitted. You had your gallbladder removed. Do you want to go?" Peng Jingye asked, being particularly proactive.
This time, Guo Ziyuan was repeating his diagnosis.
This only means there are no other diagnoses, not that Guo Ziyuan is completely clueless and is just repeating information.
Putting everything else aside, just look at the aneurysm in that special location that Cao Qiongshan's cousin had just mentioned; many people wouldn't even look at that area.
The main field of vision is the pelvic bones and femur. Why would you look at the pelvic cavity?
Looking at the pelvic cavity, there is a plain CT scan of the lower abdomen!
No doctor suspected there was anything wrong there. You see, isn't that just like taking off your pants to fart?
Of course, Guo Ziyuan's ability to see things and break free from such fixed thinking is extraordinary.
"Teacher Peng, I won't go for now. I still need to stay in the control room."
"The control room is quite nice," Guo Ziyuan shook his head.
Cholecystectomy?
I'm not that interested in minor surgeries.
"You little brat—still putting on an act—"
"I don't believe it. I'm going to drag you down with me and see how long you can hold out." Peng Jingye was obsessed with the three-piece suit for men at this moment.
Persuade good people to go into prostitution, persuade prostitutes to leave prostitution —
People who have a sense of boundaries won't cause much trouble!
Peng Jingye was very reassured about Guo Ziyuan.
The emergency surgery department of Yilan Central Hospital operates on a shift system.
For example, if Deputy Director Qian Shuhang is on duty today, then Attending Physician Peng Jingye will be in charge of the surgical observation ward, and Attending Physician Cao Qiongshan will be in charge of the surgical team in the emergency room.
Dr. Xiang Donghua is responsible for the treatment of critically ill surgical patients in the EICU and the management of trauma patients in the observation ward.
The responsibilities and duty areas are clearly defined.
Deputy Director Qian Shuhang oversees all areas, while Director Zhou Yong, at the top, is responsible for saving lives through various difficult rescues and critical surgeries.
It was 3:27 PM.
Guo Ziyuan was walking from the emergency surgery ward to the operating room, passing by the resuscitation room.
A trolley was pushed straight in from the entrance of the emergency department.
The person in charge of pushing the cart was a 120 ambulance doctor, dressed in green.
As they ran, they shouted, "It's an open artery injury! The bleeding didn't stop on the way here, please help stop it!"
"Artery damage!"
As they ran, nurses and nurses immediately followed with first-aid kits on the trolley, heading towards the emergency room.
Guo Ziyuan stopped abruptly, then stood against the wall, giving up his spot.
In the emergency room, Cao Qiongshan was performing a tracheotomy on another patient and couldn't free up his hands at all.
Hearing the sound of wheels rolling at the door, Cao Qiongshan immediately shouted, "Go and call Peng Jingye!"
"Teacher Zeng, come and help me."
Peng Jingye is in the surgical ward.
The patient was a male, and his lower right abdomen and perineum were covered in bloodstains that had dried.
The thick cotton pads and gauze were completely soaked, and blood seeped into the middle layer of the gauze, making it sticky and moist.
Upon seeing this, Guo Ziyuan jumped onto the bed almost without hesitation, bracing himself against the edge.
He didn't even have time to put on gloves.
The muscles of the hypothenar eminence of the left hand immediately tightened and pressed against the proximal end of the femoral artery.
After pressing firmly, Guo Ziyuan said almost without hesitation, "Open the wound pack, give me the hemostat!"
Guo Ziyuan spread his right hand outstretched: "Help me put on a pair of gloves, any gloves will do!"
"Who are you?" Guo Ziyuan's appearance surprised both the accompanying doctor and nurse.
However, the nurse, with her experience, opened the wound cleaning kit and instructed the nurse she brought to remove the glove from Guo Ziyuan's right hand.
Guo Ziyuan didn't reply to the person in the green shirt!
The white coat he was wearing said it all!
This patient is about to die, and even though I'm just an intern, I'm taking action before Peng Jingye arrives and when Cao Qiongshan is unavailable.
It was an emergency evacuation!
Can asking me who I am bring a patient back to life?
The nurse was too slow in opening her gloves, and the senior nurse had already brought over the hemostat.
Guo Ziyuan grabbed it with his right hand, and then directly used hemostats to pry open the gauze layer and cotton pad layer without hesitation!
"No, artery!" The pupils of the woman in green contracted instantly.
There wasn't even time to stop it.
But Guo Ziyuan had already pried it open.
Of course, the expected scene of pools of blood and jets of blood from the arteries did not occur.
A small amount of gurgling blood marked the location of the arterial rupture for Guo Ziyuan!
Guo Ziyuan used the hemostat in his right hand at an extremely tricky angle to enter the patient's skin and subcutaneous tissue. As it slid up and down, it tore open the arterial sheath!
After sensing the location of the arterial rupture, Guo Ziyuan clamped the hemostat three centimeters above the rupture.
Guo Ziyuan's left hand is released!
As he reached for gloves and put them on, he said, "Give me two more hemostats!"
The nurse quickly handed the hemostat to Guo Ziyuan.
Guo Ziyuan only had time to put on the glove for his right hand.
Then he quickly inserted the hemostat into the distal and proximal ends of the ruptured femoral artery.
Two more were already clamped at the near end, but I don't know what the effect was!
All of this sounds slow, but it actually only takes a dozen seconds.
Only fourteen seconds passed from when the man in green asked Guo Ziyuan who he was to when Guo Ziyuan put down three hemostatic forceps!
After doing all that, Guo Ziyuan looked at the patient's lower right abdomen again, and the active bleeding had stopped!
Only residual blood remained.
This means that the bleeding has been effectively stopped.
Guo Ziyuan jumped off the bed and landed on his way to the sink!
"What are you standing there for?"
"Do I really need to give a doctor's order for oxygen therapy, ECG monitoring, vital sign checks, and blood electrolyte tests?"
Cao Qiongshan was actually stunned for a moment after Guo Ziyuan jumped onto the bed, so he didn't pay attention to what he was doing for those ten seconds.
After Guo Ziyuan finished speaking, the nurses and nurses had already taken their places.
Furthermore, the nursing team in the emergency room also gathered around.
Once Cao Qiongshan regained consciousness, he decisively ordered, "Listen to Dr. Guo!"
Just then, Peng Jingye's voice came belatedly from outside the door: "How is the patient?"
Where is the bleeding?
He put on his gloves as he entered the room!
The eyes of the two women in green uniforms beside the emergency bed trembled as they watched Guo Ziyuan, head bowed, slowly and methodically washing his hands.
He looked very casual.
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