diymy Chapter 116 Please call me Guo Caicai!
Chapter 116 Please call me Guo Caicai!
Chapter 116 Please call me Guo Caicai!
Inside the control room, the overhead lights were bright.
Liu Lingli and An Yue had finished tidying up the workbench.
An Yue sat quietly on a round steel stool, his hands in the pockets of his white coat, his eyes narrowed, as if he were thinking about something.
Liu Lingli sat down and started playing on her phone.
Sending messages one minute, scrolling through Weibo the next.
After getting really bored, she finally asked, "Dr. An, has Dr. Guo always been like this?"
"He doesn't seem to like causing trouble."
An Yue's eyelids immediately flickered, and his tone softened, losing its previous coldness: "Are you asking me?"
"Yes, Dr. An, you should be more familiar with Dr. Guo, right?"
Liu Lingli also put away her phone and, like An Yue, put her hands in her pockets.
An Yue shook his head calmly: "I'm not very familiar with Dr. Guo."
"But Dr. Guo probably doesn't like to cause trouble."
Liu Lingli's eyes lit up, and she beamed as she leaned closer to Anyue, asking, "Really?"
"What do you mean, really?" An Yue tilted his head slightly.
Liu Lingli wasn't stupid, and quickly waved her hand: "It's nothing, it's nothing, Sister An—where are you from?"
'
"I'm also from Hubei Province ————"
Cai Xiongxue walked into the emergency surgery ward, holding paper towels in both hands.
Cai Xiongxue was in his forties, but he looked only about twenty-seven or twenty-eight. He was fair-skinned, chubby, and of medium height, somewhat like a handsome young man.
Deng Xiaokai, sporting a large beard, said, "Director Cai, Xiao Guo is here."
Cai Xiongxue mimed a basketball shooting motion, precisely tossing the crumpled paper into the trash can: "Xiao Guo, did I disturb you?"
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Tsai Hsiung-hsueh is meticulous and considerate of Kuo Tzu-yuan's feelings.
"No, no, Teacher Cai—"
"Teacher Cai took the initiative to smooth things over and help clear up the misunderstanding. I'm the one who troubled you, Teacher Cai."
Guo Ziyuan stood up with a smile on his face.
Deng Xiaokai glanced at Guo Ziyuan, then narrowed his eyes slightly, concealing his gaze.
"Xiao Guo, you're really smart!"
"While you don't need to be afraid of anyone, there's no need to make enemies either."
"Since you've called me Teacher Cai, I can't just stand by and watch you get into a conflict with someone."
"I took this upon myself to decide on this matter." Cai Xiongxue was very good at getting along with people and took the responsibility upon himself.
"Let's get back to the basics. This morning's patient was Brother Zheng's uncle."
"I've also seen his scans; the hematoma is very obvious."
"However, Xiao Guo, how did you determine that it was of hepatic origin, and not spleen or intestinal origin?"
Guo Ziyuan answered directly: "It depends on the direction of blood flow."
Deng Xiaokai felt like he'd been hit by Mars: "What the hell?"
"That is, the direction of blood flow and the location of the hematoma are relatively fixed, but the direction of blood flow, although not fixed, still has a general direction."
"We can see on the scans that these hematomas radiate outwards from the liver," Guo Ziyuan said, showing the CT scan images.
Cai Xiongxue had already approached Guo Ziyuan, watching Guo Ziyuan slide the mouse: "Is it really that obvious?"
Guo Ziyuan knew that he and Cai Xiongxue, whose film viewing skills were not at the national level, could not explain it clearly.
Guo Ziyuan is not a professor in the Department of Radiology, nor does he want to teach him at a level beyond his own: "That's why I said that's just my guess, Professor Cai."
Deng Xiaokai's expression froze, his skin so hard it looked like he was about to bite off his beard: "Is that really a valid guess?"
"Are the CT scans we're looking at the same type?"
CT scan is not color Doppler ultrasound.
If it's a color Doppler ultrasound, you can see the direction of hematoma flow, which is instantaneous and continuous, and Deng Xiaokai can still believe that.
A CT scan captures the state at a single, instantaneous moment.
Guo Ziyuan said nonchalantly, "That's just my guess!"
"The hematoma is clearly located in the retroperitoneal region, and its center point is also clearly defined, roughly in the retrohepatic space and the lower left side of the liver —"
"Hematoma in this location can only originate from these few sources —"
While Guo Ziyuan cannot teach at the national level, he can demonstrate his expert-level film analysis skills to Cai Xiongxue and others.
In the department, Guo Ziyuan knew that both Director Zhou Yong and Deputy Director Qian Shuhang were experts in the field of image interpretation.
Therefore, even if Cai Xiongxue's level is not yet at the expert level, his diagnostic and image interpretation thinking is actually guided by this level!
Medicine is a discipline that relies on inheritance.
Your teacher's diagnosis, thought patterns, and operating habits will most likely determine or even influence your lifelong habits.
Guo Ziyuan said something, but it was as if he hadn't said anything at all.
"That's how it is." Guo Ziyuan's tone and expression were completely harmless.
Do not ask!
Asking is just guessing.
You don't have to believe it.
You can also believe that I am just Guo Ziyuan, a resident physician named Guo Ziyuan.
I'm not here as a god descending to earth, nor am I trying to prove that I'm better than you.
If you tell me to guess, I'll guess; if you don't tell me to guess, I won't guess.
The initiative is in your hands. I can just be a tool, and it's your freedom to use me as a tool or not.
Guo Ziyuan believes that only this kind of entry method is the most seamless and without any trace of Photoshop.
In a prefecture-level city hospital, you don't need to use absolute theories to convince others; you just need to convince them, and they will believe you.
As for what profound theories they are, or whether they are just guesses, they don't care.
The result is what matters; such thorough logic is unnecessary.
It doesn't matter if he didn't win. Guo Ziyuan wasn't even in the emergency room. If he wanted to talk big in the emergency room and grind skill points by sending people to their deaths every day, he could just wait in the provincial hospital.
"Okay!"
"Thank you, Xiao Guo." Cai Xiongxue didn't feel that he had been given any profound knowledge, and he didn't dislike Guo Ziyuan at all.
"It's alright, Teacher Cai, I'm glad I didn't cause you any trouble."
"I'm going to the control room first."
After saying that, Guo Ziyuan was about to turn around.
But after taking a few steps, as Guo Ziyuan approached the door, he turned back and said, "Teacher Cai."
"If Director Gan comes to the emergency department again later, please tell him."
"Although the clinic is a special place, speaking out is not illegal, and junior doctors also have the right to offer appropriate advice."
.
"Whether superiors or teachers adopt our suggestions or not is ultimately up to the teachers. What we subordinates fear most is saying the wrong thing."
"But what I'm least afraid of is saying the wrong thing."
"Okay!" Cai Xiongxue nodded in agreement.
After Guo Ziyuan left, Deng Xiaokai felt that Gan Lianyuan had gone a bit too far: "Director Cai, this Director Gan is also something else."
"She has such a bad temper."
Cai Xiongxue: "Director Gan of the hepatobiliary surgery department is usually in a bad mood. He must have taken the wrong medicine today."
"But no matter what, his anger towards Xiao Guo was somewhat driven by personal emotions."
"People like Xiao Guo have very high standards when it comes to their words and actions."
"The key is to avoid causing trouble!"
Deng Xiaokai: "Who dares to say that Xiao Guo is causing trouble?"
"I told him at 8:40 that he could stay in the control room at 8:42 and not come out."
"With Guo's excellent fundamentals, why is he determined to stay in that control room?"
"Does Director Qian have the ability to get rid of him?" Deng Xiaokai wondered.
Qian Shuhang's skills are also very strong; he previously won a third prize in the province.
Although it was only a third prize, it wasn't bad.
There are so many provincial and municipal hospitals in the province, and so many associate chief physicians, but only thirty people can win the award.
In the entire Yilan Central Hospital, there are only two or three young deputy directors who can receive this honor!
They are absolutely outstanding.
"On what grounds does Director Qian have to expel him?"
"Does Director Qian intend to stay in the control room every day?" Cai Xiongxue's face twitched.
"It's the patients' good fortune that Xiao Guo can stay in the operating room."
"Besides Director Qian and Director Zhou, whose basic operational skills are better than his?"
Deng Xiaokai suddenly had a wicked idea: "It would be great if Xiao Guo could go into the operating room."
Deng Xiaokai seemed eager to see Guo's performance fall short of expectations.
It's a little quirk.
Half an hour later, Gan Lianyuan came out of the operating room.
The surgery wasn't completely over, but his procedure was finished; the subsequent procedures could be handed over to the next level of doctors.
After leaving the operating room, Gan Lianyuan headed straight for the operating room.
Upon learning that Guo Ziyuan had been called away, Gan Lianyuan rushed to the emergency room.
At this moment, Guo Ziyuan stood with his hands behind his back, not looking at the patient, but staring intently at an X-ray film, from top to bottom and from left to right, his eyes narrowed.
After watching for a while, Guo Ziyuan put down the film: "Director Cai, personally, I don't think there's anything special about it."
Cai Xiongxue breathed a sigh of relief: "The patient is in a coma due to non-hemorrhagic shock!"
"Director Huang, this should be a disease classified as internal medicine in your department."
Director Huang's real name is Huang Jinmao. He came over immediately when the patient was brought into the emergency room: "The patient's condition is a bit strange right now."
"If there's no surgical blood loss, then we can only wait for other results."
This is a non-traumatic patient, but intra-abdominal bleeding is not limited to traumatic patients.
"Please have a consultation with the neurology and neurosurgery departments," Director Huang immediately instructed the attending physician in the internal medicine department.
"I've already asked, Director Huang," replied Dr. Guo Lili.
The patient was wheeled to the internal medicine emergency room area.
"Xiao Guo—the film." A nurse gestured for Guo Ziyuan to return the film.
Guo Ziyuan said softly, "I'll go over and take another look. I feel like something's not right, but I can't quite put my finger on it."
"It's not easy to guess."
Guo Ziyuan had a gut feeling.
However, plain radiographs are not CT scans, and they provide very little information.
Guo Ziyuan's words instantly made Huang Jinmao and Cai Xiongxue a little nervous.
Cai Xiongxue went even further, saying, "Xiao Guo, you can just say what you want to say."
Guo Ziyuan speaks very little, but every word he says is accompanied by his achievements, almost 100%.
A fracture in trauma surgery, Peng Jingye's cousin, and Zheng Chongyue's uncle.
"It's hard to say for now," Guo Ziyuan shook his head. "The patient's condition is a bit strange."
"Do I need to get a CT scan?"
"We'll make arrangements right away." Cai Xiongxue also guessed that the information provided by the lead might be too limited.
Upon hearing this, Guo Ziyuan suddenly had a flash of inspiration.
Why does it feel a bit strange?
One of the biggest problems in medicine is that it is extremely difficult to ascertain that everything is normal for patients who come to the clinic.
Guo Ziyuan would instinctively believe that patients came with illness.
Therefore, he would first look for various symptoms, without considering that the patient was in a normal state.
For example, pretending to be "unconscious"!
Thinking of this, Guo Ziyuan suddenly asked, "Director Huang, could you help me check the patient's age?"
"Twenty-three years old."
"Born in 93." Huang Jinmao has already taken on patients.
"Check if his phone has a fingerprint unlock. Unlock it and call the family directly to say you need to send it to the morgue for cremation in an hour."
Guo Ziyuan said, "Or—call his parents and ask if they would be willing to donate his body, since his situation is a bit special."
"I've been learning anatomy lately —"
"Especially the anatomy of the lower abdomen."
"Professor Huang, as you know, I am a urologist, and I am particularly interested in testicles."
"When it's sliced, it should be—"
"Buzz!~"
Halfway through Guo Ziyuan's sentence, the patient who had been unconscious suddenly stood up on the spot.
Before they even had time to put on their shoes, they started disassembling all the equipment on their bodies.
Then he rolled out of bed and ran away as fast as a rabbit.
This scene left everyone speechless.
to be honest-
Guo Ziyuan's words were a bit outrageous, involving both cremation and some kind of genital dissection, which was already somewhat convoluted.
Suddenly, the patient, who had been unconscious, "came back to life" and then ran away on the spot, which made things even more puzzling.
There wasn't even time to stop them.
The patient ran out the door, and only then did everyone realize what had happened.
Huang Jinmao's eyes widened instantly, and he took a long, sharp breath: "This young man is really ruthless to himself."
"When they were drawing blood and establishing an intravenous line, he didn't move at all."
Another nurse said, "Director Huang, he didn't pay."
"Don't worry, medical treatment is now done under real names. He's faking illness, there's no way he can get away with it."
After realizing it was a farce, the nurse on duty said, "His phone isn't gone—he should be back."
"Hurry up and tidy up, and write down all the expenses in detail!"
Hospitals are not places to joke around. You can't just pretend to be unconscious when you come in and run out unharmed and then ignore the cost.
"That's it?"
"Xiao Guo, your medical skills are truly amazing." Cai Xiongxue and the others had encountered people faking illness before.
However, there are almost never cases like today where patients are scared away on the spot.
Gan Lianyuan had just finished watching the exciting climax and was both surprised and impressed. He quickly asked, "Dr. Guo, how did you tell that the patient was faking his illness?"
Guo Ziyuan originally wanted to explain to Huang Jinmao and the others.
But upon hearing Gan Lianyuan's voice, he, who always insisted on immediate payment, immediately changed his mind.
"Oh, me? I was just talking nonsense, I was just guessing."
"Anyway, the patient is unconscious and can't hear what I'm saying!"
"Director Cai."
Guo Ziyuan specifically asked Cai Xiongxue, "Even if I'm wrong, you wouldn't complain to the patient, much less to my teacher, would you?"
Cai Xiongxue realized that Guo Ziyuan was deliberately targeting Gan Lianyuan.
But at this moment, he chose to stand with Guo Ziyuan: "Xiao Guo, you're joking—"
Gan Lianyuan's expression instantly hardened; he knew that Guo Ziyuan was referring to him.
Although I'm just Xiao Guo, I still have teachers, you know!