RBCT Chapter 127 Taking the Initiative!
Chapter 127 Taking the Initiative!
Chapter 127 Taking the Initiative!
Yishi is nestled between mountains and water.
On the second floor of a secluded mountain courtyard, a cool breeze blows and birds sing.
Nie Yunqi and Guo Ziyuan sat facing each other.
Nie Yunqi poured a cup of tea for both of them, and the tea stains and the smoke from Nie Yunqi's mouth swirled upwards.
Nie Yunqi's Adam's apple bobbed: "Xiao Guo, I did think you would dominate Yishi."
"I never imagined I would hear your name in this way."
"You took down the radiology department first?"
"What kind of track is this?"
Nie Yunqi himself is a trauma surgeon, and he conducted a detailed background check on Guo Ziyuan.
He truly knew that Guo Ziyuan was his junior fellow apprentice.
Although he is a junior disciple of a top expert, he is definitely in the trauma surgery department.
Did Guo Ziyuan allocate his skill points a little too far off-target?
Oh, this is a special test-taker, already employed at the age of pursuing a doctorate?
That's fine.
Guo Ziyuan continued to look intently at the cloud imaging data on his phone, pretending it was the first time he was seriously looking at this information.
Guo Ziyuan obtained the film of Chi Huanlin from Liu Lingli.
Slowly, Guo Ziyuan put down the X-ray films in his hand: "Senior Brother Nie, this patient's condition is very complicated."
Nie Yunqi smiled and nodded: "Of course it's tricky, I've sent it to my master six times already."
"I even suspect that a localized tumor might be covered up by an infection—"
"So I also consulted many professors in the Department of Bone and Joint Diseases."
"But?" Nie Yunqi didn't continue.
Guo Ziyuan knew, of course, that Nie Yunqi was doubting whether the diagnosis was wrong, which was why the treatment was ineffective.
From a conventional perspective, osteomyelitis is not really that difficult to treat.
This problem had troubled Guo Ziyuan for a very long time in his previous life, and he had never been able to solve it.
Guo Ziyuan answered truthfully: "Senior Brother Nie, the diagnosis of osteomyelitis in this patient is very clear, but what is special about her case is that her local blood circulation system is somewhat poor."
"To put it simply, neither topical nor intravenous medication can reach the specific details of the affected area."
Nie Yunqi was a little confused: "Xiao Guo, I'm a bit confused."
Systemic medication refers to intravenous infusion, which allows the medication to reach the entire body.
Topical medication involves placing the medication directly onto the lesion.
"What I mean is that because of her local blood vessel problems, neither intravenous medication nor local drug penetration can accurately deliver the medication," Guo Ziyuan repeated in more detail.
Nie Yunqi didn't argue about whether it was true or false. He picked up his phone and carefully looked at the photos and videos he had sent to Guo Ziyuan.
Seeing Guo Ziyuan's shifty eyes, he asked, "You can even see this thing in here?"
Like many others, Nie Yunqi also wondered if everyone was watching the same film.
Guo Ziyuan nodded slowly: "Senior Brother Nie, this is just my humble opinion."
Nie Yunqi rolled his eyes at Guo Ziyuan: "Xiao Guo, you and I shouldn't put on any personas. We're on the same side."
"Even if it's a huge problem, I wouldn't dare get involved with you."
"Otherwise, my teacher would be lenient if he expelled me from the school—"
As Nie Yunqi spoke, his expression instinctively turned somewhat fearful.
The Department of Orthopedics at the Provincial People's Hospital had a legendary predecessor, so Nie Yunqi knew that the Department of Trauma Surgery desperately wanted such an unconventional and abnormal figure to make a name for themselves.
"Xiao Guo, you can speak your mind freely."
"Anyway, our main purpose today is to eat and drink."
"I just grabbed this thing as a last resort—"
Guo Ziyuan replied, "Senior Brother Nie, I don't have any good ideas either. The only thing I can think of is to use puncture to deliver the medicine directly to a more precise local area."
"Traditional topical medication involves spraying the drug directly into the bone marrow cavity."
"It actually relies on the penetration of the medication!"
Nie Yunqi's eyes nearly popped out of their sockets: "What did you say? A puncture? To deliver the medication to a more precise local area?"
Guo Ziyuan smiled casually: "Senior Brother Nie, that's why it's an immature suggestion."
"If there were a mature treatment method, Senior Brother Nie, you would have thought of it before I did."
Nie Yunqi thought for a moment, still troubled by the treatment approach for this patient: "Xiao Guo, what do you think of this method?"
"According to your logic, since the bacteria might be localized, we can make a hole in the bone marrow cavity and then allow the medication to spread—"
Guo Ziyuan retorted directly: "Senior brother, can the hole you dug compare to one that was naturally formed?"
It's a double entendre, and it also carries a bit of a joke.
Guo Ziyuan and Nie Yunqi were very familiar with each other, and their relationship was also very good in their previous life.
Therefore, Guo Ziyuan didn't feel any pressure when talking to Nie Yunqi.
The long bones of the limbs are divided into compact bone and cancellous bone, and cancellous bone is inherently porous.
It's impossible to deliver medication precisely to a specific area simply by making an opening.
Based on his exceptional film-reading skills, Guo Ziyuan made this guess about Chi Huanlin's current condition.
The original bacterial pools of the Chi Huan Lin are now concentrated within the microcirculation structure.
This microcirculation structure is difficult to enter, and equally difficult to exit.
It's like a secluded paradise, a natural barrier where it calmly and peacefully faces everything, no matter how much antibiotics overturn everything.
Once the war ends, it sneaks out and reproduces rapidly again.
At present, it only induces local osteomyelitis.
If this continues into next year, it will continuously lead to extreme cases such as sepsis and septicemia.
You can't eradicate it completely; it just keeps coming back.
In situations like this, the only option is to use high-tech methods, such as sending paratroopers in to wipe it out.
Local puncture is the method used in this airdrop.
Nie Yunqi suddenly realized: "That makes sense."
"However, getting a precise puncture site is no simpler than finding a needle in a haystack."
"Xiao Guo, according to your explanation, could we open a bone window, find the tiny blood vessels, and administer the medication directly?"
Guo Ziyuan continued to shake his head: "Senior brother, the blood vessels we can find directly by opening a window must have a very large circulating blood volume. If it were really that small, it wouldn't be able to maintain the diameter of the cavity that is visible to the naked eye."
Nie Yunqi finally revealed his stubbornness to Guo Ziyuan for the first time: "If we follow your logic, even if someone has the skill, they wouldn't have such a fine needle."
Guo Ziyuan nodded, which was why he didn't dare to say anything more.
This kind of piercing isn't something a big black guy would do, like picking a small radish.
"So, Senior Brother Nie, if you really want to have this idea, you first need to find the right needle."
"Moreover, this needle not only needs to be thin, but also needs to be sufficiently hard and resilient—"
"The bone must not be broken during a bone marrow aspiration."
"If you try to operate on these microcirculatory blood vessels with ordinary surgical instruments, you'll definitely tear them apart—"
Nie Yunqi: "Then we might as well just tear it to shreds."
"Forget it, I'm not going to say anything more—come on, come on—"
"Xiao Guo, let's put down our phones and start drinking."
"The food is being served—"
As the aroma of Litsea cubeba grew stronger, Nie Yunqi knew the dishes were being served.
Guo Ziyuan thought for a moment, then deliberately asked, "Senior Brother Nie, is this patient very important to you?"
Nie Yunqi nodded naturally: "Of course it's important. As doctors, which patient isn't important?"
"Everyone can affect our reputation."
"And this patient—what if?"
"It's a great benefit that she can be cured in our hands."
"She's only staying at our hospital temporarily. Actually, her family has already taken her medical records to various hospitals for consultations, but they haven't found another hospital yet."
Guo Ziyuan then said, "Senior Brother Nie, if you can find a way to get your hands on this kind of equipment, I can!"
Guo Ziyuan didn't say he could help, but he said he could handle it.
This is called turning initiative into passivity.
In reality, Guo Ziyuan wanted to get treatment, but in this moment, it has become that Guo Ziyuan wants to help.
This reason is more realistic.
Showing concern for Nie Yunqi under the guise of helping him is more convincing than proactively claiming your own superior abilities.
The waiter came in and served rice and a hot pot of duck and fish.
Taking advantage of this break, Nie Yunqi could calm down and think carefully about what Guo Ziyuan had said.
Let's also take a closer look at how terrifying Guo Ziyuan's abilities are.
Guo Ziyuan wasn't saying he was capable of doing it, but rather, he was asking whether it would be beneficial for him to cure this patient.
Guo Ziyuan only said he could give it a try because he wanted to help himself.
This promise is more convincing than Guo Ziyuan simply saying he can do it!
"Boss, enjoy your meal!"
"The other dishes are already being cooked." The waiter tiptoed out and closed the attic door behind him.
Nie Yunqi lit a cigarette in his hand with a snap: "Okay, Xiao Guo, I'll try my best to think of a way."
"This could be tricky."
Previously, Nie Yunqi had never imagined that treating Chi Huanlin's illness would require considering the issue of medical equipment.
After dinner, the designated driver that Nie Yunqi had called arrived and dropped Guo Ziyuan off at his apartment complex. Nie Yunqi then had the driver take him to the hospital.
Nie Yunqi did not report Guo Ziyuan's words directly to his director, but instead went to inquire about Chi Huanlin's opinion first.
Chi Huanlin has been hospitalized for some time, and her osteomyelitis has not improved. Naturally, her family has been trying to find a solution and has considered many methods.
No clues have been found yet.
Chi Huanlin closed his notebook and said with a smile, "Dr. Nie, I think it's a good idea."
"Since you doctors are willing to put in the effort to come up with solutions, there's nothing wrong with giving it a try."
"Anyway, I've had many surgeries."
Chi Huanlin is quite easy to talk to. Although her current companions are not her parents, Chi Huanlin's family members often come to visit her.
At first, the family thought it was just a very simple trauma, so they didn't take it seriously and assumed that Yilan Central Hospital could definitely cure Chi Huanlin.
By the time they took it seriously, even expert consultations and surgeries were ineffective, and now all they can do is wait for a referral.
Nie Yunqi then said, "The problem now is, didn't your family contact a hospital for a transfer?"
"So what I mean is, even if you're not hospitalized in our hospital, you can still bring this idea up and mention it to the doctor you're transferred to later."
Although Nie Yunqi promised Guo Ziyuan that he would try to find a way, he still dared not leave Chi Huanlin behind.
He only hoped that he could be of some help in Chi Huanlin's healing process.
Risks and benefits coexist.
The risks of keeping Chi Huanlin in the hospital outweighed the benefits, which was something Nie Yunqi dared not take.
"Okay, thank you, Dr. Nie."
"Thank you to your friend too!" Chi Huanlin said, dressed in a hospital gown, her demeanor poised and serene.
She didn't blame Nie Yunqi for not curing her illness, but of course she didn't particularly trust the medical skills of Nie Yunqi and others.
However, given her polite attitude and good upbringing, she couldn't be too blunt in ignoring Nie Yunqi and the others' skills. "Then you should rest first."
"I came to the hospital mainly to share this line of thinking with you."
After finishing his sentence, Nie Yunqi left the department immediately.
After watching Nie Yunqi leave, Chi Huanlin opened his phone and started reading a novel.
As a novelist, she needs to keep reading regularly.
Even now, she remains unperturbed and fearful of her illness. After all, many people have told her that osteomyelitis is a very simple disease, easily treated.
After reading the novel for a full hour, Chi Huanlin finally started video chatting with his parents.
Chi Huanlin shared the details of the day very earnestly, focusing more on the meals and his positive impressions of the caregiver.
"Linlin, you must remember to make sure you get enough nutrition."
"My friend said that osteomyelitis and infections are both wasting diseases. If nutrition is not adequate, the body may be worn down, which will make recovery even more difficult."
"You're still too thin—" her mother said.
Chi Huanlin replied, "It's alright. Didn't Professor Zeng from the nutrition department say that my current figure is considered a standard figure? Mom, don't worry, I eat and drink well every day."
"I've been getting a lot of inspiration lately, and the feedback from readers on my articles has been great."
Your mother said, "You're sick and hospitalized now, so don't write anymore."
Chi Huanlin knew his mother was worried about his health, so he changed the subject: "By the way, Mom, Dr. Nie also told me today that my osteomyelitis might be—"
"Anyway, it involves administering medication via puncture, and Dr. Nie's friend told me that if I transfer to another hospital, I can mention it to the doctors there."
The woman said, "Let's just mention it once; let's pool our wisdom and efforts."
"There's no harm in asking one more question."
"Let me ask your fourth uncle about this idea first—"
"Okay, sure!"
"Thank you, Mom." Chi Huanlin nodded.
At 9:49, Nie Yunqi finally returned home after his walk!
I hadn't even had a chance to take a shower when the phone rang.
When Nie Yunqi looked at the note, he was surprised to see that it was Director Liu Hanjun. Although Liu Hanjun was not Nie Yunqi's direct supervisor, he was the administrative director of the ward.
Nie Yunqi quickly replied with a smile, "Director Liu, I am Nie Yunqi."
Liu Hanjun's voice was steady and his attitude was firm.
"I know you are Nie Yunqi. Go back to your department right now and give me your friend's phone number while you're at it."
"I'm on my way to the department; there's an impromptu remote consultation meeting."
"I need to personally invite your friend."
"Huh?" Nie Yunqi was a little confused.
Liu Hanjun didn't have time to explain and directly ordered, "Stop talking nonsense, send it immediately, get it here as soon as possible—"
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