RBCT Chapter 129 doesn't require understanding?
Chapter 129 doesn't require understanding?
Chapter 129 doesn't require understanding?
Yilan Central Hospital, ward.
The double-sided oval pendant lights at the top of the corridor banished all shadows.
Water stains remained on the ground after it had just been swept.
"Dr. Guo, you seem to know our department very well?" Chen Xinwen asked with a hint of doubt in her smile.
Guo Ziyuan's understanding of the structure of trauma surgery wards was in no way inferior to that of Chen Xinwen. This was rather strange.
Guo Ziyuan was stunned for a moment. Before he could think of a reason, he looked up and saw Director Liu Hanjun, whom he also recognized.
Liu Hanjun even stopped the two of them, saying, "Chen Xinwen, this must be Dr. Guo, right?"
Chen Xinwen also paused, his gaze slightly sharpening: "Yes, Director Liu, this is Dr. Guo Ziyuan from the Department of Trauma Surgery at the Provincial People's Hospital."
"Dr. Guo, this is Liu Hanjun, the director of our trauma surgery department." After thinking for a moment, Chen Xinwen introduced Liu Hanjun to Guo Ziyuan.
Although Liu Hanjun's failed attempt to pick peaches last night was a bit embarrassing, it hasn't really escalated into anything substantial yet.
Liu Hanjun is still the director of the ward.
"Hello, Director Liu." Guo Ziyuan's reply was brief.
In his previous life, Guo Ziyuan didn't have much ill will towards Liu Hanjun, nor did he have much affection for him. After arriving at the Department of Trauma Surgery, he also joined the team led by Director Chen Xinwen.
After Chen Xinwen became the administrative director of the ward, Nie Yunqi started leading a team on his own.
At that time, Liu Hanjun had retired normally and refused to be rehired.
"Dr. Guo, you've worked hard. You're here because of the condition of Chi Huanlin in bed 37, right? This patient's situation is indeed quite complicated."
Liu Hanjun naturally took the initiative to speak: "After Dr. Guo's examination, do you have any good ideas?"
As Liu Hanjun spoke, he glanced at Chen Xinwen, signaling Chen Xinwen not to say anything more.
"Not yet. My guess is that there is a problem with local blood supply within the bone marrow, rather than a problem with local blood supply within the soft tissue."
"If there is a problem with local blood supply in the soft tissue, causing the bacterial focus to linger and fail to heal, then an infection focus should develop."
"Soft tissue can't hold germs." Guo Ziyuan genuinely didn't know what had happened before, so he replied in a normal tone.
"Dr. Guo, what is your understanding of microcirculation within bones?"
"You must have your reasons for making that guess, right?"
Liu Hanjun politely guided them, saying, "Let's talk as we walk."
"What do you mean by 'what'?" Guo Ziyuan looked at Liu Hanjun, puzzled.
Liu Hanjun smiled and said, "You mean the microcirculation within the bones? Isn't that a concept you proposed, Dr. Guo?"
Guo Ziyuan looked at Liu Hanjun with a puzzled expression: "Microcirculation is microcirculation, what other interpretation is needed?"
"Why did Director Liu ask that?"
Liu Hanjun was stunned for a moment, then his tone turned sour: "You don't even understand microcirculation? You dare to casually mention microcirculation?"
Guo Ziyuan let go of his hand and said, "Then I'll go, Director Liu."
Guo Ziyuan started taking off his white coat as he spoke!
"Director Chen, could you please return my white coat to me? Thank you."
Chen Xinwen quickly stepped forward to stop him: "Dr. Guo—please don't misunderstand, Director Liu probably just wanted to discuss something with you."
"Professor Zeng and Professor Min are waiting for you inside."
Liu Hanjun pursed his lips, genuinely surprised that Guo Ziyuan would play by this method.
Liu Hanjun's voice was a little stiff: "Dr. Guo, do you really not have any special understanding of microcirculation?"
He got stuck on this problem last night.
He answered according to his own understanding, which revealed his ignorance, and was caught by the sharp-eyed Professor Zeng and his colleagues.
"No—Director Liu, what are you worrying about? Why do I need to have some special understanding of microcirculation?"
"What exactly do you want?" Guo Ziyuan had already taken off his white coat anyway.
His expression was full of confusion.
The Liu Hanjun that Guo Ziyuan remembers is not this strange, is he?
"Then why did you bring it up?" Liu Hanjun was slightly annoyed, but his tone was still relatively calm.
"It's only mentioned for the sake of description. Microcirculation is just there, and it varies from person to person. What special understanding can there be?"
It's just a loop, isn't it?
Guo Ziyuan then looked at Director Chen Xinwen and said, "Director Chen, I'll be going now."
"I might not be qualified to participate in this discussion!"
This is where the real person and the imposter differentiate.
Guo Ziyuan is the one who made the diagnosis, so if I don't know the answer to your question, I simply don't know. I will only speak about what I have seen.
Chen Xinwen, on the other hand, pretended that he knew everything.
I have to pretend, because I'm afraid I'll be exposed.
Guo Ziyuan left without warning, and Chen Xinwen immediately became anxious.
"Xiao Guo, wait a minute."
When Chen Xinwen was chasing after Guo Ziyuan, he turned his head and said, "Director Liu, you can go by yourself."
Liu Hanjun's face turned ashen at this moment.
If Guo Ziyuan tells him the answer now, he can say that he thought about it all night and discussed it with Guo Ziyuan before coming up with the correct answer.
But now, Guo Ziyuan's reply was this, which made it impossible for Liu Hanjun to steal the chicken.
Guo Ziyuan said, "Why should I explain to you?"
Liu Hanjun couldn't understand at all, "Why don't you explain it to me?"
You were the one who suggested this?
If you don't explain it to me, how am I supposed to explain it to others?
Liu Hanjun's eyes darted around, but he ultimately decided to chase after them.
Guo Ziyuan can't leave.
If Chi Huanlin recovers, there is still a chance to let bygones be bygones regarding what happened before.
Now that Guo Ziyuan is gone, Liu Hanjun is afraid that someone will expose his true colors.
After much thought, Liu Hanjun realized that he couldn't possibly benefit from this matter. The only way forward was to protect himself and help as much as possible.
Forget about fishing, hurry up and dismantle the land and reroute the waterway, diverting it eastward. Hopefully, those people will just ignore you.
Chen Xinwen was chatting with Guo Ziyuan.
As Guo Ziyuan watched Liu Hanjun approach, he said, "Director Liu, I really don't understand your question. If you want me to leave, I'll leave right away."
Liu Hanjun forced out the most insincere smile: "Dr. Guo, you misunderstand. I am genuinely worried about Chi Huanlin's condition, which is why I have doubts."
"That's what makes it more urgent!"
"After all, the patient is anxious."
"This patient is under the care of Director Chen. I was just asking a question, Dr. Guo, please don't take it to heart."
"Please forgive my previous rudeness."
"Everyone is doing this to seek knowledge."
The reason Liu Hanjun gave was indeed plausible.
As the administrative director of the ward, he should be responsible for all the patients in the department.
If other chief physicians cannot resolve a patient's condition, they will inevitably organize a multidisciplinary discussion or even a hospital-wide consultation. Liu Hanjun had his own considerations and doubts about Chi Huanlin's condition and came to seek advice.
It's not that they're being difficult; on the contrary, it shows a sense of responsibility.
Otherwise, one wouldn't visit the temple unless there's a specific reason.
If it doesn't concern you, don't get involved.
"Dr. Guo, I won't ask anymore. I also apologize and thank you."
"Thank you for going to so much trouble for the patients in our department."
"Director Chen, you must do a good job in receiving guests—" Liu Hanjun then handed over the responsibility of receiving guests.
Grasp the root of the matter.
After thinking about it all night, Liu Hanjun realized that Professor Zeng's anger the night before was because he pretended not to know in order to gain favor and fame.
The core of their anger is simply that they haven't found a fundamental solution.
There was no other way but to make Chi Huanlin better.
It's not that I, as the director, did anything to reap the benefits—
Once Chi Huanlin recovers, they'll definitely treat me, the director, like a fart.
"I will, Director Liu!" Chen Xinwen agreed.
Liu Hanjun said, "Dr. Guo, then I won't bother you any longer. I was really in a hurry just now, I hope you don't mind."
.
"I'll personally accompany you and apologize later."
"I hope Dr. Guo can forgive this for the sake of the patient."
Liu Hanjun is still the same Liu Hanjun, without the strangeness that Guo Ziyuan felt.
"Director Liu, you flatter me—I just came here to lend a hand, doing what I could." Guo Ziyuan didn't take Liu Hanjun's words to heart.
Liu Hanjun's words.
It goes in one ear and out the other, absolutely true.
Liu Hanjun's pancakes.
If you think of it as just a drawing, you can't be wrong.
Guo Ziyuan and Chen Xinwen went to the doctor's office again, where Guo Ziyuan reported his examination results and gave his guess again.
"Professor Zeng, I still believe that the vascular disorder in the soft tissue that we see on MRI is just an inflammatory response."
"It's not that the patient's soft tissue blood supply system is naturally like this."
"As we observed in the MRI, Chi Huanlin's bone marrow microcirculation system may have formed a kind of flow barrier structure that makes the internal circulation not connected to the external circulation, or only partially connected."
"Under normal circumstances, even insufficient blood exchange is enough to support the normal activity of bone marrow."
"But if bacteria reside there, then conventional anti-infective treatments will not be able to reach the affected area."
The human body has many natural structural barriers.
These barriers can prevent some drugs from entering, while allowing others to enter and exit.
The root causes of these barriers are also difficult to explain.
Current medical practices cannot replicate this.
The most classic examples are the blood-brain barrier and the umbilical cord barrier.
Guo Ziyuan's statement, "As we have seen," had already dispelled Professor Zeng's concerns. He also did not believe that Chen Xinwen and others would dare to randomly pull in a newcomer to reap the benefits.
"Dr. Guo, thank you for your hard work."
"I'll come to Yilan City in a couple of days."
"Professor Min, Professor Tan, this Dr. Guo is truly skilled."
"What do you think?" Professor Zeng asked.
The man called Professor Tan was a professor of trauma surgery from Jishuitan Hospital. He smiled and said, "Professor Zeng, I just contacted Professor An Luming from the Provincial People's Hospital."
"He told me that this Dr. Guo is definitely a professional trauma surgeon."
Therefore, there is no doubt about the professionalism of our undergraduate studies.
Upon hearing this, Professor Min Chong said, "Thank you, Dr. Guo, for stepping forward for my niece's sake."
"So, Professor Tan, is it possible to try Dr. Guo's approach for my niece's current condition?"
Professor Tan thought for a moment and said, "The idea is acceptable."
"However, it is quite difficult to accurately deliver medication to the site of infection using special puncture instruments."
"This technique is not commonly used in our trauma surgery."
"I also asked my colleagues in sports medicine and vascular surgery at our hospital, and they also said that this kind of puncture technique is not something that ordinary people can master."
"Only exceptional people have the opportunity to master it."
"It's very difficult to operate!!"
Min Chong: "So, what is Professor Tan's suggestion?"
Min Chong did not choose to believe Guo Ziyuan's ideas entirely just because Guo Ziyuan had proposed the correct approach.
Putting aside the difficulty of manufacturing the equipment, who could operate such an incredible device?
Nie Yunqi didn't dare tell anyone that Guo Ziyuan could be the main operator, because he originally just wanted to give Chi Huanlin a good suggestion and try to get some favor from him.
Nie Yunqi looked at Guo Ziyuan with a dry mouth.
The person in question was right there, and he dared not speak rashly until Guo Ziyuan spoke.
Guo Ziyuan thought about it carefully before saying, "If the professors are willing to believe me, I can give it a try once the equipment arrives."
Professor Tan instinctively regarded Guo Ziyuan as one of his own in the industry, and a junior at that, and said, "Little Guo, what are you meddling in here for again?"
Professor Tan almost blurted out the words "meddling in nonsense".
Guo Ziyuan responded calmly: "Professor Tan, these things can all be tried in advance."
"If it works, it works; if it doesn't, it doesn't. I think the professors can easily make some animal models for me to try out."
"Without the preliminary hands-on practice steps, I wouldn't have dared to go up on stage even when the teachers called me!"
"First, I'm afraid I might be disregarding human life and delaying the patient's treatment."
"Secondly, I'm afraid I'll be scolded to death by my teacher and advisor."
"This patient is someone my senior colleague mentioned, and I have my own thoughts after seeing him."
"Of course, from my personal perspective, I'm also very curious."
Experts love novelty, and the more skilled a person is, the more curious and persistent they are about strange diseases.
This is simply the desire for knowledge.
While it's uncertain whether Guo Ziyuan is a true expert, his ability to interpret images is comparable to Professor Zeng's, which would qualify him as a medical imaging expert.
Min Chong knew he had to make a decision.
A person like Guo Ziyuan wouldn't be greedy for a patient's treatment.
Guo Ziyuan has no shortage of patients who come to demonstrate his procedures.
"Okay! I'll arrange it, thank you Dr. Guo."
"I will always remember this kindness," Min Chong said.
Guo Ziyuan said, "You're too kind, teacher. We can only discuss this much for now. If there's any other information next time, we can continue our discussion."
"I just got off work and came straight here; I haven't eaten yet on the way."
My stomach is acting up a bit —
Min Chong was taken aback: "Dr. Guo, you haven't eaten yet?"
Then, Min Chong said without hesitation, "Dr. Guo, wait a moment, I'll have someone make the arrangements."
Guo Ziyuan's demeanor, temperament, and way of dealing with people all demonstrate that he can remain calm and composed in the face of both honor and disgrace based on his own strength.
My abilities are beyond your belief, and I don't need to prove them to you.
"No need, teacher, maybe next time." Guo Ziyuan waved his hand. "I have to go to the animal laboratory after I finish eating; it was arranged in advance."
Guo Ziyuan thought about it carefully for a moment, then said, "Professor Min, to be honest, I am quite interested in Chi Huanlin's condition."
"My current research is related to diabetic foot ulcers, and the treatment procedures also involve precise puncture techniques for improving local microcirculation!"
"If Professor Min is interested, I can send it to him for him to take a look first."
This was the first time Guo Ziyuan had taken the initiative to ask for it.
Sometimes, even as a man, you can't always back down just because you have the ability.
Guo Ziyuan does not like being passive.
"That works too! Thank you for your trouble, Dr. Guo."
""