69novels Chapter 4: Superior Demeanor!
Chapter 4: Superior Demeanor!
Liu Chuntao was really tired, which is why he had time to look at some things.
For example, you can see that Guo Ziyuan has thick eyebrows and bright, piercing eyes. Guo Ziyuan's looks are undeniably good.
Guo Ziyuan used the standard pen-holding knife grip, with a tight grip, delicate cuts, and skillful operation, so there was no problem.
Guo Ziyuan is tall and strong, with a dog-like back...
About forty minutes later, Liu Chuntao slowly regained his senses from his half-asleep state.
Guo Ziyuan's hands and the patient's wound gradually became clearer.
Looking at the wound in front of him, Guo Ziyuan had already completed the cleaning and hemostasis procedures!
Under the shadowless lamp, the normally non-reflective wound was so bright it almost blinded Liu Chuntao.
"Holy crap? You did this?" Liu Chuntao was instantly jolted awake and began looking around.
Startled by his voice, the anesthesiologist twitched his glutes and shifted from side to side in his seat. He glanced at the anesthesia machine, then looked down at his phone again.
The circulating nurse was not there, so the scrub nurse stood up and looked into the surgical field of vision.
There was no one else.
Liu Chuntao looked again at the patient's debridement area.
Dry and tidy.
Without scrutinizing the specific details, he couldn't find any fault with the overall layout and operational effectiveness!
But there's no problem at this point; the biggest problem is TM.
How could the overall debridement performed by Guo Ziyuan be completely without problems?
Guo Ziyuan's weakness lies in the specific execution, not in his 'aesthetic sense' or 'theoretical understanding'.
After carefully examining and inspecting the items and confirming that there were no problems, Guo Ziyuan slightly raised his head:
"Teacher Liu, I think it's about right. Do you think we should proceed with the external fixation device, or could you make some further adjustments?"
After thinking for a while, Liu Chuntao decided not to be too hard on himself: "No need for repairs. Just use external fixation."
With such high-quality wound cleaning, what more could you ask for?
But he still looked at Guo Ziyuan very carefully several times, and then looked at the wound.
Aside from focusing on the details, TM is still fine!
……
During the external fixation procedure, Liu Chuntao was too tired and only focused on following the procedure.
After the procedure was completed, Liu Chuntao looked at the surgical timer panel and was surprised to find that only a dozen minutes had passed.
The repositioning process in this surgery was quite easy!
Guo Ziyuan's assistant seemed to know exactly what he was going to do next...
With each feeding, he managed to bring the food to the mouth at just the right moment.
The external fixation procedure that usually takes 30 minutes can be completed in just over 10 minutes!
Liu Chuntao could tell that Guo Ziyuan had some issues, so he asked again, "Can the VAC dressing be used?"
"This is essential knowledge that trauma surgeons must learn."
Guo Ziyuan nodded: "I know a little, Teacher Liu."
Upon hearing Guo Ziyuan's reply, Liu Chuntao sat down again.
Then, watching Guo Ziyuan cut and design the VAC dressing based on the external fixation bracket, I realized...
The dressing was applied just right, the dressing was sutured just right, and the film was applied just right;
The perfect negative pressure chamber is created, and the perfect suction sound from the VAC machine begins...
"Your skills? You've learned them quite well..."
Liu Chuntao felt that his actions were nothing special, and after a moment of surprise, he felt regretful:
"It's a pity it's not a basic skill!"
The basic skills of surgery, such as incision, debridement, and suturing, are the foundation of surgery, the most important, and the slowest to improve.
Surgical procedures are a specific area of surgical expertise, which can be learned gradually after starting work.
The better one's basic surgical skills, the faster one can learn surgery later and the higher the potential one can reach.
The higher the level of the teaching hospital, the more emphasis it places on honing basic skills, sometimes to an almost demanding degree.
Basic skills are also a very important component of the assessment for surgical doctoral candidates, and are the core of measuring a person's surgical qualifications.
Surgical fundamentals are like mathematics, physics, and chemistry; the further you go, the more talent you rely on.
Liu Chuntao was in the same group as Guo Ziyuan and knew that Guo Ziyuan had no chance of passing the doctoral entrance exam.
It's a sign of self-awareness for high school students who can't get into university to learn a skill at a vocational school to make a living.
……
Guo Ziyuan, not wanting Liu Chuntao to be rendered speechless, replied with a smile, "Teacher Liu, isn't that all thanks to your and Teacher Peng's excellent teaching?"
"Other superiors in the department don't perform these surgeries."
Peng Fang was the previous chief resident of Liu Chuntao's term, while Liu Chuntao was appointed as the new chief resident in August of this year.
Most emergency surgeries are performed by resident physicians leading junior doctors, and professors and associate professors in the department are called in for emergency surgeries.
Everyone will get a scolding.
Therefore, Guo Ziyuan's statement that Liu Chuntao taught well is absolutely correct.
The flattery, whose logic was even smoother than that of an enema, made Liu Chuntao somewhat smug: "Well, this patient needs to be sent to the observation ward of the emergency department. Our department doesn't admit simple fractures like his."
"After the fracture heals, let them negotiate with the hand surgery department for follow-up treatment. I'm going to rest for a while."
"Okay, Teacher Liu, please feel free to call me anytime if you need anything." Guo Ziyuan nodded and carefully helped the patient transfer to the bed.
We escorted the patient to the observation ward in the emergency department, accompanied by the circulating nurses and anesthesiologists...
On the way, Guo Ziyuan, the orthopedic strongman, was only responsible for pushing the bed, while the anesthesiologist and the circulating nurse were responsible for turning it around.
Therefore, Guo Ziyuan took the opportunity to look at the changes on the panel.
[Skill points remaining: 3.]
[Complete wound cleaning, hemostasis, and suturing; gain 3 skill points.]
【1点技能点可提升入门级技能5%经验、提升熟练级技能1%经验，3点技能点可提升专精级技能1%经验】
……
After the patient was brought to the emergency department observation ward, the on-duty doctor politely came to ask for advice: "Sir, how should I write the medical orders for this patient?"
Guo Ziyuan stood up and stood still, his voice still a little young but his tone mature: "Direct anti-infection treatment! Not preventative anti-infection treatment, but anti-infection treatment."
"This is the most important thing."
"Protects the stomach, relieves pain, reduces swelling, and improves microcirculation."
"Please consult the pharmacy department for guidance on antibiotic use, the hand surgery department for skin defects, and the vascular surgery department for guidance on anticoagulation."
"The VAC negative pressure is continuous, so there is no need to change the medication."
"Observe and record the drainage volume daily. If the drainage volume is still greater than 50ml on the third day, please consult our trauma surgery department."
The emergency room doctor in the white coat was slightly surprised when Guo Ziyuan spoke. His voice sounded about the same age as his own.
"Did you hear me clearly?" Guo Ziyuan frowned slightly when he saw him lost in thought.
The doctor in the white coat quickly lowered his head and began taking notes rapidly.
The anesthesiologist and the circulating nurse who came with Guo Ziyuan to deliver the patient exchanged a glance.
They both noticed the strange look in each other's eyes.
Guo Ziyuan is a real talent.
She displays exceptional emotional intelligence in front of her superiors, yet manages to maintain a respectable and even authoritative demeanor in front of medical students—this is no easy feat.
After handing over the medical orders, Guo Ziyuan added, "Our trauma surgery department will complete the surgical records, and you will be responsible for the postoperative care."
"Remember to use the model version; don't let it time out."
After saying that, Guo Ziyuan turned and left.
He is a specialist doctor and will accompany patients back to their wards or ICUs, but he does not need to go back to the operating room with the anesthesiologist and circulating nurse.
Guo Ziyuan desperately wanted to find a quiet place to calm himself down.
When Liu Chuntao returned to the changing room, he was slowly getting dressed while making a phone call. Now it was Liu Chuntao's turn to reply: "Okay, Director An, you specifically called this patient."
"I remember it very clearly. He came at six o'clock the day before yesterday and went home at eight o'clock after his cast was put on."
"He didn't have any broken bones."
"I'll have someone get his films for you, Guo Ziyuan. Write them down, hospital number 1509XXX... Go find a computer, retrieve the films, and send them to me."
Upon hearing this, Guo Ziyuan paused, then his gaze flickered slightly.
Could it be that patient?
Is this something that has already happened?
Have all the major events of the past 15 years already happened in my memory? How am I supposed to play then?
My senior PhD student was looking for a job in the first half of the year, and it's already September, so everything has been settled.
Guo Ziyuan couldn't be sure when that incident happened; he couldn't remember so many details, he only knew that it happened.
Moreover, by the time this matter became a major public outcry, osteonecrosis had already occurred...
"Okay, sure!" Guo Ziyuan immediately agreed.
It's perfectly normal for the chief resident to arrange for resident physicians to leave.