weddingnovel Chapter 101 Please ask your superiors.
Chapter 101 Please ask your superiors.
Chapter 101 Please ask your superiors.
Ma Xiaocheng stopped scrolling through his contacts and asked, "Xiao Guo, what's wrong?"
Guo Ziyuan said directly, "I suggest we consult with a trauma surgeon again, or have the patient get another CT scan!"
~"
Guo Ziyuan has always kept a low profile in the department. Apart from the control room, he doesn't "interfere" anywhere else and usually doesn't talk much.
Huang Zhuoan, who was also in residency training, had a good relationship with Guo Ziyuan: "Brother Guo, the trauma surgery professors have already written their consultation opinions."
"They said there were no fractures!"
"I'll go get your medical record."
Huang Zhuoan was afraid that Guo Ziyuan would also get into trouble.
Upon hearing this, Guo Ziyuan focused his attention on the film in his hand again. After carefully reading it, he naturally discovered the fracture of the eagle's beak.
However, the fracture line is hidden and the displacement is not obvious!
but.
Olecranon fracture is a special type of fracture.
It is an articular surface fracture.
Surgery is recommended whenever possible for fractures of 2-3 millimeters or more.
Ma Xiaocheng looked at Guo Ziyuan with a conflicted expression. He raised his left thumb and touched his chin: "Xiao Guo, are you sure?"
What kind of personality does Guo Ziyuan have?
Lie down, be sensible, don't cause trouble, don't get involved, and follow the rules!
Do you have too much to say?
Absolutely not.
Do you actively demonstrate your social skills and interpersonal relationships?
No!
But it was precisely this kind of person who suddenly spoke that made Ma Xiaocheng take it seriously.
This time, Guo Ziyuan didn't pretend to be confused or uncertain: "Brother Ma, I'm a trauma surgeon, so I can still see a fractured olecranon."
"However, the fracture line is relatively hidden and the displacement is not obvious, so it is not easy to see it on a plain X-ray."
"My suggestion is, Brother Ma, you should consult with a trauma surgeon as well."
"Send this film to your familiar trauma surgeon."
"Or we could try persuading the patient to get a CT scan!"
"This type of fracture is clearly visible on a CT scan."
What Guo Ziyuan cannot be certain of, of course can only be ambiguous.
You asked me if I'll make money next year?
I definitely don't know.
But if you asked me if you'd be thirty-two or something like that next year, I could certainly say yes—
Guo Ziyuan not only raises problems but also fails to provide solutions.
Ma Xiaocheng nodded hurriedly: "Okay! I'll handle it."
Ma Xiaocheng did not just listen to Guo Ziyuan's advice.
Instead, he chose to listen to everything. He took pictures of the images and sent them to Associate Chief Physician Zheng Chongyue in his department, and then went out to try and persuade the patient.
After Ma Xiaocheng left, Huang Zhuoan came back in. This time, he took the patient's medical record.
The document contains consultation opinions from numerous departments.
The consultation opinion will include the name of the consulting department and the signature of the consulting physician.
In fact, you won't recognize the signature of someone you don't know well.
"But Guo Ziyuan is not an outsider," he recognized at a glance that it was the signature of Nie Yunqi, a trauma surgeon.
"Brother Guo, look! It says here, 'No obvious signs of fracture.'" Huang Zhuoan pointed out the handwritten regulations to Guo Ziyuan earnestly.
Guo Ziyuan, of course, saw it clearly, and he immediately said, "The person coming for a consultation from the trauma surgery department, is it Dr. Nie Yunqi?"
Huang Zhuoan did not know Nie Yunqi; he only vaguely remembered him: "It seems his surname is Nie."
"Brother Guo, do you still know that teacher?"
"Senior Brother Nie is a senior at our provincial People's Hospital."
"When I was a first-year graduate student, I even ate boxed lunches with Senior Brother Nie. Let me ask Senior Brother Nie for permission."
As Guo Ziyuan replied, he opened WeChat.
Nie Yunqi will have to take responsibility for the consultation's opinion.
Although this type of hidden fracture does not cause much harm to the patient.
The worst outcome is that joint function will be slightly limited in the future.
However, if a doctor points out some oversights, they are not necessarily unable to correct their "diagnosis"!
Doctors are not gods.
There is no absolutely definitive diagnosis in the emergency room.
After Guo Ziyuan sent the message to Nie Yunqi, Nie Yunqi quickly replied: "Holy crap, Guo, really?"
'
"Don't scare me."
Nie Yunqi knew better than anyone else how terrifying Guo Ziyuan was, and he would rather believe anything Guo Ziyuan said than believe it.
Otherwise, how could he become a clinical legend?
Is Legend a game?
Is it just empty talk?
Is it about interpersonal relationships and social interactions?
No, legends are forged through battle, passed down from a generation that was overwhelmed by pressure, from predecessors who were under immense pressure, and from the lessons learned!
"Brother Nie, I think the patient also has a fractured olecranon."
"Take another look, zoom in a bit! It's on the ulnar side of the eagle's beak, slightly shifted backward," Guo Ziyuan pointed out.
The footage is fixed.
The ability to read and interpret films is your capacity to understand their content.
Some people can learn a lot just by reading textbooks and apply what they've learned to other situations.
Some people only read a few lines of text, formulas, and words in a textbook!
This is the difference in ability.
However, skill level is a personal matter; no one can make someone else kill monsters of a higher level!
Nie Yunqi probably looked for a while longer, but still couldn't find any clues.
Nie Yunqi said, "Xiao Guo, let me send this to my superiors for a look."
Guo Ziyuan was also unsure whether this type of fracture was a patented technique of expert-level X-ray reading.
He's only at this level, and he's not entirely sure which level allows him to see which points clearly.
Guo Ziyuan hurriedly said, "Brother Nie, Dr. Ma Xiaocheng from the emergency department went to persuade the patient to get a CT scan. Please ask him again after the CT results come out."
The level of expertise required is not necessarily something that associate chief physicians in prefecture-level city hospitals can possess.
Guo Ziyuan in his previous life did not have this ability.
But in his previous life, Guo Ziyuan's clinical skills were still outstanding, even with the arrival of an associate chief physician.
In his previous life, Nie Yunqi was the deputy director leading the team, but Guo Ziyuan was the actual "team leader"!
"Hmm, that's fine too!" Nie Yunqi agreed.
"I'll come to the emergency room again."
The diagnosis was not precise enough; if it had been detected in time, it could have been remedied promptly.
This is a good thing for both the patient and the attending physician.
Soon, Ma Xiaocheng came back in.
"Xiao Guo, Director Zheng replied to me. He said that Associate Chief Physician Wu Qiong from the Trauma Surgery Department also said there was no fracture."
"But there's no rush. I've already persuaded the patient to get a CT scan! And the patient agreed." Ma Xiaocheng is the supervisor in the emergency department.
The patient was moved from the examination room to the observation ward, and as the attending physician in the observation ward, he had the authority to temporarily halt the treatment process.
When a patient comes to me and I feel that the current diagnosis is unclear, I, Ma Xiaocheng, can help the patient clarify the diagnosis.
"Thank you for your trust, Brother Ma," Guo Ziyuan said.
Ma Xiaocheng immediately said, "Xiao Guo, you're just trying to help us!"
Huang Zhuoan did not doubt that Guo Ziyuan was talking nonsense, nor did he doubt Ma Xiaocheng's trust in Guo Ziyuan.
However, when her gaze swept over Guo Ziyuan, it was filled with a complex mix of envy and jealousy.
Huang Zhuoan has always firmly believed that standardized residency training and professional master's degree are equivalent, at least in terms of clinical skills, the learning time for everyone is the same.
They all have one head, two hands, two eyes, and one mouth. Why should my residency training be inferior to your master's degree?
Once we start working, if I can do things you can't, you'll have to hold back.
Prioritizing competence is the fundamental principle of clinical medicine and the core belief of many resident physicians, rather than prioritizing academic qualifications.
But at this moment, Huang Zhuoan began to have some doubts about the "non-academic degree supremacy" theory.
The attending physician couldn't see anything, and neither could the associate chief physician, but Guo Ziyuan persisted.
Which resident physician would dare to do this?
Which resident trainee is respected like this?