Chapter 117 is the most difficult, that's normal!
Chapter 117 is the most difficult, that's normal!
Chapter 117 is the most difficult, that's normal!
Joking aside, even after the patient left, there are still many things to do.
Tsai Hsiung-hsueh immediately reported the matter to the National Security Office, instructing them to contact the police station.
The purpose was twofold: first, to recover the outstanding fees; and second, to contact the young people and conduct another investigation.
What if the patient's coma was real, and he was just frightened by Guo Ziyuan?
Of course, none of this has much to do with Guo Ziyuan.
The lights were bright, the emergency bed was lined up horizontally, and all kinds of equipment were back in their original positions.
There is a moment of peace in the emergency room.
There were no chaotic footsteps, no chaotic beeping of machinery, and no chaotic clattering of cart wheels.
The doctors in the internal medicine team were scrolling through their phones, while Cai Xiongxue and a few others in the surgery team were comfortably making phone calls.
Guo Ziyuan also checked his phone and replied to his master.
After apologizing and thanking Guo Ziyuan, Gan Lianyuan cautiously asked, "Dr. Guo, it must be difficult for you to determine whether this patient was in a normal condition, right?"
Guo Ziyuan turned around and continued texting with his legs crossed, completely ignoring him.
Gan Lianyuan's expression was actually a bit awkward, but because Cai Xiongxue and the others were busy, no one stepped in to mediate.
Gan Lianyuan was still holding the young man's medical records in his hand: "Dr. Guo, I'm sorry to bother you."
"I'd like to ask, this patient came in unconscious, how did you determine that he was faking it?"
Gan Lianyuan is genuinely curious.
Let's be reasonable—
If a patient enters the emergency room unconscious, instead of investigating what's wrong with them, you'd first assume they're faking it.
Guo Ziyuan glanced at Cai Xiongxue, then continued replying to his master Ding Xianqi: "Master, I'm really not in a hurry about signing the contract. There's no need to rush—"
"It's the other teachers in the department's business if they have to go to the countryside; what does it have to do with me?"
Ding Xianqi replied, "Now that you've gone through the procedures, the department can apply to the hospital for more openings, right?"
"Isn't this the best of both worlds?"
Guo Ziyuan replied, "That's what orthopedics considers the best of both worlds, not what I think is the best of both worlds."
Wow, the big shots in orthopedics are really smart; they're already starting to leverage their resources to operate.
Now, if Guo Ziyuan starts going through the procedures, he can not only go to the countryside ahead of schedule, but it will still not affect the normal promotion of others.
It sounds like a win-win situation.
But for Guo Ziyuan, the idea of a win-win situation is not so simple.
"What exactly do you want?" Ding Xianqi gradually became agitated.
Finally, Ding Xianqi felt that he could escape the cage that Guo Ziyuan had put him in.
All the other procedures were completed, but unexpectedly, it still got stuck at Guo Ziyuan's place in the end.
"I want to continue my doctoral studies with you, Master." Guo Ziyuan persisted, pressing him relentlessly!
Ding Xianqi is the kind of person who can be driven to great heights, not the kind who will be driven to death.
The pressure Guo Ziyuan is putting on him now is nothing compared to the pressure Guo Ziyuan experienced in his past life.
Ding Xianqi: "The department has already regressed, so we'll have you work under Professor Ma Chuanfeng for now."
"I'll transfer you to me after I become a doctoral supervisor next year."
"What else do you want?"
What's so great about the special exam? It's that you can really treat doctoral supervisors like technicians, and if you're not satisfied with one, you can switch to another.
Especially with the precedent of Professor Long in sports medicine, and the benefits that such talents bring to orthopedics, there is a greater emphasis on talents selected through special examinations.
They were willing to compromise in consideration of Guo Ziyuan's choice to make with Ding Xianqi.
Guo Ziyuan: "Master—Professor Ma and the others said that, and you just believed it?"
Guo Ziyuan did not mean to say that Ma Chuanfeng was a bad person.
Think about it—
The Provincial People's Hospital operates on a professor-led team system and a professor-responsible system.
In his previous life, Ding Xianqi, at the age of thirty-six, was still just an associate professor and associate chief physician.
Even if he performed surgery on a patient and then encountered a medical dispute.
According to the hospital's operating rules, who is primarily responsible?
Why is it that only Ding Xianqi has suffered a setback?
Perhaps Ding Xianqi made a mistake in this matter, but the main person in charge of the clinical treatment team was Professor Ma Chuanfeng.
In other words, when something really happens that affects core interests, Ding Xianqi is nothing in front of Ma Chuanfeng.
You have to take the blame if you're supposed to, but nobody's going to think about helping you out.
Guo Ziyuan then began to comfort him: "Master, you have to believe in yourself. I believe in you so much, how can you lack confidence?"
"You can't just sell me out so you can have an easier time, can you?"
"If you dare to do that—then I'll have to go to another hospital—"
"Master, you know just how outrageous what I did before was."
"Why don't you analyze this from the perspective of other doctoral supervisors?"
"I have no way out anyway."
Ding Xianqi sent a volatile and distorted voice message: "Fuck you—"
Guo Ziyuan heard three words and quickly turned off the sound.
Then I continued typing—
"Master, we are one now, and none of us have a way out!"
Ding Xianqi: "You know everything, so why did you do it before?"
What did I do to offend you?
Guo Ziyuan: "???"
What did Ding Xianqi say? What did he do to offend me?
Regardless of his past life, Guo Ziyuan directly sent screenshots of two messages from his email.
This is a congratulatory letter from a journal.
Guo Ziyuan had no idea which SCI paper he had become the second author of.
Guo Ziyuan checked and found that the journal was in Q1, and although the impact factor was not high, it was still a Q1 paper.
How long has it been?
Ding Xianqi didn't just say "your master is not dead" offhand.
He really did things quietly and diligently.
In addition, Guo Ziyuan sent screenshots of his chat history with his junior brother Liu Guanghui.
The chat content above is very simple.
The expenses spent by Liu Guanghui and Guo Ziyuan were almost equal!
Liu Guanghui also relayed Ding Xianqi's message to Guo Ziyuan—
"Originally, you were talented enough to receive more funding, but your senior brother isn't as talented as you, so if he spends more money, he might be able to find a better job."
"I didn't shortchange you; I just didn't cut his share for you."
This may not be Ding Xianqi's original words, but it is Liu Guanghui's original words.
After posting the picture, Guo Ziyuan changed the subject: "Master, have you had lunch yet?"
Ding Xianqi was quite angry, yet also arrogant: "I didn't eat, I have no appetite."
"Prepare to starve to death on the spot."
"Anyway, if I don't starve to death, I'll die of anger sooner or later."
Guo Ziyuan: "————"
"Xiao Guo—are you busy?"
Cai Xiongxue finally finished dealing with the patient's follow-up and walked to Guo Ziyuan's side with a smile.
"Director Cai, I'm chatting with my teacher." Guo Ziyuan put away his phone.
Cai Xiongxue paused for a moment, then said, "Then you talk—go on—"
Although Cai Xiongxue had never pursued graduate studies, he knew how difficult it was to be a student.
If the teacher gives an order, you may need to get up and obey at any time, including but not limited to non-professional tasks such as picking up the teacher's child.
..
"It's alright, Director Cai, work is more important." Guo Ziyuan didn't take it seriously.
"Director Cai, if there's nothing else here, I'll head back to the control room and wait."
"My teacher often says that you must first defend your own home field."
Guo Ziyuan's phone buzzed a few more times, clearly indicating that more messages had arrived.
But Guo Ziyuan did not respond.
Cai Xiongxue grinned: "You're ignoring your teacher's messages too?"
Guo Ziyuan stood up and smiled, but showed no intention of replying to the message.
Cai Xiongxue exclaimed with emotion, "Xiao Guo, the books you've read are the real deal when it comes to life!"
"Let's get back to the main topic."
Tsai Hsiung-hsueh said, "I just contacted the patient. He said he wanted to see his parents, so he pretended to be unconscious."
"Of course, I also explained to him the real intention behind what you said, Xiao Guo."
"Is he a minor?" Guo Ziyuan asked hurriedly.
"No, it's because his parents haven't come home for the Lunar New Year in a long time. He's just turned 18 and is preparing to enter his senior year of high school this year—"
"The results were pretty good too—"
"It sounds like she suffered some injustice at school, but that's none of our business."
"Anyway, the police already know about this. Whether they investigate further is their job."
"Xiao Guo, to be honest, you dared to give him a diagnosis that everything is normal; you're truly skilled and daring!"
The comatose patient was taken to the emergency room and remained unconscious.
No one dared to suspect that he was faking it.
The instinctive mindset of all practitioners is to find problems.
There are too many factors that can cause a coma—
There must be some things you feel you've overlooked, right?
"Xiao Guo, may I ask how you made that judgment?" Cai Xiongxue asked.
Gan Lianyuan was still looking at the film over and over again.
This is indeed a very simple set of chest and skull X-rays, but Guo Ziyuan was able to determine that the patient was faking unconsciousness based on just one chest X-ray?
That seems a bit far-fetched.
Guo Ziyuan then said, "Oh, Director Cai, you mean this?"
"Actually, it's like this."
"If you look closely, you'll notice that the direction and size of the right arm abduction angle are different in the patient's chest X-ray and skull X-ray."
Upon hearing this, Cai Xiongxue indeed took the film again and looked at it: "Indeed, the positions are somewhat different."
"But does this confirm that the patient is faking it?"
"Perhaps the radiologist helped position the patient, or it was just slight displacement caused by shaking during the imaging process?"
Guo Ziyuan continued, "In comatose patients, the muscles are generally in a relatively relaxed or relatively tense fixed state."
""
"I won't be tense one moment and relaxed the next."
"Look here—"
Upon hearing this, Cai Xiongxue knew that this was not content he should be reading.
"Forget it, I won't look at it. I wouldn't understand it anyway. I didn't even know you could look at muscle tension on an X-ray."
"Xiao Guo, you're really good at watching movies."
Guo Ziyuan joked, "I'm just good at watching these kinds of movies."
"Director Cai, I'll head over now."
Guo Ziyuan still wants to head back to his old base in the control room to guard the "skill points"!
"Okay, thank you for your hard work, Xiao Guo."
"Let's have lunch together." Cai Xiongxue knew Guo Ziyuan's personality and knew he couldn't persuade him otherwise.
Guo Ziyuan directly refused: "Director Cai, then let's not do that. Let's handle it ourselves."
"You don't need to take Director Zheng's words to heart."
If you're alone, it's fine to agree.
Cai Xiongxue said, "It's okay if there are a few more people."
Guo Ziyuan said, "Then I can't take Teacher Cai's money and pretend to be generous—it's settled then, Teacher Cai—"
Guo Ziyuan left calmly without saying a word to Gan Lianyuan.
"Eh—"
Gan Lianyuan felt disrespected, but seeing that Guo Ziyuan showed no sign of stopping, he couldn't very well stop him.
After Guo Ziyuan left, Gan Lianyuan finally dared to speak: "That Dr. Guo, he's got a very arrogant temper, isn't he?"
Gan Lianyuan was a chief physician, so Cai Xiongxue didn't dare to be sarcastic and replied with a smile, "Director Gan, Xiao Guo is usually fine."
"In a coma, muscle tension tends to be uniform."
"Only normal people experience localized muscle relaxation and undulation due to various reasons."
"Can he tell the muscle tension just from an X-ray?"
"That sounds a bit exaggerated."
"However, this seems to be true—"
Gan Lianyuan stroked his chin: "Was he really summoned by Zheng Chongyue this morning, or did he come on his own?"
Gan Lianyuan had seen many masters before.
In fact, he himself is quite a skilled surgeon.
Therefore, Gan Lianyuan knew that such experts usually liked to meddle in other people's business.
When he went to see Guo Ziyuan today, he didn't actually want to cause trouble; he just wanted to reason with Guo Ziyuan.
However, the reason Guo Ziyuan gave him made him feel like he had a lot of energy but nowhere to use it.
He had no opportunity to utilize his status and expertise as a chief physician.
Believe it or not, I'm just offering a suggestion.
What kind of answer is that?
You might as well just state your diagnostic basis openly, and accept any criticism if you want—
"Director Gan, Xiao Guo doesn't want to meddle in other people's business at all."
Cai Xiongxue looked distressed: "Director Gan, please don't pursue this matter. If you insist on causing trouble for Xiao Guo, I'll have no choice but to call Director Zhou."
Guo Ziyuan finally agreed to leave the control room.
Now, it's anyone's guess whether Gan Lianyuan will continue to bury himself in his work and ignore worldly affairs.
No one dared to say that Gan Lianyuan was wrong!
It is perfectly normal for a chief physician to suspect that a resident physician's diagnosis is problematic.
Even if Gan Lianyuan is wrong ten thousand times, he can still have doubts!
Moreover, it's impossible for Gan Lianyuan to make a mistake ten thousand times.
There are simply too many resident physicians of Guo Ziyuan's age whose skills are far too inadequate.
These rules are determined by the actual difference in strength, not by a simple determinism based on status.
"Of course I didn't intend to cause any more trouble."
"I was just thinking, what if Xiao Guo were here in our emergency room!"
"Even if he's just making diagnoses, will it help lower the mortality rate? That's a key performance indicator for hospitals—"
"Source of hematoma, actual diagnosis."
"It's crystal clear to him." Gan Lianyuan's way of thinking is completely different from Cai Xiongxue's.
Tsai Hsiung-hsueh just wanted his shift to be easy.
Gan Lianyuan was thinking about the benefits that Guo Ziyuan could bring to the entire emergency room.
Your position determines your perspective.
Upon hearing this, Cai Xiongxue's mouth opened slightly, and his expression tightened.
"Director Gan, I have something to attend to, please excuse me for a moment."
Please make yourself at home.
After saying goodbye to Gan Lianyuan, Cai Xiongxue hesitated for only a dozen seconds before directly calling Director Zhou Yong.
Director Zhou, our department deserves a record of achievements!
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