wavenovel Chapter 131 The Great Path of Diabetic Foot!
Chapter 131 The Great Path of Diabetic Foot!
Chapter 131 The Great Path of Diabetic Foot!
The living room of Min Chong's house in Han City.
After Min Chong hung up the phone, the beautiful woman sitting on the sofa looked at him with a smile: "Who were you calling? Why were you being so careful?"
"It's been a long time since I've heard you speak to someone in this tone."
The woman looked to be in her early thirties, dignified and elegant, with a well-maintained figure, and she had a face mask on.
Min Chong grinned helplessly: "A colleague with a lot of personality."
The woman suddenly realized what was going on and asked worriedly, "Is he also the professor who treated Koike?"
Min Chong smiled and said, "I'd say I'm a doctor, but not a professor yet. I'm a junior—"
The woman's expression was slightly taken aback; her face wrinkled slightly as she looked surprised. "A young man?"
"What kind of personality can he possibly have in front of you?"
Min Chong stretched out his arms, lay on the sofa, and looked at his wife: "Young people these days are hard to manage. If you don't do what they want, they'll run away."
"This Dr. Guo dislikes causing trouble the most."
The woman patted her face mask back on, her tone sarcastic: "He still thinks treating Xiaochi is a hassle?"
"Then you're not doing so well either."
Min Chong replied, "Young people don't care about these social niceties, what can you do? Can you tie him up?"
"Just find someone else, right?" the woman said casually.
"Go find it, come on, go find it—" Min Chong gestured for him to go.
As a medical professional, what he can't stand the most is his family saying, "This person is no good, I'll find someone else."
Upon seeing her husband's expression, the woman thought, "Irreplaceable?"
"That's how it is for now!"
"When it comes to technology, if you're not good at it, you're not good at it, no matter how grandly you put it."
"It's not that you can write poorly but with the rigid framework in place, no one will point out any mistakes."
"Your skills aren't up to par; the patient's illness doesn't care what kind of professor you are."
"I really didn't expect that Koike's osteomyelitis would be this complicated."
The woman hurriedly said, "Then why don't you quickly transfer her back to Han City?"
"Isn't this just messing around?"
Min Chong: "See, you're in a hurry again."
"Is treating illness a matter of a hospital's reputation? It depends on who is treating the patient. Xiao Chi's subsequent surgeries were all performed by people from the provincial level."
"Xiaochi wants to receive treatment in Yilan City and doesn't want to burden her family. Why are you spoiling her plans?"
"What? You transferred Xiaochi to Peking Union Medical College Hospital? Who else can treat her?"
"Are there any medications available at Peking Union Medical College Hospital that can't be found in Yilan City?"
The woman's brows finally furrowed.
"So what should we do now?"
"Bone cutting, or perhaps it's the only chance we can have with minimally invasive surgery," Min Chong answered truthfully.
The woman instantly became angry: "If you're not afraid Dad will break your legs, then go ahead and cut them off."
"You think I don't know that Koike's illness is osteomyelitis, do you?"
"Min Chong, I don't think your uncle is very close to you. He's always talking about cutting bones."
"If you can't manage, bring her to Han City, and I'll go find someone."
"It's just osteomyelitis—and you're bringing up bone surgery—"
Min Chong looked at his wife as if she were a fool, gave her a thumbs up, and walked back to his room without arguing anymore.
Interlaced like mountains.
October 31st, the 10th day of the ninth lunar month.
Suitable for sacrifices, bathing, exorcising evil spirits, demolishing houses, and breaking walls.
With the autumn sun shining warmly, the sweltering heat of Yishi has completely subsided!
At 6:12 p.m., Guo Ziyuan, wearing a trench coat, walked out of the emergency department's operating room.
As soon as he stepped out of the emergency room, Guo Ziyuan slightly adjusted the collar of his trench coat.
At the entrance of the emergency department, a young girl wearing loose hospital gowns sat in a wheelchair.
"Dr. Guo, why haven't you taken that route home in so long?" Chi Huanlin asked Guo Ziyuan with a generous smile.
""
Guo Ziyuan's attention wasn't initially on Chi Huanlin, but he turned his gaze when he heard the voice: "I've been doing animal experiments all week."
"I took a taxi back from the animal laboratory."
"Chi Huanlin, what are you doing here?"
Chi Huanlin, holding his notebook, said, "After staying in the ward for so long, I go downstairs for a walk every day."
"I feel good today and I've finished writing everything, so I wanted to come and ask Dr. Guo when you're going to perform the surgery on me."
Uncle Min Chong decided that Guo Ziyuan would be the chief surgeon and persuaded Chi Huanlin's parents to agree with him.
Chi Huanlin was surprised for a long time, but eventually learned to accept this unbelievable fact.
What's strange is that Guo Ziyuan used to pass by the big tree often, but I haven't seen him recently.
"We'll have to wait for the equipment to be manufactured and tested, so it'll probably be the middle of next month at the latest."
"Shouldn't you know the progress better than me?" Guo Ziyuan replied, tilting his head and saying, "An Yue, you go to the lab first, I'll be there in a bit—"
An Yue didn't know Chi Huanlin at all, nor did he know that Guo Ziyuan was going to the trauma surgery department for surgery. At this moment, he was slightly confused and dared not ask.
So he nodded quickly: "Oh, okay—"
After An Yue left, I felt more and more like I was becoming a tool.
Chi Huanlin's attention wasn't on An Yue at all. She pushed her wheelchair closer herself and said, "Dr. Guo, if you could help me get out of bed and walk as soon as possible, I would be very grateful to you."
"I haven't walked properly for three or four months."
Guo Ziyuan calmly replied, "I know. I'm also a trauma surgeon, so I understand what you're thinking."
"But illness comes like a landslide and goes like a slow, gradual process; we must wait until everything is ready."
"You will need to undergo a series of examinations before the surgery."
"We've waited for months, what's another half month?"
"Without the necessary equipment, we can't perform the surgery even if we wanted to!"
As Guo Ziyuan was speaking, the phone suddenly rang.
Guo Ziyuan answered the call immediately. The caller was Director Yao Hancheng: "Director Yao."
Yao Hancheng asked politely, "Xiao Guo, are you off work?"
"Have you seen the CT scan of that patient who just came in? Is it just liver contusion?"
The emergency surgery department currently has only two chief physicians: Zhou Yong and Yao Hancheng.
"You haven't replied to this side either, so I'm starting to get a little anxious," Yao Hancheng joked politely.
The radiology department and the emergency department actually installed a computer for viewing images and a CAI machine in the rest room where Guo Ziyuan was staying.
This was so that Guo Ziyuan could access the films at any time.
However, through Guo Ziyuan's own efforts, in order to avoid being merely a tool, Guo Ziyuan currently only agrees to review and diagnose images of patients admitted to the emergency room.
Other "consultations" were only arranged by other people at Yilan Central Hospital who made phone calls and took the initiative to invite Guo Ziyuan to help look at the films when he had time.
Guo Ziyuan doesn't want to just become a radiologist.
"Director Yao, I've seen the CT scan and read the radiology report. There's nothing unusual, so I didn't say anything."
"If there are any special circumstances, I will contact you privately." Guo Ziyuan smiled.
Although Guo Ziyuan's ability to interpret images is outstanding, the radiology department of Yilan Central Hospital is not to be underestimated.
Where are there so many special diagnoses that they can't detect?
Even if there are undetected diagnoses, they are all minor and harmless cases.
In the emergency room, if one or two patients a day require Guo Ziyuan to correct key diagnoses, that's already considered a lot.
"That's good, I'm relieved that it's not there."
"Then Dr. Guo, you should rest first." Even Yao Hancheng doesn't dare to call Guo Ziyuan "Little Guo" easily at the moment, but addresses him as Dr. Guo.
"Okay, Director Yao, then you go ahead with your work." Guo Ziyuan also hung up the phone promptly.
"Excuse me, it's Director Yao calling."
Chi Huanlin shook his head: "It's alright, Dr. Guo, I'm the one who bothered you."
"I really want to get better soon."
Guo Ziyuan agrees: "Patients who come to the hospital all want to get better as soon as possible. What you need to do now is to supplement your nutrition, especially protein."
"My senior brother Nie told me the day before yesterday that your albumin level is a bit low, and you need to eat more to supplement it."
"Even if you can't eat anything else, you should eat more boiled eggs."
"At this point, the theory that you can't finish absorbing an egg in a day is no longer applicable."
Chi Huanlin said, "Dr. Nie also told me that I should eat at least five tea eggs a day."
After finishing his sentence, Chi Huanlin thought for a moment and asked, "Dr. Guo, if you operate on me, I won't need to have my bone cutted, right?"
"After bone transport surgery, a large frame will be needed —"
Guo Ziyuan said, "I hope that's the outcome!"
"Actually, if we want to ensure the therapeutic effect, the simplest way is to directly cut the bone and install an external fixator."
"This is also the best result reached by many experts and professors."
Before the diagnosis was fully clear, everyone thought that osteotomy for osteomyelitis was a ridiculous treatment.
However, after the actual diagnosis, considering that the treatment with the least damage was too difficult, osteotomy was the simplest and optimal solution.
Chi Huanlin shook his head, pouting slightly, "Dr. Guo, let's give it a try first."
"Although this leg is destined to have a scar, I still want to have as few as possible."
"Thank you for your hard work, Dr. Guo."
"Dr. Guo, have you not eaten yet? Aunt Du made an extra portion of dinner. I wonder if it will suit your taste."
As Chi Huanlin was speaking, another aunt of hers came over with a lunchbox.
Guo Ziyuan only found out later that Chi Huanlin now has two aunts.
One is a caregiver, and the other is a housekeeper.
Caregivers are self-explanatory, as the name suggests. Household care workers are also self-explanatory.
Guo Ziyuan frowned slightly: "The timing isn't quite right—the experiments in the animal lab are a bit crucial right now—"
"I can't take up too much of your time, so I can only thank you for your kindness."
Chi Huanlin was taken aback, not expecting Guo Ziyuan to refuse so decisively: "Dr. Guo, are you so busy that you don't even have time to eat?"
"No, that's not it. Dr. An and I have been eating boxed lunches in the lab lately to save time as much as possible."
"This topic is very important, and we are currently at a critical stage," Guo Ziyuan said, glancing at his control panel.
【Debridement (National Team Member 0%), Puncture Technique (National Team Member 0%) ————
[Diabetic Foot Treatment Surgery (Under Development)]
For the past ten days or so, Guo Ziyuan has done nothing but focus all his energy on this new technology that is in the process of being developed!
Actually, it appeared seven days ago, when Guo Ziyuan upgraded his debridement skills to (expert 40%)!
Currently, there is no most suitable standard for the treatment of diabetic foot.
If there is any surgery that can cure diabetic foot, it would only be amputation.
However, amputation as a treatment for diabetic foot is certainly not the kind of surgery that the medical community is pursuing!
In the absence of absolute treatment standards, treatment is essentially about exploring and combining basic skills.
For example, how to clean the wound, how to administer medication, whether to give new drugs, or to inject growth factors locally, etc.
We slowly crossed the river by feeling for the stones.
After learning from experience once or twice, summarizing the lessons learned into routines and plans can turn them into treatment plans or surgical procedures.
Everything has to be developed by ourselves step by step.
Fundamentals are the key to developing surgical techniques and new treatments —
Guo Ziyuan smiled and said, "Chi Huanlin, you still need to replenish your nutrition. Please treat yourself to a meal."
"That's kind of helping me out."
"I have to go—"
Chi Huanlin's treatment was Guo Ziyuan's way of making up for the regret of the first unexplained death he encountered after working in his previous life.
Treating diabetic foot is the key to Guo Ziyuan's success in this life.
There was no right or wrong answer, but Guo Ziyuan knew how to choose.
"Dr. Guo—" Chi Huanlin called out to Guo Ziyuan.
Guo Ziyuan turned around: "Is there anything else?"
Chi Huanlin smiled broadly and said generously, "Thank you for being willing to take on this trouble."
"First of all, you're not a problem," Guo Ziyuan shook his head.
"Secondly, after reviewing your medical records, I was indeed very interested in your condition; I was satisfying my own thirst for knowledge."
"Third, I'm a doctor, this is what I'm supposed to do."
Guo Ziyuan finished speaking and went out the door.
The animal laboratory was brightly lit.
When Guo Ziyuan entered the operating room after dinner, An Yue had already brought back another batch of rabbits that had undergone puncture treatment and had taken the initiative to anesthetize them.
"Dr. Guo, I'm all ready."
An Yue looked excited, his gaze towards Guo Ziyuan was inscrutable, and his voice trembled as he said, "Dr. Guo, the ulcer has shrunk."
"I measured it! This 22-4 is at least 1.54mm shorter than yesterday's!"
所谓的22—4，是10月22日操作过的4号试验兔。
Guo Ziyuan smiled, a hint of confidence in his eyes: "I saw it—"
"The results in the next few days will be even better than these."
"The treatment of diabetic foot ulcers should be based on three fundamental principles."
"First, blood sugar control is effective."
"Secondly, the local debridement should be thorough and just right to stimulate local inflammation and repair."
Thirdly, precise local injection of medication.
"Diabetic foot ulcers are treatable." Guo Ziyuan believes that he will be able to bring this emerging technology to fruition soon.
After its development, the treatment of diabetic foot became a standard procedure and protocol, no longer a possibility in the exploratory stage.
An Yue's breathing became slightly erratic: "Then—are we... about to make a fortune?"
An Yue didn't emphasize that he was alone, but rather that he was referring to "us".
"Let's get started—we'll deal with the rest later—"