Is there no limit to this doctor's skills?

Chapter 62: Master of Treatment!

[Overall Ability: Attending Physician]

[Basic Theory: Comprehensive Surgical Treatment (Specialized 75%); Comprehensive Orthopedics (Specialized 96%); Comprehensive Trauma Treatment (Expert 0%)...]

[Diagnosis: Comprehensive image interpretation (expert 1%); physical examination (specialized 24%); laboratory tests (specialized 53%)...]

Basic Surgical Procedures: Debridement (80% proficiency); Hemostasis (2% proficiency); Incision (95% proficiency); Suturing (99% proficiency)...

[Skill Points: 0. Can be used to improve medical theory and skills.]

Guo Ziyuan didn't save any of his skill points from yesterday; he used them all to improve his actual abilities on the panel.

While his basic skills, such as wound cleaning, have improved significantly, some of the techniques he learned in his previous life have also regressed.

[Specialist Basic Skills: Manual Reduction (Proficient 80%), Open Reduction of Fractures (Proficient 80%), Treatment of Complex Fractures (Proficient 65%)...]

Surgical treatment is closely related to procedures, surgical techniques, theories, and skills.

Guo Ziyuan knew the theory and the techniques, but previously he was limited by his hands and could not fully express them.

Basic skills such as wound cleaning and suturing are actually practiced in terms of controlling the opponent.

As Guo Ziyuan's skills in wound cleaning and other areas gradually improve, his overall abilities will naturally rise.

Because Guo Ziyuan's theory was not reduced!

If it were the fully healthy Guo Ziyuan, his level of specialized surgery would certainly be much higher than this, and the surgical techniques he would have mastered would be far more extensive.

His hands are not yet as smooth and controlled as they were in his previous life, which still affects his final performance.

Even so, Guo Ziyuan's overall level on the panel has moved beyond the resident physician level and reached the attending physician level!

After disinfection and draping were completed, Director Liu Jun handed the operating table over to Huang Zhao and Guo Ziyuan.

Liu Jun smiled憨厚ly: "Xiao Guo, Professor Huang specially asked me to save this surgery for you, so you must cherish this opportunity."

"When we were learning fracture surgery, we didn't have a teacher as good as Professor Huang."

Huang Zhao wasn't bothered by the question and continued with the teaching procedure: "You probably know the steps involved in fracture treatment, right?"

The Provincial People's Hospital does not perform simple fracture surgery. If doctors at the Provincial People's Hospital want to practice this kind of basic professional surgery, they must go to outside hospitals for training.

While making preparations for the surgical procedure, such as attaching the negative pressure suction device, Guo Ziyuan nodded and replied, "I know, Master."

"Manual reduction, temporary fixation with Kirschner wires, and intramedullary nail fixation."

This is a midshaft tibial fracture, but even the Changqu People's Hospital has abandoned the simplest plate and screw fixation technique and instead adopted intramedullary nail fixation, which is more technically advanced and more beneficial to the patient.

Huang Zhao's requirements for Guo Ziyuan were not high: "Just knowing the general process is enough."

The teaching process has a fixed procedure and provides students with ample room for growth, so Huang Zhao took over the conversation: "Intramedullary nailing is different from traditional plate and screw fixation."

"The patient's wound and the entry point for the internal fixation device are not at the fracture plane, but at the knee joint..."

As Guo Ziyuan listened, he nodded slowly: "Yes, Master."

The advisor had put a lot of thought into it; tibial fractures are the simplest and best type of fracture to practice open reduction and internal fixation.

"You make the incision, take the lateral approach to the patella." Huang Zhao explained to Guo Ziyuan and then gave him this order.

Upon hearing this, Guo Ziyuan gave the clerk a resentful look, then turned to the assistant the clerk had prepared beforehand and said with a gentle smile, "Teacher, please help push the C-arm machine a bit, let's get a feel for it first."

The patient had X-rays before the operation, which confirmed the diagnosis.

For patients with fractures, it usually takes three or four days for the swelling to subside between the time of X-ray and the time of surgery.

After a few days, the position of the fractured bone ends will change.

In order to know the enemy and yourself, a temporary X-ray irradiation device is used during the operation, commonly known as a C-arm projector, or simply a C-arm machine.

The advisor, Huang Yaoshi, was setting a trap for him so he could strike the knuckle of his index finger.

Huang Zhao didn't care since he had no tricks up his sleeve.

The assistant in charge of pushing the C-arm machine was an attending physician in the orthopedics department of Changqu People's Hospital. He smiled as he followed instructions, saying, "Dr. Guo, why did you think of using X-ray first?"

"Professor Huang is backing you up and telling you to do it, and you're still not cooperating?"

Although Guo Ziyuan avoided the trap set by Huang Zhao's early arrival, Luo Mengxue was still curious.

As Guo Ziyuan pushed aside to make room for Luo Mengxue to place the C-arm machine, he said, "After all, it is an unstable fracture type, and the fracture ends have moved too much during surgery and imaging."

"If it's a stable fracture, I'm willing to open it directly."

"Master, you agree, don't you?"

Guo Ziyuan was demonstrating his theory to Huang Zhao and explaining his reasoning.

Theory is not something you can memorize. No clinician likes someone who can only recite from books. You need to be able to flexibly apply the theories you've memorized to clinical practice, to surgery, and to specific treatments.

Use your brain!

Be adaptable.

Huang Zhao was very satisfied with Guo Ziyuan's explanation: "Let's do an X-ray first. You're the brain on the operating table now, you're in charge of everything."

Soon, everyone left.

The C-arm machine's display screen clearly shows the patient's immediate fracture type.

The tibia is in an oblique fracture, with the fracture ends separated laterally and anteriorly.

This is a simple tibial fracture, but it's not the simplest type of tibial fracture!

After all, it was too simple, and Huang Zhao also felt that it was not very interesting to start, and it was just a matter of completing the surgery for the sake of performing the surgery.

After determining the approximate type of fracture using anteroposterior and lateral views, Guo Ziyuan could begin the procedure.

He picked up the scalpel and made a standard lateral patellar approach, beginning to expose the tibial crest, which is also the location where the intramedullary nail will enter the bone marrow!

Having worked on so many stations, Guo Ziyuan was very familiar with this procedure. In addition, his basic skills in cutting were already close to being a specialist. Guo Ziyuan didn't even need to ask Huang Zhao.

Huang Zhao, being both skilled and daring, did not disturb Guo Ziyuan's process.

After exposing the bone ridge, Guo Ziyuan asked, "Master, shall you perform the marrow breaking or shall I?"

Intramedullary nailing requires breaking through the bone marrow!

"You do it!" Guo Ziyuan's knowledge base had convinced Huang Zhao that these procedures could all be learned by watching instructional videos on fracture surgery.

Guo Ziyuan didn't stand on ceremony and chuckled, "Then I'll trouble Director Liu to help lift your leg."

Guo Ziyuan is in charge, so he definitely needs an assistant.

Liu Jun couldn't let Huang Zhao, who was so old, come to help him with his legs, so he did as he was told.

Guo Ziyuan then used a bone-breaking knife to open the marrow first!

When they saw Guo Ziyuan gesturing the location of the spinal cord expansion point, Huang Zhao and Liu Jun's eyes lit up.

The way he chose the location and performed the spinal cord expansion was incredibly skillful; he didn't seem like a novice.

Guo Ziyuan returned to familiar territory, and with his cognitive abilities intact, he had no more reservations!

After widening the opening with a reamer, he turned and ordered, "Guidewire!"

The scrub nurse brought the guidewire.

Guo Ziyuan skillfully inserted the guidewire into the tibial medullary cavity. After only a short distance, he said, "Director Liu, thank you for your continuous traction, and for using external rotation force to straighten the force line."

In his previous life, Guo Ziyuan had led a team.

"Having led a group" means that you can lead a group to set up a stage.

Therefore, Guo Ziyuan's cognition and knowledge reserves are not limited to his ability to perform surgery himself, but also include his ability to guide his assistants on how to cooperate with him.

As Liu Jun did as instructed, he asked, "Professor Huang, is this really Xiao Guo's first time undergoing fracture surgery?"

Huang Zhao was now also suspicious: "Did you secretly do it somewhere with Ding Xianqi before?"

Guo Ziyuan shook his head. The surgery went smoothly and was performed as expected. His gaze was sincere: "Master, my first time in this life is with you."

Guo Ziyuan emphasized that if he did this in his lifetime, then he wouldn't be considered a liar.

How could anyone else have imagined that Guo Ziyuan had a past life?

Surgeons are not the type to stay quiet; even Huang Zhao, who is over seventy years old, prefers a relaxed atmosphere.

"Okay, you can continue..."