My medical path

Chapter 37 Give This Child to Me

From Lu Shiqing's house, it took only 10 minutes to ride a small electric donkey to the hospital.

When I entered the office, I saw Pang Minghui talking about surgery with an old man.

After Chen Bo listened, the grandpa and granddaughter suffered a fracture of the tibia and fibula (calf bone) caused by a car accident.

Pang Minghui talked to him about the operation.

The little girl's parents are working out of town, and before they come back, only the old man can make up his mind.

The child was only seven years old, Chen Bo saw the film, it was a spiral fracture of the tibia and fibula, the displacement was obvious, and the calf was also swollen.

In this case, general doctors will provide two options, one is conservative treatment, which is plaster, and the other is surgery.

The position of the calf is a bit special, the interosseous membrane is relatively tough, and after a fracture, bleeding in the fascial compartment can easily compress the blood vessels and nerves, causing a serious complication.

It is the legendary compartment syndrome.

Therefore, for this kind of fracture with obvious displacement and swollen calf, we should be alert to this problem at any time.

And the textbook says very clearly, as long as you doubt, pay attention, it is doubt!
There are indications for surgery.

Therefore, most clinicians prefer surgery when encountering such problems.

The old man didn't know if he understood. The question he asked repeatedly was, can this be treated conservatively?
After all, in everyone's opinion, surgery is always not to be done if it can be done, and not to be done if it can be done small.

"My superior doctor, Dr. Wu, also told you about this before. If you don't do this, the risk is very high..."

"The feet are so swollen now, once compartment syndrome occurs, the feet will be useless!"

"Even if you are lucky and there is no disability, it is difficult for the bone to grow back without surgery if the displacement is so obvious."

"And children's bones grow fast. After this time, when calluses appear around the fracture, it will be more difficult and traumatic to perform surgery."

Pang Minghui explained it this way.

Chen Bo could tell that what Pang Minghui said was obviously biased.

That is to suggest surgery, which is what Wu Zhennan told him to discuss thoroughly.

Hearing what Pang Minghui said, the old man, who was a little hesitant at first, finally made up his mind and agreed to have the operation. After all, it is important to heal his granddaughter's foot.

And just when the old man was about to sign, Pang Minghui found Chen Bo standing behind him, and quickly got up to say hello.

After watching Chen Bo perform two or three surgeries, Chen Bo's status in his heart skyrocketed.

Pang Minghui already regarded Chen Bo as a respectable senior.

At this time, seeing Chen Bo reading the child's information, his brows slowly frowned.

Pang Minghui couldn't help but feel a little uneasy. This is the natural guilty conscience of junior doctors facing superior doctors.

"Is there something wrong with my plan?" Pang Minghui asked uneasy.

"Who made this plan?" Chen Bo asked aloud.

"It's Brother Nan (Wu Zhennan). After seeing the patient number, he asked me to arrange emergency surgery." Pang Minghui replied.

"Have Director Wei and Director Zhao seen this patient?" Chen Bo asked again.

"No, Director Wei and Director Zhao are not here." Pang Minghui replied.

"Then you continue to talk about yourself, I'll go and see the patient."

Chen Bo did not immediately deny Pang Minghui's plan, after all, colleagues should support each other.

In particular, there are generally no special circumstances in the finalized plan, and it is not easy for other doctors to intervene, let alone tear it down in public.

Otherwise, it is easy to give others a handle, it is easy to get a lawsuit, and it is difficult to deal with colleagues.

The little girl was knocked down by a motorcycle and broke her leg. The owner of the car has already escaped. If there is no accident, she will have to pay for it herself.

When Chen Bo went to see the little girl, he first noticed the old man who took care of her.

The old man's dark face was full of marks left by the years of hard work. There were two holes in a jacket, and there were bald slippers on his feet.

Seeing the old man's appearance, Chen Bo felt a little sad, but when he saw the little girl, Chen Bo was a little worried.

The little girl's face was obviously thin, her complexion was sallow and sallow, and she was a little dirty, and an old coat was still wrinkled.

The left foot is obviously bigger than the right one, and the deformity is obvious. You can tell that the foot is broken when you see it.

"Little friend, do your feet hurt?" Chen Bo looked at the little girl and asked with a smile as much as possible.

"It hurts, but I can bear it. Grandpa said it's fine if I bear it."

Faced with the pain of a broken bone, adults may cry, but the little girl just gritted her teeth silently and did not cry.

"The left-behind elderly and children must have sad feelings that ordinary people can't understand..."

Chen Bo secretly sighed in his heart.

"Forget it, seeing such a situation, even if I offend my colleagues, I still have to do something..."

Chen Bo silently made a decision.

Chen Bo made up his mind and immediately turned on the system to scan, and the condition of the calf was clearly displayed on the screen.

The two bones of the little girl's calf have been broken, and the displacement is obvious, and there is a lot of bleeding at the fracture end...

Normally, it is difficult to adopt conservative treatment for fractures of this degree, and Wu Zhennan's judgment was not wrong.

But Chen Bo has a wisdom system, he can say no to difficulties!
After seeing the little girl and returning to the office, Chen Bo faced Pang Minghui in front of the old man and said seriously:
"She can be treated conservatively."

"Brother Bo, this, Brother Nan has already finalized the plan just now, I..."

Pang Minghui seemed a little embarrassed, after all he was in the same group as Wu Zhennan, normally he had to listen to Wu Zhennan's opinion.

"When Dr. Wu has any comments, I will explain to him. This child will be handed over to me. I will reset her manipulation and put a plaster on her."

Chen Bo explained to Pang Minghui.

"You will also come to help in a while. Remember to sign after you are done. There must be comments on the consent form, and conservative treatment is required."

Chen Bo continued to instruct.

"Okay, Brother Bo."

Although it was difficult, seeing Chen Bo's insistence, Pang Minghui gritted his teeth and decided to follow through.

"It can be treated conservatively, thank you so much, Dr. Chen!"

When the old man heard Chen Bo say that there is no need for an operation, he immediately stood up and bowed to Chen Bo, but Chen Bo hurriedly stopped him and told him not to get up.

The old lady is really grateful...

Originally determined to have an operation, he had already planned to sell the few pigs at home to his granddaughter to pay for the operation.

How could he not be excited when he heard that there was no need for surgery, his granddaughter did not need surgery, and the few pigs raised at home were saved.

Simple people are the most grateful. Chen Bo has worked for so many years and has a deep understanding.

(End of this chapter)