medical simulator

Chapter 110 This is a 'fairy'! (seeking subscription)

Zhou Cheng smiled bitterly on the spot for a while, but he had no choice but to leave the handover room door and walk outside the department.

The orthopedic department had already arranged the patient into the ward, and Zeng Yi led someone into the ward, with his white coat tied up in a pile, Zhou Cheng didn't even get a glimpse of where the patient was from the corner of his eye.

Then in the corridor, Li Changhong was on the phone, with a calm tone in his mouth: "Cai Dongfan, I have troubled you just now, and we have found a solution."

"You call Luo Yun and tell him that he doesn't come to the department anymore."

After finishing speaking, he hung up the phone and cursed on the spot: "What is it?"

After speaking, he turned around and saw Zhou Cheng standing in the corridor looking at him with a little embarrassment.

Li Changhong glanced at Zhou Cheng, and the corners of his mouth twitched for a while, but still couldn't bear to scold him, so he just said, "Go back to duty."

"nothing dealing with you."

Zhou Cheng could only nod his head and say, "Okay, Director Li."

In the only month since Zhou Cheng came to the Department of Orthopedics, he was under Li Changhong's group, but Li Changhong probably had forgotten him long ago.

After watching Li Changhong stuff the phone into the white coat, he also walked into the ward without any further politeness.

Zhou Cheng had no choice but to walk out of the department door, and then called Luo Yun to report the situation.

"Mr. Luo, Director Zeng and Director Li didn't let me see the patient."

But Zhou Cheng was only halfway through, and Luo Yun said, "I see, Xiao Zhou, you should go back to the department first."

"I'm on my way to the hospital."

"Alas!~" Luo Yun let out a long sigh after finishing speaking.

"Okay." After Zhou Cheng hung up the phone, he reluctantly went up the first floor through the walking ladder and returned to the ward of the second orthopedic ward.

At this time, Du Ruiqi was still editing the medical records. Seeing Zhou Cheng running up so quickly, he squinted at the time in the lower right corner of the computer, and asked with astonishment, "Brother Zhou Cheng, did you finish it so quickly?"

"It's only a few minutes?" The corner of his mouth twitched for a moment, feeling that Zhou Cheng was simply not human.

He didn't even know when he finished the joint reset in the morning.

Zhou Cheng sighed and said, "The patient was driven back by Director Zeng and Director Li without seeing him."

Du Ruiqi's expression slowed down, and he thought to himself, this is the fucking right thing, I said how could it be possible to solve a joint dislocation that even the orthopedic department can't solve so quickly.

But he said in his mouth: "Maybe Director Li and Director Zeng have other considerations, we junior doctors, just follow the instructions."

"En!" Zhou Cheng nodded, and then continued: "Brother Rui, I'll go to the lounge to rest for a while, if you have something to do later, call me."

"Thank you, Brother Zhou Cheng." Du Ruiqi replied.

After Zhou Cheng left, he breathed a sigh of relief.

He muttered in his mouth: Director Cai didn’t know what he was thinking. Someone from the Department of Orthopedics called him and sent Zhou Cheng there. If I were Director Zeng or Director Li, I’m afraid I would also send Zhou Cheng back directly. .

But even so, Zhou Cheng also hid it quite deeply.Since director Cai Dongfan dared to ask him to go to the first orthopedic department for a 'consultation', it proved that Cai Dongfan recognized Zhou Cheng's strength, but the first orthopedic department did not.

Zhou Cheng didn't show any signs of leakage before, but this time, after a gossip about Gui Pei's chances of staying in the hospital came out, he was blown out as well.

Now it's getting bigger and bigger.

Du Yanjun and Min Chaoshuo, graduate students of our school, have their supervisors in the department. Lin Lin in our group has a very hot personal relationship with Director Hu Ming recently, so I don't know what they are doing.

The article that I promised Director Hu Ming to write together has not yet been finished, and Lin Lin's article has been accepted, and a gap has formed first.

Clinically?

Min Chaoshuo and Du Yanjun had already started to take the lead. Although they had also obtained Hu Ming's consent, compared to Lin Lin, the chances of doing the work were much less.

Now Zhou Cheng suddenly appeared, with such outstanding clinical ability.

so now?
Are you inferior to Lin Lin in scientific research, and Zhou Cheng in clinical practice?
Thinking of this, Du Ruiqi sighed slightly——

It seems that I still have to finish writing the article quickly, and perform more surgeries earlier, so as to have a chance.

Lin Lin, myself, Min Chaoshuo, and Du Yanjun, the four postgraduate students are already competing, and the places are not enough, and there is an extra Zhou Cheng who intervenes, and Xu Yanlin, who is in Director Yan's group, is eyeing, iron-related households...

In the emergency department.

After Zheng Guowei received Guo Haoran's call, he finally calmed down a little, and immediately pulled his student Liang Xueya aside.

He urged: "Xiao Liang, Director Guo called me just now, saying that Director Zeng of the First Department of Orthopedics had called him, and that patients with dislocated joints should not be sent to the First Department of Orthopedics for the time being. The one that was sent in the morning , It has not been resolved until now, and the emotions of patients and family members are a bit big now."

"I told you earlier that our orthopedics department here has not performed manual reduction of joint dislocations for many years. It is impossible to do so, and accidents will happen."

"Look, am I right?" Zheng Guowei looked like your teacher, how could I lie to you.

Am I right?He even showed off to Liang Xueya in a bit of embarrassment.

Liang Xueya continued to frown!
Zheng Guowei continued: "The first department of orthopedics can't be sent, so we can only send them to the second department of orthopedics. I can tell you clearly that although there is Luo Yun, who is a joint surgeon, in the second department of orthopedics, it will definitely not be a few days later." It's bound to happen."

"It's impossible for Luo Yun to be on duty for 007 by himself. Besides, even Luo Yun has joint dislocations that he can't handle."

"This time in orthopedics, the strides are too big. I am eager for success, this is definitely not enough."

"The two directors of the orthopedics department, whether it is Yan Haihan or Zeng Yi, are actually very courageous people, including the previous directors of the orthopedics department, who are very courageous. If you talk about transformation, you will transform, and if you talk about divisions, you will divide them."

"But clinical things can't be done by courage and recklessness."

Speaking of this, Zheng Guowei continued to express with emotion: "Actually, when the old director of the orthopedics department was still in office, I had just started working at that time. Our hospital's manual reset was pretty good, and there were a group of old Chinese doctors in the hospital. "

"However, surgery was the craze of orthopedic treatment at that time. Conservative treatment had too high requirements for diseases. Surgery can treat many diseases and has good benefits. It was right when orthopedics was undergoing this transformation."

"But it's been decades, and it's actually very difficult to pick up things that have been lost. Those old seniors have retired, and most of them are even dead."

"Today's orthopedics people are mostly from clinical medicine. It takes a lot of time to specialize in surgery. How can there be so much time to specialize in conservative treatment?"

"You must remember that clinically, the word stability is the most important."

Liang Xueya nodded, and then said: "Director Zheng, if there are still patients with joint dislocations today, should they all be sent to the Second Department of Orthopedics?"

"Send it, of course. As long as Director Zeng didn't call and say no more, we can't refuse the diagnosis."

"We have no right to reject patients for the orthopedics department. Only the orthopedics department has the right to make suggestions. If something like this happens, it has nothing to do with our emergency department." Zheng Guowei was in a good mood, with a very understanding expression.

Liang Xueya continued to nod, and immediately saw an ambulance coming to the emergency department.

I ran over to take a look, and immediately saw abdominal trauma, so I immediately called a doctor from the general surgery department for a consultation, and then completed the relevant examinations...

About twelve past two.

Luo Yun finally arrived at the first ward of the orthopedic department, before he had time to change his overalls, he slipped into the ward, and immediately apologized to Zeng Yi and Li Changhong: "Director Zeng, Director Li, I rushed to the department when I received the call .”

"There is a little traffic jam on the road."

Zeng Yi saw Luo Yun take two steps back and glanced at the time.

It was only 44:[-], and the time I called Cai Dongfan was [-]:[-].

Within 9 minutes, Luo Yun rushed from home to the department in a traffic jam, and there must have been no delay.

As for the temporary calling of Zhou Cheng to come to the orthopedics department to 'insult people', Zeng Yi didn't want to bother.

The most important thing is to solve the problem first.

Li Changhong looked back to see Luo Yun, and didn't repeat the angry words he said after calling Cai Dongfan. Today is the person in his team who is on duty.

He just took a step back and said to Director Zeng: "Director Zeng, take Xiao Luo to watch the movie first, I am here to communicate with patients and their families."

"Director Wang is already on his way."

"Okay!" Zeng Yi didn't hesitate, and immediately brought Luo Yun to the doctor's office, saying as he walked.

"The plain film of this patient looks like a conventional dislocation of the wrist joint, but both Wang Yaoxiang and Li Changhong were reset twice, but they failed to reset. The patient and his family refused to receive nerve block anesthesia, so we insisted on finding a way. "

"I also refused to conduct further examinations. Although the tone is loose to a certain extent, it is possible to agree to open reduction surgery."

"But I thought I'd try to use manipulation to reset his dislocation."

Before the manual reset, Wang Yaoxiang had already talked with the patient and his family members. After all, it was a routine manual reset for the second joint dislocation in the department, so he dared not be careless.

It's just that it's one thing to have a conversation, and it's another thing for the patient to understand.

Hearing this, Luo Yun frowned tightly: "Did Director Li also reset it twice? Then this wrist dislocation is probably unusual."

"What type of dislocation is it?" Luo Yun asked as he walked.

Zeng Yi's expression changed: "Wang Yaoxiang said it was type 2. I watched the film and thought it was type 2 - dislocation of the radiocarpal joint and intercarpal joint."

Luo Yun immediately glanced at Zeng Yi with a bit of confusion, a little embarrassed.

I thought to myself, Director Zeng, such a simple classification is not enough.

In the eyes of non-joint surgery, there are only two types of wrist joints——

Type I, simple dislocation of the radiocarpal joint; type II, dislocation of the radiocarpal joint and intercarpal joint.

But in the eyes of joint surgeons, there are more than ten types of wrist joints.

"Well, let's watch the film first, shall we?" Luo Yun didn't blame Zeng Yi. Although Director Zeng is the chief director of the orthopedics department, he specialized in surgery. The reason why joint surgery can be separated from the trauma surgery of the orthopedics department and become a separate department.

It is precisely because of the specialization of joint surgery that it is no less than the difference between spine and orthopedics.

When I came to the office, a computer had already listed the patient's films on the computer screen, and there was only a simple front and side view of the wrist joint.

In fact, it should be an NMR.

Luo Yun was conflicted in his heart, but he didn't say it out. He is in the second department of orthopedics, and he is only attending now.

When Luo Yun saw it, he frowned fiercely!
Radiocarpal dislocation!

And separation of the inferior radioulnar joint——

and.

2 to 5 metacarpal joints are also dislocated.

Look at the fracture line again, good guy, there is no fracture yet, what a rare case is this?

Those that can lead to dislocation of the radiocarpal joint are generally high-violence injuries, and most of them will be complicated by fractures, but this patient happened to have no fractures.

Also, the most common types of wrist dislocations, such as lunate and perilunate dislocations, were absent.

Instead, the high energy was somehow transferred to the radioulnar joint and the metacarpal joint——

As a result, fractures and lunate perilunate dislocations, which are relatively easy to treat, were all missed by patients, and instead became what they are now.

After reading it, Luo Yun turned his head, his face squeezed into a chrysanthemum face, and stammered: "Director Zeng, this wrist dislocation does not belong to the conventional type II wrist dislocation—dislocation of the radiocarpal joint and intercarpal joint. "

Luo Yun didn't embarrass Zeng Yi, and gave him some more classifications of joint surgery that only specialists in joint surgery would pay attention to.

For example, the words such as lunate dislocation, transscaphoid perilunate dislocation, transstyloid process and scaphoid perilunate dislocation, volar perilunate dislocation, etc. are extremely difficult to pronounce.

"If you have to give this a name, it should be called atypical multiple wrist joints and metacarpal joint dislocation."

"Is the patient's and family's willingness to perform the surgery great?" Luo Yun simply gave up doing the manipulation reset.

Hearing this, Zeng Yi frowned fiercely: "This patient, can't he do manual reset?"

"It's best to reset her with manual reset."

Zeng Yi wondered to himself, whether this Luo Yun was secretly instructed by Cai Dongfan to disgust him on purpose.After all, he and Yan Haihan were also taking advantage of Cai Dongfan's enthusiasm.

Both Zeng Yi and Yan Haihan didn't know what Ding Changle and Cai Dongfan had said in private, anyway, they only made one phone call.

So Zeng Yicai and Yan Haihan discussed with each other, how about we do joint dislocation manipulation together, if there is a topic, there is an article, at least you can mention a name, and express your attitude to Professor Ding Changle by the way.

We can provide the same platform that Cai Dongfan can provide. Of course, as long as Professor Ding is willing, our whole department of orthopedics is willing to provide you with a bigger platform.

That's what happened this morning.

"Director Zeng, it's hard to say, how should I put it? It's like our conventional classification of fractures, which can cover most types of fractures, but there are also very few special fractures that are not included in the conventional classification."

"This patient's dislocation is that extreme type. I estimate that it is difficult to find the same reference even if I search the literature. This type is extremely rare."

"Originally, dislocation of the radiocarpal joint is an extremely rare high-energy injury, accounting for only 0.2% of all joint dislocations. If the remaining dislocations are combined, I estimate that such a coincidence may not happen in 20 years."

What Luo Yun said was quite conservative and cryptic.

But Zeng Yi's expression was a bit ugly, the corners of his mouth twitched and twitched, and he said, "So we just happened to meet?"

Such a coincidence?
"Yes. It's almost like this." Luo Yun also felt that this was really a coincidence.If the patient has any fractures, then there is no need to talk about it, and open reduction can be done directly.

But there is no fracture, and there is no dislocation around the lunate, which proves that the ligament structure inside the wrist joint is actually okay. It is just a misplaced shift and deviation, and there is no need for repair such as fracture. In principle, It should be able to be reset manually.

but?

Ability is ability, and theory is theory. I have never done it before, and I have never encountered it before. This is not a theoretical thing.

Zeng Yi's face was a little dark, and he called Li Changhong in private, saying, "Changhong, Luo Yun has watched the film, and said that he would try to talk about surgery. Wait until Director Wang comes, and we'll see the situation." Let’s explain it to the patients and their families.”

"This dislocation is very unusual."

Li Changhong replied on the other end of the phone: "I said it and explained it, but the patient's husband insisted that since it is unusual, why didn't he make it clear when he first came here? Is it because our doctor messed him up now?" Average?"

"And, Director Zeng, there seems to be something wrong with this patient's family. He is calling to ask many people. There are several calls, which must be made to doctors in other hospitals. I don't know what happened."

"Are you sure? How did he know so many doctors?" Upon hearing this, Zeng Yi felt a bit silly.

"I don't know. If it's the health system, even if I don't know it, at least I know it. I don't know why." Li Changhong said.

Suddenly someone whispered in his ear for a while, saying that Zeng Yi didn't hear clearly.

Li Changhong immediately walked away, and said to Zeng Yi: "Director Zeng, I found out that this patient's husband works in the 120 emergency team, and seems to be the person in charge, not just the captain..."

"Damn it." Zeng Yi cursed.

I also heard the high-profile family members on the opposite side: "I trust your No. [-] hospital to come here. You can't fool our patients like this. We are here to treat diseases, not to quarrel."

"My wife and I understand that it's not easy for your doctor. Otherwise, we would not agree to your operation four times, but now you tell me that you need an operation, and I can't accept it for a while. You have clearly evaluated it before and then said it's OK. Manipulative therapy..."

Zeng Yi hung up the phone with a gloomy expression.

The other party is enough to save face. It is estimated that the other party already knows how to report and which relevant units to report these things to. However, the reason why he has not taken this step is that he still hopes to solve the matter.

"Is there really nothing you can do? How about you send the film to your teacher and let him see it?" Zeng Yi rubbed his aching head and gave an immature suggestion.

Luo Yun closed his eyes and thought for three seconds, then nodded and said, "Okay, Director Zeng, let me ask first."

He also heard the phone call just now. If there is something wrong with the first department of orthopedics, the second department of orthopedics is also connected. Although he hasn't bothered his teacher for a long time, he still needs to bother what should be disturbed.

Luo Yun then said: "Director Zeng, I'll make a phone call first, I don't know if my teacher will answer."

Zeng Yi nodded, then suddenly glanced at Luo Yun, and asked, "Luo Yun, didn't you study in Shashi as a graduate student?"

"No, I'm from Shashi. I came back to work." Luo Yun answered casually, and then walked out.

For a moment, Zeng Yi also forgot which hospital Luo Yun's graduate student was in, but the matter of this patient was more important, so he didn't ask again.

About 10 minutes later, Director Wang Yongjin came to the department and the office first.

But Luo Yun hasn't come back yet.

Wang Yongjin asked Zeng Yi about his condition again, and watched the film at the same time. Zeng Yi explained his condition while explaining what Luo Yun just said.

After Wang Yongjin finished reading, he also scratched his hair and said, "In such a situation, if Director Liu is still in the hospital, he may try to reset it again. Now Xiao Wang has reset it four times!"

"I suggest to talk about surgery directly. Such a reset is very rare. I have been doing it for so many years, but I have never seen it."

"Previous dislocation patients rarely came to the department."

Zeng Yi smiled bitterly and said, "Director Liu is almost ninety this year, and it's not appropriate to invite him to the department."

Director Liu is from the old director's generation, and he is the only living figure in that generation. No matter how courageous Zeng Yi is, he dare not bother him.

"Director Wang, thank you for your hard work. I'll go talk to the patient's family." Zeng Yi didn't tell Wang Yongjin about the identity of the patient's family so as not to disturb him. Director Wang is about to retire, so let him have a good rest That's the business.

Wang Yongjin said: "Don't be in a hurry, wait for Ronaldinho to call back, and then make a decision."

Just as Wang Yongjin was talking, Luo Yun came in feeling his head.

"How is it? Luo Yun, what did your teacher say?" Zeng Yi hurriedly asked.

Luo Yun struggled and said: "My teacher said, reset can be done! But I haven't done it yet."

"If the patient strongly refuses surgical treatment, it is recommended that we transfer to another hospital and do not touch it again. Otherwise, ligament rupture and wrist osteoarthritis will easily occur."

"My teacher has only seen this situation once."

Zeng Yi's expression changed.

With a wry smile, he shrugged his shoulders: "This?"

"Hoo!~"

"Director Wang, do you suggest transferring to another hospital, or invite a professor of joint surgery from the Affiliated Hospital of Shonan University to come over for an evaluation?" Zeng Yi lost the straw of Luo Yun, so he could only admit that he was unlucky and pay for someone himself Come here for treatment.

Wang Yongjin nodded: "That's all I can do now, but I'm not very familiar with the young people in the Affiliated Hospital of Shonan University. Do you know anyone?"

"When I called, they were all old people. We asked someone to help, and it would not be appropriate to transfer the call from someone from the previous generation." Wang Yongjin explained.

"Yes, Director Wang, you go to rest first! I'll arrange the rest of the matter. Today is our young people who are causing trouble for you, so you have to take a trip."

Wang Yongjin smiled and said: "I'm old, and my body is indeed not as strong as it was a few years ago. It's just that I can't help you here."

Only then did Wang Yongjin call to ask for foreign aid. Originally, he also thought about asking for foreign aid, but he would wait until the people in the department really had no other way to do so.

Spending money is one thing. If you always ask professors for foreign aid, this is also inappropriate. It will make others think why your hospital is so busy?What kind of monsters and monsters are they?Can't handle anything?

……

At 12:30, after Zeng Yi called, Luo Yun told Zeng Yi that he had to go to the department to check the situation first.

There is only a young man like Zhou Cheng sitting in his department, so he is not at ease.

Zeng Yi can also understand that now both departments are treating patients with large-scale joint dislocations on the first day. If this happened in the first department of orthopedics, the second department of orthopedics must take precautions. Take on the responsibility of being on duty.

"Go ahead, you need to be more cautious. Don't let this happen again, communicate more, check more, and get a clear diagnosis." Zeng Yi confessed.

In fact, he felt a little bitter in his heart. He thought that Wang Yaoxiang from his department would not be weaker than Luo Yun.

After all, Wang Yaoxiang participated in the joint surgery competition for young doctors in the province and won an award, while Luo Yun was just a graduate student in joint surgery and had no outstanding achievements.

But now it seems that Wang Yaoxiang may not be able to compare with Luo Yun.

……

"Ms. Luo." In the second orthopedic department, Du Ruiqi was eating, and when he saw Luo Yun, he immediately called out politely, "Have you eaten yet?"

Luo Yun saw that there was a fast food box next to Du Ruiqi, and the food was quite messy, but he looked like he hadn't finished eating, so he asked, "I've eaten. Is the situation in the department okay? Where did Zhou Cheng go? "

Du Ruiqi hurriedly sent the contents of his mouth into the esophagus, and then wiped his mouth while replying: "The situation in the department is all right, and two patients with fractures came here, closed. You don't need to go on stage."

"Brother Zhou Cheng went to the emergency surgery department for consultation. He said that it was multiple combined trauma, which was related to our orthopedics department. I was still talking to new patients at the time, so I sent Brother Zhou Cheng to the emergency department."

Du Ruiqi was a little nervous, for fear that Luo Yun would think him lazy, instead of going to the consultation or calling the superior doctor in his team, he would send Zhou Cheng over instead.

According to the arrangement in the department, Zhou Cheng was only responsible for the manual reset of the dislocated joint, and ignored everything else.

Luo Yun smiled and said: "You are not nervous. It is normal for you to help each other! You have worked hard, you should eat first, and I will sit in the lounge. When Zhou Cheng comes back later, you let him rest Find me in the room."

Naturally, it was impossible for Luo Yun to find trouble with Du Ruiqi or something. It was quite difficult for a junior doctor.

"Okay, Teacher Luo." Du Ruiqi nodded repeatedly, and was relieved when he saw Luo Yun go out.

……

At this moment, Li Changhong rushed towards the emergency room with a particularly headache. He just felt that today was a bad luck for eight lifetimes. The patients in the department here have not been treated well, and a patient with multiple joint injuries came to the emergency department with problems in both upper and lower extremities. , I had to call the doctor on duty in the Second Department of Orthopedics to go to the emergency consultation.

The junior doctor in my group was on duty today, Wang Yaoxiang was supposed to go, but as the first doctor of the troublesome patient in the department, if Wang Yaoxiang ran away, he would easily irritate the patient if he was not in front of the patient.

It's also impossible to ask Zeng Yi, the chief director, to come, so he can only go to the emergency consultation.

Li Changhong didn't know how long he hadn't had an emergency consultation.

But before setting off, Li Changhong finally had time to slip away and smoke a cigarette.

Then he rushed to the emergency department slowly.

When I went to the first aid ward of the emergency department, there were many old acquaintances from various departments, but they were all deputy chief physicians. After reading the situation of their own departments, they rushed to write the consultation records and at the same time greeted Li Changhong.

"Director Li!"

"Director Li."

"..."

There was a sudden surprise in his tone.

They are all employees of the No. [-] Hospital, so they naturally know who the directors of each department are, and who are the deputy directors or attending doctors who go to the emergency consultation.It is quite rare that Li Changhong, the chief physician, would come for an emergency consultation in person today.

Li Changhong nodded casually, and then walked towards Zheng Guowei. Zheng Guowei was still indifferent in front of the computer, but when he saw Li Changhong, he immediately stood up.

Come over and take the initiative to accompany him and say: "Director Li, this patient suffered multiple combined injuries in a car accident and is currently in a coma. I have already invited relevant departments of neurosurgery, thoracic surgery, gastrointestinal surgery, hepatobiliary and pancreatic surgery, and internal medicine for consultation."

"Orthopedics-related conditions include deformities in the pelvis and ankles, and open injuries in the upper limbs. After taking plain films and CT scans, there were fractures in the upper limbs."

"The lower limbs are posterior dislocation of the hip joint and dislocation of the calcaneal joint."

"Someone from the second orthopedic department said that the lower limbs can be solved by manual reset. He went to get a plaster cast. On the upper limbs, he said that the teacher from the first orthopedic department should come for consultation."

Although Li Changhong is the director of the orthopedics department, and Zheng Guowei is not an orthodox subordinate, but he is Zhenggao after all, and Li Changhong may take over as the next director of the orthopedics department. in front of the computer.

"Well! Our department's affairs should be handled by our department, and he is not to blame." Zeng Yi nodded, and understood that what Zheng Guowei meant was that people in the second orthopedic department did not want to look at the upper limbs.

But they are all from the orthopedics department, and he also explained to Zheng Guowei that this is not because the little doctor in the second orthopedics department is ignorant or trying to avoid trouble.

"Then it's hard work for Director Li to see the patient and evaluate whether he should be sent to the operating room immediately to deal with the upper limb problem. After all, there is a coma, and it is an open fracture." Zheng Guowei didn't continue to worry about other things, so he asked Li Changhong to watch the film .

When Li Changhong was watching the film, he looked up and saw it, as if it was the Zhou Cheng he had only seen in the department!
In front of many deputy directors of the emergency room, he unceremoniously opened the plaster polymer material and exposed it to the air. After measuring the length of the lower limbs, he edited and adjusted the curvature of the two ends of the plaster.

After resting, I saw him close his eyes a little more, and then dragged the comatose patient's thigh, making two clicks.

He actually directly reset the posterior dislocation of the hip joint.

Moreover, the clicking sound after the successful reset attracted the attention of many doctors in the emergency room. Looking up, they all frowned.

Even Zheng Guowei scratched his head.

Whispered: "Director Li, the second orthopedic doctor didn't come, so only this resident doctor came. He said that he needs to reset, and we are not good."

Zheng Guowei was watching, but Li Changhong stretched out his hand suddenly.

Although Li Changhong hated it very much, he even felt that Zeng Yi's manipulation of joint dislocation in the department was meddling in his own business.

However, it does not prevent him from being the chief physician of the Department of Orthopedics, and he has a certain understanding of the manual reduction of joint dislocations in the Department of Orthopedics.

He is not from joint surgery, and he may not have much contact with manual reduction, but he still knows how to evaluate whether manual reduction is done well.

At this moment, the clicking sound produced by Zhou Cheng's reset is definitely the sound made by the femur hitting the acetabulum after successful reset. It may sound a little scary, but to the ears of orthopedic surgeons, this sound is quite pleasant.

This proves that the reset was successful.

The ear hears so.

Then, the deformity visible to the naked eye, the posterior dislocation of the hip joint, also disappeared.

The patient was in a coma and could not do pain tests, but the deformity could disappear, which was almost a sure success of the reduction.

Li Changhong interrupted Zheng Guowei's words with his hand, and then he didn't want to watch the film again, but continued to pay attention to Dr. Xiaozhupei from the Second Department of Orthopedics.

I saw that after he successfully reset, he touched his hands near the hip joint.

Li Changhong knew that Zhou Cheng was feeling the hip joint to see if there was still a sense of emptiness. He was touching the position of the greater trochanter of the femur. This was one of the palpation contents of the physical examination after successful reset, which could support his own diagnosis of successful reset.

Targeted.

This resident doctor doesn't seem to be as reckless as he seems.

Immediately afterwards, Li Changhong saw that after the physical examination, Zhou Cheng came to the left calf of his left leg. After the traction of the road.

chug!

Although there was no sound this time, Li Changhong saw the muscles in his ankle bounce twice, which seems to be one of the signs that can be evaluated by the naked eye when he resets.

However, Zhou Cheng did not put plaster on the patient directly, but let go of his right hand, and did a physical examination on the ankle again.

Immediately afterwards, he exerted force with his right hand and reversed the direction of the force arm. Immediately afterwards, Zhou Cheng plantarflexed the patient's foot to the extreme.

moment--

The protruding piece on the instep disappeared without a trace.

After doing this, Zhou Cheng palpated again and felt satisfied, so he put the plaster of polymer material under the affected limb and began to wrap the plaster.

At that time, Li Changhong's pupils shrank slightly, and he stood up.

Then he looked at the time, Zhou Cheng reset the two parts, it took less than 3 minutes before and after, and now it's over?

This is no joke.

Seeing it with your own eyes is worse than hearing it.

Hearing is believing, but seeing is believing!
This Zhou Cheng, does he really know how to reset?
Cai Dongfan and Luo Yun sent him to the Department of Orthopedics before, not for any other purpose, but simply to help?

The time for plaster winding was about the same as the reset time, and then Zhou Cheng said to Liang Xueya: "Brother Liang, you must remember to re-examine the patient's pelvic plain film and the film of the left foot oblique position later, not the right side of the left ankle joint." Come on, don't make a mistake."

"I'll write it in the consultation treatment opinion later."

After putting on the cast, Zhou Cheng explained to Liang Xueya in this way.

"Okay!" Liang Xueya knew Zhou Cheng well, so he naturally believed in Zhou Cheng's professionalism, so he began to issue medical orders immediately. The exact time to implement them depends on whether the patient's other symptoms are serious. If emergency surgery is needed, you can wait for the emergency surgery Check back when finished.

But the doctor's order must be kept on hand for fear of forgetting.

Zhou Cheng waited for the general surgery and other teachers to write the consultation records.

He had only written the record of the first visit before, and he hadn't written the record of the follow-up visit. Now that he has undergone treatment, he naturally has to write it down, including the results of the physical examination after the reset and the treatment suggestions for the follow-up visit, etc.

After Zheng Guowei finished reading, he smiled and said, "Director Li, the young doctor in your department looks like a bit of a tiger."

The lower limbs belong to the scope of the second department of orthopedics, and the effect of the treatment is not something that Zheng Guowei should consider.But I still feel the need to tell Li Changhong.

Li Changhong did not answer Zheng Guowei's words, but saw the deputy directors of other departments seeing Zhou Cheng, a little tiger in the orthopedics department, waiting to write the consultation records, and immediately gave him the emergency medical records first.

His expression was full of fear.

After all, this is a comatose patient, Zhou Cheng dared to perform a reset operation on him in this emergency operating room, it is really a shame.

Moreover, the front and back operations took only two or three minutes, and it was directly declared over.

Nima's massage also takes half an hour to be effective?
Manipulative reduction of joint dislocation should be one of the surgical operations, right?

Where is Xiao Zhupei from the Second Department of Orthopedics?

This is simply the god of the second orthopedic department, they don't know how the second orthopedic department dared to release him.

See the patient for 3 minutes, reset for 3 minutes, and cast for 3 minutes, for a total of 10 minutes.

I don't even dare to do assembly line work...

Can't be provoked, can't hide.

You are a fairy, let you come first.

Li Changhong did not return to Zheng Guowei at all, but stood up and said, "Director Zheng, this patient must be sent to the operating room. After you arrange the operation here, we can go to the operating room for emergency surgery at any time."

"According to the current situation, the main cause of blood loss in the patient's coma or shock is unlikely to be an open fracture in our orthopedics department. The patient's gauze has little bleeding around the gauze, which must be due to internal organ damage."

"We only need to do debridement and external fixation during the operation according to the situation."

"Consultation records, I will write them later."

After speaking, Li Changhong walked towards Zhou Cheng who was writing the consultation records.

Zheng Guowei saw that Li Changhong made a casual confession, so he walked towards Zhou Cheng, his heart twitched, he stretched out his hand, and said, "Hey, Director Li."

"I've already finished watching." Li Changhong didn't want to listen to Zheng Guowei's nonsense, so he had to find time to talk to Zhou Cheng quickly.

There are still a lot of difficult things waiting for him in his ward now, maybe calling Zhou Cheng over, treating a dead horse as a living horse doctor will have a solution?
When Li Changhong arrived, the other deputy chief physicians backed down one after another. Even Zhou Cheng quickly stopped writing, handed the emergency medical record to Li Changhong, and said, "Here, Director Li, you write first."

This is the status of the chief physician.

Li Changhong accepted it unceremoniously, and while writing the consultation opinion, he said casually: "Xiao Zhou, don't go back to the ward later, and follow me to the orthopedics department."

"Ah~?" Zhou Cheng was startled, looked up and looked at Li Changhong's expression, it didn't look like he was joking.

Li Changhong also looked up at Zhou Cheng, and asked, "Aren't you free? Then go get busy."

Zhou Cheng quickly waved his hands: "Yes, yes, Director Li."

Li Changhong didn't say much.

(End of this chapter)