medical simulator
Chapter 111 Going around, the magic stick appears!
Chapter 111 Going around and around, the magic stick appears! (Second update, please subscribe!)
"Director Zheng, my consultation opinion is written here, and our orthopedics department is going to be on stage!"
"If there is emergency surgery in other departments, please call our orthopedics department halfway."
"If other departments feel that there is no need for emergency surgery, they can also call our orthopedics department. I will immediately arrange for someone to come down and talk to the patient and family members." Li Changhong confessed to Zheng Guowei.
Zhou Cheng was on the side, listening to the inner movement.
Li Changhong is worthy of being the chief physician, and his prevarication skills are really top-notch.
Even if you want to sneak away in a hurry, let's make it clear that our orthopedics department needs emergency surgery.
This rhetoric is still worth learning.
Of course, if I want to say this, I definitely can't be as straightforward as Li Changhong.
Zheng Guowei nodded and replied, "Okay, Director Li. I'll call you later."
Li Changhong took Zhou Cheng away from the emergency department, and explained to Zhou Cheng along the way: "Xiao Zhou, don't take what happened in the morning to your heart."
Zhou Cheng quickly replied: "Director Li, no."
Although Li Changhong was quite conflicted in his heart at the moment, he still spoke first.
"Our department received a patient with wrist dislocation in the morning, which was a bit complicated, and the patient's family members were also quite entangled."
"When Director Wang came, there was no better solution. He suggested surgery, but the patient and family members disagreed. I dare not let you see it rashly."
"Luo Yun also came to see it, and found it very difficult."
"I'm going to take you to the Department of Orthopedics now. You just watch it first and try to talk as little as possible. If you think there is anything that can help, please report it to me or Luo Yun first."
Zhou Cheng knew that Li Changhong was looking for an excuse for what happened in the morning.
He nodded and replied: "I know, Director Li, I will definitely not talk nonsense."
In fact, he can really understand Li Changhong's thoughts.
In front of Li Changhong, a small Zhupei like Zhou Cheng is not much worse than a layman like Zhou Cheng who has never studied medicine.
If a patient who couldn't be treated by himself, a family member of the patient suddenly came to ask if he could help, Zhou Cheng wouldn't believe it.
It must be reasonable to not believe it, and Zhou Cheng can understand it.
Naturally, he would not force himself to bite the bullet and say that he was making fun of himself, and turned around and left.
He's not Cai Dongfan, if you don't believe me, I can still speak up.
"Yeah." Li Changhong looked at Zhou Cheng, smiled wryly for a while, and felt that his current behavior was a bit funny.
Zhou Cheng was dismissed an hour ago, and now he is called to the department.
It's also a bit of a slap in the face, but there is no other way, it can only be a dead horse as a living horse doctor.
At least, one thing Li Changhong can be sure of now is that Zhou Cheng was not sent by Cai Dongfan to make trouble or intentionally insult people, Zhou Cheng really knows how to reset joint dislocations.
One more person, at least one more force.
As for whether you can really help, you don't have to care so much.
"Thank you for your hard work." Li Changhong said something polite to Zhou Cheng again, and stopped talking.As the chief physician, he actually couldn't save too much face, and of course he didn't expect too much from Zhou Chengbao.
Zhou Cheng obediently followed behind Li Changhong's ass, all the way to the department.
The people in the ward also dispersed.
However, Li Changhong still saw the patient's family members walking around and making phone calls, and he didn't know whether they were reporting or asking acquaintances.
However, even Wang Yaoxiang, who was in his own group, left the ward. It is estimated that Director Zeng called for foreign aid, temporarily calming down the emotions of the patient's family members.
Hunan Province is such a big place, and the top-notch medical care is in the Affiliated Hospital of Shonan University and the Second Hospital. The Eighth Hospital has already figured out a solution. No matter how unwilling he is, he may only place his hopes on the invited professors.
Otherwise, surgery is the only option.
In order to avoid an operation, can you deliberately go to Shanghai and Kyoto?
Not to mention whether it is economical or not, such a toss is really unnecessary.
When he came to the office, Li Changhong found that director Wang Yongjin had left, and Zeng Yi was still sitting in front of the computer, frowning at the patient's film.
On the side, Wang Yaoxiang stood with him.
Zeng Yi asked in a gloomy tone: "Wang Yaoxiang, did you read the films carefully when you were seeing patients?"
"Is this a simple Type II wrist dislocation?"
Hearing this, Wang Yaoxiang gritted his teeth with a very ugly face and replied: "Director Zeng, I must have read it carefully. In the classification of joint surgery, this is type II. I will specifically confirm it later."
"But Luo Yun said that this is an extremely rare dislocation of the radiocarpal joint and separation of the inferior radioulnar joint."
"Dislocation of the 2nd to 5th metacarpal wrist joints."
"Did you read it wrong? Or is he showing off on purpose?"
Ga?
Wang Yaoxiang's head went down at that time, Director Zeng, you were here waiting for me to dig a hole for me?
Since Luo Yun has already told you, how can you return it?
Wang Yaoxiang didn't answer, but lowered his head slightly.
"Director Zeng, this is me."
"Maybe what Luo Yun said is right." Wang Yaoxiang is also a graduate student for 10 years, but he is a pure trauma surgery graduate student, and his understanding of joint surgery is really limited. It must be difficult to deal with colleagues and patients in trauma surgery. More than enough.
But if he dared to say that Luo Yun, a specialist in joint surgery, made a wrong diagnosis, Wang Yaoxiang really didn't dare to say this.
It is clinically reasonable, and each subspecialty has its rigorous knowledge system. The subspecialty of joint surgery is very deep, and what he understands is just the tip of the iceberg.
Dare to talk nonsense?
If you dare to talk nonsense, you will be dismissed. Luo Yun can't do it. Even if Teacher Luo Yun is not there, there will naturally be people who understand joint surgery in Hunan Province.
Zeng Yi snorted, and said, "It seems that Wang Yaoxiang's honorary certificate of joint surgery can only live in your circle of friends."
"Hmm!~"
"Oh!" Zeng Yi sighed.
Wang Yaoxiang is from his department, not from his team. Originally, Zeng Yi thought that Wang Yaoxiang was a breakthrough general. He usually speaks politely and has a good understanding of people. He also has many friends in the industry. I have a good understanding of it, and brought back many awards to the department.
Even the hospital awarded Wang Yaoxiang one of the top ten outstanding young doctors. He can be said to be the most respectable person among the younger generation of the Eighth Hospital.
Where did Zeng Yi have so much time to worry about how did Wang Yaoxiang get those awards?
Anyway, this time, I feel that there are people who know joint surgery in my department, so I naturally want to share the benefits of Cai Dongfan.
Unexpectedly, just after leaving, Wang Yaoxiang made such a move!
Wang Yaoxiang lowered his head, a little remorseful, and felt that he shouldn't be bragging too much in the department——
Because at the first interview meeting of the regular staff who had just been recruited into the department last time, Zeng Yi and Li Changhong treated Peng Wang Yaoxiang as a typical senior in the department and let the newcomers study hard.
When sharing experience at the interview meeting, Wang Yaoxiang said such a thing.
After graduation, unlike when you were a graduate student or a Ph.D. student, you need to broaden your horizons. Don’t stick to the major and direction of your supervisor. You need to be knowledgeable and knowledgeable.
Joint surgery, trauma surgery, sports medicine, hand surgery, all directions need to be comprehensive.
As a result, Wang Yaoxiang's first side collapsed.
Seeing Wang Yaoxiang being trained, Li Changhong's face changed for a while, and he took the initiative to help Wang Yaoxiang: "Director Zeng, Xiao Wang hasn't touched joint surgery for a long time, so his hands are unfamiliar, and he can't be completely blamed."
"However, I will definitely criticize him severely, let him calm down, and do more things and talk less in the future."
Zeng Yi glanced at Li Changhong, and said meaningfully: "Changhong, do you think this is just a random thing today?"
"Forget it, that's all. That's how things are."
"Let's wait for Professor Wu from the Second Hospital to come. I just sent the film to Professor Wu and explained the situation. He said that he should watch the film first, and then evaluate whether the manipulation can be performed."
"Besides, he still has another surgery, so he can only come back after the surgery." Zeng Yi rubbed his eyes tiredly.
Failed to hunt geese, but was pecked by geese.
It is said that Zeng Yi is different now.
Li Changhong babbled twice, and said in a low voice, "We have to wait for Professor Wu to come and think of a way."
Then he asked Wang Yaoxiang: "Have you explained clearly to the patient and family members?"
Wang Yaoxiang hurriedly said: "The explanation is clear. The patient himself knows Professor Wu from the Second Affiliated Hospital of Shonan University. He said he was invited to come, so he didn't say much."
"Director Zeng, then go and rest for a while. Wang Yaoxiang and I will stay here. When Professor Wu arrives, I will inform you again. Thank you, Director Zeng, for your hard work today." Li Changhong hurriedly said to Zeng Yi.
"Okay." Zeng Yi also felt a little tired, but it was not physically tired, but mentally tired.
He reckoned that now Cai Dongfan and Yan Haihan must be secretly watching him laugh.
But this is also impossible.
Li Changhong just sat down in front of the computer, and began to look at the patient's film, frowning, blinking, feeling a little baffled, dislocation can be seen, but it is not so accurate to see what is the reason for the failure to reset.
After Zeng Yi left, Wang Yaoxiang dared to find a stool and sit down, and kept wiping the fine sweat from his forehead with the back of his right hand.
His expression was tangled and uncertain for a while.
Today's doctor on duty, Xiao Guipei in Li Changhong's group, huddled in front of the computer tremblingly, looked at the medical records carefully, and did not dare to be lazy to rest in the lounge.
Although even the punctuation marks of the patients in his charge have been changed meticulously, they still dare not leave, and even dare not breathe.I only hope that a new patient will come at this time, let him accept it, and save him from the dire straits.
Zhou Chengcai took the opportunity to stand behind Li Changhong, and glanced at the patient's plain film.
In addition, he had already heard Zeng Yi's questioning of Wang Yaoxiang, so the patient's diagnosis was quickly confirmed.
Frowning slightly, he smiled wryly in his heart, wondering if Director Zeng Yi and the others were lucky?Still not good.
It's so rare, there's a one in a hundred thousand chance of being encountered by them.To put it badly, they still met them.
The manipulative reset of this patient is much rarer and more difficult than the irreducible shoulder joint manipulative reset encountered by Yan Haihan's group the day before yesterday.
After scanning and making a general assessment, Zhou Cheng had a bottom line in his mind.
However, at this moment, the phones of Li Changhong and Zhou Cheng rang at the same time.
Li Changhong's phone call was from Zheng Guowei from the emergency department, saying that the patient he had just seen had been dragged to the operating room by the hepatobiliary surgery department. The patient had a ruptured liver, and the possibility of a ruptured spleen could not be ruled out.
Li Changhong said he knew, and then immediately ordered Wang Yaoxiang to talk and sign.
Wang Yaoxiang immediately walked out of the office as if he had been pardoned.
After Li Changhong saw that Wang Yaoxiang had left, he cursed in a low voice: "Damn, bragging is pretty good."
"When it comes to doing things, the eggs don't look like one."
The voice is very low, Wang Yaoxiang must not be able to hear it, but Zhou Cheng and the doctor on duty must have heard it.
The call Zhou Cheng received was from Luo Yun.
After Zhou Cheng hung up the phone, he apologized to Li Changhong and said, "Director Li, a patient came to the ward upstairs. Teacher Luo asked me to observe and study. Do you see?"
Li Changhong is here, Zeng Yi is here, so it is not Zhou Cheng's turn to call the shots for this orthopedic patient.
Even though Li Changhong had called him to the department, Zhou Cheng didn't want to cause trouble on himself.
It was impossible for Li Changhong and Zeng Yi to believe in what happened in the morning. Talking too much is just asking for humiliation. Zhou Cheng is not that cheap.
Li Changhong glanced at Zhou Cheng and said, "You go. When I call Luo Yun later, you come down with me."
"Professor Wu of the Joint Surgery Department of the Second Affiliated Hospital of Shonan University is young, but his strength has already surpassed his current title of associate professor, and he is quite famous in the industry. This is a good learning opportunity."
Li Changhong was stunned for a moment, he was really hurt just now, why did he think of dragging Zhou Cheng to the department, thinking of turning a dead horse into a living horse doctor?
However, seeing that Zhou Cheng has a certain foundation in the manipulation of dislocated joints, I don't mind making an extra favor, and I will let Zhou Cheng learn it later.
"Thank you Director Li."
"Then I'll go up first." Zhou Cheng said goodbye to Li Changhong.
……
After returning to the second ward, Du Ruiqi immediately said: "Brother Zhou Cheng, go eat first, otherwise the food will be cold."
"A patient just came here. Mr. Luo has just seen this patient, and he said that he can do manual reset."
"It will take a while for me to go to the patient and his family to talk and sign, and to prepare the plaster."
Zhou Cheng nodded unceremoniously: "Okay! I'm not full, my stomach is still a bit empty."
Just halfway through the meal, Du Ruiqi was admitted to the hospital for a conversation, it was impossible to leave the patient halfway and go to the emergency consultation, Zhou Cheng could only go to the emergency consultation, or call the superior doctor.
"Remember to explain to the patient and family members that surgery may be required."
"Say this sentence several times."
Zhou Cheng mentioned it intentionally or unintentionally.
Although I didn't see the patient's film, but.
Because of the orthopedic department, Zhou Cheng also had a little more thoughtfulness, telling patients more about surgery can dispel their psychological expectations of manual reset.Even if you have a perfect-redefined level of fracture reduction, you can't guarantee that all fractures can be applied.
Medicine is a science, and it is also a life science.
The existence of life, in the natural world, itself is an extremely gorgeous accident.
Naturally, there is no 100% existence. Those who are sure of this statement, even Zhou Cheng has learned that there are more types of fractures that cannot be reduced by manipulation than those that are suitable for reduction by manipulation.
"I know, Brother Zhou Cheng, Teacher Luo told me all about it." Du Ruiqi replied with a smile on his face.
But in his heart, he was feeling emotional. Luo Yun would also intervene in the fracture patients in our group, and he didn't know how to explain it to Director Hu Ming at that time.
Forget it, one thing more is worse than one thing less, after all Luo Yun is also the superior in the department.Telling Director Hu about this matter will cause unnecessary disputes instead. Why bother?
Calling Zheng Xuanlin to come to the department will cause Luo Yun's displeasure, so no matter how wrong the choice is, leave it to Luo Yun.
If they knew, it was Luo Yun who ordered me to do so.
……
After about half an hour.
Du Ruiqi stared fixedly at the review film after the fracture was reset on the computer screen, and kept rubbing his eyes.
Then from time to time, he glanced back and forth in the direction Luo Yun led Zhou Cheng away from.
I'm not feeling well at all.
Then the plain radiographs of the patient's preoperative examination were opened for comparison.
Immediately, he scratched his head with both hands to express his shock.
He murmured in a low voice: "This?"
"How is this possible?"
"How can such a fracture be reset by manipulation to make it look like this?"
"Can Director Hu Ming do this?"
"It's absolutely impossible. When I was a graduate student, I never heard anyone say that the fracture line can be converged so beautifully through manual reduction."
"Isn't this the plain film after anatomical reduction achieved through open reduction?"
"If Director Hu can do this, Director Yan will never dare to say that fracture manipulation is not allowed in the department."
"This Zhou Cheng? Who the hell is he?"
Du Ruiqi couldn't figure it out, and couldn't figure it out.
Zhou Cheng is not a graduate student, let alone a doctor in this hospital. He used to be mediocre, but when the news of his stay in the hospital was released, he seemed to be a different person suddenly, and suddenly ascended to heaven and became a god.
Du Ruiqi always has a feeling.
That was the time when I looked at Zhou Cheng with eyes that almost ignored Zhou Cheng, and even felt that he was a little dazed.
I'm afraid Zhou Cheng has always seen him that way.
Rival.
Oh no, this TM is no longer called an enemy.
is die.
……
In the director's office, Yan Hanhan left the operating room, Hu Ming and Cai Dongfan were not there, and it was already in the afternoon, so Luo Yun was free to come and go.
After entering, he sat down in Cai Dongfan's seat, then looked at Zhou Cheng, and said with the corner of his mouth curled up, "Not bad, Xiao Zhou."
"Tell me the truth, how did you reset the fracture?"
"How did you learn it? I still seem to have inheritance."
When Luo Yun went to the ward round to see the plain films of the restoration of the fracture, he had already noticed that Zhou Cheng's restoration was different from that of ordinary people. He was a bit too stupid.
If it was Zhou Cheng who figured it out by himself, it would be a bit scary, it can't be justified...
"Ms. Luo, just those videos that Baidu can find."
"Mr. Luo, you must have noticed it too. There is nothing special about my technique. I can even find the original video for you." Zhou Cheng insisted.
Needless to say, his redefined fracture restoration technique is naturally inherited. He has learned from the whole world and studied for decades or even hundreds of years before he is in such a state. It shouldn't have appeared in this world at all. .
But Zhou Cheng can only say so.
Indecision, quantum mechanics.
Although it is not allowed to joke with Luo Yun like this, Zhou Cheng has already thought of an excuse.
Because Zhou Cheng's method of reset is mainly based on his experience and experience. The operation is not so high-level, and it is not a secret recipe. It mainly depends on the feel of the hand.
If you want to say something about secret techniques, there really isn't one.
The corner of Luo Yun's mouth twitched——
"It's fine if you don't say it. I'm not interested in watching it."
"Really not, Mr. Luo, it's not that I don't want to say it."
"Why don't I go home and pack the collected videos and send them to you, so you can confirm it?" Zhou Cheng vowed, with a frank face.
The main reason is that the type of fracture patient just now is very conventional, that is, the ordinary type, simple long bone fracture, type A1.2.
No shattering, little displacement, and the angle of the fracture line is blunt.To be honest, for Zhou Cheng, the operation is the same as playing house, and it is not difficult.
It doesn't make much sense either.
It's not a special type of fracture, Zhou Cheng can naturally find a lot of teaching videos on the Internet.
Now is the era of data, as long as you are willing to spend time and energy looking for it, there are a lot of free resources. Zhou Cheng not only collected the teaching videos of manual reset, but also the teaching videos of fractures, joint replacements and other surgeries. .
Just wait for yourself to learn, and others will ask.
And now my computer is probably still downloading and playing these videos.
Zhou Cheng did this for careful consideration. Maybe the Internet is invisible, but the Internet can never tell. When I broadcast it, are people watching it?
This is also mostly just in case...
Then I have a strong learning ability, so you can't blame me, can you?
There are so many geniuses in this world, why can't I have one more, Zhou Cheng?Anyway, it will be played on a loop after it is played.
Prudence and prudence have always been the principles that Zhou Cheng upholds in his heart. Before he did things, he was very prudent and did not cause trouble to Luo Yun and Cai Dongfan.
It is still the same now, when others believe in him, he will do what he can do and perform what he can perform.
If you don't believe me, give up. Anyway, Zhou Cheng will do less work, and he will not lose meat.And I'm young, so I can afford to wait.
At most, it's just to boil, it's fine to boil him for ten years, Zhou Cheng doesn't mind.
Steady people are the ones who are most able to endure temper and loneliness.
The corner of Luo Yun's mouth suddenly turned up, and he said, "You send me a teaching video, it's unnecessary."
"You tell me your email later, and I'll send you some."
"Didn't you say that you watched the teaching video?"
Zhou Cheng was startled when he heard the words, then immediately smiled and cupped his hands: "Thank you, Teacher Luo."
"Let's not talk about that, did you see the dislocation of the joint in the Department of Orthopedics?" Luo Yun asked suddenly.
Because when he called Zhou Cheng before, Zhou Cheng said that he was in the Department of Orthopedics.
Zhou Cheng nodded: "Look, Teacher Luo."
"Can it be done?" Luo Yun asked calmly.
Zhou Cheng thought about it carefully, and finally decided to confess to Luo Yun.
Luo Yun and Cai Dongfan are his own people, they are kind to him, and they are the ones who dig him the most. As long as he doesn't take the initiative to die, or do things beyond his ability, and let them know a little bit, that's all. There is no harm in that.
"Almost. I don't dare to say that I'm sure, you can try it." Zhou Cheng still left room for himself.
"You said the same thing last time." Luo Yun said meaningfully.
Zhou Cheng smiled back.
"Don't think about it, I have already invited a consultation. However, our department may also perform upper limb manipulation in the future."
"Don't let me lose the chain." Luo Yun confessed with a smile.
"Don't worry, Mr. Luo, I will definitely report more to you." Zhou Cheng lowered his head slightly with an obedient expression and tone, and was extremely sincere.
When Luo Yun heard this, his smile froze, and his ten toes scratched the ground fiercely.
He said calmly, "Report to Director Cai."
Luo Yun could only sell Cai Dongfan.
"it is good!"
"Go and rest."
"it is good."
……
After Zhou Cheng left the director's office, Luo Yun cursed for a while: "Damn it, you're joking with me here."
"You can't do the joint dislocation and reset it, throw it to me? Isn't this deliberately pulling my face?"
"Fortunately, I called the teacher in advance, otherwise I might have agreed."
Immediately afterwards, Luo Yun fell into deep thought again, talking to himself with a rather tangled expression——
The teacher said that this kind of reset technique requires at least an expert national player to take the risk. If I stay for another ten years, I can practice my kung fu!
Zhou Cheng actually said, he can do it?
real or fake?
It's a pity that during the years when I went to the teacher, the teacher no longer performed minor operations such as joint replacement, let alone manual reset.
I only had the opportunity to follow the teacher to learn the extremely complicated joint revision——
There is no time to make up for these basic things, and now there is not even a joint replacement in the department, let alone a revision.
But I'm still a professional joint surgeon—
Ugh!
Didn't get a Ph.D.—
Several affiliated hospitals of Shonan University cannot enter——
Such patients are not seen--
My mother is still sick and needs to be taken care of, and the medical expenses are so high every month——
Don't dare to marry——
Now he is still being stepped on the tail by a little Zhu Pei in these basic aspects.
It's a bit timid, and I don't know if the brothers will laugh at me if they know it.
I just made a call, and the teacher asked me again if I could go to study, when to go, and arrange work by the way.
It's just my own mother, can she withstand the toss of being transferred?
Go by yourself, the money you earn is enough——
Hiring a babysitter, does that count as my filial piety?
Father died early.
I'm not very close to the relatives over there, but will my uncle and the surviving grandmother allow me to take my mother to Shanghai?
The reason why Luo Yun occasionally resets joint dislocations in the department is to remind Cai Dongfan.
Can you not forget that the second department of orthopedics is also known as joint surgery.
Find some patients with osteoarthritis to come in?
By the way, you can also make more money.
Advanced gastric cancer with multiple metastases.
Mom, how can you forget to eat when you are at work?
Luo Yun's eyes suddenly became a little bit astringent.
……
13: 41!
Department of Orthopedics.
When Zeng Yi told Li Changhong with a gloomy face, Professor Wu said that he was not sure and couldn't do it.
Li Changhong stood up at that time, stunned: "What? Even Professor Wu can't do it?"
Zeng Yi nodded, and said helplessly: "Yes. Professor Wu also said that he also asked their director, and their director said that the best option is surgery."
"It is extremely risky to do manual reduction, and I have done four reductions. There may have been concurrent injuries."
"He also called the patient's family members. The family members seem to be more emotionally unstable now and feel even more unacceptable."
Li Changhong's tone was even more exciting: "Can't even Professor Li do it?"
Professor Li is the director of the Joint Surgery Department of the Second Affiliated Hospital of Shonan University, and is currently the chief executive director of the Orthopedics Department of the Second Affiliated Hospital of Shonan University.He is currently a parallel figure with the director of joint surgery at the Affiliated Hospital of Shonan University.
Because both of them were born in joint surgery, they are also the chief administrative director of the orthopedics department, and one is the vice president and the other is the dean, do you think they are just right?
It's about to crack.
Zeng Yi picked his scalp, almost bald.
Said: "Li Changhong, I think we still need to pay attention to evaluating the ability of junior doctors once in a while, and don't take the medals and the stories out of our mouths seriously."
"Both Professor Wu and Professor Li found it extremely difficult to reset the patient. Wang Yaoxiang dragged him into reset. If I were the patient's family member, I'm afraid it would be difficult for me to accept it."
"If you can't do it, do it. It's not a question of ability or not. It's called misdiagnosis!"
Li Changhong's face was uncertain for a while, and he lowered his voice: "Director Zeng, Wang Yaoxiang belongs to Director Wang after all."
"Although Director Wang has retired and is not his own son, he is still in the department. How can I say so much? You know this too."
"Besides, I actually said this morning that our department hasn't taken over joint dislocation patients for many years, isn't it?" Li Changhong immediately began to evade.
Damn, you can't put shit on my head, Director Zeng, obviously you said you want to reset the joint dislocation in the department. do.
Now Wang Yaoxiang, who 'knows' joint surgery best in our group, has made an accident. Are you blaming me? ? ?
Can I agree?
Zeng Yi's expression darkened immediately.
Looking at Li Changhong, he said, "Director Li, I'm not trying to tell you who's responsible. I'm telling you to recognize someone."
"Did I say it was your fault?"
But you already shook your head at Li Changhong in your heart, you only know who is responsible, right?
"Or Li Changhong, do you think your people want me to take your pulse in the future? Huh?"
"Is it because I am in charge of everything in the entire department?" After Zeng Yi finished speaking, he turned around and left the office, and rushed directly to the ward.
Obviously a little disappointed with Li Changhong.
Li Changhong looked confused for a while, and immediately chased after him, stopping Zeng Yi at the door: "Director Zeng, you misunderstood me."
"Let's not talk about this."
"I'll communicate with the patient later, and I'll figure out a way." Zeng Yi said, taking everything down.
While rubbing his head, he walked to the office of the orthopedic director, presumably to organize his language.
Li Changhong looked at Zeng Yi's back, a little bit regretful, regretting what he said just now, it was a bit too much.
If I want to become the next chief director of the Department of Orthopedics, I must have Zeng Yi's support, because Director Wang will definitely not have any objections. I attach so much importance to Wang Yaoxiang, it is impossible for him not to see it.
If a consensus cannot be reached in the first department of orthopedics, then the position of chief director will inevitably be handed over to the person in the second department of orthopedics.
Maybe Zeng Yi was a little unhappy because of his troubles today.
Patting his head, Li Changhong turned around and called Cai Dongfan again to discuss countermeasures...
About 13:55 minutes.
Zeng Yi finally decided to confess to the patient. The reason why he waited for a while was to give the patient's family a buffer and time to calm down. By the way, Zeng Yi felt that Professor Wu might explain something to the patient's family.
It would be best for him to talk about it this way.
However, just as Zeng Yi went out, he saw Luo Yun leading Zhou Cheng down. After Luo Yun saw Zeng Yi, he lowered his voice and whispered in Zeng Yi's ear for a while.
Zeng Yi's expression changed drastically immediately: "Luo Yun, this is not a joke, is it?"
Luo Yun then said directly: "Director Zeng, this is of course not a joke. It is the most appropriate way to talk to the patient now. If the manipulation is reset under brachial plexus block anesthesia, it is just an extra anesthesia."
"For them, surgery was avoided, and it can also be explained that there was no anesthesia, so it was difficult to reset."
"Even if the reset is not successful, it is just one more attempt. Explain to the patient's family that there is no way to do it in the end, and the only option is surgery to reset."
"That makes sense, too! What do you think?"
Hearing this, Zeng Yi looked at Zhou Cheng behind Luo Yun. Zhou Cheng was looking here and there in the Department of Orthopedics, with a very casual look.No matter how you look at it, it doesn't look like the person who became the last dead horse as a living horse doctor.
Moreover, Zhou Cheng was the first to come to the orthopedics department and was sent back by him.
After going around in circles, is it going to turn around this young man again?
"Oh, it's up to you."
"I'm going to communicate with the patient first. There are some things that should be recognized." Zeng Yidan smiled wryly for a while before going to the ward.
……
The process of Zeng Yi's conversation was surprisingly smooth.
It was mainly because of Professor Wu's mediation. Although the patient's family had many acquaintances, Professor Wu was also the person he knew who had the best understanding of joint surgery. Professor Wu said that there was no way to reset the surgery.
What can I do without surgery?
But Professor Wu also said that this operation is not a big one, and the Eighth Hospital will definitely be able to take it down. It does not need to be so troublesome to transfer to other hospitals. Early reset and early operation are good for the patient.
As for the previous manipulation reset, isn't this also an attempt?It's just that the chances are slim, and too many resets will not increase the success rate.
This can only be done by agreeing to the operation. It cannot be said that because of a misdiagnosis, if a few more resets were performed, it would be fatal.
The patient is my wife, and the pain is still on her body. As for whether I will report it later, or whether I want to mess with the orthopedics department, that is another story.
……
14: 28!
Because of Zeng Yi's relationship, Zeng Yi from the anesthesiology department came to administer anesthesia in person.
And as soon as the patient enters the operating room, he will be treated as a VIP. Zeng Yi has prepared all the preoperative medicines in the operating room in advance, and has also made preparations for the reduction of anesthesia fees.
There is no way, although the relationship with Zeng Yi is not as close as in the main room, but now they are both the chief director of the same department, and there is such a relationship.
Taking care of each other is a must.
Wang Yaoxiang was not allowed to go on stage, Zeng Yi planned to perform the surgery himself, Li Changhong was the first to assist, and because of Luo Yun's suggestion, Cai Dongfan also came to the operating room, ready to apologize to Zeng Yi and others at any time, and at the same time to save face for Luo Yun.
The lineup of this operation is quite luxurious.
The three chief physicians came to the stage at the same time, which is really quite serious.
Equipment nurses are also prepared, two.
Tour also shouted, two.
Everything is ready, after the anesthesia is finished, I will take a X-ray first.
After watching the plain X-ray before the operation, everyone found that the patient was lying on the operating table sobbing softly, and seemed to feel a little wronged.
After someone came in, she wiped the tears from her eyes with her right hand, and said with a smile: "Both Directors Zeng, thank you for your hard work. Please do a good job in my operation. I just didn't expect it, and I still couldn't escape this operation." Operation……"
Both Zeng Yi and Zeng Yi's expressions changed, but they could only sigh slightly.
Said: "We will do our best."
Luo Yun stepped forward very resolutely, patted Zhou Cheng, without saying a word, but the meaning was obvious.
Are you going to try one last time?
Can't open the stage.
Zhou Cheng was also slightly disturbed by the patient's sobbing, so he didn't dare to go up directly.
Instead, he retreated back between the C-arms, once again confirmed the dislocation in the plain film, and walked in again, nodding to Luo Yun without speaking.
It was only when I got to the operating table that I confessed to Luo Yun: "Mr. Luo, I need you to do the anti-traction at the elbow joint, and then divide the node in the front third of the forearm, about 4cm from the proximal transverse crease. Do anti-traction."
"Okay!" Luo Yun nodded, but Zhou Cheng obeyed.
Zhou Cheng immediately took two pairs of surgical gloves, handed a pair to Luo Yun, and put them on himself.
Seeing that Luo Yun has already done the traction at the elbow joint, don't hesitate anymore!
Pinch the patient's left hand with both hands for traction, and at the same time pinch the area around the DRUJ with the thumbs of both hands.
Then only a slight 'click' was heard.
The DRUJ was successfully repositioned.
Everyone in the operating room was startled, and their expressions turned bright——
His whole body seemed to be filled with lead, he couldn't move, his mouth was open, like a chick waiting to be fed, but in fact he was already an old bird...
Luo Yun was also shocked for a moment, but Zhou Cheng looked up at him.
He yelled in a low voice: "Don't let go!"
It's a scolding, not a suggestion, and it's not an opening.
Luo Yun hurriedly continued to pull back with his hands upright.
Zhou Cheng turned the patient's hand from the palm to the ground, and after pulling it a little.
Make another "click!" sound.
Everyone's nerves went numb.
Immediately afterwards, he added: "The front third of the forearm."
Luo Yun hurriedly did it again.
Zhou Cheng slightly bent the patient's hand, rubbed it with his thumb near the bones of the metacarpal and wrist joints for a while, and then uttered a few more crisp sounds than before.
Zhou Cheng signaled to Luo Yun that he could relieve his stress, then closed his eyes slightly, and the thumbs of his left and right hands were walking around the back of the patient's left hand and wrist like two feet, which seemed like a magic stick...
The [-]-word update is provided, with a lot of foreshadowing, and the characters are almost written out again!
A hole was also buried, why is Luo Yun the only one who performs manual reduction for dislocated joints?There must be a reason. There are many such pits, and I will bury them one by one.
The characters who have been labeled will not be thin.
That's how it looks.Please subscribe!
The author didn't deliberately set up the character of the protagonist, but it certainly won't be memorable.
Explain a little.
Joint replacement is a class IV surgery!
Complicated revision surgery should be strictly defined beyond grade IV surgery, but only grade IV is defined as the top level.
(End of this chapter)
"Director Zheng, my consultation opinion is written here, and our orthopedics department is going to be on stage!"
"If there is emergency surgery in other departments, please call our orthopedics department halfway."
"If other departments feel that there is no need for emergency surgery, they can also call our orthopedics department. I will immediately arrange for someone to come down and talk to the patient and family members." Li Changhong confessed to Zheng Guowei.
Zhou Cheng was on the side, listening to the inner movement.
Li Changhong is worthy of being the chief physician, and his prevarication skills are really top-notch.
Even if you want to sneak away in a hurry, let's make it clear that our orthopedics department needs emergency surgery.
This rhetoric is still worth learning.
Of course, if I want to say this, I definitely can't be as straightforward as Li Changhong.
Zheng Guowei nodded and replied, "Okay, Director Li. I'll call you later."
Li Changhong took Zhou Cheng away from the emergency department, and explained to Zhou Cheng along the way: "Xiao Zhou, don't take what happened in the morning to your heart."
Zhou Cheng quickly replied: "Director Li, no."
Although Li Changhong was quite conflicted in his heart at the moment, he still spoke first.
"Our department received a patient with wrist dislocation in the morning, which was a bit complicated, and the patient's family members were also quite entangled."
"When Director Wang came, there was no better solution. He suggested surgery, but the patient and family members disagreed. I dare not let you see it rashly."
"Luo Yun also came to see it, and found it very difficult."
"I'm going to take you to the Department of Orthopedics now. You just watch it first and try to talk as little as possible. If you think there is anything that can help, please report it to me or Luo Yun first."
Zhou Cheng knew that Li Changhong was looking for an excuse for what happened in the morning.
He nodded and replied: "I know, Director Li, I will definitely not talk nonsense."
In fact, he can really understand Li Changhong's thoughts.
In front of Li Changhong, a small Zhupei like Zhou Cheng is not much worse than a layman like Zhou Cheng who has never studied medicine.
If a patient who couldn't be treated by himself, a family member of the patient suddenly came to ask if he could help, Zhou Cheng wouldn't believe it.
It must be reasonable to not believe it, and Zhou Cheng can understand it.
Naturally, he would not force himself to bite the bullet and say that he was making fun of himself, and turned around and left.
He's not Cai Dongfan, if you don't believe me, I can still speak up.
"Yeah." Li Changhong looked at Zhou Cheng, smiled wryly for a while, and felt that his current behavior was a bit funny.
Zhou Cheng was dismissed an hour ago, and now he is called to the department.
It's also a bit of a slap in the face, but there is no other way, it can only be a dead horse as a living horse doctor.
At least, one thing Li Changhong can be sure of now is that Zhou Cheng was not sent by Cai Dongfan to make trouble or intentionally insult people, Zhou Cheng really knows how to reset joint dislocations.
One more person, at least one more force.
As for whether you can really help, you don't have to care so much.
"Thank you for your hard work." Li Changhong said something polite to Zhou Cheng again, and stopped talking.As the chief physician, he actually couldn't save too much face, and of course he didn't expect too much from Zhou Chengbao.
Zhou Cheng obediently followed behind Li Changhong's ass, all the way to the department.
The people in the ward also dispersed.
However, Li Changhong still saw the patient's family members walking around and making phone calls, and he didn't know whether they were reporting or asking acquaintances.
However, even Wang Yaoxiang, who was in his own group, left the ward. It is estimated that Director Zeng called for foreign aid, temporarily calming down the emotions of the patient's family members.
Hunan Province is such a big place, and the top-notch medical care is in the Affiliated Hospital of Shonan University and the Second Hospital. The Eighth Hospital has already figured out a solution. No matter how unwilling he is, he may only place his hopes on the invited professors.
Otherwise, surgery is the only option.
In order to avoid an operation, can you deliberately go to Shanghai and Kyoto?
Not to mention whether it is economical or not, such a toss is really unnecessary.
When he came to the office, Li Changhong found that director Wang Yongjin had left, and Zeng Yi was still sitting in front of the computer, frowning at the patient's film.
On the side, Wang Yaoxiang stood with him.
Zeng Yi asked in a gloomy tone: "Wang Yaoxiang, did you read the films carefully when you were seeing patients?"
"Is this a simple Type II wrist dislocation?"
Hearing this, Wang Yaoxiang gritted his teeth with a very ugly face and replied: "Director Zeng, I must have read it carefully. In the classification of joint surgery, this is type II. I will specifically confirm it later."
"But Luo Yun said that this is an extremely rare dislocation of the radiocarpal joint and separation of the inferior radioulnar joint."
"Dislocation of the 2nd to 5th metacarpal wrist joints."
"Did you read it wrong? Or is he showing off on purpose?"
Ga?
Wang Yaoxiang's head went down at that time, Director Zeng, you were here waiting for me to dig a hole for me?
Since Luo Yun has already told you, how can you return it?
Wang Yaoxiang didn't answer, but lowered his head slightly.
"Director Zeng, this is me."
"Maybe what Luo Yun said is right." Wang Yaoxiang is also a graduate student for 10 years, but he is a pure trauma surgery graduate student, and his understanding of joint surgery is really limited. It must be difficult to deal with colleagues and patients in trauma surgery. More than enough.
But if he dared to say that Luo Yun, a specialist in joint surgery, made a wrong diagnosis, Wang Yaoxiang really didn't dare to say this.
It is clinically reasonable, and each subspecialty has its rigorous knowledge system. The subspecialty of joint surgery is very deep, and what he understands is just the tip of the iceberg.
Dare to talk nonsense?
If you dare to talk nonsense, you will be dismissed. Luo Yun can't do it. Even if Teacher Luo Yun is not there, there will naturally be people who understand joint surgery in Hunan Province.
Zeng Yi snorted, and said, "It seems that Wang Yaoxiang's honorary certificate of joint surgery can only live in your circle of friends."
"Hmm!~"
"Oh!" Zeng Yi sighed.
Wang Yaoxiang is from his department, not from his team. Originally, Zeng Yi thought that Wang Yaoxiang was a breakthrough general. He usually speaks politely and has a good understanding of people. He also has many friends in the industry. I have a good understanding of it, and brought back many awards to the department.
Even the hospital awarded Wang Yaoxiang one of the top ten outstanding young doctors. He can be said to be the most respectable person among the younger generation of the Eighth Hospital.
Where did Zeng Yi have so much time to worry about how did Wang Yaoxiang get those awards?
Anyway, this time, I feel that there are people who know joint surgery in my department, so I naturally want to share the benefits of Cai Dongfan.
Unexpectedly, just after leaving, Wang Yaoxiang made such a move!
Wang Yaoxiang lowered his head, a little remorseful, and felt that he shouldn't be bragging too much in the department——
Because at the first interview meeting of the regular staff who had just been recruited into the department last time, Zeng Yi and Li Changhong treated Peng Wang Yaoxiang as a typical senior in the department and let the newcomers study hard.
When sharing experience at the interview meeting, Wang Yaoxiang said such a thing.
After graduation, unlike when you were a graduate student or a Ph.D. student, you need to broaden your horizons. Don’t stick to the major and direction of your supervisor. You need to be knowledgeable and knowledgeable.
Joint surgery, trauma surgery, sports medicine, hand surgery, all directions need to be comprehensive.
As a result, Wang Yaoxiang's first side collapsed.
Seeing Wang Yaoxiang being trained, Li Changhong's face changed for a while, and he took the initiative to help Wang Yaoxiang: "Director Zeng, Xiao Wang hasn't touched joint surgery for a long time, so his hands are unfamiliar, and he can't be completely blamed."
"However, I will definitely criticize him severely, let him calm down, and do more things and talk less in the future."
Zeng Yi glanced at Li Changhong, and said meaningfully: "Changhong, do you think this is just a random thing today?"
"Forget it, that's all. That's how things are."
"Let's wait for Professor Wu from the Second Hospital to come. I just sent the film to Professor Wu and explained the situation. He said that he should watch the film first, and then evaluate whether the manipulation can be performed."
"Besides, he still has another surgery, so he can only come back after the surgery." Zeng Yi rubbed his eyes tiredly.
Failed to hunt geese, but was pecked by geese.
It is said that Zeng Yi is different now.
Li Changhong babbled twice, and said in a low voice, "We have to wait for Professor Wu to come and think of a way."
Then he asked Wang Yaoxiang: "Have you explained clearly to the patient and family members?"
Wang Yaoxiang hurriedly said: "The explanation is clear. The patient himself knows Professor Wu from the Second Affiliated Hospital of Shonan University. He said he was invited to come, so he didn't say much."
"Director Zeng, then go and rest for a while. Wang Yaoxiang and I will stay here. When Professor Wu arrives, I will inform you again. Thank you, Director Zeng, for your hard work today." Li Changhong hurriedly said to Zeng Yi.
"Okay." Zeng Yi also felt a little tired, but it was not physically tired, but mentally tired.
He reckoned that now Cai Dongfan and Yan Haihan must be secretly watching him laugh.
But this is also impossible.
Li Changhong just sat down in front of the computer, and began to look at the patient's film, frowning, blinking, feeling a little baffled, dislocation can be seen, but it is not so accurate to see what is the reason for the failure to reset.
After Zeng Yi left, Wang Yaoxiang dared to find a stool and sit down, and kept wiping the fine sweat from his forehead with the back of his right hand.
His expression was tangled and uncertain for a while.
Today's doctor on duty, Xiao Guipei in Li Changhong's group, huddled in front of the computer tremblingly, looked at the medical records carefully, and did not dare to be lazy to rest in the lounge.
Although even the punctuation marks of the patients in his charge have been changed meticulously, they still dare not leave, and even dare not breathe.I only hope that a new patient will come at this time, let him accept it, and save him from the dire straits.
Zhou Chengcai took the opportunity to stand behind Li Changhong, and glanced at the patient's plain film.
In addition, he had already heard Zeng Yi's questioning of Wang Yaoxiang, so the patient's diagnosis was quickly confirmed.
Frowning slightly, he smiled wryly in his heart, wondering if Director Zeng Yi and the others were lucky?Still not good.
It's so rare, there's a one in a hundred thousand chance of being encountered by them.To put it badly, they still met them.
The manipulative reset of this patient is much rarer and more difficult than the irreducible shoulder joint manipulative reset encountered by Yan Haihan's group the day before yesterday.
After scanning and making a general assessment, Zhou Cheng had a bottom line in his mind.
However, at this moment, the phones of Li Changhong and Zhou Cheng rang at the same time.
Li Changhong's phone call was from Zheng Guowei from the emergency department, saying that the patient he had just seen had been dragged to the operating room by the hepatobiliary surgery department. The patient had a ruptured liver, and the possibility of a ruptured spleen could not be ruled out.
Li Changhong said he knew, and then immediately ordered Wang Yaoxiang to talk and sign.
Wang Yaoxiang immediately walked out of the office as if he had been pardoned.
After Li Changhong saw that Wang Yaoxiang had left, he cursed in a low voice: "Damn, bragging is pretty good."
"When it comes to doing things, the eggs don't look like one."
The voice is very low, Wang Yaoxiang must not be able to hear it, but Zhou Cheng and the doctor on duty must have heard it.
The call Zhou Cheng received was from Luo Yun.
After Zhou Cheng hung up the phone, he apologized to Li Changhong and said, "Director Li, a patient came to the ward upstairs. Teacher Luo asked me to observe and study. Do you see?"
Li Changhong is here, Zeng Yi is here, so it is not Zhou Cheng's turn to call the shots for this orthopedic patient.
Even though Li Changhong had called him to the department, Zhou Cheng didn't want to cause trouble on himself.
It was impossible for Li Changhong and Zeng Yi to believe in what happened in the morning. Talking too much is just asking for humiliation. Zhou Cheng is not that cheap.
Li Changhong glanced at Zhou Cheng and said, "You go. When I call Luo Yun later, you come down with me."
"Professor Wu of the Joint Surgery Department of the Second Affiliated Hospital of Shonan University is young, but his strength has already surpassed his current title of associate professor, and he is quite famous in the industry. This is a good learning opportunity."
Li Changhong was stunned for a moment, he was really hurt just now, why did he think of dragging Zhou Cheng to the department, thinking of turning a dead horse into a living horse doctor?
However, seeing that Zhou Cheng has a certain foundation in the manipulation of dislocated joints, I don't mind making an extra favor, and I will let Zhou Cheng learn it later.
"Thank you Director Li."
"Then I'll go up first." Zhou Cheng said goodbye to Li Changhong.
……
After returning to the second ward, Du Ruiqi immediately said: "Brother Zhou Cheng, go eat first, otherwise the food will be cold."
"A patient just came here. Mr. Luo has just seen this patient, and he said that he can do manual reset."
"It will take a while for me to go to the patient and his family to talk and sign, and to prepare the plaster."
Zhou Cheng nodded unceremoniously: "Okay! I'm not full, my stomach is still a bit empty."
Just halfway through the meal, Du Ruiqi was admitted to the hospital for a conversation, it was impossible to leave the patient halfway and go to the emergency consultation, Zhou Cheng could only go to the emergency consultation, or call the superior doctor.
"Remember to explain to the patient and family members that surgery may be required."
"Say this sentence several times."
Zhou Cheng mentioned it intentionally or unintentionally.
Although I didn't see the patient's film, but.
Because of the orthopedic department, Zhou Cheng also had a little more thoughtfulness, telling patients more about surgery can dispel their psychological expectations of manual reset.Even if you have a perfect-redefined level of fracture reduction, you can't guarantee that all fractures can be applied.
Medicine is a science, and it is also a life science.
The existence of life, in the natural world, itself is an extremely gorgeous accident.
Naturally, there is no 100% existence. Those who are sure of this statement, even Zhou Cheng has learned that there are more types of fractures that cannot be reduced by manipulation than those that are suitable for reduction by manipulation.
"I know, Brother Zhou Cheng, Teacher Luo told me all about it." Du Ruiqi replied with a smile on his face.
But in his heart, he was feeling emotional. Luo Yun would also intervene in the fracture patients in our group, and he didn't know how to explain it to Director Hu Ming at that time.
Forget it, one thing more is worse than one thing less, after all Luo Yun is also the superior in the department.Telling Director Hu about this matter will cause unnecessary disputes instead. Why bother?
Calling Zheng Xuanlin to come to the department will cause Luo Yun's displeasure, so no matter how wrong the choice is, leave it to Luo Yun.
If they knew, it was Luo Yun who ordered me to do so.
……
After about half an hour.
Du Ruiqi stared fixedly at the review film after the fracture was reset on the computer screen, and kept rubbing his eyes.
Then from time to time, he glanced back and forth in the direction Luo Yun led Zhou Cheng away from.
I'm not feeling well at all.
Then the plain radiographs of the patient's preoperative examination were opened for comparison.
Immediately, he scratched his head with both hands to express his shock.
He murmured in a low voice: "This?"
"How is this possible?"
"How can such a fracture be reset by manipulation to make it look like this?"
"Can Director Hu Ming do this?"
"It's absolutely impossible. When I was a graduate student, I never heard anyone say that the fracture line can be converged so beautifully through manual reduction."
"Isn't this the plain film after anatomical reduction achieved through open reduction?"
"If Director Hu can do this, Director Yan will never dare to say that fracture manipulation is not allowed in the department."
"This Zhou Cheng? Who the hell is he?"
Du Ruiqi couldn't figure it out, and couldn't figure it out.
Zhou Cheng is not a graduate student, let alone a doctor in this hospital. He used to be mediocre, but when the news of his stay in the hospital was released, he seemed to be a different person suddenly, and suddenly ascended to heaven and became a god.
Du Ruiqi always has a feeling.
That was the time when I looked at Zhou Cheng with eyes that almost ignored Zhou Cheng, and even felt that he was a little dazed.
I'm afraid Zhou Cheng has always seen him that way.
Rival.
Oh no, this TM is no longer called an enemy.
is die.
……
In the director's office, Yan Hanhan left the operating room, Hu Ming and Cai Dongfan were not there, and it was already in the afternoon, so Luo Yun was free to come and go.
After entering, he sat down in Cai Dongfan's seat, then looked at Zhou Cheng, and said with the corner of his mouth curled up, "Not bad, Xiao Zhou."
"Tell me the truth, how did you reset the fracture?"
"How did you learn it? I still seem to have inheritance."
When Luo Yun went to the ward round to see the plain films of the restoration of the fracture, he had already noticed that Zhou Cheng's restoration was different from that of ordinary people. He was a bit too stupid.
If it was Zhou Cheng who figured it out by himself, it would be a bit scary, it can't be justified...
"Ms. Luo, just those videos that Baidu can find."
"Mr. Luo, you must have noticed it too. There is nothing special about my technique. I can even find the original video for you." Zhou Cheng insisted.
Needless to say, his redefined fracture restoration technique is naturally inherited. He has learned from the whole world and studied for decades or even hundreds of years before he is in such a state. It shouldn't have appeared in this world at all. .
But Zhou Cheng can only say so.
Indecision, quantum mechanics.
Although it is not allowed to joke with Luo Yun like this, Zhou Cheng has already thought of an excuse.
Because Zhou Cheng's method of reset is mainly based on his experience and experience. The operation is not so high-level, and it is not a secret recipe. It mainly depends on the feel of the hand.
If you want to say something about secret techniques, there really isn't one.
The corner of Luo Yun's mouth twitched——
"It's fine if you don't say it. I'm not interested in watching it."
"Really not, Mr. Luo, it's not that I don't want to say it."
"Why don't I go home and pack the collected videos and send them to you, so you can confirm it?" Zhou Cheng vowed, with a frank face.
The main reason is that the type of fracture patient just now is very conventional, that is, the ordinary type, simple long bone fracture, type A1.2.
No shattering, little displacement, and the angle of the fracture line is blunt.To be honest, for Zhou Cheng, the operation is the same as playing house, and it is not difficult.
It doesn't make much sense either.
It's not a special type of fracture, Zhou Cheng can naturally find a lot of teaching videos on the Internet.
Now is the era of data, as long as you are willing to spend time and energy looking for it, there are a lot of free resources. Zhou Cheng not only collected the teaching videos of manual reset, but also the teaching videos of fractures, joint replacements and other surgeries. .
Just wait for yourself to learn, and others will ask.
And now my computer is probably still downloading and playing these videos.
Zhou Cheng did this for careful consideration. Maybe the Internet is invisible, but the Internet can never tell. When I broadcast it, are people watching it?
This is also mostly just in case...
Then I have a strong learning ability, so you can't blame me, can you?
There are so many geniuses in this world, why can't I have one more, Zhou Cheng?Anyway, it will be played on a loop after it is played.
Prudence and prudence have always been the principles that Zhou Cheng upholds in his heart. Before he did things, he was very prudent and did not cause trouble to Luo Yun and Cai Dongfan.
It is still the same now, when others believe in him, he will do what he can do and perform what he can perform.
If you don't believe me, give up. Anyway, Zhou Cheng will do less work, and he will not lose meat.And I'm young, so I can afford to wait.
At most, it's just to boil, it's fine to boil him for ten years, Zhou Cheng doesn't mind.
Steady people are the ones who are most able to endure temper and loneliness.
The corner of Luo Yun's mouth suddenly turned up, and he said, "You send me a teaching video, it's unnecessary."
"You tell me your email later, and I'll send you some."
"Didn't you say that you watched the teaching video?"
Zhou Cheng was startled when he heard the words, then immediately smiled and cupped his hands: "Thank you, Teacher Luo."
"Let's not talk about that, did you see the dislocation of the joint in the Department of Orthopedics?" Luo Yun asked suddenly.
Because when he called Zhou Cheng before, Zhou Cheng said that he was in the Department of Orthopedics.
Zhou Cheng nodded: "Look, Teacher Luo."
"Can it be done?" Luo Yun asked calmly.
Zhou Cheng thought about it carefully, and finally decided to confess to Luo Yun.
Luo Yun and Cai Dongfan are his own people, they are kind to him, and they are the ones who dig him the most. As long as he doesn't take the initiative to die, or do things beyond his ability, and let them know a little bit, that's all. There is no harm in that.
"Almost. I don't dare to say that I'm sure, you can try it." Zhou Cheng still left room for himself.
"You said the same thing last time." Luo Yun said meaningfully.
Zhou Cheng smiled back.
"Don't think about it, I have already invited a consultation. However, our department may also perform upper limb manipulation in the future."
"Don't let me lose the chain." Luo Yun confessed with a smile.
"Don't worry, Mr. Luo, I will definitely report more to you." Zhou Cheng lowered his head slightly with an obedient expression and tone, and was extremely sincere.
When Luo Yun heard this, his smile froze, and his ten toes scratched the ground fiercely.
He said calmly, "Report to Director Cai."
Luo Yun could only sell Cai Dongfan.
"it is good!"
"Go and rest."
"it is good."
……
After Zhou Cheng left the director's office, Luo Yun cursed for a while: "Damn it, you're joking with me here."
"You can't do the joint dislocation and reset it, throw it to me? Isn't this deliberately pulling my face?"
"Fortunately, I called the teacher in advance, otherwise I might have agreed."
Immediately afterwards, Luo Yun fell into deep thought again, talking to himself with a rather tangled expression——
The teacher said that this kind of reset technique requires at least an expert national player to take the risk. If I stay for another ten years, I can practice my kung fu!
Zhou Cheng actually said, he can do it?
real or fake?
It's a pity that during the years when I went to the teacher, the teacher no longer performed minor operations such as joint replacement, let alone manual reset.
I only had the opportunity to follow the teacher to learn the extremely complicated joint revision——
There is no time to make up for these basic things, and now there is not even a joint replacement in the department, let alone a revision.
But I'm still a professional joint surgeon—
Ugh!
Didn't get a Ph.D.—
Several affiliated hospitals of Shonan University cannot enter——
Such patients are not seen--
My mother is still sick and needs to be taken care of, and the medical expenses are so high every month——
Don't dare to marry——
Now he is still being stepped on the tail by a little Zhu Pei in these basic aspects.
It's a bit timid, and I don't know if the brothers will laugh at me if they know it.
I just made a call, and the teacher asked me again if I could go to study, when to go, and arrange work by the way.
It's just my own mother, can she withstand the toss of being transferred?
Go by yourself, the money you earn is enough——
Hiring a babysitter, does that count as my filial piety?
Father died early.
I'm not very close to the relatives over there, but will my uncle and the surviving grandmother allow me to take my mother to Shanghai?
The reason why Luo Yun occasionally resets joint dislocations in the department is to remind Cai Dongfan.
Can you not forget that the second department of orthopedics is also known as joint surgery.
Find some patients with osteoarthritis to come in?
By the way, you can also make more money.
Advanced gastric cancer with multiple metastases.
Mom, how can you forget to eat when you are at work?
Luo Yun's eyes suddenly became a little bit astringent.
……
13: 41!
Department of Orthopedics.
When Zeng Yi told Li Changhong with a gloomy face, Professor Wu said that he was not sure and couldn't do it.
Li Changhong stood up at that time, stunned: "What? Even Professor Wu can't do it?"
Zeng Yi nodded, and said helplessly: "Yes. Professor Wu also said that he also asked their director, and their director said that the best option is surgery."
"It is extremely risky to do manual reduction, and I have done four reductions. There may have been concurrent injuries."
"He also called the patient's family members. The family members seem to be more emotionally unstable now and feel even more unacceptable."
Li Changhong's tone was even more exciting: "Can't even Professor Li do it?"
Professor Li is the director of the Joint Surgery Department of the Second Affiliated Hospital of Shonan University, and is currently the chief executive director of the Orthopedics Department of the Second Affiliated Hospital of Shonan University.He is currently a parallel figure with the director of joint surgery at the Affiliated Hospital of Shonan University.
Because both of them were born in joint surgery, they are also the chief administrative director of the orthopedics department, and one is the vice president and the other is the dean, do you think they are just right?
It's about to crack.
Zeng Yi picked his scalp, almost bald.
Said: "Li Changhong, I think we still need to pay attention to evaluating the ability of junior doctors once in a while, and don't take the medals and the stories out of our mouths seriously."
"Both Professor Wu and Professor Li found it extremely difficult to reset the patient. Wang Yaoxiang dragged him into reset. If I were the patient's family member, I'm afraid it would be difficult for me to accept it."
"If you can't do it, do it. It's not a question of ability or not. It's called misdiagnosis!"
Li Changhong's face was uncertain for a while, and he lowered his voice: "Director Zeng, Wang Yaoxiang belongs to Director Wang after all."
"Although Director Wang has retired and is not his own son, he is still in the department. How can I say so much? You know this too."
"Besides, I actually said this morning that our department hasn't taken over joint dislocation patients for many years, isn't it?" Li Changhong immediately began to evade.
Damn, you can't put shit on my head, Director Zeng, obviously you said you want to reset the joint dislocation in the department. do.
Now Wang Yaoxiang, who 'knows' joint surgery best in our group, has made an accident. Are you blaming me? ? ?
Can I agree?
Zeng Yi's expression darkened immediately.
Looking at Li Changhong, he said, "Director Li, I'm not trying to tell you who's responsible. I'm telling you to recognize someone."
"Did I say it was your fault?"
But you already shook your head at Li Changhong in your heart, you only know who is responsible, right?
"Or Li Changhong, do you think your people want me to take your pulse in the future? Huh?"
"Is it because I am in charge of everything in the entire department?" After Zeng Yi finished speaking, he turned around and left the office, and rushed directly to the ward.
Obviously a little disappointed with Li Changhong.
Li Changhong looked confused for a while, and immediately chased after him, stopping Zeng Yi at the door: "Director Zeng, you misunderstood me."
"Let's not talk about this."
"I'll communicate with the patient later, and I'll figure out a way." Zeng Yi said, taking everything down.
While rubbing his head, he walked to the office of the orthopedic director, presumably to organize his language.
Li Changhong looked at Zeng Yi's back, a little bit regretful, regretting what he said just now, it was a bit too much.
If I want to become the next chief director of the Department of Orthopedics, I must have Zeng Yi's support, because Director Wang will definitely not have any objections. I attach so much importance to Wang Yaoxiang, it is impossible for him not to see it.
If a consensus cannot be reached in the first department of orthopedics, then the position of chief director will inevitably be handed over to the person in the second department of orthopedics.
Maybe Zeng Yi was a little unhappy because of his troubles today.
Patting his head, Li Changhong turned around and called Cai Dongfan again to discuss countermeasures...
About 13:55 minutes.
Zeng Yi finally decided to confess to the patient. The reason why he waited for a while was to give the patient's family a buffer and time to calm down. By the way, Zeng Yi felt that Professor Wu might explain something to the patient's family.
It would be best for him to talk about it this way.
However, just as Zeng Yi went out, he saw Luo Yun leading Zhou Cheng down. After Luo Yun saw Zeng Yi, he lowered his voice and whispered in Zeng Yi's ear for a while.
Zeng Yi's expression changed drastically immediately: "Luo Yun, this is not a joke, is it?"
Luo Yun then said directly: "Director Zeng, this is of course not a joke. It is the most appropriate way to talk to the patient now. If the manipulation is reset under brachial plexus block anesthesia, it is just an extra anesthesia."
"For them, surgery was avoided, and it can also be explained that there was no anesthesia, so it was difficult to reset."
"Even if the reset is not successful, it is just one more attempt. Explain to the patient's family that there is no way to do it in the end, and the only option is surgery to reset."
"That makes sense, too! What do you think?"
Hearing this, Zeng Yi looked at Zhou Cheng behind Luo Yun. Zhou Cheng was looking here and there in the Department of Orthopedics, with a very casual look.No matter how you look at it, it doesn't look like the person who became the last dead horse as a living horse doctor.
Moreover, Zhou Cheng was the first to come to the orthopedics department and was sent back by him.
After going around in circles, is it going to turn around this young man again?
"Oh, it's up to you."
"I'm going to communicate with the patient first. There are some things that should be recognized." Zeng Yidan smiled wryly for a while before going to the ward.
……
The process of Zeng Yi's conversation was surprisingly smooth.
It was mainly because of Professor Wu's mediation. Although the patient's family had many acquaintances, Professor Wu was also the person he knew who had the best understanding of joint surgery. Professor Wu said that there was no way to reset the surgery.
What can I do without surgery?
But Professor Wu also said that this operation is not a big one, and the Eighth Hospital will definitely be able to take it down. It does not need to be so troublesome to transfer to other hospitals. Early reset and early operation are good for the patient.
As for the previous manipulation reset, isn't this also an attempt?It's just that the chances are slim, and too many resets will not increase the success rate.
This can only be done by agreeing to the operation. It cannot be said that because of a misdiagnosis, if a few more resets were performed, it would be fatal.
The patient is my wife, and the pain is still on her body. As for whether I will report it later, or whether I want to mess with the orthopedics department, that is another story.
……
14: 28!
Because of Zeng Yi's relationship, Zeng Yi from the anesthesiology department came to administer anesthesia in person.
And as soon as the patient enters the operating room, he will be treated as a VIP. Zeng Yi has prepared all the preoperative medicines in the operating room in advance, and has also made preparations for the reduction of anesthesia fees.
There is no way, although the relationship with Zeng Yi is not as close as in the main room, but now they are both the chief director of the same department, and there is such a relationship.
Taking care of each other is a must.
Wang Yaoxiang was not allowed to go on stage, Zeng Yi planned to perform the surgery himself, Li Changhong was the first to assist, and because of Luo Yun's suggestion, Cai Dongfan also came to the operating room, ready to apologize to Zeng Yi and others at any time, and at the same time to save face for Luo Yun.
The lineup of this operation is quite luxurious.
The three chief physicians came to the stage at the same time, which is really quite serious.
Equipment nurses are also prepared, two.
Tour also shouted, two.
Everything is ready, after the anesthesia is finished, I will take a X-ray first.
After watching the plain X-ray before the operation, everyone found that the patient was lying on the operating table sobbing softly, and seemed to feel a little wronged.
After someone came in, she wiped the tears from her eyes with her right hand, and said with a smile: "Both Directors Zeng, thank you for your hard work. Please do a good job in my operation. I just didn't expect it, and I still couldn't escape this operation." Operation……"
Both Zeng Yi and Zeng Yi's expressions changed, but they could only sigh slightly.
Said: "We will do our best."
Luo Yun stepped forward very resolutely, patted Zhou Cheng, without saying a word, but the meaning was obvious.
Are you going to try one last time?
Can't open the stage.
Zhou Cheng was also slightly disturbed by the patient's sobbing, so he didn't dare to go up directly.
Instead, he retreated back between the C-arms, once again confirmed the dislocation in the plain film, and walked in again, nodding to Luo Yun without speaking.
It was only when I got to the operating table that I confessed to Luo Yun: "Mr. Luo, I need you to do the anti-traction at the elbow joint, and then divide the node in the front third of the forearm, about 4cm from the proximal transverse crease. Do anti-traction."
"Okay!" Luo Yun nodded, but Zhou Cheng obeyed.
Zhou Cheng immediately took two pairs of surgical gloves, handed a pair to Luo Yun, and put them on himself.
Seeing that Luo Yun has already done the traction at the elbow joint, don't hesitate anymore!
Pinch the patient's left hand with both hands for traction, and at the same time pinch the area around the DRUJ with the thumbs of both hands.
Then only a slight 'click' was heard.
The DRUJ was successfully repositioned.
Everyone in the operating room was startled, and their expressions turned bright——
His whole body seemed to be filled with lead, he couldn't move, his mouth was open, like a chick waiting to be fed, but in fact he was already an old bird...
Luo Yun was also shocked for a moment, but Zhou Cheng looked up at him.
He yelled in a low voice: "Don't let go!"
It's a scolding, not a suggestion, and it's not an opening.
Luo Yun hurriedly continued to pull back with his hands upright.
Zhou Cheng turned the patient's hand from the palm to the ground, and after pulling it a little.
Make another "click!" sound.
Everyone's nerves went numb.
Immediately afterwards, he added: "The front third of the forearm."
Luo Yun hurriedly did it again.
Zhou Cheng slightly bent the patient's hand, rubbed it with his thumb near the bones of the metacarpal and wrist joints for a while, and then uttered a few more crisp sounds than before.
Zhou Cheng signaled to Luo Yun that he could relieve his stress, then closed his eyes slightly, and the thumbs of his left and right hands were walking around the back of the patient's left hand and wrist like two feet, which seemed like a magic stick...
The [-]-word update is provided, with a lot of foreshadowing, and the characters are almost written out again!
A hole was also buried, why is Luo Yun the only one who performs manual reduction for dislocated joints?There must be a reason. There are many such pits, and I will bury them one by one.
The characters who have been labeled will not be thin.
That's how it looks.Please subscribe!
The author didn't deliberately set up the character of the protagonist, but it certainly won't be memorable.
Explain a little.
Joint replacement is a class IV surgery!
Complicated revision surgery should be strictly defined beyond grade IV surgery, but only grade IV is defined as the top level.
(End of this chapter)
You'll Also Like
-
The extraordinary life of a certain American comic
Chapter 200 3 hours ago -
American comics: Starting from a copycat arms dealer
Chapter 231 3 hours ago -
From the waste of spiritual roots to the practice of asking the devil
Chapter 380 4 hours ago -
Trickster Hunter
Chapter 363 7 hours ago -
Expedition to Europe
Chapter 1080 9 hours ago -
The giant corporations that started in Night City
Chapter 385 10 hours ago -
The apocalypse is weird: I am the number one containment object, what's wrong with being a litt
Chapter 612 10 hours ago -
Time and space transaction: Exchange food for the elf princess at the beginning
Chapter 503 10 hours ago -
I, the villain, trained the loser into a dark boss
Chapter 374 13 hours ago -
Multifunctional Sword Cultivation Starts from Taxi
Chapter 23 13 hours ago