medical simulator

Chapter 116 Huh~?This~? (Please subscribe!)

Pain is a kind of sensation, and the basic condition for producing pain is that the nerve is intact and there is a relatively complete reflex arc.

Dislocation will cause pain, which is one of the orthopedic definitions of dislocation, and it is certainly not wrong.

And the expression on the child's face at this moment must be real, it is impossible for a child to pretend to be strong like an adult——

No, the child was about three years old and could already speak. When Zhou Cheng and Du Yanjun opened the door, they saw two white coats walking in, and immediately stretched themselves into his mother's arms and began to cry.

Still shouting: "Mom, mom, no injections, no injections."

"I don't want injections."

It is estimated that I was scared by the pain of the injection every time I saw the white coat before, leaving a white coat reaction.

"No injection, baby, if you really don't want an injection today, let's show it to the doctor and make sure you don't get an injection, okay?" The child's mother hurriedly hugged her to comfort her.

"Qiqi, no injection today, our Qiqi is the most obedient, don't cry, don't cry." He didn't know whether it was grandma or grandma.

Another old lady said: "Qiqi probably felt that she needed an injection when she saw the doctor, and she was afraid of the pain. She was very good before and didn't cry for a while."

The two surrounded the child, blocking the two white coats of Zhou Cheng and Du Yanjun, and the child gradually stopped crying, but tears were still in the corners of his eyes, extremely wronged.

But his grandma and grandma were so distressed, they kept patting him and whispering.

The child's father walked towards Du Yanjun, while his grandfather and grandfather stood not far behind his father.

Du Yanjun hurried back to Zhou Cheng and said, "Brother Zhou Cheng, I have had a physical examination, and the child must feel pain."

"I pinched the child's arm lightly before, and he responded."

Du Yanjun naturally would not make such a low-level mistake.

Zhou Cheng frowned suddenly.

If the child feels pain at the far end of the dislocation, it is quite rare for the dislocation of the shoulder joint to be painless.

The sensation exists linearly, and there is basically no periodic loss of sensation.Even if it occurs, it is characterized by truncated levels.

That is, beyond this level, there is no feeling, but near this level, the feeling is normal.

It will definitely not be like this child, where the remote sense exists and the proximal sense is absent——

The feeling of the nerve is the same as the electric current. A wire can only have current near the proximal end of the power supply, but not at the far end.

It is impossible to have such a situation where there is current in the far end and there is no current in the near end.

If anything, there is definitely something wrong.

Before he had time to think about it, the child's father said, "Doctor Du, does my child need surgery in such a situation? Then when can we arrange hospitalization?"

Earlier, Du Yanjun told them that the manual reset will not only cause severe pain, but it is very likely that the reset will not go up.

Although they were very reluctant to have their child undergo surgery, compared to subjecting him to unreasonable torture, he felt that if the surgery could be done once and for all.That is the safest.

Du Yanjun looked at Zhou Cheng, the patients with dislocated joints were basically handed over to Zhou Cheng and Luo Yun in the department.

If Zhou Cheng is not sure, then he can only ask Luo Yun to come to the department.

Du Yanjun himself doesn't know much about dislocation patients, so he naturally can't decide by himself whether to be hospitalized or not.

Zhou Cheng said: "Don't rush to talk about the hospitalization, I'll take a look at the baby's film and give him a detailed physical examination."

Although Du Yanjun said that he had completed the physical examination, Zhou Cheng decided to do it again himself to avoid any accidents.

Because of some special joint surgery examinations, even Cai Dongfan and the others don't know, let alone Du Yanjun.

Industry specializing in surgery.

The child's father looked at Zhou Cheng and frowned slightly.

Du Yanjun immediately explained to the patient's family: "This is Dr. Zhou from our department. Basically, he is responsible for and handles the patients with joint dislocation."

The patient was a little surprised when he heard this. Zhou Cheng didn't look very old, but since he was a professional in dealing with such patients, he was probably more professional than Du Yanjun.

Just still too young.

But he whispered in his mouth: "The director of your department, can't I trouble you to come and see my child?"

The child's father was wearing a shirt and jeans, his face was quite refined, and his speech was more polite.

Zhou Chengcheng said: "It's lunch time now, and the directors have already gone to eat after get off work. If our lower-level doctors can't handle the patients, we can only bother you. Please understand."

An old man behind the middle-aged man then said: "It's past twelve o'clock, which happens to be lunch time, so let this doctor take a look first."

Zhou Cheng immediately went over to the child and winked at him to show his kindness.But when the child saw his white coat, he immediately pursed his lips and began to cry. Maybe in the child's world, the white coat is the code name for him to suffer so much pain.

The child's mother hugged him gently, and said to Zhou Cheng: "Doctor, I will watch over the child. Please be gentle when you check."

"En!" Zhou Cheng could only nod.

Then I started to do the examination. When I first met the child, the child kept struggling and cried so much that he felt aggrieved.

However, when Zhou Cheng found out that there was no pain at all during the examination, he slowly stopped crying and struggling. He only sobbed occasionally, pursed his mouth, and put on a look that if you dare to give me an injection, I will give you an injection at any time. The expression of wanting to cry comes out.

After Zhou Cheng completed the physical examination related to shoulder dislocation, and then watched the film, his heart skipped a beat.

No need to think about it, according to the existing physical examination or film, one thing is very certain, that is, the child's shoulder joint dislocation is inevitable.

And his pain function is also normal.

Then this is not normal!
The child's father saw that Zhou Cheng had finished the examination in a circle, but his brows were tightly frowned, and he didn't say a word, but he didn't almost die of panic, so he quickly lowered his voice and asked, "Doctor, how is my son?"

The others looked at him nervously with wide eyes.

But Zhou Cheng said, "Let's go to the office to talk in detail. You leave one or two people to look after the children, and the others come with me. Those who usually take care of more children, it's best to come to the office as well."

"The main reason is that the grandma and grandma of the child and I brought a lot of them. Dad, Dad, you two should look after the child. The four of us will follow the doctor." The child's mother hurriedly said.

The two old men immediately felt that they were rejected, but looking at their grandson's shoulder, they also nodded and said nothing more.

Zhou Cheng brought the child's parents and grandma to the office.

The child's father anxiously asked: "Doctor Zhou, what's the situation with my child, just tell me, I'm worried and scared."

Zhou Cheng said: "Just now I did a physical examination for your child, and found that the shoulder joint was palpable and empty, and the humeral head can be clearly touched, the fear sign (+)."

"What does this mean?" The child's father was dumbfounded. Of course he didn't understand such a professional term, so he immediately interrupted, and he seemed to be impatient.

"That is to say, the child must have dislocated the joint."

After Zhou Cheng finished speaking, he immediately changed the subject: "But the child didn't cry or fuss, that is to say, he couldn't feel the pain here."

"Joint dislocation is very painful, even adults may not be able to bear it."

The faces of the child's family members suddenly changed slightly.

It seemed to be the case. On the way when they brought the baby, they cried except when they saw Du Yanjun, but they didn't cry at other times. They even praised their baby for being obedient and sensible.

Unexpectedly, this point has now become the biggest doubt.

"So I would like to ask, has the child had any other diseases before, or had any particularly strange behaviors?"

When the child's mother heard Zhou Cheng's words, she frowned tightly at that time: "Doctor, I remember when you said that. It seems that I have also found that the child has such a few times before, that is, the shoulders don't look normal. when."

"And not too willing to move."

"But after a while, when my child was playing by himself, his shoulders returned to normal, and I thought nothing was wrong."

"Is this a big problem?" She asked quickly, and blamed herself a little.

The child's father glanced at her, and she lowered her head slightly.

The grandma and grandma behind them showed unnatural expressions.

Hearing the child's mother's words, Zhou Cheng had basically determined the child's problem, and he was closer to the diagnosis he had considered in his heart.

According to the definition of orthopedics, joint dislocation is very painful, but there are also very special cases.

That is recurrent joint dislocation, or habitual joint dislocation. For such patients, when dislocation occurs, there will be no special pain, and there may even be no pain.

Even more violently, patients with habitual joint dislocations can recover their dislocations after their own dislocations——

However, this kind of fierceness and awesomeness is not a good thing.

"When does it usually happen? Has he been injured today?" Zhou Cheng continued to ask, but he still didn't tell the guess in his heart, and he had to confirm it before speaking.

Du Yanjun looked like he was listening to heaven, but he also stood aside and listened carefully.

It seems that the books I brushed by myself are useless at this time.

I secretly regretted it, why didn't I read those books earlier?

Glancing at Zhou Cheng, he found that Zhou Cheng's brows had already been relaxed, probably because he had made up his mind.

Then there was a gap that was not very pleasant——

The gap between myself and Zhou Cheng is probably getting farther and farther.

"No injury, no injury."

"Today I took my child to camp near Songya Lake, and then he took a nap halfway, and it became what it is now."

"In the past, I woke up after sleeping, and it became like this."

"It will be fine in a while, even today, such a special shape has never recovered."

"Is it important? Will it affect his handwriting in the future?"

"He's still so young, so what if it happens in the future. Doctor, you must find a way for me." The child's mother begged and looked at Zhou Cheng.

Zhou Cheng said comfortingly, "Don't worry."

"According to your medical history and my physical examination and photos, your child's condition is a habitual dislocation of the shoulder joint. It is also called recurrent dislocation."

"Because only this kind of dislocation does not cause pain at ordinary times."

"Besides, the child is still very young, and his ligaments and bones are very plastic, so it happens more often, and he may not feel pain at all."

When the child's father heard this, he immediately asked: "Then is this recurrent dislocation hard to treat? Can surgery solve the problem?"

Zhou Cheng shook his head and nodded again: "The dislocation itself is not difficult to treat, but it is difficult to find out why the dislocation occurs and treat the cause."

"I'll ask you another question here, don't have any thoughts in your mind."

"Does your child have epilepsy?"

The child's grandma immediately raised her head and cursed: "You have epilepsy. You are crazy~."

"Can you read it? If you can't, call your director if you don't know how to read it."

Epilepsy can be called epilepsy or epilepsy.

This is a disease that is quite dreaded by the people. Once this disease is discovered, it will be carried for a lifetime.

The faces of the child's parents also became uneasy, looking at Zhou Cheng.

The middle-aged man said: "Doctor, isn't my son's joint problem? Why did he suddenly bring up epilepsy?"

The child's grandmother immediately said, "Why are you asking so many questions? How could my Qiqi have epilepsy? You also have problems with your brain, right?"

"If you don't know how to read, call your director over." The child's grandmother poked her son directly, and then cursed at Zhou Cheng.

"You have epilepsy, you have epilepsy, and your brain is abnormal."

Zhou Cheng took a step back, his expression changed slightly, and he said, "I'm just explaining the possible cause of the disease to you based on my professional knowledge. You don't have to believe me, but don't attack me personally."

"If you think I've read it wrong, or can't read it."

"You can ask our director to see it. Or wait for our director to come to the department and then go to the director to see it. How can this be a curse?"

Li Mengxiang scolded immediately: "How did you talk?"

"What's wrong with scolding you? What are you talking about?"

"I came to the orthopedics department and you said my grandson had epilepsy. Are you a doctor?"

"Will you see a doctor?"

"Quack doctor, you!"

"Mom, calm down. This is a hospital." The middle-aged man pulled the child's grandmother.

His wife and his mother-in-law didn't move at all, and they looked at Zhou Cheng with unnatural expressions.

"He was the one who cursed my grandson first!" Li Mengxiang pointed at Zhou Cheng with widened eyes.

"That's your son too, he said your son's head."

Speaking of this, I can't go on.

Muttering: "I scold him lightly."

Seeing that he couldn't persuade his mother, the middle-aged man apologized to Zhou Cheng: "I'm sorry, Dr. Zhou, my mother is mainly worried about the child's problems, but she didn't mean to offend you."

"Why are you talking so much? He is not professional at all, so let's not read it. Go to the Affiliated Hospital of Shonan University or the Second Affiliated Hospital. The Second County Hospital is much better than this."

"These eight hospitals are full of ghosts and monsters. I've already said it. Don't watch it here. You still don't believe it."

"Look at the doctors here, what kind of quality each one is. They are young, and they start to chew their tongues before they have learned their skills." The child's grandma dragged her son out cursing.

The child's mother and grandmother seemed to think that Zhou Cheng was a bit too much, so they also quit the office.

The corners of Zhou Cheng's mouth twitched for a while, but he couldn't say anything.

Doctors don't knock on doors.

However, due to the obligation of a doctor, he followed out, then found the father of the child, and confessed: "You can choose to go to other hospitals, but you must go to see it."

The Affiliated Hospital of Shonan University is of a higher level than the No. [-] Hospital, so it is impossible for them to say that family members are not allowed to visit.

Moreover, Zhou Cheng thought to himself that he was polite from the beginning to the end.

It may just be that the word epilepsy is too irritating to ordinary people.

But no way.

There are only a few causes of habitual joint dislocations.

The first one is structural problems, loss of ligament function or laxity of ligaments, resulting in unstable joint structure.

Second, repeated trauma.

The third one is epilepsy.

He just had a physical examination, and the child has no congenital ligament laxity.

So it's not going to be a structural problem.

And a two- or three-year-old child like this, who has just learned to walk, cannot be habitually dislocated due to repeated trauma!

In addition, the possibility of relaxation caused by long-term muscle and ligament stimulation caused by epilepsy is very high.

If it is not, then it is only possible that this family is abusing the child and playing him out of nothing.

And only one of the causes was mentioned, so they did.

"Okay, thank you doctor."

"My mother." The child's father wanted to say something more after hearing Zhou Cheng's words, but his mother called him away.

Then Zhou Cheng and Du Yanjun were left behind, looking at each other.

After the patient and family members had left, Du Yanjun asked Zhou Cheng in a low voice: "Brother Zhou Cheng, does epilepsy also cause habitual joint dislocation?"

"Well. One of the reasons."

"It's impossible for the child to have multiple traumas, and I checked his healthy and affected sides, and I don't support ligament laxity."

"If it wasn't caused by epilepsy, it could only be due to abuse, but I don't think this is the reason for the family's love for their children."

"It may be difficult for the family to accept."

Du Yanjun nodded upon hearing this.

Zhou Cheng's explanation is relatively clear, but what Du Yanjun still doesn't understand is: "Brother Zhou Cheng, why didn't you explain this just now?"

Zhou Cheng sighed and said, "Actually, it's useless to explain so much. The best way to treat habitual dislocations is through arthroscopic surgery in sports medicine. Our hospital doesn't even have arthroscopic equipment, so we can't do it at all. "

"And if the primary disease is epilepsy, the child will eventually be transferred to the Second Affiliated Hospital of Shonan University or the affiliated hospital. We can't see it here, so don't waste their time."

"Otherwise, I don't need to say so much."

"Give them a nerve electromyography directly, and let them get the result before going to other hospitals to see it."

It's hard for a smart woman to cook without rice. The No. [-] Hospital has no sports medicine equipment, and there is no neurologist who is extremely professional to treat epilepsy. Naturally, it is better not to waste their time.

It's hard to accept to say more, but at least it can give them a preliminary impression. In the end, as long as one person cares, or mentions more, the experts and professors at the Affiliated Hospital of Shonan University or the Second Hospital will definitely understand. Take it to heart.

There was only so much Zhou Cheng could do.

……

After sending the patient away, Zhou Cheng called Luo Yun again and talked about it.

The reason why I want to report to Luo Yun in advance is to explain the situation and my own diagnosis ideas, and the second is that it is hard to say whether the patient and family members will go to the medical department to complain first or go to other hospitals first after they leave the department door.

Give Luo Yun a vaccination first. If there is a complaint, Luo Yun should have a plan to deal with it, so there won't be so many troubles.

After Zhou Cheng finished explaining, Luo Yun said: "Zhou Cheng, you are right, but there is one thing that you still have to work hard on."

"You call the outpatient department and ask them to check the phone number bound to the child's outpatient card, record it, and then call and follow up in one to two hours. Ask where they are. Is it the child's family!"

"At the same time, if you borrow a second mobile phone to record, you must confirm the identity of the other party, and explain carefully that the family members of the patient are required to take the child to another hospital for follow-up visits."

After Zhou Cheng listened, he nodded instantly——

Jiang is still old and hot, this call is not wrong.

As a doctor, you must be cautious. Although patients can choose not to trust doctors, doctors are still obliged to follow the patient's whereabouts, and to do all their suggestions.

This is for the patient's consideration, and it is also for self-protection, leaving an objective evidence, so that even if something goes wrong.

Then the family members of the patient have the right to choose freely as a Chinese citizen and to refuse the doctor's advice.

However, doctors have fulfilled their obligations, and it is impossible to infringe on citizens' right to freedom of choice.

The responsibility is not on oneself.

"Okay, Mr. Luo, you are more careful and thoughtful." Zhou Cheng quickly replied.

"It's not careful and thoughtful, it's all a lesson of blood and tears."

"In the past, when I was a graduate student, I was in the emergency department. There was also a college student who was brought to the emergency department by his parents. At that time, the teacher said that it might be an ectopic pregnancy. The patient's family members didn't believe it, and they made a big fuss in the hospital. Cracked and died."

"The teacher didn't leave any objective evidence, and the patient's family members directly accused him of misdiagnosis."

"Besides, the patient's family members were emotionally unstable at that time, and they didn't even have time to write the medical records, and they didn't dare to write them." Luo Yun gave Zhou Cheng an example.

"Okay, Mr. Luo, I understand." Zhou Cheng shuddered and remembered this matter in his heart.

"I'll call the Security Office again, and I must be fully prepared." Luo Yun also sighed with emotion, and then replied.

……

After Zhou Cheng had done everything according to Luo Yun's instructions, he finally felt relieved.

He borrowed Du Yanjun's phone to call the patient's family, and the phone that recorded it was his own, because if he used his phone to record, the other party might be found.

I just hope that this recording is not used.

Fortunately, Zhou Cheng was on the phone and got a reply that the other party had brought the child to the Affiliated Hospital of Shonan University.

Zhou Cheng called to worry about the child's situation, so although the other party's attitude was still lukewarm, he didn't get angry with Zhou Cheng again.

After all, none of them thought that Zhou Cheng would call to ask such an extra question.

……

at the same time.

Right at the entrance of the Emergency Department of the Affiliated Hospital of Shonan University.

Liu Suolong then said to his mother: "Mom, don't even think about reporting on that Doctor Zhou from the Eighth Hospital, he is also kind."

"Otherwise, there's no need to call us again and tell us what we must go to the hospital for."

Li Mengxiang, who is also Liu Suolong's mother, scolded in a low voice: "He is a guilty conscience, did my Qiqi provoke him?"

"The mouth is not clean."

"Epileptic epilepsy, his whole family is epileptic, so he talks like that."

"Go and see quickly, have your dad and the others registered? Your dad is also frizzy in his work. I'm really worried."

But before Li Mengxiang finished speaking, Liu Dashan and his in-law Zhu Yongzhi walked over, and then hurriedly said: "It's registered, the nurse told us to go to the emergency department."

A group of people hurried to the emergency department.

When the emergency surgery doctor saw it, he immediately frowned, feeling that something was wrong, took a look at the X-rays and reports from No. [-] Hospital, and immediately called the chief inpatient of the Orthopedics Department.

It took more than ten minutes for the general hospitalization of the orthopedics department, and he rushed to the emergency department wearing a green hand sanitizer, probably just off the operating table.

After seeing the results of the child's examination at the emergency department, he gave the child another physical examination.

Immediately, he frowned fiercely and asked, "Such a situation like yours must have happened before, right?"

The child’s mother, Zhu Qingqing, said the same thing as the little doctor in the No. [-] Hospital, “Yes, it happened a few times before, but it returned to normal after a while, neither crying nor fussing, I thought there was nothing wrong. "

"I took a nap today, and it's like this. I saw something wrong, so I hurried to the hospital for a look. I went to the No. [-] Hospital first, but I didn't see it, so I came here."

The chief hospital officer in green clothes nodded and said, "It's not too late, this is a recurrent shoulder dislocation, and it's also a habitual shoulder dislocation."

"Let's take an MRI first. For recurrent shoulder dislocation, there must be lax ligaments or structural insufficiency, which cannot be shown on this film."

After speaking, he immediately said to the doctor on duty in the emergency department: "Mr. Du, thank you for prescribing an emergency MRI for the child. After the scan, I reset him and fixed him early."

"Children's habitual shoulder dislocation should be done early, and the plasticity is quite strong."

Du Daixiong is the attending doctor of the emergency department, one level higher than Li Yong, the general resident of the orthopedics department, so Li Yong is called Teacher Du Daixiong.

However, Du Daixiong is only a doctor of emergency surgery, and he is definitely not as professional as Li Yong in orthopedics, so he said: "Okay, then I will mark it on the checklist to see if the radiology department can do it in advance."

"Li Yong, arrange for someone from your department to come over and talk. I'll send you to the operating room of the emergency department from here."

"Okay." With this in mind, Li Yong decided on the diagnosis and treatment.

……

Two hours later, Liu Suolong's family finally took Liu Qiqi out of the MRI room of the emergency department, and hurried back to the emergency surgery clinic.

Then I found that the general inpatient of the orthopedics department was still here for another patient's consultation. I was overjoyed and hurried forward and said, "Dr. Li, we have finished the MRI, but it takes two hours to get the report. It won't be printed until tomorrow."

"Look, are we going to be hospitalized now?" Liu Suolong looked at Li Yong helplessly, hoping that Li Yong could help him think of a way.

"I don't need to wait for the report, I just need to watch the film!"

"The film will be in the film reading system after you have taken the MRI. Wait a moment, I will issue a hospital certificate for this patient." Li Yong was writing the emergency medical records at this time, but he still politely replied to Liu Suolong .

"Okay, okay." Liu Suolong immediately became overjoyed.

If I hadn't met Li Yong, I guess I'd have to wait a long time.

Five minutes later, Li Yong issued a certificate of hospitalization, and asked the fracture patient in the emergency surgery department to be hospitalized in the first ward of the orthopedics department under the guidance of his family members.

Then I found a computer, turned on the film reading system, and watched it for 2 minutes.

Liu Suolong's family waited quietly, Liu Suolong and Zhu Qingqing both approached them curiously, but unfortunately they knew them from the black and white NMR, but they couldn't understand those things.

Seeing that Li Yong had almost finished watching the movie, he asked eagerly, "How is it, Doctor Li?"

Li Yong glanced at the child and guessed that there was no need to avoid the patient, so he said directly: "Sure enough, the biceps tendon, the subscapularis and the supraspinatus of the rotator cuff all showed relaxation."

"The structure formed by these tendons is the rotator cuff, which is equivalent to a fixation device for the shoulder joint."

"It's like the door in our house."

"The rotator cuff is the hinge that holds the door."

"When the hinge is stable, the opening and closing of the door is just right, and the door will not fall, but when the hinge is loose, the door will directly fall to the ground and cannot be closed tightly. It is your child who is out of position."

"You can lift the door once in a while, and it can close again, but because it is not stable, it will fall down again when you open it. This is the habitual dislocation of your child."

"If he's older, then the only option is to fix the hinge and have an operation."

"But now that he is young, he can fix his shoulder joint after manual reduction, and his tendons can grow again. There is no need for surgery yet."

"This kind of reset, we don't even need to go to the operating room to do it, just go to the department or the emergency department."

After Li Yong explained this, he still said: "You guys should go to the department. After you go to the department, it will be easier to deal with the follow-up. After all, it has to be fixed."

Li Yong's explanation was easy to understand, and Liu Suolong and the others understood it, and immediately breathed a long sigh of relief.

Liu Suolong immediately bowed to thank him: "Doctor Li, thank you, thank you."

"Thank you so much, I will work hard for you."

Li Yong said: "It's not hard work, it's what we should do. You are lucky, I happen to be on duty today. If the other general hospitalists are on duty, you may have to go to trouble, they will call again Call me to see."

"I'm a joint surgeon."

"By the way, after the treatment is over, you must remember, don't let the child get injured again? After the reset, if you get injured again, if the ligaments and rotator cuff tendons haven't grown up, it's easy to dislocate again."

"You go to the department first, I'll be here in a while."

"Okay, okay!" Liu Suolong and Zhu Qingqing immediately lost their hearts.

Smiling, remembering what Du Yanjun said when he was talking to them in the No. [-] Hospital, he shook his head.

It's really ignorant people who make things happen, but it didn't scare me to death.

……

When he was about to get off work, Li Yongcai returned to the department, and then printed a template for the conversation and signature of joint dislocation manual reset. After issuing the doctor's order, he asked one of the family members to pay the fee.

Then they talked and signed with other family members.

For 15 minutes, the family members were very cooperative, and Li Yong also talked about the points and risks that should be discussed.

Just say, "Okay, that's about it."

"Precautions, you must pay attention. Don't get hurt again."

"You take the child to the dressing room first, and I'll prepare something, and then I'll come over and reset."

After speaking, Li Yong also looked at the time.

"It's twenty past five!"

"I don't have much time. I still have a lot of consultations to do later. I try to finish them as soon as possible, and you all go home early."

"Okay, thank you for your hard work, Doctor Li. Can't you get off work on time later?" Liu Suolong asked politely.

Li Yong smiled: "Damn!"

"Where do we have a normal off-duty point? We are always hospitalized and never off-duty."

After speaking, Li Yong planned to stand up and prepare some other things.

But after hearing Li Yong's words, Li Mengxiang's heart finally fell to the ground, and she said to her son, "What am I talking about? The doctors in the Eighth Hospital just don't know how to read it, and they are not good enough. You still don't believe me."

"What did they say at the time? They said that surgery was necessary, and the risk of manual reset was high."

"Have you read what Dr. Li said?"

After Li Yong heard this, he was actually very pleased, but he also explained: "Auntie, you can't say that, there are specialties in surgery, and it's not easy to be a doctor. It's a good thing to be cautious."

"Such a dislocation requires a special professional joint surgeon to deal with."

"If the child is older, you will have to do arthroscopic surgery. Many hospitals in our province have not yet set up special joint surgery and sports medicine."

"What they said is also correct. Based on their perspective, it is a choice made by respecting you when they say that surgery is required."

"If they come up and tell you that this can be done by resetting it casually, then you have to be careful."

"There are some irreducible joint dislocations, and even the professor dare not say that they can be restored." Li Yong explained a few words for his colleagues in the No. [-] Hospital.

People do not want to dismantle it. The level of the Eighth Hospital may be limited, but they have tried their best. Dismantling other people's platforms is not something that colleagues should do.It's not called personnel.

"I know Dr. Li."

Li Mengxiang nodded immediately: "You don't know how much those doctors in the Eighth Hospital said too much."

"You obviously don't understand anything, and you still talk nonsense."

"It's obviously an orthopedic problem. We laymen know it's an orthopedic problem. They insist on neurological problems, what about epilepsy?"

"Are you speaking human language?"

"I think he has epilepsy."

"Like a lunatic." Li Mengxiang said with an expression of finally calming down, so she opened up and said.

After the stone in his heart fell to the ground, he only took it as a joke to complain to Li Yong about the nonsense things that the little doctors in No. [-] Hospital were saying when their medical skills were not good.

"You said?" When Li Mengxiang said this, Li Yong's face changed drastically.

This expression frightened Li Mengxiang.

He does not mean that.

Li Yong frowned at that time, and when he was about to walk out the door, he turned around again, trembling in his heart, he couldn't speak fluently, and asked: "You, you, your child, do you often fall down?"

"Then how can it be?" Li Mengxiang replied without thinking.

"Me and his grandma, his mother basically stayed around 24 hours a day, and never fell down!"

"There was no injury this time, I don't know."

Sure enough, after hearing this, Li Yong's expression suddenly changed again, and fine sweat kept coming out of his forehead.

Sweat filled the palms of the hands.

The hands curled up and stretched out, and in the end, he could only bite the bullet and say: "Then your child really can't do manual repositioning now, we have to do an EMG for him, and check for epilepsy before we talk about it!"

Li Mengxiang froze there immediately, turned her head looking left and right, and found that the family members around her were all stunned.

He opened and closed his mouth for a while, looking at Li Yong's expression.

Li Yong moistened his lips with his tongue, and then said: "It's better to be on the safe side, you must do a nerve electromyography first. You don't want me to reset your child rashly, and then the reason is still there." Find it out?"

"Ah~this~?" Li Mengxiang was at a loss for words.

This is the Affiliated Hospital of Shonan University.

……

Nerve electromyography cannot be done in an emergency department.However, Li Yong personally took the child to the rehabilitation department opposite the third orthopedic ward, so he was able to work overtime.

At this moment, Li Yong was extremely disturbed.

From the beginning, he only thought that the child wrestled too many times, and the family didn't pay attention, because most of the recurrent joint dislocations were like this.So he didn't ask much at all.

He has seen at least hundreds of patients with recurrent joint dislocation.

This is almost always the case, and today he stepped down to run the emergency consultation, and there are really many calls on the emergency department.So empirically, he ignores such special cases.

15 minutes later.

The results of the EMG came out.

At that time, Li Yong said to Liu Suolong in a complicated manner, "Mr. Liu, I'm sorry!"

"Your child really has paroxysmal epilepsy."

"In this case, you have to go to the neurology department for hospitalization."

Liu Qiqi's grandma, Li Mengxiang, couldn't accept it even more, she kept shaking her head and murmured, "Impossible!"

"impossible."

"It's impossible for Qiqi in my family to have epilepsy, and it's impossible for her to have epilepsy."

Although Liu Dashan and the others also had a sudden change of face, which was hard to accept, they were not as big as Li Mengxiang's reaction.

Zhu Qingqing looked at Li Yong with a complicated expression: "Dr. Li, didn't you say that before?"

Li Yong took a deep breath and said, "Ah~this~?"

After speaking, he changed the subject slightly: "It was my problem before."

"But we still have to respect the facts. This is not a matter of saying nothing. Now that epilepsy has been detected, we have to figure out how to treat it."

"Although epilepsy is terrible and cannot be cured, it can be controlled. Once controlled, it is no different from normal people."

"Since something has happened, we must find a way to solve it."

"Whether you say it or not, it exists. Early detection and early treatment."

"Manipulation reset still has to be done, and it can be done, but the weeds must be eliminated, and the disease must be cured."

Li Yong didn't have much confidence when he said this.

If it wasn't for Li Mengxiang's extra words, he might be in trouble today.

The cold sweat was still pouring out from behind.

"..."

(End of this chapter)