medical simulator
Chapter 118 Why didn't you play yo-yo sooner! ?
Chapter 118 Why Didn't You Play Yo-Yo Earlier! ? (Please subscribe!)
Luo Yun's expression was natural, and his heart was quite open.
If you can, you can, if you don't, you can't, just go straight, and you won't be a joint surgeon just because you say you don't know how to reset joint dislocations.
It should be said that manual reduction of joint dislocation is an entry-level skill in joint surgery, and it is easy to learn.
But arthroplasty is far more than just manual reduction of dislocated joints.
It's like the delicacies in the world, definitely not the milk in the mouth that children think.
However, Luo Yun's frank words obviously took a while for others to digest.
For example, Du Yanjun, he always thought that Zhou Cheng's method of resetting the dislocated joints might have been mixed up with Luo Yun.Although thinking this way, Luo Yun felt a little uncomfortable——
I am a graduate student in the department, Luo Yun did not teach me but taught Zhou Cheng, although this is also due to my lack of effort and dedication.
but?
Du Yanjun still felt a little unconvinced at first——
I'm a graduate student, and my foundation and qualifications are better than Zhou Cheng's. Why don't you teach me?
But now, it seems that the reason Du Yanjun gave himself was overthrown by Luo Yun, which made his self-righteous aptitude and solid foundation an excuse that suddenly turned into a bubble...
Apart from Du Yanjun, Li Yong and Zuo Hu actually didn't want to accept it even more.
They turned to look at Zhou Cheng.
It hurts a little.
If what happened yesterday was told by Luo Yun, then they would be more accepting. After all, Luo Yun is a specialist in joint surgery!
Moreover, they are extremely professional joint surgeons, they are regarded as colleagues, and it is a rare thing for them to be corrected and instructed by their colleagues!
But have you looked at Zhou Cheng?
This young guy?
At most 24 years old, right?
he……
Li Yong suddenly felt that the books he had read, at his age, had almost entered the cow's ass...
Cai Dongfan, Yan Haihan and Hu Ming were not entangled in the fact that Luo Yun pushed Zhou Cheng out, and they also felt that there was something wrong with Luo Yun pushing Zhou Cheng out directly.
Because before, Zhou Chengcheng had routinely carried out joint dislocations in the department, and he did a good job.
He even treated many patients. Luo Yun said modestly that he was not as good as Zhou Cheng. This may be true, so he didn't take it seriously.
Their eyes and attention were all on Luo Yun.
Suddenly, I felt that Luo Yun was extremely strange——
They knew Luo Yun, and Luo Yun was the attending physician in the department. They had worked together for so many years, and they never looked up or down. Cai Dongfan brought up Luo Yun's smoking habit. When he first entered the department, Luo Yun didn't smoke.
Cai Dongfan lit it and stuffed it in his mouth. With such friendship, he really regarded Luo Yun as his close person, so he dared to do this.
And Luo Yun's well-behaved performance in the department was gradually recognized by the people in the department and gradually integrated into him.
But now-
Yan Haihan and the three of them all realized that they didn't know Luo Yun.
It should be said that they never really realized Luo Yun's true face.
Left gourd?
He actually knew Luo Yun?
……
There was a stalemate in the quiet scene for about half a minute. Zhou Cheng felt that he was pushed in front of Luo Yun. After some politeness, everyone stopped talking and felt a little stressed.
He said nervously, "Teacher Luo, if you want to scold me, just scold me."
"I will never talk back."
Although Zhou Cheng also felt that what Luo Yun was telling was the truth, sometimes it might not be good if the truth was told. Look, how embarrassing are the people on the field?
"Why am I scolding you? I'm telling the truth, and I'm also praising you." Luo Yun rolled his eyes.
Then he turned to Cai Dongfan: "Director Cai, tell me, is Xiao Zhou a very good doctor?"
Cai Dongfan immediately nodded his head, only looked at Zuo Hu, but did not speak.
Because Cai Dongfan didn't know whether he should speak or how to say it, and he didn't understand the art of joint surgery, so he simply said less and made less mistakes, not saying it was good.
Zhou Cheng still wanted to talk, so Luo Yun patted him: "Don't take advantage of it and continue to act like a good boy, hurry up and change your work clothes."
"Professor Zuo was invited by Director Yan to teach us today. He is a guest from afar, and he is also a teacher."
"You have to listen carefully later."
Zhou Cheng suddenly received amnesty: "Okay, Mr. Luo, I'm going to change my work clothes now."
After finishing speaking, quickly retreat.
And Luo Yun moved away a little bit to give Yan Haihan a chance to speak.
Yan Haihan is the director, and Associate Professor Zuo Hu was invited by him, although Zuo Hu unexpectedly recognized him.
But Luo Yun felt that there was no need for him to stand in front in embarrassment and embarrass everyone.
The past is all in the past. If a person is afraid to reset his life to zero and admit his ordinary facts, it will be difficult for him to mature.
Luo Yun has already passed this step.
Only then did Yan Haihan say: "Yes, yes, blame me, blame me. It's all my fault."
"Professor Zuo, it's all my fault. I specially invited you to class, but I didn't come to welcome you in person."
"It stands to reason that I should send a car to bring you, Professor Zuo, to the department."
"Professor Zuo, Doctor Li, please take a rest this way."
Luo Yun gave the step down, so he naturally had to stand up, and he also felt that Luo Yun was quite exquisite and sensible.
Zuo Hu slowly breathed a sigh of relief, and replied: "Director Yan, Dr. Li and Dr. Li came here early because of their own affairs. How can we blame you?"
While returning, he still followed Yan Haihan towards the direction of the director's office.
Now that Yan Haihan and the others have arrived, it would be a bit overstepping for them to entangle the question of who Luo Yun is.
After all, Zuo Hu also found out that Yan Haihan and others didn't know Luo Yun at all.
It's a pity that Luo Yun is half blind, his talent is not appreciated.
……
After Yan Haihan made arrangements for Zuo Hu and Li Yong, Hu Ming was still looking up and down at Luo Yun.
He licked his lips and asked, "Xiao Luo, you know how to do joint replacement? Why didn't you say it earlier?"
Luo Yun then turned to look at Hu Ming and said, "Director Hu, I've said it before, both during the interview and when I was admitted to the department. And it's already a thing of the past."
Luo Yun did say that he was a professional joint surgeon, but no one took it seriously, so what could he do?
He is not the director, he does not have his own bed, and he is not in charge of admitting and treating patients.
Hu Ming immediately turned to look at Cai Dongfan: "Dongfan, how about borrowing Luo Yun."
Cai Dongfan immediately lost his temper, rolled his eyes and said, "Fuck you, don't say anything, I won't agree!"
After finishing speaking, he warmly hooked Luo Yun's shoulders, his small eyes blinked, and a caring tone on his face: "Luo Yun, let's talk here..."
So he took Luo Yun out of the office.
Seeing Cai Dongfan like this, Hu Ming cursed, "Blind Cai, why are you so unlucky?"
Cai Dongfan's eyes are small, Hu Ming and Yan Haihan used to call Cai Dongfan Squint Eyes or Cai Blind, but after Cai Dongfan was promoted to deputy director, he stopped calling him that way, but now, Hu Ming really thinks.
When a blind cat meets a dead mouse—
Simply.
First Zhou Cheng, then Luo Yun, who the hell can stand up to this.
You know, one advantage of the second department of orthopedics is that Zeng Yi assigned other business areas of orthopedics except upper limb trauma and spine to the second department of orthopedics. After all, he didn't do it before...
But now, it is estimated that Cai Dongfan's patients and income will be good in the future.
Even fame and status in the department will definitely rise with each passing day.
MLGB's.
Zheng Xuanlin looked at Hu Ming cursing at Cai Dongfan, and said, "Director Hu, are you doing a ward round?"
Hu Ming looked Zheng Xuanlin up and down, sniffed and asked: "What do you know, but I don't know? Can you?"
Zheng Xuanlin immediately lowered his head almost to his crotch——
The human head mocks the ghost head for not being able to see the vastness of the world, not being able to listen to the sound of rivers and lakes.
The ghost head mocked the human head.
"Oh!" Hu Ming sighed and shook his head violently.
Accepted.
There are so many omissions like Luo Yun and Zhou Cheng in this world.
……
At [-]:[-], Yan Haihan ordered his respective teams to quickly start rounds, and at [-]:[-], everyone entered the classroom on time for class.
Originally, Yan Haihan didn't intend to call Cai Dongfan and Hu Ming, he called Zuo Hu to the department.It's not for Cai Dongfan and Hu Ming, but since they are all in the department, it's not easy to slip away.
However, after Yan Haihan sent the order, Zuo Hu was in the office, a little bit on pins and needles.
After taking a sip of tea, he took a sip and relished the taste, then said: "Director Yan, in fact, you informed me of today's lecture, and I didn't have time to make too many thorough preparations. of."
"How about we make another appointment?"
Zuo Hu really had lingering fears, it wasn't that he didn't dare to speak, or dared not speak in front of Luo Yun.
Rather, Zuo Hu originally thought that none of the Eight Hospitals had joint surgery, so he could be fooled by just talking about it, and it was over.
But now, when he was not fully prepared, there was still Luo Yun, a person whom he could not figure out.
Then will you find out what he said wrong, or go back and complain to his teacher in private——
How inappropriate is it to come to class just like this?
Yan Haihan hurriedly said: "Professor Zuo, you are too polite. You are an expert and professor from the Affiliated Hospital of Shonan University. If you give us a random class, isn't that an extremely simple matter?"
"Our department's understanding of joint surgery is quite weak, so we all love to listen to the basics."
Half polite, half truthful.
Zuo Hu suddenly felt as if he was being held up very high, even a little too high.
As an associate professor at the Affiliated Hospital of Shonan University, he doesn't have much flying knife surgery to do because the professor is still ahead, but he can also give lectures to earn extra money, which he used to think was pretty good.
But today, Zuo Hu still felt a little bit uncertain.
You know, if you can give a report at the Huaguo Orthopedic Annual Meeting, it is really not something that ordinary people would dare to attend.
All the comrades in the country are there, and if you lose face, you will not only lose face alone.
Professor Zeng Diwei, oh no, it seems that he has been promoted to an academician now. If he dared to release Luo Yun back then, it must have been recognized by him and everyone in the group.
Zeng Diwei convinced many people and was paving the way for Luo Yun.
Could it be that bad?
However, things have come to this point, Zuo Hu can only bite the bullet and go on.
After all, the envelope was already placed in front of him——
It would be inappropriate to refuse something that was agreed in advance at this moment.
……
At 35:[-], Cai Dongfan led someone to check the room.The Hu Ming group was still wandering around the ward.Dong Qiansheng brought him into the shift room long ago.
Du Yanjun's own patients had almost nothing to deal with. The hospital beds of Zhang Zhengquan and Zhou Cheng were also preoperative patients who were admitted to the hospital yesterday after surgery. It's over.
Change the dressing every two to three days.
The preoperative patients directly completed the preoperative examination, so they were not in a hurry to prescribe a doctor's order, but came to the doctor's office in a group.
Because there is no shift today, there is no one sitting on the nurse's side.
So Du Yanjun pushed Zhou Cheng and said, "Brother Zhou Cheng, let's go find a seat?"
Zhou Cheng pursed his lips, although a little moved, he still said: "Wait a minute, Min Chaoshuo and Xu Yanlin are still standing and not sitting down."
There are only six seats in total. Excluding Pang Dingkun, there are eight junior doctors. Who will sit and who will not?
And Dr. Li Yong from the Affiliated Hospital of Shonan University wants to stand and listen?
Zhou Cheng was too lazy to stand out.
Du Yanjun stepped back and stood there together with Zhou Cheng, quietly waiting for the superior doctor to arrive.
At 52:[-], everyone arrived, and only waited for the three directors Yan Haihan Hu Ming, associate professor Zuo Hu and Li Yong to arrive.
Dong Qiansheng, Luo Yun, Zheng Xuanlin and Pang Dingkun sat in their respective seats.
Everyone else is standing around the shift table...
Soon, Yan Hanhan and the others began to chat cheerfully, as if they were already leaving for the shift room.
Yan Haihan also said: "Professor Zuo, I will work hard for you later. If there is still enough time, I hope that Professor Zuo will give us an on-the-spot teaching."
Zuo Hu's voice of prevarication also sounded: "It depends on the situation. If you happen to meet, there is no problem. But I have to go back at 12:30."
Zuo Hu gave himself some time, he couldn't be dragged into the department by Yan Haihan all day.
Yan Haihan frowned and said, "Professor Zuo, can't it be later? I ordered lunch at 12:30."
"Let's not eat today, let's eat it next time when we have a chance." Zuo Hu still decided to leave a way out for himself.
Because even now, when he was about to give a lecture, he was still a little confused.
I don't know if it was a coincidence, but Yan Haihan and the others were talking, the door of the department was pushed open, and then three big men pushed a cart in.
After seeing Yan Haihan and the others in white coats, he immediately slowed down the speed of the bed, and stopped just in front of them.
One of them asked, "Doctor, doctor, is this the orthopedics department?"
"The doctor in the emergency department told us to push the patient up."
Zuo Hu was a bit stupid at the time.
Li Yong's feet twitched slightly——
Isn't this a coincidence?
Yan Haihan glanced at Zuo Hu, and then replied: "This is the Department of Orthopedics, you go to the nurse's station first, there will be a doctor on duty to see him soon."
Although he didn't know who the patient was, Zuo Hu was a guest from afar, so it was naturally impossible for him to work as a junior doctor.
If it's a broken bone, wouldn't that be a waste of time?
Hearing this, Guo Lei from Hu Ming's group immediately lifted the mask and ran out...
Yan Haihan led Zuo Gourd into the shift room.
Then he solemnly introduced the background and purpose of Zuo Hu to everyone in the department again, while Zuo Hu was on the stage, plugged in his own USB flash drive, found the ppt he was lecturing on today, flipped it up and down Look for very shallow, low-level errors.
Of course it doesn't exist.
Yan Haihan spoke for almost two or three minutes, and there was thunderous applause in the handover room.
Zuo Hu raised his hand, and after all the voices stopped, Zuo Hu began to speak...
At this time, there was a knock on the door of the transition room, the sound was not loud, Zuo Hu continued to talk.
Then Guo Lei stuck his head in, grabbed a person at the door and whispered in his ear for a while, and that person stepped forward and told Luo Yun.
Luo Yun winked at Zhou Cheng who was standing directly opposite, and Zhou Cheng immediately understood, quietly walked around behind everyone, walked around to the door of the shift room, opened the door a little, and went out.
The whole process did not disturb Zuo Hu's lecture, and Zuo Hu turned a deaf ear to it, pretending not to see it.
Not to mention such an informal class, even if it is a big class for undergraduates, there are some people who walk away with their schoolbags in the middle of the class, and they have long been used to it...
When Zhou Cheng went out, Guo Lei said, "Brother Zhou Cheng, I'm sorry, I didn't understand this patient. The report said heel joint dislocation."
"I delayed your lecture."
As he spoke, he scratched his head, quite apologetic.
He was on duty, and he still felt a little guilty when he encountered a patient and asked Zhou Cheng to deal with it.
After all, Guo Lei didn't know that the dislocation of joints in the department was because of Zhou Cheng and Luo Yun, and he only thought it was Yan Hanhan's idea...
"It's okay, let's go and have a look together." Zhou Cheng replied subconsciously.
But immediately remembered something, and said, "Brother Lei, why don't you go in and attend the class? I'll just go and see it alone."
Guo Lei was very moved, but shook his head firmly: "Then how can I? I'll help Brother Zhou Cheng for you."
Then Guo Lei and Zhou Cheng came to the nurse's station.
After Zhou Cheng watched the plain film, he took a look at Guo Lei, and then said to the patient's companion in a loud voice: "Look, this is the calcaneus, and this is the cuboid. They are the two bones that we already have on our feet. a bone."
"They will form a joint called the calcaneus joint. Now this joint is dislocated, so he is very painful and can't walk. Now it is very swollen."
The companion kept nodding his head, but his face was in a daze.
I thought in my heart, what is with the bones.
What is the relationship between the feet and the skull?
But when you arrive at the hospital, of course you have to listen to the doctor, and they don't understand.
"In such a situation, a reset is needed..." Zhou Cheng introduced it to the patient's family in detail, one for the conversation before the reset, and the other for explaining to Guo Lei so that he could understand.
Zhou Cheng said so much, not all for patients to listen to.
Guo Lei is obviously interested in taking Zuo Hu's class, but because he can't take the class on duty, Zhou Cheng can teach by himself, and if he can teach unintentionally, he doesn't mind giving Guo Lei a hand and letting him learn something. At any rate, it can fill in the gaps that are missing from this class.
Guo Lei nodded frequently.
Because Zhou Cheng disassembled the joint dislocation into pieces, but assembled it into a straight line frame, Guo Lei understood it and kept it in his heart without much effort.
"So, we have to try manual reduction first, and see if it can be cured without surgery."
"If the manipulation is restored, then there is no need for surgery. If it is not restored, surgery is necessary."
"Or if you want 100% insurance, then go straight to the operation and definitely reset it." The patient gives the power of choice to the patient himself.
The patient was on a construction site, and he was hit in the foot with no broken skin or broken bones.
So he immediately raised his head and said firmly, "Doctor, I understand. I want to try without surgery."
"If there is no other way, then surgery."
Although his own salary is not low, there are old and young people in the family who are all waiting for him to earn money. He never eats more than 20 yuan a meal, most of which are ten yuan and fifteen yuan, which can save money. Then save.
When Zhou Cheng was speaking, Guo Lei had already issued a doctor's order.
"Okay, then you pay the fee first, and I will prepare the things to be used for the reset, and then I will put on the plaster, and I will give you a leave note."
"You must remember that after the reset is successful, you must rest for at least one month to one and a half months! During this time, you cannot use force or work, otherwise, you will not be able to escape the operation eventually." Zhou Chengsheng was afraid of this big brother, After feeling no pain in the feet.
Brutely go to work again, the ligament will be broken again or something.
At that time, the restoration of my technique will be in vain, and I am afraid that I will have to undergo major surgery.
The reason why you have to explain to him and not to others also depends on the nature of the work and the person.
Some people, those who sit in an office or have money, know how to rest without asking them to, but workers are different. Their roles, burdens and ability to bear the burden are different.
This is also one of the contents of medicine.
Whether the explanation is long-winded or not varies from person to person.
"Okay, okay!" The patient nodded hurriedly, but kept scratching his head with his hands, and finally let out a long sigh.
His fellow workers comforted him and said, "It's important to get well first, because you can't earn enough money. Then ask the boss if there is any work-related injury to report to you."
"..."
15 minute later.
Zhou Cheng still completed the manual reset while explaining. When he heard the clicking sound, Zhou Cheng said: "This sound is the popping sound produced after the joint is reset, and it is the sound of bone surface impact."
"It's a good thing to hear this crisp clicking sound after a joint dislocation."
"If you hear a dull snapping sound, you have to be careful that it's a broken bone."
"After we're done, we have to make sure..."
Twenty minutes later, the patient and the co-workers walked out of the ward thankfully.
The worker was still muttering, "Other people said that the hospital would cost hundreds of dollars to treat a cold. Today, it only cost more than 300. I also brought a plaster back. It doesn't seem to be very expensive."
"Yeah, when I paid the fee, I saw that the plaster material cost 110 yuan."
Hearing this, the patient hung his head again and greeted Zhou Cheng: "Thank you~, Doctor Zhou~."
It was so loud that even everyone in the class could hear it.
Zuo Hu's lecture also stopped midway——
Then go on to the lecture!
Guo Lei immediately said, "Mmm, thank you, brother Zhou Cheng, I didn't expect joint dislocation to be so interesting."
"Yes!" Zhou Cheng nodded.
He smiled and said: "Manipulative reduction of joint dislocation is one of the rare operations in clinic that our doctors can quickly gain a sense of self-accomplishment."
"When I came in, the patient was in pain."
"The disease can be cured at hand, and it will be relieved immediately."
"It's a bit like the miracle doctor in the movie. The way to reset the fracture is not as magical as this."
Guo Lei continued to nod.
"Brother Zhou Cheng, I have to learn more from you today!" Then he looked at Zhou Cheng, full of expectation.
The two of them were about to walk into the handover room to listen to the class again.
The door of the department was opened again——
A family of wheelchairs was wheeled in.
Guo Lei's expression immediately turned pale, and he said helplessly, "Brother Zhou Cheng, you go in first."
Zhou Cheng could only look at Guo Lei with pitiful eyes, pushed open the door and slit it into a small ∠, and then squeezed in.
Unexpectedly, Zhou Cheng immediately felt his cell phone vibrate.
After clicking on it, it was another message from Guo Lei.
So Zhou Cheng pushed the door open again, and then got out...
Zuo Hu was on the stage, glanced at Zhou Cheng who was leaving, then moved away to another place, and continued: "So the above is the second most common dislocation in our orthopedics department, the related content of the posterior dislocation of the hip joint. Anterior dislocation, lateral dislocation, high dislocation, subluxation, etc..."
……
Two 10 minutes later.
It seems that the patient and Zhou Cheng happened to pass by the shift room along the way.
"Thank you, big brother doctor!" It was a child thanking Zhou Cheng, his voice was still very loud and he was very polite.
And it's very close to the shift room.
Zuo Hu inside, paused again, and paused——
MD is poisonous...
Zhou Cheng pushed the door open, this time he didn't go out right away, but Zuo Hu saw that Zhou Cheng pushed the door back to ∠ 5 minutes later.
out--
well!Zuo Hu sighed in his heart——
Are you always in and out?
……
When Zhou Cheng went out, he saw Guo Lei talking with the patient.
The general content of the conversation is similar to what I talked about before.
My heart suddenly trembled, big brother, the conversation is not like this!
You made a mistake in the program, whether you need to reset it or not depends on whether you can do it or not?
But he didn't say it.
There aren't that many rare things after all.
The patient is a seventy-eighty-year-old widow.
The person who pushed her here was her daughter-in-law, who was probably in her 40s!
Zhou Cheng then gave the patient a physical examination, watched the film, and then read the old woman's emergency medical records.
After reading it, Zhou Cheng's heart skipped a beat immediately.
He touched Guo Lei and squeezed his throat, signaling him not to speak.
Guo Lei immediately understood and stopped talking.
The patient's daughter-in-law saw Zhou Cheng touch Guo Lei, and Guo Lei didn't dare to speak.
Then he asked: "Doctor, how is my mother's situation? Don't scare me."
Zhou Cheng frowned and said, "Sister, don't worry, just listen to me first."
"Your mother's current situation, although it looks like a shoulder joint dislocation from the film, in fact, it may not be an ordinary shoulder joint dislocation. So you need to take an MRI first, and let me confirm the area around the shoulder joint. Is there any compression of the musculature?"
"Then we'll see how we treat the situation."
"What Dr. Guo said just now is correct. Shoulder dislocations can be reset manually or surgically. Manual reset is the first choice, but in some special cases, manual reset is not suitable."
Zhou Cheng explained.
But the patient and his family immediately frowned.
The patient's daughter-in-law said: "But just now, Dr. Guo said that you can reset it manually first. Can't you try reset first, and then go for MRI?"
"We've all come to the ward. What if it's not a special joint dislocation? Wouldn't it be possible to skip the MRI?"
The old woman also raised her head, her spirit was a little weak, and she said: "Yes, doctor, my shoulder hurts so much, and I can't strength it. Please stop the pain for me first! I'm in so much pain that I'm about to die. Ouch, hey, hey, hey."
As he spoke, he groaned in pain.
Zhou Cheng licked his lips and said, "This, big sister. It's not how you understand it."
"Our doctors deal with people, and people can't just try it casually. An MRI or an emergency room will be done quickly, and there won't be much delay."
Then he said to the old lady: "Wife, your pain is caused by dislocation of the joint. Painkillers are not very effective, and it must be reset. Before the reset, we have to find out the situation in detail."
In fact, Zhou Cheng now has the bottom line in his mind. Although the patient's joint dislocation is anterior, the scope of the anterior dislocation is a bit large, and the end of the anterior dislocation is a bit special.
I'm afraid it belongs to the contraindication of manual reset, so he dare not reset it casually.
It is necessary to determine the shape and specific position of the biceps tendon first.
The old woman sighed, and kept touching her left arm with her right hand, and said, "Doctor, I'm in pain, please perform a reset for me first, so that I don't feel any pain before checking."
"Yes, doctor."
"This is not an experiment. Let's go down to do an inspection, and then go up again. This is going back and forth. Isn't it appropriate?"
"And Dr. Guo said just now that you should try the manual reset first, and then switch to surgery if it doesn't work." She looked directly at Guo Lei, wanting to use Guo Lei's words to gag Zhou Cheng, thinking that Zhou Cheng was just trying to make them do check.
Guo Lei immediately became trembling, and hurriedly said: "What I just told you was about treatment, but now what Dr. Zhou is talking about is that the diagnosis is still unclear."
"How can this be the same? If the diagnosis is not clear? Then."
The patient's daughter-in-law said impatiently: "It's clearly written in the report, how can I be clear about the anterior dislocation of the shoulder joint?"
"Can you two young doctors read it? If you don't know how to read it, call the director and superior of your department."
I don't know whether Zhou Cheng and Guo Lei are angry because they are young and have inconsistent statements, or they think that Zhou Cheng and Guo Lei don't know how to see a doctor at all.
Guo Lei suddenly trembled a little, and looked at Zhou Cheng with guilt.
Zhou Cheng sighed.
Then he said: "Sister, don't make noise, don't make noise."
"There are still many inpatients resting in the department, making it inappropriate for them to make noise."
"Our director is in the department. If you are worried about my suggestion, wait a little while. Our director is in a meeting. I'll report to them, okay?"
"Hurry up and call your director. You don't know how to see a doctor and you're wasting time here." The patient's daughter-in-law snatched all the films from Zhou Cheng's hand impatiently.
Zhou Cheng immediately went in and told Luo Yun about the situation.
Then he said: "Ms. Luo, this patient is very likely to have the biceps tendon wrapped around the back of the humeral head. The patient refuses to have an MRI, and he still doesn't believe me. You have to ask your superiors to see it."
Luo Yun nodded and walked out with Zhou Cheng.
And at this time, Zuo Hu's lecture has almost come to an end...
When Luo Yun arrived at the nurse's station, he didn't just listen to what Zhou Cheng's family had to say, but watched the film carefully and had a physical examination.
After a full 5 minutes.
Luo Yuncai said: "Doctor Zhou is right in thinking. In your mother's situation, you still need to have an MRI."
"It's quite possible."
But just as Luo Yun finished speaking, the middle-aged woman started arguing: "Are you guys in the same group?"
Then he pointed to Guo Lei: "At the beginning, he said that he could recover later, and then he came."
Point to Zhou Cheng.
"He said to do nuclear magnetic resonance."
"He's calling you, and you said the same thing. You're obviously protecting him." Then he pointed at Zhou Cheng.
"Do you really want our patients to do so many tests?"
Luo Yun took a long breath, said in his heart not to be angry, and patiently explained: "If I only listen to him, I will tell you about the inspection when I come out, why do I have to watch for so long? "
"How can there be a doctor to take care of each other? He is my student. If he makes a mistake, I can of course blame him and correct him. Why do I have to make a mistake to the end?"
"I suggest that you go for an examination in order to make a clear diagnosis."
"You are with him, it's obvious. I've seen it there, you are with him." The woman persisted and found a very objective reason.
There are photos of the staff in the department hanging in the department.Because there are currently only seven doctors in the second orthopedic department, it seems that the number is too small, so I also hung up Zhu Pei and pretended that my department is full of staff...
Zhou Cheng is naturally in the same group as Luo Yun.
Luo Yun couldn't even refute what he said, so he said, "Then who do you think is not with us, can you identify someone in the photo?"
"Now it happens that we have something to do in our department, and everyone is here."
"I asked him to come and see your mother specially? Is that okay?"
When Luo Yun was explaining to the patient, Yan Haihan walked out of the shift room to meet Zuo Hu, Li Yong and others, and Yan Hanhan said very politely: "Professor Zuo, thank you, you have really worked hard today. gone."
"I'll arrange a lunch in advance later, Professor Zuo, you must eat before leaving."
Yan Haihan said so, the woman pointed to the left: "He, he is not from your department, I didn't see his photo."
"He showed it to my mother, okay?"
Luo Yun felt pain in his ass at that time, this family is simple, and his memory is good.
But I didn't think about it, no other people's photos were posted in the department, so were they people in the department?
Luo Yunke didn't move, so he quickly shook his head and explained: "This is an associate professor from the Affiliated Hospital of Shonan University. We invited him to the class. You are not invited to come to see the doctor. You can only choose people from our department, so I can invite you. verb: move."
"How could our hospital instigate it."
As Luo Yun was saying this, Yan Haihan looked at her pointing at Zuo Hu in embarrassment, and quickly explained to Zuo Hu: "Professor Zuo, there may be a misunderstanding, you go to rest first."
"I'll deal with it."
Zuo Hu said: "Let's go and have a look together, Director Yan."
Zuo Hu was really curious, why Luo Yun was so distrusted by the patient.
However, I was a little scared in my heart, what if I was really called over?
I can't see what to do?
Luo Yun is not someone who is easy to be with...
Tangled in my heart.
Yan Haihan hurried forward a few steps, and asked from a distance: "Hi, I am the director of our department, what can you tell me?"
After speaking, he just walked in front of the patient and his family.
The middle-aged woman said: "The doctors in your department, doctors and doctors care for each other, everyone has different opinions."
"One doctor said that manipulative reduction can be done, but another said that it can't be done, and that it needs to be checked first. The next one also said that it needs to be checked."
"Who should I listen to?" The middle-aged woman was also very witty, and she completely threw the question on Luo Yun and Zhou Cheng, a few doctors.
Guo Lei listened, and immediately turned sideways to explain and apologize to Yan Haihan.
"I'm sorry, Director Yan, I was the one who talked to the patients. I didn't understand the situation, so I talked to them about the risks of manual reset..."
Guo Lei wanted to continue talking, but Yan Haihan stopped him.
Now that the patient is present, what he wants to solve is the problem. He always listens to Guo Lei, which is disrespectful to the patient.
Yan Haihan soon came to the patient and said: "Then you may have misunderstood it. He is the doctor on duty. This is the attending doctor of our department. He is a superior doctor. The superior doctor has the right to teach the residents on duty. .”
"You have to trust Dr. Luo's professionalism!"
"We are doctors and patients. We are treating diseases, not doing business. We must insist on it, right?"
"Since Dr. Luo feels that you need another examination, then decide on the next diagnosis and treatment plan after the examination." Yan Haihan firmly supported Luo Yun.
The main reason is that he didn't understand much, so he didn't dare to read more, he could only trust Luo Yun, and only hoped that Luo Yun would work harder, so that Zuo Hu would not think he was a layman.
The middle-aged woman suddenly became a little anxious.
Yan Haihan said that he is the director, and he also protects Zhou Cheng and Luo Yun, so what should we do?
She murmured: "But? But?"
"Obviously you."
"Professor, can I trouble you to take a look at my mother?" She looked directly at Zuo Hu and shouted, hoping that Zuo Hu, a doctor from the Affiliated Hospital of Shonan University, would come and uphold justice.
Yan Haihan's face changed suddenly, and he said, "Professor Zuo is a professor at the Affiliated Hospital of Shonan University, and he is not an employee of our department. How can you ask for it?"
But the middle-aged woman still pointed at Zhou Cheng and the others and said: "They are all talking to each other, I won't look at them here, I want to look at you."
As soon as these words came out, everyone's expression changed immediately!
You can do this kind of thing, and you can even talk about it, but if you shout here in front of professors from other hospitals, have you registered?
Have you respected other professors?
Have you picked the right place?
Cai Dongfan quickly apologized and said, "Professor Zuo, I'm sorry! The patient doesn't understand the rules here."
"This way please, go to the director's office and rest first."
Zuo Hu also nodded, and smiled casually, expressing that he didn't care.Then he followed the direction cited by Cai Dongfan and walked to the director's office.
Seeing this, the woman's expression changed drastically.
Then he roared angrily: "You are all a bunch of thieves, you don't have any good things, you only think about money, you only want to check. What directors, what professors, are all wolves in human skin, with human faces and beast hearts—"
"You are doctors, and what you should do is to save the sick and save the sick, not let the patients check this and that."
When Zuo Hu heard this, his face darkened, and his footsteps paused a little.
Why didn't I yo-yo sooner and suffer this for nothing for no reason.
(End of this chapter)
Luo Yun's expression was natural, and his heart was quite open.
If you can, you can, if you don't, you can't, just go straight, and you won't be a joint surgeon just because you say you don't know how to reset joint dislocations.
It should be said that manual reduction of joint dislocation is an entry-level skill in joint surgery, and it is easy to learn.
But arthroplasty is far more than just manual reduction of dislocated joints.
It's like the delicacies in the world, definitely not the milk in the mouth that children think.
However, Luo Yun's frank words obviously took a while for others to digest.
For example, Du Yanjun, he always thought that Zhou Cheng's method of resetting the dislocated joints might have been mixed up with Luo Yun.Although thinking this way, Luo Yun felt a little uncomfortable——
I am a graduate student in the department, Luo Yun did not teach me but taught Zhou Cheng, although this is also due to my lack of effort and dedication.
but?
Du Yanjun still felt a little unconvinced at first——
I'm a graduate student, and my foundation and qualifications are better than Zhou Cheng's. Why don't you teach me?
But now, it seems that the reason Du Yanjun gave himself was overthrown by Luo Yun, which made his self-righteous aptitude and solid foundation an excuse that suddenly turned into a bubble...
Apart from Du Yanjun, Li Yong and Zuo Hu actually didn't want to accept it even more.
They turned to look at Zhou Cheng.
It hurts a little.
If what happened yesterday was told by Luo Yun, then they would be more accepting. After all, Luo Yun is a specialist in joint surgery!
Moreover, they are extremely professional joint surgeons, they are regarded as colleagues, and it is a rare thing for them to be corrected and instructed by their colleagues!
But have you looked at Zhou Cheng?
This young guy?
At most 24 years old, right?
he……
Li Yong suddenly felt that the books he had read, at his age, had almost entered the cow's ass...
Cai Dongfan, Yan Haihan and Hu Ming were not entangled in the fact that Luo Yun pushed Zhou Cheng out, and they also felt that there was something wrong with Luo Yun pushing Zhou Cheng out directly.
Because before, Zhou Chengcheng had routinely carried out joint dislocations in the department, and he did a good job.
He even treated many patients. Luo Yun said modestly that he was not as good as Zhou Cheng. This may be true, so he didn't take it seriously.
Their eyes and attention were all on Luo Yun.
Suddenly, I felt that Luo Yun was extremely strange——
They knew Luo Yun, and Luo Yun was the attending physician in the department. They had worked together for so many years, and they never looked up or down. Cai Dongfan brought up Luo Yun's smoking habit. When he first entered the department, Luo Yun didn't smoke.
Cai Dongfan lit it and stuffed it in his mouth. With such friendship, he really regarded Luo Yun as his close person, so he dared to do this.
And Luo Yun's well-behaved performance in the department was gradually recognized by the people in the department and gradually integrated into him.
But now-
Yan Haihan and the three of them all realized that they didn't know Luo Yun.
It should be said that they never really realized Luo Yun's true face.
Left gourd?
He actually knew Luo Yun?
……
There was a stalemate in the quiet scene for about half a minute. Zhou Cheng felt that he was pushed in front of Luo Yun. After some politeness, everyone stopped talking and felt a little stressed.
He said nervously, "Teacher Luo, if you want to scold me, just scold me."
"I will never talk back."
Although Zhou Cheng also felt that what Luo Yun was telling was the truth, sometimes it might not be good if the truth was told. Look, how embarrassing are the people on the field?
"Why am I scolding you? I'm telling the truth, and I'm also praising you." Luo Yun rolled his eyes.
Then he turned to Cai Dongfan: "Director Cai, tell me, is Xiao Zhou a very good doctor?"
Cai Dongfan immediately nodded his head, only looked at Zuo Hu, but did not speak.
Because Cai Dongfan didn't know whether he should speak or how to say it, and he didn't understand the art of joint surgery, so he simply said less and made less mistakes, not saying it was good.
Zhou Cheng still wanted to talk, so Luo Yun patted him: "Don't take advantage of it and continue to act like a good boy, hurry up and change your work clothes."
"Professor Zuo was invited by Director Yan to teach us today. He is a guest from afar, and he is also a teacher."
"You have to listen carefully later."
Zhou Cheng suddenly received amnesty: "Okay, Mr. Luo, I'm going to change my work clothes now."
After finishing speaking, quickly retreat.
And Luo Yun moved away a little bit to give Yan Haihan a chance to speak.
Yan Haihan is the director, and Associate Professor Zuo Hu was invited by him, although Zuo Hu unexpectedly recognized him.
But Luo Yun felt that there was no need for him to stand in front in embarrassment and embarrass everyone.
The past is all in the past. If a person is afraid to reset his life to zero and admit his ordinary facts, it will be difficult for him to mature.
Luo Yun has already passed this step.
Only then did Yan Haihan say: "Yes, yes, blame me, blame me. It's all my fault."
"Professor Zuo, it's all my fault. I specially invited you to class, but I didn't come to welcome you in person."
"It stands to reason that I should send a car to bring you, Professor Zuo, to the department."
"Professor Zuo, Doctor Li, please take a rest this way."
Luo Yun gave the step down, so he naturally had to stand up, and he also felt that Luo Yun was quite exquisite and sensible.
Zuo Hu slowly breathed a sigh of relief, and replied: "Director Yan, Dr. Li and Dr. Li came here early because of their own affairs. How can we blame you?"
While returning, he still followed Yan Haihan towards the direction of the director's office.
Now that Yan Haihan and the others have arrived, it would be a bit overstepping for them to entangle the question of who Luo Yun is.
After all, Zuo Hu also found out that Yan Haihan and others didn't know Luo Yun at all.
It's a pity that Luo Yun is half blind, his talent is not appreciated.
……
After Yan Haihan made arrangements for Zuo Hu and Li Yong, Hu Ming was still looking up and down at Luo Yun.
He licked his lips and asked, "Xiao Luo, you know how to do joint replacement? Why didn't you say it earlier?"
Luo Yun then turned to look at Hu Ming and said, "Director Hu, I've said it before, both during the interview and when I was admitted to the department. And it's already a thing of the past."
Luo Yun did say that he was a professional joint surgeon, but no one took it seriously, so what could he do?
He is not the director, he does not have his own bed, and he is not in charge of admitting and treating patients.
Hu Ming immediately turned to look at Cai Dongfan: "Dongfan, how about borrowing Luo Yun."
Cai Dongfan immediately lost his temper, rolled his eyes and said, "Fuck you, don't say anything, I won't agree!"
After finishing speaking, he warmly hooked Luo Yun's shoulders, his small eyes blinked, and a caring tone on his face: "Luo Yun, let's talk here..."
So he took Luo Yun out of the office.
Seeing Cai Dongfan like this, Hu Ming cursed, "Blind Cai, why are you so unlucky?"
Cai Dongfan's eyes are small, Hu Ming and Yan Haihan used to call Cai Dongfan Squint Eyes or Cai Blind, but after Cai Dongfan was promoted to deputy director, he stopped calling him that way, but now, Hu Ming really thinks.
When a blind cat meets a dead mouse—
Simply.
First Zhou Cheng, then Luo Yun, who the hell can stand up to this.
You know, one advantage of the second department of orthopedics is that Zeng Yi assigned other business areas of orthopedics except upper limb trauma and spine to the second department of orthopedics. After all, he didn't do it before...
But now, it is estimated that Cai Dongfan's patients and income will be good in the future.
Even fame and status in the department will definitely rise with each passing day.
MLGB's.
Zheng Xuanlin looked at Hu Ming cursing at Cai Dongfan, and said, "Director Hu, are you doing a ward round?"
Hu Ming looked Zheng Xuanlin up and down, sniffed and asked: "What do you know, but I don't know? Can you?"
Zheng Xuanlin immediately lowered his head almost to his crotch——
The human head mocks the ghost head for not being able to see the vastness of the world, not being able to listen to the sound of rivers and lakes.
The ghost head mocked the human head.
"Oh!" Hu Ming sighed and shook his head violently.
Accepted.
There are so many omissions like Luo Yun and Zhou Cheng in this world.
……
At [-]:[-], Yan Haihan ordered his respective teams to quickly start rounds, and at [-]:[-], everyone entered the classroom on time for class.
Originally, Yan Haihan didn't intend to call Cai Dongfan and Hu Ming, he called Zuo Hu to the department.It's not for Cai Dongfan and Hu Ming, but since they are all in the department, it's not easy to slip away.
However, after Yan Haihan sent the order, Zuo Hu was in the office, a little bit on pins and needles.
After taking a sip of tea, he took a sip and relished the taste, then said: "Director Yan, in fact, you informed me of today's lecture, and I didn't have time to make too many thorough preparations. of."
"How about we make another appointment?"
Zuo Hu really had lingering fears, it wasn't that he didn't dare to speak, or dared not speak in front of Luo Yun.
Rather, Zuo Hu originally thought that none of the Eight Hospitals had joint surgery, so he could be fooled by just talking about it, and it was over.
But now, when he was not fully prepared, there was still Luo Yun, a person whom he could not figure out.
Then will you find out what he said wrong, or go back and complain to his teacher in private——
How inappropriate is it to come to class just like this?
Yan Haihan hurriedly said: "Professor Zuo, you are too polite. You are an expert and professor from the Affiliated Hospital of Shonan University. If you give us a random class, isn't that an extremely simple matter?"
"Our department's understanding of joint surgery is quite weak, so we all love to listen to the basics."
Half polite, half truthful.
Zuo Hu suddenly felt as if he was being held up very high, even a little too high.
As an associate professor at the Affiliated Hospital of Shonan University, he doesn't have much flying knife surgery to do because the professor is still ahead, but he can also give lectures to earn extra money, which he used to think was pretty good.
But today, Zuo Hu still felt a little bit uncertain.
You know, if you can give a report at the Huaguo Orthopedic Annual Meeting, it is really not something that ordinary people would dare to attend.
All the comrades in the country are there, and if you lose face, you will not only lose face alone.
Professor Zeng Diwei, oh no, it seems that he has been promoted to an academician now. If he dared to release Luo Yun back then, it must have been recognized by him and everyone in the group.
Zeng Diwei convinced many people and was paving the way for Luo Yun.
Could it be that bad?
However, things have come to this point, Zuo Hu can only bite the bullet and go on.
After all, the envelope was already placed in front of him——
It would be inappropriate to refuse something that was agreed in advance at this moment.
……
At 35:[-], Cai Dongfan led someone to check the room.The Hu Ming group was still wandering around the ward.Dong Qiansheng brought him into the shift room long ago.
Du Yanjun's own patients had almost nothing to deal with. The hospital beds of Zhang Zhengquan and Zhou Cheng were also preoperative patients who were admitted to the hospital yesterday after surgery. It's over.
Change the dressing every two to three days.
The preoperative patients directly completed the preoperative examination, so they were not in a hurry to prescribe a doctor's order, but came to the doctor's office in a group.
Because there is no shift today, there is no one sitting on the nurse's side.
So Du Yanjun pushed Zhou Cheng and said, "Brother Zhou Cheng, let's go find a seat?"
Zhou Cheng pursed his lips, although a little moved, he still said: "Wait a minute, Min Chaoshuo and Xu Yanlin are still standing and not sitting down."
There are only six seats in total. Excluding Pang Dingkun, there are eight junior doctors. Who will sit and who will not?
And Dr. Li Yong from the Affiliated Hospital of Shonan University wants to stand and listen?
Zhou Cheng was too lazy to stand out.
Du Yanjun stepped back and stood there together with Zhou Cheng, quietly waiting for the superior doctor to arrive.
At 52:[-], everyone arrived, and only waited for the three directors Yan Haihan Hu Ming, associate professor Zuo Hu and Li Yong to arrive.
Dong Qiansheng, Luo Yun, Zheng Xuanlin and Pang Dingkun sat in their respective seats.
Everyone else is standing around the shift table...
Soon, Yan Hanhan and the others began to chat cheerfully, as if they were already leaving for the shift room.
Yan Haihan also said: "Professor Zuo, I will work hard for you later. If there is still enough time, I hope that Professor Zuo will give us an on-the-spot teaching."
Zuo Hu's voice of prevarication also sounded: "It depends on the situation. If you happen to meet, there is no problem. But I have to go back at 12:30."
Zuo Hu gave himself some time, he couldn't be dragged into the department by Yan Haihan all day.
Yan Haihan frowned and said, "Professor Zuo, can't it be later? I ordered lunch at 12:30."
"Let's not eat today, let's eat it next time when we have a chance." Zuo Hu still decided to leave a way out for himself.
Because even now, when he was about to give a lecture, he was still a little confused.
I don't know if it was a coincidence, but Yan Haihan and the others were talking, the door of the department was pushed open, and then three big men pushed a cart in.
After seeing Yan Haihan and the others in white coats, he immediately slowed down the speed of the bed, and stopped just in front of them.
One of them asked, "Doctor, doctor, is this the orthopedics department?"
"The doctor in the emergency department told us to push the patient up."
Zuo Hu was a bit stupid at the time.
Li Yong's feet twitched slightly——
Isn't this a coincidence?
Yan Haihan glanced at Zuo Hu, and then replied: "This is the Department of Orthopedics, you go to the nurse's station first, there will be a doctor on duty to see him soon."
Although he didn't know who the patient was, Zuo Hu was a guest from afar, so it was naturally impossible for him to work as a junior doctor.
If it's a broken bone, wouldn't that be a waste of time?
Hearing this, Guo Lei from Hu Ming's group immediately lifted the mask and ran out...
Yan Haihan led Zuo Gourd into the shift room.
Then he solemnly introduced the background and purpose of Zuo Hu to everyone in the department again, while Zuo Hu was on the stage, plugged in his own USB flash drive, found the ppt he was lecturing on today, flipped it up and down Look for very shallow, low-level errors.
Of course it doesn't exist.
Yan Haihan spoke for almost two or three minutes, and there was thunderous applause in the handover room.
Zuo Hu raised his hand, and after all the voices stopped, Zuo Hu began to speak...
At this time, there was a knock on the door of the transition room, the sound was not loud, Zuo Hu continued to talk.
Then Guo Lei stuck his head in, grabbed a person at the door and whispered in his ear for a while, and that person stepped forward and told Luo Yun.
Luo Yun winked at Zhou Cheng who was standing directly opposite, and Zhou Cheng immediately understood, quietly walked around behind everyone, walked around to the door of the shift room, opened the door a little, and went out.
The whole process did not disturb Zuo Hu's lecture, and Zuo Hu turned a deaf ear to it, pretending not to see it.
Not to mention such an informal class, even if it is a big class for undergraduates, there are some people who walk away with their schoolbags in the middle of the class, and they have long been used to it...
When Zhou Cheng went out, Guo Lei said, "Brother Zhou Cheng, I'm sorry, I didn't understand this patient. The report said heel joint dislocation."
"I delayed your lecture."
As he spoke, he scratched his head, quite apologetic.
He was on duty, and he still felt a little guilty when he encountered a patient and asked Zhou Cheng to deal with it.
After all, Guo Lei didn't know that the dislocation of joints in the department was because of Zhou Cheng and Luo Yun, and he only thought it was Yan Hanhan's idea...
"It's okay, let's go and have a look together." Zhou Cheng replied subconsciously.
But immediately remembered something, and said, "Brother Lei, why don't you go in and attend the class? I'll just go and see it alone."
Guo Lei was very moved, but shook his head firmly: "Then how can I? I'll help Brother Zhou Cheng for you."
Then Guo Lei and Zhou Cheng came to the nurse's station.
After Zhou Cheng watched the plain film, he took a look at Guo Lei, and then said to the patient's companion in a loud voice: "Look, this is the calcaneus, and this is the cuboid. They are the two bones that we already have on our feet. a bone."
"They will form a joint called the calcaneus joint. Now this joint is dislocated, so he is very painful and can't walk. Now it is very swollen."
The companion kept nodding his head, but his face was in a daze.
I thought in my heart, what is with the bones.
What is the relationship between the feet and the skull?
But when you arrive at the hospital, of course you have to listen to the doctor, and they don't understand.
"In such a situation, a reset is needed..." Zhou Cheng introduced it to the patient's family in detail, one for the conversation before the reset, and the other for explaining to Guo Lei so that he could understand.
Zhou Cheng said so much, not all for patients to listen to.
Guo Lei is obviously interested in taking Zuo Hu's class, but because he can't take the class on duty, Zhou Cheng can teach by himself, and if he can teach unintentionally, he doesn't mind giving Guo Lei a hand and letting him learn something. At any rate, it can fill in the gaps that are missing from this class.
Guo Lei nodded frequently.
Because Zhou Cheng disassembled the joint dislocation into pieces, but assembled it into a straight line frame, Guo Lei understood it and kept it in his heart without much effort.
"So, we have to try manual reduction first, and see if it can be cured without surgery."
"If the manipulation is restored, then there is no need for surgery. If it is not restored, surgery is necessary."
"Or if you want 100% insurance, then go straight to the operation and definitely reset it." The patient gives the power of choice to the patient himself.
The patient was on a construction site, and he was hit in the foot with no broken skin or broken bones.
So he immediately raised his head and said firmly, "Doctor, I understand. I want to try without surgery."
"If there is no other way, then surgery."
Although his own salary is not low, there are old and young people in the family who are all waiting for him to earn money. He never eats more than 20 yuan a meal, most of which are ten yuan and fifteen yuan, which can save money. Then save.
When Zhou Cheng was speaking, Guo Lei had already issued a doctor's order.
"Okay, then you pay the fee first, and I will prepare the things to be used for the reset, and then I will put on the plaster, and I will give you a leave note."
"You must remember that after the reset is successful, you must rest for at least one month to one and a half months! During this time, you cannot use force or work, otherwise, you will not be able to escape the operation eventually." Zhou Chengsheng was afraid of this big brother, After feeling no pain in the feet.
Brutely go to work again, the ligament will be broken again or something.
At that time, the restoration of my technique will be in vain, and I am afraid that I will have to undergo major surgery.
The reason why you have to explain to him and not to others also depends on the nature of the work and the person.
Some people, those who sit in an office or have money, know how to rest without asking them to, but workers are different. Their roles, burdens and ability to bear the burden are different.
This is also one of the contents of medicine.
Whether the explanation is long-winded or not varies from person to person.
"Okay, okay!" The patient nodded hurriedly, but kept scratching his head with his hands, and finally let out a long sigh.
His fellow workers comforted him and said, "It's important to get well first, because you can't earn enough money. Then ask the boss if there is any work-related injury to report to you."
"..."
15 minute later.
Zhou Cheng still completed the manual reset while explaining. When he heard the clicking sound, Zhou Cheng said: "This sound is the popping sound produced after the joint is reset, and it is the sound of bone surface impact."
"It's a good thing to hear this crisp clicking sound after a joint dislocation."
"If you hear a dull snapping sound, you have to be careful that it's a broken bone."
"After we're done, we have to make sure..."
Twenty minutes later, the patient and the co-workers walked out of the ward thankfully.
The worker was still muttering, "Other people said that the hospital would cost hundreds of dollars to treat a cold. Today, it only cost more than 300. I also brought a plaster back. It doesn't seem to be very expensive."
"Yeah, when I paid the fee, I saw that the plaster material cost 110 yuan."
Hearing this, the patient hung his head again and greeted Zhou Cheng: "Thank you~, Doctor Zhou~."
It was so loud that even everyone in the class could hear it.
Zuo Hu's lecture also stopped midway——
Then go on to the lecture!
Guo Lei immediately said, "Mmm, thank you, brother Zhou Cheng, I didn't expect joint dislocation to be so interesting."
"Yes!" Zhou Cheng nodded.
He smiled and said: "Manipulative reduction of joint dislocation is one of the rare operations in clinic that our doctors can quickly gain a sense of self-accomplishment."
"When I came in, the patient was in pain."
"The disease can be cured at hand, and it will be relieved immediately."
"It's a bit like the miracle doctor in the movie. The way to reset the fracture is not as magical as this."
Guo Lei continued to nod.
"Brother Zhou Cheng, I have to learn more from you today!" Then he looked at Zhou Cheng, full of expectation.
The two of them were about to walk into the handover room to listen to the class again.
The door of the department was opened again——
A family of wheelchairs was wheeled in.
Guo Lei's expression immediately turned pale, and he said helplessly, "Brother Zhou Cheng, you go in first."
Zhou Cheng could only look at Guo Lei with pitiful eyes, pushed open the door and slit it into a small ∠, and then squeezed in.
Unexpectedly, Zhou Cheng immediately felt his cell phone vibrate.
After clicking on it, it was another message from Guo Lei.
So Zhou Cheng pushed the door open again, and then got out...
Zuo Hu was on the stage, glanced at Zhou Cheng who was leaving, then moved away to another place, and continued: "So the above is the second most common dislocation in our orthopedics department, the related content of the posterior dislocation of the hip joint. Anterior dislocation, lateral dislocation, high dislocation, subluxation, etc..."
……
Two 10 minutes later.
It seems that the patient and Zhou Cheng happened to pass by the shift room along the way.
"Thank you, big brother doctor!" It was a child thanking Zhou Cheng, his voice was still very loud and he was very polite.
And it's very close to the shift room.
Zuo Hu inside, paused again, and paused——
MD is poisonous...
Zhou Cheng pushed the door open, this time he didn't go out right away, but Zuo Hu saw that Zhou Cheng pushed the door back to ∠ 5 minutes later.
out--
well!Zuo Hu sighed in his heart——
Are you always in and out?
……
When Zhou Cheng went out, he saw Guo Lei talking with the patient.
The general content of the conversation is similar to what I talked about before.
My heart suddenly trembled, big brother, the conversation is not like this!
You made a mistake in the program, whether you need to reset it or not depends on whether you can do it or not?
But he didn't say it.
There aren't that many rare things after all.
The patient is a seventy-eighty-year-old widow.
The person who pushed her here was her daughter-in-law, who was probably in her 40s!
Zhou Cheng then gave the patient a physical examination, watched the film, and then read the old woman's emergency medical records.
After reading it, Zhou Cheng's heart skipped a beat immediately.
He touched Guo Lei and squeezed his throat, signaling him not to speak.
Guo Lei immediately understood and stopped talking.
The patient's daughter-in-law saw Zhou Cheng touch Guo Lei, and Guo Lei didn't dare to speak.
Then he asked: "Doctor, how is my mother's situation? Don't scare me."
Zhou Cheng frowned and said, "Sister, don't worry, just listen to me first."
"Your mother's current situation, although it looks like a shoulder joint dislocation from the film, in fact, it may not be an ordinary shoulder joint dislocation. So you need to take an MRI first, and let me confirm the area around the shoulder joint. Is there any compression of the musculature?"
"Then we'll see how we treat the situation."
"What Dr. Guo said just now is correct. Shoulder dislocations can be reset manually or surgically. Manual reset is the first choice, but in some special cases, manual reset is not suitable."
Zhou Cheng explained.
But the patient and his family immediately frowned.
The patient's daughter-in-law said: "But just now, Dr. Guo said that you can reset it manually first. Can't you try reset first, and then go for MRI?"
"We've all come to the ward. What if it's not a special joint dislocation? Wouldn't it be possible to skip the MRI?"
The old woman also raised her head, her spirit was a little weak, and she said: "Yes, doctor, my shoulder hurts so much, and I can't strength it. Please stop the pain for me first! I'm in so much pain that I'm about to die. Ouch, hey, hey, hey."
As he spoke, he groaned in pain.
Zhou Cheng licked his lips and said, "This, big sister. It's not how you understand it."
"Our doctors deal with people, and people can't just try it casually. An MRI or an emergency room will be done quickly, and there won't be much delay."
Then he said to the old lady: "Wife, your pain is caused by dislocation of the joint. Painkillers are not very effective, and it must be reset. Before the reset, we have to find out the situation in detail."
In fact, Zhou Cheng now has the bottom line in his mind. Although the patient's joint dislocation is anterior, the scope of the anterior dislocation is a bit large, and the end of the anterior dislocation is a bit special.
I'm afraid it belongs to the contraindication of manual reset, so he dare not reset it casually.
It is necessary to determine the shape and specific position of the biceps tendon first.
The old woman sighed, and kept touching her left arm with her right hand, and said, "Doctor, I'm in pain, please perform a reset for me first, so that I don't feel any pain before checking."
"Yes, doctor."
"This is not an experiment. Let's go down to do an inspection, and then go up again. This is going back and forth. Isn't it appropriate?"
"And Dr. Guo said just now that you should try the manual reset first, and then switch to surgery if it doesn't work." She looked directly at Guo Lei, wanting to use Guo Lei's words to gag Zhou Cheng, thinking that Zhou Cheng was just trying to make them do check.
Guo Lei immediately became trembling, and hurriedly said: "What I just told you was about treatment, but now what Dr. Zhou is talking about is that the diagnosis is still unclear."
"How can this be the same? If the diagnosis is not clear? Then."
The patient's daughter-in-law said impatiently: "It's clearly written in the report, how can I be clear about the anterior dislocation of the shoulder joint?"
"Can you two young doctors read it? If you don't know how to read it, call the director and superior of your department."
I don't know whether Zhou Cheng and Guo Lei are angry because they are young and have inconsistent statements, or they think that Zhou Cheng and Guo Lei don't know how to see a doctor at all.
Guo Lei suddenly trembled a little, and looked at Zhou Cheng with guilt.
Zhou Cheng sighed.
Then he said: "Sister, don't make noise, don't make noise."
"There are still many inpatients resting in the department, making it inappropriate for them to make noise."
"Our director is in the department. If you are worried about my suggestion, wait a little while. Our director is in a meeting. I'll report to them, okay?"
"Hurry up and call your director. You don't know how to see a doctor and you're wasting time here." The patient's daughter-in-law snatched all the films from Zhou Cheng's hand impatiently.
Zhou Cheng immediately went in and told Luo Yun about the situation.
Then he said: "Ms. Luo, this patient is very likely to have the biceps tendon wrapped around the back of the humeral head. The patient refuses to have an MRI, and he still doesn't believe me. You have to ask your superiors to see it."
Luo Yun nodded and walked out with Zhou Cheng.
And at this time, Zuo Hu's lecture has almost come to an end...
When Luo Yun arrived at the nurse's station, he didn't just listen to what Zhou Cheng's family had to say, but watched the film carefully and had a physical examination.
After a full 5 minutes.
Luo Yuncai said: "Doctor Zhou is right in thinking. In your mother's situation, you still need to have an MRI."
"It's quite possible."
But just as Luo Yun finished speaking, the middle-aged woman started arguing: "Are you guys in the same group?"
Then he pointed to Guo Lei: "At the beginning, he said that he could recover later, and then he came."
Point to Zhou Cheng.
"He said to do nuclear magnetic resonance."
"He's calling you, and you said the same thing. You're obviously protecting him." Then he pointed at Zhou Cheng.
"Do you really want our patients to do so many tests?"
Luo Yun took a long breath, said in his heart not to be angry, and patiently explained: "If I only listen to him, I will tell you about the inspection when I come out, why do I have to watch for so long? "
"How can there be a doctor to take care of each other? He is my student. If he makes a mistake, I can of course blame him and correct him. Why do I have to make a mistake to the end?"
"I suggest that you go for an examination in order to make a clear diagnosis."
"You are with him, it's obvious. I've seen it there, you are with him." The woman persisted and found a very objective reason.
There are photos of the staff in the department hanging in the department.Because there are currently only seven doctors in the second orthopedic department, it seems that the number is too small, so I also hung up Zhu Pei and pretended that my department is full of staff...
Zhou Cheng is naturally in the same group as Luo Yun.
Luo Yun couldn't even refute what he said, so he said, "Then who do you think is not with us, can you identify someone in the photo?"
"Now it happens that we have something to do in our department, and everyone is here."
"I asked him to come and see your mother specially? Is that okay?"
When Luo Yun was explaining to the patient, Yan Haihan walked out of the shift room to meet Zuo Hu, Li Yong and others, and Yan Hanhan said very politely: "Professor Zuo, thank you, you have really worked hard today. gone."
"I'll arrange a lunch in advance later, Professor Zuo, you must eat before leaving."
Yan Haihan said so, the woman pointed to the left: "He, he is not from your department, I didn't see his photo."
"He showed it to my mother, okay?"
Luo Yun felt pain in his ass at that time, this family is simple, and his memory is good.
But I didn't think about it, no other people's photos were posted in the department, so were they people in the department?
Luo Yunke didn't move, so he quickly shook his head and explained: "This is an associate professor from the Affiliated Hospital of Shonan University. We invited him to the class. You are not invited to come to see the doctor. You can only choose people from our department, so I can invite you. verb: move."
"How could our hospital instigate it."
As Luo Yun was saying this, Yan Haihan looked at her pointing at Zuo Hu in embarrassment, and quickly explained to Zuo Hu: "Professor Zuo, there may be a misunderstanding, you go to rest first."
"I'll deal with it."
Zuo Hu said: "Let's go and have a look together, Director Yan."
Zuo Hu was really curious, why Luo Yun was so distrusted by the patient.
However, I was a little scared in my heart, what if I was really called over?
I can't see what to do?
Luo Yun is not someone who is easy to be with...
Tangled in my heart.
Yan Haihan hurried forward a few steps, and asked from a distance: "Hi, I am the director of our department, what can you tell me?"
After speaking, he just walked in front of the patient and his family.
The middle-aged woman said: "The doctors in your department, doctors and doctors care for each other, everyone has different opinions."
"One doctor said that manipulative reduction can be done, but another said that it can't be done, and that it needs to be checked first. The next one also said that it needs to be checked."
"Who should I listen to?" The middle-aged woman was also very witty, and she completely threw the question on Luo Yun and Zhou Cheng, a few doctors.
Guo Lei listened, and immediately turned sideways to explain and apologize to Yan Haihan.
"I'm sorry, Director Yan, I was the one who talked to the patients. I didn't understand the situation, so I talked to them about the risks of manual reset..."
Guo Lei wanted to continue talking, but Yan Haihan stopped him.
Now that the patient is present, what he wants to solve is the problem. He always listens to Guo Lei, which is disrespectful to the patient.
Yan Haihan soon came to the patient and said: "Then you may have misunderstood it. He is the doctor on duty. This is the attending doctor of our department. He is a superior doctor. The superior doctor has the right to teach the residents on duty. .”
"You have to trust Dr. Luo's professionalism!"
"We are doctors and patients. We are treating diseases, not doing business. We must insist on it, right?"
"Since Dr. Luo feels that you need another examination, then decide on the next diagnosis and treatment plan after the examination." Yan Haihan firmly supported Luo Yun.
The main reason is that he didn't understand much, so he didn't dare to read more, he could only trust Luo Yun, and only hoped that Luo Yun would work harder, so that Zuo Hu would not think he was a layman.
The middle-aged woman suddenly became a little anxious.
Yan Haihan said that he is the director, and he also protects Zhou Cheng and Luo Yun, so what should we do?
She murmured: "But? But?"
"Obviously you."
"Professor, can I trouble you to take a look at my mother?" She looked directly at Zuo Hu and shouted, hoping that Zuo Hu, a doctor from the Affiliated Hospital of Shonan University, would come and uphold justice.
Yan Haihan's face changed suddenly, and he said, "Professor Zuo is a professor at the Affiliated Hospital of Shonan University, and he is not an employee of our department. How can you ask for it?"
But the middle-aged woman still pointed at Zhou Cheng and the others and said: "They are all talking to each other, I won't look at them here, I want to look at you."
As soon as these words came out, everyone's expression changed immediately!
You can do this kind of thing, and you can even talk about it, but if you shout here in front of professors from other hospitals, have you registered?
Have you respected other professors?
Have you picked the right place?
Cai Dongfan quickly apologized and said, "Professor Zuo, I'm sorry! The patient doesn't understand the rules here."
"This way please, go to the director's office and rest first."
Zuo Hu also nodded, and smiled casually, expressing that he didn't care.Then he followed the direction cited by Cai Dongfan and walked to the director's office.
Seeing this, the woman's expression changed drastically.
Then he roared angrily: "You are all a bunch of thieves, you don't have any good things, you only think about money, you only want to check. What directors, what professors, are all wolves in human skin, with human faces and beast hearts—"
"You are doctors, and what you should do is to save the sick and save the sick, not let the patients check this and that."
When Zuo Hu heard this, his face darkened, and his footsteps paused a little.
Why didn't I yo-yo sooner and suffer this for nothing for no reason.
(End of this chapter)
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