medical simulator

Chapter 30 Fracture Line? (Seeking collection, asking for recommendation ticket, asking for follow-up reading)

"Oh, good." Tan Min just realized it, and obediently closed her mouth.

Then he asked with bright eyes: "Then do you still want to compete for that place in the hospital?"

"Let's see." Zhou Cheng didn't give a definite answer, that is, an affirmative answer.

The last reply to Tan Min was that Zhou Cheng felt that he had no advantage in competition, but that was before.

"Don't give up. Come on." Tan Min was overjoyed immediately, and then encouraged Zhou Cheng.

Zhou Cheng smiled and said, "Thank you, Miss Tan Min. I'll treat you to dinner next time."

Tan Min didn't reply, and didn't know whether she took it to heart or not.However, Tan Min has at least fulfilled his duty as a friend, that is, he has been persuading Zhou Cheng not to give up.

……

Manipulation reduction surgery is not something that can be done recklessly. Although it is a first-level surgery, it still has to follow the procedure.

Explain to the patient the risks and benefits of the current diagnosis and manual reduction treatment, and at the same time explain the risks and benefits of the operation.

The general difference is that manual reset has the risk of failed reset, which will be very painful, and even if the reset is not done, Zhou Cheng does not need to charge the fee for manual reset, but the fee for anesthesia is also charged.

Then it also explained that if surgery is performed, the recovery speed may be slightly faster than manual reset, and there are advantages such as being able to get out of bed earlier.

To sum it up, just one.

Manipulative reduction saves money, but there is a risk of failure, and fractures may relocate after reduction.

Surgical reduction is expensive, but the risk of failure is almost negligible, and early mobilization is possible.

Allow patients to choose their own treatment.

Both treatments are certainly feasible.

"I'll listen to you, Doctor Zhou. I will treat you as you tell me." The patient may have understood, but he is still unwilling to take the risk, so he hopes that Zhou Cheng can choose one for him.

Zhou Cheng had heard this kind of words countless times.

I also know that before patients and doctors, there are actually cognitive errors.However, doctors really have no right to advise on options.

Zhou Cheng said, "This is not a question of how I tell you to treat it, but a question of how you want to treat it yourself."

"Going to the hospital to see a doctor is not going to eat in a restaurant. You can eat whatever you want and don't want to eat. If you choose something that doesn't taste good, you can choose another one."

"It's up to you to choose. If you haven't understood the risks of manual reduction and surgical reduction, I can tell you again. Or you can call your family members."

"If you want to be safe, go for surgery. Go for hospitalization first."

Zhou Cheng pretended to accept the informed consent form.

It is impossible for him to give a tempting choice.

Even if Zhou Cheng really wanted to reset the technique for this patient, it is impossible to say that the technique is better and highlight its economic advantages.

Otherwise, if something goes wrong, the patient's first sentence must be, am I short of that little money?
"Then? Don't."

"Doctor Zhou, I'd better reset the method. Try it first." The patient hurriedly said when he heard that Zhou Cheng was going to hospitalize him.

As I just asked, the operation will cost at least 1 to [-], and it may not be reimbursed. (For this kind of work-related injury, there is usually a third party, just like there is a third party in a car accident. Conventional medical insurance does not provide reimbursement, and the regulations are not stipulated by the author.)
"Okay, then you sign here..."

……

At about [-]:[-], Luo Yun had already completed the key operations of the operation, and then left all the finishing work to Du Yanjun.

Du Yanjun will gradually start the first-level surgery as the lead surgeon, and the finishing work is also part of the surgery, so of course practice should be given priority.

Luo Yun didn't go back directly, although he lived not far from the hospital.

Zhou Cheng in his group is on duty today, so he belongs to the second-tier class.If there is an urgent emergency, he needs to arrive at the emergency consultation site within 15 minutes, and he may not be able to make it at home, so during normal working hours, Luo Yun will not go back.

Moreover, Zhou Cheng was the only one who issued a doctor's order this morning, so he had to check it out.

Although Zhou Cheng was trained in the old fashion, it was quite reliable.

But medical work, the more meticulous the better.

It was just that Luo Yun had just arrived at the department when someone from the nurse's station stopped him and secretly said, "Luo Yun, that Zhou Cheng in your group is doing a fracture reset for a patient. You have to be careful."

The nurse who spoke was Zeng Linhui, and she actually wanted to warn Luo Yun.

Zhou Cheng, as a junior doctor, should take responsibility for anything that happened during his shift, and Luo Yun, as the superior of the second-tier class.

"Ah?" Luo Yun was slightly taken aback by Zeng Linhui's words.

"Really, it's in the operating room. We are nurses, so it's not easy to talk about your doctors."

"And it seems that they have already finished. The patients and their family members just brought up the re-examination films, and they are probably still looking at them in the operating room. You'd better take a look." Zeng Linhui frowned slightly.

Manual reset, this is a rather taboo topic in the department.

Because just a few years ago, Director Hu once performed a manual reset on his relatives, and relatives who were not close to each other. As a result, he was sued by the relatives, and the department paid for the follow-up surgery expenses and nutrition expenses.

Moreover, Director Hu almost had his title revoked from senior high to deputy high because of these incidents.

But this matter happened before Zhou Cheng came to the department, so Zhou Cheng may not have heard of it.

Sometimes, if you are willing to do good deeds, you may not be able to get good rewards.

Luo Yun quickly trotted into the operating room, but when he reached the door, he pushed the door slowly and walked in, pretending that he was not in a hurry at all.

When Luo Yun pushed the door, the patients and family members inside were a little startled.

And after seeing Luo Yun, he voluntarily stepped aside.

"Zhou Cheng, I heard from the nurse in the nurse's station that you were in the operating room, so I wanted to come over and take a look." Luo Yun said without blushing and panting.

There was no sign of worry or fear of Zhou Cheng's rebellion.

When Zhou Cheng saw Luo Yun, he sighed slightly in his heart. The patient struggled for a long time, so Luo Yun stepped down from the stage.

However, sooner or later, I will not be able to hide the fact that I have to do manipulation reset in the department.

Then he said: "Mr. Luo, it's just right, come and have a look. This is the X-ray of this patient after the manipulation was reset. I think it's okay. Please give me the details."

Luo Yun looked at the plaster cast on the patient's leg, feeling very bitter.

I'm a crutch, Zhou Cheng really reset the technique.

How can this be good?

But since it has already been done, this is the only way to do it, let's cover up Zhou Cheng's matter first.

Luo Yun took a look at the reset X-ray, then shook the film in his hand, and rubbed his eyes again.

The fuck?
Have you ever broken a bone?

What about the fracture line?

"It's okay, Mr. Luo." Zhou Cheng inserted a knife into Luo Yun very 'timely'.

Luo Yun felt bitter in his heart at that time, and glanced at Zhou Cheng, wanting to see if Zhou Cheng did it on purpose.

I cursed in my heart.

urge urge!
Urge what?I'm your superior, you know?
I haven't found the location of the fracture yet.

Then I continued to look carefully, and finally found a blur in the middle and lower part of the tibia, but I couldn't confirm whether it was the fracture location.

Luo Yun didn't dare to say that he didn't find the fracture, so he pursed his throat and said seriously: "Show me the film before reset."

PS: Please collect, recommend, and follow up!
(End of this chapter)