medical simulator

Chapter 36 Click

However, there is also a reason why Luo Yun finally decided to let Zhou Cheng try to reset the joint dislocation.

After all, the department needs to be transformed. The senior doctor does not have a background in joint surgery, but when Luo Yun was a graduate student, he stayed in the joint surgery department for three years. It was just a postgraduate degree, and he had to come back before he could get a doctorate. Shashi.

When I came to Shashi No. [-] Hospital, I almost started from scratch in terms of trauma.

Moreover, Luo Yun also considered that if the Department of Orthopedics is to be divided into different departments in the future, it must be divided into a separate Department of Joint Surgery...

The junction of joint surgery and trauma surgery is joint dislocation.

When he first came to the department, Luo Yun felt quite depressed when he heard that the dislocation of joints had been released in the department.It is a good choice to take this opportunity to bring back the dislocated joint as the first step of the department's extension to joint surgery.

Moreover, the manual reduction of joint dislocation is also a conservative treatment, which is similar to the manual reduction of fractures. This can also help to regain the unique characteristics of the hospital of traditional Chinese medicine, killing two birds with one stone.

"Okay, Mr. Luo." Zhou Cheng naturally nodded honestly. He is not a roundworm in Luo Yun's stomach, so he naturally doesn't know what Luo Yun is thinking.

But strength is strength, and rules are rules.

Medicine has its own circle and its own rules.

Before the rules cannot be formulated, activities within the rules are the greatest protection for oneself.Similarly, all doctors act within the rules, which is also the protection and respect for patients.

Otherwise, the rules and regulations will become messy, so who should patients choose to trust?
Moreover, under reasonable regulations, it is not that there is no way to break the rules, but that way is difficult.

Zhou Cheng didn't know it before, but through this simulation, Zhou Cheng knew that if he could pass the assessment of the Orthopedic Branch of the Medical Association, he would be able to obtain the authorization for surgery in advance, which he could strive for later.

However, to enter the Orthopedic Branch of the Hunan Provincial Medical Association, you need a guide. Luo Yun is not qualified yet, so I don't know if Cai Dongfan is qualified to introduce him.

If there is, it is the correct way to let Cai Dongfan get him in first, and after getting familiar with him, he can fight for the second and third level of surgical authority.

Otherwise, the current Zhou Cheng can obviously do the third-level surgery, but he can only stick to the first-level surgery because of his professional title, and Zhou Cheng himself feels quite restricted.

……

As soon as Zhou Cheng bid farewell to Luo Yun and came out, Du Yanjun outside came to find Zhou Cheng.

"Brother Zhou Cheng, there is an emergency patient in the emergency department below. It's a joint dislocation."

"The superior doctor in the emergency department just joined the emergency department this year, so he called the department directly. He asked our doctor to come down and see him." Du Yanjun frowned when he said this.

"However, it is also understandable that there are many affairs in the emergency department. Those who have just joined the job have only undergone simple training before taking up the job. Maybe these minutiae matters have not had time to be familiar with."

"Look, are you going to see it? Or call Teacher Luo Yun?"

Du Yanjun asked Zhou Cheng, but he didn't dare to make up his own mind.

Today's doctor on duty is Zhou Cheng. If it is a simple debridement patient, Du Yanjun may report to Zhou Cheng, and then pull him into the operation room.

Patients with dislocated joints were rarely encountered in the department before, and he had never done it.

And if Du Yanjun was on duty by himself, Luo Yunyi would definitely lose this matter.But he just came to learn from Zhou Cheng, so he couldn't decide what to do by himself.

There is quite a sense of helplessness under the fence.

Zhou Cheng was stunned for a moment. When he first heard what Du Yanjun said, he thought he was thinking about the dislocation of the joints, so he felt that he had heard it wrong.

As soon as the authorization was obtained from Luo Yun, patients came to the emergency department immediately. How could there be such a coincidence?
However, coincidences in reality are sometimes more coincidental than stories written in books.

"Let me go down and check the situation. We are the doctors on duty, and the emergency department called. No matter what happens in the end, I still have to go." Zhou Cheng thought about it, and then walked towards the emergency department.

Du Yanjun may think that this trip is meaningless, after all, such patients are rare in the department!
When I went there, I would either call Luo Yunlai, or persuade the patient to go to another hospital, and then explain to the superior doctor in the emergency department what to do when he encounters such a patient in the future.

Then he said: "Brother Zhou Cheng, you go there by yourself, I will stay in the department and look at the medical records."

"Oh, good!" Zhou Cheng didn't think much about it, since Du Yanjun didn't want to go, he could go by himself.

On the way, he went to the duty room where Luo Yun was.

Luo Yun was taken aback for a moment, then stood up, and looked at Zhou Cheng suspiciously: "Xiao Zhou, you're not deliberately planning on me, are you? In fact, this patient has already come, so you just came to look for me on purpose." ?”

When Zhou Chengcai went out, he was asked to go to the emergency department to see a patient with joint dislocation, such a coincidence.

Luo Yun doubted that he was arranged by Zhou Cheng.

Zhou Cheng quickly shook his head and said, "No, it's Du Yanjun who told me the news. The emergency department just called. If you don't believe me, Mr. Luo, you can go to the nurse's station for verification."

The corners of Luo Yun's mouth twitched for a while, and he said, "That's not necessary. If there is a patient coming, let's see the patient first."

The two came all the way to the emergency department.

Then Luo Yun and the new doctor in the emergency department introduced themselves to each other. The other was a graduate student in the emergency department of the Affiliated Hospital of Shonan University. After graduation, he worked in the emergency department of Shashi No. [-] Hospital.

They belonged to the third batch of employees recruited by the No. [-] Hospital this year. They just completed the entry procedures recently. Today is the fifth day in the department.

He is tall and thin, with dark circles under his eyes and bags under his eyes.

Either stay up late on duty, or stay up late reading.

"Mr. Luo, the patient is here. Because there is no traumatic bleeding, I asked him to wait in the treatment room next to him. Sorry, Mr. Luo, I didn't know that we can call the patient directly to the ward. "Liang Xueya explained to Luo Yun very apologetically.

Liang Xueya is from the emergency department of the Affiliated Hospital of Shonan University. Over there, the emergency treatment process for emergency patients is very organized. There is no such thing as calling the patient to the ward for the on-duty doctor to see. Each department has eight hospitals that do not exist. The chief resident physician is responsible for running emergency consultations.

Although Luo Yun's heart hurts, he could only say: "It's okay, the emergency department meets an emergency patient, and the procedure of calling a specialist doctor to the emergency department for consultation is the most formal."

There is no way, the health system stipulates the consultation system for emergency patients, you can't say that Liang Xueya is wrong.

I saw this patient soon, and the results of the plain X-ray film were at hand. After careful reading, no fracture was found, and it was just a relatively common patient with anterior shoulder dislocation.Zhou Chengcheng read the film with Luo Yun.

Ask about the medical history, consistent with the history of anterior dislocation features.

Then Zhou Cheng was asked to perform a physical examination on the patient, while Luo Yun was reading the films while making a careful diagnosis to completely rule out occult fractures.

Diagnosis of joint dislocation requires medical history, physical examination, and auxiliary examinations.

After basically being diagnosed.

Luo Yun then said to the patient: "Your condition is anterior dislocation of the shoulder joint. Manipulative reduction is required, but you have to go to our orthopedic ward with us and sign a signature by the way, so that we can perform manual reduction on you and beat you. Plaster, and then..."

"Okay." Although the patient felt that it was quite troublesome to go to the orthopedic ward, at least a professional doctor took care of him now, as if he had met a savior.

He had been left here before, and he was so panicked that he almost thought about whether he was hopeless, and he didn't find the right doctor when he came to the hospital...

"Come with me." Zhou Cheng kept supporting the patient's affected limb with both hands, and then pointed the way to the patient with his head.

"Okay, thank you!" The patient expressed his gratitude to Zhou Cheng for his enthusiastic help.

Sudden.

"Ah!~"

"Click!"

The two voices sounded at the same time, and everyone in the room was stunned!

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(End of this chapter)