medical simulator

Chapter 39 Don't, don't! (PS: Ask for collection, ask for recommendation tickets, ask for follow-up reading!)

Luo Yun didn't bother to get to the bottom of it. Zhou Cheng had done a reset on such a difficult tibial plateau fracture that surprised even Director Cai.

Cai Dongfan didn't say much, why should Luo Yun worry about those things?

What's more, Luo Yun didn't pay attention to Zhou Cheng at all, and the group didn't think about Zhou Cheng when he had the opportunity, and Zhou Cheng didn't need to report to them in detail what he knew and how he knew these things.

"Just tell me, this common joint reset, which ones are you sure you can take off?" Luo Yun just watched Zhou Cheng's manual reset.

The timing was very good, and his understanding of joint dislocation and repositioning was quite thorough, so he simply picked up Zhou Cheng's mistakes from behind his ass.There is no need to do it, every patient does everything by himself.

Anyway, for these patients, on weekdays, the bed doctors in other groups don’t do it. In the department, he just wants to not forget his old job, so he didn’t lose this skill. People will take care of Zhou Cheng.

This problem is really a bit embarrassing until Zhou Cheng.

There are many types of joint dislocations. According to the size, there are large joint dislocations, such as shoulder joints, hip joints, knee joints, and elbow joints.

There are also small joint dislocations, such as interphalangeal joints, radioulnar joints...

If we really want to separate out the categories in detail, there are at least dozens, or even hundreds, of fragments.

As for the dislocation of these joints, Zhou Cheng is almost familiar with it. The only thing he dared not do is the dislocation of the joints of the spine. That thing really cannot be done by manual reset.

So Zhou Cheng asked: "Mr. Luo, what aspect are you referring to?"

"It's common, it should be fine."

Luo Yun and Zhou Cheng had already walked into the elevator at this time. Luo Yun was in front, ready to press the floor where the second orthopedic ward was located, but at this moment, half of the outstretched hand gradually froze.

Looking back, looking at Zhou Cheng with a sincere face, I felt amused in my heart.

Common, should be no problem?

I dare not say this sentence, you know?

Newborn calves are not afraid of tigers?

"What about the dislocation of the heel joint?" Luo Yun asked casually while pressing the elevator.

With the dice joint, the name is quite a mouthful.

Is the joint made up of the calcaneus and cuboid, both of which belong to the tarsal bones of the foot.

And this joint is not even involved in joint surgery. Only a professional foot and ankle surgeon can handle this dislocation.

Foot and ankle surgery is an extremely professional subject. Moti is in the No. [-] Hospital of Shashi. Even the three top hospitals in Hunan Province, the Department of Orthopedics of the First, Second and Third Affiliated Hospitals of Hunan University, have not yet divided this area in detail. Three professional departments come.

As for the dislocation of the calcaneus joint, currently only a few professors use surgery for reduction.If you really want to perform manual reset, you probably have to go to a department with extremely professional foot and ankle surgery like Shanghai or Kyoto.

Orthopedic graduate students can understand the anatomy of several tarsal bones, cuneiform bones, and phalanges of the foot. At most, they know the term calcaneus-cuboid joint. As for how to reset it?

To be honest, Luo Yun himself is not very clear about it.

The reason why he asked this question was to let Zhou Cheng know the dangers of the human heart, and that the sky is high and the earth is thick.

Zhou Cheng raised his head slightly and thought for a while.

Well, although the manipulation of the calcanoid joint is quite troublesome, in fact, as long as the appendages of the calcanoid joint, that is, the muscles and several ligaments between the calcaneus and the cuboid, are clearly out of shape, the manipulation of the reset is not difficult. .

Seeing Zhou Cheng's expression of careful consideration and consideration, Luo Yun shook his head slightly, then picked up his mobile phone and played casually.

He just wanted to let Zhou Cheng know how to advance and retreat, and he didn't want to get an answer from Zhou Cheng.

Zhou Cheng thought for half a minute, and after considering the types of heel joints one by one, he replied very conservatively: "As long as it is within the range of indications for manipulative reset, it should be acceptable."

Luo Yun's brain went down at that time, and the first consequence of the brain's downtime was that the flexor muscle of his right hand temporarily lost its contraction, so the mobile phone in his hand slipped out with the force of gravity.

Then Luo Yun was so scared that he showed the hand speed of his mother who had been single for 30 years, making the phone roll in the palm of his hand.

In the end, it was like holding a loach in both hands before holding the phone.

Turning his head, narrowing his eyes and wrinkling his forehead: "What did you say?"

The voice is a bit loud, and the tone is a bit weird.

Zhou Cheng understood Luo Yun's meaning, pursed his lips and said, "It's nothing, Teacher Luo, I mean! If I encounter such a patient, I will call you right away."

Very sensible.

Since Luo Yun didn't think he could reset the heel joints, then he could do as he wished.Anyway, there are not many such patients, and it is rare to encounter them. Even if we do not perform manipulation repositioning for such patients, nothing will be lost.

Even if he took the risk to do it, Zhou Cheng was sure of it, but he couldn't earn much gratitude, and Luo Yun still gave Luo Yun the label of not listening to persuasion.

Not worth the candle.

When Luo Yun saw Zhou Cheng's answer, he immediately waved his hands and said seriously: "No, such a patient, please don't call me, call Director Cai directly!"

Luo Yun can't handle the dislocation of the heel joint by himself!

If Zhou Cheng really called him to come, Zhou Cheng looked at the patient, the patient looked at himself, and he looked at Zhou Cheng and the patient.

What an embarrassing atmosphere.

If it really needs to be dealt with, Director Cai can only do the surgery.

Luo Yun didn't want to take the blame. Although this kind of dislocation is rare, who knows if it will happen.

If they meet, Zhou Cheng will call himself away, but he won't, then it will be so embarrassing.

"Okay. Teacher Luo." Zhou Cheng nodded again.

"Forget it!" Luo Yun didn't dare to talk to Zhou Cheng anymore. He felt that when he talked to Zhou Cheng, he didn't have the slightest advantage that a superior should have. He was completely led by Zhou Cheng unilaterally.

Luo Yun is not a cow, even if he is a cow, he doesn't like the feeling of being led by the nose.

So after returning to the department, he casually confessed to Zhou Cheng, and then quickly ran away...

In the doctor's office, Du Yanjun said to Zhou Cheng who was coming in with a very happy smile: "Brother Zhou Cheng, are you back?"

"A patient came here just now. It was a simple debridement with an incision of about four centimeters. I was about to call you to ask you to come and do debridement and suture for him."

Seeing that Du Yanjun took out his phone belatedly, Zhou Cheng obviously couldn't help himself, so he said, "It's okay, Yan Jun. You just need to do debridement and suture alone."

"Two people go, there is no need for such a big battle."

Zhou Cheng sighed in his heart, since Luo Yun wanted to do debridement and sutures, let him do it, there was no need to bring an assistant like Du Yanjun to do it by himself. It seems to be the most special existence.

Anyway, one more debridement and suture, to him, Zhou Cheng, is nothing more than one less thing to do.

With this time, it is better to plan the following dungeon simulation, how to start is better.

Different opening options directly affect the results and rewards...

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