medical simulator

Chapter 40 Practicing Medicine Violently

Zhou Cheng picked up a pen to write and draw in the notebook, all of which were illogical, mainly the names of some operations.

Don't be afraid that others will understand.

However, just as his butt was getting hot, Qin Min came to disturb him again, and said after entering the door: "Zhou Cheng, another emergency patient came, and it seems that he has a dislocated joint."

"It is said that Dr. Liang Xueya from the emergency department asked them to come to our department."

When Tan Min mentioned this, he said in a little embarrassment: "It's been a long time since we have seen such a patient in our department. You can go and have a look first, and I'll give Lao Luo a call?"

Qin Min has been employed for more than two years, which is as long as Zhou Cheng's training period. He has seen no more than twenty patients with joint dislocations, and Luo Yun is basically handling them.

And when she met Luo Yun more often, she called him Teacher Luo, and in private, she referred to Luo Yun as Lao Luo.

Zhou Chengcheng stood up and said, "Miss Tan Min, don't call yet, let's go see the patient first."

"Teacher Luo Yun just told me that for patients with dislocated joints, I can try to reset them by myself."

Tan Min took out her phone, and was about to search for cloud from the address book, when she heard Zhou Cheng's words, her hands froze.

Looking at Zhou Cheng and blinking, he asked, "Really? Zhou Cheng, don't lie to me?"

As Zhou Cheng walked out, he said, "Sister Tan Min, don't you worry about me? Teacher Luo Yun must have said this, so I dared to say this. Otherwise, I wouldn't just violate the rules."

"You have to be responsible for this."

When Tan Min thought about Zhou Cheng's usual habits, he thought it was the same.Zhou Chengsu has always been a steady person, and he has just obtained the fourth or fifth first-level surgical authority in the department, so it is not incomprehensible for Luo Yun to grant him the manual reset of joint dislocations alone.

And this kind of thing, you can know it as soon as you ask, if Luo Yun didn't say it, Zhou Cheng can take this responsibility by himself?

Certainly not.

"Of course I believe you." Tan Min said without hesitation.

"Then I'll go to work first. If you need any consumables, remember to ask me to get them."

As Tan Min said, he passed Zhou Cheng first, walked towards the nurse's station, and then explained to the patient: "The doctor on duty has arrived, and he will be able to see you soon, so you have been waiting for a long time..."

The patient and his companion quickly stood up and walked towards Zhou Cheng.

After careful questioning, Zhou Cheng confirmed the patient's basic information and medical history.

The patient, male, 46 years old, suffered right shoulder joint pain with limited mobility for 1 hour due to trauma.

The results of the current physical examination have a square shoulder deformity in the right shoulder joint!There was tenderness at the shoulder joint, the humeral head was palpable anteriorly and inferiorly, the scapular fossa was empty, the movement of the shoulder joint was limited, and the movement of the distal limbs felt normal.

Square shoulder deformity, as the name suggests, is a hallmark sign of shoulder dislocation.

However, it is not a diagnostic sign.However, based on the displacement of the humeral head and the empty socket of the shoulder joint, it can be basically diagnosed as anterior dislocation of the shoulder joint.

Anterior shoulder dislocation is the most common joint dislocation, and the number of patients is really quite a lot.

However, physical examination alone is definitely not enough to diagnose shoulder dislocation, and it is necessary to strictly check for occult fractures.

X-ray, the patient's companion had already brought it, and immediately handed it to Zhou Cheng to see.

After reading the films, the diagnosis can basically be confirmed.

This time, Zhou Cheng carefully recorded the entire medical history with the patient's emergency medical records, and then completed the physical examination and film reading in detail.

Write down the diagnosis and treatment plan in detail in the medical record and inform the patient.

"According to your current situation, it can be diagnosed as anterior dislocation of the shoulder joint, which requires reduction treatment."

The patient immediately said: "Then doctor, please treat me quickly, I am going to die of pain."

The companion also said: "Yes, doctor, my elder brother has been in pain for almost an hour. We rushed to the hospital at the first time and tossed for more than 40 minutes. The pain is really unbearable."

Zhou Cheng said: "Don't be in a hurry, because the current reduction treatment, there are two kinds of manual reduction and surgical reduction, each has its own advantages and disadvantages. Come with me to the office."

"I have to tell you in detail."

The accompanying person is the younger brother of the injured patient. He looks about 40 years old and is tall and strong. He is obviously impatient: "So what are you talking about? We definitely agree to the treatment. You should treat it quickly!"

Zhou Cheng said: "Then do you agree to surgical treatment or manual therapy? If it is surgical treatment, you have to be hospitalized first and complete the preoperative examination before surgery."

"I can give you a hospital certificate right away."

The companion immediately puffed up his eyes, and the corners of his mouth twitched: "My brother, is he going to have an operation?"

Then he took two steps back and asked his elder brother:

"Just now, that's not what the doctor said."

Zhou Cheng said: "You didn't wait for me to finish, so how do I know which treatment method you choose? You can't make a decision right away, of course I have to tell you the pros and cons first."

"Because manipulative reduction and surgical reduction are both optional treatment methods, and you can only choose by yourself. Our hospital only provides medical services and cannot make decisions for you. In such a situation, you can only be treated with surgery, right? ?”

Learning from the past, Zhou Cheng can only choose to be more stable now.

In the end, the patient and his companion listened to Zhou Cheng's lecture in detail for 5 minutes, and finally signed their own names, and wrote down their own names and the words requesting manipulation reset under the emergency medical records in the emergency medical record book.

Zhou Chengcai wrote another doctor's order for the two of them, and scanned the QR code to pay the fee.

Only then did he take two people into the second operating room.

There are two operating rooms in the department, which are actually two adjacent single rooms.

When Zhou Cheng and the patient went in, they happened to meet Du Yanjun who finished the debridement and suturing of the patient in front of him!
It took Zhou Cheng more than 20 minutes to go through various procedures such as consultation, conversation and signing.In addition to the previous time, Du Yanjun has already completed a debridement and suture.

Seeing Zhou Cheng bring the patient into the operating room, Du Yanjun opened the door suspiciously and took a look inside.

Then saw the following scene.

While supporting the patient's affected limb, Zhou Cheng told the patient to lie down on the bed, and then the patient's healthy limb was placed on the examination bed.

The patient immediately let out a scream.

Finished calf.

Du Yanjun quickly retracted his head!
Walking away quickly in a state of confusion...

He kept patting his chest.

Damn, Zhou Cheng is practicing medicine violently this week!

No, I have to report to Teacher Luo Yun immediately.

Otherwise this is going to be a problem...

PS: Thank you for the rewards from the soy sauce, and a new chapter will be added today.

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(End of this chapter)