medical simulator

Chapter 42 With the sai joint! (plus more)

"Gossip? No!"

"It just happened to meet me, and I thought I could give it a try. I didn't have any special ideas." Zhou Cheng blinked and looked at Du Yanjun innocently and sincerely.

In fact, Zhou Cheng didn't want to tell him what Luo Yun told him, and told the general development direction of the department in the future.

The main reason is that Zhou Cheng was afraid that speaking out would affect Du Yanjun's own direction and goals.

This is a fact.

Director Yan has made it clear that one of the basic requirements for staying in the hospital is to complete open reduction and internal fixation of a fracture, which is at least a grade II operation.

Logically speaking, Zhupei is not qualified to obtain such an authorization for surgery!
This kind of surgery, the general postgraduates can't master it right after graduation, because it is difficult for them to get the permission and opportunity of surgery.

To some extent, the conditions for staying in the hospital are higher than the requirements for recruiting graduate students.

But, this is a tertiary hospital, and I just hope that all the regular trainees can show their talents, find a way to find a way to give a chance to a superior doctor and learn this basic skill.

After entering the department, similar operations can be carried out normally.

Zhou Cheng doesn't need to bother with this step, because he has already reached the perfect level in open reduction and internal fixation of fractures.This is a level that no one in the department can reach and touch at present.

As long as he performed a little bit in the daily surgical operation and had the slightest chance to give Zhou Cheng, Zhou Cheng could be recognized quickly.

But Du Yanjun couldn't do it. It was extremely difficult for him to perform closed reduction and Kirschner wire fixation for a fibula fracture, let alone plate and screw fixation.

Although Zhou Cheng thinks that Du Yan's army can be used to reset joint dislocations and fractures, which can directly abolish a competitor, but people still don't want to be so shameless.

Du Yanjun smiled back and said, "Brother Zhou Cheng is worthy of being Brother Zhou Cheng, he has hidden it really deep enough."

"Manual reduction of fractures, manual reduction of joint dislocations."

"My decision to come to study with you seems to be the right one."

Hearing this, Zhou Cheng went to the operating room again. He had to explain to the patient and his companion that he would have to take another look at the results of the reexamination later before leaving the hospital. go home.

Du Yanjun followed all the way, and the two of them arrived in the duty room together. Du Yanjun asked again: "Brother Zhou Cheng, does Mr. Cai know about the joint dislocation manipulation?"

"After all, our department didn't accept similar patients before."

Du Yanjun naturally didn't mention that Luo Yun was dealing with this kind of patients in the department, and he had followed him many times.

"I don't know if Teacher Cai knows. I told Teacher Luo Yun. I don't know whether Teacher Luo told Teacher Cai." Of course Zhou Cheng could only push this matter to Luo Yun.

He wants to get the appreciation value as soon as possible. If Du Yanjun really thinks that Cai Dongfan needs to know, then he will tell Cai Dongfan himself.

However, Zhou Cheng felt that Du Yanjun would not do this either. Several directors in the department were not involved in the field of joints, and what they said was nonsense.

He treats patients whose manipulations have been reset, and at least he can generate income for the department.

Du Yanjun frowned slightly, but didn't say much, just changed the subject and said, "Brother Zhou Cheng, what do you have for lunch, a De Tianshun rice bowl?"

"Okay, let me call." Zhou Cheng took advantage of the situation and turned on the phone.

Detianshun rice bowls are quite good, especially the lean pork strips with green peppers.

Apart from being a bit pricey, there is basically nothing wrong with it.

A rice bowl costs more than 30 yuan, and the delivery fee is [-] yuan, which is an unshakable price tag.

"No, I'll come."

"I've already ordered and paid, Brother Zhou Cheng, don't repeat it." Du Yanjun mentioned it first, so he placed the order with quick eyesight and quick hands.

Zhou Cheng also simply searched for coffee, so AA had lunch and coffee.

Until the meal and coffee were delivered almost at the same time, no patients came to disturb him, so Du Yanjun immediately signed up to pick up the meal.

Zhou Cheng carefully checked the daily ward round records he had written. After he felt that there was no problem, he clicked Save and washed his hands before heading towards the duty room.

In the office, under normal circumstances, one does not eat, otherwise, the mixed smell left by the meal is really not conducive to the afternoon work.

After Du Yanjun brought the coffee and rice bowl to the duty room, he immediately distributed a portion to Zhou Cheng.

Just as he was about to open it, a nurse called from outside, "Zhou Cheng, a patient is here in the emergency department. Come and have a look."

"I'll go! Brother Zhou Cheng, you eat first." Du Yanjun immediately stood up, and then hurriedly ran outside the duty room.

Zhou Cheng looked at Du Yanjun's back, twitched the corner of his mouth, and then took off the mask.

This is Du Yanjun.

When the lid of the rice bowl is opened, a scent of pepper and rice hits instantly, awakening the taste buds on the tongue, and the salivary glands immediately secrete to the maximum.

Moisturizing.

However, Zhou Chengcai didn't eat two mouthfuls, and just when he felt that the cured lean meat strips mixed with chili juice were blooming in his mouth, Du Yanjun came to the door of the duty room and said with a little embarrassment: "It's another patient with dislocated joints. But it’s just written in the report, I didn’t see it.”

"Brother Zhou Cheng, come and take a look."

Another patient with joint dislocation, but Du Yanjun was a little disappointed.

He couldn't handle this kind of patient, so he was too excited.

"What kind of joint dislocation is written in the report?" Zhou Cheng immediately picked up a tissue to wipe his mouth, then hung the mask on his face, stood up, picked up his white coat, and walked outside the duty room.

"It seems to be something with the sai joint, anyway, it's the part of the foot. It's very difficult." Du Yanjun recalled, and then said.

"I think it's okay to send patients directly to the Second Hospital. It's been done this way before." Du Yanjun's face was full of boredom.

Dislocated with sai joint?

Heel the dice joint, bro?

Anyway, it's orthopedics.

Zhou Cheng frowned slightly: "Let's go and have a look first."

I just don't know if this patient can be reset manually.

Today Luo Yun asked if such a patient would be treated. Unexpectedly, such a patient really appeared.

However, simple dislocation of the calcaneus joint is relatively rare. It depends on whether there is a fracture.

"Has the patient had a CT scan?" Zhou Cheng asked Du Yanjun.

The bones of the foot are many and short, and they overlap together. It is difficult to read the fractures on ordinary plain films. Generally, CT [-]D and reconstruction are used to better judge whether there are occult fractures.

If there is an occult fracture, an MRI should be taken to see how the ligament is damaged.

Surgical contraindications and surgical indications.

The indications and contraindications of manipulative reduction must be clearly and clearly grasped to ensure effective treatment.I didn't come rashly.

Even if it is a redefined manipulation reduction, it cannot be treated with manipulation on the indications of non-manipulation reduction...

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