There is no need to be too normal to be a doctor.

Chapter 77 Chen’s Law of Thinking
Qin Xuehai is already familiar with Chen Gong's specialness.

but……

After hearing Chen Gong's words, the corner of his mouth still twitched, and the trigeminal nerve began to stimulate the blood vessels, causing bursts of discomfort.

and many more!

Are we talking about the same topic?

What I am saying is that medicine is an incomplete subject, which means... medicine is a developing subject with many imperfections.

you are good...

Divergent thinking has done enough.

You directly combine criminal investigation psychology, morphology, aesthetics...

Is this medicine?
What do you think a doctor is?

Doctors are human too!

Medicine is tedious enough, hard enough, tiring enough, and there are enough things to study and exams to take.

It’s better to be alone!

This will also put an additional burden on the doctor!
Does the state still need to reduce the burden on children?
Even though I am 50 years old, who is not a baby of more than 600 months?

Qin Xuehai had an opinion.

"Xiao Chen, although medicine is an imperfectly developed discipline, your... ideas... are rather... extreme!"

"This doctor's energy is limited, and he can only focus on key areas with his limited time."

"This is already difficult!"

"You...I know you are talented in learning, but...you have to figure out the priorities in everything."

"Don't dare go off the beaten path!"

Qin Xuehai smiled awkwardly.

Chen Gong nodded: "Director Qin educates you."

"I remember."

Qin Xuehai looked at Chen Gong's gleaming eyes and was stunned for a moment. He knew that this boy had remembered it.

However, I didn’t take it seriously at all.

However, Qin Xuehai was not worried.

After all, Chen Gong is still a newborn calf and is not afraid of tigers.

As time goes by and I have been tortured clinically for a period of time, I will understand what I said.

at this time……

Qin Xuehai waved his hand, smiled, and was about to speak when Zeng Hui walked in from outside.

He glanced at Chen Gong with a strange look on his face, and then looked at Qin Xuehai with some distress:
"Director Qin, there is a patient with shoulder joint dislocation. Could you please help see if there is a possibility of manual reduction."

Qin Xuehai heard this and nodded: "Let's go, I'll show you one of the most basic techniques in orthopedics."

Zeng Hui stood aside and smiled: "The most basic?"

"Haha, this is also the most difficult method!"

"Xiao Chen, remember, as long as it is a clinical skill, there is no distinction between high and low."

“Those who can cure patients are all top-notch techniques.”

"There is no basic technology, only the most basic people."

"You, don't listen to Director Qin Versailles. His restoration skills are among the best in our province."

"You also come to see the world."

"Let me tell you, manual reset is simple to say, but it is quite difficult. Especially if the level is different, the reset effect will be different..."

This time Chen Gong took out his notebook, which was the size of a palm, wrapped in brown leather and about the thickness of a finger.

Chen Gong bought a lot of these notebooks.

When he was in high school, he stocked up on nearly two boxes.

If He Mingliang saw this notebook, he would definitely be silent. He had seen something unusual about Chen Gong in this notebook.

"Teacher Zeng, I understand the manual reduction. It is a manual recovery for joint dislocation. What are the key points?"

Zeng Hui also smiled when he saw Chen Gong's studious look.

In Zeng Hui's eyes, Chen Gong's words just now were not much different from children's jokes.

Just like when he was 18 years old, his dream was to buy a villa and drive a sports car when he was 25 years old. However, when he was 23 years old, this dream was reduced to a BMW and a large flat. When he was 25 years old, his dream once again became a full-priced car. A mobility scooter is the same as a down payment for a house.

child!
Always fanciful.

However, medicine cannot have illusions.

Zeng Hui patiently explained:
"Manual reduction mainly uses manual techniques to achieve anatomical or functional reduction of displaced fractures or dislocated joints."

"There are a lot of things to pay attention to in this reset technique."

"The first is the technique, which is also the key to this technique. For example, let's talk about joint dislocation, also called dislocation."

“After joint dislocation, there will inevitably be associated damage to joint capsules, ligaments, articular cartilage, muscles and other tissues.”

"This injury can range from minor to severe, with surrounding hematomas and abscesses. If the technique and force are too severe, the reduction effect will inevitably be affected."

"Moreover, it will cause secondary damage!"

"Generally speaking, the fewer the number of manual reductions, the more accurate the reduction and the faster the recovery."

"In clinical practice, many cases have to undergo open reduction surgery after manual reduction fails."

“Not only does this cost the patient more time to recover, it also costs them more money.”

"So, the difficulty of manual reset lies in the technique."

"And precision is resetting."

"Reduction requires restoring the original functions and structures while avoiding damage. This requires a solid foundation and rich surgical experience and techniques." "You said, can such a surgery be a minor surgery? "

After hearing this, Chen Gong nodded with deep understanding.

His thinking has followed Zeng Hui's explanation and formed his own unique understanding.

“Joint dislocation…the tissue and structure are destroyed.”

“What kind of knowledge and skills do you need to master this skill?”

"It needs to comply with biomechanics, human histology, and local anatomy..."

After pondering for a moment, Chen Gong followed Zeng Hui and Qin Xuehai to the disposal room.

The patient was a little boy, about four or five years old, with slumped shoulders and a sad face.

Obviously, the fear caused by this dislocation far outweighed the pain.

Children are prone to arm dislocation, and Chen Gong also knows this.

There are two main reasons.

The first is: because children are not fully developed and have relatively weak muscles and ligaments, even if they are exposed to some relatively small external forces, they may cause elbow joint dislocation. The most common ones are radial head subluxation and shoulder joint dislocation.

Second point, if parents or other parents use improper force when taking care of their children, such as pulling the child's arm violently with one hand, it may cause dislocation.

Generally speaking, this kind of situation can be solved by outpatient service.

But this little boy's position is quite special, it is a posterior dislocation of the shoulder joint.

Shoulder joint dislocation is not uncommon, accounting for approximately 38 to 40% of major joint dislocations in the body.

However, 95% of them are anterior dislocations, and posterior dislocations are rarely seen. As for superior and inferior dislocations, they are extremely rare.

Chen Gong's basic skills are very solid, and all kinds of information about shoulder joint dislocation instantly appeared in his mind.

Although he has not yet learned about orthopedic diseases, but...as a medical student, does he need others to urge him to study?
Not allowed to study consciously?

At this time, the child's mother was still blaming the man.

"I ask you to take good care of your children. You don't have to worry about them at all!"

"It's fine, the child's arm is dislocated!"

"Let me tell you, Xia Donghai, the doctor said that children with joint dislocation can easily form habitual dislocations, which will affect their lives in the future!"

"I'm just wondering, why do you have to take so much trouble to look after the child for a day?"

The man listened to his wife's complaints without replying. He smiled awkwardly and handed the X-ray film to Qin Xuehai.

"Director Qin, we just went to the outpatient clinic. The outpatient doctor said that this is a posterior dislocation. They can't do it with manual reduction. They asked me to come to you."

"Look...can the child survive without surgery?"

"These four or five-year-old children are frightened. If they need surgery... I'm worried..."

"So, could you please use manual repositioning to treat it?"

Qin Xuehai nodded, picked up the film and read it carefully: "I'll take a look at the situation first, but I can't draw a conclusion for you now."

Children's fear of doctors in white coats comes from deep in their souls.

After all, from birth, you have to go to the community to get vaccinations from time to time.

Therefore, the fear of doctors has penetrated deep into the bone marrow.

Seeing that the child was so frightened that he didn't say a word, the child's mother quickly hugged the child and burst into tears of distress.

The man stood aside, at a loss. He scratched his head for a while and wanted to comfort the child, but was pushed away by his wife.

"Xia Donghai, you are really irresponsible at all!"

The man smiled awkwardly: "Aren't you just playing with your children..."

The woman glanced at the man fiercely: "Humph!"

When Chen Gong saw this scene, he suddenly remembered the jokes on the Internet.

When the child is not in danger...the father is the biggest danger...

Although it was a joke, most of the time my father was not as careful as my mother.

However, at this moment, Qin Xuehai raised his head and glanced at the little boy, and then said, "Come, let me take a look at your arm."

"Tell grandpa if it hurts, okay?"

The little boy just opened his mouth to speak, but... his mouth opened, and before he could finish speaking, he started crying.

"Grandpa, do I have no arms..."

"I...I feel like I can't move..."

"Woooo..."

Qin Xuehai immediately touched the child's head: "Don't be afraid, it will be fine soon."

Afterwards, Qin Xuehai and Zeng Hui observed and touched the shoulder joints, and then they had a plan in mind and said:

"Use the Koch method."

Zeng Hui nodded: "Well, I think it's feasible."

While speaking, Qin Xuehai held his wrist with one hand and bent his elbow to 90 degrees to relax his biceps. He held his elbow with the other hand, continued traction, slightly abducted, gradually externally rotated his upper arm, and then adducted his elbow along the chest wall. Near the midline, internally rotate the upper arm.

This set of actions is smooth and flowing.

There was a burst of sound.

All right!

Chen Gong was observing carefully at this time when he suddenly heard the system prompt sound.

【Ding!Discovery: Manual reduction of shoulder joint. 】

【掌握要求：1、生物力学手（已拥有）；2、肩关节局部组织解剖学lv2（已拥有）；3、关节脱位病理学（未掌握）；4、关节复位手法（未掌握）】

[Warm reminder: After mastering the above skills, you can obtain shoulder joint manual reduction by spending 1 points. 】

(End of this chapter)