Chapter 40 Violent Practice of Medicine (PS: Please collect, recommend and read!)
Zhou Cheng picked up a pen and started writing and drawing in the notebook. There was no logic in it, mainly the names of some surgeries.
I'm not afraid that others will understand.
However, just as his buttocks were getting warm from sitting, Tan Min came to disturb him again. After entering the door, he said: "Zhou Cheng, another emergency patient has arrived. It seems that he has a dislocated joint."
"It was said that Dr. Liang Xueya from the emergency department asked them to come to our department."
When Tan Min said this, he said with a little embarrassment: "Our department hasn't had a patient like this for a long time. You go over and take a look first, and I'll call Lao Luo?"
Tan Min has been employed for more than two years, and has been training for the same length of time as Zhou Cheng. He has seen no more than twenty patients with joint dislocations, and Luo Yun is basically dealing with them.
When she met Luo Yun more often, she called him Teacher Luo, but in private she called Luo Yun Lao Luo.
Zhou Chengcheng stood up and said, "Sister Tan Min, don't call me yet. Let's go see the patient first."
"Teacher Luo Yun just told me before that for patients with joint dislocation, I can try to reset it myself."
Tan Min took out his phone and was about to search Yun from the address book. When he heard Zhou Cheng say this, his hand movements stopped.
He looked at Zhou Cheng and blinked, and asked: "Is it true or not? Zhou Cheng, please don't lie to me?"
Zhou Cheng walked out and said, "Sister Tan Min, don't you worry about me? Teacher Luo Yun must have said this, so I dared to say it outside. Otherwise, I would not have violated the rules casually."
"You have to be responsible for what you say."
When Tan Min thought about Zhou Cheng's daily habits, he thought it was the same. Zhou Cheng has always been a steady person, and he had just obtained the fourth or fifth rank in the department with first-level surgical authority, so Luo Yun granted him the right to perform joint dislocation surgery alone.
It is not impossible to understand the method of resetting.
Moreover, if you ask about this kind of thing, you will know that if Luo Yun had not said anything, could Zhou Cheng himself bear this responsibility?
Definitely not.
"Of course I believe you." Tan Min said without hesitation.
"Then I'll go get busy. If you need any supplies, remember to come and get them from me."
As she spoke, Qin Min took a step ahead of Zhou Cheng and walked toward the nurse station. Then she told the patient on the way: "The doctor on duty is already here and will treat you right away. I kept you waiting for so long..."
The patient and his companion quickly stood up and walked towards Zhou Cheng.
After careful questioning, Zhou Cheng determined the patient's basic information and medical history.
The patient, male, 46 years old, suffered from right shoulder joint pain and limited movement for 1 hour due to trauma.
The result of the current physical examination is square shoulder deformity of the right shoulder joint! There is tenderness in the shoulder joint, the humeral head can be touched anteriorly and inferiorly, the scapular fossa is empty, the shoulder joint movement is limited, and the movement sensation of the distal limbs is normal.
Square shoulder deformity, as the name suggests, is a landmark sign of shoulder joint 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.
As the most common joint dislocation, anterior shoulder dislocation has a lot of patients.
However, physical examination alone is certainly not enough to diagnose shoulder dislocation, and hidden fractures must be strictly investigated.
The patient's companion had already brought the X-ray and handed it to Zhou Cheng for review immediately.
After reading the film, the diagnosis can basically be confirmed.
This time, Zhou Cheng carefully recorded the entire medical history using the patient's emergency medical records, and then completed a detailed physical examination and film reading.
The diagnosis and treatment plan are written in detail in the medical record and informed to the patient.
"Based on your current situation, it can be diagnosed as anterior dislocation of the shoulder joint, which requires reduction treatment."
The patient immediately said: "Doctor, please treat me quickly, I am almost dying of pain."
The companion also said: "Yes, doctor, my eldest brother has been in pain for almost an hour. We rushed to the hospital immediately and struggled for more than forty minutes. The pain is really unbearable."
Zhou Cheng said: "Don't worry, because there are two types of reduction treatments, split-up reduction and surgical reduction, each with its own pros and cons. Come to the office with me."
"I have to tell you in detail."
The person accompanying him was the younger brother of the injured patient. He was in his thirties or forties, tall and strong, and he was obviously impatient: "What are you talking about? We definitely agree to the treatment, so hurry up and get it treated!"
Zhou Chengze said: "Then do you agree to surgical treatment or manual treatment? If it is surgical treatment, you must first be hospitalized and complete preoperative examinations before surgery."
"I can issue you a hospitalization certificate right away."
The companion immediately bulged his eyes and squirmed at the corner of his mouth: "Is my brother going to have an operation now?"
Then he took two steps back and asked his brother:
"That's not what the doctor said just now."
Zhou Cheng said: "You didn't wait for me to finish, so how do I know what treatment method you choose? You can't make a decision right away, so of course I have to tell you the pros and cons first."
"Because both manual reduction and surgical reduction are optional treatment methods, and they can only be chosen by you. Our hospital only provides medical services and cannot make decisions for you. If you have a situation like yours, you can only have surgery. Is that right?
?”
Learning from past mistakes, Zhou Cheng can only choose to be more prudent now.
Finally, after the patient and his companion listened to Zhou Cheng's talk in detail for five minutes, he finally signed his name and wrote his name and request for surgical reset at the bottom of the emergency medical record.
Zhou Chengcai wrote medical orders for two more people, scanned the QR code and paid the fee.
Then he took two people into the second operation room.
There are two operating rooms in the department, which are actually two adjacent single rooms.
When Zhou Cheng and the patient entered, they happened to meet Du Yanjun finishing the debridement and suturing of the patient in front!
Zhou Cheng went through various procedures including consultation, conversation and signing, which took about twenty minutes. Including the time before, Du Yanjun had already completed a debridement and suture.
Seeing Zhou Cheng taking the patient into the operating room, Du Yanjun opened the door suspiciously and took a look inside.
Then I saw the following scene.
While holding the patient's affected limb, Zhou Cheng asked the patient to lie down on the bed, and then placed the patient's unaffected limb on the examination bed.
The patient immediately let out a scream.
It's over.
Du Yanjun quickly retracted his head!
He walked away quickly, confused...
He kept patting his chest.
Damn it, Zhou Cheng is practicing medicine violently!
No, I have to report to Teacher Luo Yun quickly.
Otherwise there will be problems...
PS: Thanks for the tip, I will add another chapter today.
Please collect it, please recommend it, and please read it!
Chapter completed!