After listening to some discussions among several elderly people, Chen Wenzhe knew that the two were joking, and with just a slight push, the old man with a broken bone leaned back and put his hands on the ground. It was that simple, and his right hand was fractured.
Of course, when the right hand is fractured, it is not always a Chris fracture, it may also be a Smith fracture, and with a Smith fracture, the wrist is often in a flexed position.
The direction of displacement of the fracture is different. In Chris's fracture, the distal end of the fracture is displaced toward the dorsal side of the radius, while in Smith's fracture, the distal end of the radius is displaced toward the volar side.
After such a wrist fracture occurs, it is definitely necessary to complete the anteroposterior and lateral radiographs of the wrist. As for the 3-dimensional reconstruction of the wrist CT, in a small pharmacy like theirs, which is not even a hospital, it is naturally saved.
"Little doctor, when will this fracture heal?"
Li Tianqiang was taking the old man to take X-ray films. The injured old man couldn't help but ask.
"Don't move, old man. We need to take X-rays first to see if there is a fracture like this. If there are no major problems, the recovery will be very fast. If our manual reduction method fails, then you will have to go to a big hospital for treatment. At that time, when will you be discharged?
You have to ask the doctors at big hospitals."
"Ah? So troublesome? It turns out that Lao Li is very powerful. He can reset it for us."
Another old man looked at Li Tianqiang's young face and said a little disappointed.
"I mean, if my manual reduction is also passed down from my ancestors, and I have been practicing it for more than ten years, as long as there is no problem with the broken end, there will be no problem with the manual reduction."
"That's it!" The old man was still a little hesitant.
"I wonder how much it will cost?" Another old man who had been silent asked now.
"That's not necessarily the case. If it goes well for 500 to 600 yuan here, then you can just change the medicine and it will be fine. If you go to the hospital, it will be 35000 yuan or 350000 yuan."
After all, Li Tianqiang was an intern in several hospitals and received training, so he naturally knew what was going on here, so he just told the truth.
He knew that if everything went well, the reverse injury mechanism would be used to reduce the fracture according to the direction of displacement, and the plaster would be fixed for 4 to 6 weeks. After the fracture healed, the plaster fixation could be removed.
If you don't want to use plaster, you can use splints.
In fact, for the elderly, using a splint is the most convenient.
If the problem is complicated and you go to the hospital, it will take longer and cost more.
This is the basis for the survival of small pharmacies, small hospitals, and old traditional Chinese medicine practitioners who have passed down the tradition of bone setting.
The filming was completed quickly. Li Tianqiang took a quick look and knew that Chris had a fracture.
This kind of fracture, if the situation is slightly more complicated, will definitely require surgery in a large hospital.
For this kind of orthopedic surgery, charging you three to five thousand is already the minimum fee.
"Chris's fracture is not complicated, so there shouldn't be any problems."
Li Tianqiang did his homework. Compared with the dislocated child he met on the first day, he was much calmer this time.
Chen Wenzhe had almost finished watching his performance, so he had to step forward at this time.
That kid is just a dick, and if he continues, his secret will be exposed.
Chen Wenzhe walked over, took the film and looked at it. It was indeed Chris's fracture, because there was an obvious fork-like change.
Compared with the fracture on the first day, Chen Wenzhe had done his homework, and he even performed surgery in his dream and treated many patients.
Therefore, he acted extremely confident at this time.
Although he has never done it in reality, in the dream, he almost vomited.
I looked at the film again and finally determined the fracture location.
You should know that fractures of the ulnar and radial diaphyses can cause many situations, and may even cause multiple displacements, such as overlap, rotation, and lateral displacement.
If not treated properly, the ulnar and radial bones may cross-heal, affecting rotation function.
Therefore, in addition to good alignment and alignment, the goal of treatment is to pay special attention to preventing deformity and rotation.
Now it's just a bone fracture, so naturally it won't be too troublesome, but you need to be careful. After all, you are an elderly person, and anything can happen.
Now Chen Wenzhe is in the simplest and best situation he has encountered. After all, it is just a fracture caused by his palm resting on the ground, which is considered the most minor traumatic fracture.
In such a situation, manual reset is definitely necessary.
Repositioning is also very simple and does not require the patient to lie down or even take anesthesia.
The old Chinese medicine practitioners who have been passed down from their ancestors definitely have a well-deserved reputation for manual reduction.
This time, Chen Wenzhe will give a good performance. However, the old man is still in pain now. Once he is successfully repositioned and uses plaster, the pain will soon be gone.
There is no way to say now, after all, it is the first time to do it, and Chen Wenzhe is afraid that it will cause severe pain to the old man again when he resets it.
However, as soon as he took action, Chen Wenzhe knew that he was overthinking.
His hands were as flexible and sensitive as ever.
His hands are truly a blessing from God. This God-given talent makes his perception particularly sensitive.
After seeing the film, he knew which part of the fracture was broken. Now he put his hands on the old man's arm and quickly determined the broken end.
He was very fast because he knew that as long as he used force to affect the broken end, it would be impossible to avoid pain.
Therefore, the faster the speed, the less suffering the patient will suffer.
If you act decisively, you will be quick.
Chen Wenzhe could tell the fracture situation just by touching his hand. Combining the experience gained in his dream, he used his thumbs and other fingers to squeeze hard between the ulnar and radius bones to separate the interosseous membranes and pull the tense interosseous membranes.
Reduction of the fractured end.
His speed was dazzling, and the reset was successful before Li Tianqiang's palm came into contact with the patient's arm.
At this time, it was Li Tianqiang's turn to come on stage.
Li Tianqiang pretended to move gently twice, but did not touch the patient's severed end at all, so naturally it would not be that painful.
In this way, compared to the severe pain caused by Chen Wenzhe, Li Tianqiang's performance was much better.
Although the pain caused by Chen Wenzhe was only for a short time, it was obviously different from Li Tianqiang's actions.
"Okay, Xiao Chen, hurry up and get some plaster. Why are you watching?"
I have to say that Comrade Li Tianqiang is in a state of disbelief.
Chen Wenzhe didn't say anything. He got busy again, baking the plaster and quickly applying it to the patient's injury.
This is a plaster that promotes blood circulation, removes blood stasis, reduces swelling and relieves pain, and it is a plaster that was adjusted by Chen Wenzhe.
Originally, there were only two types of plasters: those for promoting blood circulation and removing blood stasis, or those for reducing swelling and relieving pain, but Chen Wenzhe felt that it was a bit inconvenient to use them separately, so it was better to fuse them into one piece.
The analgesic ointment has been successfully tested. It performs well above rheumatic pain.
I just don’t know if combined with promoting blood circulation and removing blood stasis, the effect will still be as good.
"Eh!" After applying the plaster, the first thing that works under the penetration of heat is analgesia.
Therefore, the old man who was in great pain immediately felt much better.
This man no longer has any pain and is in good spirits. The old man who was originally depressed is not so pale anymore. This is an improvement visible to the naked eye.