During these few days of rest, Director Han told me not to participate in the shift handover of the Department of Microtrauma and Orthopedics, but to rest on the spot and wait for orders.
Yang Ping stayed at home and searched for information on the Internet for a day, making a list of books on sports medicine and arthroscopic surgery. During this time, he concentrated on sports medicine and arthroscopic surgery.
You can read in the system space, but reading will consume points. List the required books in advance and read these books directly in the system space, which can save points.
In the afternoon, just after sorting out the information, Zhang Lin called to see if a child of a friend who is a pediatrician had a supracondylar fracture of the humerus and wanted to see if he could help with bone correction.
Yang Ping asked Zhang Lin to take the person to the orthopedics clinic and find a free clinic. He would rush there now.
The outpatient clinic building is an independent building, located on the right front of the Twin Stars Building, corresponding to the emergency room building on the left. Between the two eight-story buildings is a small square, which is the hospital's fire evacuation assembly point.
In orthopedic outpatient clinics, most clinics are fixed, but there are also some spare clinics, which are not used by anyone and may be idle at ordinary times.
Zhang Lin found a nurse to open a consulting room and was already waiting there with patients. Pediatrics was his girlfriend's department, so naturally he wanted to give face, so he took care of the patients himself.
This patient is related to Cai Junsheng, one of the legendary threesomes. This is the first time to see a real person up close, not a foot-picking hunk, handsome, and a popular sissy style.
As soon as Yang Ping entered the clinic, he shook hands with Cai Junsheng, and then looked at the film on the reading light. He found a supracondylar fracture of the right humerus, and the fracture was horribly displaced.
"How did you get injured?" Yang Ping asked the family.
The child's father's face turned red and he hesitated: "I was hanging the horizontal bar this morning, fell down, and hit the ground here." The child's father pointed to his elbow joint.
That’s not quite right. Based on Yang Ping’s experience in studying manual bone setting, he knew clearly what the injury mechanism was and what the result was. He asked the family members: “Did you rub the injured part when you were injured?”
This kind of fracture displacement is usually the result of secondary injury.
When a child is injured, parents’ biggest self-rescue misunderstanding is: first spray some medicine, then rub, violently, the reason is to loosen the blood stasis.
This kneading turns light into heavy.
It is also very common for patients to conceal their medical history for various reasons, so it is necessary to ask clearly for the next step of treatment.
"No, I came here right after filming," the child's father said.
The child's mother was unhappy and seemed to have something to say, but she still didn't.
The child said: "My parents helped me poop for a long time, and it hurt me to death."
Yang Ping, Zhang Lin, and Cai Junsheng were all shocked. Zhang Lin said: "Hurry up and tell me what's going on. Otherwise, when Dr. Yang goes to operate, he won't have time to perform bone correction on you." p>
Mom finally couldn't help it and recounted the whole process.
It turns out that my father is usually a DIY fanatic. The child fell and was taken to the hospital to see a doctor.
After taking the X-ray, the doctor said that the fracture was broken and it was displaced. It required manual reduction and percutaneous steel pin fixation, which is a minimally invasive surgery. It required going to the operating room for reduction under anesthesia and inserting several thin steel pins through the skin to fix the fracture. Four weeks later
Just pull out the steel needle.
After such a fall, surgery and needle insertion were required. Dad thought the doctor had exaggerated the condition.
Make a wise decision now and look again when you go back.
Search the Internet for information and videos by yourself, and then watch and learn.
I thought the treatment was very simple, just pull and then flex the elbow joint. It was too simple. It was easier than repairing a TV. So I decided to reset it myself and fix it with cardboard. I bought an elbow joint brace online and put on the brace when it arrived.
Fixed, the whole set can be done for less than 100.
It was difficult for one person to pull, so according to the video operation, at least two people were needed, so I asked my mother for help, but my mother was unwilling.
Dad cheered: "It's easy, I've learned it. Don't worry, it's just a pull." Then he threatened: "Go to the hospital and you'll definitely have surgery."
The mother's heart softened and she started to help, making the child cry.
After pulling it out, the cardboard was fixed, and I touched it solemnly: "That's it."
The mother was worried and had to go to the hospital to take another X-ray. The couple took the child to the hospital and went to the emergency room. The father said to the doctor: "Doctor, take X-rays of the right elbow joint. Just take X-rays. Don't do anything else."<
/p>
The doctor wondered: "Are you a doctor too?"
The child said yes.
When the film came out, I saw that it was outrageous. The fracture displacement had increased several times, and even a layman could understand it. It used to be that I could see it was a joint, but now I see it is all falling apart and a mess.
The child’s father’s hands were trembling, it was a mess!
Normally, if there is a problem with the refrigerator or TV at home after the maintenance period, you have to solve it yourself. Occasionally, if parts are scattered on the floor, you can call the manufacturer to come over and clean up the mess.
This will be broken, there is no manufacturer to look for.
When my mother saw the expression on her father's liver, she knew something was wrong. The two pictures were compared with the two reports: "Compared with the previous picture, the displacement is obvious."
It was broken. You are playing with your son. He gave me a strong beating, started crying, punching and kicking him. The father let him beat and scold him. He kept calling his friends and searched for countless circles. He found it.
Cai Junsheng.
This kind of play is not advanced enough. Even more advanced, people circumcise themselves at home in front of surgical videos on the Internet, and come to the emergency department for help with blood in their crotch.
The ignorant are the bravest!
"Do you think that flying a plane is just a matter of pressing a few buttons and the plane will fly into the sky?" Zhang Lin is not polite.
"Doctor, please think of a way." The child's mother was worried.
"Reduction under anesthesia, no surgery, percutaneous steel pin fixation. If this kind of plaster cannot be fixed, steel pins must be left. The tail of the steel pin is left outside, and it is pulled out after four weeks." Yang Ping said.
Common fractures, common treatment methods, but after the child's father did it, the difficulty of the reset became much more difficult, but for Yang Ping, it was not a problem.
"Okay! Doctor, I'll sign and arrange the surgery as soon as possible." The child's mother said decisively.
"Just do it in the outpatient operating room? But there is no C-arm machine in the outpatient clinic." Zhang Lin said.
Yang Ping said: "There is no need for a C-arm machine, just an electric drill and Kirschner wire."
After practicing so many resets, you will know the basics once you touch it.
Sign to prepare for surgery.
The outpatient building has its own operating room, which usually performs some minor surgeries, such as ganglion cysts in orthopedics, abortions in obstetrics and gynecology, etc.
The operation was simple. The anesthesiologist performed a nerve block, sterilized drape, and manual reduction. Two K-wires on the radial side, one on the ulnar side, and three K-wires were cross-fixed.
The child's father has been scolded by his wife all the time, and he can't hold his head up. The high IQ, science and engineering man's image accumulated through DIY over the years collapsed in an instant.
"You two hundred and five--" the child's mother finally concluded and scolded her harshly.
The father scolded the child so much that he didn't dare to say anything back. His forehead was covered with sweat and he lowered his head.
In ten minutes, the operation was completed. The child was pushed out and taken to the radiology department for a radiograph. The fracture was completely reduced and the K-wire position was in good condition.
Instruct the child to rest in the outpatient clinic for fifteen minutes and go back if nothing happens. He will be reviewed a week later and not to move around again. If there is any problem, come to the hospital in time.
After the explanation, the child's parents were very grateful. Cai Junsheng also expressed his gratitude. Zhang Linte was very proud.
Cai Junsheng and Xie Zhanglin.
Zhang Lin said: "I'm a member of our own family, so don't be polite."
When Yang Ping had nothing to do in the afternoon, he went to the equipment department to borrow the instructions for the arthroscopy equipment, and then went to the operating room to study the arthroscopy equipment.
There happened to be one unused in the operating room and placed in the storage room.
He followed the instructions and studied every button and interface of the arthroscopy equipment clearly.
Close your eyes and you can clearly recall any details of these devices.