Zhou Cheng smiled bitterly on the spot for a while, and then he could only leave the door of the handover room and walk outside the department.
The Department of Orthopedics had already arranged the patient into the ward. Zeng Yi led people into the ward. There was a pile of white coats, and Zhou Cheng couldn't even catch a glimpse of where the patient was with his peripheral vision.
Then in the corridor, Li Changhong was on the phone, and his tone was calm as usual: "Cai Dongfan, I just troubled you, we have found a solution."
"Call Luo Yun and tell him that he doesn't need to come to the department."
After saying that, he hung up the phone and cursed on the spot: "What is that?"
After saying that, he turned around and saw Zhou Cheng standing in the corridor looking at him slightly embarrassed.
Li Changhong glanced at Zhou Cheng, and the corners of his mouth twitched for a while, but he still couldn't bear to scold him, so he just said: "Go back to work."
"nothing dealing with you."
Zhou Cheng could only nod: "Okay, Director Li."
During the only month that Zhou Cheng came to the Department of Orthopedics, he followed Li Changhong's group, but Li Changhong probably forgot about him long ago.
After watching Li Changhong stuff the phone into his white coat, he also walked into the ward without any more courtesy.
Zhou Cheng had no choice but to walk out of the department door, and then called Luo Yun to report the situation.
"Teacher Luo, Director Zeng and Director Li didn't let me see the patient here."
But Zhou Cheng was only halfway through what he said when Luo Yun said, "I understand, Xiao Zhou, you should go back to the department first."
"I'm on my way to the hospital."
"Alas!~" After Luo Yun finished speaking, he let out a long sigh.
"Okay." After hanging up the phone, Zhou Cheng reluctantly climbed up to the first floor via the walking ladder and returned to the ward in the second ward of the Department of Orthopedics.
At this time, Du Ruiqi was still editing medical records. When he saw Zhou Cheng running up so quickly, he glanced at the time in the lower right corner of the computer and asked with a look of astonishment on his face: "Brother Zhou Cheng, did you finish it so quickly?"
"How many minutes has it been?" The corner of his mouth twitched for a moment, feeling that Zhou Cheng was simply inhuman.
He didn't even know when he had completed the joint reduction in the morning.
Zhou Cheng sighed and said, "The patient was rushed back by Director Zeng and Director Li before even seeing him."
Du Ruiqi's expression calmed down, and he said to himself, "This is so fucking right. How can it be possible to solve a joint dislocation that even orthopedics can't solve so quickly?"
But he said: "Maybe Director Li and Director Zeng have other considerations. We junior doctors can just follow the instructions."
"Yeah!" Zhou Cheng nodded, and then continued: "Brother Rui, I'm going to the lounge to rest for a while. If you need anything later, just call me."
"Thank you for your hard work, Brother Zhou Cheng." Du Ruiqi replied.
After Zhou Cheng left, he slowly breathed a sigh of relief.
He murmured: Director Cai didn’t know what he was thinking. Someone from the Department of Orthopedics called him and sent Zhou Cheng there. If I were Director Zeng or Director Li, I would probably send Zhou Cheng back directly.
.
But despite this, Zhou Cheng is also hiding a lot. Since Director Cai Dongfan dares to call him for a 'consultation' in the First Department of Orthopedics, it proves that Cai Dongfan recognizes Zhou Cheng's strength, and it is the people in the First Department of Orthopedics who do not.
Zhou Cheng used to be quiet, but this time after a rumor came out that Guipei had a chance to stay in the hospital, he was also exposed.
It's getting more and more curled now.
Not to mention graduate students like Du Yanjun and Min Chaoshuo who have supervisors in the department. Lin Lin from our group has also had a very hot personal relationship with Director Hu Ming recently, and I don’t know what he is doing.
The article that I promised to write together with Director Hu Ming was not yet finished, but the article from Lin Lin had already been accepted, so there was a gap.
Clinically?
Min Chaoshuo and Du Yanjun had already started to perform the surgery. Although they had Hu Ming's consent, they obviously had fewer opportunities to perform the surgery than Lin Lin.
Now, Zhou Cheng suddenly appeared, with such outstanding clinical ability.
so now?
Is he no better than Lin Lin in scientific research, and no better than Zhou Cheng in clinical practice?
Thinking of this, Du Ruiqi sighed slightly——
It seems that I still need to finish writing the article quickly and perform more surgeries early to have a chance.
Lin Lin, myself, Min Chaoshuo, and Du Yanjun, the four graduate students are already competing. There are not enough places, and Zhou Cheng is stepping in. Director Yan's team also has Xu Yanlin, who is eyeing him and has strong connections...
Emergency department.
After Zheng Guowei received Guo Haoran's call, he finally felt a little calmer and immediately pulled his student Liang Xueya aside.
He urged: "Xiao Liang, Director Guo just called me and said that Director Zeng from the Department of Orthopedics called him and asked patients with joint dislocation not to be sent to the Department of Orthopedics for the time being. The one who sent him there in the morning
, it has not been resolved yet, and now the patients and their families are a little emotional."
"I've told you before, our orthopedics department here has not performed any manual reduction of joint dislocations for many years. This will not work, and something will happen."
"Look, am I right?" Zheng Guowei looked like your teacher, how could I lie to you?
Was my prediction accurate? I was still showing off to Liang Xueya a little bit arrogantly.
Liang Xueya continued to frown!
Zheng Guowei continued: "If the first department of orthopedics cannot send them, then they can only be sent to the second department of orthopedics. I can tell you clearly that although the second department of orthopedics has Luo Yunzai who is a joint surgeon, he will definitely not be able to pass it in a few days.
Something is bound to happen."
"It's impossible for Luo Yun to be on duty as 007 alone. Besides, even Luo Yun has joint dislocations that he can't handle."
"This time, orthopedics has taken too big a step. Rushing for quick results will definitely not work."
"The two directors of the Department of Orthopedics, Yan Haihan and Zeng Yi, are actually very courageous people. Including the previous directors of the Department of Orthopedics, they are all very courageous. They will transform when they are told to transform, and they will be divided into specialties when they are told."
"But clinical matters cannot be accomplished by relying on courage and recklessness."
Speaking of this, Zheng Guowei continued with emotion: "Actually, when the old director of the Department of Orthopedics was still in office, and I had just started working at that time, our hospital's manual reduction was quite good, and there were a group of old Chinese medicine practitioners in the hospital.
"
"But the craze of orthopedic treatment at that time was surgery. Conservative treatment had too high requirements for disease types. Surgery can treat many types of diseases and has good benefits. When orthopedics was undergoing this transformation, it was right."
"But decades have passed, and it is actually very difficult to pick up what has been lost. Those old seniors have retired, and most of them are no longer alive."
"Most of today's orthopedic surgeons have a background in clinical medicine. It takes a lot of time to specialize in surgery. How can there be so much time to specialize in conservative treatment?"
"You must remember that clinically, the word stability is the most important."
Liang Xueya nodded, and then said: "Director Zheng, if there are still patients with joint dislocation today, should they all be sent to the Second Department of Orthopedics?"
"Send it, of course it will be sent. As long as Director Zeng doesn't personally call and say he won't send it anymore, we can't refuse the diagnosis."
"We have no right to refuse patients on behalf of the orthopedics department. Only the orthopedics department has the right to make suggestions. If something happens like this, it has nothing to do with our emergency department." Zheng Guowei was in a good mood, with a very understanding expression.
Liang Xueya continued to nod, and then immediately saw an ambulance arriving at the emergency department.
I ran over and took a look, and immediately saw abdominal trauma. I immediately called the general surgery doctor for consultation, and then completed the relevant examinations...
It's about 12:02 or so.
Luo Yun finally arrived at the first ward of the Department of Orthopedics. He didn't have time to change into work clothes, so he walked into the ward and immediately apologized to Zeng Yi and Li Changhong: "Director Zeng, Director Li, I rushed to the department after I received the call.
.”
"There's a little traffic jam on the road."
Zeng Yi saw Luo Yun take two steps back and glanced at the time.
It was only 12:03, and the time I called Cai Dongfan was 11:44.
Luo Yun rushed to the department from home within nineteen minutes despite the traffic jam, and there must have been no delay.
As for the previous incident of temporarily calling Zhou Chenglai an "insult" in the Department of Orthopedics, Zeng Yi didn't want to worry about it anymore.
Solving the problem first is the most important thing.
Li Changhong turned around and saw Luo Yun, and did not say any more the angry words he had said after his previous phone call with Cai Dongfan. Someone from his team was on duty today.
He just took a step back and said to Director Zeng: "Director Zeng, please take Ronaldinho to watch the movie first. I am here to communicate with the patients and their families."
"Director Wang is already on his way."
"Okay!" Zeng Yi didn't hesitate much, and immediately took Luo Yun to the doctor's office, saying as he walked.
"This patient's plain radiograph looks like a conventional wrist dislocation, but Wang Yaoxiang and Li Changhong both reset it twice and failed to achieve it. The patient and his family also refused to use nerve block anesthesia and insisted that we find a way.
"
"I also refuse further examination. Although the tone is somewhat loose, I may agree to surgical incision reduction."
"But I thought I'd better try my best to reset his dislocation and restore it."
Before the manual reduction, Wang Yaoxiang had already talked with the patient and his family. After all, it was a manual reduction of the second joint dislocation that was routinely performed in the department, so he did not dare to be careless.
It's just that it's one thing to talk, but it's another thing whether the patient can understand.
Luo Yun frowned when he heard this: "Director Li also reset it twice? Then this wrist dislocation is probably unusual."
"What type of dislocation is it?" Luo Yun asked as he walked.
Zeng Yi's expression changed: "Wang Yaoxiang said it was type 2. I saw the film and thought it was type 2 - dislocation of the radiocarpal joint and intercarpal joint."
Luo Yun suddenly looked at Zeng Yi with a confused look, feeling a little embarrassed.
I want to say in my heart, Director Zeng, such a simple classification is not enough.
From the perspective of non-articular surgeons, there are only two types of wrist joints -
Type I, simple dislocation of the radiocarpal joint; Type II, dislocation of the radiocarpal joint and intercarpal joint.
But in the eyes of joint surgeons, there are more than ten types of wrist joints.
"Well, let's watch the movie first, shall we?" Luo Yun is not surprised by Zeng Yi. Although Director Zeng is the chief director of the Department of Orthopedics, he has specialization in the surgery. The reason why today's joint surgery can be separated from the orthopedics and trauma surgery into a separate department
Department.
It is precisely because of the professionalism of joint surgery that it is no less different than the difference between spine surgery and orthopedics.
When I arrived at the office, a computer had already listed the patient's films on the computer screen, only simple anteroposterior and lateral radiographs of the wrist joint.
In fact, I should do an MRI.
Luo Yun was torn in his heart, but he didn't say it out loud. He was from the Department of Orthopedics, and now he was only attending. He couldn't point fingers at Zeng Yi, so he could only make use of the existing examination data and take what he had.
When Luo Yun saw it, he frowned fiercely!
Radiocarpal dislocation!
And the distal radioulnar joint is separated——
and.
Metacarpal and carpal joints 2 to 5 are also dislocated.
I looked at the fracture line again and saw that there was no fracture at all. What a rare case this is?
Those that can lead to dislocation of the radiocarpal joint are generally high-violence injuries, most of which are complicated by fractures, but this patient happened to have no fractures.
Moreover, the most common types of wrist dislocations, such as lunate and surrounding dislocations, did not appear.
Instead, the high energy was somehow transferred to the radioulnar and metacarpal joints——
As a result, easy-to-treat diagnoses such as fractures and common dislocations around the lunate have all been missed by patients, and instead they have ended up like this.
After reading, Luo Yun turned his head, his face squeezed into a chrysanthemum face, and hesitantly said: "Director Zeng, this wrist dislocation does not belong to the conventional wrist dislocation type II - the radiocarpal joint and intercarpal joint are dislocated.
"
Luo Yun did not embarrass Zeng Yi and listed for him some more categories of joint surgery that only joint surgery specialists would pay attention to.
For example, lunate dislocation, transscaphoid perilunate dislocation, transstyloid and scaphoid perilunate dislocation, volar perilunate dislocation, etc. are extremely difficult to pronounce.
"If I had to give this a name, it should be called atypical multiple wrist joints and metacarpal carpal joint dislocation."
"How willing are the patients and their families to undergo surgery?" Luo Yun simply gave up on performing manual reduction.
Hearing this, Zeng Yi frowned: "Can't this patient undergo manual reduction?"
"It's best to use manual repositioning to reposition her."
Zeng Yi secretly wondered whether Luo Yun had been secretly instructed by Cai Dongfan to disgust him. After all, he and Yan Haihan were also riding on Cai Dongfan's popularity.
Neither Zeng Yi nor Yan Haihan knew what Ding Changle and Cai Dongfan had said in private. Anyway, there was only one phone call.
So Zeng Yicai and Yan Haihan discussed how they could perform manual reduction of joint dislocation together. If there were any topics or articles, they could at least mention their names and express their attitude to Professor Ding Changle.
We can also provide the platform that Cai Dongfan can provide. Of course, as long as Professor Ding is willing, our entire Department of Orthopedics is willing to provide you with a larger platform.
That's what happened this morning.
"Director Zeng, this is hard to explain. How should I put it? Just like our conventional fracture classification, it can cover most fracture types, but there are also a very small number of special fractures that are not included in the conventional classification."
"This patient's dislocation is an extreme type. I guess it would be difficult to find the same reference even if I search the literature. This type is extremely, extremely rare."
"Originally, radiocarpal joint dislocation is an extremely rare high-energy injury, accounting for only 0.2% of all joint dislocations. Adding in the remaining dislocations, I estimate that we may not encounter such a coincidence in ten or twenty years."
Luo Yun's words were quite conservative and very cryptic.
But Zeng Yi's face was a little ugly, and the corners of his mouth squirmed and twitched, and he said: "So we happened to meet him?"
Such a coincidence?
"Yes. It's almost like this." Luo Yun also felt that this was really a coincidence. If this patient had a fracture, there would be no need to talk about it, just open reduction.
But there is no fracture, and there is no dislocation around the lunate, which proves that the ligament structure inside the wrist joint is actually okay. It is just an accidental shift and deviation, and there is no breakage or other conditions that need to be repaired. In principle,
It should be possible to reset it manually.
but?
Possibility is possible, theory is theory, it has never been done before or encountered before, so this is not a theoretical thing.
Zeng Yi's face was a little dark, so he called Li Changhong in private and said: "Changhong, Luo Yun has seen the film and said he would try to talk about surgery. We will wait for Director Wang to come and see the situation."
Well, please explain it to the patients and their families more."
"This dislocation is very unusual."
Li Changhong replied on the other end of the phone: "I have said it and explained it, but the patient's husband insisted that if it was unusual, why didn't he explain it clearly when he first came here? Is it because our doctors have confused him now?
Average?"
"Moreover, Director Zeng, this patient's family seems to have some problems. He is calling many people to ask questions. There are several calls, and they must be made to doctors in other hospitals. I don't know what the situation is."
"Are you sure? How does he know so many doctors?" Zeng Yi felt a bit nervous when he heard this.
"I don't know. If it's the health system, even if I don't know him, at least he looks familiar. I don't know where he comes from," Li Changhong said.
Suddenly someone whispered in his ear for a while, saying something Zeng Yi didn't hear clearly.
Li Changhong immediately walked away and said to Zeng Yi: "Director Zeng, I heard that this patient's husband works in the 120 emergency team. He seems to be the person in charge, not just the captain..."
"What a shame." Zeng Yi cursed.
I also heard the family members across the street shouting: "I came to you because I trust your No. 8 hospital. You can't fool our patients like this. We are here to treat patients, not to quarrel."
"My wife and I can understand that it is not easy for your doctor. Otherwise, we would not have agreed to your four operations. But now you tell me that I need surgery. I can't accept it for a while. You clearly evaluated it before and said it is OK."
Manual therapy…”
Zeng Yi hung up the phone and his expression darkened.
The other party has given enough face. It is estimated that the other party already knows how to report it and the relevant units to report these things to. However, the reason why he has not taken this step yet is that he still hopes to resolve the matter.
"Are you really helpless? How about you send the film to your teacher and let him take a look?" Zeng Yi touched his painful head and gave an immature suggestion.
Luo Yun closed his eyes and thought for three seconds, nodded and said, "Okay, Director Zeng, let me ask first."
He also heard the phone call just now. If there was something wrong with the first department of orthopedics, the second department of orthopedics was also connected. Although he hadn't bothered his teacher for a long time, he still had to disturb him when he should.
Luo Yun then said: "Director Zeng, I'm going to make a call first. I don't know if my teacher will answer the call."
Zeng Yi nodded, then suddenly glanced at Luo Yun, and then asked: "Luo Yun, didn't you study as a graduate student in Shashi?"
"No, I'm from Shashi. I came back to work." Luo Yun answered casually and walked out.
Zeng Yi temporarily forgot which hospital Luo Yun studied as a graduate student, but the matter of this patient was more important, so he didn't ask again.
About ten minutes later, Director Wang Yongjin came to the department and arrived at the office first.
But Luo Yun hasn't come back yet.
Wang Yongjin asked Zeng Yi again about his condition and watched the film at the same time. Zeng Yi introduced his condition while explaining what Luo Yungang said.
After Wang Yongjin read it, he scratched his hair and said: "In this case, if Director Liu is still in the hospital, he might try another reset method. Xiao Wang has already reset it four times!"
"I suggest we just talk about surgery directly. This kind of reduction is very rare. I have never seen it in all my years of doing it."
"Previous dislocation patients rarely came to the department."
Zeng Yi smiled bitterly and said, "Director Liu is almost ninety this year, so it's not appropriate to invite him to the department."
Director Liu is a generation of old directors, and he is also the only living person of that generation. No matter how courageous Zeng Yi was, he would not dare to bother him.
"Director Wang, thank you for your hard work. I'll go talk to the patient's family again." Zeng Yi didn't tell Wang Yongjin about the identity of the patient's family, so as not to upset him. Director Wang is retiring soon, so he should have a good rest.
That's the business.
Wang Yongjin said: "Don't rush now. Let's wait until Ronaldinho calls back before making a decision."
Just as Wang Yongjin was talking, Luo Yun walked in, scratching his head.
"How is it? Luo Yun, what did your teacher say?" Zeng Yi asked quickly.
Luo Yun struggled: "My teacher said that it can be done by resetting it! But my skill is not up yet."
"If the patient strongly refuses surgical treatment, it is recommended that we transfer to another hospital and stop touching the patient. Otherwise, ligament rupture and wrist osteoarthritis will easily occur."
"My teacher has only seen this situation once."
Zeng Yi's expression changed.
He smiled wryly and shrugged his shoulders: "This?"
"Huh!~"
"Director Wang, why don't you suggest transferring to another hospital, or asking a professor from the Department of Joint Surgery at the Shonan University Affiliated Hospital to come over for evaluation?" Zeng Yi threw away Luo Yun's straw and could only admit that he was unlucky and spent money to hire someone.
I came here for treatment.
Wang Yongjin nodded: "That's all we can do now, but I'm not very familiar with the young people at the Affiliated Hospital of Xiangnan University. Do you know anyone?"
"When I called, they were all elderly people. We asked people to come over to help. It would not be appropriate to transfer the call from people of the previous generation." Wang Yongjin explained.
"Yes, Director Wang, you can go and have a rest first! I will arrange the rest. It is our young people who are causing trouble for you today. Thank you for your hard work."
Wang Yongjin smiled and said: "As I get older, my body and bones are indeed not as strong as in previous years. But I can't help even though I'm here."
Wang Yongjin then called to ask for foreign aid again. Originally, he had thought about asking for foreign aid, but he would not do so until the people in the department were really desperate.
Spending money is one thing, but it is also inappropriate to always ask for external help from professors. It will make others think that your hospital has so many things going on? What kind of ghosts and monsters are they all? Can't handle anything?
…
At half past twelve, after Zeng Yi called, Luo Yun told Zeng Yi that he wanted to go to the department first to check on the situation.
There is only a young man like Zhou Cheng sitting in his department now, and he is not at ease.
Zeng Yi can also understand. Now both departments are treating patients with joint dislocation on a large scale on the first day. If this happened in the first department of orthopedics, the second department of orthopedics will naturally take a warning. Luo Yun must take good care of himself in the department.
Take on overall duty responsibility.
"Go ahead, be cautious. Don't let this happen again. Communicate more, check more, and get a clear diagnosis." Zeng Yiduo explained.
In fact, he felt a little bitter in his heart. He thought that Wang Yaoxiang in his department would not be weaker than Luo Yun.
After all, Wang Yaoxiang participated in the joint surgery competition for young doctors in the province and won an award, while Luo Yun was just a postgraduate student in joint surgery and had nothing to show for himself.
But now it seems that Wang Yaoxiang may be incomparable to Luo Yun.
…
"Teacher Luo." Du Ruiqi, from the Second Department of Orthopedics, was eating. When he saw Luo Yun, he immediately called out politely: "Have you eaten?"
Luo Yun saw a fast food box next to Du Ruiqi. The food was quite messy, but it looked like he had not finished it, so he asked: "I have eaten. Is the situation in the department okay? Where did Zhou Cheng go?"
"
Du Ruiqi quickly put the contents of his mouth into the feeding tube, and then wiped his mouth and replied: "The situation in the department is fine. There are two patients with closed fractures. There is no need to go on the stage."
"Brother Zhou Cheng went to the emergency surgery department for consultation. He was told that it was multiple combined trauma, similar to the situation in our orthopedics department. I was still having admission interviews with new patients at the time, so I asked Brother Zhou Cheng to go to the emergency department."
Du Ruiqi was a little nervous, fearing that Luo Yun would think he was lazy, so he would not go to the consultation or call the superior doctor in his team, but instead sent Zhou Cheng over.
According to the arrangements in the department, Zhou Cheng is only responsible for the manual reduction of joint dislocations and does not care about anything else.
Luo Yun smiled and said, "Don't be nervous. It's normal for you to help each other! You've all worked hard. You eat first. I'll go sit in the lounge. When Zhou Cheng comes back later, you let him rest.
Find me in the room."
Naturally, Luo Yun couldn't find trouble with Du Ruiqi. It was already quite difficult for a lower-level doctor.
"Okay, Teacher Luo." Du Ruiqi nodded repeatedly and breathed a sigh of relief when he saw Luo Yun walking out the door.
…
Li Changhong rushed to the emergency room with a headache at this moment. He felt that today was the unluckiest day of his life. Before the patients in the department could be treated well, a patient with multiple combined injuries and problems with his upper and lower limbs came to the emergency department.
, I had to call the doctor on duty at the Second Department of Orthopedics to go to the emergency consultation.
Today, the junior doctor in his own group is on duty, and Wang Yaoxiang should be there. However, as Wang Yaoxiang is the first doctor for the troublesome patient in the department, if he ran away and was not in front of the patient, it would be very easy to irritate the patient.
It's impossible to ask Zeng Yi, the senior director, to make a trip, so he can only go to the emergency consultation.
Li Changhong didn't know how long it had been since he went to an emergency clinic.
But before setting off, Li Changhong finally had time to take a break and smoke a cigarette.
Then I slowly rushed to the emergency department.
When I arrived at the first aid ward of the emergency department, there were many old acquaintances from the departments there, but they were all deputy chief physicians. After seeing the situation in their own departments, they scrambled to write consultation notes and at the same time greeted Li Changhong.
"Director Li!"
"Director Li."
"..."
There was surprise in his tone.
They are all employees of the Eighth Hospital, so they naturally know who the directors of each department are, and who are the deputy directors or attending doctors for emergency consultations. Today, it is quite rare that the chief physician Li Changhong actually comes for emergency consultations in person.
Li Changhong nodded casually, and then walked towards Zheng Guowei. Zheng Guowei was still indifferent in front of the computer, but when he saw Li Changhong, he stood up immediately.
He came over and took the initiative to accompany him and said: "Director Li, this patient suffered multiple combined injuries in a car accident. He is currently in a coma. He has requested consultation from the relevant departments of neurosurgery, thoracic surgery, gastrointestinal surgery, hepatobiliary and pancreatic surgery, and internal medicine."
"The orthopedic-related condition is the pelvis. There is a deformity in the ankle, and there is an open injury in the upper limb. Plain X-rays and CT scans showed that there is a fracture in the upper limb."
"The lower limbs are posterior dislocation of the hip joint and dislocation of the calcaneotalar joint."
"Someone from the Second Department of Orthopedics came and said that the lower limb could be solved by manual reduction. He went to get a plaster. For the upper limb, he said that a teacher from the First Department of Orthopedics would be invited for consultation."
Although Li Changhong is the director of the Department of Orthopedics, and he and Zheng Guowei are not the orthodox superiors and subordinates, they are still senior. Li Changhong may take over as the next chief director of the Department of Orthopedics. When the time comes, he will naturally come to explain the condition in person, leaving Liang Xueya to stay.
in front of the computer.
"Yeah! Matters in our department should be looked at by our department, so I don't blame him." Zeng Yi nodded, understanding that Zheng Guowei meant that the people in the Department of Orthopedics didn't want to look at the upper limbs.
But they were all orthopedic surgeons, and he also explained to Zheng Guowei that this was not because the junior orthopedic surgeon was ignorant or was trying to push the envelope.
"Then, Director Li, please come and see the patient and evaluate whether he needs to be sent to the operating room immediately to deal with the upper limb problem. After all, he is in a coma and it is an open fracture." Zheng Guowei did not continue to worry about anything else and asked Li Changhong to watch the film.
.
When Li Changhong was watching the movie, he looked up and saw Zhou Cheng, who seemed to be the one he had only seen in the department!
In front of many deputy directors of the emergency room, he unceremoniously opened the polymer material of the plaster and exposed it to the air. After measuring the length of the lower limbs, he trimmed and adjusted the curvature of both ends of the plaster.
After resting, he closed his eyes for a moment, then directly dragged the unconscious patient's thigh, making two clicks.
The posterior dislocation of the hip joint was directly restored.
Moreover, the clicking sound after the reset was successful attracted the attention of many doctors in the emergency room. They looked up and frowned.
Even Zheng Guowei scratched his head.
He whispered: "Director Li, the attending physician from the Second Department of Orthopedics didn't even come, only this resident doctor came. He said he wanted to reset it, and we're not good either."
While Zheng Guowei was watching, Li Changhong suddenly stretched out his hand.
Although Li Changhong hated it very much, he even felt that Zeng Yi was meddling in his own business when he performed the method of resetting joint dislocations in the department, which made his balls cramp.
But this does not prevent him from being the chief physician of the Department of Orthopedics, and he has a certain understanding of the manual reduction of joint dislocations in the Department of Orthopedics.
He does not have a background in joint surgery, so he may not have much exposure to manual reduction, but he still knows how to evaluate whether manual reduction is done well.
At this moment, the clicking sound produced by Zhou Cheng's reduction is definitely the sound of the femur hitting the acetabulum after the reduction is successful. It may sound a bit scary, but this sound is quite pleasant to the ears of orthopedic surgeons.
This proves that the reset is successful.
That's how it sounds.
Then the visible deformity of the posterior dislocation of the hip joint disappeared.
The patient was comatose and could not undergo a pain test, but if the deformity disappeared, it was almost certain that the reduction was successful.
Li Changhong stretched out his hand to interrupt Zheng Guowei's words, and then he had no intention of watching the film again, but continued to pay attention to Dr. Kozumi Pei from the Department of Orthopedics.
I saw him touching the hip joint with both hands after the reset was successful.
Li Changhong knew that Zhou Cheng was touching the hip joint to see if there was still a feeling of emptiness and the position of the greater trochanter of the femur. This was one of the palpation contents of the physical examination after the reduction was successful, which could support his diagnosis of successful reduction.
Targeted.
This resident training doctor seems not to be as reckless as he seems.
Immediately afterwards, Li Changhong saw that after the physical examination, Zhou Cheng came to the left calf of his left leg, held the back of the calf with his left hand, pinched the sole of his left foot with his right hand, and then used a rather vigorous force to
After the traction of the road.
chug!
Although there was no sound this time, Li Changhong saw with his own eyes that the muscles at the ankle bounced twice, which seemed to be one of the signs that could be assessed with the naked eye during reset.
However, Zhou Cheng did not put a plaster on the patient directly. Instead, he released his right hand and performed a physical examination on the ankle again.
Then he used his right hand to exert force and reversed the direction of the moment arm. Then, Zhou Cheng then plantar flexed the patient's foot to the extreme.
moment--
The protruding piece on the instep had disappeared.
After doing this, Zhou Cheng palpated again and felt satisfied, so he placed the polymer plaster under the affected limb and began to wrap the plaster around it.
Li Changhong's pupils shrank slightly and he stood up.
Then he looked at the time. Zhou Cheng reset the two parts. It took less than three minutes. Is it over now?
This is no joke.
Hearing about it is not as good as seeing it with your own eyes.
Hearing is false, but seeing is believing!
Does this Zhou Cheng really know how to perform manual reset?
Cai Dongfan and Luo Yun sent him to the Department of Orthopedics before, not for any other purpose, but simply to help?
The time of wrapping the plaster was about the same as the time of reduction, and then Zhou Cheng said to Liang Xueya: "Brother Liang, please remember to review the patient's pelvic plain film and oblique film of the left foot later, not the front and side of the left ankle joint.
Please don't open the wrong seat."
"I will write it down in the consultation and handling opinions later."
After the plaster was applied, Zhou Cheng explained this to Liang Xueya.
"Okay!" Liang Xueya knew Zhou Cheng, and naturally believed in Zhou Cheng's professionalism, so he immediately began to write medical orders. The specific time when they can be implemented depends on whether the patient's other symptoms are severe. If emergency surgery is needed, emergency surgery can be waited for.
Check again after finishing.
However, medical instructions must be kept in reserve for fear of forgetting.
Zhou Cheng waited on the side for teachers from the general surgery department to write consultation records.
He had only written down the initial diagnosis record before, but had not yet written the follow-up diagnosis record. Now that he had received treatment, he naturally had to write it down, including the physical examination results after the reset and the treatment suggestions for the follow-up examination, etc.
After Zheng Guowei read it, he smiled and said, "Director Li, the young doctor in your department looks a bit tigerish."
The lower limbs belong to the scope of the second department of orthopedics. The effect of treatment is not something that Zheng Guowei should consider. But he still feels that it is necessary to tell Li Changhong.
However, Li Changhong did not answer Zheng Guowei's words. Instead, he saw the deputy directors of other departments saw Zhou Cheng, the little tiger from the orthopedics department, waiting to write the consultation record, and immediately gave him the emergency medical record to write.
His expression was full of fear.
After all, this was a comatose patient. Zhou Cheng dared to perform a reset operation on him right here in the emergency operation room. It was really awesome.
Moreover, the operation only lasted for two or three minutes, and it was immediately over.
Nima’s massage will take half an hour to be effective?
Manual reduction of joint dislocation should be one of the surgical operations, right?
Where is the Xiaozhu Pei in the Department of Orthopedics?
This is simply a god from the Second Department of Bones. They don't know how the Second Department of Bones dared to release him.
Three minutes of seeing the patient, three minutes of reduction, and three minutes of putting on a plaster, a total of ten minutes.
Even assembly line operations would not dare to do this...
Can't afford to offend, can't afford to hide.
You are a god, let me come first.
However, Li Changhong did not reply to Zheng Guowei at all. He only stood up and said, "Director Zheng, this patient must be sent to the operating room. After you arrange the operation here, we can go to the operating room for emergency surgery at any time."
"Based on the current situation, the main cause of blood loss in the patient's coma or shock cannot be an open fracture in our orthopedics department. The patient's gauze has little peripheral bleeding, so it must be visceral damage."
"We only need to perform debridement and external fixation during the operation depending on the situation."
"I will write the consultation notes later."
After saying that, Li Changhong walked towards Zhou Cheng who was writing the consultation notes.
When Zheng Guowei saw Li Changhong explain something casually, he walked towards Zhou Cheng. His heart twitched, and he stretched out his hand and said, "Hey, Director Li."
"I've finished reading it." Li Changhong had no intention of listening to Zheng Guowei's nonsense. He had to find time to talk to Zhou Cheng quickly.
There are still a lot of difficult things waiting for him in his ward. Maybe calling Zhou Cheng over and treating a dead horse like a living horse can help him?
When Li Changhong arrived, the other deputy chief physicians backed down one after another. Even Zhou Cheng quickly stopped writing, handed the emergency medical record to Li Changhong, and said, "Here, Director Li, you write first."
This is the status of the chief physician.
Li Changhong took it over unceremoniously, and while writing down the consultation opinions, he said casually: "Xiao Zhou, please don't go back to the ward for a while. Follow me to the Department of Orthopedics."
"Ah~?" Zhou Cheng was startled, raised his head, and looked at Li Changhong's expression. It didn't look like he was joking.
Li Changhong also looked up at Zhou Cheng and asked, "Don't you have time? Then go and do your work."
Zhou Cheng quickly waved his hand: "Yes, yes, Director Li."