Chapter 111: Going Around and Turning the Magic Stick
Chapter 111 Going around in circles, the magic stick appears! (Second update, please subscribe!)
"Director Zheng, my consultation opinions are written here. Our orthopedics department is going to take the stage!"
"If there is an emergency operation in other departments, please call our orthopedics department during the operation."
"If other departments feel that emergency surgery is not necessary, they can also call our orthopedics department, and I will immediately arrange for someone to come down and talk to the patient and family members." Li Changhong explained to Zheng Guowei.
Zhou Cheng stood aside, listening to something moving in his heart.
Li Changhong is worthy of being the chief physician, and his ability to push the envelope is top-notch.
Even if you are in a hurry and want to leave, let's make it clear first that our orthopedics department needs emergency surgery.
This vocabulary is still worth learning.
Of course, if I want to say this, I definitely can't be as straightforward as Li Changhong.
Zheng Guowei nodded and replied: "Okay, Director Li. I will call you later."
Li Changhong then took Zhou Cheng out of the emergency department, and explained to Zhou Cheng along the way: "Xiao Zhou, don't take what happened this morning seriously."
Zhou Cheng quickly replied: "Director Li, no."
Although Li Changhong was quite conflicted at the moment, he still spoke out first.
"Our department received a patient with wrist dislocation this morning. It was a bit complicated, and the patient's family members were also quite confused."
"Director Wang is here, but there is no better way. He suggested surgery, but the patient and his family members disagree. I dare not let you see it rashly."
"Luo Yun also came to see it and found it very difficult."
"I'm going to take you to the bone surgery department now. Just watch and talk as little as possible. If you think there's anything you can do to help, please report it to me or Luo Yun first."
Zhou Cheng knew that Li Changhong was looking for a fair excuse for what happened in the morning.
He nodded and replied: "I know, Director Li, I will definitely not talk nonsense."
In fact, he can really understand Li Changhong's thoughts.
In front of Li Changhong, a novice like Zhou Cheng was no better than a layman like Zhou Cheng who had never studied medicine.
If a patient who cannot be treated by himself suddenly comes to ask if a family member wants his help, Zhou Cheng would not believe it.
It is certainly reasonable to not believe it, and Zhou Cheng can understand it.
Naturally, I won't force myself to bite the bullet and say I'm asking for trouble, then turn around and leave.
He is not Cai Dongfan. If you don’t believe me, I can still say something back.
"Yeah." Li Changhong looked at Zhou Cheng and smiled bitterly, feeling that his current behavior was a bit funny.
Zhou Cheng was taken away an hour ago, and now he is called to the ward.
It’s also a bit of a slap in the face, but there’s nothing I can do except treat a dead horse as a live doctor.
At least, one thing Li Changhong can be sure of now is that Zhou Cheng was not sent by Cai Dongfan to cause trouble or deliberately insult people. Zhou Cheng really knows how to reset joint dislocations.
One more person means at least one more effort.
As for whether it can really help, don't worry so much.
"Thank you for your hard work." Li Changhong said politely to Zhou Cheng and stopped talking. As the chief physician, he actually couldn't lose too much face, and of course he didn't expect too much from Zhou Cheng.
Zhou Cheng followed Li Changhong obediently all the way to the department.
Everyone in the ward also dispersed.
However, Li Changhong still saw the patient's family members walking around and making phone calls, and he didn't know whether they were reporting or asking acquaintances.
However, even Wang Yaoxiang, who was in his own group, left the ward, probably because Director Zeng called for foreign aid, which temporarily calmed the mood of the patient's family.
Hunan Province is so big, and the top medical treatment is in the Shonan University Affiliated Hospital and the Second Hospital. The Eighth Hospital has already thought of a way. Even if he is unwilling to give up, I am afraid he can only place his hope in the invited professors.
Otherwise, the only option is surgery.
Or in order to avoid an operation, would you deliberately go to Magic City and Kyoto?
Not to mention whether it is cost-effective or not, it is really unnecessary to go through such trouble.
When he came to the office, Li Changhong found that Director Wang Yongjin had left, and Zeng Yi was still sitting in front of the computer, looking at the patient's film with a sad face.
On the side, Wang Yaoxiang stood with him.
Zeng Yi asked in a gloomy tone: "Wang Yaoxiang, did you ever carefully read the films when you were seeing patients?"
"Is this a simple Type II wrist dislocation?"
When Wang Yaoxiang heard this, he gritted his teeth and replied with a very ugly face: "Director Zeng, I must have looked carefully. In the classification of joint surgery, this is type II. I also confirmed it again later."
"But Luo Yun said that this is an extremely rare dislocation of the radiocarpal joint and separation of the radioulnar joint."
"Dislocation of the 2nd to 5th metacarpal joints."
"Did you see it wrong? Or was he deliberately showing off?"
Ga?
Wang Yaoxiang's head was shut down at that time. Director Zeng, why are you here waiting for me to dig a hole for me?
Since Luo Yun has told you, how can you return it?
Wang Yaoxiang did not reply, but lowered his head slightly.
"Director Zeng, this is me."
"Maybe what Luo Yun said is right." Wang Yaoxiang has also been a graduate student for 10 years, but he is a pure graduate student in trauma surgery. His understanding of joint surgery is really limited. It will definitely be difficult to deal with colleagues and patients in trauma surgery.
More than enough.
But Wang Yaoxiang really didn't dare to say that Luo Yun, a specialist in joint surgery, made a wrong diagnosis.
Clinical principles are reasonable, and each subspecialty has its own rigorous knowledge system. The subspecialty of joint surgery is very deep, and what he understands is just the tip of the iceberg.
Dare you speak nonsense?
If you dare to speak nonsense, you will be scolded. Luo Yun is not good at it. Even if Teacher Luo Yun is not here, there will naturally be people who understand joint surgery in Hunan Province.
Zeng Yi snorted and said: "It seems that Wang Yaoxiang, your honorary certificate in joint surgery can only live in your circle of friends."
"Yeah!~"
"Alas!" Zeng Yi sighed.
Wang Yaoxiang was from his department, not his group. Originally, Zeng Yi thought that Wang Yaoxiang was an enterprising person. He was polite and well-mannered. He also had many friends in the industry and was knowledgeable about all aspects of orthopedics.
I know a lot about it and brought back many awards to the department.
Even the hospital gave Wang Yaoxiang an award as one of the top ten outstanding young doctors. He can be said to be the most respectable person among the younger generation in the Eighth Hospital.
How could Zeng Yi have so much time to worry about where the awards Wang Yaoxiang received came from?
Anyway, this time I felt that there was someone who knew joint surgery in my department, so I naturally wanted to share the benefits of Cai Dongfan.
Unexpectedly, as soon as he left, he would be treated like this by Wang Yaoxiang!
Wang Yaoxiang lowered his head, feeling a little regretful, feeling that he shouldn't brag so much in the department——
Because in the last initial interview for the newly recruited regular employees in the department, Zeng Yi and Li Changhong treated Peng Wang Yaoxiang as a typical senior in the department, allowing the newcomers to learn from him.
Wang Yaoxiang said this when sharing his experience at the interview.
After graduation, unlike when you are studying for a master's degree or a doctorate, you need to increase your knowledge. You should no longer be limited to the major and direction of your tutor, but should be knowledgeable and knowledgeable.
Joint surgery, trauma surgery, sports medicine, hand surgery, all aspects need to be covered.
As a result, Wang Yaoxiang's first side collapsed.
Seeing Wang Yaoxiang being trained, Li Changhong's expression changed for a while, and he took the initiative to help Wang Yaoxiang: "Director Zeng, Xiao Wang hasn't touched joint surgery for a long time, so his hands are rusty. I can't blame him entirely."
"However, I will definitely criticize him severely and make him calm down. He will do more and talk less in the future."
Zeng Yi glanced at Li Changhong and said meaningfully: "Changhong, do you think this is just a matter of hand or not?"
"Forget it, that's all. That's how things are."
"Let's wait until Professor Wu from the Second Hospital arrives. I just sent the film to Professor Wu and explained the situation. He said he would look at the film first and then evaluate whether manual reduction can be performed."
"And he has another surgery. He can only come back after the surgery." Zeng Yi rubbed his eyes a little tiredly.
He failed to catch the geese, but got pecked in the eye by the geese.
What I’m talking about is Zeng Yi now.
Li Changhong chirped twice and whispered: "I have no choice but to wait for Professor Wu to come and then think of a solution."
Then he asked Wang Yaoxiang: "Has the explanation been clear to the patient and family members?"
Wang Yaoxiang said hurriedly: "Explain clearly. The patient himself knows Professor Wu from the Second Affiliated Hospital of Shonan University. He asked him to come, so he didn't say anything more."
"Director Zeng, you should go and take a rest first. Wang Yaoxiang and I will stay here. When Professor Wu arrives, I will inform you that you have worked hard today, Director Zeng." Li Changhong hurriedly said to Zeng Yi.
"Okay." Zeng Yi also felt a little tired, but it wasn't that he was physically tired, but that he was mentally tired.
He estimated that Cai Dongfan and Yan Haihan must be secretly watching his jokes.
But there is nothing we can do about it.
Li Changhong then sat down in front of the computer and started to look at the patient's films. He frowned and blinked. He felt a little baffled. He could see the dislocation, but he couldn't see the reason why it couldn't be reset so accurately.
After Zeng Yi left, Wang Yaoxiang dared to find a stool and sit down, wiping the sweat on his forehead with the back of his right hand.
His expression was tangled and uncertain for a while.
The doctor on duty today, Xiao Guipei, a member of Li Changhong's group, shrank nervously in front of the computer, looking at the medical records carefully, not daring to be lazy and go to the rest room to rest.
Although even the punctuation marks of the patients in his charge have been changed meticulously, they still dare not leave or even dare to take a breath. I just hope that a new patient will come at this time, let him accept it, and save him from dire straits.
.
When Zhou Chengcai had time, he took the opportunity to stand behind Li Changhong and glanced at the patient's X-ray.
In addition, I had already heard what Zeng Yizi asked Wang Yaoxiang, so I quickly confirmed the patient's diagnosis.
He frowned slightly and smiled bitterly in his heart. He didn't know whether to say that Director Zeng Yi and the others were lucky? Or not.
It's so rare, the chance of being encountered by them is one in 100,000. To be honest, they still encountered it.
This patient's manual reduction was much rarer and more difficult than the difficult-to-restore shoulder joint that Yan Haihan's group encountered the day before yesterday.
After scanning and making a general assessment, Zhou Cheng felt confident.
However, at this moment, Li Changhong's and Zhou Cheng's phones rang at the same time.
Li Changhong's call came from Zheng Guowei from the emergency department, saying that the patient he had just seen had been dragged to the operating room by the hepatobiliary surgery department. The patient had liver rupture, and the possibility of splenic rupture could not be ruled out.
Li Changhong said he understood, and immediately ordered Wang Yaoxiang to go talk and sign.
Wang Yaoxiang suddenly felt as if he had been granted amnesty and walked quickly out of the office.
After Li Changhong saw Wang Yaoxiang leaving, he cursed in a low voice: "Damn, you're a pretty good braggart."
"When you do things, they don't even look like one egg."
The sound was so low that Wang Yaoxiang could not hear it, but Zhou Cheng and the doctor on duty must have heard it.
The call Zhou Cheng received was from Luo Yun.
After Zhou Cheng hung up the phone, he apologized to Li Changhong: "Director Li, there is a patient in the ward upstairs. Teacher Luo asked me to observe and learn. Do you think?"
Li Changhong is here and Zeng Yi is here, so it is not Zhou Cheng's turn to make the decision for this patient in the Department of Orthopedics.
Even though Li Changhong had called him to the department, Zhou Cheng didn't want to cause more trouble to him.
It was impossible for Li Changhong and Zeng Yi to believe what had happened in the morning. Talking too much would be humiliating themselves. Zhou Cheng was not that mean.
Li Changhong glanced at Zhou Cheng and said, "Go ahead. When I call Luo Yun later, you can come down together."
"Professor Wu from the Department of Joint Surgery at the Second Affiliated Hospital of Xiangnan University. Although he is young, his strength has already surpassed his current associate professor title and he is quite famous in the industry. This is a good learning opportunity."
Li Changhong suddenly felt something in his heart. He was really in pain just now. Why did he want to drag Zhou Cheng to the department and treat a dead horse as a living horse doctor?
However, seeing that Zhou Cheng has certain skills in the manual reduction of joint dislocations, I don't mind being an extra favor and letting Zhou Cheng learn from it later.
"Thank you, Director Li."
"Then I'll go up first." Zhou Cheng said goodbye to Li Changhong.
…
After returning to the second ward, Du Ruiqi immediately said: "Brother Zhou Cheng, you go to eat first, otherwise the food will be cold."
"A patient has just arrived. Teacher Luo has just seen this patient and said that he can undergo manual reduction."
"It will take some time for me to talk to the patient and family members and sign the names, and prepare the plaster."
Zhou Cheng nodded politely and replied: "Okay! I'm not full yet, my stomach is still a little empty."
Just halfway through eating, Du Ruiqi was having a conversation at the hospital. It was impossible to leave the patient in the middle and go to the emergency consultation. Zhou Cheng could only go to the emergency consultation or call the superior doctor.
"Remember to make it clear to the patient and family that surgery may be necessary."
"Say this sentence several times."
Zhou Cheng mentioned it intentionally or unintentionally.
Although I haven't seen the patient's film,...
Because of the incident in the Department of Orthopedics, Zhou Cheng also had a few more thoughts. Telling patients more about surgery would dispel their psychological expectations about the reduction technique. Even if he had a perfect-redefining level of fracture reduction technique,
There is no guarantee that it can be applied to all fractures.
Medicine is a science, and it is also a life science.
The existence of life in nature is itself an extremely brilliant accident.
Naturally, there is no one who is 100% sure of this statement. In fact, as Zhou Cheng learned, there are more types of fractures that cannot be reduced by manual reduction than types of fractures that are suitable for manual reduction.
"I know, Brother Zhou Cheng and Teacher Luo have told me everything." Du Ruiqi replied with a smile on his face.
But I was sighing in my heart. Luo Yun also had to intervene in the fracture patients in our group, and he didn’t know how to explain it to Director Hu Ming.
Forget it, one more thing is worse than one less thing. After all, Luo Yun is also a superior in the department. Telling this matter to Director Hu will cause unnecessary disputes, so why bother?
Calling Zheng Xuan to come to the department would cause Luo Yun's displeasure. Whatever choice he made, he would just leave it to Luo Yun.
If they know, Luo Yun ordered me to do this.
…
About half an hour later.
Du Ruiqi stared at the review film after fracture reduction on the computer screen, and kept rubbing his eyes.
Then from time to time he glanced back and forth in the direction where Luo Yun led Zhou Cheng away.
I don't feel good at all.
Then the patient's fracture radiographs from the preoperative examination were opened and compared.
He immediately grabbed his head with both hands to express his shock.
He murmured in a low voice: "This?"
"How is this possible?"
"How can such a fracture be reduced manually and end up like this?"
"Can Director Hu Ming do this?"
"Absolutely impossible. When I was a graduate student, I never heard anyone say that the fracture line could be converged so beautifully through manual reduction."
"Isn't this a plain radiograph after anatomic reduction achieved by open reduction?"
"If Director Hu could handle such a situation, Director Yan would never dare to say that manual reduction of fractures is not allowed in the department."
"This Zhou Cheng? Who is he?"
Du Ruiqi couldn't figure it out and couldn't understand it.
Zhou Cheng is not a graduate student, let alone a doctor in this hospital. He was even ordinary before. Why, as soon as the news of his stay in the hospital came out, he seemed to have suddenly changed into a different person, and suddenly ascended to heaven and became a god.
Durich always has a feeling.
That was the time when I looked at Zhou Cheng with almost ignoring Zhou Cheng, and even felt that he was a little dazed.
I'm afraid Zhou Cheng has always looked at him this way.
A strong enemy.
Oh no, this guy is no longer an enemy.
It's die.
…
In the director's office, Yan Haihan left the operating room. Hu Ming and Cai Dongfan were not there, and it was already afternoon, so Luo Yun could come and go freely.
After entering, he sat down at Cai Dongfan's seat, then looked at Zhou Cheng and said with a raised corner of his mouth: "Not bad, Xiao Zhou."
"Tell me the truth, how did you reset the fracture?"
"How did you learn it? It seems to me that it is inherited."
When Luo Yun was inspecting the ward and looking at the plain radiographs of the fracture reduction techniques that he had assembled before, he had actually noticed that Zhou Cheng's reduction techniques were different from those of ordinary people. He was a bit too cool.
If it is said that Zhou Cheng figured it out himself, that would be a bit scary and unjustifiable...
"Teacher Luo, just those videos that can be found on Baidu."
"Teacher Luo, you must have noticed that there is nothing special about my technique. I can find the original video for you." Zhou Cheng insisted.
Needless to say, his redefined fracture reduction technique is naturally inherited. He has learned from all over the world and spent decades or even hundreds of years to reach such a situation, which should not have appeared in this world.
.
But Zhou Cheng can only say this.
Indecision, quantum mechanics.
Although he couldn't joke with Luo Yun like this, Zhou Cheng had already thought of an excuse.
Because Zhou Cheng's technique for resetting mainly relies on his experience and understanding. The operation is not that advanced, nor is it a secret recipe. It mainly relies on feel. After all, it has been accumulated over decades and hundreds of years.
As for any secret technique, there really is no such thing.
The corner of Luo Yun's mouth twitched——
"If you don't tell me, forget it. I'm not interested in watching."
"Really not, Teacher Luo, it's not that I don't want to say it."
"How about I go home and package these collected videos and send them to you, and you can verify them?" Zhou Cheng vowed, with a frank look on his face.
The main reason is that the fracture type of the patient just now is very conventional, it is an ordinary type, simple long bone fracture, type A1.2.
There was no crushing, little displacement, and the angle of the fracture line was also very blunt. To be honest, for Zhou Cheng, the operation was just like playing house, with no difficulty.
It doesn't make much sense either.
It wasn't a special type of fracture, so Zhou Cheng could naturally find a lot of instructional videos online.
Now is the digital age. As long as you are willing to spend time and energy to search, there are many free resources. Zhou Cheng has not only collected teaching videos on manual reduction, but also on teaching videos on fractures, joint replacement and other surgeries.
.
Just wait until you learn it yourself and someone else comes to ask.
And now my computer is probably still downloading and playing these videos.
Zhou Cheng also wanted to carefully consider this. Maybe the Internet is inescapable, but the Internet can never tell whether people are watching it when I play it, right?
This is mainly just in case...
Then you can’t criticize me for my strong learning ability, right?
There are so many geniuses in the world, why can't there be one more like me, Zhou Cheng? Anyway, after playing it, it will be played on a loop.
Prudence and prudentness have always been the principles that Zhou Cheng upholds in his heart. He was very prudent in doing things before and did not cause trouble to Luo Yun and Cai Dongfan.
This is still the case now. If others believe in him, he will do whatever he can and perform whatever he can.
If you don't believe it, then give up. Anyway, if Zhou Cheng does less work, he will not lose any meat. And he is young and can afford to wait.
The best thing to do is to endure it. It can last for ten years. Zhou Cheng doesn't mind.
Steady people are the ones who can best endure temper and loneliness.
Luo Yun suddenly raised the corner of his mouth and said, "Send me a teaching video. This is unnecessary."
"Please tell me your email address later and I will send you some."
"Didn't you say you were watching the instructional video?"
Zhou Cheng was startled when he heard this, then immediately smiled and handed over his hands: "Thank you, Teacher Luo."
"Let's not talk about this anymore, have you seen the joint dislocation in the Department of Orthopedics?" Luo Yun suddenly asked.
Because when I called Zhou Cheng before, Zhou Cheng said that he was in the Department of Orthopedics.
Zhou Cheng nodded: "Look, Teacher Luo."
"Can it be done?" Luo Yun asked calmly.
Zhou Cheng thought carefully and finally decided to confess to Luo Yun.
Luo Yun and Cai Dongfan are his own people, they are kind to him, and they are the ones who discovered him the most. As long as he does not actively seek death, or does things beyond his ability, and gives them a little insight, then
There's no harm in it.
"Almost. I can't say I'm sure, but I can give it a try." Zhou Cheng still left himself some room.
"You said the same thing last time." Luo Yun said meaningfully.
Zhou Cheng replied with a silly smile.
"Don't think about it, I've already asked for a consultation. However, our department may also need to perform manual repositioning of the upper limbs later."
"Don't let me off the hook." Luo Yun confessed with a smile.
"Don't worry, Teacher Luo, I will definitely give you more reports." Zhou Cheng had an obedient expression and tone, lowered his head slightly, and was particularly sincere.
When Luo Yun heard this, his smile froze and he scratched the ground hard with his ten toes.
He said calmly: "Report to Director Cai."
Luo Yun could only sell Cai Dongfan.
"good!"
"Go and take a rest."
"good."
…
After Zhou Cheng left the director's office, Luo Yun cursed for a while: "What a fool, you are joking with me here."
"You can't do the manual reduction of joint dislocation, and you are throwing it at me? Isn't this deliberately embarrassing me?"
"Fortunately, I called the teacher in advance, otherwise I might have accepted it."
Immediately afterwards, Luo Yun fell into deep thought again, talking to himself with a rather troubled expression——
The teacher said that such a reset technique would require at least an expert to do it. If I stayed for ten more years, I would be able to practice kung fu!
Zhou Cheng actually said that he would do it?
real or fake?
It's a pity that in the few years since I went to the teacher's place, the teacher no longer performs minor surgeries such as joint replacement, let alone manual reduction.
I only had the opportunity to learn the extremely complicated joint revision from the teacher——
There is no time to make up for these basic things. Now there is not even a joint replacement in the department, let alone a revision.
But I'm still a professional joint surgeon -
well!
Didn’t get a doctorate——
Several affiliated hospitals of Shonan University are inaccessible——
You can't see such a patient——
Mom is still sick and needs someone to take care of her, and the medical expenses are so much every month——
Don’t dare to get married——
Now I am actually being held back by a small student who has trained me in these basic aspects.
I feel a little timid, and I don’t know if my brothers and sisters will laugh at me if they find out.
I just made a phone call, and the teacher asked me if I could go to study, when, and if I could arrange work on the way.
Just my mother, can she withstand the torment of being transferred to another hospital?
If I go alone, the money I earn is enough——
By hiring a nanny, does that count as my filial piety?
My father died too early.
I am not very close to my relatives there, but will my uncle and my surviving grandmother allow me to take my mother to the Magic City?
The reason why Luo Yun occasionally performs manual reduction of joint dislocation in the department is to remind Cai Dongfan.
Can you not forget that the Department of Orthopedics is also known as joint surgery?
Looking for some osteoarthritis patients to come in?
You can also make more money by the way.
Advanced gastric cancer with multiple metastases.
Mom, how could you forget to eat when you were at work?
Luo Yun's eyes suddenly felt a little bitter.
…
13:41!
Orthopedics ward 1.
When Zeng Yi told Li Changhong with a gloomy look, Professor Wu said he was not sure and couldn't do it.
Li Changhong stood up at that time and said in shock: "What? Professor Wu can't even do it?"
Zeng Yi nodded and said helplessly: "Yes. Professor Wu also said that he also asked their director, and their director said that the best option is surgery."
"It is extremely risky to do manual reduction, and we have already done four reductions. There may be concurrent injuries."
"He also called the patient's family. The family members seem to be more emotionally unstable now and find it even more unacceptable."
Li Changhong's tone was even more exciting: "Can't even Professor Li do it?"
Professor Li is the director of the Department of Joint Surgery at the Second Affiliated Hospital of Shonan University, and is currently the administrative director of the Department of Orthopedics at the Second Affiliated Hospital of Shonan University. He is currently a figure who holds the same position as the director of the Department of Joint Surgery at the Second Affiliated Hospital of Shonan University.
Because both of them have a background in joint surgery and are both administrative directors of the Department of Orthopedics. Moreover, one is the vice president and the other is the president. Do you think there is a strong relationship between the two?
It almost broke apart.
Zeng Yi picked at his scalp and almost made it look bald.
Said: "Li Changhong, I think we still need to pay attention to evaluating the abilities of junior doctors from time to time, and don't take medals and stories told seriously."
"Wang Yaoxiang dragged this patient who both Professor Wu and Professor Li thought was extremely difficult to reset. If I were the patient's family member, I would find it difficult to accept this."
"If you can't do something, do it. This is not a question of ability. This is called misdiagnosis!"
Li Changhong's expression became uncertain, and he lowered his voice and said, "Director Zeng, Wang Yaoxiang belongs to Director Wang after all."
"Although Director Wang has retired and is not his biological son, he is still in the department. Why should I say anything? You also know this."
"Besides, I actually said this morning that our department has not dealt with joint dislocation patients for many years. This is not true." Li Changhong immediately began to shirk the blame.
Damn it, you can't put a shit basin on my head, Director Zeng, it's obviously you who said that we need to do the joint dislocation technique in the department, I told you that it's hard to do it, but it's you who insists on it
Do it.
Now that Wang Yaoxiang, who knows the most about joint surgery in our group, has caused trouble, you blame me???
Can I agree?
Zeng Yi's face immediately darkened.
He looked at Li Changhong and said: "Director Li, I am not trying to tell you who is responsible. I am telling you that you need to recognize the person."
"Did I say it was your responsibility?"
But in my heart, I was already shaking my head at Li Changhong. You only know who bears the responsibility, right?
"Li Changhong, do you think your people will want me to take your pulse in the future? Ah?"
"Am I responsible for everything in the entire department by myself?" After Zeng Yi finished speaking, he turned and left the office and rushed directly to the ward.
Apparently he was a little disappointed with Li Changhong.
Li Changhong looked confused for a while, then he immediately chased after Zeng Yi and stopped Zeng Yi at the door: "Director Zeng, you misunderstood me."
"Let's not talk about this matter."
"I'll communicate with the patient later and find a solution." Zeng Yi just said, taking everything down.
While rubbing his head, he walked to the office of the director of the Department of Orthopedics, presumably to organize his speech.
Li Changhong looked at Zeng Yi's back and felt a little regretful. He regretted what he just said, which was a bit too much.
If I want to become the next chief director of the Department of Orthopedics, I must have Zeng Yi's support, because Director Wang will definitely not have any objections. He can't fail to see how much I value Wang Yaoxiang.
If the first department of orthopedics cannot reach a consensus, then the position of chief director will inevitably be given to the person from the second department of orthopedics.
Maybe what happened today made Zeng Yi a little unhappy.
After patting his head, Li Changhong turned around and called Cai Dongfan again to discuss countermeasures...
Around 13:55.
Zeng Yi finally decided to confess to the patient. The reason why he waited for a while was to give the patient's family a buffer and time to calm down. By the way, Zeng Yi felt that Professor Wu might also explain a few words to the patient's family.
It would be best if he talks about it again.
However, just as Zeng Yi went out, he saw Luo Yun leading Zhou Cheng down. After Luo Yun saw Zeng Yi, he lowered his voice and spoke in Zeng Yi's ear for a while.
Zeng Yi's expression immediately changed: "Luo Yun, is this not a joke?"
Luo Yun then said bluntly: "Director Zeng, of course this is not a joke. It is most appropriate to talk to the patient now. If the surgical reduction is done under brachial plexus block anesthesia, it will just be more anesthesia."
"For them, avoiding surgery can also explain the fact that there was no anesthesia, so the reduction was difficult."
"Even if the reduction is not successful, it is just one more attempt. Explain to the patient's family that there is nothing we can do in the end and we can only perform surgical reduction."
"That makes sense! What do you think?"
Hearing this, Zeng Yi looked at Zhou Cheng behind Luo Yun. Zhou Cheng was looking here and there in the Department of Orthopedics, looking very casual. No matter how he looked at it, he didn't look like he was the last one to die.
People who treat horses as living horses.
Moreover, Zhou Cheng was the first person to come to the Department of Orthopedics and was sent back by him.
This whole thing has gone round and round, is it going to end up with this young man again?
"Oh, it's up to you."
"I'm going to communicate with the patient first. There are some things that should be recognized." Zeng Yi smiled bitterly for a while before going to the ward.
…
The process of Zeng Yi's conversation turned out to be surprisingly smooth.
Mainly because of Professor Wu's mediation. Although there were many acquaintances with the patient's family members, Professor Wu was also the person he knew who had the best understanding of joint surgery. Professor Wu even said that there was no way to restore it manually.
What can we do without surgery?
But Professor Wu also said that this operation is not big, and the Eighth Hospital can definitely handle it, without the hassle of transferring to other hospitals. Early reset and early surgery are good for the patient.
As for the manual reduction that has been done before, isn't this also an attempt? It's just that the chance is slim, and too much reduction will not increase the success rate.
This can only agree to the operation. It cannot be said that because of misdiagnosis and multiple reductions, it will not be cured.
The patient is his wife, and the pain is still on her body. As for whether he will report it later or whether he will sue the orthopedics department, that is another matter later.
…
14:28!
Because of Zeng Yi's relationship, Zeng Yi from the anesthesiology department came to administer the anesthesia himself.
Moreover, as soon as the patient enters the operating room, he is treated like a VIP. Zeng Yi has prepared all the preoperative medicines in the operating room in advance, and is also prepared to waive the anesthesia fee.
There is no way, although the relationship with Zeng Yi is not as close as in the same hall, but now we are the chief directors of the same department, and we still have this kind of relationship.
Taking care of each other is a must.
Even Wang Yaoxiang was not allowed to go on stage. Zeng Yi planned to perform the surgery himself, with Li Changhong as an assistant. Moreover, because of Luo Yun's suggestion, Cai Dongfan also came to the operating room, ready to apologize to Zeng Yi and others at any time, and at the same time to give Luo Yun face.
The lineup of this surgery is quite luxurious.
The three chief doctors came to the stage at the same time, which was really quite serious.
The nurse also prepared two instruments.
The patrol also shouted, two of them.
After everything was ready, after the anesthesia was given, I did a X-ray first.
After everyone watched the preoperative X-rays, they found that the patient was lying on the operating table, sobbing softly, and seemed to feel a little aggrieved.
When someone came in, she wiped the tears from her eyes with her right hand and said with a smile: "Boss, Director Zeng, thank you for your hard work. Please do a good job for my surgery. I just didn't expect that I still couldn't escape this..."
Operation……"
Zeng Yi and Zeng Yi both had expressions on their faces, but they could only sigh slightly.
Said: "We will definitely try our best."
Luo Yun stepped forward very resolutely and patted Zhou Cheng without saying a word, but the meaning was obvious.
Would you like to try again one last time?
Can't start the show.
Zhou Cheng was also slightly disturbed by the patient's sobbing and did not dare to go up directly.
Instead, he retreated to the C arm again, once again determined the dislocation situation in the plain radiograph, walked in again, nodded to Luo Yun, and did not speak.
It was only when he arrived at the operating table that he explained to Luo Yun: "Teacher Luo, I need you to do anti-traction at the elbow joint, and then divide the node on the front third of the forearm, about 4cm closer to the proximal transverse crease.
Do counter-traction.”
"Okay!" Luo Yun nodded, only following Zhou Cheng's orders.
Zhou Cheng immediately took out two pairs of surgical gloves, handed one to Luo Yun, and put it on himself.
Seeing that Luo Yun had already done a good job of traction on the elbow joint, he didn't hesitate any longer!
Hold the patient's left hand firmly with both hands and pull it. At the same time, pinch the lower radioulnar joint with the thumbs of both hands.
Then only a slight 'click' was heard.
The distal radioulnar joint was successfully reduced.
Everyone in the operating room looked shocked, and their expressions became exciting——
My whole body seemed to be filled with lead, I couldn't move, my mouth was open, like a nestling waiting to be fed, but in fact it was already an old bird...
Luo Yun was also shocked for a moment, but Zhou Cheng looked up at him.
He scolded in a low voice: "Don't give up!"
It's a scolding, not a suggestion, and it's not an opening.
Luo Yun hurriedly continued to pull him back with his hands upright.
Zhou Cheng turned the patient's hand from palm to the ground, and then pulled it slightly.
There was another "click!" sound.
Everyone's nerves suddenly went numb.
Then he added: "The first third of the forearm."
Luo Yun quickly did it again.
Zhou Cheng flexed the patient's hand slightly, rubbed his thumb near the bones at the metacarpal joint for a while, and then made a few softer snaps again, which were slightly softer than before.
Zhou Cheng signaled to Luo Yun that he could unload his strength, and then he closed his eyes slightly, and the thumbs of his left and right hands were like two feet walking around the back and wrist of the patient's left hand, a bit like a magic stick...
A 20,000-word update is here, with a lot of foreshadowing, and almost another character has been written!
There is also a hole buried. Why is it that only Luo Yun performs manual reduction of joint dislocation? There must be a reason. There are many such holes, and I will bury them one by one.
The characters who have been labeled will not be weak.
This will make it look good. Please subscribe!
The author did not deliberately develop the character of the protagonist, but it will certainly not be unforgettable.
Explain a little bit.
Joint replacement is a Level IV surgery!
Complex revision surgery should be strictly defined as super-level IV surgery, but the top level is only defined as level IV.