Pain is a kind of feeling, and the basic conditions for producing pain are that the nerves are intact and there is a relatively complete reflex arc.
Dislocation will cause pain. This is one of the orthopedic definitions of dislocation, and it is definitely not wrong.
And the expression on the child's face at this moment must be real. It is impossible for a child to pretend to be strong like an adult -
No, the child was about three years old and could already speak. When Zhou Cheng and Du Yanjun opened the door, they saw two people in white coats walking in. They immediately put their arms into his mother's arms and started crying.
She was still shouting: "Mom, mom, no injection, no injection."
"I don't want injections."
I guess I was frightened by the pain of getting an injection every time I saw a white coat, which left me with the white coat reaction.
"No injections, baby, I really don't have any injections today, okay? Let's check with the doctor to make sure there are no injections, okay?" The child's mother quickly hugged and comforted her.
"Qiqi, there are no injections today. Our family Qiqi is the most well-behaved and doesn't cry." He didn't know whether it was his grandma or grandma.
Another old lady said: "Qiqi may have felt the need for an injection after seeing the doctor. She was afraid of the pain. She was so good before and didn't even cry."
The two people surrounded the child, blocking the two white coats of Zhou Cheng and Du Yanjun. The child gradually stopped crying, but there were still tears in the corners of his eyes, feeling extremely wronged.
But his grandma and grandma felt very distressed and kept patting him and whispering.
The child's father walked towards Du Yanjun, while his grandfather and grandpa stood not far behind his father.
Du Yanjun quickly replied to Zhou Cheng and said, "Brother Zhou Cheng, I have had a physical examination. The child must be feeling pain."
"I pinched the child's arm lightly before, and he responded."
Du Yanjun would naturally not make such a stupid mistake.
Zhou Cheng frowned immediately.
If the child feels pain at the distal end of the dislocation, then it is quite rare that the dislocation of the shoulder joint does not hurt.
Sensation exists linearly, and there is basically no staged sensory loss. Even if it does occur, it is characterized by truncated levels.
That is, if you are far away from this level, there is no feeling. But if you are close to this level, the feeling is normal.
There is absolutely no situation like this child, where the distal sense is present but the proximal sense is missing——
The feeling of nerves is the same as the current. A wire can only have current at the proximal end close to the power source, but not at the far end.
It is impossible for a current to appear in a sudden manner such that there is current at the far end but no current at the near end.
If there is, there is definitely a problem.
Before he had time to think about it, the child's father said: "Doctor Du, does my child need surgery in this situation? When can he be hospitalized?"
Earlier, Du Yanjun told them that manual reduction will not only cause severe pain, but also very likely that the reduction will not be achieved.
Although they were very reluctant to have their child undergo surgery, he felt that it would be the safest if the surgery could be done once and for all rather than subject him to unreasonable torture.
Du Yanjun looked at Zhou Cheng. Patients with joint dislocation were basically left to Zhou Cheng and Luo Yun to handle in the department.
If Zhou Chengdu was not sure, he could only ask Luo Yun to come to the department.
Du Yanjun himself didn't know much about dislocation patients, so naturally he couldn't decide by himself whether to be hospitalized in the next step.
Zhou Cheng said, "Don't rush to talk about the hospitalization. I'll take a look at the baby's film and do a detailed physical examination on him."
Although Du Yanjun said that he had completed the physical examination, Zhou Cheng decided to do it again himself to avoid any accidents.
Because even Cai Dongfan and the others didn't know about some special joint surgery examinations, let alone Du Yanjun.
Industry specializing in surgery.
The child's father looked at Zhou Cheng and frowned slightly.
Du Yanjun immediately explained to the patient's family: "This is Dr. Zhou from our department. Basically, he is responsible for and handles all patients with joint dislocation."
The patient was slightly enlightened when he heard this. Zhou Cheng looked young, but since he was a professional in dealing with this kind of patients, he was probably more professional than Du Yanjun.
It's just that she's still too young.
But he whispered in his mouth: "The director of your department, couldn't you please come over and see my child?"
The child's father was wearing a shirt and jeans, his face was quite gentle, and his speech was polite.
Zhou Chengcheng said: "It's lunch time now, and the directors have already gone off work to have dinner. We will only bother you if there are patients that our lower-level doctors can't handle. Please understand."
An old man behind the middle-aged man said: "It's past twelve o'clock now, it's dinner time, so let's see this doctor first."
Zhou Cheng immediately went over, got in front of the child, and winked at him to show goodwill. But when the child saw his white coat, he immediately pursed his lips and started crying. Maybe in the child's world, the white coat is the most important thing for children.
It’s the code name for how painful it is.
The child's mother hugged him gently and said to Zhou Cheng: "Doctor, I'll keep an eye on the child. Please be gentle when you examine him."
"Yeah!" Zhou Cheng could only nod.
Then I started to do the examination. When I first met the child, the child kept struggling and cried so much that he felt aggrieved.
However, when he discovered that Zhou Cheng didn't feel any pain at all during the examination, he slowly stopped crying and struggling. He only sobbed occasionally, pursed his lips, and put on a show of "If you dare to give me an injection, I will give you an injection at any time."
They all looked like they were crying.
Zhou Cheng completed physical examinations related to shoulder joint dislocation, and then looked at the film, and his heart suddenly skipped a beat.
Needless to say, based on the existing physical examination or X-rays, one thing is very certain, that is, the child's shoulder joint dislocation is bound to exist.
And his pain function is also normal.
Then this is not normal!
The child's father saw Zhou Chengquan finishing the examination, but his brows were furrowed and he didn't say a word. However, he didn't almost panic him to death. He quickly lowered his voice and asked: "Doctor, how is my son?"
The others also looked at him nervously with wide eyes.
But Zhou Cheng said: "Let's go to the office and talk in detail. You leave one or two people to look after the children, and everyone else comes with me. Those who usually have more children, it is best to come to the office."
"The main thing is that the child's grandmother and I take care of the child more. Dad, dad, you two can watch the child while the four of us go with the doctor." The mother of the child said quickly after hearing this.
The two old men suddenly felt rejected, but looking at their grandson's shoulders, they nodded and said nothing more.
After Zhou Cheng brought the child's parents and grandmother to the office.
The child's father asked anxiously: "Dr. Zhou, please tell me directly what's going on with my child. I'm so worried and scared."
Zhou Chenggong said: "I just did a physical examination on your child and found that the shoulder joint was empty when palpated, and the humeral head could be clearly touched, fear sign (+)."
"What does this mean?" The child's father was confused. Of course he didn't understand such a professional term, so he immediately interrupted. He seemed to be impatient.
"That is to say, the child must have joint dislocation."
After Zhou Cheng finished speaking, he immediately changed the subject: "But the child didn't cry or fuss, which means he couldn't feel the pain here."
"Joint dislocation is very painful, and even adults may not be able to bear it."
The expressions of the child's family members suddenly changed slightly.
This seems to be the case. When they brought their children here, they didn't cry except when they saw Du Yanjun. They also praised their babies for being obedient and sensible.
Unexpectedly, this point has now become the biggest doubt.
"So I would like to ask, has the child had any other diseases or particularly strange behaviors before?"
When the child's mother heard Zhou Cheng's words, she frowned: "Doctor, I remembered what you said. It seems that I have noticed this a few times in the past, but the shoulders don't look normal.
when."
"And I'm not very willing to move."
"But after a while, when my child was playing by himself, the shoulder area returned to normal. I thought it was nothing."
"Is this a big problem?" she asked quickly, blaming herself a little.
The child's father glanced at her, and she lowered her head slightly.
The grandma and grandma behind her looked unnatural.
After hearing the words of the child's mother, Zhou Cheng was basically sure of the child's problem, and he was closer to the diagnosis he was considering.
According to the definition of orthopedics, joint dislocation is very painful, but there are also extremely special cases.
That is recurrent joint dislocation, or habitual joint dislocation. For such patients, when dislocation occurs, it will not be particularly painful, and it may even be pain-free.
Even more violently, patients with habitual joint dislocation can restore the dislocation themselves after they dislocate themselves——
However, this kind of fierceness and awesomeness is not a good thing.
"When does it usually happen? Has he been injured today?" Zhou Cheng continued to ask, but he still didn't express his guess. He had to make sure before speaking.
Du Yanjun stood by as if listening to heavenly scriptures, but he also stood by and listened carefully.
It seems that the books I brushed are of no use at this time.
I secretly regretted it, why didn’t I read those books earlier?
Glancing at Zhou Cheng, I found that Zhou Cheng's brows had relaxed, probably because he felt confident.
There is a gap that is not so pleasant——
The gap between me and Zhou Cheng is probably getting wider and wider.
"Not hurt, not hurt."
"Today I took my child to camp near Songya Lake, and then he fell asleep during the trip, and he became like this."
"In the past, I would wake up like this after sleeping."
"It will be fine in a while. Even today, I have never recovered from such a special shape."
"Is this important? Will it affect his handwriting in the future?"
"He's still so young. What if it happens in the future? Doctor, you must think of a way for me." The child's mother begged and looked at Zhou Cheng.
Zhou Chengze comforted him by saying, "Don't be anxious."
"Based on the medical history you told me, the physical examination I did, and the pictures I took, your child's condition is a habitual dislocation of the shoulder joint. It is also called recurrent dislocation."
"Because only this kind of dislocation will usually cause no pain."
"And the child is still very young, and his ligaments and bones are very plastic, so if it happens more often, he may not feel any pain."
When the child's father heard this, he immediately said: "Is this recurrent dislocation difficult to treat? Can surgery solve the problem?"
Zhou Cheng shook his head and nodded again: "The dislocation itself is not difficult to treat, but it is difficult to figure out why the dislocation occurs and treat the cause."
"I'm going to ask you another question. Don't have any thoughts in your mind."
"Has your child ever had epilepsy?"
The child's grandmother immediately raised her head and cursed: "You have epilepsy. You are crazy~"
"Can you see it? If you can't see it or don't know how to see it, call your director."
Epilepsy can be called epilepsy or epilepsy.
This is a very feared disease among the people. Once this disease is discovered, it will be carried for a lifetime.
The faces of the child's parents also became unhappy and they looked at Zhou Cheng.
The middle-aged man said: "Doctor, doesn't my son have a joint problem? Why did he suddenly mention epilepsy?"
The child's grandmother immediately said: "Why are you asking so many questions? How could my Qiqi have epilepsy? You also have a problem with your brain, right?"
"If you don't know how to read, call your director over here." The child's grandmother poked her son with her hand, then cursed at Zhou Cheng.
"You still have epilepsy, you have epilepsy, and your brain is abnormal."
Zhou Cheng took a step back, his expression changed slightly and he said, "I'm just explaining the possible causes to you based on my professional knowledge. You don't have to believe me, but don't attack me personally."
"If you think I saw it wrong, or can't see it."
"You can ask our director to come and see it. Or you can wait until our director comes to the department and then go to the director to see it. How can you curse someone?"
Li Mengxiang immediately scolded: "Why are you talking?"
"Why are you scolding you? What are you talking about?"
"I came to the orthopedics department to see a doctor and you said my grandson has epilepsy. Are you a doctor?"
"Can you see a doctor?"
"Quack, you!"
"Mom, calm down. This is a hospital." The middle-aged man pulled the child's grandmother.
His wife and his mother-in-law didn't make any move, and looked at Zhou Cheng with unnatural expressions.
"He was the one who cursed my grandson first!" Li Mengxiang stared at Zhou Cheng.
"That's your son too. He said your son's head is broken."
At this point, I can't go on.
He muttered: "I scold him lightly."
Seeing that he couldn't persuade his mother, the middle-aged man apologized to Zhou Cheng: "I'm sorry, Doctor Zhou, my mother is mainly worried about her children. She actually didn't mean to offend you."
"Why are you talking so much? He is not professional at all. We will not see him. Go to the Shonan University Affiliated Hospital or the Second Affiliated Hospital. Even the Second Affiliated Hospital of the County is much better than here."
"These eight hospitals are all a bunch of ghosts and monsters. I've told you before, don't look here. You still don't believe it."
"Look at the quality of the doctors here. They are young and start talking nonsense without learning their skills." The child's grandmother cursed and pulled her son out.
The child's mother and grandmother seemed to think Zhou Cheng was a little too much, so they also left the office.
The corners of Zhou Cheng's mouth trembled for a while, but he couldn't say anything.
Doctors don’t knock on the door.
However, out of the obligation of a doctor, he still followed him out, and then found the child's father and explained: "You can choose to go to other hospitals, but you must go to see him."
The Shonan University Affiliated Hospital is of a higher level than the Eighth Hospital, so it is impossible for them to say that family members are not allowed to go there to see her.
Moreover, Zhou Cheng thought to himself that he was polite from beginning to end.
Maybe the word epilepsy is too exciting to ordinary people.
But there is no way.
There are only a few causes of habitual joint dislocation.
The first one is structural problems. Loss of ligament function or ligament laxity leads to instability of the joint structure.
The second one is repeated trauma.
The third one is epilepsy.
He just had a physical examination and found that the child did not have congenital ligament laxity.
So it's not a structural problem.
And for a two- or three-year-old child like this, who has just learned to walk, it is impossible for him to habitually dislocate due to repeated trauma!
In addition, the long-term irritative stretching of muscles and ligaments caused by epilepsy is very likely to cause relaxation.
If it is not the case, then it is only possible that the family is abusing the child and playing with it by disrobing him.
And they only mentioned one of the causes.
"Okay, thank you, doctor."
"Fuck him." After listening to Zhou Cheng's words, the child's father wanted to say more, but his mother called him away.
Then Zhou Cheng and Du Yanjun were left, looking at each other.
After the patient and family members left, Du Yanjun asked Zhou Cheng in a low voice: "Brother Zhou Cheng, can epilepsy also cause habitual joint dislocation?"
"Yeah. It's one of the reasons."
"The child cannot have multiple traumas, and I checked his healthy and affected sides, and there is no support for ligament laxity."
"If it's not caused by epilepsy, it can only be caused by abuse, but I see how much this family loves their children, so that's not the reason."
"Maybe it's hard for my family to accept it."
Du Yanjun heard this and nodded.
Zhou Cheng's explanation was relatively clear, but what Du Yanjun still didn't understand was: "Brother Zhou Cheng, why didn't you explain this just now?"
Zhou Chengze sighed and said: "Actually, it's useless to explain so much. The best way to treat habitual dislocation is through sports medicine arthroscopy. Our hospital doesn't even have arthroscopy equipment, so we can't do it at all.
"
"And if the primary disease is epilepsy, the child will eventually have to be transferred to the Second Affiliated Hospital of Shonan University or the Affiliated Hospital. We can't see it here, so don't waste their time."
"Otherwise, there is no need for me to say so much."
"Just give them a neuroelectromyogram and let them get the results before going to other hospitals."
A good woman cannot make a meal without rice. The Eighth Hospital does not have sports medicine equipment, and the second hospital does not have a very professional neurologist who can treat epilepsy, so it is natural not to waste their time.
Although it is difficult to accept one more mention, it can at least give them a preliminary impression. In the end, as long as one person takes it seriously or mentions it one more time, the experts and professors from the Shonan University Affiliated Hospital or the Second Hospital will definitely
Take it to your heart.
There is only so much Zhou Cheng can do.
…
After sending the patient away, Zhou Cheng called Luo Yun again and talked about the matter.
The reason why Luo Yun needs to report in advance is to explain the situation and his own diagnosis ideas. Secondly, it is hard to say whether the patient and his family members will go to the medical department to complain first or go to other hospitals first after they leave the door of the department.
Let's give Luo Yun a vaccination first. If a complaint does occur, Luo Yun will have a good idea to deal with it and there won't be so much trouble.
After Zhou Cheng finished explaining, Luo Yun said: "Zhou Cheng, you are right, but there is one thing you still have to work hard on."
"You call the outpatient department and ask them to check the phone number bound to the child's outpatient card and record it. Then, after one to two hours, call and follow up. Ask them where they are and whether they belong to the child.
Family members!”
"At the same time, if you borrow a second mobile phone to record, you must confirm the identity of the other party and explain it carefully, and ask the patient's family to take the child to other hospitals for follow-up review of the situation."
After Zhou Cheng listened, he nodded instantly——
Ginger is still old and spicy. I made the right call.
As a doctor, you need to be cautious. Although the patient can choose not to trust the doctor, the doctor is still obliged to follow the patient's whereabouts and fulfill his or her obligations.
This is for the patient's consideration, but also for self-protection, leaving an objective evidence, so that even if something goes wrong.
Then the patient's family members have the right of free choice as Chinese citizens and the right to reject the doctor's advice.
However, doctors have fulfilled their obligations and cannot infringe on citizens' right to free choice.
The responsibility does not lie with you.
"Okay, Teacher Luo, you'd better be more careful and thoughtful," Zhou Cheng replied quickly.
"This is not careful and thoughtful, it is all a lesson of blood and tears."
"In the past, when I was a graduate student, there was also a college student in the emergency department who was brought to the emergency room by his parents. At that time, the teacher said that it might be an ectopic pregnancy. The patient's family did not believe it and made a fuss in the hospital. Later,
Broken and dead.”
"The teacher did not leave any objective evidence, so the patient's family directly sued him for misdiagnosis."
"Moreover, the patient's family members were emotionally unstable at the time. They didn't even have time to write the medical record, and they didn't dare to write it." Luo Yun gave Zhou Cheng an example.
"Okay, Teacher Luo, I understand." Zhou Cheng's heart trembled and he remembered this matter in his heart.
"I'll call the security office again, and make sure to make thorough preparations." Luo Yun also sighed with emotion, and then replied.
…
After Zhou Cheng completed all this in accordance with Luo Yun's instructions, he finally felt relieved.
He borrowed Du Yanjun's phone to call the patient's family, and the phone he used to record the call was his own, because if he used his own phone to record, the other party might be discovered.
I just hope this recording is not used.
However, fortunately, Zhou Cheng was on the phone and received a reply that the other party had taken the child to the Shonan University Affiliated Hospital.
Zhou Cheng called because he was worried about his child's condition, so although the other party's attitude was still lukewarm, he didn't get angry with Zhou Cheng anymore.
After all, none of them expected Zhou Cheng to call and ask such a question.
…
at the same time.
Right in front of the emergency department of Shonan University Affiliated Hospital.
Liu Suolong said to his mother: "Mom, don't even think about reporting Dr. Zhou from the Eighth Hospital. He also has good intentions."
"Otherwise, there is no need to call us again to tell us that we must go to the hospital for treatment."
Li Mengxiang, Liu Suolong's mother, cursed in a low voice: "He has a guilty conscience. Did my Qiqi offend him?"
"You don't have a clean mouth."
"Epilepsy, epilepsy, his whole family is epileptic and that's why he talks like this."
"Hurry up and see if your father and the others have registered. Your father is also very impatient in his work. I really don't feel at ease."
But before Li Mengxiang finished speaking, Liu Dashan and his in-laws Zhu Yongzhi came over and said quickly: "We have been registered. The nurse asked us to go to the emergency surgery department."
A crowd of people rushed to the emergency surgery department in a hurry.
When the emergency surgery doctor saw it, he immediately frowned and felt that something was not right. He took a look at the X-rays and reports from the Eighth Hospital and immediately called the chief resident of the Department of Orthopedics.
It took more than ten minutes for the general hospitalization in the orthopedics department, and he arrived at the emergency department in a hurry wearing a green hand-washing gown. He must have just come off the operating table.
After arriving at the emergency surgery department and seeing the child's examination results, they did another physical examination on the child.
He immediately frowned fiercely and asked, "Such a situation as your children must have happened before, right?"
The child's mother, Zhu Qingqing, said the same thing as the little doctor from the Eighth Hospital: "Yes, it happened a few times before, but it became normal after a while, and I didn't cry or make trouble. I thought it was nothing."
"
"I had a good night's sleep today, and that's it. I saw something was wrong, so I hurriedly came to the hospital for a checkup. I went to the Eighth Hospital first, but I didn't think well, so I came here."
The chief resident in green clothes nodded and said: "It's not too late now. This is a recurrent shoulder joint dislocation, and it is also a habitual shoulder joint dislocation."
"You should take an MRI first. Recurrent shoulder joint dislocation must be caused by ligament laxity or structural insufficiency. This film cannot show it."
After saying that, he immediately said to the doctor on duty at the emergency surgery department: "Mr. Du, thank you for prescribing an emergency MRI for the child. After the examination, I reset him and fixed him as soon as possible."
"For children with habitual shoulder joint dislocation, early treatment is the best, and the plasticity is quite strong."
Du Daixiong is the attending physician in the emergency department and is one level higher than Li Yong, the chief resident in the orthopedics department, so Li Yong calls him teacher Du Daixiong.
However, Du Daixiong was only a doctor of emergency surgery, and he was definitely not as professional as Li Yong in orthopedic issues, so he said, "Okay, then I'll mark it on the checklist and see if the radiology department can do it in advance."
"Li Yong, please arrange for someone from your department to come and talk. I will send you to the emergency department's operating room from here."
"Okay." Li Yong settled on the diagnosis and treatment.
…
Two hours later, Liu Suolong's family finally took Liu Qiqi out of the MRI room of the emergency department, and then hurried back to the emergency surgery clinic.
Then he discovered that the chief resident of the Department of Orthopedics was still here for a consultation with another patient. He felt happy and hurried forward and said: "Dr. Li, our MRI is done, but it will take two hours to get the report, and the film is even worse.
It won’t be printed until tomorrow.”
"Look, do we have to be hospitalized now or wait?" Liu Suolong looked at Li Yong helplessly, hoping that Li Yong could help him think of a solution.
"No need to wait for the report, I just need to watch the movie!"
"The film will be in the reading system after you take the MRI. Please wait a moment and I will issue a hospitalization certificate for this patient." Li Yong was writing the emergency medical record at this time, but he still replied politely to Liu Suolong.
.
"Okay, okay." Liu Suolong immediately became overjoyed.
If I hadn't met Li Yong, I would have had to wait a long time.
Five minutes later, Li Yong issued a hospitalization certificate and asked the fracture patient in the emergency surgery department to go to the first ward of the Orthopedics Department for hospitalization under the leadership of his family.
Then I found a computer, turned on the film reading system, and watched it for two full minutes.
Liu Suolong and his family were waiting quietly. Liu Suolong and Zhu Qingqing both approached curiously. Unfortunately, the black and white MRI recognized them, but they could not understand those things.
Seeing that Li Yong had almost finished watching the movie, he eagerly asked: "Doctor Li, how is it?"
Li Yong took a look at the child and estimated that there was no need to avoid the patient, so he said bluntly: "Sure enough, the biceps tendon and the subscapularis and supraspinatus muscles of the rotator cuff are all showing signs of relaxation."
"The structure formed by these tendons is the rotator cuff, which is equivalent to the fixation device of the shoulder joint."
"It's like the door in our home."
"The rotator cuff is the hinge that holds the door in place."
"When the hinges are stable and the door is opened and closed just right, the door will not fall. But when the hinges are loose, the door will fall directly to the ground and cannot be closed tightly. This is why your child is dislocated."
"You occasionally lift the door and you can close it again, but because it is unstable, it will fall down again when you open the door. This is your child's habitual joint dislocation."
"If he is older, the only option is to fix the hinge and perform surgery."
"But since he is young now, he can perform manual reduction and fix the shoulder joint, and his tendons can grow back. No surgery is needed for the time being."
"We don't even need to go to the operating room for this kind of reduction. We only need to go to the department or emergency department."
After Li Yong explained this, he still said: "You should go to the department. After you go to the department, it will be easier to deal with the follow-up. After all, it needs to be fixed."
Li Yong's explanation was easy to understand. Liu Suolong and others understood it and immediately heaved a long sigh of relief.
Liu Suolong immediately bowed and thanked: "Dr. Li, thank you, thank you."
"Thank you very much. Thank you for your hard work."
Li Yong said: "Don't work hard, it's what we should do. You are lucky, I happen to be on duty today. If it were the other general hospital staff on duty, you would probably have to go through more trouble. They will call again."
Ask me to come and see it.”
"I am a joint surgeon."
"By the way, after the treatment is completed, you must remember not to injure the child again? After the reduction, if the child is injured again, it will be easy to dislocate again if the ligaments and rotator cuff tendons have not grown back."
"You go to the department first, I'll be back in a while."
"Okay, okay!" Liu Suolong and Zhu Qingqing immediately felt their hearts drop to the ground.
He smiled, remembering what Du Yanjun said when he talked to them in the Eighth Hospital before, and shook his head.
It's true that ignorant people push for trouble, but it didn't scare me to death.
…
When it was almost time to get off work, Li Yong returned to the department and printed out a conversation and signature template for manual reduction of joint dislocation. After writing the medical instructions, he asked one of the family members to pay the fee.
Then we talked and signed with other family members.
For fifteen minutes, the family members were very cooperative, and Li Yong also talked about all the points and risks that needed to be discussed.
Just said: "Okay, that's about all."
"Precautions, you must pay attention. Don't get hurt again."
"You take the child to the dressing room first. I'll prepare some things and then come over to reset."
After speaking, Li Yong also looked at the time.
"It's already five twenty!"
"We don't have much time. I have a lot of consultations to do later. I'll try to finish them as soon as possible and you can go home early."
"Okay, thank you for your hard work, Dr. Li. Will you be able to get off work on time later?" Liu Suolong asked politely.
Li Yong smiled: "Harmful!"
"There is no normal time for us to get off work. We are always hospitalized and never get off work."
After saying that, Li Yong planned to stand up and prepare some other things.
But after hearing Li Yong's words, the stone in Li Mengxiang's heart finally fell to the ground, and she said to her son: "What did I say? Those doctors in the Eighth Hospital just don't know how to treat it, and their skills are not good enough. You still don't believe me."
"What did they say at the time? They said surgery was necessary. What were the risks of manual reduction?"
"Look at what Dr. Li said?"
After hearing this, Li Yong actually felt quite pleased with himself, but he also explained: "Auntie, you can't say that. There are specialties in the profession, and it's not easy to be a doctor. It's a good thing to be cautious."
"Such a dislocation requires a specially specialized joint surgeon to handle it."
"If the child is older, you will have to undergo arthroscopic surgery. Many hospitals in our province currently do not have specialized joint surgery and sports medicine."
"What they said is correct. From their perspective, they said surgical reduction was a choice they made out of respect for you."
"If they come up and tell you that this can be done by resetting it with any technique, then you have to be careful."
"There are some difficult-to-restore joint dislocations, and even the professors dare not say that they can be restored." Li Yong was able to explain a few words to his colleagues in the Eighth Hospital. After all, we are all colleagues, and colleagues know that it is not easy to work together.
The level of the Eighth Hospital may be limited, but they have tried their best. To demolish others is not what colleagues should do. It is not called personnel affairs.
"I know Dr. Li."
Li Mengxiang nodded immediately: "You don't know how much the doctors at the Eighth Hospital said."
"You obviously don't understand anything, yet you still talk nonsense."
"It's obviously an orthopedic problem. We laymen all know it's an orthopedic problem. If they don't say it's a neurological problem, what about epilepsy?"
"Are you saying this is human language?"
"I think he has epilepsy."
"Like a madman." Li Mengxiang looked like she was finally relieved, so she opened her mouth and spoke.
After the stone in my heart fell to the ground, I just thought it was a joke and complained to Li Yong about the nonsense the little doctors in the Eighth Hospital were saying despite their poor medical skills.
"You said?" When Li Mengxiang said this, she noticed that Li Yong's expression immediately changed.
This expression frightened Li Mengxiang.
He does not mean that.
Li Yong's brows flashed at that time, and when he was about to walk out, he turned around again. His heart trembled, and he could not speak fluently. He asked: "You, your child, do you often fall down?"
"How can that be possible?" Li Mengxiang replied without even thinking.
"His grandma, me, and his mother are basically together 24 hours a day, and he has never fallen!"
"I wasn't injured this time, I don't know."
Sure enough, after hearing this, Li Yong's expression suddenly changed again, and beads of sweat continued to appear on his forehead.
Sweat filled the palms of my hands.
His hands curled up and stretched out, but in the end, he could only bite the bullet and said: "Then your child really can't do manual repositioning now. We have to do a neuroelectromyogram on him to check for epilepsy!"
Li Mengxiang suddenly froze there, turning her head left and right, and found that her family members around her were all confused.
He opened and closed his mouth for a while, looking at Li Yong's expression.
Li Yong moistened his lips with his tongue, and then said: "It's better to be on the safe side. You must do a neuroelectromyogram first. You don't want me to rashly reset your child's position without even knowing the reason."
Find out?"
"Ah~ this~?" Li Mengxiang couldn't say a word.
This is Shonan University Affiliated Hospital.
…
Neuroelectromyography cannot be done in an emergency. However, Li Yong personally took the child to the rehabilitation department opposite the third orthopedic ward, so he was able to work overtime.
At this moment, Li Yong felt particularly uneasy.
From the beginning, he just thought that the child fell too many times and the family did not pay attention, because most recurrent joint dislocations are like this. So he didn't ask any more questions.
He has treated at least hundreds of patients with recurrent joint dislocation.
This is almost always the case, and today he went to the emergency clinic, so there were really many calls during the emergency shift. So based on experience, he ignored this special situation.
Fifteen minutes later.
The results of the neuroelectromyogram are out.
Li Yong looked at Liu Suolong with a complex expression and said, "Mr. Liu, I'm sorry!"
"Your child really has paroxysmal epilepsy."
"In this case, you have to go to the neurology department for inpatient treatment."
Liu Qiqi's grandmother Li Mengxiang found it even harder to accept. She kept shaking her head and murmured in a low voice: "Impossible!"
"impossible."
"It is impossible for Qiqi in my family to have epilepsy or epilepsy."
Although Liu Dashan and others also had a sudden change of expression and found it difficult to accept it, their reaction was not as big as Li Mengxiang's.
Zhu Qingqing looked at Li Yong with a complex expression: "Dr. Li, didn't you say that before?"
Li Yong took a deep breath and said, "Ah~ this~?"
After saying that, he changed the subject slightly and said, "It was my problem before."
"But we still have to respect the facts. This is not a matter of saying it or not. Now that epilepsy has been diagnosed, we have to figure out how to treat it."
"Although epilepsy is terrible and cannot be cured, it can be controlled. Once it is controlled, it will be no different from normal people."
"Since something happened, we have to find a way to solve it."
"Whether you say it or not, it exists. Early detection and early treatment."
"Manipulative reduction is still necessary and can be done, but we must remove all the weeds and treat the root cause."
Li Yong does not have much confidence in saying this.
If Li Mengxiang hadn't said one more thing, he might have been in trouble today.