Chapter 118 Why didn’t you play yo-yo earlier!? (Please subscribe!)
Luo Yun's expression was natural and his heart was quite magnanimous.
If you can, you can, and if you can't, you can't. Let's go straight to the point. Just because he says he doesn't know how to reduce joint dislocation, he is no longer a joint surgeon.
It should be said that the manual reduction of joint dislocation is an entry-level skill in joint surgery and is simple and easy to learn.
But joint surgery goes far beyond the manual reduction of joint dislocations.
Just like the delicious food in the world, it is definitely not the mouthful of milk that a child thinks it is.
However, Luo Yun's frank words obviously need others to digest them for a while.
Du Yanjun, for example, always thought that Zhou Cheng's technique for resetting joint dislocations might have been mixed up with Luo Yun. Although thinking this way, Luo Yun felt quite uncomfortable——
I am a graduate student in the department. Luo Yun did not teach me but taught Zhou Cheng. Although this was also due to my lack of effort and care.
but?
Du Yanjun felt a little unconvinced at first——
I'm a graduate student, and my foundation and qualifications are better than Zhou Cheng's. Why don't you teach me?
But now, it seems that the reason Du Yanjun gave himself has been overturned by Luo Yun, which makes the excuse that he thought he had good qualifications and a solid foundation suddenly turned into a bubble...
Apart from Du Yanjun, Li Yong and Zuo Hu are actually the two people that I don't want to accept in my heart.
They turned to look at Zhou Cheng.
It hurts a little.
If it was Luo Yun who told what happened yesterday, then they would be able to accept it more easily. After all, Luo Yun specializes in joint surgery!
Moreover, they are extremely professional joint surgeons. They are peers, and it is common for them to be corrected and pointed out by their peers!
Can you look at Zhou Cheng?
This young guy?
He must be twenty-four or five years old at most, right?
he……
Li Yong suddenly felt that the books he had read, at his age, were like falling into the butt of a cow...
Cai Dongfan, Yan Haihan and Hu Ming were not entangled in the matter of Luo Yun pushing Zhou Cheng out, and they also felt that there was something wrong with Luo Yun pushing Zhou Cheng out directly.
Because Zhou Chengcheng had already performed joint dislocations regularly in the department before, and he did a pretty good job.
He even treated many patients. Luo Yun said modestly that he was not as good as Zhou Cheng. This may be true, so he didn't take it seriously.
Their eyes and attention were all focused on Luo Yun.
Suddenly, Luo Yun felt particularly strange——
They knew Luo Yun. Luo Yun was the attending physician in the department. They had worked together for so many years and never looked up or down. Luo Yun's smoking habit was initiated by Cai Dongfan. When he first entered the department, Luo Yun did not smoke.
Cai Dongfan lit it on fire and stuffed it into his mouth. With such friendship, he really regarded Luo Yun as someone close to him, so he dared to do this.
Luo Yun's satisfactory performance in the department was gradually recognized by the people in the department and he gradually integrated into it.
But now——
The three of them, Yan Haihan, all realized that they did not know Luo Yun.
It should be said that they never really realized Luo Yun's true face.
Left gourd?
He actually knows Luo Yun too?
…
The quiet scene lasted for about half a minute. Zhou Cheng felt that he was being pushed in front of Luo Yun. After some polite remarks, everyone stopped talking and felt a bit stressed.
He said nervously: "Teacher Luo, if you want to scold me, just scold me."
"I will never talk back."
Although Zhou Cheng also thinks that Luo Yun is telling the truth, sometimes it may not necessarily be good if the truth is told. Look, how embarrassed are the people on the field?
"Why am I scolding you? I am telling the truth, and I am also praising you." Luo Yun rolled his eyes.
Then he turned to Cai Dongfan: "Director Cai, do you think Xiao Zhou is a very good doctor?"
Cai Dongfan immediately nodded and looked at Zuo Hurry, but said nothing.
Because Cai Dongfan didn't know whether to speak or how to speak, and he didn't understand the art of joint surgery, so it was better to speak less and make fewer mistakes. Don't speak at all.
Zhou Cheng wanted to speak, so Luo Yun patted him and said, "Don't continue to act like a good boy just because you get an advantage. Go change your work clothes quickly."
"Professor Zuo came to teach us today at the invitation of Director Yan. He is both a guest and a teacher from afar."
"You have to listen carefully later."
Zhou Cheng suddenly felt like he was being pardoned: "Okay, Teacher Luo, I'm going to change into work clothes."
After saying that, quickly retreat.
And Luo Yun also stepped aside a little to give Yan Haihan a chance to speak.
Yan Haihan is the director, and Associate Professor Zuo Hu was invited by him, although Zuo Hu unexpectedly recognized him.
But Luo Yun felt that there was no need to stand in front of him awkwardly and embarrass everyone.
The past is past. If a person does not dare to have the courage to zero in on his own life and cannot admit his ordinary facts, it will be difficult for him to mature.
Luo Yun has already passed this step.
Yan Haihan then said: "Yes, yes, blame me, blame me. It's all my fault."
"Professor Zuo, it's all my fault. I specially invited you to come to class, but you didn't come to greet you in person."
"Logically speaking, I should have sent a car to take Professor Zuo to the department."
"Professor Zuo, Doctor Li, please take a short rest."
When Luo Yun stepped down, he naturally had to stand up, and he also felt that Luo Yun was quite smart and sensible.
Zuo Hu breathed a sigh of relief slowly and replied: "Director Yan, I came here early because of my own affairs with Dr. Li. How can I blame you?"
While replying, he followed Yan Haihan towards the director's office.
Now that Yan Haihan and others have arrived, it would be a bit too much for them to worry about who Luo Yun is.
After all, Zuo Hu also discovered that Yan Haihan and others did not know Luo Yun at all.
He is simply half blind, and it is a pity that Luo Yun has not been able to recognize his talent.
…
After Yan Haihan arranged Zuo Hu and Li Yong, Hu Ming was still looking at Luo Yun up and down.
He licked his lips and asked: "Ronald, do you know how to do joint replacement? Why didn't you tell me earlier?"
Luo Yun turned to look at Hu Ming and said: "Director Hu, I told you, I told you during the interview and admission. And it is already a thing of the past."
Luo Yun did say that he was a professional joint surgeon, but no one took it seriously, so what could he do?
He is not the director, he does not have his own bed, and he is not responsible for the admission and treatment of patients.
Hu Ming immediately turned to look at Cai Dongfan: "Dongfan, why don't you borrow Luo Yun."
Cai Dongfan immediately became furious, rolled his eyes and said, "You idiot, don't say anything, I won't agree to it either!"
After saying that, he enthusiastically put his hand on Luo Yun's shoulder, blinking his little eyes, with a caring tone: "Luo Yun, let's talk over here..."
Then he took Luo Yun outside the office.
When Hu Ming saw Cai Dongfan like this, he cursed: "Blind Cai, why are you so lucky?"
Cai Dongfan has small eyes. Hu Ming and Yan Haihan used to call Cai Dongfan squinty eyes or Cai Dongfan, but after Cai Dongfan was promoted to deputy director, he stopped calling him that way because of his face. But now, Hu Ming really feels that.
A blind cat meets a dead mouse——
Simply.
First there is Zhou Cheng, and then there is Luo Yun. Who can withstand this?
You should know that one advantage of the Second Department of Orthopedics is that Zeng Yi assigned all other business areas of orthopedics except upper limb trauma and spine to the Second Department of Orthopedics. After all, they had not done it before...
But now, it is estimated that Cai Dongfan will have better patients and better income in the future.
Even his reputation and status in the department are definitely rising.
MLGB.
Zheng Xuanlin saw Hu Ming cursing at Cai Dongfan and said, "Director Hu, do you want to do a ward round?"
Hu Ming looked Zheng Xuanlin up and down, sniffed and asked, "Is there anything you know that I don't know about? Can you do the same?"
Zheng Xuanlin immediately lowered his head to his crotch——
The human head laughs at the ghost head, who cannot see the vastness of the world, cannot hear the rumblings of the rivers and lakes, and dares to dream about the galaxy corridor when he is drunk.
The ghost head mocks the human head.
"Alas!" Hu Ming sighed and shook his head.
Accepted.
How can there be so many leaks like Luo Yun and Zhou Cheng in this world?
…
At 9:10, Yan Haihan ordered his respective groups to quickly start rounds. At 9:40, everyone entered the handover room on time for class.
Originally, Yan Haihan had no intention of calling Cai Dongfan and Hu Ming. He called Zuo Hu to come to the department. He didn't intend to give lectures to Cai Dongfan and Hu Ming, but since they were both in the department, it was hard for them to leave.
However, after Yan Haihan issued the order, Zuo Hu was in the office, feeling a little on pins and needles.
He took a sip of tea, sipped it and savored the taste, and then said: "Director Yan, actually, you gave me a short notice for today's lecture. I didn't have time to make too many thorough preparations, and the course materials I did were all the same as before.
of."
"How about we make an appointment at another time?"
Zuo Hu was really frightened. It wasn't that he didn't dare to say it, or that he didn't dare to say it in front of Luo Yun.
Instead, Zuo Hu originally thought that none of the eight hospitals had joint surgery, so he could fool him by just talking about it, and that would be a thing of the past.
But now, when he was not fully prepared, there was still Luo Yun, a person he couldn't even figure out.
Then will you find out what he said wrongly or go back and complain to his teacher privately——
How inappropriate is it to come to class like this?
Yan Haihan hurriedly said: "Professor Zuo, you are too polite. You are an expert and professor from the Affiliated Hospital of Xiangnan University. Why don't you give us a casual lecture? Isn't that an extremely simple thing?"
"Our department's understanding of joint surgery is quite weak, so we all like to listen to the basics."
It's half polite, but also half truthful.
Zuo Hur suddenly felt as if he was being lifted very high, even a little too high.
As an associate professor at the Shonan University Affiliated Hospital, he doesn't have many flying knife surgeries to perform now because the professor is still ahead, but he can also make extra money by giving lectures, which he thought was pretty good before.
But today, Zuo Hu still felt a little unsure.
You know, being able to give a report at the annual meeting of Orthopedics of China is not something that ordinary people dare to do.
Comrades from all over the country are there. If you lose face, you will not only lose face for yourself.
Professor Zeng Diwei, oh no, seems to have been promoted to an academician now. If he dared to release Luo Yun back then, it must be because Luo Yun got the approval of him and everyone in the group.
Zeng Diwei convinced many people and paved the way for Luo Yun.
Could this be any worse?
However, now that the matter has come to this, Zuo Hu can only bite the bullet.
After all, the envelope was already placed in front of him——
It would be inappropriate to refuse something that was agreed upon in advance at the moment.
…
At nine thirty-five, Cai Dongfan and his team had finished checking the ward. Hu Ming's team was still roaming around the ward. Dong Qiansheng had already brought the team into the handover room.
Du Yanjun had almost no patients to deal with. The beds occupied by Zhang Zhengquan and Zhou Cheng were both post-operative and pre-operative patients admitted to the hospital yesterday. Post-operative patients only needed to adjust the doctor's orders and change the dressings yesterday.
It's over.
The dressing should be changed every two to three days.
The preoperative patients directly completed the preoperative examination, so they were not in a hurry to write medical orders, but instead came to the doctor's office in a group.
Since there is no shift change today, no one is taking the seat on the nurse's side.
So Du Yanjun pushed Zhou Cheng and said, "Brother Zhou Cheng, let's go find a seat and sit down?"
Zhou Cheng pursed his lips, and although he was a little moved, he still said: "Wait a minute, Min Chaoshuo and Xu Yanlin are still standing and have not sat down."
There are only six positions in total. Excluding Pang Dingkun, there are eight lower-level doctors. Who will sit and who will not?
And Dr. Li Yong from the Shonan University Hospital wants to stand and listen?
Zhou Cheng was too lazy to stand out.
Du Yanjun stopped and stayed there with Zhou Chengyi, quietly waiting for the arrival of the superior doctor.
At 9:52, everyone was here, and they were just waiting for Director Yan Haihan, Hu Ming, Associate Professor Zuo Hu, and Li Yong to arrive.
Dong Qiansheng, Luo Yun, Zheng Xuanlin and Pang Dingkun each sat in their own seats.
Everyone else was standing around the shift table...
Soon, the hearty chatter of Yan Haihan and others began, and they seemed to be walking to the transfer room.
Yan Haihan also said: "Professor Zuo, I'm going to have to work hard for you later. If there is still enough time, I also hope that Professor Zuo will give us an on-the-spot teaching."
Zuo Hu's excuses also sounded: "It depends on the situation. If we happen to meet him, it will be no problem. But I have to rush back at half past twelve."
Zuo Hu gave himself some time and couldn't be dragged into the department by Yan Haihan all day.
Yan Haihan frowned and said, "Professor Zuo, can't it be a little later? I ordered lunch at half past twelve."
"Let's not eat today. Let's eat again next time when we have a chance." Zuo Hu decided to leave himself a way out.
Because even now, when he was about to give a live lecture, he was still a little confused.
I don't know if it was a coincidence, but while Yan Haihan and others were talking, the door of the department was pushed open, and then three big men pushed a cart in.
After seeing Yan Haihan and others in white coats, he immediately slowed down the speed of pushing the bed and stopped just in front of them.
One of them asked: "Doctor, doctor, is this the orthopedics department?"
"The emergency department doctor asked us to wheel the patient up."
Zuo Hu was a bit stupid at that time.
Li Yong's feet twitched slightly——
Isn't this a coincidence?
Yan Haihan glanced at Zuo Hu, and then replied: "This is the Department of Orthopedics. You go to the nurse station first. A doctor on duty will come to see you soon."
Although I don't know what the patient is, Zuo Hu is a guest from afar, so it is naturally impossible for him to do the work of a lower-level doctor.
If it's a fracture, it won't waste time.
Upon hearing this, Guo Lei from Hu Ming's team immediately lifted his mask and ran out...
Yan Haihan led Zuo Hu into the shift room.
Then he solemnly introduced the background and purpose of Zuo Hu to everyone in the department. Zuo Hu was on the stage, plugged in his USB flash drive, found the ppt of his lecture today, and flipped it up and down.
Examine whether there are any very shallow and low-level errors.
Of course it doesn't exist.
Yan Haihan spoke for almost two or three minutes, and thunderous applause broke out in the handover room.
Zuo Hu raised his hand and after all the sounds stopped, Zuo Hu started speaking...
At this time, there was a knock on the door of the shift room. The sound was not loud, and Zuo Hu continued to speak.
Then Guo Lei stuck his head in, grabbed a person at the door and whispered in his ear for a while, and then the person stepped forward and spoke to Luo Yun.
Luo Yun winked at Zhou Cheng, who was standing directly opposite, and Zhou Cheng immediately understood and quietly walked around the crowd, walked around to the door of the shift room, opened the door a little, and went out.
The whole process did not disturb Zuo Hu's lecture, and Zuo Hu turned a deaf ear to it and pretended not to see it.
Let alone such an informal class, even if it is a large class for undergraduates, some people will leave with their schoolbags in the middle of the class. They have long been used to it...
When Zhou Cheng went out, Guo Lei said: "Brother Zhou Cheng, I'm sorry, I didn't understand this patient. The report says he has a dislocated calcaneal joint."
"It's delaying your lecture."
As he spoke, he scratched his head and apologized.
He was on duty and asked Zhou Cheng to deal with the patient, but he still felt a little guilty.
After all, Guo Lei didn't know that joint dislocation was happening in the department because of Zhou Cheng and Luo Yun, so he thought it was Yan Haihan's idea...
"It's okay, let's go and take a look together." Zhou Cheng replied subconsciously.
But he immediately remembered something and said, "Brother Lei, why don't you go in and listen to the class? I can just watch it alone."
Guo Lei was very moved, but shook his head firmly: "How can you do that? I'll help you help Brother Zhou Cheng."
Then Guo Lei and Zhou Cheng came to the nurse station.
After Zhou Cheng took a look at the plain film, he glanced at Guo Lei, and then said in a loud voice to the patient's companion: "Look, here is the calcaneus, and this is the cuboid bone. They are the two bones that we have on our feet.
A bone.”
"They will form a joint called the calcaneocuboid joint. Now this joint is dislocated, so he is in pain and can't walk. Now it is even more swollen."
The companion kept nodding, but actually looked confused.
In my mind, I was thinking, what's the matter?
What is the relationship between feet and brain?
But of course you have to listen to the doctor when you get to the hospital, but they don't understand.
"In such a situation, reduction is necessary..." Zhou Cheng introduced it to the patient's family in detail, firstly to have a pre-reduction conversation, and secondly to explain it to Guo Lei so that he could understand.
Zhou Cheng said so much, not entirely for the patients.
Guo Lei was obviously interested in taking Zuo Hu's class, but he couldn't attend because he was on duty. If Zhou Cheng could teach by himself, and could also teach unintentionally, he wouldn't mind giving Guo Lei a hand and letting him learn something.
At least it can fill in the gaps that are missing in this class.
Guo Lei nodded frequently on the side.
Because Zhou Cheng broke the dislocation of the joint into pieces, but then built it into a linear frame, Guo Lei understood it and remembered it in his heart without any effort.
"So, we have to try manual reduction first to see if we can cure it without surgery."
"If it can be restored through manual reduction, then there is no need for surgery. If it is not restored, surgery is necessary."
"Or if you want to be 100% safe, just do surgery directly and the patient will definitely be reset." The patient gave the power of choice to himself.
The patient was from a construction site. He was hit in the foot. The skin was not broken and there was no fracture.
So he immediately raised his head and said firmly: "Doctor, I understand, I want to try without surgery."
"If there is really no other way, then surgery is the only option."
Although his own salary is not low, there are seniors and juniors in the family, all waiting for him to earn money. Usually, he will never eat more than 20 yuan a meal, mostly 10 yuan and 15 yuan.
If you save, save.
While Zhou Cheng was talking, Guo Lei had already given medical advice.
"Okay, then you pay the fee first, and I will prepare the things needed for the reset. I will also put on a plaster later, and give you a leave application form."
"You must remember that after the reset is successful, you must rest for at least a month to a month and a half! During this time, you cannot exert force or work, otherwise you will not be able to escape the surgery in the end." Zhou Cheng was afraid of this big brother.
After feeling no pain in my feet.
If you continue to work with brute force, your ligaments will break again or something.
At that time, the reset method I have used will be in vain, and I'm afraid I will have to undergo major surgery.
The reason why you have to explain to him and not others depends on the nature of the work and the person.
Some people, those who work in offices and have money, know how to take a break without telling them to do so, but workers are different. The roles they assume, the burdens they carry, and their ability to shoulder the burdens are different.
This is also one of the contents included in medical skills.
How easy it is to give an explanation varies from person to person.
"Okay, okay!" The patient nodded hurriedly, but kept scratching his head with his hands, and finally let out a long sigh.
His co-worker comforted him by saying, "It's important to recover first, as you won't be able to earn enough money. When the time comes, ask your boss if he has any work-related injuries and report them to you."
"..."
Fifteen minutes later.
Zhou Cheng still completed the manual reduction while explaining. When he heard a clicking sound, Zhou Cheng said: "This sound is the snapping sound produced after the joint is reduced, and it is the sound of the bone surface impacting."
"After the joint is dislocated, it is a good thing to hear this crisp clicking sound."
"If you hear a dull snapping sound, be careful because you have a broken bone."
"After we're done, we still need to make sure..."
Twenty minutes later, the patient and co-workers walked out of the ward with great gratitude.
The worker was still muttering: "Others said that treating a cold in the hospital costs several hundred, but today it only cost more than three hundred. I also brought a plaster back with me. It doesn't seem to be very expensive."
"Yes, when I paid the fee, I saw that the plaster material costs one hundred and ten yuan."
When the patient heard this, he hung his head again and said hello to Zhou Cheng: "Thank you~, Doctor Zhou~."
The voice was so loud that even everyone in the shift room heard it.
Zuo Hu’s lecture also paused midway——
Then continue the lecture!
Guo Lei immediately said: "Yeah, yeah, thank you, Brother Zhou Cheng, I didn't expect joint dislocation to be so interesting."
"Yes!" Zhou Cheng nodded.
He smiled and said: "Manual reduction of joint dislocation is one of the rare operations in clinical practice where our doctors can quickly gain a sense of self-achievement."
"When I came in, the patient was in agony."
"The disease can be cured at your fingertips and relieved immediately."
"It's a bit like filming a miracle doctor in a movie. The techniques for resetting fractures are not as amazing as this one."
Guo Lei continued to nod.
"Brother Zhou Cheng, I will learn more from you today!" Then he looked at Zhou Cheng, full of expectation.
The two of them were about to walk into the handover room to listen to the class again.
The door to the department was opened again——
A family was wheeled in in a wheelchair.
Guo Lei's face immediately became sad, and he said helplessly: "Brother Zhou Cheng, you go in first."
Zhou Cheng could only look at Xiang Guo Lei with pitiful eyes, opened the door and cracked it into a small ∠, and then squeezed in.
Unexpectedly, Zhou Cheng immediately felt his phone vibrate.
When I clicked on it, I saw another message from Guo Lei.
So Zhou Cheng pushed the door open again and got out...
Zuo Hu was on the stage, glanced at Zhou Cheng who was leaving, then moved away, and continued: "So the above is the second most common dislocation in our orthopedics department, posterior dislocation of the hip joint. Of course, there are also hip joints
Anterior dislocation, lateral dislocation, high dislocation, subluxation, etc..."
…
Twenty minutes later.
It seemed that the patient and Zhou Cheng happened to pass by the shift room.
"Thank you, big brother doctor!" It was a child thanking Zhou Cheng, his voice still loud and very polite.
And it's very close to the shift room.
The left gourd inside paused again for a moment——
MD is poisonous...
Zhou Cheng pushed the door open, but did not go out immediately this time, but Zuo Hu saw that after five minutes, Zhou Cheng pushed the door open again.
out--
Alas! Zuo Hu sighed in his heart——
Are you always in and out?
…
Zhou Cheng went out and saw Guo Lei talking to the patient.
The general content of the conversation was similar to what I had talked about before.
My heart suddenly trembled. Brother, the conversation is not like this!
You made a mistake in the program. Whether you need to reset it depends on whether it is possible or not?
But he didn't say it out loud.
After all, there aren't that many rare things.
The patient is an old man in his seventies or eighties.
The person who pushed her here was her daughter-in-law, who was probably in her forties!
Zhou Cheng then performed a physical examination on the patient, looked at the film, and then looked at Lao Ao's emergency medical records.
After reading it, Zhou Cheng's heart immediately skipped a beat.
He touched Guo Lei and pinched his throat to signal him to stop talking.
Guo Lei immediately understood and stopped talking.
The patient's wife saw Zhou Cheng touching Guo Lei, and Guo Lei did not dare to speak.
Then he asked: "Doctor, how is my mother doing? Don't scare me."
Zhou Cheng frowned and said, "Sister, don't be anxious. Please listen to me first."
"Your mother's current situation. Although it looks like a shoulder joint dislocation from the film, in fact, it may not be an ordinary shoulder joint dislocation. So you need to take an MRI first and let me determine the surrounding area of the shoulder joint.
Is there any compression in the muscle tissue?”
"Then we'll see what kind of treatment we need to do based on the situation."
"What Dr. Guo just said is correct. Shoulder joint dislocation can be reduced manually or surgically. Manual reduction is the first choice. However, some special circumstances are not suitable for manual reduction."
Zhou Cheng explained.
But the patient and his family members immediately frowned.
The patient's wife said: "But just now Dr. Guo said that we can try to reset it manually first. Can't we try to reset it first and then do an MRI?"
"We are all in the ward. What if it is not a special joint dislocation? Then we can skip the MRI?"
Lao Ao also raised his head, feeling a little dispirited and said: "Yes, doctor, my shoulder hurts so much and I can't help it. Please stop the pain for me first! I'm about to die from pain. Ouch, ouch."
As he spoke, he groaned in pain.
Zhou Cheng licked his lips and said, "This, eldest sister, is not what you understand."
"Our doctors are dealing with people, and people cannot just try it casually. An MRI or an emergency visit will be quick, and it won't take much time."
Then he said to the old lady: "Oh, the pain you have is the pain of joint dislocation. Painkillers are not very effective. It must be reset. Before reset, we have to understand the situation in detail."
Zhou Cheng actually felt confident at this moment. This patient's joint dislocation was an anterior dislocation. Although it was an anterior dislocation, the scope of the anterior dislocation was a bit large, and the end point of the anterior dislocation was a bit special.
I'm afraid it falls into the category of contraindications for manual reduction, so he didn't dare to reset it at will.
The shape and specific location of the biceps tendon must first be determined.
Lao Ao sighed, and kept touching her left arm with her right hand, saying, "Doctor, I'm in pain. Please reset it for me first, so that I don't feel any pain, and then check again."
"Yes, doctor."
"This is not an experiment. We go down again for inspection and then come up again. It's not appropriate to go back and forth, isn't it?"
"And just now Dr. Guo said to try manual reduction first, and if it doesn't work, then switch to surgery." She looked directly at Guo Lei, wanting to use Guo Lei's words to silence Zhou Cheng, thinking that Zhou Cheng was just trying to make them
Do a checkup.
Guo Lei immediately became trembling and said quickly: "What I just told you was about treatment. Now what Dr. Zhou is talking about is that the diagnosis is not clear yet."
"How can this be the same? If the diagnosis is not clear? Then..."
The patient's wife said impatiently: "It's clearly stated in the report that there is anterior dislocation of the shoulder joint. How else can we be clear about it?"
"Do you two young doctors know how to see it? If you don't know how to see it, call the director of your department and your superiors."
I don’t know whether I was angry because Zhou Cheng and Guo Lei were young and had inconsistent statements, or I just felt that Zhou Cheng and Guo Lei didn’t know how to treat a doctor.
Guo Lei suddenly trembled a little and looked at Zhou Cheng very guiltily.
Zhou Cheng sighed.
Then he said: "Sister, don't make any noise, please don't make any noise."
"There are still many inpatients resting in the department, which makes them uncomfortable."
"Our director is in the department. If you don't trust my suggestion, just wait a moment. Our director is in a meeting. I'll report to them, okay?"
"Hurry up and call your director. You're wasting your time here because you don't know how to treat a doctor." The patient's wife impatiently snatched all the films from Zhou Cheng's hand.
Zhou Cheng immediately went in and told Luo Yun the situation.
Then he said: "Teacher Luo, this patient's biceps tendon is probably wrapped around the back of the humeral head. The patient refuses to do an MRI and doesn't believe me anymore. He has to ask a superior to see it."
Luo Yun nodded and walked out with Zhou Cheng.
At this time, Zuo Hu's lecture was almost coming to an end...
After Luo Yun arrived at the nurse's station, he didn't just listen to Zhou Cheng's family advice, but carefully watched the film and the physical examination.
A full five minutes passed.
Luo Yuncai said: "Dr. Zhou's consideration is right. In your mother's case, you still need to do an MRI."
"It's very possible."
But just as Luo Yun finished speaking, the middle-aged women started arguing: "You are in the same group, right?"
Then he pointed at Guo Lei: "At the beginning, he said that it would be reset and treated later, and then he came."
Point to Zhou Cheng.
"He said he would do an MRI."
"He's calling you here, and you said the same thing. You're obviously talking to protect him." Then he pointed at Zhou Cheng.
"Do you really want our patients to do so many tests?"
Luo Yunchang took a long breath, saying in his heart not to be angry, not to be angry, and patiently explained: "If I just listened to him and told you about the examination when I came out, why did I bother to watch the examination for so long?
"
"How is it possible for doctors to protect him? He is my student. If he makes a mistake, of course I can tell him and correct him. Why should he keep making mistakes?"
"I suggest you go for an examination to make a clear diagnosis."
"You are in the same group with him, it's obvious. I saw it there, you are in the same group." The woman persisted and found a very objective reason.
Photos of the staff in the department are hung in the department. Because there are currently only seven doctors in the Second Department of Orthopedics, it seems that the number of people is too small, so I also hung up the photos to pretend that my department is full of people...
Zhou Cheng is naturally in the same group as Luo Yun.
Luo Yun couldn't refute what he said, so he said: "Then who do you think is not with us? Can you go and identify him in the photo?"
"There happens to be something going on in our department right now, and everyone is here."
"Is this okay if I ask him to come and treat your mother specifically?"
When Luo Yunzheng was explaining to the patient, Yan Haihan walked out of the handover room to welcome Zuo Hu, Li Yong and others. Yan Haihan said very politely: "Professor Zuo, thank you. It's really hard for you today."
Already."
"I will arrange lunch in advance later. Professor Zuo, you must eat before leaving."
As Yan Haihan said this, the woman pointed towards Zuo Hu: "He, he is not from your department. I haven't seen his photo."
"Can he show it to my mother?"
Luo Yun felt a pain in his balls at that time. This family member was really bad, and his memory was quite good.
But I didn’t think twice about it. None of the other people’s photos were hung in the department. Are they people from the department?
Luo Yunke couldn't move, so he quickly shook his head and explained: "This is an associate professor from the Affiliated Hospital of Xiangnan University. We invited him to give classes. He is not invited to see a doctor. You can only choose people from our department, and I can hire him."
move."
"How could our hospital instigate this?"
Just as Luo Yun was saying this, Yan Haihan looked at her with a little embarrassment and pointed at Zuo Hur, and quickly explained to Zuo Hur: "Professor Zuo, there may be a misunderstanding. You should go and rest first."
"I'll go take care of it."
Zuo Hu said: "Let's go over and take a look, Director Yan."
Zuo Hu was really curious as to why Luo Yun was so disbelieved by the patient.
However, I was a little scared, what if they really called me over?
What should I do if I can’t see?
Luo Yun is not an easy person...
Confused in my heart.
Yan Haihan quickly took a few steps forward and asked from a distance: "Hello, I am the director of our department. If you have anything to tell me,"
After speaking, he walked right in front of the patient and family members.
The middle-aged woman then said: "The doctors in your department care for each other, and everyone agrees."
"One doctor said that manual reduction can be done, and another said that it cannot be done and that it needs to be checked first. The next doctor also said that it needs to be checked."
"Who should I listen to?" The middle-aged woman was also very smart and left the question entirely to doctors Luo Yun and Zhou Cheng.
Guo Lei listened and immediately came over to explain and apologize to Yan Haihan.
"I'm sorry, Director Yan, it was me talking to the patient. I didn't understand the situation, so I talked to them about the risks of the reset technique..."
Guo Lei wanted to continue talking, but Yan Haihan stopped him.
Nowadays, the patient needs to solve the problem and always listens to Guo Lei. This is disrespectful to the patient.
Yan Haihan quickly arrived in front of the patient and said: "Then you may have misunderstood. He is the doctor on duty. This is the attending physician of our department and the superior doctor. The superior doctor has the right to teach the resident doctors on duty.
.”
“You have to believe in Dr. Luo’s professionalism!”
"We are doctors and patients. We are treating diseases, not doing business. We must insist on this, right?"
"Since Dr. Luo thinks you need another examination, then decide on the next diagnosis and treatment plan after the examination is completed." Yan Haihan supported Luo Yun and said resolutely.
The main reason is that he doesn't understand much, so he doesn't dare to read more. He can only trust Luo Yun. He just hopes that Luo Yun will be more effective and not be looked at by Zuo Hu and think he is an amateur.
The middle-aged woman suddenly became a little anxious.
Yan Haihan said that he is the director and he also protects Zhou Cheng and Luo Yun, so what should we do?
She murmured: "But? But?"
"Obviously you."
"Professor, could you please come and check on my mother?" She looked directly at Zuo Hur and shouted loudly, hoping that Zuo Hur, a doctor from the Shonan University Affiliated Hospital, would come to seek justice.
Yan Haihan's expression suddenly changed and he said: "Professor Zuo is a professor at the Affiliated Hospital of Xiangnan University, and he is not an employee of our department. How can you ask for it?"
But the middle-aged woman still pointed at Zhou Cheng and the others and said, "They are all talking to each other to protect each other. I don't want to see them here anymore. I want to see you."
As soon as these words came out, everyone's expressions suddenly changed!
You can do this kind of thing, you can even talk about it, but in front of professors from other hospitals, you shout here, have you registered?
Have you respected other people’s professors?
Have you chosen the right place?
Cai Dongfan quickly apologized and said, "Professor Zuo, I'm sorry! The patient doesn't quite understand the rules here."
"Please, please go to the director's office to rest first."
Zuo Hu also nodded and smiled casually, indicating that he didn't care. Then he followed Cai Dongfan's direction and walked to the director's office.
When the woman saw this, her expression suddenly changed.
Then he roared angrily: "You are all a bunch of bad thieves. None of you are good. You only care about money and inspections. Directors and professors are all wolves in human skins, with human faces and animal hearts -"
"You are doctors, and what you should do is treat illnesses and save people, rather than asking patients to do this check-up or that check-up."
When Zuo Hu heard this, his face darkened and he paused slightly.
Why didn't I yo-yo earlier? I had to suffer this kind of punishment for no reason.