Chapter 30: Fracture line? (Please collect, recommend and read)
"Oh, okay." Tan Min just realized what he was doing and closed his mouth obediently.
Then he asked with bright eyes: "Then do you still want to compete for the place in the hospital?"
"Let's see." Zhou Cheng didn't give a definite answer, which was an affirmative answer.
The last reply to Tan Min was that Zhou Cheng felt that he had no advantage in competition, but that was before.
"Never give up. Come on." Tan Min immediately became happy and encouraged Zhou Cheng.
Zhou Cheng smiled and said, "Thank you, Sister Tan Min. I'll treat you to dinner next time."
Tan Min didn't reply, and he didn't know if he took it seriously. However, Tan Min at least fulfilled his obligation as a friend and kept persuading Zhou Cheng not to give up.
…
Manual reduction surgery is not something you can do just by jumping in. Although this is a first-level surgery, you still have to follow the procedure.
Explain the risks and benefits of current diagnosis and manual reduction treatment to the patient, and also explain the risks and benefits of surgery.
The general difference is that manual reduction has the risk of failure and will be very painful, and even if the reduction is not achieved, Zhou Cheng does not need to charge for the manual reduction, but the anesthesia fee will also be charged.
Then it was explained that if surgery is performed, the recovery speed may be slightly faster than manual reduction, and the patient will be able to get out of bed earlier, among other advantages.
To sum it up, just one thing.
Manual reduction saves money, but there is a risk of failure, and the fracture may become displaced again after reduction.
Surgical reduction is more expensive, but the risk of failure is almost negligible, and early movement is possible.
Let patients choose their own treatment.
Both treatment methods are definitely feasible.
"I listen to you, Doctor Zhou. I will treat you however you want me to." The patient may have understood, but he was still unwilling to take the risks, so he hoped Zhou Cheng would choose one for him.
Zhou Cheng heard this kind of words countless times.
We also know that there are actually cognitive errors between patients and doctors. However, doctors really have no right to give advice on choices.
Zhou Cheng then said: "This is not a problem that I ask you to treat, but a problem that you want to treat yourself."
"Coming to the hospital to see a doctor is not like going to a restaurant to eat. You can eat whatever you want or don't want to eat. If you choose something that doesn't taste good, you can choose another restaurant."
"This is your choice. If you haven't understood the risks of manual reduction and surgical reduction, I can tell you again. Or you can call and contact your family."
"If you want insurance, then have surgery. Just go to the hospital first."
Zhou Cheng made a show of collecting the informed consent form.
He couldn't possibly give a tempting choice.
Even if Zhou Cheng really wanted to perform manual reduction on this patient, it was impossible to say that manual reduction was better and highlight its economic advantages.
Otherwise, if something really goes wrong, the patient's first sentence will definitely be, am I short of that little money?
"Then? Don't."
"Dr. Zhou, I'd better do manual repositioning. Try it first." The patient said quickly when he heard that Zhou Cheng was going to hospitalize him.
I just asked, the surgery will cost at least 10,000 to 20,000 yuan, and may not be reimbursed. (This kind of work-related injury usually involves a third party, just like a car accident involves a third party. Regular medical insurance does not provide reimbursement. This is not the case.
Specified by the author.)
"Okay, then you sign here..."
…
At about 9:40, Luo Yun had completed the key operations of the surgery, and then left all the remaining finishing work to Du Yanjun.
Du Yanjun will gradually start to be the first-level surgeon in the future. The finishing work is also a part of the surgery. Of course, he must start practicing first.
Luo Yun did not go back directly, although he lived not far from the hospital.
Zhou Cheng in his group is on duty today, so he belongs to the second-line shift. If there is an urgent emergency, he needs to rush to the emergency consultation site within fifteen minutes. He may not be able to make it at home, so during normal working hours, Luo Yun is
Won't go back.
Moreover, Zhou Cheng was the only one to write the medical order this morning, so he had to verify it.
Although Zhou Cheng has been trained for a long time, he is quite reliable.
But in medical work, the more detailed the better.
But just as Luo Yun arrived at the department, someone stopped him at the nurse's station and secretly said to Gao Mi: "Luo Yun, Zhou Cheng, the guy in your team, is resetting the patient's fracture. You have to pay attention."
The nurse who spoke was named Zeng Linhui. She actually wanted to warn Luo Yun.
As a junior doctor, if something happens to Zhou Cheng while on duty, Luo Yun, as the superior of the second-tier class, must bear the responsibility.
"Ah?" Luo Yun was slightly stunned by Zeng Linhui's words.
"Really, it's in the operating room. We are nurses, so we can't say much about your doctors."
"And it seems that everything has been completed. The patient and family members just brought in the review films, and they are probably still looking at them in the operating room. You'd better take a look." Zeng Linhui frowned slightly.
Manual reduction is a rather taboo topic in the department.
Because just a few years ago, Director Hu once performed a manual reduction on a relative with whom he had a close relationship. As a result, he was sued by the relative and the department paid for the subsequent surgical expenses and nutritional expenses.
Moreover, Director Hu almost had his professional title revoked from senior to deputy senior because of these things.
However, this matter happened before Zhou Cheng came to the department, so Zhou Cheng may not have heard of it.
Sometimes, if you are willing to do good deeds, you may not be rewarded.
Luo Yun hurriedly ran towards the operation room, but after reaching the door, he slowly pushed the door open and entered, pretending that he was not in a hurry at all.
Luo Yun pushed the door open, making the patients and family members inside slightly startled.
And after seeing Luo Yun, he actively stepped aside.
"Zhou Cheng, I heard from the nurse at the nursing station that you were in the operating room, so I wanted to come over and take a look." Luo Yun said without blushing or out of breath.
There was no sign of worry or fear that Zhou Cheng would mess up.
Zhou Cheng sighed slightly when he saw Luo Yun. The patient had been struggling for a long time, so everyone on Luo Yun's side stepped down.
However, sooner or later, I would have to hide the fact that I had to perform manual repositioning in the department.
Then he said: "Teacher Luo, just in time, please come and take a look. This is the X-ray of this patient after the manual reduction. I think it's okay. Please give me the details."
Luo Yun looked at the plaster on the patient's leg and felt very bitter.
I used a crutch, and Zhou Cheng really did the repositioning.
What should I do?
But now that it has been done, this is the only way to go. Let’s cover up the matter of Zhou Cheng first.
Luo Yun took a look at the X-ray after the reset, then shook the film in his hand and rubbed his eyes.
What the fuck?
Have you ever had a broken bone?
What about the fracture line?
"It's okay, Teacher Luo." Zhou Cheng inserted a knife into Luo Yun very 'timely'.
Luo Yun felt bitter in his heart at that time and glanced at Zhou Cheng a few times to see if Zhou Cheng did it on purpose.
I cursed in my heart.
Urgent!
What are you urging? I am your superior, you know?
The location of my fracture has not been found yet.
Then I continued to look carefully, and finally found a blurry shadow in the middle and lower section of the tibia, but I couldn't determine whether it was the location of the fracture.
Luo Yun did not dare to say that he had not found the fracture, so he pursed his throat and said seriously: "Show me the film before the reset."