Chapter 32: Children cannot be taught! (PS: Please collect, recommend, and read!)
"A patient on Director Yan's team?" When Luo Yun was about to speak like this, Zhou Cheng became interested and his eyes lit up.
If Director Yan wants to take the lead in carrying out surgical reduction in the department, then he will be right at the forefront. However, Zhou Cheng is a junior trainee in Cai Dongfan's group and is not qualified to see patients from other groups.
"This is not the focus of your consideration." Luo Yun quickly dismissed Zhou Cheng's idea of asking about other groups of patients.
Even Cai Dongfan couldn't say much about the patients in Yan Haihan's group. What was Zhou Cheng asking about?
However, Luo Yun hesitated for a moment and said: "However, some time ago, Director Cai Dongfan mentioned to me that Director Yan Haihan wanted to re-engage in surgical reset in the department. This is actually related to the positioning of our hospital.
"
"You should also know the other name of our hospital, right?"
Zhou Cheng nodded repeatedly and said, "Yes, I know, Shashi Traditional Chinese Medicine Hospital."
Luo Yun looked elsewhere, probably knowing that no one would come in now, so he found a stool to sit down, and then asked Zhou Cheng to find a place to sit down as well.
He said: "Yes, the characteristic and positioning of our hospital in the past was that it focused on traditional Chinese medicine. The same was true at that time, including orthopedics."
"It's just that around the 1970s and 1980s, due to the gradual rise of clinical medicine..."
Luo Yun actually told Zhou Cheng the history of the development of the department.
It turns out that the current Shashi Eighth Hospital was formed by the merger of the original Shashi Traditional Chinese Medicine Hospital and the Seventh Hospital. There were many reasons for the merger, but Luo Yun only mentioned orthopedics-related ones.
In the past, the Department of Orthopedics had only one department, and its main focus was traditional Chinese medicine. Even Luo Yun had heard from Cai Dongfan that a group of old professors who were still alive at that time were very capable in the conservative treatment of fractures.
And this is a traditional fracture treatment feature of China.
But we have to admit that traditional Chinese medicine has great limitations in the treatment of fractures.
Because there are some complex comminuted fractures that are simply impossible to treat with manual reduction and conservative treatment, and some patients who are barely able to be managed with manual reduction are completely unable to achieve functional recovery with open reduction and internal fixation of the fracture.
Patients are compared.
Moreover, fracture surgery is not too complicated, reliable, and has relatively few sequelae. Therefore, more and more patients prefer surgical treatment. They are afraid of leaving any sequelae.
Because of the selective change in the patient population, in fact, under the impact of modern clinical medicine, the department had to change its direction and shift its focus to clinical medicine for surgical treatment of fractures. Over a period of time, it indeed gained a larger patient population.
.
In addition, patients’ satisfaction after surgery such as range of motion and recovery speed has also been improved.
Then the new generation that came later, such as the younger generation like Luo Yun, did not even have the opportunity to come into contact with the manual reset techniques of those old-timers.
As time went by, the characteristics of the surgical reset method of the Eighth Hospital at that time were slowly lost...
Luo Yun continued his analysis: "But as you can see now, although our orthopedics has also developed for decades, the current situation is quite embarrassing."
"Compared with the real surgical strength, it is definitely incomparable with the three hospitals affiliated with Shonan University in Shashi. It can't even be compared with the Provincial People's Hospital, the Central Hospital and other hospitals."
"On the contrary, we have gradually lost the unique characteristics of our hospital. The current patient flow is much less than that of the affiliated hospitals of Hunan University of Traditional Chinese Medicine."
"Nowadays, there are many vacancies in the beds in the department."
Zhou Cheng nodded. In Shashi, this is indeed the case. Patients can easily receive the top medical resources in the province.
Although for simple fractures, the leading hospitals in Hunan Province may not necessarily be said to be much ahead of other hospitals. But what cannot be denied is that in the internal fixation of complex fractures, the eight hospitals in Shashi and the top hospitals in the province are better.
There is a certain gap.
Therefore, what can be left in the department are some simple patients, and they are also nearby patients.
The number of sources of this disease is not very large.
Therefore, if the department does not change its strategy, the current number of patients cannot be maintained. For a hospital without disease sources, there is no need to talk about the development of the department. It would be good to retain doctors who are hungry.
Although this sounds snobbish, the reality is that being a doctor is just a profession, and doctors need to rely on it to support their families.
Therefore, in the past period of time, there have been one or two cases where some team directors of Shashi No. 8 Hospital left the country, which took away a large wave of patient flow. They believed that the skills of the previous directors would be better in the future.
The district has a good reputation, and even if you go to other districts, you are still willing to go to the original directors for medical treatment.
It's not too far anyway.
"So the current department is actually in a critical period of transformation. I guess that both Director Yan of our department and our chief director of orthopedics, Director Zeng Yi, have thought about continuing to find the treatment that belongs to our department.
feature."
"That is to see if we can make a breakthrough with conservative treatment, and then bring back some patients who hope to use conservative treatment to solve the fracture problem."
"In addition, we still need to make some clinical breakthroughs."
"There are only a few options for this breakthrough. Either to improve the level of fracture reduction and internal fixation, catch up to the top level of Shashi, and compete with them hard, or to develop some new techniques in a unique way.
come out."
“Find a direction that is currently popular and go for it.”
"Either we need to change direction and develop in the direction of sports medicine or joint surgery."
"It's just that the risk of changing directions is too great. Several old directors in the department today are not professional joint surgeons, which makes it more difficult."
After Luo Yun said something casually and eloquently, he stopped calmly.
There are some things that you can just stop talking about. If you really want to tell Zhou Cheng, it means that you are trying too hard for Zhou Cheng, which is not fair to others.
Then the topic changed and he asked: "How did you reposition the patient just now?"
"This is a patient with current contraindications to manual reduction. Isn't it easy to perform manual reduction?"
Hearing this, Zhou Cheng explained: "I strictly follow the steps of manual reduction. I usually like to collect some special manual reduction information. For this patient, I first considered the classification of his fracture."
"It belongs to type B2. Although it seems to have a wedge-shaped bone fragment, it is an unstable fracture type. However, through the insertion force of soft tissue, stable fixation can be achieved after the wedge-shaped bone fragment is reduced, and with external fixation using a plaster, it can completely achieve the fracture conformity.
The purpose of treatment is reduction and immobilization.”
"Then it was successful."
After Luo Yun heard this, he immediately rolled his eyes.
I'm asking you how you did it, I'm not asking you to give me advice on the treatment principles for fractures.
Asked in vain.
Zhou Cheng looked at Luo Yun's expression and knew that what he said was obviously the essence, but Luo Yun didn't listen at all.