Chapter 36 Click (PS: Please collect, recommend and read!)
However, there was a reason why Luo Yun finally decided to let Zhou Cheng try the manual reduction of the joint dislocation.
After all, the department needs to transform. None of the superior doctors have a background in joint surgery. However, when Luo Yun was a graduate student, he stayed in joint surgery for three years. It was just a graduate degree. He had to come back before he could get a doctorate.
Shashi.
When I arrived at Shashi No. 8 Hospital, I almost started from scratch in terms of trauma.
Moreover, Luo Yun also considered that if the Department of Orthopedics is to be divided into other specialties in the future, it will definitely be divided into a separate Department of Joint Surgery...
The intersection between joint surgery and trauma surgery is joint dislocation.
When he first came to the department, Luo Yun felt quite depressed when he heard that the department had removed joint dislocations. He took this opportunity to retrieve the joint dislocations as the first step in the department's expansion into joint surgery.
, is still a good choice.
Moreover, the manual reduction of joint dislocation is also a conservative treatment, which is similar to the manual reduction of fractures. This can also help to regain the unique characteristics of traditional Chinese medicine hospitals and kill two birds with one stone.
"Okay, Teacher Luo." Zhou Cheng naturally nodded honestly. He was not a roundworm in Luo Yun's belly, so naturally he didn't know what Luo Yun was thinking.
But strength is strength, and rules are rules.
Medicine has its own circle and its own rules.
Before you can make rules, acting within the rules is the greatest protection for yourself. Similarly, all doctors acting within the rules also protect and respect their patients.
Otherwise, the rules and regulations will become confusing, so who should the patient choose to believe?
Moreover, under reasonable regulations, there are ways to break the rules, but that way is difficult.
Zhou Cheng didn't know this before, but through this simulation, Zhou Cheng knew that if he could pass the evaluation of the Orthopedic Branch of the Medical Association, he would be able to obtain authorization for surgery in advance, which he could strive for later.
However, to join the Orthopedic Branch of the Hunan Medical Association, you need a guide. Luo Yun is not qualified yet, so I don’t know if Cai Dongfan is qualified to recommend him.
If there is, it is the correct approach to let Cai Dongfan get him in first, and then get familiar with him, and then fight for the second and third level surgical permissions.
Otherwise, now Zhou Cheng can obviously perform third-level surgeries, but he can only stick to first-level surgeries because of his professional title. Zhou Cheng himself feels quite constrained.
…
As soon as Zhou Cheng said goodbye to Luo Yun and came out, Du Yanjun came running to find Zhou Cheng.
"Brother Zhou Cheng, there is an emergency patient in the emergency department down here. He has a dislocated joint."
"The senior doctor in the emergency department just joined the emergency department this year, so he called the department directly and asked our doctor to go down and see him." Du Yanjun frowned when he said this.
"However, it is understandable that the emergency department has a lot of affairs. Newcomers have only received simple training before taking up the job. Maybe they have not had time to familiarize themselves with these details."
"Look, should you go over and take a look? Or should you call Teacher Luo Yun?"
Du Yanjun asked Zhou Cheng, not daring to make his own decision.
The doctor on duty today is Zhou Cheng. If it was a simple debridement patient, Du Yanjun might report it to Zhou Cheng and then pull him into the operating room to get it done.
But patients with joint dislocations were rarely seen in the department before, and he had never done it.
And if Du Yanjun was on duty himself, Luo Yunyi would definitely have lost this matter. But he was just here to learn from Zhou Cheng, so naturally he couldn't decide what to do on his own.
There is quite a sense of helplessness in being dependent on someone else.
Zhou Cheng was stunned for a moment. When he first heard what Du Yanjun said, he thought he was thinking about the method of resetting a dislocated joint, so he felt that he had heard it wrong.
Just after getting the authorization from Luo Yun, a patient immediately arrived at the emergency department. How could there be such a coincidence?
However, coincidences in reality are sometimes even more coincidental than the stories written in books.
"Let me go down and check the situation. We are doctors on duty. The emergency department has called us. No matter what happens in the end, we still have to go." Zhou Cheng thought, and then walked towards the emergency department.
Du Yanjun may have felt that this trip was meaningless, after all, such patients are rare in the department!
When I went there, I would either call Luo Yunlai or persuade the patient to go to another hospital, and then explain to the senior doctor in the emergency department what to do if he encounters such a patient in the future.
Then he said: "Brother Zhou Cheng, please go there by yourself. I'll stay in the department and look at the medical records."
"Oh, okay!" Zhou Cheng didn't think much about it. Since Du Yanjun didn't want to go, he could just go by himself.
I stopped by the duty room where Luo Yun was.
Luo Yun was stunned for a moment, then stood up and looked at Zhou Cheng with some suspicion: "Xiao Zhou, are you deliberately setting me up? In fact, this patient has been here for a long time, so you just came to see me on purpose.
?”
When Zhou Chengcai went out, he asked him to go to the emergency department to see a patient with joint dislocation. Such a coincidence.
Luo Yun very much suspected that he was arranged by Zhou Cheng.
Zhou Cheng quickly shook his head and said, "No, it's really Du Yanjun who told me the news. The emergency department just called me. If you don't believe it, Teacher Luo, you can go to the nurse station for confirmation."
The corners of Luo Yun's mouth twitched for a while and he said: "That's still not necessary. If a patient comes, see the patient first."
The two of them went all the way to the emergency department.
Then Luo Yun introduced himself to the new emergency department doctor. He was a graduate student in the emergency department of the Affiliated Hospital of Xiangnan University. After graduation, he worked in the emergency department of Shashi No. 8 Hospital.
They belong to the third batch of employees recruited by the Eighth Hospital this year. They have recently completed the entry procedures. Today is the fifth day in the department.
He is tall and thin, with dark circles under his eyes and bags under his eyes.
Either they stay up late while on duty, or they stay up late reading.
"Teacher Luo, the patient is here. Since there is no traumatic bleeding, I asked him to wait in the treatment room nearby for a while. I'm sorry, Teacher Luo, I don't know that we can call the patient directly to the ward.
"Liang Xueya explained to Luo Yun very apologetically.
Liang Xueya comes from the emergency department of the Shonan University Affiliated Hospital. There, the emergency treatment process for emergency patients is very organized. There is no need to call the patient to the ward to be seen by the doctor on duty. Each department has eight procedures that do not exist in the hospital.
Chief resident physician, responsible for emergency consultations.
Although Luo Yun felt a pain in his heart, he could only say: "It doesn't matter. When the emergency department encounters an emergency patient, it is the most formal procedure to call a specialist doctor to the emergency department for consultation."
There is no way, the health system's consultation system for emergency patients is stipulated in this way. You can't say Liang Xueya is wrong.
I quickly saw this patient, and the X-ray results were at hand. After reading the X-rays carefully, I found no fractures, just a common patient with anterior dislocation of the shoulder joint. Zhou Chengcheng read the X-rays with Luo Yun beside him.
Ask about the medical history and find that it is consistent with the medical history of anterior dislocation.
Then Zhou Cheng was asked to perform a physical examination on the patient, while Luo Yun read the films and made a careful diagnosis to completely rule out hidden fractures.
To diagnose joint dislocation, medical history, physical examination, and auxiliary examinations are all indispensable.
After the diagnosis is basically confirmed.
Luo Yun said to the patient: "Your situation is an anterior dislocation of the shoulder joint. It requires manual reduction, but you have to go to our orthopedic ward with us and sign by the way so that we can perform manual reduction and give you a blow."
Plaster, then..."
"Okay." Although the patient feels that it is quite troublesome to go to the orthopedic ward, at least there is a professional doctor taking care of him now, and it is like meeting a savior.
He had been left alone here before. He was so panicked that he almost thought about whether he was hopeless. He didn't even find the right doctor when he came to the hospital...
"Come with me." Zhou Cheng kept holding the patient's affected limb with both hands, and then used his head to guide the patient in the direction.
"Okay, thank you!" The patient expressed his gratitude to Zhou Cheng for his enthusiastic help.
Sudden.
"Aww!~"
"Click!"
Two voices sounded at the same time, and everyone in the room was shocked!