Chapter 37 What unit did I come to?! (PS: Please collect, recommend and read!)
The patient suddenly felt a sharp pain in his left shoulder and immediately screamed in pain.
It was a sudden feeling of emptiness in the left shoulder, as if my hand was separated from my body in a short period of time. In medical examination, this is called fear sign, and it will be accompanied by pain.
The sudden pain made him subconsciously tilt the left side of his body downward. The brief pain immediately made his forehead covered with sweat! The veins stood up.
He covered his arm with his right hand in aggrieved and resentful way, and looked at Zhou Cheng standing to his left with some anger.
Zhou Cheng is tall and strong, and he only has one hand.
Can't beat it.
I cursed in my heart: You don’t respect martial ethics. Didn’t you just agree to go this way...
At the same time, Luo Yun and Liang Xuaya were both stunned.
I don't understand what is going on.
Liang Xueya turned his head slowly and stiffly to Luo Yun, with question marks on his face.
What are the people you brought doing?
Luo Yun looked at Zhou Cheng.
Zhou Cheng immediately let go of his hands and said to the patient, "Can you try to move this hand?"
"It hurts me!"
"I can't move. I couldn't move before." The patient's tone was not good.
I'm scolding my mother in my heart. You just fucked me like this. If I don't report you later, I won't be named Huang. You still let me do it. Do you have any conscience?
If I hadn't injured my hand now, how could I argue with you? Where would there be a doctor like you?
"It's okay, just move. It was dislocated before, but it should be reset now. The pain you just felt is a fear sign during the reset process. It will disappear immediately after it exists for a short time, and the original pain will be relieved immediately."
"Is what I said correct?" Zhou Cheng said while showing him another example.
"Come on, learn from me and slowly lift your hands up."
Zhou Cheng seemed to have entered the role at this moment, and he had no intention of caring about the expressions of Luo Yun and Liang Xueya.
Because this simple anterior dislocation of the shoulder joint is too simple.
Shoulder joint dislocation is an extremely common joint dislocation in clinical practice!
Anterior shoulder dislocation is the most common shoulder dislocation!
Zhou Cheng, who has a perfect level of proficiency in the manual reduction of joint dislocation, has at least four or five ways to deal with it, with ease.
If I had to use one word to describe Zhou Cheng's current attitude towards anterior shoulder dislocation, it would be naughty.
Clinically, the most commonly used method for reducing shoulder joint dislocation, the most commonly used and written in textbooks, is the pedal-hand method.
The scientific name is the Hippocratic reduction method, but in clinical practice it is often called the pedal-and-hand method.
The method of this surgical reduction is as follows: the surgeon places the foot against the armpit of the affected side and tractions the patient longitudinally while alternately rotating the humeral head internally and externally.
This technique is very classic and simple. Its reduction success rate is not bad, but it involves a relatively high traction injury of the brachial plexus and is quite laborious, so it is no longer commonly used.
Clinically, there has long been another reduction method that is quite labor-saving and simple and applicable, namely the external rotation reduction method.
The patient happened to be standing right next to the patient, and his posture was completely appropriate.
And the timing is just right.
The difficulty in resetting patients with joint dislocation is that the joints are not in place, causing the patient to be in pain and wary, so the muscles contract very severely.
For routine reduction, it is necessary to resist the patient's stress muscle contraction due to pain and the patient's alert muscle protective contraction. It requires strong force or brute force traction with the addition of anesthesia or muscle relaxants.
Then reset.
According to clinical research, it can be found that the protective contraction force produced by patients' voluntary alertness is greater than the stress contraction force produced by pain.
Therefore, it is the best time to reset the patient when he is inadvertent and completely unprepared.
The patient happened to be talking to Luo Yun just now, and Zhou Cheng pretended to show him where to go, letting the patient know that he had to go to the ward first before treatment.
It can completely achieve unexpected results.
This is the perfect level of proficiency, this is the feeling and warmth of a disease.
Of course, only Zhou Cheng knew these things, not the patient. He looked at Zhou Cheng resentfully, and then glanced at Luo Yun, who looked older.
Do you care or not?
Otherwise, I will file a complaint with you later.
However, when he scratched Luo Yun with his eyes, he could clearly feel the pain in his shoulder, which became lighter and lighter. If the pain could be compared to a tangible object.
The pain during dislocation used to be the size of an egg, but the pain just now suddenly became the size of a basketball, and now it is only the size of a grain of rice.
Zhou Cheng was right about everything.
And my feelings will definitely not lie to myself.
So the patient began to move his left hand hesitantly!
Lift up slowly.
Eh, not bad.
Outreach is okay.
Lift it up, lift it up too.
Suddenly, the patient's eyes lit up, he looked at Luo Yun and Zhou Cheng, and his tone immediately became much better: "Doctor Zhou, Doctor Luo, who am I?"
"alright?"
After hearing this, Zhou Cheng replied: "You had a joint dislocation before. The main symptoms of joint dislocation are pain and limited movement."
"Now you can see that activities have resumed. If you have already felt that the pain has been greatly relieved, then the joint dislocation has been reset. You can take a post-reduction X-ray later.
You can get results in just one click.”
"The reason why I took advantage of you just now was to reduce your defense and reduce your alert muscle contraction force, just like..."
Zhou Chengcheng began to explain in detail. This was actually a sequelae of the simulation. He had perfect skills, so he naturally wanted to fully inform the patient of his treatment process and treatment ideas.
Let the patients themselves participate in the entire diagnosis and treatment process so that they can understand. This is how the size and heat are accurately measured.
Otherwise, if the doctor has an accurate grasp of the disease unilaterally, but the patient himself is not clear about it, then the communication process is not done well.
Luo Yun felt a little stupid as he listened to Zhou Cheng's words.
Damn it, I haven’t explained the follow-up treatment process to the patient yet.
Did you just finish the treatment?
And then after the treatment, a live teaching session was held in front of me?
Damn it, it makes sense.
You, a resident-training doctor, want to teach me, am I crazy or are you crazy?
After listening to Zhou Cheng finish explaining his analysis, Luo Yun helplessly closed his mouth.
Then I thought back to what Zhou Cheng said and wondered why I had such an illusion.
He knows what a dislocated joint looks like better than I do?
What Luo Yun could feel intuitively, Liang Xueya could also feel it naturally, and at that time he felt a little confused.
Damn it, what unit did I come from?
I thought I was a graduate student at the Shonan University Affiliated Hospital, and I had seen a lot of it and had a lot of clinical experience. I thought I could put my skills to good use when I came here.
But a trained doctor from the Eighth Hospital is now so awesome?
Not only can you complete the manual reduction alone, but you also need to teach on-site in front of your superiors?