Chapter 39 Don’t, don’t! (PS: Please collect, recommend and read!)
Luo Yun didn't bother to get to the bottom of it. Previously, Zhou Cheng achieved a reduction of such a difficult tibial plateau fracture that even surprised Director Cai.
Cai Dongfan didn't say much, why should he, Luo Yun, worry about it?
Moreover, Luo Yun never paid attention to Zhou Cheng at all, and he didn't think about Zhou Cheng when the team members had the opportunity. Then there was no need for Zhou Cheng to report to them in detail what he knew and how he knew these things.
"Just tell me, among these common joint reductions, which ones are you sure you can do?" Luo Yun just watched Zhou Cheng's reduction techniques.
His timing was very good, and his understanding of joint dislocation and reduction was quite thorough. Therefore, he simply picked up Zhou Cheng's mistakes from behind. There was no need to do it, as every patient had to do everything personally.
Anyway, these patients are usually not treated by the bedside doctors in other groups. He is the only one in the department who wants to not forget his old profession, so he has not lost this skill. As long as Zhou Cheng can restore the joints well, he will not do it.
People will take care of Zhou Cheng.
This question is really a bit difficult to solve.
There are many types of joint dislocations. According to the size, there are dislocations of large joints, such as shoulder joints, hip joints, knee joints, elbow joints, etc.
There are also small joint dislocations, such as interphalangeal joints, radioulnar joints...
If we had to classify them in detail, there would be at least dozens, or even hundreds, of them.
As for the manual reduction of these joint dislocations, Zhou Cheng can almost do it. The only thing that he dares not do is probably the dislocation of the spinal joints. That thing is really not something that can be done by manual reduction.
So Zhou Cheng asked: "Teacher Luo, which aspect are you specifically referring to?"
"It's common, it should be fine."
Luo Yun and Zhou Cheng had already entered the elevator at this time, with Luo Yun in front, ready to press the floor where the second orthopedic ward was located, but at this moment, the half-stretched hand gradually became stiff.
Turning back and looking at Zhou Cheng with a sincere expression, I felt funny in my heart.
It’s common and should be fine?
I don’t even dare to say this, you know?
Are newborn calves afraid of tigers?
"What about the dislocation of the cuboidal joint?" Luo Yun asked casually while pressing the button for the elevator.
Like the dice joint, the name is quite a mouthful.
It is a joint composed of the calcaneus and cuboid bone, both of which belong to the tarsal bones of the foot.
As for this joint, even joint surgery is not involved. Only a professional foot and ankle surgeon can handle this dislocation.
Foot and ankle surgery, an extremely professional discipline, is located in the Eighth Hospital of Shashi. Even the three top hospitals in Hunan Province, the Department of Orthopedics of the No. 1, 2 and 3 Affiliated Hospital of Shonan University, have not yet divided these areas in detail.
Three professional departments come.
As for the dislocation of the calcaneocuboid joint, currently only a few professors use surgery to reduce it. If you really want to perform manual reduction, you probably have to go to a department with extremely professional foot and ankle surgery in Shanghai or Kyoto.
It would be good for an ordinary orthopedic graduate student to understand the anatomy of several tarsal bones, cuneiform bones and phalanges of the foot. At most, they know the term calcaneocuboid joint. As for how to reset it?
To be honest, Luo Yun himself didn't know much about it.
The reason why he asked this was to let Zhou Cheng know how dangerous the human heart is and how high the sky is and how high it is.
Zhou Cheng raised his head slightly and thought for a moment.
Well, although the manual reduction of the calcaneocuboid joint is quite troublesome, in fact, as long as the attachments of the calcaneocuboid joint, that is, the muscles between the calcaneus and the cuboid bone, and the shape of several ligaments are clear, manual reduction is not difficult.
.
Seeing Zhou Cheng's careful thinking and weighing, Luo Yun shook his head slightly, then picked up his phone and started playing casually.
He just wanted to let Zhou Cheng understand the advance and retreat, and did not want to get the answer from Zhou Cheng.
Zhou Cheng thought for half a minute, and after considering the types of heel-cuboid joints one by one, he answered very conservatively: "As long as it is within the indication range of manual reduction, it should be possible."
Luo Yun's brain shut down at that time. The first consequence of the brain shut down was that the flexor muscles in his right hand temporarily lost their ability to contract, so the mobile phone in his hand slipped out due to the force of gravity.
Then Luo Yun was so frightened that he showed the hand speed of his mother who had been single for thirty years, making the phone roll in the palm of his hand.
In the end, he held the phone like a loach in both hands.
He turned his head, narrowed his eyes, and wrinkled his forehead: "What did you say?"
The voice is a bit loud and the tone is a bit weird.
Zhou Cheng understood what Luo Yun meant, pursed his lips and said, "It's nothing, Teacher Luo, I mean! If I encounter such a patient, I will call you right away."
Extremely sensible.
Since Luo Yun doesn't think he can reset the cuboid joint, then he can do as he wishes. Anyway, there are not many such patients, and it is rare to encounter them. Even if they do not perform manual reduction on such patients,
Nothing will be lost.
Even if he took the risk, Zhou Cheng was sure of it, but he wouldn't be able to earn much gratitude points, and he would still be labeled as a disobedient person by Luo Yun.
The gain outweighs the loss.
When Luo Yun saw Zhou Cheng's answer, he immediately waved his hand and said seriously: "No, such a patient, please don't call me, call Director Cai directly!"
Luo Yun couldn't handle the dislocation of the cuboid joint on his own!
If Zhou Cheng really calls him, Zhou Cheng will look at the patient, the patient will look at him, and he will look at Zhou Cheng and the patient.
What an awkward atmosphere that was.
If it really needs to be dealt with, Director Cai can only perform surgery.
Luo Yun didn't want to take the blame. Although this kind of dislocation was very rare, who knew if it would happen.
If they meet, Zhou Cheng will call him, but he won't, it will be very embarrassing then.
"Okay, Teacher Luo." Zhou Cheng nodded again.
"Forget it!" Luo Yun didn't dare to talk to Zhou Cheng anymore. He felt that when he talked to Zhou Cheng, he didn't have any advantages that his superiors should have, and he was completely led by Zhou Cheng's nose unilaterally.
Luo Yun is not a cow. Even if he is a cow, he doesn't like the feeling of being led by the nose.
So after returning to the department, I casually told Zhou Cheng and quickly left...
Du Yanjun was in the doctor's office and said to Zhou Cheng who was coming in with a very happy smile: "Brother Zhou Cheng, are you back?"
"A patient just came in. It was a simple debridement, with an opening of about four centimeters. I was about to call you and ask you to come and perform debridement and sutures on him."
Zhou Cheng watched as Du Yanjun took out the phone belatedly, and what he said was obviously unintentional, so he said: "It's okay, Yan Jun. For small wounds, you can do the debridement and suturing alone."
"Both of us are going, there's no need for such a big fight."
Zhou Cheng sighed in his heart. Since Luo Yun wanted to do debridement and suturing, let him do it. There was no need to bring an assistant like Du Yanjun to do it by himself. In such a big battle, he, Zhou Cheng, was in the department.
It seems like the most special existence.
Anyway, for Zhou Cheng, having one more debridement and suturing machine is just one less thing to do.
If you have this time, you might as well plan the subsequent dungeon simulation and how to start it.
Different starting options directly affect the results and rewards...