Chapter 44 Chairman Zhou Cheng! (Please collect, recommend, and reward!)
Be reasonable!
In the morning, Luo Yunzhen deliberately chose a special one just to beat Zhou Cheng.
What did you say?
The joint dislocation was particularly biased and stabbed to embarrass Zhou Cheng, letting him know that the sky is high and the earth is high, but he did not say that he would know it...
Zhou Cheng naturally didn't know what Luo Yun was thinking at this moment, but it just happened that he met him by chance, and Luo Yun was still talking to Du Yanjun.
I don't know what Luo Yun and Du Yanjun said. It's better to tell Luo Yun openly. If it's less, the value of gratitude will be less.
A little more gratitude is worth it, but you can't get rich overnight, and you can directly achieve some small goal.
Du Yanjun started to help again at this moment: "Yes, Teacher Luo, let's go over and have a look together?"
"Brother Zhou Cheng also wants to see your manual reduction technique. He just told me that it's a pity that he hasn't seen it."
Du Yanjun's flattery skills were good and just right. He not only considered Zhou Cheng's feelings, but also expressed his own thoughts.
This is related to cuboid joint dislocation, Du Yanjun had never heard of it, and he even named the cuboid bone wrong, which made him feel a little embarrassed.
Then Zhou Cheng will perform manual repositioning.
If something goes wrong, don't you still have to ask your teacher to wipe your butt?
Letting Luo Yun take care of things can reduce similar risks. This is also a form of respect for the teacher as an apprentice.
If he hadn't seen Luo Yun, then Du Yanjun wouldn't have dared to make a report, but he just happened to meet him...
Luo Yun really felt that he didn't read the almanac when he went out today!
Why do you have to worry about whether something will happen to Zhou Cheng clinically or whether there will suddenly be a life-saving emergency, so you just have a meal and then go back to the department?
Wouldn’t it be nice to stay at home and lie down for a while?
But now that the knife has been placed on the neck, no matter what, I can only bite the bullet and go for it.
"Okay, let's go take a look together." Luo Yun had no choice but to think.
Later, we can shirk the patient's need for surgery and leave the patient directly to Cai Dongfan.
Or just send the patient away.
Du Yanjun smiled and said: "Well, Teacher Luo, it's like this. Brother Zhou Cheng has just seen the patient's X-ray and CT, and done a physical examination."
"There is dislocation, no fracture, and the distance between the dislocation and the front edge of the calcaneus is about 0.4cm, which is within the indications for manual reduction..."
Luo Yun's feet froze, and he couldn't detect it.
Du Yanjun welded the back door shut!
I can't get out of the car.
He looked at Du Yanjun with a very complicated expression.
Can you not speak?
Are you my nemesis?
Zhou Cheng handed the patient's signed consent form for surgery and emergency medical records to Luo Yun for review, and then said: "Teacher Luo, the basic situation is similar to what I recorded. If you are worried, we will check it again.
Let’s make the diagnosis a little clearer.”
Luo Yun took over the emergency case.
Hey guys, it’s a very standard writing format for emergency cases, with a simple medical history and the characteristic positive test results!
Depending on the amount of contact, there is no difference.
Moreover, the X-ray and CT examination results were also sorted out, and the diagnosis was confirmed.
Moreover, the patient himself also wrote in the medical record that he was aware of the risks associated with manual reduction and surgical reduction and requested manual reduction!
"There's no need to watch it again, just look at the patient's film." Luo Yun pursed his throat at that time.
This can only be done in a hurry. Let’s take the time to watch the movie and think about how to deal with it.
If it doesn't work, you can only use secret techniques.
The principle of superiority——
Just fucking need surgery, that’s what I said.
What are you doing?
…
Zhou Cheng and Du Yanjun both stood aside honestly, waiting for Luo Yun to read the film.
The patient also heard Zhou Cheng and Du Yanjun say that Luo Yun was their superior. He immediately waited patiently for Luo Yun to read the film, after all!
Zhou Cheng, who sounded so confident and reliable just now, only obeyed Luo Yun's orders.
Then this Dr. Luo is definitely more reliable.
But after waiting for two or three minutes, Zhou Cheng and Du Yanjun didn't wait for Luo Yun to speak.
Moreover, Zhou Cheng noticed the slight wrinkles on Luo Yunshang's forehead above his eyelids.
Then he almost understood Luo Yun's difficulty at this moment.
Calcaneocuboid joint dislocation is an uncommon disease!
And it belongs to a fringe subject of a fringe subject.
What's going on is that the joint surgeon thinks he is in the field of foot and ankle surgery and doesn't want to delve into this disease!
The foot and ankle surgeon thinks this should be a matter of joint surgery, and most of the time ignores it.
There must be a way to treat it, and surgery is all it takes.
If manual reduction is really necessary, in fact not many people can strictly grasp the indications for manual reduction and surgical indications for this disease.
Zhou Cheng knew this situation himself, so he said: "Teacher Luo, how about I do the reset of this patient? Can you help me stabilize it on the side?"
"I have been learning from you for so long."
Luo Yun's eyes lit up when he heard this, but his heart was filled with fear!
Zhou Cheng's words were not meant for him, nor for Du Yanjun, but for the patients.
only?
Zhou Cheng, do you really dare to perform manual reset?
This method of resetting the cuboid joint is no joke.
Look at Zhou Cheng.
He straightened his voice and asked: "Do you want to try it? This is not easy to reset!"
Du Yanjun was a little confused. When did Zhou Cheng learn from Luo Yun for a long time?
This is not close to each other at all, and Zhou Cheng is a bit too ignorant, right? In front of Luo Yun, he still has to do the reset by himself?
Then why did you call Luo Yun here?
He looked at Luo Yun anxiously, hoping that Luo Yun would not agree to Zhou Cheng's request.
"Yeah." Zhou Cheng nodded very seriously.
"Teacher Luo, please be my assistant. Help me hold down the patient's calf and volley as usual." Zhou Cheng nodded and entered the state again.
Calcaneocuboid joint dislocation requires the position of the entire tarsal bone of the foot to be grasped, so it is best to lift the patient's feet into the air. In fact, you can also let the patient sit on the bedside and fly naturally. But since Luo Yun happens to be here at the moment, it is also possible to It's hard to keep him from interfering.
Moreover, since Luo Yun had intervened, it would be Luo Yun who would take care of him.
Saying it makes others feel comfortable.
"Thank you, Dr. Luo, thank you, Dr. Zhou." The patient immediately lay down, and before that, Zhou Chengcheng told him the position for manual repositioning.
Zhou Cheng's plan at that time was to let Du Yanjun be his assistant.
Therefore, the patient was directly told to lie down for manual reduction.
Du Yanjun immediately followed Zhou Cheng's instructions, but he didn't know what to do.
But as soon as he got started, he saw Zhou Cheng coming to the patient's side very quickly, and then said: "Hello, don't be nervous. Dr. Luo and I are going to start performing manual reduction on you. Please be patient a little bit." ah."
"Don't be anxious, don't be nervous, we will start in about two minutes, and now we will do some relaxation techniques for you."
The patient suddenly felt reassured and replied: "Oh, okay, okay, don't be anxious, don't be nervous."
At the same time, the muscles began to relax slowly, and there were still two minutes left.
However, when Zhou Cheng felt that his muscles were completely relaxed, he directly deceived him and took advantage of his unpreparedness, immediately exerting force with both hands at the same time!
After hearing a clicking sound, the foot was dislocated and could not extend its back!
Zhou Cheng broke it into a stretched-back position.
The patient's upper body bounced a bit, and his foot almost kicked up Zhou Cheng's chin.
Zhou Cheng immediately stepped away and said, "Teacher Luo, the reset should be successful. Would you like to check it out?"
Luo Yun was originally in a daze.
Is this TM really reset?
How did you reset it?
What Zhou Cheng said this morning was not nonsense, right?
I used a crutch to reposition the cuboid joint, and Zhou Cheng really dared to do it!
It really can be done.
Hearing Zhou Cheng speak, he also knew that Zhou Cheng was trying to save face for him.
I looked at Chairman Zhou Cheng with a warm heart, stepped down when there was a step, and immediately asked the patient to do a range of motion of plantar flexion and dorsi extension. Everything was fine.
And the patient didn’t react too remotely.
There are two main symptoms of joint dislocation, one is pain after dislocation, and the other is visible deformity or protrusion.
Now the deformity and protrusion have disappeared and the pain has been greatly reduced.
It is basically certain that the reset is successful, but of course it still requires a final X-ray follow-up for strict final control.
Then he patted the patient's leg and said, "Don't worry, don't worry. It doesn't hurt anymore. Why doesn't it hurt even if I move like this?"
"Manual reduction will definitely be painful for a while, unless anesthesia is given."
"I'll put on a plaster later. Well, I'll rest for about two or three months." Luo Yun suddenly realized that he seemed unsure of how long to rest. He was originally going to say three months.
Zhou Cheng quickly took over the words: "Teacher Luo, I'm not you. Be safe and rest for six weeks. It's just me and Yan Jun who will put on the plaster later."
"When you watch the review film later, will you come again?"
"Okay." He pretended to be cool to the end. Although he was pretending, Luo Yun almost took it seriously.