Zhou Cheng really could not have imagined that such a strange thing would happen.
Even though Pang Dingkun was in the emergency department, it was really strange that the emergency department called him for emergency consultation.
The nurse was very anxious because the person on the other end of the phone she answered clearly said that she was the director of the emergency department and asked her to find someone to answer the phone. She could only subconsciously come to the doctor.
"Come and answer the phone quickly, the phone hasn't been hung up yet." The little nurse said again.
"Okay!" Zhou Cheng put the medical record in his armpit, replied with one word, and walked out at the same time.
When he got to the little nurse, he said, "Please help me put the case back on the case shelf, and I'll answer the phone."
"Okay." The little nurse lowered her head first, and then nodded. She seemed to be a little shy as she was a head shorter than Zhou Cheng.
Arriving at the nurse's station, Zhou Cheng answered the phone: "Hello, Orthopedics 2 Ward."
"Who are you? I am Guo Haoran from the emergency department!" The other party directly stated his identity first.
As a regular trainee in orthopedics, Zhou Cheng also went to the emergency department for a rotation, so naturally he knew that Guo Haoran was the administrative director of the emergency department.
Immediately reply: "Mr. Guo, I am a resident doctor in the second ward of the Department of Orthopedics. Dr. Pang, who is on duty today, is already in the emergency department?"
"I know he is here. You should quickly find a way to contact Yan Haihan in your department or Dong Qiansheng. I can't get through here."
"Just tell Pang Dingkun in your department that there is a problem with the manual repositioning. Let them come to the emergency department immediately to save the situation! I'm still calling the anesthesia department, so I'm holding off for now."
"It won't take long."
"If Yan Haihan, Dong Qiansheng or no one else comes in ten minutes, I will call Zeng Yi directly from the Department of Orthopedics and ask him to come up with a solution." Guo Haoran said rather rudely and hung up.
On the phone, the tone was quite blunt.
Zhou Cheng was stunned, what kind of chicken feathers is this?
As the administrative director of the emergency department, Guo Haoran had direct contact with Yan Haihan, Dong Qiansheng and even Zeng Yi, so there was no problem.
You can also call him by his first name, but?
Pang Dingkun went to perform manual reset and something went wrong. What happened?
If you can't even get through on the phone, how can I find a solution? These two great masters are on the operating table now, it's no wonder you can get through on the phone.
After Guo Haoran hung up the phone, Zhou Cheng pondered for a moment and decided to call Luo Yun first.
It depends on his attitude. If appropriate, he will ask Zhang Zhengquan and Du Yanjun to contact Yan Haihan.
At any rate, I have to stay in the department today and I can’t go back.
The call went through and was picked up quickly, but after the answer, it seemed to be the voice of a traveling nurse: "Luo Yun, the phone is behind you, turn on the loudspeaker, I'm going to the blood bank to get blood..."
When Zhou Cheng heard this, he quickly said: "Teacher Luo, I am Zhou Cheng. Can I take a step to speak?"
"I know you are Zhou Cheng, and you have something to talk about. Hurry up, I'm still on the stage." Luo Yun's cursing voice came, as if he was just taking a step to talk to Zhou Cheng, and he was a little uncomfortable.
Zhou Cheng continued to insist: "Teacher Luo, you may have to step down first."
Snap!
Then there was the snapping sound of gloves on the other side of the phone, and the mocking voice of the hand-washing nurse: "Luo Yun, are all the residents in your department so good? I asked you to step down and answer the phone directly."
Luo Yun didn't reply, just picked up the phone, walked out wearing sterile surgical clothes, and turned off the loudspeaker.
"You can tell me now, what's the matter with you?" Luo Yun's tone was naturally not as harsh as before. Of course, he was still hitting Zhou Cheng as he spoke.
"Brother Pang Ding Kun Kun is on duty today. He went to the emergency department for an emergency consultation about 20 minutes ago. Director Guo Haoran from the emergency department just called the department and said that Brother Kun did something wrong with the manual repositioning."
"He couldn't contact Director Yan Haihan and Director Dong Qiansheng, so he asked me to find a way to contact them. As soon as I was talking about the 28-bed surgery in the department, I was entrusted by Pang Dingkun to temporarily look after the ward."
"I think it is necessary to discuss with you, Teacher Luo, what should we do?"
"If I want to notify Director Yan, can I come to the operating room in an empty ward? Or I can contact Du Yanjun and ask him to tell Director Yan about this."
"Director Guo spoke, but there was no reply within ten minutes. He directly called Director Zeng Yi of the Department of Orthopedics." Zhou Cheng replied very quickly.
Zhou Cheng was entrusted by Pang Dingkun to manage the ward, so he had to fulfill his responsibilities.
Of course, Zhou Cheng would not be able to publicize the incident involving Pang Dingkun.
Luo Yun frowned at that time: "What kind of reset method did Pang Dingkun do?"
"I don't know about this, Teacher Luo." Zhou Cheng breathed calmly, but actually he was a little nervous.
"You don't care about this matter. I'll tell Director Yan. Don't spread this matter to anyone. The less people know about it, the better. You just know to call me and insist on talking to me alone. You've done a good job."
"You wait in the department for a while, and I'll call Pang Dingkun and ask him to arrange for someone to come to the ward to keep watch for him!"
"What kind of tricks did he do? He asked someone from our team to be on duty for him?" Luo Yun muttered rather rudely...
Zhou Cheng shook his head and ignored the matter.
It's not surprising that Luo Yun was angry, as each director's treatment group was run independently.
People from Yan Haihan's team were on duty today. There was an emergency operation and Luo Yun was called to the stage. There was nothing we could do about it. In the doctor's profession, patients are the most important.
Hu Ming's team is on his own surgery day. He can't get away and his superiors are not enough. If he doesn't call him Luo Yun, why should he call him Cai Dongfan?
However, it is reasonable to borrow someone to perform emergency surgery!
But if you, the doctor on duty, don’t do your duty properly and borrow people here and there, your team will be disbanded, okay?
Generally speaking, unless there are extremely exceptional circumstances and a particularly serious accident occurs, the director will have to personally come forward to coordinate the work of everyone in the department. Beyond that, there will be organization and arrangements at the hospital level, which cannot be avoided.
About ten minutes later, Xu Yanlin ran into the department panting. Then he saw Zhou Cheng and said, "Brother Zhou Cheng, I'm sorry for causing you trouble."
"It's okay, it's okay. I just happen to have something to do in the department. Brother Yan Lin."
"How did your surgery go?"
"It's okay. The operation was quite big, but it went pretty smoothly. Brother Yifeng happened to be called to the operating room by Director Yan, so I came up." Xu Yanlin probably doesn't know about Pang Dingkun yet.
Maybe he knew, but Yan Haihan gave him a gag order.
"Thank you for your hard work, Brother Zhou Cheng. You can go back and rest. I'll be here." Xu Yanlin said politely.
Zhou Cheng is just like yo-yo.
Anyway, he only needs to obey the orders of Cai Dongfan and Luo Yun. Zhou Cheng is too lazy to interfere with other matters.
After all, if so many emergency patients today were encountered by my own medical team while on duty, no one from other teams would be on duty to replace my own team.
After returning home, Zhou Cheng went to the table, opened his notebook, continued to think about his ideas, and began to write down simulation plans and plans.
…
Yan Haihan got off the operating table in anger and rushed to the emergency department.
MLGB, I have stressed it thousands and thousands of times in the department, don't do manual reduction casually, don't do manual reduction casually, just forget it if people from other groups, such as Luo Yun, don't listen, you Pang Dingkun is an academic Ph.D., and you stay in the laboratory for a long time.
goods.
Are you deaf too? Do you really think that when people flatter you that you are an outstanding talent in our hospital, it is based on your clinical ability?
It took eleven years from your undergraduate degree to your PhD graduation. How much time did you spend in clinical practice?
Although the theory is rich, is the actual operation as simple as the theory says?
On the way, he met Guo Haoran from the emergency department. Guo Haoran looked vague. After seeing Yan Haihan, he went up to him and said, "Director Yan, you are finally here."
"Director Guo, I'm sorry. I had a meeting in the morning and turned on Do Not Disturb mode, but forgot to turn it off. Then I went to emergency surgery, and the phone never rang." Although Yan Haihan was a little angry in his heart, he still...
He should be polite to Guo Haoran. After all, he was doing it for the good of orthopedics. Otherwise, he would have waited until Pang Dingkun couldn't handle it, and then let Pang Dingkun take the initiative to call for foreign aid, without having to think about it at all.
"I also understand the situation, but the matter is urgent, so I can only ask you, Director Yan, to step down."
"We just came in for two cases of joint dislocation. One was a posterior dislocation of the hip joint. Dr. Pang from your department didn't take long to reset it."
"But there is another patient with a dislocated shoulder joint. Dr. Pang has been repositioning it for almost half an hour now. He has tried two or three times, but it still hasn't gone in. I suggested that Pang Dingkun pause the operation and talk to the patient's family.
Talking about nerve block anesthesia.”
"I'll call you here again. If the reset continues, it's very likely that the fracture will occur." Guo Haoran explained that he didn't want to be specially disturbed.
If the joint is dislocated and multiple manipulations fail to reduce it, surgery may be necessary.
However, I have failed several times now and I have to communicate well with family members and patients. Otherwise, if a report comes, it will be quite troublesome for both the emergency department and the orthopedics department.
Yan Haihan naturally understood Guo Haoran, and said with gratitude: "Sorry for your trouble, Director Guo, let's go over and see the situation together first."
"I'll treat you to a drink in two days."
"Don't mention the drinking thing, let's deal with this matter first." Guo Haoran quickly ignored the topic.
When the patient is finally cured, drinking and eating meat is a trivial matter. You can choose any cocktail, beer or liquor.
If it doesn't pass, or if it's broken, would you like a cocktail?
When we arrived at the door of the operating room, people from the anesthesiology department inside had been summoned by Guo Haoran. They were preparing the preliminary preparations for nerve block anesthesia for the patient. They seemed to be marking the points with a black marker pen.
Pang Dingkun patiently explained to the patient's family that the conversation was going well before Pang Dingkun was reset.
The patient's family reluctantly asked: "Dr. Pang, if the position is not restored, will surgery be necessary?"
"My wife was very happy when she heard that there was no need for surgery. She is usually afraid of pain."
Pang Dingkun said: "That's it. Manual reduction is only one of the treatment options. As an alternative, we can think of nerve block and muscle relaxation. If it still doesn't work, then an operation is unavoidable.
"
As a doctor, Pang Dingkun has very solid theories and basic skills, so he explains it to the patient quite well.
Conservative treatment, manual reduction, and surgical reduction.
The three steps are explained quite clearly.
"Thank you for your hard work, doctors. If you can avoid surgery as much as possible, just don't do surgery. You can think of more solutions!" He said with his hands clasped in a fist, please.
"We will find a way." Pang Dingkun then glanced sideways and saw Yan Haihan coming over.
He said, "Just stay here and guard your wife. I'll go take a look at your wife's film, and then we'll work out a reset plan with our director."
"Okay, okay." When he heard the word director, he felt relieved. He walked into the operating room, let his wife hold his hand, and comforted her and said:
"It's okay, it's okay, the director of the orthopedics department is here."
…
After Yan Haihan saw Pang Dingkun coming, he walked into the ward with Guo Haoran and read the film first——
Anterior shoulder dislocation is the second segment of orthopedic joint dislocation. It is a very classic dislocation. Even if you are not an orthopedic doctor, you can know one of several treatment methods. What is going on with Pang Dingkun?
After Pang Dingkun came in, he reported the medical history: "Director, the patient is 35 years old, female. Physical examination showed obvious square shoulder deformity, tenderness, and swelling. No obvious fractures were seen in the X-ray examination."
"It is an anterior dislocation of the shoulder joint. It can be reduced manually."
"But as if something strange happened, I tried the external rotation method, the pull-up method, the hand-pedaling method, and the santos method, but all failed." Pang Dingkun replied depressingly.
"I don't know what happened, but we may have encountered an irreversible anterior dislocation of the shoulder joint."
Yan Haihan was stunned for a moment when he heard Pang Dingkun's words.
To be honest, the reset methods he has heard of here are external rotation, pull-up and hand-pedaling, and the latter santos reset method. Although Yan Haihan is the director, he has never heard of it.
The main reason is that he doesn't engage in this aspect. The other three names are all knowledge reserves.
However, Pang Dingkun's words made it difficult for Yan Haihan to immediately blame Pang Dingkun.
Pang Dingkun did not act recklessly. First, he determined that there was no fracture and conducted an evaluation. It was an indication for manual reduction.
Second, he also has his own knowledge reserve and skill reserve.
Four different shoulder joint dislocation reduction methods are enough. Yan Haihan only knows three.
Then we really can't say that Pang Dingkun was reckless.
Moreover, Pang Dingkun's explanation made Yan Haihan frown. At the same time, Guo Haoran felt a little relieved, and then said: "Then what should we do about this refractory shoulder joint dislocation?"
To be honest, I first heard from people in the department that the doctor of orthopedics had problems with the manual reduction, and the reduction was unsuccessful several times.
The patient was crying and shouting in the operating room, and his husband was about to beat him.
He thought that he had met that kind of intellectual and incompetent person, and thought that Pang Dingkun was a pure idiot. But now that he thought about it, it seemed that was not the case.
Others have made much more preparations than I have.
"Director Yan, why don't you give Luo Yun a call? Let him come and take a look, too? I used to be a specialist in osteopathies, and I have a lot of exposure to the science of osteopathies. Luo Yun is a professional postgraduate student in joint surgery."
Pang Dingkun explained rather depressedly.
He also had his own ideas. This was the first time he performed manual repositioning, and he encountered this problem, and he felt that he had made sufficient preparations.
But who knows what will happen, so just ask Luo Yun for help. Although it doesn't look good in terms of appearance, I am considered a junior. Even though I am about the same age as Luo Yun, I have little clinical experience.
"Okay!" Yan Haihan nodded.
Since Pang Dingkun is not doing something stupid and reckless, then he will not blame Pang Dingkun or beat him at this time, but will solve the matter first!
Later, I definitely have to remind Pang Dingkun.
Yan Haihan then called Cai Dongfan and asked him to take over Luo Yun's current operation and explained the current situation.
Cai Dongfan agreed without much hesitation.
When facing patients, the orthopedics department is integrated. If trouble occurs during the reset in the emergency department, it will lose the face of the entire second ward of the orthopedics department.
Speaking of which, Yan Haihan must have lost more face, but in other people's minds, it was the lack of strength in the Department of Orthopedics.
Breaking the bones and connecting the tendons and fighting in private were private matters, and there was no way he could stumble Yan Haihan at this time.
Then Cai Dongfan immediately said: "Director Yan, I understand. I will call Luo Yun immediately and ask him to come over."
Yan Haihan was stunned, he didn't expect Cai Dongfan to be so sensible.
Cai Dongfan's call to Luo Yun and his call to Luo Yun, although the matter is the same, the meaning is completely different.
"Thank you, Director Cai." Yan Haihan's heart moved slightly.
"It's a small matter, Director Yan, please communicate with the patient first." Cai Dongfan mentioned one more thing, paving a way out for Luo Yun.
What did he ask Yan Haihan to talk about? He must talk about surgery.
And he took the initiative to tell Luo Yun just to give Luo Yun some advice not to do anything rashly...
Luo Yun quickly came to the emergency department, wearing the hand-washing gown in the operating room. (Note: Hand-washing gown is the clothes you wear when entering the operating room, usually short-sleeved trousers and green slippers; sterile surgical gown is
Long-sleeved sterile gown to be worn during surgery.)
However, when Luo Yun took a look at the patient's preoperative X-ray, his expression suddenly changed, and he looked at Pang Dingkun first.
"How is it? Luo Yun?" Yan Haihan asked.
"It is obvious that the humeral head is stuck on the humeral glenoid, which is a special type of irreducible anterior shoulder dislocation. I have only seen similar case reports."
"But that dislocation used the Kocher reduction method, which was also the external rotation reduction method used by Dingkun just now. There are no other methods mentioned in it. If we want to try again, we may still have to use the method with a higher success rate.
Kocher's external rotation reduction method." Luo Yun deserves to be a major in joint surgery.
He still knows more than Pang Dingkun.
Even Pang Dingkun cannot survey all the literature and books on orthopedics. What he understands most deeply is bone tumors.
However, the Eighth Hospital was still blank in this area for the time being. After he entered the hospital, he suggested that Yan Haihan perform several minor bone disease surgeries, but they were not bone tumor surgeries.
He is aware of joint dislocation, but he is not that professional.
If he hadn't heard that Director Zheng of the emergency department was being weird, he wouldn't have bothered to do anything about it. It wasn't that he wanted to show off his strength, he just felt that those who said those words and those who said those words had some problems and were just talking nonsense.
If you have the ability to talk to Yan Haihan face to face, why is the doctor on duty so weird?
But now that he heard about glenoid compression, he understood why he couldn't reset it.
It's like if you put a wooden stick in the crack of the door and insist on closing it, can it be closed? It would be weird if it is closed. The method is wrong, and either the stick will break or the door will be broken...
That's scary.
"Teacher Luo, can you do it later?" Pang Dingkun asked.
"I'll give it a try first. It's hard to say. I'm not sure." Luo Yundao said, not daring to finish his sentence.
Pang Dingkun took the initiative to inform him of the current situation: "I have reset it three times, and I can have two more chances at most."
Although the reduction technique is good, you should not be greedy for too much. If you really can't do it, you have to give up when you should.
Luo Yun frowned: Have you tried three times?
…
Zhou Chengcai opened the book, looking at the basic knowledge of fractures, and was about to excerpt the key parts to use as material for simulation ideas to polish.
The phone lying flat on the desk vibrated.
Zhou Cheng actually doesn't put his phone away when he studies, just because he's afraid that he won't be able to help but look at it. But he put it away today because he thought Luo Yun or Cai Dongfan might call him.
After all, there are a lot of emergency operations today. If there is another surgical patient who wants to go on stage suddenly, it will definitely be Cai Dongfan.
If it happens again, there is no other way but to wait or wait until the patient is ready, or to have the patient removed by a bone removal department.
If Cai Dongfan came on stage and asked himself to be an assistant, he would definitely not be able to escape.
When he saw that it belonged to Luo Yun, Zhou Cheng sighed with emotion, stopped writing, and closed the book.
The call was answered immediately: "Teacher Luo, this is Zhou Cheng."
"Zhou Cheng, please come to the emergency department now. Come and take a look." Luo Yun said a little tiredly.
"Ah~?" Zhou Cheng was very surprised.
What happened today? Did you have sex with the emergency department?
Luo Yun then said: "Isn't it convenient? Then forget it."
"No, Teacher Luo, I'll leave right away."
"Is he the patient with joint dislocation?" Zhou Cheng asked as he got up and walked out. This was something he needed to find out clearly.
Luo Yun said seriously: "Yes."
"After the fourth manual reduction failed, he reported Pang Dingkun. He said that we had misdiagnosed. Now people from the medical department and the general on-duty have come to the emergency department to understand the situation. Anyway, it is a mess."
"The patient's family members were very smart. They politely told her face to face that they were going to buy water. After leaving the house, they called the medical department..."
"Well, the medical department is mediating now. Let's think of a way first to try our best to treat the patient without surgery and stabilize the emotions of the patient and his family."
"I called you to ask you to come over and have a casual chat. Director Cai and Director Hu are both on stage, and they can't find anyone else to complain about."
Zhou Cheng paused in his steps and staggered due to Luo Yun's saucy words.