Poor kid Zhuang Zihao, less than half an hour after resetting the first time, he had to do it again. This time he saw clearly, but with tears in his eyes, he said to Sun Li'en in a sweet voice.
, "Brother, be gentler this time!"
Although he promised to be gentler, after all, it does not take enough force to reposition the joints, and the dislocated joints cannot return to their supposed positions. Therefore, although Sun Lien promised to "be gentler", he still did not dare to save the strength to start.
.After ensuring that the reset was successful, he released his hands.
Zhuang Zihao cried in pain again. He jumped on the ground, and even wanted to hit someone with his hand in pain. In the end, he restrained his actions, folded his arms and bowed to Sun Lien, gritted his teeth and said, "Thank you, uncle!"
He ran out without looking back.
From an older brother to an uncle, this is probably the biggest dissatisfaction a child can have. Sun Lien smiled nonchalantly, and then carefully explained to Zhuang Zihao's mother, who had paid for two resets, what to pay attention to after the reset.
She had to send the child to her grandmother's house before she could come back and continue to take care of Zhuang Tao.
After Zhuang Zihao left, the orthopedic consultation expert also arrived. The visitor was none other than Zheng Guoyou, who was wearing a hospital gown.
"Director Zheng, why are you here?" Sun Lien was startled when he saw Zheng Guoyou appearing in the emergency room, and quickly brought a stool over, "You sit down first."
Zheng Guoyou looked Sun Lien up and down dissatisfied, "What do you mean, kid? Do you think I, Old Zheng, can't even walk now?" He snorted, "Where is the patient? Bring me the x-ray and let me take a look!"
Zheng Guoyou put on the airs of a director, which Sun Lien found a little unexpected. After all, the way Old Zheng looked when he was called back from his heart attack did not seem like a person who loves to put on airs. Although he felt something was wrong in his heart, he still obeyed.
He took the X-ray photo from the duty desk. Just when he was about to say something, he suddenly discovered that the iron door of the rescue room was not completely closed. There was a gap in the middle of the iron door, and an eye was looking through it.
Through the gap, he peeked into the emergency room.
Because there are mostly critically ill patients in the emergency room, the rescue process may be quite hectic. And this kind of chaos is definitely a big deal in the eyes of family members. In order to prevent the patient's family members from breaking into the emergency room in a hurry and interfering with the doctor's rescue work, this rule
Iron doors are generally directly locked by electromagnetic locks.
Sun Lien felt a little uneasy, and when he was about to close the door, he saw Zheng Guoyou keep giving him looks.
"Don't lock the door." Zheng Guoyou squeezed out this sentence through his teeth, "My wife is peeking outside."
It has been the third day that Zheng Guoyou has been transferred to the general ward. This old man has long been accustomed to treating himself as a front-line doctor. Now he suddenly enjoys the treatment of a second-line attending doctor. Director Zheng not only does not feel comfortable, but also feels uncomfortable in his heart.
It was as if a kitten was scratching its claws. He couldn't rest.
Just when Director Zheng Guoyou was lying in the ward, looking for an X-ray to relieve his boredom, the mobile phone of Lin Tianshun, a student who came to visit him, rang. Sun Lien called the orthopedics department to request expert consultation, and now he was still free to go directly
Lin Tianshun was the only doctor with associate senior professional title in orthopedics who went to the emergency room.
"What are you doing?" When Zheng Guo heard that there was a consultation, he immediately jumped out of bed. He grabbed Lin Tianshun's cell phone and hung up the phone after listening to the content on the other end. Then he said to Lin Tianshun
Tianshun ordered, "Okay, okay, you go do your job, I'll go to the emergency room to see what's going on."
"Teacher Zheng..." Lin Tianshun knew that he would definitely not be able to persuade Comrade Zheng now, so he decided to intervene from another angle, "Director Xiao said that you will not be allowed to go to the front line."
"I'm not going to break someone's arm!" Zheng Guoyou retorted confidently, "It's just a consultation. My grandson is young and strong, so even if he wants to set his bones, it's not my turn to do it, Old Zheng!"
Lin Tianshun moved out of the master without any courage, "Anyway, you will definitely not listen to my advice, but if you leave this ward, Director Xiao will definitely know about it."
"You know it." Zheng Guoyou was really choked up. When he heard about a rare and difficult situation, he didn't even pay attention to his wife's little notebook. "I have been doing the work of treating diseases and saving people all my life. This matter
I’m addicted! You can’t force me to retire just because I had a heart attack five days ago!”
Having said the heroic words, Zheng Guoyou walked to the first floor with his hands behind his back. But halfway, he saw Xiao Lirong, who was about to come for ward rounds. Director Zheng has indeed seen big scenes and has been in the battlefield for many years. He simply pretended not to see it.
He walked into the emergency room with a swaggering look. He had a quick consultation first, and he would figure out a solution for the rest when disaster struck.
"Director Zheng..." Sun Lien had no choice but to follow Zheng Guoyou's wishes and accompany him to continue acting. "This is the X-ray picture we just got."
Zheng Guoyou took the X-ray and glanced at it nonchalantly, then his eyes widened. "Huh?"
Zheng Guoyou's reaction was already expected by Sun Lien. To be honest, Sun Lien had the same reaction when he saw this X-ray picture for the first time. When the ankle joint was completely dislocated and the talus body was separated from the ankle point, Zhuang Tao unexpectedly
There were no fractures, not even a separation of the fibula and tibia.
"Look at this again." Sun Lien handed over another X-ray picture taken from the front. He pointed to the arch of the patient's foot in the picture, "Judging from the shape of the arch, this patient should have flat feet."
"Flat feet may cause ankle joint instability." Zheng Guoyou understood what Sun Lien meant, "Have you asked about the medical history?"
Sun Lien was a little embarrassed, "It's not too late yet..."
"Why don't you ask directly?" Zheng Guoyou gave Sun Lien a lesson righteously, "The medical history is the fastest and most direct way to obtain the patient's basic information. You cannot ignore the medical history inquiry just because there are auxiliary examination methods!"
Sun Lien nodded in agreement. He could also see that Old Zheng was probably still acting. As long as he acted like he was here to "guide the diagnosis", Director Xiao would probably not come in directly to interrupt Old Zheng and then clean up Zheng Guoyou.
The intensity may also be slightly lighter.
But if Zheng Guoyou plans to just roll up his sleeves and start working, then I'm afraid Director Xiao will have to come in and pull Old Zheng's ears. After all, bone setting is a strenuous job, and Zheng Guoyou's heart is still not capable of heavy-load exercise.
Sun Lien did not explain Zhuang Zihao's matter. Instead, Zhuang Tao, who was lying on the hospital bed, expressed his injustice for Sun Lien, "Doctor Sun is very responsible. He was busy treating my son's injury just now, so he didn't have time..."
"That was his work error. It has nothing to do with the treatment of the injury." Lao Zheng didn't care much about Zhuang Tao's explanation. He asked directly, "Have you sprained this foot before?"
"I sprained it a few times." Zhuang Tao replied, "I work in engineering, and I usually wear leather shoes to run on the construction site. The ground is uneven, and sprained ankles are common."
"This ligament is troublesome." Zheng Guoyou looked at the X-ray and sighed, "The ligament is already loose due to habitual sprains, but now it is completely dislocated. Even if it is directly restored by manipulation, it may still be dislocated later."
Zhuang Tao himself has flat feet, which means that his ankle joints are more "valgus" than ordinary people. Such valgus will cause the ligaments at the ankles to be looser, making the ankle joints more likely to become unstable when walking.
.The consequence of instability is that his ankle is more likely to be sprained than ordinary people.
After multiple sprains, Zhuang Tao's ankle ligaments will become even more loose, which is why he accidentally fell this time and completely dislocated his right ankle joint. But luckily, it was probably also because of the loose ligaments.
He only showed complete dislocation of the ankle joint and no signs of fracture.
"Is this manual reduction feasible?" Zhuang Tao's diagnosis of the problem is not difficult. The real difficulty lies in the treatment. "I just did a general examination. The patient has no tendon rupture, no nerve damage, and no blood vessels.
The problem is just a simple dislocation."
Zheng Guoyou looked at the X-ray, pondered for a moment, shook his head and said, "This is impossible to do with simple manual reduction." He pointed to the tissue around the picture and said, "The patient's muscle tissue is relatively developed, look here.
There are a lot of muscles in his legs. Now that they are in a dislocated state, these muscles are tight and under great stress. Simply relying on technique, let alone an old man like me, you may not be able to pull it if you replace it with three or four young men.
"Open."
Zheng Guoyou's worries are reasonable. After all, he often runs to construction sites, and Zhuang Tao's legs do look very strong. And if manual reduction is performed directly, the tight muscles need to be directly stretched to allow the detached joints to be reset.
Tendons that were not injured may also be damaged.
"Then..." Sun Lien was a little unsure about the treatment plan. "After incision, surgical reduction, and then directly applying Kirschner wires for external fixation? Will this be too big?" Kirschner wires are a method that can directly
A steel pin fixation device that is inserted into the bone and exposed outside the skin. These exposed steel nails will eventually be connected to a steel frame outside the body to achieve the purpose of fixing the bone. Kirschner wires themselves are actually a relatively common solution.
, just because it looks too permeable, doctors and patients generally don’t like to use it.
"That's not necessary." Zheng Guoyou shook his head and said confidently, "Send the person to the operating room and undergo inhalation anesthesia. Then the muscles are relaxed. When the muscles are relaxed, they can be reset by manipulation." Zheng Guoyou also specialized in it.
He gestured on the X-ray picture and said, "Let the assistant fix it here, and then the attending doctor will pull the leg down and twist the ankle in the opposite direction."