Chapter 80 Enough

Zeng Hui then looked at Chen Gong and whispered:

"You've been here for a week, can you at least understand the film reading?"

Chen Gong nodded: "Yes, yes."

Zeng Hui smiled and nodded.

Then he said to Zhang Juan: "How is the patient's physical condition and pain assessment?"

"If tolerance is not strong, anesthesia may be required."

Zhang Juan on the side sighed: "The tolerance is very strong!"

"In other words... the patient's mental condition is much more serious than the dislocation."

"A week ago, I suddenly developed drooling at the left corner of my mouth, difficulty chewing, and coughing when drinking water. I also had difficulty speaking, and I couldn't close my mouth."

"However, the strange thing is...the patient has no symptoms of headache or dizziness, and his state of consciousness is not much different from before, and there is no functional impairment of the limbs."

"When he was admitted to the hospital, a head CT examination was performed. First, it was lacunar cerebral infarction. We suspected that it was still a cerebral infarction, so he was admitted to the hospital."

"This is the third time he has been hospitalized this year. I clearly feel that the old man's perception has declined significantly."

"This arm is dislocated... If the patients hadn't noticed that he was behaving strangely, I wouldn't have known about it!"

"You said it was dislocated. Doesn't it hurt?"

"Hey……"

Hearing Zhang Juan's words, the old man's daughter stood aside and couldn't help but feel sad.

In my impression, the father who was tall and burly, as majestic as a mountain, could lift him high easily, and run wildly with him on his back...

Now she was sitting there with her head lowered and silent. When her eyes met with her father's, even...he would lower his head in fear and hide away, like a child who made a mistake.

Seeing this scene, the woman's nose felt sore and tears instantly filled her eyes.

She quickly looked away and scratched her head, wiping her tears.

Fortunately, her father still remembers her.

Patients with Alzheimer's disease will forget everything over time.

However, when my father gets up every morning, he still prepares breakfast for himself. He carefully peels the eggs and takes out the yolks. Then he stands at the door with his schoolbag and tells himself: "It's time to go to school... remember to eat breakfast..." …”

Therefore, no matter how busy and tired she is at work, she still takes good care of her father.

Because she knew that she might still have children and a husband, but...she was her father's last concern in the world.

Zeng Hui took a deep breath and looked at the woman with a hint of affection.

Because I have seen too many disputes over trivial matters, this family relationship is even more precious.

"I'll give your father a simple check-up and ask him to cooperate."

The woman heard the sound and said to her father: "Dad, the doctor will check your arm. If you feel pain, please speak."

The old man then looked up at Zeng Hui, smiled, nodded, and said nothing.

At this time, Zeng Hui slowly raised the old man's arm, and then lightly touched the shoulder joint cavity with one hand.

Suddenly there was an inconspicuous bone friction sound.

Then, Zeng Hui pressed it slightly: "Does it hurt?"

The old man didn't seem to hear. The woman raised her voice and asked her father, "Dad, does it hurt when you press it?"

When the old man heard his daughter's question, he immediately laughed and said vaguely:
"Dad, it doesn't hurt. Dad is fine..."

"You go to school quickly."

"Dad, it doesn't hurt. Dad is fine..."

"It's okay...it's okay..."

After these words were spoken, the woman could no longer hold back, and tears instantly burst into her eyes.

The man hasn't changed at all.

Even now, I am still the same as before, not wanting to worry about myself.

Perhaps, time is fleeting and white horses are fleeting, but the love that has lasted for decades will never die out.

Father's love is speechless!

Chen Gong stood there without speaking for a long time, but the twinkling light in his eyes betrayed his composure.

My father said that a person without empathy cannot be a good doctor.

However, a person with too much empathy cannot be a good doctor.

Chen Gong didn't understand it before, but now in the clinic, after seeing it with his own eyes, he suddenly understood it.

This is what is called empathy, right?

And isn’t this the meaning of medicine?

The woman came back not long after, her red eyes the result of the story.

"Director Zeng, how is my father...?"

Zeng Hui smiled reassuringly: "The problem is not serious, no anesthesia is needed..."

"The old man's perception has declined too much."

"It can be reset directly."

"But the old man needs to stand up."

"Can he stand up?"

The woman nodded: "Yes, yes...he can still cook by himself."

"I just didn't expect that this time I suddenly couldn't speak clearly, and then started drooling... I also had difficulty eating, and I choked when I drank water."

"Hey……"

"I am a little scared."

Zeng Hui heard this and nodded. As a matter of neurology, he was not an expert and did not have much say.

Just do your job.

"Xiao Chen, come and do it with me."

Zeng Hui could have done it by himself, but...he still gave Chen Gong such a chance to do it.

"If it were you, what method would you choose to use?"

Zeng Hui glanced at Chen Gong.

Chen Gong hesitated for a moment and then said: "I will choose the chair reset method."

After Zeng Hui listened, he glanced at Chen Gong curiously, because the chair reset method was indeed the most suitable method for the elderly.

Don't think it's easy.Also for anterior shoulder dislocation, there are 11 classic reduction techniques.

The Koch method is actually more practical.

However, the elderly do not need it at all, and the success rate of the Koch method is 81%-100%.

Although simple, applying resistance when abducting the affected limb and actively externally rotating the shoulder joint 70-80° may cause brachial plexus injury if the patient's compliance is not high.

This is critical.

The old man's mental outlook at this time did not look very good.

As a doctor, you must not only judge the patient's condition, but also make comprehensive judgments.

Therefore, the chair reset method is the best.

Zeng Hui looked at Chen Gong and was a little surprised: "Not bad!"

"It seems that I have gained a lot these days."

Chair reduction method is a traction-based reduction method.

The patient sits sideways on a chair with the affected limb wrapped around the back of the chair.

The doctor holds the forearm in a supinated position and the patient slowly stands up.

It is not difficult to operate.

"Tell me about the chair method." Zeng Hui said to Chen Gong.

Chen Gong directly recited a detail.

This made Zeng Hui recognize Chen Gong a little more, and he hesitated for a moment.

"I will be responsible for the patient's position." Zeng Hui looked at Chen Gong with a more solemn look in his eyes: "You pull the arm."

"Can you?!"

There was a sharpness and solemnity in Zeng Hui's tone that was rarely seen in the past.

Chen Gong nodded firmly: "Okay!"

While speaking, Zeng Hui stood opposite the patient, positioned himself, and Chen Gong held the patient's arm tightly.

The moment he tightened his grip on his arm, he seemed to be able to clearly sense the specific condition of the patient's dislocated limb.

It seemed that a three-dimensional positioning appeared directly in front of my eyes.

"start!"

"Roger that!"

Repositioning requires skillful effort, not dead force, but must conform to biomechanics, conform to the angle of the bones, etc., and give a strength.

According to statistics from the American Orthopedic Institute, the force required to reduce the shoulder joint may only require about 2.9kg.

However, how to use the lever principle of skeletal joints to send this 2.9kg force cleverly into the joint cavity.

This is a real consideration of the level of a doctor!

There was even a competition abroad, and it was found that the theoretical data of 2.9kg could not appear at all, and the best result was 4.7kg!

And when Chen Gong started operating, he had even accurately calculated the bone strength transfer, joint cavity distance, and angle in his mind.

At this time, Zeng Hui gave the order to lift the patient, which produced a force and acceleration.

At this time, he originally expected to need a little more height and distance.

"open……"

"Crack..."

Before Zeng Hui could say anything, Chen Gong had already taken action.

A crisp sound rang out.

Sweat instantly broke out on Zeng Hui's head.

"early!"

Zeng Hui's expression changed.

This intensity should not be enough.

You didn't go in, did you?

But after he checked, he found...

"Success!"

this kid...

Zeng Hui glanced at Chen Gong in surprise, could it be...a coincidence?
How can this intensity be enough?

After Zeng Hui carefully checked again, he found that the degree of agreement was still very high.

Is this too weak?
It’s only about 3-4kg of strength, right?

this kid...

Zeng Hui pulled Chen Gong to the side and whispered: "It was a little early just now and I used too little strength. It is easy to fail."

"You're in luck this time."

Chen Gong looked at Zeng Hui curiously: "I estimated the situation at the time and it should be OK. The elderly man's joint cavity space is larger and the muscle strength is insufficient. This strength is enough."

Zeng Hui was startled when he heard the sound: "Did you do it on purpose?"

Chen Gong rolled his eyes: "What else? After calculation, it's actually... not difficult at all."

Zeng Hui felt uncomfortable when he heard Chen Gong's pretense, but he was so angry that he almost made a move: "You kid, if I give you some sunshine, it will be brilliant!"

"Still a long way to go!"

At this time, Zhang Juan greeted the old man for a while and then chatted with his family and Zeng Hui.

Chen Gong was not interested in this, but looking at the patient's face, he always felt... a little weird.

He couldn't tell what was wrong specifically.

At this time, the old man drooled, and Chen Gong quickly took out the paper to wipe it.

This time!
He discovered something strange...

That's it!

Chen Gong looked excited, as if he had discovered something extraordinary.

……

ps: It’s confirmed, brothers and sisters, it will be on the shelves at 12 noon next Tuesday, there are still three or four days left, so please stick with it for two days.

please.

(End of this chapter)

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