Those years when I hung up and upgraded in the hospital

Chapter 133 Alarmism? (Please subscribe)
Afternoon, three twenty.

Fang Yun asked the attending physician Wei Zhaoliang to wait a moment for the elective inpatient admitted from the outpatient department because he was talking to an emergency patient with joint dislocation.

"Brother, we are going to talk about the actual situation. Your current dislocation has very serious symptoms. It is not a simple joint dislocation. Simply relying on manual reduction cannot solve the problem." Fang Yun warned.

While looking at the X-ray of his shoulder joint in an oblique position, he frowned.

"Isn't that still a dislocation? Doctor, all the doctors below said, just come here and perform manual repositioning. You want me to be hospitalized for surgery. Aren't you making things difficult for me?"

"That's not how you make money." The visitors were two old men from the construction site, both in their forties.

It's just that Fang Yun is no longer a kid in his twenties, so it's hard to call him uncle.

Fang Yun still looked carefully at the patient's current anterior-inferior dislocation of the shoulder joint, which had reached a severe level. The joint capsule inside was definitely ruptured, and even the rotator cuff muscles were likely to be ruptured. In this case, it could not be a simple manipulation. Reset can handle it.

"No, brother, if we talk like this, it would be a bit too much."

"We doctors make a living and support our families by performing surgeries. This is true. We make money by doing this, but it's not shabby either."

"I don't know what you do. For example, if the engine of a car is broken, I would ask the car repairman to fix the tire to solve the problem. Isn't this right?"

"You said, why am I embarrassing you? I can tell you clearly that no matter who comes and performs manual reduction on you, you will still take it off again soon. The degree of your dislocation is very serious, and you are lucky that you have no fractures. "

"You know, right? We are all fellow villagers, why would I lie to you?" Fang Yun used the local dialect to express a similar meaning.

The uncle probably didn't want to have surgery, nor did he want to admit that his injury was too serious: "Doctor, are you too young to see?"

"I see that the doctor below looks more mature and experienced than you. Why don't you take it easy and call a director to see me?"

"Just because you don't know how to treat, doesn't mean your leader doesn't know how."

Fang Yun really never expected that on his first day on duty, he would encounter such a difficult shoulder joint dislocation, and it was also the simplest anterior shoulder joint dislocation.

"If you have such a request, I can agree to it. However, I can also tell you clearly that whether our director comes or you go to a higher-level hospital, such as Shonan University Affiliated Hospital, you will definitely I won't perform manual reset on you either." Fang Yun thought for a moment and decided to disturb Director Chen Xuanqi.

Director Chen has no surgery scheduled today.

Fang Yun made a WeChat call through Director Chen Xuanqi's WeChat account, and roughly explained the corresponding diagnosis very politely and humbly.

"It will take 10 minutes for Director Chen to come over. Director Chen is the old director of our department. Please wait a moment. Director Chen will come later and we will talk to you in detail. I will go through the hospitalization procedures here, okay?" Right?" Fang Yun did not increase his ability.

Facts are facts, and if you can't do it, you can't do it. Even if Director Chen Xuanqi comes and he says he can do manual reset, Fang Yun will argue with Director Chen for a while, but he will just go with Director Chen, but he still has to uphold it. objective concept.

It's true that you can repair a punctured tire, but if the engine breaks down and it doesn't work even if you replace all four tires, it's not right at all.

The two uncles also waited, but when chatting next to them, they still joked without hesitation: "Doctor, you are still young, maybe you don't understand. You have to learn more from the master."

Fang Yun smiled and nodded: "Following the directors, I definitely still have a lot to learn."

"Don't be in a hurry, and don't disturb me from doing physical examinations on other patients. Thank you. After I've completed the hospitalization procedures, we can chat again. That doesn't matter." Fang Yun still didn't argue with him. .

It's not necessary. The other party is determined to look down on his seniority, so it doesn't matter.

Doctors don't knock on doors.

The other party is even now strongly requesting to be discharged to other medical institutions for treatment. Fang Yun is not afraid. He has clearly written in the outpatient medical records and emergency medical records that he requires surgical treatment.

The most it can do is add one patient who strongly refuses surgical treatment.After a while, Fang Yuncai completed the hospitalization procedures, completed the routine admission examinations, and asked the patient to go down to pay the hospitalization fee, when Director Chen Xuanqi arrived in the department.

He doesn't even wear a white coat, but as he is close to 60 years old, he looks very trustworthy at first glance, and he doesn't need a white coat to add to his weight.

However, when he just held up the film and looked at it, his expression immediately became serious: "How did you get injured?"

"Why are you injured like this?"

"It fell!" the uncle's coworker hurriedly replied.

"Impossible. If you fall and dislocate like this, it's impossible for you not to break your bones. Try again." Chen Xuanqi turned to look at him with a threatening look.

"Impossible" is a strong word.

"It was lifted by a crane." The patient thought for a moment and replied.

Although Chen Xuanqi is not a construction site worker, he also knows that cranes are strictly prohibited from lifting people.

"You!" Chen Xuanqi glanced at the other person, but after the patient finished speaking, he lowered his head slightly.Chen Xuanqi said nothing more.

"Your dislocation is too serious. I think you will need a major surgery. Dr. Fang, can arthroscopy do this kind of surgery?" Chen Xuanqi asked Fang Yun.

Fang Yun shook his head: "Director Chen, his soft tissue injury is too serious. It is not just a problem of rotator cuff injury and joint capsule injury. It is not yet known whether there is any injury to the biceps tendon."

"Arthroscopic surgery probably can't handle it."

"He said that the trauma surgeon told him that manual reduction was possible. I said that manual reduction was useless, but the patient still asked for a senior doctor to take a look. I was afraid that there might be something wrong, so I asked you to come over." Fang Yun was very fond of Chen Xuanqi. Dear.

The uncle hurriedly said: "Director, when I was in the emergency department just now, a doctor came and clearly said that a manual reduction could be performed."

"Then you go find him and do it." Chen Xuanqi handed the film back, and then said: "If you don't listen to a word I tell you, you just believe what is more beneficial to you, then there is nothing I can do about it."

"If anyone tells you that such a problem can be solved through manual repositioning, I can guarantee that he is telling lies and is not alarmist."

"You need to be hospitalized and need surgery. Will you be hospitalized?" Chen Xuanqi asked without being nagging the patient.

"But that doctor?"

"Then you go to him. If he can solve it for you, you go to him to solve it. We can't solve it."

"He is also my subordinate. Do you listen to him or me?" Chen Xuanqi decided not to trick the little brother in the trauma surgery department, so he asked back with a tough attitude.

"How come different people in your hospital have different opinions? You clearly said that it can be easily treated, but now you still have to do surgery. Are you saying this to protect him?" The uncle wanted to grab the last straw and pointed. Refers to Fang Yun.

"Our hospital, at least our department, and the people in our department can't handle it well without surgery."

"Who told you that it can be reduced manually? You can go to him. I can also tell you that it is impossible for people in our hospital to tell you that it can be reduced manually. They are not such laymen."

"He will only tell you that it may be possible to restore it manually, if you think about it carefully." When Chen Xuanqi spoke this way, Fang Yun had already added a line to the patient's emergency medical record.

"4. The indications for surgery are obvious and surgical treatment is recommended."

(End of this chapter)