Those years when I hung up and upgraded in the hospital

Chapter 134: Ten years earlier (please subscribe)
Seeing Chen Xuanqi's tough attitude, the two middle-aged men looked at each other and said, "I won't watch."

"Your hospital has a completely different story. It's just for making money, right?" He said while holding the medical records in Fang Yun's hand with one hand.

"You have to sign even if you don't read it. If you refuse surgical treatment, sign your name." Fang Yun didn't let him catch it.

"I didn't refuse. I want to do manual repositioning. If you don't do it for me, you will mess around. I won't sign." The patient pulled again, tore the page written by Fang Yun, and then picked it up. The plain radiographs and medical records were sent out.

He also greeted his companions: "Let's go to other hospitals."

"Return to Xiangzhou People's Hospital. I think you just changed the name to RMB Hospital. It's a small problem. You spend so much time on examinations and surgeries. If you don't do surgeries, won't you be able to treat the disease?"

He shouted at the door.

Chen Xuanqi heard this and said, "It's okay if you don't want treatment, or even if you don't sign. First of all, I have to remind you that our office here is monitored and recorded."

"So if you want to cause trouble later, we are not afraid. This is not the first time I have dealt with someone like you."

"But I want to advise you, your body is your own, and no one else will pay for it except yourself. So don't act too hot and harm yourself." Chen Xuanqi explained.

But the two patients never looked back.

At this moment, Fang Yun stood up and said, "Director Chen, I'm sorry. It's my limited professional ability and my lack of experience in dealing with difficult patients that's why I'm troubling you."

Chen Xuanqi smiled and said: "You didn't reset it directly, but you already have very good professional skills. At least you know what can be done and what can't be done. Like this, it must be a small construction site team with irregular operations."

"At first glance, it seems that his injury mechanism is not normal. It is probably that he was pulled down hard by the machine, which caused super violence but no fracture. I have encountered this situation many times."

"Besides, I guess the person operating the machine is very familiar with him and can't let go of his face."

"Yeah, it's a severe type of anterior shoulder dislocation, but it's not accompanied by bankart injury or humeral head fracture. I'm also very surprised." Fang Yun could only understand the corresponding classification.

But as Chen Xuanqi knows so deeply and thoroughly, he really has no experience.

Before, I was just fighting in the town, but with such a disease, I have long since disappeared.

"How many joint dislocations did you encounter today?" Chen Xuanqi looked at Fang Yun and found that Fang Yun was seriously explaining in the outpatient medical record system that the patient strictly refused surgical treatment and refused to sign.

The superior doctor was asked to personally explain that the patient needed surgical treatment. The patient left without expressing his opinion, which posed a risk of medical dispute. At the same time, Fang Yun was still filling in the medical dispute risk plan form from the Medical Safety Office.

The corner of Chen Xuanqi's mouth twitched: "Xiao Fang, where did you find these things?"

"As for the documents in the hospital, the Safety Office started to develop a set of procedures last year. Patients with potential medical disputes can report them through this system, so that a contingency plan can be prepared, and the report is delivered directly to the medical department. Science."

"It's also a kind of risk aversion. I'll call the security office later." Fang Yun explained with a smile.

Immediately, Fang Yun also found the picture library on his phone: "Director Chen, just in time, I did two manual reductions this morning, one for posterior dislocation of the elbow joint, and one for anterior dislocation of the shoulder joint. Please give me a look. .”

"I was mainly afraid of disturbing you, so I didn't report on some minor illnesses to you."

Fang Yun pushed the phone over, then stood up very skillfully and gave Chen Xuanqi a cup of hot water in a disposable paper cup.

It was hard for Chen Xuanqi to shirk the blame at this time.

After enlarging the frontal photo taken by Fang Yun, Chen Xuanqi blinked: "Do you have another technique for reducing joint dislocation before?" "I think this anterior dislocation of the shoulder joint is really a mild to moderate injury."

Chen Xuanqi thought it was a bit funny. Fang Yun was too cautious. Not only did he take the corresponding photo, but he also edited a diagnosis by himself and wrote it on a photo, as if he was afraid that he wouldn't understand it.

But for young people, the more meticulous they are, the more worry-free they are.

For injuries that are close to moderate, it requires a certain amount of skill to be restored.

Fang Yun Duanshui approached: "Well, injuries close to moderate are the current limit of indications for manual reduction. When it reaches moderate or severe injuries, manual reduction will be difficult to solve the problem. Surgical intervention is required."

"It's just that I found these data by searching the literature, not my own experience summary."

"Director Chen, you must have more experience. I used to work in the county hospital, but now I'm here. There are teachers here, so I should be more formal. I hope you don't think I'm intruding."

Fang Yun was neither humble nor arrogant. Although he was polite, he naturally had his own confidence.

"Yes, this kind of caution is a good thing. Young people should be more patient when doing things and do things more carefully."

"The examination results after the reduction operation are all fine. It's just that I haven't understood the lines you drew clearly yet, but they look pretty good." Chen Xuanqi discovered that although Fang Yun only had a bachelor's degree, he was very professional.

I don’t know where I learned that after some joint dislocation techniques are restored, a smooth curve will be formed, which is marked in the edited photo, making it easier for him to read.

Chen Xuanqi does not usually use this method to evaluate the quality of reset techniques.

"Director Chen, if you don't have enough experience, you can only follow the script. In fact, I really hope that Director Chen can tell me some tips." Fang Yun is not afraid that his skill pool will be wider and deeper.

At this point, Fang Yun immediately got some tips from Director Chen Xuanqi.

For example, in order to evaluate the success of joint reduction, there are some tips in reading radiographs, which is to look at the bony joints and the approximate distance between them.

It is also quite applicable, and was summed up by Director Chen Xuanqi himself.

Coincidentally, before Chen Xuanqi left, another baby came to the department with subluxation of the radial head.

Of course Chen Xuanqi didn't leave and watched Fang Yun diagnose and treat him.

However, when he found that Fang Yun only had 30 seconds, he immediately made the child cry, and then made the child stop crying after the pain was relieved. Then the family members left the department with great gratitude and politely handed in another refill. After the cost of manual reduction of small joint dislocation.

He was amazed: "I haven't realized yet, Dr. Fang, that you actually have a certain talent in joint surgery."

"If I had known this, I should have competed with Hu Jun."

"Director Chen, I'm biting off more than I can chew. Maybe I can learn some joint surgery-related procedures from you in the future, but for now, I'm still better at sports medicine. There's still a lot to learn." Fang Yun explain.

"Hahaha, what a good guy."

"If I were ten years younger, I would definitely recruit you, but now that we are old, you young people have to fight on your own." Chen Xuanqi yawned and left the department.

Fang Yun accompanied him for a while before returning to the ward. Watching himself perform the joint dislocation reduction technique on the hook slot again, the experience value increased by another 3%, reaching 61% of level 4. It was not expected that In a month, if there are enough operating opportunities, it may be upgraded to level [-], and Fang Yun will be even more calm.

(End of this chapter)