Chapter 14 Force-feeding dog food (please follow up)
"Osteoarthritis of the right hip joint. Director Chen asked you to come here for hip replacement?" Fang Yun asked after reading the diagnosis, and at the same time began to skillfully pick up a stack of blank hospitalization certificates from the nurse station.

Start transcribing basic information.

Hip replacement, whether it is half hip replacement or total hip replacement, is a level [-] surgery of the joint surgery subspecialty of orthopedics. The surgical operation is very difficult and requires high technical content.

However, the director of the county hospital should be able to perform such a surgery.In prefecture-level municipal hospitals, it is already a very routine surgery.

Chen Shengwu had worked at Enzhou People's Hospital before, so he thought his skills were not bad.Only then do you dare to realize that your talents are not appreciated.

As soon as Fang Yun said this, the patient and family members waved their hands at the same time, slightly frightened: "Dr. Fang, it's not a joint replacement. We don't do replacement surgery, it's a minor surgery, the kind of surgery that doesn't require anything to be put in."

"Director Chen said he could do it, but Director Peng from the People's Hospital said he couldn't..."

When Fang Yun heard this, his writing pen paused slightly and he looked up: "Did Director Chen say that he wanted to perform hip-preserving surgery on you?"

Fang Yun's theory is very good. Although he doesn't know many treatment methods, he knows them.

Knowing what kind of surgery should be used to treat and deal with it, but whether such a surgical method is suitable is a different issue.

Surgical treatment requires too much manipulation and requires intervention.

"Yes, that's right, it's hip-preserving surgery. Director Chen said that this surgery can be done without putting anything in for the time being. It's also relatively cheap. And it seems that in the entire Long County, only Director Chen can do this kind of surgery..."

Fang Yun secretly wrote them down one by one, nodded and said: "Okay, let me issue the hospitalization certificate to you first. You guys go down and pay the basic hospitalization fee, 500 yuan. I have carefully consulted Director Chen about the subsequent treatment costs. Later, I’ll talk to you in detail before the surgery.”

"Is that okay?"

"Okay, okay, thank you, Doctor Fang." The couple grinned back, as if they had found salvation...

Watching the two of them walking side by side to pay the fee outside the department, the woman walked with a limp, and Fang Yun turned the signature pen with the index finger of his right hand.

Regarding the treatment of hip osteoarthritis, Fang Yun currently knows more about hip replacement surgery. As for hip-preserving surgery, this has touched upon Fang Yun’s knowledge blind spot to a certain extent. It seems that he still needs to look up information or Documentation will do.

When he put the pen in his breast pocket and was about to return to the office, the nurse on duty, Xue Yaqin, leaned over and asked, "Dr. Fang, what kind of hip-preserving surgery is this? What kind of surgery is it? Can our department do such surgery?"

When Fang Yun heard this, he explained: "Hip-preserving surgery is an alternative treatment to joint replacement surgery, which extends the service life of the hip joint, but I don't know much about it. What I know the most about joints is joint replacement."

"Sister Qin, I heard that Director Chen used to be from the town. Is he very famous in the local area?"

Fang Yun knew that Xue Yaqin was also a native of Li Town.

The other party nodded: "Director Chen did not work in Hunan Province before. He was in other places. He returned to Long County a few years ago. I have heard people say it, but I really don't know what department Director Chen was in before."

"But Director Chen still works very hard for the development of the department. According to the head nurse, Director Chen said that although our town is the largest town in Long County and has the largest resident population among all towns, our town is located in The location is awkward.”

"Whether you go to the county hospital or to Xiangzhou, it takes more than an hour and nearly two hours to drive. Many people die on the way to referral, so we must have a more reliable hospital in this geographical location of our town. Surgery will do..."

Fang Yun nodded when he heard the words, thoughtfully...

……

"Brother Yun, is there really a new patient?" When Fang Yun returned to the office, Xiang Youde quickly turned around and asked.

Fang Yun nodded: "Here comes another one. Do you want to take care of this patient, or do you want to leave it to me?"

The three young people in the department, except Peng Qingsong who graduated with a bachelor's degree, were trained at Xiangzhou People's Hospital, Xiang Youde and Song Wu all have junior college degrees and were trained in county hospitals, and their basic skills are all Not enough.

The simplest thing is that they can't even type and write medical records smoothly, so Fang Yun is willing to give them some opportunities to practice.

After all, nowadays, writing theory and medical records by yourself no longer requires additional experience. "Let me do it. The patient I'm in charge of now will be discharged soon." Peng Qingsong raised his hand and took the initiative.

Song Wu currently has a postoperative patient, and Xiang Youde just admitted a patient yesterday, so it is not easy for the two of them to fight each other.

When there are too many monks and too little rice, one can only divide the patients equally and strive for more opportunities for oneself.

Everyone has to grow.

"Then Peng Qingsong, you should be responsible for taking care of this patient. His case is relatively special. You may have to check some information when writing the case. Be a little more detailed in the conversation and signature."

Fang Yun casually explained and then asked: "Youde, what is the specific situation of the 6-bed patient?"

"There is nothing special. Both patients and family members said that in those days, everything was the same as in the previous days, and they got infected somehow." Xiang Youde replied.

"Okay, okay, let's go do the ward rounds first." Fang Yun didn't hesitate anymore. He would definitely ask again at the bedside later.

There are three patients in the ward, beds 1, 3 and 6.

1st bed was after fracture surgery. The wound recovery is currently relatively good, and the post-operative review films have been seen several times.

During the ward rounds, the patient's daughter also asked: "Doctor Fang, my mother just got out of bed after the operation. Is it okay? After all, the bones are just broken..."

The girl should be a high school student. It is mid-August, which happens to be her one of the few summer vacations. She is here to take care of her mother.The face is childish, full of youth, and full of worry.

"It doesn't matter if I use crutches or you or other family members to accompany me when I get out of bed. Remember not to bear any weight."

"Functional exercises after surgery, early exercise, are also part of the treatment."

"Auntie, you are such a considerate little cotton-padded jacket, but it doesn't matter. You should be able to feel it yourself. When you are not fully weight-bearing, a little movement will make the affected limb easier." Fang Yun praised it. One sentence, reply.

The patient was Sister-in-law Jin Ping. When she heard this, she smiled and replied: "My daughter, it's okay. I didn't love her in vain."

"Thank you, Dr. Fang, for the excellent surgery you performed on me."

"I have the confidence to get out of bed. I feel fine. It doesn't hurt much now, but there is still some swelling." From her perspective, the surgery was still done by Chen Shengwu and Fang Yun together.

Praise from patients is the greatest recognition of one's skills.

The level 2 skill is not too strong, but it is still extremely useful in terms of treatment.

They are not as mature as doctors in prefecture-level city hospitals or county hospitals, and they may not be able to handle complex diseases, but they are not useless.

Working hard to improve yourself will pay off more or less, no matter in which aspect.

When Fang Yun saw that Peng Qingsong and others were in awe of him, his mood became calmer.

"Eat more lean meat and improve your nutrition."

"Remember not to eat hot peppers secretly, otherwise the wound will be stimulated by capsaicin, which will cause physiological inflammation, causing bacterial invasion and turning into infectious inflammation, which will be troublesome..." Fang Yun knew that Xiangzhou Located in a place with heavy miasma, they like to eat spicy food.

But you have to hold back.

"Mom, my dad dotes on you too much, I will supervise you." Her daughter said this.

Fang Yun and the four others broke through their defenses in an instant. After taking a bite of dog food off guard, they hurried to the third bed.

(End of this chapter)

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