Those years when I hung up and upgraded in the hospital

Chapter 44 Huh... (please collect, please read)
The other newly arrived bed is in bed 14. It is a patient with osteoarthritis of the lateral condyle of the knee joint. He is planned to be admitted to the hospital for fibular osteotomy to treat the patient's symptoms of knee joint osteoarthritis and prolong the service life of the knee joint.

This patient's symptoms are very typical, with obvious tenderness on the anterolateral and lateral sides of the knee joint.

There is pain when standing and walking!

After taking a standing X-ray of the knee joint, it can be seen that the joint space on the lateral side of the knee joint is slightly narrow, and the cartilage layer on the surface has become mottled.

"Doctor, I have foot pain, can it be cured after surgery?" The patient is a middle-aged man in his 40s, not tall, with a broad build, slightly dark skin, and looks honest and honest.

Facing the expectation in his eyes, Fang Yun said: "Uncle, it depends on your understanding of what good means. If it's just some relief from the pain, then you should be able to look forward to it."

"But if you want to be completely pain-free, even doing farm work without pain, that's almost impossible."

The patient's eyes looked a little lonely. When he entered the hospital, no doctor told him that his illness was nothing. He had to undergo surgery, but it still couldn't be solved.

After reading the other person's expression, Fang Yun knew that someone had already told him this during the outpatient clinic: "Your joints have been seriously damaged."

"It's like a person who is old and can only rely on preservation. If you continue to overuse it, it will continue to deteriorate soon after your surgery."

The man looked up with a helpless expression: "What about making money if you don't work?"

Fang Yun couldn't answer this question.

"Then you should also pay attention to protection, otherwise even if the pain will be relieved after you are discharged from the hospital this time, if you continue to use it at a high intensity, it is estimated that within a few years, you will have to come to the hospital for major surgery again."

When asked what to do to make money, Fang Yun himself didn’t know what to do.

"It's useless even after the surgery this time?" the man asked again. He sat down and crossed his legs while speaking. He endured the pain, but his face twitched slightly.

"The purpose of this operation is only to relieve pain, not to cure it once and for all. There is no good way to cure it once and for all. Even if you do joint replacement or unicondylar replacement now, the joint will still have a service life." Fang Yun once again put this time into perspective. The purpose of treatment should be clearly stated.

"Then a radical cure? Medical technology is so advanced now." The man demanded.

"Uncle, the current medical level has not reached this stage yet. If anyone can say that your situation can be cured at once through minor or major surgery or drugs, that would be great."

"He is also famous, and you can also enjoy the blessings." Fang Yun said.

The man added: "Some old Chinese medicine doctors say they can treat it by inserting a few needles and applying some medicine. Can't you Western medicine?"

Fang Yun shook his head: "We can't do it. If you think an old Chinese medicine doctor is good at this kind of osteoarthritis, you can ask to be discharged from the hospital to see him or go to a higher-level hospital."

"Some concepts of traditional Chinese medicine and our modern medicine are different."

When the man heard this, he stopped replying.

Fang Yun once again made his purpose very clear, and he didn't know what to do.

I just feel like this hospital is a little screwed up now. It wants people to perform operations but doesn't cure them. It just drags on like this, as if it wants to treat the patients like leeks.

……

After leaving bed 14, Fang Yun felt calm in his heart.

It is definitely not easy to have 14 beds, but this is a limitation of medical technology and there is nothing anyone can do.

Who doesn't want to be able to do it once and for all, but without such ability, it is impossible to do it once and for all.

After Fang Yun returned to the ward, he immediately went to see the MRI of the patient with limited shoulder joint function in bed 7, and carefully checked the shoulder joint and a part of the cervical vertebrae that swept around the edge of the shoulder joint.

After reading it, Fang Yun immediately frowned: "What's going on?"

When Fang Yun said this, Fan Youhua immediately pulled a stool over and asked with a smile: "Brother Yun, I heard that one of the patients you are in charge of has frozen shoulder?"

Fan Youhua looked excited, and the dimples between his fat cheeks were not good-looking at all.

But when Fan Youhua asked, Fang Yun saw no one around, but a soul came and asked: "Did you often talk about frozen shoulder in the department before?" Doctors in the Department of Surgery can diagnose frozen shoulder, but doctors in the Department of Orthopedics cannot. Doctors from other subspecialties of orthopedics can diagnose frozen shoulder, but if a sports medicine doctor comes out and diagnoses frozen shoulder, it is purely a fight.

This diagnosis should not appear in the hands of a professional sports medicine doctor. Even if you substitute shoulder joint pain or limited shoulder joint movement, it will appear more professional.

Fan Youhua quickly made up for it: "Is it a rotator cuff injury? Or is it frozen shoulder?"

"Here! Take a look." Fang Yun gave way and let Fan Youhua take a look first.

To be honest, now that Fang Yun has ruled out local anatomical organic lesions and neuropathy, this problem may become quite troublesome or simple.

Hysteria.

That is, mental limitation of shoulder joint movement.

If there is no direct focus on shoulder joint movement, it can be considered to be mental.

Yes, neurosis and spirituality are completely different conceptual categories.

Fan Youhua quickly took his place and began to figure it out carefully.

Fang Yun was waiting patiently. If Fan Youhua's evidence could be confirmed again, then he could be sure that the patient's limited shoulder joint movement might be a mental functional limitation rather than an organic one.

However, after Fan Youhua looked at it, he just asked: "Brother Yun, it's not a rotator cuff injury. Is it really frozen shoulder?"

Frozen shoulder is actually another name for frozen shoulder.

"Fan Youhua, take a look first, and then I'll ask about the patient's medical history..." Fang Yun stood up, planning to have contact with the aunt again.

As soon as Fang Yun went there, he said on the spot: "Auntie, which side of your shoulder joint is the pain coming from? It seems to me that it's the right side. I just couldn't remember."

Fang Yunyi said, the patient thought for a moment and moved his right arm, feeling it was particularly difficult.

Immediately afterwards, Fang Yun saw that her left arm, which was originally unable to move the left shoulder joint, began to move freely and began to rub various parts of her right shoulder.

He even went around the back of his head and pressed his trapezius muscles!

This time, not only Fang Yun was confused.

The old lady on bed 9 also found it strange. She rubbed her eyes and wondered if her eyes were dizzy.

And saw this scene.

Fang Yun then said: "Auntie, actually, you don't have any symptoms. I just saw your film. You should be able to move both hands."

"You try to hug me like this?"

"Does my side hurt?" Auntie said with certainty.

I can't lift my right arm.

"Do you believe in yourself or the doctor? I said you're fine, just move." Fang Yun suddenly shouted loudly.

Unexpectedly, the aunt was frightened by Fang Yun and actually raised her hands flat.

This time, even the 7-bed aunt herself was silent.

"Eh……"

At the same time, Fan Youhua also walked in curiously. Seeing this scene, his footsteps stopped at the door.

(End of this chapter)