Those years when I hung up and upgraded in the hospital

Chapter 45 The nemesis of the superior hospital? (Please collect and read)

"Auntie, please call your family over. It's okay. I'll talk to them! You don't need to be hospitalized in this case." Fang Yun ordered.

"I really don't feel much pain anymore, Doctor Fang, how did you do this?" Aunt Liu, who was in bed 7, marveled, her hands moving quite flexibly at this moment.

"Of course Auntie, it's okay for you!~"

"Call your family members first. Let's see how well you move now?" Fang Yun replied with a smile.

Hysterical dysfunction is a kind of perception error left over for a long time after being exposed to stimulation or traumatic stress. It is a mental disease.

This thing cannot be cured in the county people's hospital, and the orthopedics department has no way to start.

Even though she had synovial plica of the shoulder joint, she was not indicated for surgery.She has to go to a psychology department or a psychiatric department outside for psychological counseling and reconciliation.

"..."

Half an hour later, when Aunt Liu's husband arrived, he heard Fang Yun say this.

Then he was shocked: "What are you talking about? My wife's shoulder joint doesn't hurt? That's impossible. She keeps saying it hurts. Only you can know whether it hurts or not."

"Dr. Fang, did you make a mistake?"

Fang Yun knew that this was his reaction, so Fang Yun played the video of Aunt Liu doing various exercises in the ward that he had prepared in advance.

"Uncle, do you see?"

"Does this look like pain?"

"Moreover, when I first treated Aunt Liu, she said that the movement of her left shoulder joint was limited. When I asked again and said she had pain in her right shoulder joint, her left arm was more flexible than normal."

"After I said she was fine again, then it became like this."

"Uncle, please explain. Auntie moved on her own. It was not forced or forced by our doctors and nurses. Before I asked her to move, I had confirmed through MRI that there was no organic damage, so from a functional perspective, she was No problem at all." Fang Yun explained in detail.

Fan Youhua was still reading the film immersedly at this moment. He couldn't understand why Fang Yun was so sure that there was nothing wrong with Aunt Liu.

He asked Fang Yun, but Fang Yun said that he should take a closer look first.

Aunt Liu's husband should be a civil servant, wearing a suit and leather shoes, with a straight figure and a very stable mood: "So there is no problem in the first place, but that is the biggest problem, right?"

Fang Yun said: "Actually, it's not particularly complicated, but we can't solve this problem here. This requires the guidance of a very professional psychologist."

"Auntie must have been traumatized or stimulated by some other factor before. Then she felt a little allergic and over-functioned."

"It was in the first half of the year, when we went back to her hometown, she was hit by a cow and flew away." The middle-aged man replied.

"That's probably the reason."

"This problem is not our orthopedic department's problem. Even if we let the aunt move in, we will not give injections, prescribe medicine, or perform surgery. It will be a waste of hospitalization expenses and make your family members suffer."

"She can be discharged from the hospital temporarily. Your family members should stay with her..."

Bed 7 will naturally be discharged from the hospital. Such symptoms will definitely not be treated in the orthopedics department.

Naturally, when he wanted to be discharged from the hospital, although Fang Yun was the attending physician, he was only a follow-up attending, so he still had to explain to Director Long Quan.

However, what Fang Yun didn't expect was that Long Quan, who only needed one sentence, came to the department in person and carefully checked the patient's basic condition before letting Aunt Liu and her husband go through the discharge procedures.

"Hysterical limited mobility of the shoulder joint is just a descriptive diagnosis."

"Fang Yun, you dare to make this diagnosis, you are so brave!" After Long Quan sent the patient and his family members away, he looked at Fang Yun.When Fang Yun heard this, he said: "Director Long, this is just a descriptive diagnosis. Of course, it is only used to describe. The patient's condition is still caused by shoulder joint pain, but he is not hospitalized."

Long Quan then added: "Do you know what these two sons do?"

When Fang Yun heard this, his pupils shrank and he shook his head first.

"The student is also majoring in medicine. He has a doctorate from Ruijin Hospital affiliated to Jiaotong University in Shanghai. He is currently working at the postdoctoral mobile station..."

"That's why I said you are really a talented and brave person!"

When Fang Yun heard this, he breathed a sigh of relief: "Director Long, it would be great if you are a colleague. At least you can understand the relevant evidence."

"It would be troublesome if you are half-informed and are still a medical student."

“When I was a resident trainee, a family member of a patient’s medical student came to educate me about compartment syndrome.”

"It took me a while."

People who know the stuff are not scary, but those who are just starting out are the ones who are the most scary.That's what makes it difficult to deal with. You say he doesn't understand, but he understands a little bit. You say he understands. He only knows a little bit about it, but he still thinks he is awesome.

"No matter what, you are really the nemesis of superior hospitals."

"Bed 9 was originally going to the Second Affiliated Hospital of Shonan University, but you kept it. This bed 9 was supposed to be operated on. And?" Long Quan said this and suddenly fell silent.

If this patient goes to the operating table, is anesthetized, and undergoes surgery, he will look back at the MRI scans at that time.

That scene?
It was probably enough for their group to drink a lot.

"Director Long, I don't dare to say that. I only dare to speculate based on the facts I have seen. We don't understand the real diagnosis, and we won't discuss it. However, we can only do certain things based on the existing conditions and certain things. Infer it truthfully." Fang Yun replied with a smile.

If there was no objective evidence, Fang Yun would not dare to let Aunt Liu act blindly, but if there was objective evidence, Fang Yun could see clearly and look at the anatomical structure and damage carefully.

Even if there is no organic damage, she can still move. This active movement actually indicates some problems.

It was not a diagnosis that an orthopedic surgeon should make, so Fang Yun did not make it.This is also self-preservation.

Fang Yun is still very clear about his position.

……

After Long Quan left the ward, Fang Yun also left the ward.

But Fan Youhua, who had been guarding Fang Yun, quietly followed up: "Brother Yun, after I sent this patient's MRI to my master, there are still synovial folds."

Fan Youhua is still struggling with the issue of synovial plica.

Fang Yun asked: "There are synovial plicas, the movement function is not restricted, and the patient has no directly related pain symptoms. Have you ever performed a shoulder joint debridement before?"

Fan Youhua quickly shook his head: "No, Brother Yun, I just said that this patient still has the corresponding diagnosis from our department."

“It doesn’t have to be dealt with.”

"Let's have dinner together, Brother Yun." Fan Youhua invited.

Fang Yun looked at the time and saw that it was indeed dinner time, so he nodded.

(End of this chapter)