Great doctor starts with adding points

Chapter 158 Uneasy senior brother (second update, please subscribe)

Wu Xie explained solemnly, then held the steering wheel with one hand, and scratched his head: "There are some irreversible joint dislocations, and even the professor dare not say that they can be restored."

Tang Yuewei didn't ask any more questions, because it was meaningless to continue asking.

She doesn't understand orthopedics either!

I was just thinking in my heart, since the current Wu Xie has such rhetoric, is there any possibility that Wu Xie has been acting...

After all, according to Wu Xie, it is possible that the professor could not reset the dislocation of the joint, and his brother could not even diagnose it. You can understand it at a glance. Isn't this a problem?

The distance from Enshi to Shazhen is not too far, but it is not too close either. Wu Xie is just a "novice" on the road, and he dare not run too fast. The average speed is only 100 yards. When he arrived at Shazhen, it took more than one hour Hour.

So when the two arrived, it was already past twelve thirty.

Wu Xie placed the car at the entrance of the hospital, and then waited for Tang Yuewei to come out in a very gentlemanly manner, while saying, "Here we are, the place where the hospital is located is relatively simple! Old classmate, don't mind."

"You still have the heart to think about this now? Go to the department and have a look." Tang Yuewei waved to Wu Xie.

Wu Xie glanced at Tang Yuewei a few times, but didn't see any strange expression on her face, so she quickly ran away.

After going all the way to the department, Wu Xie found that, except for him, everyone in the department had arrived at this moment.

Lu Junyin and Zhong Yusheng personally came forward to communicate with the patient in the doctor's office and explained that the patient is a middle-aged woman, also a local, who is inextricably related to Wu Xie, who is the same generation as Wu Zhen, named Wu Ting .

The person who accompanied Wu Ting was her mother, who was Wu Xie's seventh mother-in-law.

And Long Yuan was on the phone at the moment, the voice came intermittently, but more of it was Long Yuan's continuous nodding and saying yes.

Wu Xie walked in in plain clothes, and Wu Ting and Wu Ting's mother stood up when they saw someone: "Xiao Xie, you may be back."

"Director Lu just said, what's wrong with my reset? I think it's okay, and it doesn't hurt anymore. It's much more comfortable than when I was injured." Her father and Wu Xie's grandfather are considered to be the same A grandfather's brother, she can also call herself an aunt, so there is not much courtesy...

When Lu Junyin saw Wu Xie coming, he said, "Dr. Wu, you came just in time. Please hurry up and show it to your Aunt Wu Ting. Please explain patiently."

The current situation is that Wu Ting doesn't think there is a problem with the manual reset. Instead, she feels much more comfortable. It's just that there is a dull pain in the shoulder joint, which is normal. How can it be completely painless after an injury?

Wu Xie smiled and said, "Auntie, mother-in-law, don't worry, since there is no pain now, then the situation is not bad."

"We also asked you to stay for the sake of safety and security. We want to take a closer look, right, aunt, otherwise, you will not be in pain or itching when you return home. You may have found out No."

"But you are my aunt, so I definitely can't lie to you! It's just a waste of your time." Wu Xie explained, walking to Wu Ting and sitting down.

Wu Ting's figure is very thin and looks very well-proportioned. Although she is in her forties, her face is covered with mottled years, and she has a child, she is not fat. "

"Your time is precious. I usually have nothing to do. It's okay to just wait."

"Of course I know that my nephew will definitely not lie to me."

"You also tell that doctor Long to reassure him. I will definitely not pursue responsibility or complain. I am grateful to him." Wu Ting felt embarrassed first.

She was accidentally injured, and the pain went away when she came to the hospital for a consultation, but the doctor who was treating her now became nervous and fidgeted a little.

However, she didn't feel that there was something wrong with her. While she was afraid, she also felt a little guilty.

If Wu Xie hadn't told Long Yuan to let her stay and observe again, she must have gone home, what could be wrong if the pain stopped?

When Wu Xie was talking to Wu Ting like this, Long Yuan finished the phone call and walked in again.

Look quite dignified.

When Wu Xie saw his senior brother walk in, he knew that his previous judgment was correct. Wu Ting's situation is really special, it belongs to irreversible anterior shoulder dislocation, and she is thin and has ligament laxity.

Now even if the tendon is stuck in the joint cavity, there is no special pain symptom.

The reason why Longyuan only called at this moment was because he was still in the outpatient clinic most of the morning. Even after the professor of joint surgery returned, he still did not leave the clinic to deal with Wu Ting's situation. Choose to continue watching the outpatients until twelve o'clock.

"Sister, your current situation is actually not very clear, because our hospital has limited equipment and equipment, and cannot do a clear MRI, so we can only guess based on your previous symptoms and plain films before and after reset."

"You may have successfully reset, but there are complications!"

"When I just gave you a physical examination, I also found that although your pain has disappeared, there are still restrictions on the active and passive movements of the shoulder joint."

"According to the conventional situation, after the dislocation of the shoulder joint is reset, the active and passive activities of the shoulder joint will resume." At least after such a long interval, it should be possible to move properly. "

"Then I checked the Beighton grading score for ligament laxity symptoms for you, and finally came to the conclusion that you must have ligament laxity."

"So there are two solutions now. The first one is more secure. You go to the county hospital for another MRI examination, and then we will deal with your current symptoms after the diagnosis is confirmed."

"The second way is that we deal with your symptoms first, dislocate the reset shoulder joint, and then after the reset, you go to the county hospital for an MRI examination, and finally evaluate the result of the manual reset."

"What do you think is the best choice for you?" The communication between Long Yuan and Wu Ting was relatively official, and it was not careless because of Wu Xie's relationship.

Any patient, no matter whether he is familiar with himself or not, may become a potential medical dispute case, which must be particularly clear.

Seeing that Long Yuan was so formal, Wu Ting turned her head to Wu Xie and asked, "Xiao Xie, how do you think your aunt is chosen now? I'll listen to you."

Wu Ting really didn't think it was necessary.

Hearing Wu Ting's question, both Long Yuan and Wu Xie frowned. If Wu Xie was Wu Ting's family member, it would be fine, but Wu Xie would be the one who will deal with Wu Ting's problems later. Then the relationship between the two should not be a kinship relationship, but a medical relationship.

In case Wu Xie chooses, but fails to choose well in the end, and something goes wrong, it will be quite troublesome.

However, at this time, Wu Xie took the initiative to stand up: "Aunt Wu Ting, we have reset it first, and you can go to the county to check again. There is indeed no such equipment in our town."

"And your current situation is quite special, but I'm too lazy to run back and forth."

Seeing that Wu Ting was about to speak again, Wu Xie smiled: "My senior brother and I must try our best to solve the problem for you, aunt. If there is really no other way in the end, then we can only proceed to the next step of surgery. .”

Even though Wu Ting is his relative, Wu Xie still has to say this.

"That won't happen, Xiaoxie, don't bully your aunt and scare me because she hasn't read much." Wu Ting didn't want to accept this consequence, so she said so.

"I'm not talking about the worst plan, aunt, I'm sure I won't hurt you on purpose, but people's abilities are limited, we will try our best to solve the situation for you, shall we?"

"In your current situation, you have to go to the operating room next time!" Wu Xie explained solemnly.

In Wu Ting's current situation, after the joints are reset, dislocation and repositioning can not be done under non-anesthesia, and must go to the operating room.

Because there may be a process from painless to painful in this process.

And if she was originally in a state of dislocation, then there was pain in the first place, so instead of going to the operating room, it can be done under a nerve block.

But maybe this point, Lu Junyin has already explained to Wu Ting.

Wu Ting nodded: "Director Lu has already explained it to me, and I have signed it, and I will wait for you to come back and deal with it with Dr. Long."

"Then if this is the case, I'll go down and find Dr. Dong first. Xiaoxie, you have to do your best to fix it for me." Wu Ting didn't want to get entangled anymore. Now that the matter has reached such a point, she doesn't know what to do. manage.

...

Wu Ting and her mother went to the operating room first, but maybe because the pain symptoms are not serious now, she is not particularly anxious, and she is talking and laughing.

After Wu Ting left, Long Yuan turned his head and asked Wu Xie, with a serious tone: "Do you think you can handle it?"

"If possible, I will set up a stage for you, and if you find it difficult, then you can be my assistant."

At this moment, Longyuan doesn't mean to make any jokes or regret his life!

"Brother, why don't I come?" Wu Xie asked with a flickering tone.

On the way here, he had already added some joint dislocation techniques to the specialization level, and then through the existing skill level, he thought that he still had greater confidence in dealing with Wu Ting's current situation.

As far as Long Yuan is concerned, he did not have a special and systematic understanding of diseases in sports medicine and joint surgery before, and he was not aware of the appearance of ligament laxity on X-rays. Otherwise, Wu Xie estimated that Long Yuan would not So directly treat Wu Ting's situation as an ordinary dislocation and reset it.

And it was also treated as a simple case exchange and sent to Wu Xie.

"Okay, then you can deal with it." Long Yuan knew that because of Xiong Yao's joints, Wu Xie was quite good at manual reset, at least yesterday's fracture surgery reset process, Long Yuan could see Wu Xie's The level of manipulative reset is higher than his own.

But Longyuan was quite depressed at the moment. He thought it was just a normal case and sent it to Wu Xie for a look.

Unexpectedly, he happened to encounter a rare irreversible shoulder dislocation. The superficial reset was successful, but it still failed, which made Long Yuan feel a little embarrassed.

After all, he came down to teach, mainly to teach, not to study.

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