Great doctor starts with adding points

Chapter 35 Face-to-face set (for collection, please follow up!)

"I didn't hide, and I don't know if my dislocation is fixed or not?" When Xiang Lunwu and Xiang Zhongshu came out of the hospital, their left hands were still holding the right elbow hanging from the forearm sling, for fear that their arms would fall again. down.

The fat layer under the fat face is too thick, and the beating of the muscles cannot change the expression, but the eyes are dim, and the tone is lonely and helpless.

He didn't dare to be angry, Xiang Mei was a real aunt, no matter how well Wu Xie was treated, he still couldn't spare Xiang Zhong Shu and trouble Wu Xie, but it might not be the case for someone else.

"Are you still in pain?" Xiang Zhongshu asked with a slightly serious expression at the moment.

Jianyan's eyes were spinning non-stop, with a worried look on his face.

Face to face with Wu Xie, it is difficult for him to say what he really thinks deep in his heart, and he must speak for Wu Xie verbally.

How did he know that He Ling called Wu Xie when he found out that Wu Xie was not on duty at the hospital?

It's not that I look down on my nephew, it's just that our abilities are limited, so we don't have to be brave, just accumulate and learn slowly.

Wu Xie's talent is not low, but there is an accident.

"It doesn't hurt anymore, but after Dr. Xiong's diagnosis of Zhu Fagen, he still needs to operate. It is not clear whether Dr. Xiong's injury occurred before the treatment, or it was cured." Xiang Lunwu's tone was confused. , tilting his head and squinting.

"Let's go, go to the county, and do a thorough inspection."

"If I knew this was the case, I shouldn't have come here." Xiang Zhongshu sighed, as if you should admit that your son is unlucky.

"Okay. Didn't you think it was too troublesome to go to the county before? Today is a fair, and there are many things in the team, so it is not convenient to ask for leave."

"Call me." Xiang Lunwu asked his old father.

The two quickly took a minibus to the county seat for the next step of re-examination and re-examination.

Xiang Lunwu knew how to drive, but Xiang Zhongshu didn't have a driver's license. He was not rich when he was young, but his family became rich when he was old, but his eyes were broken, so he didn't want to learn.

...

In the surgeon's office, He Ling carefully put away the informed consent form signed by Zhong Shu, and saw Wu Xie walk in from the operating room.

"Xiao Xie, it's ok, it's reset so quickly, I thought I'd have to wait a little longer." He Ling felt blocked.

Although Wu Xie has a master's degree, sometimes rumors may not be completely false, at least half true and half false.

What's more, the matter between Zhu Fagen and Xiong Yao in the town was full of turmoil. He Ling was also worried that Wu Xie would be unfavorable in his career.

As Wu Xie's uncle, Xiang Zhongshu didn't look for Wu Xie immediately, probably because he knew something. But He Ling himself didn't dare to make a move.

Wu Xie is the closest to He Ling, so he told the truth: "Brother He Ling, don't make fun of me, that is, my cousin's anterior dislocation is relatively simple, it's just a one-time injury, otherwise, I wouldn't dare to reset it hastily. "

He Ling's eyeballs rolled around, quite surprised: "Shoulder dislocation is still graded? Isn't it just classification?"

He Ling was thinking that Wu Xie was actually a little reckless. Without the MRI, if he didn't have Dr. Xiong's rich experience, it would not be appropriate to do a reset rashly.

Wu Xie should take the simplest subluxation of the radial head, which is common in children, as a reset to open up the situation.

Diagnosis of radial head subluxation is simpler, with fewer complications and sequelae.

Dislocation of the shoulder joint is actually a relatively complicated category.

"Brother He Ling, there are two types of shoulder dislocations, one is traumatic and non-traumatic, and traumatic is relatively simple."

"Then it can be classified according to the position of the head of the shoulder joint relative to the glenoid. It can be divided into four different types: up, down, front, back, and front. My cousin's shoulder dislocation, from the perspective of stereotyping, is the simplest traumatic anterior dislocation of the shoulder. "Wu Xie talked eloquently, which was self-effacing, and it was also an explanation for He Ling.

Anterior shoulder dislocation is the most common type of shoulder dislocation, accounting for more than 50% of all shoulder dislocations according to statistics.

"Oh, it's not easy for a dislocation to have such a way."

"However, it's not easy to determine the degree of dislocation from front to back, up and down, right?" He Ling was amazed, and then complained casually.

Wu Xie can have such a reserve of knowledge, then the word recklessness can be preliminarily ruled out.

It's just that He Ling still has doubts. With such a big man like Xiang Lunwu, Wu Xie reset without waiting for him: "Your cousin's body shape, how did you reset it by yourself?"

He Ling asked this question because he was curious, and secondly, he wanted to know the whole story. If there is any problem, he should say hello to Director Lu Junyin in advance, so that he can prepare for public relations. Hospital!

"Brother He Ling, are you saying that you should use the Hippocratic reset method?"

"Although the pull-and-pedal method is the most commonly used reduction method for shoulder dislocation manipulation, it has a low reduction success rate and requires multiple attempts. It also takes a long time to recover after reduction."

"Compared with the hand-pulling and pedaling method, the Kocher reduction method is also an external rotation reduction method. It is easy to operate and can be carried out by a single person. The recovery time after reduction is also short, and the patient can quickly return to normal life. So I chose this."

"After all, you also know that for a guy as big as my cousin, if he tries a few more times, he will suffer, and so will we." Wu Xie laughed, and it was true.

Xiang Lunwu's arm is almost as thick as the thigh of an ordinary adult man. An ordinary doctor, even an orthopedic surgeon, cannot reset it several times.

Traction is required during the reset process, and traction must be continued. The heavier the tonnage of the patient, the greater the force required for traction, and it must be continuous and even.

It's also hard work.

He Ling was taken aback when he heard the words, took a breath of cool air, and asked, "Before you reset, did you think so much in one go?"

He Ling was a little shocked.

How old is Wu Xie? Before seeing patients, he was so systematic?

It’s incredible to classify a disease first, then classify it, and finally understand the pros and cons of the treatment measures, isn’t it?

To say that those who can do this are all experienced old doctors, and even Lu Junyin, under the size of the town hospital, dare not say that he is experienced.

"Brother He Ling, our hospital has limited conditions and no MRI. CT and X-ray are equivalent for this disease."

"My cousin just had an X-ray, so the diagnosis is actually the most troublesome. A more systematic physical examination is required to remove the most common clinical manifestations of anterior shoulder dislocation: pain, joint emptiness, square shoulder deformity, and limited mobility. outside."

"We have to do the Apprehension test, Relocation test, and Release test sequentially!" Wu Xie, Barabara, checked the output in a calm tone with the majors he knew.

Wu Xie felt He Ling's distrust and suspicion. He didn't blame He Ling, but he wouldn't let it go. He just told He Ling that he was measured in his actions.

I am a resident doctor with a practicing certificate and a medical qualification certificate, and the first-class operation is equivalent to the authority.

The second is that before doing the manual reset operation, I have made very sufficient preparations, and I still have some professional skills.

"What?" He Ling, who was slightly younger than Xiang Lunwu, looked confused.

What are these Eagle and Chinese characters? (No typo.)

"It's just a few examinations for the diagnosis of dislocation. There is currently no corresponding term in Chinese. Brother He Ling, have you had lunch yet?" Wu Xie didn't want to continue to show off, so he changed the topic immediately.

He Ling also immediately understood that he should not continue to struggle: "Oh, I've eaten it, haven't you eaten the little crab? Shall I order one for you?"

"I'll go back to eat..." Wu Xie smiled, instead of turning around and leaving, she continued to exchange greetings with He Ling before turning back home.

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