medical simulator

Chapter 44 Chairman Zhou Cheng! (Seeking collection, asking for recommendation tickets, asking for rewards!)

Be reasonable!
In the morning, Luo Yunzhen deliberately chose a special one just to beat Zhou Cheng.

How to say.

The joints that were particularly biased and stabbed were dislocated, to make it difficult for Zhou Cheng, to let him know that the sky is high and the earth is strong, and he didn't say that he would know it...

Zhou Cheng naturally didn't know what was going on in Luo Yun's mind at the moment, but he happened to meet him by such a coincidence, and Luo Yun was still talking to Du Yanjun.

I don't know what Luo Yun and Du Yanjun said, it's better to tell Luo Yun openly, if there is less gratitude, the value will be less.

A little more gratitude is not enough to get rich overnight and directly achieve some small goals.

Du Yanjun started to chime in again at this moment: "Yes, Mr. Luo, let's go and have a look together?"

"Brother Zhou Cheng also wants to see your hand reduction technique. He just told me that it's a pity he hasn't seen it."

Du Yanjun was good at flattering, just right, not only caring about Zhou Cheng's feelings, but also showing his own thoughts.

Du Yanjun hadn't heard much about the dislocation of the cuboid joint, and he even mispronounced the name of the cuboid bone, which made him feel a little embarrassed.

Then Zhou Cheng had to do manual reset.

Then if you make a problem, don't you still want your teacher to wipe your ass?

Letting Luo Yun take care of it can reduce similar risks. This is also a kind of respect for the teacher as an apprentice.

If he hadn't seen Luo Yun, then Du Yanjun wouldn't have dared to make a small report, but he happened to meet him...

Luo Yun really felt that he didn't read the almanac when he went out today!

Why do you have to worry about whether something will happen to Zhou Cheng in the clinic? Will he suddenly have a life-saving emergency, so he just went back to the department after a meal?
Wouldn't it be nice to stay at home and lie down for a while?

But now that the knife is on his neck, no matter what, he can only bite the bullet and go for it.

"Okay then, let's go and have a look together." Luo Yun had no choice but to think.

Otherwise, just shirk the patient's need for surgery later, and throw the patient directly to Cai Dongfan.

Or send the patient away.

Du Yanjun smiled and said, "Hey, Mr. Luo, it's like this. Just now Brother Zhou Cheng has seen the patient's X-ray and CT, and also had a physical examination."

"There is dislocation, no fracture, and the dislocation is about 0.4cm from the anterior edge of the calcaneus, which is within the indication range of manual reduction..."

Luo Yun's feet froze, it was undetectable.

Du Yanjun welded the back door shut!

I can't get out of the car.

He looked at Du Yanjun with an extremely complicated expression.

Can you not speak?

Are you my nemesis?
Zhou Cheng handed the surgery (operation) consent form signed by the patient and the emergency medical records to Luo Yun, and then said: "Ms. Luo, the basic situation is similar to what I recorded. If you are worried, we will check it again. Clarify the diagnosis a little more."

Luo Yun took emergency cases.

Good guy, very standard emergency case writing format, simple medical history, characteristic positive test results thrown up!

Depending on the amount of touch, one is not bad.

Moreover, the results of X-ray and CT examinations have also been sorted out, and the diagnosis is certain.

Moreover, the patient himself also wrote in the medical record that he was aware of the risks associated with manual reduction and surgical reduction, and requested manual reduction!

"You don't need to read it again, just watch the patient's film." Luo Yun pursed his throat at that time.

This can only be rushed to the shelves, let's take advantage of the time to watch the film and think about how to deal with it.

If it really doesn't work, you can only use secret techniques.

The superior is the principle——

Just fucking need surgery, I said.

What are you doing.

……

Both Zhou Cheng and Du Yanjun stood aside obediently, waiting for Luo Yun to read the film.

The patient also heard Zhou Cheng and Du Yanjun say that Luo Yun was their superior.Immediately and very patiently waiting for Luo Yun to read the film, after all!

Zhou Cheng, who sounded so confident and reliable just now, only obeyed Luo Yun's orders.

Then this Dr. Luo must be more reliable.

But after waiting for two to three minutes, Zhou Cheng and Du Yanjun didn't wait for Luo Yun to speak.

And Zhou Cheng noticed that the forehead lines above Luo Yun's upper eyelids were slightly wrinkled.

He almost understood Luo Yun's difficulty at the moment.

Calcanoid joint dislocation, this disease is not common!
And it belongs to the fringe disciplines of fringe disciplines.

What's going on, the joint surgeon thinks that he is in the field of foot and ankle surgery, so he doesn't want to study this disease!
The foot and ankle surgery thinks this should be a matter of joint surgery, and mostly ignores it.

There must be a way to treat it, and the operation is over.

If manual reduction is really required, in fact, not many people can strictly grasp the indications for manual reduction and surgical indications for this disease.

Zhou Cheng knew the situation himself, so he said, "Mr. Luo, why don't I reset this patient? You stand aside and help me stabilize?"

"I have learned from you for so long before."

Luo Yun's eyes lit up when he heard this, but his heart froze again!
Zhou Cheng didn't say this for him, nor for Du Yanjun, but for the patient.

only?

Zhou Cheng, you really dare to reset it?

This method of resetting the heel joint is no joke.

Look at Zhou Cheng.

He straightened his voice and asked: "Do you want to try it? This is not easy to reset!"

Du Yanjun was a little confused, when did Zhou Cheng learn from Luo Yun for a long time?

This is not close at all, and Zhou Cheng is a little too ignorant, in front of Luo Yun, he still needs to reset his hand?

Then why did you call Luo Yun over?
He looked anxiously at Luo Yun, hoping that Luo Yun would not agree to Zhou Cheng's request.

"En." Zhou Cheng nodded very seriously.

"Ms. Luo, you can be my assistant. Help me hold down the patient's calf, just do the volley as usual." Zhou Cheng nodded and entered the state again.

Dislocation of the calcanoid joint requires the positioning of the tarsal bones of the entire foot, so it is best to place the patient's feet in the air. In fact, it is also possible to let the patient sit on the head of the bed and volley naturally. It's not good for him not to intervene.

And Luo Yun intervened, so it was Luo Yun who took him.

Saying it makes others feel better.

"Thank you, Dr. Luo, thank you, Dr. Zhou." The patient immediately lay down. Prior to this, Zhou Chengcheng explained to him the position of manual reset.

Zhou Cheng's plan at the time was to let Du Yanjun be his assistant.

Therefore, the patient was directly told to do manual reduction while lying down.

Du Yanjun immediately followed Zhou Cheng's instructions, but he didn't know what to do in his heart.

But as soon as he got started, he saw Zhou Cheng quickly approaching the patient, and said, "Hello, don't be nervous, Dr. Luo and I are going to reset the manipulation for you, please bear with me a little bit." what."

"Don't worry, don't be nervous, we will start in about 2 minutes, and now I will give you some manual release."

The patient immediately felt confident, and replied: "Oh, okay, don't worry, don't be nervous."

The muscles also began to relax slowly, there are still 2 minutes left.

However, when Zhou Cheng felt that his muscles were completely relaxed, he directly lied to him, taking advantage of his unpreparedness, he immediately exerted force with both hands at the same time!

After hearing only a click, the foot that was originally dislocated and could not be stretched back!
Zhou Chengcheng broke it into a back extension.

The patient's upper body bounced, and his foot almost kicked up to Zhou Cheng's chin.

Zhou Cheng immediately backed away and said, "Mr. Luo, it should be reset successfully. Would you like to check?"

Luo Yun was in a daze.

Is this TM really reset?
How did you reset it?
What Zhou Cheng said in the morning, wasn't he talking nonsense?
I used a crutch to reset the joint with dice, Zhou Cheng really dared to do it! .
I can really do it.

Hearing Zhou Cheng's words, he also knew that Zhou Cheng was saving face for him.

He took a warm look at Chairman Zhou Cheng in his heart, stepped down when there was a step, and immediately performed plantar flexion and dorsiflexion on the patient's range of motion, and everything was fine.

And the patient didn't react too far away.

There are two main symptoms of joint dislocation, one is pain after dislocation, and the other is deformity or protrusion visible to the naked eye.

Now the deformity and protrusion have disappeared and the pain is greatly reduced.

It can basically be confirmed that the reset is successful, of course, the final X-ray follow-up visit is still needed, and the final control will be strictly controlled.

Then he patted the patient's leg and said, "Don't worry, don't worry. It doesn't hurt anymore, and it doesn't hurt when I move like this."

"Manipulative reduction must be painful for a while, unless anesthesia is administered."

"Put a plaster cast on later, um, rest about two or three." Luo Yun suddenly realized that he seemed to be unsure how long to rest, and was going to say three months.

Zhou Cheng quickly took over the words: "Ms. Luo, I'm not you, just be on the safe side and take a six-week rest. When it comes to putting plaster on later, it's just me and Yan Jun."

"Will you come again when you watch the re-examination film later?"

"Okay." Pretend to the end, even though it was fake, but Luo Yun almost took it seriously.

mainly.

Comfortable.

PS: Please collect, recommend, and follow up!
(End of this chapter)