Chapter 115 The Weird Child(2/2)
After finishing speaking, Zhou Cheng muttered: "If it is a patient with a fracture, you can handle it yourself. Patients with joint dislocations should call me, and patients with trauma should call Teacher Luo Yun."
"Well, okay. I understand." Du Yanjun nodded immediately. In fact, he thought so too.
But after nodding, Du Yanjun smiled again and said: "Brother Zhou Cheng, next time you perform manual reduction on a patient with joint dislocation, can you please invite me to join you? I really want to learn."
While talking, he also raised the book he was reading, which was related to joints.
Last time, whether it was Luo Yun's percussion, Zhou Cheng's own method of resetting a dislocated joint, or whether he was in front of everyone at once, it all brought a great stimulation to Du Yanjun.
"Okay." Zhou Cheng smiled and agreed.
…
At two o'clock in the afternoon, the department was still very quiet, and Zhou Cheng was yo-yoing with his own things.
However, as soon as Zhou Chengcai arrived at the rented house, Du Yanjun's call came.
His tone was quite guilty: "Brother Zhou Cheng, a patient has arrived with a dislocated joint."
Zhou Cheng stood at the door, stunned, smiled bitterly, took a deep breath and said, "Okay~. I'll come to the department right away."
"You first talk to the patient and sign, then say that manual reduction is only one of the treatment methods that can be expected, and the most reliable treatment method is surgery. Then talk about the risk of dislocation if the reduction cannot be achieved by conservative treatment."
Zhou Cheng didn't see what the patient's dislocation was.
Therefore, Du Yanjun was first given a vaccination, mainly because of the patient from the Department of Orthopedics yesterday, who gave Zhou Cheng a profound education.
When Zhou Cheng put down his schoolbag and went back to the department, he arrived at the door of the department.
I found Du Yanjun waiting at the door of the department.
After seeing Zhou Cheng, he said apologetically: "Brother Zhou Cheng, I talked with the patient. I may have gone too far. The patient feels that the risk of manual reduction is too high. They would rather have surgery to solve the problem once and for all."
"I don't want to try to reset it."
Zhou Cheng was stunned again: "How old is the patient? What kind of dislocation is it?"
"It's a child with a dislocated shoulder joint." Du Yanjun scratched his hair and smiled bitterly.
"Awesome." Zhou Cheng gave Du Yanjun a thumbs up.
This is not a deliberate dig at Du Yanjun, but I really think he is awesome.
For shoulder joint dislocation, manual reduction is the preferred treatment. Du Yanjun can persuade the patient's family members to have a strong desire for surgery. This is the skill and requires a certain amount of knowledge reserve.
To dispel the idea that children in today's era can use Baidu or even their parents to teach doctors about diagnosis and treatment online.
"But? I'm afraid my master will scold me." Du Yanjun said truthfully.
Zhou Cheng shook his head and said: "How could Teacher Cai scold you? Manual reduction and surgical reduction are both treatment methods, and surgical reduction is the gold standard, which can guarantee 100% reduction. The patient's family is quite conservative and is unwilling to accept the failure of reduction.
risk."
"We respect the patient's strong desire to choose surgical reduction."
"Let's go see the patient first." Zhou Cheng decided to see the patient and family members first.
Soon Zhou Cheng put on his work clothes and came to the door of the operation room and looked inside. Zhou Cheng was a little stupid——
Inside, there is a young couple, probably in their thirties, who are probably the parents of the child. The other two old couples in their sixties must be the grandparents.
When a child gets sick, the whole family goes out. The one with the highest status is the one wearing diapers. This is the norm in China today.
The child was highly estimated to be only two or three years old, but now, although he was protected by his mother, when he sat on the examination bed, there was no pain on his face, and a smile like a silver bell came out of his mouth, and he was babbling.
Playing with his mother with his right hand.
The clothes on his left shoulder were unbuttoned.
The square shoulder on the left shoulder is deformed, legs crossed, very happy——
Are you so happy despite the square shoulder deformity?
Don't you feel any pain?
What’s the contrast in this image?
The existence of square shoulder deformity can prove that there is 100% joint dislocation, but the symptoms of joint dislocation are pain and limited movement——
But this kid?
Where is the pain?
This shouldn't be the case. If dislocation is not painful, can it still be called dislocation?
Could it be this child or others?
Du Yanjun stretched out his hand and said to Zhou Cheng: "Brother Zhou Cheng, this is the kid. Can you take a look first?"
Zhou Cheng's scalp suddenly felt numb and he lowered his voice and asked: "Kid, is he conscious? Have you had a physical examination?"
He smiled bitterly in his heart, Du Yanjun, you didn't even check this, right?
If you can't feel it, it's not just a joint dislocation problem, but also a serious nerve problem!
PS: That’s it for today. It’s only 4,000 words, but it’s also the normal amount of updates for others. The main reason is that the author has been busy for a long time in the past few days and needs to take a short break, sort out the outline, and then continue to write more words.
Otherwise, the rhythm and plot will easily fall apart.
Chapter completed!