The tone was quite polite.

There is a certain time limit for the development and printing of plain films, CT, MRI and other examinations, so each hospital will have an independent reading system. As soon as the examination is completed, the pictures can be read by computer.

However, this kind of film reading is mostly used for emergency patients, so that the doctor can understand the condition at the first time.

Most regular patients have to wait.

Most casual patients appear in outpatient clinics. How can any outpatient doctor have so much time to review the examination system for you?

The nurse just called Mr. Zhou Cheng to the hospital because she was not very familiar with the orthopedic doctor system and to avoid being polite.

She has to take care of at least a dozen emergency patients a day, and each patient even comes to see three or four doctors for consultation!

If every doctor was polite, she would be exhausted.

Over time, chief residents, teachers and doctors were used instead.

It’s not that I disrespect Zhou Cheng.

"Okay, I'll go take a look first. I don't know when I can go on stage yet." Zhou Cheng followed immediately.

When I came to the computer and took a look, a plain film was read out.

Posterior hip dislocation, looking at age, 54 years old, male.

This kind of medical record is very suitable for emergency manual reduction, but Zhou Cheng does not make empirical or operational errors.

One of the charms of orthopedics is manual reduction. There are many patients who are in great pain when they enter the hospital, and they can be restored through manual surgery!

It can immediately relieve the patient's pain, and some patients can even enter the hospital lying down and walk out in ten minutes.

However, empirical mistakes must not be made.

Zhou Cheng continued to look through all the layers of the CT, but found no obvious signs of fracture!

After reading it, he asked: "How is the patient's consciousness now?"

"Do you have a headache, chest pain, or abdominal pain?"

"If not, I will directly print a template for hip dislocation reduction surgery and send it to the operating room."

The nurse shook her head and said, "I don't have any headaches, chest pains, etc., but Dr. Liu and the others are still watching related films."

"I think you can prepare the consent form for the conversation first. If there are no problems with Dr. Liu, I will send you to the emergency operating room first."

"I'll call you after the anesthesia is over."

"Can this patient be sent to the emergency operating room?"

"Yeah! I also have a person here who will incise and explore to stop the bleeding."

"It may take a while. Just send me to the operating room and do spinal anesthesia. Then remember to ask Dr. Liu from the emergency department to tell the anesthesiologist and add some muscle relaxants. Call me later and tell me which operating room you want to go to.

I took the time to go over and do the reset." Zhou Cheng said calmly.

After posterior hip dislocation, muscle relaxants must be added because the pain will cause muscle tension behind the hip.

He was afraid that if he met an inexperienced anesthesiologist, he would lose his temper even if he said a few words.

"Okay!" The nurse in charge didn't ask specifically why, but she just felt that Zhou Cheng was a little pitiful!

Before the last emergency patient started, a new one came.

And it's very late to get to this point. Unless you call your superiors for help, no one will help you.

She was in the emergency room, and she had to ask about every order given by the doctor!

There may be many patients who have died.

Unless she can find a particularly serious mistake.

Of course, the chance of this was very small, so she just went ahead and executed it.

After this, Zhou Chengcheng was really busy. He quickly found a computer and printed out two consent forms for the surgery.

The surgery consent form only states the name of the surgery and the complications and risks!

The patient's basic information must be filled in by hand. Because the patient is not hospitalized, it cannot be uploaded to the medical record system.

One part was debridement and exploration, and the other part was manual reduction.

I originally thought that he and Wang Huan would prepare a patient's talk and signature alone.

After surgical reduction of the hip joint, Wang Huan asked Wang Huan to talk to his family before going to the operating room. What he didn't expect was.

Just when Zhou Cheng finished talking and was about to enter the operating room, another middle-aged couple ran in from outside.

Holding a crying child in his arms.

The child was at most three or four years old. One of his hands was drooped, and his mother was holding his hand. The child's face was crying, his eyes were red, and he was crying and feeling aggrieved.

The nurse immediately asked the man to register first and his wife to take the child to the clinic first.

The woman ran and shouted: "Doctor, doctor, look at my baby quickly!"

"He suddenly couldn't lift his hand. What's going on?" It could be seen that she was very anxious and wanted help impatiently.

There were three doctors in the outpatient clinic, and the one who received him was still the one without a badge.

When he saw the person coming, he looked at Zhou Cheng helplessly and said, "You want to take pictures first! How did you get hurt?"

"I took my baby shopping, so I pulled him!"

"I suddenly started crying and making a fuss."

"No matter how hard I hug or coax, I won't listen or speak. Doctor, what's going on?" She was so anxious that her hands were shaking and she didn't dare to touch her child.

The man could only look in the direction of Zhou Cheng: "Mr. Orthopedics, do you want to come over and have a look? Or should you come back later?"

"I write medical records!"

It’s not that he is lazy or shirking responsibility!

But since Zhou Cheng is here, naturally he has to ask Zhou Cheng's opinion.

Zhou Cheng listened to the medical history and basically had his own diagnosis in mind.

For radial dislocation, photos are useless and can be diagnosed basically through medical history and physical examination.

Zhou Chengcheng immediately put the conversation list on the table, then went up and touched the child's elbow.

The child was crying and hiding at the same time, and at the same time he retracted his right hand!

His fingers still wanted to grab Zhou Cheng, and he cried: "I don't want it, I don't want it. It hurts so much, I don't want it."

In fact, Zhou Cheng's hand had already touched his elbow, and his eyes had confirmed through his finger movements that there was no temporary nerve damage, and his hand could still be retracted, proving that the possibility of a fracture was unlikely.

Just confirm the tenderness at the radius.

And at the same time, just hold your wrist with one hand and your elbow with the other!

Press the radial head with your thumb and rotate the forearm from extension to flexion of the elbow joint to reset the dislocated radial head.

He said: "Kid, let me check again, just for a check, okay?"

The child looked at Zhou Cheng, who seemed to be holding her in a chokehold, making her unable to move at all.

He cried and nodded: "But I'm afraid of pain."

But just as he finished speaking, Zhou Cheng heard a slight click.

Zhou Cheng then bent the child's elbow until the elbow was very close to the upper arm!

He said: "It's already healed. Brother, could you please write a medical order and let the family members pay the fee?"

"I'm really too busy here."

"I performed a reduction of radial head dislocation, took an X-ray, and hung my forearm in a sling for a week."

Zhou Cheng just finished speaking!

The woman said: "Are you feeling better now? Don't hide it from me? Baby, are you still hurting now?"

"Do you want to do it manually?"

The child nodded: "It still hurts, but it's not as painful as before."

He moved his hands while speaking.

It doesn't seem to hurt at all.

The woman then said: "I thought something was wrong, but my baby turns out to be fine!"

"Baby, let's go! Let's go home."

Then she left. She met her husband who was about to come in and left the consulting room.

A minute later, there was an argument with the nurse at the registration desk.

Zhou Cheng frowned slightly when he heard this voice!

Then he sighed and said nothing.

It’s not like he has forgotten the diagnosis and treatment procedures and principles. He has three emergency rooms here at the same time, just because he is a child, and he is acting out of good intentions!
To be continued...