Great doctor starts with adding points

When Wu Xie was about to turn around and go downstairs to find Tang Yuewei, Lu Junyin stopped Wu Xie first: "Xiao Wu, wait a moment."

As Lu Junyin said, he dragged Wu Xie to the stairs leading from the second floor to the third floor.

"Director Lu, I have something to do when I go down. I'll be right back." Wu Xie explained, thinking that Lu Junyin felt that he was going to leave.

"Xiao Wu, are you sure about Wu Ting's situation? If I'm not sure, I'll just ask Dean Chen to come forward and let Wu Ting go to the state to deal with it." Lu Junyin's expression flickered, with fear in his eyes color.

"After all, when the technique is reset, there are many pitfalls and doorways inside. Even the old doctor Xiong?"

"You know what I mean?"

It's not that Lu Junyin doesn't trust Wu Xie, it's just that Long Yuan can't handle the problem. Lu Junyin thinks that the probability that Wu Xie can handle it is very small. If it's an ordinary patient, it doesn't matter if Wu Xie takes care of it.

But Longyuan failed first.

From a scientific point of view, Longyuan's failure is acceptable, but from a clinical point of view, if you did not handle the patient's illness well, it means that the treatment failed. It is not necessarily a medical fault, but the failure is also a part of medical disputes. kind.

In such a situation, it is better to just cut it and forget it, and the hospital will come forward to pay for it, so as to avoid more trouble in the follow-up.

That's why Lu Junyin didn't call Wu Xie himself.

What's more, when the old doctor Xiong Yao, who has been in the field of bruises all his life, has Waterloo, Lu Junyin really doesn't want Wu Xie, a young man, to be too reckless.

Wu Xie nodded: "Director Lu, I know what you mean, but I think that my aunt Wu Ting's situation has not reached that point yet, and I can still handle it by myself."

"Although this is irreversible shoulder dislocation, there are also detailed classifications of irreversible shoulder dislocation. Hers is anterior dislocation. Anterior dislocation is the simplest among shoulder dislocations. Irreversible anterior dislocation is also Easiest in irreversible dislocations."

"And Wu Ting's current situation is accompanied by ligament laxity, not a structural injury. The current situation is just that the tendon is wrapped around the shoulder joint, and the only way to get it out is to solve the dislocation."

"Furthermore, when my brother performed the initial reduction, it was successful once. Even after the dislocation and reduction, the reduction operations performed are not many, which is not an indication for surgery."

"The third reason is that patients with ligament laxity are quite easy to dislocate, and the reduction process is also relatively easy."

"Besides, Wu Ting has no other concomitant diseases, so her ligament laxity should not be caused by Zhu Fagen's epilepsy, but congenital. I have already asked my parents about this, so it is still quite difficult to deal with it. Opportunity, but I dare not take it all in front of Wu Ting."

For a case, whether you are sure or not depends on how you evaluate it.

Lu Junyin nodded after listening to Wu Xie's explanation: "Okay, Xiao Wu, since you have thought about it, I just want to tell you that in any case, the department and the hospital are your last ones." retreat."

"I don't know what the unit you were in before, but in our town hospital, including me and Dean Chen, we will not push you out and make you responsible for yourself!"

After Lu Junyin finished speaking, he patted Wu Xie on the shoulder, maybe asking Wu Xie to relay this sentence to Long Yuan!

"Thank you Director Lu!" Wu Xie smiled back.

"I have something to do when I go down. Someone is waiting for me. Director Lu, let's talk later, shall we?" Wu Xie still remembered Tang Yuewei standing downstairs.

Originally, if nothing happened, he could leave Tang Yuewei to Dong Chun to receive him first, but right now Dong Chun must be preparing for Wu Ting's anesthesia, so naturally he couldn't leave Tang Yuewei downstairs.

Lu Junyin did not stop Wu Xie, but instead gave Wu Xie an encouraging look.

Wu Xie didn't think deeply about it. After running down quickly, she saw Tang Yuewei sitting quietly in the emergency room, reading an e-book, but after a quick scan, it should be a literature book, not an online novel.

Wu Xie approached and said with a smile: "This patient is my aunt who lives far away, and I have to go to the operating room for treatment. Now Dr. Dong from the anesthesiology department is preparing anesthesia for the patient. Old classmate, you have to go and see it with me. I am familiar with it." Would you like to take a look at the environment of our simple operating room?"

"It's ok, I'll be fine sitting here anyway." Tang Yuewei put her phone into her white shoulder bag, stood up and was just as tall as Wu Xie's eyebrows, with a slim figure, only wearing a long skirt, Miaoman The figure is only looming.

"Here, our operating room and anesthesiology department are on the first floor, and the pharmacy department of the anesthesiology department takes medicine directly from the pharmacy on the first floor. The dressing room is relatively simple. Men and women are not completely separated, but there are men and women There are different passages, that's where the nurses in our operating room go..." Wu Xie introduced Tang Yuewei and led her in.

Ten minutes later, when Wu Xie saw Tang Yuewei wearing a short-sleeved green washcloth, her heartbeat accelerated slightly.

When he was in Tongji Hospital before, Wu Xie didn't pay special attention to Tang Yuewei. He didn't expect that Tang Yuewei, who was just a simple short-sleeved shirt and simple green surgical trousers, could also show off her figure.

The V-neck is propped up, there is no cover on the white neck, and the lines of the collarbone are very clear, which makes Wu Xie want to have an urge to explore the shape of the acromioclavicular joint...

Tang Yuewei was putting on her hat while turning her head: "Why are you looking at me like that? Your wash clothes here are either too big or too small."

"Well, you can make a suggestion to the logistics department. It's quite simple to buy a few sets of hand washing clothes." Wu Xie hurriedly turned her head away, suppressing the restlessness in her heart.

Wouldn't it be a pity if such a good figure made other pigs cheaper.

Damn, I'm definitely a person who is interested in sex.

Wu Xie positioned himself so in his heart.

The two walked into the only operating room, where Dong Chun was undergoing brachial plexus block anesthesia, and then Lu Junyin and Long Yuan were still chanting words in front of the film reader, as if Long Yuan was explaining to Lu Junyin, what should be done on the plain film? How to see the afterimage of the tendon, how to evaluate the problem.

Wu Ting was chatting with Dong Chun, talking about some more daily questions, most of which were Wu Ting's questions and Dong Chun's answers.

It can be seen that after entering the operating room, Wu Ting still became nervous.

Wu Xie then approached and talked to Dong Chun, Dong Chun hurriedly turned his head and said with a smile, "Hey, Doctor Tang, welcome, I have something to do here, so don't mind me if I didn't greet you in person. .”

"No, Teacher Dong." Tang Yuewei smiled sweetly, her tone became a little softer.

"Oh, don't call me a teacher, just call me Old Dong." Dong Chun felt shocked when he heard that, he had never been a teacher in his life, and no one came to the town hospital for an internship.

"I'm the only one who can study with a talented student like you." Dong Chun lowered his attitude a little bit.

And then stop talking.

Tang Yuewei took two steps back and found a more suitable viewing position. Wu Xie ignored her and walked to the viewer where Lu Junyin and Long Yuan were. After calling for someone, she quietly Listen carefully to Longyuan analyzing.

It has to be said that Long Yuan did not see Wu Ting's problem in advance, not because of his ability to read films, but because his ability to catch some diseases in joint surgery is not as good as trauma.

But Long Yuan's reading level, during the process of Long Yuan's explanation, Wu Xie knew that he must be higher than himself, and he didn't know whether he was specialized or above, and Wu Xie couldn't evaluate it for the time being.

But being tall is a good thing, proving that you can learn something.

...

After more than ten minutes, Dong Chun finished the anesthesia. Because it was a nerve block anesthesia, it was a one-time operation.

After finishing, Dong Chun was still asking Tang Yuewei how she would do this kind of anesthesia and how to choose the dosage of the medicine. Tang Yuewei also backed off with Dong Chun, and answered very cautiously: "Dong Chun Teacher, when we usually do nerve block anesthesia..."

Manipulative reduction of shoulder dislocation is a non-open operation, so there is no need to wash hands and disinfect, and only need to wear sterile gloves to operate.

Then Wu Xie approached Lu Junyin and Long Yuan, and Lu Junyin comforted Wu Ting from the side not to open her eyes, just relax.

In fact, it doesn't matter if you don't relax, because after the nerve block, her affected limb has no motor function at present, and with muscle relaxation, she can't move even if she wants to.

Then Longyuan said: "Xiao Wu, are you going to go around clockwise or counterclockwise?"

The tendon of the long head of the biceps is stuck in the joint socket. If the direction of the winding is not good and the level of the winding is not enough, it may be wound again, making the situation more complicated.

"Counterclockwise, senior brother you said just now that the direction of tendon winding is clockwise, let's do it in the opposite direction." Wu Xie said while testing Wu Ting's current muscle strength.

On the other hand, Long Yuan quickly located the positioning post, found the position of Wu Ting's acromion, and then used the thumb of his right hand to position Wu Xie. It is a good choice to add a positioning post during the manipulation reset operation. .

Wu Xie didn't make Long Yuan wait any longer. With the help of muscle relaxants, Wu Ting already had ligament laxity, so she easily dislocated her shoulder joint again.

After a tug and a very straightforward dislocation, Wu Xie's left hand groped around the outside of the shoulder joint for a while, and finally found the position of the long head tendon, and then slowly pulled Wu Ting's affected limb up with his right hand.

Under the positioning of the left thumb, I felt that the biceps tendon just landed on the groove between the greater tuberosity and the lesser tuberosity of the acromion, where the biceps tendon was originally out of shape, and then sent the shoulder joint in again.

Then there was another click, and the joint returned to the socket of the shoulder joint very simply.

Hearing this beautiful voice, Wu Xie smiled immediately: "Brother, it's over."

"Oh." Long Yuan's voice was quite calm, and he also slowly relieved his strength, and then asked Wu Xie to slowly place the affected limb on his chest, while he re-used the gauze as a forearm sling.

The comforting Lu Junyin was in front of the film viewer beside him, completely dumbfounded.

He originally thought that the key operation of reset would take a while. He wanted to see the afterimage of the biceps tendon on the X-ray that Long Yuan said before, but in less than a minute, Wu Xie and Long Yuan put the shoulder joint together. Dislocated and sent away.

Also look at the key to fart.

At the same time, Dong Chun and Tang Yuewei who were chatting stopped talking and obedient at the same time, turned their heads, and looked at Wu Xie and Long Yuan.

Dong Chun's eyes were not calm, while Tang Yuewei's eyes were slightly bitter...