Great doctor starts with adding points

After a while, He Ling and Guo Lixiang arrived at the hospital and hurried up to put on work clothes.

And just when the two went upstairs, a car light flashed in, and Wu Xie and Wang Huanglong lost their sight for a while, but they didn't hear the 120 siren.

Just as he was about to wonder, the window of the driver's seat of the private car was rolled down.

To the security guard who opened the door and came out to explain something, he yelled to explain: "There are patients in my car!"

The security guard immediately opened the remote control railing.

Under normal circumstances, the doctors in this hospital do not drive their cars into Daping of the hospital, and will reserve space for the ambulance!

After the security guard opened the railing, he explained: "There will be 120 later, just leave after you deliver. There is a parking lot next door, and it's free for one hour."

The driver didn't answer, just kicked the accelerator and rushed in.

After stopping, quickly open the door of the rear driver's seat.

When Wu Xie and Wang Huanglong walked out, the driver and the people who got out of the car were all young people, both in their thirties. Just one of them with arms folded. There are blood stains on the forehead.

"Where is it uncomfortable?" Wu Xie ran out and asked from a distance.

However, the two youths were squinting their eyes to scan the Xuan County Hospital of Integrated Traditional Chinese and Western Medicine, and the corners of their mouths were twitching slightly.

The driver probably didn’t know the other young man, so he said in a low voice, “Brother, this is the nearest hospital. The County People’s Hospital and the Traditional Chinese Medicine Hospital are both full, so you can make do with it! If it’s not possible, go to the county tomorrow. Anyway, stop the pain."

"Treat the wound."

"I'm not familiar with this place either. After you've settled down, I'll go home." The driver's accent was also that of a foreigner.

The young man didn't reply to Wu Xie's words, but thanked him and said, "Thank you bro! I'll count the gas money for you later. We added friends, but it's inconvenient now."

This young man is also a fastidious person!

He glanced back at the two doctors who were walking towards him, one looked younger and handsome.

Not at all what a doctor should be like.

The other one is a bit older, but it is also quite greasy, not like the doctors he usually sees...

The driver shook his head: "It's just a matter of passing by, big brother, you can go to the traffic police to get your luggage, if it's not in my car, you won't have to pay for gas!"

"If you can still go? Then I will go first." He replied before getting into the car. Then I also knew that there might be 120 coming later, so I hurriedly got out of the car to make room first.

Before the young man had time to reply, Wu Xie and Wang Huanglong approached, Wu Xie still asked, "Are you feeling unwell, brother?"

The young man explained: "Doctor, the bus I just made overturned. 120 didn't think my condition was serious. A kind brother passed by and drove me here in his own car."

"I'm fine, it's just this arm that hurts, here it hurts." He patted his right arm with his left hand, and then pointed to some bruises. There was a little bleeding, but it was not serious.

If there is no 120 sent, no one will check his consciousness and vital signs.

Wu Xie heard the words and walked over to support him: "Can you walk? If you can't, I'll push a cart over here."

"Let's measure our blood pressure and heart rate first!"

"I can walk, but I bumped my knee, but it's okay." With the help of Wu Xie and Wang Huanglong, he limped towards the emergency room.

The mood is not good, among other things, the service attitude of the town hospital is better than that of the big hospital.

The mind is clear and the conversation is flowing.

This is the information about the youth collected by Wu Xie again, which means that there is no problem with the mind for the time being, and the function of lower limbs still exists.

At the same time, Wang Huanglong asked if there was any other discomfort, and at the same time simply checked the cardiopulmonary auscultation to see if there was blood pneumothorax.

The young man shook his head, and when he walked into the emergency room of the hospital, he saw the old furnishings inside, and he was shocked again. After all, this slightly old-fashioned equipment, if he didn't look at the sign hanging, he would have thought he had arrived at a black hospital.

Said: "This is where I hurt, nothing else is uncomfortable."

Wang Huanglong said to Wu Xie: "There is nothing special about the heart and lungs, and there is no real sound in the lungs."

There is a solid sound in the lungs, and a pneumothorax is suspected.

Wu Xie took a deep breath slightly, and was a little nervous: "When we walked in, we saw that you had a deformity of the shoulder joint. We found tenderness when we held you up for a physical examination. We didn't find any pain when we held you up. It has a special feeling, it should be that there is no fracture.”

"According to the current situation, let's first consider that it is just a joint dislocation. You go to the X-ray room first, take a picture to confirm the diagnosis, and come back right away after the scan, okay?"

"At that time, we will see if we can perform a direct reset. We have just received the notice and the patient will come again. I will not go with you!"

Wu Xie had no previous experience in treating a large number of emergency patients, so he was treated as an ordinary emergency.

The words were explained in a little more detail and detail.

When young people are hesitating. Guo Lixiang happened to walk down with He Ling.

"Li Xiang, come here and send him to the X-ray room for an oblique shoulder. Then write the emergency medical records and do a detailed physical examination." Wu Xie transferred the patient to him.

Guo Lixiang has been studying joint dislocation for a while, and the basic diagnosis should be fine.

And hearing that Wu Xie sent him out just like that, he felt a little pained and surprised.

This is really a hospital and not a vegetable market. How could he transfer himself out so easily?

But He Ling obviously has a lot of experience. While avoiding the young man, he quickened his pace: "Please go to the X-ray room for an examination first. A patient is here..."

"Wu Xie, go out to see a doctor!"

"I've had someone push the monitor down."

"Brother Long, you should prepare in the consultation room first. I will call you when I have something to do." He Ling ordered as he walked, his words were short and dry, and his tone was serious.

It seemed much more calm than Wu Xie.

But when the young man heard He Ling's tone, he felt more at ease.

And there was bibubibu's siren outside, which was the unique siren of 120, so he was brought into the X-ray clinic by Guo Lixiang first.

But it was a minute later.

Wu Xie saw that the two 120s were close to drifting and stepped on the brakes at the door. Although the security guard opened the railing ahead of time, it was not easy to drift when turning at a right angle, so they slowly moved in one by one!

At the same time, the driver of the car further back stuck out his head, rolled down the window, and shouted with one hand: "There is a lot of bleeding in the car!"

Then stop with one foot!

The double rear doors of the 120 car were opened, and Luo Guan jumped out of the two green-clothed medical staff who followed the car,

Shouted sharply: "The patient has a sudden hemorrhage!"

"The patient is bleeding profusely and is on the verge of shock!"

"It may be urgent to push the operating room!"

Hearing this, He Ling and Wu Xie, who planned to follow the first-come-first-served basis, quickly stopped going to see the first 120 patients!

In an instant, he accelerated to the rear and continued to run fast, and passed the first 120 to push out a fractured patient with clear consciousness. At this moment, his expression changed...

He Ling and Wu Xie run and stop in parallel!

Taking a glance, he pushed the young woman lying on the bed, the gauze on the front and outer sides of her thighs was bloody, and the outside was dripping with blood, gurgling like a spring.

Seeing this, He Ling's heart sank suddenly, his face changed suddenly, and he asked sharply, "Why did this patient send us here?"

You all think too highly of Xuan County Hospital of Integrated Traditional Chinese and Western Medicine, don’t you dare to send such massive bleeding here?

Is it because you are afraid that the patient will die too late?

"There was no active bleeding at the scene or when getting on the bus, and it only happened when I got off the expressway!" The green clothes explained: "It must be urgently pushed to the operating room for treatment!"

"Push the operating room!~" He Ling responded immediately, although his tone was not kind, but he did not dare to delay.

It's not good to continue to entangle why the patient is sent here.

On the way back, He Ling ordered: "Xiao Xie, you go to see another patient, and then call Director Lu to remind you."

Wu Xie said, "I'll call Dr. Longyuan and Dr. Luo Wei. It will take some time before Director Lu arrives."

"Doctor He, take the patient directly into the operating room first!" Wu Xie succinctly said his words, while slowing down his running speed, he dialed Longyuan's phone number, and immediately threw the phone into his pocket.

As long as you wake up Long Yuan, he should understand the meaning when he hears no reply here, and then hears the voice of 120.

At this time, Wu Xie didn't care to disturb Long Yuan's rest.

This patient must be operated on immediately.

Lu Junyin and He Ling entered the operating room, and it was impossible to do it manually.

"Push to the CT room first!" He Ling stopped talking, turned around and rushed to the CT room in the emergency room together with the two green clothes, and then planned to transfer directly to the operating room.

Even if patients with shock must be rehydrated first, they should be rehydrated while completing the examination, and then be treated with surgical hemostasis at the same time.

It wasn't long after Wu Xie dialed the phone. After hearing multiple 120 noisy Longyuan and Luo Wei, and another young woman rushed over, after seeing the scene!

Long Yuan moved his hands a few times immediately, and another young woman separated immediately, only he and Luo Wei ran up and asked, "Xiao Wu, what's the matter?"

"Dr. Luo, Dr. Long, there is an emergency department inside. It is suspected to be an open fracture of a ruptured femoral artery. Brother He Ling pushed the CT room to the operating room."

"Another patient, a dislocation, temporarily stable vital signs. Currently this patient is considering an open fracture..."

"Luo Wei, you go to the operating room first." Long Yuan ordered very simply after listening.

Lowe froze for a moment for two seconds.

Long Yuan continued: "I'll see this patient first, and I'll come right away."

Then Long Yuan turned his head without hesitation: "Two big brothers, help me get the patient out of bed, thank you!"

The two green clothes also listened to Long Yuan's words decisively, and felt that Long Yuan was more organized than everyone before him.

On the way in, Longyuan said: "When receiving an emergency department, first look at the physical signs and then the blood, first look at the spiritual consciousness, then look at the pupils, pay attention to the pulse and heart rate, and finally look at the symptoms..."

After finishing speaking, Long Yuan didn't stop with Wu Xie and the two green clothes at all, and then continued to run inside.

Leaving everyone with a back view, it looks quite chic, but it is extraordinarily sophisticated.

Wu Xie was the only person in the orthopedics department at the scene. And even Wang Huanglong from the internal medicine department followed the previous patient and went in with He Ling.

For patients with shock, in addition to surgical diseases, medical injuries should also be given special consideration. Among them, timely rehydration is the primary operation, and internal medicine is more meticulous than surgery.

There is really not enough manpower, so even if Long Yuan leaves.

Even the 120 doctor who followed the car saw that Wu Xie was young, so he could only bite the bullet and say: "This patient's vital signs are still stable, blood pressure and blood oxygen levels are good, but there is an open fracture, you should be admitted to the hospital first. "

"Get over the bed and do a plain film examination before deciding whether to be hospitalized? We don't have many beds in the ward!" Wu Xie imitated Long Yuan's tone and simply explained that it was not as cumbersome as before.

"Your town hospital still has no beds?" A green suit muttered.

Wu Xie's eyelids flickered and she glanced at him. The other party didn't mutter anymore, and used the multi-stage flat drag method for patients with spinal injuries to pass the patient behind the transfer bed in his hospital.

The doctor who followed the car at 120 left in a hurry, and Wu Xie began to ask the patient about his condition.

His situation was very simple. He was sitting in the car, braked suddenly, and then his calf collided with the rear pole of the front seat. He is currently swollen, his activities are limited, and there is no bleeding. His pants were cut off by 120 and firefighters on the spot, exposing his skin.

There should be no so-called open fractures, but only fractures with superficial tissue damage, which should only reach the subcutaneous fascia layer, without the muscle layer.

Wu Xie just took a few glances to assess the degree of swelling in the affected area, and then touched the dorsalis pedis artery beating, and the lower limbs were slightly deformed.

"Is there any other discomfort?" Wu Xie checked the condition of the chest and abdomen at the same time.

"78 out of 119! Heart rate 89." Another nurse on duty in the emergency department came out, taking a quick record while reading out the number.

"No!" The patient was slightly fat, and smiled at Wu Xie with a slightly painful expression.

"Go and take a picture first to make a diagnosis! You need surgery. But it won't be very advanced."

"Do you have any family members?" Wu Xie asked.

The family members are coming to sign.

The patient shook his head: "From out of town, I called home."

"Then you will sign later."

The patient's current situation is relatively stable, so there is no need for too many explanations and handovers.

No 120 sirens outside!

Wu Xie looked around and saw no one else, so it seemed that he could only push the patient to the X-ray room by himself, and Wu Xie put the checklist in his pocket with experience, and pushed the bed with one hand for a quick fill in.

If you do not fill in your name, you only need to tick the box, do the inspection first and then pay the fee.

The door of the X-ray room.

Wu Xie happened to meet the first young man who went in. He was looking at Guo Lixiang and Wu Xie at this moment, a little at a loss, thinking about how to choose.

However, Wu Xie had already handed over his cart to Guo Lixiang, and then tore off the checklist.

"After the examination, come to the clinic to find me."

Then he simply said to the dislocated young man: "Come with me to the consulting room, and I'll see your film. Give me the medical records."

Then he reached out to take the young man's medical records.

The voice is very mature and stable, and the tone is crisp and unquestionable.

Guo Lixiang was stunned for a moment when he heard the words, and looked back at Wu Xie. He felt that Wu Xie's ability to change and learn was a bit strong, but the ouch of a patient with a fracture on the bed made him regain his consciousness and continue to advance into the X-ray room. ...

While walking with Wu Xie, the young man explained: "Doctor, my situation shouldn't be serious, right?"

"It's not serious by visual inspection. The specific situation will be evaluated by the results of the plain film..." Wu Xie returned, and after taking the medical record, he looked at the simple medical history that Guo Lixiang asked, and at the same time led the young man towards the consulting room.

In fact, what the young man wanted to say was, why don't you find a more reliable director to come and have a look, but Wu Xie didn't give him a chance at all.

After entering the consultation room, Wu Xie quickly wrote a circle in the emergency medical record, and then started to operate the computer to print out a copy.

Then he frowned, because the sirens of 120 cars were coming from afar again!

Quickly said: "Your current condition is a dislocated shoulder joint. I have seen the film, and after the evaluation, it can be reset manually."

"But our hospital doesn't have MRI, so we can't continue the detailed investigation."

"So after the manual reset is completed, you still need to go for an MRI review at an optional time."

"In addition, manual reset has a certain success rate, and it may not be successful, but even if you go to the county hospital now, no one will deal with it, so you should think about whether to deal with it in our hospital?"

"If you agree and can accept the result of unsuccessful manual reset, then sign and we will operate immediately!"

"If you want to hesitate, you can go outside and sit down for a while to rest, and I will see the emergency patients first." Wu Xie quickly explained the situation.

"This? Dr. Wu, are you alone in your department?" the young man asked.

"Our director is on his way!"

"This is a sudden emergency. The other doctors in our department are now rescuing an endangered patient in the operating room. Besides me, there is also Dr. Guo."

"If you want better conditions for diagnosis and treatment, your best choice now is to go directly to Enshi. Of course, you have to find transportation by yourself. 120 doesn't have time now." Wu Xie explained patiently and simply!

Don't waste a word.

Informed consent, everything must be said clearly.

Wu Xie briefly gave the other party the current predicament and choice.

When the young man thought that Guo Lixiang was not as good as Wu Xie, he smiled wryly and said, "Let me sign it! Sigh!"

After the young man finished signing, Wu Xie quickly issued two doctor's orders for him. One was for manual reduction of shoulder joint dislocation, and the other was for the material cost of the shoulder joint and forearm sling.

The price is not expensive, a total of one hundred and fourteen.

Including the previous X-rays, the total was 245. The cost of the X-rays was 35 yuan. He took the shoulders, chest and abdomen, and billed according to the three places.

Wu Xie typed out the list and asked him to scan it.

However, when he was pressing the payment password with his left hand, he only felt a sharp tug on his right arm, and it hurt sharply!

It reached the extreme for a moment, and then immediately relaxed and relieved.

At the same time, a "click" sounded.

This made him startled, his upper body trembled, and he looked at Wu Xie with anger in his eyes.

"You the fuck?"

This TM doesn't talk about Wude, does it?

Wu Xie said, "I was doing a reset for you just now. The key to resetting a dislocated joint is to be surprised and avoid your sense of self-protection."

"Now that the dislocation has been successfully reset, you can try to move it. There may be a little pain, but it won't be particularly painful."

"Then you take a break and go to review a film again. I just went out to see the next emergency patient during this interval. After you take the film, come to me again, and I will put a forearm sling on you." Wu Xie listened to 120's call The stimulating sound became more and more ear-piercing, and he quickly left the emergency room!

There was no time to pay attention to the astonished expression and incredible eyes of the young man after trying to twist his arm.

It took five seconds for him to react, his eyes widened, and he looked extremely shocked.

That's all right?

Chasing out: "Doctor Wu, me?"

"Go check it out first, I'll be right back!" Wu Xie was standing in Daping at the entrance of the emergency room, watching the 120 emergency car drive in from outside, without turning back or making any movements.

The back view is not particularly generous, but it seems that he has to work hard to carry something.

"Awesome!" The young man twisted twice, the pain disappeared, and he yelled these two words crisply.

Then he turned around slowly and went to the X-ray room, not daring to underestimate him.

No matter how old Wu Xie was, in just a few minutes, he completed his consultation, examination, conversation, and treatment operations, which was as smooth as flowing water.

Without the slightest hesitation or hesitation.

He can't judge whether the level is good or not, but he is very happy now.

The refreshing feeling comes from the previous pain relief, and the relief brought by such relief is no less than the relaxation of a vent...

Moreover, Wu Xie doesn't take his current symptoms seriously, that's why he has the bottom line. If Wu Xie really keeps guarding by his side and keeps asking himself what, then it will be troublesome.

Maybe it's because of the boldness of a skilled person...

When Wu Xie was seeing the next patient at the door, the female doctor who had come with Long Yuan before also came to the door at the same time.

"Has it been dealt with on the spot?" Wu Xie's tone was slightly worried after hearing what the green clothes said.

good guy?

Just now the green clothes said that the patient's condition was simple upper limbs, and the possibility of dislocation was considered high. Someone at the scene performed emergency reduction on him, but he was not reset, and then he was dragged over, and then there was a closed fracture in the lower limbs.

"It's not handled well, the patient can't move, I listened to the dispatch, and came here." The green suit said quickly.

Wu Xie was doing a quick physical examination right now, and asked, "Do you feel anything?"

Unexpectedly, this middle-aged man is still a bit funny, with a Sichuan accent: "I can feel it, your muscles are hard!"

Wu Xie's mouth twitched slightly.

"The vital signs are currently stable, there is no active bleeding, and the consciousness is clear. I will leave it to you for further examination!" The green clothes quickly exchanged hands with Wu Xie, and then walked back.

Wu Xie nodded and said yes, but at this time, the female doctor in a white coat had already arrived at the cart.

"Take a CT scan of the head, chest and abdomen, plus a CT scan of the right humerus, and then draw blood for pre-operative examination, and go to the operating room. Doctor Wu, do you have anything else to add?" She glanced at Wu Xie's Quick question after the badge.

Don't dare to delay at all.

Wu Xie saw her strangely: "I have nothing to add here, let's add the left shoulder joint and right tibia and fibula when taking the CT scan. Thank you, Teacher Huang."

This person is not from internal medicine, but he is wearing a white coat. Wu Xie suspects that he came down from Tongji Hospital with Longyuan.

"Call me Huang Yan or Senior Sister Huang. I'll take the patient to the consulting room first."

"You should deal with the patient in the back first." Huang Yan pouted behind Wu Xie.

"Thank you, Senior Sister Huang!" Wu Xie immediately turned her head, but she still remembered that the patient with a dislocated shoulder joint hadn't had a forearm sling yet, but when he looked back, he remembered that he needed to review the reset radiograph first!

It is estimated that what I have to deal with first is the previous closed fracture patient.

When Huang Yan was pushing the cart in, the patient asked, "Is it expensive to do so many CT examinations at once?"

CT examinations are not cheap, and all of them are taken at once.

"You have broken bones, which proves that the violence is strong enough, and there is a high probability of chest, abdomen and head injuries." Huang Yan explained.

Professionals can always give professional explanations.

What kind of checklist to issue is not just to open it casually when you see someone coming in, but to assess the degree of violence he encountered when he was injured, and a precise inspection is required.

and!

If he is the only emergency patient, then there must be time to give him a systematic physical examination, and then accurately check the photos based on the physical examination results, but at this time, time is precious.

Wasting time to save money for several checkups is not beneficial to life. If you are on duty in the emergency department, you must be prepared for the next patient to die at any time!

At this moment, Guo Lixiang pushed the broken patient out again.

Wu Xie hurried into the consulting room to read the films. After seeing the fracture, he was slightly relieved. There was a specialized level of fracture reduction surgery. Wu Xie estimated that such a fracture was an adaptation of manual reduction. Signs can be reset by manipulation!

It is an open wound, which requires a simple debridement and subcutaneous injection of tetanus antitoxin. Then, the environment where he was injured is relatively poor, which is seriously polluted, and he must be treated with antibiotics and anti-inflammatory treatments for a few days.

Wu Xie said, "Li Xiang, go and put a forearm sling on the dislocated patient in the back. I will talk to this patient and sign. After I finish the reduction, you take him up to apply a plaster cast for external fixation and debridement."

"Can it be done?"

In case of an emergency, everyone’s chances of operation can be maximized. Guo Lixiang has to stand up now. After the fracture is reset, it must be fixed, and plaster external fixation is also fixed. In addition, Guo Lixiang also needs to learn simple debridement. Let's deal with it alone!

Even though he doesn't have a doctor's qualification certificate, he still needs to do first-level surgery such as debridement in an emergency!

"Okay." Guo Lixiang nodded, a little nervous and excited.

If I grasp the opportunity today well, then when I am on duty alone in the future, I will have more opportunities to operate. I don't need to report to Director Lu, and Xiao Qingchuang will invite Zhong Yusheng or Brother He Ling to the department.

Wu Xie is the doctor on duty today, and he must be present when there is an emergency.

Moreover, unlike Wang Huanglong, he was able to participate in the extremely fatal rescue process.

therefore.

Even with the arrival of a large number of emergency patients, Wu Xie dared not leave the emergency room.

It is best not to change this principle to avoid problems.

When a patient comes, your ability is limited, and you can't solve the problem of the dead person and your absence, which has a medical accident. These are two different concepts.

Guo Lixiang hurried to the entrance of the X-ray room.

"Doctor Wu, in my current situation, do I have a broken bone, need surgery, and be hospitalized..." After Guo Lixiang left, the patient was relatively worried about his debridement later, and handed it over to Guo Lixiang for treatment. I still want to stay in the hospital and wait.

"Debridement should be performed in the operating room of the department. The operating room is not free now, and your wound is relatively simple. A small debridement is required. As for the fracture, we choose manual reduction and plaster external fixation." "

"Surgical reset is required if you haven't been reset. Of course, if you want to be safer, you can directly perform surgical reset!" Wu Xie didn't see the 120 driving outside, so he explained a little more.

"Then let's reset it first." The middle-aged man also knew the cost difference between surgery and manual reset, so he hesitated and decided.

"Your family members are not here, so you have to sign by yourself! I will finish writing your medical record first, and then we will reset it." Wu Xie evaluated the medical record in his heart while writing it.

Already three beds are occupied!

There are still two vacant beds, so we must be careful in the future!

Four patients came, and except for the patient with joint dislocation who did not need to be hospitalized, the other three had indications for hospitalization.

But beds are limited.

It's also a headache.

...

After a few minutes.

When Guo Lixiang and the young man with a dislocated joint walked into the emergency room again, they found that Wu Xie was restoring a fractured patient.

The fractured patient was still enjoying himself at the moment, and asked with his eyes closed, "Dr. Wu, have you started yet?"

"The reset is almost over, just wait a moment!" Wu Xie was exerting force with both hands, his muscles twisted, and his voice was choked.

"You said there was a little pain, but I didn't feel any pain? I thought you hadn't started yet." The middle-aged man panicked.

Hearing this, the young man with a dislocated joint asked Guo Lixiang, muttering, "Why doesn't his reset hurt?"

"Ah?" Guo Lixiang turned his head to look at him, but didn't react, his face was complicated and nervous.

"It's nothing." The young man glanced at the badge of Guo Lixiang's medical assistant, and he didn't blame him.

But I said in my heart, this Dr. Wu is still reliable. Fortunately, I didn't choose to let you, Dr. Guo, handle it.

Soon, Wu Xie relieved himself, and then he could see that the deformity of his lower limbs had improved.

After the traction of the fracture was completed, the broken ends of the unloading fracture were reattached, and the middle-aged man felt a slight pain: "It hurts a little now, but it's okay!"

Wu Xie loosened his strength, and then explained: "The process of resetting the fracture is not painful during the traction process. On the contrary, the traction will separate the broken ends of the fracture, without causing touch and friction, and will not cause induction of nerve endings. I feel relaxed and comfortable, and at the end when I unload the force and the broken ends are about to touch, I will feel some pain."

"Now the fracture should be basically aligned. You can go take a photo and check it. Then go to the surgical ward upstairs and ask Dr. Guo to do a debridement for you, and then go to the hospital, okay?" Wu Xie explained in detail .

"Okay, okay." The middle-aged man nodded hurriedly.

Now the ease and comfort after the fracture is reset, compared to the pain before, it is like entering a soup spring, the whole body is warm, and there is an indescribable sense of comfort.

After that, Guo Lixiang excitedly took the middle-aged man to start his journey of debridement and plaster external fixation.

When the young man walked in again, Wu Xie was showing him the flat film after reset: "Here, look, the dislocation here has been dealt with now."

"The humeral head is in place, you can move around, and the pain is relieved. There is no special treatment in the follow-up. You feel much better yourself."

"If you feel any pain later, you can go for another MRI. If there is no pain, you don't have to do it for the time being." Wu Xie explained patiently again.

The young man was only curious: "Doctor Wu, why did it hurt so bad when I just reset it, but it doesn't hurt after the reset?"

"Originally, the pain mechanism of fracture pain and joint dislocation is different. During the process of joint dislocation and traction, the tense and compressed muscles will be further affected. Before the joint is completely released, the pain will gradually intensify."

"After the successful reset, all the muscles retract, and symptoms such as entrapment are relieved, which is different immediately. However, during the traction process, the more tense the muscles are, the more painful it will be. The principle is different."

"You have been wearing a forearm sling. After a month, you can find a hospital to review the plain film, and then take off the forearm sling according to the situation. During this period, there are some taboos, you have to remember..."

"Okay, thank you, Dr. Wu!" The young man was convinced.

Knowing what to do, why to do it, and why it hurts.

That's pretty professional!

...

When Huang Yan pushed the patient out, she had already entered the photo room and finished reading the photos first. When he pushed the funny middle-aged man from Sichuan out, the other said, "I can scan the QR code to pay."

"Don't worry, we'll talk about the cost later." Huang Yan replied, and then walked into the consultation room.

"Doctor Wu, the patient's head, chest and abdomen have not been injured for the time being. You can make a follow-up visit from a surgical perspective!"

"The vital signs of the patient inside are unstable, and his heart rate is abnormal. I'll go over and take a look." Huang Yan hurriedly walked towards the operating room.

"Okay Senior Sister Huang." Wu Xie replied, but the other party couldn't hear her.

It is easy to cure diseases, Wu Xie can cure a lot by himself, but if it is to save lives, a group of people may not be enough!

After Huang Yan left, Wu Xie began to communicate with this slightly witty middle-aged Sichuan Province. The other party had a strong sense of humor and was always joking with Wu Xie for fun.

"Doctor Wu, how did you train your muscles? I have always envied you who have muscles like you. I think men should have muscles." The other party seemed like a chatterbox.

"Does it hurt?" Wu Xie asked.

"What is this little pain? Let me tell you, Doctor Wu. When I was young, fighting was popular. Those who fight, punch and kick, what is this..." The middle-aged man boasted proudly, as if Show off that you used to be a social person.

"Uncle, are you still fighting?" Wu Xie asked after he finished resetting his dislocation and fracture.

"Hey, when it comes to fighting, it's better to say that I was unilaterally beaten by my tigress."

"It's so fierce, let me tell you." The middle-aged said.

Wu Xie secretly gave a thumbs up, he deserves to be called the male banker of Sichuan Province!

In about ten minutes, Wu Xie put a forearm sling on him, fixed it with plaster, and said:

"Uncle, it's been dealt with. If you have a broken bone, you'll need to temporarily fix it first. Then you'll have to perform surgery and use intramedullary nails for internal fixation. External fixation with plaster is only a temporary fixation and won't have a particularly strong fixation effect." Wu Xie explained.

Even if the fracture cannot be fixed by plaster external fixation, it should be temporarily fixed after entering the hospital to avoid displacement and aggravate the pain, which is convenient for care.

"Is this the end of the deal?" He felt that he hadn't had enough fun yet.

Wu Xie joked, "Uncle, we can also reset the position again after the dislocation, anyway, there are not many patients coming now."

The middle-aged man immediately changed his face, and quickly protected his arms: "Don't talk nonsense~"

"You're just kidding, Uncle, you have to call home, and someone will take care of you later, I'll take you to the ward first." Wu Xie was only joking.

...

When Long Yuan walked out again, he happened to see another private car driving into Daping!

He frowned, then headed towards the consulting room.

The operation just now was really dangerous. The femoral artery ruptured suddenly. If it was a little later, it would have been difficult to save him. Fortunately, he arrived in time.

Three strokes, five strokes and two strokes, the femoral artery was tied and sutured within ten minutes, preventing further bleeding!

Otherwise, at the speed of bleeding from the aorta, the cow can be brought down in a few minutes!

Just at the door of the consulting room, Long Yuan saw five or six people standing inside, three of them were queuing up, and the other three were moving their joints.

After it seemed that all the joints were dislocated, the whole person was shocked.

In front of them, Wu Xie was sitting on the operating position, and was just clicking to send away a disobedient patient with a dislocated wrist joint that came out of the articular surface.

He said in his mouth: "It's okay for you to reset. You can rest next to me. I'll fix you with a plaster cast later. You can slightly move the internal and external rotation of the wrist joint, that's it."

Wu Xie demonstrated to him, turning his forearm from side to side.

He is also learning slowly.

The people in the queue at the back looked at him with some envy when he was free from the pain again, and said with a smile, "Doctor Wu, is it my turn?"

Long Yuan walked in, Wu Xie also saw Long Yuan, smiled at Long Yuan, and then continued to see the next patient with shoulder joint dislocation calmly.

Wu Xie explained: "This is a rare posterior dislocation of the shoulder joint. This kind of dislocation is very likely to be accompanied by soft tissue damage. The current diagnosis is type II, which is relatively mild and can be reset manually, but After reset you have to..."

"Okay, okay, I'm sure I'll listen to you, the doctor. Are you a professional?" He looked at the other people who had been reset, and they all looked slack at the moment, and only urged Wu Xie to do it quickly.

But Longyuan was stunned when he heard it.

In fact, when Wu Xie was doing the reset of the wrist dislocation just now, he felt that it was not appropriate. After all, although the wrist joint is small, dislocation of the small joint does not mean it is easy to deal with.

Wu Xie was reset.

Now, the posterior dislocation of the shoulder joint, such an atypical reset, Wu Xie still has to do it?

But Wu Xie said everything, and he couldn't stop halfway, so he just watched patiently.

...

four minutes.

In just four minutes, Long Yuan's heartbeat accelerated four times.

Every time Wu Xie performs a reset, Long Yuan's heartbeat flickers suddenly. First, he thinks that the joint dislocation disease that Wu Xie is dealing with is a bit strange, and second, it is the speed of Wu Xie's reset.

Did you reset someone so quickly?

Finally, after everyone reset, Long Yuan directly 'lifted' Wu Xie up in front of everyone, and Long Yuan knocked on the table.

"Come out!" Long Yuan's tone was serious.

Cursed in my heart, the emergency department is your fucking game?