Great doctor starts with adding points

Chapter 243 Where's My Patient?

Seeing this scene, Guan Yun, who has the most say in medicine, continuously contracted the gluteus maximus, gluteus medius, and vastus medialis muscles, and raised his hips to stand upright. However, his upper body was stiff and pressed down, and he was able to continue to press the patient's fracture. sideways pose.

"It doesn't hurt, grandma?" Wu Xie ignored the family's complaints and asked the patient how he felt.

"It doesn't feel special, it seems to be a little bit, and it doesn't seem to be there."

"Doctor Wu, my foot?"

"Is it all right?" The patient is the family's mother, about seventy years old, and looks quite rich, lying down and looking up in Wu Xie's direction.

The restless feet moved slightly.

No special pain was felt.

The bone is the supporting force, and the power to control the movement of the sole of the foot is transmitted by the muscles.

"Okay, I need to check again. I made a list for you before."

"After the plaster is fixed, I will go down for a review. If there are no special problems, I can be discharged from the hospital and go home to recuperate."

"Brother, come here and help carry it." Wu Xie said to the family member.

"Oh, good!" The man finally came to his senses, hurried over to help, carefully held the plaster, and then stared at Wu Xie intently, as if he saw a ghost.

There are many doubts in my heart, such as why Wu Xie didn't reset the fracture for the first two patients like this, did Wu Xie hide his clumsiness on purpose?

Or is it because Wu Xie has just achieved a qualitative leap in this short period of time, and his talent is particularly good?

He is not sure, after all, after Wu Xie came to the ward, Wu Xie was the only one who dared to say that they could be discharged from the hospital in such a big hospital as the National University of Minnesota. There were so many other doctors, none of them dared to stand up Say something like this.

"Guan Yun, you help bandage, do the work first!" Wu Xie knew that Guan Yun had a lot of questions to ask at the moment.

However, the more important thing now is to get rid of the patient, and Wu Xie has to explain it to the patients standing outside, and then tell them whether they are convinced by doing the reset by themselves.

If he agrees, he can call out the old doctor Xiong Yao again, and then let the old doctor Xiong see if he can go a step further with his current level of technique reset!

It is actually a sin to have wool and not to squeeze it.

Furthermore, the old doctor Xiong Yao came here for the patients in the department. He must want to shine or teach.

After knowing that he has just got a good promotion, the old doctor Xiong Yao is probably more willing to talk more and get some more fundamental pointers. Will his knowledge increase sharply again?

Wu Xie is not sure, not sure but you can try.

Always keep a humble heart to learn, until there is nothing to learn, and improve through knowledge points, you can maximize the benefits of knowledge points.

"Okay, Doctor Wu!" Guan Yun quickly came back to his senses, his eyes were complicated, and his heart was seeping like a lemon.

This Wu Xie is too scary, he has learned it in such a short time!

Can the gap between people be so big?

...

"I'm Dr. Wu Xie, a doctor from Minda Hospital's Trauma Surgery Department. According to relevant regulations, if you choose to come to our Minda Hospital, you should be treated and treated by our doctors from our hospital."

"The old doctor just now, old doctor Xiong Yao, is over 90 years old this year. He is good at restoring fractures. He came here to help out of humanitarianism, not an employee of this hospital."

"Old people don't use their muscles and bones as their strengths. Everyone, please be considerate."

After Wu Xie finished speaking, he asked again: "We young doctors are still inexperienced and inexperienced, and we need the guidance of old doctors. But it doesn't mean that the teacher has to do the hard work in the process of teaching. Is this the truth?"

"If there is no teacher to teach and we don't learn, then we will never reach the level of the old doctor. The old doctor is so old, no matter how hard he persists, how many times can he reset?"

"Five? Six?"

"So I once again ask all the patients to be more considerate. I also cherish the opportunity of Dr. Xiong to give me advice. Do you understand?"

The reason why Wu Xie chose to add points was not to show off his holiness to others and make everyone feel that he is awesome.

It is to create more learning conditions for yourself.

From the previous data inquiry process, Wu Xie knew that fracture manipulation reduction is an important factor affecting every orthopedic surgeon's evaluation of indications and contraindications for fractures, and he wanted to do this topic himself.

Of course, the higher the level of manual reduction, the better.

When the expert group of the Health and Health Commission formulates the indications for fracture surgery, it considers the national average level, not the individual level. Therefore, there are many fractures, which are classified as indications for surgery.

"Yes, yes, Doctor Wu."

"Doctor Wu, we were too reckless and didn't think carefully." Now the family members of the two people behind in line responded quickly.

Originally, they were all ready to 'practice' for Wu Xie, but they didn't expect that Wu Xie's skill had been improved all of a sudden, and it looked at least similar to the old doctor Xiong Yao's previous reset.

It was a pleasant surprise.

If you can get the unexpected joy, then Wu Xie will grow up and be taught again, as long as you don't use yourself as a trial and error material for learning, that's fine.

Other family members and patients also agreed.

After this, Wu Xie hurried to the doctor's lounge to invite the old doctor Xiong Yao out, taking advantage of Guan Yun's bandaging for a certain period of time.

In particular, after explaining that he had comforted the patients and family members outside, Wu Xie said: "Dr. Xiong, in the process of resetting later, if there is something not thoughtful, you can criticize it, don't look at me as an acquaintance with you." For the sake of it, I have reservations."

The opportunity and time to get along with a doctor of Xiong Yao's weight is once less.

Earn one more time!

From the improvement speed of Professor Zeng's teaching and Professor Meng Tang's teaching process, we can see the difference in teaching level between the two, or the level of personal level at the peak!

"How did you convince them?" Xiong Yao was curious, and stood up with his hands hanging down naturally.

Wu Xie's eyes flickered slightly, and then she replied sincerely: "If I am not mistaken, I seem to have touched the threshold of the restoration of the original force just now, so after seeing it, other patients and family members agreed with me to do the restoration of the manipulation. You come to guide and supervise."

The few muscles on Xiong Yao's body instantly stiffened, and his expression also froze.

He looked at Wu Xie in astonishment.

I froze for a while, and finally didn't know what to say.

"Then, let's go!" Xiong Yao's heart was churning.

With just one book and some communication, Wu Xie understood.

If it had been ten years earlier, even if Wu Xie had a deep understanding of modern medicine, he would still have to grab it. But it was impossible at that time, Wu Xie was only in high school at that time.

Time also, fate also!

After Xiong Yao returned to the operating room again, Wu Xie demonstrated to Xiong Yao twice.

From Xiong Yao's expression of growing astonishment and shock, everyone could tell that Wu Xie's progress made even this experienced doctor find it unbelievable.

It also shows from the side that Wu Xie's skill has improved all of a sudden!

Everyone looked at Wu Xie with respect, and looked at Dr. Xiong with even more respect.

Such an old doctor, I am afraid that he has saved countless lives before, so he is worthy of respect!

Wu Xie finished manipulating the two of them again, and ten minutes passed.

Xiong Yao didn't speak during this process, and Wu Xie still felt a little lost.

Perhaps it is the old doctor Xiong Yao's own level, that is, the expert level, and the manual reduction surgery for fractures has a fault in the inheritance, and the manual reduction surgery above the expert level no longer exists.

So old doctor Xiong Yao didn't know what to say.

But it doesn't matter, Wu Xie is waiting quietly, waiting for Xiong Yao to stop talking or to organize his words well.

Teaching is not just a few nonsense lectures when you come up all at once. If you can teach in this way, then he doesn't need to go out to study at all. He can listen to Lao Xiang at home, and Lao Xiang can talk continuously for at least a day and a night!

Xiong Yao still didn't speak.

However, after Guan Yun sent the fourth patient out of the operating room to order him to have an X-ray review, the old doctor Xiong Yao finally digested Wu Xie's rapid improvement and began to talk:

"Resetting with your own strength has reached the state of great success in resetting."

"This is with the help of the patient's own strength. Use your own strength to return to the position."

"And after another part of the patients fractured, the fracture fragments were hard to break, and the muscles were slack and motionless, so the reduction was weak. At this time, we need to use external force!"

"Bones are the foundation of human beings, nothing can stand without bones!"

"When the bones are not human bones, a tree cannot stand without a pole, a grass cannot stand without a stem, and a flower cannot stand without a substance."

"It can be repeated in four seasons. Water comes from rain and flows into the sea. The sea returns to the dragon. The dragon contains clouds, and the clouds make rain. It is for endless life."

"In layman's terms, people in ancient times realized that rain comes from seas, lakes, and rivers, but at that time there was no such thing as evaporation, so they borrowed the dragon as a carrier to make up for the cycle."

"The dragon is here, not just for the dragon, but for the dragon's use."

"For this reason, the pain after a fracture is not the pain of incomprehension, but the pain of not standing upright. The pain of standing at attention is also the pain of inability. This force is the force of strength."

"In Chinese medicine, pain in place is pain, and pain in the heart is feeling. The appearance is not correct, but you can also understand it as the deformity of fractures."

"That's why, the master, who knows the pain is in place, the pain is in the heart, and it is manifested in the form, taking the water, dragon, cloud and rain, and using the force to transform the force..."

"Huazi, water returns to the earth, and it can ascend to heaven when it enters the sea. The dragon is the source of transformation. It returns to the cloud and lives in the cycle of rain..."

"..."

This time, Xiong Yao's explanation to Wu Xie was more careful and subtle than before.

At the beginning, Wu Xie still didn't understand, but when Wu Xie heard Xiong Yao's example of the cycle of sea water, dragon, cloud and rain, Wu Xie seemed to understand a lot at once.

The knowledge points are gradually increasing, this scene is more lively than raindrops!

Indeed, in traditional Chinese medicine, or the theory of the five elements in ancient times, if you use simple objects to judge, there is indeed no counterpart.

For example, metal, wood, water, fire, and earth can be transformed into each other. On the material level, there is no way to transform.

But at the philosophical level, gold is not gold, wood is not wood, but a metaphor, so it makes sense.

If the dragon is not a living thing, but just a carrier of transformation, then the assumption and understanding of the ancient Chinese people on the theory of cloud and rain are correct.

Whether it is scientific or not, there is no need to delve into it. The most important thing is to understand and learn this kind of thinking and concept, and put it to use!

The main purpose of manipulative reduction of fractures is to reset, which requires traction and continuous traction to separate the broken ends of the fracture. This is the simplest form of manual reduction of fractures.

However, fractures are more than just simple fractures.

There are still comminuted fractures, and simple brute force can achieve reduction. However, for comminuted fractures, they must be returned to their original positions. If brute force is not enough, they must be pried. Then how to use this force? A topic that requires careful consideration.

In modern medicine, it can be reset through openness, patchwork, and direct vision, so how do manual resets go to that step...

Although there were gains, the gains were not small, but Xiong Yao's advice only reduced Wu Xie's upgrade experience points by more than 140 points, and could not directly upgrade his skills from the expert level to the next level.

And this is still far from five thousand points of upgrade experience!

And because of the expert-level fracture reduction technique, Wu Xie's reduction speed has become much faster.

In just over two hours, Wu Xie cleaned up all the patients in the department who had previously been evaluated for manipulative reset.

After sending the last person of these cases out of the operating room, Wu Xie said, "Old Doctor Xiong, thank you for your advice today, it has really benefited me a lot. Thank you for your hard work."

Wu Xie knew that since he was young, he would be fine if he continued to reset for so long.

But Xiong Yao is getting old, and it is also a kind of mental work for him to continuously judge the quality of so many resets and whether the techniques are up to standard. Whether he can bear it is worth measuring.

After all, Wu Xie himself doesn't know whether he can live to such an advanced age.

Xiong Yao carefully looked at Wu Xie up and down, closed his eyes and took a deep breath: "It's really hard work. People don't use their muscles and bones as energy when they get old, and the speed of thinking is also reduced a lot."

"You reset too fast, I sometimes feel dizzy."

"When a person is old, he still has to obey his old age." Xiong Yao sighed.

"Old Doctor Xiong, then you can go to rest first, this ward should be handed over to me, it shouldn't be a problem." Wu Xie said after examining it carefully.

After his fracture manipulative reduction technique was upgraded, Wu Xie reflected on the fractures that he had previously determined could not be treated by manipulative reduction, and now he felt that some of them could be treated.

In other words, some patients can also be cleaned up and let them go home to recuperate.

No more wasting time in the ward.

In doing so, there are actually certain risks, and it is not good for Wu Xie himself. After all, the number of responsible patients is equal to the number of knowledge points.

Xiong Yao also nodded, no longer trying to be brave...

If Wu Xie's current level of manipulative reduction can't support common fractures, then more than 95% of the hospitals in Huaguo will have to close down and rebuild!

"You can visit more when you have time. I still have a lot of good books there, but I didn't give them to Chang Quansheng." Xiong Yao said so when he left.

If Wu Xie has an idea, he doesn't mind pulling Wu Xie into the threshold of Chinese medicine.

Fucking the old age, Wu Xie has his own home, Wu Xie's talent, even if he just inherits what he has learned, he doesn't need to carry it forward, he is worthy of his teacher's preaching!

Learning Chinese medicine requires a certain amount of talent.

"Okay, old doctor Xiong." Wu Xie nodded, and respectfully sent Xiong Yao to the elevator.

Xiong Yao then said: "Don't look at your cousin Guiqi, who is currently in a state of luxury and wealth, and he only wants to get into the eyes of money. But he has actually learned the real thing."

"The request I gave him back then was that if he could reach a certain level and pass on this inheritance, he would be free."

"However, at the age of thirty-two, he has already returned to his free body. If there is something he doesn't understand, he can tell you the general idea. It's just that he has lost it for more than 20 years and no longer knows how to practice medicine, but the theory is still there! "The old doctor Xiong Yao seemed to be explaining the funeral.

He is too old.

Wu Xie didn't know how to reply, so he nodded again and watched the old doctor Xiong Yao leave.

As far as Xiong Yao is concerned, his life is one more day, and one less day!

After this, Wu Xie returned to the ward again.

Because Wu Xie had already dealt with some patients through manipulative reduction, Wu Longshan and another attending doctor had already entered the operating room to help clean up the patients who needed emergency surgery.

In the ward, once again, only Wu Xie, the chief inpatient, was vacant.

It has been authorized by Director Fu Jinjin before!

Therefore, Wu Xie picked out thirteen more patients, and had to reset them and send them away.

Sending away means sending out of the ward, not the meaning of sending away from the world.

When Wu Xie expressed such thoughts to Guan Yun and the others, although Guan Yun and the others were inexplicably shocked, but with Jin Yu in front of them, Wu Xie's previous method of reset was very good, so they naturally did not dare to refute.

Wu Xie's authority for diagnosis and treatment was given by Fu Jin, and Wu Xie called to come, so they can only obey! ~

As a result, another wave of manual reduction surgery for fractures began.

Conversation, signing, manipulation reset, reexamination, discharge procedures!

Patients with a short hospitalization period only need to write a 24-hour admission and discharge record. The medical history is simple and the signature form is also simple!

Although there is a suspicion of wasting preoperative routine inspections!

However, for each patient, Wu Xie made it clear that he was in a hurry. The reason why Wu Xie was not there yesterday and Wu Xie didn't come was because there was not enough manpower, and he needed to save lives first.

They also have the option of surgery.

Of course, generally speaking, only fools choose to perform surgical treatment when surgery is not necessary.

Therefore, Wu Xie selected thirteen patients who were suitable for manipulative reset in the second wave, but there were fourteen signed consent forms.

The first wave of patients who refused to reset the technique and their family members saw that all the troops had left, so they hurried over and asked Wu Xie to perform the technique reset, and then go home earlier!

After starting to work like this, another two hours passed.

The fractures of the subsequent 14 patients were relatively complicated, so it was necessary to carefully consider and identify them before the operation. During the manual reduction process, the details must be handled in place to ensure the quality of the operation and reduction!

That night, at 21:22.

After confirming the reexamination status of the last patient, Wu Xie let out a long sigh of relief after instructing the resident physician to handle the discharge procedures for the patient.

[Supervisor beds: 16! (Knowledge point gain: 16 points/day)]

[Responsible beds: 64! (Knowledge point gain: 16 points/day)]

[Patient in charge: 16! (Knowledge point gain: 146 points/day)]

[Responsible patient: 61! (Knowledge point gain: 181 points/day)]

[Current knowledge points remaining: 184 points]

The original responsible patients were reduced from more than one hundred to only seventy-seven patients by Wu Xie.

And there are a total of 80 beds in the department. That is to say, Wu Xie cleaned up the patients in the ward again, and he no longer needs to borrow beds from other departments.

Patients related to trauma surgery can be hospitalized in the ward to receive more precise treatment and care.

After all, Wu Xie had dealt with thirty-five patients with simple fractures before.

However, after such simplification, because the patients in Wu Xie's supervisory bed and inpatient beds are all critically ill patients, it actually led to an increase in the knowledge points brought by the supervisory patients and responsible patients!

The rest of these patients cannot be handled by manipulative reduction, and need surgery to reset them one by one!

The current self is not suitable to go to the operating room to help.

The stronger the ability, the more Wu Xie cherishes his hands.

After all, today's rough operation saved at least hundreds of thousands of surgical expenses and more than 20 to 30 surgeries, which is extremely beneficial to both the department and the patients.

Especially in such a special case, it is possible to reduce the task with quality and quantity.

This is something that is extremely beneficial to everyone!

...

ten o'clock.

Guan Yun went down to the operating room to help, and told Director Fu Jinjin and Deputy Chief Physician Huang Yaolong about this incident.

Fu Jinjin, who was operating on the stage, was so frightened that he used scissors to directly snap the patient's sartorius muscle!

Fortunately, he held back subconsciously, so he could hold the gap between the scissors.

"What did you say? The patients in all other departments have been transferred to our ward, and there are still extra beds available?"

"Are you sure?" Fu Jinjin looked at Guan Yun with burning eyes, widened his eyes, and carefully observed the changes in Guan Yun's face.

If he dared to lie, he would not forgive him.

Guan Yun quickly raised his big ears, and turned his head into a chicken pecking rice: "Yes, Master."

"Old Doctor Xiong is full of praise for Wu Xie's reset technique, it's really amazing!"

After Fu Jinjin heard these words from Dr. Xiong, his expression immediately returned to normal: "Doctor Xiong has seen it, is there any problem? Then there is no problem!"

Fu Jinjin has absolute trust in Xiong Yao.

Just kidding, so many patients with fractures in the People's Hospital of the State Council have all been assigned. Can Xiong Yao's energy not be great?

In large-scale accidents, there are the most patients with fractures. The degree of danger is not serious, but the workload is the heaviest. The sooner you can get rid of it, the more time you can save to do other things.

Huang Yaolong noticed that Fu Jinjin was looking at him, so he smiled and said, "Director Fu, I don't know about this either, hey, is this really unusual?"

"We are doing surgery in the operating room, but all the patients in the ward have disappeared."

"This is really strange!~"

Huang Yaolong was half complaining, half explaining.

"In any case, the sooner a patient can be treated in a situation like this, the less we have to do."

"How many operations have the three groups completed so far?"

"Twenty-three!" Huang Yaolong counted and replied accurately.

"How many of them need emergency treatment?" Fu Qianjin asked himself the result of waiting for others to fight for two days and one night. and remaining tasks.

Twenty-three sets, not too small.

It's a day.

Surgery is not just a play, it takes a few minutes to complete one operation, and the quality must be guaranteed.

"Nine Taiwans are open, so they must be debrided as soon as possible." Huang Yaolong continued to reply, like a treasure.

"Go to work! Anyway, the working hours will be shorter than expected." Fu Qianjin urged with his head bowed.

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