I can see the status bar

Chapter 153
Radial head subluxation is a very common "little problem" in children.In fact, this small problem does not cause any serious consequences.And its main cause is somewhat speechless-in most cases, radial head subluxation is caused by parents pulling their children's hands hard.

There are two main reasons why children aged 2 to 4 are prone to this kind of dislocation. The first is that before the age of 5, the radial head of the elbow is not fully developed, so the annular ligament is relatively loose.This relaxation creates the congenital conditions for radial head subluxation.

The second reason is that parents are accustomed to the movement problem of "holding the child".Many parents feel that holding a child with one hand is a form of protection when the child is walking or going up and down stairs.In this way, it is convenient for the parents to quickly force the child who is about to fall back when the child stumbles and falls, so as to prevent the fall.

But what the parents don't know is that this rapid upward and backward pulling is the main reason for the subluxation of the radial head.What's even more unfortunate is that children of this age have extremely low pain tolerance, and the pain caused by subluxation will greatly cause children to be irritable, resist and cry.And when they were crying in pain, they couldn't clearly express in words what part of them was injured.

So parents are in trouble.Unless they have relevant knowledge, it is really difficult for parents to realize that their child has dislocated in the first place.Sometimes even some children are sent to the doctor by their parents more than two days after the dislocation.However, the long-term dislocation caused ligament damage and surrounding joint edema. In the end, the doctor had no choice but to perform reduction and fixation through surgery and Kirschner wires.In the end, the child had scars on his body, and the parents slapped themselves in distress.

Fortunately, Zhuang Zihao's father seemed to understand the matter quite well. He rushed to the Fourth Central Hospital holding the child all the way.The little nurse receiving the treatment was taken aback by this appearance. The pediatric outpatient clinic and the emergency department were both on the ninth floor, so Dad Zhuang was directly pointed into the emergency room and met Sun Lien.

"What's going on?" Sun Lien has a complete understanding of the child's condition, and the situation is neither critical nor dangerous. Although it should be sent to the pediatrics department on the ninth floor for treatment, it's just that Sun Lien's battery charge is a bit too much today. He was full, so he decided to deal with it directly-anyway, it only takes a few tens of seconds before and after the manual reset.

"I took the child to play in the Children's Paradise in Sun City." Zhuang's father wiped the sweat from his running head, "He slipped a little while climbing up the slide. I happened to hold his hand, and subconsciously La..." Zhuang's father's expression was very apologetic, "Then I felt that the movement in his hand was not quite right, as if his arm suddenly stretched a little."

Sun Li'en found a chair and motioned to Zhuang's father to put Zhuang Zihao on the stool.On the other hand, he asked Zhuang Zihao who was holding his left arm, "Little friend, come on, how about playing a little game with brother?"

After Zhuang Zihao came out of his father's arms, he seemed to have calmed down because the affected limb no longer had continuous pain. He nodded timidly, then looked at Sun Li'en, waiting for the start of the little game.

"Like your brother." Sun Lien faced Zhuang Zihao and gently raised his right hand.Children have no concept of left and right, and it is difficult for them to understand the left-right inversion relationship of the mirror image.So when doing this small check, Sun Lien chose to switch left and right. "Raise this arm..." He watched Zhuang Zihao's movements, and nodded in satisfaction, "Can you touch your own head?"

The kid tried it, but he only lifted his arms up and straightened a little, then stopped, and then shook his head vigorously at Sun Lien.

"Then what about this?" Sun Li'en stretched out his arm and twirled it and asked, "Can it move?"

This time, kid Zhuang Zihao didn't even have any interest in trying, and he started crying again.

"Doctor, what's going on?" Zhuang's father was anxious. Looking at the young Sun Lien, he felt that the doctor in front of him who might be a few years younger than himself was very unreliable.

"It should be a subluxation of the radial head. Don't worry, it's not serious." Sun Li'en nodded to Zhuang's father, "I'll make you an order to take the child for an X-ray first, as long as there are no other problems, Do a reset quickly."

Only then did Zhuang's father nod his head. The child showed signs of bone injury, so it must be right to have an X-ray.He took the X-ray examination form issued by Sun Lien, turned around and took the child out of the emergency room - the admission registration was still done by the little nurse at the door, Zhuang Zihao's situation was indeed not very good, so Dad Zhuang took the children to line up .

"Isn't it enough to just reset the hand?" Xu Yourong looked at the back of Zhuang Zihao and his father who had left and asked in a low voice, "It's just a matter of spinning, isn't it easy?"

"Then we have to rule out other possible bone injuries first." Sun Lien spread his hands, Xu Yourong is indeed different from him.After working outside the gods for a long time, she is not as good at this common injury as Sun Li'en. "Fractures of the lateral condyle of the humerus, fractures of the radial head and other fractures at the same site must be ruled out for reduction. Otherwise, if you make a mistake, just do it with your hands. If the reduction fails, what should you do if the fracture is turned into a fracture instead?"

Sun Li'en himself knew that Zhuang Zihao must have a subluxed radial head, after all, the status column had already stated it clearly.It's just that Feng Chujie's lesson made him solidly understand a truth - the treatment still depends on evidence.The status bar is just a reminder, although to him, the reminder on the status bar is basically decisive evidence.But other doctors don't think so, and neither do patients.He can only make a diagnosis after checking and producing solid evidence.

"Anyway, taking an X-ray will be quick." Sun Lien smiled at Xu Yourong, "Lin Lan's inspection is arranged?"

"It's been arranged." Xu Yourong nodded, "But the people in the laboratory said that this kind of genetic test takes a long time. It will take about a day to come to a conclusion."

"It doesn't matter." Sun Li'en didn't have any opinion on this, "Anyway, in her current state, even if she is diagnosed immediately, she cannot be operated on. It doesn't matter if the test result is a day or two late."

Xu Yourong continued to whisper, "The police have arrived."

"Police?" Sun Li'en was taken aback for a moment, he didn't realize what the police came for.

"Gao Yan's treatment has been stopped." Xu Yourong explained, "The police are here to get the death notice."

Gao Yan's treatment stopped here, and Sun Li'en was actually somewhat depressed.After all, counting Zhou Xiufang and Gao Yan, this is already two patients who died in a row.Especially after Zhou Xiufang passed away, Sun Lien still wanted to rescue Gao Yan emotionally.After all, Gao Yan was almost the last patient who Zhou Xiufang gave diagnostic advice in his life, and the family members of such a patient chose to give up treatment in the end, which really made Sun Lien feel uncomfortable.

Xu Yourong had just finished explaining the matter to Sun Lien, and the nurse Xiao Guo on the side also walked over slowly.After watching Xu Yourong walk away, he whispered to Sun Lien, "Brother Sun... I might have gotten into trouble."

"Get into trouble?" Sun Li'en sued, "What did you do? Broke which patient's ribs?"

"No, no..." Xiao Guo said in a low voice, "Ms. Zhou left before... I first posted it in Moments."

"Huh?" Sun Li'en still didn't understand what Xiao Guo was talking about.

Guo Yu was in a hurry, and he explained, "It's just... I just told the outsiders first that Mrs. Zhou has left. As a result, many people gathered in the hospital." Guo Yulai raised his eyelids, worried Glancing at Sun Lien, "Brother Sun, did I get into trouble?"

"So it's you!" Sun Li'en was still wondering before, after all, it was understandable for the reporters to come to the hospital, but how did those ordinary people, those Zhou Xiufang's students, friends, colleagues, patients and even the family members of the patients know about it? of?Zhou Jun was busy moving Zhou Xiufang's case records from home at that time, and he didn't have time to inform outsiders, let alone post any obituary.

Nurse Xiao Guo sighed, "Brother, what should we do?"

"What else can I do? What else do you want to do?" Sun Lien was a little angry, and the medical staff must keep the patient's situation strictly confidential.Xiao Guo privately posted on Moments, which is tantamount to directly revealing the patient's situation and privacy.Although he was sure that Zhou Jun would not blame Xiao Guo for this, it was a very serious disciplinary matter after all. "Delete it quickly! Then go to Director Liu to admit your mistake!" Liu Tangchun has always been protective, as long as Xiao Guo's attitude is correct, at most he will be pointed at his nose and scolded by Old Liu.

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Xiao Guo went out to find Liu Tangchun to admit his mistake.Sun Lien waited in the emergency room for the X-ray pictures of Zhuang Zihao's child.There is no obvious abnormality above, and neither the lateral condyle of the humerus nor the radial head is fractured. The evidence is conclusive that this is a simple subluxation of the radial head.

Looking at the kid Zhuang Zihao who was holding his cartoon hat and sitting on the stool and was still crying, Sun Lien sighed. "Let me do a reset for the child first, and it won't hurt immediately after the reset is done."

Zhuang's father nodded quickly. In order to make it easier for Sun Lien to operate, he specially pulled out the cartoon hat that Zhuang Zihao was holding in his arms, and put it on the table in the duty room.

"Please put the kid on the seat, just press the shoulders, don't use too much force." Sun Li'en ordered, in fact, he just wanted to let Zhuang's father do something to distract him, and at the same time use his father's It's just to ease the vigilance of Zhuang Zihao's kid.

Sun Lien straightened Zhuang Zihao's elbow at 90°, held Zhuang Zihao's elbow with his left hand, pressed his thumb on the head of the radial bone in front of Zhuang Zihao's elbow, and pinched Zhuang Zihao's left wrist with his right hand.Squeeze up with the thumb of the left hand, and press down with the right hand. At the same time, the right hand pinches Zhuang Zihao's wrist and rotates it back and forth.

"Crack" Sun Lien's left thumb felt a distinct bouncing sensation, which was a sign of a successful reset.

The pain at the moment of the joint reset made Zhuang Zihao cry again. Sun Lien quickly let go of his hand. With the last step, he glanced at the status bar on Zhuang Zihao's head, and the state of "radial head subluxation" had disappeared.

The child cried a few times, as if he felt that crying alone was not enough to express his dissatisfaction, so he jumped off the stool while crying, and stretched out his hands to his father asking for a hug.The movement of reaching out was smooth and natural, and it seemed that the reset was indeed successful.

"Okay, I'll make an order for you, just go out and pay the fee." Sun Lien nodded to the thankful Dad Zhuang, "Remember, children should avoid strenuous exercise with their arms for the next week. Otherwise, the arm that has been reset may be dislocated again. Also, don’t pull the child’s arm like this again in the future.”

Zhuang's father hugged the child, bowed and thanked him, and left the emergency room with the payment slip.

Sun Li'en was packing his things, when he turned his head, he found that Zhuang Zihao's hat was still on the duty desk and hadn't been taken away.He picked up the hat conveniently, and went out to return the things to others.It turned out that Zhuang Zihao and Zhuang's father were not among the crowd at the payment window in the rescue hall.

"Where did he go?" Sun Li'en scratched his head, and the little nurse next to him who put people into the emergency room at the beginning pointed to the door, "He just went out with the baby in his arms."

"Going out?" Sun Li'en was a little puzzled, why did this person go out with the child in his arms if he didn't go to register to change the triangular scarf?

The little nurse looked at Sun Lien who was in a daze, and asked in a low voice, "Doctor Sun, is it... the patient evaded fees?"

(End of this chapter)