Rebirth 90: I opened a hospital in Shencheng

Chapter 586: The Almighty Skills That Are Easy to Use!
"Doctor, how is it?" the patient's family asked.

Nie Chen said: "A complete fracture needs to be reset before it can be fixed, but it hurts a bit during the reset, so you have to hold on."

"it is good."

"Doctor, take it easy, I still want to play football."

Nie Chen smiled, walked to the side of the patient, and found the location of the patient's fracture by comparing the photos.

"Be patient, it doesn't hurt too much," Nie Chen said.

Before the patient could react, Nie Chen pressed hard with both hands, and then gently supported with one hand. In less than two seconds, his fractured right calf was reset!

"Ah..." The patient was about to shout, but realized that Nie Chen had already finished, so he held back.

Just now, when Nie Chen set the patient's bone, he used the four methods of touching the bone, end bone, pressing the bone, and setting the bone.

It's just that he moved too fast, and the patient didn't see what was going on, so he connected the bones.

Nie Chen looked at the patient's blushing face, and said with a smile, "Does it still hurt?"

"Yes, it's a little numb." The patient said with his eyes wide open.

"This is normal, it will be fine when the blood circulation resumes." Nie Chen nodded.

Nie Chen is very confident in his bone-setting techniques.

"I'll take another film later. I want to see how the reset works. If the reset is good, then it can be fixed."

The patient's family members nodded: "Okay, thank you doctor."

In fact, there is no need to make another film.

But as a doctor, while having confidence in his bone setting technique, he must also ensure that patients get rid of the risk of sequelae.

Nie Chen put both films on the lamp wall.

Pointing to the fracture site, he said: "It looks like there is no reduction here. The minimum deviation of the bone is 0.3 mm, and the maximum deviation is 0.6 mm. This is what it looks like after the joint is completed. The bone has been completely reset, so there is no need to worry about the sequelae."

"Besides, the patient is young. It is more powerful for recovery."

"Well, thank you doctor, I am relieved that there are no sequelae, but this child loves to move, can't stay at home, and always wants to play football outside." The patient's family said.

Nie Chen smiled and said to the patient: "If you want to recover as soon as possible, then you have to listen to the doctor, otherwise the secondary trauma will have a huge impact on your ability to play football in the future."

"Doctor, don't worry, I will be obedient!" The patient nodded obediently.

Nie Chen turned to Lin Xiaoxiao and said, "Prepare plaster bandages, cotton pads, oilcloth, and a basin of 40-degree warm water..."

"Okay, I'll go get ready."

There were plaster and bandages in the treatment room, so Lin Xiaoxiao didn't go out.

Nie Chen first washed the patient's skin with soapy water to prevent itching from being wrapped for a long time.

Lin Xiaoxiao was ready soon, put it on the disposal vehicle, and pushed it over.

"Hold your legs on the trolley, don't shake it."

The patient nodded: "Doctor, how long will it take to recover?"

"One to two months. Since both of your legs are injured, your mother can rent a wheelchair from the hospital."

"Okay, doctor, where can I rent it?" the patient's family asked.

Lin Xiaoxiao said: "We have it in the emergency department, and I will take you there later."

"it is good."

"Lin Xiaoxiao, hold his legs and keep this position."

"it is good."

Nie Chen put the beginning of the soaked plaster bandage roll on the patient's fractured limb.

"Oops, it's too hot!" The patient yelled, grinning.

Nie Chen said: "Because your blood doesn't circulate, it will feel hot, but it won't burn your skin."

"Yes, doctor, I can hold back."

Nie Chen smiled.

"Plaster strips!"

"Here." Lin Xiaoxiao said.

Nie Chen placed the prepared plaster strips on both sides of the patient's right calf, and then continued to wrap the plaster bandage.

"Scissors."

Nie Chen picked up the scissors on the patient's right foot, and began to cut off the plaster, because the excess part had to be removed to facilitate the movement of joints that did not need to be fixed.

The patient's toes must be exposed to allow observation of circulation and sensorimotor conditions.

"Marker."

Nie Chen marked the name of the disease, the cause of the disease, the date of injury, and the time of the next replacement with a marker pen on the surface of the fixed plaster.

Then he was busy putting the patient's left ankle in a plaster cast.

After both legs were fixed, Nie Chen got up and wiped the sweat from his forehead with a cotton pad.

"It is recommended to stay in hospital for observation."

Before Nie Chen finished speaking, the patient said, "Doctor, can I stay out of the hospital? Let me go home. I can still watch TV."

The patient's family said: "Doctor, you continue."

Nie Chen nodded and said, "I mean hospitalized for observation..."

"It's definitely not convenient for you at home to be in the hospital."

The patient's family ignored the patient's pleading eyes and said, "Doctor, then we will be hospitalized."

"Well, Nurse Lin, please arrange a bed for them."

"okay."

"Have the rehab nurse show him how to do restorative movements."

"Okay." Lin Xiaoxiao nodded.

At this time, the door of the treatment room was opened, Jiang Luoyan poked his head and said to Nie Chen, "Doctor Nie?"

"Ah? What's the matter?" Nie Chen asked.

Jiang Luoyan nodded, but did not explain the reason.

Nie Chen turned to the patient's family and said, "If you feel any discomfort after the cast is fixed, please tell me in time."

After Nie Chen finished speaking, the patient's family hurriedly thanked him.

"Okay, doctor, thank you."

"Don't answer."

"Nurse Lin, I'm sorry."

"Don't be polite to me." Lin Xiaoxiao blinked.

After leaving the disposal room, Nie Chen saw Jiang Luoyan standing at the door waiting, the two walked while Jiang Luoyan said.

"Director Yu and Director Liu had a quarrel because of a patient, and now they are frozen. The patient's family members said they wanted to find another director. I went over to take a look and agreed with Director Yu, but Director Liu still insisted. Embarrassing..."

Nie Chen asked as he walked, "When did Director Liu come back?"

"This morning, you didn't see her? Maybe she went to the obstetrics department." Jiang Luoyan said.

"Oh, what's the patient's condition?" Nie Chen asked.

"The patient admitted by Li Xiuzhen, a five-year-old boy, was injured in a car accident and subcapsular hematoma of the spleen, but the possibility of delayed rupture cannot be ruled out. Director Liu suggested surgical resection, and Director Yu suggested conservative treatment..."

"I'm only five years old."

In the ward.

Liu Miaolei, Li Xiuzhen and the child's mother stood on one side.

Yu Zhongcai and Liu Xiaodong stood on the other side.

The atmosphere was a little tense.

When Nie Chen arrived, he saw the child lying quietly on the hospital bed with bruises all over his face.

"Here we come." Yu Zhongcai said.

Liu Miaolei said bluntly: "Nie Chen, tell me, given the child's current condition, should it be cut?"

Nie Chen was a little embarrassed, looked at the child's mother, and asked, "What do the family members of the patient think?"

The family member of the patient said: "I don't know what to do. One director said that it should be resected, and the other director said that it should be treated conservatively, and it is not recommended to do it."

"Then what are your real thoughts?" Nie Chen asked.

"Of course I hope the child is healthy. After all, he is still young. If the spleen is removed, how will he live in the future?"

Children are not as good as adults, because children's immunity is inherently low. If the spleen is removed, there will definitely be problems with the operation of various organs.

"Film."

Liu Xiaodong handed the CT scan to Nie Chen. He looked at it carefully, and said hesitantly, "I agree with Director Yu's plan. Splenectomy for children has a risk of high fever after surgery. Although the probability is very small, it is possible. Once it happens, it is possible. It's going to be serious!"

When Liu Miaolei heard what Nie Chen said, she couldn't help sighing.

Yu Zhongcai nodded.

The family member of the patient said: "Since the doctor does not recommend excision, it is best to treat conservatively. I don't want the child to have the spleen removed, after all, the child is still young."

(End of this chapter)