I Spent Those Years In the Operating Room Fighting Monsters
Chapter 97: Someone in your family works in the Health Commission!
Lu Cheng quickly took out the cigarette and said, "Thank you for your praise and kindness, but I don’t smoke. If you put it there, it’s wasted. Save it for yourself."
Cao Xiaohe also doesn't smoke, but he still hasn't reacted yet. He just kept thinking in his heart, is the manual reduction of hip dislocation that Lu Cheng and I did just now?
Yes, you Lu Cheng used the classic reset technique. Everyone knows that he can reset. I also know how to do it, but knowing how to do it and how to do it are two different things. Who TM can reset successfully in one go? Cao Xiaohe has never met in so many hospitals.
And, in the textbook, oh no, it is in the Campbell textbook for orthopedics majors, the standard reduction technique is written.
Under spinal anesthesia, the patient lies on his back, the assistant fixes the pelvis, and the hips and knees are flexed to 90 degrees...
Have you remembered the point?
Have you remembered the premise?
Under spinal anesthesia, or no matter how bad, you have a local anesthesia to relax the muscles, okay?
you reset it.
And just once.
Generally speaking, from a medical point of view, it can be reset within three to five times, which is called the success rate of reset.
Is your TM something done by people?
But after hearing Lu Cheng’s speech, he didn’t dare to talk about the complaints in his heart. He immediately put the cigarette on the patient’s bed and said, “Doctor Lu, it’s been hard work. You should go to rest first. , I can still handle it myself."
After dislocation of the hip joint, it is not only necessary to reset it. The reason for the dislocation is that the soft tissue must have been hit, so that the soft tissue around the acetabulum that originally wrapped the femoral head will come out after a crack appears. So after the reset is successful , You have to fix it, and then slowly rest, until the soft tissue grows up slowly, or the scar recovers, the stability can be restored, otherwise it will come out very easily.
Lu Cheng has done all the restoration. If Lu Cheng is required to do plaster again, then what he did is not personal. This is different from what Lu Cheng did not personally.
You can choose hip herringbone plaster, or you can fix it on the bed. The patient happens to have fracture surgery to do, so there is no need to do the painful hip herringbone plaster.
Lu Cheng heard Cao Xiaohe say this, his eyes flashed, and he was about to stretch out the patient's humerus fracture reduction, put his hand back, nodded, and walked out.
After seeing Cao Xiaohe also walked out of the ward, Lu Chengcai couldn't help asking: "Brother Cao, where is his humerus, does your department routinely give him open reduction?"
How could Cao Xiaohe pay attention to what Lu Cheng was talking about? He was always immersed in the shock that Lu Cheng was able to reset successfully in one go, so he didn't care much and nodded: "Yeah."
But it seems that he has reacted again, there is something in Lu Cheng's words.
looked at Lu Cheng with an unnatural expression: "Huh?"
"What do you mean?"
Lu Chengdao: "He is an A3 fracture, which is a stable fracture."
"But each department has its own treatment method and its own understanding of the indications." Lu Cheng shut up immediately. He felt that he hadn't been in the clinic for a long time, so he was a little drifting.
As a student who has not yet obtained his school status, he began to question the choice of emergency surgery for the treatment of patients.
In the future, Lu Chengcheng will come to the emergency department, so I am afraid that he will not be beaten to death by his boss.
Cao Xiaohe was particularly stunned. He also came to the emergency department here, only to realize that the emergency surgery here might be an orthopedic trauma center, and even the next step is to expand the ambition of building the entire emergency clinical center of general surgery, so, As an emergency department, he must also start to learn technical skills. Orthopedics is what Professor Li Dongshan is best at. Of course, it is better to start here.
However, orthopedics involves a lot of bones. There are more than a dozen types of fractures for each type of fracture. There are more than 50 types of larger fractures. In addition, the location of the fracture is different. The method of classification It's different, and the treatment principles of each type are different.
It was only half a year since Cao Xiaohe was engaged, how could he figure it out so clearly.
So he asked: "Then Xiaolu, what do you mean?"
"Can this patient undergo manual reduction? No surgery?"
Cao Xiaohe is likely to be able to stay in the future, and emergency surgery has his own emergency surgery to do, so he has to start contact with orthopedics, so it is necessary and not ashamed to ask Lu Cheng. After all, he has very little contact time.
Lu Cheng quickly apologized: "I'm sorry, Brother Cao, it was me who made a mistake."
Cao Xiaohe immediately flipped through the silver and said, "It was you who nodded. What do you think of mentally, this patient was brought in by me. I was not found in the hospital, so I almost scared me to death."
"If you can reset it manually, then just send him away."
Lu Cheng looked at Cao Xiaohe seriously, and Cao Xiaohe also looked at him seriously, not in a hypocritical manner.
then said, "I think I can give it a try? However, his surgical indications exist to a certain extent. Teacher Lin Hui from the orthopedics department just now may also think that surgery is needed."
"But you should call the head of your department and ask."
This is something to be responsible for, so you have to report it to your superiors.
Cao Xiaohe said: "It's all about this time~www.wuxiaspot.com~ If I can call the boss, I won't be asking for Lin."
The habitual name of the general inpatient is the general term. It sounds good, but when it comes to being a resident, I am more like a dog than a resident, and I look for the general manager for everything. They are the ones who are always in charge, always being called, always consulting, and always being scolded.
"I will go to discuss with the patient's family!"
"……"
Fifteen minutes later, the patient’s family immediately sent Lu Cheng and Cao Xiaohe out of the ward with gratitude, and then shouted from a distance: "Thank you, Dr. Cao, thank you, Dr. Lu. I called you fruit, and I’m going to deliver it. Remember to eat."
As he walked, Cao Xiaohe kept giving Lu Cheng thumbs up: "Nubi, Xiao Lu, I found out that you are in the orthopedics department. It is really awesome. It's more awesome than an emergency. I I used to think why you didn’t come to the emergency room, that was my mind."
"Brother Cao, you've got a good reputation, I'm just an ordinary orthopedic doctor." After speaking, Lu Cheng looked at the time, and said quickly: "Brother Cao, it's not early, I'm still following Teacher Lin Hui for the assessment, so I must first Take a step, lest he deduct my points if I go too late."
Cao Xiaohe was stunned after listening, he stopped immediately as he was drinking water, and said: "Huh? Are you following Lin Hui for the test? What test?"
"Where is the clinical assessment required for the postgraduate interview?"
Lu Shicheng said: "I have finished the plan and want to read a straight Ph.D. The department gave me a chance, but I have to perform well."
"Puff. Gulugluo." Cao Xiaohe's eyes bulged into frog's eyes immediately, almost squirting water out of his mouth, but he swallowed after a while and almost didn't choke into the trachea.
'S tone suddenly became a bit louder: "You got a chance to accompany you with the rules? I rely on it, someone in your family works for the health committee, right?"
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