Chinese medicine: from rural hospitals to top three hospitals in Kyoto

Chapter 206 Can Dr. Chen still set bones?

Chen Yang did not attend the outpatient clinic today, but was in the emergency department.

When he got off work yesterday, Chen Yang deliberately adjusted his outpatient service in the past few days and replaced it with outpatient service every other day. He planned to try it in the emergency department first to see if he could increase his surgical experience value.

Chen Yang went to the emergency department without Li Haofei, but Jiang Dongfei followed Chen Yang and Li Haofei was in the ward.

"Doctor Chen plan to come to our emergency department?"

Ren Wenxue looked at Chen Yang in surprise.

"I'm just going to practice in the emergency department."

Chen Yang smiled and said, "I'll try it first. I don't know if it's okay?"

"Of course I welcome it."

Ren Wenwen said: "Then I will arrange a consultation room for Dr. Chen?"

In fact, Ren Wenxue was a little strange. Chen Yang could now sit in the outpatient clinic at the Traditional Chinese Medicine Department, so there was no need to come to their emergency department.

There is a big difference between the emergency department of a county hospital and the emergency department of a tertiary hospital.

There are definitely many more patients in the emergency department of a tertiary hospital than in the emergency department of a second-level hospital.

There are not many doctors in the emergency department of the county hospital. It can be said that there are quite few patients in the emergency department during the day.

Sometimes emergency department doctors are bored.

Of course, sometimes it can be overwhelming.

In fact, of all hospitals, the emergency department is the most uncertain.

It is very busy when there are no patients, but it is too busy when there are patients. It is not like a specialist clinic, but is basically relatively stable.

"Can I go to the disposal room?"

Chen Yang said: "I just want to learn debridement and suturing."

"Doctor Chen plans to study surgery?" Ren Wenxu was even more surprised.

He knew that Chen Yang's level of Chinese medicine was very good, but he didn't expect that Chen Yang would now study surgery.

"The main thing is to take a look." Chen Yang said.

"Of course, Dr. Chen..."

While Ren Wenxue and Chen Yang were talking, a nurse came over to notify them.

"Director Ren, a patient was sent here. He was injured and his left calf was fractured."

"Dr. Chen, we'll talk later."

Ren Wenxue stood up and walked outside as he spoke, and Chen Yang and Jiang Dongfei followed hurriedly.

Unexpectedly, as soon as I came to the emergency department, I met a patient with orthopedic injuries.

"Have you notified the orthopedics department?"

As Ren Wenxue walked, he asked the nurse who informed him.

"I called, and they'll be here soon."

The nurse said, "But Dr. Zheng said our hospital may not be able to handle it."

There are not many people in the orthopedics department of the county hospital, and the level of the department is quite limited. As far as Jialin County is concerned, orthopedic patients usually go to Xushan Orthopedics Hospital, which is an orthopedics specialist in Jialin County. private hospital.

It's just that Jialin County Hospital is a 120 designated hospital. If a patient is sent by 120, he must be sent to Jialin County Hospital first.

As he spoke, he arrived at the observation room.

"Director Ren."

The doctor in charge was Dr. Zheng. Dr. Zheng greeted Ren Wenxue and then Chen Yang: "Doctor Chen."

"What's the patient's condition?"

Ren Wenxu asked while observing the patient.

"He was injured by a brick. We just took a film and the result will be sent over later."

Doctor Zheng said: "The situation is quite serious."

Ren Wenxue looked at the patient's injured area. The injured area had been lightly disinfected and the bleeding had stopped, but it did look serious.

Chen Yang was also observing the patient from the side. The patient was wearing dirty clothes and should be a nearby migrant worker. According to Dr. Zheng, the pile of bricks fell over while moving bricks and hit his leg.

"Director Ren, can I check it?" Chen Yang asked Ren Wenxue.

"Ah."

Ren Wenxue nodded.

Chen Yang disinfected his hands and said to the patient: "Be patient, I'll take a look at the situation."

As he spoke, Chen Yang stretched out his hand and touched the patient's injured area. This was exactly the examination method of the Department of Traditional Chinese Medicine.

Touching is actually a type of diagnosis, which actually includes pulse detection and touch. It is not just pulse detection that is the only diagnostic method.

Chen Yang's orthopedics is now at level [-], and his touch method is also very authentic. As Chen Yang's hands move slowly, he feels the force from time to time. At the same time, Chen Yang also asks the patient: "Does it hurt?"

After about five or six minutes of asking and answering questions, Chen Yang figured out the patient's condition.

"Fractured tibia and fibula."

Chen Yang said: "The fibula is better, and the tibia is slightly displaced, but the cross-sections are all on the same level."

The lower leg consists of two bones, both of which are long tubular bones. The thicker bone is called the tibia, and the smaller outer bone is called the fibula.

The upper end of the tibia is relatively large and forms the knee joint, which is called the tibial plateau. The distal end is also relatively large and forms the ankle joint, forming the ankle point. The proximal end of the fibula is called the fibular head, and the distal end of the fibula forms the lateral malleolus of the ankle joint.

The patient's fracture was caused by a smash. Although the tibia and fibula were fractured, the cross-sections were on the same line.

"Dr. Chen also knows about bone injuries?" Ren Wenxu said in surprise when he heard this.

"Know something." Chen Yang said.

"Chen Yang can indeed set bones and reset his bones, and his level is not low." Jiang Dongfei beside him couldn't help but said.

What do you know?

Ren Wenxu may not know that, but Jiang Dongfei knows that when he came to Jialin County that day and encountered a car accident on the highway, Chen Yang had set and reset the patient's bones.

"Director Ren, this is the patient's film."

Just as he was talking, a doctor sent over the patient's film.

Ren Wenxue reached out and took it. While watching it, he couldn't help but be surprised, because judging from the patient's injuries on the film, it was exactly the same as what Chen Yang just said.

"Dr. Chen's judgment is very accurate."

Ren Wenxue handed the film to Chen Yang.

Chen Yang reached out to take it and took a look at it. It was indeed exactly the same as what he had just checked.

Some current examinations are still very useful in the field of bone injuries. They can avoid some negligence and allow doctors to understand the patient's injuries more intuitively.

However, the foundation of Chinese orthopedics still needs to be kept up, because when performing bone setting and reduction, the hand feel has a great influence. Only when the hand feel is accurate can the reduction be easier and more accurate.

"Director Ren."

Chen Yang was watching the movie, and Chu Haoliang, the director of the Department of Orthopedics and Traumatology, also came.

There are only three serious doctors in the Department of Orthopedics and Traumatology of Jialin County Hospital. The director of the department, Chu Haoliang, only handles two diseases. The Department of Orthopedics and Traumatology usually mainly does massage, dealing with some sprains and dislocations. , Lajin and the like, as well as some minor surgeries.

"Director Chu."

Ren Wenxue didn't waste any time and directly handed the patient's film to Chu Haoliang.

"The fracture of the tibia and fibula cannot be treated by our hospital."

After just taking a look at the film, Chu Haoliang said: "Let the patient go to Xushan Hospital."

"Can Dr. Chen handle it?" Ren Wenxue asked Chen Yang again.

"Yeah, okay." Chen Yang nodded.

Chu Haoliang looked at Chen Yang.

"Director Chu, this is Dr. Chen Yangchen from the Department of Traditional Chinese Medicine." Ren Wenxue introduced to Chu Haoliang.

"It turns out to be Dr. Chen."

Chu Haoliang said with a smile: "I've heard a lot about Dr. Chen these days. Does Dr. Chen also know how to set bones?"