medical simulator

It's about to crack.

Zeng Yi picked his scalp, almost bald.

Said: "Li Changhong, I think we still need to pay attention to evaluating the ability of junior doctors once in a while, and don't take the medals and the stories out of our mouths seriously."

"Both Professor Wu and Professor Li found it extremely difficult to reset the patient. Wang Yaoxiang dragged him into reset. If I were the patient's family member, I'm afraid it would be difficult for me to accept it."

"If you can't do it, do it. It's not a question of ability or not. It's called misdiagnosis!"

Li Changhong's face was uncertain for a while, and he lowered his voice: "Director Zeng, Wang Yaoxiang belongs to Director Wang after all."

"Although Director Wang has retired and is not his own son, he is still in the department. How can I say so much? You know this too."

"Besides, I actually said this morning that our department hasn't taken over joint dislocation patients for many years, isn't it?" Li Changhong immediately began to evade.

Damn it, you can't put the shit bowl on my head, Director Zeng, obviously you said that you want to reset the joint dislocation in the department. To engage in.

Now Wang Yaoxiang, who 'knows' joint surgery best in our group, has made an accident. Are you blaming me? ? ?

Can I agree?

Zeng Yi's expression darkened immediately.

Looking at Li Changhong, he said, "Director Li, I'm not trying to tell you who's responsible. I'm telling you to recognize someone."

"Did I say it was your fault?"

But you already shook your head at Li Changhong in your heart, you only know who is responsible, right?

"Or Li Changhong, do you think your people want me to take your pulse in the future? Huh?"

"Is it because I am in charge of everything in the entire department?" After Zeng Yi finished speaking, he turned around and left the office, and rushed directly to the ward.

Obviously a little disappointed with Li Changhong.

Li Changhong looked confused for a while, and immediately chased after him, stopping Zeng Yi at the door: "Director Zeng, you misunderstood me."

"Let's not talk about this."

"I'll communicate with the patient later, and I'll figure out a way." Zeng Yi said, taking everything down.

While rubbing his head, he walked to the office of the orthopedic director, presumably to organize his language.

Li Changhong looked at Zeng Yi's back, a little bit regretful, regretting what he said just now, it was a bit too much.

If I want to become the next chief director of the Department of Orthopedics, I must have Zeng Yi's support, because Director Wang will definitely not have any objections. I attach so much importance to Wang Yaoxiang, it is impossible for him not to see it.

If a consensus cannot be reached in the first department of orthopedics, then the position of chief director will inevitably be handed over to the person in the second department of orthopedics.

Maybe Zeng Yi was a little unhappy because of his troubles today.

Patting his head, Li Changhong turned around and called Cai Dongfan again to discuss countermeasures...

It was about 13:55.

Zeng Yi finally decided to confess to the patient. The reason why he waited for a while was to give the patient's family a buffer and time to calm down. By the way, Zeng Yi felt that Professor Wu might explain something to the patient's family.

It would be best for him to talk about it this way.

However, just as Zeng Yi went out, he saw Luo Yun leading Zhou Cheng down. After Luo Yun saw Zeng Yi, he lowered his voice and whispered in Zeng Yi's ear for a while.

Zeng Yi's expression changed drastically immediately: "Luo Yun, this is not a joke, is it?"

Luo Yun then said directly: "Director Zeng, this is of course not a joke. It is the most appropriate way to talk to the patient now. If the manipulation is reset under brachial plexus block anesthesia, it is just an extra anesthesia."

"For them, surgery was avoided, and it can also be explained that there was no anesthesia, so it was difficult to reset."

"Even if the reset is not successful, it is just one more attempt. Explain to the patient's family that there is no way to do it in the end, and the only option is surgery to reset."

"That makes sense, too! What do you think?"

Hearing this, Zeng Yi looked at Zhou Cheng behind Luo Yun. Zhou Cheng was looking here and there in the Department of Orthopedics, with a very casual look.No matter how you look at it, it doesn't look like the person who became the last dead horse as a living horse doctor.

Moreover, Zhou Cheng was the first to come to the orthopedics department and was sent back by him.

After going around in circles, is it going to turn around this young man again?

"Oh, it's up to you."

"I'm going to communicate with the patient first. There are some things that should be recognized." Zeng Yidan smiled wryly for a while before going to the ward.

……

The process of Zeng Yi's conversation was surprisingly smooth.

It was mainly because of Professor Wu's mediation. Although the patient's family had many acquaintances, Professor Wu was also the person he knew who had the best understanding of joint surgery. Professor Wu said that there was no way to reset the surgery.

What can I do without surgery?

But Professor Wu also said that this operation is not a big one, and the Eighth Hospital will definitely be able to take it down. It does not need to be so troublesome to transfer to other hospitals. Early reset and early operation are good for the patient.

As for the previous manipulation reset, isn't this also an attempt?It's just that the chances are slim, and too many resets will not increase the success rate.

This can only be done by agreeing to the operation. It cannot be said that because of a misdiagnosis, if a few more resets were performed, it would be fatal.

The patient is my wife, and the pain is still on her body. As for whether I will report it later, or whether I want to mess with the orthopedics department, that is another story.

……

14: 28!

Because of Zeng Yi's relationship, Zeng Yi from the anesthesiology department came to administer anesthesia in person.

And as soon as the patient enters the operating room, he will be treated as a VIP. Zeng Yi has prepared all the preoperative medicines in the operating room in advance, and has also made preparations for the reduction of anesthesia fees.

There is no way, although the relationship with Zeng Yi is not as close as in the main room, but now they are both the chief director of the same department, and there is such a relationship.

Taking care of each other is a must.

Wang Yaoxiang was not allowed to go on stage, Zeng Yi planned to perform the surgery himself, Li Changhong was the first to assist, and because of Luo Yun's suggestion, Cai Dongfan also came to the operating room, ready to apologize to Zeng Yi and others at any time, and at the same time to save face for Luo Yun.

The lineup of this operation is quite luxurious.

The three chief physicians came to the stage at the same time, which is really quite serious.

Equipment nurses are also prepared, two.

Tour also shouted, two.

Everything is ready, after the anesthesia is finished, I will take a X-ray first.

After watching the plain X-ray before the operation, everyone found that the patient was lying on the operating table sobbing softly, and seemed to feel a little wronged.

After someone came in, she wiped the tears from her eyes with her right hand, and said with a smile: "Both Directors Zeng, thank you for your hard work. Please do a good job in my operation. I just didn't expect it, and I still couldn't escape this operation." Operation……"

Both Zeng Yi and Zeng Yi's expressions changed, but they could only sigh slightly.

Said: "We will do our best."

Luo Yun stepped forward very resolutely, patted Zhou Cheng, without saying a word, but the meaning was obvious.

Are you going to try one last time?

Can't open the stage.

Zhou Cheng was also slightly disturbed by the patient's sobbing, so he didn't dare to go up directly.

Instead, he retreated back between the C-arms, once again confirmed the dislocation in the plain film, and walked in again, nodding to Luo Yun without speaking.

It was only when I got to the operating table that I confessed to Luo Yun: "Mr. Luo, I need you to do the anti-traction at the elbow joint, and then divide the node in the front third of the forearm, about 4cm from the proximal transverse crease. Do anti-traction."

"Okay!" Luo Yun nodded, but Zhou Cheng obeyed.

Zhou Cheng immediately took two pairs of surgical gloves, handed a pair to Luo Yun, and put them on himself.

Seeing that Luo Yun has already done the traction at the elbow joint, don't hesitate anymore!

Pinch the patient's left hand with both hands for traction, and at the same time pinch the area around the DRUJ with the thumbs of both hands.

Then only a slight 'click' was heard.

The DRUJ was successfully repositioned.

Everyone in the operating room was startled, and their expressions turned bright——

His whole body seemed to be filled with lead, he couldn't move, his mouth was open, like a chick waiting to be fed, but in fact he was already an old bird...

Luo Yun was also shocked for a moment, but Zhou Cheng looked up at him.

He yelled in a low voice: "Don't let go!"

It's a scolding, not a suggestion, and it's not an opening.

Luo Yun hurriedly continued to pull back with his hands upright.

Zhou Cheng turned the patient's hand from the palm to the ground, and after pulling it a little.

Make another "click!" sound.

Everyone's nerves went numb.

Immediately afterwards, he added: "The front third of the forearm."

Luo Yun hurriedly did it again.

Zhou Cheng slightly bent the patient's hand, rubbed it with his thumb near the bones of the metacarpal and wrist joints for a while, and then uttered a few more crisp sounds than before.

Zhou Cheng signaled to Luo Yun that he could relieve his stress, then closed his eyes slightly, and the thumbs of his left and right hands were walking around the back of the patient's left hand and wrist like two feet, which seemed like a magic stick...

1 chapters, everyone is sensible, acting in a full set!

None of Zeng Yi, Li Changhong, and Cai Dongfan had a major in joint surgery. They only had a bachelor's degree when they worked, and they studied clinical medicine (five-year course) as a whole.

But although he does not specialize in joint surgery, after so many years of clinical experience, he still has a basic understanding of joint dislocation.

There are four main symptoms of joint dislocation -

Deformity, pain, limited mobility, dislocation on imaging.

The four major signs go hand in hand and hardly exist independently.

The signs to evaluate the successful reduction of joint dislocation are closely related to these four signs.

Pain relief, recovery of activity.

But now that the patient has received a brachial plexus block, if the patient can still feel pain relief and resume activities, it means that Zeng Yi, the director of the anesthesiology department, is not skilled enough.

There are therefore only two evaluations left that can be used.

The affected limb was deformed, and the deformity visible to the naked eye disappeared.

However, the disappearance of the deformity visible to the naked eye is not as accurate as the palpable articular surface returning to the normal structure.

The three of them only saw the disappearance of the deformity, and their minds were tumbling for an unknown number of times.

Zeng Yi and Li Changhong immediately turned to look at Cai Dongfan.

This dislocation?That's it?

So at the very beginning, Cai Dongfan sent someone who could solve the problem to us, and we drove him away, and then there were so many moths behind him?

Cai Dongfan hurriedly explained in a low voice: "Director Zeng, Director Li, I knew that Zhou Cheng would reset the technique, so I called him to the Department of Orthopedics immediately!"

"Of course it's too late to say these things now, let's settle things first."

After finishing speaking, he first leaned towards the operating table and waited for Zhou Cheng to give the patient a standard physical examination.It is also the second evaluation criterion to determine the successful reduction of joint dislocation before C-arm fluoroscopy again.

Zhou Cheng didn't make everyone wait for a long time, but after carefully inspecting the dislocated planes of the inferior radioulnar joint and metacarpal joint, he cautiously glanced at Luo Yun, took two steps back, and stepped aside. Location.

He said, "Teacher Luo, I think it's a blessing."

"You should review it again, just be sure."

Zhou Cheng's tone was sincere, not to show off in front of Luo Yun and the others on purpose, but because he felt that the physical examination results from Luo Yun's mouth would be more convincing.

Because it can be seen that Zeng Yi, Li Changhong and others trust Luo Yun more, and now that Luo Yun is by his side, there is no need for any more misunderstandings.Luo Yun checked again, and it didn't take much time.

And now everyone in the operating room can't afford to waste their time. As long as the patient's dislocation is done well, it will be fine to delay for another half an hour!

Luo Yun nodded, and then began the physical examination: "The surface of the DRUJ is smooth and has basically recovered."

"The articular surface of metacarpal dislocation has basically recovered."

Luo Yun's physical examination was not limited to this, but demonstrated his profound knowledge and professionalism as a joint surgeon: "Check the stability of the radial styloid process, ulnar head, snuff socket and DRUJ. "

"Active range of motion cannot cooperate, passive range of motion: fully extended position is 0°, palmar flexion is 0°-60°, dorsiflexion is 0°-50°, radial deviation is 0°-30°, ulnar deviation is 0°-40° .”