medical simulator

"Ms. Luo, you can be my assistant. Help me hold down the patient's calf, just do the volley as usual." Zhou Cheng nodded and entered the state again.

Dislocation of the calcanoid joint requires the positioning of the tarsal bones of the entire foot, so it is best to place the patient's feet in the air. In fact, it is also possible to let the patient sit on the head of the bed and volley naturally. It's not good for him not to intervene.

And Luo Yun intervened, so it was Luo Yun who took him.

Saying it makes others feel better.

"Thank you, Dr. Luo, thank you, Dr. Zhou." The patient immediately lay down. Prior to this, Zhou Chengcheng explained to him the position of manual reset.

Zhou Cheng's plan at the time was to let Du Yanjun be his assistant.

Therefore, the patient was directly told to do manual reduction while lying down.

Du Yanjun immediately followed Zhou Cheng's instructions, but he didn't know what to do in his heart.

But as soon as he got started, he saw Zhou Cheng quickly approaching the patient, and said, "Hello, don't be nervous, Dr. Luo and I are going to reset the manipulation for you, please bear with me a little bit." what."

"Don't worry, don't be nervous, we will start in about 2 minutes, and now I will give you some manual release."

The patient immediately felt confident, and replied: "Oh, okay, don't worry, don't be nervous."

The muscles also began to relax slowly, there are still 2 minutes left.

However, when Zhou Cheng felt that his muscles were completely relaxed, he directly lied to him, taking advantage of his unpreparedness, he immediately exerted force with both hands at the same time!

After hearing only a click, the foot that was originally dislocated and could not be stretched back!

Zhou Chengcheng broke it into a back extension.

The patient's upper body bounced, and his foot almost kicked up to Zhou Cheng's chin.

Zhou Cheng immediately backed away and said, "Mr. Luo, it should be reset successfully. Would you like to check?"

Luo Yun was in a daze.

Is this TM really reset?

How did you reset it?

What Zhou Cheng said in the morning, wasn't he talking nonsense?

I used a crutch to reset the joint with dice, Zhou Cheng really dared to do it!

I can really do it.

Hearing Zhou Cheng's words, he also knew that Zhou Cheng was saving face for him.

He took a warm look at Chairman Zhou Cheng in his heart, stepped down when there was a step, and immediately performed plantar flexion and dorsiflexion on the patient's range of motion, and everything was fine.

And the patient didn't react too far away.

There are two main symptoms of joint dislocation, one is pain after dislocation, and the other is deformity or protrusion visible to the naked eye.

Now the deformity and protrusion have disappeared and the pain is greatly reduced.

It can basically be confirmed that the reset is successful, of course, the final X-ray follow-up visit is still needed, and the final control will be strictly controlled.

Then he patted the patient's leg and said, "Don't worry, don't worry. It doesn't hurt anymore, and it doesn't hurt when I move like this."

"Manipulative reduction must be painful for a while, unless anesthesia is administered."

"Put a plaster cast on later, um, rest about two or three." Luo Yun suddenly realized that he seemed to be unsure how long to rest, and was going to say three months.

Zhou Cheng quickly took over the words: "Ms. Luo, I'm not you, just be on the safe side and take a six-week rest. When it comes to putting plaster on later, it's just me and Yan Jun."

"Will you come again when you watch the re-examination film later?"

"Okay." Pretend to the end, even though it was fake, but Luo Yun almost took it seriously.

mainly.

Comfortable.

Chapter 45 It's not too late!

Luo Yun left proudly, and the patient was still saying thank you behind his back.

At the same time, in my heart, I was feeling emotional.

Almost fucking died.

The thunder that was released from the hospital this time turned out to be a ruthless character. It seems that I will have to read more books in the future.Otherwise, it would be embarrassing to be yelled by Zhou Cheng left and right by Mr. Luo.

"It's much more comfortable, thank you, Dr. Zhou." The patient's own physical sensation is pain.

When the joint is dislocated, the activity will aggravate the pain, but the pain itself should not be underestimated.

pain!It is the fifth major vital sign after blood pressure, respiration, pulse, and body temperature. You will know how unpleasant it brings people.

When the pain is severe, as long as there is a slight relief, you can get a great sense of pleasure, and even feel that as long as you are not sick or in pain, you are the greatest happiness in life!

(I hope that my book friends will not have such an experience. Those who have had this experience will never repeat it again.)

"Yan Jun, do me a favor. Keep the patient's foot in plantar flexion, and I'll wet the plaster." Zhou Cheng didn't answer the patient's words, but hurriedly asked Du Yanjun to come over to help, increasing his sense of participation.

Hearing Zhou Cheng's words, Du Yanjun slowly woke up from the shock, holding back the mixed feelings in his heart.

He quickly smiled and said, "Brother Zhou Cheng, I'll just go with the wet plaster."

Then I immediately tore off the outer packaging of the polymer material, and after comparing the length, I used the bandage scissors necessary for orthopedic residents in the left pocket of the white coat to trim the length and edges.

The current gypsum has abandoned the previous gypsum and is made of polymer materials.Simple and strong.

Moisten it with room temperature water or warm water to speed up the setting time of gypsum...

Zhou Chengcheng did not compete with Du Yanjun for the operation of plaster external fixation.After putting on the plaster, instruct the patient's companion to continue to maintain the plantar flexion position. After the plaster solidifies, continue to write the explained items into the doctor's order, and then give it to the patient.

About seven or eight minutes later, the patient and his companion thanked Zhou Cheng several times in wheelchairs and left.

Once again, I would like to mention a little thank you value, reaching 4 points, which is one step closer to the 20 thank you points needed to open the next dungeon.

Then I hurried back to the doctor's lounge for dinner.

……

After eating, Du Yanjun smiled and asked Zhou Cheng: "Brother Zhou Cheng, where did you learn this technique of reset?"

"Amazing."

This was from the heart, although Du Yanjun didn't want to admit that he was better than Zhou Chengcai, but Zhou Cheng did something that he didn't even know, it was really amazing.

Moreover, the sense of operation and acquisition of joint dislocation reset is really strong.

There is a kind of immediate effect, the patient's front foot is still in pain when he comes in, but with just a pair of hands, he can rejuvenate and let the patient go out gratefully.This made Du Yanjun feel the charm of joint surgery...

"It's mainly reading books, and then looking for information on the Internet, piecemeal." Zhou Cheng's words are not true.

The main reason is that at present, there is no book that explains in detail the manual reduction of all joint dislocations. His perfect-level manual reduction is based on the manual reduction of fractures (perfect-redefined) and the perfect-level limb anatomy experience. refactored.

In order to prevent Du Yanjun from wasting time looking for related books.

That's all Zhou Cheng could say.

"That's it." Du Yanjun immediately felt rather regretful, otherwise, he would have to buy a copy anyway, and study it carefully.

It's just that Zhou Cheng can learn like Zhou Cheng through such piecemeal learning. Zhou Cheng must have worked hard.

No wonder Zhou Cheng used to yo-yo as soon as he finished his work. I thought Zhou Cheng was lying flat at home, but Zhou Cheng had been working hard on reading and studying.

Du Yanjun didn't ask if there were related books, so Du Yanjun was going to find out from Luo Yun.

When Du Yanjun knocked on the door of the director's office, he found that Luo Yun was inside, using the computer in the director's office to check the information on the dislocation of the heel joint.

When Du Yanjun saw this scene, his heart trembled slightly.

What Zhou Cheng said was actually true. It wasn't that Mr. Luo Yun gave him a small lesson in private, but Zhou Cheng learned it piecemeal by himself.

Maybe Mr. Luo Yun didn't figure out the dislocation of the calcaneal joint just now, otherwise, he wouldn't need to look for relevant information now.

"Yan Jun, what's the matter?" Luo Yun didn't completely avoid Du Yanjun, but also wanted to beat Du Yanjun.

Even he has to keep learning, why don't you, Du Yanjun, learn?After following me for so long, I don't even understand how to reset the shoulder joint, so it's not embarrassing, right?

Du Yanjun quickly threw away what he wanted to ask at first, and said instead: "Mr. Luo, I'm sorry. Before, my vision was too narrow."

Hearing what Du Yanjun said, Luo Yun scratched his chin, and said bluntly, "What? Now that you see Zhou Chenghui's stuff, you don't know how to do it yet, so you start to worry?"

"You don't even read books, how could you?"

"I'm sorry." Du Yanjun lowered his head slightly.

Luo Yun sighed, but still felt that there was no need to be so harsh on Du Yanjun.After all, Du Yanjun is Cai Dongfan's student, not his teacher's student.

Cai Dongfan is a trauma specialist, and Luo Yun's own postgraduate supervisor is a professor of joint surgery. How can students not follow the teacher's pace?

"You don't need to say sorry, it's never too late to start studying."

"The manipulative reset of the calcaneal joint performed by Zhou Cheng today is relatively rare, and the indications for this kind of dislocation manipulative reset are actually quite harsh."

"Even I don't have much exposure to this kind of dislocation, let alone any experience."

"You don't need to worry about these corners and corners. If you want to read a book, I can suggest you to buy a book..."

Five minutes later, Du Yanjun came out of the director's office with a happy smile.

I quickly placed an order on Jingdong, and the books I bought will be delivered tomorrow morning.

Then, he slipped into the doctor's lounge again, and said enthusiastically, "Brother Zhou Cheng, haven't you rested yet?"

"Lie down and rest for a while, I'll wake you up later if you have something to do!" The shelf was lowered slightly.

Zhou Cheng asked Du Yanjun, feeling a little complicated: "Aren't you going to sleep?"

"I don't sleep, I just read the literature, and I'm going to prepare for the opening of the graduate student soon." Du Yanjun found a very formal reason.

"Oh. Then you should be busy." Zhou Cheng wrapped the quilt and narrowed his eyes.

It is Du Yanjun's business to start the topic. He is a graduate student and has the requirement to publish an article after graduation.

Gui Peisheng doesn't need to ask questions?

Besides, even if you open a question, who will care what question you ask?

When you write articles, you also belong to the level of whether you like to write or not. The superior doctors don't bother to care about what articles you write.

However, this is a reality.

But I still have to write articles, otherwise, there will be a blank in academics, and I will suffer a lot compared with these graduate students.

Zhou Cheng already has a direction and an idea, but it is extremely difficult to implement it, and he is just a trainer.

If you want to do something in the department, you also need to fight for opportunities step by step.

To put it simply, the patients in the department belong to the director, and the data also belongs to the director. The director can waste his time not collecting data, and can not do research projects and research, but you can't do these things in private under the supervision and training.

It can only be done with their consent...

Difficult.

Chapter 46 Steady Progress

When I was on duty in the afternoon, I routinely admitted two emergency fracture patients. Since Zhou Cheng was on duty, I accepted them into Cai Dongfan's group and became Cai Dongfan's patients.

The regulations in the department are like this: Whichever group of doctors is on duty, the patients admitted that day will be under the control of that group.

So the number of patients in the group depends entirely on luck.

Fractures can be divided into open fractures and closed fractures according to whether they are connected to the outside world.

To put it simply, if the skin is broken and bleeding, it is an open fracture, and if it is not, it is a closed fracture.

Therefore, when many doctors are on duty, the first thing they ask a patient who has a fracture is to ask: Is there blood.

In fact, he was asking if he wanted to go on stage.

They are all closed fractures, so there is no need to go to the emergency department for treatment.Luo Yun was lonely in the department in the afternoon, and he slipped back home at the normal off-duty time.

Although he is in the second-tier class, he doesn't have to guard the department 24 hours a day.

Zhou Cheng originally planned to ask Du Yanjun to go back too, but Du Yanjun just refused to go back, and stayed with Zhou Cheng until eight o'clock in the morning of the next day, when the shift ended!

Today is Saturday, which is a weekend holiday, and there are no elective surgeries in the hospital.

Luo Yun also knew that Zhou Cheng and Du Yanjun were on duty today, so he rushed to the department at eight o'clock early, and took the two of them to check the room. Check to perfect it.